《I Can See Health》


 Chapter 1： If you want to live a good life, a little green on everyones head

    Chapter 1 If you want to live a good life, a little green on everyone''s head


    "pain!"


    A piercing pain came from Lu Chen''s mind.


    He panted heavily, raised his hands, and covered his head tightly.


    The vision slowly began to become blurred, and even ghost images appeared.


    Bean-sized beads of sweat slowly dripped from his forehead.


    dripped onto the grad school entrance exam paper in his hand.


    Lu Chen''s strangeness was quickly noticed by the invigilator in the examination room.


    The invigilator hurriedly came to Lu Chen''s side, lowered his head and asked softly.


    "Classmate, is there anything wrong with you?"


    Lu Chen released his hands covering his head and raised his head slightly.


    He opened his mouth to speak.


    However, the severe pain has made him speechless.


    He could only raise his hand tremblingly and pointed to his head.


    Headache!


    Having a splitting headache!


    That feeling is as if countless little bugs are constantly eating away at the brain tissue!


    Lu Chen''s complexion became paler, and his forehead was covered in sweat.


    Suddenly, he felt dark in front of him, and then passed out.


    The invigilator saw that this was not good, and immediately yelled at the other teacher.


    "Mr. Li, this classmate''s situation is not right!"


    "I''m looking at him, hurry up and inform the examiner! Contact the accompanying medical staff!"


    In the examination room, other candidates also noticed Lu Chen''s strangeness.


    However, due to the tight exam time, everyone just glanced at Lu Chen slightly, then lowered their heads and continued to work on the questions.


    At this time, Lu Chen''s brain was in a state of chaos, completely unaware of the outside world.


    In medical terms, he is equivalent to a state of "light coma".


    Fortunately, such a large-scale examination of a national nature usually has accompanying medical staff.


    The doctor ?? quickly transferred Lu Chen to the school''s infirmary.


    "Blood pressure, blood oxygen saturation, body temperature, pulse, all normal!"


    "The ECG is normal!"


    The doctor conducted a simple physical examination and treatment on Lu Chen, and found that his vital signs were normal!


    This is a little weird!


    ¡­


    Actually, Lu Chen had a "strange disease" since he was a child.


    That is, when he takes the test, when he is nervous, he will have headache symptoms and even coma!


    Whenever he lifts the pen, the dopamine in his body will be secreted involuntarily.


    I had a headache during the senior high school entrance examination!


    I had a headache during the college entrance examination!


    Now the postgraduate exam, the headache is attacking again!


    Lu Chen had a CT, MRI, and even angiography of the brain, and the results showed that everything was normal!


    Since the onset of the disease, the cause of the headache has never been found.


    Every time a headache occurs, after tens of minutes, the pain will ease on its own.


    ¡­


    Slowly, Lu Chen woke up from the "light coma" state.


    He opened his eyes slowly, and the white ceiling came into view.


    "Wake up! He''s awake!"


    "Student Lu Chen, how are you feeling?" the invigilator asked quickly.


    Lu Chen looked at the invigilator, just as he was about to speak, he noticed something was wrong!


    Why is there a faint "green" on the invigilator''s head?


    That "green" looks extremely unreal.


    But as the invigilator''s head moved, so did the "green".


    Are your eyes dazzled?


    Lu Chen quickly closed his eyes, and after about ten seconds, he opened his eyes again.


    That smear of "green" still exists, as if rooted in the head of the invigilator.


    Is your visual system damaged?


    But when Lu Chen looked at the ceiling and the windowsill, there was nothing abnormal in everything in his sight!


    Everyone in the infirmary saw Lu Chen''s confused face, and thought he was the aftermath of a coma.


    "Student Lu Chen, what''s wrong with you? Are you feeling uncomfortable?"


    The accompanying doctor stepped forward and asked.


    Following the voice, Lu Chen looked at the doctor.


    This time it was actually "yellow"!


    This doctor has no "green" on his head, but a "yellow"!


    What the **** is going on here?


    Lu Chen turned his head and hurriedly looked at the others in the infirmary.


    A young nurse in the infirmary also had a touch of "green" on her head.


    A middle-aged man wearing a badge, he should be the examiner for this exam, the color on his head is the same as that of the doctor, it is "yellow"!


    What do these colors represent?


    At the same time, Lu Chen vaguely felt that a faint light curtain appeared in front of his eyes!


    A line of text is displayed on the top of the light curtain, and the system completion is 0%.


    This faint light curtain will appear or disappear with Lu Chen''s consciousness.


    As a medical student who has been on various novel websites for a long time, Lu Chen realized that this is no longer a phenomenon that can be explained by scientific common sense!


    Could it be that he has become the chosen person, and the system is close by?


    Since then, the road to the master of Chinese medicine has been opened?


    "Calm down! Calm down first!" Lu Chen thought to himself.


    So far, he still doesn''t understand, what does "green" and "yellow" represent?


    The light curtain doesn''t have any other hints except that line of small characters.


    This is very different from those invincible systems in the novel!


    This system with a little "color" is like a pool of stagnant water, and there is no "system prompt".


    ¡­


    In the infirmary at this time, the invigilator Xu Li was very anxious.


    She looked at Lu Chen, who was a little dumbfounded and didn''t speak for a long time, and thought, "This child shouldn''t be stupid, right?"


    What a pity for such a good boy!


    He looks white and clean, a little handsome, and his profession is a doctor, and he will definitely be a sweet pastry in the future!


    "Teacher, I... I''m fine."


    At this time, Lu Chen finally recovered from a series of "accidents".


    It''s just that his face was extremely pale at this time, and he looked very weak.


    "Classmate, do you want to go to the hospital for a more careful examination?" The accompanying doctor performed a simple physical examination on Lu Chen again and confirmed that Lu Chen was in good health.


    "Thank you doctor." Lu Chen sighed slightly, "No need."


    This headache has tormented him for more than 20 years.


    Comes fast and goes fast.


    It doesn''t make much sense to go to the hospital for an examination now.


    "Teacher, I want to go back to take the exam." Lu Chen struggled to stand up.


    But at this moment, the "ding dong" bell suddenly rang!


    Lu Chen was about to stand up for a while, he swallowed and turned to look at Xu Li who was beside him.


    "Teacher, shouldn''t this be the bell for the end of the exam?"


    "Yeah." Xu Li nodded helplessly.


    Lu Chen: "¡­"


    He still has twenty multiple-choice questions left to do!


    These twenty questions account for 40 points!


    Lu Chen originally wanted to be the Kyoto University School of Medicine, which is the number one medical school in China.


    According to his usual self-assessment results, he is 80% sure to pass the preliminary test.


    But now... I just lost 40 points!


    Lu Chen has almost lost the possibility of being admitted to Kyoto University School of Medicine.


    "Student Lu Chen, you don''t have to be too sad." Xu Li comforted, "This postgraduate exam can be continued next year, but the body is the capital of the revolution!"


    "Thank you, teacher, I understand." Lu Chen forced a smile.


    For others, there may be many opportunities.


    But for Lu Chen, he was not allowed to have a headache in the next exam.


    It may not be so meaningful to take the exam for another year.


    And this "color" system doesn''t seem to be anything special at the moment.


    ¡­


    Walking out of the infirmary, Lu Chen immediately got his mobile phone from the storage room.


    turned on the front camera of his phone, and he could see the color on his head clearly.


    green!


    Could it be that, in order to live a good life, everyone needs a little green on their heads?


    Lu Chen began to observe the colors on everyone''s heads around him.


    green, green, yellow, green, yellow, green, green, yellow, green¡­


    Lu Chen made an estimate in his heart.


    Among the people he saw, two-thirds had green heads, and the remaining third had yellow heads.


    The probability of the appearance of green and yellow is completely random, and there is no rule at all.


    But he noticed that most of the people with yellow heads were middle-aged and elderly.


    For the younger test takers, most of them have green color on their heads, and very few are yellow.


    Does this color represent everyone''s age?


    Green represents youth and yellow represents middle age?


    (end of this chapter)

 Chapter 2： Blood red!

    Chapter 2 Blood red!


    Lu Chen walked out of the school gate while thinking.


    "Lu Chen, I''m here!"


    At the gate of the school, a thin boy in black casual clothes with glasses was waving at Lu Chen.


    His name is Zhou Wei, Lu Chen''s college classmate.


    The two have a very good relationship and are both students of Jiangcheng University School of Medicine.


    They were assigned to this middle school exam in Jiangcheng at the same time, but they were not in the same exam room.


    Lu Chen looked over Zhou Wei''s head.


    His color is also green.


    "Hey, Lu Chen, I''ve been waiting for you for a long time, why did you come out now?"


    When Lu Chen stepped forward, Zhou Wei handed him a bottle of mineral water.


    "It''s been 20 minutes since the exam was over. If you don''t show up again, I thought you handed in the papers ahead of time."


    Lu Chen shook his head and smiled bitterly: "I encountered a situation and delayed it."


    "Chen''er, did you hear that someone fainted in the exam room just now!" Zhou Wei said gossiply, "I heard that the candidate was too nervous, this is really miserable!"


    "I fainted during the exam, so I have to wait until next year to take the exam again."


    "Oh, the psychological quality of the students is really bad now!"


    "Hey, Chen''er, why don''t you talk today? Pretend to be cold?"


    Zhou Wei secretly glanced at Lu Chen beside him, feeling that something was wrong. Usually Lu Chen is not so taciturn!


    "Could it be... Could it be..."


    Zhou Wei suddenly thought of a possibility.


    His neck was cold, his forehead was slightly cold, and his footsteps stopped: "Lu Chen, shouldn''t you...you..."


    Lu Chen had a dark face, stopped, turned his head to look at Zhou Wei, and gritted his teeth word by word.


    "Yes, this person with extremely poor psychological quality is me."


    "Misunderstanding, misunderstanding!" Zhou Wei said quickly, looking up and down Lu Chen at the same time, "Then are you alright now?"


    "It''s alright, it''s all an old problem, everything is normal now." Lu Chen pouted.


    "That''s such a pity." Zhou Wei sighed.


    "What?" Lu Chen raised his brows, "I''m like this, what a pity for you?"


    Zhou Wei hurriedly waved his hand: "Chen''er, I mean it''s a pity for you to take this exam. I know your first choice is Kyoto University, so are you preparing for World War II next year?"


    Lu Chen shook his head slightly: "Kyoto University definitely won''t be able to get into it, let''s see how to adjust it then."


    The last twenty questions were left unfinished. Lu Chen preliminarily estimated his score, which should be around 360 points.


    For the medical postgraduate entrance examination, 360 points is already a high score, which is enough to reach the score line of some top medical schools.


    But Kyoto University School of Medicine, as the TOP1 medical school in China, has an enrollment score of around 380 in previous years.


    "Transfer?" Zhou Wei frowned, "But generally top-level medical schools don''t recruit transfer students. If you want to transfer, you can only go to a lower-level medical school."


    Postgraduate entrance examination is different from the current college entrance examination.


    Postgraduate entrance examination needs to fill in the school of choice first, then the test score, and finally the admission is selected.


    And the postgraduate entrance examination can only fill in one volunteer!


    Although there is a transfer system for postgraduate entrance examinations, most of the top medical schools are full of students and rarely recruit transfer students.


    Therefore, this requires everyone to have a clear understanding of their own abilities.


    Judging from Lu Chen''s grades, it would definitely be uneconomical to go to a lower-level medical school.


    "World War II is also a risk." Lu Chen said solemnly, "What''s more, there are still many medical universities that are actually quite strong, but because the overall strength of the universities is not strong, the ranking of the universities lags behind."


    "That''s true." Zhou Wei nodded.


    Among the medical universities in China, only Pingjin Medical University is affiliated to 211.


    Other than that, no medical university is 985 or 211.


    The universities that can be rated on 985 and 211 are basically comprehensive universities.


    Like Kyoto University School of Medicine, these are medical departments in comprehensive universities.


    "Then let''s go back to school now?" Zhou Wei said.


    "No, let''s find an Internet cafe and surf the Internet." Lu Chen shook his head.


    "Go to the Internet?" Zhou Wei was surprised and delighted, "I asked you to accompany me before, didn''t you always refuse? Now that the exam is over, are you ready to let go?"


    As a teenager who is addicted to the Internet, Zhou Wei can be regarded as an old netizen and is proficient in various online games.


    "I''m sorry, I didn''t think about it too much, I''ll go check the information." Lu Chen shrugged.


    ¡­


    The two soon came to an Internet cafe near Jiangcheng University.


    Xingxin Internet Cafe.


    As soon as I walked into the internet cafe, the girl at the front desk smiled sweetly at Zhou Wei when she saw Zhou Wei.


    "Viagra, you''re here again."


    "Xiao Li, good noon." Zhou Wei''s eyes lit up.


    Although it is late winter, there is heating in the Internet cafe, and the girl at the front desk is dressed very cool today.


    In addition, her appearance is not bad, many people with stubborn feet are looking towards the front desk.


    Zhou Wei took out his ID card and swiped it at the front desk.


    The prompt tone of the Internet cafe management system sounded immediately.


    "Ding! Diamond members, welcome."


    Lu Chen glanced at the membership system at the front desk of the Internet cafe.


    Diamond members, this is amazing!


    You have to recharge several thousand dollars.


    It looks like this kid Zhou Wei has come to Happy Internet Cafe quite a few times!


    The two quickly found two adjacent vacancies and sat down.


    "Lu Chen, don''t you want to play an alliance with me?" Zhou Wei leaned in front of Lu Chen and smiled, "Tell you, I''m Yasuo."


    Lu Chen shook his head: "You play, I''ll check the information."


    The reason why Lu Chen came to the Internet was mainly to find out what happened to him today.


    What is the relationship between your own headaches for many years and this "color" system?


    Although he knew that the possibility of finding it was unlikely, he still wanted to try it.


    Open Baidu search bar.


    Enter various keywords such as "color", "color on the head" in the search engine.


    The output results of ?? are all advertisements for hair dye, perm, and even hair transplant.


    Continue to enter keywords such as "headache" and "visual disturbance caused by headache".


    The output of ?? is all information related to migraine.


    but¡­


    One of them caught Lu Chen''s attention - visual disturbance caused by a psychotic-related headache.


    Mental illness?


    cut!


    Lu Chen scoffed, how could he be mentally ill? !


    but¡­


    At the end of this message, four psychiatric diagnostic scales are listed.


    is the 90-item symptom checklist (SCL-90), the Brief Psychiatric Scale (BPRS), the Dementia Easy Screening Scale (BSSD), and the Social Deficiency Screening Scale (SDSS).


    "Uh, me, then I''ll take a look."


    Lu Chen hesitated for a moment, then he stepped in.


    ten minutes later.


    He has completed all the psychiatric diagnostic scales, and the output results are normal!


    "Huh!" Lu Chen breathed a sigh of relief.


    I am not mentally ill!


    Great!


    Zhou Wei glanced at Lu Chen during the game.


    "Chen''er, are you studying psychiatry recently? I remember that you applied for cardiovascular medicine, right? It doesn''t quite match your future major."


    Lu Chen coughed lightly and quickly closed the webpage.


    "I''m just wandering around."


    "Oh."


    Zhou Wei replied, and then turned to Lu Chen as if he had thought of something interesting.


    "Chen''er, did you know there is a legend in this Internet cafe?"


    "The legend of the Internet cafe? He is very good at gaming?" Lu Chen asked.


    "Hey, he''s not only good at gaming."


    As soon as he mentioned these gossip information, Zhou Wei became interested.


    "This legend is still from our school. I heard that he has been living in this Happy Internet Cafe since he graduated from college."


    "Live? Live in an internet cafe?" Lu Chen asked in surprise.


    "Yes, you heard it right. He just lives in an Internet cafe! He also has an exclusive seat where he sleeps during the day and plays games all night at night."


    "I heard that he takes a bath once a month in winter and once a week in summer. He usually earns his living expenses by playing game boosters."


    "His name is Yuan Hao. He has been in this Internet cafe for two years and has been interviewed by major TV stations in Jiangcheng."


    After ?? finished speaking, Zhou Wei stood up and looked into the corner to the southeast of the Internet cafe.


    "Chen''er, look, he''s sleeping in front of the computer now."


    Lu Chen looked in the direction Zhou Wei pointed.


    Sure enough, in that dark corner, there was a man with messy hair lying in front of the computer.


    Suddenly, Lu Chen''s pupils shrank slightly.


    red!


    The color on the top of this man''s head is something he has never seen before!


    is the red of blood!


    New book for collection, recommendation ticket.


    The update time is fixed. 9am, 5pm, 9pm.


    (end of this chapter)

 Chapter 3： Is this medical student reliable?

    Chapter 3 Is this medical student reliable?


    According to Lu Chen''s previous guess, "color" represents age.


    Then green represents youth, yellow represents middle age, what about red?


    What level of age does the red that appears for the first time represent?


    According to Zhou Wei''s previous description, this "legend" who has been in the Internet cafe for a long time has just graduated from college for two years.


    "Legends" are about the same age as them, and the color on the head should be green as well.


    In addition, Lu Chen also noticed.


    Most of the ?? Internet cafes are young people, but their heads are mostly yellow, and less than one-third of them have green heads.


    People of the same age showed three different colors, which completely contradicted Lu Chen''s initial guess.


    green, yellow, red¡­


    Lu Chen lowered his head and thought, suddenly as if he had thought of something.


    Then he raised his head and looked around the internet cafe.


    "Chen''er, what''s wrong with you?"


    Seeing that Lu Chen didn''t speak, Zhou Wei thought that he hadn''t come out of today''s exam failure state.


    Lu Chen frowned and said, "Zhou Wei, does he lie in front of the computer like that every day?"


    "That''s right!" Zhou Wei nodded, "If you use the Internet all day during the day, the cost of the Internet will be very expensive. So during the day, he sleeps most of the time. But at night, he starts to stay all night and stay overnight. It''s only about seven or eight dollars."


    The day and night are reversed, and the daily routine is disordered.


    From a distance, there are all kinds of discarded snack bags on his computer desk.


    Thinking of these situations, Lu Chen began to have a clue.


    At this moment, this "legendary" moved.


    He slowly raised his head, covered his mouth, yawned, and twisted his neck.


    Then he looked around again, then stood up slowly and walked slowly towards the front desk of the Internet cafe.


    His location is near the corner of the Internet cafe.


    If you want to walk to the front desk of the Internet cafe, you have to cross the aisle and pass by Lu Chen.


    As the "legendary" approached, Lu Chen finally saw his appearance.


    He was about twenty-five years old, with heavy glasses, a unkempt face, a drawn beard, and dark circles under his eyes.


    A very raunchy look.


    And the "red" on the top of his head was particularly dazzling in Lu Chen''s view.


    "Xiao Li, bring me a bottle of Coke."


    When he came to the front desk of the Internet cafe, Yuan Hao leaned on the counter with his left hand.


    "Okay, Brother Yuan." Xiaoli quickly took out a bottle of Coke from the freezer behind her, "Three dollars."


    "Okay, put it on my account." Yuan Hao grinned, revealing yellow teeth.


    "Brother Yuan, this is the 14th bottle of Coke you got on credit this week!" Xiaoli pouted and said, "If the boss sees me giving you credit, he won''t scold me to death."


    Yuan Hao had already twisted the cap of the Coke bottle, raised his head and took a big mouthful.


    "Hey, Xiaoli, look at when I''ll pay the bill!" Yuan Hao licked the coke stain on the corner of his mouth, "When I get paid tonight, I''ll settle this week''s credit."


    Xiao Li immediately smiled happily: "Thank you Brother Yuan for taking care of you."


    "It''s easy to talk."


    Yuan Hao waved his hand and prepared to leave.


    On Lu Chen''s side, because of the "red" on Yuan Hao''s head, he has been paying close attention to Yuan Hao''s behavior.


    From the beginning, as soon as Yuan Hao got up from the chair, Lu Chen realized that something was wrong.


    His complexion was morbidly pale, his steps were frivolous, and his walking was even a little unsteady.


    When Yuan Hao was buying Coke at the front desk just now, he leaned half of his body on the cabinet, and his whole person seemed extremely lackluster.


    Just as Lu Chen was thinking about it, suddenly, the ground shook violently!


    In Lu Chen''s field of vision, Yuan Hao suddenly lost his center of gravity, and then slammed into the ground.


    "Ah! What happened? An earthquake?"


    Zhou Wei, who was playing a game, also felt the vibration. He quickly took off his headphones and looked at Lu Chen, who was beside him.


    At this time, Lu Chen was no longer in his seat, but quickly ran to the front desk of the Internet cafe.


    Zhou Weichao looked at the front desk of the Internet cafe.


    On the ground at the front desk of the Internet cafe, there is a person lying on his stomach, it is the "legendary" Yuan Hao!


    "Someone fainted!"


    Xiao Li also found out that the situation was wrong at the first time, and immediately screamed.


    Everyone''s attention in the Internet cafe was attracted by Yuan Hao, who fell to the ground.


    The front desk immediately gathered around a circle of people.


    "What happened to him? Fainted?"


    "Ah, this, isn''t this person Yuan Hao?"


    "Who is Yuan Hao?"


    "You don''t even know who Yuan Hao is? He''s a legend in Happy Internet Cafe..."


    And Lu Chen came to Yuan Hao''s side, squatted down, and turned Yuan Hao''s face up.


    Yuan Hao''s forehead was a little red and swollen, and a large lump had already swelled up, but there was no obvious bleeding, and there was some white secretions at the corners of his mouth.


    Lu Chen lightly tapped his shoulder with his hand.


    "Hey, brother, can you hear me?"


    Yuan Hao closed his eyes and did not respond.


    "Brother! Brother! Can you hear me?"


    Still no response.


    Lu Chen felt that the situation was a little serious!


    He immediately knelt down beside Yuan Hao, touched the pulse of his carotid artery with his index and middle fingers, and observed whether his chest rose or not.


    about 10 seconds later.


    "Carotid pulse disappeared!"


    "No rise and fall of the chest!"


    Oops!


    Breathing, cardiac arrest!


    This situation requires immediate CPR!


    Lu Chen was shocked, and then immediately shouted to the people around him: "Fight 120!"


    Little Li, the girl at the front desk, immediately picked up the phone and called 120 tremblingly.


    The people around saw that things were not good, and many people began to slowly disperse.


    ¡­


    Actually, not all patients with syncope need CPR.


    But once it is judged that breathing and cardiac arrest are sudden, it is an absolute indication for CPR!


    As a fresh medical graduate, CPR is a skill that must be mastered.


    However, Lu Chen has always been training on a simulated human, and he has never tried it on a real person.


    Even though he got a perfect score in the "cardiopulmonary resuscitation" skill operation test, there is still a big gap between reality and the test.


    Lu Chen gritted his teeth, clenching his fists in his sleeves.


    The current situation is too much for him to think about.


    Every second that passes, there is an extra point of danger!


    In his mind, the whole process of CPR flashed quickly.


    Lu Chen first straightened his body, then loosened Yuan Hao''s waistband, and then took off his shirt, exposing his chest.


    The preparations are over!


    Lu Chen placed the base of his right palm against the pressing part of the middle and lower part of his sternum, his hands were crossed and overlapped, the fingers of his left hand were raised, and his arms were straight.


    Start chest compressions!


    "Press at least 100 to 120 times per minute!"


    "Press at least 5-6cm deep!"


    "During the compression process, the base of the palm should not leave the chest wall, so as to avoid fluctuations in the compression position and rib fractures."


    The key points of CPR reappeared in Lu Chen''s mind over and over again.


    One cycle of CPR after the operation, that is, thirty compressions.


    Lu Chen''s forehead and bridge of nose have begun to seep fine sweat.


    "Chen''er, change me!"


    At this time, Zhou Wei had come to Lu Chen''s side.


    "Okay!" Lu Chen nodded.


    He backed away and gave up his position to Zhou Wei, who immediately took his pressing action.


    And Lu Chen has more important operations to do!


    That is artificial respiration!


    The so-called cardiopulmonary resuscitation can be seen from the literal meaning.


    Need to resuscitate the heart and lungs, two important organs!


    Chest compression is to keep the heart beating and maintain the pumping function of the heart.


    Next, the lungs need to be ventilated so that oxygen can enter the body.


    is what we often say, artificial respiration.


    turned Yuan Hao''s head to one side and cleaned out the foreign objects remaining in his mouth.


    Lu Chen said solemnly, "Zhou Wei, when you finish this cycle, I will start artificial respiration."


    "Okay." Zhou Wei nodded while doing chest compressions, "I just have a mask in my pocket."


    Before performing mouth-to-mouth artificial respiration, you must ensure your own safety, and place highly breathable items such as gauze, handkerchiefs or disposable masks on the patient''s mouth for isolation.


    Lu Chen put the mask on Yuan Hao''s mouth and nose.


    After Zhou Wei finished pressing 30 times in a cycle, he pinched both sides of Yuan Hao''s nose with his hands, wrapped his mouth completely around the patient''s mouth, and inhaled.


    At the same time, Lu Chen used his peripheral vision to notice Yuan Hao''s chest rise and fall.


    The chest rises and falls, which means it is an effective artificial respiration!


    ¡­


    Dong Yuehua, the owner of the Internet cafe, hurriedly drove from home after receiving a call from Xiaoli.


    He ran the red light all the way, got out of the car, and rushed to the Internet cafe.


    Before entering Happy Internet Cafe, he saw a circle of people around the entrance of the Internet Cafe.


    He has long been like an ant on a hot pot, and his heart is burning. If this person died in his Internet cafe.


    Then his Happy Internet Cafe, don''t even think about continuing to work!


    "Xiao Li, how is the situation?"


    Walking into the Internet cafe, Dong Yuehua immediately found Xiaoli in the crowd.


    Xiao Li''s face was pale, she pointed at Yuan Hao who was lying on the ground being rescued, and her lips trembled slightly: "Old, boss, Yuan Hao, he, he just finished buying Coke, and suddenly fainted."


    "Then they are..."


    Dong Yuehua pointed to Lu Chen and Zhou Wei who were being rescued.


    When he first entered the door, he did not see the ambulance.


    So these two should be doctors nearby?


    "Boss, I know one of them. He is a student of nearby Jiangcheng University. He seems to be studying medicine." Xiaoli said timidly, "He often comes to our Internet cafe, so I know him."


    "Medical student?" Dong Yuehua was just a little fortunate, but quickly sank to the bottom.


    I thought it was two doctors, but I didn¡¯t expect it was just a medical student.


    is still a medical student who often comes to the Internet.


    Is this kind of medical student reliable?


    Now Dong Yuehua can only pray silently in his heart, the ambulance comes quickly!


    (end of this chapter)

 Chapter 4： This doctor is so solid!

    Chapter 4 This kind of doctor is too stable!


    CPR, after every 5 cycles, it is necessary to check whether the patient''s breathing and pulse have recovered.


    ¡°Is there a pulse in the carotid artery?¡±


    "Not yet." Lu Chen shook his head, "Let me press it."


    CPR is a labor-intensive exercise, especially chest compressions for long periods of time.


    The arm gets sore easily.


    Lu Chen and Zhou Wei began to alternate chest compressions and artificial respiration.


    goes through another cycle.


    "Breathing and heartbeat have not recovered, continue to press!"


    Another cycle!


    "not yet!"


    "continue!"


    Although less than five minutes have passed since the rescue, for Lu Chen and Zhou Wei, it was like a long marathon.


    They were both gasping for breath, and their arms could not straighten.


    Another cycle is over!


    "Have it!"


    "Have it!"


    "Heartbeat and breathing are back!"


    Lu Chen said excitedly.


    When his index and middle fingers touched Yuan Hao''s carotid artery, the pulsation of the carotid artery had recovered without pressing!


    And Yuan Hao''s chest has begun to rise and fall.


    This shows that his spontaneous breathing is also slowly recovering!


    Lu Chen and Zhou Wei finally breathed a sigh of relief and stopped CPR.


    "Brother, can you hear me?"


    Lu Chen patted Yuan Hao on the shoulder again.


    Yuan Hao finally responded this time!


    "Ah..." He groaned in pain, then slowly opened his eyes, then closed them again.


    Although Yuan Hao''s reaction was not strong, he had already woken up.


    In the eyes of everyone in the Internet cafe, it is an extremely incredible thing to be able to save a person who is dying. Everyone exclaimed in admiration.


    "This, this is too powerful! It was actually saved!"


    "I just saw that Yuan Hao was out of breath! There was no reaction!"


    "Really awesome! These two are doctors, why are the doctors now so young?"


    Dong Yuehua, the owner of Xingxin Internet Cafe, his hands were shaking, and his heart was mixed.


    Good luck!


    What a blessing!


    Suffering from this disaster for no reason...


    Fortunately, Yuan Hao was rescued!


    His responsibilities are also much smaller.


    Lu Chen and Zhou Wei also slumped on the ground.


    Although the rescue time was short, it was thrilling enough!


    The two smiled at each other.


    Although I was tired and became a dog, my heart was full of satisfaction after saving people.


    Just then, the ambulance siren beeped.


    A 120 ambulance from the city hospital parked at the entrance of the Internet cafe with the smoke and dust from the road.


    In fact, it has only been less than 8 minutes since Yuan Hao started to get sick.


    The speed at which the ambulance arrived was considered very timely.


    But for patients with cardiac and respiratory arrest.


    8 minutes, if there is no action during this period, the death penalty can basically be declared.


    "Where is the patient? Who called 120?"


    A doctor and two nurses rushed into Happy Internet Cafe.


    "Doctor, the patient is inside!" Dong Yuehua hurried forward.


    The ?? crowd immediately dispersed, making way for the doctors and nurses.


    "what''s the situation?"


    The doctor stepped forward and saw Yuan Hao lying flat on the ground.


    He immediately instructed the nurse to measure his vital signs and quickly establish an intravenous infusion channel.


    Lu Chen stood up staggeringly, took a sip of the mineral water handed over by someone else, and paused: "Doctor, the patient had no obvious cause 8 minutes ago, and his breathing and cardiac arrest occurred suddenly."


    "My friend and I immediately performed CPR on the patient."


    "Just 1 minute before you came, the patient has resumed breathing and heartbeat."


    "But the patient''s current etiology is unknown, and hidden genetic heart disease, such as hypertrophic cardiomyopathy, is not excluded."


    Doctor ?? was giving Yuan Hao auscultation. Hearing Lu Chen''s professional description, he took off the stethoscope somewhat unexpectedly.


    "Are you together?"


    Lu Chen nodded: "It''s half, we are medical students."


    The doctor raised his eyebrows slightly, medical student?


    Just a student?


    Is the involution in the medical field so serious?


    Now medical students have mastered rescue skills so proficiently?


    Back then, when he was a student, when he met a patient with syncope, he was scared to death.


    How can you think of going to CPR?


    "Are the patient''s family members here?" the doctor continued to ask.


    "We just got his mobile phone and called his parents." Lu Chen said, "But his parents are from outside the city, so I''m afraid it will be difficult to come here soon."


    After listening to this, the doctor''s face was embarrassed.


    No family members, no one to take care of them, what can I do?


    Because of the inspection and treatment in the hospital, not only need to pay, but also need to be accompanied by family members.


    "Are there any friends or colleagues of the patient present, we need someone to accompany us to the hospital."


    The two nurses have already put Yuan Hao on the stretcher, ready to be transported to the ambulance.


    "I''ll accompany you!" Dong Yuehua said, "I''m the owner of the Internet cafe. This customer has been online here for a long time, and everyone is considered an old friend."


    Dong Yuehua is also forced to be helpless!


    He is innocent!


    But in any case, Yuan Hao''s incident happened in their Internet cafe, and Happy Internet Cafe''s responsibility was definitely unavoidable.


    Fortunately, after the emergency treatment of these two medical students, Yuan Hao was temporarily out of danger.


    Just take him to the hospital, contact his parents, and pay some medical bills yourself.


    This should be a good solution.


    "Okay, then you can go with us." The doctor said.


    "Yes." Dong Yuehua nodded.


    Before leaving, he suddenly stopped, turned around and thanked Lu Chen and Zhou Wei: "Two classmates, thank you this time."


    "If it wasn''t for the two of you this time, Yuan Hao would have been more fortunate than good luck."


    "In the future, if you come to our Happy Internet Cafe to surf the Internet, I will give you a 50% discount!"


    Lu Chen smiled: "Thank you boss."


    Zhou Wei frowned and said, "Boss Dong, but I am now a diamond member. Diamond members are originally 50% off the Internet..."


    "Then fold up!"


    "That''s cool!" Zhou Wei laughed.


    Then, Dong Yuehua left with the ambulance.


    Lu Chen glanced at Zhou Wei speechlessly. It seems that this guy is also from another province.


    Does he still have time to go back to this Internet cafe in the future?


    ¡­


    After the accident just now, everyone had no intention of continuing to surf the Internet and began to slowly disperse.


    "Let''s go back to school too." Lu Chen said.


    Zhou Wei sighed and said: "Hey, I''m going, I was just playing a team battle. Now my teammates should report me for hanging up."


    "Don''t report teammates easily in the future, he may be rescuing a patient."


    Regarding Zhou Wei''s poor mouth, Lu Chen smiled and did not speak.


    Because he suddenly noticed that there seemed to be an extra line of words on the screen of light in front of him that no one else could see.


    He looked intently, and there was indeed an extra line of small characters at the bottom of the light curtain.


    "Congratulations, +1 for the thank you from Dong Yuehua."


    At the same time, the completion degree above the light curtain changed from 0% to 10%.


    Lu Chen''s expression brightened.


    This unreliable system finally reacted somewhat.


    Received a thank you from Dong Yuehua.


    Lu Chen already knew from the conversation just now that the owner of this Internet cafe is surnamed Dong.


    should be this Dong Yuehua!


    Most likely because he successfully rescued Yuan Hao and avoided a vicious incident in Happy Internet Cafe, Dong Yuhua would be very grateful to him.


    However, Yuan Hao, who is the party involved.


    Why didn''t Lu Chen receive the thanks from him?


    Is it because his state of consciousness has not fully recovered?


    Lu Chen waited for the "system" to continue to give prompts.


    But¡­


    Waited silently for a long time.


    The "system" is dumb again!


    just this?


    No other tips?


    Then, what is the use of this thank you value?


    What will happen if the completion is 100%?


    Lu Chen sighed deeply and got this indifferent system.


    He studied the system inside and out, but still didn''t have the slightest clue.


    His heart is really tired!


    However, Lu Chen recalled what had just happened.


    He had a more reliable guess about the color that appeared on each person''s head.


    The color on each person''s head may represent a healthy state!


    Green represents health.


    Yellow, indicates that some diseases have appeared in the body, but it is not fatal.


    In other words, yellow represents a sub-health state.


    And red, it represents a major disease, and even threatens the safety of human life!


    This is also a good explanation why "green" is mostly young people, and "yellow" is mostly older.


    For people who often go to Internet cafes, because of irregular work and rest time, even if they are young, their bodies are already in a sub-healthy state, so the color of their heads is yellow.


    And the red on Yuan Hao''s head indicates that he has contracted a serious disease and may die at any time!


    Thinking of this, Lu Chen looked a little excited.


    In medicine, it is extremely important to correctly judge the prognosis and outcome of patients!


    He can judge the patient''s condition by the color on everyone''s head and deal with it immediately!


    How stable is this kind of doctor!


    (end of this chapter)

 Chapter 5： BBQ Stall Weird

    Chapter 5 BBQ Stall Strange Things


    Back to Jiangcheng University.


    As soon as Lu Chen returned to the dormitory, he received another prompt from the system.


    "Congratulations, +1 for the thank you from Yuan Hao!"


    Is the system delayed for so long?


    It has been almost half an hour since the rescue incident that just happened in the Internet cafe.


    Or maybe Yuan Hao has only returned to his normal mental state now, so the system prompt will be delayed.


    in the system light curtain.


    Thanks became 2!


    However, this time the completion rate above the system light curtain is still 10%.


    Nothing has changed from before.


    "It seems that the degree of completion has little to do with the value of gratitude." Lu Chen thought to himself.


    At first, he thought that every time he received a thank you point, the completion rate would increase accordingly.


    Now it seems that it is not.


    In addition, Lu Chen also found a problem.


    Only when he is mentally focused can he see the color on the top of everyone''s head.


    In ordinary life communication, as long as he does not deliberately observe, the color on the top of other people''s heads will not appear.


    This is also good, lest he always see "three colors" in his eyes, and sooner or later one day he will be weak.


    There are still many mysterious places in the ?? system, and Lu Chen is still a little confused for the time being.


    But he is not in a hurry, he will definitely make this "system" transparent in the future!


    ¡­


    took out the key and opened the door.


    Another roommate, Zhou Jie, has returned.


    "Chen''er, you''re back. Huang Mao and Brother Chong haven''t returned yet."


    Seeing Lu Chen coming back, Zhou Jie smiled at him.


    "How was the test?"


    Lu Chen shook his head slightly and said with a wry smile: "Not so good, the Western Comprehensive Exam was smashed."


    Zhou Jie was a little surprised. In his impression, Lu Chen''s grades were the best among the four in the dormitory.


    "Chen''er, no way. According to your usual grades, no matter how bad it is, there will always be 380 points?"


    "No." Lu Chen shrugged, "I made an estimate, at most 360 points."


    "Look, I said at the time that I wanted you and me to protect our school''s research, but you didn''t." Zhou Jie said regretfully, "Although our school can''t compare with Kyoto University, it is still better than those second-rate medical schools. some!"


    Zhou Jie chose Baoyan and directly studied for a master''s degree at Jiangcheng University based on his usual school performance.


    Originally, according to Lu Chen''s results, he could also choose to guarantee research.


    But he gave up and chose to enroll in Kyoto University School of Medicine.


    "After the score comes out, I''ll pay attention to the adjustment." Lu Chen said.


    "But as far as I know, most first-class colleges don''t accept transfer. For example, our school never accepts transfer students!" Zhou Jie thought for a while and said.


    "You can only take one step, take a look." Lu Chen said helplessly.


    The accident has happened, so we can only accept it silently.


    It is useless to regret again.


    What''s more, he is also a blessing in disguise and has a "system".


    Although so far, apart from this color, he doesn''t know exactly what the "system" is for...


    It won''t take a while.


    The other two people in the bedroom also returned.


    "Huh? Lu Chen failed the exam?"


    Huang Mao and Brother Chong were also shocked when they heard the news.


    Huang Mao, whose real name is Huang Zhiming, is nicknamed Huang Mao because he dyed his head yellow.


    Brother Chong''s real name is Wu Chong, and he is a little older in the dormitory.


    And every night, Huang Mao, who was sleeping with him, always felt that Wu Chong''s bed was shaking wildly.


    Therefore, everyone called him respectfully, Brother Chong!


    "Chen''er, don''t think too much about it, it''s a big deal to fight for another year!" Brother Chong patted Lu Chen''s shoulder, trying to comfort him, "With your ability, isn''t it possible that Kyoto University Medical School will be able to capture it?"


    "Brother Chong is right!" Huang Mao echoed aside.


    On weekdays, Huang Maoduo and Wu Chong are together, they are considered grasshoppers on a rope.


    "Don''t worry, I''m not as vulnerable as you think." Lu Chen smiled, "I already have a plan."


    He doesn''t want to take the exam for another year. If he has a headache during the exam, he will take the exam in vain and waste a year.


    "That''s good." Seeing what Lu Chen said, the other three in the dormitory were relieved.


    "In order to comfort Chen''er''s wounded heart, I invite everyone to have a kebab tonight!"


    Brother Chong suggested.


    Wu Chong''s parents started a small business in Jiangsu and Zhejiang.


    For other ordinary classmates, the economic conditions of his family are relatively good.


    "That''s good!" Huang Mao smiled immediately, and he rushed to Wu Chong, "Brother Chong is a big money, it''s time to kill him!"


    Brother Chong looked at Lu Chen and wanted to ask for his opinion.


    Lu Chen thought that there was nothing to do now, so he smiled and nodded: "I have no opinion."


    "Alright, everyone will see you tonight."


    "Brother Chong, can you bring your family?" Zhou Jie laughed.


    Five years in college, Zhou Jie talked about his girlfriend in the entire dormitory, and broke away from the group of single dogs.


    "Can!"


    The overall atmosphere of Lu Chen''s bedroom is good.


    University for five years, we get along day and night, and cultivate a relatively deep friendship.


    Wu Chong''s family is well-off. Although his academic performance is only moderate, he still relied on his family to successfully apply for a postgraduate study at the American Medical College.


    Zhou Jie chose Baoyan and continued to study for a master''s degree in this school.


    Huang Mao, like Lu Chen, chose to be a graduate student from a foreign school.


    However, Huangmao can only choose the postgraduate entrance examination because his usual grades do not meet the standards for postgraduate study.


    As for Lu Chen, it was entirely because he wanted to be admitted to the Kyoto University School of Medicine, a holy place in the eyes of all Chinese medical students!


    Medicine is already a very serious subject.


    Not to mention that the number of doctors is like a dog, but the master is really everywhere!


    Undergraduates can only go to some second-class hospitals, and even some county-level hospitals require a graduate degree.


    Therefore, after graduation, more than 90% of medical students will choose to continue postgraduate study.


    ¡­


    afternoon.


    Lu Chen received a call from his mother.


    "Lu Chen, I remember that your postgraduate entrance examination is over today, right?"


    As soon as the phone was connected, Luo Meizhen asked tentatively.


    "Mom, you still remember my exam today? It''s really not easy!" Lu Chen was speechless.


    "Haha, of course I remember important events in your life." Luo Meizhen coughed awkwardly, "Tell me about it, how did you go in the test?"


    "It''s not very good, I have another headache, so I guess I won''t pass the test." Lu Chen said.


    "Ah! Really? That''s really good!" Luo Meizhen''s tone was very excited, and there was no hint of sadness at all.


    Lu Chen: "¡­"


    This, is this your mother? !


    "My dear son, then your dad and I will wait for you to come back." Luo Meizhen smiled happily, "Your dad has already greeted the director of our central hospital, and you can sign a contract with the hospital anytime you come back."


    "Hey, Mom, don''t get me wrong, I mean..."


    Before Lu Chen could finish speaking, Luo Meizhen interrupted, "That''s it! I''ll go tell your dad the good news!"


    "Mom, I¡­"


    "Dududu..."


    Lu Chen was helpless as he listened to the busy tone on the phone.


    He actually wanted to say yes, Kyoto University School of Medicine could not pass the entrance examination, but other schools might be able to pass it!


    Lu Chen knew that because he was the only child, his parents didn''t want him to be too far away!


    If you are admitted to Kyoto Medical School, you may only be able to go home once or twice a year!


    As the saying goes, parents are here, not far away.


    However, there is a way to travel!


    Lu Chen has always adhered to the second half of the sentence.


    For so many years, he has not even been out of the province!


    The world is so big, he really wants to see it!


    "Let''s talk to my parents when the results come out." Lu Chen thought.


    ¡­


    University campus, there is never a shortage of food.


    There is a snack street at the back door of almost every university campus.


    Jiangcheng University is no exception.


    Especially at night, special snacks from all over the country can be found in the snack street next to Jiangcheng University.


    Night fell slowly.


    Everyone in the dormitory came to the back door of Jiangcheng University as promised.


    A total of five people


    There are four people in the dormitory, and Ajie also brought her girlfriend.


    It may be because of the postgraduate entrance examination, the popularity of the snack street is particularly hot today.


    The smells of various barbecues, hot pots, and desserts are mixed in the air, making people move their index fingers.


    "I''m going, it''s full!"


    Everyone came to a barbecue restaurant that they often eat, but there were people inside and outside the store.


    "Let''s change to another family." Brother Chong said helplessly, "It seems that everyone has the same idea as us, just come out and relax after the exam."


    "I know there is a barbecue restaurant in the old street ahead." Huang Mao suddenly suggested.


    "How does it taste?" Brother Chong glanced at the yellow hair.


    "I haven''t tried it before. I heard it from Lao Li in the next bedroom. It tastes okay and the price is affordable."


    "Then go there!"


    There was no other better choice for the time being, so everyone walked towards the barbecue restaurant that Huang Mao said.


    This barbecue restaurant is still some distance from the snack street of Jiangcheng University.


    The crowd walked for about ten minutes and found this barbecue restaurant hidden in the corner of the old street.


    This BBQ restaurant is called Kirin BBQ, which is a mom-and-pop shop.


    The boss is busy with barbecue, and the lady boss is looking after the guests.


    There are not many customers in the barbecue restaurant, there is no one in the back room, and there are only two tables of customers outside.


    There are about three or five people at each table, all young men and women.


    "Several handsome guys and beauties, what to eat?"


    The owner of the barbecue restaurant is a middle-aged man. While working in front of the oven, he shouted to Lu Chen and others.


    "There is a menu on the table, you can take a look!" The proprietress also came out from the back room and greeted everyone to sit down.


    The crowd found an empty table outside.


    Lu Chen glanced at the menu.


    Lamb 2 yuan a bunch.


    Pork is 2 yuan a bunch.


    ¡­


    The meat here is really cheap!


    "Looking on the skewers is to be in this kind of food stall!" Huang Mao laughed, "Looking on the skewers and drinking some wine, that''s a treat!"


    "Stop fussing, hurry up and make a string." Brother Chong laughed and scolded, "We''ll have to wait for a long time when there are too many people!"


    "First come twenty skewers of lamb!"


    "Twenty Beef Skewers!"


    "One serving of Jiwei shrimp, grilled eggplant, edamame, and peanuts"


    "More kidneys and leeks!" Zhou Jie added with a smile.


    "Handsome guys and beauties, do you want something to drink?" the lady boss asked.


    "Let''s have a beer first."


    "Okay!" She wrote down the skewers that everyone ordered, and then smiled, "All the beautiful and handsome guys, wait a while, finish cooking the ones on the next table first, and bake yours right away."


    The location of the barbecue restaurant is a bit remote. Although it is said that it is time for supper, there are still only three tables for customers.


    "Brother Chong, when are you leaving for America?"


    Everyone was a little bored waiting for the barbecue, so they chatted.


    "It will take four or five months to get the graduation certificate from our school." Brother Chong laughed, "Actually, I don''t want to go abroad, but my parents forced me to go abroad and asked me to get a degree. Come back again."


    "It''s good to go abroad to be coated with gold." Zhou Jie was somewhat envious. "Now the provincial top three hospitals in China all require overseas returnees, let alone our undergraduates. Master students from famous schools can''t get in."


    "Yeah, other majors don''t value education as much as our medicine."


    "With a bachelor''s degree in medicine, you can only go back to your hometown to become a doctor in a small county."


    There is no way, the medical industry is so introverted.


    ¡­


    While everyone was chatting, the barbecues at the two tables next door were all ready.


    "Madam, when will our BBQ be served?" Huang Mao shouted.


    "Come on, just five minutes!"


    The lady boss said apologetically.


    No wonder there are not many people here.


    First, the geographical location is relatively remote, and second, the speed of serving food here is a bit slow.


    "I always feel a little dizzy recently." Huang Mao suddenly pressed his neck with both hands, and then hammered it a few times, "Maybe it''s the recent exam, and I stayed up too much late."


    "Now that the exam is over, take a rest." Lu Chen smiled.


    Hearing Huang Mao''s words, Lu Chen subconsciously focused his attention and looked at his head.


    green!


    According to the previous logic, green represents health status.


    This proves that there should be no major problems with yellow hair.


    Lu Chen glanced at the colors of other people by the way.


    Jay Chou is green!


    Brother Chong is yellow!


    It seems that I still have to remind Brother Chong a lot later, to go to bed early at night and take care of your health!


    "Boss, let''s have 20 more mutton skewers here!"


    At this time, a young man at the next table shouted to the boss again. .


    "Okay, wait a moment." The boss responded quickly.


    Lu Chen noticed the young man at the table next to him.


    I don¡¯t know if I don¡¯t see it!


    Take a look and be startled!


    The two tables next door, everyone''s head is red!


    Under the dim halo of the street lights, the rows of red are particularly dazzling!


    (end of this chapter)

 Chapter 6： rat poisoning

    Chapter 6 Rat Poisoning


    (To reply to the dispute, the case in this chapter was personally encountered by me.)


    If the previous logic is correct, red indicates a major disease, often life-threatening!


    Lu Chen was startled, and quickly looked at the people at the next table.


    There are five men and women in total, and they are happily making skewers, and there will be happy laughter from time to time.


    From the outside, they are no different from normal people, with ruddy complexion and a little excited.


    Are you wrong again?


    Color does not represent health?


    Lu Chen''s eyes were full of doubts.


    At this time, the owner of the barbecue restaurant has already brought up a plate of barbecue.


    "Hey guys and beauties, here are the roasted potatoes, roasted eggplants and mutton skewers that you ordered." The boss said with a smile.


    "Thank you, please hurry up." Brother Chong said, "We''ve been waiting for a long time."


    "Okay, let''s go right away!"


    Although there were only some vegetarian dishes, everyone was a little hungry after waiting for a long time, so they started to eat immediately.


    Only Lu Chen didn''t do anything, he still observed the guests at the two tables next to him from the corner of his eye.


    The red on their heads remains unchanged!


    Is it really my fault?


    If color doesn¡¯t represent health, what does it represent?


    At this moment, a trace of confusion flashed in Lu Chen''s eyes.


    So far, Lu Chen has not found anything unusual about the two next-door guests.


    "Hey, boss, do you have a bathroom here?"


    Suddenly, a young man at the next table stood up and shouted.


    Lu Chen glanced at him and saw that he was covering his stomach with one hand, his expression painful.


    "Yes, it''s right behind the back room." The boss smiled cheerfully.


    "Oh, okay, thanks."


    The young man nodded and walked towards the back room while covering his stomach.


    At this moment, the other two boys at the other table also stood up.


    Lu Chen saw that the direction the two of them were heading should also be the bathroom in the back room.


    "Two tables of guests, both of which are red, go to the bathroom at the same time..."


    Lu Chen lowered his head in thought, constantly calculating various possible situations in his mind.


    If you rudely interpret the color as "healthy state", then what does the red guest at this table mean?


    Red means danger!


    Just like Yuan Hao in an Internet cafe, his life will be in danger at any time!


    But the guests at the two tables should not know each other, but why are they all red at the same time?


    Lu Chen recalled that he observed the color on the heads of passersby today, and almost never saw red!


    This means that the probability of red should be low.


    Now this is happening, is it really just a coincidence?


    "I don''t know everyone, but they''re all red..." Lu Chen''s mind was racing.


    "That''s right! Everyone is at this BBQ restaurant!"


    Lu Chen''s frowning frowned, suddenly thought of a possibility.


    At this time, the owner of the barbecue restaurant came up with a plate of mutton skewers.


    "Sorry for the long wait."


    The fragrant mutton skewers made everyone present couldn''t help it.


    "Let''s eat! Let''s eat!" Huang Mao rolled up his sleeves and prepared to cook.


    "Yellow hair, wait a moment!"


    Lu Chen suddenly said.


    Everyone stopped for a while, and looked at Lu Chen suspiciously.


    "Chen''er, what''s wrong, is there any problem?" Ajie glanced at Lu Chen.


    "Do you feel that these mutton skewers are not quite right?"


    Lu Chen glanced at the boss and the proprietress in the distance, and said in a low voice.


    "Ah?" Brother Chong looked over the mutton skewers in his hand, "This, this... what could be wrong with the mutton skewers?"


    Lu Chen picked up a mutton skewer, watched it carefully, and continued: "Normal mutton has a thicker texture, while poultry and other textures are relatively fine."


    "The biggest feature of mutton is that the lean meat is mixed with fat, while the fat and lean meat of duck, pork, etc. are completely separated."


    "In addition, the roasted mutton will not have angular fat pieces, but the lean meat is wrapped in oil and water. From the color point of view, the fat color of mutton is white, and the fat of fake mutton will be yellow, red or even Other unusual colors."


    "And the mutton skewers in this shop are red and white, fat and thin, and sharp edges and corners."


    "I''m sure this is definitely not real lamb."


    Lu Chen said it righteously, and everyone didn''t realize it.


    Huangmao looked around and said cautiously, "Chen''er, it''s more common for this kind of small shop to use pork, duck or even cat meat instead of mutton."


    Ajie held a string of "mutton skewers" in his hand, and after a careful observation, he didn''t see anything special for a long time.


    "Chen''er, what kind of meat do you think this is?"


    Lu Chen was about to speak, but unexpectedly there was another change from the guests at the next table.


    A young girl suddenly squatted on the ground and groaned in pain.


    "Ah¡ªit hurts!"


    Everyone''s attention was drawn to her.


    I saw that her face was a little sickly pale, the blue veins on her forehead were exposed, and she was squatting on the ground, clutching her stomach.


    And the young man who just came back from the bathroom first went back to his seat to take care of his girlfriend, and then went straight to the boss who was speaking over the oven.


    Immediately afterwards, a violent roar came from the oven.


    "What kind of meat are you using!" the young man said angrily, "Everyone at our table has a stomachache after eating it!"


    "Hey, you, don''t talk nonsense!" The owner of the barbecue restaurant heard the words, his expression stagnant, and the movement of his hands paused, but then his face became hard.


    "You all came to our store to eat a few days ago, and everything was fine at the time. Why did you start to have stomach pains when you just came to our store to eat today?"


    "Why don''t you think about it, did you eat something else to get your stomach upset!"


    "You..." The young man looked angry, but he couldn''t attack.


    At this time, the guests at the other table suddenly stood up and shouted.


    "We are here too, our stomachs are uncomfortable!"


    "Boss! Your ingredients are not fresh!"


    As soon as the voice fell, another girl at the table suddenly squatted on the ground.


    With a "vomit" sound, he vomited all over the floor!


    A stench filled the air immediately.


    Everyone present couldn''t help but covered the unpleasant smell and covered their mouths and noses.


    Two whole tables of guests had gastrointestinal symptoms of varying severity!


    The owner of the barbecue restaurant was a little anxious now. He glanced at his wife, and his eyes were full of panic.


    And the people at Lu Chen''s table were also frightened by the scene in front of them.


    So everyone has put down the "mutton skewers" in their hands and moved the grilling pan farther away.


    "Chen''er, fortunately you reminded us just now, otherwise..."


    Everyone looked at the mess on the ground and had lingering fears.


    This is a little too scary!


    All of them had gastrointestinal symptoms of nausea, vomiting, and even abdominal pain and diarrhea.


    Only Lu Chen on the side felt that things were not so simple!


    Now he can basically confirm that the "color" system should represent health.


    If it is really just a gastrointestinal reaction caused by stale ingredients, it is absolutely impossible for the system to show "red"!


    Red, indicating that the situation of the two table guests is very critical!


    Then there is only one possibility left, a glint of light flashed in Lu Chen''s eyes.


    "Call an ambulance!" Lu Chen immediately reminded, "Also, hurry up and call the police."


    The young man on the side was taken aback, nodded slightly, then took out his mobile phone and started to make emergency and police calls.


    "I guess, your barbecue shop should use rat meat, right?"


    Lu Chen''s voice was not loud, but it was just enough for everyone present to hear it clearly.


    "Rat meat?"


    "I''m going! Mouse meat?"


    Everyone was shocked!


    This is too disgusting!


    The owner of the barbecue restaurant turned dark, "You, you little brat with no hair, don''t spit your blood!"


    "The price of rat meat in the market is more expensive than that of mutton! The price of bamboo rat is even 80 yuan per catty!"


    "We are reluctant to give you mouse meat!"


    Lu Chen sneered, and said with a disdainful expression: "I didn''t say that you used farmed mice from regular channels. You should be wild mice that were poisoned by rat poison."


    "People who eat this kind of rat poisoned by rat poison are very likely to have symptoms of rat poison poisoning!"


    "I think some of the guests present must have been poisoned by rat poison."


    The owner of the barbecue restaurant was extremely gloomy, and his dark eyes stared at Lu Chen.


    "Don''t look at me like this." Lu Chen was not afraid of the owner''s gaze, "What you are thinking about now is how to explain this to the police later!"


    The owner of the barbecue shop didn''t say a word, he silently put out the fire in the oven, and then put the meat in his freezer into the storefront.


    "Chen''er, are they trying to destroy the evidence?" Zhou Jie frowned.


    "Don''t worry, the most powerful evidence is the guests at the scene." Lu Chen laughed, "As long as the corresponding toxins are found in their blood, this barbecue restaurant can''t get rid of it!"


    With the help of Lu Chen and others, these "rat poisoning" guests were placed in the open space outside, waiting for the ambulance to arrive.


    After revealing his identities as medical students, Lu Chen conducted a simple physical examination on them.


    Most of them had skin ecchymosis, bleeding gums and other symptoms, but their vital signs were stable.


    "Looks like it''s rat poison - Sniff Dilong poisoning." Lu Chen said solemnly.


    Brodiolone is a chronic rat poison approved by the state. It belongs to the second-generation anticoagulant rodenticide. It can reduce the blood coagulation ability in animals. Rats can die of hemorrhage within a few days after eating, and the death peak is usually after taking the drug. 4~6 days


    "Yan, is it serious?" the young man asked nervously.


    All of them ate these lamb kebabs and came to the same shop two days in a row!


    Lu Chen thought: "Xidilong mainly affects the coagulation mechanism, such as skin ecchymosis, bleeding gums, and even blood in the urine. If the poisoning is serious, it can even lead to death!"


    In this way, the red on all of their heads can be explained very well!


    Everyone, invest with confidence, the status will be changed soon.


    (end of this chapter)

 Chapter 7： Jinghua Medical University

    Chapter 7 Jinghua Medical University


    Eating barbecue and eating it became rat poisoning!


    sounds absurd, but it is so true.


    Lu Chen then continued: "The specific toxicity will depend on the results of the hospital''s blood test."


    The young man nodded and said, "Thank you buddy."


    His symptoms are relatively mild, but the bright red on his head also indicates that he is also in a more dangerous situation.


    It won''t take a while.


    The ambulance and the police car have arrived.


    After the police know the reason for the incident, the consequences of this barbecue restaurant can be imagined.


    Their storefront is right here, you can¡¯t run away if you want to.


    "Congratulations, +1 for receiving thanks from Liu Jun!"


    This guy named Liu Jun should be the young man just now.


    On the system light curtain in front of Lu Chen''s eyes, the total thanks value has become 3!


    Completion value has become 20%


    Lu Chen raised his brows, slightly surprised.


    Received two thanks points in the morning, but the completion rate only increased by 10%.


    I just received another thank you point, but the completion degree was directly increased by 10%!


    In other words, every time an emergency is solved, the completion rate will increase by 10%, regardless of the amount of gratitude you get!


    Lu Chen was a little helpless. He just got this system today, and he encountered this kind of accident twice in a row.


    Surely this isn''t a "bad luck" or "blackface" system?


    ¡­


    The next thing has nothing to do with Lu Chen.


    The owner of the barbecue restaurant was taken away by the police, while all the people with food poisoning were taken to the hospital by ambulance.


    Walking out of this somewhat dark street, everyone exhaled a deep breath of turbid air, feeling like the rest of their lives.


    "Chen''er, since when did you feel that there was something wrong with this barbecue?"


    Brother Chong put his hand on Lu Chen''s shoulder and stared at Lu Chen like a curious baby.


    "Actually, from the moment I entered the barbecue restaurant, I felt something was wrong." Lu Chen smiled.


    After hearing this, everyone turned their attention to Lu Chen.


    "Do you think the mutton skewer for two yuan is ok?"


    "The retail price of mutton in the vegetable market is generally 60-80 yuan per kilogram!"


    "A pound of mutton can make about 20 skewers of mutton. In addition to the cost of mutton, including the charcoal used for barbecue, as well as the cost of storefront rent, water, electricity, labor, etc., basically a skewer of mutton costs about 2 yuan."


    "If you want to make money, you must sell mutton skewers for at least 3 yuan!"


    Brother Chong nodded, seemingly incomprehensible, and said, "It seems that we will still go to a regular restaurant in the future."


    Everyone agreed.


    But after this little accident, everyone is not in the mood to eat barbecue.


    I found a hot pot restaurant next to the school, rinsed a few pots of hairy belly, ate and drank enough, and went back to the dormitory.


    ¡­


    Late at night.


    The purring sounded one after another in the bedroom, as if playing a symphony of climaxes.


    Although Lu Chen closed his eyes, he never fell asleep.


    Everything that happened today made him feel a little illusory.


    From the moment you get the system, it''s a little unreal.


    But the next two unexpected events made him truly feel the existence of the "system".


    The color on each person''s head represents their health status.


    And every time an unexpected event is processed, the completion of the system will increase by 10%.


    Correspondingly, he can also receive thanks from others.


    As for the role of the gratitude value, Lu Chen guessed that it might not be clear until the system completion rate reaches 100%!


    In his heart, he was vaguely full of expectations for the future life.


    Slowly, Lu Chen began to fall asleep.


    ¡­


    The scores of the annual postgraduate entrance examination will probably be announced around the Spring Festival.


    During this period, all Lu Chen had to do was to prepare for the re-examination and adjustment.


    Regarding the re-examination of the Kyoto University School of Medicine, Lu Chen was almost out of luck, so he could only do his best to obey the destiny.


    At the same time, he gave up the "World War II" path, so after failing the retest, he could only hope for the adjustment system.


    And there is only one chance to transfer. All Lu Chen has to do is to choose the university he wants to transfer to.


    During the medical undergraduate period, the content of learning is a hodgepodge.


    Internal Medicine, Surgery, Gynecology, Pediatrics, Psychiatry¡­


    All subjects are to be studied.


    At the postgraduate level, you will choose a subject as your professional subject.


    Lu Chen chose internal medicine and cardiovascular medicine.


    Cardiovascular medicine is different from traditional internal medicine.


    Cardiovascular medicine includes a large number of interventional procedures, which is more like a department combining internal medicine and surgery.


    In some of the world''s top hospitals, the distinction between cardiovascular medicine and cardiovascular surgery is not strict.


    Lu Chen found the academic rankings of cardiovascular medicine in China over the years.


    are:


    First place, Fuwai Hospital of Huaxia Academy of Medical Sciences.


    Second place, The First Affiliated Hospital of Kyoto University.


    The third place, Anzhen Hospital Affiliated to Kyoto Medical University.


    Fourth place, Huachuan Medical College of Northwestern University.


    Fifth place, Ruijin Hospital Affiliated to Modu Jiaotong University.


    Sixth place, General Hospital of Hanyang Military Region.


    The seventh place, the Second Affiliated Hospital of Jinghua Medical University.


    The eighth place, the First Affiliated Hospital of Pingjin Medical University.


    ¡­


    (This ranking is made up, don¡¯t take the right number)


    Kyoto University''s Department of Cardiovascular Medicine ranks second in the country, which is why Lu Chen insisted on filling out Kyoto University before.


    Lu Chen also noticed that in the entire ranking, the top six hospitals are affiliated hospitals of top domestic universities.


    It is very unlikely that you want to be transferred to these first-class universities.


    Looking at the previous enrollment records of these universities, there is no case of recruiting transfer students at all.


    The seventh-ranked Jinghua Medical University entered Lu Chen''s field of vision.


    Compared with other top ten hospitals in cardiovascular medicine, the overall strength of the Second Affiliated Hospital of Jinghua Medical University is the weakest, and it can only be regarded as the last of the first-class schools.


    In addition to cardiovascular medicine, other disciplines are relatively weak.


    In the enrollment records of Jinghua Medical University in recent years, there have been many traditions of recruiting transfer students.


    "It seems that at present, only Jinghua Medical University is the most suitable!"


    Lu Chen looked through the materials of all medical colleges, compared and screened them.


    Jinghua Medical University is his best choice at present!


    "Last year, the median admission score for Jinghua Cardiovascular Medicine was 330-350."


    "If I follow this score, I still hope to be transferred to Jinghua Medical University this year!"


    ¡­


    Time flies, and in a blink of an eye, the day of the postgraduate entrance examination scores is announced.


    9:50am.


    Lu Chen''s entire dormitory was in front of the computer.


    The official website of the score is displayed on the computer.


    Although Zhou Jie and Brother Chong did not take the exam, they still waited with Lu Chen and Huang Mao for the announcement of the postgraduate entrance examination scores.


    Everyone held their breaths and watched the passage of time.


    "Five minutes left!"


    "One more minute!"


    "Thirty seconds left!"


    At ten o''clock, Lu Chen quickly entered the inspection interface.


    "I''m going, the card exploded!"


    This official scoring system is too rubbish, it can''t bear many users entering at the same time!


    It was not until 10:30 that Lu Chen successfully logged in to the check interface.


    Enter your name, ID number, and admission ticket number.


    Interface jump¡­


    The results of the preliminary examination of the National Medical Examination Postgraduate Examination results:


    Name: Lu Chen


    English: 75 points


    Politics: 82 points


    Integrated Western Medicine: 207 points


    Total score: 364 points


    Lu Chen was not surprised, as expected, the total score was about 360 points.


    "Chen''er, how many points do you have?" Huang Mao called to Lu Chen.


    "The total score is 364." Lu Chen responded, "How about you?"


    "I only got 340 points, so my score is not high. But I applied for Fuzhou University, which has already passed the score line of last year." Huang Mao laughed.


    "Congratulations." Lu Chen smiled.


    "Chen''er, your score is actually quite high." Brother Chong said aside, "But those who dare to report to Kyoto University are all ruthless people, so your score is probably very high."


    "I''m going to adjust directly." Lu Chen said.


    "which school?"


    "Jinghua Medical University!"


    "Huh?" Brother Chong said in surprise, "Jinghua? Isn''t this the top-notch school?"


    "Chen''er, I think it''s too bad if you go to Jinghua." Zhou Jie frowned.


    Kyoto and Jinghua, although there is only one word difference, the status and prestige of the school are very different!


    Lu Chen smiled and explained: "I applied for cardiovascular medicine. I have checked the relevant information. Although Jinghua''s holistic medicine is not strong, its cardiovascular medicine ranks seventh in the country. Belongs to the top subject rankings."


    "Chen''er, what you say makes some sense." Brother Chong nodded, "Because of its geographical location, Jinghua''s enrollment will not be full every year, so it should be recruiting transfer students."


    "Well, I think Chen''er''s choice is also right." Zhou Jie said, "From the perspective of his own major, Jinghua may be more suitable for him than other first-class colleges."


    Lu Chen nodded.


    He is going to try to participate in the re-examination of Kyoto University School of Medicine first, and then participate in the adjustment of Jinghua Medical University.


    Get your hands ready!


    Best result, very low probability, lucky to be admitted to Kyoto University.


    With the worst result, Lu Chen might not even be able to get into Jinghua Medical University!


    (end of this chapter)

 Chapter 8： You are sick, you need to be cured!

    Chapter 8 You are sick and need to be cured!


    The postgraduate examination is divided into two rounds, which are divided into preliminary examination and re-examination.


    Generally speaking, the re-examination also includes a written test and a tutor interview.


    After the re-examination, if there is a school that is not full, the adjustment system will be opened to recruit candidates who apply for other schools.


    However, the time for the initial and re-examination is not necessarily the same for each school, so the adjustment time is also different.


    General re-examination takes three days.


    Written test on the first day, interview on the second day, and final admission results on the third day.


    The re-examination time of Kyoto University School of Medicine is April 15th, and the transfer time of Jinghua Medical University is April 18th.


    This means that Lu Chen needs to rush to Jinghua Medical University to participate in the adjustment immediately after taking the re-examination of the Kyoto University School of Medicine!


    Although according to Lu Chen''s score in the first test, it is very unlikely that he wants to be admitted to the Kyoto University School of Medicine, but he still has to make sufficient preparations for the re-examination of Kyoto University.


    People also have to dream!


    What if you pass the exam?


    ¡­


    Lu Chen majored in Cardiovascular Medicine. The tutor who applied for the exam was the director of Cardiology Department and doctoral tutor of Kyoto University School of Medicine. He was also the Vice President of the hospital and a well-known cardiovascular expert in China - Yang Feng.


    In addition to reviewing all the knowledge of cardiology, Lu Chen also found the domestic and foreign papers published by Professor Yang Feng in the past three years, translated them, integrated them, and summarized them.


    ¡­


    ¡­


    time flies.


    It will soon be April 14th, the day before the re-examination at Kyoto University.


    After ten hours of high-speed train ride, Lu Chen arrived at Huaxia Capital.


    Kyoto University School of Medicine, founded on October 26, 1912, is the first national school dedicated to teaching Western medicine, run by the Ministry of Education of the Chinese government on its own.


    Now Kyoto University School of Medicine has become one of the top medical schools in China, and there is an ivory tower in the hearts of all medical students.


    This time, Lu Chen traveled lightly, carrying only a small bag, which contained two review materials and a few changes of clothes.


    Get out of the high-speed rail station.


    The sun is about to set, and the sunset glow is hanging in the sky far away, and the afterglow of the setting sun slants on the asphalt road.


    The air in Kyoto does not seem to be as fresh as the hometown. There are many vehicles passing by, and the faces of every passerby are full of anxiety.


    This is a highly modern city, and it is also a city that pushes everyone to move forward passively.


    Every year, countless young people flock to Kyoto and choose to pursue their dreams, but more people choose to leave and return to their hometowns¡­


    Opened the mobile map app and found the best route to Kyoto University, and Lu Chen set off.


    Because it was in the time period for the postgraduate entrance examination, all the hotels near Kyoto University were full.


    Fortunately, Lu Chen booked an express hotel online in advance. After leaving the subway station, he went straight to the hotel.


    After walking for about 10 minutes, in an old community, Lu Chen found this express hotel called papa.


    "What? Did you increase the price?"


    Lu Chen frowned deeply, his ID card was returned by the front desk of the former hotel.


    "Yeah, you booked a room a week ago. The price was different then."


    The front desk of the hotel is a young girl.


    She is wearing a white uniform, with a lollipop in her mouth, and a black tattoo can be seen on the neckline of her neck.


    "If you want to live, pay another 200 yuan. It''s okay if you don''t want to live. We won''t make it difficult for you, and we will refund the deposit to you."


    The expression of the girl at the front desk was extremely impatient.


    The business of the hotel has been booming recently, and Lu Chen is not bad at all.


    And just now, several customers called and asked about room rates that were not yet available.


    "Another two hundred yuan?!" Lu Chen snorted coldly, "Your original house price was only one hundred, but now it has doubled?"


    The decoration of this express hotel is average, and the location is not good. It is a renovated hotel in a community, so the price of a standard room is generally around 100 on weekdays.


    It''s not that Lu Chen can''t accept the price increase, but the price increase is too outrageous, it doubled directly!


    This is equivalent to directly robbing money!


    "Live as long as you want, but keep pulling it down." The girl at the front desk glanced at Lu Chen and continued to play with her phone with her head down.


    Lu Chen continued with a sullen face, "I paid the money on Meituan a week ago and booked a room, which is equivalent to signing the contract between us, and we have the spirit of the contract."


    "But you are temporarily increasing the price now, which is a unilateral breach of the contract."


    The girl at the front desk laughed, with a look of disdain on her face, "Don''t talk to me about these words of Wen Zou Zou, I don''t understand. If you don''t stop, get out of the way, there are guests coming."


    At some point, a girl appeared beside Lu Chen.


    She is about the same age as Lu Chen, with a well-proportioned body, wearing black sunglasses, her fair and flawless skin with a hint of pink, and wearing a black gauze skirt, she looks extremely tall.


    "Is there any room available?"


    The girl''s voice is very clear.


    "Yes." The front desk Xiaomei raised her head, "Standard room, three hundred and one nights."


    The girl did not hesitate, took out her mobile phone, opened WeChat and was ready to pay.


    Lu Chen quickly whispered: "Beauty, you can live in some star-rated hotels for 300 yuan, why do you have to live in this express hotel?"


    The girl stopped the payment and turned to look at Lu Chen: "But, I, I can''t find another hotel."


    "..." Lu Chen''s tone was stagnant.


    seems to be the same, now the hotels outside are full.


    The girl saw that Lu Chen didn''t speak, and ignored him, and quickly paid 300 yuan for the room with her mobile phone.


    "Beauty, your room is room 412. Go straight in, and then the second room on your right is there."


    After receiving the payment notification, the girl at the front desk smiled and handed the room card to the girl.


    "thanks."


    The girl took the room card. The light in the hotel was dark, so she took off her sunglasses.


    Only then did Lu Chen see her face clearly.


    The face is pure and elegant, with a small white face, curved eyebrows, and a pair of beautiful eyes as clear as water.


    "Hey, I said you can''t live?"


    The voice of the girl at the front desk made Lu Chen look away, she knocked on the table and reminded: "Your room is the last room, if you don''t stay, there will be another guest later, I can''t keep it for you. what!"


    Lu Chen grinned: "Stop, of course I want to live."


    The girl at the front desk was taken aback for a moment, but the person in front of her suddenly changed her temper.


    "Then pay another two hundred, and I''ll give you the room card."


    Lu Chen smiled, but instead of paying, he took out his mobile phone, opened the Meituan booking app, and found the customer service number.


    After making a call, Lu Chen raised his mobile phone and showed the girl at the front desk the number he called¡ªMeituan customer service.


    The girl at the front desk still had an indifferent expression on her face, shrugged her shoulders, and licked her lollipop: "You can fight if you want."


    The call was quickly connected.


    "Hello, this is Meituan customer service, how can I help you?"


    Lu Chen recounted the temporary price increase in the hotel.


    "Sir, I will report the matter you have reported to the superior. If what you said is true, the temporary price increase of the hotel does violate the relevant regulations, and we will promptly contact the person in charge of the hotel."


    "Okay, thank you. How long will it take?" Lu Chen frowned, it''s almost seven o''clock in the evening, and if he inks it for a while, he won''t be able to stay in at night.


    "Sir, we''ll get back to you within an hour."


    hang up the phone.


    Lu Chen looked up at the girl at the front desk, and found that she still looked indifferent, as if she didn''t care about her phone call at all.


    ¡­


    seems to have to think of other ways.


    Lu Chen looked at the face of the girl at the front desk and suddenly said.


    "The complexion is stagnant, the eye circumference is dark, the bridge of the nose is reddish, and the palpebral membrane is pale."


    "Huh? What are you talking about?"


    The girl at the front desk was stunned for a moment, but did not understand the meaning of Lu Chen''s words.


    "Sister, have you been feeling weak and sleepy recently, easily fatigued, insomnia, and even have a lot of menstrual periods each time and are irregular?"


    The face of the girl at the front desk changed.


    "This, you... how did you know?"


    She has been working night shifts in hotels for a long time. If Lu Chen said that she was weak, sleepy and easily fatigued, she would not have such a big reaction.


    But her menstrual flow is heavy and irregular, even her boyfriend doesn''t know about it!


    And how did he find out about the man he had never known before?


    Lu Chen sat on the sofa at the front desk and put his backpack aside.


    In his eyes, the color of the girl at the front desk is yellow!


    This indicates that her bodily functions have been destroyed, and she even suffers from certain diseases.


    "Sister, you are sick and need to be cured!"


    (end of this chapter)

 Chapter 9： This hotel is run by my house...

    Chapter 9 This hotel is run by my family...


    "You are sick! Your whole family is sick!"


    The girl at the front desk puffed out her cheeks angrily.


    Isn¡¯t heavy menstrual flow a very normal thing for girls?


    Lu Chen smiled and continued: "There are many reasons for menorrhagia, it may be due to multiple uterine fibroids, adenomyosis, uterine submucosal fibroids or endocrine disorders."


    "For example, too much estrogen and not enough progesterone cause excessive hyperplasia of the endometrium, which leads to an excessively thick endometrium and causes excessive menstrual flow."


    "Long-term excessive menstrual flow may cause anemia in patients, induce lower genital tract infections, and even lead to infertility."


    Lu Chen''s voice just fell, the little girl at the front desk trembled, and her little face turned pale.


    "I, I don''t believe it!" The tone of the girl at the front desk was a little reluctant, "You, you must be lying to me!"


    "Have I lied to you or not, then you can search for the dangers of heavy menstrual flow on the Internet by yourself."


    Lu Chen smiled slightly.


    Going to Baidu to see a doctor will only be more scary than what he said!


    The girl at the front desk should have been frightened, she took out her phone and started Baidu.


    It doesn''t matter if you don''t check it, you''ll be shocked when you check it!


    After surfing the Internet on Baidu and entering her symptoms, the girl felt that she was going to have an incurable disease!


    Might be dead tomorrow!


    "I didn''t lie to you." Lu Chen raised his eyebrows and smiled.


    The girl at the front desk can''t be calm now.


    She quickly walked out of the front desk and ran to Lu Chen''s side briskly.


    "Handsome guy, me, what''s wrong with me?"


    The girl''s face was anxious, she pinched the corners of her shirt with both hands, and kept rubbing it.


    In fact, she is not too old, only 18 or 19 years old, but with heavy makeup on her face, she looks older.


    Lu Chen smiled and said nothing.


    Seeing Lu Chen''s smiling expression, the girl became even more anxious.


    "Handsome guy, don''t blame me for the temporary price increase!"


    "This is the boss''s decision, and I have no right to interfere. Everyone is a migrant worker. Why do migrant workers make it difficult for workers to be hired?"


    "If I let you live in for 100 yuan, the boss will definitely deduct my salary!"


    Lu Chen frowned and said, "Could it be that Meituan customer service doesn''t care about this kind of thing?"


    Meituan, as a third-party intermediary, binds merchants and customers at the same time, and they should be responsible for this kind of private breach of contract.


    The girl at the front desk shrugged and continued to lick the lollipop in her hand: "They don''t care."


    "To be honest, you are not the first to complain to Meituan today. There are several customers in the same situation as you. If you call the customer service of Meituan, they will only perfunctory and refund your deposit at most. Then pay a ten-dollar voucher."


    Meituan''s customer service is a kind of muddy existence, and it is probably impossible for them to solve the problems of both sides.


    "Then when you encounter a season with many customers, the house price will go up?" Lu Chen asked rhetorically.


    "Yes, this is the unspoken rule of our industry." The girl at the front desk didn''t feel anything wrong. "The house price fluctuates every time period."


    Lu Chen continued: "The house price has risen from 100 to 120. I can understand that the change in supply and demand has caused the price to fluctuate."


    "But the house price has risen from 100 to 300. Do you call this price fluctuation?"


    The girl at the front desk looked embarrassed and sighed slightly.


    "I know it''s a bit inappropriate. But my salary is the same as usual, and not a dime is in my pocket."


    The cruelty of life is that after being exploited by the capitalists of the remaining labor value, you still have to help him count the money!


    Lu Chen shook his head slightly, it seemed that he still had to wait for Meituan''s reply.


    "Handsome guy, I''ve told you so much. Then can you tell me what''s wrong with me?"


    The girl at the front desk glanced at Lu Chen and asked carefully.


    "I don''t have any see-through eyes, so I can''t see your specific illness." Lu Chen said.


    The girl at the front desk wondered: "Then I have all the symptoms you mentioned just now, and they fit perfectly!"


    Lu Chen smiled: "This is because I saw that your complexion is dark and your palpebral membrane is pale, which is a typical feature of anemia."


    "The most common cause of anemia in girls is menstrual disorders and heavy menstrual flow."


    The girl at the front desk nodded vigorously and said, "You are right, what should I do?"


    "Go to the hospital to have a check." Lu Chen said, "It''s best to have a gynecological ultrasound and a **** hormone program."


    "that''s it?"


    "Um."


    "OK, thanks."


    The girl at the front desk nodded her head, thinking that she would go to the hospital for a checkup immediately after leaving the night shift tomorrow.


    At this moment, Lu Chen noticed that his system layout had changed.


    "Congratulations, +1 for receiving thanks from Yin Xiaohan."


    The total gratitude value reached 4.


    Lu Chen was quite surprised. He didn''t expect to earn thanks points by chatting a few words with the girl.


    System completion has also increased from 20% to 30%.


    He is now more and more looking forward to what will happen to the system when the completion rate reaches 100%?


    But now we still have to settle the current matter.


    Although ??300 yuan is not much, for Lu Chen now, he still has no ability to make money. Every penny is given by his parents, so he can''t spend this kind of unjust money.


    ¡­


    Lu Chen continued to sit on the sofa at the front desk of the hotel, waiting for a reply from Meituan''s customer service.


    He opened various housing apps on his mobile phone and found that all the surrounding hotels were full.


    And it''s getting dark now, I''m afraid it''s hard to find other hotels.


    Is it really possible to stay in a hotel for three times the price?


    "Is there a supermarket near here?"


    At this time, the girl who just came to the hotel came to the front desk.


    She still wears sunglasses and holds a white bag in her hand.


    The girl at the front desk nodded and said, "Yes. Go downstairs, walk forward about 200 meters, then turn right, and you will see a Zhongbai supermarket after a 100-meter walk."


    "OK, thanks."


    The girl nodded slightly, smiled, and then took the elevator downstairs.


    ¡­


    ¡­


    About half an hour later, Meituan customer service still did not reply.


    The girl at the front desk brought Lu Chen a cup of cold water.


    "Thank you." Lu Chen took the water, he was indeed thirsty.


    "Hey, handsome guy, do you still have to wait?"


    "Of course we have to wait." Lu Chen nodded.


    "I don''t think it''s worth it, Meituan won''t care. And the hotels nearby should be full now, you still have to stay with us in the end."


    Lu Chen was about to speak when his phone rang suddenly.


    The caller ID is the customer service of Meituan.


    answered the phone, and the female voice of the customer service immediately came from the phone.


    "Hello sir, according to the question you just responded, after our verification, it is indeed the merchant''s practice that is inappropriate."


    "But they also failed to raise the price in advance because of work mistakes, resulting in the inconsistency between the real price and the online booking price."


    "In order to express our apology, we will pay a 20 yuan no-threshold voucher."


    "If you don''t want to stay in this hotel, we will refund your deposit in full."


    Lu Chen heard the words and smiled sarcastically: "According to what you mean, is it because the merchants didn''t raise the price in advance? Did they not make any other mistakes?"


    "Yes, sir." Meituan customer service replied.


    "Then do you think it is reasonable for the house price to rise from 100 to 300?"


    Lu Chen set the mobile phone to be hands-free, and immediately Baidu issued a relevant legal regulation on price violations.


    "According to the provisions of Article 2 of the "Implementation Measures for Administrative Penalties for Violations of Pricing", operators fabricate and disseminate information on price increases, raise prices substantially, or there is no significant change in production costs or purchase costs, for the purpose of making huge profits. If you increase the price by a large margin, you will face administrative penalties."


    "Sir, hotel prices are not under our control, I can only help you and the merchants coordinate with each other."


    "But as a third-party intermediary platform, don''t you have the responsibility to supervise merchants?"


    "Sir, we can help you coordinate..."


    "If the sanitation of the takeaway merchant is not in compliance, you are not responsible? There is a problem with the quality of the goods sold, and you are not responsible? Now the merchant is suspected of illegally raising the price, you are not responsible?"


    "Sir, we have no right to deal with the problem you have reported, but we can report the matter to your superiors."


    Throughout the entire process, Meituan customer service repeated the word, coordinate!


    Lu Chen admired this kind of skill.


    Nothing was resolved until I hung up the phone!


    It''s just that there is an extra 20 yuan threshold-free voucher on the account.


    "Handsome guy, look I didn''t lie to you, Meituan won''t care about these things." The girl at the front desk pouted.


    Lu Chen didn''t speak, was silent for a long time, then took out his mobile phone and made another call.


    The girl at the front desk glanced at the phone number.


    12315! Consumer complaints phone!


    She immediately became a little alert and whispered: "What do you want to do?"


    "Since Meituan doesn''t care, there must be someone who can!"


    Generally speaking, there are about four ways for consumers to protect their rights.


    First, coordinate with the merchant. But since this store dares to temporarily increase the price, it is definitely impossible to coordinate with them.


    Second, the platform intervenes. Meituan''s urgency has already tried its best to shirk responsibility.


    Third, consumer associations. However, consumer associations are non-governmental organizations and do not have much binding force.


    Fourth, 12315, Consumer Report Line. Usually, the local industry and commerce bureau answers the call, which should be the most authoritative of all rights protection methods.


    "Hey, handsome guy, don''t!"


    The little girl at the front desk immediately stepped forward and grabbed Lu Chen''s arm, trying to stop him from making the call.


    Lu Chen put down his phone and looked at the girl at the front desk suspiciously.


    "Aren''t we all migrant workers? This has nothing to do with you, why are you preventing me from doing it?"


    The girl at the front desk laughed dryly and licked the lollipop in her hand to hide her embarrassment.


    "Actually this hotel is run by my family..."


    (end of this chapter)

 Chapter 10： Retry the first shot!

    Chapter 10 The first round of the retest!


    Lu Chen''s face was extremely wonderful, and he was actually posed by this little sister.


    Just now he kept saying that he was a wage worker, but now he has transformed himself into a petty bourgeoisie.


    "Handsome guy, how about this, you''ll pay another 100 yuan, and I''ll let you stay 200 yuan a night?"


    Yin Xiaohan showed a very aggrieved expression, but there was a hint of cunning in his eyes.


    Of course, this slyness did not escape Lu Chen''s eyes. He didn''t speak, he picked up his mobile phone and wanted to call 12315.


    "Hey, wait, I have something to say."


    Yin Xiaohan stopped Lu Chen from making a call again, pursed his lips, and said, "How about you give me another 80 yuan?"


    Lu Chen shook his head, stretched out three fingers, and said, "On top of the original price, add up to thirty more!"


    "You, you are really cruel!"


    Yin Xiaohan puffed out her cheeks and was not angry.


    "Sister, you must know that you are doing this, but you are suspected of breaking the law..."


    Lu Chen was interrupted by Yin Xiaohan before he finished speaking.


    "Okay, don''t talk about it. Thirty is only thirty, just treat me as a boring loss."


    came to the front desk, Yin Xiaohan angrily checked in to Lu Chen.


    "Only the last room left. Go straight in, the second room on the right, room 413."


    "Bring the money!"


    "Thank you girl." Lu Chen smiled and paid 30 yuan with WeChat.


    Before leaving, Yin Xiaohan glanced at Lu Chen fiercely.


    This guy is the first person she has ever seen to be so serious.


    Not only called Meituan customer service to complain, but also called 12315.


    Once this kind of incident rises to the level of government intervention, no matter what the consequences are, the impact on the entire hotel will become very bad.


    It was 8pm now, Lu Chen got his room card and finally checked into papa express hotel.


    Ordinary single room facilities are relatively simple.


    A single bed, a bedside table, and a TV that has not been turned on for some time.


    The bathroom is separated by a sheet of translucent glass.


    Lu Chen quickly finished washing up, half lying on the bed, and started the final sprint review before the exam.


    As the saying goes, sharpen the gun before the battle, and the unhappiness is also light.


    If you use the time before the exam properly, you can also add a lot of points.


    Generally speaking, the final result of the postgraduate entrance examination is the sum of the results of the preliminary examination and the re-examination, and finally selected by the tutor through interview (the tutor has the right to veto).


    However, the re-examination test is relatively simple, and it is difficult to widen the gap between the top students, so the score of the initial test is extremely important.


    This is also because after Lu Chen got 360 points in the test, he knew that the probability of being hired was extremely small.


    was speechless all night.


    ¡­


    The next day.


    On April 15th, the time for the re-examination of Kyoto University has come!


    Today''s exam arrangement, the written test of professional subjects and English in the morning, and the operation skills test in the afternoon.


    At seven in the morning, Lu Chen left the papa hotel.


    I bought fried dough sticks and soy milk at the breakfast shop downstairs and rushed to Kyoto University.


    Although it¡¯s not time to go to work, the closer you get to Kyoto University, the more people on the street.


    Most of them are just like Lu Chen, who came to participate in the postgraduate re-examination of Kyoto University.


    After eating the fried dough sticks, Lu Chen also walked to the gate of Kyoto University.


    There is a mighty stone lion on both sides of the school gate, with a bench in the distance, not angry but majestic.


    As soon as I approached, I saw four striking big characters "Kyoto University" inlaid on a wooden sign, hanging high above the school gate.


    "Everyone take out the admission ticket, and those without certificates are not allowed to enter!"


    The security guard at the gate is checking the admission ticket, and everyone queues up to enter.


    Lu Chen took out his admission ticket and followed everyone to enter Kyoto University.


    The re-examination of the clinical medicine major is arranged in the third teaching building, which is close to the Kyoto Gymnasium and the farm restaurant of Kyoto University.


    Exam time has not come yet, all the candidates are waiting downstairs in the third teaching building.


    Although the exam time is less than 20 minutes away, everyone is seriously reviewing, reading silently or reciting their materials.


    Lu Chen was sitting next to a flower bed, also reviewing in an orderly manner.


    "Hi, brother, which college did you study in? What major?"


    A little fat man suddenly leaned over.


    He has a fat head and big ears, the fat on his face is pouting, and his eyes are narrowed into slits when he smiles.


    "The First Affiliated Hospital, Department of Cardiology." Lu Chen glanced at him.


    "Ah, brother, you are a ruthless person." The fat man said in surprise, "In the heart of the first hospital, this is the ace department, and the annual report rate is terribly low. Not too much!"


    "What about you, what major?" Lu Chen politely responded.


    The little fat man smiled and said, "Actually, we have a good relationship. I also applied for the exam in the first hospital, but I am a cardiovascular surgery major."


    "Brother is really humble." Lu Chen smiled, "Isn''t the cardiovascular surgery department of the first hospital also the top five departments in Huaxia?"


    "Hey, the department is a good department, but I''m the only one here to gather people."


    The little fat man sighed slightly.


    "I only got 350 points in the first test. According to the previous score line, at least 370 points are required before I can go to the cardiovascular surgery department of the hospital."


    Lu Chen smiled and packed the data book in his hand.


    "Then we are really destined, and I''m also here to gather people''s heads."


    As soon as the ?? voice fell, the preparation bell for the exam rang.


    The two smiled at each other and walked into the examination room.


    Internal medicine and surgery are held in different examination rooms. In addition to English, the professional content of the examination is also different.


    "Come on, brother."


    Lu Chen and Little Fatty separated at the end of the corridor.


    Before entering the classroom, the invigilator checked the preparation card and ID card again to prevent someone from taking the test.


    "Hey, she actually came to participate in the retest?"


    Lu Chen walked into the examination room, found his seat, and found a strange yet familiar figure diagonally in front of him.


    She is her "neighbor", the girl in room 412.


    The distribution of this examination room is exquisite, and candidates of the same major sit together.


    That means, she is also in cardiovascular medicine?


    Lu Chen pondered, the bell rang for the official start of the exam.


    The invigilator began to distribute the test papers.


    The first exam is a professional subject exam.


    Unlike the preliminary exam, this paper has only seven questions.


    Each question corresponds to each system of internal medicine, such as respiratory system, digestive system, circulatory (cardiovascular) system.


    The questions of the exam are very general, and there are no difficult or particularly uncommon questions.


    Everyone worked hard and wrote a full page of the test paper.


    The first game is over.


    There is no rest time in between, and the second English test will start directly.


    English test is the translation of regular English papers.


    The students who can enter the re-examination of Kyoto University are all academic masters, and these regular questions cannot open the gap at all.


    Two exams are over.


    Lu Chen felt that the scores of the two exams should be similar.


    If you want to make up for the difference in the initial test, you can only watch the skills test in the afternoon!


    As for the tutor interview tomorrow, it is too subjective!


    For someone like Lu Chen who has no background and no relationship, he can''t grasp it at all. The only thing he can do is to make his objective score higher!


    Just as Lu Chen was about to walk out of the third teaching building, there was a rumbling sound of thunder from the horizon.


    In an instant, a downpour followed.


    The rain came so suddenly, all the candidates were a little confused, and they were all trapped in the third teaching building.


    (end of this chapter)

 Chapter 11： Different Skills Test (Part 1)

    Chapter 11 Different Skill Tests (Part 1)


    The pouring rain lasted for about half an hour before slowly getting smaller.


    A brilliant rainbow can be seen faintly on the edge of the sky.


    Lu Chen carried his small bag and avoided puddles all the way, but he still stepped on a few puddles.


    By the time he returned to the papa hotel, it was almost 12 noon.


    took a comfortable hot bath and changed into clean clothes.


    After finishing things up, I bought a bowl of rice bowls at the restaurant downstairs, ate and drank enough, slept for an hour, and rushed to the venue for the re-examination skills test.


    The content of the re-examination is independently chosen by each school.


    Therefore, the form, method or content of the examination is different for each school.


    The place where the ?? skill test takes place is not in Kyoto University, but in the First Affiliated Hospital of Kyoto University, which is adjacent to a street.


    As soon as he arrived at the Training Skills Building of the First Affiliated Hospital, Lu Chen heard some candidates discussing something.


    "I''ll go, this skill test is different from other schools!"


    "Yeah, the re-examination at Kyoto University is different! This skill test is unique and doesn''t play cards according to common sense at all!"


    "What should I do, I haven''t reviewed the content of this exam... I''m going to lose it, I''m going to lose it!"


    Lu Chen walked to the bulletin board in front of Guipei Building with doubts.


    The brief rules and regulations of the re-examination skill test are posted on the notice board.


    "Kyoto University''s clinical medical skills re-examination, through the use of real patient-doctor-patient scenarios, candidates conduct face-to-face consultations, physical examinations, and then formulate treatment plans to judge the patient''s prognosis. The examiner will give different levels of evaluation based on the performance of the candidates in each process..."


    Lu Chen was a little surprised after reading the entire exam process.


    According to everyone''s understanding of clinical operation skills, it is basically cardiopulmonary resuscitation, electrical defibrillation, and four major punctures (thoracic puncture, lumbar puncture, abdominal puncture, and bone puncture).


    However, Kyoto University did not play cards according to common sense at all, and directly created a "real doctor-patient scenario", allowing candidates to face real medical scenarios.


    All the examinees present were dumbfounded, and no one had ever seen an exam in this form.


    In order to prepare for the exam, everyone spends most of the time brushing the questions and using the question sea tactics.


    The time to actually get in touch with the clinic is actually very short!


    "Brother, have you seen this exam format before?"


    The little fat man I met in the morning came to Lu Chen''s side at some point.


    Lu Chen shook his head and said, "I thought the skill operation test was the routine four punctures."


    "That''s right! Everyone thought that was the case." The little fat man snorted suddenly, "But that''s fine, everyone doesn''t know much about it, then you can pull out the score gap with others!"


    Lu Chen glanced at the little fat man unexpectedly.


    "You know what to test?"


    Little Fatty shook his head, "I don''t know. When it comes to answering questions, I may not be able to beat you academic masters, but when it comes to clinical knowledge, I am quite confident!"


    The little fat man slumped his stomach with a confident smile on his face.


    "Come on then." Lu Chen smiled.


    "You too." The little fat man patted Lu Chen''s shoulder.


    At this moment, Lu Chen suddenly saw the girl next to him walking slowly into the Guipei Building.


    "Wow, brother, look, beauty!"


    The little fat man touched Lu Chen with his shoulder, then pursed his lips in the direction of the girl.


    She was wearing a white shirt on the upper body and a pair of skinny jeans on the lower body, which outlined a bumpy figure.


    With that pure face, it''s like a straight man murdering!


    "Hey, she''s looking at us!"


    Lu Chen turned to look.


    My "neighbor" walked over after reading the retest notice.


    There was a strange and excited light in the little fat man''s eyes, and she actually stopped in front of her.


    He was about to speak, but the girl smiled at Lu Chen and said, "Hey, do you know what this retest means?"


    Lu Chen scratched his head, "I''m sorry, I don''t know."


    "Oh."


    I thought the girl would walk away, but I didn''t expect that she just gave a soft "um", and then stood beside Lu Chen.


    The little fat man tugged at Lu Chen''s cuff and said in a low voice, "Damn it, brother, is this your girlfriend?"


    Lu Chen hurriedly shook his head: "I just stayed in a hotel, I''ve seen it a few times."


    A smile immediately piled up on the little fat man''s face: "That''s good."


    After saying that, the little fat man leaned in front of the girl.


    "Hello, classmate, I can explain to you the meaning of this skill test."


    Lu Chen sighed lightly with his forehead, this **** fat man!


    Just now he was still asking about the skill test, can he explain it to others now?


    The girl frowned.


    "You are¡­"


    "Uh..." Little Fatty was stunned, "I am also a candidate this year."


    "Oh." The girl nodded slightly, and then she was a little puzzled, "But aren''t you two together? He doesn''t know, do you know?"


    The little fat man smiled shyly.


    at this time.


    ¡°Bell bell¡­ bell bell¡­¡±


    The ?? bell rang, and the skill test officially started!


    Little Fatty is not ready to flirt.


    Everyone entered the examination room in turn.


    This time, not only internal medicine and surgery majors are examined separately, but also between different disciplines!


    There are 70 candidates for the major of internal medicine, of which there are 23 candidates for the major of cardiovascular medicine.


    Twenty-three people including Lu Chen, led by an examiner, came to the teaching room of the Cardiology Department of the First Affiliated Hospital.


    indicates that the classroom has been set up as an examination room, and a middle-aged man in a white coat is sitting on the rostrum.


    "Give everyone five minutes, put on white coats, masks and hats."


    "After the preparations are over, start drawing lots!"


    The middle-aged person finished speaking, and all the candidates began to put on their own white coats.


    "Start the lottery!"


    The middle-aged man put a cardboard box in front of everyone, and everyone began to draw lots one by one.


    Lu Chen drew No. 5.


    He looked at the girl beside him.


    She is number seven.


    "The draw is over, and there are groups of four."


    "One to four groups, and so on."


    Change the update time, and then it will be updated at around 9:00 pm and 11:00 pm, and around 11:00 am.


    (end of this chapter)

 Chapter 12： Different Skills Test (Medium)

    Chapter 12 Different Skills Tests (middle)


    The middle-aged man stood on the podium, looked around, and said loudly: "Everyone should have seen the rules of the skill test."


    "This time, we won''t test CPR, we won''t test defibrillation, and we won''t test the four major punctures."


    "This clinical skills test returns to the most primitive healing process!"


    "All candidates will face the four most real patients. From the most basic physical examination and consultation, to diagnosis, treatment, and prognosis, they are all done independently by everyone."


    "The examiner will supervise the whole process, record all the process, and give a grade evaluation, the highest is A, the lowest is D!"


    Having said this, the middle-aged man on the stage paused, and then continued in a deep voice: "A total of four patients, as long as they get a D-level evaluation, they will be brushed directly and withdraw from this re-examination!"


    As soon as the voice fell, everyone in the audience was in an uproar.


    As long as you get a D-level evaluation, it means being brushed, and a whole year of hard work is wasted.


    For medical students, how many years can be wasted!


    "Teacher, wouldn''t this be too unfair."


    A girl suddenly stood up and said loudly.


    "We''ve been in the clinic for a short time, and we haven''t seen many diseases. Isn''t it absurd for us to see a doctor now?"


    This girl spoke the hearts of everyone.


    Do case questions, everyone can.


    But when it really reaches the clinic, it may not even be able to diagnose and treat the simplest cold.


    "You said that the time in clinical practice is short?" The middle-aged man laughed instead of anger, "I remember medical school, in the senior year, the apprenticeship started, and the senior five would spend a whole year. If you think the time is short, then Everyone''s situation is the same, and I think it''s fair!"


    As soon as these words were said, there was no questioning voice from everyone present.


    But everyone is ashamed.


    Although the school has arranged an internship for a whole year, because of the postgraduate entrance examination, few students have completed the entire internship program.


    Most people end their internship early a few months before the postgraduate entrance examination and prepare for the postgraduate entrance examination in school.


    The mode of this skill test at Kyoto University is a wake-up call for everyone.


    Compared with high scores in the test, if the basic clinical skills are not passable, it will be a one-vote veto!


    "The first group of students came out with me, and everyone else turned over their communication equipment and waited in the classroom."


    After the middle-aged man finished speaking, the four students in the first group followed him and walked out of the classroom in turn.


    All the remaining candidates will turn in their mobile phones and wait to be called.


    ¡­


    Kyoto University Graduate School, Dean''s Office.


    "You guys are just fooling around! Are you taking real patients as exam questions?"


    Dean Xu Feng sat on the office chair with a dark face.


    "President Xu, this is what Vice President Yang meant." The secretary whispered, "Our school, as a pilot for postgraduate entrance examination reform, needs to innovate. The previous exams have been unable to reflect the gap between candidates, so Vice President Yang Chang Cai proposed this innovative screening model."


    "Humph." Xu Feng snorted coldly, "Don''t think I don''t know the dirty things in the re-examination. Now make a fuss about the reform pilot, don''t get caught by me!"


    "President Xu and Vice President Yang are also doing good for the hospital."


    The secretary would not dare to speak ill of Vice President Yang.


    Xu Feng is only the dean of graduate students, but Yang Feng is the vice dean of the whole school


    Xu Feng said solemnly: "Take ten thousand steps back, once the patient suddenly falls ill during the exam, it will be difficult to handle!"


    "Principal Xu, don''t worry, the patients who took the exam this time are all in relatively stable conditions."


    "Hey, I hope there will be no mistakes!"


    ¡­


    This side of the examination room.


    The exam for the first group is over.


    The four candidates from the first group were taken to the next classroom in case they leaked the exam questions.


    "The second group, Lu Chen, Jin Miao, Jiang Qingyan, Yu Bo, these four students come with me, the third group of students get ready!"


    The girl is number seven, which means that her real name is Jiang Qingyan.


    The four candidates from the second group followed the examiner to the outside of the Cardiology Department''s ward.


    "Dear classmates, there are four wards here, and the corresponding numbers are posted on the doors."


    "Every ward has a patient, and this patient is everyone''s exam question!"


    "Eight minutes are limited in each room. Candidates need to conduct consultations and physical examinations on patients, during which I will ask various questions."


    According to the lottery number, Lu Chen came to the first ward.


    After ?? and so on, Jiang Qingyan entered the third room.


    Walked into Ward No. 1.


    A middle-aged man was lying on the hospital bed in the middle.


    He is fat, about 200 pounds.


    With a slight movement of his body, he could see the fat on his face trembling.


    Lu Chen noticed that he was closing his eyes, and there seemed to be nothing unusual except for his scary body shape.


    It''s just that he has a monitor attached to his body, which indicates that his condition is not simple.


    Lu Chen concentrated his energy and saw that the color on his head was red!


    "It''s actually a real patient!" Lu Chen was shocked.


    He thought that the hospital would let normal people pretend to be patients and let them take the exam.


    I didn''t expect the hospital to be so ruthless and let real patients be the exam questions!


    "Student, you can start the consultation and physical examination." There was also a female examiner in a white coat standing in the ward.


    Lu Chen nodded slightly, walked to the right hand of the hospital bed, and began to inquire and examine.


    ¡­


    The consultation is over.


    The female examiner asked in a deep voice, "Please briefly describe the patient''s chief complaint and current illness history."


    Lu Chen thought about it and organized some language.


    "Male patient, 47 years old. Chief Complaint: Severe chest pain for 3 hours."


    "History of present illness: The patient had chest pain without obvious incentive 3 hours before admission. The pain was located in the middle and lower part of the sternum, and the pain ranged from the size of a palm. 120 was admitted to our hospital, the blood pressure was measured in the emergency department at 260/130mmHg, and the emergency department was admitted to the cardiology department with "chest pain"."


    "What''s wrong with the physical examination?"


    "The blood pressure of both upper extremities varies, and there is mild pressure pain under the xiphoid process, and the rest are negative."


    "Current diagnosis and next treatment?"


    "The cause of the chest pain is to be investigated: the possibility of aortic dissection is high. It is recommended to temporarily give symptomatic treatment such as antihypertensive and analgesic; and to improve the aortic CTA, please consult with vascular surgery."


    The female examiner nodded, "That''s a good answer."


    Lu Chen breathed a sigh of relief.


    The first patient had obvious symptoms, severe chest pains, and uneven blood pressure in both upper extremities.


    It is easy to think of such a dangerous disease as aortic dissection.


    But the exam is not over yet.


    The female examiner handed Lu Chen a stack of test sheets and inspection sheets.


    "After reading these test sheets and inspection sheets, re-answer the last question."


    Lu Chen opened the stack of test sheets.


    The first picture is the result of the patient''s myocardial enzyme spectrum, and the troponin is elevated!


    Second ECG, ST segment elevation in anterior leads!


    "How could this happen?" Lu Chen''s eyes were full of doubts.


    The auxiliary examination results given by the examiner, the elevated troponin and the changes in the electrocardiogram all point to the diagnosis of acute myocardial infarction!


    This is completely contrary to the "aortic dissection" he just diagnosed!


    Aortic dissection and acute myocardial infarction are treated in opposite ways!


    Both are very dangerous diseases.


    Once misdiagnosed, the consequences are unimaginable!


    Lu Chen''s heart tensed, if the diagnosis was wrong, wouldn''t he get a D-level evaluation?


    (end of this chapter)

 Chapter 13： Different Skills Tests (Part 2)

    Chapter 13 Different Skill Tests (Part 2)


    "There are still two minutes, please pay attention to the test time and avoid overtime!"


    "One more minute!"


    "Thirty seconds left!"


    "The first room, the exam is over!"


    ¡°¡­¡±


    When Lu Chen came out of the first room, he was a little confused.


    What kind of diagnosis this patient is, he is still not 100% sure.


    He can only say what he thinks is the most likely diagnosis!


    In this exam question, the two most important inspection reports are missing.


    That is the result of coronary angiography or aortic CTA!


    But if you take out these two inspection reports directly, there is no need to take the exam.


    "It''s up to luck now..."


    Lu Chen shook his head slightly. He just noticed that when he said his answer, the female examiner on the side showed no expression.


    He couldn''t judge whether he was correct or not from the examiner''s micro-expression.


    ¡­


    All four candidates stood at the door.


    Outside the corridor, the middle-aged examiner shouted loudly, "All the candidates will be postponed in turn and go to the next ward."


    Lu Chen walked into the second ward.


    In the second ward, there is a young girl.


    The color on her head is also red!


    "Start consultation and physical examination!"


    After hearing the examiner''s order, Lu Chen immediately began to consult.


    "Patient female, twenty-three years old."


    "Chief Complaint: Headache for 3 days admitted to hospital."


    ¡°¡­physical examination: blood pressure 220/130mmHg¡­¡±


    "This second patient''s condition seems to be much simpler than the first one." Lu Chen thought.


    In a young woman with elevated blood pressure, secondary hypertension should be considered first.


    Hypertension is divided into two types in terms of etiology.


    Essential hypertension, the cause of which is unknown, cannot be cured, and requires lifelong medication.


    Secondary hypertension, high blood pressure caused by other factors, is the only curable high blood pressure.


    After sorting out his thoughts, Lu Chen said in a deep voice: "The patient''s current diagnosis: the cause of secondary hypertension is to be determined. It is recommended to improve the four items of hypertension, cortisol, catecholamines, and adrenal CT."


    These inspection items that need to be improved are all tests to determine the cause of secondary hypertension.


    The examiner nodded, and also took out the relevant test sheets and inspection sheets.


    Lu Chen carefully took the report and read it carefully.


    "The four items of hypertension are normal."


    "Cortisol is normal."


    "Catecholamines are normal."


    "The contrast-enhanced CT of the adrenal glands and renal blood vessels were all normal!"


    "Heart ultrasound is normal!"


    ¡°¡­¡±


    All tests and inspection reports are normal!


    "This, is it essential hypertension?"


    A question arose in Lu Chen''s heart.


    But the patient is so young and has no family history of hypertension, is it considered essential hypertension?


    Exam time passed minute by minute.


    The examiner continued to remind: "Please complete the diagnosis and treatment methods again."


    Lu Chen couldn''t make up his mind again.


    On the face of it, continued hypertension seems to have been ruled out.


    But when Lu Chen looked at the patient on the bed, he always felt something was wrong!


    "The last thirty seconds to answer!"


    ¡°¡­¡±


    When he walked out of the second ward, Lu Chen already had deep doubts about himself.


    Who wrote these exam questions?


    is completely out of the scope of undergraduate knowledge, and even if a doctor with rich clinical experience comes, he may not be able to answer correctly.


    ¡­


    Exams are still going on.


    Lu Chen walked into the third room.


    The patient in this room is an old woman.


    And the color on her head is also red!


    From physical examination, consultation to final diagnosis and treatment, Lu Chen did not dare to have any contempt.


    Fortunately, the case this time did not exceed Lu Chen''s expectations.


    The old lady is a typical chronic heart failure patient. From diagnosis to treatment, Lu Chen thought he answered perfectly.


    "Call..."


    Walking out of the third room, Lu Chen breathed a sigh of relief.


    This third case gave him a little bit of confidence, and now he has at least a shred of confidence.


    "Please note, candidates, only the last ward is left!"


    Gently pushed open the door of the last ward.


    A young and middle-aged man was sitting on the ward. He looked no different from a normal person.


    His face was full of red light, and his spirit and posture were all normal.


    Lu Chen focused and saw that the color on his head was green!


    The color of the patient''s head in the first three wards is all red, only the color of the last patient''s head is green!


    Green represents health.


    Could it be that this young man is not sick?


    In addition, Lu Chen was a little surprised that this patient was also connected to an ECG monitor.


    This made Lu Chen not dare to relax at all.


    This skill test has already given him too many "surprises".


    Start consultation and physical examination.


    "Male patient, thirty years old."


    "Main complaint: intermittent heart palpitations for 1 year, with another attack for half an hour."


    "Every time the symptoms of palpitations occur suddenly, and then stop suddenly. The cardiopulmonary and abdominal examinations are all negative!"


    This time, the examiner did not rush to ask Lu Chen to make a diagnosis, but took out an electrocardiogram of the patient during the attack.


    "Interpret this ECG to diagnose and treat the patient."


    Lu Chen picked up the electrocardiogram and began to study carefully.


    "Regular rhythm, fast heart rate, about 160 beats/min."


    "No P waves were seen, and QRS waves were normal. Retrograde P waves were visible."


    Lu Chen took a quick look at the complete ECG.


    This is an electrocardiogram of a typical episode of paroxysmal supraventricular tachycardia!


    Paroxysmal supraventricular tachycardia is a cardiac arrhythmia.


    can be seen in normal people and patients with structural heart disease, and can be completely cured by radiofrequency ablation!


    This is also one of the few curable diseases in cardiovascular medicine.


    Lu Chen also had doubts.


    Why does the system determine that the color of patients with "paroxysmal supraventricular tachycardia" is green?


    When a paroxysmal attack occurs, the heart rate rises to around 160 beats per minute.


    The normal heart rate is 60-100 beats per minute!


    When the heart rate reaches 160 beats/min, it can cause heart failure, myocardial infarction, and even sudden death!


    So even if the color of this young man is not red, it should at least be yellow!


    It will never be green anyway!


    Just as Lu Chen was thinking about it, the ECG monitor beside the bed suddenly sounded an alarm!


    "woo woo woo woo¡­"


    The ?? alarm sound was a bit harsh, and Lu Chen immediately looked at it intently.


    Heart rate reached 164 beats!


    The waveform on the ?? monitor looks the same as this electrocardiogram in his hand.


    This is a paroxysmal supraventricular tachycardia attack!


    But what made him a little strange was that the chief examiner on the side didn''t move, and he wasn''t nervous at all.


    And the color on this patient''s head is still green!


    A glint of light flashed in Lu Chen''s eyes, and he had his own judgment in his heart.


    This patient is a fake patient!


    is absolutely impossible to be a real patient!


    The waveform of the supraventricular tachycardia in the ECG monitoring is likely to be recorded before!


    "Doctor, I''m a little flustered..."


    The young man suddenly covered his chest and frowned.


    You are acting too fake, Lu Chen was a little speechless.


    A person with a heart rate of 160 beats per minute does not have such a relaxed expression!


    However, what should cooperate with your performance, you still have to cooperate.


    "Is the symptoms the same as the previous episodes?" Lu Chen asked quickly.


    "Well, it''s the same." The young man nodded, "Then what should we do?"


    Lu Chen smiled and said, "Don''t worry, you have a paroxysmal supraventricular tachycardia."


    "Next, you do these moves with me."


    "Okay, doctor."


    The first choice for supraventricular tachycardia is not drug treatment, but by stimulating the vagus nerve to stop the onset of supraventricular tachycardia!


    "Exhale forcefully after holding your breath."


    "Irritation of the throat causes nausea."


    "Massage the carotid sinus, first try the right side for 10 seconds, if it doesn''t work, try the left side for 10 seconds, don''t press on both sides at the same time."


    "Press the eyeball first, right and then left, no more than 10 seconds each time."


    ¡°¡­¡±


    After this series of methods to stimulate the vagus nerve, the heart rate on the ECG monitor began to drop slowly!


    From 160 to 140, then to 110, and finally settled at 90!


    If he hadn''t known that this was a fake patient, perhaps Lu Chen would still be a little complacent.


    Suppressing the onset of supraventricular tachycardia by stimulating the vagus nerve, the success rate is actually not very high.


    Lu Chen only saw one case during his internship.


    "Thank you doctor, I don''t panic anymore." The young man looked "excited".


    Lu Chen smiled slightly.


    The ?? system did not increase the thank you value, nor did the system completion degree increase!


    Your thank you is too fake!


    Whenever the update is late, don''t doubt, I''m on the night shift.


    (end of this chapter)

 Chapter 14： Results announced!

    Chapter 14 results announced!


    The skill test of the second group is over, and the third group begins to prepare.


    Lu Chen and others returned to the classroom next to Shi''s classroom.


    The first group that has already passed the test is also sitting here.


    "Wow, it''s so hard, I''m not sure at all."


    "What did you diagnose for the first patient? Acute myocardial infarction? I don''t think so!"


    "You also encountered the last patient who fell ill? Me too!"


    ¡°¡­¡±


    Lu Chen guessed right, everyone encountered the sudden onset of the last patient!


    should be deliberately arranged by the school, perhaps to test everyone''s ability to respond on the spot.


    There were not many seats in the classroom, and the two of us sat in a row.


    Lu Chen and Jiang Qingyan sat together.


    "The first patient, what did you diagnose?" Jiang Qingyan said suddenly.


    Lu Chen looked around, there was no one else in this row.


    "Ask me?"


    Jiang Qingyan smiled and nodded.


    Lu Chen coughed lightly and said, "At first, I thought it was aortic dissection. The patient''s symptoms, signs, and blood pressure in both upper extremities vary. These features are too similar to aortic dissection."


    "Then what?" Jiang Qingyan frowned, "Not in the end?"


    "Well, because after the examiner took out the stack of auxiliary examination sheets, the diagnosis was exactly like acute ST-segment elevation myocardial infarction, which was contrary to aortic dissection." Lu Chen said.


    "What is the final conclusion?" Jiang Qingyan glanced at Lu Chen.


    Lu Chen paused and whispered, "Aortic dissection combined with acute myocardial infarction."


    Jiang Qingyan frowned when she heard the words.


    for a long time.


    The frowning frown slowly loosened.


    "How did you come up with that?"


    "I guess." Lu Chen smiled.


    "Huh? Guess?" Jiang Qingyan tilted her head and looked at Lu Chen with doubts.


    "I really guessed it."


    Lu Chen shrugged.


    "Because there are no further test results. All our current diagnoses can only be guessed on the basis of the existing ones."


    "When I was an intern in the Cardiology Department, I met a similar patient."


    "In patients with aortic dissection, the rupture of the dissection ruptured into the coronary sinus, resulting in secondary myocardial infarction."


    This type of aortic dissection combined with acute myocardial infarction is very rare.


    Lu Chen has only seen this case so far, so he is very impressed!


    Jiang Qingyan couldn''t help but nodded, "So the patient''s clinical manifestations are very similar to aortic dissection, but the preliminary auxiliary examination results are close to acute myocardial infarction."


    "Well, but I can''t see the most important aortic CTA or coronary angiography results, so I can only say it''s guesswork!"


    "What about the second patient?" Jiang Qingyan continued.


    "Secondary hypertension." Lu Chen said.


    "But all her test results are normal." Jiang Qingyan said, "What factors do you think caused the high blood pressure?"


    "SAHS!"


    Jiang Qingyan took a few seconds to react.


    "You mean sleep apnea syndrome?"


    Lu Chen smiled and nodded.


    English name: SAHS.


    Chinese name: sleep apnea syndrome.


    Common name: snoring.


    "This factor in secondary hypertension is often overlooked by us."


    "But I saw that the patient was fat, so I asked her about her sleep at night, and she really had sleep apnea."


    "Excluding other continuing factors, I think SAHS is the most likely!"


    Jiang Qingyan nodded when she heard the words.


    This boy is quite amazing.


    ¡­


    After the sixth group of exams are over, all skill exams are over.


    But everyone did not leave, and all returned to the classroom.


    Because the results of the skill test were announced on the spot!


    Twenty-three candidates for cardiovascular medicine, including Lu Chen, were present, and all of them were heartbroken.


    This time the skill test is very difficult.


    Although everyone is a scholar, even a god-level figure, but they are not fully sure.


    Waited for another twenty minutes.


    The middle-aged examiner walked onto the podium of the classroom with an envelope in his hand.


    "Students, the results of the skill test just now are out!"


    As soon as the voice fell, the originally noisy classroom suddenly became audible for needles to fall.


    Everyone held their breath and stared at the envelope in the middle-aged examiner''s hand.


    "According to what I said before, as long as there is a D-level rating, it will be brushed off directly!"


    "Missed the tutor interview tomorrow!"


    The middle-aged examiner looked around.


    "Now I announce the results!"


    Lu Chen was also a little nervous, but he was forcibly suppressed by him.


    "Yu Bo''s grade: BBAC."


    After the results of the first person were announced, everyone began to whisper.


    "It''s not bad, there is no D-level evaluation, and you can successfully enter tomorrow''s tutor interview."


    "Well, I think the question is a bit difficult. It''s pretty good to get a few Bs and an A."


    "But have you noticed that the last C..."


    I''m usually a scholar or a great god. For the first time, I think B is a very good rating.


    The middle-aged examiner pressed his hands down to signal everyone to be quiet.


    "I will continue to announce, Jin Miao''s grade: BAAB."


    "I''ll go, this grade is fine. Two A''s, two B''s."


    "Probably the best result this time."


    "What a genius, he did exactly the second case!"


    Every time a result is made, it will cause a heated discussion among everyone.


    "Cheng Xingxing''s score: BBBB."


    "Li Jiajia results: BCBB."


    "Zhang Xugang''s grade: BCCB."


    "Feng Dinghao Score: DCBB"


    It is the first time that a D rating has appeared!


    Everyone in the classroom was silent, and the atmosphere was a little heavy.


    No one laughed at this classmate named Feng Dinghao.


    Everyone has worked hard for a whole year to get to this point. It is not easy!


    Who knows, will he be the next D? !


    The middle-aged examiner paused and continued, "Chu Xiaomin''s grade: DBBB."


    Another D!


    The atmosphere of the classroom became more solemn.


    Lu Chen seemed to hear a little girl sobbing.


    There was a trace of unwillingness and regret in his voice.


    "Hey." Lu Chen sighed softly.


    ¡­


    So far, a student named Jin Miao has the best grades.


    His grade is BAAB.


    "The scores of the remaining two students have not been announced yet."


    The middle-aged chief examiner looked up and glanced at the crowd, followed by the sidewalk.


    "Jiang Qingyan''s grade: AAAB."


    As soon as the ?? voice fell, there was an uproar.


    (end of this chapter)

 Chapter 15： A direct invitation from the boss

    Chapter 15 The direct invitation of the boss


    Three A''s and one B!


    This is the best result so far!


    Lu Chen glanced at Jiang Qingyan, and felt a little sigh in his heart.


    This result has already topped the audience!


    Actually, before the exam started, all the examinees paid some attention to this beautiful girl Jiang Qingyan.


    Now everyone looks at Jiang Qingyan with a little more admiration and appreciation.


    Instead, it was Jiang Qingyan. When she heard her results were announced, her expression did not change. She was still staring at the examiner on the stage, as if she was more interested in the final results announced.


    "Then, I will now announce the results of the last classmate..."


    The chief examiner sold off, his voice paused, and he looked in Lu Chen''s direction.


    Everyone in the classroom held their breath and silently looked at the examiner on the stage.


    "The last student''s grade, Lu Chen: AAAA+."


    When the examiner finished announcing the results, the entire classroom was silent, deadly silent.


    "Who is Lu Chen?"


    Except Jiang Qingyan, everyone else had this thought in their hearts.


    Everyone looked at each other.


    There is shock, envy, and even a trace of jealousy in his eyes!


    It turns out that A is not the best score, A+ is!


    All those present were Xueba, and Xueba''s self-esteem was extremely strong.


    Although they will always say that they did not do well in the exam, or that they made a mistake in the exam.


    But the self-esteem in their bones will not allow others to surpass themselves!


    The gap between ??B and A may be achieved with hard work.


    But the gap between A and A+ needs talent to make up for it!


    Jiang Qingyan raised her brows slightly when she heard the last A+ score.


    "The last patient, isn''t it a paroxysmal supraventricular tachycardia?"


    Jiang Qingyan looked at Lu Chen.


    Lu Chen nodded slightly: "Yes."


    "Then why am I a B? And you are an A+?"


    "When the patient''s symptoms occur, what are you doing the first time?"


    "At that time, I asked the examiner if he had spare adenosine." Jiang Qingyan thought for a while and said, "The first choice for supraventricular speed is intravenous adenosine, but I don''t have any operations, the patient''s heart rate will be fine by itself."


    Lu Chen smiled, but did not speak.


    This is a fake patient, of course it is impossible for you to push medication.


    "Isn''t it?" Jiang Qingyan frowned.


    "First of all, the preferred method of drugs in internal medicine books is indeed adenosine bolus injection, but the preferred method is not drugs, but physical therapy!"


    "Valsalva action that stimulates the vagus nerve?" Jiang Qingyan frowned tightly.


    "Well." Lu Chen said, "I asked the patient to try a variety of Valsalva movements, and finally succeeded in reducing his heart rate."


    "However, the clinical success rate of the method is not high."


    "But we have to try too, don''t we?" Lu Chen smiled, "After all, drugs have side effects. Especially adenosine, it can easily make the patient''s heart stop."


    "Once a cardiac arrest occurs, the risk increases exponentially."


    Jiang Qingyan took a deep look at Lu Chen.


    then withdrew his vision and stopped talking.


    ¡­


    After the chief examiner on the stage announced the results, he let everyone leave.


    Everyone should concentrate on preparing for the last level tomorrow, the tutor interview!


    And the two classmates who got D-level evaluation today will miss the tutor interview tomorrow.


    Exams are often so cruel.


    Missing a millimeter is a thousand miles away.


    In the process of reform, there will always be sacrifices and injustices.


    These two students unfortunately became the final victims.


    As soon as he walked out of the building, Lu Chen met the little fat man.


    "Hey, buddy, how did you do in the test?" The little fat man smiled and hugged Lu Chen''s shoulder.


    "Alright, how about you?" Lu Chen smiled.


    "Oh, my grades are three A''s and one B." The little fat man laughed.


    "Such a high score! Not bad, not bad!" Lu Chen echoed.


    "Haha, usually when I move, the total score ranks second, and there is a four-A pervert who ranks first." The little fat man smiled, "I know that pervert, and the score in the first test is 420 points. Comparable!"


    The two chatted, and when they were about to leave, two middle-aged doctors in white coats walked across.


    "Is this classmate Lu Chen?"


    Lu Chen looked up, isn''t this the chief examiner and the female examiner in the first room?


    "I''m Lu Chen."


    "First of all, congratulations to Lu Chen for getting such a good grade." The middle-aged examiner smiled.


    His expression had always been serious just now, but now he suddenly laughed, making Lu Chen a little uncomfortable.


    "Thank you, teacher."


    The little fat man beside ?? looked surprised.


    His skill score ranks second in surgery, but no teacher has come out to chat with him!


    "First of all, let me introduce myself. My name is Jia Bo. This is my colleague, Gao Rui, a cardiologist."


    Jia Bo?


    Lu Chen kept searching for the memory of this name in his mind.


    He seemed to have seen this name when he was applying for a postgraduate tutor.


    correct!


    It''s him!


    Jia Bo, Dean Yang Feng''s most proud student.


    He was Yang Feng¡¯s doctoral student before, and later went to the United States to further his cardiovascular studies and published dozens of top papers.


    After returning to China, under the resources and contacts of Dean Yang Feng, he was selected for major programs such as "National Excellent Youth" and "Young Changjiang Scholars".


    Today''s Jia Bo has become the hottest new star in the cardiovascular field!


    "Hello, Teacher Jia." Lu Chen immediately replied respectfully.


    "If you have time, let''s chat alone." Jia Bo took the initiative to invite.


    "Yes." Lu Chen nodded.


    He was overjoyed. Could it be that his system secretly worked, and all the hidden charm attributes were fully tapped?


    Now let the big guy fall in love with him directly, and from then on to the pinnacle of life?


    "Okay, then you come with me."


    Jia Bo smiled and left first.


    "Brother, I still have something to do, let''s go first."


    Lu Chen patted the little fat man on the shoulder, then followed Jia Bo and left.


    "Damn it, this kid won''t really have **** luck."


    Little Fatty stayed where he was, envious of what happened to Lu Chen.


    When he was about to leave alone, he suddenly saw a cardiologist classmate he knew.


    "Hey, Jin Miao, what''s your first-place score in the inner technology test?"


    "Don''t you know? It''s Lu Chen!" Jin Miao glanced at the little fat man strangely.


    "Lu Chen? Who is he?"


    "Aren''t you kidding me? It''s the boy who just walked with you!"


    "Huh? Is it him?"


    The little fat man hurriedly looked in the direction where Lu Chen disappeared, and could only vaguely see his back.


    "Three A''s, one A+, it''s simply inhuman."


    "What did you say? Three A''s... and A+?"


    The little fat man stared, and the fat on his face trembled.


    This, this kid, is he pretending to be a pig and eating a tiger?


    ¡­


    Lu Chen came to Jia Bo''s office and sneezed suddenly.


    Did you catch a cold when you came home in the rain yesterday?


    "Student Lu Chen, come and sit."


    Jia Bo greeted Lu Chen to sit on the sofa in his office, and then got up to make tea himself.


    "Thank you, Teacher Jia."


    "Student Lu Chen, where are you from?"


    Jia Bo took off his white coat and sat opposite Lu Chen.


    "HZ City, Lake Province."


    "Oh, a great place with outstanding people." Jia Bo took a sip of tea, "I also went to Jiangcheng in Huzhong Province when I was young, and the food and beauty are unforgettable to this day."


    Lu Chen smiled, "Mr. Jia has the opportunity to go to Jiangcheng in the future, I will definitely entertain you."


    Jia Bo smiled and nodded: "Why do you want to study in Kyoto again? Are there any relatives or friends here?"


    "No." Lu Chen shook his head and said, "Kyoto University School of Medicine is the most desirable place in the minds of all medical students, no one should want to come?"


    "That''s true." Jia Bo smiled slightly and put down the teacup in his hand.


    "Actually, I checked your results in the first test, and among all the twenty-three cardiology students, you ranked second from the bottom."


    "If you follow the previous exam process, it is almost impossible for you to pass the exam."


    "But this year''s re-examination reform..."


    Lu Chen listened to Jia Bo''s words silently, but he didn''t expect him to pay attention to himself.


    Listening to his tone, this matter seems to be turning around.


    Jia Bo continued: "In the skill test, your performance was excellent, and we are all satisfied."


    "Now, on behalf of Professor Yang Feng, I now directly invite you."


    "Would you like to study the master''s degree of Professor Yang Feng this year?"


    When Jia Bo said the first half of the sentence, Lu Chen was very excited.


    I really guessed it right, and I was directly spotted by the boss!


    But when Jia Bo said the second half of the sentence, Lu Chen felt something was wrong...


    (end of this chapter)

 Chapter 16： Tutor Interview (Part 1)

    Chapter 16 Mentor Interview (Part 1)


    Master, divided into Master of Science and Master of Professional.


    Master of Science refers to the Master of Science.


    Professional masters refer to professional masters.


    Master, as the name suggests, focuses more on theoretical research and spends more time in the laboratory.


    Professional master''s degree mainly focuses on clinical treatment, and most of the time is in the department.


    For most medical students, more sense of achievement in studying medicine comes from curing diseases and saving lives.


    Therefore, the vast majority of medical students will choose to obtain a master''s degree and choose to become a doctor rather than a scientist.


    At the same time, there is a big disadvantage of studying a master''s degree. If you want to practice medicine after graduation, you need to train for three years.


    Professional masters and regulated training are combined. After graduation, there is no need for regulated training and can be employed directly.


    Lu Chen personally, he studied medicine for the purpose of treating diseases and saving people in the clinic, not raising cells and mice in the laboratory.


    "Mr. Jia, thank you for your love."


    "But, I don''t want to study for a master''s degree."


    When Lu Chen said these words, he even glanced at Jia Bo.


    Jia Bo smiled slightly, as if he had guessed Lu Chen''s choice.


    "Student Lu Chen, this is a master''s degree from Kyoto University, not a master''s degree from a general university. Don''t you think about it again?"


    Lu Chen is of course aware of the weight of Kyoto University.


    Whether it is an undergraduate or a professional master, as long as it is produced by Kyoto University, it is a fine product!


    But Lu Chen doesn''t want to be a scientific researcher in the laboratory, he prefers to work in the clinic and be a pure doctor.


    What''s more, he now has a system by his side.


    Based on the current observations, this system should have a greater relationship with medical clinics and saving lives.


    In this way, he will not choose to study for a master''s degree!


    "Mr. Jia, I still prefer to study for a master''s degree." Lu Chen replied without hesitation, "Can''t I study for a master''s degree from Teacher Yang Feng?"


    The smile on Jia Bo''s face remained the same.


    "I''m afraid not, you are the one with the lowest score among the six students who applied for Teacher Yang Feng this time."


    "Mr. Yang has enrolled five masters and masters this year, but there are already two quotas for exemption, and the remaining three quotas are for you to choose from among the six of you."


    Lu Chen heard the words and asked tentatively, "Mr. Jia, isn''t there a mentor interview tomorrow? Is it impossible for me to be one of these three people?"


    Jia Bo pursed his lips and smiled, there was a hint of weirdness that Lu Chen couldn''t understand.


    "Then I wish you good luck."


    ¡­


    Walking out of the gate of the First Affiliated Hospital of Kyoto University, Lu Chen frowned deeply.


    This meeting with Jia Bo made him feel a faint sense of powerlessness.


    Jia Bo''s last smile, what does it mean?


    "You went the other way, the way back to the hotel is over there."


    A somewhat familiar female voice suddenly came from his ear.


    looked up, it was Jiang Qingyan.


    "Oh, you, haven''t you gone back yet?


    "It''s going to rain, I didn''t bring an umbrella."


    ¡°¡­¡±


    The horizon is covered with dark clouds.


    Pedestrians on the road are in a hurry.


    Boom!


    The sound of thunder came from a distance, as if it was really going to rain.


    This **** weather really looks like a woman''s face, unpredictable.


    "Oh, I, I brought an umbrella."


    Lu Chen took out an umbrella from his bag.


    "Um."


    Jiang Qingyan replied softly, the corners of her mouth raised slightly.


    The rain started to pour down.


    opened the umbrella and made room for half of his body.


    Jiang Qingyan slowly walked under the umbrella.


    The distance between the two is very close.


    Shoulder to shoulder distance is less than a few centimeters.


    After walking for about five minutes, the rain gradually became heavier.


    Lu Chen felt that the rain had soaked his shoulders, and a lot of the rain was still floating into the umbrella by the wind.


    He lowered the edge of the umbrella and moved it towards Jiang Qingyan.


    ¡­


    After being speechless all the way back to the hotel.


    "thanks."


    Jiang Qingyan pursed her lips, smiled at Lu Chen, and returned to her room after speaking.


    The girl at the front desk, Yin Xiaohan, saw the two entering the hotel together, her eyes almost straightened.


    "Damn it, handsome guy, real people don''t show their faces."


    Lu Chen pouted angrily.


    "Don''t guess, you met on the road."


    "Hehe, I don''t believe it." Yin Xiaohan made a face at Lu Chen.


    "Did you go to the hospital to see a doctor?" Lu Chen remembered telling Yin Xiaohan about her anemia yesterday.


    "Well, I went. I checked the blood, but the results haven''t come out yet." Yin Xiaohan nodded, "I''ll show you when the results come out."


    "I''m leaving tomorrow, so I might not be able to see it." Lu Chen shrugged.


    "Then let''s quickly add a WeChat." Yin Xiaohan said immediately.


    "Wouldn''t it be better for you to see a professional doctor?"


    "No, I still want to show you."


    Under Yin Xiaohan''s "strong request", the two added WeChat friends to each other.


    Let''s give her some face.


    ¡­


    "Call..."


    The first thing I did when I got back to the room was to take a hot shower.


    Wash away the weariness and filth.


    At seven o''clock in the evening, Lu Chen went out to find a snack in S County.


    ordered a steamed dumpling and hor fun, and feasted.


    Lu Chen recalled the whole exam process today as he ate.


    Twenty-three candidates from the Cardiology Department were eliminated today, and there are 21 candidates.


    Through the conversation with Jia Bo, we learned that among these 23 people, including Lu Chen, 6 people applied for the postgraduate examination of Professor Yang Feng.


    Yang Feng has five quotas for postgraduates, but push-free students (such as postgraduate studies) occupy two quotas.


    If there are no students who applied to Mr. Yang Feng among the two eliminated today, then there are still six students fighting for three places!


    50% chance of promotion!


    Although Jiang Qingyan had not been asked, Lu Chen felt that Jiang Qingyan''s tutor was most likely also Professor Yang Feng, so she was one of the six candidates!


    After dinner, go back to the hotel.


    Lu Chen started to prepare for tomorrow''s tutor interview!


    Different schools have different forms of tutor interviews.


    Kyoto University School of Medicine does not have a unified re-examination template. All candidates can only pass previous exams and speculate on the content of this year''s tutor interview.


    ¡­


    The next day.


    Eight in the morning.


    Lu Chen and other candidates in the heart are all concentrated outside the inpatient department of the Cardiology Department.


    "Different tutors are on different floors." Jia Bo was still the organizer of today''s exam, "All twenty-one of you follow me."


    "Every floor, I will tell the corresponding students to stay."


    Jia Bo brought everyone to the second floor of the inpatient department, the cardiac catheterization room.


    "This floor is where Professor Yang Feng often works. The students who applied for the examination of Professor Yang Feng, after I read their names, all stay on this floor!"


    "Jin Miao, Feng Dinghan!"


    "Lu Chen, Jiang Qingyan..."


    Lu Chen glanced at Jiang Qingyan next to him. As he guessed, Jiang Qingyan also applied for the exam with Professor Yang Feng!


    "Five minutes later, the tutor interview will officially begin!"


    Status has been changed, ask for tickets, brothers and sisters.


    (end of this chapter)

 Chapter 17： Tutor interview (below)

    Chapter 17 Mentor Interview (Part 2)


    Tutor interview, one-on-one alone.


    All candidates enter in the order of their test numbers.


    As for the type of interview and the content of the test, only those who go in know.


    After so many days of exams, the six applicants for the Cardiology Department are already familiar with each other.


    Except Jiang Qingyan, who did not integrate into everyone''s circle, everyone else would occasionally chat.


    Among the six, Jin Miao''s undergraduate degree is Kyoto University.


    "Jin Miao, you have an undergraduate degree from Kyoto University, so you should know Professor Yang." A girl wearing glasses sat beside Jin Miao.


    "I''m fortunate to have listened to Professor Yang''s class." Jin Miao smiled, "In addition, I followed a doctoral brother under Professor Yang during my internship."


    "Then you have the highest chance of being admitted this time." The girl said, "I see that your score in the first test ranked first among us, and your performance in the second test was also very good."


    Jin Miao shook his head slightly and sighed: "I didn''t do well in the skill test yesterday. I think Lu Chen''s performance is good, and he has a high chance of landing."


    This is really Chi Guoguo''s Versailles remarks!


    Two A''s and two B''s already ranked third among the crowd.


    The girl curled her lips and kept her despise in her heart, but she still said, "I don''t see it all, I heard that Lu Chen didn''t do well in the first test. After all, the first test accounts for the largest proportion, and I think you are the most likely. "


    Hearing the girl''s words, Jin Miao''s mouth couldn''t help showing a faint smile: "Hey, the final choice is all up to Professor Yang. We can''t figure out his routine, so let''s prepare for the interview."


    ¡­


    Five minutes later, Jia Bo walked into the waiting room.


    "Student Jin Miao, the first interview!"


    Jin Miao stood up, took a deep breath, and walked towards the interview room.


    ¡­


    In the ?? waiting room, Lu Chen took out his notebook and started the final sorting process.


    Jiang Qingyan sat beside him.


    Lu Chen glanced at her from the corner of his eye, she was very calm.


    Oh, not right.


    Her expression has always been like that, with little dynamic change.


    About ten minutes passed.


    The door of the interview room was pushed open.


    Jin Miao walked out of the interview room with a faint smile.


    It seems that his interview process went relatively smoothly.


    But this time, the students who finished the interview were not forcibly separated, but sat next to the students who did not have the interview.


    As soon as Jin Miao sat down, a classmate beside him asked him about the interview.


    ¡­


    "Lu Chen, the second one!"


    Lu Chen''s heart tightened slightly, he put away his handwritten notes in his bag, got up slowly, tidied up his clothes, and walked to the interview room.


    As he passed by Jabo.


    Jia Bo smiled at Lu Chen, patted him on the shoulder lightly, and whispered, "Student Lu Chen, I wish you good luck."


    Lu Chen was taken aback for a moment, then smiled in response.


    For some reason, he always felt that Jia Bo was weird.


    But now he can''t control so much anymore, throwing away the distracting thoughts in his mind, Lu Chen slowly pushed open the door of the interview room.


    The interview room is very large, and it should be a place where some large meetings are usually held.


    There is a rectangular mahogany table in the center of the room, a pot of green plants is placed in the four corners, and there is a large fish tank in the center, which contains many colorful fish that Lu Chen did not know.


    There is only one person in the interview room!


    Lu Chen looked intently.


    He is about fifty years old, wearing a white coat and sitting on the main seat of the mahogany square table, looking down at the information in his hand.


    He should be Professor Yang Feng.


    Deputy Dean of Kyoto University School of Medicine, the authority of Huaxia Cardiovascular Medicine, and one of the main authors of internal medicine books.


    This seems to be different from what I imagined, a row of experts sitting in front of them and asking questions.


    Lu Chen approached slowly, and only then did he see Professor Yang Feng''s appearance.


    His appearance is very ordinary, the kind of person who is thrown into the crowd and it is almost impossible to recognize him again.


    Hearing the movement from the door, Yang Feng raised his head.


    "Student Lu Chen, right, come, sit!"


    Yang Feng''s attitude was very kind. He smiled and pointed to a seat in front of him, motioning Lu Chen to sit down.


    "Thank you, Teacher Yang."


    Lu Chen sat obediently in front of Yang Feng.


    Yang Feng holds a stack of information sheets in his hand, which should be the information of all candidates.


    "Student Lu Chen, among the six students, you have the lowest score in the first test."


    Yang Feng got straight to the point, picked up Lu Chen''s data sheet and asked directly.


    "Do you think you have any advantages over others?"


    Is it so direct?


    Straight to the point of "heart talk", without any other professional knowledge assessment?


    Lu Chen paused and said solemnly: "Mr. Yang, I may not be as good as other students in terms of the first test scores, but one test score does not represent everything."


    "I probably know you better than other students.


    "Know me better?"


    Yang Feng showed a smile on his slightly kind face.


    "Did you know that the first student Jin Miao came in, his undergraduate degree was Kyoto University, and he used to intern in our department."


    "Do you know me better than he does?"


    Lu Chen smiled slightly, sat up straight, and looked at the big guy in front of him without showing any weakness.


    "Mr. Yang, I have carefully studied your published papers and major funded projects in recent years."


    "In the fields of chest pain center construction, acute myocardial infarction diagnosis and treatment system, and stroke, you are worthy of being one of the pioneers in our country."


    "Among them, you recently published "CoronaryAtherosclerosisT1-weighedCharacterizationwithintegratedanatomicalreference"in"JournalofCardiovascularMagneticResonance", which evaluated vulnerable atherosclerotic plaques in vitro and in vivo, and clarified the diagnostic efficacy of CATCH sequence for intraplaque hemorrhage..."


    "Another paper..."


    "One more..."


    Yang Feng''s eyes were first with admiration, then with relief, and finally, with Lu Chen''s words, he became slightly shocked.


    This kid really studied him!


    is still more in-depth research!


    For so many papers he has published, many of them only give a general direction as a corresponding author, but the specific paper writing is done by his students.


    So some of his own articles, he didn''t even understand Lu Chen clearly.


    However, there is another situation that does not rule out that other professionals have already made relevant preparations, so he can come and endorse.


    After a long silence, Yang Feng continued.


    "The first paper you just talked about, do you think there are any limitations to the whole experiment?"


    Limitations, to put it simply, are shortcomings and deficiencies.


    Talking about the advantages of an article may be very general, such as novel topic selection, detailed discussion and so on.


    Even if you don''t look carefully, you may be able to pull out a little bit.


    But when it comes to the shortcomings, it is difficult to say anything without your own in-depth research!


    After listening to Yang Feng''s question, Lu Chen was silent for a moment.


    The limitations of the paper, he really didn''t think about it.


    After all, his knowledge level is limited to undergraduate!


    Most of Professor Yang Feng''s papers are already the ceiling of the discipline, and it is not easy to understand, let alone to name the shortcomings.


    Lu Chen thought for a moment and said, "Mr. Yang, with my current level of knowledge, I have neither the ability nor the qualification to comment on your paper."


    Yang Feng was stunned for a while, as if he was too, the one sitting across from him was an undergraduate student, not his doctoral students.


    It was indeed embarrassing for him to tell him the limitations of his thesis.


    However, Lu Chen suddenly changed the subject.


    "But at the end of this paper, Mr. Yang, you yourself talked about the limitations of the paper."


    "I remember that the sample size of this experiment was insufficient, and the main experimental population was in northern China, so there was no broad representation."


    "Secondly, this research is a multi-center cooperation, and there is no uniform standard for all the indicators tested. There may be errors in this aspect."


    Lu Chen tried his best to recall the content of this paper.


    In fact, thanks to Yang Feng''s inquiry, this paper is relatively famous, with a high impact factor, and Lu Chen has studied it carefully.


    For another paper, he may not be able to answer.


    After hearing this, Yang Feng was finally able to confirm.


    Lu Chen really "studied" him, instead of simply going to read his paper and memorizing it for him.


    "Well, not bad. I saw your results in the written test and skill test yesterday, and they were also very good." Yang Feng said with relief, "I still have a place for a master''s degree, which is also the last one. Would you like to come and study for my master''s degree? "


    It¡¯s a Master¡¯s degree again?


    Why do you always get a master degree?


    Lu Chen sighed slightly in his heart, but still kept a smile on his face: "Mr. Yang, as long as it is your student, whether it is a master''s degree or a master''s degree, it is very pleasing."


    "But personally, I can''t lie to you, I prefer to study for a master''s degree."


    Yang Feng shook his head and smiled, "You kids, you all want to study for a master''s degree. Don''t you know that there is more room for development in the master''s degree, at least in terms of examinations, the master''s degree is more advantageous."


    "Go back and think about it!"


    "Well, thank you Teacher Yang for your love."


    When ?? walked out of the interview room, Lu Chen was still a little confused.


    It turns out that the tutor interview is as simple as that. In less than ten minutes, without any test questions, the tutor will chat with you.


    But in this way, the final result is too maneuverable.


    Judging from the current situation, Yang Feng, like Jia Bo, both openly and secretly want him to study for a master''s degree.


    However, Lu Chen''s heart is relatively firm, and he doesn''t think about studying for a master''s degree for the time being.


    When he got back to his seat, he heard Jia Bo shouting loudly.


    "Next, Jiang Qingyan!"


    Facing everyone''s gaze, Jiang Qingyan slowly got up.


    Her outfit today is quite formal, with a light look and a slim white shirt.


    "Come on." Lu Chen whispered.


    "Um."


    Jiang Qingyan nodded slightly and walked to the interview room.


    ¡­


    Jiang Qingyan''s time to enter the room was also very short, less than ten minutes.


    "Next, Feng Dinghan."


    ¡­


    In less than an hour, the tutor interview is over.


    "Everyone can leave now."


    "Tomorrow at 8:00 am, the admission list will be announced on the official website of the school''s graduate school. The admitted students must report to the graduate school at 10:00 am tomorrow, otherwise they will be regarded as giving up automatically!"


    The exam was over, and everyone left.


    Today, there is no rain.


    Lu Chen and Jiang Qingyan did not go together.


    Back at the hotel alone, Lu Chen finally relaxed completely.


    Although there is not much content in the re-examination, the knowledge is more refined than the initial examination, and there are more things to consider.


    In the afternoon, Lu Chen took advantage of his free time to visit the attractions in Kyoto.


    Now is not the peak tourist season, Lu Chen riding a bicycle alone in the streets is not very interesting.


    Back to the hotel, it is already nine o''clock in the evening.


    The room next door didn''t seem to be moving, and Lu Chen didn''t care.


    That night, he slept soundly.


    Woke up in the morning, opened my eyes, looked at the phone by the bedside, it was exactly eight o''clock.


    (end of this chapter)

 Chapter 18： Sexybeauty

    Chapter 18 Sexybeauty


    Unlock the phone screen and open the website of the Graduate School of Kyoto University.


    "Re-examination results query."


    Shaking slightly, Lu Chen entered his test number and identity information.


    "Name: Lu Chen."


    "Status: Intended for admission."


    Seeing the status of "proposed admission", Lu Chen was not too happy, and continued to look down.


    "Faculty: The First Affiliated Hospital of Kyoto University."


    "Speciality: Cardiovascular Medicine."


    "Tutor: Yang Feng."


    "Type: Master of Science."


    Remarks: Candidates are requested to report in the Graduate School before 10:00 this morning, otherwise it will be regarded as an automatic waiver.


    ¡­


    Master of Science¡­


    After all, it¡¯s still a master¡¯s degree¡­


    Lu Chen was a little unwilling.


    Although according to his preliminary test results, this result is predictable.


    But after so long of hard work, he finally got this result, and he was a little dissatisfied after all.


    Maybe in the eyes of outsiders, Kyoto University''s master''s degree is already quite good.


    But the dream of a doctor in Lu Chen''s heart will never go out!


    Pack up and get ready for the next stop.


    Goal, Jinghua Medical University!


    "Beauty, 413 check out."


    Lu Chen took the room card to the front desk of the hotel.


    The girl at the front desk today is not Yin Xiaohan, but an older girl.


    "Okay." The girl at the front desk responded, then picked up the walkie-talkie on the stage, "Auntie in the guest room, check out at 413."


    "Handsome guy, wait a few minutes, auntie will check the room supplies."


    "Okay." Lu Chen carried a small bag and waited on the sofa at the front desk.


    Two minutes later.


    "Handsome guy, this is your deposit."


    "Thank you." Lu Chen received the returned deposit and was ready to leave.


    "Hey, handsome guy, wait a moment."


    The girl at the front desk suddenly stopped Lu Chen.


    "Huh? Is there something wrong?" Lu Chen stopped.


    The girl at the front desk suddenly took out a pink silk scarf.


    "I heard Xiaohan say that you and the guests in room 413 are friends."


    "Xiaohan, who is Xiaohan?" Lu Chen didn''t react for a while.


    "It''s the girl who went to work two days ago, the boss''s daughter." The girl at the front desk smiled.


    "Oh, it''s her." Lu Chen nodded, then shook his head again, "I have met the guests in room 412 a few times, but they are not friends."


    "Do you have her contact information?"


    "No." Lu Chen shook his head.


    "Ah, that''s it." The girl at the front desk said helplessly, "That''s fine."


    Lu Chen wanted to leave directly, but couldn''t help but ask, "Is there something wrong?"


    The girl at the front desk put the pink silk scarf on the table that day, "It''s like this, the guest in room 412 left this silk scarf here when he checked out yesterday. We thought you were her friend and wanted you to help bring it here. give her."


    Jiang Qingyan left yesterday?


    No wonder there was no movement in the next room.


    But the final result was only released today, why did she check out yesterday?


    "Does your hotel have no contact information for guests?"


    The girl at the front desk shrugged, "She didn''t book online, and she came at night that day. She just swiped her ID card and didn''t register other information."


    Lu Chen just remembered.


    The night before yesterday, Jiang Qingyan seemed to have swiped her ID card and checked in directly.


    Lu Chen thought about it and said, "Beauty, then give me this silk scarf, I may be able to find her."


    Originally, Lu Chen planned to take the high-speed train directly to Beijing, but now he may go to the research institute of Kyoto University.


    Maybe in graduate school, you can meet Jiang Qingyan who is reporting.


    Even if you don''t have it, you can find Jiang Qingyan''s contact information through the teachers of the graduate school.


    "That''s great." The girl at the front desk smiled, "Handsome man, then leave another phone call. If the customer from 412 comes back looking for something, I''ll call you."


    The girl at the front desk is not afraid of Lu Chen''s deception.


    This scarf is not a valuable item, and the hotel has Lu Chen''s ID card information.


    This pink silk scarf is very soft, without any pattern on it, it feels good to the touch.


    Lu Chen found a clean bag, wrapped the silk scarf, and put it in his backpack.


    ¡­


    came to the entrance of the Graduate School.


    A large number of students have gathered downstairs, and there are candidates for all majors, including internal medicine, surgery, imaging and so on.


    Lu Chen looked around, but couldn''t find the cold figure.


    "Hey, Lu Chen, you''re here!"


    A somewhat familiar voice came from beside him.


    Lu Chen looked back and saw that it was a little fat man.


    The little fat man was blushing, and the fat on his face showed that he was extremely excited at this time.


    This guy should have been accepted.


    "Looks like I should congratulate you?" Lu Chen laughed.


    "Hehe." The little fat man scratched his head, with an undisguised smile on his face, "I was accepted. Although I was transferred to the Master of Science, I am very happy. I originally planned to take the Ph.D. In the future, it will be easier to take the exam. Of course, if you can study for a master¡¯s degree, it will definitely be better.¡±


    "Lu Chen, you should have been admitted as well." After the little fat man finished speaking, he looked at Lu Chen beside him.


    According to Lu Chen''s good grades in the re-examination, he should also be admitted.


    Lu Chen spread his hands and said helplessly: "It is true that I was admitted, but I am also a graduate student."


    "Don''t you want to study for a master''s degree?"


    Seeing Lu Chen''s expression, the little fat man wondered.


    "Well, I prefer to be in the clinic, not the lab."


    "But now the places for the master''s degree are full, there is no other way but to study for the master''s degree." Little Fatty said.


    "Well, so I gave up this opportunity and prepared to adjust."


    This sentence came out of Lu Chen, and it was extremely easy.


    But it fell into the ears of the little fat man, but it was like a thunderbolt from the blue.


    "You, do you want to adjust?"


    Little Fatty suspects that something is wrong with his ears.


    Somebody gave up his master''s degree at Kyoto University and switched to another school?


    "Yes, you heard it right." Lu Chen repeated, "I want to adjust."


    "Tune, where do you go?" The little fat man felt that his words stuttered.


    "Department of Cardiology, Jinghua Medical University." Lu Chen said.


    "Jinghua..." The little fat man frowned, "Although it is also a key school, it is still a little worse than Kyoto University."


    Lu Chen smiled and explained: "In terms of overall strength, Kyoto University may be a notch higher than Jinghua''s strength."


    "But in terms of cardiology alone, the two schools are actually comparable."


    "Alright then. Since the brother has chosen, I can only bless you."


    The little fat man patted Lu Chen on the shoulder.


    "Thank you." Lu Chen smiled.


    "But since you are going to give up, why are you here now?" said the little fat man.


    "Oh, a little private matter." Lu Chen thought about it and said, "Did you just see the girl I was with before?"


    "You said it was that beautiful girl with a huge body?" The little fat man leaned in front of Lu Chen and smiled ambiguously at Lu Chen.


    Lu Chen: "¡­"


    "I''m sure she didn''t come today!" The little fat man added.


    "So sure?" Lu Chen wondered.


    The little fat man nodded like a chicken pecking at rice.


    "Because she''s too conspicuous."


    ¡­


    and Little Fatty exchanged contact information and added WeChat to each other.


    His real name was Qi Ruilin.


    Lu Chen added Qi Xiaopang to him.


    After searching downstairs to no avail, Lu Chen went directly to the teacher at the graduate school.


    After revealing his identity and showing his ID, the teachers of the graduate school finally offered to help find Jiang Qingyan''s contact information.


    The teacher at the graduate school called Jiang Qingyan, and then handed it over to Lu Chen.


    "Hello, who is it?"


    A sweet female voice came from the phone.


    "I''m Lu Chen, you, are you Jiang Qingyan?"


    "Well, what''s the matter?"


    Lu Chen breathed a sigh of relief.


    "It''s like this, your silk scarf has fallen in the hotel. The hotel staff don''t have your contact information, so let me give it back to you. I just asked my graduate school teacher to help you find your phone number."


    "But, I''ve already left Kyoto."


    "Huh? Left?" Lu Chen asked in surprise.


    In other words, Jiang Qingyan was also not accepted?


    "Then you give me an address and I will send it to you."


    "Okay, this phone number is my WeChat account."


    ¡­


    hung up the phone, and Lu Chen asked for Jiang Qingyan''s phone number from a teacher at the graduate school.


    Open WeChat and click Add Friends.


    Enter phone 135¡­


    Click to inquire.


    Lu Chen was just about to press "Add Friend".


    He accidentally caught Jiang Qingyan''s nickname "Sexybeauty" out of the corner of his eye!


    The pupils dilated, the movements of his hands were stagnant, and the operation of adding friends was abruptly stopped.


    Confirmed again and again, it is indeed "Sexybeauty".


    This, such a bold nickname?


    Could it be that Jiang Qingyan is a girl with a pure appearance and a fanatical heart?


    ¡­


    Oh, no, wrong.


    Turns out, I entered the wrong phone number...


    Lose again¡­


    (end of this chapter)

 Chapter 19： Arrive at Jinghua

    Chapter 19 Arrival in Beijing


    Lu Chen widened his eyes and double-checked that the phone number was correct.


    Click to inquire.


    A WeChat user with a girl''s avatar popped up.


    "This should be her."


    Although the girl''s avatar is a profile photo, Lu Chen can still vaguely recognize Jiang Qingyan''s appearance.


    Click to add friends, and write your name in the note line.


    After about ten seconds, the friend request was approved.


    Lu Chen took out the silk scarf in his backpack, took a photo and sent it to Jiang Qingyan.


    The ?? dialog box immediately popped up a line of words.


    "Thank you. Please send it to this address..."


    Seeing the address sent by Jiang Qingyan, Lu Chen was stunned for a moment, then his eyes widened, his expression a little surprised.


    This, this is too coincidental.


    The address is actually the student dormitory of Jinghua Medical University!


    It seems that Jiang Qingyan''s undergraduate degree should be read at Jinghua Medical University.


    "Ding¡­"


    The phone vibrated slightly, and Jiang Qingyan sent another message, which also included a transfer information.


    "This is the courier fee, trouble."


    Lu Chen thought about it, he didn''t accept Jiang Qingyan''s transfer, and returned the money directly.


    It''s not that he despises the money, but that he is about to go to Jinghua Medical University.


    ¡­


    Jinghua Medical University University.


    Undergraduate student dormitory.


    Jiang Qingyan stood by the windowsill with her mobile phone, frowning slightly.


    How did he get the money back?


    Did he send it on delivery?


    That pink silk scarf was a gift from his grandmother on his birthday.


    Although things are not precious, they are of great commemorative significance.


    When she checked out, the silk scarf should have fallen between the bed and the counter, so that the cleaning aunt didn''t notice it.


    "Xiaoyan, why did you come back so early?"


    The door of the bedroom was pushed open, and a girl with a round face walked in.


    She put down the thick internal medicine textbook in her hand and walked to Jiang Qingyan''s side.


    "I heard that Kyoto University''s re-examination results were announced today, so why did you come back without waiting for the results?"


    Jiang Qingyan turned her head when she heard the sound, and at the same time exited the dialog with Lu Chen.


    "I went to Kyoto just to see the difficulty of the re-examination and the level of the peers."


    Jiang Qingyan''s words were as plain as water.


    But if Lu Chen was here, he would definitely be surprised.


    The ?? round-faced girl pouted and said, "Hey, it''s quite difficult to rely on your own efforts."


    Jiang Qingyan nodded.


    This year, there was a special case of Lu Chen in the re-examination of Kyoto University, but there were some uncertain factors in admission.


    "Then Xiaoyan, have you met any good candidates?" The round-faced girl asked curiously.


    Jiang Qingyan was taken aback.


    "Forget it, there is one."


    "Huh?" The round-faced girl was surprised, "Who is so powerful, even you say that you are so powerful??"


    Just then, Jiang Qingyan''s cell phone rang.


    "Qingyan, have you gone back to school?"


    "I''m back."


    "Then you come to the Research Institute now, and I''ll tell you about the school''s arrangements for tomorrow."


    "it is good."


    Jiang Qingyan hung up the phone.


    "Qiuping, Teacher Sun is looking for me. I''ll go to graduate school."


    "Oh."


    Looking at Jiang Qingyan''s back, Guo Qiuping shook his head helplessly.


    "Oh, why does Xiaoyan need to go to Kyoto in vain, so that she is now a graduate student in this school, and she has to pass the adjustment..."


    ¡­


    ¡­


    It takes about five hours to take the high-speed train from Kyoto to Jinghua.


    Lu Chen quickly fell asleep on the high-speed train.


    He was exhausted physically and mentally after several days of exams and driving.


    When I woke up, the high-speed rail had arrived at Jinghua.


    Jinghua City is located in the central and southern part of China.


    The overall economy is probably in the middle level of China, and the pillars of the industry are agricultural products and tourism.


    The city has a pleasant climate, extensive green coverage, and the pace of life is much slower than in Kyoto.


    If he really chose a place to live, Lu Chen would definitely choose this place.


    Got off the high-speed rail.


    The air with a slightly earthy and humid atmosphere blows at the face, refreshing.


    Lu Chen got on the bus directly to Jinghua Medical University.


    Jinghua Medical University is one of the earliest medical universities established after the founding of China.


    The school has a long history. It is a traditional and old-fashioned medical university. Major departments, such as cardiology, cardiac surgery, and ultrasound, have a good influence in the Huaxia medical industry.


    However, due to the slightly remote geographical location of Jinghua, the Jinghua medical industry has declined in recent years, and the development of the overall medical circle has been relatively slow.


    But fortunately, the thin dead camel is bigger than the horse. The background of Jinghua Medical University is still there, and it still catches the last train of the first-class hospital.


    However, there is still a big gap compared to top medical schools such as Kyoto University School of Medicine, Magic University School of Medicine, and Sichuan Medicine.


    This time, Lu Chen came to Jinghua Medical University to adjust.


    The ?? adjustment time was set for tomorrow, so Lu Chen only booked a hotel in Jinghua for one night.


    The adjustment of ?? graduate students belongs to "filling the pits".


    is mainly aimed at those colleges and tutors whose enrollment places are not full.


    Therefore, the adjustment process is different from the normal re-examination process.


    Adjustment is relatively simple, you only need to participate in the tutor interview, and you do not need to take the written test and skill test.


    However, the uncertainty of the adjustment is greater, and the candidates do not know the information of the tutor.


    Only after going to graduate school tomorrow will Lu Chen know which tutors are not full, and then make a two-way choice!


    "If this adjustment is unsuccessful, then you will really have to go back to your hometown."


    Looking at Jinghua Medical University in front of him, Lu Chen couldn''t help muttering.


    Jinghua, this is his last chance to land!


    But apart from participating in the adjustment, Lu Chen has another thing to do this afternoon.


    ¡­


    Today is off, and there will be two more updates. Immediately enter the main line of the book and start life in the hospital.


    (end of this chapter)

 Chapter 20： red! yellow! green!

    Chapter 20 Red! yellow! green!


    Jinghua Medical University, Graduate School.


    "Qingyan, there are only three mentors left in the heart of the Second Affiliated Hospital."


    Mr. Sun handed the information of the three mentors to the girl in front of him.


    Jiang Qingyan gave a soft "um" and picked up the three tutor data sheets in front of her.


    "According to your father''s opinion, among the three teachers, you''d better choose Zhang Yuhui." Teacher Sun reminded.


    "Mr. Sun, let me take a look first."


    "Yeah." Teacher Sun nodded, "Then you can think about it in the office and come to me next door in the future, so that I can communicate with the tutor in advance."


    "Well, thank you Mr. Sun."


    After Teacher Sun left, Jiang Qingyan stayed alone in the office.


    She picked up the information sheet in her hand.


    The first mentor was a young female mentor named Zhang Yuhui.


    She is a newly promoted master tutor of Jinghua Medical University in recent years. Although he is young, only in his thirties, he has published several papers in top journals, presided over a number of national natural projects, and was promoted to associate professor this year.


    Because Zhang Yuhui is a new tutor, many students do not know her, so her enrollment quota is not full.


    The second tutor is a retiring master tutor from the Department of Cardiology, named Zhou Jin.


    Zhou Jin has deep experience, many students, and a wide network of contacts, but he is relatively strict, and he will retire in a few years, so many students have given up applying for his graduate school.


    The third mentor¡­


    When Jiang Qingyan saw this mentor''s resume, she looked at the back of the data sheet strangely.


    The back is empty.


    and there is a sentence written on the front.


    Li Yao, doctoral supervisor of cardiology department, professor, chief physician.


    Nothing else¡­


    Jiang Qingyan had rarely heard about Li Yao''s tutor before. She only knew that she was only in her forties, and she was also one of the only five doctoral tutors in the Department of Cardiology.


    is a low-key person, and his emotions and anger are invisible.


    However, she seems to have been excluded by the school leaders and has been outside the department leadership.


    Among the three remaining tutors in the Cardiology Department, there are a total of four places.


    Zhang Yuhui has one place, Zhou Jin has one place, and Li Yao has two more places.


    At present, Zhang Yuhui is indeed the best choice.


    "After the selection, it''s Teacher Zhang Yuhui?" Teacher Sun smiled and looked at Jiang Qingyan in front of her.


    "Mr. Zhang is temporarily confirmed." Jiang Qingyan nodded.


    "Okay, I will communicate with Teacher Zhang in advance."


    Mr. Sun breathed a sigh of relief.


    The task that Jiang Qingyan''s father gave her must be successfully completed.


    After Jiang Qingyan left, Teacher Sun immediately started to contact Zhang Yuhui and asked her to reserve a spot tomorrow.


    ¡­


    Go back to the bedroom.


    The roommates are all in full swing discussing their re-examinations.


    Jiang Qingyan just nodded slightly to a few people in the dormitory, and then started busy with her own affairs.


    She rarely participates in everyone''s discussions, and everyone in the bedroom is used to it.


    ¡°ding ding¡­¡±


    The phone vibrated slightly, and the WeChat alert sounded.


    Jiang Qingyan picked up the phone and took a look.


    "It''s him?"


    ¡­


    At this time, outside the gate of Jinghua Medical University.


    Lu Chen was sending a message to Jiang Qingyan with his head down.


    "Student Jiang, are you in the dormitory now?"


    He also held a small bag in his hand, which was the pink silk scarf.


    Two minutes later, Jiang Qingyan''s reply popped up in the dialog box.


    "Yes, what''s the matter?"


    Lu Chen directly posted his position.


    "Location: The gate of Jinghua Medical University."


    Jiang Qingyan, who was in the bedroom, saw this location information.


    A pair of beautiful eyes were full of doubts.


    How did he come here?


    Did you come to Jinghua from Kyoto to return the silk scarves?


    At this time, another line of words popped up in the dialog box.


    "Student Jiang, I''ll go downstairs with you right away. Come down when you have time, and I''ll return the silk scarf to you."


    Jiang Qingyan was stunned for a moment, did she really guess right?


    ¡­


    There are many dormitory buildings on the campus of Jinghua Medical University.


    There are dormitories for undergraduates, postgraduates and international students.


    Lu Chen spared most of the circle, ran a lot of wrong ways, and finally found Jiang Qingyan''s bedroom.


    As soon as ?? approached, he saw a familiar figure downstairs in the bedroom.


    Jiang Qingyan was wearing a long black pleated skirt and a white chiffon shirt on her upper body, making her whole person look elegant and refined.


    She just stood there quietly, which gave people a feeling that they could only be seen from a distance and could not be harassed.


    Withdrawing his gaze, Lu Chen slowly stepped forward.


    Jiang Qingyan also noticed Lu Chen at this time.


    "Student Jiang, this is your silk scarf."


    Jiang Qingyan nodded, took the silk scarf in the bag, and smiled sweetly at Lu Chen, revealing two small dimples.


    "thanks."


    "Well, don''t thank me, I came to participate in Jinghua''s adjustment, which happened to be on the way." Lu Chen smiled and scratched his head.


    "You want to come to Jinghua?" Jiang Qingyan frowned.


    Was he also brushed off by Kyoto University?


    The scene of the Kyoto University re-examination skills test is vivid in my mind.


    I thought he had a chance to be accepted by Yang Feng, but I didn¡¯t expect that personal efforts could not change the final result.


    "Well, Mr. Yang Feng asked me to study for a master''s degree, but I refused." Lu Chen said helplessly.


    "Master degree?"


    I see.


    Jiang Qingyan took a deep look at Lu Chen.


    Not everyone has the determination and courage to refuse such a good opportunity.


    This is a graduate student at Kyoto University!


    "Come to Jinghua, won''t you regret it?"


    Lu Chen smiled, "As long as I follow my heart''s decision, I won''t regret it."


    Jiang Qingyan raised her brows with a slight smile, and there seemed to be a hint of a smile hidden at the corner of her mouth.


    "Good luck then, see you tomorrow."


    "Huh? See you tomorrow?"


    Looking at Jiang Qingyan''s leaving back, Lu Chen blinked.


    Could it be that Jiang Qingyan will also participate in the adjustment tomorrow?


    That''s right, she left Kyoto early, which means that she probably wasn''t accepted by Professor Yang Feng either.


    And if she wants to continue her graduate studies, she can only be like him.


    Adjustment!


    She was an undergraduate student at Jinghua Medical University, and it is normal to participate in the school''s adjustment.


    And there are certain advantages of our school!


    It seems that the two of them have to be "competitors" again.


    ¡­


    The next day.


    Jinghua Medical University, Graduate School.


    Lu Chen had already learned that there were seven candidates who came to the Cardiology Department, and there were still four places left.


    With Lu Chen''s preliminary exam results, he ranked second among the seven students.


    The number one is Jiang Qingyan.


    In terms of results alone, Lu Chen has a great chance of success.


    Now it''s up to the tutor''s choice!


    Adjustment is a two-way selection process.


    Candidates choose a tutor, and then the tutor agrees to accept it, and the adjustment is successful!


    in the conference room.


    Lu Chen met the remaining three tutors who were not full of students.


    Who to choose, Lu Chen didn''t know.


    Because he did not know the information of each tutor, the information given by the school was very vague.


    Since you can''t see it on the surface, you can only rely on this.


    Lu Chen focused his attention and looked at the colors on the heads of the three mentors.


    He''s going to pick a green one!


    The first young female mentor, Zhang Yuhui, yellow!


    The older female tutor in the second year, Li Yao, green!


    And when Lu Chen looked at the third older male mentor, he was startled.


    The color on the teacher''s head is actually red!


    (end of this chapter)

 Chapter 21： By adjusting!

    Chapter 21 Passed the adjustment!


    After several previous experiences, Lu Chen knew that red means danger!


    There may be danger to life at any time!


    Lu Chen''s heart tightened.


    He hurriedly looked at the older male tutor and carefully looked at his whole body.


    Don''t miss any place, want to think of finding any abnormal place.


    looked at him for a long time, and found that his face was ruddy and spirited, except that his hair was a little pale, and the rest was no different from a normal person.


    This situation is more difficult to handle.


    Lu Chen can''t go and tell Zhou Jin directly, I see that you are sick, you should go to the hospital to check.


    If he did this, he himself might be thrown out as a fool by others.


    ¡­


    In the eyes of the three teachers on stage, Lu Chen kept staring at Zhou Jin.


    His eyes never left Zhou Jin from entering the door to leaving.


    It seems that this student is most likely to choose Zhou Jin.


    Instructor Zhou Jin also looked at Lu Chen''s profile, and he was quite satisfied with the student in front of him.


    He scored very high in the first test, and most importantly, he was still a boy.


    The major of cardiology is different from other majors of internal medicine. The condition is critical and changes rapidly, and interventional surgery is needed, so the advantages of boys are more obvious.


    "Student Lu Chen, write the name of the tutor you want to choose on the paper." The teacher who was assisting with the adjustment reminded.


    Lu Chen heard the words and quickly wrote two words on the paper - Li Yao!


    "Okay, after writing, you can go out. There will be a private interview with the tutor later."


    Lu Chen nodded, then went out.


    Before leaving the interview room, he still glanced at Zhou Jin on the stage.


    His state has not changed, but the red color on his head is still so dazzling!


    Lu Chen''s glance made Zhou Jin even happier.


    He smiled and said to Li Yao next to him, "It seems that I am still growing stronger. Although I will retire in a few years, there are still many students who want to follow me."


    Li Yao smiled and did not speak.


    She was not very interested in this postgraduate transfer interview.


    As for whether or not you can recruit students, then let¡¯s do it!


    After Lu Chen left, the teacher who assisted in the adjustment took out Lu Chen''s note.


    The teacher who assisted the adjustment was slightly surprised when he saw the result of the note, but he truthfully informed the three tutors of the result.


    "The student Lu Chen just chose was the tutor Li Yao!"


    As soon as the ?? voice fell, the three people in the interview room were all in disbelief.


    "This..." The smile on Zhou Jin''s face froze.


    Li Yao is also very strange, she has never been in contact with Lu Chen, and with her reputation in the school, there should be few students who choose her.


    ¡­


    Lu Chen walked out of the interview room, looked at Jiang Qingyan''s position, and walked in her direction.


    "Student Jiang, your undergraduate degree was in Jinghua, do you know that teacher Zhou Jin?" Lu Chen whispered.


    Jiang Qingyan glanced at Lu Chen beside him strangely, "I heard of it, what''s the matter? You want to choose him?"


    Lu Chen shook his head slightly.


    "Then do you know how Mr. Zhou Jin''s health is?"


    After listening to Lu Chen''s question, Jiang Qingyan''s eyebrows were twisted into eight characters.


    "Health status?"


    "Yes, does he usually have any illness?"


    Jiang Qingyan''s face became more and more puzzled.


    A normal person asks if someone is sick as soon as they come up!


    "I don''t know." Jiang Qingyan said coldly.


    Lu Chen sighed in disappointment, he just wanted to come to Jiang Qingyan to try his luck, but there was still no clue.


    "Who did you choose?"


    Jiang Qingyan asked again suddenly.


    Lu Chen replied absentmindedly, "Mr. Li Yao."


    "Choose her? Why?"


    "Because..." Lu Chen paused, "It''s pleasing to the eye."


    Green is the most pleasing to the eye.


    "Huh?" Jiang Qingyan frowned.


    What kind of reason is this?


    But at this moment, an exclamation suddenly came from the interview room.


    "Mr. Zhou fainted!"


    Lu Chen''s heart tightened.


    It seems that the system is not deceiving me!


    It didn''t take long for Teacher Zhou Jin to have an accident.


    "Suspend the transfer interview first!"


    Immediately, a teacher ran over and ordered.


    "Everyone go back, and the adjustment time will be arranged separately!"


    Various shouts came out of the interview room, almost in a mess.


    Lu Chen wanted to get close to the interview room to see a little bit of the situation, but he didn''t expect that there was already a teacher guarding the door, prohibiting all casual personnel from approaching.


    "Classmates, the rescue is going on inside, the room is small, don''t come over!"


    stayed at the scene for a few minutes, everyone knew that they could not help, and left one after another.


    As soon as he walked out of the building, Lu Chen was stopped by Jiang Qingyan.


    "How did you know?"


    Facing the emergency rescue just now, Jiang Qingyan immediately thought of the question Lu Chen asked her earlier.


    "How is Teacher Zhou''s physical condition? Is there any illness..."


    is really terrifying!


    How could Lu Chen suddenly ask such a question, and Teacher Zhou just happened to have an accident!


    Hearing Jiang Qingyan''s question, Lu Chen was also stunned.


    He realized that there was something wrong with the question he had just asked.


    His head began to run fast, thinking about the countermeasures for "liar".


    "Actually, when I was interviewing, I saw that something was wrong with Teacher Zhou."


    Lu Chen said in a deep voice.


    "Huh? During the interview just now?" Jiang Qingyan recalled the scene where she saw Zhou Jin, "What''s the problem?"


    Lu Chen started nonsense in a serious manner: "I saw Mr. Zhou''s face pale, his eyes were puffy, and the Yintang was a little dark!"


    Jiang Qingyan: "..."


    There was a trace of speechlessness in her eyes, do you think I am a three-year-old child?


    "You don''t believe it, there''s no way!" Lu Chen shrugged, "I just saw this situation, so I asked him about his health after I came out."


    "It''s fine if you don''t say it." Jiang Qingyan pouted and replied, then walked towards the bedroom.


    Lu Chen smiled helplessly, this is impossible to say.


    If you say that you can see your health clearly.


    was regarded as a fool at light, and put on the dissection table at worst.


    Before we could go far, the whistle of the 120 ambulance came.


    Although this is a medical university, and everyone is a doctor, it is difficult for a clever woman to cook without a meal, and it is useless without rescue equipment.


    So immediately, everyone called 120.


    The ??120 ambulance stopped directly under the building, and a doctor and two nurses hurried upstairs.


    ¡­


    ¡­


    Stayed in the hotel for nearly two hours.


    Lu Chen received a call from a teacher at the Graduate School of Jinghua Medical University.


    The time for ?? adjustment was changed to 2:00 pm.


    At the same time, Lu Chen also received a message from Jiang Qingyan.


    "Mr. Zhou Jin was diagnosed with pulmonary embolism. He is in the hospital, and his life is not in danger for the time being."


    Pulmonary embolism is characterized by pulmonary circulation and respiratory dysfunction as the main clinical manifestations, usually with dyspnea, chest pain, hemoptysis, etc.


    Pulmonary embolism is one of the most common causes of sudden death, most commonly due to orthopedic surgery, sedentary and other incentives.


    In order to avoid Jiang Qingyan''s doubts again.


    Adhering to the principle of saying more and making more mistakes, Lu Chen did not reply to this message.


    ¡­


    Two in the afternoon.


    All candidates come to graduate school again.


    Because mentor Zhou Jin was still in the hospital, his assistant came to the interview instead of him.


    "In the morning, the exam was suspended because of Zhou Jin''s unexpected situation!"


    "Now the adjustment continues!"


    After about twenty minutes, all seven students chose their tutors.


    The teacher who assisted in the adjustment announced the results of everyone''s choice.


    "Three people chose Mr. Zhang Yuhui, two chose Mr. Li Yao, and the remaining two chose Mr. Zhou Jin."


    "Because of the number of tutors, the five students who choose Zhang Yuhui and Zhou Jin need to go through the tutor interview again, and the two tutors will finally choose the last student."


    "As for the students who chose Li Yao''s tutor, because the number of places is just right, it means that both of you have successfully passed the re-examination adjustment."


    "Congratulations in advance for becoming graduate students of Jinghua Medical University!"


    Lu Chen looked around, wondering which classmate had chosen the same tutor as him.


    ¡­


    (end of this chapter)

 Chapter 22： Sine waveform

    Chapter 22 Sine Waveforms


    Sometimes choice may be more important than effort.


    Judging from the results alone, choosing Li Yao''s tutor will be directly admitted.


    Candidates who choose Zhang Yuhui and Zhou Jin will need to conduct a separate interview with a tutor again.


    In the end, three people will be eliminated.


    "The two students who have chosen Li Yao''s mentor, please report to the eighth ward of the Department of Cardiovascular Medicine of the Second Affiliated Hospital at 9:00 tomorrow morning."


    Each candidate here received a "Postgraduate Training Plan".


    What Lu Chen has to do is to go to the Cardiology Department at 9 am tomorrow.


    Find Li Yao''s tutor and ask her to sign the "Postgraduate Training Plan".


    ¡­


    It was still early, and Lu Chen strolled around the campus of Jinghua Medical University.


    He went to the anatomy building, pathophysiology hall, library and other iconic places of the medical school.


    The foundation of Jinghua Medical University is indeed very deep.


    The entire building complex of the Medical University is from the hands of famous experts in modern China. The style is more classical and has the charm of ancient Chinese architecture.


    It is currently the graduation season and exam season.


    There are not many students on the campus. Occasionally, one or two people can be seen walking towards the library with internal medicine books.


    "This is the school I want to stay in for the next three years."


    Lu Chen stood at the gate of Jinghua Medical University, ready to usher in a new life.


    ¡­


    There are many affiliated hospitals of Jinghua Medical University.


    Jinghua''s relatively large tertiary hospitals are almost all affiliated hospitals of Jinghua Medical University. The top hospitals range from the First Affiliated Hospital to the Fifth Affiliated Hospital, including the Central Hospital, the Municipal People''s Hospital and so on.


    In general, Jinghua Medical University is a leader in the entire Jinghua City, almost occupying the top resources of the Jinghua medical system.


    The affiliated hospital that Lu Chen applied for this time was the Second Affiliated Hospital of Jinghua Medical University.


    Jinghua Second Hospital and Jinghua Medical University are across the street.


    Early in the morning, Lu Chen finished washing up.


    After buying a bowl of beef noodles at the roadside breakfast shop, I rushed to the Jinghua Second Hospital.


    Walked into Jinghua Second Hospital.


    On the front is a large outpatient building, next to the outpatient building is the emergency room.


    Because it happened to be a working day, the entire outpatient building was crowded with people.


    There was the noise of registration fees everywhere and the 120 ambulance alarm from the emergency department nearby.


    Came to the consultation desk, and Lu Chen inquired about the specific location of the Cardiology Department.


    There are ten inpatient departments in Jinghua Second Hospital, and the cardiology department is in the eighth inpatient department.


    The distribution of various inpatient departments of Jinghua is irregular and not arranged in order.


    This gave Lu Chen a very headache. After he got lost several times, he found the eighth inpatient department under the guidance of the hospital security.


    Enter the building of the eighth inpatient unit.


    There is a huge poster on the wall of the lobby on the first floor, which is the ranking list of the national cardiology department.


    The first place is Fuwai Hospital of Huaxia Academy of Medical Sciences.


    The Cardiology Department of Jinghua Second Hospital ranks seventh on the list and belongs to the key specialties of the Ministry of Education.


    Lu Chen took a few steps forward.


    The walls of the corridor are all about Jinghua Cardiology Department, including the history and current development level of the department.


    There are a total of eight wards in the Cardiology Department of the Second Hospital.


    There are also two CCU (Cardiac Intensive Care Unit) wards.


    Only the Cardiology Department can accommodate about 600 patients, which is already comparable to the number of beds in some ordinary second-class hospitals.


    Looking at the size of the Cardiology Department alone, it definitely belongs to the top existence in China.


    Lu Chen got on the elevator.


    There are some floor introductions in the elevator.


    From the fourth floor, there are two CCU wards of the Cardiology Department.


    The fifth floor to the eighth floor are the general wards of the Cardiology Department, and each floor is divided into two wards.


    The eighth ward of the Cardiology Department, where Li Yao''s tutor is located, is on the eighth floor.


    "Ding¡­"


    The elevator door opened, and the eighth floor arrived.


    There are two wards on the eighth floor.


    Get out of the elevator area.


    On the left is the seventh ward, and on the right is the eighth ward!


    There is a security guard at the door of each ward.


    "Uncle, is Professor Li Yao in the eighth ward?" Lu Chen asked Xiang Bao with a smile.


    "Yes." Uncle Security nodded, "But Professor Li Yao has a meeting this morning. It seems that he hasn''t come yet. You may have to wait for a while."


    "thanks."


    Lu Chen looked down at the time on his phone, it was half past eight.


    He came to Li Yao''s director''s office and knocked on the door, but no one responded.


    Yesterday, the graduate school said that they would come to the department at nine o''clock to find Li Yao''s tutor. It seems that it will take a while.


    Taking advantage of this free time, Lu Chen happened to visit the layout of the department.


    He found that there were more than 60 beds in the entire eighth ward, and each ward had four beds.


    The location of the nurse''s station and the doctor''s office in the center of the ward.


    The inner walls of the doctor''s office are clear tempered glass.


    Through the glass, the patient can see the doctor at a glance.


    In the doctor''s office at this time.


    Only three doctors were busy, and everyone else was doing rounds in the ward.


    Lu Chen noticed that there are at least five to eight doctors in each ward round of doctors.


    Among them are senior doctors, resident doctors, graduate students, graduate students, and even advanced students and interns.


    In short, each doctor team is a mighty group of people, quite a bit like the momentum of the director leading people to round the room in the TV series.


    The time passed slowly, and it was half past nine in the blink of an eye.


    The time agreed by the school has passed, but tutor Li Yao has not come yet.


    makes Lu Chen a little strange.


    Another student of Li Yao''s mentor didn''t seem to be here either.


    ¡°ding ding¡­¡±


    Suddenly the phone rang, it was an unfamiliar number.


    The place of ownership is Jinghua City.


    As soon as he answered the phone, an apology came from the other end of the phone.


    "Is that classmate Lu Chen?"


    "I''m a teacher in the graduate school. I forgot to tell you that Professor Li Yao is holding a meeting on the first floor. You can go directly to the conference hall on the first floor to find her."


    "Well, okay, thank you teacher."


    Lu Chen reluctantly hung up the phone.


    Came to the elevator area and prepared to go to the conference hall on the first floor.


    "Everyone give in, give up."


    A young girl''s voice suddenly came from behind.


    Lu Chen looked back.


    A young female doctor pushed a hospital bed out of the ward with difficulty.


    Judging from the young woman''s appearance, she should be an intern.


    On the hospital bed was a male patient, about fifty years old, with his eyes tightly closed, his face slightly pale, and an ECG monitor was placed by the bedside.


    Lu Chen frowned.


    Does this patient have no family?


    How to let a female intern push the hospital bed alone?


    There is absolutely no way to grasp the direction and strength of a person pushing the hospital bed.


    Seeing this, Lu Chen quickly stepped forward to help the female doctor push the bed.


    "thanks."


    The female intern smiled shyly at Lu Chen.


    "You''re welcome."


    Lu Chen looked at her badge, and it turned out to be an intern.


    "Please help me push it into the elevator." The female intern said embarrassedly, "This patient is going to be transferred to the CCU ward. There is only one family member who is signing in the office, so I will push it down first."


    "Okay." Lu Chen nodded and helped the female intern push the hospital bed into the elevator.


    There were not many people in the elevator, just enough room for the next hospital bed and Lu Chen.


    "CCU on the fourth floor?"


    Lu Chen confirmed to the female intern beside him.


    "Um."


    pressed the button on the fourth floor, and the elevator slowly closed the door.


    The female intern sighed in relief, then Lu Chen smiled.


    But Lu Chen couldn''t smile.


    He has been keeping an eye on the condition of the patient on the hospital bed.


    To be transferred to the CCU ward, indicating a critical condition.


    The red color on the patient''s head also proves this.


    Would it be too hasty to have an intern **** such a heavy patient?


    The elevator slowly went down to the seventh floor.


    At this moment, a harsh alarm sound came from the ECG monitor at the head of the bed.


    "Dududu..."


    "Dududu..."


    Lu Chen immediately looked at the monitor and was shocked.


    The ECG is showing, a sine wave!


    (end of this chapter)

 Chapter 23： elevator horror

    Chapter 23 Elevator Cry


    The ?? sine wave represents chamber flutter!


    And ventricular flutter is often unstable and can be transformed into ventricular fibrillation at any time!


    Lu Chen didn''t have time to act.


    The waveform of the electrocardiogram suddenly changed!


    The ?? sine wave has turned into a flutter wave with no rules!


    This is¡­


    Ventricular fibrillation!


    VF is a very dangerous malignant arrhythmia!


    Usually 10 seconds after the onset of ventricular fibrillation, patients are often accompanied by sudden convulsions.


    20~30 seconds later, the patient lost consciousness, and after several sigh-like breaths, the patient''s breathing slowly stopped, and the patient''s complexion gradually turned from pale to purple.


    After 30-60 seconds, the patient''s pulse and blood pressure disappeared; pupils were dilated; heart sounds disappeared on auscultation.


    Lu Chen was shocked and hurried to the bed.


    Give the patient chest compressions immediately!


    At this time, the patient in the hospital bed was already twitching, his eyes were turned up, and a small amount of foam was spit out from the corner of his mouth.


    The body of the female intern beside her was trembling uncontrollably.


    She was completely frightened!


    ¡­


    And the elevator is still there, on the sixth floor.


    While doing chest compressions, Lu Chen shouted to the female intern, "Can you use a defibrillator?"


    The monitor at the bedside is an all-in-one ECG monitoring and defibrillation machine.


    "I, I..." The female intern''s lips were trembling, her expression was flustered, and her voice was trembling, "I learned..."


    When Lu Chen heard this, he was even more anxious.


    She looks like this, don''t think of her to help with defibrillation.


    For patients with ventricular fibrillation, CPR alone is not enough!


    Needs to rely on electrical defibrillation, the most effective way to convert ventricular fibrillation to a normal heart rate.


    If defibrillation is delayed, the patient''s chances of survival are greatly reduced!


    However, CPR cannot be stopped while defibrillation is being performed!


    So this kind of operation generally requires two people to cooperate!


    Unless there is only one person at the scene, then there is no way.


    "Will chest compressions work?"


    Lu Chen continued to ask loudly.


    ¡­


    At this time, the elevator reached the fifth floor.


    "Yes, yes!"


    Seeing Lu Chen''s very skilled CPR operation, the female intern''s mood gradually stabilized.


    "Okay, I count to three, and you immediately take over for me to perform chest compressions! I''ll call for defibrillation!"


    "it is good!"


    Lu Chen moved his body to the side, preparing to make way for the female intern.


    "3!"


    "2!"


    "1!"


    Count to one.


    Lu Chen stopped chest compressions.


    The female intern immediately took over from Lu Chen!


    Although her movements are relatively unfamiliar, they are still standard.


    Lu Chen immediately started debugging the defibrillator, adjusted the mode to defibrillation mode, and picked up the two electrode pads of the defibrillator.


    According to the normal operation, you need to apply conductive glue on the electrode plate to prevent the skin from being burned.


    But now the situation is urgent, there is no such thing as a backup.


    For the first defibrillation energy, choose 200J.


    Tap the charge button.


    Charge!


    "Step aside!"


    Lu Chen shouted to the female intern.


    The female intern was ready and quickly stepped aside.


    Lu Chen immediately attached the two electrode pads to the patient''s left lower chest and the upper part of the outer border of the sternum.


    "Get out of the hospital bed!"


    Lu Chen roared, and the female intern quickly took a step back.


    Press the discharge button.


    Discharge!


    The patient''s body flicked slightly.


    Lu Chen immediately put the defibrillator aside and started CPR.


    At the same time, he stared intently at the waveform of the monitor.


    Flutter, still flutter!


    The ventricular fibrillation continues!


    ¡­


    The elevator finally reached the fourth floor.


    The elevator door slowly opened.


    The people who were waiting for the elevator at the elevator door were startled.


    Li Qinghua, a CCU doctor who was preparing to go out for emergency consultation, was also among the crowd waiting for the elevator.


    As soon as he opened the door, he saw a hospital bed.


    On the hospital bed, a boy in black sportswear is doing chest compressions to the patient.


    And beside the hospital bed, a girl in a white coat was looking around nervously.


    The situation is critical, and he has no time to think about the weirdness of this combination.


    Li Qinghua immediately greeted everyone, helped move the hospital bed out of the elevator, and pushed it towards the CCU ward.


    "what''s going on!"


    Li Qinghua shouted to Lu Chen while pushing the hospital bed.


    "The patient suffered sudden ventricular flutter, ventricular fibrillation, and lost consciousness in the elevator. He has been defibrillated once, but it is still ventricular fibrillation!"


    Lu Chen replied without raising his head.


    "Teacher, this is a patient with myocardial infarction, and is about to be transferred to CCU for emergency intervention." The female intern added.


    Li Qinghua heard the words and immediately judged the patient''s condition.


    myocardial infarction complicated by ventricular fibrillation!


    This patient has a very poor prognosis!


    "A second defibrillation is required." Li Qinghua said solemnly, "I''ll do it!"


    This time, Lu Chen and Li Qinghua cooperated very well.


    Lu Chen stopped pressing, Li Qinghua immediately adjusted the defibrillation energy to 200J.


    Do the second defibrillation!


    Lu Chen kept staring at the monitor.


    At the moment when the electrode plate discharge ends.


    The sine wave, suddenly, disappeared!


    Then came a series of normal sinus rhythms.


    Lu Chen''s face was overjoyed, the defibrillation was successful!


    Li Qinghua was also relieved. He glanced at Lu Chen and felt a little awkward.


    It seems that this boy has never been seen before, and he is not wearing a white coat. Where did this guy come from?


    And the heart that the female intern on the side was holding was finally let go, and there was a feeling of seeing the sun and the rest of her life after the catastrophe.


    She glanced at Lu Chen secretly, and couldn''t help recalling that if she was the only one in the elevator just now, the consequences would be really unimaginable.


    ¡­


    The crowd pushed the hospital bed to the door of the CCU.


    The door opens.


    Li Qinghua immediately called the CCU doctor for the next step of rescue.


    "The patient needs immediate emergency interventional surgery to open the culprit''s blood vessel."


    "Notify the cath lab to prepare!"


    At the same time, Li Qinghua looked at the female intern.


    "Classmate, which ward are you an intern?"


    "What about the patient''s family?"


    "Why are you the only one escorting the patient?"


    The female intern immediately became a little nervous, and she said with promise: "Teacher, I am from Teacher Lin''s group in the eighth district in my heart. The patient''s family signed upstairs, and Teacher Lin asked me to send the patient down first."


    "Mr. Lin, is it Lin Cui?" Li Qinghua frowned, pondered, and then looked at Lu Chen, "Then who are you..."


    "Oh, teacher, I''m a graduate student who just arrived this year." Lu Chen said, "I just finished the re-examination yesterday, and I came to my supervisor to sign today."


    Li Qinghua suddenly realized, and nodded in relief.


    "Yes, your kid''s basic rescue skills are solid, much better than any graduate student I''ve seen."


    "Whose student are you?"


    Lu Chen said: "Mr. Li Yao."


    "Who?" Li Qinghua thought he had heard it wrong.


    "Li Yao." Lu Chen repeated.


    "Huh?" Li Qinghua''s expression was a little surprised, and at the same time he couldn''t help feeling pity.


    Why is Li Yao, what a pity for this good seedling.


    "What''s the matter, teacher?" Lu Chen frowned.


    He clearly felt that the middle-aged doctor''s expression changed when he heard Li Yao''s name.


    "nothing."


    Li Qinghua coughed lightly and patted Lu Chen on the shoulder.


    "work hard."


    "There is an emergency consultation waiting for me in the gastroenterology department, so I will go first."


    After ?? finished speaking, Li Qinghua waved his hand and left.


    Lu Chen looked suspiciously at the back of Li Qinghua leaving.


    Instructor Li Yao seems to have a problem?


    ¡­


    At this point, the patient just now was pushed to the catheterization room.


    The female intern is ready to return to the eight districts in her heart.


    "Classmate, wait a moment."


    As soon as he walked out of the CCU ward, Lu Chen stopped the female intern.


    The female intern stopped.


    "Senior brother, do you call me?"


    She just learned of Lu Chen''s graduate student status.


    "Well, Junior Sister, do you know Teacher Li Yao?" Lu Chen whispered.


    The female intern nodded: "I am currently intern in the eight districts of the heart, and Professor Li Yao is the ward director of the eight districts of the heart."


    "How is she?"


    "This, how do you say it." The female intern paused, "Professor Li Yao doesn''t come to the ward very often, so I see her less often and don''t know her very well."


    "Oh, thank you Junior Sister." Lu Chen nodded.


    The female intern smiled: "Senior brother, I should thank you. If you weren''t here today, I really don''t know what to do."


    "You''re amazing too."


    Lu Chen smiled.


    "There is still a lot to learn from senior brothers."


    The female intern flattered.


    Lu Chen is extremely useful.


    "Senior brother, I still have things to do in my ward, so I''ll go first."


    The female intern waved her hand gently and walked into the elevator.


    At this moment, Lu Chen also received a prompt from the system.


    "Congratulations, +1 for the thank you from Ke Zunyu!"


    The total thank you value has come to 5 points!


    The completion of the system has risen to 40%!


    (end of this chapter)

 Chapter 24： surveillance video

    Chapter 24 Surveillance Video


    Thanks and system completion have increased.


    But other than that, there is no change to the "indifferent" system.


    But Lu Chen is not in a hurry now.


    According to the current progress, the system completion will reach 100% sooner or later!


    At the same time, he is also looking forward more and more to what will happen to the system when the gratitude value and completion rate reach 100%!


    ¡­


    Take the elevator to the first floor.


    Find the entrance to the conference room, where there is also a security guard guarding the door.


    "What are you doing?" The security uncle sat on the chair by the door and stared at Lu Chen.


    Lu Chen took out his own "Postgraduate Training Plan" from his bag.


    "Uncle, I''m a new graduate student. I came to Mr. Li Yao to sign."


    The security guard picked up the schedule and glanced at it carefully, and then his face immediately filled with smiles.


    "Professor Li Yao is holding a meeting in Conference Hall No. 1. Go to the lounge next to you and wait. It may take a while for the meeting to end."


    Lu Chen nodded and walked towards the lounge pointed to by the security uncle.


    The entire first floor conference hall is very large.


    is also divided into small meeting rooms and lounges of different sizes.


    Among them, the No. 1 conference hall is the largest, which should be the place where academic conferences and staff meetings are usually held.


    Lu Chen passed the No. 1 conference hall.


    found that the door was closed, and voices could be vaguely heard from inside.


    It seems that this meeting will not end in a while.


    The ?? lounge is right next door to Conference Hall 1.


    Lu Chen carried his little black bag and walked towards the lounge.


    ¡­


    Conference Hall 1.


    Li Yao just received a message from the graduate department that two of his students have already arrived at the conference hall on the first floor.


    She just slipped out the back door and was about to find two students to sign.


    The phone rang suddenly.


    took it out and saw that it was Cao Zhiying, the chief director of the Cardiology Department of Jinghua Second Hospital.


    Eight wards in Cardiology Department, plus CCU, there are a total of nine ward directors.


    The director of the nine wards in all departments is Cao Zhiying, the director of the Department of Cardiology.


    "Hello, Director Cao."


    "Li Yao, where are you now?"


    Director Cao''s tone was extremely serious.


    Li Yao was shocked, what happened?


    "Director, I have a meeting on the first floor about the National Medical Skills Competition in the second half of the year."


    "Stay away!"


    "What''s the matter, Director?"


    "Go back to the department and see for yourself!"


    With a ?? "pop", the other side of the phone hung up.


    Li Yao frowned slightly.


    Although she is the director of the eighth ward of the Cardiology Department, she has been away from the leadership for a long time, and she is usually not in charge of the department.


    The affairs of the department are managed by the deputy director, Professor Lin Cui.


    The thankless task of the National Medical Skills Competition was assigned to her.


    Back to the conference hall.


    Li Yao immediately terminated the meeting.


    "The skills competition will be held in the second half of the year. During this period, various departments will be well trained. The list of students for the exam will be handed in around November."


    ended the meeting hastily.


    Li Yao packed up the meeting materials and prepared to go back to the eighth floor.


    Passing by the lounge, she accidentally caught a glimpse of two familiar figures in it.


    Those two students?


    ¡­


    said that Lu Chen just walked into the lounge.


    He saw that there was already a person sitting in the corner in the lounge.


    She lowered her head, held a book in her hand, and watched silently.


    "Jiang, Jiang Qingyan?"


    Lu Chen widened his eyes and said in surprise.


    Hearing the movement in the lounge, Jiang Qingyan raised her head.


    Seeing the person coming, she was not surprised, but smiled softly: "You are here."


    "You, why are you here?"


    Lu Chen walked to Jiang Qingyan''s side.


    "Why am I not here?"


    Lu Chen was stunned for a moment, and suddenly thought of a possibility.


    "Aren''t you another student of Teacher Li Yao?!"


    Jiang Qingyan glanced at Lu Chen, but did not speak, the corners of her mouth rose slightly, and she lowered her head and continued to read the book in her hand.


    What does it mean?


    is the default?


    Lu Chen remembered that Jiang Qingyan had indeed asked her which tutor to apply for.


    After a long while, Jiang Qingyan spoke slowly.


    Her voice was still so clear and sweet.


    "Mr. Li Yao is one of the only five doctoral tutors in the Department of Cardiology. It should be normal for me to apply for her postgraduate exam?"


    ¡°¡­¡±


    was actually guessed right by him!


    With such a beautiful woman by his side, Lu Chen didn''t know how he was feeling now.


    I have to say that Jiang Qingyan''s conditions are not to be mentioned, she is tall and graceful, with a beautiful and elegant appearance.


    However, he still likes the kind of girl who smiles and shows two small dimples.


    ¡­


    "Squeak...squeak..."


    "Squeak...squeak..."


    At this moment, there was a sudden sound of high heels outside the lounge.


    Lu Chen turned his head to look, and immediately bounced from his seat.


    Jiang Qingyan also stood up from her seat.


    The two said in unison.


    "Teacher Li."


    "Teacher Li."


    Li Yao nodded slightly.


    "Are you Lu Chen and Jiang Qingyan?"


    "Um."


    Lu Chen and Jiang Qingyan responded at the same time.


    "Suddenly something happened upstairs, you two, go to the eighth floor with me." Li Yao said, "I''ll take the two of you to know the door by the way, get to know the doctors and nurses in the eighth ward, and then sign for you. "


    Li Yao finished speaking and left the lounge first.


    Lu Chen and Jiang Qingyan followed closely.


    "By the way, in addition to the two of you, I also recruited a master''s degree this year." Li Yao said while walking.


    Lu Chen and Jiang Qingyan were transferred in.


    The other candidate should have passed the first round of re-examination directly.


    "But he has returned to undergraduate school and is preparing to graduate. You can only meet when the school starts."


    Follow Li Yao and take the elevator to the eighth floor.


    This time, Lu Chen was familiar with the road.


    But as soon as he walked to the doctor''s office, Lu Chen saw a circle of people in the office.


    About twenty, including doctors and nurses.


    is headed by a chubby middle-aged doctor.


    He had a serious expression, his hands behind his back, and he stood in the middle of the doctor''s office staring at the crowd.


    "Director, what''s going on?"


    Li Yao stepped forward, and everyone gave way.


    "Do you know what happened in the department just now?" Cao Zhiying had a dark face.


    In this kind of public situation, Li Yao was not given any face at all.


    "Director, I just came up from the first floor, and I still don''t know the situation of the department."


    Li Yao looked puzzled and looked at a female doctor in the crowd.


    The female doctor immediately understood, and hurriedly walked to Li Yao''s side and whispered a few words beside her.


    "Send an intern to **** the patient?"


    After listening to the story of his female doctor, Li Yao frowned.


    "The patient is still in the elevator with ventricular fibrillation?"


    Li Yao''s brows have been twisted into the word "Chuan".


    "How is the patient''s current condition?"


    "The emergency intervention was performed in the catheterization room on the fourth floor, and I have already been admitted to the IABP."


    This is really lucky!


    At this time, Cao Zhiying looked around the doctors and nurses, and then said coldly to Li Yao.


    "As the director of the eighth ward, you have an inescapable responsibility for this matter."


    "Ignore hospital safety rules!"


    "Ignore the rules and regulations of the department!"


    "Li Yao, if you really don''t want to do it, then tell me, there are a lot of people waiting behind you!"


    In the doctor''s office, everyone froze.


    The chief director, who usually looks amiable and amiable, is really a little inhuman when he loses his temper.


    Li Yao had a calm face and silently endured Cao Zhiying''s roar.


    Lu Chen also understood the whole story.


    It turned out that the "elevator incident" just now began to slowly ferment.


    As the hospital, we have an unshirkable responsibility for this matter!


    It is against the rules to ask an intern to **** a patient.


    Once the patient has an accident and the patient''s family wants to sue, it is really a one-off hit.


    The hospital will have no chance of winning!


    "Li Yao, you really have to thank this little guy."


    "Without him, the two of us might not have met here today."


    After Cao Zhiying finished speaking, he instructed the doctor under him to click on a video in front of the computer in front of everyone.


    Lu Chen looked intently, this is...


    This is the surveillance video in the elevator!


    From the moment he and the female intern got on the elevator, to the rescue and push out of the elevator, the whole process was completely recorded!


    "This boy without a white coat played an extremely important role in the rescue process!"


    Cao Zhiying said solemnly.


    "If this boy didn''t happen to be in the elevator, I''m afraid we Jinghua will have another vicious medical accident this year!"


    Li Yao stared closely at the screen on the monitor.


    Although the surveillance footage was blurry, the boy''s figure gave her a familiar feeling.


    Jiang Qingyan also frowned.


    She suddenly turned her head, looked at Lu Chen, and then at the surveillance screen.


    "It''s him?"


    (end of this chapter)

 Chapter 25： why did you choose me?

    Chapter 25 Why did you choose me?


    Lu Chen also noticed Jiang Qingyan''s gaze and smiled at her.


    Jiang Qingyan said softly with an expressionless face.


    "Your face is so dark."


    Although the voice was small, the words still reached Lu Chen''s ears.


    Lu Chen: "¡­"


    doctor''s office.


    After watching Lu Chen''s rescue process in the surveillance video, everyone expressed their amazement.


    In such a small space, he was able to respond quickly.


    Judge the patient''s condition!


    Implement the rescue!


    And able to operate the defibrillator proficiently!


    This boy is not easy!


    "Director, I am willing to be punished for what happened today."


    After a long silence, Li Yao said.


    "This is not something you are punished by yourself."


    Cao Zhiying said solemnly.


    "I told you to take care of the director of the eighth district, so that you can discipline all the doctors and nurses and lead everyone to make progress together!"


    "If anyone is disobedient, tell me, and I''ll fix it!"


    "But if everyone is diligent and diligent, and the department''s work is still not well done, that''s your problem!"


    Li Yao nodded: "I see, Director."


    "I''ll go to the CCU to see the patient''s operation first. You must appease the patient''s family!" Cao Zhiying said, "Everyone will speak up about what happened in the elevator this time. The patient fell ill in the elevator, and the doctors in our ward rescued them in time. And it was sent to the CCU as quickly as possible, followed by emergency interventional surgery."


    "Okay, Director."


    Cao Zhiying explained a few words to everyone, and left with a few people.


    ¡­


    "Which group is this patient from?"


    After Cao Zhiying left, Li Yao looked coldly at the four doctors in front of her.


    One of the older female doctors, about forty years old, stood up.


    Her hair is slightly curled and slightly reddish, which should have been permed.


    "Director Li, this patient belongs to our group."


    Li Yao looked at the female doctor with an expressionless face: "Why do you want an intern to **** the patient?"


    "Director, because we don''t have enough staff."


    "If there are not enough people, can the intern be sent to the patient alone?"


    Li Yao continued to ask.


    "Think about it from your perspective. If the patient on the bed is your family member this time, and you see an intern escorting him downstairs, what would you think?"


    "It''s better if nothing happens."


    "In the event of an accident, won''t you argue with our hospital?"


    The female doctor was suddenly speechless.


    "It''s not just a matter of rules and regulations."


    "This is a matter of medical ethics!"


    "I do not deny that in clinical work, some family members of patients make trouble unreasonably, but we must also reflect on ourselves, whether the work is done properly!"


    "Have you tried your best to diagnose and treat every patient?"


    "Are you qualified to be a doctor?"


    This is the first time that Lu Chen heard his mentor''s words in front of everyone.


    Lu Chen couldn''t help sighing in his heart.


    Among the three teachers, Li Yao was chosen as the tutor.


    Perhaps, his choice at that time was right.


    ¡­


    The clinical task is very heavy, after Li Yao finished the training.


    Everyone continued to work.


    When this happened, Li Yao was in no mood to take the two to continue to visit the department.


    "You two come in with me."


    Li Yao walked into his director''s office, followed by Lu Chen and Jiang Qingyan.


    The office is not big, with a sofa, a desk, and a potted plant by the window.


    Li Yao sat in front of the desk, the expression on her face has softened compared to when she reprimanded everyone.


    "I hope you both learn today''s lesson."


    "To be a doctor, skills are important, but more important is a sense of responsibility."


    "Not much nonsense. Take out your graduate training plan and I''ll sign it."


    Lu Chen and Jiang Qingyan handed over their respective schedules to Li Yao.


    Li Yao picked up two schedules.


    Shoot two strokes, then signed his name.


    This also means that Lu Chen and Jiang Qingyan have officially become Li Yao''s students.


    "Meeting is fate." Li Yao said softly, "I don''t have high requirements for students, I just hope that you will spend the next three years safely and healthily and become a qualified doctor."


    Lu Chen frowned slightly.


    My own female mentor really has a personality.


    Other tutors would like to be as strict as possible with their students, and the more promising the students, the better.


    But Li Yao is not very demanding, a qualified doctor will do.


    Since Teacher Li Yao has already achieved the position of director of the ward, she is definitely not a person who has no desires.


    Thinking of the doctor''s reaction when he heard Teacher Li Yao''s name in CCU today, Lu Chen felt that there must be something wrong!


    "Can you tell me now, why did you choose me in the first place?"


    Li Yao crossed his hands and placed them on his chest, just watching the two of them quietly.


    "Lu Chen, you''re a boy, talk about it first."


    Lu Chen had already prepared his speech, he had already guessed that Li Yao would ask this question.


    To be more precise, almost all tutors will ask this question during interviews!


    "Mr. Li, I checked your information on the Internet. You are not only excellent academically, you have published many influential papers, but you are also very knowledgeable in clinical practice... and you are a good teacher. In terms of cultivating students... "


    After listening to Lu Chen''s compliment, Li Yao nodded slightly, and then said, "Lu Chen, which website did you search for information on? I''ll go check it out too. Why didn''t I know there was such a website before?"


    Lu Chen was stunned for a moment, but he really asked the question to the end!


    "Mr. Li, I forgot the specific website. There are too many, too many."


    Lu Chen snorted, trying to confuse this issue.


    Li Yao smiled, but did not dismantle Lu Chen.


    "The boy in the surveillance video just now is you, right?"


    "Well, it''s me." Lu Chen nodded, this will be discovered sooner or later.


    "You have performed well today, you are not surprised, and you are skilled in rescue operations." Li Yao then asked, "What are your parents'' jobs?"


    Li Yao is very interested in Lu Chen''s background.


    For a general medical student who has just graduated from an undergraduate degree, it is absolutely impossible to have such skilled rescue skills.


    Unless, he received relevant training and training a long time ago.


    Lu Chen answered truthfully: "My parents are both medical workers, but they work in a small hospital in their hometown."


    No wonder¡­


    Li Yao nodded, then looked at Jiang Qingyan beside her.


    "You should be from Jinghua for your undergraduate degree. I heard other teachers mention you."


    Jiang Qingyan gave a soft "um".


    "To be honest, I was surprised that you chose me." Li Yao said, "You should know the details of all our mentors, why did you choose me?"


    Look, there is indeed a problem!


    Lu Chen immediately pricked up his ears.


    "Mr. Li, you are one of the only five doctoral supervisors in your heart. Isn''t it normal for me to apply for your graduate degree?" Jiang Qingyan said lightly.


    Li Yao smiled, "I don''t believe this, it''s even more false than what Lu Chen said just now."


    Lu Chen touched his nose, feeling a little embarrassed, how could he accidentally hurt himself?


    Jiang Qingyan was silent for a moment before slowly saying, "Mr. Li, I actually know one of your doctoral students."


    "Oh? Really?" Li Yao said, "Does this have anything to do with your choosing me?"


    "Because this doctoral student told me a little." Jiang Qingyan raised her head and glanced at Li Yao, "The doctoral students of other supervisors have postponed their graduation, but your students have never postponed their graduation. This is why I chose you. reason."


    The normal MD term is three years.


    There are two situations that lead to deferred graduation.


    The first type, the graduation thesis has not been completed or failed. There is a great relationship between the graduation thesis and the supervisor.


    The second one is that the tutor is stuck and will not allow him to graduate for the sake of free labor.


    No matter what kind, there is a close relationship with the tutor.


    This is also reflected from the side. It is definitely not easy for Li Yao to keep students from delaying graduation!


    "Okay, you accepted this reason!" Li Yao smiled, "Compared to Lu Chen''s reason, your reason is not bad."


    Lu Chen: "¡­"


    ¡­


    "The school starts from the end of August to the beginning of September, but according to the previous tradition, your graduate students need to enroll in advance and come to the department to help."


    Li Yao continued.


    "Well, you two will be admitted to the hospital in August, and come to the hospital a month in advance to familiarize yourself with the environment."


    There are still four months left until August.


    During these four months.


    Lu Chen needs to go back to the undergraduate school to deal with graduation-related matters, and then start a new postgraduate life!


    (end of this chapter)

 Chapter 26： Director Lu is very happy

    Chapter 26 Director Lu is very happy


    Leave the cardiology ward and walk down the hospital path.


    "Jiang Qingyan, why do I feel that the identity of our Li Yao mentor is a bit strange?"


    Lu Chen asked Jiang Qingyan who was beside him.


    Li Yao''s role in the department seems a bit strange.


    And she kept asking why the two chose her instead of the younger and more promising Zhang Yuhui.


    But in fact, her qualifications and status are a bit higher than Professor Zhang Yuhui.


    She shouldn''t have thought that way.


    Jiang Qingyan said lightly: "Mr. Li Yao is usually very low-key, and she is the most low-key among all the ward directors in my heart. I only know that Teacher Li Yao seems to be not welcomed by the leaders. Although she is the director of the eight districts in her heart, But there has been no real power.¡±


    "Our teachers are not welcomed by the leaders?"


    Hearing this, Lu Chen felt a little strange.


    He recalled the words of Director Cao Zhiying just now.


    Although it was full of harsh criticisms, but if you listen carefully, you are trying to save face for Teacher Li Yao.


    Especially the sentence "If there is a disobedient person in the department, go to him", which is obviously to support Teacher Li Yao.


    said that the leaders did not want to see Li Yao''s mentor, and Lu Chen was not convinced.


    There should be a deeper reason.


    If he didn''t understand, Lu Chen stopped thinking about it.


    He is just a newcomer in the Second Academy of Jinghua, a student who has not yet entered the department.


    "I''m going home by train this afternoon." Lu Chen said, "See you in four months."


    "Well." Jiang Qingyan smiled lightly, "See you in four months."


    ¡­


    At two o''clock in the afternoon, get on the train from Jinghua to Jiangcheng.


    To be honest, Lu Chen felt a little nervous in his heart.


    He hadn''t figured out how to tell his parents about his admission to Jinghua.


    Once they heard the news, they should be very sad.


    ¡­


    Back to Jiangcheng University.


    Medical students do not need to write a thesis or graduation project, but there is a graduation examination.


    However, this graduation exam is nothing to medical students who have been preparing for postgraduate entrance exams for more than half a year.


    Most people passed their graduation exams with ease.


    Lu Chen''s dormitory rented several sets of bachelor''s uniforms and took pictures on campus.


    The happy hour of college is coming to an end soon.


    Lu Chen went to Jinghua Medical University to study for a master''s degree in cardiovascular medicine.


    Zhou Jie stayed at Jiangcheng University to continue his studies for a master''s degree in general surgery.


    Brother Chong is studying abroad, and the specific major has not yet been determined.


    Huang Mao went to Fuzhou University School of Medicine to study for a professional master''s degree in dentistry.


    Everyone has their own bright future and future.


    Maybe three years later, when we meet again after graduation, we will also feel our current life.


    ¡­


    is approaching half of July.


    There are fewer and fewer people on campus.


    Lu Chen packed his luggage and cut off the water and electricity in the bedroom.


    He was the last one in the dormitory to leave.


    dragged the suitcase, walked off the train, and set foot on the way home.


    ¡­


    Lu Chen''s hometown is in Binh Duong City, Huzhong Province.


    Pingyang City is a county-level city in the middle of the lake. It is adjacent to Jiangcheng and has convenient transportation. Some of it is called the back garden of Jiangcheng.


    However, it is precisely because the development of Lijiang City, Taiyang City, is greatly constrained.


    Looking at the medical industry alone, some slightly critical patients will choose to go directly to Jiangcheng for medical treatment.


    Without the patient, there is no development.


    There will be no development, and no patients will come.


    This leads to a vicious circle, so the medical industry in Binh Duong is developing very slowly.


    Lu Chen''s parents are both medical staff of Binh Duong Central Hospital.


    Father Lu Wenguo is a doctor in general surgery, and mother Luo Meizhen is a nurse in the endocrinology department.


    ¡­


    Carrying the suitcase, he took out the key and opened the door.


    This time, when Lu Chen came home, he didn''t tell his parents in advance that he was going to give them a "surprise".


    "Mom and Dad, I''m back!"


    "Huh, Dad? Mom?"


    shouted twice, but no one responded.


    Lu Chen spared a lot of time at home and found that neither of them were at home.


    It''s 6 o''clock in the afternoon, so I should have gotten off work early.


    "I won''t be working overtime again."


    Lu Chen has always come here in his childhood and adolescence.


    Either alone at home, or in a hospital and general surgery or endocrinology.


    Other kids had toy cars and cartoons in their childhood.


    For Lu Chen, the white coat and the pungent smell of disinfectant were his childhood.


    Stayed at home for half an hour, and neither of his parents came home. Lu Chen planned to go to the hospital in person.


    is approaching evening.


    The bus was not easy to sit on, so Lu Chen took a taxi.


    "Master, go to the central hospital."


    As soon as he got in the car, Lu Chen said to the driver.


    "okay."


    The driver is a bald middle-aged uncle.


    "Little brother, are you going to the hospital so late?"


    Lu Chen said: "Find someone."


    The taxi started slowly.


    Most of the drivers should be chatty.


    The driver started chat mode.


    "The central hospital has not been able to do well in recent years. I see that several nearby county hospitals have begun to build new buildings."


    "As far as our central hospital is still an old building, we can''t walk where we are."


    "On weekdays, when everyone has a minor illness, they go to the clinic to hang water, and they all run to Jiangcheng when they are seriously ill."


    Lu Chen smiled when he heard the words.


    He also understands the plight of Binh Duong City, but change is not something that happens overnight.


    "The national medical reform is imperative. In the future, the top medical resources will sink, and it will slowly get better."


    "Hopefully." The driver said with a smile, "Little brother, we''re at the hospital."


    "Thanks."


    Lu Chen scanned the QR code to pay.


    When you get off the bus, you will see the sign of Binh Duong Central Hospital.


    Because there was no maintenance and care for a long time, the left half of the sign fell off and became "Central Yawan".


    Since he went to college, Lu Chen has not been to the Central Hospital for a long time.


    When he has time on weekdays, he almost always stays in the affiliated hospital of Jiangcheng University.


    But everything here seems to be exactly the same as when he was a child, and not much has changed.


    Followed the memory to the surgical inpatient department.


    General Surgery is on the fifth floor.


    As soon as he went up to the fifth floor, Lu Chen saw more than ten people around the gate of the ward, men, women and children.


    They all looked anxious. Many people were discussing something, and they seemed to be undecided.


    Lu Chen walked through the group and came to the nurse station.


    A middle-aged nurse sits in front of the computer at the nurse station. She wears a mask and has freckles on her eyebrows and eyes.


    "Sister Zhang Xin, what are you busy with?"


    The middle-aged nurse was receiving a doctor''s order. Hearing the familiar voice, she looked up in confusion.


    "Ah? Lu Chen, why are you here?"


    Lu Chen smiled and leaned against the nurse''s station.


    "Sister, where is my dad? Is he still in the operating room?"


    Zhang Xin shook his head and pouted towards the gate of the ward.


    "No. There is a critically ill patient, Director Lu is handling it."


    "Oh." Lu Chen nodded, "Then I''ll go to the doctor''s office and wait for him."


    "Go, you won''t come back for half a year, you should be graduating?"


    "Well, this time I came back and stayed for a while, and then I''m ready to go out."


    "Huh?" Zhang Xin said in surprise, "Didn''t you stay in our hospital? Director Lu was very happy last time, and invited everyone in the department to dinner, saying that you will be back soon."


    Lu Chen: "..."


    (end of this chapter)

 Chapter 27： I want to go!

    Chapter 27 I want to go!


    Walk into the doctor''s office.


    The office was empty, only the screens of a few computers were lit.


    On the desk, there are several medical record folders and several bottles of unsealed mineral water cluttered.


    Lu Chen found a chair and sat down.


    about two minutes later.


    There was a chatter outside the doctor''s office.


    "Director Lu, this person can''t do surgery for the time being, it''s probably because of a sudden onset of supraventricular tachycardia."


    "Well, I look at this electrocardiogram and it looks like supraventricular tachycardia. The patient''s symptoms are also relatively typical, and the operation is definitely not possible."


    "Let''s restore the rate first. Such a fast heart rate for a long time may also lead to heart failure or myocardial ischemia, so the prognosis is not good."


    "Okay, I''m an expert in this area, just listen to your cardiologist''s opinion."


    As the voice approached, three people entered the doctor''s office.


    The first person to walk in was Lu Chen''s father, Lu Wenguo.


    He is tall, wearing a blue mask, and looks like he is not angry and arrogant.


    Followed by a middle-aged male doctor with a bald head and a less standard Mandarin.


    Listening to their conversation, this middle-aged male doctor should be the doctor who came to the Cardiology Department for consultation.


    The last person who came in was also a general surgeon.


    Lu Chen knew him. He was a resident doctor in recent years, his name was Wu Yun.


    "Lu Chen, why are you back? Why didn''t you say anything in advance?"


    Lu Wenguo saw Lu Chen as soon as he walked into the doctor''s office.


    The seriousness on ??''s face disappeared instantly, replaced by a smile on his face.


    "I''m going to give you and my mother a surprise." Lu Chen smiled.


    But thinking of what Zhang Xin said just now, he couldn''t help shrinking his neck.


    "Old Dong, this is my son, Lu Chen." Lu Wenguo patted the middle-aged doctor on the shoulder and introduced.


    The middle-aged doctor looked at Lu Chen, then laughed.


    "Director Lu, I have long heard that you have an excellent son. Looking at it today, it really is a talent."


    "Let''s be so-so." Lu Wenguo waved his hand gently, but the smile on his face could not be hidden, "Let''s not talk about this, let''s guide our patient''s treatment and medication first."


    The middle-aged bald doctor nodded, picked up the blue-black gel pen in his jacket pocket, and began to write in a flash.


    At this time, Lu Chen also chatted with another doctor, Wu Yun.


    "Brother Yun, why are you here?"


    "Oh, I was on the night shift today. When I encountered this difficult patient, I called your dad over."


    "Oh." Lu Chen nodded.


    "Hey, I heard from your dad some time ago that you are about to graduate?"


    "Well, I''ve graduated."


    "It''s so fast, have you decided which department to go to?"


    "in the heart."


    "Ah? In your heart?" Wu Yun patted Lu Chen''s shoulder in admiration, "A tiring and difficult department, are you sure you want to choose this?"


    "That''s the challenge." Lu Chen smiled.


    "Well, not bad, promising young man." Wu Yun glanced at Lu Wenguo and the middle-aged bald doctor beside him, and then whispered, "But our doctor''s cardiology department has not developed very well, and the interventional surgery in recent years. The amount is very small, and most of the patients have gone to Jiangcheng for stents."


    The development of cardiology is closely related to the amount of surgical intervention.


    In short, the more stents are placed, the more effective the department can develop!


    However, due to the embarrassing geographical location of Binh Duong, most stent patients were diverted by Jiangcheng.


    Lu Chen was a little helpless, why did everyone think he was going back to Pingyang City!


    "Brother Yun, I''ve been admitted to graduate school!"


    "Huh?" Wu Yun looked surprised, then lowered his voice and said, "Director Lu said a few days ago that you didn''t pass the exam, and you were still at the department banquet for three days. This wave is not blood loss..."


    Lu Chen suddenly felt a chill in his neck, if Dad knew this news...


    Very serious consequences!


    "Old Dong, thank you, I''ll call you again if the patient is in need."


    At this time, the cardiologist''s consultation was over, and he left after writing the consultation opinion on the consultation sheet.


    "Zhang Xin, call the pharmacy to prepare Dalong, which may be used by the patient later."


    Lu Wenguo shouted to the nurse''s desk.


    "Okay, I know Director Lu."


    Karron is not a standing medicine for surgery, and you need to contact the emergency pharmacy to deliver medicines during night shifts.


    Lu Wenguo handed Wu Yun the consultation sheet from the cardiologist just now.


    "Xiao Wu, take Dalong''s doctor''s advice and follow the consultation advice."


    "Okay, Director Lu."


    Wu Yun took the consultation form and immediately started the work of identifying the font.


    "Dad, when are we going home?" Lu Chen asked.


    "Wait for this patient''s condition to stabilize." Lu Wenguo smiled, "Hey, haven''t you always wanted to play inside? Then tell me how to treat a patient with paroxysmal supraventricular tachycardia?"


    Lu Chen curled his lips, "Dad, supraventricular tachycardia is a must-test in the chapter of cardiac arrhythmia, and it doesn''t have a lot of gold content."


    "Then tell me, I want to hear it." Lu Wenguo moved a stool and sat in front of Lu Chen.


    Seeing this, Lu Chen had no choice but to recite the standard treatment for supraventricular tachycardia.


    "Physiotherapy is the first choice, that is, the vagus nerve, which can usually massage the unilateral carotid sinus, hold your breath, pick your throat, etc."


    "The second is the drug. Adenosine is the first choice in internal medicine books, but adenosine may cause cardiac arrest, so many grassroots hospitals will not choose this drug, or even have no preparation."


    "Amiodarone is the most commonly used clinically, that is, Dalong. It has few side effects and good effect. But because of the slow onset of action, it is necessary to inject a load of intravenous bolus at the beginning, and then maintain the pump..."


    Lu Wenguo nodded slowly when he heard the words.


    "Well, that''s right, it seems that you should be working hard at school."


    Lu Chen smiled and said nothing.


    Wu Yun secretly laughed, Director Lu, your son has been admitted to graduate school, but it''s not just hard work!


    ¡­


    Wu Yun will soon get Dalong''s doctor''s order.


    On duty, contact the pharmacy to get the medicine, and prepare to pump Dalong to the patient to stop the supraventricular tachycardia.


    During the ?? period, Lu Chen slipped to the endocrinology department.


    "Mom, are you working the night shift tonight?"


    "Yeah." Luo Meizhen tapped Lu Chen''s head with a smile, "Don''t tell us when you get home, or I''ll change classes with someone else and prepare a big meal for you."


    Lu Chen looked like he was hesitant to say anything.


    "What''s wrong with you?" Luo Meizhen asked strangely.


    "Mom, me, I was admitted to graduate school."


    Lu Chen felt a little awkward.


    Others who are admitted to graduate school are happy to announce the good news to their parents.


    When you get to him, you have to hide it.


    What is this?


    "What?" Luo Meizhen''s face changed suddenly, "What did you say?"


    Lu Chen felt that long-term pain was better than short-term pain, so he took out the admission result of Jinghua Medical University from his mobile phone and handed it to Luo Meizhen.


    Seeing the admission notice on Lu Chen''s phone, Luo Meizhen''s frown deepened.


    Jinghua, how far is this!


    It takes almost ten hours by train!


    You can only go home once or twice a year!


    "Really going?"


    Luo Meizhen asked again.


    "Well, Mom, I want to go..."


    Lu Chen nodded, showing a pitiful look, then blinked hard, trying to squeeze out a tear.


    (end of this chapter)

 Chapter 28： Its probably not room speed!

    Chapter 28 This may not be a room speed!


    "Hey, son, in fact, you were admitted to graduate school. Your dad and I are also very happy." Luo Meizhen sighed, "But the world outside is not good now, and the doctor-patient relationship is too bad."


    "Every once in a while, there is an incident of wounding a doctor. Last month, a top ophthalmologist in Kyoto had his hand chopped off. He has not recovered since, and he cannot hold a scalpel."


    "There is also a doctor in the magic capital who was slept on duty by a patient... ah..."


    "When you wanted to study medicine, your father and I disagreed, but in the end, we couldn''t beat you."


    "Other parents let their children study medicine, and they may think it is an iron job. But as medical staff, your father and I really understand the hardships involved."


    Lu Chen was silent.


    During his clinical internship, he could also feel the tension in the doctor-patient relationship.


    This is not just caused by one party, but by the overall environment.


    Doctors and patients do not trust each other.


    Doctors are walking on thin ice clinically, and patients Baidu every day in the hospital.


    "You have had headaches since you were a child. If you go back to Pingyang City, we can take care of you in front of me and your dad." Luo Meizhen said slowly, "It''s really not possible, we can still go to the auxiliary department instead of facing patients and patients. family."


    Lu Chen knew that because of his "headache", his parents were always worried about him, and even rarely let him go out.


    "Mom, I know you and Dad are for my own good." Lu Chen smiled and clenched his mother''s hand, "If I stay in Pingyang, I will definitely have a good life. With your care, I will not worry about food. Wear it, you will be very happy."


    "In the end, I may be a qualified doctor, but once I encounter a difficult and critical patient, I can only tell the patient that we can''t cure it here, so let''s transfer it to a higher-level hospital."


    "This feeling of powerlessness is very uncomfortable, Mom, you should understand this feeling."


    Lu Chen''s voice was getting smaller and smaller.


    His ideal is actually very small, so small that he just wants to be a small doctor.


    But his ideals are sometimes so big that he wants to be a good doctor.


    "Oh, you..." Luo Meizhen sighed softly, but instead grabbed Lu Chen''s hand, "Son, you really want to go, how can we stop you."


    Lu Chen''s face brightened, and he clenched his mother''s hands.


    "Mom, do you agree?"


    Luo Meizhen smiled and nodded: "I won''t object, but you have to pass your dad''s test."


    When he thought of his father, Lu Chen suddenly felt that there was still a mountain in front of him to climb!


    Especially when I think that my father also entertained all the guests...


    "Mom, I won''t disturb you on duty." Lu Chen said, "I''m going to Puwai to conquer the next mountain."


    "Go."


    Luo Meizhen gently waved her hand, a little helpless, and a little sigh.


    Son, he has grown up after all.


    ¡­


    General Surgery.


    Lu Wenguo sat in front of the computer, frowning.


    "It''s been almost twenty minutes, why haven''t you been cardioverted yet?"


    "Director Lu, I read the consultation opinion of the Cardiology Department. Director Dong said to pay attention to potassium ions. Sometimes, low potassium can also make it difficult to correct the patient''s arrhythmia."


    Wu Yun looked at the consultation sheet of the Cardiology Department.


    "Then add 1.5 grams of potassium to 500 salt water and let it drip slowly." Lu Wenguo said solemnly.


    "Okay, Director." Wu Yun began to make doctor''s orders again.


    ¡­


    "Dad, Brother Yun, I bought milk tea for you and the nurse."


    Lu Chen walked into the doctor''s office with a smile, holding four cups of milk tea in his hand.


    "Thanks." Wu Yun smiled and took a cup unceremoniously.


    Lu Wenguo glanced at Lu Chen and said, "You need to drink less of this kind of thing. Last time I read a related report, the energy of a bottle of milk tea is equivalent to three bottles of Coke, which contains caffeine, sugar, fructose syrup, All fatty acids exceeding the standard will increase the probability of people suffering from metabolic diseases such as diabetes, hyperlipidemia, and gout¡­¡±


    Wu Yun just took a sip of the red bean milk tea, and put down the cup silently, "Director, you are too unpleasant."


    Lu Chen smiled and took out a cup of milk tea, inserted a straw, and handed it to Lu Wenguo''s table.


    "Dad, but you overlooked another point. Drinking milk tea can make people feel happy, and a happy mood can promote the secretion of dopamine in the body, allowing us to reduce fatigue and maintain vitality."


    "Uh-huh."


    Wu Yun nodded quickly, then took another sip of the milk tea.


    "It''s all absurd."


    Lu Wenguo laughed and scolded, but still picked up the milk tea and took a sip.


    "Xiao Wu, go and explain to the nurse, don''t beat the potassium too fast, or the blood vessels will hurt a lot."


    Wu Yun nodded and walked out of the office.


    "Dad, what happened to your VT patient just now?" Lu Chen asked casually.


    "I haven''t been cardioverted yet. I''m going to add some potassium intravenously."


    Lu Wenguo thought about it and took out his mobile phone.


    "I''d better contact the cardiologist again."


    Lu Wenguo quickly made a call.


    "Old Dong, the patient you just consulted, has been using Dalong for so long, why hasn''t he been converted yet?"


    "Yes, yes, I just follow your words, push one statically first, and then slowly pump two."


    "We''ve also supplemented potassium. Okay, then we can only observe slowly."


    Lu Wenguo hung up the phone, and Wu Yun also came back from outside the doctor''s office.


    "Director, what did the Director of Cardiology say?"


    "What Lao Dong means is that some patients are not sensitive to Dalong, and may need to maintain it for one night. I will check the cardioversion tomorrow morning."


    "Okay, then tonight I''ll extend Dalong for another night, that is, if the patient doesn''t cardiovert tomorrow, the operation may have to be delayed for another day."


    "Alas, this is also impossible."


    This patient had an attack of acute cholecystitis and had indications for surgery, but at the same time, he suffered from supraventricular tachycardia, so he could only control the arrhythmia first, and then perform surgery.


    ¡­


    About ten minutes passed.


    A man and a woman suddenly walked into the doctor''s office.


    The man has a fat head and big ears, and it looks like he should weigh about 200 pounds. There is also a large gold chain hanging around his neck.


    The ?? woman was dressed in heavy makeup, and before she got close, there was a pungent smell of perfume.


    "Who is the doctor on duty at night?"


    Walking into the doctor''s duty room, the fat man shouted loudly.


    "I am." Wu Yun stood up, "May I ask who you are..."


    "Oh, I''m the son of this patient who just arrived."


    The fat man directly pulled over a stool and sat in front of Wu Yun carelessly.


    "I want to ask why I haven''t operated on my dad yet. He had an attack of cholecystitis this time. Didn''t he say he would need emergency surgery when he first came here?"


    Wu Yun took out all the patient''s tests and examination reports, and explained: "That''s it, your father not only had acute cholecystitis this time, but also had a sudden arrhythmia. Now the heart rate is very fast, the heart rate of a normal person. It was 60-100 beats/min, your father is now 140-160 beats/min."


    "The medical term is called paroxysmal supraventricular tachycardia, and we need to control the arrhythmia before surgery."


    "Then you guys should take medication to control it. It''s been so long, I don''t think the heart rate has dropped at all." The fat man said in a very bad tone, "If your hospital can''t do it, then I''ll transfer it to Jiangcheng."


    "Don''t worry, you have already taken the medicine, but it will take some time for the medicine to take effect, right?" Wu Yun said.


    The fat man frowned and pondered: "Then give me an accurate time, when will the surgery be performed?"


    Wu Yun was about to speak, but Lu Wenguo winked and stopped him.


    "This family member, we can only use the best medicine to the best of our ability, but when the operation can be performed depends on whether the patient''s arrhythmia can be controlled."


    "You are..." The fat man looked at Lu Wenguo.


    "I''m the deputy director of general surgery." Lu Wenguo said lightly.


    "Ah, so it''s Director, what''s your surname, Director?" The fat man''s face was full of smiles.


    "Miss your surname Lu."


    "Director Lu, please help me and let my dad do the surgery sooner." The fat man stood up and walked to Lu Wenguo''s side, "He is so old, he can''t afford it!"


    "I''ve already said that whether you can do surgery depends on whether your father''s arrhythmia can be controlled." Lu Wenguo patiently explained it to the fat man again.


    "Okay, then listen to Director Lu."


    The fat man chuckled, glanced at Wu Yun, then pulled Lu Wenguo aside and took out an envelope from his pocket.


    "Director, please help."


    Lu Wenguo''s expression immediately became serious and he waved his hand.


    "You don''t have to do this, no matter what, we will do our best to heal the patient."


    The fat man handed the envelope to Lu Wenguo again, "Hey, Director, it''s so late, you''ve worked hard overtime."


    "I said you don''t need to do this."


    Lu Wenguo looked at the fat man and said word by word.


    The fat man saw that Lu Wenguo''s attitude was so determined, he had to put away the envelope with a smile.


    "Don''t worry, we will definitely try our best to control your father''s arrhythmia, and then operate as soon as possible."


    Lu Wenguo looked better when he saw the fat man put away the envelope.


    This person is not good at first sight.


    The office is all surveillance, and he stuffed red envelopes in front of him, either stupid or bad.


    The fat man asked a few more questions before leaving the doctor''s office with the woman next to him.


    "Wu Yun, I''ve worked hard for you tonight."


    Lu Wenguo patted Wu Yun on the shoulder.


    "Go to see the patient more when you have time. If the cardioversion is done and the sinus rhythm is stable, the second-line class will be notified, and emergency surgery can be done."


    "Okay, Director." Wu Yun nodded.


    "Then Lu Chen and I will go home first."


    "Um."


    Lu Wenguo was going to ask Lu Chen to go home together and looked back.


    found that he was concentrating on the patient''s electrocardiogram.


    "You kid, haven''t you seen the electrocardiogram of supraventricular tachycardia?"


    Lu Wenguo looked at Lu Chen with a smile.


    I saw Lu Chen''s expression focused, and even found a compass to draw on the electrocardiogram.


    "Dad, this may not be the speed of the room."


    (end of this chapter)

 Chapter 29： Break peoples jobs!

    Chapter 29 Breaking people''s jobs!


    Lu Chen''s indifferent words made the two people in the office stunned.


    "This, isn''t this room speed?"


    Lu Wenguo frowned into Sichuan characters.


    He walked to Lu Chen''s side and looked at him on the electrocardiogram. He was in shock.


    The senior director of the Cardiology Department is very experienced. He has been engaged in clinical work for about 30 years and has rich experience.


    Many young people in the hospital were brought out by Lao Dong.


    Could it be that the electrocardiogram that Lao Dong couldn''t see was seen by his son who had just graduated from medical school?


    impossible!


    Absolutely impossible¡­


    Wu Yun didn''t have so many ideas, and asked quickly: "Xiaochen, you said this is not room speed, what could it be?"


    Lu Chen flattened the electrocardiogram on the computer table, then looked up at Lu Wenguo and Wu Yun.


    "What do you see when you first look at this picture?"


    Reread this ECG.


    Wu Yun found that he could only see tachycardia, a tachycardia with a narrow QRS complex.


    "I, I''m not very good at reading electrocardiograms." Wu Yun touched the back of his head embarrassingly, "You can see a narrow QRS tachycardia."


    "Dad, what do you think?"


    Lu Wenguo pondered: "The first is the left axis deviation, then the narrow QRS complex tachycardia, and the rSR'' type in lead V1 and the blunt S wave at the end of leads V5 and V6, this should be the right bundle. branch block."


    Lu Chen smiled and gave Lu Wenguo a thumbs up.


    "Dad, you''re quite good, and you''ve almost explained the contents of this electrocardiogram."


    Lu Wenguo frowned: "Xiaochen, if that''s all, then Director Dong''s diagnosis of Cardiology should be correct. This is supraventricular tachycardia with right bundle branch block."


    Wu Yun also looked at Lu Chen with the same doubts, isn''t this the upper room speed?


    Why do you say it''s not room speed?


    Lu Chen smiled and took out the compass, "Dad, I''ll make a gesture on the picture and you''ll know."


    "Look at the electrocardiogram, what is the relationship between the rhythms of the atria and ventricles?"


    Lu Wenguo looked towards the place where Lu Chen pointed.


    Atrial and ventricular rhythms seem to be unrelated.


    The beating of the normal heart is the beating of the atria caused by the sinoatrial node, which stimulates the beating of the ventricles.


    The rhythms of the atria and ventricles are regular and fixed.


    But in this picture, the beating of the atria and ventricles are completely separated!


    The atrium beats its own, the ventricle beats its own, the two have nothing to do with it!


    "This, is this compartmental separation?"


    Lu Wenguo grabbed the electrocardiogram on the table and watched without blinking.


    "Ah? Atrioventricular separation?" Wu Yun was stunned, "Isn''t atrioventricular separation the most common ECG in VT, atrial fibrillation, and high-grade atrioventricular block? Then this picture..."


    "Well, Brother Yun is right!" Lu Chen nodded and smiled, "This is atrioventricular separation, and this picture is a very special type of ventricular tachycardia - left posterior branch ventricular tachycardia."


    "The left posterior fascicular ventricular tachycardia originates from the left posterior fascicular region, which is excited first, and then the left anterior and right bundle branch regions are excited later, which is equivalent to passive blocking by the latter two fascicles."


    "Therefore, the electrocardiogram showed right bundle branch block + left anterior fascicular block."


    "Right bundle branch block is manifested in the rSR'' type in lead V1 and the thick and blunt S wave at the end of leads V5 and V6, and left anterior fascicular block is manifested in left axis deviation. These two features constitute the left ventricle. The most striking feature of idiopathic ventricular tachycardia."


    "So, left posterior fascicular tachycardia is easily confused with paroxysmal supraventricular tachycardia with right bundle branch block."


    The barriers of various medical specialties are extremely deep, and there is little understanding between various medical specialties, let alone internal medicine and surgery.


    Lu Wenguo and Wu Yun had never heard of this "left posterior fascicular ventricular tachycardia".


    Although he didn''t understand what Lu Chen was talking about, Lu Wenguo had an intuition that Lu Chen was probably right.


    Because in this electrocardiogram, he did find the phenomenon of atrioventricular separation.


    "Xiaochen, ventricular tachycardia is a malignant arrhythmia. The average person''s ventricular tachycardia lasts for such a long time, and people should have died a long time ago." Wu Yun wondered, "But our patient''s state is stable, but he feels a little flustered and hemodynamic. It''s all stable, it''s not like ventricular tachycardia!"


    Lu Chen explained with a smile: "Because this left posterior fascicular ventricular tachycardia is a benign ventricular tachycardia, which is common in healthy men."


    Wu Yun was like a student full of curiosity at this time, "Then how should this kind of ventricular tachycardia be treated?"


    Lu Chen picked up the milk tea on the table and took a sip.


    "This left posterior fascicular tachycardia has another name, verapamil-sensitive ventricular tachycardia. As the name suggests, verapamil can stop the attack."


    Lu Wenguo and Wu Yun looked at each other, and both of them could see the surprise in their eyes.


    Lu Chen speaks righteously and makes sense, so he has to be convincing!


    Is this still a medical student who just graduated?


    "Dad, don''t look at me with such a strange look." Lu Chen shrugged his shoulders and said, "When I was an intern in the Cardiology Department of Jiangcheng Central Hospital, I encountered several cases of this type of patient, one of which was It was also regarded as supraventricular tachycardia, which was finally discovered because the radiofrequency ablation was unsuccessful."


    Wu Yun smiled aside, "Xiaochen, you can''t just read an electrocardiogram once, you must have put in a lot of effort."


    At this time, Lu Wenguo almost believed Lu Chen''s diagnosis.


    But to be on the safe side, he still called the old director of the Cardiology Department.


    Lao Dong was lying in the duty room and swiping Douyin. When he saw that it was Lu Wenguo''s call, he sighed helplessly.


    "Hey, these surgeons are just too nervous, isn''t it a supraventricular tachycardia? It''s been a few phone calls."


    Lao Dong sat up, cleared his throat, and answered the phone.


    "Hey, Lao Lu, your patient hasn''t been cardioverted yet?"


    "not yet."


    "Ouch, Lao Lu, don''t be too nervous. Many patients in our department have high ventricular speed for most of the day. When you use Dalong, your heart rate will slowly drop."


    Lu Wenguo held his mobile phone and recalled what Lu Chen said just now, "Old Dong, do you think this patient has SVT?"


    "Why, I saw the electrocardiogram." Lao Dong smiled, "Supraventricular tachycardia with right bundle branch block, that''s right, I''m sure."


    Lu Wenguo paused and said slowly, "Old Dong, then I will make a separate diagnosis. Don''t mind me."


    "It''s okay, you said." Lao Dong thought it was a little funny, how could a surgeon analyze this kind of electrocardiogram?


    "Do you think there is a possibility of left posterior fascicular ventricular tachycardia in this electrocardiogram?"


    "Huh? What?" Lao Dong was taken aback for a moment, "Left posterior branch ventricular tachycardia?"


    "yes."


    On both sides of the phone, it was suddenly quiet.


    It seems that only the other party''s breathing can be heard.


    Lu Wenguo was waiting for Lao Dong''s reply.


    Lao Dong''s mind was recalling the ECG characteristics of "left posterior fascicular ventricular tachycardia".


    After a long while, the old Dong said: "Old Lu, you send the electrocardiogram to my WeChat, I will take a look, and I will reply to you later."


    "it is good."


    hung up the phone, Wu Yun immediately stepped forward: "Director Lu, what did Director Dong say?"


    "Let me send him the picture again so he can take a look."


    Lu Wenguo soon sent the electrocardiogram to Lao Dong via WeChat.


    It took about two minutes.


    Lu Wenguo received a WeChat message from Lao Dong.


    "Damn it, Lao Lu, when did you learn to read an electrocardiogram?! You''re going to ruin my job!"


    (end of this chapter)

 Chapter 30： cardioversion

    Chapter 30 Cardioversion


    "Old Dong, so this ECG is really not a supraventricular tachycardia, but a left posterior fascicular tachycardia?"


    After ??, Lu Wenguo looked up at Lu Chen.


    Over the phone, Lao Dong smiled and sighed.


    "Yes, it is indeed the left posterior fascicular tachycardia."


    "This special type of ventricular tachycardia is easily confused with supraventricular tachycardia with right bundle branch block. This type of electrocardiogram is rarely seen in a primary hospital like ours, and I really didn''t notice it at first glance. But I took a closer look. Look, there is atrioventricular dissociation, it should be left posterior fascicular tachycardia."


    "You can quickly stop Dalon, push a verapamil, and you should be able to stop the left posterior fascicular ventricular tachycardia."


    "Okay, but we don''t have verapamil in our department. I''ll ask the nurse to borrow two from your department."


    Lu Wenguo sighed in his heart, this is exactly the same treatment method as Lu Chen said.


    "Hey, Lao Lu, hang up the phone later! You haven''t said that who saw this electrocardiogram room?"


    Lu Wenguo smiled, "Let''s talk next time we meet. The patient''s condition is urgent now, so I''ll ask the nurse to take medicine first."


    Hearing the busy tone on the phone, Lao Dong shook his head helplessly.


    He has a good understanding of the level of Binh Duong hospitals.


    As the deputy chief physician in the heart, if he didn''t even judge that this ECG was left posterior fascicular tachycardia at the first time, let alone other people.


    Not to mention that the other party is also a surgeon.


    This is definitely not the level that Lao Lu can have!


    Is there someone behind him?


    Old Dong thought to himself, he guessed that there was someone behind Lu Wenguo, but he couldn''t guess it was his son.


    ¡­


    General Surgery.


    After making this call, Lu Wenguo could basically make a clear diagnosis. This electrocardiogram should be "left posterior fascicular ventricular tachycardia".


    Wu Yun also heard the conversation between the two. After confirming that it was the left posterior branch ventricular tachycardia, he gave Lu Chen a thumbs up.


    "Zhang Xin, stop the patient''s Dalong just now."


    Lu Wenguo walked to the nurse''s desk.


    "Then call the nurse and go to the cardiology department to borrow two verapamil."


    Sometimes, the medicines from the night shift emergency pharmacy of the hospital are slow to arrive. It is better to borrow one directly from the relevant department, and then return the medicine after the pharmacy arrives.


    Zhang Xin said in surprise: "Director Lu, this patient''s Dalong pump still has more than half of the liquid, so stop it?"


    Lu Wen nodded.


    "After borrowing Verapamil, push one first."


    "Okay." Zhang Xin immediately called the Cardiology Department.


    In less than five minutes, the nurse brought verapamil from the cardiology department.


    Verapamil, a derivative of papaverine, is a class IV antiarrhythmic drug, an inhibitor of calcium ion influx.


    Lu Wenguo and Wu Yun stood beside the patient''s bed, watching Zhang Xin slowly and quietly push a verapamil into the patient''s vein.


    "Director Lu, your medicine is..."


    The fat man with big head and big ears carefully looked at the doctor''s order on the treatment list.


    "Vehicle pulls rice."


    Lu Wenguo glanced at the fat man: "Verapamy."


    "Director Lu, why did you take the medicine just now?" the fat man wondered, "I think there are more than half a bottle in it, isn''t it all wasted?"


    Lu Wenguo kept staring at the ECG monitor, and replied without raising his head: "Your father is not sensitive to the drug just now, and the type of his arrhythmia is more complicated, we need to try another drug."


    "Oh." The fat man nodded, and then sat down beside the bed with peace of mind.


    Many times, based on the hospital''s medical level and awareness of the disease, diagnostic errors or treatment errors often occur, but it is inevitable.


    For example, the identification of left posterior fascicular ventricular tachycardia and supraventricular tachycardia with right bundle branch may be mistaken by the top three hospitals, let alone a primary hospital like Pingyang!


    So when this happens, proper communication can avoid the occurrence of medical disputes.


    If Lu Wenguo tells the truth now, saying that the diagnosis is wrong and that the wrong medicine is used, then the family of the patient will not be allowed to make a scene again.


    ¡­


    Time passes by every minute and every second.


    It has been five minutes since the intravenous bolus of verapamil.


    Lu Wenguo and Wu Yun were still standing beside the patient''s bed, their eyes fixed on the ECG monitor.


    Heart rate is still 150 bpm!


    Wu Yun whispered: "Director Lu, I just heard Xiaochen say that if the first verapamil does not work well, you can wait ten minutes and then push another one."


    "Yeah." Lu Wenguo replied softly, "Then observe for a few minutes, if it doesn''t work, push it again."


    Another three minutes passed.


    Patient''s heart rate is still 150-160/min.


    "Zhang Xin, prepare to push another verapamil." Lu Wenguo ordered.


    "Okay, I''ll go to the dispensing room." Zhang Xin nodded, turned and left the ward and walked towards the dispensing room.


    Zhang Xin just walked out of the ward.


    The heart rate value on the ECG monitor suddenly jumped!


    Lu Wenguo and Wu Yun saw that the original value of 150 suddenly dropped to 130¡­


    Then another jump, down to 110¡­


    "Zhang Xin, wait a minute, you don''t have to go now." Lu Wenguo immediately looked at the patient on the bed, "Master, how do you feel now?"


    The old man on the bed slowly opened his eyes.


    "I don''t feel much, just feel a little better, and feel that my heart is not beating as fast as before."


    Lu Wenguo turned his head and instructed, "Xiao Wu, contact the ECG room and give the patient a review of an ECG."


    "Good Director."


    Wu Yun immediately took out his mobile phone and called the ECG room.


    Surgical departments in basic-level hospitals like them do not have a standing electrocardiograph.


    Once you encounter a patient with such arrhythmia, you need to ask the night shift doctor in the ECG room to come and do an ECG.


    "Director Lu, my dad''s heart rate has dropped!" The fat man was delighted. He also saw the phone on the ECG monitor, "Is he okay?"


    Lu Wenguo''s serious expression softened slightly.


    "It''s hard to tell right now, we''re going to give your father a review of an electrocardiogram."


    Clinicians are never full of words, and everything must be said with the evidence of auxiliary examinations.


    "Okay, I will listen to you, Director Lu."


    The fat man nodded like a chicken pecking rice, and with his bloated figure, he felt a little bit of joy.


    The night shift doctor in the ECG room arrived soon.


    "Buzz...buzz..."


    Twelve lead ECG is done.


    Heart rate 106 beats/min!


    Although the heartbeat is still faster than normal people, it has dropped significantly.


    ¡­


    doctor''s office.


    Lu Chen suddenly received a system prompt.


    "System completion increased!"


    System completion has risen again, from 40% to 50%.


    Lu Chen smiled slightly, it seems that the patient should have been cardioverted!


    But this time, the gratitude value did not increase.


    Lu Chen guessed that although this case was diagnosed by him, the patient and his family did not know of his existence.


    So this time, only the system completion degree has increased, and the gratitude value has not increased.


    on the system light curtain.


    Thanks for a total of 5 points.


    System completion is 50%.


    One step closer to 100% completion of the system!


    All cases, diagnoses, treatments mentioned in this book are real.


    Some I have encountered, some I have heard of, and some are derived from case reports and papers.


    Including eating barbecue, leading to rat poisoning, this is a patient who has personally experienced it.


    (end of this chapter)

 Chapter 31： The strangeness of the world is always in danger

    Chapter 31 The strangeness of the world is always in danger


    General surgery ward.


    On the ECG monitor, the patient''s heart rate has stabilized at 90-100 beats/min, and the symptoms of palpitation have improved significantly.


    "Director Lu, can my dad have surgery now?"


    The fat man asked cheerfully.


    "It needs to be stabilized for a while." Lu Wenguo said, "If arrhythmia occurs again during the operation, it may affect the operation, so we should be cautious."


    "Okay, let''s listen to Director Lu."


    ¡­


    Walking out of the ward, Wu Yun took the patient''s ECG after cardioversion, compared it with the previous ECG, and sighed: "Director Lu, Xiao Chen is really amazing, even in a famous university like Jiangcheng University, his grades should be It''s also top notch."


    Lu Wenguo put his hands behind his back, and a soft smile appeared on his face.


    "Hey, as expected of someone who was admitted to the postgraduate degree in Cardiology." Wu Yun couldn''t help but exclaimed again and again.


    "Huh? What did you say?"


    Lu Wenguo stopped, raised his brows and stared at Wu Yun.


    "Ah? Lu, Director Lu, you don''t know?"


    Wu Yun was shocked, didn''t Director Lu know that Lu Chen was admitted to the graduate student of Jinghua Medical University?


    "What should I know?"


    The smile on Lu Wenguo''s face faded and he said coldly.


    Wu Yun really didn''t expect that Lu Chen had been admitted to the graduate school of Jinghua Medical University for so long, and he hadn''t told Lu Wenguo about this.


    But now I can''t hide it!


    "Director Lu, I heard from Xiaochen that he was admitted to the postgraduate study of Cardiology at Jinghua Medical University."


    Lu Wenguo frowned upon hearing this.


    The last time Lu Chen called home, didn''t he say he failed the postgraduate entrance exam?


    Wu Yun felt that the surrounding air pressure seemed to have dropped.


    "Director Lu, you should be happy. Jinghua''s cardiology department is also famous."


    "If I can be admitted to graduate school, then my parents will not be happy!"


    Lu Wenguo glanced at Wu Yun, and said angrily, "Then let me ask you, will you let your son study medicine in the future? Will you let him go to graduate medical school?"


    Wu Yun was stunned for a moment, then shook his head and said, "No."


    "That''s enough." Lu Wenguo said, "Your parents are not doctors and don''t understand the industry. We are doctors, and only we know how difficult it is to be a doctor in this era!"


    In today¡¯s China, the bonus period for the profession of a doctor has passed!


    Lu Wenguo shook his head, sighed softly, and walked back to the doctor''s office.


    ¡­


    saw Lu Wenguo and Wu Yun returning to the doctor''s office.


    Lu Chen quickly asked with a smile, "Dad, the patient should be cardioverted."


    Lu Wenguo sullen and did not speak.


    Wu Yun stood behind Lu Wenguo, winking at Lu Chen, his hands still gesturing something.


    "What''s going on here?"


    Lu Chen was puzzled.


    Is the patient not cardioverted?


    Should not!


    He has already received a prompt from the system, and the degree of completion has increased.


    Logically, the patient should have been cardioverted.


    "The patient is cardioverted, let''s go home too."


    Lu Wenguo glanced at Lu Chen, then went to the duty room to change his white coat.


    Wu Yun quickly ran to Lu Chen''s side and lowered his voice.


    "Xiaochen, I''m sorry, I just told your dad about your admission to Jinghua."


    Lu Chen gave a wry smile.


    No wonder Dad looks unhappy.


    "It''s okay, if you don''t tell me, my dad will know sooner or later."


    Lu Chen sighed with his forehead, this mountain is really difficult to climb!


    "Brother Yun, then I''m going home, your night shift is safe and sound."


    "Ok, good luck."


    ¡­


    did not go to the endocrinology department, the two went home directly.


    In the living room.


    The father and son sat opposite each other, and the atmosphere was quiet and a little scary.


    "Dad, this is my admission notice."


    Lu Chen took out the admission notice of Jinghua Medical University.


    Lu Wenguo just nodded.


    But I have no interest at all to see this admission notice.


    "The last time you called your mother, didn''t you say you didn''t take the test?" Lu Wenguo couldn''t help asking after all.


    "I later applied for transfer and went to Jinghua Medical University." Lu Chen said.


    "Must go?" Lu Wenguo frowned, "Can''t you just stay in Pingyang? If you don''t want to come to our hospital, your mother and I will help you find other hospitals in Pingyang."


    "Dad, are you forcing me to become an old man?"


    "The world outside is difficult and dangerous, son, you can''t control it!"


    Lu Chen: "..."


    Lu Chen understands his father Lu Wenguo''s thoughts. Like his mother Luo Meizhen, he just wants to live a good life.


    You don¡¯t need to get ahead, let alone get rich, just live a happy life.


    "Dad, did you know that there is a delicious Sichuan restaurant at the back door of our Jiangcheng University campus."


    Lu Chen suddenly opened his mouth and said slowly.


    Lu Wenguo frowned, not knowing what Lu Chen meant.


    "At that time, Sichuan restaurants were always crowded with people at mealtimes. Their double-cooked pork was very delicious and cheap. I sometimes always think, it would be great to eat such cheap double-cooked pork all my life, why? To make an effort?"


    "There is a large lawn downstairs in our dormitory. As soon as the sun comes out in winter, the place is occupied by people. All afternoon, everyone basks in the sun and chats. I think it''s so cool. Why do you work hard?"


    "When I was a sophomore, the school organized us to run a marathon. It was only a half marathon, 20 kilometers. The four of us in the dormitory got up early in the morning, put on our sportswear, and brought our equipment. Before we set off, we made a bold statement: I''m going to conquer the half marathon!"


    "After departure, before half the distance, it became: I''m going, I''m going back to eat twice-cooked pork, I''m going back to bask in the sun!"


    "I suddenly realized that as long as I give up my efforts, my life will immediately become more nourishing, so why should I work hard?"


    Lu Chen suddenly smiled.


    "Because sometimes I think that I will be satisfied with a place where I can eat twice-cooked pork all my life. What about Roujiamo? What about Baobao?"


    "I would think that there are still many places in the world that I haven''t been to, a lot of food I haven''t eaten, a lot of people I haven''t met, a lot of knowledge I haven''t mastered, and a lot of things I haven''t figured out yet. When I think of this, I feel restless in my heart. The **** just can''t sit still."


    "Although the half-marathon is very tiring, it''s like a dog, but when the four of us in the dormitory dragged our nearly paralyzed bodies, ran the entire distance and crossed the finish line, it felt really different."


    "Wang Anshi said in the high school textbook that the wonders, wonders, and extraordinary views of the world often lie in the dangers and distances, and people are rarely seen, so those who are not aspiring can''t get there."


    "Dad, I want to experience a place I''ve never been to, see different people, see different scenery, and eat twice-cooked pork with different flavors."


    "Of course, I also want to use the knowledge I have learned to treat more patients and solve more intractable diseases."


    Lu Wenguo was stunned, looking at the son in front of him, he was so familiar, yet a little strange.


    (end of this chapter)

 Chapter 32： scar on forehead

    Chapter 32 The scar on the forehead


    He was no longer the little boy who hid behind his parents when he was in danger.


    He has grown up, has his own dreams, and has his own responsibilities and responsibilities.


    Lu Wenguo looked at his son tenderly.


    Yeah, he should be happy and proud of his son.


    rather than being a stumbling block in his path.


    Lu Wenguo raised his hand, patted Lu Chen''s shoulder, and touched his head lightly.


    There are no words, only eye contact.


    Lu Chen also seemed to feel the change in his father''s mood.


    He smiled and held Lu Wenguo''s palm with his backhand.


    Emotional communication between father and son often does not require too many words.


    The emotional resonance between the two men was also at that moment.


    Lu Chen knew that his father had changed his mind and agreed to go to Jinghua Medical University.


    Now that we have crossed this mountain, the future should be the sea of ??stars.


    ¡­


    There is still half a month before the opening of Jinghua Medical University.


    The postgraduate entrance examination and re-examination a while ago took too much energy.


    During this time, Lu Chen mainly recuperates at home.


    Sleep until you wake up naturally every day.


    Lu Wenguo and Luo Meizhen both went to work, and Lu Chen cooked noodles or ordered takeout by himself.


    Occasionally go for a walk in the nearby park in the afternoon, go to the library to read, go to Pingyang Lake in the evening to enjoy the shade, and then take a walk home.


    There are not many such leisurely days.


    During the ?? period, Lu Chen also looked at the colors on his parents'' heads, both of which were green.


    are all healthy colors.


    This is probably also because the hospital has a physical examination every year, and both of them are medical staff. If there is any small problem with the body, it will be dealt with immediately.


    In addition, the grassroots hospitals are not as busy as those in the top three hospitals. Both of them have relatively old department qualifications, and the work intensity is not high.


    ¡­


    This morning, Lu Chen was woken up by a cell phone ringing in his sleep.


    In a daze, he picked up the phone and connected the call.


    "Hey¡­"


    "I''ll go, Chen''er, aren''t you still sleeping?! What time is it now!"


    is the voice of his best friend Zhou Wei.


    Lu Chen opened his eyes hazy and glanced at his phone.


    "Isn''t it just half past nine? It''s still early..."


    "Early fart! I''ve been on a shift for an hour and a half!"


    Lu Chen yawned: "Go to work? Why did you start work so early?"


    "Hey, it''s my supervisor''s request to enroll in the department in June!" Zhou Wei said helplessly.


    "Then your tutor is very ruthless. The school starts in September, and you are admitted three months early."


    Lu Chen got up, opened the curtains at the head of the bed, and a bunch of balconies shone on his face, making him unable to open his eyes.


    Zhou Wei sighed: "Yeah, I didn''t know until I came here that my tutor, known as Zhou Papi, is strict and stingy towards students."


    Listening to Zhou Wei''s complaints about his tutor, Lu Chen couldn''t help but interrupt: "Viagra, what are you looking for today? You didn''t come here to complain about your tutor."


    "Oh, I almost forgot to do business." Zhou Wei patted his head, "Chen''er, which school did you go to last time?"


    "Jinghua Medical University."


    Lu Chen smiled, then looked down at the calendar on the desk, today is July 20th, and he will be leaving for Jinghua in ten days.


    "Fuck you, have you transferred to Jinghua?"


    Zhou Wei''s voice suddenly increased several decibels!


    "Yeah, why are you so surprised?" Lu Chen wondered.


    "Because I also got into Jinghua Medical University!" Zhou Weiwei said, "Didn''t I tell you before? I applied for Jinghua Medical University!"


    Lu Chen smiled awkwardly, "Really? I''m sorry, I forgot..."


    At that time, Lu Chen had been preparing for his re-examination and adjustment, and he really forgot about Zhou Wei''s situation.


    Zhou Wei said angrily: "Today, the school group sent an information sheet for all postgraduates. I saw a man named Lu Chen, majoring in cardiology, and his undergraduate degree was also from Jiangcheng University. At that time, I suspected that this person was you!"


    "But that''s fine, we Jiangcheng University''s second marshal is a good match for both."


    Lu Chen: "¡­"


    "Chen''er, when are you coming to school?"


    "Enrolled on August 1st, I''m going to leave on July 30th."


    "Okay, contact me when you arrive on the 30th, and I''ll take care of you."


    hung up the phone, Lu Chen couldn''t help but smile.


    Besides his dormitory roommate, Zhou Wei is his best friend in college.


    But Zhou Wei applied for the obstetrics and gynecology department.


    Well, it is the male doctor of obstetrics and gynecology.


    There is a faint expectation in my heart, seeing him working in the department!


    ¡­


    July 30th is coming soon.


    Early in the morning, Lu Wenguo and Luo Meizhen got up to prepare breakfast for Lu Chen.


    "Mom, don''t bother, I''ll just eat something simple."


    Lu Chen took out the suitcase and was ready to go.


    "It''ll be alright."


    After a while, Luo Meizhen brought out a bowl of steaming beef noodles with an egg on the front and one hidden inside.


    "Son, eat quickly."


    "Well, thank you mom." Lu Chen smiled and began to gorge on the noodles.


    Lu Wenguo and Luo Meizhen watched Lu Chen eat quietly, with reluctance in their eyes.


    "Mom, your craftsmanship is getting better and better." Lu Chen chewed on the beef, "Mom and dad, you eat too, don''t just look at me."


    "You eat first, and we''ll eat when we get back to the station." Luo Meizhen smiled.


    ¡­


    After eating and drinking, Lu Chen set off on his way.


    There is no direct train to Jinghua in Pingyang City. Lu Chen first took the city train to Jiangcheng, and then transferred in Jiangcheng to get on the train to Jinghua.


    About an eight-hour drive, Lu Chen arrived at Jinghua at 6 pm.


    Now that the school''s logistics department is out of work, Lu Chen can only deal with it for one night at a hotel near the hospital, and then come to the logistics department tomorrow to arrange a dormitory.


    Putting the suitcase in the hotel, Lu Chen took out his mobile phone and contacted Zhou Wei.


    "Huh? Why didn''t you answer the phone?"


    The phone was on, but no one answered.


    "Didn''t you tell me to catch the wind and clean the dust, did you forget this stuff?"


    Just when the phone was about to hang up automatically, there was a "ding" sound and it was connected.


    "Viagra, I''m here, where are you?"


    Zhou Wei''s tired voice came from the phone: "I''m in the department and haven''t gotten off work yet."


    Lu Chen looked down at his watch, "It''s half past six, don''t you get off work at half past five?"


    "Working overtime today." Zhou Wei sighed, "Chen''er, I guess it''s going to be a long time, or I''ll catch up with you tomorrow."


    "Hey, it''s okay, shouldn''t you have eaten tonight?" Lu Chen smiled, "I''ll wait for you."


    "Well, that''s fine, then I''ll call you after work."


    Zhou Wei''s voice seemed hesitant, but he finally agreed.


    Lu Chen didn''t think much, hung up the phone, thinking that he had nothing to do, so he went directly to the obstetrics and gynecology department to find Zhou Wei.


    The Obstetrics and Gynecology Department is divided into the gynecological ward and the obstetrics ward in the second inpatient department.


    Lu Chen followed the road signs in the hospital and found the second inpatient unit.


    Before approaching the obstetrics and gynecology ward, Lu Chen saw a figure squatting at the end of the stairs.


    He frowned and walked forward slowly.


    "Zhou Wei?"


    Because it was night, the light was not good, so Lu Chen couldn''t see the figure clearly.


    When the ?? figure heard the sound, he was slightly taken aback, stood up, and turned his head.


    "Chen''er, why are you here?"


    is really Zhou Wei.


    "I have to ask you, what are you doing here?"


    "Come out to get some air, it''s too stuffy in the department." Zhou Wei smiled.


    Lu Chen was puzzled when he saw that he had been keeping his back hand behind his back, and he accidentally caught a glimpse of cigarette ashes on the ground.


    "When did you learn to smoke?"


    Lu Chen frowned.


    "I remember you didn''t smoke before."


    "No, I''ll just play around."


    Zhou Wei had an unnatural smile on his face.


    He put out the cigarette in his right hand and threw it into the trash can beside him.


    "In the end what happened?"


    Lu Chen felt that something was wrong with Zhou Wei.


    He is usually born a joyful person, how can such a funny person learn to smoke and be so depressed again?


    "It''s really nothing."


    Zhou Wei reluctantly pulled out a smile.


    "Viagra, with our relationship, you can''t tell me?"


    Zhou Wei lowered his head and was silent for a moment.


    Then he picked up the ends of his forehead.


    Lu Chen looked up and saw a jet-black scar about three centimeters long lying quietly on Zhou Wei''s forehead.


    (end of this chapter)

 Chapter 33： Enroll!

    Chapter 33 Enrollment!


    "Chen''er, I was beaten."


    Zhou Wei put down his hair, covered the scar, and gave a wry smile.


    "The patient beat up?"


    "The patient''s family."


    The two of them sat on the chairs in the hallway.


    "This afternoon, the female teacher of the department and I were in the treatment room of the ward, giving a patient a gynecological examination."


    "Just halfway through, her husband suddenly rushed in."


    "I didn''t say anything, I just punched me in the head. I was a little confused."


    Although Zhou Wei put it lightly, Lu Chen could imagine how chaotic the situation was.


    This is no longer a medical trouble!


    This is intentional harm to others and can be included in a criminal case!


    "He yelled that just because I''m a male doctor, I can''t give his wife a gynecological examination."


    Zhou Wei said helplessly.


    "Then there will be no male obstetrics and gynecology doctors anymore."


    "How''s the forehead injury?" Lu Chen sighed.


    "It''s okay." Zhou Wei touched his forehead lightly, "It''s just a skin injury, it''s not in the way. In addition, the family members of the beating people were caught by the police."


    "But I can''t figure it out, what age is it now, why is there still such a person? If her family made an opinion in advance, I would never go in. But why beat someone without saying a word?"


    "There are people like this in every era." Lu Chen sighed softly, "Society is full of all kinds of obscene speculations and imaginations about this role. They stick to their own ideas, measure others with their own ideas, and think that violence and Unreasonable trouble can get preferential treatment.¡±


    "Ugh."


    Zhou Wei raised his head, leaned back on the chair, and looked at the night sky outside through the window.


    "Yes, there will always be people like this, but it''s always us who get hurt."


    "Do you regret it?"


    Lu Chen turned to look at Zhou Wei next to him.


    Zhou Wei shook his head and leaned his hands on the back of his head.


    "There''s nothing to regret, since you chose to do this, then you have to bite the bullet and keep doing it."


    Zhou Wei''s voice was not loud, but he was unusually firm.


    "Well, this is worthy of being the number one handsome in Jiangcheng University." Lu Chen smiled.


    "That''s it." Zhou Wei''s face returned to the old smile, "Let''s go, let''s go, go to the restaurant and have a meal, and let you wash the dust."


    "Okay, I''m going to slaughter you today."


    The two ordered a few side dishes at a small restaurant near the hospital and had a happy meal.


    Sometimes life is just like that.


    I know that the road ahead is twists and turns, but I have to keep going.


    ¡­


    the next day.


    Lu Chen found the graduate department of the school.


    "Why are you only here now?" The graduate teacher frowned while holding Lu Chen''s admission notice.


    "Teacher, didn''t the school start in early September?" Lu Chen wondered, "I''m not too late today."


    "It''s too late." The teacher of the graduate program said lightly, "There is a tradition in our school that graduate students need to enroll in advance. Most graduate students enter the program in July, a small number in June, and a few in August."


    "But it was my tutor who let me enter the department in August."


    "Who is your mentor?"


    "Director Li Yao of the Cardiology Department of the Second Hospital."


    Lu Chen was obviously stunned when he saw the teacher of the graduate department, and then showed an expression of sudden realization.


    "Uh, it turned out to be tutor Li Yao, then it''s all right. Your dormitory is in the Guipei Building, go to the logistics department to get the dormitory key."


    Lu Chen: "..."


    What kind of magic does mentor Li Yao have that makes everyone change their minds when they talk about it?


    Confused, Lu Chen came to the logistics department.


    He found that there was only the last male dormitory in the Guipei Building.


    No choice!


    It seems that he is really the last to come.


    A room at the end of the corridor, on the seventh floor of the Second Hospital''s Guiping Building.


    I thought that the dormitory conditions for graduate students would be better, even if it was not a single room, it would be a double room at worst.


    Lu Chen opened the door and found that the dormitory was not even as good as an undergraduate at Jiangcheng University, it was still a four-person room.


    Three of the beds have been occupied, and only the last bed by the door is left empty.


    There is no one else in the dormitory, so it seems they are all working in the department.


    Lu Chen packed his luggage, made the bed, and then went to the supermarket to get his daily necessities ready.


    After finishing everything, the other roommates began to come back one after another.


    Only then did Lu Chen know that the dormitory composition was randomly assigned and determined according to the time each person came to the school to report.


    The four people in their dormitory were the last to report to the school.


    The other three roommates are graduate students from different departments.


    is cardiovascular surgery, nephrology and plastic surgery.


    Although everyone came from different provinces in China, they quickly became acquainted with each other.


    In the hospital industry, it is always good to know more people from different professions.


    Guarantee that one day there will be a request to others.


    At the same time, Lu Chen also learned from his roommates that they are currently rotating in their own departments.


    According to Jinghua Medical University''s master training plan, everyone needs to rotate clinically for three years!


    That''s right, that is, for the three years of graduate students, they all work in rotation in various departments.


    As for the graduation thesis and experimental design, it can only be done by taking a break.


    In addition, there are other offline courses that need to be completed during the first year of study.


    However, we are working during the day, so we only have time to go to class at night.


    As for the subsidy during the postgraduate period¡­


    The school will not give you a penny!


    Each postgraduate student can only receive a subsidy of 600 yuan per month from the government!


    And the subsidy of 600 yuan is only issued for ten months a year.


    In addition, it depends on whether the tutor will give some subsidies to the students.


    However, according to Lu Chen''s roommate, very few tutors will give subsidies to students, and most of them will not.


    One month, six hundred yuan.


    Lu Chen felt his mouth dry.


    According to this training plan, everyone is almost at full capacity.


    This labor is too cheap!


    If nothing else, although everyone is twenty-four or five-year-old adults, they all need to ask their families for living expenses.


    ¡­


    August 1st.


    Lu Chen got up at 6:30 in the morning.


    After washing up, he ate a fried dough stick in the school cafeteria and drank a bowl of bean curd brain before heading to the eighth floor of the eighth inpatient department of the Cardiology Department, the eighth district of the heart.


    On the first day of admission, I want to give everyone a good impression.


    In order to prevent the department from not having a white coat that suits him, Lu Chen prepared a white coat, a Yuyue stethoscope, and a watch that can see the hour hand.


    (end of this chapter)

 Chapter 34： People are in the hospital and cannot run!

    Chapter 34 People are in the hospital and cannot run!


    Came to the department, exactly seven o''clock.


    This time, Lu Chen was wearing a badge with the words "Graduate Student of Cardiology" on it.


    The security uncle in the eight districts in his heart took a look and let him go.


    "Young man, you came very early."


    The security uncle held a glass, sat at the door of the eighth district, and said to Lu Chen with a smile.


    "Uncle, I came to the department on the first day today. I didn''t understand anything, so I came earlier." Lu Chen smiled and replied politely.


    Don''t underestimate the security guards in the provincial tertiary hospitals. This kind of position is leisurely and the salary is not low. They are not sure which leader''s relatives.


    "Then you are too early. Except for the night shift doctor, no one else should arrive." The uncle of the security squinted and smiled.


    "Haha." Lu Chen nodded at the uncle, and then walked into the eight areas of his heart.


    The corridors of the ward were very quiet, and occasionally two or three patients wandered outside.


    Lu Chen simply walked around the ward and became familiar with the locations of each ward, dressing room, and duty room in the department.


    Although he had walked around the department last time because he came to the Eighth District of the Heart to ask Li Yao to sign the signature, he just took a look around.


    Next, the eight districts in his heart were considered Lu Chen''s base camp, and he had to get acquainted with the surrounding environment as soon as possible.


    Come to the nurse station.


    Lu Chen didn''t see the nurse, he should be dealing with various trivial matters in the ward.


    The ?? nurse has a huge screen showing the bed numbers and information of all the patients.


    Patients of different levels of care are also distinguished by different colors.


    Patients in secondary and tertiary care, all green.


    Primary care and critically ill and critically ill patients are all red.


    Lu Chen glanced at it. There were about 70 beds in the eight districts in the heart, most of them were patients with secondary or primary care, and a few were patients with tertiary care.


    Opposite the nurse''s desk is the doctor''s office.


    Through the transparent wall glass, Lu Chen saw that there was only a young female doctor typing on the keyboard in front of the computer.


    Looking at her crackling hand speed, Lu Chen was a little bit tongue-tied, really fast!


    Walking into the doctor''s office, Lu Chen knocked gently on the door.


    The female doctor shouted without turning her head.


    "Please come in."


    Lu Chen walked to the female doctor with a white coat in his hand.


    "Hello, teacher, I''m a graduate student who just entered the department today."


    The female doctor was stunned for a while, stopped typing on the keyboard, and quickly turned to look at Lu Chen.


    "Which teacher''s graduate student are you?"


    The female doctor wears a mask, has long bangs, thin eyebrows, and a pair of purple-rimmed glasses on the bridge of her nose.


    "Mr. Li Yao."


    Lu Chen replied with a smile.


    As soon as he finished speaking, Lu Chen clearly saw a hint of joy flashing in the female doctor''s eyes.


    Then he heard a surprised shout.


    "Junior Brother, you are finally here!"


    what''s going on?


    Junior Brother?


    Lu Chen blinked and looked at the happy female doctor, a little confused.


    "Teacher, you are..." Lu Chen asked cautiously.


    The female doctor waved her hand quickly: "Hey, don''t call me teacher, I am also a student of Teacher Li Yao. After graduation, I stayed in the eight districts of my heart to work. My name is Sun Guoguo, just call me senior sister."


    "Hello, Senior Sister Guoguo, my name is Lu Chen."


    Lu Chen was also very happy, the first person he met in the morning was his senior sister.


    This is my sister-in-law!


    A large tertiary hospital like the Second Hospital of Jinghua has a very deep sense of faction in it.


    More than 80% of the new employees every year are graduate students trained by Jinghua, and very few are students from other top medical schools.


    Take cardiology as an example, there are intricate relationships between various wards and doctors.


    Like Chief Director Cao Zhiying, he has been a tutor for so many years, and many of his students have entered various departments of Cardiology after graduation, which has formed a huge network of relationships.


    This kind of relationship network has advantages and disadvantages. It is difficult for outsiders to break into it, which is conducive to unity. However, once internal leaders have problems, it is difficult to detect and correct them in time.


    So the first step in surviving in a big hospital is to find your own small group.


    When Lu Chen chose Li Yao''s mentor, he was bound to the "Li Yao" carriage.


    "Junior Brother Lu, you are here!"


    Sun Guoguo sighed softly.


    "Our group has been very busy recently. We have to work overtime every day until eight or nine o''clock in the evening before we can go back."


    "You can relieve some of our stress by coming here."


    There is an old saying, in the hospital, women are used by men, and men are used as livestock.


    In the internal medicine system, there are relatively fewer male doctors, and most of them are female doctors.


    Even in departments where this kind of intervention in the heart accounts for a large part, the proportion of girls is usually higher than that of boys.


    "Junior brother, our teacher hasn''t recruited male students for many years. You should be the only male student in recent years." Sun Guoguo laughed, "There is a boy in the group, it is much more convenient to do things."


    Looking at Senior Sister Guoguo''s eyes full of "occupational desire".


    Lu Chen trembled, how could he feel like he was being targeted?


    "Senior Sister Guoguo, our teacher should have two other students this year."


    Lu Chen felt that he had to drag Jiang Qingyan and another classmate into the water quickly.


    "You mean Junior Sister Jiang and Junior Sister Ke?" Sun Guoguo said, "They both entered the department in June and have been working in the department for two months."


    Lu Chen said in surprise: "Senior Sister Guoguo, our teacher said that he will enter the department in August, if I remember correctly."


    Sun Guoguo smiled.


    "At this time of year, the older class of students have graduated, and the new class of students have not come, so the department is in a gap period for employment."


    "That''s why I let Junior Sister Jiang and Junior Sister Ke enter the department in advance. They are both from the province, which is more convenient. Junior Brother Lu, you are from another province, so I didn''t inform you."


    "But you''re here now, so you have to work hard in Corey."


    Lu Chen felt that Senior Sister Guoguo was very kind to him, because of his status as a native of the province, he didn''t let him come earlier.


    Zhou Wei, who is in the obstetrics and gynecology department, is different. He is also from other provinces, but he still entered the department in June.


    "I''ll take you to the duty room first, and you put on your white coat."


    followed Sun Guoguo to the doctor''s duty room.


    The space here is very small, with a bunk bed and two rows of lockers, each with the name of each teacher written on it.


    "Junior Brother, there are a lot of people in Keli, and there are not enough cabinets. You can put your bags here."


    Sun Guoguo pointed to the top locker,


    The door of this cabinet is open, and several books and information sheets have been placed inside.


    It seems that it is usually used to put some sundries.


    Put on a white coat, hang the stethoscope around his neck, and align the time on his watch with the time in the department.


    "Doctor Sun!"


    "Doctor Sun!"


    "10 beds, 10 beds are sick again!"


    Suddenly, there was a rush of shouting from outside the door.


    Sun Guoguo was still talking to Lu Chen with a smile, when he heard the shouting, his expression changed, he immediately opened the door and ran out!


    There is an unwritten rule within the hospital.


    In the department, doctors and nurses can¡¯t run casually, and they can¡¯t even speed up their walking!


    Because once the doctors and nurses run, it means something happens.


    There is rescue!


    Lu Chen''s face darkened, and he quickly ran out behind Sun Guoguo.


    You are so weak?


    On the first day I went to the department, the **** was not hot, and I was rescued.


    His system doesn''t have its own "face black" mechanism, right?


    (end of this chapter)

 Chapter 35： acute left heart failure

    Chapter 35 Acute Left Heart Failure


    "Junior brother, hurry up and push the electrocardiograph, and come to bed number 10!"


    "receive."


    Lu Chen immediately ran to the nurse station and found an electrocardiograph in a corner.


    Quickly unplug the charging plug of the electrocardiograph, find the blood pressure monitor in the drawer, push the machine, and quickly rush to bed number 10 with the blood pressure monitor in hand.


    Bed 10.


    As soon as Lu Chen came in, he saw an old man sitting on the bed panting heavily.


    The color on his head is **** red!


    The head of the bed has been rocked almost perpendicular to the ground.


    Sweat dripped from his forehead down his cheeks, his expression was extremely irritable, and his hands were waving randomly.


    Sun Guoguo was already holding a stethoscope and quickly auscultated the old man.


    At the same time, a nurse pushed the ambulance and ran into the ward.


    "Give the patient oxygen, then push a furosemide and a panting!"


    "Urgent blood check! Blood routine, renal function, ion, BNP, myocardial enzyme spectrum, coagulation item and D-dimer"


    Sun Guoguo began to issue orders.


    "receive!"


    The nurse immediately started dispensing the medicine.


    Lu Chen was not idle either, he would immediately take out the blood pressure monitor to measure the patient''s blood pressure.


    The patient was a little restless, and it was difficult to control his hands.


    "Mother-in-law, please help me to press a little."


    The patient''s family is an old woman, and her son is not by her side, so she takes care of her wife alone.


    Mother-in-law''s body was still strong, she came to the bed and reached out to hold the patient''s palm.


    "Old man, don''t move, the doctor will take your blood pressure."


    With the help of his mother-in-law, Lu Chen successfully took the patient''s blood pressure.


    "Sister, the patient''s blood pressure is 204/114mmHg!"


    Sun Guoguo nodded, and then immediately told the nurse, "Use 50ml of sugar with a sodium nitroprusside, pump it intravenously, and walk at a speed of 5m/h."


    "receive!"


    The nurse has finished pushing the panting and furosemide, and immediately started to prepare new liquid.


    "Senior sister, can I do an electrocardiogram for the patient?" Lu Chen asked aside.


    "Okay!" Sun Guoguo nodded in relief.


    This little junior brother is quite clever, not a rookie with no clinical knowledge.


    Because some graduate students spend all their internship time on postgraduate entrance exams.


    Although he was admitted as a graduate student, he did not know anything about clinical practice.


    Book knowledge and clinical practice are separated by thousands of miles!


    What''s more, he can''t even do an electrocardiogram or blood pressure!


    Fortunately, Lu Chen is quite reliable, and he is very skilled in various operations.


    ¡­


    Lu Chen quickly connected each limb lead to the chest lead.


    However, the old man was sitting on the bed, with a thin body and dry skin, and the leads of the electrocardiograph were not easy to stick to.


    "Mother-in-law, come and help, hold the three leads here firmly, don''t let go."


    The old woman went to the bed again, her thin old hand pressing the lead tightly.


    On the screen of the electrocardiograph, the waveform of the electrocardiogram slowly turns on and stabilizes.


    "Okay, take a picture."


    Sun Guoguo has been paying attention to the situation here.


    When the Cardiology Department encounters a sudden disease, an electrocardiogram is extremely necessary.


    can quickly help doctors to judge the patient''s condition.


    When Lu Chen heard the words, he immediately pressed the "Exit" button.


    "Buzz...buzz..."


    ECG completed.


    Sun Guoguo got the ECG drawing, glanced at it, and put it down.


    Good guy, extensive lead ST depression, severe myocardial ischemia.


    "Nurse, push another furosemide!"


    "Okay, received!"


    As soon as Sun Guoguo issued the oral doctor''s order, the nurse immediately began to execute it.


    Within five minutes, Lu Chen could clearly feel that the old man on the bed was panting slowly, and his pale face regained a tinge of blood.


    Sun Guoguo and the nurses present were relieved.


    Heart failure, come and go quickly!


    "Junior Brother, do you know what kind of illness this patient just had?"


    Sun Guoguo started the daily teaching part.


    Teaching is an important part of tertiary hospitals.


    Lu Chen recalled all the symptoms and signs of the patient.


    Sitting upright, sweating profusely and short of breath.


    Wet rales could be heard and obvious in the lungs, and pitting edema of both lower extremities.


    "Acute left heart failure." Lu Chen said, "The specific cause of heart failure may be the sudden increase in blood pressure, resulting in increased load."


    Heart failure, that is, heart failure.


    Simply put, it means that the heart has no strength to beat and cannot pump blood to various organs and tissues in the body.


    This has two main consequences.


    First, various organs and tissues in the body suffer from ischemia and hypoxia, resulting in functional failure.


    Second, the blood that cannot be ejected will accumulate in the pulmonary circulation, causing acute pulmonary edema, which is often referred to as acute left heart failure in medicine.


    "Well, yes." Sun Guoguo nodded, with a hint of admiration in his eyes, "This patient is a typical acute left heart failure, so what are the treatment principles for acute left heart failure?"


    She actually wanted to see what level her young junior brother was at!


    "The general principles are cardiotonic, diuretic, and vasodilator." Lu Chen said, "Besides, there is oxygen inhalation, and morphine can be used for sedation if necessary, but be careful to avoid respiratory depression."


    "Well, not bad." Sun Guoguo smiled.


    Strengthening the heart, diuresis, and dilating blood vessels, these are the three strategies for the treatment of heart failure.


    "What does the doctor''s order I just asked the nurse to execute correspond to?"


    Lu Chen recalled Sun Guoguo''s oral doctor''s orders for all the medicines just now.


    Furosemide, Chuanding, Sodium Nitroprusside!


    "Furosemide is a diuretic, Chuanding is an anti-asthma, and a vasodilator is sodium nitroprusside!" Lu Chen replied earnestly.


    "Then why didn''t I use cardiotonic drugs?"


    Sun Guoguo said to Lu Chen with a smile.


    "Because among the three methods of cardiotonic, diuretic, and vasodilator, diuresis is the most important, followed by vasodilator. Cardiac acupuncture is only suitable for use when the first two methods do not work or the effect is relatively poor!"


    "Why is diuresis in the first place? Strong heart is the last?"


    Sun Guoguo is going to get to the bottom of it.


    Lu Chen frowned, this question seems to be difficult to explain with medical theoretical knowledge.


    Then, let¡¯s change to another way of interpretation.


    "Actually, heart failure can be compared to a donkey walking on a muddy path with a load on its back."


    "The effect of a diuretic is to reduce the load, which is equivalent to reducing the cargo on the back of a donkey."


    "The effect of dilating blood vessels is to dilate static and dynamic blood vessels, which is equivalent to repairing a muddy path and making it easier for donkeys to walk."


    "The effect of strengthening the heart is to increase the contractility of the heart, which is equivalent to whipping the donkey with a leather whip to make the donkey run faster."


    "Comparing the three methods, we can see that the third method of strengthening the heart, although it can make the donkey run faster, may cause long-term damage to the donkey and reduce its lifespan."


    "The first diuretic method, the one that works the fastest and doesn''t have many side effects!"


    After hearing Lu Chen finish, Sun Guoguo''s expression was very surprised.


    Is Lu Chen really just a freshman in graduate school?


    If she took off her mask at this time, Lu Chen would definitely be able to see her opening her mouth in shock.


    Most people know "cardiac, diuretic, vasodilator", but they don''t know the adaptability of each method.


    Inotropes are useful, but they are not the first choice because they may increase the mortality rate of patients in long-term hospitalization.


    "Congratulations, +1 for the thank you from Warwick!"


    Suddenly received a system prompt, which made Lu Chen look happy.


    He looked at the system panel, and the system completion became 60%.


    (end of this chapter)

 Chapter 36： Welcome to the eight districts of the heart

    Chapter 36 Welcome to the eight districts of the heart


    This patient was diagnosed and treated by Sun Guoguo.


    Lu Chen was just assisting him, taking blood pressure and doing an electrocardiogram. He didn''t expect to receive a thank you point, and the system completion rate also increased by 10%.


    It seems that there are still many magical features of the system, which need to be further explored by Lu Chen.


    stayed in the ward for a few more minutes.


    The condition of the old man has stabilized, his breathing has become stable, his hands no longer shake randomly, and his pale face has a hint of blood.


    However, Lu Chen noticed that the color on the old man''s head was still red, which meant that he was not out of danger.


    Lu Chen re-measured the patient''s blood pressure, and the blood pressure had dropped to 173/95mmHg.


    "Next, maintain the sodium nitroprusside pump, adjust the pump speed according to the blood pressure, and do not drop the blood pressure too much."


    Sun Guoguo instructed the nurse beside him.


    Blood pressure drops too much, cerebrovascular volume decreases rapidly, blood supply is insufficient, cerebral cell ischemia and hypoxia, which may lead to cerebral infarction.


    "Thank you, Dr. Sun, and thank you for this little doctor."


    The old woman shook Sun Guoguo''s hand, and then grabbed Lu Chen''s arm, her face full of gratitude.


    Lu Chen smiled.


    "Mother-in-law, this is what we should do."


    The patient''s condition has stabilized, and Lu Chen and Sun Guoguo also returned to the doctor''s office.


    "Junior brother, this patient in bed number 10 is quite special." Sun Guoguo said, "His son works outside the country all year round, and the two old people depend on each other. The old man is an old patient in our department, and he comes to the department several times a year."


    "Every time we talk to the old man about his condition, they don''t know much, and his son has never been to the hospital."


    Heart failure is one of the deadliest diseases in the world.


    cannot be cured completely, but can only delay the further development of heart failure, reduce the number of hospitalizations and the disability rate.


    "Junior Brother, I''ll fill in the doctor''s order for the rescue just now, and you will write the record of the course of the rescue."


    Back at the doctor''s office, Sun Guoguo told Lu Chen the job number and password of his medical record system, and gave instructions at the same time.


    "You try to write down the rescue record first, and I''ll revise it for you later."


    For interns who have just entered clinical practice.


    Writing medical records is the most basic thing, but it is also a big problem.


    The surgical system focuses on surgery and does not care much about medical records.


    But for the internal medicine system, the medical record shows the doctor''s clinical thinking, the patient''s onset process, and the diagnosis and treatment process.


    Therefore, medical records occupy an extremely important part of the entire medical practice.


    Once there is a dispute in the medical practice, when the court goes to court, the medical document will be an important material to protect the doctor.


    "Okay, Senior Sister, I''ll try it."


    Lu Chen sat next to Sun Guoguo, turned on the computer, and logged into the Jiahe electronic medical record system.


    The writing of daily medical records should be concise, refined and professional, and can accurately describe the patient''s disease and treatment process.


    And the writing of rescue records is more difficult than the daily course of disease.


    Lu Chen recalled the onset process of the No. 10 hospital bed and started his first medical record writing in the Cardiology Department of Jinghua Second Hospital.


    ¡­


    about five minutes later.


    Sun Guoguo finished all the emergency medical orders, she glanced at Lu Chen from the corner of her eye.


    So far, she is extremely satisfied with her new apprentice and brother.


    He has solid clinical skills and basic knowledge, looks good, treats people politely and is kind.


    However, such an excellent junior and junior, why did you choose Li Yao as mentor?


    is not to say that Li Yao''s mentor is not good, but from the current public opinion, Li Yao is not the best choice.


    And not just Lu Chen.


    This year, Li Yao''s tutor''s students seem to be very good, such as that Junior Sister Jiang.


    is really weird!


    After thinking about it, she looked at Lu Chen''s computer and found that the rescue record was almost finished.


    "Sister, I''m done."


    Lu Chen finished the last period and checked it again.


    "Well written, but there are some flaws."


    After reading the medical records written by Lu Chen, Sun Guoguo felt a little more balanced, as his junior and junior brother also had some shortcomings.


    "The writing of the rescue record is extremely important for the time of onset." Sun Guoguo said in a very soft tone, "We need to use the time point as the boundary to write the patient''s onset time and specific symptoms. For example, this patient, the first sentence It should be that the patient suddenly had difficulty breathing at 7:12 this morning, and immediately saw the patient at the bedside. The patient was sitting upright, sweating profusely and short of breath, and then began to write about the physical examination and the treatment at a certain point in time... "


    Lu Chen nodded.


    During his internship, he seldom wrote rescue records himself, at most he wrote about the daily course of illness.


    For work with stricter requirements such as rescue records, it is generally handed over to doctors and graduate students.


    Writing medical records is indeed one of Lu Chen''s weaknesses.


    "Let''s talk about it here today, and I''ll talk to you later when I have time. There will be a long time in the future."


    Sun Guoguo revised the medical record written by Lu Chen, and then clicked the signature button, and the entire medical record was completed.


    "Thank you, Sister."


    Although Sun Guoguo didn''t talk much, he focused on the key points, helping Lu Chen to sort out the idea of ??writing medical records from the beginning.


    "Ouch, Guoguo, when did you lecture so patiently to the intern?"


    Suddenly, a mocking female voice came from behind.


    Lu Chen looked back and saw a female nurse leaning against the door of the doctor''s office with her right hand on her waist.


    She is about twenty-seven or eighteen years old, with Liu Ye eyebrows, Danfeng eyes, and a pair of beautiful eyes with waves.


    Although he was dressed in white, he still couldn''t hide the graceful curves of his figure.


    "Liu Mei, he is not an intern."


    Sun Guoguo turned her head and smiled.


    "He is a graduate student of Mr. Li Yao this year, my brother-in-law, who just entered the department today."


    "Oh, it turned out to be Director Li''s graduate student. No wonder you are so concerned."


    Liu Mei raised her eyebrows and walked into the office with a smile.


    Sun Guoguo pretended to be serious and said, "Liu Mei, you can bully others, but don''t bully my junior brother from now on."


    "Oh, Guoguo, what are you talking about, how could I have the heart to bully such a handsome guy. What''s the name of the handsome guy?"


    Liu Mei walked to Lu Chen''s side with a smile.


    A faint fragrance hit the nostrils.


    "Hello Sister Liu, my name is Lu Chen."


    In all departments, except for interns and nurses who have just entered the department, the lowest status is the graduate students, graduate students and the like.


    In the top three hospitals, some senior nurses can even slap the nose and face of some attending physicians or deputy chief physicians.


    Not to mention some small residents, nurses can call them around.


    In short, a little doctor in the department is the lowest level of existence.


    "Okay, Dr. Lu, welcome to the eight areas of the heart." Liu Mei smiled.


    (end of this chapter)

 Chapter 37： superstitious hospital

    Chapter 37 Superstitious Hospital


    Time passed slowly, and more and more doctors and nurses came to the department.


    Although Lu Chen was an unfamiliar face, everyone didn''t care.


    Because there are so many people in the department!


    In addition to the doctors in the undergraduate room, there are also graduate students, graduate students, interns, and doctors in lower-level hospitals.


    There are so many people that no one can recognize all of them.


    The originally quiet doctor''s office has gradually become noisy.


    "Junior brother, there are two graduate students in our group. Like you, they are both graduate students of Teacher Li Yao this year."


    "Besides, there is also a trainee doctor from a lower-level hospital, a doctor on a regular training rotation, and two trainee doctors from our school."


    "The superior of our group is Mr. Li Yao, I am the attending physician in the group, and you are the rest."


    Including Li Yao''s mentor, there are nine doctors in the whole group.


    The general medical team follows a three-level physician system.


    The highest-level director/deputy director, the middle-level deputy chief physician/attending physician, and the lowest-level resident physician.


    Doctors at each level have different duties and tasks.


    The chief/deputy chief physician is mainly to coordinate the overall situation, formulate treatment plans for patients, or solve difficult clinical problems.


    The attending physician is the middle force of the department. Most of the medical behaviors are completed by the attending physician under the guidance of the resident physician.


    Resident physician, the lowest-level doctor. From asking the medical history, writing the medical record, pasting the test sheet, and accompanying the patient to check, it is all done by the resident physician.


    However, today''s hospitals are more and more extreme.


    Especially in large tertiary hospitals.


    The senior chief physician of a group usually sits in the outpatient clinic, and occasionally comes to the department for ward rounds. Almost all the patients are managed by the attending physician.


    As for the resident physicians, there are few resident physicians in large hospitals.


    Because doctors who can stay in large hospitals should have at least a master¡¯s degree, they can be promoted to attending physician soon after graduating with a master¡¯s degree.


    There is a strange phenomenon in all the large tertiary hospitals now¡ªthere are no resident physicians in all medical groups, but there are a lot of attending physicians!


    But those dirty and tiring jobs have to be done by someone!


    Therefore, regular trainees, graduate students, and advanced students have completely replaced the role of resident physicians.


    A department of any large tertiary hospital, if it only relies on the doctors of the undergraduate department to work, it will definitely be difficult to operate.


    You said you want the hospital to recruit people?


    how could it be possible!


    Hiring a doctor, the hospital pays an extra salary.


    With a few more doctors in each department, the entire hospital will pay hundreds of thousands more every year.


    And graduate students, graduate students, cheap and easy to use!


    The key is to use it endlessly, and fresh blood comes in every year.


    Seeing this, you have to admire the "wisdom" of the leadership of the National Health Commission.


    At a very small price, the problem of shortage of people in the hospital was directly solved.


    "Junior Brother, there are seventy-five hospital beds in eight districts in our hearts."


    Sun Guoguo continued.


    "Mr. Li Yao is the director of the ward, so we are the director group. There are three other groups, and our group manages more patients, with a total of twenty hospital beds."


    "Well, because of your presence, junior brother, the beds in our group will be reassigned. You three graduate students, advanced students, and regular training students jointly manage 20 beds."


    Interns don¡¯t need to be in charge of beds, they just do chores.


    ¡­


    7:40 in the morning.


    Others in the same group began to arrive one after another.


    After not seeing her for a few months, Jiang Qingyan still looked cold.


    But when she saw Lu Chen, she was still stunned, nodded slightly, and said hello.


    Another female graduate student named Ke Yue is a shy and shy girl. When she saw Lu Chen, she just smiled and didn''t communicate much.


    Her undergraduate degree was from a not-so-famous medical school. This time, she was admitted to Jinghua Medical University, which was considered a successful landing.


    The doctor who is studying is a cardiologist at the county hospital below, and she is a female attending doctor in her thirties. Because the promotion of the chief executive to the deputy director requires further study experience, most of the chief executives will go out to study for half a year to a year before being promoted.


    Gu Pearson is a boy and one of the few boys in the group. Because I didn''t go to graduate school, I went directly to the training program.


    The other two interns are both girls and have a weak sense of presence. They usually help with electrocardiograms or blood pressure measurements.


    ¡­


    The time arrives at 8:00 sharp, and the early shift of the department begins.


    Most of the doctors and nurses in the entire department came to the doctor''s office.


    Except for the director and the attending physician who can sit, everyone else is standing or leaning.


    The tradition of ?? handover is generally that nurses start the shift. The content of the nurse''s shift is the patients who were admitted, discharged, transferred to departments, and died during the day shift the day before, and then there are special patients, such as critically ill patients.


    When the nurse is finished, the doctor on duty will be handed over.


    The doctor on duty last night was Sun Guoguo.


    She put her hands behind her back, looked serious, coughed softly, and started to shift.


    The content of the shift of the doctor is not as complicated as that of the nurse, and it is mainly to explain the patients who have changed.


    "Last night at 8 o''clock, bed 23 complained of palpitation and chest tightness. An electrocardiogram was done to show atrial fibrillation. Considering the first diagnosis of atrial fibrillation, Dalone and potassium supplementation were used. After about two hours, the patient complained of palpitation and improved, and the electrocardiogram was reviewed. , restored sinus rhythm."


    "At 11 o''clock at night, 49 beds had tarry black stools, a total of three times, about 400ml. Considering the gastrointestinal bleeding, it may be related to the dual-antibody therapy. Please consult an emergency gastroenterology department for hemostasis..."


    "Around 7:10 in the morning, 10 beds experienced sudden dyspnea. Considering the attack of acute heart failure, diuretic tube dilation therapy was given, and the patient''s symptoms were relieved..."


    "Other patients are in stable condition and their shifts have been completed."


    After the shift is over, the doctors and nurses all return to their posts.


    Usually, Li Yao leads everyone around the room, but today, the director of the department, Mr. Li Yao, went out of the outpatient clinic, and she did not come to the department.


    After the early shift was over, Sun Guoguo started rounds with eight people in the same group.


    "Before the ward rounds, the beds should be reassigned, so that when the ward rounds come later, everyone will pay more attention to the patients who are in charge of their own beds!"


    Sun Guoguo said to the people in the same group.


    "Except for the interns, everyone has 4 beds."


    "Jiang Qingyan, you are in charge of beds 1, 2, 3, and 5."


    Although the hospital is a place advocating science, it is also inevitably superstitious.


    No 4 beds, 14 beds, 24 beds, 34 beds¡­


    There are no beds with 4 in the single digit, but a 4 in the tens digit is allowed.


    "Ke Yue, you are in charge of beds 6, 7, 8, and 9."


    "Lu Chen, you can take care of beds 10, 11, 12, and 13."


    ¡°¡­¡±


    Apart from Jiang Qingyan, several other people in the same group are very strange.


    This guy named Lu Chen started to manage the bed as soon as he arrived in the department?


    He just entered the department, this should be his first department.


    Not to mention seeing patients, it is estimated that even the doctor''s order and medical record system will not be used!


    (end of this chapter)

 Chapter 38： Rare medical knowledge

    Chapter 38 Rare Medical Knowledge


    The ward round begins.


    Sun Guoguo walked in the front, and the others stood behind her, each holding the medical record folders of the patients in their beds.


    For rounds, the doctor must stand behind the hospital bed.


    This is a default rule, and it is also for doctors to better examine and examine patients.


    In addition, both doctors and patients should maintain an appropriate distance, usually about one meter, so that patients cannot feel alienated.


    "Bed No. 1, this is a patient diagnosed with coronary heart disease and unstable angina pectoris. He was just admitted to the hospital yesterday, and he is going to do coronary angiography in two days to assess the condition of the blood vessels."


    Coming to bed number 1, Jiang Qingyan began to report the patient''s medical history.


    From the main complaint, the history of the present illness, the past history to the abnormal auxiliary examination, Jiang Qingyan reported the situation without omission.


    After the ?? report was over, Sun Guoguo started the mode of inquiry and teaching.


    "Coronary heart disease is one of the most common diseases in our hearts, so let me ask you a question, a basic knowledge, how is coronary heart disease classified?"


    The two interns hid in the back, their heads bowed, for fear that their names would be called.


    "Junior Sister Jiang, you are in charge of this patient, so you can answer."


    Sun Guoguo pouted towards Jiang Qingyan.


    "Yes." Jiang Qingyan nodded, "Coronary heart disease is mainly divided into two categories, stable coronary artery disease and acute coronary syndrome."


    "Stable coronary artery disease, including ischemic cardiomyopathy, stable angina, occult heart disease."


    "Acute coronary syndrome, including acute myocardial infarction and unstable angina."


    Jiang Qingyan''s coherence is very clear, Sun Guoguo nodded slightly after listening, "Well, that''s very good."


    "Why do you want to clarify the classification of diseases? It is because different types of diseases have different treatment methods and prognosis. Don''t think that there is only one treatment for coronary heart disease. It is very important to first understand the disease classification of patients. Treating a disease in the same way is something only a barefoot doctor can do."


    Sun Guoguo''s ward round mode is mainly based on questions.


    Different types of patients, she will ask different questions.


    ward rounds, which is also one of the important ways for young doctors to gain knowledge and clinical experience in clinical work.


    "Since everyone knows the classification of coronary heart disease, let''s talk about the classification of acute myocardial infarction."


    Sun Guoguo continued to ask questions.


    The two interns were startled, and the heads they had just raised were slowly lowered again.


    "Junior Sister Ke, please answer."


    Ke Yue held several medical record folders, her eyes dodged a little, and she whispered: "Acute myocardial infarction is divided into acute ST-segment elevation myocardial infarction and acute non-ST-segment elevation myocardial infarction."


    "are these all?"


    Sun Guoguo looked at Ke Yue suspiciously.


    Ke Yue lowered her head and bit her lower lip, "I, I know so much."


    Sun Guoguo looked serious and turned his eyes to the others.


    "Xiao Dong, what''s your opinion?"


    Dong Hao is the male doctor in the group.


    This year is his second year of training, and he has also rotated other departments such as kidney, spiritual, and breathing before.


    Dong Hao touched his nose embarrassedly, "Senior sister, I''m the same as Ke Yue''s, so I only know two categories."


    After listening to Dong Hao''s answer, Sun Guoguo continued to look for the next "hunting" target.


    The hearts of the two interns became even more panicked.


    "Doctor Qu, do you have any other comments?"


    Sun Guoguo''s eyes went directly past Lu Chen and the intern, and looked at Qu Yao, the only training doctor in the group.


    "There should be other types, such as myocardial infarction caused by coronary spasm. In fact, there is no problem with coronary blood vessels, but some stressful situations have caused spasm of blood vessels." Qu Yao thought for a while, she was As the attending doctor, he has been involved in clinical practice for many years, and his clinical experience is much richer than those of these graduate students and regular training students.


    "Well, Dr. Qu''s clinical experience is still much richer." Sun Guoguo smiled, "Myocardial infarction, as the name suggests, is myocardial cell necrosis. The type Ke Shimei mentioned is the most common coronary artery in the heart. Myocardial infarction caused by thrombotic events is a narrow sense of myocardial infarction. However, in our Cardiology Department, there is also a broad sense of myocardial infarction, including all causes of myocardial cell damage, which can be called myocardial infarction.¡±


    Ke Yue, Dong Hao and the others all had a sudden realization when they heard Sun Guoguo''s explanation.


    This new concept of myocardial infarction is rarely mentioned.


    "So, is there any other disease besides coronary spasm?"


    Qu Yao pondered and said, "Of course there are, such as myocardial cell damage caused by supraventricular tachycardia and third-degree atrioventricular block."


    "Um."


    Sun Guoguo nodded slightly, as expected, doctors with clinical experience should know more about these issues.


    Education is important, but for medicine, experience is equally important.


    After all, people don¡¯t get sick with standard textbook symptoms.


    "Are there any other types then?"


    Qu Yao frowned, "Other types... It seems that there are no more..."


    Sun Guoguo smiled, "Also, but it''s not common, so it''s normal for people not to know."


    At this moment.


    Lu Chen looked like he was hesitant to say anything.


    Sun Guoguo saw it, did Junior Brother Lu Chen know?


    "Junior Brother Lu, you know?"


    Lu Chen nodded with a smile, and said, "There are five broad categories of acute myocardial infarction in the world."


    "What? Five?"


    Everyone present, except Sun Guoguo, all looked surprised.


    In internal medicine textbooks, it is never said that acute myocardial infarction can be divided into five categories.


    Qu Yao frowned and looked at Lu Chen, where did this little boy come from?


    She has been working clinically for nearly eight or seven years, and she is still a cardiologist, but she has never heard that myocardial infarction can be divided into five categories.


    Sun Guoguo''s face showed a gratified smile, "Junior brother, you continue to say."


    Lu Chen coughed lightly and said, "The first category, which is what Ke Yue said, is the myocardial infarction caused by coronary thrombosis, which is the most common vascular plaque rupture in the department of cardiology, forming a thrombus. Vascular blockage, myocardial ischemia and hypoxia and necrosis.¡±


    "The second category is myocardial infarction caused by unbalanced coronary vascular oxygen supply, such as coronary spasm, fast or slow arrhythmia that Dr. Sun said. out of balance."


    After Lu Chen said the first two categories, everyone''s hearts froze.


    What Dr. Qu Yao said was just a list of diseases, but did not explain clearly the pathophysiology of the diseases.


    And what about Lu Chen?


    He explained the causes of both types of myocardial infarction, analyzing the nature of the disease.


    Qu Yao pondered on the side, she felt the difference in Lu Chen, this child''s basic skills were extremely solid.


    The basic skills of a doctor do not only refer to internal medicine, but also pathology, physiology, anatomy and so on.


    Everyone pricked up their ears and listened carefully to Lu Chen''s next explanation.


    "The third category is similar to the fourth category, which is called PCI-related myocardial infarction and coronary bypass-related myocardial infarction. The fifth category is sudden death, many of which are unexplained, and some guidelines list it as myocardial infarction. special type."


    In fact, the latter three types of myocardial infarction are rarely mentioned. They are only medical classifications, and they are not mentioned in internal medicine books. They are only mentioned in major international guidelines.


    Looking at the surprised eyes of everyone, Lu Chen felt a little embarrassed: "If you visit medical forums often, you will know more about this kind of uncommon knowledge."


    I knew earlier that that strange headache had tormented Lu Chen for decades.


    In order to collect some cases of similar "headache", he would visit medical forums, such as Lilac Garden, Xinglintan, and even some strange live broadcast rooms for surgery.


    These uncommon knowledge were mostly passively accepted by Lu Chen.


    (end of this chapter)

 Chapter 39： Stuck in phlegm!

    Chapter 39 Stuck in phlegm!


    It is humility for all rights to be Lu Chen.


    But after this little episode, everyone had a good first impression of Lu Chen.


    Department is actually a small society. There may be many dirty things among the leaders, but the doctors at the lower level are often very harmonious, and everyone appreciates people with strong abilities.


    At this moment, Liu Mei suddenly walked into the ward quickly, her face full of anxiety.


    "Doctor Sun, the patient in bed 10 is sick again, go and see him!"


    10 beds again!


    Lu Chen frowned.


    This patient has suffered from heart failure once this morning, is he suffering from heart failure again now?


    Sun Guoguo immediately stopped the ward round when he heard the words, and led the crowd to the 10th hospital bed.


    Sure enough, it was the same as the situation in the morning.


    The patient was sitting on the bed, gasping for breath, his face was pale, and his eyes had no expression.


    As soon as he approached the hospital bed, Lu Chen could hear the sound of phlegm coming from the patient''s throat.


    The sound of phlegm is very obvious, and it can be imagined that the bronchi of the patient are all thick and sticky phlegm.


    This is mainly due to pulmonary edema caused by heart failure, causing lung infection.


    Lu Chen glanced at the ECG monitor beside the bed.


    The blood pressure saturation is only 85%, the breathing reaches 42 beats/min, the heart rate is 125 beats/min, the blood pressure is not very high, only 140/76mmHg.


    But at this time, a drop in blood pressure is not a good thing!


    If the blood pressure drops too much, even if it is not less than 90/60mmHg, it also indicates the failure of the patient''s heart pump function, which is often referred to as cardiogenic shock.


    If a patient with heart failure can''t maintain blood pressure, then the patient will be hard to save!


    "Heart failure has committed again! Liu Mei, immediately push two furosemide and **** phlegm to the patient at the same time!"


    Sun Guoguo immediately ordered.


    "receive."


    Liu Mei has a serious expression, has prepared the furosemide injection, and pushes it directly into the patient''s indwelling needle.


    At the same time, another nurse quickly brought a sputum suction device, ready to **** sputum from the patient.


    When a person is awake, it is very uncomfortable to **** phlegm.


    However, the patient''s current volume of sputum is too much to be coughed out, and it is completely blocked in the trachea, which will not only reduce the oxygen saturation, but also risk suffocation at any time.


    "Junior Sister Jiang, please contact the CCU (Cardiac Intensive Care Unit) on the fourth floor, we may have patients to be transferred!"


    Sun Guoguo said to Jiang Qingyan beside him.


    Jiang Qingyan nodded and ran out of the ward immediately.


    The patient''s family, the old woman, was holding Sun Guoguo''s hand at this time.


    "Dr. Sun, we don''t go to CCU, we are poor families, we don''t have much money, and my son can''t earn a lot of money by working outside, so he can''t go to CCU!"


    The old woman grabbed Sun Guoguo tightly, like she was holding on to the last straw.


    "I used to treat you well with Dr. Sun every time. We will treat it here. If we don''t transfer it out, we must not transfer it to CCU. It is 10,000 yuan a day there, and we can''t afford it!"


    Sun Guoguo sighed and said helplessly: "Mother-in-law, this time the situation is different. Dad''s oxygen saturation is only 85%."


    "If you don''t use a ventilator, there is a risk of suffocation at any time, or even sudden death, but our ordinary ward does not have a ventilator, so we have to go to the CCU!"


    The old woman shook her head desperately, an old face full of wrinkles, full of sadness and despair.


    "Doctor Sun, even if this old lady begs you, we really have no money!"


    Sun Guoguo pursed her lips and sighed slightly in her heart.


    "Doctor Qu, you go to contact the patient''s son, who is critically ill on the phone! And it is recommended that he be transferred to CCU for treatment."


    "it is good!"


    Dr. Qu, as a senior doctor in charge, is better at communicating with patients. It is right to leave things like reporting critical illnesses and communicating their illnesses to her.


    At this time, the nurse has finished sucking phlegm.


    "Dr. Sun, the patient''s phlegm is deep in the bronchus, and I can only **** out a little of the phlegm from the throat."


    "Suck it again, if it doesn''t work, forget it!" Sun Guoguo continued.


    The sputum of the elderly is very viscous, and after several diuretics have been pushed, the sputum is even more viscous.


    Looking at the ECG monitor beside the bed, the blood oxygen saturation has been hovering around 85%.


    The blood oxygen saturation of normal people should be above 96%, and if it is lower than this index, it is necessary to consider whether there is organic disease.


    It can¡¯t go on like this!


    Sun Guoguo was a little anxious. If the ventilator is not used immediately, the patient''s condition is likely to get worse and worse.


    When the patient has too much sputum, the effect of the non-invasive ventilator is not good, and it may be necessary to go directly to the invasive ventilator.


    "Liu Mei, push another half cydilan and one more gasp!"


    "receive."


    Cedilan is a cardiac acupuncture and can be used as appropriate when diuretics and vasodilators are ineffective in treating heart failure.


    The use of cedilan starts with half a stick each time.


    "Dr. Sun, the sputum cannot be sucked out, and the patient feels very uncomfortable when he is awake." Another nurse said.


    "Then don''t **** for now." Sun Guoguo said, "Put the sputum suction device beside the bed, don''t take it away, keep it ready for use."


    "it is good."


    The nurse nodded, and at the same time cleaned up the used suction tube and replaced it with a clean suction tube for use.


    At this time, the training doctor Qu Yao returned to the ward and whispered beside Sun Guoguo: "Dr. Sun, I have communicated with the family by phone. His son understands the condition, but refuses to be transferred to the CCU."


    Sun Guoguo frowned.


    This is true, there is no dutiful son in front of the bed for a long time!


    "I''ll call CCU, Junior Sister Ke, you can borrow a simple non-invasive ventilator from them." Sun Guoguo turned around and said to Ke Yue.


    "Okay, Senior Sister."


    There is no ventilator in the general ward of the Department of Cardiology, only in the intensive care unit.


    Ke Yue received Sun Guoguo''s instructions and immediately went to the CCU on the 4th floor to borrow a non-invasive ventilator.


    "Dong Hao, go and print the informed consent and critical illness notice for refusing to be transferred to CCU."


    "receive."


    Even if it is an old patient, even if the two old people are very good, there is still some communication.


    Any medical behavior or examination that is refused by patients and their family members needs to be repeatedly informed of their risks and signed an informed consent form!


    This is the most important way for doctors to protect themselves!


    Because Lu Chen had just entered the department and was not very familiar with the affairs of the department, Sun Guoguo did not send him any work.


    ¡­


    After about five minutes of medication.


    The patient''s symptoms of dyspnea did not improve in any way.


    At this moment, Lu Chen suddenly noticed that on the ECG monitor, the patient''s blood oxygen saturation suddenly dropped from 85% to 80%, and after a second it jumped to 76%!


    Lu Chen immediately felt that something was wrong!


    When ?? looked at the patient on the bed, he found that the old man rolled his eyes upwards, his throat seemed to be blocked by something, and his breathing suddenly became extremely difficult.


    "Oops, it''s stuck with phlegm!"


    Lu Chen was shocked.


    Sun Guoguo, who was on the side, also noticed something wrong with the patient at the first time, and she immediately shouted loudly.


    "Liu Mei, **** phlegm!"


    At the same time, Lu Chen immediately ran to the bedside and assisted Liu Mei to open the patient''s mouth.


    (end of this chapter)

 Chapter 40： Blood clots mixed in phlegm!

    Chapter 40 Blood clots mixed in phlegm!


    opened his mouth, and a strange stench spread out.


    snoring¡­


    snoring¡­


    snoring¡­


    With the old man''s breathing, sticky phlegm kept churning in his throat.


    But the phlegm could not be excreted, it was all stuck in the throat, I wanted to swallow but couldn¡¯t.


    Liu Mei held the sputum suction device in one hand, pressed the old man''s cheek tightly with the other hand, and quickly inserted the sputum suction tube into his throat.


    In the throat, the vision is blurred, the light is dim, and it is difficult to identify.


    Lu Chen immediately turned on the flashlight of his mobile phone and let the light shine into his throat.


    "This is¡­"


    By the light of the mobile phone, in the field of vision, a dark black blood clot was stuck in the throat of the old man.


    This blood clot is not big, but it is mixed with the surrounding mucus!


    Lu Chen immediately thought that the sudden drop in the patient''s blood oxygen saturation might have something to do with the blood clot.


    "Senior sister, there is a blood clot in your throat!" Lu Chen said loudly.


    Sun Guoguo frowned slightly: "Liu Mei, quickly **** up the blood clot! It seems that not only is the phlegm stuck, but the blood clot is also blocking the airway!"


    Liu Mei''s eyes narrowed, she concentrated her energy, and looked into her throat.


    "No blood clot, where is it?"


    The vision is narrow in the throat, and the blood clot is mixed with sticky phlegm, making it difficult to identify.


    "The right side of the throat is relatively deep. You need to put a sputum suction tube inside." Lu Chen said in a deep voice.


    "it is good."


    Liu Mei pushed the suction tube forward a little.


    †ê¡­†ê¡­


    The suction device continues to work.


    But the only thing I sucked out was phlegm!


    "I still haven''t seen it." Liu Mei frowned, "Doctor Lu, where is it?"


    "Sister Liu, your position is not very good-looking, do you want me to try it?" At this time, Lu Chen was standing on the left side of the patient, and Liu Mei was on the right.


    "You?" Liu Mei was stunned for a moment, but considering the current situation, she couldn''t bear to think too much. She handed the suction tube to Lu Chen on the opposite side.


    After getting the suction tube, Lu Chen held his breath and concentrated.


    The suction tube is slowly pushed into the throat.


    The depth of ??''s insertion is a little deeper than the depth of Liu Mei''s suction just now.


    Lu Chen''s movements were very careful so as not to injure the old man''s tracheal mucosa.


    "What''s the matter, the blood clot is gone again?"


    The throat is full of sticky phlegm.


    Was the blood clot swallowed by the patient?


    Lu Chen glanced at the ECG monitor from the corner of his eye, and the blood oxygen saturation was still 75%!


    No, not swallowed!


    If the blood clot is swallowed, at least the blockage of the airway is relieved, then the blood oxygen saturation will definitely rise.


    But now there is no change in blood oxygen saturation, the blood clot should still be in the throat!


    "Did you find it?" Sun Guoguo on the side was full of anxiety, her hands tightly clasped together.


    Lu Chen shook his head, then looked at Liu Mei, and said, "Sister Liu, help me illuminate with a torch."


    "it is good."


    Liu Mei took Lu Chen''s phone, turned on the flashlight, and aimed it at the throat.


    Other people in the ward were also very nervous.


    Everyone saw that Lu Chen and Liu Mei were sucking phlegm, but they couldn''t help much, so they could only pray silently in their hearts.


    "There it is! Here it is!"


    Under the guidance of the light, Lu Chen successfully found the blood clot mixed in the sticky phlegm.


    The sticky phlegm is mixed with blood, so blood clots are extremely difficult to find!


    "Sister Liu, make the suction device more attractive!"


    Adjust the direction of the suction device, aim at the position of the blood clot, and continue to **** repeatedly.


    I saw a dark black blood clot going up the suction tube!


    "Out!"


    Liu Mei''s eyes flashed with joy, and she saw this dark blood clot at a glance.


    "Good job." Liu Mei looked at Lu Chen, who was beside him, with joy in her beautiful eyes.


    Sun Guoguo also breathed a sigh of relief.


    As long as you find the source of the drop in blood oxygen saturation, the rest will be easy.


    Lu Chen held the suction tube and still did not let his guard down.


    The suction tube continued to work in the throat, attracting a lot of **** mucus.


    But why do blood clots occur?


    The situation was critical just now, so Lu Chen didn''t think much about it.


    Now I have come to my senses, the patient''s attack is not only because of heart failure, but there must be other reasons!


    When the blood clot is sucked out, the oxygen saturation rises at a rate visible to the naked eye.


    75%¡­


    79%¡­


    82%¡­


    86%¡­


    In just two minutes, the blood oxygen saturation gradually increased, and finally it was directly fixed at 91%¡­


    Although the blood oxygen saturation is still low, it is much better than before!


    The blood clot was sucked out, and part of the sticky phlegm was sucked out. Lu Chen removed the sputum suction tube.


    The phlegm remaining in the deep bronchus is not easy to suck, and can only be excreted by the patient''s own "cough".


    huh...huh...


    On the hospital bed, the old man''s breathing rate was not as fast as before.


    He breathed heavily, enjoying the fresh air of the rest of his life.


    Standing beside the bed, Lu Chen could still smell the obvious sound of phlegm, but the old man''s condition had improved.


    ¡­


    At this time, Ke Yue pushed a simple non-invasive ventilator and walked quickly into the ward.


    The role of the ventilator is to replace or assist the patient to breathe, and to help the patient with respiratory failure go through the dangerous period.


    The assisted breathing of the ventilator ensures the supply of oxygen and discharges the phenomenon of excessive carbon dioxide retention.


    But the ventilator, whether it is non-invasive or invasive, Lu Chen has never touched it, and he will not be able to debug it at all.


    But for Sun Guoguo, it is easy to master.


    She immediately connected the ventilator ventilation tube, replaced the humidification bottle, and adjusted the breathing mode and parameters.


    The mask is buckled at the patient''s mouth and nose, and the ventilator starts to work.


    "Liu Mei, every day to assist the patient in expelling phlegm, he must record the 24-hour urine output in detail." Sun Guoguo said solemnly, "Use the non-invasive ventilator for a period of time, and then withdraw it when the patient is better."


    "Okay." Liu Mei nodded, and at the same time began to pack up the medicines on the rescue car, put the discarded needles and medicine bottles in the yellow sharps box, "Doctor Sun, remember to reissue the emergency doctor''s order."


    "Yes." After Sun Guoguo explained the precautions for nursing, he turned his gaze to Lu Chen who was beside him.


    To resolve this crisis, Lu Chen contributed greatly.


    This Junior Brother is really not afraid of danger!


    Ke Yue didn''t know what happened, so Dong Hao and the two interns on the side explained to her.


    After listening to others'' explanations, her gaze towards Lu Chen also changed.


    Both are freshmen this year, but everyone is completely different.


    And Lu Chen was checking his system panel at this time.


    "Congratulations, +1 for the thank you from Warwick!"


    "Congratulations, +1 for receiving thanks from Cao Chunmei!"


    This time, he received two thanks at the same time!


    It should be the patient and the patient''s family, that is, the old woman next to him.


    The total thank you points reached 8!


    System completion has also become 70%!


    Just two hours after arriving at the Cardiology Department, the system completion rate has increased by 20%, and the gratitude value has also increased by 3 points.


    According to the frequency of this kind of rescue in cardiology department.


    I am afraid that within a few days, the system completion will reach 100%!


    (end of this chapter)

 Chapter 41： ECG battle (Part 1)

    Chapter 41 ECG Battle (Part 1)


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


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


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


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


    Dong Hao took out two informed consent forms.


    One is a refusal to transfer to CCU informed consent.


    The other is a critical illness notice.


    "Mother-in-law, then you sign."


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


    crookedly signed his name on two informed consent forms.


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


    This sentence, she said to Lu Chen.


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


    ¡­


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


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


    Sun Guoguo led the crowd out of the ward.


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


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


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


    ¡­


    In the doctor''s office at this time.


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


    "Lu Chen, you are amazing."


    Ke Yue whispered.


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


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


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


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


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


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


    After about ten minutes.


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


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


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


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


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


    Lu Chen recognized her.


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


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


    Lin Cui suddenly pointed to Lu Chen and Ke Yue.


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


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


    Interpret ECG?


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


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


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


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


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


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


    Ke Yue gritted her teeth and followed slowly.


    ¡­


    in the ward.


    "Why haven''t they come back yet?"


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


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


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


    ¡­


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


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


    "Xiao He, please explain it to everyone."


    Lin Cui smiled and looked at a girl beside her.


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


    He Sirong smiled and nodded, looking confident.


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


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


    "Well, Xiao He made it very clear."


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


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


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


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


    ¡­


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


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


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


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


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


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


    Lin Cui also noticed the three of Lu Chen.


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


    Lu Chen nodded, "Yes."


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


    "OK."


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


    (end of this chapter)

 Chapter 42： ECG battle (middle)

    Chapter 42 ECG battle (middle)


    Five ECGs were circulated to each other.


    Lu Chen is very interested in ECG.


    During his internship, he taught himself electrocardiogram for a long time.


    However, it is easy to get started with ECG knowledge, but extremely difficult to master.


    ECG, a small piece of paper, records the changes in the electrocardiogram vector on the surface of the human body.


    The magic of ?? is that through this trivial image, people can gain insight into various heart-related diseases, including arrhythmia, coronary heart disease, myocarditis, pericarditis, etc.


    Even a small change corresponds to the occurrence of a certain disease.


    Small and careful electrogram, contains a big universe!


    Lu Chen has learned from the present, and thinks that he has only learned the surface.


    Everyone whispered, each discussing the diagnosis of the electrocardiogram.


    Lu Chen flipped through the five electrocardiograms.


    Two of them.


    is the most common arrhythmia ECG in cardiology department, which are frequent premature ventricular contractions and atrial fibrillation.


    There is also an electrocardiogram of acute inferior wall myocardial infarction.


    As for the other two, Lu Chen didn''t see the diagnosis right away.


    The circulation time was over, and the five electrocardiograms returned to Lin Cui.


    She arranged the five electrocardiograms one after another and placed them on the table.


    "Okay, then I''ll start testing everyone."


    Lin Cui looked around the crowd and picked out the first electrocardiogram.


    "Student, please answer first, what is the diagnosis of this electrocardiogram? The reason should also be given."


    The guy named by Lin Cui was a quiet and quiet boy. He was a regular training student in Lin Cui¡¯s group. This year is his second year of regular training.


    "The QRS wave in this electrocardiogram is wide and deformed, which should be premature ventricular contractions. Because there are four premature beat waves with the same shape, it should belong to frequent single-source premature ventricular contractions."


    Lin Cui nodded with a smile and said, "Well, it seems that you usually study hard. This picture is indeed of frequent premature ventricular contractions. Then I will ask the next question, which is also about this electrocardiogram."


    "Since you know that premature ventricular contractions occur frequently, let''s talk about the origin of premature ventricular contractions in this picture."


    As soon as he finished speaking, there were whispers around him.


    Origin of ventricular premature beats?


    This relates to the anatomical location of the heart.


    But all the students here are just entering the clinic, and few people pay attention to the anatomical position of the heart.


    This question is beyond the outline!


    Men Gai Pearson scratched his head, showing an embarrassed look.


    "Director Lin, I, I won''t."


    Lin Cui smiled, then turned to look at another intern.


    "how about you?"


    The intern was startled and waved his hand quickly, "Director, neither do I."


    Everyone talked a lot, but no one answered the point.


    "Mr. Lin, this should be a premature beat originating from the apex of the heart."


    Suddenly, He Sirong on the side spoke slowly.


    Lin Cui smiled, put the electrocardiogram in front of He Sirong, and said, "Why?"


    "I have recited a similar formula. The main wave of the QRS complex in leads II, III and aVF is downward, and the main wave in leads aVL and aVR is upward, which is a premature beat originating from the apex." He Sirong smiled.


    "Well, not bad." Lin Cui nodded with satisfaction, "The deeper reason is because of the electrocardiogram vector, but you can answer this, it''s pretty good."


    He Sirong is Lin Cui''s graduate student.


    She was able to answer this question, which made Lin Cui''s face glow.


    "Okay, let''s look at the next one."


    This electrocardiogram was just taken out, and everyone had a "I know" smile on their faces.


    This is an electrocardiogram of acute inferior wall myocardial infarction, typical of ST-segment elevation in leads II, III, and aVF.


    Lin Cui picked a graduate student who was rotating in the Department of Cardiology.


    "Excuse me, which root is the culprit vessel in this electrocardiogram of acute inferior wall myocardial infarction?"


    What? Criminal blood vessels?


    When ??Lin Cui''s question came out, everyone was stunned.


    She directly gave the diagnosis of acute inferior myocardial infarction, but instead asked the location of the culprit vessel.


    Good guy, he doesn''t play cards according to the formula at all.


    Director Lin Cui is really "insidious" and "cunning"!


    "This..." The boy scratched his ears, "Right crown or circumflex?"


    Lin Cui smiled lightly, "You little guy, you have stated both possibilities, I just let you judge which of the above?"


    "Director Lin, I won''t..." The boy pouted, he is not a graduate student of Cardiology, so what do you know?


    "Who knows?"


    Lin Cui looked at everyone.


    Seeing that no one answered, she glanced at He Sirong.


    He Sirong understood, cleared his throat, and said, "Mr. Lin, ST segment elevation STIII>STII in this picture, it should be right coronary occlusion."


    Everyone looked at Lin Cui''s expression and found that she was smiling.


    It seems that He Sirong is right again!


    Lu Chen looked at He Sirong, he didn''t expect this girl to be quite powerful, her electrocardiogram level should have surpassed most of the people present.


    It is not easy to have this level in the first year of research.


    "Okay, then let''s look at the third ECG."


    Lin Cui took out the third electrocardiogram.


    This time, everyone did not dare to comment easily.


    In case, Lin Cui asked another "exotic" question...


    Lu Chen looked at this electrocardiogram.


    is very simple, it is an electrocardiogram of common atrial fibrillation.


    In cardiology, the electrocardiogram of atrial fibrillation and premature beats should be the most common and easily recognizable.


    "You answer."


    Lin Cui raised her hand and pointed at Ke Yue next to Lu Chen.


    Ke Yue was startled and walked forward slowly.


    "What is the diagnosis of this ECG?"


    This time, it was a normal question.


    But Ke Yue lowered her head and looked at the electrocardiogram at a loss.


    I didn''t utter a word for a long time.


    for a long time.


    The smile on Lin Cui''s face has disappeared, replaced by a serious look.


    "Can''t you see what kind of electrocardiogram is this?"


    Ke Yue''s face was flushed red to the base of her ears.


    still didn''t say a word.


    Lu Chen frowned. He was standing beside Ke Yue. Although he wanted to help, he couldn''t give such an open and honest reminder.


    "I remember, you seem to be Director Li''s student, right?"


    Ke Yue nodded silently.


    "But can''t you even see such a simple electrocardiogram?"


    "Look carefully again! See if there are any p waves!"


    Lin Cui''s volume increased a bit, and the office suddenly became silent.


    "Can''t you see it yet? Then tell me, what is this electrocardiogram!"


    Lin Cui just finished speaking, and everyone present glanced at each other, and then said the word "atrial fibrillation" in unison.


    ¡­


    In the ward, Sun Guoguo has already checked the room.


    Lu Chen and Ke Yue haven''t come back, and Dong Hao, who was sent out, hasn''t come back either!


    Sun Guoguo led the crowd back to the doctor''s office. Seeing everyone gathered around, Director Lin was giving a lecture, he suddenly realized.


    "Doctor Sun, you came back just in time."


    Sun Guoguo, who had just walked into the doctor''s office, was stopped by Lin Cui.


    "You have to teach this kid well!"


    Sun Guoguo looked in the direction Lin Cui pointed, it was Ke Yue with his head down.


    "This child can''t even recognize the electrocardiogram of atrial fibrillation!"


    (end of this chapter)

 Chapter 43： ECG battle (below)

    Chapter 43 ECG battle (Part 2)


    Sun Guoguo frowned, then nodded slightly, but did not speak.


    Through Lin Cui''s words, she could probably guess what happened just now.


    Ke Yue has been admitted to the department for two months. This little girl''s clinical knowledge and skills are relatively poor, she is very clear.


    However, although Lin Cui is the deputy director of the department, there is no need to be so aggressive and let a thin-skinned girl be so incapable of being on the stage.


    What''s more, Ke Yue is still Director Li Yao''s student!


    Even if you don¡¯t look at the monk¡¯s face, you should look at the Buddha¡¯s face.


    Lin Cui did this, this is completely disrespecting Teacher Li Yao!


    Sun Guoguo didn''t agree with Lin Cui''s approach in her heart, but after all, the other party was a superior doctor or the deputy director of the department, so she couldn''t say much.


    ¡­


    As the deputy director of the department, Lin Cui, she didn''t think so much. She is the leader of the department, and it is very common to teach a student.


    "Atrial fibrillation is one of the most common electrocardiograms in our cardiology department." Lin Cui continued, "Everyone must master the characteristics and treatment methods of atrial fibrillation electrocardiograms! If you can''t even recognize this most basic electrocardiogram, then you must Work hard, otherwise, if you reveal your identity as a graduate student of Cardiology, you won''t be laughing out loud!"


    During this period, Ke Yue kept pulling his head together, almost burying his head in the floor.


    It''s not that she didn''t work hard, but she fell too much!


    During her senior year internship, she spent most of her time reviewing postgraduate entrance exams and seldom learned clinical knowledge and skills.


    Especially the electrocardiogram, which completely needs to rely on a lot of image recognition to improve the ability!


    The ECGs on the books are the most standard abnormal ECGs.


    But clinically, there are no two identical ECGs at all.


    In addition to relying on talent, you need to accumulate more experience in understanding pictures by yourself.


    ¡­


    Lu Chen could understand Ke Yue''s mood at this time, patted her on the shoulder lightly, and whispered, "It''s okay, just learn it slowly, no one will know it at the beginning."


    "Yeah." Ke Yue replied softly, but still kept her head down, Lu Chen couldn''t see her expression clearly.


    ¡­


    At this time, Lin Cui started the interpretation of the fourth and fifth electrocardiograms.


    But the last two electrocardiograms are not as easy to identify as before.


    Lin Cui ordered several students in a row, but did not know the diagnosis of this electrocardiogram.


    Even He Sirong hesitated, thinking for a long time before slowly saying: "Mr. Lin, in this picture, the lower leads, V4-V6 leads with ST depression, V1-V3 leads ST segment elevation, it should be Coronary 6+2 phenomenon, consider left main occlusion."


    Lu Chen saw this picture for the first time, and the diagnosis he considered was similar to what He Sirong said, probably coronary heart disease and left main trunk occlusion.


    But this picture gives him the feeling that something is not right, it''s weird!


    But what was wrong, he couldn''t tell.


    Lin Cui heard the words, shook her head and chuckled, and said, "The fourth picture should be the most difficult one. When this patient first came to our department, many people made a mistake, including some senior attending physicians! I Only one hint can be given, this disease has nothing to do with primary heart disease!"


    Listening to what Lin Cui said, He Sirong knew that she made a mistake in her judgment!


    has nothing to do with primary heart disease¡­


    Lu Chen lowered his head and pondered, and suddenly a light flashed in his mind.


    If it has nothing to do with primary heart disease, there is only one possibility left!


    "Director Lin, I would like to ask, how is the patient''s renal function?"


    As the saying goes, the heart and the kidney are not separated.


    This kind of obvious "ischemia" ECG, if it is not a problem of the heart, it is mostly a problem of the kidneys!


    Lin Cui looked at Lu Chen in surprise.


    This boy is a little rude. He just came to the department today?


    "Well, this is indeed a patient with chronic renal insufficiency"


    Lu Chen heard the words, the corner of his mouth smiled slightly, and he already had his own answer in his heart.


    Seeing Lu Chen''s smile, Lin Cui raised her eyebrows.


    "You know the answer?"


    The electrocardiogram was discussed for a long time by all of them, and finally it was finally confirmed by combining the laboratory indicators!


    Is it possible that the first time this boy saw this electrocardiogram, he was diagnosed?


    "If I guessed correctly, it should be hyperkalemia combined with hypocalcemia." Lu Chen smiled.


    Everyone present was surprised and puzzled.


    From coronary heart disease to hyperkalemia and hypocalcemia, the span is too big!


    "This picture is indeed very difficult, but also very interesting."


    Lu Chen smiled and said.


    Sun Guoguo, who was giving the doctor''s order, also turned around curiously.


    The electrocardiogram of atrial fibrillation is very common in cardiology, but "high potassium, low calcium" is extremely rare.


    "The V1-V3 R wave in the chest lead is poorly incremented, the R wave is slender, which is basically lost, the T wave is symmetrical, the waist is very thick, and the high point is not obvious, which is very similar to the 6+2 phenomenon. I believe most people see this picture. It is said to be coronary heart disease, and it may be the left main or the proximal segment of the anterior descending artery or the three-vessel disease."


    He Sirong nodded slightly. The reason why she judged it to be coronary heart disease was also based on Lu Chen''s description above.


    Lu Chen paused and continued.


    "But this patient is a patient with chronic renal insufficiency. Careful observation of the electrocardiogram shows that it is quite consistent with the sharp wave, but it is not high, and in the case of sinus tachycardia, the ST segment is significantly prolonged. Based on these, it is considered that this patient is a Hyperkalemia combined with hypocalcemia."


    "This is not a typical coronary 6+2 phenomenon. It is considered that the patient''s severe renal anemia caused relative coronary ischemia. In fact, 6+2 is not a patent for coronary artery disease such as left main disease or three-vessel disease. !"


    After Lu Chen finished speaking, the students present looked at each other.


    These knowledge points are completely beyond what they have learned before.


    Only He Sirong, she is the only one among all the students who can understand what Lu Chen said.


    Chronic renal insufficiency¡­


    Hyperkalemia, hypocalcemia¡­


    This is something she never thought of, and her thinking is still stuck in the fields of coronary heart disease and arrhythmia.


    Even though Lin Cui had reminded that this picture had nothing to do with "primary heart disease", she still couldn''t get around the bend.


    But Lin Cui was silent.


    Every word Lu Chen said was correct.


    He not only diagnosed hyperkalemia, but even hypocalcemia!


    Just the interpretation of this electrocardiogram has completely covered up all the light of He Sirong!


    (end of this chapter)

 Chapter 44： uncomfortable woman

    Chapter 44 A woman who is uncomfortable


    "Classmate, are you this year''s doctoral student?"


    Lin Cui looked at Lu Chen suspiciously.


    Everyone''s eyes were fixed on Lu Chen.


    Lu Chen smiled and replied unhurriedly, "Director Lin, I am a master student of Teacher Li Yao, and I just entered the department today."


    Lin Cui frowned.


    In recent years, most of Li Yao''s students have been transferred from other schools, or they have been admitted to two medical schools, and the quality of the students is relatively poor.


    I didn''t expect that Li Yao would have such a great student this year, which is really surprising.


    "That was a good answer just now." Lin Cui said lightly.


    She doesn''t catch a cold about everything about Li Yao.


    No matter how good her students were, Lin Cui couldn''t have any good feelings in her heart.


    Although Lin Cui behaved indifferently, in the doctor''s office, whether it was a student or an undergraduate doctor, everyone was shocked, and many people became filthy.


    Is this the level of knowledge that a first-year master student should have?


    There are many second- and third-year graduate students, as well as students in the second and third years of regular training, and even undergraduates majoring in cardiology.


    They asked themselves that in terms of ECG interpretation, they were definitely not as good as Lu Chen.


    ¡­


    Five ECGs, the last one left uninterpreted.


    However, after knowing that Lu Chen was Li Yao''s student, Lin Cui''s interest in explaining the electrocardiogram to everyone became less and less.


    Lin Cui directly stated the diagnosis of the fifth ECG, and ended the ECG explanation hastily.


    ¡­


    The people watching and studying also slowly dispersed.


    "Lu Chen, the coronary 6+2 phenomenon you just mentioned...what do you mean?"


    Ke Yue blinked, showing a confused look.


    Lu Chen smiled and said, "What I''m talking about involves the knowledge of the electrocardiogram vector and cardiac anatomy. You must know that the electrocardiogram is not a single graphic change, but to understand its essence, so as to face the ever-changing electrocardiogram, Instead of just memorizing the ECG mechanically, it''s easy to forget."


    "Oh." Ke Yue didn''t realize it was clear, "Lu Chen, if you have a chance to teach me to read an electrocardiogram."


    "Okay, no problem." Lu Chen smiled, "We can discuss with each other when there is a chance in the future."


    "Thank you." Ke Yue squinted and smiled, sweeping away the haze just now.


    "Congratulations, +1 for the thank you from Ke Yue!"


    As soon as Ke Yue finished speaking, Lu Chen received another prompt from the system.


    ah? That''s fine too!


    Lu Chen was taken aback for a moment, doesn''t this system need to cure diseases and save people in order to receive thanks?


    At present, I just promised Ke Yue verbally to teach her to read an electrocardiogram, and I actually received a thank you point!


    Several months after obtaining the system, other people thanked Lu Chen for other things, but they did not get any thanks for it.


    How does the ?? system determine the gratitude value?


    Lu Chen is still confused, he can only wait until the system completion reaches 100% to see what changes will happen!


    ¡­


    After checking the room, Sun Guoguo began to instruct the task of the group today.


    "Today, 5 beds, 12 beds, 16 beds, and 20 beds were discharged from the hospital. The doctor in charge of the beds should sort out the medical records in time."


    "Mr. Li Yao is accepting patients in the outpatient clinic today, and everyone who is hospitalized takes turns accepting patients."


    "Lu Chen, when you first came to the department, follow Xiao Dong to learn how to accept new patients and how to make doctor''s orders."


    The daily tasks of resident physicians are to admit and treat patients, issue doctor''s orders, write medical records, and organize discharge medical records.


    This cycle repeats.


    As for how much knowledge you can learn, you can only see if the instructor will tell the relevant clinical knowledge while admitting patients.


    ¡­


    Ten o''clock in the morning.


    Lu Chen received a WeChat group invitation to join.


    is an invitation sent by Zhou Wei.


    "Jinghua Second Academy Study Guidance Group."


    Lu Chen didn''t think about it, he just clicked to accept the invitation.


    The ?? study guide group has a total of 497 people.


    After ?? Lu Chen joined, the entire group became four hundred and ninety-eight.


    "What kind of study group is this, why are there so many people?"


    "Isn''t it some nasty group chat?"


    After joining the group chat, Lu Chen saw messages like "seeking guidance" popping up in the group.


    "Cardiology department, ask for guidance!"


    "Nephrology, seek guidance!"


    "Respiratory Medicine, ask for guidance!"


    ¡­


    Strangely, the chat messages in the group are only medium, there is only such information asking for guidance, and there is no other reply.


    Although Lu Chen felt that this group was weird, he didn''t care.


    ¡­


    At eleven o''clock in the morning, Lu Chen treated his first patient.


    pushed the electrocardiogram and came to the twelve beds.


    The patient is a middle-aged woman in her forties.


    Dressed plainly, with a straw hat in his hand, and a morbid blush on his face.


    "Doctor, I''m not feeling well."


    The woman lay on the bed and pointed to the position of her heart.


    "Auntie, do you feel your heart is beating fast or slow? Is it chest pain or tightness?"


    "Neither, it''s just that I don''t feel well in my heart."


    Feeling uncomfortable is one of the most common "symptoms" in cardiology.


    But what is the discomfort, whether it is chest pain or chest tightness, patients often cannot describe it.


    In addition to being unwell, the woman did not have any other symptoms.


    After asking the medical history, start the physical examination.


    Blood pressure 110/80mmHg, normal.


    Lu Chen took out his Yuyue stethoscope, placed it on the apex of the patient''s heart, and started auscultation.


    Auscultation is in a certain order, starting from the mitral valve auscultation area, followed by the pulmonary valve auscultation area, the aortic valve auscultation area, the second aortic valve auscultation area, and the tricuspid valve auscultation area.


    The auscultation area of ??the mitral valve is the strongest point of the apex of the heart, also called the apex area, which is normally 0.5-1cm medial to the fifth intercostal space at the level of the midclavicular line.


    Auscultation examination completed.


    There was no obvious murmur in each valve, but Lu Chen noticed something abnormal.


    That is arrhythmia.


    However, auscultation alone cannot determine the nature of the arrhythmia.


    Lu Chen took an electrocardiogram.


    ECG showed: sinus bradycardia, premature atrial beats, and ST segment downslope depression, T wave flattening and QT interval shortening, the measurement value was 280ms.


    There is a problem with the electrocardiogram, and the problem is not small.


    However, this ECG change is not specific.


    Because clinical diagnosis depends not only on ECG, but also on symptoms, signs and auxiliary examinations.


    "Doctor, when will I be discharged from the hospital?"


    This simple woman sat on the bed, carrying her red cloth bag in her arms, her eyes filled with anxiety.


    "Auntie, you have just been admitted to the hospital. We don''t know your specific condition yet. No one can say for sure about the treatment." Lu Chen frowned.


    These patients, when they first entered the hospital, they were thinking about the time of discharge, thinking that the hospital is a place where medicine is given to the sick as soon as they arrive?


    "We must first find out the cause, then treat the symptoms, and finally observe the efficacy of the drugs."


    "Then check it out." The woman said anxiously, "I still have a lot of things to do at home. I have two grandchildren to take care of, and there is farm work waiting for me in the field. I can''t live without me at home."


    "Auntie, where are your family members?" Lu Chen continued, "Did you come to the hospital by yourself?"


    The ?? woman nodded, "I came alone and had a fight with my family."


    "A quarrel?" Lu Chen raised his brows.


    A quarrel seems to have nothing to do with clinical medicine, but it is often a very important piece of information.


    Quarrels are related to internal and external injuries caused by fights, emotional drinking of drugs (rat poison, pesticides), etc.


    "Did you have any trauma, or eat anything special?"


    "No." The woman shook her head, "I just quarreled with my husband, there was no fight, and I didn''t do anything else."


    Lu Chen nodded and truthfully recorded the patient''s condition in the medical record.


    (end of this chapter)

 Chapter 45： study guide group

    Chapter 45 Study Guide Group


    Before Lu Chen got his medical license, he could not make a doctor''s order alone.


    Only under the guidance of a superior physician, a doctor''s order can be issued.


    Sun Guoguo has informed Lu Chen of all the medicines that this patient should take and the auxiliary examinations that need to be done.


    Dong Hao personally demonstrated to Lu Chen how to issue a doctor''s order, including auxiliary examinations, routine nursing care, intravenous drugs, oral drugs, etc.


    "Junior brother, we usually use the number of Senior Sister Sun Guoguo to issue a doctor''s order." Dong Hao said, "Sister''s doctor''s order has a template, we can just click on the package doctor''s order in the template, unless there are some special doctor''s orders that we need to enter in person, such as some that require Anti-inflammatory drugs for skin testing."


    "Okay." Lu Chen nodded. This doctor''s order system is very intelligent. Most of the medicines, tests, and examinations have been made into templates. The doctor only needs to check it.


    "Let''s take the patient you just accepted as an example. Sister Guoguo asked to do a 24-hour dynamic electrocardiogram, cardiac ultrasound, blood routine, biochemistry, myocardial enzymes, etc."


    Dong Hao patiently told Lu Chen every step.


    ¡­


    Lu Chen quickly finished all the doctor''s orders and was preparing for Dong Hao''s review.


    A nurse''s roar sounded outside the doctor''s office.


    "Who gave the doctor''s order for 12 beds?!"


    "Who gave the doctor''s order for 12 beds?!"


    "Who gave the doctor''s order for 12 beds?!"


    Important things are said three times!


    Immediately afterwards, Liu Mei''s head poked into the office.


    "If you say your doctor, don''t let the interns make their own doctor''s orders!"


    "Not only is it a waste of your time, but also our review time!"


    "Who gave the doctor''s order for 12 beds, the doctor''s order was wrong!"


    "Sister Liu, it''s me..." Lu Chen touched his nose awkwardly.


    "Ah? You?" Liu Mei saw Lu Chen, and immediately put away her serious expression and smiled, "Dr. Xiao Lu just entered the department today, hey, he won''t prescribe a doctor''s order, this is a normal thing, see more learn it."


    The "old people" in the department looked at Liu Mei with a smile on his face, as if he had seen a ghost.


    If the usual Liu Mei finds out that the intern and the regulation trainee have given the wrong doctor''s order, it will be a scolding, even if you are a newcomer.


    But today she met Lu Chen, why did she suddenly become gentle?


    It''s really weird and weird!


    "Xiao Dong, hurry up and teach more, don''t stay there." Liu Mei turned to Dong Hao who was beside him.


    "Ah? Oh..." Dong Hao nodded, and immediately reviewed the doctor''s order issued by Lu Chen and picked out the wrong part.


    Whether writing a medical record or giving a doctor¡¯s order, it is a mechanical and repetitive activity without much gold content.


    Lu Chen is not very familiar with the doctor''s order system of Jinghua Second Hospital, and some mistakes are hard to avoid.


    "Senior sister, what is the current consideration for the diagnosis of this patient?"


    After Lu Chen issued the doctor''s order, he began to complete the medical record and write the first medical course record.


    The initial diagnosis needs to be entered in the first disease course record.


    "Just write the cause of the arrhythmia to be investigated." Sun Guoguo said.


    "Okay." Lu Chen nodded.


    "I saw your analysis of Director Lin''s ECG this morning and it''s pretty good, so what do you think of the 12 patients just admitted, combined with the symptoms and the ECG, what''s your preliminary diagnosis?" Sun Guoguo said.


    Got the electrocardiogram that was just admitted to the hospital, and Lu Chen checked it again.


    "This ST segment is lowered diagonally. I seem to have seen it before." Lu Chen frowned, "But I can''t remember it for a while."


    Lu Chen is sure that he must have encountered similar patients, but this kind of electrocardiogram is not common, and he forgot after seeing it.


    "Then you have to take a good look." Sun Guoguo smiled, "This patient''s electrocardiogram is very typical! I won''t tell you the conclusion of the electrocardiogram first. You can go back and think about it for yourself, and tell me the results tomorrow."


    "Okay." Lu Chen nodded, it seemed that he had to read more books on electrocardiograms when he went back.


    ¡­


    When Lu Chen wrote his first medical record, it was already 11:30 noon.


    After get off work, it is time for lunch.


    Jinghua Second Hospital has three canteens, two staff canteens and one patient canteen.


    Came to the staff canteen.


    Zhou Wei has already taken a place for Lu Chen.


    "Chen''er, the food in this cafeteria is really expensive! It''s all about stealing money!"


    "I just ordered two meat dishes and two vegetarian dishes, and it cost 25 yuan. The hospital pays 600 yuan a month, so I can''t afford it!"


    Lu Chen still played two meat and two vegetables, and paid 25 yuan.


    "Because this cafeteria is not for us, it''s for the staff." Lu Chen smiled, "They pay for meals every month, so they don''t need to be here, nor are they available elsewhere."


    "Hey, it looks like I''ll have to eat out from now on." Zhou Wei shook his head and said, "It''s because I earned extra money this month, or I really can''t afford it."


    "Huh? You still do part-time jobs to earn extra money?" Lu Chen asked in surprise.


    There are not many part-time medical students.


    "Yes." Zhou Wei smiled, "I know a lucrative job, I earned 800 yuan last month!"


    "You really have time, isn''t it some kind of tutor?" Lu Chen frowned.


    "No." Zhou Wei said in surprise, "I invited you to a group this morning, right there, don''t you know?"


    "WeChat group?" Lu Chen looked puzzled, "Isn''t that a study guide group?"


    "Hehe." Zhou Wei smiled slyly, "On the surface, it''s a study guide group, but you can see that there are only people in the group asking for guidance on a certain subject, but no one responds."


    "Yeah. I felt weird just now."


    "Because this is a WeChat group for buying and selling night shifts! The Cardiology Department is asking for guidance, that is, the Cardiology Department has night shifts and wants to sell it!"


    "Buying and selling night shifts?"


    Lu Chen looked surprised.


    Zhou Wei nodded, "You should know that we will be assigned night shifts by the hospital every month from now on."


    "Um."


    Lu Chen also learned from his roommate yesterday that the hospital will arrange night shifts for all postgraduates and graduate students.


    In which department the rotation goes, the night shift of which department is arranged.


    "Some classmates are temporarily busy, or the senior brothers and sisters of the third grade are busy with thesis writing, so they will sell the night shift."


    "And those students who are short of money and want to make money will buy night shifts."


    Lu Chen frowned and said, "Does the hospital care?"


    "Hey, because the hospital can''t handle it." Zhou Weidao, "The night shift is made up of two people, one is a senior doctor, the other is a graduate student, and the senior doctor will be in the department. Writing the course of the disease, doing the examination, and giving the doctor''s order, anyone can do it. We work night shifts, just follow the instructions of the superior doctor, and do it mechanically, there is not much gold content! "


    The hospital will not allow postgraduates and regular trainees to work night shifts alone, and there will be senior doctors on every night shift.


    "Didn''t you just enter the department? Can you buy night shifts?" Lu Chen looked at Zhou Wei with a smile on his face.


    "Yes!" Zhou Wei smiled, "Only if you can write the course of the disease, if you can make a doctor''s order, you can buy night shifts!"


    (end of this chapter)

 Chapter 46： Li Yaos invitation letter

    Chapter 46 Li Yao''s Invitation Letter


    Lu Chen''s heart moved.


    Buy night shifts, it doesn''t matter if you have money or not.


    The key is to work night shifts and deal with various emergencies, which is one of the ways to quickly improve the system completion and gratitude value.


    If you only stay in the general ward, the efficiency of getting thank you points will be slower.


    However, Lu Chen decided to hold his ground. First, he had to figure out what the system''s gratitude value was for, and then make his next plan.


    ¡­


    After lunch, there is a two-hour break at noon.


    As soon as Lu Chen returned to the dormitory, he began to check the relevant electrocardiogram data.


    The electrocardiogram he encountered this morning is somewhat familiar, but what it is and what its significance is, further research is needed.


    Find your long-cherished copy of the Advanced Manual of Electrocardiography.


    Lu Chen began to play around in the sea of ??books and read similar electrocardiograms.


    Ventricular arrhythmia, supraventricular arrhythmia, atrial arrhythmia, coronary ischemic ECG¡­


    Looking through most of the manual, Lu Chen racked his brains, but still couldn''t find any clue.


    The time unknowingly reached one o''clock in the afternoon, and there was still an hour before work.


    Lu Chen felt a little sleepy, so he leaned on the desk, squinted for half an hour, and then went out to work.


    came to the eight districts of the heart.


    Because Sun Guoguo worked the night shift yesterday, she will rest this afternoon.


    If there was something that could not be handled in the group, Sun Guoguo explained to the attending physician of the other group and asked Lu Chen and others to find him to solve it.


    In the morning, Lu Chen and others have filled all the hospital beds, so no new patients will come in the afternoon.


    Lu Chen began to sort out the medical records of the four-bed patients under his charge.


    10 beds, an old man who suffered two consecutive illnesses this morning. He was diagnosed with coronary heart disease, ischemic cardiomyopathy, and heart failure. He is now in critical condition and is at risk of sudden death at any time.


    11 beds, a mother-in-law in her 70s, diagnosed with grade 3 hypertension (very high risk group). Recently, because of the large blood pressure fluctuations, she came to hospital this time to lower blood pressure. At present, the blood pressure is still unstable.


    12 beds, a woman who was admitted in the morning. The cause of arrhythmia was diagnosed to be undetermined, and the electrocardiogram was abnormal. No cause was found for the time being.


    13 beds, a patient with chest pain, who is going to undergo elective coronary angiography to rule out coronary heart disease.


    Four patients, except for the 12th bed received in the morning, the condition of other hospital beds is relatively stable.


    During the ?? period, Lu Chen took time to see the old man with ten beds.


    He is still sitting upright and has intermittent breathing difficulties, but compared to the morning when he fell ill, his condition has improved significantly, and he can chat with others with energy.


    And the color on his head is always red, which means 10 beds are not completely out of danger.


    The aunt on the 12th bed, Lu Chen asked her to have a heart ultrasound and a chest CT in the afternoon, and there were no obvious abnormalities in the results.


    Lu Chen also reviewed her electrocardiogram, which did not change much from the electrocardiogram when she was first admitted to the hospital in the morning.


    Her auxiliary examinations have been completed, and no problems have been found in blood tests and imaging examinations.


    "Doctor, when will I be discharged from the hospital?"


    "Doctor, have you found out what''s wrong with me?"


    "Doctor, what injection are you giving me now?"


    The 12-bed woman couldn''t sit still in the ward, and ran to the doctor''s office in less than an hour.


    The color of the patient''s head is yellow, which means that his life is not in danger for the time being.


    Lu Chen could only explain to her patiently, then appease her, and wait for Sun Guoguo to deal with this difficult problem tomorrow.


    ¡­


    Until about to get off work, a nurse suddenly walked into the office.


    "Is the doctor in the director''s team there? The 10-bed patient has hematuria, go and see."


    Lu Chen was extremely sensitive to his 10 beds, so he quickly said:


    "Someone''s here, I''ll see right away."


    Lu Chen saved the medical record he was writing, took the stethoscope, and walked quickly towards the 10th bed.


    As soon as he walked out of the ward, Lu Chen ran into Li Yao who was returning from the outpatient building.


    "Hello Mr. Li."


    "You are Lu... Lu Chen? Did you just enter the department today?"


    Li Yao''s memory is not bad, she recognized Lu Chen right away.


    "Well, yes." Lu Chen smiled.


    "What are you going to do when you run out in such a hurry?" Li Yao asked with a smile.


    Lu Chen said: "Just 10 beds suddenly hematuria, I''ll go take a look."


    "10 beds...is that the old man with heart failure?" Li Yao pondered for a moment.


    "Yes."


    "Then let''s go see it together."


    After ??, Li Yao turned around and walked towards the 10th bed.


    Lu Chen was stunned for a moment and followed closely behind.


    came to the ward.


    The family members of the 10-bed patient, the old woman saw Li Yao at a glance.


    "Director Li, you are here."


    The old woman smiled and stood up from the chair beside the bed.


    Li Yao nodded and looked down at the urine bag beside the bed.


    is indeed blood red.


    Normal urine should be clear and pale yellow.


    "Have hematuria started today?" Li Yao said.


    The old woman nodded and said, "It was fine the other day. He urinated once just now. I saw that the urine tube was all red. I thought it was abnormal, so I told the nurse."


    "Yes." Li Yao responded and began to examine the patient.


    After auscultation of the chest, Li Yao lifted the patient''s sheet and looked at his limbs and torso.


    Inspection completed.


    "Director Li, is my old man alright." The old woman said nervously.


    Li Yao didn''t reply, but turned around and asked Lu Chen, "Lu Chen, what is hematuria?"


    Lu Chen was taken aback by the sudden question.


    But he reacted quickly.


    "There are two types of hematuria, one is gross hematuria and the other is microscopic hematuria."


    "Urine containing a certain amount of red blood cells is called hematuria. 1000ml of urine contains more than 1ml of blood, and the appearance of red urine is called gross hematuria. There is no abnormality in the appearance of urine, and the fresh urine centrifugation sediment is checked for more than 3 red blood cells per high-power field. This is called microscopic hematuria."


    Li Yao nodded slightly, "Then what do you think is the cause of this patient''s gross hematuria?"


    Lu Chen pondered for a while, then carefully observed the patient''s urine bag.


    "According to normal thinking, the first thing to consider is the hematuria caused by the injury of the urinary catheter to the urethral mucosa. However, the patient has been intubating the urinary catheter for several days, and without external force pulling the urinary catheter, it will not suddenly cause hematuria."


    Li Yao nodded: "Since it''s not urethral mucosal damage, what''s the reason?"


    Lu Chen thought of the blood clot in the patient''s throat this morning, and then continued.


    "The patient coughed up **** sputum this morning, and a blood clot was sucked out of the throat. In connection with all these conditions, abnormal coagulation or bleeding caused by drugs should be considered!"


    "I read all the doctor''s orders of the patient, because the patient is currently diagnosed with coronary heart disease and needs to use antiplatelet drugs routinely, and also has atrial fibrillation. According to the CHA2DS2-VASC score of atrial fibrillation anticoagulation, anticoagulant drugs should be used in combination. All right."


    "With antiplatelet combined with anticoagulation, the patient is older and has an increased risk of bleeding. Currently, it is considered that the bleeding may be caused by drugs."


    After listening to Lu Chen''s analysis, Li Yao showed admiration on her face.


    "Yes, well-organized and well-founded."


    It is rare to have such an excellent little guy, and Li Yao is very pleased.


    And Lu Chen breathed a sigh of relief, he finally knew why Senior Sister Sun Guoguo likes to ask questions so much!


    It turns out that this is the tradition of the group, and it is in the same line!


    At some point, Ke Yue and Jiang Qingyan also came to the ward.


    Li Yao glanced at them.


    "Ke Yue, tell me how to deal with this kind of bleeding, bleeding caused by anticoagulant and antiplatelet drugs."


    Ke Yue''s face became bitter.


    You really shouldn''t have followed me to the ward.


    Now this is getting burned!


    "First stop the drug..."


    Ke Yue glanced at Lu Chen after saying that.


    When Lu Chen saw her looking at him, he immediately understood and shook his head lightly.


    Ke Yue immediately shook his head: "Ah, no, you can''t stop the drug first."


    Li Yao frowned, "What measures are you using?"


    Ke Yue grimaced and pursed her lips.


    "Teacher, I, I forgot."


    Li Yao shook her head lightly, sighed, and looked back at Jiang Qingyan beside her.


    "Jiang Qingyan, what''s your opinion?"


    Jiang Qingyan raised her brows and said slowly: "The blood routine and coagulation should be reviewed immediately. If these indicators are OK, then replace aspirin with indobufen, and Xarelto with intravenous low molecular weight heparin. If the blood routine, coagulation and other indicators are abnormal, the drug can be stopped first, and the antiplatelet and anticoagulant drugs can be started after the bleeding stops."


    "Lu Chen, what''s your opinion?" Li Yao looked at Lu Chen.


    "It''s similar to Jiang Qingyan''s," Lu Chen said, "but there is one thing to add. In fact, patients with coronary heart disease and atrial fibrillation in the long-term stable period can use anticoagulant drugs alone and stop antiplatelet drugs, especially for the elderly, Patients at high risk of bleeding."


    Jiang Qingyan frowned, in her impression, this kind of treatment method was not written in the internal medicine book.


    Lu Chen seemed to see through her thoughts, and added in a low voice.


    "This is mentioned in the latest atrial fibrillation guideline, not written in the book."


    Jiang Qingyan nodded lightly and said, "Well, thank you."


    Ke Yue was already holding a pen and recorded Jiang Qingyan and Lu Chen''s treatment opinions in her notebook.


    Li Yao on the side looked at Lu Chen with satisfaction, and at the same time turned around and said to Jiang Qingyan and Ke Yue.


    "The two of you need to improve your knowledge level. Now it is no better than the undergraduate period. You should not only be familiar with the knowledge in internal medicine books, but also frequently browse the relevant guides of cardiology."


    "You have to remember one thing, treat diseases according to the guidelines, we will be invincible in the event of medical disputes! But if everyone believes in treating diseases, no matter how well you treat them, if there is any error, If you cause bad consequences, then you are fully responsible!"


    "Got it, teacher."


    Ke Yue and Jiang Qingyan nodded.


    "This patient will be handled according to the method that Jiang Qingyan and Lu Chen said." Li Yao said, "Also, Lu Chen, come to the office with me."


    "Okay." Lu Chen nodded.


    Li Yao walked out of the ward, and Lu Chen followed closely behind her.


    ¡­


    walked into the director''s office.


    This is the second time that Lu Chen came to this office, and the first time was when he adjusted.


    The office is furnished as usual.


    A desk and a welcome pine.


    "How did you feel on your first day in the department?" Li Yao said with a smile.


    "It''s very good. There are many patients. In the morning, I encountered two rescues."


    Li Yao smiled, "I heard Guoguo say that the patient in bed 10 had two heart failures in the morning, and the second time was thanks to you for helping to **** phlegm."


    Lu Chen smiled and touched the back of his head embarrassedly.


    "Do you have any plans for the next three years as a graduate student?" Li Yao went straight to the point.


    Lu Chen pondered for a while before saying:


    "Work hard, learn clinical knowledge, and be a qualified doctor."


    When talking about your goals.


    is very simple, that is to be the best cardiologist in the world.


    But this goal is too lofty and illusory.


    Say it, the credibility is not high.


    Such an ambitious goal needs to be accomplished in stages.


    The goal of graduate school is to be familiar with diseases in various departments.


    An excellent cardiologist must first be an excellent major physician!


    "What about future career planning?" Li Yao said, "If you want to go far in medicine, a master''s degree and a doctorate are just the beginning, and there is still more room for you to explore in the future. If you just want to find a good job Work, maybe get a master¡¯s degree or a doctorate, and post a few articles, you can enter most hospitals in China.¡±


    Lu Chen said decisively: "Teacher, I want to be the best!"


    Li Yao smiled and understood what Lu Chen meant.


    "According to the current domestic medical environment, if you want to be an excellent doctor, you can''t just learn clinical theoretical knowledge, you also need independent scientific research ability!"


    "In the past three years, in addition to mastering clinical knowledge and skills, you must not fall behind in scientific research!"


    "Just being able to do clinical work will not go far in the hospital system, and you can''t even be promoted to deputy director."


    At present, the promotion of senior titles in domestic medicine requires the support of papers.


    In some cases, the importance of scientific research ability even far outweighs clinical ability.


    For example, a doctoral graduate in general surgery may not even be able to perform an operation for appendicitis or gallstones!


    Can write papers, which means that you can apply for various projects and funds.


    With money, the hospital can develop, publish more articles, and apply for larger projects.


    This is the result of a virtuous circle and vice versa.


    Lu Chen understood what Li Yao meant. She wanted to let herself participate in scientific research experiments.


    "But don''t be too impatient to engage in scientific research." Li Yao continued, "You can come to the laboratory building at the back door of the hospital when you have time. I currently have a few experimental projects. When the time comes, I will let your brothers and sisters take you to study."


    Lu Chen nodded and said, "Thank you teacher, I will definitely study when I have time."


    Li Yao said: "In addition, I want to remind you that the school has various scholarships and grants every year, and these scholarships are evaluated through papers."


    "For example, the national scholarship is 10,000 yuan, and the essay evaluation accounts for the vast majority of the proportion. Whether you can get these scholarships depends entirely on your own efforts."


    "Thank you teacher for the reminder."


    From the current point of view, Li Yao''s mentor is very good.


    For the sake of students, help Lu Chen make career planning.


    Li Yao asked Lu Chen a few questions about the department and life.


    Lu Chen answered one by one, and the conversation ended.


    Before leaving, Li Yao also handed Lu Chen a card, which was the access card for the back door laboratory building.


    In addition, Li Yao asked Lu Chen to leave his mailbox.


    As soon as Lu Chen returned to the doctor''s office, he received the email from Li Yao.


    This is an electronic invitation.


    (end of this chapter)

 Chapter 47： Jinghua Electrophysiology Society

    Chapter 47 Jinghua Electrophysiology Society


    Click on the email.


    Email subject: Invitation letter for membership of Jinghua Electrophysiology Society.


    The body of the email ?? is a paragraph written by Li Yao.


    "I learned from your senior sister that your level of interpretation of electrocardiograms is not bad. You can try to join this association, which will be beneficial to your future development. Invitation code: JHLY090703."


    At the end of the text is a URL.


    This should be the website of Jinghua Electrophysiology Society.


    There was a hint of surprise in Lu Chen''s eyes.


    Generally, a provincial and municipal medical society like this is not something that ordinary doctors can join if they want to.


    Generally speaking, the number of members of the medical association is fixed in each hospital, and is uniformly allocated by the chairman of the medical association.


    I didn''t expect that Li Yao would be able to directly qualify for an invitation?


    Lu Chen thought about it and clicked on the website.


    The ?? page is garbled.


    It seems that you need to go back to the dormitory after get off work and use the computer to open this website.


    ¡­


    At half past five in the afternoon, it''s time to get off work.


    Lu Chen and Zhou Wei agreed to have dinner at a Sichuan restaurant in front of the hospital.


    Packed up his white coat and just walked out of the department.


    heard shouting behind him.


    "Hey, Lu Chen, wait a moment."


    Lu Chen looked back and saw Ke Yue and Jiang Qingyan following behind him.


    "What''s the matter?"


    "Lu Chen, the three of us are from the same family, let''s go out together tonight?" Ke Yue smiled and narrowed her eyes, "You just arrived in the department today, let''s have a welcome party."


    "This...I really want to go, but I already made an appointment with my classmates tonight." Lu Chen was slightly apologetic, "How about next time?"


    "Huh?" Ke Yue frowned, "I see, then next time."


    "Yes." Lu Chen nodded.


    Just as he was about to leave, Ke Yue suddenly said again.


    "Hey, how many of you are there? Why don''t we go together?"


    Lu Chen was stunned for a while, and said, "Then, then I''ll call and ask."


    Lu Chen took out his mobile phone and dialed Zhou Wei.


    "Chen''er, I''ve already arrived, the dishes are ready, how about you?"


    "I''ll be there soon. There are two more people on my side. Would you mind going together?"


    "Your roommate?"


    "No, it''s my classmate."


    "Okay, there are so many people, let''s come together."


    hang up the phone.


    Ke Yue looked at Lu Chen with expectant eyes.


    "Can we be together?"


    "Well, let''s go together." Lu Chen nodded.


    "That''s great." Ke Yue smiled and took Jiang Qingyan''s arm and followed behind Lu Chen.


    Lu Chen looked at Jiang Qingyan from the corner of his eye.


    Jiang Qingyan smiled slightly and didn''t say anything, it was the default.


    ¡­


    Talked and laughed with Ke Yue all the way, and came to the door of the Sichuan restaurant.


    Zhou Wei had already ordered the dishes, and he was boringly dragging his phone.


    When he saw that it was two girls.


    One of them was very handsome, so he could not help but quietly give Lu Chen a thumbs up.


    "Hello everyone, I''m Lu Chen''s friend, Zhou Wei, and this year''s graduate student of the Second Beijing University."


    Zhou Wei smiled and pulled away the chair opposite.


    "Hello." Ke Yue smiled, "Which major are you in?"


    Hearing this question, Zhou Wei coughed easily.


    "That, that woman, obstetrics and gynecology."


    "Huh?" Ke Yue was stunned, "Obstetrics and Gynecology, male doctor?"


    Zhou Wei touched his nose, "Yes..."


    ¡­


    The atmosphere of the whole dinner is quite harmonious.


    Everyone talked about the interesting stories of coming to Jinghua for the first time, and the strange patients they met in various departments.


    The dinner is over.


    Originally, we wanted everyone to pay AA, but Zhou Wei settled the bill very boldly.


    "Next time, please invite again." Zhou Wei said to Ke Yue with a smile.


    "Alright then." Ke Yue nodded.


    Zhou Wei, Ke Yue and Jiang Qingyan left each other on WeChat, ready for the next invitation at any time.


    As a pure-hearted young man who has been soloing in his mother''s womb for more than 20 years, Zhou Wei began to plan a way out for his future happy life.


    On the way back to the dormitory, Lu Chen transferred half the cost of the dinner to Zhou Wei.


    Although the four of them didn''t eat much, they still spent over four hundred dollars.


    This is a lot of money for a medical student who is not very wealthy.


    ¡­


    Separated from everyone, Lu Chen returned to the bedroom.


    The other three people in the dormitory have also returned.


    Lu Chen greeted them and took out his computer.


    Click on this email that Li Yao sent him.


    page jump.


    The title of ?? is the official website of Jinghua Electrophysiology Society.


    The interface of the web page is very simple.


    The middle column of ?? is an introduction to electrophysiology.


    Electrophysiological examination, the full name is cardiac electrophysiological examination.


    is mainly used for patients who have clinical symptoms but cannot be diagnosed by ordinary electrocardiogram, dynamic electrocardiogram, and esophageal electrocardiogram.


    Not only can make a clear diagnosis, but also can conduct arrhythmia drug guidance and percutaneous catheter radiofrequency ablation.


    It is an accurate and invasive examination method for evaluating the electrical function of the heart. When the heart is in its own heart rhythm or pacing heart rhythm, it can record the electrical activity in the heart, analyze its performance and characteristics, make inferences, judgments, and make clinical decisions. diagnosis.


    The column on the left side of the web page shows various major events and developments in the field of electrophysiology.


    The column on the right of ?? is a member of the expert group of Jinghua Electrophysiology Society.


    Click to open the list of panel members.


    Chairman: Professor Cheng Guowen, Department of Cardiology, The Second Affiliated Hospital of Jinghua City.


    Deputy Chairman: Professor Li Yao, Department of Cardiology, The Second Affiliated Hospital of Jinghua City.


    The others are committee members and members of the Society.


    Seeing that Li Yao''s name was on the list of vice-chairmen, Lu Chen knew why she had the right to directly invite her.


    Vice-chairman, equivalent to the second-in-command of the Society.


    At the top of the webpage, there is an entry for "Join the Society".


    Lu Chen directly clicked "Join Society".


    page jump.


    An interface for entering the invitation code appears on the webpage.


    Enter the invitation code that Li Yao gave him.


    Click Enter, the verification is successful!


    An option to join Jinghua Electrophysiology Society pops up on the webpage, and there are three sub-options under it.


    The first one, ordinary group members (join directly).


    The second one, members of the elite group (requires assessment).


    The third, core group members (temporarily unable to join).


    This is to divide all members into three levels, ordinary, elite, and core.


    Lu Chen tried to click on "Members of the Ordinary Group", and a pop-up window quickly popped up on the page.


    "Do you want to join the Jinghua City Cardiac Electrophysiology Society and become a member of the general group (join directly)?"


    Lu Chen thought for a moment, then clicked "No".


    He looked at the second option - elite group members (required assessment).


    Although he doesn''t know the form of the assessment, since he has such a choice, he must try it.


    Otherwise, it is no different from salted fish!


    Click directly on the second option - join elite group members.


    Jump out of the pop-up window.


    "Do you want to join the Jinghua Electrophysiology Society and become a member of the elite group (need to be assessed)?"


    Click "Yes"!


    page turns.


    The ¡°Assessment Rules¡± popped up on the blank page.


    Elite group member assessment rules:


    You have three chances to pass the assessment, and you can become a member of the elite group by passing it once.


    Assessment method: Online assessment.


    Assessment time: every Friday at 8pm.


    Assessment URL:¡­


    Lu Chen glanced at the calendar. Today is Wednesday, and the next assessment will be the day after tomorrow.


    (end of this chapter)

 Chapter 48： Digitalis poisoning?

    Chapter 48 Digitalis poisoning?


    Close the website and close the computer.


    Lu Chen began to read books on ECG interpretation.


    He still has no clue about the abnormal ECG of the 12-bed patient this morning.


    Do you really have to wait until tomorrow morning for Sun Guoguo to answer?


    Lu Chen was a little unwilling.


    "Lu Chen, let''s eat chicken together, four are missing, can you come?"


    Now the battle royale game is very good, and the other three people in the bedroom are playing games with their mobile phones.


    Lu Chen smiled and shook his head, "No, just play, I''m not very good at it."


    "Hey, that''s fine."


    Several roommates were having a good time, while Lu Chen kept flipping through the ECG manual.


    Start reviewing from the principle of electrocardiogram, check the specific meaning of each waveform change, and then find various examples to interpret...


    At eleven o¡¯clock at night, the moon and stars are thin.


    The night was already deep.


    The lights in the bedroom were turned off, and only the lamp in front of Lu Chen''s desk was on.


    The halo of the desk lamp shone on Lu Chen''s face.


    He slowly began to have a clue about this abnormal electrocardiogram of the 12-bed.


    ECG features of the 12-bed patient: sinus bradycardia, premature atrial beats, and ST-segment downslope depression, T wave flattening, and QT interval shortening, with a measured value of 280 ms.


    Isn''t this a "fishhook-like" change?


    Lu Chen''s eyes lit up, but then he showed doubts.


    ECG "fishhook-like" changes are usually caused by overdose of "digitalis" drugs, resulting in the digitalis effect caused by poisoning.


    But according to the patient''s own description, she is not taking any medicine at all.


    Not to mention the "Digitalis" cardiotonic drugs!


    This drug is only used by patients with heart disease and heart failure.


    Now the patient''s probable cause has been identified, but another dilemma has arisen.


    Time passes by every minute and every second.


    After all, Lu Chen couldn''t resist the drowsiness and fell asleep slowly.


    ¡­


    was speechless all night.


    The next day.


    Lu Chen came to the department at seven o''clock to measure the blood pressure of the four patients under his supervision.


    The mental state of the 10-bed old man is much better than the previous day.


    He lay flat on the bed, breathing smoothly, without the slightest irritability, and even took the initiative to say hello to Lu Chen.


    "Doctor Lu, are you coming for rounds so early?"


    "It''s getting late. Dad, did you cough up red phlegm last night?"


    The old man shook his head, "No, the cough is white sticky phlegm."


    Lu Chen nodded, then took the mercury sphygmomanometer and took his blood pressure.


    Blood pressure is around 140/80mmHg, which has dropped a little compared to yesterday morning.


    After measuring the blood pressure, it is to auscultate the lungs.


    Auscultation of the lungs is mainly to determine whether the dry and wet rales in the lungs have decreased.


    Especially for patients with heart failure and pulmonary infection, it is extremely important to auscultate the changes of rales in the lungs!


    Wet rales can still be heard in both lungs of the 10-bed old man, but compared to yesterday, it has been reduced a lot!


    This shows that the condition of the elderly is gradually improving.


    ¡­


    And the aunt with 12 beds walked in the corridor early in the morning.


    Seeing Lu Chen coming, he pulled him to ask questions again.


    "Doctor Lu, how is my illness now?"


    It is also very strange to say that she has always been alone, and Lu Chen has never met her family.


    "Auntie, don''t worry." Lu Chen said, "We will make a decision when our superior doctor checked the room this morning."


    Lu Chen asked the 12 patients again whether they were taking "digitalis" drugs.


    The 12-bed patient is still in denial.


    "Doctor Lu, I was not sick before, why am I taking medicine!"


    Looking at her appearance, Lu Chen should not have lied.


    That''s a little weird!


    There is no way to ingest "Digitalis" at all!


    The patients in the other two beds are in stable condition and have not received special treatment.


    ¡­


    7:30 AM.


    The rest of the group came, including two interns.


    "Junior Brother, do you see what that electrocardiogram is?"


    Sun Guoguo walked into the doctor''s office and said to Lu Chen with a smile.


    "Senior sister, is this a fishhook-like change?" Lu Chen answered tentatively.


    Sun Guoguo nodded in relief.


    "Yes, the ECG of this 12-bed patient is a typical fishhook-like change! That is the effect of digitalis overdose!"


    "Senior sister, but this patient denies taking any drugs!" Lu Chen wondered.


    For patients with digitalis poisoning, it is very important that long-term oral administration of these drugs will cause an accumulated toxicity, and the use of small doses is not toxic.


    If it is really considered to be "digitalis" poisoning, then the patient will definitely ingest "digitalis" through the gastrointestinal tract.


    But now it seems that this possibility does not seem to hold.


    "So this is where I am puzzled." Sun Guoguo pondered, "But what we need to do now is to improve the determination of serum digitalis, determine whether there is a possibility of digitalis poisoning, and then treat it, and finally look for it. Cause!"


    When you don¡¯t know the cause, the most important thing is to treat the symptoms, stabilize the patient¡¯s state, and then slowly find the cause.


    Others in the same group were also attracted by the discussion between Lu Chen and Sun Guoguo, and several people picked up the ECG of the 12-bed patient to watch.


    ¡­


    Eight in the morning.


    After the shift is over, Li Yao still hasn''t come to the department today.


    Sun Guoguo led the crowd to start rounds.


    Came to bed number 10.


    The old woman took out a small bamboo basket from the bedside table in the ward, and in the basket were a dozen eggs.


    The egg looks very big, and there is a little dirt on it.


    "Doctor Sun, this is sent to you by my fellow villagers."


    The old woman tremblingly carried the bamboo basket, with one hand covering the bottom, tightly protecting the bamboo basket.


    "No, thank you mother-in-law." Sun Guoguo quickly refused, waved her hand and said, "Take it back and eat it yourself."


    "Doctor Sun, don''t think that this egg looks bad, it''s our own egg." The old woman handed the bamboo basket to Sun Guoguo''s hand, "The egg is very nutritious!"


    Sun Guoguo saw that the rejection was fruitless, so he had to accept the bamboo basket and hand it to Lu Chen.


    "Junior brother, you can take it back to the department first. Anyone in the group can get it if they want."


    Clinically, the patient''s red envelope is absolutely not accepted!


    But some of the local products and fruits brought by some patients cannot be refused, and a small portion can be accepted as appropriate.


    "Mother-in-law, Daddy''s condition is stable now, but you can''t give him so much water in the future." Sun Guoguo pointed to the 500ML water bottle on the bedside table.


    Patients with heart failure must strictly control the intake of water.


    Many patients drink too much water, which increases the load on the heart and induces heart failure.


    "Thank you, Dr. Sun, when will we be discharged from the hospital?" the old woman asked.


    "Not yet, maybe another four or five days." Sun Guoguo pondered for a moment.


    (end of this chapter)

 Chapter 49： old age rule

    Chapter 49 Wannian Old Master


    "Huh? It''s going to be four or five days?"


    The old woman sighed and looked back at her wife on the bed.


    Every extra day spent in the hospital costs hundreds of dollars more!


    "Mother-in-law, don''t be in a hurry to be discharged from the hospital." Sun Guoguo advised, "If your condition is unstable and you are in a hurry to be discharged from the hospital, you may have to come back to the hospital within a few days."


    "Hey." The old woman nodded, "Then listen to Dr. Sun."


    Heart failure is the final end point of various heart diseases. It cannot be cured. Only drugs can be used to relieve symptoms and prolong survival as much as possible.


    Many heart failure patients are hospitalized repeatedly every year.


    Every time you are hospitalized, if the cause of heart failure, such as respiratory infection, is not completely eliminated, you may be discharged from the hospital a few days later, and the symptoms of heart failure will flare up again, and you have to come back to the hospital again!


    ¡­


    The crowd came to 12 beds.


    Sun Guoguo instructed two interns to do an electrocardiogram for the 12-bed patient again.


    The result of the ECG output is still "premature atrial beats, ST segment depression".


    "Auntie, have you taken any special medicine recently?"


    Sun Guoguo took the electrocardiogram and frowned at the 12-bed female patient.


    "No, this question you asked, Dr. Lu asked me many times today, and I really didn''t take any medicine." The woman replied confidently, "Dr. Sun, you are my doctor in charge, you said that I What kind of disease is this?"


    Sun Guoguo paused and said, "Based on your current electrocardiogram and symptoms, we initially suspect that it is an overdose of digitalis caused by toxic side effects."


    "Digitalis...Drug toxicity?" There was a hint of doubt in the woman''s eyes, "But I haven''t been exposed to any drugs at all recently!"


    Everyone present was very strange. The electrocardiogram and symptoms suggested "digitalis" poisoning, but the patient denied taking any related drugs.


    "Auntie, then think about it carefully, do you eat any special food?" Sun Guoguo continued.


    The woman frowned, lost in thought.


    for a long time.


    She raised her head, her eyes twinkling.


    "I didn''t eat any special food. But if it''s really the digitalis poisoning you said, what should I do?"


    Sun Guoguo said solemnly: "This afternoon, we will draw another tube of blood for you to test the concentration of digitalis in the blood. If the concentration exceeds the standard, then the diagnosis can basically be confirmed."


    "Afterwards, we will treat you with digitalis poisoning, such as using activated charcoal to absorb toxic substances."


    "Okay." The woman nodded, "I''ll listen to you when I come to the hospital anyway."


    ¡­


    The crowd walked out of the ward.


    Sun Guoguo turned around and said to Lu Chen, "Junior Brother, you can collect this 12-bed case. If you can find the exact cause, you can write it as a case report and publish it."


    "casereport?" Lu Chen wondered.


    "It means case report." Sun Guoguo explained, "A high-quality case can also be written and published as a paper, but this requires you to be as standardized as possible when diagnosing and treating."


    There are many forms of ?? papers, usually there are monographs, reviews, and brief forms of this kind of case report.


    casereport does not need to do any basic and clinical experiments, directly collects the information of clinical cases, and then can write a paper as a whole and publish it.


    Lu Chen nodded: "Senior sister, I''ll try it later."


    Li Yao has communicated with him in advance. After this, the evaluation of the scholarship will depend on the thesis.


    Being able to write a big thesis without doing experiments is definitely the best for Lu Chen now.


    ¡­


    After checking the room, everyone followed Sun Guoguo back to the doctor''s office.


    Before his **** was hot, Lu Chen felt that the atmosphere in the office was a bit weird.


    He turned his head and looked, it turned out to be the senior physicians of the other two groups of Keli¡ªChief Physician Lin Cui and Deputy Chief Physician Shao Jun. They were sitting face to face with very serious expressions.


    "Director Lin Cui, if this problem is not resolved now, then I will go to Director Li Yao. If Director Li Yao can''t solve it, then I will go to Director Cao on the fourth floor to see if he can solve it!"


    Shao Jun looked gloomy and stared at Lin Cui closely.


    "Director Shao, let''s talk about anything." Lin Cui said solemnly, "Why did you go to Director Cao''s place?"


    Shao Jun stood up and sneered: "I just hope Director Lin, you can discipline the doctors under your command well, if something goes wrong in the future, you won''t regret taking the medicine!"


    "Don''t worry, Director Shao, don''t bother you to worry about this matter, I will tell him well."


    Lin Cui replied lightly, and then left.


    Lu Chen was bewildered.


    In the department, it is normal to have conflicts.


    But now it is rare to take the contradiction on the bright side.


    After Shao Jun left the office, everyone began to whisper.


    Dong Hao, as an "old man" in the second year of regulation training, is a clear child of the gossip door of the department.


    "Junior brother, you have to be careful about an attending doctor in Director Lin''s group in the future." Dong Hao whispered beside Lu Chen''s ear.


    "What''s wrong?" Lu Chen asked in confusion.


    Dong Hao continued: "Actually, this matter is known to everyone in the Department of Cardiology. Not only the people in the eight districts of the heart, but also the doctors in several other districts."


    "The event is like this..."


    From Senior Brother Dong Hao, Lu Chen had a better understanding of the eight areas in his heart.


    There are four medical groups in eight districts in the heart.


    Director Li Yaoke, Director Lin Cui, Director Shao Jun, Director Shi Guobin.


    Li Yao is the director of the department and the leader of the eight districts in his heart.


    Lin Cui is the deputy director of the department and the second-in-command of the eight districts in his heart.


    Shao Jun, Deputy Chief Physician, is a newly promoted Deputy Chief Physician and postgraduate tutor in recent years. He has a promising future, but currently he does not have any real power in the department.


    Shi Guobin, the chief physician, is an old professor who has retired and rehired. He is very Buddhist and has almost no conflict of interest with everyone in the department.


    The crux of the matter lies in Ding Deli, an attending doctor in Lin Cui''s chief physician group.


    Ding Deli is a relatively old doctor in the Cardiology Department. He is 43 years old this year.


    A forty-three-year-old attending physician is rare in county-level hospitals.


    Because the promotion of professional titles in county-level hospitals is based on seniority, most doctors of this age are already deputy chief physicians.


    However, in the provincial tertiary hospitals, because the promotion of professional titles is extremely difficult, there are still a group of "ten thousand-year-old attending physicians".


    Tin Deli is one of them.


    The more you get older, the more difficult it is to get promoted.


    The status of these old attending physicians in the department is extremely embarrassing.


    Take a look at the comparison.


    Ding Deli, 43 years old, attending physician.


    Li Yao, forty-five years old, chief physician, director of the eight districts of the heart.


    Lin Cui, forty-nine years old, chief physician, deputy director of the eight districts of the heart.


    Shao Jun, 38 years old, Deputy Chief Physician!


    Comparing the ages of everyone, you can see the embarrassment of Ding Deli''s position in the department.


    His qualifications are older than Shao Jun''s deputy chief physician, but his professional title is still attending physician.


    Therefore, Ding Deli usually has a working attitude of fishing for three days and drying nets for two days in the department.


    In the Cardiology Department of Jinghua Second Hospital, the deputy chief physician does not need to work night shifts, but the attending physician still needs to work night shifts.


    The cause of this incident was that when Dingley was on the night shift last night, he stayed in the duty room and did not come out!


    Jinghua Second Hospital, the normal night shift is the main class plus the auxiliary class. The main class is a doctor from an undergraduate room, and the auxiliary class is a rotating graduate student or regular trainee.


    It was a master student of Ding Deli and Shao Jun who was on the night shift last night.


    "Mr. Ding works the night shift. Unless the patient is dying, all other matters will be handled by the students on duty."


    Dong Hao looked around the office and said in a low voice when he saw that the client was not present.


    "Last night shift was a female graduate student of Director Shao. She was too busy last night, and several patients with heart failure fell ill."


    "Mr. Ding slept in the duty room and couldn''t come out. Fortunately, nothing happened in the end. But the female graduate student went directly to Director Shao to complain this morning."


    Dong Hao shook his head.


    It stands to reason that Shao Jun will definitely not turn against Lin Cui because of a graduate student.


    But if something happens to the student on night shift, then he, the tutor, can''t get rid of it.


    "Hey, Mr. Ding is on duty. When I was in the respiratory department, I heard from the peers in the same group that everyone was discussing that it was the most terrifying thing to do night shift with Mr. Ding."


    Understand the cause and effect of things.


    Lu Chen could only sigh in his heart, don''t run into Mr. Ding in the night shift in the future.


    But Lu Chen was also very strange, a doctor like Ding Deli who was slack in work, according to Li Yao''s work style, she would definitely not ignore it.


    But now Ding Deli has been at ease for so long, which has led to this conflict between Shao Jun and Lin Cui.


    This thing reveals an unusual taste.


    Eight districts in my heart, the water is very deep.


    (end of this chapter)

 Chapter 50： Coronary heart disease at the age of 30?

    Chapter 50 Coronary Heart Disease at Thirty Years Old?


    At ten o''clock in the morning, just after Lu Chen finished writing the ward round, a new patient came to the department.


    "Junior Brother Lu, it''s your turn to accept the patient."


    Sun Guoguo glanced at the order table of the admitted patients, and just arrived at Lu Chen.


    "Okay." Lu Chen nodded, saved the medical records he had written, and pushed the electrocardiograph to the ward.


    The patient is a thirty-one-year-old male.


    When I was pulling bamboo shoots on the mountain this morning, I had chest pains, accompanied by cold sweats. After about ten minutes, the symptoms resolved on their own.


    This patient is thin, with a drunken red flush on his face.


    First thing, look at the color.


    Lu Chen concentrated and glanced at the color on his head, it was yellow!


    In the past two days, Lu Chen has observed in the ward.


    For the same disease, if at different stages of development, the color of the patient''s head is also different.


    For example, most patients with high blood pressure have no complications, and the color of their heads is yellow.


    And there is a hypertensive crisis, that is, a patient with severe complications, the color of the head is red.


    Another example is a patient with coronary heart disease. If an acute myocardial infarction occurs, it is definitely red!


    If it is just ordinary angina, the color is still yellow!


    Similarly, if the acute myocardial infarction is recovering, the color of the patient''s head can change from red to yellow.


    In short, the color represents the health value of life, and the color can be changed at any time according to the state of the patient!


    ¡­


    "Senior Brother Lu, Teacher Sun asked me to follow you to receive patients."


    Lu Chen just finished his electrocardiogram when a little intern girl in the group blushed and followed him into the ward.


    As for why his face was blushing, Lu Chen couldn''t figure it out.


    glanced at her badge, her name was Yao Jie, a fifth-year intern at Jinghua Medical University.


    "Well, good." Lu Chen smiled and nodded, "Then you can ask about the medical history."


    Yao Jie heard the words and responded lightly, then took out a pen and paper, walked to the patient''s bed, and began to ask about the patient''s condition.


    Taking medical history is an essential skill for medical students.


    Jinghua Medical University is still a first-class medical university. The quality of students is good, and Yao Jie''s medical history inquiries are very standardized.


    As she asked, she wrote down the main contents on paper.


    From the main symptoms of the onset, accompanying symptoms, onset time, as well as the mode of relief and treatment, all of them were asked in detail.


    "Well, the question is very detailed, but you forgot to ask about one thing." Lu Chen smiled, "The diseases of the Cardiology Department are different from other departments, and the content of the past history is also different. Think again."


    Yao Jie frowned and thought for a moment.


    "Ask about risk factors for heart disease!"


    Lu Chen nodded with a smile and said, "Yes, by evaluating the risk factors, we can simply judge the risk of coronary heart disease."


    "Yes." Yao Jie nodded, then turned around and continued to inquire about the patient''s related risk factors, including smoking history, drinking history, etc.


    "Do you usually smoke? How much per day?"


    "Pumping, about two to three packs a day."


    "drink wine?"


    "Drink, drink a little white wine every night, about two or two."


    "What work? Staying up late?"


    "Truck driver, often running at night."


    "Have you ever had high blood pressure or diabetes before?"


    "Has diabetes, no high blood pressure."


    After recording all the medical history, Yao Jie looked back at Lu Chen.


    "Senior brother, is there anything else I missed?"


    "Very good." Lu Chen smiled, "It''s better than when I was an intern."


    Yao Jie blushed, a little embarrassed.


    "But what do you think the diagnosis of this patient is?" Lu Chen changed the subject and began to inherit the fine tradition of the group - asking questions.


    "This..." Yao Jie looked at the patient on the bed again, "Coronary heart disease?"


    "The patient is just 31 years old this year, are you sure about coronary heart disease at such a young age?" Lu Chen smiled.


    "Huh?" Yao Jie shook her lower lip, "Could it be aortic dissection?"


    "The pain of dissection is generally difficult to relieve. The patient has not used any medicine, and the pain will relieve itself. Are you sure it is a dissection?" Lu Chen said.


    "Is that a pulmonary embolism?" Yao Jie muttered.


    This senior is really bad!


    He looks handsome, but he asks a lot of questions, just like Mr. Sun.


    "Junior sister, don''t be affected by my thinking." Lu Chen smiled, "Just follow your own thinking and consider what the initial diagnosis of this patient is?"


    Lu Chen smiled, this junior sister is quite clever, not sure about it, so she talked about several diseases related to chest pain.


    Yao Jie thought for a long time and replied.


    "Coronary Heart Disease?"


    "Yes." Lu Chen nodded, "I also think it is coronary heart disease."


    Lu Chen''s voice just fell, and the young man on the bed immediately became anxious.


    "Doctor, don''t talk nonsense! How could I have coronary heart disease at such a young age!"


    "I checked Baidu before I came to the hospital. Coronary heart disease is a disease of the elderly in their 60s and 70s."


    "On the Internet, it is said that my chest pain may be caused by pleurisy, or it may be caused by not paying attention to it."


    Lu Chen glanced at the anxious man on the eye bed.


    "According to your current symptoms and electrocardiogram, as well as your usual bad living habits, the initial diagnosis is coronary heart disease, and the final diagnosis can only be made after the results of blood tests and other auxiliary examinations are completed."


    The young man still shook his head when he heard the words.


    "You doctor is too young and inexperienced. Let me tell you, I just have a good rest. I''m tired after going out to pluck bamboo shoots. I''ll rest for two days."


    "Of course I would rather you be tired and have no other problems." Lu Chen said lightly, "But you''d better quit smoking and drinking, don''t stay up late, and control your blood sugar."


    The young man raised his brows and put his hands on the back of his head, looking indifferent.


    "Sister, let''s go back and write the medical records."


    After asking the medical history, Lu Chen pushed the electrocardiograph, turned around and left the ward.


    Yao Jie nodded and followed.


    Going back to the office, Lu Chen finished writing all the doctor''s orders, and after letting Dong Hao review it, he finally clicked to upload the doctor''s order.


    This time, Liu Mei''s voice did not come from the nurse''s station, so there should be no wrong doctor''s order.


    "Junior brother, this patient''s electrocardiogram is normal, and he still considers coronary heart disease and angina pectoris?"


    Sun Guoguo frowned while holding the electrocardiogram of the young man just now.


    Although the medical history was admitted by Lu Chen, Sun Guoguo, the superior doctor, will check all the patients to prevent any missed doctor''s orders or auxiliary examinations.


    "Judging from the symptoms he described himself, chest pain after activity, accompanied by cold sweats, and his usual irregular work and rest, he is more likely to have coronary heart disease." Lu Chen said.


    Sun Guoguo shook his head.


    "I am only 30 years old. I feel that the probability of coronary heart disease and angina pectoris is not high. It may be coronary spasm caused by long-term smoking. When the patient''s test results come out, make an appointment for coronary CTA first."


    "Well, okay." Lu Chen nodded.


    ¡­


    After half an hour.


    Lu Chen was writing his medical records when a pop-up window popped up in the computer testing system.


    "Test critical value, please accept it!"


    Lu Chen''s eyelids jumped, and a bad premonition suddenly rose in his heart.


    (end of this chapter)

 Chapter 51： Heart Stent Price Reduction

    Chapter 51 Heart Stent Price Reduction


    Click the Receive button.


    A red box popped up on the central interface of the computer.


    Laboratory critical value reminder!


    Department: The Eighth Ward of Cardiovascular Medicine


    Name: Zhang Guangming


    Bed size: 20 beds


    Age: 31


    Critical value: cardiac troponin I (fluorescence method) 5.4ng/ml (normal value 0-1ng/ml).


    Seeing the critical value of the test, Lu Chen''s heart sank. Troponin increased five times. This young guy has a heart attack?


    The current international diagnostic criteria for acute myocardial infarction follow the "1+1 model".


    The first 1 is a typical dynamic change of the marker, that is, an increase in troponin.


    The second 1 is any one of the four criteria. The four criteria refer to: 1. symptoms of chest pain and chest tightness, 2. pathological Q waves on the ECG, 3. ST segment elevation or depression on the ECG, 4. Imaging examination showed abnormal myocardial movement.


    And this 20-bed patient just met the 1+1 diagnostic criteria!


    "Senior Sister Guoguo, the 20 beds just received, the troponin has increased!"


    Lu Chen shouted to Sun Guoguo who was beside him.


    Sun Guoguo was reviewing the discharge medical records. Hearing Lu Chen''s words, he was also shocked. He quickly put down the medical records in his hand and hurriedly sat in front of the computer.


    Open the test sheet of the system, cardiac troponin I (fluorescence method) 5.4ng/ml!


    Just now she was talking about coronary spasm caused by smoking


    Now it''s really a slap in the face!


    "Myocardial infarction!" Sun Guoguo immediately picked up the stethoscope and stood up, "Junior brother, push the ECG machine and review the patient''s ECG. I''ll go and communicate with the patient''s family about the condition!"


    "Okay." Lu Chen nodded and started to act separately.


    ¡­


    Patients who are suspected of myocardial infarction must check the ECG frequently, preferably every half an hour to an hour.


    ECG is a simple, non-invasive and inexpensive examination, and can understand the changes of myocardial ischemia in patients at the first time.


    pushed the electrocardiograph to bed 20.


    As soon as Lu Chen walked into the ward, he saw a middle-aged uncle of about fifty years old standing beside the bed. He should be the patient''s family.


    The middle-aged uncle has a thin body and dark skin. He may be a person who has been working in the sun for a long time.


    Lu Chen looked at the young male patient lying on the bed.


    The color on his head has changed from yellow to red!


    Lu Chen pushed the ECG forward and immediately reviewed the ECG for the patient.


    The electrocardiogram showed that the ST segment in leads V1~V3 of the chest was about 0.2mv higher than before.


    Sun Guoguo finished auscultating the patient again. He looked at the electrocardiogram of the reexamination and frowned: "Basically, acute myocardial infarction has been diagnosed."


    "Doctor Sun, you said my son had acute myocardial infarction?"


    The middle-aged uncle had a sullen face, his hands behind his back, and his eyes were erratic.


    "Well, judging from the current tests, electrocardiogram and symptoms, there is a high probability of acute myocardial infarction."


    "We need to contact the immediate interventional coronary angiography to assess the condition of the heart vessels, and if necessary, coronary stents may be implanted!"


    Sun Guoguo''s face was serious, and there was a hint of doubt in his tone.


    "Interventional surgery? Dr. Sun, I still understand this disease, because a relative in my family had a myocardial infarction and a stent was placed." The middle-aged uncle said solemnly, "But at that time, my relative had severe chest pain, and I My son doesn''t feel any discomfort now, how could it be a heart attack? Could it be a mistake?"


    The male patient lying on the bed also said loudly: "Yes, I don''t have any symptoms now, and I don''t feel any pain at all. It''s no different from a normal person. You just checked the blood once, will it be wrong?"


    Sun Guoguo patiently said slowly: "Each patient''s condition is different and can change at any time, and the patient has already experienced chest pain symptoms when exercising in the morning, which indicates a high probability of myocardial infarction."


    The middle-aged uncle was silent for a long time before speaking.


    "Doctor Sun, to tell you the truth, my relative died the next year after the stent was placed. Now I don''t know whether it was because of his own disease or because of the stent."


    Sun Guoguo frowned


    Patients or their family members who can say such things are generally difficult to deal with.


    I had a distrustful attitude towards the hospital from the beginning, and when it comes to various treatments in the future, there may be more disputes.


    "Whether to do coronary angiography, or not to put stents, it''s up to you to decide, our doctor just gives our advice." Sun Guoguo said, "If you are in the cardiology department of our hospital, you need to have a coronary immediately. Pulse angiography!"


    "Can''t it be treated conservatively?"


    The middle-aged uncle wondered.


    Sun Guoguo shook his head, "At present, the patient is in the time window for interventional surgery, and emergency coronary angiography interventional surgery is the best treatment at present!"


    As soon as the voice fell, the young patient on the bed immediately said: "Dad, I don''t have surgery, I don''t have any problems now, I won''t put the stent! If the stent is placed, won''t I be useless for the rest of my life?"


    "I''m not married yet, if other women knew I had a stent, would I still be able to find a wife?!"


    The middle-aged uncle frowned, "Dr. Sun, let''s do this, I have a friend who is engaged in medicine. I''ll call him first and ask him, and then give you an answer."


    Sun Guoguo nodded: "Yes, whether you want to have surgery or not, make a decision as soon as possible. We will give you ten minutes at most. If you do, we will arrange it immediately. If you don''t do it, sign and take the risk, that''s all."


    The middle-aged uncle replied softly, and then walked out of the ward with his mobile phone in his pocket.


    "Junior brother, change the nursing level of this patient to first-level nursing, let the nurse use the ECG monitor, and then report it in critical condition, and give the patient''s family a critical illness notice."


    Walking out of the ward, Sun Guoguo instructed.


    "Okay." Lu Chen nodded.


    He looked around and found the middle-aged uncle standing in the corner of the corridor, holding a mobile phone and talking to someone.


    For this kind of patient, Lu Chen didn''t say much.


    Sometimes, the advice of the doctor in charge may not be as useful as the words of a stranger.


    ¡­


    Back to the doctor''s office.


    Lu Chen began to revise the doctor''s order for 20 beds.


    "Senior brother, this patient''s vital signs are stable, why do you want to change the level of secondary care to primary care?" Yao Jie suddenly stepped forward and looked at Lu Chen suspiciously, "And the 19-bed old man is this year''s 69 years old, also has acute myocardial infarction, and still has a stent in our hospital, why is he in secondary care?"


    First-level nursing care is mainly suitable for those who are seriously ill, critically ill, and have extreme heart, liver, and kidney function failure, who need strict bed rest, and who cannot take care of themselves.


    Secondary care, mainly for patients with severe illness, disappearance of acute symptoms, and stable condition after major surgery.


    Simply put, patients in primary care are generally more critically ill!


    Secondary care is the second, and tertiary care is the lightest.


    The current 20-bed patients, heart rate, blood pressure, respiration, pulse and other vital signs are all normal.


    Lu Chen smiled and explained while revising the doctor''s order.


    "Junior sister, don''t think that the 20-bed patient is young, and now his condition is stable, you think he has no major problems."


    "As long as it is a patient with myocardial infarction, as long as it is in the acute phase, his heart is in a very fragile state, and there is a risk of heart rupture or even sudden death at any time."


    "So you have to remember that any patient with acute myocardial infarction, in the acute phase, needs to issue a critical illness notice."


    "Although the 19-bed patient also had acute myocardial infarction and two stents were placed, he has passed the acute risk period, so the level of care has been downgraded from primary care to secondary care!"


    Yao Jie nodded, his eyes seemed to understand.


    ¡­


    about ten minutes later.


    The middle-aged uncle walked into the doctor''s office.


    "Doctor Sun, I''ve thought about it."


    Sun Guoguo put down the medical records in his hand and looked at the middle-aged uncle in front of him.


    "I heard from a friend that in a few months, the price of cardiac stents will be reduced! Now the stents of six or seven thousand, or even tens of thousands of dollars, may drop to four or five hundred or even lower in the future. My thoughts Well, I will treat him conservatively now, and when the price of the stent is reduced, I will bring him over for angiographic interventional surgery."


    "Because if you have an operation now, if you have to put a stent, it will be a big loss!"


    Sun Guoguo frowned and asked suspiciously, "Did that doctor friend of yours suggested that you do interventional surgery in the future?"


    The middle-aged uncle waved his hand, "No, I just asked about the price of the stent, and he told me about the price reduction of the stent. He didn''t tell me when the surgery would be performed."


    Sun Guoguo''s expression softened a little. She thought that some doctors had violated the principles of treatment in order to save money.


    "Uncle, things need to be prioritized. The price of cardiac stents will indeed drop, but your son is in a hurry. Immediate interventional surgery can achieve the best results." Sun Guoguo said, "If you wait for the price of cardiac stents to drop, you might have to wait. For several months, what if your son gets sick again during this period?"


    The young uncle smiled and said, "Oh, the price reduction of this heart stent is a matter of next month, and we can''t wait too long."


    "Dr. Sun, don''t worry, the price of the heart stent will drop, I will definitely come back to you to do it!"


    Sun Guoguo frowned, since the persuasion was invalid, he had no choice but to give up, and turned around and said to Lu Chen.


    "Junior brother, print out a copy of the communication record of refusing interventional surgery."


    "it is good."


    When Lu Chen heard the decision made by the middle-aged uncle, he had already printed out the communication record of "refusing interventional surgery".


    "Uncle, just sign your name on this last line." Lu Chen pointed to the blank space at the end of the communication record, "After signing your name, write it again. If you refuse surgery, you will be responsible for the consequences."


    The middle-aged uncle was quite cheerful, signed his name without hesitation, and then wrote the eight characters "Refuse to operate at your own risk".


    "Then I will trouble Dr. Sun to take care of it these few days." The middle-aged uncle said, "We will be discharged from the hospital when the condition is stable. After a while, the price of cardiac stents will drop, and we will come back for surgery."


    Looking at the back of the middle-aged uncle leaving, Sun Guoguo was also helpless.


    It can be seen that this middle-aged uncle did not want to have surgery, but chose to suspend it for economic reasons.


    (end of this chapter)

 Chapter 52： Exam starts

    Chapter 52 Assessment Begins


    On the third day of admission.


    Lu Chen is familiar with all kinds of affairs in the eight districts of his heart, and he can master the system of doctor''s orders and medical records proficiently.


    Among the four patients he manages, 11 old women who were diagnosed with high blood pressure have relatively stable blood pressure recently and are going to be discharged from the hospital today.


    Lu Chen is patiently explaining the precautions to the old woman after being discharged from the hospital.


    "Mother-in-law, remember to take antihypertensive drugs every day after returning home! Don''t stop taking antihypertensive drugs casually. Antihypertensive drugs need to be taken for life."


    "If you have a cough or symptoms of edema in both lower extremities, it may be a side effect of antihypertensive drugs. You must come to the hospital for a review in time, and you may need to change the medicine!"


    "In addition, if you have any discomfort, please come to the outpatient clinic at any time."


    "Thank you, Dr. Lu. I''m sorry to bother you these few days."


    After the 11-bed old woman was discharged from the hospital, Lu Chen received a prompt from the system.


    "Congratulations, +1 for receiving thanks from Zhang Chunhua!"


    "The system is 80% complete."


    is getting closer and closer to 100% completion of the system, and the total thank you point has reached 10 points!


    Lu Chen is very satisfied with his system panel. This is the result of his hard work over the past few months!


    ¡­


    After get off work in the evening, he bought a bowl of Mala Tang in the hospital cafeteria, and Lu Chen went back to the bedroom.


    Today is Friday and he has something very important to accomplish.


    That is the admission assessment of the elite group of Jinghua Electrophysiology Society!


    The assessment time is at 8:00 pm, and the examination method is online assessment.


    Lu Chen didn''t know what the specific format of the ?? assessment was, and he tried to check it online, but couldn''t find any relevant information.


    Sitting in front of the computer, I read the big news that happened at home and abroad in the past few days.


    For example, the price of heart stents is reduced, a certain star is derailed, a certain star is surrogate...


    The time soon came to seven fifty minutes.


    Lu Chen logged on to the assessment website in advance.


    There is a ten-minute countdown on the website interface.


    The assessment rules stipulate that it is required to open the front camera of the computer, which should be set to prevent cheating.


    The time passed slowly, and it was fixed at eight o''clock.


    At the same time, the countdown on the website is cleared!


    The words "Begin Assessment" appear on the page.


    After confirming his identity information again, Lu Chen clicked "Start Assessment".


    ¡­


    Headquarters of Jinghua Electrophysiology Society.


    In the chairman''s office, Cao Zhiying and Cheng Guowen sat opposite each other.


    Both of them had a cup of green tea in front of the table.


    The water vapor of the tea slowly rises and circles with the air waves.


    Cao Zhiying picked up the teacup and took a sip.


    "In Chinese, the Health and Health Commission has issued a document and began to operate on the heart stent."


    "Starting from the 1st of next month, all stents, whether imported or domestically produced, must be reduced in price as long as they want to enter the hospital procurement catalogue. In the future, the coronary intervention in our Cardiology Department will become more and more difficult to do!"


    The price of heart stents has plummeted, and the price of stents of six or seven thousand has dropped to four or five hundred.


    After the price reduction of ?? stents, it is not known whether patients can benefit from the quality and safety of cardiac stents.


    But obviously, device dealers and interventional cardiologists earn a lot less.


    Cardiac stent involves cardiac intervention, and the intervention will definitely use a contrast agent, and if there is a contrast agent, there will be radiation.


    Once the pay is not proportional to the income, those talents in this industry will be lost in large numbers.


    For example, the current pediatrics and emergency departments have high risks and low returns, resulting in a huge shortage of doctors in these two departments.


    In a provincial-level tertiary hospital as large as the Second Hospital of Jinghua, there are only four doctors in the entire department of pediatrics, and there are currently more than 80 doctors in the department of cardiology.


    Once the price of cardiac stents is reduced, it is foreseeable that there will be fewer and fewer coronary interventions in the Department of Cardiology.


    "But the only good news at the moment is that only the price of cardiac stents is reduced, and other consumables are temporarily reduced in price. For example, in the field of electrophysiology, there is no price reduction for related consumables."


    Cheng Guowen nodded and said, "The Health and Health Commission can''t kill all the inner interventions with one shot, so what do you eat and drink?"


    "Guowen, you are in charge of the electrophysiology of the heart of the Second Hospital. The burden may be heavier in the future!"


    "Don''t worry, Director." Cheng Guowen smiled, "I''m not good at coronary intervention, but electrophysiology is the second in Jinghua, but no one dares to say the first."


    "Well, with your words, then I''m relieved." Cao Zhiying took a sip of tea and suddenly thought of something, "By the way, Guowen, your term of office will end next year, do you have a good candidate for the chairperson to recommend? ?"


    Professor Cheng Guowen from the Cardiology Department of the Second Hospital of Jinghua City, as the chairman of the Jinghua Electrophysiology Society, is in his third year.


    The term of each member shall not exceed four years, which means that he has one more year to serve.


    "If it was a year ago, I would have chosen Li Yao without hesitation. She is a doctor in the system of our second hospital with relatively old qualifications, and she is also the vice chairman of the Electrophysiology Society. Arrangement for her to take over, everything will come naturally. Yes." Cheng Guowen sighed softly, picked up the teacup, and took a sip, "It''s just a pity, now that this kind of thing has happened, I can only try it with someone else."


    Cao Zhiying waved her hand slightly, and didn''t really want to discuss the topic of Li Yao.


    "Guowen, you can promote another person, otherwise you can only drop one person from the outside." Cao Zhiying smiled, "You must be reluctant to drop an outsider."


    Cheng Guowen said with a smile: "Of course, Jinghua''s electrophysiology field is better controlled by our second hospital!"


    "Well, in this last year, you have to speed up the process. The Cardiology Department of Jinghua First Hospital, Third Hospital and even the city hospital are all coveting the position of the chairman! We can''t take it lightly."


    "Don''t worry, Director, I''ll do the finishing touches later."


    Currently, the status of electrophysiology in the heart has risen sharply. Keeping this position is extremely important to the development of the Cardiology Department of Jinghua Second Hospital.


    "There is one more thing about Chinese." Cao Zhiying continued, "I have a graduate student who will join the Electrophysiology Society this year. You can take care of him when the time comes."


    "Ordinary member?" Cheng Guowen asked suspiciously.


    Cao Zhiying smiled and shook his head, "I heard him say that if you want to participate in the elite examination, don''t let it go. If he fails the examination, put him in the ordinary group."


    Cheng Guowen smiled, "Director, you are joking, this elite group assessment is under the unified supervision of the government, even if I want to release water, I can''t release it!"


    "Well, that''s fine." Cao Zhiying said, "Young people today, it''s better to endure more setbacks."


    The two chatted a few more times, and Cao Zhiying left.


    ¡­


    Guipei Building, postgraduate dormitory.


    Lu Chen has entered the assessment of the elite group.


    He looked at the exam questions that appeared in front of him and fell into deep thought.


    This topic is too... too strange!


    (end of this chapter)

 Chapter 53： Exam failed!

    Chapter 53 Failed in the assessment!


    On the assessment interface of the computer, there is a graphic question in the three-dimensional space of medicine.


    "This, this is the electrocardiogram vector?!"


    Lu Chen frowned tightly, staring at the question in front of him.


    He thought that he would be able to test the interpretation of the ECG, but he did not expect to test the vector of the ECG directly!


    Vector is a quantity used in physics to express both size and direction, called vector.


    The heart is a three-dimensional organ. The instantaneous integrated electrocardiogram vector generated by electrical excitation faces all directions in space. The force of each instantaneous integrated vector is represented by a point, and the distance between each point and the origin represents the magnitude of the vector force.


    ECG vector is the most basic knowledge of electrophysiology, but also the most complex knowledge.


    If there is no master to lead the door, it will be difficult to even get started with ECG vector by self-study alone!


    However, once you can figure out the electrocardiogram vector, no matter how complicated the electrocardiogram is, you can analyze it from the root and get an accurate diagnosis.


    "This...I can''t..."


    Lu Chen looked at the topic of ECG vector, scratched his head, and looked helpless.


    When it comes to interpreting electrocardiograms, he still has some experience.


    But when it comes to the knowledge of ECG vectors, he is also a layman!


    ¡­


    There are 10 questions in total.


    This first question, Lu Chen was stumped.


    "Just skip this question."


    Because there is a time limit for the entire assessment, once the time is up, the examination will be handed in automatically.


    Lu Chen clicked the "Skip" button.


    The second question.


    is still an ECG vector issue!


    Lu Chen''s heart has sunk to the bottom.


    If the next topic is still about the electrocardiogram vector, then his assessment this time is almost impossible!


    Continue to "skip"!


    The third question is finally not about the ECG vector, but about the heart anatomy!


    This is a color anatomy of the heart.


    For the ?? question, you need to identify the ten positions marked on the anatomical map.


    These anatomical locations are mostly related to electrophysiology and are the origin of various arrhythmias.


    The answer time for this question is only two minutes.


    Lu Chen quickly browsed the entire anatomical map, and he only determined the names of six anatomical locations.


    And the other four anatomical positions are usually not used clinically, Lu Chen can only guess their names based on the relationship between the upper and lower structures.


    "Call..."


    Answer the third question.


    Lu Chen took a deep breath to relax his tense nerves.


    The difficulty of this assessment has exceeded the difficulty of any previous medical examination!


    is really powerless!


    Then comes the fourth question, which is still an anatomy question!


    This time, the exam is different from the third question, and the exam is the fine anatomy of the heart conduction system.


    Lu Chen has no way to start!


    He has never seen this kind of anatomical diagram before, how to take the test?


    It seems that we can only continue to "skip"!


    But when Lu Chen clicked the "Skip" button, a gray dialog box popped up immediately.


    "Three questions have been skipped, the assessment failed!"


    Jump three questions in a row and fail?


    After confirming again and again that the assessment system was not malfunctioning, a wry smile appeared on Lu Chen''s face. He rubbed his sore eyes and sighed slightly.


    Exam failed!


    At the beginning of the assessment, he was still sworn and confident.


    He was more confident in his electrocardiogram level, but the reality taught him a lot.


    I have done four questions, but I can''t answer three questions, and I can only answer half of the questions that I can answer.


    The assessment of the elite group of the Electrophysiology Society is really not easy!


    However, Lu Chen thought about it, after all, this is the gathering place for the best electrophysiological talents in the city.


    He is a fresh graduate student, so it would be great to be able to take this kind of assessment.


    In order to pass the elite group assessment, it is estimated that it will take many years to hone.


    Thinking of this, Lu Chen looked away.


    The ??Electrophysiology Society''s elite group assessment has three opportunities every year, and Lu Chen has already wasted one.


    At the same time, this assessment also gave Lu Chen a wake-up call.


    In the field of electrocardiography, if you want to improve, the learning of this electrocardiogram vector must be put on the agenda as soon as possible.


    ¡­


    At this time, he was in a bedroom downstairs from Lu Chen.


    Gu Xinyue is sitting in front of the computer.


    On his computer interface, it is the "Elite Group" assessment question of the Electrophysiology Society!


    And he has already done the fifth question, the ECG interpretation question!


    Suddenly, a gray-white dialog box popped up on the interface.


    "The total answering time has reached 20 minutes, and the paper is automatically submitted..."


    Gu Xinyue shook her head disappointedly when she saw this dialog.


    He has tried his best to speed up the problems and save time, but still half of the problems have not been completed.


    According to the past assessment results of the elite group, at least seven questions need to be answered correctly in order to pass the assessment of the elite group.


    If you answer all ten questions correctly, you can trigger the assessment of "core group members".


    As for the assessment of the core team members, Gu Xinyue did not dare to think about it.


    But in the assessment of the elite group, he felt that if he tried harder, he still had a chance to pass.


    There are three opportunities per year, and nine opportunities for the entire three-year postgraduate study.


    Gu Xinyue calculated that after graduating from graduate school, she should be able to pass the assessment of the core group.


    During his studies, if he can become a member of the elite group of the Municipal Electrophysiology Society, it will be of great benefit for him to pursue a doctoral degree or find a job in the future.


    ¡­


    The next day.


    Eight districts in the heart, the doctor''s office.


    The laboratory results of the 12-bed patient came out.


    The concentration of "Digitalis" in the blood exceeds the standard, and it is more than three times as much!


    "It''s really digitalis poisoning!"


    This result is not unexpected, but how the patient is poisoned is another problem!


    doctor''s office.


    Sun Guoguo is on the phone with Li Yao to discuss the specific treatment method for the 12-bed patient.


    If it is a clinical overdose, you can stop the drug, and the patient''s symptoms will be relieved immediately


    For the poisoning effect of "digitalis" that has no obvious cause, it is still necessary to "detoxify".


    "Okay, Mr. Li, then I''ll use activated charcoal to absorb toxins."


    hung up the phone, and the expression on Sun Guoguo''s face relaxed a lot.


    With Teacher Li Yao helping to check the treatment plan, Sun Guoguo was under much less pressure.


    ¡­


    Eight districts in the heart.


    In the ward.


    "Am I really poisoned?"


    The 12-bed female patient heard Lu Chen''s affirmative answer, her face gloomy and uncertain.


    "Auntie, this is the test sheet."


    Lu Chen printed out a copy of the laboratory results.


    "The concentration of digitalis in your blood has exceeded the standard, reaching the standard for diagnosing poisoning."


    "Can you give me this test result?"


    "Well, you can make a copy, remember to return the original."


    "it is good."


    ¡­


    afternoon.


    Eight districts in the heart.


    As soon as Lu Chen went to work, the 12-bed female patient found the office.


    "Doctor Lu, this is the original."


    The female patient returned the original to Lu Chen.


    "Um."


    Lu Chen stuffed the original test sheet into the medical record.


    All examination and test sheets of the patient need to be filed in the medical record.


    "Doctor Lu, I...Yes, there is something I want to tell you."


    At the door of the ward, the 12-bed female patient frowned deeply, as if there was something unspeakable.


    (end of this chapter)

 Chapter 54： yellow flower

    Chapter 54 Yellow Flower


    Lu Chen frowned slightly, he stood up slowly, with a puzzled face, he and the 12-bed female patient came to the corner of the corridor of the ward.


    "Auntie, what are you looking for?"


    The woman looked hesitant, looked left and right, opened her mouth, wanted to speak, but paused again.


    Is there really a secret?


    Seeing the woman''s appearance, Lu Chen couldn''t help but have a hint of association.


    He remembered that on the first day this 12-bed female patient came to the department, she said that she had quarreled with her husband.


    And while she was in the hospital, she never had family visits.


    Is it because of family conflicts...


    Just as Lu Chen was thinking about it, the woman opened her red envelope.


    pulled out a white handkerchief, which seemed to be wrapped in something.


    "Doctor Lu, look what this is..."


    The ?? woman spreads out her handkerchief.


    In her handkerchief is a yellow flower.


    This flower has dark green leaves, light green back, midrib sinking in the leaves, flat petioles, terminal cymes, and dark yellow corolla.


    "Auntie, you are..."


    Lu Chen looked at the female patient suspiciously, not understanding what she was going to do with a flower.


    The female patient frowned and said solemnly, "Doctor Lu, haven''t you been asking me if I have eaten anything recently?"


    Lu Chen was taken aback for a moment, looked at the yellow petals in his hand, and then looked at the woman in front of him.


    "Auntie, you, shouldn''t you eat this flower?"


    The ?? woman didn''t respond immediately, she sighed.


    "Doctor Lu, you can help me check first, is it possible that my poisoning has something to do with this flower?"


    After hearing this, Lu Chen focused his eyes on the yellow flower in front of him again.


    Could it be said that this flower also has a cardiotonic effect similar to "Digitalis"?


    "This kind of flower should be very common." Lu Chen frowned.


    Although he couldn''t name the flower, Lu Chen felt like he had seen this kind of flower before.


    What he was sure of was that this flower was definitely not a rare species.


    The ?? woman nodded: "Well, you can find it nearby."


    Lu Chen heard the words, took the handkerchief, and looked at the flower carefully.


    for a long time.


    Lu Chen didn''t see anything.


    He suddenly thought that the current search engine has the function of "photo recognition".


    Immediately took a photo and uploaded the "yellow flower" photo to the search engine.


    But the output results are all kinds of strange.


    Mainly because the characteristics of this yellow flower are not obvious.


    Therefore, all flowers that are yellow, appear in the search results bar.


    It seems that using this "photo recognition" function will not work!


    "Auntie, give me this flower first, and I''ll go and ask for you."


    "okay."


    The woman handed the flower to Lu Chen.


    Lu Chen covered him with toilet paper.


    This thing might be poisonous, so be careful.


    ¡­


    Back to the doctor''s office.


    Lu Chen took out the "yellow flower" in his hand and identified it to everyone in the group.


    "Sister, do you know this kind of flower?"


    Sun Guoguo looked at "Yellow Flower", then shook his head.


    "I can''t even tell the difference between wheat and rice, so don''t show me this."


    Lu Chen: "¡­"


    "Junior Brother, what are you asking about this flower? Where did you get the flower?" Sun Guoguo wondered.


    Lu Chen quickly said, "It''s the female patient in bed 12. She said she ate this kind of flower."


    "Eat flowers?" Sun Guoguo asked in surprise, "Why eat flowers?"


    Lu Chen shook his head.


    "I don''t know. As soon as I keep asking, she doesn''t answer."


    Afterwards, Ke Yue and Dong Hao also looked at the "yellow flower" for a while and shook their heads.


    This flower looks very familiar.


    But to say what kind, no one can say.


    "Show me."


    Jiang Qingyan suddenly spoke from the side.


    Lu Chen was stunned for a while, and then handed "Yellow Flower" to Jiang Qingyan.


    "By the way, Xiaoyan, you usually like to grow flowers. You should know what kind of flower it is." Ke Yue smiled.


    Jiang Qingyan did not speak, and carefully wrapped the rhizome of "Yellow Flower" with toilet paper.


    After observing for a while, she frowned slightly.


    "The scientific name of this flower should be oleander."


    Oleander?


    Everyone looked puzzled.


    "Actually, this kind of flower is very common." Jiang Qingyan said softly, "Mainly in the tropics, but it is planted in parks, flower beds and lakesides in southern my country."


    "Is this flower poisonous?" Lu Chen frowned.


    "Such a common flower shouldn''t be poisonous, right?" Ke Yue whispered aside.


    Dong Hao also agrees: "There are many such flowers in my hometown, I have never heard of anyone being poisoned"


    "I don''t know much about toxicity." Jiang Qingyan returned the "yellow flower" to Lu Chen, "However, this flower is widely planted in China, and it has anti-smog, anti-dust, anti-toxic, air-purifying, and environmental protection properties. Ability, but also must have ornamental value.¡±


    "Well, thank you." Lu Chen nodded.


    Although the toxicity of this plant is still unclear, Jiang Qingyan has helped a lot, at least identifying the type of plant.


    "I''ll check the Internet after get off work."


    Lu Chen wrapped the yellow flowers in toilet paper and prepared to put them in the open space in the duty room.


    "No need to check"


    At this time, Li Yao suddenly walked into the doctor''s office.


    She looked around the crowd and said softly:


    "Bamboo oleander is indeed poisonous!"


    As soon as the voice fell, everyone was shocked.


    Just listen to Li Yao continue:


    "Oleander is one of the most poisonous plants, containing a variety of toxins, some of which are deadly. It is extremely poisonous, with reports of small or near fatalities."


    "The most abundant of these toxins are cardiac glycosides and neriine. Cardiac glycosides are natural plant or animal toxins that have both positive and toxic effects on the heart, similar to digitalis."


    "These toxins can be found in various parts of the oleander."


    "The clinical manifestations of oleander poisoning are similar to those of digoxin poisoning, including gastrointestinal symptoms, neurological dysfunction, and arrhythmias."


    Everyone suddenly realized.


    "Yellow Flower" is oleander, which has a similar effect to "Digitalis".


    In other words, the 12-bed patient was indeed caused by the poisoning effect of digitalis because of eating "oleander"!


    It all makes sense!


    "Yes, but, why does she eat oleander?" Sun Guoguo asked a question that everyone knew.


    Everyone looked at each other, each with their own guesses.


    Lu Chen has been playing drums in his heart.


    This won''t be guessed by yourself, right?


    After quarrel and domestic violence, is it a family ethics drama?


    "We just need to tell the patient what we know." Li Yao said, "Don''t guess."


    "Okay." Lu Chen nodded.


    This female patient is in charge of him.


    This oleander thing should be told to the patient by him personally.


    ¡­


    Beside the 12-bed bed, Lu Chen stood up straight.


    "Auntie, this yellow flower is called oleander, and it is indeed poisonous." Lu Chen said.


    "Really?"


    "Well, Auntie, why did you eat flowers? Mistakenly or...other reasons?"


    The expression on the woman''s face was very surprised.


    "Doctor Lu, when did I say I ate this yellow flower?"


    (end of this chapter)

 Chapter 55： Im going big!

    Chapter 55 I''m going to get a tuba!


    "Ah? You didn''t eat?" Lu Chen sneered.


    "Why do I have nothing to eat?" The woman glanced at Lu Chen.


    "Then, how did you get poisoned?" Lu Chen touched his nose.


    The woman pursed her lips and sighed slightly.


    "Doctor Lu, this is actually not very honorable, but you are my doctor in charge. You helped me solve this problem. I''ll tell you about it."


    "We were burning straw in the countryside. There are also a lot of this kind of yellow flowers, the oleanders you mentioned. They are all in the bushes. We also burned them by the way."


    "At that time, I accidentally inhaled a lot of burning mist. After that, I felt a little nauseous and wanted to vomit. After a few days of rest, I started to feel uncomfortable, so I came to the hospital."


    After listening to the woman''s words, Lu Chen finally sorted out the cause and effect.


    According to what Teacher Li Yao just said.


    Everything in this oleander''s body is poisonous, and the poison is not weak.


    Even if it is incinerated and turned into mist, it is still toxic.


    This female patient must have absorbed the mist after burning to get sick!


    "Auntie, don''t burn straws and oleanders by yourself next time. It not only pollutes the air, is harmful to health, but is even illegal!"


    "Well, what Dr. Lu said is, thank you."


    The woman nodded quickly.


    The cause of the female patient has been figured out, and now the only thing left is symptomatic and supportive treatment - the use of activated carbon to absorb toxicity.


    "Congratulations, +1 for the thank you from Li Guizhi."


    Lu Chen''s face was overjoyed. After solving this medical record, his total gratitude value now reached 11.


    The completion rate of the system has risen to 90%!


    Now it''s only one step away!


    ¡­


    ¡­


    The first week of admission has passed.


    Since the last treatment of "oleander" poisoning, Lu Chen''s luck has improved a lot, and he has never encountered an emergency rescue event again.


    However, this flag cannot be set up too early.


    ¡­


    "Senior sister, do you know the elite assessment of the Electrophysiology Society?"


    Taking advantage of his free time, when no one else was around, Lu Chen took the time to ask Sun Guoguo.


    "I know." Sun Guoguo nodded, "Junior brother, why did you ask this all of a sudden, did Teacher Li let you join the school?"


    "Well, I participated last Friday, but I didn''t pass." Lu Chen said.


    "It''s normal to fail. This test is not something that ordinary people can complete. I''m just an ordinary member now, and I haven''t passed the assessment of the elite group."


    "Ah, senior sister hasn''t passed yet?"


    Lu Chen said in surprise, according to Sun Guoguo''s qualifications, she has been working for five or six years.


    Three times a year, and now I can take the test multiple times, why haven¡¯t I passed it yet?


    "How many questions have you done now?" Sun Guoguo smiled.


    "The fourth question." Lu Chen answered truthfully, "To be precise, the first few questions are not very good."


    "Hey, then you haven''t had a chance to see the next four questions." Sun Guoguo laughed, "The difficulty of the last four questions is far more than the previous ECG vector!"


    "It''s so hard!"


    Sun Guoguo smiled: "Yeah, because the whole Jinghua''s outstanding talents are here, of course the topic is a bit more difficult, otherwise the purpose of screening will not be achieved."


    Lu Chen was a little bit tongue-tied.


    It turns out that in the assessment of the elite group, the ECG vector is not the most difficult!


    He also wanted to try the elite group assessment after he taught himself the electrocardiogram vector.


    Now, let¡¯s wait.


    ¡­


    ¡­


    Eight district wards in the heart.


    Since being diagnosed with "acute myocardial infarction", Zhang Guangming has not eaten well and slept well.


    He is still so young, what will he do with a happy life in the future!


    However, Zhang Guangming was a little fortunate, fortunately, he did not listen to the opinions of these doctors to do an angiography or put a stent.


    He is fine now, and there is no discomfort at all. If an angiography is done and a stent is placed, the rest of his life will be over.


    He checked the Internet, and he had a stent in place, and he needed to take medicine for life. That would be miserable!


    "Uncle, did you put the stand?"


    Zhang Guangming looked at the middle-aged uncle in the bed beside him.


    "Yeah, I had an acute myocardial infarction this time, two stents were placed, and I stayed in the CCU for three days before I was transferred to the general ward."


    "Hey hey." Zhang Guangming sat up and said earnestly, "Look at me, I didn''t put a brace on, isn''t it a good person, why do you have to put a foreign object in the body, uncle, you say yes!"


    The middle-aged uncle sighed.


    "I had severe chest pain and the doctor suggested surgery, so I did it."


    "Uncle, you don''t know." Zhang Guangming glanced at the door of the ward, and then whispered, "It costs about 10,000 yuan to put a bracket now, and the price will be reduced to a few hundred in the future. Think about the price difference and profit in the middle. where is it?"


    "Is the price of the bracket going to drop?"


    "That''s right! My dad has a friend who is also involved in medical care, and he said that the price reduction will start next month."


    "Then it''s not the right time for my illness!"


    Zhang Guangming smiled. When he was chatting with his patients, his depressed mood would be a little better.


    Ouch, a sudden cramp in my stomach.


    Zhang Guangming was about to get up to go to the toilet, but the wires of these ECG monitors "tied" him to the bed and couldn''t move.


    quickly pressed the "call" button.


    "Nurse, I want to get a tuba, can you take these threads from my body? I''ll stick them on when I come back after going to the toilet,"


    Liu Mei walked into the ward, her eyebrows met coldly.


    "No! You can''t go to the toilet in your current situation."


    Zhang Guangming showed a helpless look.


    "Hey, beautiful nurse, then how do I defecate?"


    Liu Mei crossed his waist and said, "Your family has already bought a toilet, so you can settle it by the bedside."


    "Ah, this..."


    Zhang Guangming glanced at the eye ward.


    Although they are all big men, but this is equivalent to defecate in a public place...


    Too embarrassed!


    "Really can''t go to the toilet?"


    Zhang Guangming looked at the close-by toilet with infinite yearning in his heart!


    "No!" Liu Mei frowned, "You have to listen to our doctors and nurses when you are in the hospital."


    "OK then."


    Zhang Guangming sighed and could only climb out of the bed, squat beside the bed, and sit on the toilet.


    Half an hour...


    has the meaning of convenience, but it can''t be solved all the time.


    This is very uncomfortable!


    Zhang Guangming glanced outside the ward, and there were no doctors or nurses in the room for the time being.


    He quietly pulled his pants up, took off the electrodes on his body, and walked cautiously towards the toilet.


    Locked the toilet door, squatted down, and began to re-brew the "feeling".


    Zhang Guangming felt that he couldn''t figure it out.


    There is a high probability of constipation!


    This ball is stuck in the **** and can''t be pulled out.


    Make fists with both hands, use force, and kick your legs!


    Work harder!


    Suddenly, Zhang Guangming felt a colicky pain in his chest and his heart beat faster.


    He wanted to scream, but he couldn''t.


    As soon as his eyes darkened, he fainted.


    (end of this chapter)

 Chapter 56： Ventricular fibrillation! Ventricular fibrillation! Ventricular fibrillation again!

    Chapter 56 Ventricular fibrillation! Ventricular fibrillation! Ventricular fibrillation again!


    "Doctor Sun, there is an accident in 20 beds!"


    Liu Mei shouted eagerly, which shocked Lu Chen, and his heart rate rose to 120 beats/min.


    "Here!" Sun Guoguo and Lu Chen responded the most quickly. They grabbed the stethoscope and ran outside the office.


    Jiang Qingyan, Ke Yue and others followed.


    ¡­


    "Doctor Sun, 20 beds fainted in the toilet, he locked the door, and now there is no movement!"


    Everyone quickly ran to the ward where bed number 20 was.


    Liu Mei stood at the door of the toilet, looking anxious.


    "The patient in the next bed said that he went in two minutes ago, and after a while, he heard a thump from inside, and there was no movement, and no one responded after shouting a few times. We have called the family members, and the family members rushed over immediately. arrive."


    Lu Chen immediately understood the urgency of the situation.


    These 20-bed patients are most likely to be forced to defecate, aggravating the load on the heart, inducing acute heart failure, malignant arrhythmia, and even sudden death!


    In the Department of Cardiology, some patients with myocardial infarction died in the toilet, the reason being "squeezing the stool"!


    "Senior sister, the door is locked, and the only thing you can do is kick the door."


    With Sun Guoguo''s answer, the two boys Lu Chen and Dong Hao started kicking the door.


    On the side of ??, Sun Guoguo looked extremely gloomy.


    What the doctor is most afraid of is not that he is in a critical condition.


    is the fear of disobedient patients and difficult family members.


    She has repeatedly warned the 20-bed patient that he must defecate beside the bed.


    But he was completely ignored!


    ¡­


    Fortunately, the door of the hospital bathroom is made of PVC plastic!


    Chen and Dong Hao kicked hard twice before kicking the door open.


    The smell of ?? is mixed with the smell of toilet disinfectant, which is extremely unpleasant.


    I saw Zhang Guangming lying in the middle of the toilet with his pants at his knees, and he was completely unconscious.


    The color on his head, no doubt, is bright red!


    "The defibrillator is ready!"


    Sun Guoguo shouted to the nurse.


    "It''s ready!"


    Liu Mei has pushed the ambulance and defibrillator into the ward.


    At the same time, Lu Chen and Dong Hao worked together to get Zhang Guangming out of the toilet and put him on the open space of the ward.


    At this time, Li Yao also rushed to the ward.


    "My heart stopped!"


    "Prepare for defibrillation!"


    "Liu Mei, push an adrenaline!"


    After auscultation of the heart, Li Yao quickly judged the condition, and immediately knelt on the ground and started chest compressions.


    "Ice bag brain protection!"


    "Balloon Assisted Breathing!"


    "Lu Chen, inform the CCU catheterization lab to prepare, the patient may come to the stage for emergency intervention at any time!"


    "receive!"


    After receiving the order, Lu Chen immediately ran out of the ward, went to the nurse station, picked up the landline phone, and started to contact the CCU ward.


    Sun Guoguo and Li Yao were present at the same time to rescue him, and he couldn''t help much either.


    ¡­


    "Dududu..."


    CCU is on the phone.


    "Hello, CCU Ward A."


    "I am here in the eighth area of ??the heart. A myocardial infarction patient has sudden cardiac arrest and may need emergency surgery!"


    "What is the specific situation? The patient''s age, which blood vessel is considered blocked? Has the family agreed to the operation?"


    Lu Chen immediately said: "The 31-year-old male patient is considering occlusion of the anterior descending branch. The family members are on their way here."


    "Okay. If the family members agree to the operation, they can be transferred to the department. I will contact the doctor in the catheterization lab."


    "OK, thanks."


    hung up the phone, and Lu Chen hurried back to the ward.


    "Teacher, I have already contacted CCU."


    "Okay." Li Yao nodded.


    At this point, the patient''s ECG monitor has been connected, and it shows the heart rate of continuous ventricular fibrillation.


    Sun Guoguo was half kneeling on the ground, defibrillating the patient.


    "Boom..."


    The first defibrillation is over.


    The ventricular fibrillation on the monitor immediately turned into sinus rhythm, but before everyone was happy, sinus rhythm turned into ventricular fibrillation in an instant!


    "Continue CPR!"


    The two defibrillations cannot be performed consecutively, and cardiopulmonary resuscitation is required in between.


    Jiang Qingyan took over from Li Yao and immediately performed chest compressions on the patient.


    On the side, Ke Yue was using a balloon to assist the patient in breathing.


    "Second defibrillation!"


    Everyone kept away from the patient. Sun Guoguo adjusted the energy of the defibrillator, applied conductive paste, and aimed it under the right clavicle and under the apex of the heart.


    "Boom..."


    Defibrillation succeeded!


    After the ventricular fibrillation was converted to sinus rhythm, it remained stable with no signs of reconversion to ventricular fibrillation.


    quickly converted to sinus rhythm, that means hope of life.


    Persistent ventricular fibrillation, continuous cardiac electrical storm, if the time is too long, even if it can finally be converted to sinus rhythm, prolonged ischemia and hypoxia of various organs, the prognosis is extremely poor!


    "Zhang Guangming! Zhang Guangming! Can you hear me?"


    Sun Guoguo came close to Zhang Guangming''s ear and shouted loudly.


    I saw Zhang Guangming slowly open his eyes, and then slowly close them.


    Although there is no response, he has regained consciousness.


    Everyone breathed a sigh of relief.


    "Come on, give me a hand, and put the patient on the bed."


    The situation was critical just now, and it was too late to put the patient on the bed.


    There are more people and more power, so everyone moved Zhang Guangming to the hospital bed.


    At this time, Zhang Guangming''s father finally arrived.


    He looked flustered, and was carrying a large bag of steamed buns in his hand.


    "This... what''s wrong with this?"


    "The patient''s family members, right, come, you and I go outside and talk."


    Li Yao looked serious, pointed to the outside of the ward, and walked out first.


    Zhang Huaming''s father also knew that the female doctor in front of him was the director of the department, looked at his son on the bed, and followed Li Yao out of the ward.


    This kind of communication in critical times is of course the director of the department.


    ¡­


    The rescue was over, but Lu Chen was not idle.


    He pushed an electrocardiograph and reviewed the 18-lead electrocardiogram for Zhang Guangming.


    Compared with before, the electrocardiogram at this time showed that the ST segment in leads V1-V6 of the entire chest was all elevated!


    Now there may not only be a problem with the blood vessels of the anterior descending artery, but other heart vessels may also be blocked!


    Holding the electrocardiogram, he walked out of the ward.


    Lu Chen saw that Mr. Li Yao was communicating with the patient''s family about his condition.


    "The patient may have cardiac arrest again at any time, and the next time may not be as lucky as now and can be rescued." Li Yao frowned, "Now while the patient''s condition improves, interventional surgery should be performed immediately to open the blood vessels. A lifeline."


    The middle-aged uncle gritted his teeth.


    "how much is it?"


    "Look at how many stents are placed. Judging from the current state of the patient, you should prepare at least 50,000 yuan."


    "Fifty thousand..." The middle-aged uncle hesitated, "This... can he be okay?"


    Li Yao shook her head slightly, "We can''t guarantee that no hospital can guarantee the effect of treatment, unless it''s a hospital in Putian. You should be thankful now that your son has the opportunity to have emergency surgery! How many people died suddenly after a heart attack and wanted to do There is no chance of surgery!"


    "Director Li, let me think about it!" The middle-aged uncle paused.


    "There is no time to think about it!" Li Yao frowned, "Every minute that passes, the patient becomes more dangerous!"


    As soon as he finished speaking, Sun Guoguo''s voice came from the ward.


    "The patient has ventricular fibrillation again!"


    (end of this chapter)

 Chapter 57： Live! Live better!

    Chapter 57 Live! Live better!


    Li Yao glanced at the middle-aged uncle, said nothing, then turned around and returned to the ward.


    Lu Chen was stunned for a moment, and also followed closely behind.


    The patient''s cardiac electrical storm does not seem to be easily terminated.


    Go back to the ward.


    Sun Guoguo has started the third electrical defibrillation!


    She picked up the defibrillator, her expression serious and determined.


    ¡­


    The middle-aged uncle wanted to enter the ward, but was stopped by Liu Mei.


    "Family, the rescue is in progress, you can''t go in for the time being! It will hinder the doctor''s rescue!"


    "But I, I want to see my son..."


    "No!" Liu Mei said righteously.


    The middle-aged uncle hesitated to speak, staring at his son who was being rescued on the bed through the gap in the crowd.


    ¡­


    "This is the patient''s third ventricular fibrillation!"


    Sun Guoguo frowned.


    If you continue to consume like this, without immediate surgery, without opening blood vessels, and without addressing the underlying problem, the patient may die suddenly at any time.


    "Boom!"


    The defibrillator touches the patient and delivers electricity to the heart.


    "Beep!"


    Fortunately, after the third defibrillation, the cardioversion was successful at one time.


    Sun Guoguo looked back at Li Yao.


    "Mr. Li, the catheterization lab below is ready and ready for surgery at any time. What is the attitude of the patient''s family?"


    Li Yao shook her head and sighed softly.


    "Because of the cost, the family is still hesitating."


    "Hey, at this time, why are you hesitating!"


    Sun Guoguo sighed.


    At the same time, her expression was tense, and she was constantly paying attention to Zhang Guangming''s vital signs on the ECG monitor, not daring to relax for a moment.


    ¡­


    The patient''s condition has stabilized again, but this is not the way to consume it.


    "Lu Chen, you go to print the informed consent form for the operation." Li Yao ordered, "Whether you agree to the operation or refuse, you must have the family sign it."


    "Okay, received!"


    Lu Chen trotted all the way back to the ward and printed out the informed consent form for the operation.


    The main content of informed consent for surgery is to inform the necessity and risks of surgery.


    is at the bottom of the informed consent form for surgery.


    There are two lines of signature, respectively agreeing to surgery and refusing surgery.


    Holding the informed consent form for surgery, he returned to the corridor outside the ward.


    The middle-aged uncle was still standing at the door of the ward, looking inside.


    "Uncle, how are you thinking?"


    Lu Chen handed the informed consent form to the middle-aged uncle.


    "Hey." The middle-aged uncle turned around, shook his head and sighed, "Doctor Lu, you should know about my family''s situation, and I also want to treat the disease. The key is the money! I really take the 50,000 yuan. Don''t come out!"


    This middle-aged uncle was divorced when he was young, and his son was sentenced to him.


    Being both a father and a mother alone, it is extremely difficult to drag the child.


    And Zhang Guangming is currently only a truck driver, and his living expenses are only enough for himself, and he has no savings at all.


    "Can''t borrow some from relatives and friends?"


    The middle-aged uncle shook his head.


    Lu Chen frowned: "Uncle, the current situation is that your son is at risk of sudden death at any time. This risk is extremely high. If you don''t have surgery, even if you are lucky to survive this time, your quality of life will be very poor in the future!"


    "Doctor Lu, I understand what you''re saying. Director Li made it clear to me just now." The middle-aged uncle said, "But there''s no money! If you can perform the operation on credit, then I will now agree to the operation!"


    Lu Chen was a little helpless and could only point to the "Rejection" column on the informed consent form for surgery.


    "Uncle, since this is the case, then you can sign it - refuse the operation and bear the consequences at your own risk."


    The middle-aged uncle picked up the pen, but hesitated.


    "Don''t sign it, let me think about it."


    "Uncle, wait any longer, the day lily is cold!"


    Lu Chen couldn''t help but say.


    "Your son is only 31 years old this year, and he still has a lot of youth in the future!"


    "He''s not like you! Your life may be visible at a glance, but his life has just begun, and there are still many possibilities!"


    "Rejecting surgery almost means giving up his future life!"


    Lu Chen suddenly thought of something.


    "By the way, uncle, you are divorced. Where is your ex-wife, do you know the patient''s condition?"


    The middle-aged uncle shook his head, "I haven''t contacted her for many years, only my son often contacts her."


    "Do you have her contact information? Why don''t you ask her for help?"


    "This... I haven''t been in touch for many years, I... I..."


    "Uncle, stop fussing!" Lu Chen said sternly, "Give me your phone number and I''ll contact your ex-wife!"


    "That, that, okay."


    The middle-aged uncle hesitated for a moment, and finally nodded.


    ¡­


    The matter finally made some progress, and Lu Chen''s brows eased slightly.


    After getting the phone number, Lu Chen started to contact the middle-aged uncle''s ex-wife.


    "Hello, are you Zhang Guangming''s family?"


    A woman''s voice came from the other end of the phone.


    "Ah you are¡­"


    "I''m a doctor in the Cardiology Department of Jinghua Second Hospital..."


    Lu Chen truthfully informed the patient''s condition.


    "Is the condition dangerous?"


    "Currently considering ventricular fibrillation after myocardial infarction, there is a risk of sudden death at any time, and immediate surgery is needed. But now because of the cost..."


    Lu Chen could feel the nervousness and helplessness of the woman on the other end of the phone.


    "Doctor, give your phone to his dad, I''ll tell him! It''s really been so many years and I haven''t made any progress!"


    The middle-aged uncle took the phone, looked embarrassed, turned around, found a corner, and started to answer.


    Lu Chen doesn''t care what the content of their conversation is, as long as one of them is willing to bear the cost.


    This operation can be done!


    Zhang Guangming''s life may be saved!


    went around, spared so many circles, Lu Chen is nothing but a pity for such a young life.


    In fact, many times, doctors even hope more than the patient''s family that the patient can live and live better!


    (end of this chapter)

 Chapter 58： System activated!

    Chapter 58 System Activation!


    for a long time.


    The middle-aged uncle finished the phone call and walked quickly to Lu Chen.


    "Dr. Lu, we agree to the operation! You push the patient into the operating room first, and I''ll go to the first floor to pay."


    "Okay! We''ll arrange surgery right away!"


    Hearing the middle-aged uncle''s answer, Lu Chen breathed a sigh of relief and handed him the informed consent form for the operation again.


    "I have already told you about the necessity of surgery, and now it is about the risk of surgery, and I would like to stress it to you again."


    "Coronary angiography is a minimally invasive interventional treatment. Generally, the radial artery is punctured, a cardiac catheter is sent into the blood vessels of the heart, and then a contrast agent is injected to show whether the blood vessels are narrowed and the degree of stenosis."


    "So the common complication of cardiac angiography is the place where the radial artery is punctured, there may be bleeding, hematoma or even infection, and there is also the risk of local anesthetic allergy, contrast medium allergy, and even the risk of the catheter puncturing the heart blood vessel..."


    "Uncle, if you agree with these risks, then you can sign in the column agreeing to the surgery."


    The middle-aged uncle carefully looked at the informed consent form for the operation.


    "How about the success rate of your surgery?"


    Lu Chen said solemnly: "Coronary angiography is a minimally invasive procedure, and the chance of serious complications is very low. In Jinghua Cardiology Department, there are hundreds of interventional procedures every month, and most of them are successful."


    "But there will also be individual cases of accidents and even sudden death, so we will not guarantee the success rate of surgery for each patient."


    "Because once this complication happens to you, it happens 100% of the time."


    "Okay, your Jinghua Second Hospital is the best hospital in Jinghua City, I believe in you!"


    The middle-aged uncle picked up the pen and signed his name with two strokes.


    After signing, Lu Chen went to the ward with the informed consent form.


    "Mr. Li, the family agrees to the operation!"


    "Okay, Liu Mei, prepare the defibrillator and rescue medication." Li Yao ordered, "Guo Guo, you and the nurse will **** the patient to the CCU ward on the fourth floor."


    "receive!"


    Everyone in the ward was surprised.


    According to the character of this family member, he has always been hesitant, and the family has no money, why did he suddenly agree to the operation.


    But as long as the family agrees to the operation, now is the time to count!


    "Family, come and help push the bed!"


    Sun Guoguo and Liu Mei put the defibrillator and rescue medicine box on the ward.


    At this time, the middle-aged uncle ran into the house and started to help push the bed.


    Lu Chen was already contacting the logistics center and asked the emergency elevator to wait on the eighth floor.


    Everyone escorted the ward to the elevator.


    "Lu Chen will **** him with you. Everyone else should go back to the ward."


    Li Yao named Lu Chen to **** him, while the others returned to the ward.


    ¡­


    The distance from the eighth floor to the fourth floor is very short, but for Zhang Guangming, every floor is a life challenge.


    In the elevator, Lu Chen, Sun Guoguo, and Liu Mei were constantly paying attention to Zhang Guangming''s vital signs.


    Afraid that he will have ventricular fibrillation again!


    "Son, how are you feeling now? Can you talk?"


    The middle-aged uncle leaned over to Zhang Guangming''s ear.


    Zhang Guangming was extremely weak now, and slowly opened his eyes and closed them again.


    "Uncle, now the patient needs to rest, so don''t disturb him."


    Sun Guoguo reminded.


    Although the middle-aged uncle was anxious, he could only nod helplessly.


    The elevator descends slowly.


    "Ding!"


    When they reached the fourth floor, the three of Lu Chen breathed a sigh of relief.


    CCU is just around the corner. As long as the patient can be successfully sent to the CCU, even if the patient becomes sick again, the probability of successful rescue will be much higher!


    The hospital bed is safely parked at the entrance of the CCU.


    The security uncle at the door immediately swiped his card to open the door and shouted to the CCU:


    "Come to the emergency patient!"


    Because the CCU had been informed in advance, the ward doctors and nurses were in place quickly.


    Sun Guoguo immediately handed over the condition to the CCU doctor.


    And the middle-aged uncle was also called aside by another doctor to explain the risks of the disease, the necessity and risks of surgery again.


    Clinically, it is extremely important to repeatedly explain the risks to the patient''s family members and keep a document record of the condition.


    After handing over the illness, the task of the three of Lu Chen was completed.


    The three looked at each other and smiled, relieved.


    "Junior Brother, why did this family suddenly change their minds?"


    The three walked up the stairs to the eighth floor, and Sun Guoguo looked at Lu Chen strangely.


    Just now Lu Chen was explaining his illness to his family.


    After ?? explained, the middle-aged uncle suddenly agreed to the operation!


    Lu Chen smiled.


    "Because this patient was my first consultation, I knew a little about his family at the time..."


    After listening to the explanation, Sun Guoguo couldn''t help but sigh.


    "It seems that his mother paid for it. Junior Brother, you are really attentive. You even inquired about the patient''s family situation."


    "I also overheard the patient''s family say it." Lu Chen said, "What''s more, the patient is so young, if the conditions are available, his family will never give up the opportunity for surgery."


    "Well, now I just hope the surgery goes well."


    Sun Guoguo sighed.


    It is said that money is not everything, but it can solve most things.


    Many major diseases, even relying on spending money and consuming a lot of medical resources, can get more hope of survival.


    ¡­


    The operation time of coronary angiography is very short, from vascular puncture to angiography, it can be completed within tens of minutes.


    However, some big hands can even cut the time to under ten minutes!


    Angiography is the preparatory stage, and stent implantation after angiography is the most important step, which takes several times as long as angiography.


    It takes a lot of time to determine the culprit vessel, choose the location, type, and quantity of implanted stents, and successfully deliver the stent into the lesion.


    The operation time for a coronary intervention is usually about one to two hours.


    In the case of complicated blood vessels, or the patient is in a serious condition, the operation time may be longer if IABP or even ECMO is used.


    Lu Chen refreshed the patient''s surgical record while helping the patient go through the transfer procedures.


    View the real-time surgical situation.


    ¡­


    11:30 in the morning, when I was about to get off work.


    Three hours have passed since the surgery!


    Lu Chen refreshed the page of the computer surgery record sheet again.


    "Yes, the operation is over!"


    Lu Chen''s face was overjoyed, and the patient''s operation status had already appeared in the operation record.


    "Surgical record: The patient underwent selective coronary angiography in the cath lab today. The patient was placed in a supine position, routinely disinfected, draped, and local anesthesia with 1% lidocaine. The Seldinger method was used to puncture the right radial artery, and a 6F arterial sheath was placed. After giving 5000u of heparin and 200ug of nitroglycerin, a 6F multi-function angiography catheter was sent along the sheath to the left and right coronary openings for selective coronary angiography."


    "The results of coronary angiography showed that there was no obvious stenosis in the LM (left main trunk), about 95% diffuse stenosis in the middle and distal segments of the LAD (anterior descending branch), 80-90% localized stenosis in the opening of the first septal branch, and the distal anterior Blood flow TIMI grade 3; LCX (circular branch) mid-segment complete occlusion, distal anterior flow TIMI grade 0..."


    "PCI was performed on LAD and LCX lesions... The coronary angiography showed that the stent adhered well, there was no residual stenosis, intimal tear and thrombosis, and the distal anterior flow TIMI grade 3 PCI was successful; the patient had no complaints of discomfort and no Bacteria bandage and return to the ward."


    Surgery was a success!


    And looking at the operation records, there was no ventricular fibrillation during the operation, and the process went smoothly!


    Zhang Guangming¡¯s two blood vessels, LAD (anterior descending branch) and LCX (circular branch), were severely occluded, and a total of three domestic drug-eluting stents were implanted.


    At this time, Lu Chen received a prompt from the system.


    "Congratulations, +1 for the thank you from Zhang Guangming!"


    "Congratulations, +1 for receiving thanks from Zhang Jun!"


    The last time the system was completed was 90%, so this time...


    Looking at the system panel, the system completion has indeed reached 100%!


    A line of text appears above the system light curtain.


    "The system is officially activated!"


    "Before the next upgrade, the completion degree is 0%!"


    The ?? system light curtain started to change from the original blank.


    (end of this chapter)

 Chapter 59： Thank you for your patronage!

    Chapter 59 Thank you for your patronage!


    Others in the ?? group also found out that the operation was over and were discussing the results of the operation.


    Everyone was very lively, only Lu Chen was silent.


    Because he is watching the changes in his own system.


    Originally, most of the system light curtain was blank, only the top and bottom had system prompts.


    Now, in the center of the light curtain, there is a large disc.


    The ?? disc is equally divided into ten sectors.


    On the ?? disc, two small characters appeared - lottery.


    "Lottery draw?"


    Lu Chen was a little stunned.


    When the system is activated, isn''t it a direct reward for a novice gift package?


    Or directly give some very powerful medical skill books?


    How to come up with a disc lottery system?


    How to draw this lottery?


    Just when Lu Chen was in doubt, a fan-shaped area at the top of the disk suddenly brightened.


    Then, the light began to flash in a clockwise direction in all sectors.


    And at the bottom of the system panel, a prompt also appears.


    "Draw 1 time, consume 1 thanks point! Remaining thanks: 12."


    It turned out to be a draw for consuming thank you points!


    For every 1 thank you point consumed, you can draw 1 prize.


    Lu Chen understood a little.


    ¡­


    After about ten seconds, the speed of the light flickering began to slow down, and finally it slowly settled on a fan-shaped area at the top.


    At this time, four large characters began to appear in the uppermost fan-shaped area.


    Lu Chen looked at it intently, these four big characters were actually - thank you for your patronage!


    "Is this still possible?"


    Lu Chen showed a look of astonishment.


    This systematic lottery is really down-to-earth, and a "Thank you for your patronage" came directly!


    There is also a line at the bottom of the system panel.


    Lucky draw prizes: None.


    Lu Chen frowned, wondering what the prize for this system is?


    What are the odds of winning?


    In addition, after the draw, are there any guaranteed prizes?


    He had accumulated a total of 11 gratitude points before.


    Including the 2 points just obtained, there are 13 points in total.


    Now the lottery draw consumes 1 point, leaving 12 points of thanks.


    There are still a lot of gratitude points, so let¡¯s draw again!


    Lu Chen''s thoughts moved, and the lottery system was activated again!


    "Draw 1 time, consume 1 thanks point! Remaining thanks: 11."


    Lu Chen found that the text in the fan-shaped area at the top of the disc was still there.


    The lottery system does not refresh the prizes!


    After about ten seconds, the light freezes in a fan-shaped area at the bottom.


    The text appears in the fan-shaped area.


    "Thank you for your patronage!"


    Lu Chen frowned.


    This **** system!


    Of the ??10 grids, 2 are already "Thank you for your patronage".


    In other words, the probability of winning "Thank you for your patronage" is at least more than 1/5!


    Thanks are only 11 points left.


    Lu Chen couldn''t believe it, his own face was so dark?


    One more draw!


    "Draw 1 time, consume 1 thanks point! Remaining thanks: 10."


    Ten seconds later.


    The light is actually fixed on the top fan-shaped area!


    "Thank you for your patronage!"


    Lu Chen almost spit out a mouthful of old blood.


    Isn''t this the first draw position?


    You can even draw the same "Thank you for your patronage" repeatedly!


    Is there something tricky about this system?


    But he really doesn''t believe in evil!


    Continue the draw!


    "Draw 1 time, consume 1 thanks point! Remaining thanks: 9."


    The light freezes on the leftmost fan-shaped area!


    The text appears...


    "Get a thank you point +2!"


    ah?


    Lu Chen was stunned, is this still possible?


    Although I wasted a few points, I returned to 2 points all at once.


    But he has already drawn four times in a row, and he has not drawn anything!


    The winning rate is too low!


    Lu Chen wanted to stop, but he was a little unwilling.


    And this thank you value seems to have no other effect for the time being, except for the lottery.


    gritted his teeth and smoked again!


    "1 draw, consume 1 thank you point! Remaining thank you point: 8."


    This time, the light is fixed in the fan-shaped area on the far right.


    Lu Chen nervously stared at the text that appeared above.


    "Don''t thank you for your patronage, don''t thank you for your patronage!" Lu Chen meditated in his heart.


    The ?? text slowly appears - again!


    Lu Chen: "..."


    Is this a free draw again?


    Sure enough, the light continued to flicker, and this time there was no reminder to consume the gratitude value.


    Finally, the light freezes on the leftmost fan-shaped area.


    "Get a thank you point +2!"


    ¡­


    The friends in the ?? group were discussing Zhang Guangming''s illness.


    Only Lu Chen didn''t say a word, and there was even a look of frustration on his face.


    "Hey, Lu Chen, what''s wrong with you? Are you in a bad mood?"


    Ke Yue noticed something wrong with Lu Chen.


    "No, nothing."


    Lu Chen gave a wry smile, recovering from the loss of the lottery.


    "Ke Yue, do you think there is any way to change the bad luck?"


    Ke Yue frowned and asked suspiciously, "Have you been unlucky recently?"


    "A little bit." Lu Chen sighed deeply, "Anyway, my luck has not been very good recently."


    "Then go to the temple to burn incense? Ask for a sign?" Ke Yue suggested.


    Lu Chen smiled and said, "As a doctor and an atheist, do you still believe this?"


    "Sometimes I have to believe it, there are a lot of metaphysics." Ke Yue whispered, "For example, on the day of the night shift, you can''t eat mangoes, dragon fruit, barbecue, etc. It''s all important."


    "You still have a set."


    "Really, last time there was a senior brother who always had an accident on the night shift. Later, he went to the temple to ask for a blessing. Every time he went to night shift, he put it in the shirt pocket of his white lab coat. Later, his night shift seemed to be much more stable."


    Before Lu Chen could answer, Sun Guoguo interrupted with a smile.


    "You two little fellows, why are you talking about all this nonsense. Improve your business ability, that''s the most important thing, and go to the temple to burn incense and worship Buddha?"


    Ke Yue scratched the back of his head and smiled awkwardly.


    Lu Chen immediately said sternly: "Senior sister, don''t worry, I am a socialist three-good youth, and I definitely don''t believe this."


    "Well, that''s fine."


    Lu Chen thought, he went back to ask Ke Yue, where is the temple near the Jinghua Second Hospital...


    ¡­


    Ready to get off work, Lu Chen just walked out of the doctor''s office.


    The family members of the 10-bed patient, the old woman suddenly approached.


    "Doctor Lu, you haven''t gotten off work yet. My old man, I have something to call you."


    Lu Chen thought it was the 10 patients who were sick, so he stopped quickly.


    "Is there something wrong?"


    "No, it''s great." The mother-in-law grinned, "I just wanted to ask you something, do you have time now?"


    "If I have time, then I''ll go to the ward."


    As long as it is not sick, everything is easy to say.


    Lu Chen followed his mother-in-law into the ward.


    Immediately afterwards, Lu Chen discovered a strange thing.


    He originally wanted to see the color on the head of the 10-bed patient, but a red number appeared on the patient''s head - 48!


    (end of this chapter)

 Chapter 60： random skill book

    Chapter 60 Random Skill Book


    Lu Chen quickly looked at the other three people in the ward.


    They also have three numbers of different colors on their heads.


    is 56 for red, 64 for yellow, and 72 for yellow!


    has changed from a simple color to a color number.


    The ?? color represents a healthy state.


    What does this number represent?


    Lu Chen''s mind was running fast, analyzing various possibilities.


    Countdown to life?


    48 hours? 48 days? 48 years?


    seems unlikely.


    Or use numbers to refine your health status?


    Just like the life value of online games, will you have red blood when you are about to die?


    Death, will the value be reset to zero?


    "Doctor Lu, I have something I want to ask you for help."


    At this time, the words of the 10-bed old man interrupted Lu Chen''s thoughts.


    "You said." Lu Chen smiled.


    "I''ll call my son later, can you tell him that it doesn''t matter my condition, so that he doesn''t need to worry and come back to see me."


    The frown on the old man''s face was deep, and when he smiled, the traces of the frown became more and more obvious.


    Lu Chen sighed in his heart.


    Pity the hearts of parents all over the world.


    Whenever they think about not bothering their children.


    "Don''t worry, we will communicate with your family members about your condition." Lu Chen said, "You have a good rest now and strive to be discharged from the hospital as soon as possible."


    "Okay, thank you Dr. Lu."


    The old man tremblingly took out an old push-button cell phone with a flip cover.


    Make a call.


    "Hey, Xiaogang, are you busy?"


    "Oh, I''m still at work, I''m fine, I''ll let the doctor tell you."


    The old woman took the phone and carefully handed it to Lu Chen.


    "Hello, I''m a doctor in the Cardiology Department of Jinghua Second Hospital."


    "Hello doctor, how is my dad''s condition now?"


    Lu Chen paused and glanced at the old man out of the corner of his eye.


    "Considering the heart failure caused by coronary heart disease, the condition is relatively stable after treatment, but the disease will recur and may recur."


    A man''s voice came from the other end of the phone again, with a very polite tone.


    "Well, thank you doctor. Regarding the condition, your doctors and nurses called me and told me many times, and I am quite clear. But I am busy with work and can''t get away, so I don''t have time to go back. If there is any change in the condition, please trouble me. The doctor communicated with me promptly."


    Lu Chen was still organizing the language, thinking about how to dissuade his family from coming back.


    But this family member doesn''t seem to have any intention of coming back.


    handed the phone back to the old man, the old man said a few more words and hung up.


    "Doctor Lu, thank you." The old man said gratefully.


    As soon as the ?? voice fell, a prompt sound came from the system.


    "Congratulations, +1 for receiving thanks from Warwick, total thanks is 9."


    Lu Chen was taken aback for a moment, in fact, he didn''t help much, and he actually got a little thank you.


    "You have a good rest, your condition is stable for the past two days, and you can be discharged from the hospital."


    "Um."


    ¡­


    out of the ward.


    Lu Chen refocused on the changes in the system.


    In order to verify his conjecture, he decided to go to another ward.


    came to several wards managed by his group.


    The patient on the third day of acute myocardial infarction, who has had a stent in place, is red 54 on his head.


    Patients with high blood pressure have yellow 72 on their heads.


    Patients with frequent morning sickness have yellow 75 on their heads.


    Lu Chen slowly concluded a rule.


    The numbers below ??60 are all red.


    The numbers in the middle of ??60-80 are yellow.


    Numbers above ??80 are green.


    "By the way, there is another special patient." Lu Chen''s eyes flashed with a glint, "Go and see him, maybe you can find the final answer."


    ¡­


    Eight areas in the heart, 54 beds, this is a special patient.


    This patient had an accident during coronary intervention, which caused the patient to become a vegetative state.


    Currently lives on oxygen and nutrients.


    Because of a medical dispute, the family left the patient in the ward and never took care of it again. Instead, they collected various medical records and filed a lawsuit with the hospital.


    It is said that this vegetative person has been in the eight districts of his heart for more than a year.


    came to the outside of bed 54.


    did not approach, Lu Chen just glanced at it from a distance.


    The number on the vegetative head is a red 3!


    This is the lowest value Lu Chen has seen so far.


    at this time.


    Lu Chen noticed that the 3 on his head suddenly turned into a 2!


    And the patient on the bed did not respond.


    It seems that numerical values ??are indeed a more refined embodiment of health status.


    Before ??, Lu Chen could only simply distinguish the health status of patients.


    With this value, it may be possible to see the patient''s status more intuitively.


    And once the value changes, it also means that the condition changes.


    No matter if it gets better or worse, he can detect changes in his condition at the first time!


    This ability is absolutely the ability that any doctor can only dream of!


    Lu Chen was very excited, because the depressed mood of the "Thank you for your patronage" just now was swept away!


    ¡­


    After get off work at noon, Lu Chen quickly finished the battle in the cafeteria and returned to the dormitory.


    He lay on the bed, closed his eyes, and began to slowly study his system.


    The other people in the dormitory are also very strange. Lu Chen usually reads a book when he comes back. Why did he suddenly change his temper today, and he just fell back to sleep when he came back?


    In my mind, the system light curtain is displayed.


    "System upgrade completion is 0%."


    "Total thanks worth 9 points."


    In the center of the light curtain, there is still that huge disc.


    The upper, lower, left and right areas of the ?? disc are highlighted, among which the upper, lower and left are "Thank you for your patronage", and the right is "one more time".


    Ten fan-shaped areas, four are known to be useless, and the remaining six are unknown.


    Lu Chen researched for a long time, but did not find any other use for the gratitude value.


    There are still 9 points of gratitude left, Lu Chen gritted his teeth and made a gambler-like decision.


    All Stud!


    The big deal is to treat the patient and earn thanks points.


    With a thought, the lottery started.


    As expected, thank you for your patronage.


    Three more times.


    Thanks again for your patronage.


    "Isn''t this system produced by Boss Ma?"


    "Isn''t there even a guarantee?"


    There are still 5 points of gratitude left, and Lu Chen will not draw the lottery again and again.


    Draw five times in a row!


    Thank you for your patronage, thank you for your patronage, thank you for your patronage, thank you for your patronage¡­


    The last lottery draw was over, just when Lu Chen was about to give up his fantasy, the system suddenly popped up a different prompt.


    "Congratulations, get a random skill book."


    Lu Chen''s face was overjoyed, he''s finally here!


    In the ?? system panel, there is a yellow skill book lying quietly.


    With a thought of ??, Lu Chen wanted to open the skill book, and the system immediately popped up a prompt.


    "Are you using a random skill book (yellow)?"


    "Yes!"


    There is no reason to use the prize drawn for the first time!


    The ?? skill book flashed and disappeared.


    "Congratulations, getting the basics of electrocardiography (Part 1)."


    Lu Chen only felt that a lot of knowledge about electrocardiograms suddenly appeared in his mind.


    However, it is very strange that he wants to call this knowledge, but he feels that his brain is chaotic and cannot call it.


    It¡¯s that kind of thing. He clearly has a lot of knowledge in his mind, but it doesn¡¯t seem to be his own.


    "This should not be a pirated system!"


    Lu Chen opened his eyes, got out of bed, and took out a book of electrocardiogram vectors.


    Huh, that''s not right.


    How did the obscure and incomprehensible ECG vector knowledge suddenly become vivid and interesting?


    Just take a look at it and immediately understand the principle.


    After reading half of the book in one breath, Lu Chen closed his eyes and felt that the knowledge in the book had been deeply imprinted in his mind.


    (end of this chapter)

 Chapter 61： super comprehension

    Chapter 61 Super comprehension


    Lu Chen opened his eyes, a hint of joy flashed in his eyes.


    Although this skill book cannot directly instill knowledge into their minds, it can enhance his comprehension ability when reading books.


    Just now, the efficiency of his reading has exceeded the previous several times.


    In addition to ECG knowledge, is it useful for knowledge in other fields?


    I found a book on coronary intervention.


    When Lu Chen looked at it again, he found that he didn''t have the magical comprehension ability just now.


    It seems that using this ECG-based skill book is only useful for reading ECG-related books, and it cannot involve too advanced knowledge.


    Even so, this superb domain ability has already made Lu Chen very useful.


    These ten points of gratitude are worth it!


    Lu Chen recalled the previous electrophysiological assessment in Jinghua City. If he can maintain this kind of comprehension of electrocardiogram, maybe he will successfully pass the elite group assessment within the remaining two assessment opportunities!


    ¡­


    Strike while the iron is hot, Lu Chen doesn''t know how long this comprehension ability can last, so he needs to use it as much as possible.


    He immediately pulled out the ECG books he had collected and started to read.


    This reading speed can be said to be ten lines at a glance.


    The bedmates were stunned when they saw Lu Chen''s "swallowed dates" reading behavior.


    In less than half an hour, Lu Chen had already read two whole ECG books.


    "Lu Chen, are you looking for something in a book?"


    This way of reading a book cannot be a serious reading, but must be looking for a certain knowledge point.


    "No." Lu Chen looked back at his roommate, "I''m reading a book."


    "When you read a book like this, do you remember what it says in it?"


    "Yes." Lu Chen nodded.


    He doesn''t have time to discuss this kind of issue with his roommates, so he has to hurry up and make full use of this skill book.


    When the three roommates heard this, they felt that Lu Chen was pretending.


    The speed of reading a book is exactly the same as the speed at which they frantically press fast forward when watching action movies!


    "Lu Chen, then let me test you?" Wang Zihao stepped forward and took out an ECG book that Lu Chen had already read.


    "Okay, you can ask whatever you want." Lu Chen continued to read the book in his hand without raising his head.


    "Cough cough." Wang Zihao was not polite, he flipped through the book and found a random knowledge point.


    "What is an ECG vector loop?"


    "The depolarization of the bilateral atria, the bilateral ventricles, and the repolarization of the ventricles, these three cardiac electrical activities form three three-dimensional vector rings in the thoracic cavity."


    Wang Zihao nodded, and Lu Chen answered almost word for word.


    But this question is very simple.


    Wang Zihao continued to turn back.


    "What is point E?"


    "On the electrocardiogram, point E is a point where the electron beam (Electrobeam) remains in a static state before the electron beam (Electrobeam) begins to delineate the P ring on the oscilloscope, which is equivalent to the difference between the T wave (or u wave) and the next P wave on the electrocardiogram. Waiting for the wires between."


    Wang Zihao felt that he still had to find a more remote knowledge point, so he turned the book to the back.


    "What is Kennedy Type?"


    "Kennedy et al classified right ventricular hypertrophy into three types according to the running direction of the QRS ring on the transverse plane..."


    Wang Zihao was stunned, this answer was too smooth.


    "Lu Chen, you, have you read this book before?"


    "Well, I read it once." Lu Chen nodded, "Today is the second time."


    Wang Zihao''s eyes were full of doubts, "How can you look at it for the second time, it is more efficient than our ten or twenty times?"


    Lu Chen smiled and shrugged without explaining.


    Could it be that you have opened up yourself?


    ¡­


    An hour later.


    The knowledge in several basic ECG books was digested by Lu Chen.


    I found a book on the Internet for advanced knowledge of electrocardiography.


    After watching for a while, Lu Chen realized that his comprehension ability was not as strong as before.


    It seems that this comprehension ability is only applicable to the basic knowledge of ECG!


    If you want to comprehend a deeper level of ECG knowledge, you need a more advanced skill book.


    At present, Lu Chen''s remaining thanks value is 0!


    According to the probability of winning this time, it takes at least 15 gratitude points to win the prize!


    At this time, on the disc of the system.


    The ?? has five fan-shaped areas, which are already visible.


    Three "thank you for your patronage", one "one more time", and the remaining one is a "random skill book".


    The other five sectors are still dark.


    "It''s too much of a thank you right now!"


    Looking at the system panel''s thanks value of 0, Lu Chen couldn''t help but sigh.


    The more than ten points of gratitude before that were the results he had accumulated for several months.


    Today, all spent.


    Need to work hard to earn thanks points!


    ¡­


    afternoon.


    Eight districts in the heart.


    Lu Chen shuttled through the wards.


    Most of the time is spent in the ward, except when writing the course of the disease and making doctor¡¯s orders.


    "Junior Brother Lu, what happened today?" Sun Guoguo wondered, "I saw him going in and out of the ward all afternoon."


    Ke Yue smiled and said, "Lu Chen is teaching the patient."


    Patient education is a very important part of medical behavior.


    For example, tell patients dietary taboos, time to take medicine, side effects of medicine, precautions after discharge, when to review, when to stop taking medicine, etc.


    The importance of missionary work is no less than that of the usual diagnosis and treatment activities.


    However, in clinical practice, the work of mission and education requires long-term communication with patients, which is thankless and often overlooked.


    "Patient missionary education! I almost forgot." Sun Guoguo patted his head, "Mr. Li specially asked me to open a missionary group before, so let Lu Chen go next time."


    In the ward, there are really not many people who are willing to go to missionary education. It is better to write the course of the disease and give the doctor''s order in the ward.


    ¡­


    in the ward.


    "Mother-in-law, remember to take antihypertensive drugs at night. Lipid-lowering drugs work well at night. If you take aspirin, you may have an upset stomach, so you can take some stomach medicine to prevent it."


    "Uncle, remember to come to the outpatient clinic to review the blood routine, liver function, and kidney function one month after discharge. This antiplatelet drug may cause bleeding. When brushing your teeth, you should pay attention to whether there is bleeding gums."


    "Auntie, you have done coronary angiography. The chest pain has nothing to do with coronary heart disease. You don''t have to worry, hey, yes, it may be menopausal syndrome. Rest and stay in a good mood. It will gradually improve in the future."


    Lu Chen paid attention to some systematic prompts while teaching the patients.


    "Congratulations, +1 for receiving thanks from Wang Fengqin!"


    "Congratulations, +1 for receiving thanks from Cao Changming!"


    "Congratulations, +1 for the thank you from Tang Qiurong!"


    ¡­


    Lu Chen found that in addition to treating patients, he can get gratitude points, and he can also get gratitude points through other communication methods, such as missionary education.


    It¡¯s just that, without the diagnosis and treatment of the patient, simply getting the thanks points, the system completion has not improved a little, it is still zero!


    Looking at the rapidly rising gratitude value on the system panel, Lu Chen''s face blossomed with a smile.


    Education can not only help the patient, but also allow him to gain gratitude, improve his ability, and go back to help the patient better.


    This is a virtuous circle.


    (end of this chapter)

 Chapter 62： Into the soul

    Chapter 62


    Throughout the afternoon, Lu Chen taught a total of 12 patients.


    However, he only got 7 thanks points in total.


    Among them, 5 patients were ignorant and deaf to Lu Chen''s mission.


    Lu Chen was also helpless.


    He also cannot forcefully instill his own ideas into patients, but can only use his best abilities to popularize medical-related knowledge to patients.


    Do what a doctor should do with a clear conscience.


    However, the completion of the system upgrade has not increased at all, it is just simply increasing the thank you value, which is not very good.


    After all, the benefits of upgrading the system are definitely much better than a simple lottery.


    The most important thing is that the probability of winning is too low!


    In the future, you will still have to personally receive and treat patients, so that you can not only earn gratitude points, but also improve the completion of the system.


    kills two birds with one stone!


    ¡­


    Lu Chen looked at the system panel.


    There are currently a total of 7 points of gratitude, and the system completion rate is still 0%.


    Lu Chen hesitated for a while and did not choose to continue the lottery.


    Students who have played card online games know that the effects of a single draw and 10 consecutive draws are different.


    Lu Chen intends to accumulate some more thanks for a few rounds of 10 draws.


    "Junior brother, this weekend, I will hold a missionary meeting in the department, and you will assist Teacher Li at that time."


    As soon as he returned to the ward, Lu Chen got good news from Sun Guoguo.


    Missionary Society, which gathers most of the patients in the department, is much more efficient than he does missions alone.


    "Okay, Senior Sister."


    Lu Chen promised, such an opportunity to earn gratitude points should not be missed.


    Sun Guoguo was a little surprised to see Lu Chen agreed so readily.


    Weekends are the rest time. The students of the new era are not the same as before.


    There are very few students who are willing to spend their own time helping the department.


    What''s more, this thankless activity is just a lunch package without any compensation.


    "Junior Brother, you are very good."


    The more Sun Guoguo looked at Lu Chen, the more he liked it.


    Every attending doctor hopes to have a competent resident doctor under him!


    Lu Chen looked at Senior Sister''s eyes, and his heart trembled.


    He''s still a kid...


    ¡­


    After work, Lu Chen and Zhou Wei met in the school cafeteria.


    "Viagra, are you making a fortune?"


    Looking at the pickled fish and pork belly on the plate, Lu Chen couldn''t help asking.


    "Hey, I bought a few more night shifts and made a small profit."


    Zhou Wei picked up a piece of pork belly and took a good bite.


    "You kid, be careful with your health, can you afford to buy so many night shifts?"


    Lu Chen pouted, for Zhou Wei''s behavior, he could only express envy, jealousy and hatred.


    He has only been in the hospital for a week. He is only familiar with some things in the eight districts in his heart. He is not very familiar with the operation of the entire hospital. At present, he is not able to buy night shifts.


    "Hey, don''t worry about me, I have always bought endocrinology, infectious diseases, rheumatology and immunization, night shifts in such more leisurely departments, such as cardiology, neurology, I dare not touch night shifts in such departments. bump."


    Zhou Wei smiled and came to the hospital two months in advance. He was already very familiar with the entire Jinghua Second Hospital.


    Lu Chen could only shrug his shoulders, this guy is a clever ghost, a "spokesperson" of opportunism.


    "By the way, Chen''er, did you know that we will have another entrance exam in September." Zhou Wei suddenly said.


    "Are there still exams?" Lu Chen was taken aback.


    This medical student is really inseparable from exams.


    I thought that I would be able to delay for a few months after going to graduate school.


    "Well, I heard that the test is for class classification, and all students are divided into four classes and four levels." Zhou Wei nodded, "However, our first-year scholarships will also be distributed according to the class level. ."


    "There are four grades of scholarships. The first grade is the most, 10,000, the second grade is 8,000, the third grade is 6,000, and the fourth grade is the least, 4,000."


    Lu Chen''s brows twitched.


    There are scholarships for master students every year.


    In previous years, the level of the first-year scholarship was divided according to the results of the preliminary examination of the postgraduate entrance examination.


    This year, this division mode was directly removed, and the entrance exam was re-taken instead!


    This is interesting.


    If the first-year scholarships are allocated according to the scores of the postgraduate entrance examination, then everyone¡¯s scores have been fixed, and the allocation is dead.


    But now we have to re-exam, everything has become unknown.


    The first-class scholarship and the fourth-class scholarship are separated by a gap of 6,000 yuan!


    Since everyone can be admitted to graduate school, their grades will definitely not be bad!


    This exam must be a **** storm!


    "This time, we must get a first-class scholarship!" Zhou Wei smiled, "Otherwise, it''s thousands of dollars, how many night shifts I have to work to earn it back!"


    Lu Chen smiled and nodded.


    For a student who is not yet able to make money.


    10,000 yuan, it''s really delicious!


    ¡­


    After eating, go back to the bedroom.


    Lu Chen received a call from his mother.


    On the phone, Luo Meizhen repeatedly asked Lu Chen to take care of herself. They would come to Jinghua when they had time to visit him.


    Secondly, talk about love.


    Luo Meizhen scolded and asked Lu Chen to find a suitable one to talk to about his girlfriend.


    Of course, it is best not to be in the medical industry, otherwise both of them are medical staff, and life is really tiring.


    Lu Chen could only accept it on the surface, but in fact it was a deaf ear.


    Now he is on the way to earn gratitude points and can''t help himself!


    ¡­


    hung up the phone, and Lu Chen started a long learning journey¡ªthe training of electrocardiogram vectors.


    He happened to be drawn into the skill book of basic knowledge of electrocardiography, and he must make up for one of his weakest knowledge points.


    Continuing to search for a lot of basic knowledge of ECG vectors on the Internet, Lu Chen began to roam the sea of ??books.


    At the same time, he began to recall the examination questions of the Jinghua Electrophysiology Society at that time.


    For the current Lu Chen, if he is faced with the topic of cardiac vectors again, he should no longer be helpless!


    But there are not only ECG vectors in the assessment, the first four questions are ECG vectors and anatomy, and there are six questions left, what will they be?


    At present, Lu Chen doesn''t have much confidence, so he can''t easily try the second assessment for the time being.


    After all, there are only three opportunities for assessment every year. If all of them fail, they will have to wait until next year.


    was speechless all night.


    ¡­


    The next day.


    As soon as he opened his eyes, Lu Chen decided on a whim and decided to give it a shot.


    right! It''s just a shot, a lottery!


    He noticed that the system lottery panel had been refreshed, and all the ten fan-shaped areas on the upper face were darkened.


    A few "thank you for your patronage" and "one more time" that appeared yesterday have all disappeared.


    It seems that this system panel is refreshed once a day.


    Just a shot, try the water.


    With a thought, the lottery started.


    Lu Chen was brushing his teeth and didn''t pay attention to the result of the lottery.


    In his opinion, this lottery must have been a waste.


    However, the prompt popped up suddenly from the system made him stunned for a moment.


    "Congratulations, get a random skill book!"


    Wow!


    Character explosion!


    One shot into the soul!


    One more chapter, later. The day shift is too busy today.


    Thank you for the reward.


    (end of this chapter)

 Chapter 63： Patient mission

    Chapter 63 Patient Mission


    "Are you using a random skill book (yellow)?"


    "Yes!"


    tasted the sweetness of the skill book, Lu Chen opened the skill book without hesitation.


    "Congratulations, getting the basics of cardiac anatomy (Part 1)!"


    Lu Chen''s face was overjoyed, this is great!


    is heart anatomy knowledge!


    Anatomical knowledge is the basis of all pathopathophysiology.


    A good physician must be familiar with the anatomy and physiology of various organs.


    "Lu Chen, why are you grinning when you brush your teeth?"


    Wang Zihao asked strangely.


    As soon as he got out of bed, he saw Lu Chen with a toothbrush in his mouth, smirking in the mirror.


    "Ah, no, nothing."


    Lu Chen regained his senses, put away the happy look on his face, and began to brush his teeth.


    Wang Zihao pouted, and also started to wash, ignoring Lu Chen.


    ¡­


    Lu Chen is happy, but he is about to go to work now. He has no books on cardiac anatomy for the time being, so he cannot play the role of this skill book.


    I can only wait until I get off work, and then look for books related to cardiac anatomy, and use the super comprehension ability brought by the skill books to learn.


    ¡­


    Today is the weekend.


    Except for the doctor on duty, all other doctors are off.


    However, the eight districts in my heart are not quiet today.


    Because at ten in the morning, there was a missionary meeting.


    This mission was hosted by Li Yao and assisted by Lu Chen.


    60 patients in the entire ward, those with mild illness and those who are stable, are all concentrated in the classrooms in the eight districts of the heart.


    Of course, those who are unwilling to listen should be eliminated.


    "Lu Chen, please do a good job screening. For patients who are not in a stable condition, let them rest in the ward and send out the propaganda booklet."


    "OK."


    In addition to proofreading the diagnosis on the medical records, Lu Chen''s method of screening patients is very simple, looking at the health value on their heads.


    For patients with HP greater than 60, Lu Chen will let them go.


    For those whose HP is less than 60, Lu Chen will let them all go back to the ward!


    There were 34 patients in total.


    Looking at the patients under the stage, Lu Chen calculated in his heart that if he could earn all the gratitude points, it would be more than 30 points!


    He had accumulated more than three months of thanks for those ten points before!


    If you make more than 30 points at once, it can be said to be rich overnight!


    ¡­


    The keynote speaker of this mission is Li Yao, and the theme is coronary heart disease, heart failure patients'' diet, and precautions in life.


    Lu Chen, as an assistant, helped maintain order, distributed brochures, and finally made a unilateral summary.


    Missionary begins!


    Li Yao stood on the podium, and there were old men and ladies in the audience, each holding a booklet issued by Lu Chen.


    "Mothers and aunts, the theme of this mission is dietary guidance. In the treatment of coronary heart disease, long-term use of drugs is very important, but dietary guidance is also very important!"


    "Patients with coronary heart disease should control calories, maintain an ideal body weight, eat less sweets and pure sugar foods, and reduce daily cholesterol intake. The intake of cholesterol should not exceed 300 mg per day or less than 100 mg per kilocalorie. total calories."


    "What can I eat then?"


    Some uncles and aunts started shouting from the audience.


    Don''t look at how old these uncles and aunts are.


    The older you are, the more you cherish life.


    The fear of death may make them get rid of many bad habits.


    Li Yao smiled and continued: "You can eat some aquatic fish, fresh vegetables and fruits, lean meat, eggs, dairy, soy products, etc., you must control the quality and quantity of fat intake, and use as little as possible. Animal offal, cuttlefish, pine eggs, fatty meat, animal fat, butter, cream, egg yolk, etc. are foods with high fat content.¡±


    "If you don''t eat these, then we usually drink more porridge and rice, right?"


    Li Yao shook her head and said, "No, you must control the intake of carbohydrates, because carbohydrates are the main source of the body''s heat energy, and eating too much carbohydrates can be converted into sugar, affecting blood flow, so increase the intake of dietary fiber. For example, fresh vegetables and fruits can enhance blood flow, help blood lipid metabolism, reduce sodium intake, eat small and frequent meals, and quit smoking and drinking.¡±


    ¡­


    The purpose of ?? mission is to make patients understand what to do, what not to do, and what to do for a long time!


    After Li Yao finished speaking, Lu Chen came to the stage and explained some minor issues to all the patients.


    The details are whether the food can be eaten, and the Chinese medicine can be drunk.


    The ?? mission session lasted two hours.


    "Congratulations, +1 for the thank you from Luo Zhenglin!"


    "Congratulations, +1 for the thank you from Guo Hanzhong!"


    ¡°¡­¡±


    "Congratulations, +1 for receiving thanks from Ding Rong!"


    A total of 34 patients, Lu Chen received 20 points of gratitude.


    After all, this missionary meeting was taught by Li Yao, and earning 20 points of gratitude is already very good.


    In addition to the gratitude points he earned yesterday, Lu Chen now has a total of 26 gratitude points!


    However, there are very few opportunities for missionary groups like this. Lu Chen can''t pull the patient to preach every day, and the patient will be annoying to him.


    But through patient education, Lu Chen also realized.


    Let the patient thank you, not necessarily to cure him, of course, if it can be cured, it is the best.


    If a platform of mutual trust is established through good communication between doctors and patients, similar to this propaganda model, some medical knowledge is popularized, and patients are made aware of various dietary taboos and drug taboos, and patients will also be very grateful to doctors.


    However, there are fewer and fewer doctors who are willing to spend their time in this kind of place.


    Because of the overall medical environment, doctors and patients seem to be on the opposite side. Except for the usual treatment, doctors seem to be somewhat resistant and further communicate with patients.


    ¡­


    The lecture is over.


    Office of the Director.


    Lu Chen is assisting Li Yao to sort out the documents of this mission.


    "Lu Chen, how do you feel about this mission?" Li Yao smiled.


    Lu Chen pondered for a moment and replied, "In fact, most patients are willing to communicate with doctors, because there is information asymmetry between doctors and patients, and patients prefer to learn some common sense about diseases from doctors."


    "No matter how developed the information is, Baidu''s online medical treatment is not very reliable."


    "Treatment is a process of face-to-face communication and communication. In many cases, if doctors and patients can calm down and sit down and talk together, many medical disputes may be reduced."


    Li Yao nodded with a smile and said, "Lu Chen, it''s great for you to have such an idea. No one of the other doctors in Keli is willing to do missionary meetings, thinking that this is neither a diagnosis nor a treatment. If the communication with the patient is not in place. , can''t even get any good results."


    "Teacher, as long as you open this kind of patient mission in the future, I will definitely help." Lu Chen smiled.


    This kind of good thing must be fought for!


    "Okay." Li Yao nodded with satisfaction.


    She came from Lu Chen''s body.


    seems to have seen a young and energetic, but not impetuous, which seems to be different from other young people.


    There are three more updates today, making up for yesterday''s.


    (end of this chapter)

 Chapter 64： Another way to get thanks

    Chapter 64 Another way to get gratitude


    At noon, the department packed a lunch.


    Lu Chen went back to the bedroom after eating.


    In the ?? system panel, there are currently a total of 26 gratitude points.


    Lu Chen decided to stabilize his hand for the time being, not to continue the lottery, and to digest the heart anatomy skill book obtained in the morning.


    Turn on the computer and collect books related to cardiac anatomy.


    The knowledge content of most of the books is relatively scattered. After searching for a long time, he found a relatively authoritative "Clinical Anatomy - Chest Part" and "Wilcox''s Anatomy of Cardiac Surgery".


    Heart anatomy, not only for cardiac surgeons, but also for cardiologists.


    Before, Lu Chen only had a taste of cardiac anatomy and electrophysiology.


    These knowledges are too detailed and complicated, and few of them are involved in undergraduates, and even many senior doctors have little knowledge of these two fields.


    Relying on the super comprehension ability provided by the skill book, Lu Chen quickly learned the knowledge of cardiac anatomy, and formed a 3D three-dimensional map in his mind.


    From the morphological structure of normal heart chambers, heart valves, blood supply and heart conduction system; to various types of heart congenital malformations, defects and common variations and other pathological anatomy knowledge.


    Lu Chen brought all the knowledge in the book into his mind!


    However, when exploring more advanced cardiac anatomy knowledge, Lu Chen also felt a bit of a struggle.


    After all, this is just an elementary skill book.


    On weekends, Lu Chen stayed in his dormitory, reading books on electrophysiology and cardiac anatomy.


    He feels that his knowledge reserve is skyrocketing, but these are all book knowledge, and they can only be effective when used clinically.


    ¡­


    It''s a new week.


    Every Monday, Li Yao will lead all the people in the group to round the room.


    Everyone was trembling, and it was time for "interrogation" again.


    as predicted.


    From the first patient, Li Yao has prepared countless questions, waiting for everyone to answer.


    Medical rounds are slow.


    Especially in this kind of big rounds, every patient will be reorganized from diagnosis, differential diagnosis, to auxiliary examination and treatment.


    After about two and a half hours, we finally finished checking the room.


    Everyone in the ?? group breathed a sigh of relief, and finally no longer had to face the question of "one question and three unknowns".


    come back to the office.


    Everyone began to revise the doctor''s order and write the course record.


    "Lu Chen, you are going to start the night shift this week. You are familiar with the night shift process." Li Yao suddenly said, "Well, you will follow Guoguo first. After the school officially starts in September, the teaching and research office will arrange a formal night shift for you."


    Lu Chen was taken aback, "Okay."


    He thought he would have to wait a few more weeks, but he did not expect to start night shifts in the second week of his clinical practice.


    "Junior Brother, I''m on the night shift tonight." Sun Guoguo smiled, then turned to look at Dong Hao, "The students in the night shift today seem to be Junior Brother Dong, so the three of us will go to night shift together. "


    The standard configuration for night shift is two people, one undergraduate and one rotating student.


    Lu Chen is now equivalent to the third person in the night shift. He follows Sun Guoguo and Dong Hao to study, do chores, and do physical work, so it is not a formal night shift.


    "Junior brother, this is the first night shift, don''t be too nervous." Dong Hao patted Lu Chen''s shoulder, "Follow me and Senior Sister Guoguo, and you will be playing soy sauce by the side."


    "OK, all right."


    Lu Chen smiled, he wasn''t nervous.


    Being able to see the patient''s life value and distinguish the patient''s priority, this is the ability that many doctors dream of!


    ¡­


    Today, the beds in Li Yao''s group are full, and there are no new patients.


    Lu Chen wrote the medical records in the office and handled the medical records of discharged patients.


    "Lu Chen, teach me to read the electrocardiogram." Ke Yue walked up to Lu Chen with a copy of "Clear and White Electrocardiogram", "Senior Sister Guoguo is busy with her thesis, I don''t quite understand something, I want to ask for advice. you."


    Ke Yue has been immersed in the electrocardiogram book these days. As long as she recalls what happened to Mr. Lin Cui that day, she feels ashamed.


    Don''t look at Ke Yue''s usual obedience, and his voice is not too loud.


    But the quieter the person, the stronger the self-esteem.


    Today, Ke Yue not only wanted to ask some ECG questions, but also wanted to show the results of her hard work these days.


    Lu Chen just finished writing the medical records of all the patients.


    "Okay, no problem."


    He still remembered that after he promised to teach Ke Yue to read an electrocardiogram last time, he also got a little thank you from her.


    Being a teacher is one of the ways to get gratitude points!


    But where to start?


    Lu Chen knew Ke Yue''s ECG basics, but he didn''t even know the atrial fibrillation ECG, so it could be said that he didn''t even reach the entry level.


    However, fortunately, he has obtained the "Basics of ECG" skill book, and his understanding of the basic knowledge of ECG is already very deep.


    No matter from which aspect he lectures, he can do it with ease.


    "First of all, do you know the meanings of the P, QRS, and T waves of the electrocardiogram?"


    Ke Yue nodded like a chicken pecking rice.


    During this time, she went back to make up for the basic knowledge of electrocardiography.


    "Well, then take a look at this electrocardiogram first."


    Lu Chen took out four electrocardiograms from the medical record folder.


    This is the electrocardiogram of his most recent patient.


    Ke Yue frowned, carefully identifying it.


    "This is... room speed..."


    "Is ventricular tachycardia as regular as P waves?


    Ke Yue wondered, "Could it be...is it a P wave?"


    Lu Chen smiled: "Of course it is. Stupid, this is a VTS mission. Look at the second electrocardiogram."


    Ke Yue hesitated: "This should be... atrial fibrillation..."


    Ever since he didn''t recognize the electrocardiogram of atrial fibrillation last time, after Ke Yue went back, he recited the characteristics of the electrocardiogram of atrial fibrillation thoroughly.


    "Should be?" Lu Chen raised his eyebrows.


    Ke Yue frowned and said, "Although the heart rate in this picture is uneven, there are no small F waves. Isn''t there a small F wave in atrial fibrillation?"


    "Really not? Then look at lead V2, isn''t that the f wave? Look at the third ECG."


    "Lu Chen, don''t make fun of me, this electrocardiogram is... ok, it''s a normal electrocardiogram!"


    "Look at the QRS complex in lead II. Can the QRS complex in normal person II be pointing downwards? II, III, and aVF are all rS type, which is left anterior fascicular block."


    Ke Yue:¡­


    Lu Chen smiled: "Look at this last ECG again."


    Ke Yue looked at it for a long time, and then said:


    "This should be a first-degree atrioventricular block, and the PR interval is prolonged."


    "Have you read the book carefully? The book specifically said that the PR interval of the elderly can be extended to 0.22 seconds. The upper right of this ECG indicates that the patient is 82 years old, so this is a normal ECG."


    Ke Yue:¡­


    She raised her head and glanced at Lu Chen, feeling that she was hit again.


    At this time, Lu Chen also received a prompt from the system.


    "Congratulations, +1 for the thank you from Ke Yue!"


    "Congratulations, +1 for the thank you from Dong Hao!"


    "Congratulations, +1 for the thank you from Yao Jie!"


    "Congratulations, +1 for receiving a thank you from He Qingdong!"


    Seeing the system prompt, Lu Chen was stunned.


    What''s going on here?


    (end of this chapter)

 Chapter 65： first night shift

    Chapter 65 The First Night Shift


    This sudden notification sound made Lu Chen slightly stunned.


    He looked up.


    I didn''t know when, besides Ke Yue, there were three other people around me.


    They are the senior brother Dong Hao and the junior sister Yao Jie in the group, and He Qingdong, an intern of his own group.


    All three of them were staring at the electrocardiogram in Lu Chen''s hand.


    "Senior Brother Dong, you are..." Lu Chen scratched the back of his head.


    "Junior brother, let''s learn it too." Dong Hao smiled, "The ECG is too difficult to understand, especially if no one teaches it, it''s just like reading a book from heaven!"


    Dong Hao is not a professional in the heart, and his understanding of ECG is only at the entry-level level.


    "Yes." Yao Jie nodded, "Senior Brother Lu, you can tell us more about electrocardiograms when you have time. I think your speech is quite easy to understand, and I understand it all."


    Last time, when Director Lin Cui explained the electrocardiogram, Lu Chen''s explanation left a deep impression on everyone.


    In addition, Lu Chen is usually approachable, not the kind of aloof person, everyone is willing to ask him for advice.


    "I also shared some of my own understandings. Let''s discuss it together. It''s impossible to talk about who teaches who." Lu Chen smiled.


    There are many brothers and sisters here, but Lu Chen didn''t dare to be a big boss, leaving a bad impression on everyone.


    However, without knowing it, he actually taught these four people about electrocardiography, and even got 4 points of gratitude at one time!


    This is a pleasant surprise!


    "Junior brother, go ahead and talk about it. It would be even better if you could talk about the method of interpreting electrocardiograms."


    Dong Hao even brought a chair and sat beside Lu Chen, ready to "listen to the lecture" carefully.


    Lu Chen coughed lightly.


    Since this can also earn thanks points, then it is reasonable, of course he will not refuse.


    "Actually, there is indeed a systematic method for interpreting electrocardiograms."


    When everyone heard Lu Chen say this, they all focused and listened carefully.


    "The first step is to check whether the heart rhythm is tidy. It should be noted that if the recording time is too short, we will not be able to observe the heart rhythm accurately, so it is more convenient to see the heart rhythm on a certain lead, such as a long recording marked with II."


    "The second step, look at the heart rate..."


    As Lu Chen explained in depth, there were two more interns beside him.


    Some other students, although they didn''t come close, all pricked up their ears and listened.


    ¡­


    "Okay, it''s almost the end of the day."


    Lu Chen looked at the time, almost half an hour had passed.


    Going further, the influence in the department is not very good, and he is the first shot. After all, he is just a graduate student who has just entered the department, not as much as Director Lin Cui.


    "Congratulations, +1 for the thank you from Li Minglun!"


    "Congratulations, +1 for the thank you from Chen Junyong!"


    ¡­


    "Congratulations, +1 for receiving thanks from He Sirong!"


    Lu Chen was slightly taken aback when he saw this system prompt.


    He Sirong, isn''t Director Lin Cui the outstanding graduate student this year?


    Lu Chen looked back and found that she was sitting upright in front of the computer not far from him, typing on the keyboard without looking sideways.


    If it wasn''t for this "thanks value", Lu Chen would have thought she was seriously writing the course of her illness.


    "Thank you Lu Chen." Ke Yue listened and took notes, "Tell us about it when you have time next time."


    The interns around ?? echoed: "Thank you, brother, continue to lecture next time."


    "no problem."


    After the lecture, everyone slowly dispersed.


    Lu Chen looked at his system panel.


    After the weekend "Missionaries" and today''s "Lectures", his total gratitude has risen to 35 points!


    Although the gratitude value has risen rapidly, Lu Chen also knew that this kind of missionary and lecturing opportunity is hard to come by.


    Occasionally once or twice is fine, but more often, I am afraid others will not appreciate it.


    ¡­


    Tonight is the night shift. Lu Chen didn''t go to work in the afternoon, but rested in the dormitory and waited directly to take over in the department at 5:30 in the evening.


    Taking advantage of these few hours in the afternoon, Lu Chen was ready to rest.


    After all, it is a night shift, no one knows what will happen at night, it is better to recharge your batteries.


    Lie on the bed and close your eyes.


    Before going to bed, Lu Chen wanted to get a good deal.


    Lucky Draw!


    Let''s get a 10 draw!


    With a thought of ??, the lottery starts.


    "Draw 10 times, consume 10 thanks points, and the remaining total thanks points are 25 points."


    "Thank you for your patronage...Thank you for your patronage..."


    Ten "thank you for your patronage" in a row made Lu Chen realize the reality.


    Forget it, let''s sleep...


    ¡­


    When I woke up, it was already five o''clock in the afternoon


    I bought a bowl of beef noodles in the cafeteria and walked to the department while eating.


    Came to the door of the department, and Lu Chen just finished the bowl of beef noodles.


    "Junior Brother, you came just in time, we are going to start the ward rounds."


    Sun Guoguo and Dong Hao are in the office, recording all critically ill patients and conducting a simple night round.


    "it is good."


    Lu Chen quickly put on a white coat, hung up a stethoscope, and followed closely behind Sun Guoguo.


    Night shift rounds require all critically ill patients to be checked, but the content of the rounds is relatively simple. It is not as cumbersome as daytime rounds to ask about the patient¡¯s status.


    "Mother-in-law, are you feeling any discomfort now?"


    Sun Guoguo took Lu Chen and Dong Hao to briefly inquire about their condition in the ward.


    "Okay, nothing uncomfortable."


    "Do you have chest pain or tightness?"


    "No! Thank you doctor for your concern."


    Except for a few critically ill patients, most of the patients are in a relatively stable state without special treatment.


    At the same time as the ward rounds, Lu Chen was also observing the health of all the patients.


    He pays special attention to patients with health below 60, which are potential time bombs.


    If they get sick at night, their lives will be in danger at any time!


    ¡­


    "Senior sister, isn''t this patient doing rounds?"


    Lu Chen suddenly pointed to the 39-bed patient.


    Bed 39 is a young guy, with his eyes closed, lying on the bed, looking like he is asleep.


    Sun Guoguo looked down at the patient list in her hand and smiled, "Junior brother, we only check critically ill patients, this patient is in secondary care, neither is seriously ill nor critically ill, the condition should be relatively stable, we will first Skip it, and let¡¯s talk about it at night if there is a change in the condition.¡±


    There are a total of 60 patients in the ward. If every patient is to be rounded, it will indeed take too much time.


    Lu Chen frowned upon hearing this.


    Because in his eyes, the life value of this 39 bed is red 56!


    is already under the dangerous red line!


    At this moment, Lu Chen noticed that the health of the 39-bed patients had suddenly changed!


    Dropped from 56 to 51!


    Lu Chen frowned, he realized that things were not easy!


    The illness of this young man is definitely not simple!


    There is one more chapter, it will be very late.


    (end of this chapter)

 Chapter 66： "Sleeping" Internet Celebrities (Part 1)

    Chapter 66 "Sleeping" Internet Celebrities (Part 1)


    Sun Guoguo and Dong Hao passed by the 39th bed to check other beds, but Lu Chen kept his mind.


    Wait until the room is over and go back to the doctor''s office.


    Lu Chen immediately turned on an idle computer and began to check the medical records of the 39 beds.


    "Name: Sun Yingwei. Age: 24 years old."


    "Main complaint: dizziness, headache for half an hour and admitted to hospital."


    "History of present illness: The patient had dizziness, headache, and head pain without obvious incentive half an hour ago. The pain was not related to the body position. There was no nausea, vomiting, blurred vision, no blackness, and syncope. Then he came to the emergency department of our hospital. Blood pressure was 190/110mmHg and was admitted to hospital with hypertension."


    "Previously healthy, denied any history of disease."


    Quickly scan the medical history.


    Lu Chen had a preliminary understanding of this patient.


    This is a very young hypertensive patient.


    24-year-old high blood pressure!


    Hypertension is divided into two types in terms of etiology.


    Essential hypertension, the cause of which is unknown, cannot be cured, and requires lifelong medication.


    Secondary hypertension is hypertension caused by definite factors, and it is the only curable hypertension. After the high blood pressure factor is resolved, there is no need to continue taking antihypertensive drugs.


    Lu Chen looked at the past history recorded in the medical history and basically ruled out the possibility of the patient having essential hypertension.


    "But it''s not quite right. If it''s just high blood pressure, it shouldn''t be red health."


    There were also patients with high blood pressure in the ward before, but their HP was above 60, basically around 70, and none of them was lower than 60.


    Lu Chen frowned, feeling that things were not simple.


    The time he saw the patient was admitted to the hospital was around 5:20 in the afternoon.


    I should have come to the hospital when I was about to take over.


    The day shift doctor handled it very quickly, and had not had time to do relevant tests and examinations.


    "Junior Brother, you are still looking at this 39 bed."


    Dong Hao approached Lu Chen and saw him looking through the medical records of the 39 beds.


    "I heard from my classmates in the day shift that this patient is still a famous internet celebrity in Jinghua."


    "Internet celebrity?" Lu Chen was taken aback.


    "Well, it was broadcast live on Douyin, I heard it''s quite popular." Dong Hao smiled, "With 20w fans, I usually receive an advertisement, which is estimated to be worth what our doctor earns in a month."


    Lu Chen smiled helplessly, he could hear the sourness in Dong Hao''s tone.


    But the current environment in China is like this.


    Not to mention, not everyone can become an internet celebrity.


    Being able to become an internet celebrity proves that he has something "out of the ordinary", at least attracting the public''s attention.


    "Senior brother, let me take a blood pressure measurement for Bed 39."


    Lu Chen was still a little uneasy, and decided to go see the situation of the 39th bed in person.


    "Well, go ahead." Dong Hao nodded, "He happens to be a patient with high blood pressure, see if the blood pressure has dropped."


    Lu Chen found a mercury sphygmomanometer at the nurse station and walked quickly towards bed 39.


    ¡­


    came to bed 39.


    Patient is "sleeping" and breathing slightly short of breath.


    Lu Chen lightly patted the patient''s shoulder.


    "Sun Yingwei, wake up, I''ll measure your blood pressure for you."


    However, he did not respond.


    Lu Chen frowned, continued to slap Sun Yingwei''s other side, and leaned down, leaned close to his ear, and said loudly:


    "Sun Yingwei, can you hear what I said?"


    Still no response!


    Lu Chen felt that the situation was not good, and immediately felt his carotid pulse.


    Fortunately, the carotid artery is pulsating!


    There is breathing and a heartbeat, but the patient in front of him has fallen into a coma.


    And the health value on his head dropped sharply again.


    dropped from 51 to 48!


    Lu Chen frowned, immediately put the mercury sphygmomanometer aside, and ran towards the doctor''s office.


    Through the transparent wall, Sun Guoguo immediately noticed Lu Chen running towards the doctor''s office.


    "Junior Brother, what''s wrong?"


    She quickly stood up and walked quickly to the office door.


    Lu Chen ran quickly and said, "Senior sister, the situation of the 39-bed patient is not right, he is already in a coma!"


    When Sun Guoguo heard this, her expression changed immediately, and she ran towards bed 39.


    Dong Hao was also very surprised and followed closely behind Sun Guoguo.


    "Junior Brother, what''s the situation?"


    Sun Guoguo asked while running.


    Lu Chen said in a deep voice, "I just said to take a blood pressure measurement for Bed 39, and called him beside the bed. He has not responded, but he has breathing and heartbeat, but his breathing is a little short."


    Sun Guoguo nodded slightly, suppressing the anxiety in her heart.


    ¡­


    When everyone came to bed 39, the nurse also came to hear the sound.


    Sun Guoguo immediately checked the patient, and at the same time calmly ordered:


    "Go on ECG monitoring!"


    "Urgently check blood routine, biochemistry, ions, cardiac enzymes!"


    "Please call the Department of Neurology for emergency consultation and notify the patient''s family."


    "receive."


    The nurse on duty tonight is Liu Mei.


    She moves very neatly, and has moved the ECG monitor to quickly stick the electrodes on the patient.


    At the same time, Dong Hao immediately went to the medical records to find the contact information of the patient''s family member and notified the family member to come.


    Lu Chen picked up the mercury sphygmomanometer and began to re-measure the patient''s blood pressure.


    The method of measuring blood pressure with a mercury sphygmomanometer is to wrap the cuff of the sphygmomanometer on the left and right sides of the upper elbow.


    Place the stethoscope tip where the brachial artery pulses, put on the stethoscope, pressurize the sphygmomanometer, and gradually deflate.


    Until the stethoscope hears the first beating sound, which is the systolic blood pressure.


    When you hear the sudden disappearance of the beating sound of the stethoscope, it is the diastolic blood pressure.


    Lu Chen was wearing a stethoscope, carefully observing the drop of the mercury column and listening to the place where the first pulsation sounded.


    "Strange, why didn''t you hear the pulsation?"


    Lu didn''t hear any throbbing sound at all.


    He re-pressurized the sphygmomanometer, allowing the mercury column to rise to the highest value of the sphygmomanometer, 300mmHg, and then slowly deflated.


    This time, Lu Chen''s exhalation was extremely slow.


    The mercury column dropped from 300 to 280, no pulsation was heard.


    260¡­


    240¡­


    220¡­


    Still did not hear the beating sound, Lu Chen held his breath and listened carefully, afraid of missing the first beating sound.


    200¡­


    190¡­


    Still no pulsing sound was heard, Lu Chen frowned slightly.


    180¡­


    160¡­


    140¡­


    100¡­


    80¡­


    60¡­


    He kept emptying the mercury, but Lu Chen couldn''t hear the pulsing sound.


    In this case, there are only two possibilities.


    The first type is that the patient is in hypotensive shock, and the blood pressure cannot be measured.


    But when Lu Chen touched the patient''s pulse, he could feel a strong pulse, and the extremities of his limbs were all warm, so this possibility was ruled out.


    That leaves only another possibility.


    The patient''s blood pressure has exceeded the upper limit of the mercury sphygmomanometer''s measurement limit of 300mmHg!


    China''s guidelines for the prevention and treatment of hypertension stipulate that normal blood pressure is systolic blood pressure below 140mmHg and diastolic blood pressure below 90mmHg.


    Usually, the systolic blood pressure exceeds 200mmHg. Once the systolic blood pressure exceeds 300mmHg, what is the concept?


    Lu Chen looked at Sun Yingwei on the bed, his heart trembled slightly.


    (end of this chapter)

 Chapter 67： "Sleeping" internet celebrity (middle)

    Chapter 67 "Sleeping" internet celebrity (middle)


    Sun Guoguo looked up at Lu Chen.


    "What''s your blood pressure?"


    "I can''t measure it." Lu Chen took off his stethoscope and shook his head helplessly.


    "Use an electronic sphygmomanometer, or a monitor''s sphygmomanometer, and measure again."


    Sun Guoguo frowned.


    She has never encountered a situation where her blood pressure cannot be measured.


    The upper limit of this sphygmomanometer is 300mmHg!


    "Guoguo, still can''t measure it!"


    Liu Mei has tied the blood pressure cuff of the monitor to the patient and pressed the button to measure the blood pressure, but the machine cannot display the value.


    Sun Guoguo noticed the seriousness of the matter and conducted another physical examination, while examining the patient''s pupils.


    "The patient''s bilateral pupils were unequal, with one pupil being significantly larger than the other."


    Dong Hao, who had just walked into the office, also heard this sentence and couldn''t help but froze for a moment, and said, "Intracranial hypertension and cerebral edema? Head trauma?"


    Lu Chen narrowed his eyes and glanced at Sun Guoguo.


    "Senior sister, isn''t it herniated brain?"


    Sun Guoguo did not respond immediately, her expression was extremely serious, she paused and said to Liu Mei:


    "Liu Mei, quickly use Uradil, and then hang a bottle of mannitol."


    "Then go to neurosurgery, this patient is considered hypertensive encephalopathy, cerebral hemorrhage leading to brain herniation."


    "Received." Liu Mei immediately acted.


    "Junior Brother Dong, when will the patient''s family come over?"


    "Within half an hour."


    "So long?" Sun Guoguo frowned, "Continue to contact the family members, ask them to come as soon as possible, and inform the patient that their lives are in danger at any time."


    "it is good."


    Dong Hao nodded, turned around and walked out of the ward to contact his family again.


    ¡­


    In the ward, Sun Guoguo and Lu Chen closely monitored the patient''s life status and waited for the consulting doctor to come.


    "Junior Brother Lu, what do you think the patient''s blood pressure is suddenly so high?"


    Sun Guoguo has been thinking about this problem.


    How could a good-looking young man suddenly have high blood pressure, and it is so high that the systolic blood pressure even exceeds 300mmHg?


    This is extremely rare.


    Lu Chen frowned.


    "Essential hypertension is certainly unlikely."


    He thought of a secondary cause of herniation due to high blood pressure.


    The first was head trauma, but after a head examination and medical history, this was clearly ruled out.


    Then there is, pesticide poisoning!


    But the medical history and physical examination are not supportive.


    Lu Chen suddenly thought that the patient was an internet celebrity.


    Is it the pursuit of excitement and the use of drugs?


    If you are an addict, long-term use of drugs may lead to cerebral hemorrhage and brain herniation!


    "Caused by injecting drugs? Taking drugs?" Lu Chen said very euphemistically.


    Sun Guoguo shook his head, "I don''t support it for the time being. Through the physical examination, I didn''t see any obvious pinholes, and his strong physique doesn''t look like a drug addict."


    It¡¯s not trauma, poisoning, or drugs, so what could it be?


    The two fell silent, unable to do anything.


    ¡­


    Consultants from the Department of Neurology and Neurosurgery arrived quickly.


    After seeing the patients, the two departments agreed.


    are all considering the possibility of cerebral hemorrhage and brain herniation.


    "Let''s do a head CT first." The neurosurgeon said, "This patient is likely to need emergency surgery, so I suggest perfecting the head CT first."


    "Once the cerebral edema and brain herniation are diagnosed, they should be sent to the operating room immediately! Otherwise, the brain herniation will last for a long time, compressing the life center, and the patient may die suddenly at any time!"


    The more critical the patient is, the more urgent it is to complete relevant examinations in order to make a diagnosis.


    "Besides, it''s best to find out the cause! If such a young patient doesn''t know the cause, it''s very likely that this will happen again in the future."


    ¡­


    At this time, the patient''s family just arrived.


    She is the patient''s mother, a middle-aged woman in her fifties.


    In terms of temperament and conversation, he should be an intellectual.


    Sun Guoguo immediately explained his condition to him personally.


    The middle-aged woman turned pale when she saw her son lying awake on the bed.


    "Doctor, I accompanied him when he was admitted to the hospital. Before I left just now, he was still lying in bed. Except for a little high blood pressure, there was no other problem. Why did he suddenly fall into a coma?"


    "What medicine did you give him? Was it caused by the medicine?"


    When the patient was admitted to the hospital, the patient was fine, but after the hospitalization, the patient became worse and worse?


    This is a common sentence pattern used by some patients and their family members.


    Sun Guoguo frowned and said solemnly: "After admission, we only used antihypertensive drugs for the patient. This time the patient has high blood pressure and is in a coma. We consider that there are other reasons, which are caused by the progression of the disease."


    The middle-aged woman has turned on the automatic shielding system and directly ignored Sun Guoguo''s words.


    "My son usually lives a regular and healthy life. What other reasons could there be? I think it''s probably the medicine you use."


    Sun Guoguo sank.


    Although the middle-aged woman in front of her is neither noisy nor noisy, this kind of family with knowledge and culture is even more terrifying.


    They may be silent during the hospital stay. Once they are discharged, they will collect all kinds of evidence and sue the hospital, which will catch the hospital by surprise.


    Now if the exact cause of the patient cannot be found, the family is likely to shirk the responsibility on the hospital.


    "Family, in any case, you need to do a head CT immediately." Sun Guoguo said.


    "Since I''m in the hospital, I''ll listen to you." The middle-aged woman nodded coldly.


    Students are not allowed to accompany a critically ill patient to the examination, but if Sun Guoguo accompanies the examination in person, there will be no doctor in the ward to look after him.


    "Inform the hospital manager in the heart and ask him to come to the top of the ward for a while, and I will accompany the patient for an examination."


    The total number of inpatients in the Cardiology Department is written on the wall of each Cardiac Ward.


    After ?? contact, the inpatient general of the Cardiology Department soon came to the eight districts in the heart.


    "Guoguo, what kind of patient is this? Why are you in such a hurry?"


    Li Qinghua, the hospital chief, asked Sun Guoguo as soon as he arrived at the ward.


    "Brother Hua, a 39-bed patient. He was admitted to the hospital in the afternoon. He is considered to have high blood pressure, and there is a possibility of cerebral hemorrhage and brain herniation."


    Li Qinghua nodded when he heard the words, and immediately went to the ward to check on the patient again.


    "Quickly push him out for a head CT, and a chest CT along the way. I''ll stay in the ward."


    "Okay, thank you Brother Hua." Sun Guoguo nodded, turned around and said, "Junior Brother Dong, you accompany me to push the bed to check. Junior Brother Lu is helping Dr. Li in the ward."


    "Okay." Lu Chen nodded.


    When he looked at Li Qinghua, he felt that the doctor was very familiar and seemed to have seen him somewhere, but he couldn''t remember it for a while.


    Sun Guoguo, Dong Hao, Liu Mei and a middle-aged woman pushed the hospital bed and went out for CT examinations.


    ¡­


    doctor''s office.


    Lu Chen and Li Qinghua were sitting in the office waiting for the CT report.


    About 10 minutes later, the results of the emergency CT came out, and the two heads of Lu Chen and Li Qinghua were immediately placed in front of the computer.


    CT showed that the patient had very obvious large cerebral hemorrhage and cerebral edema, and normal brain tissue had been compressed.


    is indeed a brain herniation!


    "It looks like emergency surgery is going to be performed." Li Qinghua said solemnly.


    At this time, Lu Chen''s brain was running fast. What was the cause of this patient?


    (end of this chapter)

 Chapter 68： "Sleeping" Internet Celebrities (Part 2)

    Chapter 68 "Sleeping" Internet Celebrities (Part 2)


    If the specific cause is not found, the family members of the patient will most likely not give up!


    And according to the previous rules of the system, as long as he finds the correct diagnosis and treatment method, then the completion of the system will be improved.


    It''s just that Lu Chen racked his brains and still couldn''t find any clues.


    ¡­


    Ten minutes later, Sun Guoguo and Dong Hao came back with an empty bed.


    "I called the neurosurgery doctor to see the CT and suggested surgery, so I went straight into the operating room." Sun Guoguo said to Li Qinghua, the hospital chief.


    "Well, that''s fine, I''ll go down first." Li Qinghua nodded, "If you have any questions, please contact me."


    "it is good."


    Sun Guoguo pressed her sore arm and took out three cans of Nescaf¨¦ coffee from her locker.


    "Two Junior Brothers, do you want a jar?"


    "Thank you, Senior Sister." Dong Hao took the coffee with a smile.


    "Senior sister, I don''t want it anymore." Lu Chen smiled and waved his hand, "Drinking this stuff will make my heart palpitate."


    Sun Guoguo shrugged and took back a can of coffee.


    "This is a good thing for the night shift, then I''ll give you a bottle of mineral water."


    Lu Chen took the mineral water and said "Thank you".


    "It''s still thanks to Junior Brother Lu today." Sun Guoguo said with lingering fears while drinking coffee, "If the patient''s abnormality was not discovered in time, and it was discovered more than ten minutes later, then everything would be too late."


    Dong Hao nodded and said, "Yes, Junior Brother''s sense of smell is really keen. I remember when he was doing our rounds, he said he wanted to see this patient."


    Lu Chen smiled and didn''t speak.


    He looked at the two of them drinking coffee, his heart moved, and suddenly an idea came to him.


    This young and strong "Internet celebrity" may not be taking medicine, maybe he has eaten or drank something?


    "Senior brother, do you know the Douyin account number of this patient?" Lu Chen suddenly said.


    "A comma? I really heard something from the classmate who took over." Dong Hao frowned and thought deeply, "I think about it."


    "Junior Brother Lu, why are you asking this?"


    Sun Guoguo was puzzled.


    "Senior sister, I always feel that there may be some clues here to find the cause of the patient." Lu Chen pondered.


    At this time, Dong Hao patted his head: "I remembered, what is the name of Sun Yingwei, a fitness expert, it should be inseparable!"


    "Well, thank you brother."


    Lu Chen took out his phone and opened the Douyin app.


    Enter "fitness expert Sun Yingwei" in the search bar.


    Sure enough, there is an account called "Fitness Master Sun Yingwei" with more than 20 followers.


    Click on the account homepage, the avatar on the homepage is the patient himself.


    "Yes, that''s him." Dong Hao put his head close.


    He doesn''t actually have many fans, but the video is very popular. A video on the top has broken 50w likes.


    Coincidentally, it was the patient himself who posted a new video with a similar cover a few hours ago.


    Curiosity made Lu Chen click on the video.


    In the latest video, the patient opened a can of similar health products, showed the powdery substance inside to the camera, and then ate four spoons in a row.


    After ?? was put into the mouth, the patient''s expression was very painful, and it seemed that he was choked.


    So he got up and picked up the cup. Lu Chen thought he was going to pick up the water for a while, but he didn''t expect that this sturdy man took another four spoonfuls of water.


    "Ah, this... this..."


    Dong Hao on the side of ?? opened his mouth so wide that he could swallow five eggs.


    "I''ve never seen someone so deadly!"


    After this, the patient is ready to start exercising.


    But the strange thing is that before he touched any sports equipment, he began to sweat profusely. He just lifted the dumbbells twice before falling to the floor, his eyes were closed, and he pressed his chest with his hands. A normal person''s reaction.


    He looked very distressed.


    Lu Chen quickly clicked on his last video again, and found that both of his videos were eating the same powdered granules. In the last video, he was relatively normal and only ate two spoons.


    "Is this the boldness of the legendary artist?"


    Sun Guoguo also stepped in front of the two and saw the content of the video clearly.


    Lu Chen opened a comment, wanting to see what he was eating.


    It turns out that the patient is a short video blogger in the fitness area, and there is no big splash when he usually posts his fitness videos.


    A while ago, I don''t know where a new trend came from, and many bloggers in the fitness area suddenly began to recommend dry eating of a certain brand of fitness granules.


    Because the brand promotion indicates that dry eating can bypass the water, so that the body can absorb it better and produce a better effect.


    Although the package stated "no more than two scoops per day", this patient apparently chose to ignore this statement.


    After tasting the sweetness of the last "two spoons" video, he chose to challenge the limit again: eight spoons of fitness powder, bang bang is a meal.


    Lu Chen pondered for a moment, then said slowly:


    "Is there any problem with this thing? Maybe it''s this thing, which causes blood pressure to soar, blood vessels in the brain to rupture and bleed, resulting in brain edema, and then the increase in intracranial pressure leads to disturbance of consciousness."


    "I think eight achievements are!" Dong Hao nodded.


    Sun Guoguo frowned, "Junior Brother, look at the powder he took, what exactly is it?"


    "Um."


    Lu Chen saw the "Product Window" at the bottom of the video, with a link to the product on it.


    Click on the link to start reading the ingredient description of the product.


    Lu Chen found that this fitness granule contains caffeine, creatine and unknown polymers composed of various substances.


    At first glance it seems normal.


    But when Lu Chen scrolled down, he found that a spoonful of the granule contained 200mg of caffeine, which is about equal to two cups of coffee we usually drink.


    The recommended daily intake of caffeine for the human body is 400mg.


    In other words, the patient swallowed 16 cups of coffee at one time at home, 4 times the upper limit of normal!


    "How about he doubled down on fighting the landlord?"


    Brother Dong Hao is indeed a walking humanoid barrage machine.


    As we all know, caffeine is actually a methylated xanthine derivative (1,3,7-trimethylxanthine), which can affect cardiovascular hemodynamics, as well as the electrophysiological properties of the heart.


    It can promote the release of norepinephrine from sympathetic nerve endings, and the increase in sympathetic nerve activity and the increase in circulating catecholamine concentrations can increase the contraction of resistance arterioles and cause blood pressure to rise.


    However, some studies have also observed that in habitual coffee intake, muscle sympathetic nerve activity will increase without a pressor response, that is, the increase in sympathetic nerve activity alone is not enough to increase blood pressure.


    So back to this patient, if the effect of caffeine alone is obviously not enough to raise blood pressure to an unmonitored level.


    Lu Chen fell into thought again.


    Thank you 20191125 for your reward.


    In the future, the relevant cases and some information in the book will be posted in the comment area, and interested students can take a look.


    In addition, during the recommendation period, it is shameless to ask for a wave of recommendation tickets and collections.


    (end of this chapter)

 Chapter 69： Sleeping talk in the duty room

    Chapter 69 Sleeping Talk in the Duty Room


    "Doctor Sun, bed 31 is not feeling well, I want you to take a look."


    Liu Mei''s cry brought the thoughts of the three back to reality.


    At present, I am afraid that the cause cannot be found for a while.


    But the night shift is worth it, and the patient has to watch.


    "Okay, I''ll go now." Sun Guoguo stood up and turned to Lu Chen and Dong Hao and said, "Junior brother, please make up for the course of the disease and the doctor''s order, and then help the patient go through the procedures for transferring to a department."


    "OK, all right."


    Lu Chen had to put the "Internet celebrity" thing aside first, and then come back to find the answer later.


    ¡­


    The night shift of the Cardiology Department is basically the busiest of all departments.


    Because the sympathetic nerves of people are excited at night, many heart failure patients will suffer from heart failure!


    But the cardiology department at night is a "city that never sleeps".


    From taking over at 5:30 to the present, the trio of Lu Chen have basically never stopped and have been busy.


    Lu Chen also followed behind Dong Hao and dealt with three patients with chest pains.


    "Junior brother, usually patients with sudden chest pain at night must review the electrocardiogram. Then ask about the degree of pain. If the pain worsens, then another myocardial enzyme must be checked..."


    Dong Hao is not a Cardiologist, but he has been in Cardiology for over a month and has a lot of clinical experience on night shifts.


    "Yeah." Lu Chen nodded while taking notes in his notebook.


    Medicine is actually a process of practical verification.


    We apply the knowledge learned in the book to the process of treating diseases, and then experience the essence of the knowledge in the book from the process of treating diseases.


    Repeatedly, in order to integrate.


    ¡­


    Twelve o''clock in the evening.


    Most of the things in the department have been dealt with.


    Sun Guoguo went back to the doctor''s duty room to rest.


    Lu Chen and Dong Hao went to sleep in the graduate duty room.


    Graduate duty room is a bunk bed.


    "Junior brother, let me sleep on the bottom bunk." Dong Hao smiled, "If the nurse knocks on the door, I''ll get up and deal with it, you sleep well."


    "Okay." Lu Chen smiled.


    I have been in the department for so long, and several of the friends in the group are very good.


    Senior Sister Sun will not say it, her own sister.


    Senior Brother Dong Hao is friendly and takes good care of the newcomers who have just entered the clinic.


    turned off the light and lay on the bed.


    Lu Chen was still thinking about the "Internet celebrity" patient in his mind, thinking about his cause.


    Suddenly, Dong Hao from the lower bunk said, "Junior Brother Lu, listening to your accent, you shouldn''t be a native of Jinghua."


    Lu Chen was taken aback, "My family is from Huzhong Province."


    "Is it Jiangcheng?"


    "No, a county-level city near Jiangcheng."


    Dong Hao''s voice paused, then suddenly sounded again.


    "Junior Brother, why did you think of running so far to study in Jinghua?"


    "The medical school of Kyoto University, the first choice to apply for, was brushed, so I came to Jinghua."


    "No wonder you signed up for Li Yao''s graduate student!" Dong Hao suddenly realized, "It seems that you don''t know the situation here at all."


    Lu Chen was very puzzled.


    Since he came to Jinghua, many people have said this to him.


    Lu Chen finally couldn''t help but ask: "Senior Brother Dong, what''s wrong with Teacher Li?"


    Dong Hao sighed slightly.


    "How do you say this, I''m also just hearsay, I don''t know if it''s true or not."


    "Senior brother, tell me quickly." Lu Chen said quickly.


    Dong Hao cleared his throat and said, "I also listened to a senior fellow in the Department of Cardiology who was a graduate student on this matter."


    "Actually, as a teacher of Li Yao, such a young doctoral tutor must have a bright future. In the past few years, there were definitely many students who wanted to apply for her."


    "But just three years ago, Teacher Li Yao was exposed to a scandal."


    "Thesis Plagiarism!"


    Lu Chen was shocked.


    Plagiarism is a taboo in the academic circle!


    People who are generally exposed, even if they do not leave their jobs, will definitely be gradually marginalized.


    "However, it seems that the evidence of plagiarism is insufficient. The hospital did not punish Mr. Li Yao on the surface, but secretly, Mr. Li''s reputation has been stinky."


    Lu Chen frowned.


    Although he has not been in contact with Li Yao''s tutor for a long time, he does not think that Mr. Li is the kind of person who will plagiarize the achievements of others.


    "Mr. Li Yao is a straight-minded person. If others don''t like her, then she will not compromise."


    "Even though she was the director of the ward and the number one in the eight districts in her heart, she was gradually isolated by everyone."


    "Look, what''s the big deal in the eight districts in my heart, it''s basically handled by Director Lin Cui now."


    Dong Hao paused and continued.


    "Junior Brother, this is also hearsay, so it shouldn''t be taken as true. But in recent years, most of Mr. Li Yao''s students have been transferred over, and very few of them have taken the initiative to apply for the exam."


    "Well, thank you brother for telling me." Lu Chen said.


    Although what Dong Hao said was not necessarily true, it also gave him a clue in his heart.


    In the future, with more contact with Teacher Li Yao, you should be able to know the whole story.


    "Hey, it doesn''t really matter who your supervisor is. It''s the same when you get your diploma and go out to find a job." Dong Hao smiled, "I''m quite envious of your graduate students. For those of us who are purely disciplined, we can only get one disciplined training certificate."


    Master of medicine, after graduation, you can get both a degree certificate and a training certificate.


    And the regulation training students can only simply get the regulation training certificate.


    "Senior Brother Dong, why don''t you try to take a postgraduate entrance exam?" Lu Chen said.


    During the time ?? and Dong Hao were in contact, Lu Chen could see that Dong Hao''s basic knowledge was solid, and his attitude towards work and study was very good.


    It stands to reason that his chances of being admitted to graduate school should be very high.


    "Hey, I think so too." Dong Hao smiled helplessly, "But the conditions at home are not very good. The key is that I have a younger sister who just went to college. If I go to graduate school, not only will I not be able to subsidize my family, but every year I have to ask my family for money to pay my tuition fees.¡±


    "I have signed a second-class hospital now, and then come out for regular training. The unit will give me the basic salary, and the regular training hospital will also pay three or four thousand salary a month."


    "In this way, I will send some money to my family, and my sister should be able to cover the tuition fees for school."


    Dong Hao''s voice was not loud, but Lu Chen could hear the optimism and firmness in it.


    "I''m thinking, after the training is over, I''ll have a stable job, and I''ll be able to study for an on-the-job graduate student, that''s fine, at least I can get a degree."


    Lu Chen smiled.


    "Brother, come on, you can definitely do it."


    "Yeah." Dong Hao smiled, "You have to do your best. Maybe, when you become a graduate tutor in the future, I will be able to go through the back door and go to your graduate school."


    Dong Hao''s words are half a joke and half serious.


    From the past few days of getting along, he could clearly feel Lu Chen''s difference.


    Just like the "Internet celebrity" patient just now, Lu Chen noticed the abnormality immediately.


    If it wasn''t for Lu Chen''s "alertness", tonight''s eight districts in his heart would have caused a big mess.


    "Senior brother, you are joking." Lu Chen scratched his head.


    Become a postgraduate tutor?


    Lu Chen felt that it might be too early to talk about this now.


    However, a bud slowly emerged in his heart.


    Looking forward to the future professional life.


    (end of this chapter)

 Chapter 70： Pericardiocentesis Skills Book

    Chapter 70 Pericardiocentesis Skill Book


    Sleep till dawn.


    Sun Guoguo and Dong Hao felt that the night shift of the Cardiology Department was very comfortable.


    Every night shift before ??, there will always be a patient sick in the middle of the night.


    But today''s night shift is surprisingly quiet.


    One of the biggest hidden dangers was also discovered by Lu Chen when he took over.


    ¡­


    At seven o''clock in the morning, when he opened his eyes, Lu Chen looked at today''s almanac.


    "Today is suitable for decoration, settling down, getting engaged, building, praying, offering sacrifices, collecting money..."


    It is advisable to pray for blessings and sacrifice...


    Then come first!


    Lu Chen thought, and the system virtual panel appeared out of thin air.


    "Draw 10 times, consume 10 points of gratitude, and 15 points of remaining thanks!"


    The lottery starts, and light flashes in each sector.


    The draw is over.


    In the system prompt, a message of "winning" popped up.


    Lu Chen''s face was taken aback for a moment, and then he showed a look of joy.


    This is a random skill book (yellow)!


    Lu Chen didn''t turn it on.


    He chose to strike while the iron is hot and continue to draw!


    Another wave of 10 draws!


    "Draw 10 times, consume 10 gratitude points, and the remaining thank you points are 5 points!"


    System prompt: Congratulations, you have obtained the pericardiocentesis skill book (green)!


    System prompt: Congratulations, get a random skill book (yellow)!


    Wow, today is really a good day!


    European gas into the body!


    Lu Chen was lying on the upper bunk in the duty room with a happy face.


    Spend 20 Appreciation Points.


    received two random skill books, as well as this pericardiocentesis skill book.


    The pericardiocentesis skill book is green and looks more advanced than the random yellow skill book!


    Put the random skill book aside first.


    Lu Chen focused his attention on the pericardiocentesis skill book.


    Pericardiocentesis is an operation skill, which is different from the basic knowledge skill book obtained before.


    Lu Chen was a little curious, how did the pericardial puncture skill book allow him to learn this operation?


    He had never done this before.


    With a thought, open the pericardiocentesis skill book!


    Lu Chen''s eyes flashed, and his consciousness entered a void space.


    A virtual operating room appears in front of you.


    There is a virtual patient on the operating table.


    This is¡­¡­


    Lu Chen was a little stunned, looking at everything in front of him at a loss.


    At the same time, a line of boys appeared in the virtual space.


    Pericardiocentesis completion is 0%.


    Lu Chen took a closer look.


    On the operating table is a set of pericardiocentesis kits.


    "This is for me to practice the operation directly?"


    Lu Chen''s eyes flashed with surprise and surprise.


    Any operation skill or surgery requires clinical proficiency.


    The more you do it, the better your operational skills will be.


    so.


    In a department, the most powerful operation is often not the director, but the next-level deputy director or the senior attending physician!


    They have been in the front line of the operating room for a long time, and they may not be able to innovate, but they are the most proficient in practical surgical skills.


    If this virtual space allows him to freely train various skills.


    That''s awesome!


    What Lu Chen could not have imagined was not just pericardiocentesis!


    The most important aspects of cardiology are coronary intervention and electrophysiology.


    If you can draw these two skill books in the future, then you can exercise your intervention ability regardless of conditions, time, and place?


    Lu Chen got a little excited just thinking about it!


    "Junior Brother, it''s time to get up."


    At this moment, Dong Hao''s call brought Lu Chen''s thoughts back to reality.


    "Oh."


    Lu Chen opened his eyes, he felt that he could enter the system virtual space again at any time.


    In other words, the effect of this skill book will persist until Lu Chen''s pericardiocentesis completion reaches 100%!


    With this excitement, Lu Chen got out of bed.


    After a little wash, I came to the doctor''s office.


    Dong Hao said with a smile, "Junior brother, I just inquired from a classmate of neurosurgery. Yesterday, the operation of the patient was very successful. Part of the skull was removed. He is currently living in the ICU and his condition is relatively stable."


    "Hey, that really saved a life." Lu Chen laughed.


    Intracerebral hemorrhage, brain herniation, and intracranial hypertension, the only surgical method is to remove the skull to relieve intracranial compression.


    doctor''s office.


    Sun Guoguo was already sitting in front of the computer, and beside her stood a middle-aged doctor in a white coat.


    But the doctor''s white coat is very clean, not even a single fold or stain.


    It doesn''t look like a doctor who is a clinical professional.


    "Director Guo, what''s wrong with your medical department coming to our heart so early in the morning?"


    Sun Guoguo asked the middle-aged doctor beside him.


    "It''s not because of the patient with cerebral hemorrhage last night. After the operation last night, his family members complained to the hospital, demanding compensation from the hospital."


    The middle-aged doctor folded his hands on his chest, his face serious.


    Sun Guoguo''s face was sullen, she had already guessed that the family member was very likely to complain.


    I just didn¡¯t expect that the family would complain directly while in the hospital.


    This is really true. While the doctor saves people, the family complains.


    "The most important thing is that the patient''s family has something to do with the health system, and the patient himself is a small Internet celebrity. If they spread rumors on the Internet, I am afraid it will have a bad impact on our second hospital." Director Guo said, " You also know that Director Cao is applying for the National Cardiovascular Key Laboratory of the Ministry of Education, and he attaches great importance to this matter.


    Sun Guoguo sighed helplessly.


    "If we hadn''t discovered this patient in time, I''m afraid he would have lost the chance for surgery. His cerebral hemorrhage and brain herniation are the process of disease development, and our treatment has done the best."


    Director Guo shook his head.


    "Now the patient''s family has bitten to death a little bit, saying that it was your cardiologist who first consulted and did not properly assess the risk, so the patient''s condition was delayed."


    Sun Guoguo frowned and said, "This patient''s first doctor is Dr. Ding from Director Lin Cui''s team."


    "Ding Deli?" Director Guo raised his eyebrows.


    "Um."


    "Hey, why is it his fault again." Director Guo shook his head helplessly.


    "Director Guo, it''s really not the reason for Dr. Ding this time." Sun Guoguo explained, "When the patient was first admitted to the hospital, his blood pressure was only 190/100mmHg. I read the doctor''s order to prescribe two antihypertensive drugs for the patient, and communicated with the hospital at the same time. Also informed about the risk of cerebral hemorrhage."


    Although Ding Deli is usually very unreliable, there is a saying that is good.


    No matter how unreliable and **** the doctor is, as long as he is in the hospital, he is the one who wants to save the patient the most.


    "In addition, Director Guo, we suspect that the patient ate that dry fitness powder, which caused high blood pressure, cerebral hemorrhage, and finally brain herniation." Sun Guoguo said slowly.


    "Fitness dry powder?" Director Guo was taken aback, "Why haven''t I heard about this from the patient''s family?"


    "How could they take the initiative to say this..." Sun Guoguo shrugged helplessly.


    "Is there any evidence?"


    "Have!"


    Sun Guoguo took out his mobile phone, clicked on the Douyin app, and found the account of "Fitness Master Sun Yingwei".


    "This is a video of the patient before admission."


    Sun Guoguo handed the phone to Director Guo.


    Director Guo frowned and watched the entire video.


    "It''s not quite right. I think the ingredients of dry powder are caffeine or something. Will this cause cerebral hemorrhage?"


    Sun Guoguo said: "Director Guo, we have almost ruled out other secondary hypertension factors. In the end, we still suspect that there is something wrong with this dry fitness powder. There may be some ingredients in it that we haven''t figured out yet."


    Director Guo pondered for a while before opening his mouth and said:


    "Guoguo, our medical department will communicate with the patient about this matter. However, the eight districts in your heart have also prepared relevant appeal materials. If the harmful ingredients in the dry powder can be found, perhaps our hospital''s responsibility will not be so great."


    "Okay, let''s do our best." Sun Guoguo nodded.


    The detailed ingredient list of this fitness dry powder is in English.


    The main ingredient of ?? dry powder is caffeine.


    But there are a lot of ingredients in it, so finding them one by one is a lot of work.


    "Guoguo, then I''ll go back first, and I''ll contact you at any time if there is any situation." Director Guo said, "Don''t put too much pressure on it, this matter has the greatest relationship with the first doctor. Your night shift doctor has done a good job. ."


    "Yes." Sun Guoguo nodded, "I will communicate with Dr. Ding about this."


    Director Guo got up and left.


    Lu Chen and Dong Hao walked into the office.


    "Senior sister, that patient complained to us yesterday?" Dong Hao asked cautiously.


    "Yeah." Sun Guoguo nodded helplessly, "You two don''t worry about this, it has nothing to do with you."


    Lu Chen frowned and said, "Senior sister, if we can find the exact cause, it shouldn''t have much to do with our hospital, right?"


    "Well, that''s what I said. But the compensation is certain. Now it depends on the name of the compensation, whether it is humanitarian compensation or compensation for our medical malpractice."


    Sun Guoguo sighed deeply.


    Clinically, doctors are walking on thin ice.


    doesn¡¯t mean not making mistakes, that¡¯s enough.


    also needs to strangle all risks in the cradle as much as possible.


    ¡­


    Cardiology 4th Floor, CCU.


    This is the home base of Cao Zhiying, director of the Department of Cardiology.


    When he is fine, he will stay in the CCU office.


    In the director''s office at this time.


    Cao Zhiying and Li Yao sat opposite each other.


    "Li Yao, I asked you to come over so early today, you should know why."


    Cao Zhiying stared at Li Yao with an expressionless face.


    "Well, I found out from the medical department." Li Yao said softly, "Last night, a patient in the eighth district of my heart had an accident."


    "It''s the time for the selection of the State Key Laboratory, I hope nothing happens!"


    "You have to minimize the impact of this!"


    "As for the first doctor, Ding Deli, I think you have a good chance to deal with him."


    Li Yao paused, then nodded slowly.


    "Li Yao, I hope you don''t be indecisive and don''t care too much about the opinions of others!" Cao Zhiying sighed slightly, "I actually have the highest expectations for your eight wards out of the ten wards in my heart!"


    "I see, Director." Li Yao nodded.


    "Okay, handle this matter well."


    Cao Zhiying waved, and Li Yao got up and left.


    ¡­


    Less than a morning.


    The "Internet celebrity" cerebral hemorrhage caused a stir in the entire heart ward, and almost all doctors and nurses knew about it.


    Everyone is watching what happens next.


    afternoon.


    Because of the night shift, Lu Chen didn''t go to work in the afternoon.


    After ?? finished his lunch, he went back to the bedroom to sleep.


    Lying in bed.


    Lu Chen opened his other two random skill books.


    (end of this chapter)

 Chapter 71： β-Phenethylamine

    Chapter 71 Beta-Phenethylamine


    "Congratulations, get the basics of ECG (middle)!"


    "Congratulations, get the basics of literature reading (on)!"


    The two skill books turned into a beam of light and flew into Lu Chen''s mind.


    The first book, the basics of electrocardiography (middle).


    This skill book, Lu Chen is very clear.


    The first skill book he drew was the basics of electrocardiography (Part 1).


    This "medium" should be an advanced version.


    But this second skill book, the basics of literature reading, Lu Chen was a little confused.


    may be a skill book to increase the efficiency of literature reading.


    However, most of the literature currently read by doctors and students is in English.


    I don¡¯t know this skill book, is it helpful for reading foreign literature?


    Be aware that medical English is not the same as normal English.


    Too many medical terms need to be memorized, and there are no rules on the basis.


    The sentence pattern and grammar of English literature are not difficult, but the difficulty is, and the vocabulary is extremely rare!


    In order to verify their own ideas.


    Lu Chen took out his cell phone by the bed and found an English document he had saved.


    This article was recently published in NatCommun magazine.


    The title is "CytotoxicCD8+TcellspromotegranzymeB-depengentadversepost-ischemiccardiacremodeling".


    The difficulty of this document is very high. Lu Chen has been studying for three days, and he can only understand the meaning of the superficial words.


    "Call..."


    Lu Chen took a deep breath, opened the document again, and started reading.


    When he read the first paragraph, he was stunned.


    ¡°Acutemyocardialinfarctionisacommomconditionresponsiblefor¡­¡±


    English text messages are transmitted to the mind.


    but.


    directly output the information in Chinese!


    "A common disease leading to heart failure and sudden death in acute myocardial infarction, in this article, we reveal that after acute myocardial infarction in mice, CD8+ T lymphocytes are recruited and activated in ischemic heart tissue..."


    It was as if Lu Chen was already familiar with this article, and there was no obstacle to reading it.


    But Lu Chen can be sure that he has never read so smoothly before!


    Lu Chen continued to look down.


    He found that now his understanding of this article has not only stayed on the surface meaning of words.


    has a deeper understanding of the experimental process and research conclusions!


    "It can really improve the reading ability of foreign literature!"


    A hint of surprise flashed in Lu Chen''s eyes.


    To be honest, he was extremely tired of being forced to learn English since he was a child.


    Especially, since medicine, almost all medical frontier knowledge is in foreign literature.


    Now with this skill book, you can save a lot of energy and better devote yourself to medical study.


    To be on the safe side, Lu Chen searched again for a brand new article.


    One he had never seen before.


    There is still no obstacle to reading, this ability still exists!


    "Great!"


    Lu Chen''s face was full of joy.


    Sudden.


    He thought of the "Internet celebrity" fitness dry powder last night.


    The instructions for ?? dry powder are all in English, and many of them are acronyms.


    I didn¡¯t read this line specifically, and it¡¯s really hard to translate the ingredients.


    Now have this skill book.


    He may be able to find the "harmful ingredients" in it!


    Do what you say!


    Lu Chen immediately opened the Douyin app.


    Find the instruction manual for that "fitness dry powder".


    (The instruction manual will be placed in the comment area, and interested students can read it, all in English.)


    There are many ingredients in dry fitness powder.


    Lu Chen had to find the ingredients he was familiar with first, make sure that they had no side effects, and eliminate these ingredients.


    Then find ingredients you haven''t seen before.


    Check its specific content on the Internet.


    ¡­


    It took about half an hour to check.


    Relying on the "literature reading" skill book, Lu Chen successfully locked an ingredient in the dry fitness powder.


    ¦Â-Phenethylamine!


    In the ingredients description of the fitness dry powder, beta-phenethylamine is described as helping to maintain focus, maintain a good mood, and maintain alertness.


    This reminded Lu Chen of another phenethylamine--¦Á-methylphenethylamine.


    , also sometimes written as amphetamine, is a central nervous system stimulant used to treat ADHD, narcolepsy, and obesity.


    The name ?? is not well known to everyone.


    But alpha-methylphenethylamine is closely related to another well-known substance, methamphetamine (also known as methamphetamine).


    The crystal form of the latter is commonly known as methamphetamine and slang "pork".


    It is a potent central nervous system stimulant used mainly in drugs and occasionally in the treatment of attention deficit hyperactivity disorder and obesity.


    And their good brother, beta-phenethylamine, is also approved for dietary supplements and fitness supplements because of a similar mechanism.


    It¡¯s just that you know that if you have studied medicine.


    If high doses of methamphetamine are taken, it can cause psychosis due to central nervous system stimulation, rhabdomyolysis, generalized seizures and intracranial hemorrhage.


    Overdose can also cause mild brain damage due to dopamine activation and serotonin activation neurotoxicity.


    And the long-term existence of these substances will have a continuous stimulating effect on the postsynaptic membrane and stimulate the continuous excitation of the central nervous system.


    Increases cardiac contractility, increases excitability, accelerates conduction, increases cardiac output, and increases heart rate; at the same time, it strengthens the contraction of blood vessels and increases blood pressure.


    Seeing this, the cause of the "Internet celebrity" finally became clear.


    At this moment, Lu Chen suddenly received a prompt from the system.


    "Congratulations, the system upgrade completion rate has increased by 1%!"


    It seems that the culprit of everything is ¦Â-phenethylamine!


    Lu Chen immediately edited his findings into a document and sent it to Sun Guoguo.


    ¡­


    Jinghua Second Hospital, a rental house in a nearby community.


    "GuoGuo, you just got off the night shift, are you still not sleeping? Let''s write the thesis tomorrow."


    Liu Mei and Sun Guoguo are shared roommates.


    She was about to go to bed, and when she passed by Sun Guoguo''s room, she found that she was still sitting in front of the computer.


    Sun Guoguo shook his head vigorously, picked up the coffee on his table, and took a sip.


    "I''m not writing a thesis, I''m reading an English manual to check what ingredients are on it."


    "Instructions?" Liu Mei walked into the room and leaned over her head, "What''s going on?"


    "It''s what happened to the eighth district in our hearts last night." Sun Guoguo said helplessly, "We suspect that it happened after he ate this dry fitness powder, but we haven''t found the specific ingredients, so we can''t draw a conclusion. ."


    Liu Mei raised her eyebrows.


    "You guys should just hand this over to the School of Medicine to check. You check one by one yourself. When will you check it out?"


    Sun Guoguo shrugged and said, "The School of Pharmacy has also been contacted, but now this matter is imminent. If they wait another ten days and a half months, their research results will come out, and the daylily will be cold."


    "Okay, then you go to bed early." Liu Mei yawned and prepared to leave.


    At this moment, Sun Guoguo gave a soft "Huh".


    Liu Mei took a step forward and looked back at Sun Guoguo.


    At this moment, Sun Guoguo opened the email from Lu Chen with a puzzled look.


    Entering the target content, Sun Guoguo was slightly taken aback.


    This is about the ingredients list of that fitness dry powder.


    "Beta-phenethylamine... stimulates the central nervous system to continue to excite. It increases cardiac contractility, increases cardiac output, increases heart rate, and at the same time strengthens the contraction of blood vessels, which increases blood pressure..."


    Sun Guoguo was surprised and delighted after reading the entire document.


    The good news is that we finally found the "harmful ingredients" in dry fitness powder!


    Surprisingly, Lu Chen actually found this!


    This all-English drug instruction manual has complex ingredients and uncommon words.


    Even students majoring in pharmacy need to analyze for a long time.


    Lu Chen actually found it so quickly!


    "Guoguo, what''s wrong?"


    Liu Mei looked at Sun Guoguo, who looked surprised.


    "found it!"


    "Ah? Didn''t you just say it would take a long time?"


    "It''s not me, it''s not the pharmacy school, it''s Junior Brother Lu Chen!" Sun Guoguo said excitedly, "He found it!"


    "Lu Chen? Is that the handsome guy from your group?" Liu Mei asked in surprise.


    "Um."


    Sun Guoguo nodded and prepared to forward the document sent by Lu Chen to Director Guo of the Medical Department and tutor Li Yao.


    "I think he is very good in clinical practice. I didn''t expect him to be so good in academics." Liu Mei smiled, "Director Li really recruited a good student this year."


    Sun Guoguo glanced at Liu Mei who was wearing pink pajamas, "You hurry up and find a boyfriend, don''t bully the children."


    Liu Mei spread her hands and left Sun Guoguo''s room with a smile.


    Sun Guoguo ignored Liu Mei.


    Click the forward button to send Lu Chen''s email!


    ¡­


    Li Yao in the office of the eighth district director in his heart.


    I saw the email sent by Sun Guoguo for the first time.


    "Beta-Phenethylamine? Is this..."


    The corners of Li Yao''s mouth couldn''t help twitching.


    A faint smile appeared on her originally indifferent face.


    At the same time, Director Guo of the Medical Department.


    He also received an email from Sun Guoguo.


    A "counter-offensive" from the hospital kicked off!


    (end of this chapter)

 Chapter 72： virtual space training

    Chapter 72 Training in Virtual Space


    Regulation Peilou.


    student dormitory.


    Lu Chen lay on the bed and closed his eyes.


    entered the system virtual space.


    Opened the pericardiocentesis skill book again!


    Actually, since Lu Chen''s internship until now, he has never performed pericardiocentesis independently.


    Pericardiocentesis is different from the other four major punctures (thoracic puncture, lumbar puncture, abdominal puncture, bone puncture), and its risk is much greater.


    If the puncture is too deep, it may puncture the atrium, ventricle, or puncture the coronary artery, resulting in massive accumulation of blood in the pericardial cavity.


    In clinical practice, if there is a patient with pericardial effusion, the superior doctor seldom allows the intern to personally participate.


    ¡­


    Enter the system space.


    What ?? appeared in front of Lu Chen was an operating console.


    On the operating table, lies a simulated real patient.


    There is also an ultrasound machine beside him.


    Next to the ?? ultrasound machine, there are also various puncture kits.


    Lu Chen wanted to walk into the console, but found that there seemed to be an invisible wall in front of him, preventing him from moving forward.


    Sudden.


    In front of him, a system prompt popped up.


    "After passing the theoretical assessment, you can start the training of pericardiocentesis skills!"


    Lu Chen was taken aback for a moment, do you still need a theoretical assessment?


    But on second thought, this is true.


    If you don¡¯t even know the theoretical knowledge, even if you enter the operation room, you will not know anything.


    Start the theory assessment!


    The first question.


    What are the indications for pericardiocentesis?


    Lu Chen thought for a while, then answered:


    "There are four in total, determination of the nature of pericardial effusion, removal of pericardial tamponade, treatment of empyema, and preoperative judgment of pericardial fenestration."


    The second question.


    What are the contraindications of pericardiocentesis?


    "First, bleeding disorders, severe thrombocytopenia and those who are receiving anticoagulation therapy are relative contraindications."


    "Secondly, there is an infection at the puncture site or a person with bacteremia or sepsis."


    "Third, patients who cannot cooperate well with surgical procedures."


    ¡­


    There are ten questions in total, all of which are basic knowledge of pericardiocentesis. For Lu Chen, the difficulty is not high.


    "Congratulations, passed the theory test."


    Lu Chen felt a flash in front of his eyes, and he came to the console.


    on the console.


    The pericardiocentesis kit has been opened.


    Lu Chen put on his gloves and silently recalled the steps of pericardiocentesis.


    The first step of the ?? operation is ultrasound localization.


    Under the system ultrasound machine, find the deepest pericardial effusion and the best location for puncture.


    The location of pericardiocentesis generally has two locations.


    The first location, the precordial puncture point.


    In the left fifth intercostal space, 1-2 cm inward from the left border of the cardiac dullness border, along the upper border of the sixth rib, the needle is inserted inward and backward toward the spine.


    The second location, the substernal puncture point.


    Take the left costal arch angle as the substernal puncture point. The angle of the puncture needle and the abdominal wall is 30 to 45 degrees, and the needle is punctured upward, backward, and inward, reaching the bottom of the pericardial cavity.


    ¡­


    Even though there was a virtual patient in front of him, Lu Chen was still very careful.


    Starting from the ultrasonic positioning of the system, he took every step of the operation carefully.


    Only during normal training, treat virtual patients as real patients.


    Then, in real operation, the chain will not fall.


    ¡­


    It took about half an hour.


    Lu Chen basically mastered the entire process of pericardiocentesis, but the movements were jerky and not skilled enough.


    He was slowly groping for the piercing technique.


    This is also in the system space, there is such an opportunity for infinite practice.


    in real life.


    One month, if you can meet a patient with a pericardiocentesis, and you can do it yourself, that would be great!


    Another half hour passed.


    Lu Chen has been able to perform a complete pericardiocentesis operation under ultrasound guidance.


    The ?? system panel immediately popped up a prompt.


    "Pericardiocentesis completed 18%!"


    After a full hour of hard work, the completion rate is only 18%.


    It seems that there is a long way to go!


    However, Lu Chen was not in a hurry.


    If it is said that if the skill completion rate reaches 100%, he will withdraw from this space.


    Then he would rather stay for a while longer and make good use of the virtual space of the system to improve his operational skills.


    All kinds of puncture operation skills are not isolated.


    If you can master one kind of puncture skillfully, then other puncture skills, such as chest piercing and abdominal piercing, as long as you find the puncture position, you can follow the operation of the gourd painting.


    ¡­


    Continued to train for another hour.


    Lu Chen was a little tired.


    This system space will not replenish his energy, and he will still feel tired.


    After all, he worked a night shift last night, and he was starting to get tired.


    Exit the virtual space of the system and slowly enter the dreamland.


    ¡­


    When Lu Chen woke up, it was already six o''clock in the afternoon.


    slept for about four hours.


    My stomach growled.


    Rubbed his sleepy eyes, Lu Chen climbed out of bed.


    Ready to go to the cafeteria for food.


    picked up the phone and found a missed call from Sun Guoguo.


    Confused, Lu Chen called back.


    The phone "beeped" and got through.


    "Senior sister, what are you looking for from me?"


    "Junior Brother Lu, the document you sent me at noon is really useful! We asked the teachers in the School of Pharmacy and found that ¦Â-phenethylamine does have a similar application. And there is video testimony, so the family member can''t deny it."


    "So shouldn''t our department be held responsible?" Lu Chen asked tentatively.


    "Hey, I want to have no responsibility at all, of course it''s impossible!" Sun Guoguo said, "The hospital has paid a little money for humanitarian compensation. The handling of the matter is very satisfactory, Junior Brother, you are the first."


    "The department is fine." Lu Chen smiled.


    "Okay, junior brother, you have a good rest." Sun Guoguo smiled, "Mr. Li Yao said that if you have time, let''s go out and have a good meal."


    "it is good."


    hang up the phone.


    Lu Chen lazily stretched his waist.


    at this time.


    He suddenly received a prompt from the system.


    "Congratulations, +1 for receiving Sun Guoguo''s thanks!"


    "Congratulations, +1 for receiving Li Yao''s thanks!"


    This is possible too?


    Lu Chen couldn''t help but smile.


    solved this case.


    Although he did not receive thanks from his patients, he did receive thanks from his sisters and mentors.


    There are still 7 points of gratitude in the system panel.


    The system upgrade completion rate is 1%.


    The skills that ?? already possess are:


    Basics of ECG (top), Basics of ECG (middle).


    Heart anatomical volume basis (top).


    Literature Reading Basics (Part 1).


    Pericardiocentesis.


    The ?? system has not been activated for a long time, but Lu Chen felt that the knowledge reserve in his mind had more than doubled.


    If he can become a chief physician before the age of forty according to the normal promotion rate, then he is considered a very powerful person.


    Like Director Cao Zhiying of Jinghua Second Hospital.


    When he took over at the age of thirty-eight, he defied public opinion and became the director of the Department of Cardiology!


    After more than ten years of hard work, the Cardiology Department of Jinghua Second Hospital has been developed into a nationally renowned key specialty.


    Cao Zhiying''s resume can be described as a model draft for all top doctors in China. He can only become a chief physician at the age of 38.


    More doctors may be rated as deputy chief physicians when they are around forty years old.


    If you want to be rated as a chief physician, most doctors may spend most of their lives and fail to reach it.


    If there is no "plug-in", Lu Chen''s resume can only reach the level of Director Cao Zhiying at most, and he is the best group of people.


    but now.


    When the doctor prescribed a plug-in.


    The future can be expected!


    Night shift tonight, rest tomorrow.


    So today''s update, tomorrow will be added.


    5 days and one night shift, all of which can only be changed occasionally.


    (end of this chapter)

 Chapter 73： Myocardial ischemia at 10 years old

    Chapter 73 Myocardial Ischemia at Ten Years Old


    After dinner.


    The roommates all returned to the dormitory one after another.


    Lu Chen put aside the training of pericardiocentesis skills.


    Continue to build on your knowledge of ECG and cardiac anatomy.


    Knowledge of these two fields is the basis of cardiovascular, but also the top priority.


    The two major surgical operations in the Department of Cardiology at present, whether it is coronary intervention or electrophysiology, require the operator to have a solid knowledge of ECG reading and cardiac anatomy.


    Lu Chen must be exposed to interventional and electrophysiological surgery in the future.


    As the saying goes, sharpening knives does not cut firewood by mistake.


    Now Lu Chen is taking the time to prepare for the future.


    ¡­


    It was time to sleep at night.


    Lu Chen closed his eyes and lay on the bed.


    Only then began to continue the training of the pericardiocentesis technique.


    After two hours of training, Lu Chen became more and more familiar with the operation of pericardiocentesis.


    "Congratulations, the completion of the pericardiocentesis skill is 64%!"


    In two hours, the completion rate of the skill was directly increased from 18% to 64%.


    However, it is very difficult to continue to improve and finish.


    It takes a lot of time to go from "familiar" to "proficient".


    That''s it for today, Lu Chen slowly fell asleep.


    ¡­


    was speechless all night.


    The next day.


    The first thing Lu Chen did when he woke up in the morning was not to touch the phone by the bed.


    It''s a lucky draw!


    This has become a habit for him.


    Lay a solid foundation for a whole day''s "Qi Luck".


    "Draw 1 time, consume 1 thank you point! The total thank you value is 6 points."


    The expected "Thank you for your patronage".


    Lu Chen took out his phone and flipped through today''s almanac.


    "Nothing is right!"


    It seems that we need to stabilize our hands today, and we cannot draw for the time being.


    ¡­


    came to the department.


    Just changed into a white coat and sat in the office.


    Lu Chen saw an "acquaintance" and hesitated at the door of the office.


    He is the family member of the previous 20-bed young myocardial infarction patient.


    "Doctor Lu, you have come to work."


    Zhang Jun walked into the office with a smile.


    "Uncle Zhang, you are..."


    Lu Chen glanced at Zhang Jun strangely.


    The patient himself should be in the CCU now, how did the family go back to the eight areas in their hearts?


    "Dr. Lu, this is the case. My son''s condition is stable. I want to transfer it back to the general ward today." Zhang Jun said, "The cost of the downstairs intensive care unit is too high, our family can''t afford it."


    Lu Chen frowned.


    Patients with myocardial infarction like this are at high risk of sudden death.


    In addition, the patient has only been in the CCU for less than a few days, so he was transferred back to the general ward in such a hurry, and the risk increased a lot.


    "Uncle, the matter of this transfer is that after the CCU doctor downstairs judges the condition, he will see if he can transfer to another department." Lu Chen said, "It''s not that we can transfer if we can."


    "Hey, I know." Zhang Jun smiled, "I''m not embarrassing you, I have signed with the CCU doctor to guarantee that if there is any problem, we will bear the consequences. When you start work, my son will be transferred from CCU. Come up."


    Lu Chen has nothing to do with this family.


    are willing to take the initiative to sign, willing to take all risks.


    "Uncle, then you just wait for the formalities to be handed over."


    The procedure for transferring from CCU to the general ward of the heart is relatively simple, after all, they all belong to the Department of Cardiology.


    Just finished class.


    Lu Chen heard the main nurse shout:


    "The doctor in the director''s group took note. Patient Zhang Guangming went to the CCU a few days ago and will be transferred back later."


    "Understood." Sun Guoguo replied, and then said to the friends in the group, "Today, everyone raised their spirits, ready to fight."


    Today, half of the beds of the director''s team are empty.


    According to the flow of patients in the Cardiology Department of Jinghua Second Hospital, that is how many are discharged and how many are hospitalized on the same day.


    The number of patients to be treated today is extremely large.


    Before the room inspection was over, the doctors and nurses from the CCU came pushing the hospital bed.


    Zhang Guangming was lying on the bed with various instruments strapped to his body.


    He looked a little decadent, and the "fearlessness" he had when he first arrived at the hospital had long since disappeared.


    "The patient has a total of three stents implanted. The IABP was removed yesterday. The vital signs are stable and the general condition is ok. The main thing is to pay attention to the review of ions, maintain the stability of the internal environment, and avoid the recurrence of acute heart failure."


    The CCU doctor simply handed over the shift with Sun Guoguo, and then pushed the hospital bed downstairs.


    This time, Zhang Guangming was still in bed 20.


    "Young man, did you put the stand?"


    The bed next to him is still the old man from before.


    Zhang Guangming also discussed with the old man about "waiting for the price of the bracket to drop before placing the bracket".


    "Well." Zhang Guangming nodded slightly.


    Thinking of his remarks about "waiting for the price of the bracket to drop", Zhang Guangming''s face flushed.


    If there were any cracks in the ground, he would have gotten into it long ago.


    ¡­


    "Zhang Guangming, how are you feeling now?"


    Sun Guoguo brought everyone in the group to the bed.


    Zhang Guangming opened his eyes and nodded.


    "This time, you must remember to urinate beside the bed and not get out of bed by yourself!"


    Sun Guoguo exhorted sternly.


    "Um."


    This time, Zhang Guangming was very obedient and cooperated with all the treatments given by the doctors and nurses.


    Walking around the gate of **** made him really scared.


    "Doctor Sun, what else do I need to pay attention to? For example, in terms of diet, please tell me."


    "Let Dr. Lu talk to you later." Sun Guoguo said.


    Currently, Lu Chen is in charge of the patient mission.


    The precautions for patients during hospitalization are very important points in patient education.


    It is most appropriate to let Lu Chen do it.


    "okay."


    Zhang Guangming glanced at Lu Chen with anticipation in his eyes.


    ¡­


    Next, Lu Chen carefully shared with Zhang Guangming the relevant health education knowledge for patients with myocardial infarction.


    Zhang Guangming listened very carefully.


    "Doctor Lu, can you write all these things down on paper? You talk too much, and I can''t remember it."


    "Well, good." Lu Chen nodded.


    There were still a lot of leaflets left in the last mission.


    There is a health education leaflet for patients with myocardial infarction.


    "Congratulations, +1 thanks to Zhang Guangming!"


    As soon as the ?? voice fell, he received a prompt from the system.


    And successfully gained a little thank you!


    ¡­


    After dealing with Zhang Guangming''s affairs, Lu Chen also started the work of accepting patients.


    Qu Yao, a training doctor in the ?? group, does not usually treat patients, and Sun Guoguo takes care of her patients.


    She basically came to the department occasionally to walk through the scene.


    All the patients were basically treated by Dong Hao, Lu Chen, Jiang Qingyan, and Ke Yue, four people took turns for treatment.


    Two other intern doctors helped with blood pressure measurements and electrocardiograms.


    Lu Chen''s patient was a middle-aged man who came for a physical examination.


    seems to be the father of a nurse in Corey.


    This patient does not have any gold content, just simply write down the course of the disease.


    "Lu Chen, look at this electrocardiogram for me."


    A female voice came from his ear.


    Lu Chen subconsciously thought it was Ke Yue, but it felt wrong.


    looked back and found that Jiang Qingyan had walked beside her and handed over an electrocardiogram.


    "Oh, good."


    took the electrocardiogram, and Lu Chen looked at it intently.


    This ECG is simple.


    Significant ST-segment depression in leads II, III, avF, and V4-V6.


    is a typical manifestation of myocardial ischemia.


    With Jiang Qingyan''s ability, she should be able to decipher this electrocardiogram!


    Is there something else he didn''t see?


    observed it carefully for a moment.


    There is still no other abnormality.


    Lu Chen looked up at Jiang Qingyan.


    "Significant ST segment depression in leads II, III, avF, V4-V6, myocardial ischemia?"


    Jiang Qingyan frowned and said, "The patient is 10 years old."


    (end of this chapter)

 Chapter 74： tendon xanthoma

    Chapter 74 Tendon Xanthomas


    Myocardial ischemia at the age of ten?


    Lu Chen frowned.


    Coronary heart disease in men younger than 55 years old is classified as premature coronary heart disease.


    Not to mention such a ten-year-old child.


    Lu Chen had never seen the electrocardiogram of a ten-year-old child, the same as an old man in his seventies or eighties.


    "Ten years old? This should go to the pediatrics."


    Lu Chen paused.


    Generally, 14-year-old children can basically go to the pediatrician.


    "The pediatrics department in our hospital is not very good. There are only five doctors left in the entire department. The young doctors have all left, and there are only a few deputy directors and directors left." Jiang Qingyan shook her head, "So something like this involves the heart. Most of the diseases have come to the Cardiology Department.¡±


    "Does the patient have any symptoms?" Lu Chen then asked.


    "Intermittent chest pain for 1 month."


    "According to the electrocardiogram and symptoms, there must be something wrong with the child''s cardiovascular system." Lu Chen said, "But it is definitely not a conventional coronary heart disease, but has other causes."


    "Yes." Jiang Qingyan nodded, "At present, I have several considerations, such as vasculitis, cardiomyopathy, myocarditis, and patent ductus arteriosus."


    "It is very likely that these causes lead to secondary coronary vascular disease!"


    Lu Chen frowned and said, "No matter what the cause is, this child''s vascular disease is serious and may need immediate treatment. Does Senior Sister know about this patient?"


    "I know." Jiang Qingyan nodded, "But senior sister didn''t see the cause for the time being, so let me check the blood and do a heart ultrasound first, and then adjust the treatment plan after the results are reported."


    "Hmm." Lu Chen put down the electrocardiogram.


    He was very interested in this young patient.


    "Which bed is he?"


    "13 beds."


    ¡­


    came to 13 beds.


    This is a ten-year-old girl.


    The girl curled up in the corner of the bed, her face pale.


    Lu Chen stepped forward, and her mother stood up.


    "The doctor is here."


    The girl turned her head to look at Lu Chen, and then buried her head in the bed.


    "Auntie, I''ll ask her about her condition."


    "Well, ask the doctor." The girl''s mother forced a smile.


    Seeing no response from the girl, Lu Chen asked her mother directly.


    Girl started to experience intermittent limp 3 months ago.


    1 month ago, chest pain occurred after activity, which was squeezing pain, mainly in the precordial area.


    During the period of ??, he did not go to the hospital for treatment and suffered frequent chest pain attacks.


    "Auntie, does your family have a history of coronary heart disease?"


    "No."


    Lu Chen wanted to give the girl a physical examination, but she resisted.


    The girl''s mother shook her head gently, and Lu Chen could only give up.


    ¡­


    Back to the doctor''s office.


    Lu Chen flipped through the medical records written by Jiang Qingyan, and focused on the physical examination part.


    Physical examination on admission: HR120 beats/min, BP90/50mmHg. Cardiac auscultation could hear a click-like murmur in the middle and late stages of systolic mitral valve auscultation, but no abnormal breath sounds were heard on lung auscultation.


    "Painless nodules at elbows, knees, ankles; white rings visible at corneal edge."


    "Peripheral vascular pulse was normal, and intermittent claudication of both lower extremities occurred during walking, without edema and skin color changes."


    Jiang Qingyan wrote about the physical examination on admission, which is extremely detailed.


    Heart auscultation, murmur and murmur can be heard.


    A thought flashed in Lu Chen''s mind, could it be congenital heart disease?


    But he also noticed that painless nodules could be seen in the girl''s joints.


    "this is¡­¡­"


    Lu Chen frowned and looked back at Jiang Qingyan.


    "Jiang Qingyan, what is this painless nodule?"


    "This nodule, I think it should be a tendon xanthoma."


    "Tendon Xanthomas?"


    Lu Chen suddenly thought of something, but he couldn''t catch it.


    "What''s wrong?" Jiang Qingyan asked in confusion.


    "Nothing..." Lu Chen shook his head gently, "Let''s take a look at the patient''s tests and test results first."


    ¡­


    The whole morning.


    There are too many patients coming from the eight districts in the heart.


    Lu Chen has been there, treating patients, issuing doctor''s orders, and writing disease course records.


    He received three patients in total, Dong Hao and others received two each.


    So that at twelve noon, everyone stayed in the department.


    "Today at noon, I invite everyone to eat in the department."


    Sun Guoguo walked into the doctor''s office with a smile, took out his mobile phone, and opened the ordering app.


    "Whatever you want to eat and which restaurant you want to eat, you can give your opinion."


    "Girls first, the two junior sisters will order first."


    Sun Guoguo handed the phone to Jiang Qingyan.


    "Ke Yue, you order it, I can do it."


    Jiang Qingyan was dealing with the ten-year-old patient.


    "Well, then eat braised pork rice?"


    Ke Yue swiped the ordering interface.


    "Oh, what are you eating with braised pork rice?" Dong Hao leaned over and said with a smile, "I know there is a family of drooling chicken, it''s delicious."


    "Then, wouldn''t that be too expensive?" Ke Yue whispered.


    "Don''t worry, Teacher Li will pay." Sun Guoguo smiled, "Just order it."


    With Sun Guoguo''s words, everyone will have no scruples when ordering food.


    Lu Chen followed the flow and ate chicken with saliva.


    ¡­


    About half an hour later.


    The "saliva chicken" was sent to the department.


    Everyone was just about to open the lunch box and enjoy the food.


    A shout came from the nurse station.


    "Is the doctor of the director team there? The laboratory system has a critical value!"


    Sun Guoguo heard the words and immediately ran to the computer and turned on the assay system.


    The crowd also stopped opening the lunch box.


    Too many patients came this morning.


    Sun Guoguo quickly reviewed all the new patients in his mind.


    It seems that there are no seriously ill patients.


    Who will it be?


    Open the assay system.


    A pop-up window popped up immediately.


    Department: The Eighth Ward of Cardiovascular Medicine


    Name: Yuan Hui


    Bed size: 13 beds


    Age: 10 years old


    Critical value: cardiac troponin I (fluorescence method) 3.12ng/ml (normal value 0-1ng/ml).


    is actually the critical value of a 13-bed girl!


    A trace of doubt flashed in Sun Guoguo''s eyes.


    According to the diagnostic criteria of myocardial infarction.


    At present, the 13-bed girls have met the three diagnostic criteria of chest pain, elevated myocardial enzymes, and electrocardiogram changes!


    Acute myocardial infarction can almost be diagnosed!


    10-year-old myocardial infarction!


    This is extremely rare.


    Sun Guoguo frowned deeply.


    "Junior Brother Dong, let the nurses monitor and inhale oxygen for the 13-bed patients!"


    "Junior Sister Ke, you can contact the CCU catheter lab on the 4th floor so that the catheter lab will be ready at any time."


    "Junior Brother Lu, write a record of the critical illness course."


    "receive!"


    Everyone also saw the critical value report and understood that the situation was serious.


    "I''m going to explain the condition to the patient''s family."


    Sun Guoguo took out his mobile phone and called Director Li Yao while walking out of the ward.


    This patient''s condition is very difficult.


    The most important thing is that the patient is too young, a ten-year-old child!


    Once there is any mistake, it is very likely to cause medical disputes!


    "Mr. Li, a new patient came in today, a 10-year-old girl. The electrocardiogram showed myocardial ischemia. The test value just returned, and the myocardial enzymes increased."


    connected the phone, and Sun Guoguo immediately reported the patient''s condition.


    "Let the catheterization lab prepare immediately!" Li Yao''s voice came from the other end of the phone, "No matter what the cause is, according to the patient''s current condition, immediate intervention is required!"


    "Guoguo, talk to the patient''s family!"


    "I''m having a meeting at the school now, and I won''t be back in a while."


    "Okay." Sun Guoguo hung up the phone and immediately followed Li Yao''s instructions, preparing to communicate with the family about the interventional surgery.


    ¡­


    On the side, Lu Chen was writing a record of the critical condition.


    In his mind, he kept recalling the relevant information about this ten-year-old girl.


    "Myocardial infarction, murmur, painless nodule, xanthomas..."


    "If it were all explained in terms of medical monism...what would it be?"


    (end of this chapter)

 Chapter 75： Hypercholesterolemia

    Chapter 75 Hypercholesterolemia


    "Lu Chen, this is the patient''s heart ultrasound done in the morning."


    Jiang Qingyan handed over a color echocardiography report.


    The Ultrasound Department of Jinghua Second Hospital is very strong.


    Ranked in the top ten in the country all the year round, which is comparable to the National Cardiology Department of Jinghua Second Hospital.


    Therefore, the reports issued by the ultrasound department are generally accurate.


    Lu Chen looked at the report of the cardiac ultrasound.


    "Left ventricular systolic function was normal. Mitral valve prolapse was seen leading to moderate mitral regurgitation and mild left atrium dilatation."


    Congenital heart disease has been denied based on the results of echocardiography alone.


    Lu Chen fell into thought again.


    Myocarditis, vasculitis, rheumatic immune diseases¡­


    These don''t seem right!


    What would it be?


    After about ten minutes, Sun Guoguo returned to the office.


    "The family agreed to intervene in the treatment, and Junior Sister Jiang and I sent the patient down. After the rest of you have finished your work, go back to the dormitory to rest."


    "Okay." Everyone agreed.


    After Sun Guoguo finished speaking, they pushed the hospital bed to the CCU on the fourth floor together with Jiang Qingyan.


    ¡­


    At this time, Lu Chen still had no idea about this case.


    He suddenly realized that this young patient had a disease he had never encountered before.


    This has a high probability of being a rare disease!


    It is definitely not recorded in undergraduate internal medicine books.


    Therefore, based on his current accumulation of knowledge, it may not be possible to diagnose this case at all.


    Lu Chen was lost in thought.


    Now, the only thing that can make him break through.


    That was the "Literature Reading" skill book that he had drawn earlier.


    Perhaps with the super-high comprehension ability given by the skill book, he was able to find some clues and ideas from the document library.


    Lu Chen quickly finished writing the disease course record of the critical value report, and then finished other things in the morning.


    "Ke Yue, tell Senior Sister later, I''ll go back to the dormitory first."


    "Huh? Okay." Ke Yue nodded in surprise.


    Usually Lu Chen is the last to leave the department, why did he leave so early today?


    ¡­


    Quickly return to the bedroom.


    turn on computer.


    Lu Chen entered the medical paper review website.


    "Heart disease, tendon xanthoma, mitral valve prolapse, intermittent claudication in young patients..."


    Brings all patient information together.


    is divided into symptoms, signs, and auxiliary examination information.


    Lu Chen began to search for relevant papers.


    Checking papers is also a technical activity.


    The search range is large, the targets are scattered, and the workload is large.


    The search scope is small, and it is very likely that many diseases have been missed.


    Lu Chen started with the classification of young coronary heart disease.


    Then add qualifications like tendon xanthoma, intermittent limping, etc.


    checked the Huaxia Papers Archives.


    Nothing!


    There are few rare disease-related case reports in China.


    Even if there is, it is mostly electrophysiology and coronary intervention, which is very utilitarian.


    Lu Chen can only expand his search target to foreign language archives.


    In this way, the workload has increased several times.


    This is still under the condition of having the "Literature Reading" skill book.


    If there is no skill book, it will take half a day just to translate the words.


    ¡­


    "Hey, Lu Chen, what are you doing?"


    Roommate Wang Zihao suddenly put his head close.


    "Check some literature." Lu Chen smiled.


    "I see that you are all in English, so powerful." Wang Zihao said in surprise.


    These are all medical English, not regular English like CET-4 or CET-6.


    "I''ll just browse the abstracts of some literature, there''s not much content." Lu Chen smiled, "It''s not very difficult, you can do it if you like."


    Wang Zihao curled his lips, but he didn''t listen to Lu Chen''s fooling.


    Go on him, he can''t.


    "Lu Chen, we will have a group activity in the dormitory this weekend. Let''s go together?" Wang Zihao smiled and said.


    "Okay, what activity?" Lu Chen looked up at Wang Zihao.


    "Real CS." Wang Zihao smiled, "There is a real CS shop nearby. I know the boss very well and gave me a few coupons. We can go play for a day, and there is everything to eat and play."


    "Yes." Lu Chen nodded.


    It is better to take part in this kind of group activity to avoid being out of the group.


    After all, Lu Chen still has to live in the dormitory for three years.


    "Then it''s settled, next Saturday, the real CS." Wang Zihao smiled, "Lu Chen, if you have other friends, you can come and play together, I have a lot of coupons."


    Wang Zihao is a native of Jinghua.


    Undergraduate is also in Jinghua Medical University, he is more familiar with the nearby food, drink and entertainment.


    "Okay." Lu Chen nodded.


    He thought about it, maybe he could be called Zhou Wei, for a deep game fan, the allure of this live-action CS is definitely not small.


    ¡­


    After chatting with Wang Zihao a few words, Lu Chen continued to bury his head in checking the literature.


    "Young heart disease...probably congenital heart disease, cardiomyopathy, myocarditis, vasculitis, etc."


    "Intermittent claudication...vasculitis obliterans."


    ¡­


    Checked hundreds of casereports, but still did not find any disease related to this girl.


    1.50pm.


    There are ten minutes before work.


    All three roommates got up one after another.


    Lu Chen stood up, stretched, and was about to turn off the computer.


    Sudden.


    He glimpsed at the bottom of the interface, there was an article about a case of xanthoma in a young girl.


    Lu Chen clicked in.


    This is a 15 year old girl.


    The xanthomas in this child were also distributed along the tendon.


    Introduced in the paper:


    "Painless xanthoma, consider congenital xanthoma (homozygous familial hypercholesterolemia). The patient also has symptoms of intermittent claudication, and lipid deposition is considered to cause lower extremity atherosclerotic occlusion."


    Lu Chen looked stunned for a moment, then showed ecstasy.


    It is mentioned in the article that the possible clinical manifestations of familial hypercholesterolemia include painless xanthoma and white ring at the corneal edge.


    This patient also has symptoms of intermittent limping!


    The only difference is that the patient in this paper does not have any heart disease.


    However, it is mentioned that lipid deposition caused by familial hypercholesterolemia may cause systemic atherosclerotic occlusion.


    If there is accumulation of blood vessels in the lower extremities, it is intermittent claudication.


    Accumulation of blood vessels in the heart may lead to myocardial infarction.


    Accumulation of blood vessels in the brain will cause cerebral infarction!


    As for why mitral valve prolapse occurs, it is the rupture of the mitral chordae tendineae caused by myocardial infarction, or the dysfunction of the ** muscle!


    Seeing this, Lu Chen''s stunned!


    This is all because of high blood lipids!


    "Lu Chen, you''re going to be late for work, won''t you leave?"


    Wang Zihao shouted to Lu Chen before going out.


    "You go first, I''ll go out immediately." Lu Chen replied without raising his head.


    He has to hurry up and download this article to his phone.


    At this time, the system panel also popped up a prompt.


    "Congratulations, the completion of the system upgrade has increased, and the current progress is 2%."


    (end of this chapter)

 Chapter 76： Who diagnosed this?

    Chapter 76 Who Diagnosed This?


    The catheterization laboratory of the Department of Cardiology, Jinghua Second Hospital.


    A 10-year-old girl is lying on the operating table.


    Looking at the unfamiliar things in front of her, she closed her eyes tightly and told herself desperately to ignore the pain from her wrist.


    "Little girl, you are so brave! The operation is very fast, and it will be healed soon."


    The nurse in the catheterization lab was the first time I saw such a young patient.


    "Doctor Ren, the doctor in the upstairs ward is not mistaken, is such a young girl doing a cardiac angiography? Need a stent?"


    The nurse looked suspiciously at a tall surgeon beside her.


    "Yes, I read the patient''s test sheet and electrocardiogram, the diagnosis of myocardial infarction should be correct." Ren Feng frowned, "However, this is the first time I have seen such a young patient."


    Ren Feng, the leader of the younger generation of coronary intervention in the Cardiology Department of Jinghua Second Hospital.


    Most of the difficult operations are done by him.


    This time, when he encountered a 10-year-old heart attack, he was also in charge.


    "I have seen the youngest patient with a myocardial infarction at the age of 18. That patient stayed up late for a long time, and smoked and drank alcohol, which ruined his body."


    "But this 10-year-old girl shouldn''t have any bad habits."


    "I always felt that such a young girl would suffer too much if she had a stent." The nurse couldn''t help sighing.


    "Look at the blood vessels first, and then make a decision." Ren Feng frowned, "If possible, try to do PTCA."


    Coronary interventional therapy in a broad sense includes the following:


    First, coronary balloon dilatation: PTCA in the narrow sense, can improve coronary stenosis or obstruction.


    Second, stent implantation: that is, PCI treatment, which can solve the problem of restenosis.


    Third, rotational coronary atherectomy: it can be used when the disease is very serious and the balloon cannot be opened.


    simply put.


    PTCA is to use a balloon to expand the narrowed blood vessel, but no stent is implanted. Restenosis occurs in 40% of stenotic lesions after balloon dilation.


    PCI is balloon dilation followed by stent implantation to reduce the risk of restenosis.


    ¡­


    10-year-old patients with myocardial infarction are rare.


    This case also attracted doctors and nurses from several other cath labs.


    Less than ten minutes.


    A group of doctors and nurses were already surrounding the entrance of Ren Feng''s catheterization lab.


    Everyone is paying attention to the situation in the catheterization room.


    "Brother Ren has encountered such a difficult patient again!"


    "Hey, the risk of this kind of patient is too high. It''s a problem whether to put a stent or what type of stent to put! Once something goes wrong, the patient''s family will definitely ask the hospital for trouble!"


    "Yes, the most important thing is that the patient is too young!"


    A familiar voice suddenly came from behind.


    "You are all done with surgery? Are you free to watch here?"


    Everyone was stunned for a moment, and then they immediately went back to their catheterization room.


    Cao Zhiying had a sullen face, watching the backs of everyone leaving, and then turned his attention to Ren Feng''s catheterization room.


    "Such a young patient?"


    Seeing the little **** the stage, Cao Zhiying frowned and suddenly became interested.


    He walked to the monitoring table in front of the catheterization lab, sat down, and opened the patient''s medical record folder.


    "Chest pain, elevated myocardial enzymes, abnormal ECG, the diagnosis of myocardial infarction should be clear."


    "Mitral valve prolapse, intermittent claudication, tendon xanthoma..."


    Seeing these signs and auxiliary examinations, the corners of Cao Zhiying''s mouth could not help but rise slightly.


    This case is quite interesting, and it is relatively rare.


    The little doctor in the ward upstairs, can you diagnose it?


    ¡­


    At this point, Ren Feng in the catheterization lab has completed coronary angiography.


    "Ren Feng, look at the blood vessels of the patient in all positions."


    The director''s voice suddenly came to mind in the catheterization room.


    Ren Feng looked back.


    Cao Zhiying was sitting on the monitoring station in the catheterization room outside, speaking to him through the microphone.


    Ren Feng nodded slightly, indicating that he understood.


    The contrast agent is injected to visualize the coronary vessels.


    "This is... extensive vascular stenosis!" Ren Feng couldn''t help sighing, "It''s difficult to do PCI now!"


    The lesions with extensive blood vessels are not vascular blockages in one or two places!


    "Ren Feng, let''s expand it with a balloon. Don''t put the stent first."


    Cao Zhiying''s voice sounded again, and Ren Feng immediately performed the balloon dilation operation.


    After about forty minutes.


    Surgery completed successfully!


    Ren Feng walked out of the catheterization room, his back was sweating.


    Mainly because the patient was too young, Ren Feng was extremely careful in every step of the operation.


    Because once something goes wrong, the consequences are unimaginable.


    "Ren Feng, what kind of disease do you think this patient has?"


    Cao Zhiying asked suddenly.


    "Vasculitis, like Takayasu arteritis, ANCA-related vasculitis, etc."


    "Then what? No other ideas?"


    Ren Feng pondered for a moment, but still shook his head.


    "Director, this is all I can think of for the time being."


    Cao Zhiying''s face sank, and he said solemnly: "Ren Feng, it is undeniable that your coronary intervention technology is very good. In the heart of the entire Jinghua Second Hospital, you can definitely be ranked in the first echelon."


    Ren Feng has no expression on the surface, but his heart is full of joy.


    It is rare for ?? to be praised by the chief director Cao Zhiying.


    "But!" Cao Zhiying suddenly changed his words, "Do you want to be an excellent cardiologist, or do you just want to be a surgeon?"


    "This...of course it''s a cardiologist." Ren Feng replied immediately.


    Cao Zhiying smiled and continued.


    "The most important thing for an excellent cardiologist is solid basic knowledge and good clinical thinking ability, instead of performing surgery day after day, just become a craftsman of interventional surgery!"


    "Look at you, I can''t even analyze this case now. This disease should be familial hereditary hypercholesterolemia. I remember that there was a case of three areas in my heart before, so you forgot?"


    Hearing what Cao Zhixin said, Ren Feng immediately reacted.


    In his impression, there was indeed such a patient.


    "Director, but this disease is a rare disease." Ren Feng said helplessly, "I can''t think of it for a while, it should be normal, the doctors in the ward upstairs, as the first doctor, they didn''t diagnose it at the first time. what!"


    While talking, Ren Feng clicked on the medical record on the computer.


    "Director, look, the doctor in the ward upstairs made the same diagnosis as me, and also considered myocarditis, cardiomyopathy, and vasculitis, which is similar to me!"


    However, when Ren Feng opened the latest ward round record.


    He was stunned.


    In the disease course record, it is clearly written:


    Diagnosis: familial hereditary hypercholesterolemia.


    The expression on Ren Feng''s face was extremely wonderful.


    Cao Zhiying on the side of ?? also showed a surprised look.


    The doctor in the ward upstairs, diagnosed so quickly? !


    His gaze moved down to the signature of the medical record.


    I want to see who diagnosed this case.


    (end of this chapter)

 Chapter 77： Lu Chens doubts

    Chapter 77 Lu Chen''s Doubts


    The signature of the disease course record has three big characters¡­


    Sun Guoguo!


    "The attending doctor of the eight districts in the heart, Sun Guoguo?"


    Cao Zhiying frowned.


    "I remember she just started working independently not long ago."


    Ren Feng nodded: "Well, she is Director Li Yao''s student. After graduating a few years ago, she stayed in school."


    "Well, this Sun Guoguo is very good, she can actually judge the patient''s condition so quickly." Cao Zhiying nodded slightly, "The course record she wrote is orderly and well-reasoned. It seems that she is very interested in this family. Hypercholesterolemia is well understood."


    "I had little impression of her in the past. It seems that in the ordinary ward in my heart, there are still many young people with potential that cannot be ignored."


    "Director, could it be Director Li Yao who gave guidance in the ward?" Ren Feng asked tentatively.


    This Sun Guoguo is very familiar to Ren Feng.


    She is indeed a young doctor who strives to make progress.


    However, it seems that there is no special excellence, right?


    He had only seen this rare case once.


    And, because I haven''t encountered such a case for a long time.


    I came across it suddenly today, and I didn''t react for a while.


    "Probably not." Cao Zhiying shook her head, "Li Yao is having a meeting at the school today and won''t be able to go back to the ward for a while."


    Cao Zhiying and Ren Feng analyzed for most of the day.


    But they overlooked one point.


    Graduate students, regular trainees, and interns do not have their own job numbers, and they all use the job numbers of their superiors to write the course of illness and make medical orders.


    ¡­


    At this time, the No. 2 Jinghua Hospital, the eighth district of the Department of Cardiology.


    Sun Guoguo is sitting in front of the computer, checking the medical records of the 10-year-old girl in the morning.


    These disease course records were written by graduate students or regular trainees.


    Therefore, as the attending doctor, she needs to review and proofread the course record again.


    However, when she clicked on the 10-year-old patient, the latest disease course record, and saw the contents clearly.


    She was slightly stunned.


    Such a critically ill patient not only needs to write the first course record when he is admitted to the hospital, but also needs to complete the ward round by the superior physician as soon as possible.


    Generally speaking, in the content of this kind of ward rounds by a superior doctor, the ¡°condition analysis¡± is indispensable.


    Mainly, the doctor of the tube bed makes an analysis and judgment on the diagnosis and treatment plan of the patient based on the condition.


    "Condition Analysis" is extremely difficult to write, usually written by Sun Guoguo or Li Yao.


    This "disease analysis" is an important indicator that reflects the level of a doctor!


    "Friends, who wrote the course record of this 10-bed patient?"


    "Senior sister, it''s me." Jiang Qingyan said softly, "I received this patient in the morning."


    Sun Guoguo gave Jiang Qingyan a suspicious look.


    "Why do you consider the diagnosis of familial hypercholesterolemia?"


    Jiang Qingyan paused and said, "The patient''s diagnosis of acute myocardial infarction is definitely correct. However, she is young, and has symptoms of hyperlipidemia such as tendon xanthoma, corneal ring, and intermittent claudication. , most likely vascular occlusion caused by blood lipid deposition!"


    "Because of the disease at such a young age, there is a high probability of homozygous familial hypercholesterolemia!"


    Sun Guoguo nodded when he heard the words.


    "Junior sister, your analysis is good. Have you encountered such a patient before?"


    "No, Lu Chen taught me to write this condition analysis." Jiang Qingyan shook her head gently.


    "Ah? Was it taught by Junior Brother Lu?"


    Why is it Lu Chen again?


    A hint of surprise flashed in Sun Guoguo''s eyes.


    Looking around the doctor''s office, Lu Chen was not there, he probably went to the ward to see the patient.


    Jiang Qingyan nodded, "When he first went to work in the afternoon, he told me that he had new ideas about the patient''s condition."


    "Then he has seen this kind of patient before?"


    "No, but he found a similar document and printed it out."


    Jiang Qingyan took out three pieces of A4 paper from the medical record folder, on which were densely packed small English characters.


    "This¡­"


    Sun Guoguo''s head grew big when he saw this foreign language document!


    She suddenly admired Lu Chen and Jiang Qingyan.


    When she was a graduate student herself, she helped out in the department with doctor''s orders and writing the course of the disease every day, and spent most of the rest of the time chatting with other doctors.


    When encountering a difficult case, she might think about it, but she never thought to search for the literature to get to the bottom of it.


    However, Lu Chen''s series of performances made her a little bit ugly.


    This was the case with the last "Fitness Dry Powder" event.


    The "10-year-old myocardial infarction" incident this time is also the same!


    Lu Chen seems to have always maintained a desire for knowledge.


    Like everyone else, he will face many clinical problems.


    But he always thinks of various ways to further solve the difficulties.


    ¡­


    At this moment.


    Lu Chen just returned to the doctor''s office.


    Before he sat down, he noticed that Senior Sister Sun''s eyes had changed.


    This look is very complicated, with surprise, appreciation, and a hint of loss.


    "Senior sister?" Lu Chen called softly.


    Sun Guoguo immediately recovered and smiled quickly: "Junior Brother Lu is back."


    "Yes." Lu Chen smiled.


    When he saw the English documents in Sun Guoguo''s hands, he understood a little.


    "Senior sister, the 10-year-old girl''s illness in the morning..."


    "The surgery has been done." Sun Guoguo said, "Diffuse coronary stenosis, PTCA was done."


    "No stand?" Lu Chen wondered.


    "Not yet. In addition, I think your idea is very good." Sun Guoguo nodded, "I really did not expect familial hypercholesterolemia. But after reading the analysis of your condition, I feel that your idea is very reasonable. ."


    "But if you want to diagnose familial hypercholesterolemia, you need to do a genetic test. Our hospital doesn''t have this test yet. We can only send the patient to Kyoto or the magic capital to do a related genetic test to confirm the diagnosis."


    "Yeah." Lu Chen nodded.


    Many diseases are difficult to diagnose.


    Once diagnosed, the rest of the treatment is easy!


    For example, this familial hereditary hypercholesterolemia requires intensive lipid-lowering therapy in addition to conventional treatment.


    Lu Chen flipped through the record of the little girl''s interventional surgery.


    Coronary angiography showed 75% stenosis in the proximal left main trunk and 80% stenosis in the left internal mammary artery (LIMA) at its opening. Left circumflex branch, proximal 90% to 95% stenosis, posterior.


    In addition, a renal arteriogram was also performed for her, which showed that the left renal artery also showed 80% stenosis.


    "The blood vessel is narrowed to such an extent, why not put a stent?" Lu Chen was puzzled.


    Generally speaking, when the blood vessel narrows more than 75%, a stent needs to be implanted.


    Of course, this also depends on specific circumstances and specific analysis.


    If it is an unimportant blood vessel, even if it is completely occluded, the stent may not be placed.


    If it is an important vessel, even if it is only 60-70% stenosis, a stent is needed.


    According to the vascular condition of this patient, the stent placement has been achieved.


    If the stent is not placed, there is a high possibility of restenosis!


    In other words, the patient may have another myocardial infarction!


    (end of this chapter)

 Chapter 78： National Medical Skills Competition

    Chapter 78 National Medical Skills Competition


    "Senior sister, why didn''t the teacher in the catheterization lab downstairs put a stent on the patient?"


    With this question in mind, Lu Chen looked at Sun Guoguo beside him.


    Sun Guoguo frowned, thought for a while, and then shook his head slightly: "Whether a patient needs stent implantation is up to the surgeon to decide. Our ward doctors can only see the interventional surgery records, and cannot know the further reasons. "


    Lu Chen nodded.


    He could only keep this question in his mind for the time being.


    When you have the opportunity to go to the CCU catheterization lab in the future, you may be able to ask the surgeon.


    ¡­


    This 10-year-old girl, after the interventional operation, did not return to the eighth area of ??the heart, but continued to be monitored and treated in the CCU on the 4th floor.


    Three in the afternoon.


    Li Yao came back from the school meeting.


    "Guoguo, what''s the condition of this patient?"


    Li Yao sat in the director''s office, flipping through the medical records handed over by Sun Guoguo.


    frowned slightly.


    10-year-old acute myocardial infarction, this is not easy!


    "The patient suffered from sudden chest pain, considered acute myocardial infarction, and has already done PTCA... Currently under observation in the CCU, and after the acute phase, he will be transferred back to our general ward."


    Sun Guoguo stood in front of the desk, pursed his lips, and explained the little girl''s condition in detail.


    "10-year-old girl...what do you think the cause is?"


    Li Yao asked in a deep voice.


    "Familial cholesterolemia, onset at such a young age, is considered a homozygous inheritance."


    "Did you diagnose it?"


    Li Yao raised her brows, and a smile suddenly appeared at the corner of her mouth.


    Familial cholesterolemia, the most rare disease in the population, and there are not many cases of myocardial infarction.


    It was a surprise to her that her own doctor was able to diagnose it immediately.


    "Teacher, this, this is what Junior Brother Lu Chen thought of."


    However, Sun Guoguo''s sudden words made Li Yao immediately stunned, and the movement of reading the medical records also stopped.


    She slowly raised her head.


    "You said Lu Chen?"


    "Well, Junior Brother Lu Chen went back at noon today and looked through a lot of literature, and finally found a case report similar to familial hypercholesterolemia." Sun Guoguo continued, "Comparing the test results of the two patients, we got the final result. diagnosis."


    This surprised Li Yao.


    Lu Chen is a freshman who has just entered the school, and the school has not even officially started yet.


    He was able to diagnose "familial hypercholesterolemia" before anyone else.


    This is really amazing


    Although Sun Guoguo is still inexperienced, she has already completed her master''s degree after all, and has been struggling clinically for several years.


    is not something that young students like Lu Chen can compare to.


    But think of Lu Chen''s previous performance, such as the first first aid in the elevator, and the last "fitness dry powder" incident.


    Li Yao thought to himself, could it be that he really found a treasure? A genius?


    Seeing that Li Yao didn''t speak, Sun Guoguo thought the diagnosis was wrong, so he quickly asked, "Teacher, are we wrong?"


    Li Yao shook her head slightly and said with a smile, "That''s right, very good."


    She paused.


    "Where is Lu Chenren?"


    "Junior and brother should be in the office."


    "Call him over."


    "it is good."


    ¡­


    Lu Chen opened the door of the director''s office with doubts.


    He was typing **** the keyboard when Senior Sister Sun Guoguo suddenly asked him to come to the director''s office.


    "Teacher, are you looking for me?"


    Li Yao was flipping through the documents in her hand, and when she saw Lu Chen coming in, she smiled and nodded.


    "Well, come in."


    Lu Chen sat on the sofa opposite Li Yao.


    "Lu Chen, it''s thanks to you for the last fitness workout." Li Yao smiled and handed Lu Chen a document in her hand, "Look at the family member''s complaint."


    Lu Chen picked it up and took a look.


    Good guy, this patient''s family actually paid 1 million in compensation!


    "After you found out the tricky stuff in the dry powder, the hospital paid 20,000 yuan for humanitarianism." Li Yao said, "So for this matter, the doctors and nurses in the eight districts in our hearts all want to thank you."


    Once you really have to pay a huge amount of compensation, even if the department only accounts for a small part of the compensation.


    But in the end, it was deducted on the heads of everyone in the department, and the fines were evenly divided, and about half a month''s salary was gone.


    "Teacher, this patient also got the disease during my night shift, and I am also a member of the eight districts in my heart." Lu Chen said, "Because of my feelings and reason, this is what I should do."


    Li Yao nodded with satisfaction.


    "Today''s familial hypercholesterolemia was also diagnosed by you?"


    Lu Chen nodded slightly.


    "Teacher, I haven''t seen this disease before, I found it in the literature."


    "Oh? So, your ability to read literature is quite strong?" Li Yao laughed.


    Most of the tutors like these students who have strong English ability and can even view English literature without barriers.


    "It''s okay." Lu Chen touched his nose.


    If it was before, he might still feel a little bit struggling.


    But since he obtained the "Document Reading" skill book, Lu Chen has been able to read various documents calmly and efficiently, and extract effective information.


    However, after all, this is not his own ability, Lu Chen has not been so cheeky to take the credit for himself.


    "Lu Chen, it''s like this. I''m here with you today, and there''s one thing I want to do with you."


    Li Yao was silent for a long time before speaking.


    "You should have also gotten the news. When the school starts in September, there will be an entrance examination."


    "Yes." Lu Chen nodded.


    "However, this year''s entrance examination is different from previous years." Li Yao said, "This year''s fundamental examination is not only related to the scholarship level, but also related to the National Medical Skills Competition in the second half of the year."


    "Medical student skills competition?" Lu Chen asked in confusion.


    He had never heard of such a game.


    "Well, major medical colleges across the country will send teams to compete in medical skills." Li Yao said, "We, Jinghua Medical University, first select from each affiliate, and finally select a representative team to participate."


    The National Medical Skills Competition is inclined to enhance the school''s popularity and even strive for more educational resources.


    "Students who have achieved excellent results in the entrance exam this time will have the opportunity to represent our school in a national skills competition!"


    "Teacher, what do you mean..." Lu Chen said slowly.


    Since Li Yao told him about this alone, he must have wanted him to participate.


    "Well, in this national medical skills competition, our second hospital team is under the full control of me. I hope you can participate on behalf of our hospital." Li Yao smiled.


    "Huh? Me?" Lu Chen asked in surprise.


    Do you believe him so much?


    Li Yao''s students are not only in this year''s class, they are only counted as current students.


    If you include doctoral students, there are more.


    "Well, I believe you." Li Yao smiled.


    As the manager of this event, she has a direct recommendation quota and does not need to participate in the qualifiers.


    Among all her students, the one with the highest quality is only this latest class of students.


    There is no way, most of the students in the past few years were selected by others and distributed to Li Yao.


    If it weren''t for the exception of Lu Chen and Jiang Qingyan this year, the quality of Li Yao''s students would still be worrying.


    And she couldn''t give this recommendation to other students.


    What do you want outsiders to think?


    Therefore, considering the abilities of all the current students, Li Yao was surprised to find that only Lu Chen was the most suitable!


    Although he is just a freshman who has not yet entered school!


    (end of this chapter)

 Chapter 79： Fixed at 80% of pericardiocentesis

    Chapter 79 Fixed at 80% Pericardiocentesis


    Lu Chen didn''t hesitate.


    "Okay, teacher, I promise to participate!"


    For Lu Chen, who aspires to be the best cardiologist, he is looking forward to countless challenges in the future!


    A national skill competition, this is definitely a good opportunity to improve yourself.


    "That''s good, I hope I didn''t see the wrong person." Li Yao smiled, "However, whether you can represent our Jinghua to participate in the national competition in the end depends on your own efforts!"


    What Li Yao can do is to make Lu Chen not need to take the preliminary exam for the entrance exam.


    But for the next few rounds of exams, Lu Chen needs to work hard.


    ¡­


    When ?? walked out of the director''s office, Lu Chen still felt a little unreal.


    He has only been in the department for two weeks, yet he has been entrusted with an important task!


    According to Teacher Li Yao''s intention, she can directly let herself pass the preliminary examination of the entrance examination.


    However, the entrance examination is not only a preliminary test for skill competitions, but also related to the distribution of scholarships.


    Therefore, for the 10,000 yuan scholarship, Lu Chen decided to take the preliminary exam for the entrance exam.


    ¡­


    There are still two weeks before the entrance exam.


    It turned out that Lu Chen was accumulating basic knowledge step by step.


    Now, I suddenly feel that time is a little tight.


    Lu Chen asked himself, according to his current ability, it is very possible to break through the Jinghua Second Academy.


    But if it is placed on a national scale, the competitiveness is actually far from enough.


    "Everyone, be quiet, be quiet."


    At this time, Director Lin Cui suddenly came to the doctor''s office.


    Next to her was a female doctor who was about thirty years old. She had a delicate appearance and looked weak.


    "This is the new doctor from our group, Yin Xinhua, a doctoral student who graduated from the Cardiology Department of our Second Hospital of Jinghua."


    The voice of ?? just fell.


    There was warm applause in the office.


    Dong Hao tugged at Lu Chen''s sleeve and whispered, "I heard from others that this attending doctor is going to replace Ding Deli in the future."


    Lu Chen was not surprised.


    According to Ding Deli''s current slack attitude, it is already very conscientious that the eight districts in his heart did not dismiss him immediately.


    "Xiao Yin, you should stay in the group first and familiarize yourself with the working environment."


    Director Lin Cui immediately arranged Yin Xinhua in the group and followed Ding Deli''s men.


    "Hey, Junior Brother, what did Director Lin think, let Doctor Yin follow behind Teacher Ding." Dong Hao continued to whisper.


    "Who knows? It''s possible that Teacher Ding won''t leave?" Lu Chen pouted.


    "Mr. Ding doesn''t leave, it''s a big disaster. Whoever runs into him at night shift will be unlucky."


    Dong Hao shook his head helplessly.


    ¡­


    There are already many doctors in the eight districts of my heart, and working computers are far from enough.


    Yin Xinhua came again today, and the computer was even more stretched.


    "You can take a look behind me first, and wait until the patient arrives."


    Ding Deli glanced at Yin Xinhua and ignored her.


    ¡­


    In the afternoon, fewer patients came to the eight districts in my heart.


    But Lu Chen was not at all leisure.


    After writing his own medical records, he began to continue his patient education work.


    In addition to helping patients improve their awareness of the disease, Lu Chen also urgently needs gratitude points to further improve his abilities.


    In the whole afternoon, he only earned five points of gratitude.


    Compared with before, the efficiency has been greatly reduced.


    This may be due to the longer hospital stay of cardiology patients.


    Many of the wards are old patients.


    Repeatedly teaching the same patient, most patients will get impatient, let alone get thank you points.


    At present, Lu Chen''s thank you point is only a dozen points, which is almost a chance for ten consecutive draws.


    ¡­


    get off work.


    came to the cafeteria alone.


    Zhou Wei ordered the food and was already waiting for him.


    "Chen''er, are you free tomorrow night?" Zhou Wei laughed.


    "Tomorrow...should be free, what''s wrong?" Lu Chen pushed the fat in front of Zhou Wei down.


    "That''s great, I have a night shift here, do you want to buy it and use it?" Zhou Wei said, "The endocrine night shift is nothing to worry about, just measure the blood sugar, and it costs 200 yuan per night shift."


    Lu Chen looked at Zhou Wei strangely.


    "Viagra, how did you start acting as an intermediary? You don''t have to buy a class yourself, and you help others introduce it?"


    Zhou Wei waved his hand and smiled.


    "This classmate who sells classes is an old classmate I know. He has a little money at home, so he just wants to get a training certificate. Usually, he doesn''t work night shifts much."


    "I have established a long-term cooperative relationship with him. He has night shifts, and he basically sells them to me at a relatively high price in the market."


    "But I still have a night shift in my department tomorrow, so I can''t go, so I can only find someone else. Otherwise, there will be no one else''s turn."


    "The fat water doesn''t flow to the outsider''s field, Chen''er, think about it, how about it?"


    Lu Chen thought for a while, then said solemnly, "The teacher in the night shift that day won''t have any opinions, right?"


    Zhou Wei smiled: "Don''t worry, there are so many people in each department, the teachers are not fully recognized, and as long as someone works the night shift, they don''t care who it is. And the night shift in the endocrinology department is basically nothing at night, you may Sleep and open your eyes, it''s the next morning."


    "Well then." Lu Chen nodded, "Night shift tomorrow?"


    Actually, it doesn''t matter if you have money or not.


    is just the gratitude value that Lu Chen has obtained so far, and it has reached a bottleneck period.


    There are only so many patients in the ?? department every day, and there is not much appreciation for the education of patients.


    Maybe take the initiative to change the environment, work a night shift, you can make a difference!


    "Well, remember it''s the second ward of the Endocrinology Department." Zhou Wei smiled, "I''ll transfer the money to your WeChat later, remember to accept it."


    "No hurry." Lu Chen said, "It won''t be too late to give me when I''m on the night shift."


    "Hey, this is our rule, pay first, then go to work." Zhou Wei smiled.


    "Aren''t you afraid that others will take the money and run away?"


    "People in the group basically know each other, no one would do this for one or two hundred dollars."


    Lu Chen pouted, there are hundreds of people in this group!


    Not sure if someone accidentally mixes in what ingredients!


    "Ding¡­¡­"


    The phone vibrated slightly.


    Lu Chen picked it up and saw that it was Zhou Wei''s WeChat transfer, 200 yuan.


    "Chen''er, you must remember, but don''t forget!"


    "Don''t worry, tomorrow night, endocrine zone 2."


    ¡­


    Go back to the bedroom.


    Lu Chen started training on ECG and cardiac anatomy.


    Continue to train pericardiocentesis skills before falling asleep.


    "Congratulations, 80% completion of pericardiocentesis."


    After three hours of training, Lu Chen has successfully increased the completion rate of pericardiocentesis to 80%!


    Lu Chen''s success rate for pericardiocentesis has exceeded 90%.


    Very few patients experience side effects or complications.


    But when he wanted to go a step further, Lu Chen found that the 80% completion rate did not increase at all.


    Even if he did it perfectly, the 80% system completion rate did not show any upward trend.


    What is wrong with this?


    Lu Chen was puzzled.


    (end of this chapter)

 Chapter 80： strange smell

    Chapter 80 Strange Smells


    Lu Chen repeated every step he did.


    Even striving for perfection every step of the way.


    But the completion of pericardiocentesis is still only 80%!


    "There must be flaws that I haven''t discovered yet."


    Lu Chen frowned, but he didn''t bother about the last 20% completion.


    Because, leaving this room for improvement, he may be able to enter the system space an unlimited number of times to practice pericardiocentesis.


    And when the system completion rate rises to 100%, it is very likely that he will not be able to pass this "pericardiocentesis skill book" and enter the system space.


    ¡­


    The next day.


    In the morning, after Lu Chen woke up, there was a burst as usual.


    Single draw.


    Actually hit!


    But when he saw the prize, Lu Chen was slightly surprised.


    "Virtual space training duration + 1 hour."


    Extend training time?


    But he currently only has one pericardiocentesis skill book, and this skill book has no time limit and can be entered indefinitely.


    All, this "prize" seems useless to Lu Chen now.


    This "prize" can only be pressed at the bottom of the box at present.


    ¡­


    Eight districts in today''s heart.


    is exceptionally calm.


    There were too many patients admitted to the hospital yesterday. There are no vacant beds in the ward today, and there will be no new patients admitted.


    "Doctor Lu, I ask to be discharged from the hospital tomorrow."


    The middle-aged woman who was poisoned by "oleander" finally reached the discharge standard.


    The day before yesterday, she measured the concentration of "Digitalis" and it has basically returned to normal.


    "Auntie, you should pay attention in the future, don''t burn these poisonous plants anywhere."


    Lu Chen exhorted again.


    This time, the amount of "oleander" is not much, but next time if you overdose again, it may cause irreversible damage to the body''s functions.


    "Well, thank you Dr. Lu for taking care of me these days."


    The middle-aged woman grinned.


    "Congratulations, +1 for the thank you from Li Guizhi!"


    At this time, Lu Chen got another gratitude value from her.


    After so many days of practice.


    Lu Chen found that he could get multiple thanks from the same patient.


    However, the specific determination is determined by the system.


    It can be because of treatment, diagnosis, or because of the education of patients, or even explaining one or two questions to other students, it is possible to get "thanks".


    But the premise of all this is that the other party is sincerely thanking him, and there is no hypocrisy, otherwise, he will not receive the gratitude value.


    ¡­


    After checking the room in the morning, Sun Guoguo left early because of something.


    It happens that Li Yao is in the ward today, and everyone can come to her at any time if they have any questions.


    However, Li Yao usually stays in the director''s office and rarely appears in the ward.


    In the eight districts of my heart today, there is no major rescue event.


    In his spare time, Lu Chen told Ke Yue and the two interns in the group about the knowledge of electrocardiogram.


    By doing this, you can not only get a few points of gratitude.


    While lecturing, Lu Chen also consolidated his knowledge points and deepened his understanding of these basic knowledge.


    The day shift ends.


    Before Lu Chen had time to relax, he hurriedly finished his dinner and rushed to the second ward of the Endocrinology Department.


    He promised Zhou Wei just yesterday that he would buy the night shift in Endocrinology District 2 tonight.


    ¡­


    Enter the endocrine zone II.


    Lu Chen could feel a completely different breath from the cardiology department.


    If Cardiology is a dirty and tired representative of internal medicine, then Endocrinology is definitely an elderly and leisurely department.


    The offices of doctors and nurses here are extremely quiet, and few patients come to visit.


    Most of the patients stay in the ward, and there is very little change in their condition.


    "It seems that the night shift of the endocrinology department sells for 200 yuan, while the night shift of the cardiology department sells for 400 yuan to start. There is a reason!" Lu Chen thought.


    Thinking about it, he came to the doctor''s office.


    In the office, a female doctor of about 35 years old is sitting in front of the computer, typing on the keyboard rapidly.


    "Hello, teacher, I''m a night shift student tonight." Lu Chen changed into his white lab coat.


    "Well." The female doctor glanced at Lu Chen, then immediately looked back, "Check the patient''s blood sugar first."


    Lu Chen was stunned for a moment, testing his blood sugar?


    Shouldn''t it be a nurse''s job to measure blood sugar?


    "The blood sugar of all patients?" Lu Chen wondered.


    There are more than 60 patients in the entire ward.


    If everyone needs to measure blood sugar, then the workload will be large, and it is conservatively estimated that it will take about one to two hours.


    "Yeah, this is your first night shift in endocrinology today?" the female doctor frowned.


    Lu Chen touched his nose, embarrassed.


    He recalled that Zhou Wei seemed to have told him.


    The night shift of the endocrinology department requires students to check blood sugar.


    "The blood glucose meter and test strips are in the treatment room next door, go for it yourself."


    "Yeah, I got it."


    Luckily, Lu Chen ran to the dressing room next door, holding the plate of the blood glucose meter.


    Start from 1 bed and measure blood sugar one by one.


    "Uncle, I''ve checked my blood sugar."


    "Mother-in-law, do you measure your blood sugar?"


    "Auntie, it''s time to measure postprandial blood sugar."


    Lu Chen was not idle while measuring his blood sugar.


    He began to observe the numbers on each person''s head.


    Since it is his night shift, then all risks should be strangled in the cradle!


    Endocrinology patients are much less ill than cardiology patients!


    Most of them are diabetics, and very few are patients with hyperthyroidism, gout, and metabolic syndrome.


    In the ward, most of the patients'' health is between 60-70.


    So far, Chen has not found any patients with HP below 60.


    "Uncle, your postprandial blood sugar is 15.5mmol/L. Pay attention to your diet and eat less of staple foods! Eat more vegetables, lean meat, etc."


    "Auntie, your postprandial blood sugar is 10.6mmol/L now, and your blood sugar is well controlled. Like your diabetic patients, your postprandial blood sugar can be between 8-10..."


    Lu Chen is now using the blood glucose meter to poke his finger.


    Every time they arrive in a new ward, the patients form a circle and stretch out their fingers.


    "Huh... This has a sore back..."


    Lu Chen bent over, took the test for 40 minutes, and checked blood sugar for more than 40 patients!


    There are more than 60 patients, about 20 patients refused to monitor blood sugar.


    There is one room left untested.


    This room is the closest to the nurse station and is an emergency room.


    pushed the door open, Lu Chen took the blood glucose meter and walked in.


    As soon as he entered the room, he smelled a strange smell.


    Sniffed carefully, Lu Chen frowned slightly.


    It smells so familiar, but I can''t remember what it is for a while.


    looked up at the patient on the bed.


    This is an extremely thin woman, probably in her fifties.


    The hospital bed at this time has been shaken high.


    The woman looked indifferent, leaned back on the bed, and breathed a little short.


    Lu Chen approached the hospital bed, and the strange smell became stronger and stronger.


    At the same time, he also noticed the health value on the woman''s head - 46!


    Thank you 20191125161249608, the rolling panda, the euro full of energy, and the reward of origin and extinction.


    Thank you for your monthly pass.


    (end of this chapter)

 Chapter 81： Who says endocrine night shifts are better?

    Chapter 81 Who said that the night shift in endocrinology is good?


    Lu Chen was shocked.


    This is the only patient with HP below 60 that he has seen so far in Endocrine Zone II.


    He stepped forward quickly and glanced at the bedside card.


    This is a patient admitted this morning, female, 56 years old.


    The patient was lying half-recumbent on the bed, eyes closed, pale and short of breath.


    The smell coming out of his mouth seems to be... the smell of rotten apples.


    Yes, this is the taste!


    The smell of rotten apples means diabetic ketoacidosis!


    This is a common test site that undergraduates know!


    Diabetic ketoacidosis is the most common acute complication of diabetes and an acute complication of various types of diabetes, with hyperglycemia, ketosis and acidosis as the main manifestations.


    The patient has three more and one less, including polydipsia, polyuria, polyphagia, and the symptoms of weight loss gradually aggravated.


    "Auntie, how are you feeling now?" Lu Chen leaned down and asked softly.


    The woman slowly opened her eyes, nodded weakly, and said, "Okay."


    "Compared to that, when you were admitted to the hospital?"


    "it is good."


    is actually better than when he was admitted to the hospital.


    How bad was the situation when you were admitted to the hospital?


    There was a woman in her twenties sitting beside the hospital bed, with disheveled hair and a sad look on her face.


    "Doctor, how is my mother?"


    Lu Chen shook his head slightly, but didn''t say anything.


    The patient is present, and he cannot directly inform him of his condition.


    The young woman frowned and said, "She''s been talking nonsense just now, what''s going on?"


    "Speak nonsense?" A hint of surprise flashed in Lu Chen''s eyes.


    "Isn''t it like this at home before?"


    "No." The young woman shook her head slightly, "This only happened today."


    Lu Chen frowned, he suddenly felt that the "good" in the patient''s mouth might not be good!


    "Auntie, do you know where you are?"


    "it is good."


    "What is your name?"


    "it is good¡­¡­"


    is completely unanswered!


    It was obvious that his mind had changed.


    Lu Chen felt that something was wrong and immediately checked the patient.


    The patient''s lips and fingertips were cyanotic, the breath sounds in both lungs were coarse, and many wet rales could be heard, the pulse was thin and blunt, the heart sounds were low and dull, and the limbs were clammy and cold.


    Both lower extremities were swollen, the left foot was obviously swollen, and local skin was damaged, red and swollen, and there was exudate.


    On the ECG monitor at the bedside.


    The patient''s heart rate was 128 beats/min and his breathing was 33 beats/min.


    And the last blood pressure measurement was an hour ago, and the blood pressure was 93/65mmHg.


    Lu Chen pressed the blood pressure measurement button on the ECG monitor.


    Measure blood pressure again.


    Blood pressure 72/40mmHg!


    Shocked!


    After the appearance of diabetic ketoacidosis, the patient suffers from fatigue, loss of appetite, nausea and vomiting, polyuria, dry mouth, headache, deep breathing, and the most characteristic is the smell of rotten apples in the breath.


    In the later stage, due to severe dehydration, decreased urine output, dry skin, decreased blood pressure, increased heart rate, and cold limbs, in the late stage, there may be different degrees of shock, disturbance of consciousness and coma.


    Lu Chen determined that the patient was in a state of hypotensive shock!


    And right now.


    The health value on the patient''s head was 46, which suddenly dropped again.


    becomes 42!


    Lu Chen''s eyelids twitched.


    He quickly ran back to the duty room.


    "Have you finished measuring your blood sugar?" The female doctor on the night shift asked with a smile when she saw Lu Chen coming back.


    "Mr. Min, the patient in the emergency room is not very good. The blood pressure is 72/40mmHg." Lu Chen said in a deep voice, "Go and see her."


    "Huh?" The smile on Min Ling''s face froze, and she quickly stood up, "What''s the matter? I remember this is a patient with diabetic ketoacidosis."


    She grabbed the stethoscope and walked outside the office.


    "I just went to the emergency room and found that the patient''s mental state was not right. I took a blood pressure measurement and found that it was only 72/40mmHg!" Lu Chen replied immediately.


    Min Ling''s face was tense, and she quickly ran to the emergency ward opposite the nurse''s station.


    The nurse also moved at this time, pushing the ambulance and ran over.


    ¡­


    Above the hospital bed.


    The patient was still panting heavily, and his expression was sluggish.


    "Open another venous channel! Quick rehydration!"


    Min Ling ran to the emergency room and immediately saw that the patient''s condition was wrong.


    Physical examination again and blood pressure measurement.


    Min Ling confirmed that the patient was indeed in a state of hypotensive shock.


    "Nurse, pump norepinephrine now!"


    "receive."


    "Student, this patient is diabetic ketoacidosis complicated with acute heart failure, please ask the Cardiology Department and ICU for emergency consultation immediately!" Min Ling turned her head and said to Lu Chen.


    "it is good."


    Lu Chen nodded, and he hurried to the nurse station to find the cardiology department and the ICU phone number.


    Severe diabetic ketoacidosis is already very dangerous, and there is a risk of sudden death at any time.


    What''s more, there is still an acute heart failure!


    Diabetic ketoacid needs a lot of fluids, but heart failure needs to limit fluids!


    In this way, the treatment plan can be contradictory.


    Lu Chen quickly called the cardiology department and the ICU emergency consultation.


    ¡­


    "It is recommended to transfer to ICU for further treatment!"


    Doctors from Cardiology Department and IC Ward are here.


    After seeing the patient, the doctors in the two departments suggested transferring to the ICU for treatment at the same time!


    Staying in the original department and continuing to rehydrate may aggravate heart failure!


    But without rehydration, the patient''s severe acidosis cannot be corrected!


    At present, only ordinary treatment methods are used, and it is difficult for patients to recover.


    Only transfer to the intensive care unit, bedside CRRT and more advanced antibiotics if necessary, may there be a possibility of improvement.


    ¡­


    Fortunately, the patient''s family members were more willing to treat, and they signed the informed consent before being transferred to the ICU.


    Get your rescue medicine and bedside monitor ready.


    Lu Chen and the nurse pushed the bed and sent the patient to the ICU.


    While the patient is being pushed into the ICU.


    Lu Chen saw that the HP on her head dropped again!


    Only 39 left!


    Lu Chen couldn''t help feeling a little fortunate. Fortunately, he found out what was wrong with the patient in time.


    Otherwise, if it is delayed for a while, the time of shock of the patient will be prolonged, and major organs will be ischemia and hypoxia.


    "Doctor, thank you."


    The family members of the patients stood at the door of the ICU and thanked them continuously.


    Lu Chen sighed slightly.


    "Although he was admitted to the ICU in time, the patient''s condition is still not very good. You have to be mentally prepared."


    "Well, I know, your doctor has explained it many times."


    Family members of patients are not ignorant people.


    And the patients have many basic diseases, including hypertension, diabetes, coronary heart disease for many years, and they all know the patient''s condition.


    Lu Chen also learned from his family.


    This time, after the patient suddenly caught a cold at home, he discontinued insulin treatment, and continued to suffer from nausea and vomiting, which dragged on for four or five days at home.


    Until today, I came to the hospital for treatment.


    did not expect.


    A small cold not only induces diabetic ketoacidosis, but also induces heart failure.


    The superposition of two major diseases caused a huge blow to the patient''s body.


    Back to the endocrine ward.


    Min Ling was not in the office. Lu Chen learned from the nurse that there was an emergency patient in the ward.


    Lu Chen was suddenly puzzled, who said that the night shift in the endocrinology department is very good?


    Thank you for your reward.


    (end of this chapter)

 Chapter 82： Is my face black?

    Chapter 82 Is my face black?


    After asking the nurse, I learned that the new patient is in bed 12.


    Lu Chen walked quickly to the ward where the 12th bed was.


    At this time, it was already nine o''clock in the evening.


    It was pitch black outside, and the ward was brightly lit.


    She pushed the electrocardiograph to bed 12.


    A 16- or 17-year-old girl was lying on the bed, half lying on the bed, her expression was indifferent and her spirit was extremely lethargic.


    Lu Chen looked at the HP above her head, it was 51 in red!


    Another patient with less than 60 health!


    ¡­


    saw Lu Chen walk into the ward.


    Min Ling turned her head and said, "Did you send the patient to the ICU safely?"


    "Yes." Lu Chen nodded.


    The patient was delivered safely, but I don¡¯t know how long it will last.


    "Well, very good." Min Ling nodded, "Then come and see this patient, ask for the medical history, review the electrocardiogram, and then go back and write about the course of the disease."


    "Received." Lu Chen nodded.


    After ??Min Ling finished speaking, she went back to the doctor''s office.


    ¡­


    Beside the hospital bed, there was a middle-aged man in his forties, who should be the girl''s father.


    "Classmate, do you feel uncomfortable?"


    Lu Chen walked to the hospital bed and asked softly.


    The girl didn''t answer, she was still lying on the bed, turned over and turned her back to Lu Chen.


    Lu Chen was most afraid of meeting such a 16- or 17-year-old girl.


    is in the rebellious period of youth, and it is difficult to communicate deeply.


    The middle-aged man on the side said solemnly: "Doctor, my daughter has been feeling dizzy and weak recently. These symptoms have worsened tonight, her limbs are weak, and she can''t even walk, so she hurried to the hospital."


    Dizziness, fatigue?


    Weak limbs?


    "Did you do any examinations in the outpatient clinic?" Lu Chen frowned.


    "Done." The middle-aged man took out two laboratory tests.


    Lu Chen reached out and took it.


    The first one is the blood routine, and there is nothing abnormal.


    The second picture is a biochemical series, with normal liver and kidney functions.


    But in the electrolyte, potassium ions are only 2.1mmol/L.


    This is severe hypokalemia!


    Potassium is the primary cation that maintains cellular physiology and is essential for the proper functioning of nerve and muscle cells, including cardiomyocytes.


    Under normal circumstances, the blood potassium (potassium ion in the blood) concentration is 3.5~5.5mmol/L.


    When serum potassium is less than 3.5mmol/L, the human body may show weakness, anorexia, nausea, abdominal distension, and in severe cases, unpredictable risk factors such as dyspnea, arrhythmia, and even sudden death may occur.


    No wonder girls feel dizzy, weak, and weak in their limbs.


    Potassium ions are so low, it would be strange if you had the strength.


    But why is potassium ion so low?


    Lu Chen frowned.


    Generally speaking, there are three reasons for low potassium.


    First, too little intake; second, too much excretion (gastrointestinal tract, kidney); third, metastatic distribution.


    "How is her appetite recently?" Lu Chen asked.


    "It''s okay, it''s about the same size as before."


    The amount of food has not changed, which means that it should not be the first reason, and the intake is too small.


    "Any symptoms of nausea and vomiting?" Lu Chen continued to ask.


    "No."


    also ruled out excessive losses from the gastrointestinal tract.


    If you want to rule out other reasons, you can only rely on further tests and inspections.


    Lu Chen wanted to give the girl a simple physical examination, but she was more resistant and gave up.


    Looking at her like this, she couldn''t do an electrocardiogram either.


    Lu Chen had to give up.


    "Family, come out with me."


    In front of a girl, there are many questions that are difficult to ask.


    The middle-aged man followed Lu Chen to the corner of the corridor.


    "Has her character always been like this?" Lu Chen asked suspiciously.


    Although he is in a period of rebellious age, he is not so resistant to the doctor''s consultation and examination.


    "It used to be fine, but for the past six months, hey..."


    The middle-aged man shook his head slightly, then sighed.


    "Having entered a period of rebellious youth?" Lu Chen asked in confusion.


    "Yeah, and it''s more serious and prone to depression." The middle-aged man said, "Take her to see a psychiatrist, who was diagnosed with moderate depression."


    depression?


    Lu Chen also sighed slightly in his heart.


    Such a beautiful girl has depression.


    is like a clear sky for thousands of miles, suddenly there are dark clouds, and you don¡¯t know when it will clear up.


    "She has symptoms of dizziness and fatigue. How long has it been?"


    "Half a year."


    "It''s been half a year..." A trace of doubt flashed in Lu Chen''s eyes.


    Is it chronic hypokalemia?


    "Did you take any special food or medicine?"


    The middle-aged man was stunned for a moment, recalled, and then shook his head.


    Lu Chen asked some details again, and the middle-aged men responded one by one.


    ¡­


    Back to the doctor''s office.


    Min Ling has completed all the patient''s medical orders.


    "Well, come back, what kind of disease do you think it is?"


    Lu Chen sat next to Min Ling, paused for a while, then said.


    "The cause of hypokalemia is yet to be investigated. As for the cause, there is no clue yet. In addition, the patient has moderate depression."


    Min Ling nodded.


    "The patient was admitted to a lower-level hospital two months ago, and hypokalemia was also diagnosed at that time, but no cause was found."


    "After a while, her family will bring the medical records over. After reading it, let''s write the course of the disease."


    "Okay." Lu Chen nodded.


    Hypokalemia has been diagnosed before, which will definitely improve the examination related to hypokalemia.


    "For the time being, treat the symptoms first and make up the potassium." Min Ling said, "I asked her to drink three pots of potassium chloride first, and then intravenous potassium supplementation at the same time."


    As for potassium supplementation measures, Lu Chen has studied in the internship, but he is not professional.


    He clicked on the doctor''s order system and carefully checked the doctor''s order issued by Min Ling.


    "Mr. Min, is the first choice for potassium supplementation in clinical practice?"


    Lu Chen wondered.


    "Well, intravenous potassium supplementation has speed and concentration limitations." Min Lingdao, "Oral potassium supplementation, direct oral potassium chloride oral solution or injection, there are not many restrictions, but there are some gastrointestinal stimulating effects, usually we all Dilute with juice and milk."


    Lu Chen took notes while listening to Min Ling''s explanation.


    Good memory is not as good as bad writing.


    There are many things in clinical practice that are not in internal medicine books.


    Such as potassium supplementation.


    In clinical practice, "potassium chloride injection" is often taken orally, which is the most effective way to supplement potassium, but there is no hint in the internal medicine book.


    "Little Lu, which department are you a graduate student?" Min Ling asked suddenly.


    Lu Chen was taken aback for a moment, and then replied: "In my heart."


    "Oh, in my heart." Min Ling nodded, "No wonder you just met such a critical patient, so you didn''t panic, you''ve seen it a lot. How many times did you study this year?"


    Cardiology department is the most critical department in all internal medicine departments. Patients may change their expressions at any time, and the risk of sudden death is extremely high.


    "Research one." Lu Chen said.


    "Only the first one?" Min Ling glanced at Lu Chen in surprise, "I thought you were studying the second or third."


    Seeing Lu Chen''s unhurried handling of the patient''s condition, Min Ling also felt that he should have stayed in the clinic for a long time.


    I didn¡¯t expect to be a freshman.


    "By the way, which endocrinology teacher''s group are you in? Why haven''t I seen you?" Min Ling wondered.


    Lu Chen touched his nose, "Teacher, I work the night shift for a friend, he can''t come for something."


    "Oh, no wonder I always feel like I haven''t seen you in the department. You haven''t rotated to endocrinology yet, have you?"


    "No."


    "Then it''s time for endocrinology, so you can come to our group."


    Lu Chen was taken aback for a moment, isn''t the group divided by the teaching secret?


    "Don''t want to?"


    "No, yes." Lu Chen nodded quickly.


    "That''s fine." Min Ling smiled slightly.


    She is the teaching secretary of the Department of Endocrinology.


    Having met such a good seedling ahead of time, of course she has to stay in her own group, so that she can relax a lot in peacetime.


    For these attending physicians, there are no resident physicians in the department, so having a graduate student or graduate student who is handy will be of great help!


    Lu Chen hasn''t come to the endocrinology department yet, but he has already been booked!


    ¡­


    "ding ding..."


    The phone vibrated suddenly, and Lu Chen received Zhou Wei''s WeChat.


    "Is the night shift in the endocrinology department okay? Are you already sleeping?"


    Lu Chen remembered that it was Zhou Wei who said that the endocrine night shift is good.


    He quickly replied to a WeChat message.


    "You said that the night shift in the endocrinology department is good?"


    Lying on the bed, Zhou Wei, who was about to sleep, raised his brows when he received the reply letter, Lu Chen is not asleep yet?


    "Yes, I worked three night shifts, and each night shift was almost safe. Once a patient had hypoglycemia, let him eat a candy, and that''s fine."


    "But I have already pushed a patient to the ICU, and a very serious patient has come..."


    "That''s your face!" Zhou Wei smiled, and then quickly replied to a WeChat message, "There are four endocrine districts, and each district accepts patients in turn. Originally, there are very few patients on night shifts, so the chance of accepting patients is very low. low."


    Lu Chen''s brows furrowed into a word "Chuan", is it my face?


    Thank you for the reward of the full moon every night, whether the Three Kingdoms, 2020083.


    (end of this chapter)

 Chapter 83： Poke poke!

    Chapter 83 Poke Poke Poke!


    9:30 pm.


    A middle-aged woman walked into the doctor''s office in the second endocrinology district.


    She was holding a kraft paper bag in her hand.


    "Is the doctor on duty Dr. Min here?"


    Min Ling looked back.


    "I am."


    "I''m the mother of Lu Luqian, the patient who just came here." The middle-aged woman walked to Min Ling''s side and put the cowhide bag in her hand on the table, "This is the medical record of her hospitalization in the county hospital two months ago. brought it all."


    Min Ling nodded.


    "Okay, put the medical records with me first, and return them to you after reading them. You can go back to the ward first."


    The middle-aged woman pursed her lips, looking like she was about to speak.


    "Is there anything else?" Min Ling wondered.


    The middle-aged woman paused, "Doctor Min, is my daughter seriously ill now?"


    Min Ling looked serious and said solemnly: "At present, until the cause is not found and the hypokalemia is not completely resolved, the patient is at risk of malignant arrhythmia and even sudden death at any time."


    The middle-aged woman''s face darkened, she sighed, and then said, "Thank you doctor, I understand."


    ¡­


    After the middle-aged woman leaves the ward.


    Min Ling sat with Lu Chen and looked up the patient''s medical records.


    This medical record is the patient''s medical record when he was hospitalized at the local county hospital two months ago.


    At that time, the girl was admitted to the hospital because of "limb weakness".


    After being admitted to the hospital, the relevant examinations were perfected, and the results were reported: potassium ions were 2.3 mmol/l, and the remaining ions were generally normal.


    AST212U/L, creatine kinase 929U/L, and the other two isoenzymes are roughly 5 times higher than normal, not so obvious.


    Continue to read the medical records.


    The girl''s blood pressure is normal, thyroid function is normal, complement, immunity, antinuclear antibodies, etc., have been checked all that can be thought of, no abnormality or generally normal.


    First of all, the blood pressure is normal, and diseases such as primary aldosteronism and pheochromocytoma are basically excluded.


    Secondly, thyroid function was normal, ruling out thyroid myopathy.


    "Hey, how come the test results are normal?" Min Ling let out a light sigh, "It shouldn''t be, there must be a reason."


    Turn over the medical record to the final discharge record.


    Lu Chen noticed that the discharge diagnosis given by the county-level hospital was that the cause of hypokalemia was under investigation.


    At the same time, it is recommended to seek further treatment in a higher-level hospital.


    Looking at the complete medical record, Lu Chen couldn''t help sighing, what a strange patient!


    "Teacher, can you see the cause of the patient now?"


    Min Ling shook her head.


    "Except for muscle enzymes, other indicators are normal. You can only check the previous test again to see if there are any laboratory errors. Second, improve other laboratory tests, such as 24-hour urine potassium, etc."


    "However, according to literature reports, about 1/3 of patients with hypokalemia cannot find a cause for the rest of their lives, which is called idiopathic hypokalemic periparalysis."


    "For the time being, the potassium is up, and I will slowly check the cause of the low potassium in the future."


    Lu Chen nodded, it seems that this is a very difficult patient.


    "Doctor, it''s time to measure your blood sugar before going to bed."


    At this time, the nurse on duty walked into the office and said.


    Lu Chen was taken aback, what did she say?


    Do you need to check your blood sugar again?


    Min Ling saw Lu Chen''s doubts and coughed softly.


    "Xiao Lu, you do have to measure your blood sugar before going to bed, but many patients are asleep, and those who are asleep don''t need to be tested."


    "Okay." Lu Chen said helplessly, it was time to poke his fingers again.


    Lu Chen was holding a blood glucose meter and a treatment tray, ready to measure blood sugar for all diabetic patients in the ward.


    "Hey, wait a minute." Min Ling suddenly stopped Lu Chen.


    Lu Chen looked back at Min Ling suspiciously.


    "Little Lu, tomorrow morning at six o''clock, you have to test your fasting blood sugar." Min Ling smiled.


    Lu Chen: "..."


    ah? There is one more time, poke poke!


    ¡­


    Take the blood glucose meter and walk into each ward.


    Test blood sugar for diabetics who are not asleep.


    Lu Chen could clearly feel that he became more and more skilled in measuring blood sugar levels.


    Before, I was a little afraid of hurting the patient, so I was careful every time and didn''t dare to use force.


    But the more this is the case, the harder it is for the blood to come out, so you have to **** it a second time.


    Double the pain!


    The current Lu Chen is piercing the needle!


    Many patients slept at night, so there are not many patients who measure blood sugar.


    Lu Chen completed the transfer of the entire department in less than twenty minutes.


    It was now ten o''clock in the evening.


    Back to the doctor''s office.


    "Xiao Lu, it''s getting late, you should go to the duty room to sleep." Min Ling said, "The hypokalemia patient just now will be rechecked by the nurse in an hour. If there is any problem, I will deal with it. "


    "Okay, teacher." Lu Chen nodded.


    Taking advantage of the blood sugar test just now, he checked all the patients again.


    Except for the "hypokalemia" patient who was just admitted to the hospital, everyone else''s life value is above 60!


    Lu Chen came to the postgraduate duty room, took off his white coat, took out a bottle of mineral water from his bag, and began to guzzle it.


    After a rescue tonight, Lu Chen was a little tired.


    And he has a day shift tomorrow morning, so he really needs to go to bed earlier.


    However, before going to bed, Lu Chen habitually performed system space and continued to train pericardiocentesis.


    Even though he is already very skilled, and the success rate is close to 95%, Lu Chen can learn some tricks from every training session, but the 80% completion rate has not changed.


    Slowly, Lu Chen began to fall asleep.


    ¡­


    3am.


    "Bang...bang...bang"


    Lu Chen was awakened by a sudden knock on the door.


    open the door.


    Night shift nurses stood at the door.


    "Doctor Lu, 31 beds, the patient''s blood sugar is 3.4mmom/L, and he has been dizzy and sweaty."


    "Let her hurry up and have some candy or a snack."


    "She won''t eat it."


    Lu Chen picked up the white coat on the table and quickly put it on him.


    "I''ll go see her."


    ¡­


    Bed 31 is an old woman.


    I was recently admitted to the hospital. Because of the diagnosis of diabetes, my blood sugar was extremely high, and my fasting blood sugar reached 25mmol/L.


    So she never dared to eat more dishes.


    I didn''t eat dinner tonight, but I took insulin as usual.


    I got low blood sugar in the middle of the night.


    "Mother-in-law, you have to eat. If you don''t eat, you will not be able to keep up with your nutrition, and you will be prone to hypoglycemia." Lu Chen advised.


    "My blood sugar is so high, I''m prone to stroke!" The old woman was more stubborn, "My wife''s blood sugar is high, so the stroke is gone."


    "Mother-in-law, sometimes hypoglycemia is more serious than hyperglycemia!" Lu Chen said.


    "Low blood sugar, human brain cells have no blood sugar supply, it is easy to be ischemia and hypoxia, leading to coma!"


    "Once this person is in a coma, he will definitely not be able to wake up!"


    When the old woman heard this, she hesitated.


    "real?"


    "Mother-in-law, I''m a doctor, why am I lying to you?" Lu Chen couldn''t help laughing, "You guys are getting older, and sometimes your blood sugar is a little high. It''s not a big problem. I''m afraid that the blood sugar will be low, in case you fall into a coma. Well, that''s not good!"


    "Then, can I eat?"


    "Of course you can eat it, as long as you exercise in moderation." Lu Chen smiled.


    "Okay, then, then I''ll eat something."


    The old woman hesitated for a while, then finally let go, picked up the bread on the table, and took a few bites.


    "Ding, congratulations, +1 for the thank you from Cao Yulan!"


    (end of this chapter)

 Chapter 84： Licorice Tablets

    Chapter 84 Licorice Tablets


    Lu Chen was very happy and successfully gained a little thanks.


    After the old woman ate snacks, her symptoms of hypoglycemia such as palpitation and cold sweats also improved.


    Back to the duty room, Lu Chen couldn''t sleep.


    was woken up halfway through, making him sleepless.


    He simply put on a white coat and came to the office.


    The office was empty, so Mr. Min Ling should also go to rest.


    Lu Chen sat in front of the computer and clicked on the assay system.


    In the little girl with hypokalemia who was admitted to the hospital in the middle of the night, her serum potassium had risen to 2.8mmol/L.


    In the doctor''s order, Dr. Min Ling prescribed a few more pots of potassium, and the blood potassium will be rechecked at 6:00 in the morning.


    Taking advantage of his energy, Lu Chen focused his attention on the cause of "hypokalemia".


    Take out a blank A4 paper.


    Lu Chen wrote all the common causes of hypokalemia on paper.


    First of all, potassium intake is insufficient. Including fasting or anorexia, which was previously ruled out.


    Secondly, the excretion of potassium increases.


    Loss of digestive juices, including diarrhea, severe prolonged vomiting, and prolonged gastrointestinal drainage, in addition to loss of potassium from the skin.


    These are also excluded.


    In addition, there is renal potassium loss.


    Including the use of diuretics, hydrochlorothiazide, furosemide, etc., as well as renal disease aldehydes, Cushing''s syndrome, renal artery stenosis, reninoma, pheochromocytoma, Liddle syndrome.


    All the patients were excluded one by one through the relevant examinations in the county-level hospital.


    Finally, it is the abnormal distribution of potassium in the body, including heart failure, renal edema, excessive infusion, and insulin action.


    These don''t seem to fit.


    Lu Chen fell into thought again.


    He kept looking at the patient''s medical records, and at the same time, he used his mobile phone to check the relevant papers in the literature library, trying to find clues.


    ¡­


    Time passed slowly.


    Four in the morning.


    Even though he relied on the super comprehension ability of the "Literature Reading" skill book, he still couldn''t find the reason for the girl''s low potassium.


    Could it really be attributed to her hypokalemia as "idiopathic hypokalemia" for which no cause could be found?


    But if it is not a last resort, try to find the cause of low potassium.


    This is just a teenage girl after all!


    ¡­


    Five in the morning.


    Lu Chen still did not find the cause of hypokalemia.


    He went back to the duty room, ready to squint for a while.


    Because I have to get up again at 6 o''clock to check my blood sugar.


    ¡­


    Six in the morning.


    Lu Chen opened his eyes, wore a white coat, held a blood glucose meter, and began to measure blood sugar from ward to ward.


    At this time, most of the patients were awake.


    Lu Chen has a lot of blood sugar to measure.


    Started the journey of "Poke Poke" again.


    "Auntie, blood sugar is 6.2mmol/L, which is very well controlled."


    "Mother-in-law, your blood sugar is too high, 16.9mmol/L, did you eat something last night? Hey...don''t eat any more at night, you see that your fasting blood sugar is high during the day!"


    "Uncle, your blood sugar is 7.3mmol/L. You don''t take medicine or insulin? Then if you continue to control your diet and exercise more, you may not need to take medicine to lower your blood sugar in the future."


    ¡­.


    Came to the ward where bed number 12 was.


    After measuring the blood sugar in the other beds, Lu Chen came to the bed of the 12-bed girl.


    The girl was lying on the bed, curled up in the corner of the bed, and was fast asleep.


    "Is she any better?" Lu Chen looked at the middle-aged woman beside him and said softly.


    "It''s better, thank you doctor."


    The middle-aged woman nodded, and then helped the girl tuck the quilt.


    "Ah That''s good."


    Lu Chen was about to leave when he was suddenly stopped by a middle-aged woman.


    "Doctor, do you have licorice tablets in your hospital?"


    "Licorice tablets?" Lu Chen stopped, "What''s wrong? Is she coughing?"


    "Hey, she has a poor constitution since she was a child, and she is prone to colds and coughs."


    The middle-aged woman sighed.


    "Take cough medicine as soon as you cough?" Lu Chen frowned.


    "There''s nothing I can do, I keep coughing. We feel uncomfortable listening to her cough." The middle-aged woman''s expression was helpless and distressed.


    "Didn''t you check the reason?"


    "I checked, I have checked all major hospitals in Jinghua, but I haven''t found any reason."


    "Auntie, but eating licorice tablets like this all the time is not a solution." Lu Chen frowned, "There is a substance in licorice tablets that will make people addicted."


    Compound Licorice Tablets mainly contain licorice liquid extract powder, opium powder, camphor, star anise oil, sodium benzoate, etc.


    Among them, opioid powder has analgesic, sedative, and antitussive effects, and is a drug that easily causes human dependence.


    Although the content is very low, long-term or large doses can also be addictive.


    Therefore, taking compound licorice tablets for a long time may be addictive, and patients may experience pleasure and gradually develop cravings and dependence on them.


    "Addictive?" The middle-aged woman was stunned. "Doctor, then give us another cough medicine."


    "Yeah." Lu Chen nodded, "But maybe she doesn''t have a bad cough, but she just wants to eat licorice tablets."


    "I really didn''t pay attention to this." The middle-aged woman said solemnly, "The first time he saw the doctor, he asked him to eat licorice tablets, and then he took it intermittently."


    "How long did she eat?"


    "It''s been half a year."


    Lu Chen raised his brows.


    For half a year?


    This seems to be about the same time as her dizziness and weakness in her limbs!


    Lu Chen resisted the doubts in his heart.


    He was going to check all his blood sugar, and then he went to see the instructions of the licorice tablet to see if it caused hypokalemia.


    Just like that, Lu Chen poked his fingers faster.


    Needles see blood!


    ¡­


    After measuring your blood sugar, go back to the doctor''s office.


    Lu Chen opened the doctor''s order system, entered licorice tablets, and immediately popped up drug-related information, including adverse drug reactions.


    Licorice Tablets Adverse Reactions: Slight nausea and vomiting¡­


    He did not see a description of low potassium.


    "Isn''t it because of the licorice tablets?"


    Lu Chen frowned, and the thoughts he had just had were interrupted again.


    "Xiao Lu, did you get up so early to check your blood sugar?"


    At this time, Min Ling walked into the office.


    She stretched and sat beside Lu Chen.


    "I couldn''t sleep, so I checked my blood sugar in advance." Lu Chen smiled.


    "Well." Min Ling nodded slightly, glanced at Lu Chen''s computer screen, "What are you looking for? Licorice tablets?"


    "Yeah." Lu Chen nodded, "I just found out when I measured my blood sugar that the girl with hypokalemia last night was actually taking licorice tablets all the time. I just wanted to find out if the hypokalemia was related to this. The results were not found."


    Min Ling was shocked when she heard the words.


    "She''s been eating licorice tablets?"


    "Well, yes." Lu Chen looked at Min Ling suspiciously, not knowing why she had such a big reaction.


    "No need to check, licorice tablets can cause low potassium!" Min Ling said solemnly.


    "Huh?" Lu Chen was stunned.


    Min Ling explained: "Glycyrrhizic acid and glycyrrhetic acid are found in licorice tablets. The chemical structure of these two substances is similar to that of corticosteroids. ."


    "In addition, glycyrrhizic acid can enhance the physiological effects of other glucocorticoids, resulting in intracellular potassium transfer, resulting in hypokalemia."


    Lu Chen touched the back of his head, "But I didn''t find this adverse reaction on the drug insert."


    "It takes a long time for the instructions to be updated, and the information lags behind." Min Ling smiled, "Actually, your time in the clinic is too short. As long as you stay for a while, you will understand this knowledge."


    Lu Chen has only been in clinical practice for one year, and he is more exposed to textbook knowledge.


    And medicine is a very empirical science.


    In addition to textbook knowledge, practical experience is equally important!


    "In other words, the reason for her hypokalemia is the long-term oral licorice tablets?"


    "Probably yes." Min Ling nodded and looked at Lu Chen with a smile.


    Thank you PepsiCo Lewei for the tip.


    (end of this chapter)

 Chapter 85： Drug Rehabilitation Shelter

    Chapter 85 Drug Rehabilitation Shelters


    "Congratulations, the completion of the system upgrade has increased, and the current progress is 3%."


    Lu Chen''s expression brightened.


    The completion of the system has increased, it seems that my diagnosis is correct!


    The reason for hypokalemia is because of long-term oral licorice tablets!


    Only one night shift, the completion of the system increased by 1%, which is already worth the efforts of many days before.


    ¡­


    Outside the corridor of the Second Endocrine Ward.


    "Doctor Min, you said she was suffering from hypokalemia from taking licorice tablets?" The middle-aged woman revealed a hint of surprise in her eyes.


    Min Ling nodded: "Well, there are two substances in licorice tablets, both of which can reduce blood potassium."


    "Although the dose of each licorice tablet is very low, long-term oral administration and accumulation of drug concentrations will not only lead to addiction, but also lead to hypokalemia!"


    "This..." The middle-aged woman hesitated, "What should I do then?"


    "The first thing is to stop taking licorice tablets, and the second is to supplement potassium!" Min Ling said, "Otherwise, her whole body and mental state will have problems in the future."


    "But my daughter was clamoring for a licorice tablet just now. If she doesn''t give it to her, she will make trouble. What should I do?"


    The middle-aged woman looked anxious.


    Min Ling looked serious and said solemnly: "The current licorice tablets, for her, are equivalent to drugs."


    "I think her moderate depression and abnormal mental state are inseparable from this licorice tablet."


    "She must quit the licorice!"


    The middle-aged woman gritted her teeth: "Okay, Dr. Min, I''ll listen to you, but I''m afraid we won''t be able to control her, and we will feel sorry for her... hey... what should I do..."


    "Perhaps, you can try a drug rehab shelter." Min Ling suggested.


    "Ah. This, won''t it be good?" The middle-aged woman hesitated.


    If it is known to others that his daughter has gone to such a place, how bad the impact will be!


    "You just said it yourself, at home, it is very difficult for her to quit licorice tablets. You can only really be good to her if you let her quit forcibly and stop herself from the precipice!"


    The middle-aged woman was stunned for a while before slowly nodding her head.


    "Okay, I''ll discuss it with her dad."


    "Well, we will supplement her potassium to normal during the hospitalization, and then quit the licorice tablets, her potassium should not be low anymore!" Min Ling said.


    "Thank you." The middle-aged woman nodded and walked back to the ward.


    "Congratulations, +1 for the thank you from Yu Yunfeng!"


    Gained a little more thanks.


    Although he was a little tired, Lu Chen felt that this night shift was worth it!


    ¡­


    "Doctor Xiao Lu, remember to come to our group when you come to endocrine rotation!"


    Before Lu Chen left, Min Ling reminded again.


    "Okay, definitely next time!"


    ¡­


    7:40 in the morning.


    Lu Chen washed a little in the duty room and walked out of the Second Endocrine Ward.


    Immediately after, he rushed to the eight districts in his heart without stopping.


    may be because in the early morning, his spirit was too high.


    At this time, Lu Chen''s upper and lower eyelids were constantly fighting.


    "Junior Brother, didn''t you sleep well last night?"


    When ?? came to the department, Sun Guoguo saw Lu Chen with a tired face.


    "Woke up in the middle of the night, but didn''t fall asleep." Lu Chen smiled awkwardly.


    "Oh, our ward is full today and we won''t admit new patients." Sun Guoguo said, "After checking the room in the morning, you can go back to rest early."


    "Thank you, Senior Sister." Lu Chen nodded.


    He is not hypocritical, the body is the capital of the revolution.


    However, in the future, you will need to see the right time. With his charismatic physique, if you don''t have a rest the next day, don''t just "buy night shifts" in the end.


    "By the way, Junior Brother, Teacher Li asked me to ask you, have you registered as a member of the Jinghua Electrophysiology Society?"


    Sun Guoguo''s sudden question surprised Lu Chen for a moment.


    "not yet."


    "Register as soon as possible, Mr. Li should have sent you an invitation code, enter this to register." Sun Guoguo smiled, "After becoming a member, not only can you regularly read some cutting-edge electrophysiology articles for free, Ms. Li Yao also I can take you to an electrophysiology conference."


    "Well, okay." Lu Chen nodded.


    He originally wanted to wait a little longer.


    After you are fully familiar with electrophysiology and cardiac anatomy, you can try the elite group assessment of the Electrophysiology Society.


    The chance of passing this way will be higher. After all, there are only three chances a year, and he has already wasted it once.


    But now it seems that he needs to speed up the process!


    ¡­


    After checking the room in the morning, Lu Chen returned to the dormitory after dealing with the patients he was in charge of.


    As soon as he returned to the bedroom, Lu Chen was about to go to bed when he received Zhou Wei''s WeChat.


    "How about the night shift in the second half of the night?"


    Lu Chen immediately replied, "Not so good. In the future, I''d better consider taking this kind of night shift."


    "Hey, your night shift is so hot, an endocrine night shift can be so busy, you really don''t think about buying a lottery ticket?"


    "Forget it, I didn''t have such a life. If you have nothing else to do, I''m going to sleep."


    "Okay, you go to sleep."


    "Wait." Lu Chen suddenly thought of the group plan for their dormitory, "Viagra, are you free this weekend?"


    "Are you free, what''s the matter, want to invite me to dinner?"


    "No." Lu Chen said, "We held a live-action CS event in our dormitory, just this weekend, will you come?"


    "Of course I''m coming!"


    Through the WeChat dialog box, Lu Chen could feel Zhou Wei''s excitement.


    "Okay, let''s go together this weekend."


    ¡­


    ended the conversation with Zhou Wei.


    Lu Chen adjusted his phone to silent mode, ready for a good sleep.


    This time, he did not enter the system space to train pericardiocentesis.


    Closed his eyes and fell asleep quickly.


    ¡­


    Get off work at noon.


    Min Ling breathed a sigh of relief. She didn''t have to go to work in the afternoon, so she could finally have a good rest.


    Came to the hospital cafeteria. Because she was losing weight recently, she chose a few vegetarian dishes.


    "Hey, Guoguo, what a coincidence."


    Sun Guoguo also just got off work and just finished cooking when he saw his senior sister Min Ling.


    "Senior Sister Min, you just got off the night shift?"


    Sun Guoguo sat next to Min Ling with a plate.


    "You see it all?" Min Ling smiled.


    "Of course, Senior Sister, you usually pay so much attention to your image, but you wouldn''t just come to work so haggard." Sun Guoguo laughed.


    "Hey, I''m quite tired from the night shift today." Min Ling said helplessly, "I usually have a good night shift, I can almost sleep all night. I don''t know what happened to the night shift last night. I rescued a patient and took in another one. seriously ill."


    "Senior sister, then you have to pay more attention." Sun Guoguo smiled.


    "Yes." Min Ling nodded, "You too, I heard that you are preparing for the exam, and you are usually busy with clinical practice, so don''t put too much pressure on yourself."


    "I''ve been much better recently. Corey has a little junior brother who has helped me a lot." Sun Guoguo smiled, "I can usually take time to read papers."


    "Junior brother? Junior brother who just graduated from graduate school?" Min Ling wondered.


    As far as she knows, the quality of Li Yao''s students in recent years is not very good.


    "No, it''s a junior fellow of Yanyi." Sun Guoguo said.


    "Yan Yi?" Min Ling couldn''t help but smile.


    She felt that Sun Guoguo was talking politely, how could a first-year graduate student reduce her clinical pressure.


    However, she was stunned for a moment, thinking of that classmate Xiao Lu from last night, who seemed to be a freshman in her heart.


    "Then the quality of the freshmen in your hearts is pretty good." Min Ling smiled.


    "It''s... all pretty good?" Sun Guoguo asked in confusion, "Senior sister, who else do you know about the new student in your heart?"


    "I came across one. Although I have little clinical experience, it seems to be excellent in all aspects."


    Sun Guoguo shrugged, "There''s a lot of competition pressure now, these kids are definitely stronger than we were back then."


    "Well, that''s true." Min Ling smiled, "Stop talking, let''s eat quickly."


    "it is good."


    The two spent a lunch time in a burst of laughter.


    ¡­


    (end of this chapter)

 Chapter 86： massive pericardial effusion

    Chapter 86 Massive pericardial effusion


    When Lu Chen woke up, it was already two in the afternoon.


    A feeling of hunger came from his stomach, which made him decide to go out for food.


    After washing up for a while, Lu Chen went out with his little black bag on his back.


    It was past lunch time, and the hospital cafeteria was closed.


    He had to go to a small restaurant near the hospital for a meal.


    In the alley of the hospital.


    Passers-by are in a hurry, and everyone seems to be in a hurry, whether it is a patient or a medical staff in a white coat.


    Jinghua Second Hospital, one of the top hospitals in the province, carries a large part of medical care, and most patients from surrounding counties and cities flock here.


    Lu Chen walked in the hospital, feeling a little emotional for no reason.


    During this time, while treating the patient, he also received thanks from the patient or the patient''s family.


    After digitizing the gratitude value, he can feel more and more that the doctor-patient relationship is so tense now.


    Every bit of gratitude is hard-won.


    He felt more and more the difficulties in the medical profession.


    There is a long way to go in the future.


    ¡­


    In the small restaurant in front of the hospital, Lu Chen ordered a fish-flavored shredded pork rice bowl.


    The store is not big, but the taste of this dish is very good, or maybe Lu Chen was hungry, so he ate it with relish.


    There is exactly half a day off.


    After eating, Lu Chen decided to take a stroll around here.


    After coming to Jinghua for so long, he really didn''t get a good feel for Jinghua''s customs.


    After walking for two hours, Lu Chen walked around the hospital for a few miles.


    Strolling down the street with hard steps, enjoying a moment of tranquility away from the hospital.


    When ?? was about to go back to the bedroom, Lu Chen suddenly received a call from Sun Guoguo.


    "Junior Brother Lu, do you have time tonight? Our teacher treats you as a guest. All the students in the Second Academy will come out to eat together."


    This kind of large-scale collective activity, Lu Chen has no reason to refuse.


    "If you have time, Senior Sister, what time is it in the evening? Where is it?"


    "My two junior sisters and I are ready to go by car after get off work, why don''t you come to the department to join us?"


    "it is good."


    hung up the phone, Lu Chen checked the time.


    It¡¯s almost five o¡¯clock, and there¡¯s still half an hour left before get off work.


    Now go to the department, the time should be about the same.


    Lu Chen walked in the direction of Jinghua Second Hospital.


    ¡­


    Jinghua Second Hospital, eight districts in the heart.


    "Dr. Ding, Director Lin Cui just accepted a patient in the outpatient clinic."


    Liu Mei walked into the doctor''s office.


    Ding Deli glanced at Liu Mei, "Let Dr. Yin accept it, she has just come to the department, she has to practice her hands."


    Liu Mei handed Zhang''s hospital certificate to Yin Xinhua, the attending doctor who had just come to the eighth district of his heart.


    "In which bed?"


    "41 beds." Liu Mei said.


    "Ok, thank you."


    Yin Xinhua took over the hospitalization certificate and looked at the line of admission diagnosis.


    Admission diagnosis: The cause of dyspnea remains to be investigated.


    "Doctor Yin, the patient''s condition is a little bad, why don''t you go see the patient first." Liu Mei said.


    "Well, I''ll go right away."


    Yin Xinhua nodded, and then invited He Sirong to go with her to see the patient.


    in the ward.


    A man of about fifty years old in a wheelchair.


    His lips were white, his breathing was slightly rapid, his head was tilted to the side of the wheelchair, and his mental state was very poor.


    "Recently, after my dad''s activities, he had chest tightness and shortness of breath. He had to take a dangling injection in the clinic for three days.


    The patient''s family members describe the patient''s disease process.


    "Doctor He, measure the patient''s blood pressure and then do an electrocardiogram." Yin Xinhua ordered immediately.


    Encountered emergency patients.


    The most important thing is to judge two things.


    The first one is circulation, that is, blood pressure and so on.


    The second is breathing.


    As long as the circulation and breathing are acceptable, the patient is not in danger for the time being.


    "Sister Yin, the patient''s blood pressure is 96/60mmHg." He Sirong and his family moved the patient to the hospital bed. "The pulse is a little weak, but I can feel it."


    "it is good."


    Yin Xinhua nodded, picked up the stethoscope and auscultated the patient.


    dong dong... dong dong....


    "The heart sound is very low." Yin Xinhua frowned, "I didn''t hear any obvious noise."


    She auscultated the lungs again.


    The breathing of the lungs is slightly rough, but there is no obvious wet and dry rales.


    Heart percussion, enlargement of the dullness circle of the heart.


    At this time, He Sirong also finished the electrocardiogram.


    "Sister, the electrocardiogram is a low voltage in the limb leads and chest leads. The QRS amplitude of the chest leads is less than 1mv, and the limb leads are less than 0.5mv."


    "Lead low voltage?" A diagnosis immediately popped into Yin Xinhua''s mind - pericardial effusion!


    There is a layer of "skin" on the surface of the human heart, which is called the pericardium in medical terms.


    The pericardium is a double-layered sac structure composed of two parts, the serosa layer and the fibrous layer.


    The serosal layer is divided into the parietal layer and the visceral layer. The parietal pericardium is composed of the serosal layer, the parietal layer and the fibrous layer. The visceral pericardium is the serosal visceral layer, and the space between the parietal and visceral pericardium is the pericardial cavity.


    There is 15~50ml of serous fluid in the normal pericardial cavity, which plays a lubricating role.


    but.


    If the amount of serosal fluid exceeds the capacity of the heart, the serosal fluid will compress the heart, making the heart unable to stretch, resulting in a decrease in the amount of blood returning to the heart.


    Then, the amount of blood pumped from the heart to the whole body will be reduced, resulting in insufficient blood supply and oxygen supply to various tissues and organs of the human body.


    The patient will have symptoms such as difficulty breathing.


    From the patient''s physical signs and auxiliary examinations, all of them currently support the diagnosis of pericardial effusion.


    And looking at the patient''s symptoms, the amount of pericardial effusion is still quite large.


    "Sister, is this... pericardial effusion?"


    The symptoms and auxiliary examinations of this patient are very typical, and He Sirong also thought of the diagnosis of pericardial effusion.


    "Well, however, the cause of pericardial effusion cannot be controlled for the time being." Yin Xinhua said solemnly, "Looking at his state, the amount of pericardial effusion should be quite large, and pericardiocentesis should be done as soon as possible to relieve the compression symptoms of the heart."


    A large amount of pericardial effusion, if the fluid is not punctured in time to relieve the compression symptoms, it is very likely to cause cardiogenic shock or even sudden death!


    "Senior sister, then I will call the ultrasound department to do an emergency bedside ultrasound, and then go directly to the bedside puncture?" He Sirong said.


    "No, contact the CCU on the 4th floor directly and push the patient to them." Yin Xinhua said, "They have complete rescue equipment there."


    "Okay." He Sirong immediately ran out of the ward and called the CCU on the 4th floor.


    ¡­


    ¡­


    When Lu Chen came to the eighth district in his heart, it was already 5:20 in the afternoon.


    "Junior Brother, you came on time. We''ll be ready to go after the shift is over." Sun Guoguo was writing the shift record.


    This time the gathering was a gathering of all the teachers and students of Li Yao in the Jinghua Second Academy.


    Lu Chen is looking forward to it.


    At present, apart from his two classmates, Jiang Qingyan and Ke Yue, and he knows Senior Sister Sun Guoguo, but does not know any other Senior Brothers and Senior Sisters.


    "Let''s do it, Junior Brother Lu, you and the first two junior sisters go to the first floor and wait. The car to pick us up has arrived." Sun Guoguo suddenly said, "Don''t make him wait, I''ll get down immediately."


    Lu Chen nodded: "Alright then, I''ll go down with Jiang Qingyan and the others first."


    ¡­


    Lu Chen, Jiang Qingyan and Ke Yue took the lead.


    stepped into the elevator, the elevator door slowly closed.


    "Hey, elevator, wait a minute!"


    Suddenly, He Sirong and his family pushed the hospital bed together and hurried towards the elevator entrance.


    Lu Chen immediately pressed the door button.


    Fortunately, there were few people in the elevator, only Lu Chen and three.


    The hospital bed can be steadily pushed into the elevator.


    Thank you Chen Gugu for not being Gugu, BB Bubble for the reward.


    (end of this chapter)

 Chapter 87： elevator failure

    Chapter 87 Elevator Failure


    The elevator door slowly closed.


    "Are you going to the fourth floor?" Lu Chen looked at He Sirong.


    "Well." He Sirong nodded, "This is a patient with a large amount of pericardial effusion, and is going to be sent to the CCU for pericardiocentesis."


    Lu Chen raised his brows and turned to look at the patient on the bed.


    I saw that the patient was short of breath and sweat was oozing from his forehead.


    The health on his head is a red 54.


    Massive pericardial effusion?


    He happened to be practicing pericardiocentesis in virtual space recently.


    But after all, it is virtual, and the operation in the real world is definitely different.


    If it wasn''t for the fact that he was going to have dinner now, Lu Chen really wanted to go to CCU to observe the puncture process.


    "Lu Chen, what have you been doing all day today?" Ke Yue suddenly said, "I checked the room in the morning and you disappeared. This is not your style."


    "I helped my classmates on the night shift yesterday." Lu Chen smiled, "The ward is not busy today, so I will go back to rest first."


    "Ah? Are you working the night shift?" Ke Yue wondered, "Which department''s night shift?"


    "Endocrine." Lu Chen said.


    "Huh? The endocrinology department shouldn''t be busy. You still slept all morning today?" Ke Yue laughed.


    "I''m busy, I''m not busy yet?!" Lu Chen couldn''t help sighing, "Maybe my face is too dark, and it''s dark wherever I go. Last night, I rescued a patient, admitted a critically ill patient, and was woken up in the middle of the night. Above, I didn''t sleep much."


    "Ah, your face is so dark..." Ke Yue said.


    As soon as the voice fell, everyone felt a "bang".


    The descending elevator suddenly shook.


    Everyone crooked.


    And the elevator suddenly stopped on the fifth floor.


    However, the elevator door did not open.


    Lu Chen frowned and pressed the button to open the door.


    But there is no response at all!


    "The elevator is broken?" Jiang Qingyan frowned.


    "Probably so." Ke Yue nodded, "I encountered it once when I was going to work last month, and the elevator door couldn''t be opened for a long time."


    He Sirong said: "The elevators in the eight inpatient departments are often broken. It doesn''t matter, it should be fine soon."


    Just then, the elevator suddenly moved again!


    However, this started without the slightest sign.


    It''s just that the speed of this decline is a little unusual!


    The elevator did not stop after the 4th floor and kept descending.


    Stopped directly on the 3rd floor!


    Everyone felt that something was wrong.


    Lu Chen immediately pressed the lights on the 2nd and 1st floors.


    "Everyone, grab the handrail of the elevator, be careful that the elevator suddenly falls again." Lu Chen shouted.


    When everyone present heard the words, they immediately grabbed the handrail.


    He Sirong pressed the door to open the door, but the elevator door was still closed.


    "Don''t press, the elevator must be broken." Lu Chen said solemnly.


    There is an emergency call button on the elevator.


    There is also a mobile phone number for emergency contact on the wall.


    Lu Chen immediately pressed the emergency call button.


    However, no one responded for a long time.


    At the same time, Jiang Qingyan on the side also took out her mobile phone and started to call the emergency number on the elevator.


    "No one will find us, right?" He Sirong frowned.


    She is not afraid of elevator failure. The floor is low now, even if it suddenly falls, it shouldn''t matter much.


    is just a patient in bed, can he wait?


    He Sirong frowned and looked at the patient on the bed.


    Fortunately, the patient''s state was not affected, but his breathing was a little short.


    At this time, Jiang Qingyan also got on the phone.


    "Hello, is this the elevator maintenance staff in the hospital?"


    "The elevator No. 3 of our eighth inpatient department suddenly stopped on the third floor, and the elevator door couldn''t be opened."


    "Yes, there is someone in the elevator..."


    "Then please come here quickly!"


    Jiang Qingyan hung up the phone and looked around the crowd.


    "The logistics staff of the hospital elevator will be here soon."


    After hearing this, everyone calmed down a little.


    Lu Chen looked at the patient on the bed.


    On the bedside monitor, the vital signs were the same as before.


    The heart rate is relatively fast, about 110 beats/min, the blood oxygen saturation is 91%, the blood pressure is 91/54mmHg, and the respiration is 33 times/min.


    But Lu Chen noticed that the patient''s health had dropped!


    From 54 to 51!


    Lu Chen frowned.


    Is this a normal progression of the disease?


    Or, the rapid deterioration of the condition?


    But no matter what kind of change, this patient should have a pericardiocentesis as soon as possible to relieve the symptoms of cardiac tamponade!


    Otherwise, the patient may suffer from cardiogenic shock or even sudden death at any time!


    In the elevator, several other people also understood the urgency of the matter.


    Especially He Sirong, she grabbed the guardrail of the hospital bed with both hands, stared at the patient without blinking, her fingertips were slightly white.


    Three minutes passed while everyone was waiting anxiously.


    Suddenly, there was a sound of knocking on the elevator door from outside the elevator.


    "Hello, is there anyone in the elevator?"


    "Someone! Someone!"


    Lu Chen responded immediately, and patted the elevator door lightly at the same time.


    The others in the elevator also chimed in.


    "We are the elevator logistics personnel, no one of you was injured, right?"


    The voice from outside the elevator came out again.


    Judging by the noise coming from outside the elevator, there should be four or five people.


    He Sirong shouted in response: "No, but there is a critically ill patient in the elevator, and you need to open the door as soon as possible!"


    It was quiet again outside the elevator.


    Everyone seems to be discussing something.


    At this time, Ke Yue asked in confusion: "What''s going on? Did the elevator doors open every time the logistics staff came? Why didn''t they open for a long time today?"


    When Lu Chen heard this, he immediately realized that something was wrong.


    Most of the maintenance personnel outside here are in trouble.


    "Are there still people outside?"


    Lu Chen shouted outside again.


    After about ten seconds, the voice of the maintenance staff came in again.


    "We''re still here, but you may have to wait for more than ten minutes. The elevator door can''t be opened until we finish the inspection!"


    "More than ten minutes?"


    Lu Chen was shocked.


    It''s a bit long!


    They don''t really care, the big deal is that they go to dinner later.


    However, the patient can''t wait so long!


    "Can you be faster? The patient in the elevator is very heavy and needs to be transferred to the CCU immediately!" Lu Chen emphasized again.


    "We''ll try our best! But ten minutes as soon as possible!"


    He Sirong frowned and said solemnly: "Can''t you open the door first, can you check it later?"


    "We want to, but we can''t open it now!"


    After receiving the response from the outside logistics staff, Lu Chen''s heart sank.


    He always pays attention to the condition of the patients in the hospital bed.


    Afraid of any changes in his condition!


    "I''ll call Senior Sister Yin to report." He Sirong took out his mobile phone.


    "Let''s talk to Senior Sister Guoguo too." Lu Chen looked at Jiang Qingyan and the two of them, "Let her wait for us on the first floor for a while."


    "Okay." Jiang Qingyan nodded.


    Lu Chen took out his mobile phone and called Sun Guoguo.


    "Huh? Are you trapped in the elevator?"


    Sun Guoguo had already gone down the first floor, she was wondering why the younger brothers and sisters were not there.


    "There is another patient with pericardial effusion in the elevator? Is it the one that Dr. Yin transferred to the CCU?"


    Got Lu Chen''s affirmative reply, Sun Guoguo frowned.


    When she was handed over just now, she learned from Yin Xinhua''s handover that the patient was critically ill.


    Already have some symptoms of pericardial tamponade, need to perform pericardiocentesis immediately!


    Thinking of this, Sun Guoguo immediately walked quickly to the third floor where the elevator stopped.


    (end of this chapter)

 Chapter 88： Let me do it

    Chapter 88 I''ll Come


    In the elevator.


    "The logistics department of the hospital is also true. This elevator is always broken. Why don''t you find a time to repair it?"


    He Sirong looked at the patient on the bed and couldn''t help saying.


    "There are too many people in the hospital, and it is overloaded almost every day." Jiang Qingyan said softly, "Not only our second hospital, but also the situation in several other affiliated hospitals. The elevator often breaks down."


    Lu Chen didn''t talk to everyone, he stared at the patient on the bed.


    Pay attention to the changes in various vital signs on the ECG monitor at the bedside, as well as the changes in the health value on his head.


    Suddenly, the health number on the patient''s head jumped.


    jumped from 51 to 49!


    Lu Chen''s heart sank to the extreme.


    It''s only been a minute since the ten minutes the logistics staff said just now!


    "Um...uh..."


    Suddenly, on the hospital bed.


    The patient''s breathing became more rapid, from the original 30/min to 40/min!


    Blood oxygen saturation dropped from 91% to 85% all of a sudden!


    Heart rate has risen from 110 beats/min to 125 beats/min!


    "This...patient...he...he..."


    He Sirong''s face turned pale.


    Lu Chen and Jiang Qingyan also noticed the abnormality of the patient at the first time.


    "Don''t panic! Take the patient''s blood pressure!" Lu Chen said to Ke Yue.


    Ke Yue was at the head of the hospital bed, with the centrifugal electric monitor nearest.


    She nodded immediately, then leaned down and pressed the button on the ECG monitor to measure blood pressure.


    At the same time, Lu Chen compressed the patient''s oxygen balloon, trying to make the oxygen inhalation flow faster.


    "Jiang Qingyan, call Senior Sister Guoguo again, tell us what''s going on inside, and ask her to help contact the outside support staff!" Lu Chen said to Jiang Qingyan.


    "it is good!"


    Jiang Qingyan immediately took out her mobile phone and called Sun Guoguo.


    At this point, the blood pressure measurement of the ECG monitor ends.


    Blood pressure 80/45mmHg!


    Oops!


    Shocked!


    Seeing this blood pressure, everyone present felt that something was wrong!


    Lu Chen immediately approached the elevator door, patted the elevator, and said loudly, "How long will you be outside? The patient''s condition has worsened!"


    "Ten minutes more!"


    The sound from outside made everyone in the elevator feel particularly heavy.


    According to the current state of the patient, let alone ten minutes, it is a question whether the patient can survive in five minutes.


    Moreover, no matter what the treatment method is now, except for pericardiocentesis, any other treatment measures are only symptomatic treatment, and there is no way to solve the root cause of pericardial tamponade.


    "He Sirong, the patient has severe symptoms of pericardial tamponade and has been in cardiogenic shock!"


    He Sirong also saw that the patient''s condition was wrong.


    "Speed ??up the liquid."


    "Lu Chen, I can''t get out now, what should I do?"


    He Sirong stared at Lu Chen closely.


    Jiang Qingyan and Ke Yue also looked at Lu Chen.


    In the faint, several people are headed by Lu Chen.


    Lu Chen didn''t answer He Sirong, but turned to look at Jiang Qingyan beside him.


    "Have you contacted Senior Sister Guoguo?"


    "I''m in touch!" Jiang Qingyan held the phone, nodded, and turned on the phone''s loudspeaker function.


    ¡­


    At this time, Sun Guoguo had arrived at the door of the elevator on the 3rd floor.


    The time is also just now, 2 minutes have passed.


    "Junior Sister Jiang, how is the situation inside?"


    "Sister, the patient''s patient is unstable, blood pressure and blood oxygen saturation have dropped!"


    Sun Guoguo frowned.


    Shocked!


    "Hang up the phone, let''s talk on WeChat, let me see the patient!"


    "it is good!"


    Jiang Qingyan''s hands and feet were very quick, so she immediately hung up the phone and opened WeChat.


    dialed Sun Guoguo''s WeChat number.


    Jiang Qingyan pointed the phone camera at the patient on the hospital bed.


    Sun Guoguo saw the patient''s condition clearly.


    "Blood pressure and oxygen saturation are decreasing!"


    It can¡¯t go on like this!


    No one can guarantee that the patient can last for 10 minutes?


    She turned her head to look at the elevator logistics staff beside her.


    "Brother, can you force the door now?"


    The logistics staff immediately shook their heads: "It''s not working for the time being, we haven''t finished the inspection, and the door of this elevator can''t be opened."


    Sun Guoguo was very anxious when he heard this!


    "If this patient does not perform pericardiocentesis immediately to relieve the compression, he will die at any time!"


    ¡­


    In the elevator.


    Everyone is also aware of the current situation.


    There are still seven minutes before the logistics staff open the door.


    But in the current state of the patient, every minute spent is lucky!


    I have to wait another seven minutes, which is like a foot has entered the door of the morgue.


    On the hospital bed, the patient''s symptoms of breathing difficulties became more and more severe.


    Blood oxygen is getting lower and lower!


    The health value on his head dropped from 49 to 42!


    However, Lu Chen and others could only watch the patient''s condition worsen!


    ¡­


    At this moment.


    In the elevator area on the 3rd floor of the eighth district, a group of people suddenly came quickly.


    is headed by Li Yao, director of the Cardiology Department, and Lin Cui, the deputy director, followed by Dr. Yin Xinhua.


    After they knew about this, they rushed to the 3rd floor as soon as possible.


    "Guoguo, how is the situation?"


    "not too good!"


    At the elevator door, Sun Guoguo handed the phone to Liyao.


    Li Yao had seen the patient''s condition and knew the seriousness of the matter.


    If pericardiocentesis is not performed immediately, most of these patients will die of shock!


    "Can''t open the door?"


    "It''s still seven or eight minutes!"


    There were about a dozen people present, but it was exceptionally quiet.


    Faced with this situation, everyone raised their hearts to their throats.


    "Can you open the elevator door a crack?"


    At this time, Chief Physician Lin Cui suddenly said.


    The logisticians paused and discussed with each other.


    "Yes, but only about 10cm."


    "Okay, that''s it." Lin Cui nodded.


    Li Yao frowned and looked at Lin Cui, "Are you thinking..."


    Before he could finish speaking, Lin Cui nodded.


    "One of my graduate students, He Sirong, is in the elevator now. She can perform pericardiocentesis! As an assistant, she has completed many punctures."


    "I think, hand her the pericardiocentesis tool and let her operate inside!"


    "Blind wear?" Li Yao frowned.


    Lin Cui nodded, "The patient has a large amount of pericardial effusion, so it shouldn''t be difficult for a blind piercing!"


    The time is tight, and it is too late for Li Yao to think about it.


    "Okay! Let her pierce!"


    "Don''t worry, Director Li, if something goes wrong, I will take all the responsibilities!" Lin Cui said solemnly.


    Li Yao glanced at Lin Cui, "I am the director of the ward, this is a decision I made, and I will bear it!"


    Lin Tsui paused, but did not speak.


    At this time, a doctor had already gone to the CCU and brought back the pericardiocentesis kit.


    ¡­


    In the elevator.


    Lu Chen and others also got the news.


    Li Yao and Director Lin Cui outside decided to let He Sirong perform a heart kit puncture!


    The logistics staff opened the elevator door about 10cm and handed in the pericardiocentesis kit!


    He Sirong took the puncture bag, his hands trembling slightly.


    This is blind dressing!


    She did have a pericardiocentesis before, but it was all under the guidance of ultrasound, with the guidance and help of a superior doctor.


    Under the guidance of ultrasound, the puncture point and location are extremely easy to select, and knowing the situation in the pericardium, the puncture direction can be changed at any time.


    But, now it is, blind wear!


    This is like walking in the middle of the night when you can''t see your fingers, you can only rely on your own familiarity with the road, step by step tentative!


    He Sirong put on gloves and placed puncture tools.


    The patient''s chest puncture has been fully exposed and sterilized three times!


    Extract the lidocaine anesthetic and come to the vicinity of the puncture site.


    He Sirong took a few deep breaths, but his hands were still shaking.


    ¡­


    Outside the elevator.


    Everyone is making a video call on their mobile phones and watching the whole operation.


    "Xiao He, puncture under the xiphoid process! This position is relatively safe!"


    Lin Cui reminded.


    Li Yao stared at the video, frowning.


    This kid is so nervous!


    Hands are shaking!


    Even though the camera was separated, she was keenly aware of this.


    This is not acceptable!


    In case, after the puncture needle enters the pericardium, it is accidentally checked by hand and poked into the heart, which will be a disaster!


    Lin Cui also noticed this.


    "Xiao He, don''t be nervous, just do what you usually do!"


    But the more he reminded him like this, the more nervous He Sirong was in the elevator!


    She found the puncture point under the xiphoid process, but the needle has not been placed!


    On the hospital bed, the patient''s symptoms are getting worse!


    The blood oxygen saturation even dropped to 80% at one point!


    "He Sirong, calm down!" Lu Chen said solemnly from the side.


    He Sirong''s face turned pale.


    Looking at the patient in front of him, he kept thinking, what if he poked his heart?


    What if I poke the liver?


    What if it fails and the patient dies?


    He Sirong was hesitant and did not place the needle for a long time!


    But on the hospital bed.


    The patient is gasping for breath, and the blood pressure and oxygen saturation are decreasing!


    "Let me do it!"


    I don''t know when, Lu Chen had put on gloves and stood beside He Sirong.


    (end of this chapter)

 Chapter 89： Pericardiocentesis!

    Chapter 89 Pericardiocentesis!


    He Sirong was stunned for a moment, then moved away unconsciously.


    She frowned, quietly operating Lu Chen.


    Lu Chen stepped forward and stood in front of the patient''s bed.


    "Lu Chen, you, do you know that?" Ke Yue asked suspiciously.


    Lu Chen didn''t speak, just nodded!


    Now the situation is urgent, and he has no time to explain.


    Pericardiocentesis, he can train hundreds of times in virtual space.


    From anesthesia to puncture, he kept every step in his mind.


    Taking a deep breath, he started anesthesia.


    ¡­


    Outside the elevator with only one door.


    "He can have a pericardiocentesis?" Li Yao raised this doubt in her heart.


    Not only her, but everyone else looked at Lu Chen''s actions in the video in astonishment.


    There are many doctors and nurses in the eight districts of the heart.


    Many of them knew Lu Chen, a graduate student who had just come to the department, and was only a first-year graduate student this year.


    Pericardiocentesis is different from conventional operations such as thoracocentesis, abdominal puncture, and lumbar puncture.


    This is an operation skill that many residents and even attending physicians do not know, let alone let them operate alone in this situation!


    Everyone didn''t dare to come out, and stared at Lu Chen closely.


    Director Lin Cui glanced at Lu Chen, frowning slightly.


    This boy has an impression on him.


    is Li Yao''s student this year!


    Once she explained the electrocardiogram to everyone, this student also made a lot of limelight!


    Lin Cui glanced at the video again. He Sirong, who was standing beside Lu Chen, flashed a hint of disappointment in his eyes.


    You have done pericardiocentesis independently, but why do you get nervous when it comes to this time?


    ¡­


    Inside the elevator.


    Lu Chen started anesthesia before puncture.


    The puncture site selection for blind piercing is generally under the xiphoid process.


    The point of anesthesia is where the puncture takes place.


    Lu Chen chose the point of anesthesia¡ª¡ª


    The puncture point is made below the junction of the xiphoid process of the sternum and the left seventh costal cartilage, and the puncture direction is 45¡ã to the abdominal wall.


    Needling is directed upward, backward, and slightly to the left into the posterior lower part of the pericardial cavity.


    Lu Chen performed local anesthesia from the skin to the pericardial parietal layer at the puncture site.


    "His hands are steady!"


    Jiang Qingyan watched Lu Chen''s operation, which was in stark contrast to He Sirong''s trembling hands, and the nervousness in her heart calmed down a lot.


    As for Li Yao outside the elevator, seeing Lu Chen''s skillful operation, in addition to being delighted, it was also a little strange.


    Any operation skill is just practice makes perfect.


    However, there are very few patients who need pericardiocentesis, and there are not many opportunities for a student to get started.


    How could Lu Chen be so skilled?


    And looking at his movements, this anesthesia technique is very smooth, without the slightest stagnation.


    This kind of technique is completely different from what he can have at his age.


    ¡­


    Lu Chen has inserted the anesthesia needle into the pericardium.


    While injecting anesthesia, **** back the needle.


    Suddenly, Lu Chen felt that the needle was missing for a while.


    A sense of failure, which indicates that the barrier has been broken and the needle has entered the pericardium.


    And Lu Chen didn''t feel it, the obvious vibration of the needle tip hitting his heart!


    This means that it is safe to puncture at this point!


    Withdrawing the needle tube, yellow liquid immediately appeared in the needle tube!


    Ke Yue and Jiang Qingyan looked at Lu Chen with joy.


    The anesthesia is successful, and the effusion is successfully extracted, then half the success!


    On the side, He Sirong looked stunned and stared blankly at Lu Chen, but he didn''t know what he was thinking.


    "Have it! Have it!"


    The people outside the elevator could see Lu Chen''s operation clearly through the video.


    "This needle went down and it was successfully pierced into the pericardium. It''s not easy!"


    "I haven''t even checked the situation, and there is drainage fluid in his needle."


    "I think... Could it be that he is lucky?"


    ¡­


    After anesthesia, the next step is puncture!


    Clamp the rubber tube connected to the puncture needle, and the puncture needle is inserted into the selected and local anesthesia site.


    Lu Chen held his breath and began to inject the needle slowly under negative pressure!


    The location and angle of the needle insertion are extremely particular.


    If it is under the guidance of ultrasound, the needle can be seen in the ultrasound, and the risk of puncture is greatly reduced.


    When the needle is close to the heart muscle, stop the needle.


    Now, Lu Chen can only carefully insert the needle.


    In order to prevent the needle from being too deep and directly poking the myocardial tissue!


    ¡­


    The people around ?? also held their breaths, their mood up and down following Lu Chen''s operation.


    Feeling the feeling of breaking through the obstacle again, Lu Chen stopped the needle injection.


    I saw light yellow liquid flowing out of the needle tube, which indicates that the puncture needle has entered the pericardial cavity!


    After the puncture needle entered the pericardial cavity, Lu Chen immediately said to Jiang Qingyan, "Help me connect the syringe to the rubber tube."


    Jiang Qingyan nodded, handed the phone to Ke Yue, quickly put on her gloves, and assisted Lu Chen.


    Routine pericardiocentesis, if it is a therapeutic puncture, may require an indwelling drainage bag.


    But now the situation is critical, Lu Chen did not continue the operation, but directly released the clamp and began to extract the pericardial effusion.


    He wants to quickly extract part of the pericardial effusion to quickly relieve the pressure on the pericardium by the effusion!


    The ?? syringe is 50ML, which means that a tube of fluid that Lu Chen draws is 50ML.


    The first extraction of pericardial effusion should be around 100-200ML.


    If a large amount of pericardial effusion is drawn in a short period of time, it may lead to the occurrence of pulmonary edema.


    ¡­


    "Draw out!"


    Outside the elevator, when everyone saw that Lu Chen''s puncture was successful and the liquid was successfully extracted, a heart that was lifted fell one after another.


    Li Yao was also relieved.


    Being able to perform pericardiocentesis safely means that the patient''s life safety has been guaranteed for so long!


    Everyone was amazed when they saw Lu Chen''s operation.


    "The speed of this classmate''s puncture is really fast! From anesthesia to puncture, it took only one and a half minutes!"


    "Is this really a blind puncture? I suspect that he performed the puncture under ultrasound guidance!"


    "I''m sure this classmate has performed no less than 10 pericardiocentesis cases independently! Otherwise, he wouldn''t be so proficient!"


    ¡­


    Lu Chen extracted a total of two and a half tubes, about 150ML of pericardial effusion.


    As the pericardial effusion is withdrawn, the breathing rate of the patient on the bed slowly slows down.


    on an ECG monitor.


    The patient''s blood pressure and blood oxygen saturation finally did not continue to decline, but rose slowly.


    at the same time.


    Lu Chen noticed that the health value on the patient''s head did not continue to drop, but returned to the previous fifty!


    "Lu Chen, don''t you continue smoking?" Ke Yue said, "Although the patient''s symptoms are better, the symptoms of pericardial compression have not been completely relieved."


    Lu Chen shook his head, "This is the first time I smoked today, so I can only put so much for the time being. If there is no obvious discomfort in the future, I can continue to pump again, and I can put more fluid in the second time!"


    Ke Yue nodded.


    It seems that a crisis has been lifted.


    But at this moment, Lu Chen discovered that **** effusion flowed out from the rubber tube connected to the puncture needle!


    Lu Chen frowned.


    What started out was a yellow liquid, how did it turn **** in a blink of an eye?


    (end of this chapter)

 Chapter 90： Red effusion!

    Chapter 90 The effusion that turns red!


    "Could it be that he accidentally stabbed the myocardial tissue, so the effusion changed from yellow to red?" Lu Chen thought to himself.


    The color of pericardial effusion can be yellow or red.


    Generally, the yellow ones are mostly caused by infection and tuberculosis.


    The red effusion may be caused by the tumor.


    But the color of the effusion has changed from yellow to red, which is very rare.


    "Lu Chen, this, what''s wrong? It turned red?"


    Jiang Qingyan on the side of ?? also noticed the change in the color of the effusion.


    Instead, it was everyone outside the elevator. Because of the video angle, they didn''t notice this change.


    Lu Chen frowned and said softly: "I don''t know, I don''t feel like I have touched the myocardial tissue. Let''s observe it first. You can inform the teachers outside."


    "Okay." Jiang Qingyan nodded.


    He has been training in the virtual space for so long, the success rate has exceeded 95%, and he has never found this situation.


    Jiang Qingyan immediately notified the doctor outside the elevator that the color of the pericardial effusion changed from "yellow" to "red" through a video on her mobile phone.


    "The color suddenly turned red?" Lin Cui said solemnly, "Could it be that the puncture needle touched the heart?"


    There were also whispers from the crowd outside the elevator.


    "If it''s always red, it''s okay to say that it may be caused by a tumor disease. But now the color has changed, it means that there is a problem with the operation, and it is very likely that the myocardial tissue has been injured!"


    "I touch the heart...then it''s very dangerous!"


    "Yeah, the risk of blind wearing is really great, you can''t try it easily!"


    On the side, Sun Guoguo frowned and said, "Lu Chen chose the subxiphoid puncture point, and the patient''s pericardial effusion is very large. I don''t think he inserted the needle deeply, it is unlikely hit the heart."


    "That''s not necessarily true." Lin Cui shook her head, "If the needle is inserted at the wrong angle, it will also damage the heart muscle and blood vessels."


    For a time, the opinions of everyone present were not unified.


    Li Yao carefully observed the video and was silent for a long time before she said:


    "Lu Chen''s technique is very skilled. He has definitely done pericardiocentesis many times. And this is a relatively safe puncture point under the xiphoid process. Generally, it will not hurt the myocardial tissue."


    "I think it''s because of the formation of fibrous cords in the pericardium. As the effusion decreased, it was pulled and fractured, causing a small amount of bleeding. The drainage fluid turned red. No special treatment is needed for the time being, and it will gradually improve in the future."


    Fiber cords break?


    Everyone was stunned, and most of them heard this theory for the first time.


    "Yes, I have also encountered this kind of patient in CCU before. After two days of observation, the **** effusion will improve."


    At some point, Li Qinghua, the inpatient chief of the Cardiology Department, came to the scene.


    "However, it is also possible that the puncture needle you mentioned touched the myocardial tissue. During the puncture, the needle tip touched the adventitia and caused a small amount of bleeding, which gradually turned bloody. However, there is no need for special treatment in this case, as long as the drainage is kept smooth, Echocardiography confirmed that the effusion is decreasing, and it will get better on its own in a few days.¡±


    Li Qinghua, the chief resident of the Department of Cardiology, is a senior attending physician in the heart. He has been in the clinical front line all the year round. He is currently in charge of emergency consultations in the hospital. His clinical experience is even richer than that of many deputy chief physicians.


    Lin Cui raised her brows, but did not continue to speak.


    Inside the elevator at this time.


    Although this little episode occurred, the patient''s vital signs have improved, and the symptoms of pericardial tamponade have been relieved a lot.


    "Lu Chen, Mr. Li said just now that it doesn''t matter, just observe temporarily." Jiang Qingyan said to Lu Chen.


    Lu Chen nodded and continued to pay close attention to the changes of the patient''s vital signs.


    At this moment, he suddenly noticed the system prompt.


    "Congratulations, the pericardiocentesis is now 85% complete."


    The degree of completion has finally improved!


    It turned out to be a realistic operation, and the training in the virtual space will increase the completion rate to 80% at most.


    However, the current completion rate has only increased by 5%. If you want to increase it to 100%, you still need to continue to work hard!


    ¡­


    Suddenly, there was a squeak outside the door.


    The elevator door has finally been opened!


    At this time, eleven minutes have passed since Lu Chen and others were shut down!


    "Quick, push the hospital bed out!" Li Yao said loudly.


    Outside the elevator, several doctors and nurses from the eight districts in the heart immediately walked into the elevator.


    Everyone worked together to help Lu Chen and others move the hospital bed out.


    "Slow down when the hospital bed leaves the elevator! Don''t be in a hurry!"


    Li Qinghua walked quickly to the bedside.


    "The patient''s vital signs are temporarily stable, but it is still necessary to move to the CCU ward for observation to prevent complications after puncture."


    A free elevator next to ?? is ready.


    The nurse cleans the puncture of the patient''s pericardium.


    The two doctors quickly pushed the hospital bed into the elevator next to it, ready to send it to the CCU on the fourth floor.


    Lu Chen stepped out of the elevator, followed by Jiang Qingyan and others.


    He Sirong followed behind the crowd without saying a word.


    Lu Chen stood in front of Li Yao, still wearing gloves stained with a little blood.


    "Good job!" Li Yao smiled and patted Lu Chen''s shoulder.


    "Teacher, the color of the patient''s pericardial effusion..." Before Lu Chen could finish, he was interrupted by Li Yao.


    "We have already analyzed it outside, you don''t have to worry about the next thing. Go wash your hands quickly and have a good dinner at night."


    "Ah...this..." Lu Chen was stunned.


    "Junior brother, your piercing is so beautiful, go wash your hands." Sun Guoguo also came over, "We''re ready to go."


    Lu Chen was pushed to the bathroom to wash his hands.


    Many doctors and nurses at the scene looked at Lu Chen''s back and sighed inwardly.


    Is this the graduate student Director Li Yao accepted this year?


    Being calm in the face of danger is a stark contrast to the previous student, but he doesn''t look like a freshman!


    ¡­


    Lu Chen walked out of the bathroom of the ward.


    After finishing his clothes, he looked up and found a group of people waiting for him.


    The one standing at the front is Yin Xinhua, and He Sirong is behind her.


    And Jiang Qingyan, Ke Yue, and Sun Guoguo were standing at the elevator entrance.


    "Junior Brother Lu, this time, thank you."


    Yin Xinhua stood in front of Lu Chen and said softly with a smile.


    This patient was first diagnosed by her.


    If anything happens on the way, she is responsible.


    Although this time it was because of the elevator failure, the first doctor will also be held responsible.


    "Senior Sister Yin, you''re welcome, everyone has eight areas in their hearts." Lu Chen smiled.


    "Have you done a lot of pericardiocentesis before?"


    After ??Yin Xinhua praised Lu Chen, he raised his doubts.


    He Sirong behind her also raised her head and looked at Lu Chen suspiciously.


    Everyone is a freshman and rarely comes into contact with pericardiocentesis. Why is Lu Chen so skilled?


    "I did it with my teacher during my internship." Lu Chen nodded.


    "Oh." Yin Xinhua raised his brows, "Which university did you get your undergraduate degree from?"


    "Jiangcheng University School of Medicine."


    "Well, it''s also a good medical school." Yin Xinhua nodded, "It seems that the Jiangcheng University School of Medicine is more hands-off. Even this kind of puncture is done for students."


    Lu Chen smiled without refuting.


    Jiangcheng University School of Medicine does not allow students to perform pericardiocentesis independently. At most, thoracocentesis or abdominal puncture is performed by students.


    "I heard Guoguo say you are going to dinner, so I won''t disturb you."


    Yin Xinhua waved at Lu Chen and left with He Sirong.


    ¡­


    At this time, in the CCU on the fourth floor.


    This patient with pericardial effusion has been placed in the emergency room.


    "What''s the condition of the patient?"


    CCU''s attending doctor Han Kang received the patient from Li Qinghua.


    "There was a large amount of pericardial effusion, and pericardial tamponade occurred. Just after the elevator broke down, an emergency puncture was performed in the elevator!" Li Qinghua explained, "Now the patient''s symptoms have been relieved much."


    "Blind wear?" Han Kang raised his eyebrows.


    "Um."


    "Which doctor in the eight districts in the heart wears it? Such courage!"


    "Not a doctor in this hospital, but a graduate student." Li Qinghua pouted.


    Han Kang smiled when he heard the words.


    "Andy, don''t make fun of me, you said this was worn by graduate students?"


    "Yes, there were only four graduate students in the elevator at that time." Li Qinghua emphasized, "No one else could get in."


    "Really?" Han Kang was stunned, looking at the patient on the bed, lost in thought.


    Now, graduate students can pass through pericardial effusion blindly?


    Thank you for the reward of Zhang Wei and Fang He, thank you for +1.


    (end of this chapter)

 Chapter 91： My great brothers and sisters!

    Chapter 91 My super brothers and sisters!


    Lu Chen and the others went downstairs and got into a commercial vehicle.


    "Xiaofang, I''m sorry, it''s been a long wait." Sun Guoguo said apologetically to the driver in the front row.


    "Hey, it''s okay, Sister Sun, I have nothing to do, so I should send you."


    The driver is a young guy with a good smile and very kind.


    "Thank you, let''s go to Langtaosha Restaurant." Sun Guoguo said with a smile.


    "The one on Friendship Road?"


    "Um."


    "Okay. Director Li won''t come with us?"


    "Mr. Li will go later. She has something to deal with just now."


    "Oh, okay."


    The car slowly hit the road.


    ¡­


    Lu Chen sat in the co-pilot.


    He took advantage of this time to enter the system virtual space.


    Actual combat and virtual are different!


    After this realistic blind penetration, Lu Chen felt that his understanding of pericardiocentesis had become more profound.


    Looking back now, and training in virtual space, he can hone his skills in a more targeted manner.


    And at this time, in the back row of the car.


    Sun Guoguo, Jiang Qingyan and others were whispering.


    "Two junior sisters, tell me about the situation at that time."


    Sun Guoguo is very aware of the dangers of pericardial tamponade.


    Being able to quickly make a decision in such a short period of time and successfully pierce it, the hidden strength of my little junior brother is far stronger than what has been revealed so far!


    "Senior sister, I recorded the video of the call, you can watch it." Jiang Qingyan took out her mobile phone.


    "Oh? Really, that''s great!"


    Sun Guoguo took over the phone and started watching Lu Chen''s operation again.


    Watching the whole process again, Sun Guoguo had to admire Lu Chen''s skill.


    The first is blind wear!


    This alone surpasses the difficulty of most piercings!


    Secondly, the pressure of this puncture is not comparable to that of normal pericardial puncture when the patient already has pericardial tamponade.


    Finally, it is courage!


    Without the assistance of a superior doctor, it takes a big heart to complete such a difficult puncture independently!


    Sun Guoguo asked herself in her heart, if she encountered this situation at the time, would she dare to wear it blindly without hesitation?


    ¡­


    About half an hour later.


    The car slowly parked on the side of the road.


    "Sister Sun, it''s time to wash the sand in the waves."


    At this time, Lu Chen''s consciousness also retreated from the virtual space.


    He looked up at the car.


    This is a very classically decorated restaurant.


    The ?? restaurant has a shiny sign: Langtaosha.


    Everyone got out of the car.


    The driver Xiaofang rolled down the car window, smiled and said to Sun Guoguo: "Sister Sun, tell me after you finish eating, I''ll pick you up."


    "Okay." Sun Guoguo smiled and waved.


    "Sister Guoguo, why didn''t he come with us? He came to see us specially?" Ke Yue pointed to the back of the van leaving.


    "He''s not going." Sun Guoguo whispered, "He''s a pharmaceutical agent, and he''s here to take us to dinner."


    "Oh."


    After saying this, everyone suddenly realized that they stopped asking questions and walked towards Langtaosha Restaurant.


    ¡­


    Li Yao, as one of the only five doctoral supervisors in the Department of Cardiology of Jinghua Second Hospital, can recruit a large number of students every year.


    Every year, she can recruit up to five master students and two doctoral students.


    And with the passage of time, batches of students have graduated, and the number of Li Yao''s students has reached a considerable level.


    However, there are not many students currently staying in Jinghua Second Academy.


    Moreover, most of them are distributed in various departments or laboratories of the hospital, not necessarily in the Department of Cardiology.


    ¡­


    Lu Chen and others came to Box 666 of Langtaosha Restaurant.


    Push open the box door.


    There were about ten people sitting in the room.


    The majority of girls are girls, and there are only three boys.


    "Oh, Guoguo is here!"


    One of the tall, Chinese-styled boys stood up and laughed, then pulled out the seat beside him.


    "Guoguo, come and sit with me."


    Sun Guoguo smiled and waved his hand to refuse:


    "Senior Brother Liu Yang, I''m sitting with these new junior sisters and brothers. If you want to drink, I won''t accompany you."


    Liu Yang glanced at Lu Chen and smiled softly: "This year, a junior brother has come, not bad, our male voice has increased again!"


    Then, he turned his eyes to Jiang Qingyan and Ke Yue, and couldn''t help sighing, "Tsk, two beautiful junior sisters are here."


    At this time, Sun Guoguo was also introducing to Lu Chen and the others: "All the brothers and sisters here are brothers and sisters. This brother Liu Yang is our senior brother and a postdoctoral fellow of Teacher Li Yao. He is currently working in the teacher''s laboratory."


    "Don''t look at the big brother who is usually a chatter, but this is another person when he is an experiment. He is one of the candidates for this year''s Huaxia National Outstanding Youth..."


    "There are several other brothers and sisters, you all know each other."


    Lu Chen, Jiang Qingyan, and Ke Yue greeted the brothers and sisters present.


    Probably because Lu Chen was a new boy, Liu Yang called him to sit next to him.


    And Jiang Qingyan and Ke Yue also sat next to Sun Guoguo.


    The three of them are newcomers, and everyone''s attention is on the three of them.


    "Eldest brother, my name is Lu Chen, I just came to the department recently." Lu Chen glanced at himself, the big brother.


    found that he did not look like a traditional scholar at all, he was tall and tall, and he seemed to exercise regularly.


    Liu Yang smiled and patted Lu Chen''s shoulder, making his shoulder a little sore.


    "Well, yes, since you have chosen Mr. Li Yao as your tutor, you have to work hard! If you have any difficulties, you can go to the laboratory to find me. I am there almost every day."


    "Thank you, Senior Brother." Lu Chen smiled and nodded.


    "Where did you get your undergraduate degree?"


    "Jiangcheng University."


    "Jiangcheng? My doctorate is from Jiangcheng University." Brother Liu Yang immediately became interested and began to discuss some things about Jiangcheng University with Lu Chen.


    Lu Chen can also feel it, he, the big brother, is really talkative!


    From the moment he entered this box, he felt that Senior Brother Liu Yang never stopped.


    From life to study, and finally to love, this senior Liu Yang has to ask again.


    "No girlfriend yet?"


    "No." Lu Chen shook his head.


    "Oh, junior brother, you can''t do that! Now, while you''re young, you need to talk a few more times. You won''t have the time or energy to talk about it in the future."


    When it comes to feelings, Liu Yang speaks in a straightforward manner.


    "Senior brother, don''t teach bad junior brother." A girl next to him smiled, "You are still single, and you still come to the teacher to fall in love? Don''t you want to teach him to be single for another ten years?"


    Liu Yang heard the words and coughed lightly, "Well, I''m doing scientific research, which is different from those of you who do clinical work. I don''t need a girlfriend."


    The girl shrugged, and then sighed lightly on her forehead.


    Lu Chen smiled and thought to himself at the same time.


    National outstanding youth candidates, is this the image?


    (end of this chapter)

 Chapter 92： National Excellent Youth

    Chapter 92 National Excellent Youth


    Although Lu Chen is not very familiar with Huaxia''s current academic titles, he has also heard of "Excellent Youth" and "Jiuqing".


    The National Outstanding Youth and the National Outstanding Youth have now become the two most important fund projects of the Huaxia Talent Echelon.


    This is the goal of almost every young and middle-aged scholar, and it is also a talent resource that every scientific research unit and university must compete for!


    Being able to be rated as "Excellent Youth" has unlimited future development and is the backbone of the entire Huaxia scientific research!


    The annual quota for Huaxia National Outstanding Youth is 400, and the quota for outstanding youth is 200.


    And now, Liu Yang, who is sitting in front of Lu Chen, is one of the candidates for "You Qing" and one of the candidates who have high hopes for the Second Academy of Jinghua this year.


    looked at Liu Yang who was chatting with everyone in front of him.


    Lu Chen suddenly had an idea in his heart.


    He, when will he be rated as a national outstanding youth in China?


    How long will it take for this day to come?


    ¡­


    ¡­


    In addition, there are four other brothers and sisters in the Cardiology Department of Jinghua Second Hospital, one in the Cardiology Department of Jinghua First Hospital, and one in the Cardiology Department of Jinghua Third Hospital.


    The rest are left in the school laboratory, or other departments of the Second Academy of Jinghua.


    For example, the girl who just chatted with Senior Brother Liu Yang is the gastroenterology department who stayed in Jinghua Second Hospital after graduation.


    "Why hasn''t Mr. Li come over yet? I have to let the waiter serve the food." Liu Yang glanced at his watch, they had chatted for about twenty minutes.


    "When I was about to get off work, a critically ill patient came to Corey, and then something happened on the way to the CCU." Sun Guoguo explained, "In order to appease the patient''s family, Mr. Li stayed and communicated with the family, and so on. Come over in a moment."


    "There was an accident in the department?" Liu Yang raised his brows.


    "It''s a little troublesome, but this time, it''s thanks to Junior Brother Lu."


    Hearing Sun Guoguo''s words, everyone turned their attention to Lu Chen.


    Why is ?? related to Lu Chen again?


    "A patient with a large amount of pericardial effusion had symptoms of cardiac tamponade. When he took the elevator to the CCU, the elevator broke down." Sun Guoguo continued, "Lu Chen punctured the patient in the elevator."


    As soon as he finished speaking, everyone in the room looked at Lu Chen with wide eyes.


    They are all medical majors. Although some of them turned to scientific research after graduation, they are still very aware of the dangers of pericardial tamponade and the difficulty of blind penetration!


    "Junior brother, you are so fierce! Blindly wear it directly in the elevator!"


    "Even puncturing under ultrasound guidance is very dangerous!"


    "Junior Brother Lu, you are almost catching up with Brother Tianhui!"


    Luo Tianhui, Master Li Yao''s master student, stayed in CCU of Jinghua Second Academy after graduation.


    "My junior brother and I are not quite the same. Although I was also blind at the time, the rescue equipment around was well-equipped, unlike my junior and junior brothers who were in the elevator." Luo Tianhui smiled.


    However, the way he looked at Lu Chen changed slightly.


    Originally, he just thought Lu Chen was an ordinary little junior brother.


    Like the junior sisters and juniors who have been transferred over the past two years, they all came here to get a diploma.


    Unexpectedly, the first day this junior brother showed his face, he gave everyone a different opening remarks.


    Blind penetration of pericardiocentesis!


    Even in the intensive care unit of the Cardiology Department, this is an extremely dangerous operation, and few doctors dare to try it.


    Luo Tianhui once performed the pericardiocentesis silently and blindly, but he had no choice but to perform it under extremely critical circumstances.


    "We also recorded the video at that time." Sun Guoguo added.


    Hearing this, everyone became more interested.


    "Guoguo, send me a copy of the video."


    "Just post it in the group, everyone can see it."


    Sun Guoguo pulled Lu Chen, Jiang Qingyan and Ke Yue into the WeChat group of Li Yao''s students.


    Jiang Qingyan posted the afternoon video to the group.


    So, all the brothers and sisters in the scene clicked on the video at the same time.


    "I''m going, Junior Brother''s proficiency in piercing is really unbelievable!"


    "Brother Tianhui, you are an expert in this field. You give a fair comment to the younger brother."


    Luo Tianhui shrugged his glasses, then turned to look at Lu Chen, and said in a low voice:


    "Junior Brother, I am stronger than I was back then."


    When these words came out, everyone present was shocked.


    Although Luo Tianhui usually treats people kindly and can talk nicely with anyone, as long as it involves medicine, he will not easily admit that others are better than him.


    This evaluation is also a bit too high!


    Before everyone regained their senses, Luo Tianhui smiled at Lu Chen.


    "Junior brother, you go to CCU for rotation in the future, you must come to our group, I can book you!"


    These words sound so familiar!


    Lu Chen nodded quickly: "Okay, Brother Luo, I''ll mess with you."


    Now Lu Chen is only a junior doctor at the bottom of the department.


    Although hospitals are not as complex as other industries in society, there are so many sophistication.


    However, the hospital is also a microcosm of society.


    It feels like someone is covering it, and it is still a lot more convenient to do things in peacetime.


    And these brothers and sisters are all direct descendants of Teacher Li Yao, and they have a high degree of trust in each other.


    At this time, Sun Guoguo tapped on the table lightly and said with a smile, "Mr. Li will be here soon and is parking outside."


    "Okay, I''ll let the waiter serve."


    Liu Yang went out of the box door and greeted the waiter to serve the dishes.


    "The food in this restaurant is more characteristic of Jinghua. The two junior sisters and junior brother Lu, you can taste it later, it definitely suits your taste."


    Liu Yang returned to his seat.


    There was an empty seat next to him, which was reserved for Li Yao.


    ¡­


    "Sorry for keeping everyone waiting."


    Within two minutes, Li Yao walked into the box apologetically.


    "Why didn''t the dishes come, I told Guoguo, please don''t wait for me, you should eat first."


    Liu Yang immediately stood up with a smile.


    "Teacher, we are not hungry. And a few juniors and juniors just happened to be here. We are chatting with them, so we are not in a hurry to eat."


    Li Yao shook her head with a smile, and sat beside Liu Yang, "It''s still your mouth to say, okay, let the waiter serve the dishes, everyone must be hungry."


    "I already told the waiter." Liu Yang brought Li Yao a cup of tea.


    "You all know each other?" Li Yao looked at Lu Chen on the side.


    "Yeah." Lu Chen smiled and nodded, "Senior brothers and sisters are all very good."


    Li Yao glanced at Liu Yang, "Then don''t learn from them."


    Liu Yang scratched his head in embarrassment.


    At this time, the waiter brought the dishes.


    "Teacher, you must be hungry, let''s start."


    Li Yao didn''t tease Liu Yang anymore, but stood up with a smile and patted the table lightly.


    "Today''s dinner is to welcome new members to our big family, Lu Chen, Jiang Qingyan and Ke Yue."


    As soon as he finished speaking, Liu Yang took the lead in applauding, and there was warm applause in the box.


    "Everyone got to know each other just now, so I won''t say much. I hope we can help each other in the clinic or laboratory in the future."


    After ??Li Yao made a relatively brief speech, the meal began.


    The cuisine of this restaurant is mainly Sichuan cuisine. The taste is relatively spicy, but it is quite in line with Lu Chen''s taste.


    Led by Liu Yang, several brothers and sisters drank small wine, and the atmosphere at the dinner table became a lot warmer.


    Everyone is discussing some interesting clinical stories, or some bad patients.


    Lu Chen is a qualified listener and occasionally echoes a few sentences.


    The time for a dinner party often passes quickly.


    After about an hour and a half, the meal was almost finished.


    A table of people was divided into several small groups, sitting and chatting.


    "Lu Chen, I think you haven''t registered as a member of the Electrophysiology Association yet?"


    Li Yao suddenly asked Lu Chen something.


    Lu Chen hurriedly said: "Teacher, I''ve been busy recently, so I''ll be registering in the next few days."


    "Register as soon as possible. There will be some electrophysiology academic conferences in the future, so you can be eligible to participate."


    "Well, okay." Lu Chen nodded.


    The assessment of Jinghua Electrophysiology Association is also on the agenda.


    However, according to Li Yao''s meaning, it should be to let him register as an ordinary member.


    But Lu Chen was not reconciled, taking advantage of two more opportunities for assessment.


    He must try to pass the assessment of the elite group!


    Night shift today.


    (end of this chapter)

 Chapter 93： Want to work with me?

    Chapter 93 Want to work with me?


    When everyone walked out of Langtaosha Restaurant, it was nearly nine o''clock in the evening.


    "Sister Sun, how many of you are in total, can I call a car for you again?"


    Xiaofang, a pharmacist, parked his car at the door of the restaurant early, and when he saw everyone walking out, he greeted him.


    "Don''t bother, we are calling a car." Sun Guoguo refused with a smile.


    Xiaofang immediately stepped forward, tucked his small bag under his arm, leaned in front of Sun Guoguo, and said in a low voice with a smile:


    "Sister Sun, originally I was here to invite everyone to dinner today, but this time, Teacher Li invited everyone to eat in her name. On my side, it''s not very good to go to the checkout."


    "Now you are going back to the hospital now, so I will definitely send it."


    "But, with so many of us, you can''t even fit in this car." Sun Guoguo laughed.


    "Sister Sun, don''t worry, I''ll call for two more cars, which should be enough."


    Xiao Fang is a neat clerk, and he can''t help but open the car-hailing app on his mobile phone.


    "Sister Sun, the car is coming, you guys wait a moment."


    "Thank you then." Sun Guoguo smiled. .


    "Hey, no thanks, it should be." Xiao Fang smiled, "Sister Sun, next time you have dinner together, be sure to call me, you can eat anywhere you want, I''ll treat you! But don''t save me money. what!"


    "You have to ask Mr. Li about the meal." Sun Guoguo waved his hand quickly and pouted in Li Yao''s direction, "We little doctors have no right to choose."


    "Okay, I''ll contact Director Li then."


    ¡­


    "Everyone squeaked in the group when they got to the dormitory or home." Li Yao waved at everyone and drove away.


    Sun Guoguo and Lu Chen got into Xiaofang''s car together.


    Lu Chen returned to the bedroom, it was almost half past nine.


    In the ?? WeChat group, everyone reported safety one after another.


    Lu Chen also sent a message of "returned to the bedroom".


    In the bedroom, everyone else was lying on the bed, twitching, or playing games.


    "Lu Chen, have you gone out to dinner?"


    Wang Zihao quickly got up from the bed when he saw Lu Chen coming back.


    "Well, my teacher''s students are having a dinner."


    "Your teachers are very good, and they even organized a dinner together." Wang Zihao curled his lips, "Look at my stingy tutor, let alone a dinner party, he usually doesn''t include meals for overtime classes."


    Lu Chen smiled and said nothing.


    At present, Li Yao is indeed a competent and good mentor.


    "By the way, Lu Chen, I have a relative who wants to be hospitalized in the Cardiology Department tomorrow. Do you still have any beds in the eight districts in your heart?" Wang Zihao asked again.


    Lu Chen frowned and said, "It''s hard to say. I''ll go to the department tomorrow at work and let you know if there is a bed available."


    "Okay, thank you."


    "What''s wrong with your relative?"


    "Hey, after he was tired during this period of time, he always said that his chest hurts. He was hospitalized in the county hospital below. The doctor asked him to do coronary angiography. "


    "Well, okay, there will be a bed tomorrow to inform you."


    "Lu Chen, then please take care of me."


    Lu Chen smiled and nodded.


    It''s not good to work in a hospital near your home.


    There will always be relatives who can¡¯t be beaten to come to you to see a doctor. Due to the world¡¯s sophistication, sometimes it¡¯s not easy to shirk.


    After washing up, Lu Chen didn''t go to bed immediately, but started to read books related to electrophysiology again.


    Tomorrow is Friday again, and it is time to participate in the online assessment of the elite group.


    Li Yao''s matter of letting him register as a member of the Electrophysiology Association earlier is still vivid in his mind.


    If he gave up the elite group assessment and directly registered as an ordinary member, he would not be reconciled.


    However, the assessment of elite members is very difficult. Although there are three opportunities every year, he has tried it once before. He is very unfamiliar with the content involved in the assessment, such as cardiac electrophysiology.


    Before he got those skill books, it was almost impossible to pass the elite group assessment.


    The current Lu Chen, only by desperately draining the effect of these skill books can he have a chance to pass the assessment.


    Be motivated and act like a sea of ??books.


    Lu Chen''s understanding of cardiac electrophysiology is also getting deeper and deeper.


    ¡­


    The next day, Friday.


    On the calendar, today is a good day.


    In the early morning, as soon as Lu Chen woke up, he consumed all his previous gratitude points.


    came a wave of draws.


    "Congratulations on getting the basics of cardiac anatomy (middle)."


    Luckily, another skill book was drawn.


    Lu Chen looked at his system panel.


    In the current system panel, the thanks value is 0 points.


    The system upgrade completion rate is 3%.


    The skills that ?? already possess are:


    Basics of ECG (top), Basics of ECG (middle).


    Heart anatomy (top), heart anatomy (middle).


    Literature Reading Basics (Part 1).


    Pericardiocentesis (85% completion).


    Actually, what Lu Chen is looking forward to most is to get a skill book on electrophysiology or coronary intervention!


    These two surgical skills are the housekeeping skills of cardiologists and the ultimate goal of most doctors.


    However, Lu Chen is not in a hurry. He has to walk step by step, and eat bite by bite, so he still needs to strengthen his basic knowledge.


    ¡­


    came to the department.


    Dong Hao has arrived.


    "Hey, Junior Brother Lu, come and see this."


    Dong Hao smiled and put his phone in front of Lu Chen.


    Lu Chen was taken aback for a moment, and subconsciously looked at Dong Hao''s phone screen.


    This is a short video of a Douyin app.


    The people in the video seem familiar.


    He has a bandage on his head, the background should be in a hospital ward.


    "This, isn''t this the internet celebrity with a herniated brain?" Lu Chen asked tentatively.


    "Yes." Dong Hao smiled, "He woke up the next day after the operation, and now he has been transferred from the ICU to the general ward."


    "Then he''s in a good condition now." Lu Chen laughed.


    In the video, he seems to be recovering well, and he tells his own experience earnestly.


    reminds all fans who follow him to take medicines scientifically and rationally under the guidance of doctors and instructions, and not to repeat his mistakes.


    Dong Hao took back his phone and smiled: "This Internet celebrity is not bad, it''s not the same as being unreasonable. He asked his friend to send a thank you letter and a pennant early this morning. That''s why I know that he has recovered. It¡¯s so good, I even started posting videos on Douyin.¡±


    "He is also a big fortune teller. It is a blessing in misfortune to be rescued from this situation." Lu Chen said.


    "It''s also thanks to you, Junior Brother, who found out in time. If it was later, the situation would be different." Dong Hao smiled, "Junior Brother, I found that your observation skills are very keen, and you can always quickly detect abnormalities in patients."


    "Just one more look at him." Lu Chen smiled.


    "Oh, junior brother, don''t be humble. I also heard about what happened in the elevator yesterday." Dong Hao said, "It''s great to be on duty with junior brother Lu. We can detect changes in the patient''s condition in time. Something went wrong."


    Lu Chen was taken aback for a moment, then glanced at Dong Hao and coughed softly: "Senior brother, do you really want to work with me?"


    "Yeah, what''s wrong?"


    Lu Chen: "..."


    Senior brother, don''t regret it!


    (end of this chapter)

 Chapter 94： Angina pectoris?

    Chapter 94 Angina?


    Open the medical record system, there are 5 empty beds.


    Lu Chen sent a WeChat message to Wang Zihao.


    "There are still empty beds."


    After a while, Wang Zihao returned to WeChat.


    "Okay, come here at nine in the morning."


    ¡­


    After the early shift, Sun Guoguo led everyone to round the room.


    Of the four hospital beds under Lu Chen''s charge, one was vacant.


    The condition of the other three patients is relatively stable, and they are all ready to be discharged on schedule.


    "The 13-bed patient was transferred back from the CCU."


    The crowd came to the 13th bed.


    Lu Chen saw a little girl lying on the hospital bed.


    The little girl with familial hypercholesterolemia.


    The surrounding beds are all elderly people over 60 or 70 years old, and she looks out of place.


    "Children, does your chest still hurt?"


    Sun Guoguo leaned down and touched the little girl''s head.


    The little girl timidly looked at the group of doctors in front of her, then buried her head in the quilt, daring to speak.


    "She feels much better." The little girl''s mother laughed aside, "After the heart surgery that day, her chest pain has eased a lot, thank you doctors."


    "Well, that''s fine." Sun Guoguo stood up, "I will continue to take blood lipid-lowering drugs in the future. She must control her blood lipids for this disease, otherwise she will get sick in the future."


    "Okay." The girl''s mother nodded.


    "You don''t have to be under too much psychological pressure." Seeing that the little girl had been silent, Sun Guoguo continued to comfort her, "Now that the cause has been found, it will get better and better with symptomatic treatment in the future."


    Seems to have heard Sun Guoguo''s words, the little girl slowly stuck her head out of the quilt, her eyes fixed on Sun Guoguo.


    "Don''t worry, it will gradually get better. In the future, you can eat delicious food and play in the amusement park like other children." Sun Guoguo smiled and looked at the little girl.


    There was a glimmer of hope in the eyes of the little girl.


    However, Lu Chen frowned.


    He glanced at the HP on the little girl''s head, it was 65!


    For the time being, there is no danger to life.


    But there is one thing about this little girl that he still doesn''t understand.


    According to her terrible vascular condition, why did the surgeon in the catheterization lab downstairs only perform PTCA instead of primary PCI?


    If it is because the patient is young, she is afraid of affecting her future life.


    But in case, her blood vessels are narrowed again in the future, it will affect her even more!


    This question, I am afraid I can only ask the surgeon face to face in the future.


    ¡­


    Just finished checking the room.


    Before Lu Chen returned to the doctor''s office, he saw Wang Zihao wearing a white coat and walking into the eight districts of his heart.


    Behind him was a middle-aged woman of about fifty years old.


    "Hey, Lu Chen, I brought my great aunt here." Wang Zihao held a hospitalization certificate in his hand and handed it to Lu Chen, "I have asked Mr. Li Yao to issue a hospitalization certificate at the outpatient clinic."


    Lu Chen took the hospitalization certificate and glanced at Wang Zihao''s aunt.


    She is bloated, her face is a little fat, and she wears a necklace around her neck. She smiles, her eyes narrowed into slits.


    "Zihao, you have a hospitalization certificate and ask the nurse to arrange a bed for you first."


    "Okay." Wang Zihao nodded, turned around and said, "Auntie, sit and rest for a while, I''ll go to the nurse''s desk."


    "Well, hurry up and come back."


    After ?? Wang Zihao left, Lu Chen began to ask about the relevant medical history.


    "Aunt Fu, what''s your usual discomfort?"


    "I, it''s my chest pain, in this position." Fu Fengqin pointed at the place on his left chest.


    Lu Chen started a brief record while asking.


    "Then when did your chest pain come on, when you were active, or when you were inactive and when you were resting?"


    "This..." Fu Fengqin paused, "Let me think about it, it hurts when I am active, and it also hurts when I am not active. The pain is irregular."


    Lu Chen wanted to continue asking, but was interrupted by Fu Fengqin.


    "Oh, Xiao Lu, I came to your hospital this time to do a cardiac angiography. You don''t need to ask so many things." Fu Fengqin waved her hand gently, revealing the big gold bracelet on her wrist again. .


    "Auntie, our consultation is a normal procedure for seeing a doctor." Lu Chen smiled helplessly, "And no one can say that you are 100% heart problem?"


    Fu Fengqin hurriedly shook his head.


    "I just have a problem with my heart! Don''t say no to this. I know my own body very well."


    "Then what examination did you do at the local county hospital? Did you do a CTA of the cardiovascular system?" Lu Chen continued.


    "No CTA, but several ECGs."


    Fu Fengqin dug for a long time in her small bag to find three ECGs full of folds.


    Lu Chen picked it up and took a look.


    The three ECGs are similar, all of which are caused by T waves in leads V4-V6 of the chest.


    Only looking at the ECG, the T wave in the chest leads is inverted.


    is indeed a change in myocardial ischemia, combined with the patient''s symptoms, there is the possibility of coronary heart disease.


    At this time, Wang Zihao came back from the front desk of the nurse station.


    "Lu Chen, the beds are lined up, bed 11."


    11 beds, which happened to be the beds under Lu Chen''s control.


    "Okay, you take your aunt to the ward first, I''ll come over immediately with the electrocardiograph." Lu Chen said.


    Fu Fengqin interrupted Lu Chen immediately, "Hey, Xiao Lu, didn''t I give you so many electrocardiograms? Why do you still need an electrocardiogram?"


    Before Lu Chen could speak, Wang Zihao immediately said, "Auntie, the electrocardiogram may change every moment, and this is the department''s regulations. New patients must have an electrocardiogram. Don''t worry about the treatment. Just let the doctor handle it."


    "Zihao, it''s very valuable to do an electrocardiogram, it seems to be fifty or sixty, I don''t want to waste this money!" Fu Fengqin muttered and walked towards the 11th bed.


    Lu Chen''s expression was a little helpless, but he pushed the electrocardiograph and followed behind the two of them.


    Came to bed number 11.


    Under Wang Zihao''s care, Lu Chen took Fu Fengqin''s electrocardiogram, which showed that the results were not much different from before.


    ¡­


    Outside the ward corridor.


    "Lu Chen, my aunt is in a hurry, don''t worry about it." Wang Zihao scratched his head embarrassedly.


    "It''s fine." Lu Chen smiled.


    "When can we arrange a cardiac angiography?" Wang Zihao said, "She is here for this operation."


    Lu Chen frowned and said, "Actually, I just asked a few simple questions, your aunt really doesn''t necessarily have coronary heart disease!"


    "Isn''t it a heart problem?" Wang Zihao was taken aback, "Her electrocardiogram seems to be a change in myocardial ischemia."


    "The EKG can''t represent everything."


    "But she also has chest pain, which is more like angina."


    "The angina pectoris of coronary heart disease is mainly chest pain after exertion." Lu Chen said, "Your aunt''s chest pain is not very typical coronary heart disease angina pectoris."


    Wang Zihao wondered: "That''s not coronary heart disease, what kind of disease could it be?"


    (end of this chapter)

 Chapter 95： Same chest pain, different diagnosis

    Chapter 95 Same chest pain, different diagnosis


    Lu Chen shrugged and said, "It may be a stomach problem, it may be intercostal neuralgia, costochondritis, or cardiac neurosis."


    "Then do you still have a cardiac angiography?" Wang Zihao frowned.


    The patient in front of him is none other than his great aunt.


    Although Wang Zihao usually does not like to take relatives to see a doctor, but now that he accepts this matter, he still has to be responsible to the end.


    "My opinion, I won''t do it for the time being." Lu Chen paused and said, "You can do a coronary CTA first to evaluate the cardiovascular condition. If there is really a problem, then do an angiography."


    "Lu Chen, I also worked in the Cardiology Department during my internship. Sometimes the coronary CTA is not very accurate to see the blood vessels." Wang Zihao wondered, "In case, I said in case, my aunt''s blood vessels really have If she is stenotic, and then ask her to do a cardiac angiography, she will suffer two sins, so it is better to do a cardiac angiography directly, and it will be done in one step."


    Clinically, there are two ways to diagnose coronary heart disease.


    The first one is coronary CTA, which is simply an enhanced CT of the heart vessels. The contrast agent is injected into the blood vessels of the heart, and then developed by a CT machine, you can see the vascular lesions, whether there is blockage, and the degree of blockage.


    The other is cardiac imaging.


    Cardiac angiography generally refers to coronary angiography. The specific operation generally uses radial artery puncture, inserting a sheath, and under the guidance of angiography guide wire, it reaches the left and right coronary sinus orifices, and is imaged by imaging equipment. Individual position, multi-angle dynamic observation of coronary artery stenosis.


    Coronary coronary angiography is currently the gold standard for diagnosing coronary heart disease. Under normal circumstances, coronary angiography can be used to see whether the patient''s coronary vessels have stenosis, which part of the stenosis, and the degree of stenosis, and can diagnose whether there is coronary heart disease. , can also guide the next step in the treatment.


    And coronary CTA, because of the influence of heart rate, vascular plaque, equipment and other factors, there are some false positive results, and the diagnostic accuracy rate is not as high as that of angiography.


    "However, have you ever thought about another point? Coronary angiography is an invasive examination after all. A catheter is inserted into a blood vessel. Even a doctor with the best skills will cause damage to the blood vessel." Lu Chen said, "And Coronary CTA is just a non-invasive imaging test, if it is just to rule out coronary heart disease, why not do CTA?"


    Wang Zihao was silent for a long time, then sighed: "Each method has advantages and disadvantages, let my aunt choose by herself, I can''t call the shots for her."


    "Well." Lu Chen said, "Don''t worry, we will communicate with her, and this is just my suggestion. The superior doctor in the group will also visit the patient to assess her condition and what kind of examination is suitable."


    Wang Zihao smiled and patted Lu Chen on the shoulder: "Thank you brother, sorry to bother you."


    "You''re welcome." Lu Chen smiled.


    ¡­


    After Wang Zihao left, Lu Chen returned to the doctor''s office with an electrocardiogram.


    "Junior Brother, what kind of patient is here?"


    Sun Guoguo, as the chief doctor, inquired about the condition of each new patient as usual.


    "A female patient with chest pain." Lu Chen said, "I want to do a cardiac angiography."


    "Oh, yes, let''s make arrangements for her." Sun Guoguo said.


    Lu Chen paused for a while, before he stopped talking.


    "What''s the matter, Junior Brother?" Sun Guoguo looked back at Lu Chen.


    "I don''t think she looks like coronary heart disease." Lu Chen paused.


    Sun Guoguo was stunned, "What about her electrocardiogram?"


    "Here." Lu Chen handed the electrocardiogram to Sun Guoguo, and continued, "The patient is a fifty-year-old woman with no significant correlation between chest pain and activity, no risk factors for coronary heart disease, no hypertension, diabetes, etc. No history of smoking or drinking."


    At this time, other people in the group also gathered around.


    "The T wave in the chest leads is inverted, do you really not consider coronary heart disease?" Ke Yue whispered aside.


    "Well, at the same time she has chest pains, I also think coronary heart disease should be considered." Dong Hao nodded in agreement.


    Sun Guoguo finished reading the electrocardiogram, but did not express her opinion immediately, she was silent for a while, and said, "Go to the ward to see the patient first."


    ¡­


    The crowd came to the 11th bed.


    Fu Fengqin is chatting with the patient in the next bed.


    Seeing the arrival of the doctors, she hurried back to her hospital bed.


    "Aunt Fu, this is your attending doctor, Dr. Sun." Lu Chen introduced.


    "Hello Dr. Sun." Fu Fengqin''s face was full of smiles.


    "Auntie, I came here to ask some questions about your condition." Sun Guoguo said.


    "Ah? Why are you still asking?" The smile on Fu Fengqin''s face gradually disappeared, but instead he frowned, "Did this little Doctor Lu already ask when he first came here? Don''t you communicate with each other between doctors? Illness? Do you have to ask a second time?"


    Everyone present looked at each other.


    Asking the medical history again is a very common thing in clinical practice.


    Each doctor basically makes his own inquiries and collects first-hand information to judge the condition.


    and not just through the descriptions of other doctors.


    The performance of this aunt in front of her seemed a bit extreme.


    "Also, here are my medical records when I was hospitalized in the county hospital. You can take a look. My condition is all there. You don''t need to ask any more. It''s too troublesome." Fu Fengqin waved her hand impatiently.


    Lu Chen frowned and said solemnly: "Aunt Fu, each of our doctors has a different focus on understanding the medical history, and can check and fill in the gaps. At the same time, this is also the basic process of seeing a doctor, and we still need your cooperation."


    "Oh, your hospital is really troublesome." Fu Fengqin sighed lightly, "I have a heart problem. I want to have a cardiac angiography, why is it so troublesome! Forget it, what do you want to ask, just ask."


    Fu Fengqin was lying on the bed, with his hands behind his head, and said to Sun Guoguo.


    "Ke Yue, you can ask." Sun Guoguo whispered to Ke Yue.


    "Yeah." Ke Yue nodded lightly, took a step forward, and began to ask about his medical history.


    Inquiry is the first mode of communication between doctors and patients.


    is also a very important part.


    a thousand reader with a thousand hamurate.


    Similarly, different doctors will collect different medical history for the same patient.


    Take a patient with "chest pain" as an example, a cardiologist may think it is coronary heart disease, a doctor in respiratory medicine may think of pleurisy, a gastroenterologist may think it is a gastric ulcer, and a surgeon may consider whether it is a hiatal hernia!


    Therefore, the collection of medical history not only needs to be targeted, but also cannot be limited to a single system disease.


    At this time, Ke Yue''s consultation was like guiding the patient to the diagnosis of coronary heart disease.


    "Auntie, do you usually have chest pain after exercise, or chest tightness and discomfort?"


    "What kind of pain is that? It feels like a stone is pressed against your chest? Or is it a needle stick? Or is it a tearing pain?"


    "Can the symptoms of chest pain be relieved after rest?"


    This is because, in Ke Yue''s heart, he has already decided that the aunt in front of him is coronary heart disease.


    (end of this chapter)

 Chapter 96： menopause

    Chapter 96 Menopause


    "Sister Ke, what diagnosis are you considering?"


    Sun Guoguo looked at Ke Yue beside him.


    "I, I judged from the electrocardiogram results that the patient is more likely to have coronary heart disease." Ke Yue frowned and whispered, "Of course, I do not rule out other chest pain diseases."


    "Junior Brother Dong, what''s your opinion?"


    Dong Hao touched the back of his head and said, "I also think it is coronary heart disease. The electrocardiogram and symptoms are consistent with the diagnosis of coronary heart disease."


    "Look, I''ve said it many times, this is coronary heart disease, and you''ve been asking so many times, it''s a waste of time." Fu Fengqin raised her eyebrows and said, as if she had coronary heart disease, and she looked very proud.


    "Junior Sister Jiang, what do you think?"


    Sun Guoguo smiled and looked at Jiang Qingyan again.


    "Senior sister, although the patient''s electrocardiogram shows myocardial ischemia, she has no high-risk factors for coronary heart disease and no typical symptoms of angina pectoris. It can only be said to be suspected coronary heart disease. Digestive tract diseases, cardiac neurosis, and intercostal nerves need to be excluded. Pain, costochondritis, etc."


    "Well." Sun Guoguo nodded, "What about the next treatment plan and plan that you think is feasible?"


    Jiang Qingyan said softly: "Do coronary angiography or coronary CTA to rule out coronary heart disease; if the result is negative, then do gastroscopy to rule out digestive tract diseases, and other minor problems can be checked slowly."


    As soon as Jiang Qingyan finished speaking, Fu Fengqin immediately answered:


    "What are you doing with coronary CT? I want to do cardiac angiography directly. The accuracy is high and it can be done in one step. If you do cardiac CT, I will do it directly at the county hospital. What am I doing here with you?"


    Lu Chen frowned.


    This auntie''s character is too impatient.


    The doctor said one sentence, and she wanted to follow ten sentences.


    "Okay, Auntie, I already know what you want." Sun Guoguo smiled, "I will complete the preoperative examination today and tomorrow, and then I will give you an angiography as soon as possible."


    "Well, that''s good." Fu Fengqin''s ugly face slightly improved, "It''s still Dr. Sun''s refreshing, I''ll listen to your arrangement."


    ¡­


    Sun Guoguo led the crowd away and returned to the doctor''s office.


    "Lu Chen, I didn''t ask you just now, what do you think the patient''s diagnosis is?" Sun Guoguo smiled.


    Among the people present, except for Jiang Qingyan''s diagnosis, the primary diagnosis of everyone else is approaching in the direction of "coronary heart disease".


    Lu Chen said solemnly: "I think the patient''s age has not yet reached the diagnostic criteria for coronary heart disease, and there is no typical chest pain symptoms of coronary heart disease. In addition, we have also overlooked an important point, that is, the patient has recently started menopause. "


    "Menopause?" Ke Yue frowned, "What does this have to do with chest pain?"


    Lu Chen smiled and said: "After menopause, the patient''s endocrine system is disordered, and autonomic nerve dysfunction may occur. What we often call menopause syndrome will eventually lead to cardiac neurosis, followed by symptoms of chest pain, but this kind of The symptoms of chest pain have nothing to do with fatigue and activities. In addition, this patient is more impatient, which may also be related to cardiac nerve dysfunction."


    When the others in the ?? group heard Lu Chen''s explanation, their eyes showed a sudden realization.


    At this time, Sun Guoguo smiled and said, "Actually, everyone''s analysis makes sense. Whether the patient has coronary heart disease, cardiac neurosis, or chest pain caused by other reasons, the idea of ??diagnosis and treatment is similar. , we must first rule out coronary heart disease!"


    "If the patient has coronary heart disease, if we don''t find it out, it would be our doctor''s negligence, and there is a potential threat to the patient." Sun Guoguo continued, "So if you encounter this kind of chest pain, if you don''t fully To be sure, it is still recommended to improve coronary CT or angiography to exclude coronary heart disease.¡±


    "Secondly, it is related to the question of what to check. It is recommended that patients improve coronary angiography, or CTA?"


    "For example, the 11-bed patient who just came here, from a medical professional point of view, do you think whether to do CTA or direct angiography?"


    Seeing that Sun Guoguo smiled at Dong Hao, "Junior Brother Dong, talk about it first."


    "I think it''s better to do cardiac angiography directly. If the patient has vascular stenosis and needs treatment, then another cardiac angiography has to be done. It wastes two examinations and suffers one more crime." Dong Hao thought for a while. .


    Ke Yue also nodded in agreement.


    "Junior Brother Lu, what do you think?"


    Lu Chen said solemnly: "I think it is still necessary to distinguish the disease. If it is just to rule out coronary heart disease, coronary CTA may be better. It is economical, non-invasive, and simple. At the same time, the diagnostic accuracy rate is also over 95%."


    "At that time, if the patient had high-risk factors and had typical symptoms - chest tightness and chest pain after exercise, and there were typical ischemic changes on the electrocardiogram, it was still recommended to do cardiac angiography directly."


    "The patient who was newly admitted to the hospital just now, I don''t think he has coronary heart disease. Even if he does have coronary heart disease, it does not reach the level of stent placement, so I suggest her to do coronary CTA."


    As soon as he finished speaking, Sun Guoguo shook his head slightly and sighed: "Junior Brother Lu''s thinking is more idealistic. In clinical practice, it is often a one-size-fits-all treatment plan. No matter what kind of patient, as long as they have chest pain, they may be asked to Doing cardiac angiography may involve disputes, medical expenses, patient wishes, etc."


    Lu Chen nodded slightly, Sun Guoguo made a lot of sense.


    In terms of single cost, cardiac angiography is far more than cardiac CTA.


    For the sake of performance, many hospitals will exaggerate the efficacy of cardiac angiography to varying degrees.


    tends to sidestep its complications and side effects.


    In fact, there are quite a few patients who only need a simple CTA to rule out the diagnosis, so as to avoid irreversible damage to the blood vessels.


    Sun Guoguo continued: "This new patient just now has a strong request for cardiac imaging after admission. We will tell her all the treatment plans, including the advantages and disadvantages of each method, and let her choose by herself. The most important thing is The only thing is to ask her to sign and agree to undergo a cardiac angiography before arranging the operation."


    "Okay." Lu Chen nodded.


    Clinically, walking on thin ice.


    Only by signing more, communicating more, and keeping paper records, can you protect your rights to the greatest extent.


    At the same time, in the event of a medical accident, the patient can also request to seal the medical record at the first time, and obtain the relevant medical record documents as litigation materials.


    ¡­


    Although this patient is a relative of Wang Zihao, she may not be easy to mess with based on her posture.


    Lu Chen tries his best to do what he can do to perfection.


    Write the two treatment plans in the condition communication and ask Fu Fengqin to sign.


    Choose cardiac angiography, give up coronary CTA.


    ¡­


    (end of this chapter)

 Chapter 97： The hard power of medicine

    Chapter 97 The Hard Power of Medicine


    The duration of normal operation for coronary angiography is relatively fixed.


    "Auntie, the time for your surgery has been arranged. At 2:30 pm next Monday, there will be a nurse in the catheterization room to pick you up."


    Lu Chen came to the bedside again and told Fu Fengqin about the surgery appointment plan.


    "Ah? Have to wait until next Monday?" Fu Fengqin frowned, "It still takes three days? Then what am I doing during the three days in the hospital? You can''t do it earlier in a hospital as big as yours?"


    A series of questions made Lu Chen look rather helpless.


    "The time for regular consultation surgery is fixed, and the operating room will have a unified arrangement."


    "Then you won''t do cardiac angiography during these three days?" Fu Fengqin continued to ask.


    "If it is an acute myocardial infarction, and within the time window of the operation, we will do emergency surgery." Lu Chen said.


    "Then put me in." Fu Fengqin said indifferently, "Zi Zihao is your roommate, so please help."


    "Auntie, this is the rules and regulations of the hospital, it''s not a question of whether I can help or not."


    "Oh, I don''t believe it anymore, can''t anyone in your hospital be blocked?" Fu Fengqin frowned, looking like she didn''t believe it at all.


    Lu Chen shook his head gently, then handed his badge to Fu Fengqin.


    "Auntie, I don''t know if others can block it, but I''m a graduate student of Corey, just a student. What rights do you think I have?"


    Fu Fengqin squinted at Lu Chen''s badge, stunned for a while, then took out his phone from his bag.


    "Then, let''s do this first, I''ll call Wang Zihao, you can go."


    Lu Chen nodded and left the ward.


    ¡­


    As soon as he returned to the doctor''s office, before Lu Chen sat down, he received a call from Wang Zihao.


    "Lu Chen, do the surgery whenever it''s time to do it. Don''t care what my aunt thinks, she''s just that kind of person, she''s usually long-winded and likes to take advantage of it."


    There was a hint of apology in Wang Zihao''s tone.


    We are all doctors at the bottom of the hospital and know each other best.


    There may be such a thing as "plugging", but it certainly has nothing to do with them.


    Lu Chen smiled: "Well, I have communicated with your aunt. She insists on doing a cardiac angiography and is going to do it next Monday."


    "Okay, Lu Chen, I''ll trouble you this time. I must invite you to have a good time outside this weekend."


    "no problem."


    Meeting such a relative, Lu Chen actually sympathized with Wang Zihao.


    Because of love, I have to help.


    However, helping doesn¡¯t necessarily lead to a good reputation.


    ¡­


    hung up the phone, and Lu Chen was about to start writing Fu Fengqin''s medical records.


    "Senior brother, do you want me to write this patient''s first medical record?"


    At some point, Yao Jie, an intern in the group, came to Lu Chen''s side.


    "Okay." Lu Chen nodded. It was the first time he had seen such a positive intern, and he actually asked to write a medical record, "Have you ever written a medical record before?"


    Yao Jie nodded, but shook his head again.


    "When I was an intern in surgery before, I wrote the daily medical records, but not the first medical records." Yao Jie whispered, "And most of the daily medical records are copied and pasted, without any technical content."


    Whether it is a small hospital or a tertiary hospital, most surgical departments only focus on surgery and rarely emphasize the writing of disease course records.


    Even, many surgeons will hire special personnel to write medical records.


    But for internal medicine, medical records largely reflect the level of diagnosis and treatment of physicians.


    Lu Chen smiled and said, "Then Junior Sister, please try to write the first medical record first, and then I will help you to correct it."


    "Yeah." Yao Jie nodded with a smile.


    Lu Chen stepped aside and let Yao Jie sit and write the medical records.


    He himself was not idle, he took out an electrophysiology book he had brought, and began to read it carefully.


    ¡­


    ¡­


    Starting with yesterday''s elevator incident.


    He Sirong''s mood is nervous, self-blame, and now regretful and annoyed.


    She always felt that although she did not get admitted to the Kyoto University School of Medicine, she should be able to count among the top students in the Jinghua Second Hospital.


    Since she entered the department, she has also been valued by her tutor Lin Cui, which made her feel very high.


    However, after yesterday''s elevator incident, her strong self-confidence was completely shattered.


    Lu Chen, this year''s graduate student with her, actually successfully completed the blind puncture of the pericardiocentesis under the emergency situation at that time.


    Whenever He Sirong recalled the scene in the elevator yesterday, the nervousness would reappear.


    This is also the first time she encountered a patient with cardiac tamponade!


    For her who is not yet very experienced in clinical practice, facing this situation, she simply cannot handle it calmly!


    But the person beside her, Lu Chen, was able to calmly complete a series of operations that she failed to complete.


    The ?? contrast is so big that she can''t help but look ugly.


    Came to the department today, He Sirong, intentionally or not, has been paying attention to Lu Chen and looking at him.


    watched him go to take in new patients, write medical records, and now sit at his desk reading.


    "Junior sister, are you in a bad state today?"


    A voice brought He Sirong''s thoughts back to reality.


    "Ah? Senior Sister Yin, what''s wrong?" He Sirong retracted his gaze.


    "What''s wrong with you..." Yin Xinhua said helplessly, "Let''s talk about the medical record you wrote today. I have found several mistakes! And it''s still an obvious mistake."


    He Sirong lowered his head and blushed: "I''m sorry, Senior Sister, I was wrong, I''ll change it right away."


    "Junior sister, wasn''t you like this before?!" Yin Xinhua frowned, "Don''t be affected by the elevator incident last night."


    "As a student, you have done quite well in this situation."


    He Sirong could of course hear it, Yin Xinhua was comforting himself, but nodded silently.


    Seeing that He Sirong is still listless.


    Yin Xinhua thought for a while and continued: "Sister, you must know that clinical skills are indeed very important in our medicine, but it is something that practice makes perfect. The more you do, the more skilled you will become. Compared with clinical practice, you know that What''s more important?"


    He Sirong frowned and was silent for a while before he said, "Scientific research, paper?"


    "Yes!" Yin Xinhua smiled, "The bigger the hospital, the higher the requirements for scientific research. Anyone can do clinical work, even if they can''t, they will be able to do it for a few more years. But scientific research is not enough. In the same way, without scientific thinking and writing ability, no matter how much you study, it will be useless.¡±


    "If you don''t know how to do scientific research, and if you don''t have a thesis, you won''t be able to get promoted. Even if you have excellent medical skills, it''s useless in a big hospital."


    "But if you can write papers, that''s hard power!"


    "Sister, I heard that you have been working as a laboratory under Mr. Lin Cui since your undergraduate days. You have published two Chinese core journals and even an SCI article. This is your hard power!"


    "Clinical skill proficiency can be gradually increased, but this scientific research ability is not achieved overnight, Junior Sister, you are already ahead of most people."


    After Yin Xinhua finished speaking, He Sirong''s eyes became brighter and brighter.


    Yup!


    She published an SCI paper during her undergraduate period!


    As for Lu Chen, as far as she knows, it seems that she hasn''t even published a Huaxia core paper, right? !


    (end of this chapter)

 Chapter 98： The second test begins!

    Chapter 98 The second assessment begins!


    "Senior Brother Lu, I have written the medical records."


    About half an hour later, Yao Jie breathed a sigh of relief, because she finally finished writing her first medical record.


    If Lu Chen wrote the first journey himself, it would take at most ten minutes.


    But for interns who have just entered the clinic, writing medical records is torture.


    Especially when there is no template and no one to teach, it is really moving forward with dark eyes.


    "Well, let me see."


    Lu Chen sat in front of the computer, opened the first trip, and began to check for leaks.


    "Sister, your mistakes are very obvious."


    "First of all, the total number of words in your main complaint, including punctuation, exceeds 20 words. The main complaint is not to write down all the symptoms, but to pick the most important symptoms to describe."


    "Secondly, the numbers in this complaint should use Arabic numerals, not Chinese numerals. For example, the normal way of writing is chest pain for 1 month, not chest pain for one month."


    ¡°¡­¡±


    From the main complaint, current illness history, diagnosis, to the final differential diagnosis and finally, the writing of each step of the disease course record is extremely strict.


    As Lu Chen spoke, Yao Jie nodded straight and recorded it in a small notebook.


    "For you who are writing your first medical history record, it is quite good to be able to write to this level." Lu Chen comforted, "But you still have to work hard."


    "Well, I will, thank you Lu Senior Brother this time." Yao Jie blinked and smiled.


    "No thanks." Lu Chen smiled.


    ¡­


    "Hey, you can see Senior Brother Lu Chen is really nice, he''s so detailed, the key is that he''s handsome."


    After Lu Chen finished speaking, Yao Jie and another intern discussed in a low voice.


    "Yes, other brothers and sisters either don''t teach, or they are not very good at speaking themselves. It is Brother Lu who speaks clearly every time. I like to ask Brother Lu questions very much."


    "Yao Jie, shouldn''t you be..."


    "Bah..." Yao Jie blushed, "Don''t talk nonsense."


    At this time, Lu Chen, who was beside him, also received a prompt from the system.


    "Congratulations, +1 for the thank you for coming to Yao Jie!"


    Lu Chen hopes that the more such junior sisters and juniors, the better!


    After all, if you teach a class for ten minutes, you can get a little thank you, a profitable "business"!


    ¡­


    Just got off work at noon.


    Lu Chen received a WeChat message from Wang Zihao.


    "Lu Chen, please have dinner in the cafeteria at noon, be sure to come!"


    "Okay, no problem." Lu Chen quickly replied.


    If you want to have a good meal in the cafeteria of Jinghua Second Hospital, it will cost a lot of money!


    It seems that Wang Zihao is about to bleed heavily.


    ¡­


    After work, I just walked into the cafeteria.


    Lu Chen heard his voice calling out.


    "Lu Chen, this way!"


    In the corner of the cafeteria, Wang Zihao waved at him.


    On the dining table, three meat dishes were already waving their hands.


    "Get off work so early?" Lu Chen walked briskly and sat next to Wang Zihao.


    "We didn''t have any surgery this morning, so we got off work early, and we didn''t have to go to the department in the afternoon." Wang Zihao smiled, "Lu Chen, I''ll trouble you about my aunt."


    "You have said thank you several times today. Everyone lives in the same dormitory, so don''t see the outside world." Lu Chen smiled.


    "Okay." Wang Zihao nodded, "Not much to say, come and eat, come and eat."


    ¡­


    Back to the bedroom at noon.


    Lu Chen didn''t take a nap, but turned over the book on electrocardiogram and cardiac anatomy.


    Today is Friday.


    Tonight at 8pm is the time for the online assessment of the Electrophysiology Association.


    This is Lu Chen''s second chance, he must take it well!


    Came to the department in the afternoon.


    Lu Chen continued to read books related to electrocardiogram after finishing all his work.


    The accumulation of knowledge is an extremely slow process.


    But fortunately, Lu Chen has a skill book, which not only increases his memory, but also doubles his knowledge in the field of knowledge!


    I got off work at night and went back to my bedroom.


    Before Lu Chen had time to eat, he continued to read books on electrophysiology.


    ¡­


    7:50pm.


    Lu Chen turned on the computer and started to log in to the official website of the Jinghua Electrophysiology Association.


    in the membership application interface.


    Ordinary members do not need to be assessed. After entering the invitation code, they can join directly after paying the membership fee.


    Once you become an ordinary member, you can apply for the assessment of the elite group after one year.


    Elite group assessment, there are three opportunities every year.


    and the conditions for becoming a member of the core group have not yet been opened to the public.


    Like the last exam, the entire exam website has anti-cheating monitoring throughout.


    Once you click on other interfaces, it will be forced to lock, or even exit the exam directly.


    ¡­


    7:55pm.


    Lu Chen took a deep breath, clicked the exam button, and officially entered the exam countdown interface.


    This is Lu Chen''s second assessment.


    But compared to the first exam, Lu Chen''s knowledge level at this time has surpassed his first time, too much!


    It was the first time for him to participate in the assessment, and he could not understand even the most basic electrophysiology.


    Now, he can read various electrophysiology books without barriers.


    ¡­


    At eight o''clock in the evening, the assessment begins!


    Lu Chen entered the exam interface.


    First of all, what catches the eye is the subject of electrophysiological ECG vectors.


    The question type is the same as before.


    However, at that time, Lu Chen was confused when he saw the title.


    But now, he can calmly analyze the question, analyze the question, and then come up with his own answer.


    successfully completed the first electrophysiology question.


    Lu Chen suddenly felt that he might really pass the assessment of the elite group this time!


    Strike while the iron is hot, he started to work on the second question.


    is the subject of ECG vector again


    However, the study during this period was not in vain, and Lu Chen successfully completed the ECG vector problem!


    "If I remember correctly, the third and fourth questions should be heart anatomy!" Lu Chen thought to himself.


    The title of the third question appears.


    is a heart anatomy topic!


    Lu Chen''s face was happy, the question type didn''t change, so his chances of passing it increased a lot!


    Questions 3 and 4 were all heart anatomy questions, and Lu Chen answered them smoothly.


    Next, is the fifth question.


    This is something Lu Chen said he had never seen in his last assessment.


    "This is... an ECG interpretation question!"


    There are six questions left, which appear at one time.


    All are ECG interpretation topics, including the interpretation of ECG vectors.


    "Combat questions are coming!"


    ECG vector and cardiac anatomy are both basic topics.


    ECG interpretation is the most important step in electrophysiology!


    (end of this chapter)

 Chapter 99： rat urine

    Chapter 99 Rat Urine


    Six electrocardiograms are displayed on the computer screen in turn.


    Each ?? is a graphic that is rarely seen in ordinary times.


    Lu Chen glanced over at a glance, and couldn''t make up his mind about all the electrocardiograms.


    "Huh..." He let out a sigh of turbid air to calm himself down.


    The assessment of this elite group is really not easy.


    Just the basics of electrophysiology and cardiac anatomy can stop most people.


    Now we will examine the interpretation of difficult ECGs.


    And this difficulty is gradually increased!


    More importantly, there is a time limit for answering questions.


    There is only 2 minutes for each question.


    Actually, if Lu Chen was given enough time to think, he would be able to interpret most of the electrocardiograms with confidence.


    But now the answering time is limited, and the difficulty of interpretation has increased exponentially!


    Lu Chen''s brain was running frantically, racing against time to start interpreting the electrocardiogram.


    "The first picture, is this supraventricular tachycardia? Idiopathic ventricular tachycardia? Or..."


    "Second picture, pre-excitation syndrome with atrial fibrillation? Or..."


    "Third, third degree AV block? Or second degree? Sinus arrest?"


    ¡°¡­¡±


    The only good news ?? is that these six ECGs can be flipped back and forth.


    Lu Chen answered the three electrocardiograms that he was sure of first, and spent the rest of the time on solving the other three problems!


    ¡­


    Time passed by minute by minute.


    Suddenly, a window prompt popped up on the computer screen.


    "The exam time is over, and the paper will be handed in automatically!"


    Lu Chen was taken aback for a moment, and saw that the system had automatically submitted the test paper.


    "Submitted successfully!"


    And he still has the last ECG left uninterpreted.


    "The assessment result will be sent to you by email within two days, please pay attention to check it."


    The assessment is over, and a small line of words appears at the end of the website.


    "Two more days?!" Lu Chen frowned.


    He remembered that after the last assessment, the website directly informed him that the assessment failed.


    It will take two more days to wait for the result this time.


    For this second assessment, Lu Chen was not very sure.


    Especially the interpretation of the last few ECGs was the most difficult one that Lu Chen had ever seen!


    However, now we can only wait.


    ¡­


    The next day.


    Today is the day Lu Chen and Wang Zihao agreed to go to "Real CS".


    Early in the morning, everyone in the bedroom got up.


    "Everyone, pack lightly, you don''t need to bring anything, there is everything in the real CS hall."


    Wang Zihao invited the entire dormitory, as well as several classmates in his department.


    Lu Chen also took Zhou Wei with him.


    A group of ten people gathered at the gate of Jinghua Second Hospital.


    "Lu Chen, your roommate is so arrogant? We have so many people to play, I''m afraid it will cost a lot of money." Zhou Wei stood beside Lu Chen and whispered.


    Lu Chen smiled, "I heard that it was opened by his relatives. The real CS hall has just opened recently. We are going to gather popularity and help him promote it when we come back."


    "Then I''m the best at this kind of thing." Zhou Wei laughed, "There will be good things like this in the future, you must call me again!"


    Lu Chen curled his lips, "I might need money next time, come back?"


    Zhou Wei hurriedly shook his head and said, "Then I have to think about it, our monthly salary level is not allowed under the conditions!"


    "Have you not been helping others guide the night shift recently?"


    "No, recently my boss asked me to help with experiments, and I didn''t have time to buy night shifts."


    "Did you go to the laboratory?" Lu Chen raised his brows, "The one next to the school library?"


    "Yeah, what''s the matter, have you been there too?" Zhou Wei wondered.


    "No, I heard from the teacher, I haven''t been there yet." Lu Chen shook his head, "How does it feel to work in the laboratory?"


    "Oh, I''m just a coolie raising guinea pigs!" Zhou Wei shook his head and sighed, "After get off work in the daytime, I have to go to the laboratory to take care of the guinea pigs at night, so I won''t say if I''m tired, the smell is really unpleasant. You''ve been in the lab for a long time, do you smell that weird rat urine smell on me?"


    Zhou Wei moved his buttocks and moved closer to Lu Chen.


    "Rat urine..." Lu Chen scolded with a smile, "Fuck you, go away, don''t be disgusting."


    Zhou Wei smiled, "Really, I won''t lie to you, my roommates all said that it smells like this."


    "Stop, let''s not talk about rat urine." Lu Chen said, "If you are in the laboratory, your boss won''t pay you a monthly fee?"


    "Oh, still the labor fee?" Zhou Wei curled his lips, "Don''t think too much, according to my boss''s idea, I can go to the laboratory because of his light, and he pays me? I don''t have to pay the tuition fee. already."


    "Is it so exaggerated?" Lu Chen raised his brows.


    "Hey, Lu Chen, you have to communicate more with your brothers and sisters, and then you will know what kind of person your mentor is." Zhou Wei shrugged helplessly, "I''m pretty good, some teachers even ask students to give their country to the country. The subsidy is handed in... Forget it, I can''t say much about this kind of thing, it''s easy to check the water meter."


    "My tutor is pretty good so far."


    Lu Chen thought of Li Yao.


    I haven''t heard that she has oppressed students yet, and my brothers and sisters have a good evaluation of him.


    "Then you are lucky." Zhou Wei said.


    "Don''t be too negative." Lu Chen patted Zhou Wei on the shoulder, "If you can publish a paper in the lab, then you will earn it."


    Zhou Wei nodded slightly and said, "The motivation that supports my experiments now is to publish papers. If I can publish an SCI paper, even if I only have a name, then I will be considered a first-class scholarship in the future! And the school will also There will be corresponding rewards.¡±


    Jinghua Medical University has regulations. Those who publish SCI papers with an impact factor of more than 1 point will not only be reimbursed for the page fee, but will also be given certain material rewards.


    For example, if you publish a paper with an impact factor of 2, you will be rewarded 1,000 yuan, and if you publish a paper with a 4-point score, you will be rewarded 2,000.


    The reward rules for papers with more than 5 points are different.


    Lu Chen''s senior brother, Liu Yang, published a 10-point SCI paper last year, and the hospital directly awarded 100,000 yuan.


    Knowledge is money, this rule, in many cases, is established.


    However, a SCI paper with a higher score represents far more than a monetary reward, but its influence in the research field.


    Liu Yang, precisely because of this paper, has become a strong contender for "China Excellent Youth".


    This is an honor that no amount of money can buy!


    "Lu Chen, aren''t you going to the lab to mix up a paper?" Zhou Wei wondered.


    These days, I read papers.


    Who cares about your level of diagnosis!


    "I will go, but not now." Lu Chen smiled.


    If he can choose, Lu Chen hopes to be a simple clinician and devote all his energy to clinical practice.


    But the progress of medicine requires the joint efforts of all medical and scientific workers.


    There are still many diseases that have not yet been conquered!


    (end of this chapter)

 Chapter 100： Boss Zhang Xugang

    Chapter 100 Boss Zhang Xugang


    After gathering, everyone got on a bus.


    "If it''s a group ticket, there will be a special car to pick up and drop off in this live CS hall."


    got into the car, and Wang Zihao introduced it to everyone.


    He also held a stack of CS pavilion brochures, which he distributed to everyone in the car one after another.


    "Zihao, I still don''t know what your real CS field is called?"


    A relatively sturdy boy sitting in the front row of the car said.


    "Senior brother, here we call the Counter Terrorism Alliance''s real CS expansion team building base." Wang Zihao said, "You can find it on the Meituan app."


    "I think you have BBQ here! It''s also free for self-service?"


    Wang Zihao smiled and shook his head: "Only the live action CS event is free today, and other entertainment items have not yet been launched. After the official opening, they will be launched one after another."


    Lu Chen also got a leaflet in his hand.


    This team building base is based on real CS and fresh mutton self-service barbecue as its main selling points.


    At the same time, there are other entertainment items, such as billiards, table tennis, board games, hand hemp, electric hemp, chess and cards, etc.


    should be a large entertainment venue.


    ¡­


    After about thirty minutes.


    The bus stopped outside the real CS base.


    "Wow, it''s really big here."


    After getting out of the car, Zhou Wei couldn''t help sighing.


    The CS base in front of you covers a large area, and there are many groves in it, which is very suitable for CS real-life battles.


    All the facilities in the venue are brand new, and it seems that they have just been renovated.


    "To be able to open such a real CS hall, this person is really a local tyrant!" Zhou Wei said "tsk".


    "Everyone come with me, I have already contacted the instructor." Wang Zihao said to everyone, "The instructor will give us some training later, and then we will start playing!"


    "it is good!"


    Everyone was very excited, and many of them came to play live CS games for the first time.


    Came to the front desk inside the CS hall, and a famous instructor was already waiting for everyone.


    There are also some camouflage uniforms and combat equipment beside him.


    "Next, I will do pre-battle training for everyone, and then lead everyone to fight annihilation, offensive and defensive warfare, VIP warfare, espionage warfare, beheading operations and personal warfare, as well as various modes that everyone likes."


    Lu Chen also quickly integrated into the real CS activities.


    During this time, Lu Chen was under a lot of pressure at work.


    Although the ?? system improved his various abilities, it also made his face darker by several degrees!


    Now, if you are busy, go out and have fun!


    ¡­


    After about two hours, everyone was exhausted.


    "Lu Chen, the guns in this live-action CS hall are really powerful. You can switch the weapon type to sniper guns, machine guns, submachine guns, and laser guns!" Zhou Wei sat in Lu Chen and sighed, "As long as the price is not expensive, I will Definitely come back next time!"


    I don''t know when, Wang Zihao came to Lu Chen''s side.


    "Okay, I''ll give my brother a discount next time."


    "Haha, thank you." Zhou Wei smiled.


    ¡­


    Everyone came to the lounge of the base.


    There are many entertainment items here, and everyone goes to play nearby.


    Only Lu Chen and Wang Zihao stayed in the lobby of the lounge.


    "Lu Chen, why don''t you play board games with them? Or play billiards." Wang Zihao sat beside Lu Chen.


    "I don''t know, I just watched them play for a while and came back." Lu Chen smiled.


    "It''s easy, just try it a few times."


    "Then why don''t you play?" Lu Chen laughed.


    Wang Zihao pouted, "When the base was renovated before, I used to come here often, and I was a little tired of playing."


    Lu Chen was taken aback for a moment, "Isn''t this your home?"


    Wang Zihao hurriedly waved his hand, "Don''t think too much, it''s really opened by a relative of mine."


    "I thought you were a hidden rich second generation. If you can''t be a good doctor, then you have to go back and take over the family business." Lu Chen smiled.


    Wang Zihao just wanted to open his mouth to explain.


    At this moment, a hearty voice suddenly came from the ear.


    "Zihao, why did you come to us without saying hello to me!"


    Lu Chen looked back and saw that this was a middle-aged uncle with a big belly.


    Wang Zihao immediately stood up and said, "Uncle Zhang, this is my roommate, a graduate student of the Cardiology Department of the Second Beijing Hospital."


    "Lu Chen, this is my uncle and the boss of this real CS base."


    "Hello Uncle Zhang." Lu Chen followed Wang Zihao''s name.


    "Well, hello, it seems that today are all top students!" Zhang Xugang smiled, "Be sure to have fun, go back and publicize our base."


    "No problem." Lu Chen nodded.


    The three of them sat on the sofa in the hall chatting.


    "Hey, by the way, young man, are you a cardiologist?" Zhang Xugang said suddenly.


    "Yeah." Lu Chen nodded.


    "That''s great. My blood pressure is usually a little high, which is not easy to control, and sometimes I feel dizzy and have headaches. Do you think I need to change to oral antihypertensive drugs? ."


    Zhang Xugang suddenly said to Lu Chen.


    "Huh?" Lu Chen was taken aback, "What kind of medicine do you usually take?"


    "What is maleic acid... what else is flat." Zhang Xugang took out his mobile phone and showed Lu Chen the medicine box in his mobile phone.


    "Enalapril maleate and amlodipine besylate." Lu Chen read the label on the box clearly, "How is your blood pressure control now?"


    "Around 150/80mmHg."


    "That is indeed a bit high." Lu Chen said solemnly, "You can add another antihypertensive drug."


    "Ah? Do you need to add another medicine?" Zhang Xugang frowned, "I still want to reduce the medicine, can''t I increase the dosage of the medicine?"


    "Because your blood pressure is unstable now, primary hypertension usually requires several antihypertensive drugs. We prefer to increase the type of drug rather than increase the dose." Lu Chen explained patiently.


    "Oh, that''s fine, I''ll go to the hospital for a look later." Zhang Xugang nodded.


    Lu Chen could see that he didn''t believe in himself very much, so he didn''t continue to explain.


    "You guys are having fun, you can come to me if you have any questions."


    Zhang Xugang smiled and prepared to get up and leave.


    "Uncle Zhang, wait a minute!"


    At this moment, Lu Chen suddenly stopped him.


    "Huh?" Zhang Xugang looked at Lu Chen suspiciously, "What''s wrong?"


    A trace of doubt flashed in Lu Chen''s eyes.


    Because just now, he subconsciously looked at Zhang Xugang''s health.


    is actually red 59!


    But Zhang Xugang''s face was rosy and his mental state was excellent, he didn''t look like a patient.


    "Uncle Zhang, besides high blood pressure, are you feeling any other discomfort recently?"


    Lu Chen raised his head and looked at Zhang Xugang standing in front of him.


    Zhang Xugang shook his head suspiciously when he heard the words, he didn''t quite understand the reason why Lu Chen asked this.


    "Could it be high blood pressure and cerebral hemorrhage again?" Lu Chen thought to himself.


    But Zhang Xugang''s current state of mind cannot be due to high blood pressure or cerebral hemorrhage!


    "If there is nothing else, I''ll leave first." Zhang Xugang didn''t care about Lu Chen''s words, and was ready to leave.


    And Lu Chen''s eyes were always on Zhang Xugang.


    Just as Zhang Xugang turned around.


    Lu Chen suddenly saw a slightly raised mass next to his neck.


    (end of this chapter)

 Chapter 101： Thyroid mass?

    Chapter 101 Thyroid mass?


    Lu Chen narrowed his eyes slightly.


    If he hadn''t been paying attention to Zhang Xugang, it would have been hard to find this small mass.


    The ?? mass was very small, just next to the trachea, with only a slight bulge.


    As soon as Zhang Xu got up and left, Wang Zihao noticed Lu Chen''s abnormality.


    "Lu Chen, I told you to keep staring at Uncle Zhang, is there any problem?"


    Lu Chen retracted his gaze, turned his head to look at Wang Zihao, and said softly, "Did you notice that there seems to be a small lump around Uncle Zhang''s neck?"


    "Huh?" Wang Zihao glanced at Lu Chen strangely, "Why are you looking at Uncle Zhang''s neck?"


    If it''s a beautiful woman, you can explain it by staring.


    But Uncle Zhang is a middle-aged man with a big belly!


    Why is Lu Chen still staring at his neck?


    "Hey, I''m serious!" Lu Chen said slowly, "I feel a small mass growing on his neck. Did your Uncle Zhang have any illnesses before? For example, swollen lymph nodes, or hyperthyroidism."


    "I really don''t know about this." Wang Zihao shook his head. "He is usually in good health. He has a physical examination every year, but his blood pressure is high, and the rest is fine."


    Lu Chen was silent for a long time.


    He didn''t feel that he was wrong.


    The key is that there is also the issue of his life value. The life value displayed by this system will definitely not be fake!


    "I think there is something wrong!" Lu Chen stared at Wang Zihao''s eyes tightly, "Zihao, why don''t you ask?"


    "What? About the mass on his neck?"


    "Well, what if it''s something bad?"


    Looking at Lu Chen''s firm eyes, Wang Zihao nodded slightly.


    Although everyone didn''t spend much time together, Wang Zihao thought he knew Lu Chen better.


    He is definitely not a pointless person.


    Wang Zihao stood up and walked in the direction Zhang Xugang left.


    ¡­


    The office of the real CS hall.


    Zhang Xugang is making coffee.


    He recently fell in love with making coffee, but after drinking too much of it, he always feels a little overwhelmed, and occasionally has heart palpitations.


    But if you don''t drink it, you feel exhausted.


    "Uncle, your blood pressure is high now, so you should drink less coffee."


    Wang Zihao walked into the office and said to Zhang Xugang with a smile.


    Zhang Xugang smiled lightly, holding a cup of freshly brewed coffee in his hand, and took a sip.


    "Why are you hanging around in my office if you don''t go to play?"


    Wang Zihao smiled.


    At the same time, he inadvertently looked at Zhang Xugang''s neck.


    "I haven''t seen you Uncle Zhang for a long time. Now I''m here to chat with you."


    "Why don''t I believe what you said?" Zhang Xugang smiled and made Wang Zihao a cup of coffee, and put it on his desk.


    "Haha." Wang Zihao touched the back of his head.


    The two chatted a few more times.


    Taking advantage of this opportunity, Wang Zihao carefully observed the mass that Lu Chen mentioned.


    about five minutes later.


    "Uncle Zhang, there seems to be something around your neck..."


    "Ah?" Zhang Xugang was stunned, and subconsciously touched his neck, "It''s okay, there''s no lump."


    "It''s very small, so it may not be easy to find." Wang Zihao leaned in front of Zhang Xugang, "Uncle Zhang, I''ll help you to palpate."


    "it is good."


    Wang Zihao stood beside Zhang Xugang and gently touched his neck with his hand.


    Next to the main trachea, where the thyroid is located, there is indeed a slightly raised mass.


    The lump is not the size of a fingernail.


    Wang Zihao gently pressed the lump, "Uncle, does it hurt?"


    "It doesn''t hurt, I don''t feel anything." Zhang Xugang said, and he touched it himself, "It''s really a lump!"


    "Hmm. Uncle, have you never grown a lump like this before?" Wang Zihao wondered.


    "No!" Zhang Xugang shook his head and said firmly, "It must have only grown recently. I have never found a mass here before."


    Wang Zihao frowned.


    He just finished the palpation.


    It was found to be a painless mass, without any mobility, and with poorly defined boundaries.


    The current feature hints of this block are most likely not a good thing!


    "Zihao, what is this mass of mine?" Zhang Xugang asked suddenly, "Is it hyperthyroidism? I have seen many patients with hyperthyroidism, and a mass will grow on their necks."


    Wang Zihao shook his head: "Uncle, you may not be sure now. You should go to the hospital as soon as possible and have a thyroid ultrasound first."


    "Is it serious?" Seeing Wang Zihao''s serious expression, Zhang Xugang''s heart tightened, "Could it be cancer..."


    "Uncle, let''s not scare ourselves first, let''s do the inspection." Wang Zihao said, "Without auxiliary inspection, we can only guess from thin air now, and it is not accurate."


    "Okay! Then I''ll go now!"


    Zhang Xugang nodded and immediately put down the coffee cup in his hand.


    Before Wang Zihao could react, he saw that Zhang Xugang was already packing his briefcase.


    "Zihao, accompany me to the hospital."


    "Huh?" Wang Zihao was taken aback, "Oh, good."


    ¡­


    Zhang Xugang acted very quickly, and immediately packed up the relevant medical documents.


    Wang Zihao got into his car and started to go to the outpatient clinic of the Second Jinghua Hospital.


    In the car, Zhang Xugang sighed while driving.


    "Zihao, I found that your observation skills are very good. I didn''t even pay attention to this mass at all. You took a look today and found it?"


    "Uncle Zhang, it was actually discovered by my roommate."


    "The graduate student in Cardiology just now?" Zhang Xugang raised his brows and said in surprise.


    "Well, he was the one who first told me you had a mass on your neck, otherwise I wouldn''t have found out."


    Zhang Xugang nodded slightly.


    "If there is a chance in the future, I will thank him individually. Let them play in the pavilion now, I will invite them to barbecue for free at noon, and after the barbecue is over, I will send a car to take them back."


    "Um."


    The car continued to drive in the direction of Jinghua Second Hospital.


    ¡­


    In the lobby of the Real CS Hall.


    Lu Chen was resting with his back on the sofa. It was almost time for dinner, and his stomach started to growl.


    The phone vibrated, Lu Chen picked it up and saw that it was a message from Wang Zihao.


    "Did you go to the hospital for a checkup so soon?"


    Lu Chen was slightly startled.


    But that''s fine, check up early, diagnose and treat early.


    The HP determined by the system is lower than 60.


    Lu Chen felt that most of these were tumor lesions!


    If it''s just a simple benign mass, or hyperthyroidism, it won''t make his HP lower than 60.


    Only thyroid cancer can lead to this consequence!


    At this time, a waitress at the front desk of the Reality CS Pavilion suddenly walked up to Lu Chen.


    "Student Lu, our boss just ordered that there will be a free self-service barbecue later, you can enjoy it as you like."


    "Free independent barbecue?" Lu Chen''s eyes lit up, "When we came, didn''t we say that this activity has not been launched yet?"


    "Well, the boss opened it for you alone."


    ¡­


    one hour later.


    Jinghua Second Hospital, Department of Ultrasound.


    Zhang Xugang has done thyroid ultrasound.


    He handed the ultrasound report to Wang Zihao next to him.


    Thyroid ultrasound results show:


    In the middle of the right lobe of the thyroid gland, a mixed nodule with mainly hypoechoic and mixed echoes was seen, with an unclear boundary and a "crab foot"-like change, with a range of about 2.1x1.4cm, and a "node-in-node"-like change within it... Malignant lesions are not except.


    Thank you Daluzi 1, a salted fish that does not turn over, a horrible, and a natural reward.


    (end of this chapter)

 Chapter 102： Pass the test!

    Chapter 102 Pass the assessment!


    Does not exclude malignant tumors!


    At the moment when he saw the results of the report, Zhang Xugang''s pupils folded slightly, his hands clenched tightly, his chest seemed to have a sullen breath, he wanted to vomit, but he couldn''t spit it out!


    This is a malignant tumor!


    "Uncle, don''t worry, we found it early this time. If it is really a malignant tumor, it must be an early tumor."


    Wang Zihao was holding the ultrasound report sheet, in addition to being a little depressed, he was also a little happy.


    Fortunately, he invited Lu Chen to play in the live CS hall, and luckily Lu met Zhang Xugang!


    Only then can we find the mass on his neck in advance!


    Otherwise, it''s a little later.


    The mass grows bigger, or once the tumor metastasizes far, it is really too late!


    "Zihao, I''m fine." An extremely ugly smile appeared on Zhang Xugang''s face.


    Anyone can see that at this time Zhang Xugang has lost his former energy!


    "My uncle, there is a classmate from the Department of Surgery of the Second Hospital of Jinghua. I asked him to help you ask about your condition." Wang Zihao took a photo of the report and immediately sent it to one of his classmates.


    After posting the photo, Wang Zihao immediately contacted him by phone.


    for a long time.


    He hung up the phone and turned around and said to Zhang Xugang:


    "Uncle, my classmate read this report and asked his supervisor, a director outside the chest, to read it. Still, considering the possibility of malignancy, it is recommended to directly surgically remove it."


    Zhang Xugang nodded, then slumped on the chair in the hall of the inpatient department.


    Now, it''s basically a diagnosis!


    "However, the chest director said, this is most likely an early one!"


    Zhang Xugang raised his head and glanced at Wang Zihao, with a little look in his eyes: "Really?"


    "Well, that''s absolutely true!" Wang Zihao nodded, "My classmate said that early stage thyroid cancer is less malignant, the treatment effect is better, the average patient survival time is longer, and the cure rate is higher."


    If early detection, early diagnosis, and early treatment can be performed, the patient''s tumor will not spread and metastasize, and it is generally curable through radical surgical resection. "


    "Can it be cured?" Zhang Xugang stood up and said quickly, "Then let''s go to the hospital quickly!"


    Wang Zihao nodded and said, "Uncle, my classmate''s tutor just went to the clinic today, let''s go to register first."


    "Okay! Let''s go now!"


    Zhang Xugang couldn''t wait, and now he flew to the outpatient department of the Department of Thoracic Oncology.


    Early stage cancer is a blessing in misfortune!


    Zhang Xugang also thought of it, Lu Chen.


    If it wasn''t for Lu Chen''s early discovery, then I really don''t know when this small mass will be discovered!


    ¡­


    Speaking of the real CS hall here.


    Thanks to Lu Chen''s blessing, the whole group ate free barbecue.


    There are many kinds of self-service barbecues, and they are all grilled by yourself, which makes them taste different.


    But the other people didn''t know that it was because of Lu Chen that they could enjoy this meal, but it was because of the boss''s generosity.


    "Lu Chen, the owner of this shop is really interesting. It is estimated that the barbecue at noon will cost a lot of money! He actually invited us to eat directly, tsk tsk." Zhou Wei shook his head and sighed, "This is how rich people live. ?"


    Lu Chen smiled and said, "They have just opened, so they may need a good reputation. We are not free to eat and drink, and we will definitely help him promote it in the future."


    "Well, that is." Zhou Wei nodded and continued to chew on the mutton skewer in his hand.


    Just then, Lu Chen received a WeChat message from Wang Zihao.


    This is the thyroid ultrasound report made by Zhang Xugang.


    "Don''t rule out thyroid cancer!"


    After reading the ultrasound report, Lu Chen was also a little fortunate: "There is indeed a problem!"


    The ability to complete such a case of remote diagnosis is largely due to the system''s red health prompt and Lu Chen''s excellent observation skills.


    These two are indispensable!


    "Congratulations, the system upgrade is 4% complete!"


    "Congratulations, get +1 thanks to Zhang Xugang!"


    "Congratulations, get +1 thanks from Wang Zihao!"


    Not only did he gain one point of upgrade completion and two points of gratitude, he also identified an early-stage thyroid tumor.


    Lu Chen is in a good mood.


    However, the degree of completion of this system upgrade needs to be diagnosed in order to increase.


    Lu Chen is currently in the general ward, and his progress is too slow.


    Lu Chen had an idea in his heart for a long time. In fact, there is a department, and the completion rate of the system upgrade should be able to increase very quickly.


    That is, the emergency department!


    However, according to Lu Chen''s current rotation plan, his first department is Cardiology, the second is Nephrology, and the third is Gastroenterology.


    The fourth department will be the emergency department!


    Emergency department and pediatrics, these two should be tied for the least popular departments.


    Others were reluctant to go, but at this time Lu Chen was eager to try.


    Looking forward to the emergency department in four months!


    ¡­


    After everyone finished their meal, a special car took everyone back to Jinghua Second Hospital.


    It was four o''clock in the afternoon when we returned to the bedroom.


    Wang Zihao was not in the dormitory, and it seemed that he was still with Zhang Xugang.


    It was a busy day today and it was hot outside. After Lu Chen returned to the bedroom, he took a shower.


    The other roommates all climbed into bed to rest.


    Lu Chen hasn''t been out for a long time. He ran for a long time today, and now his body is sore.


    Lying on the bed, he was not going to continue reading and decided to take a good rest.


    The combination of work and rest can maximize the efficiency of learning!


    However, the phone suddenly vibrated.


    "New mail, please check it!"


    Lu Chen subconsciously thought it was spam, and when he was about to ignore it, he suddenly remembered.


    He took the assessment of the elite group of the Electrophysiology Association yesterday, and the results of the assessment seem to have been sent by email!


    Impossible, this looks like a "spam email, it will be the result notification email!"


    Lu Chen quickly opened the email.


    is indeed an email from Jinghua Electrophysiology Association!


    "Name: Lu Chen."


    "Assessment score: 73 points."


    "Congratulations, you have successfully passed the elite group assessment of Jinghua Electrophysiology Association."


    Looking at the email notification in front of him, Lu Chen couldn''t believe his eyes!


    He, actually, passed!


    passed the assessment, which means.


    He is already a member of the elite group of Jinghua Electrophysiology Association!


    Never thought of it!


    During this period, he relied on those "skill books" day and night to study cardiac anatomy and electrocardiogram.


    Unexpectedly, he really passed the assessment of the elite group!


    ¡­


    Jinghua Electrophysiology Association.


    As the chairman, Cheng Guowen also received the names of all members of the general group, elite group and core group immediately.


    "Xiao Duan, there is nothing special about the new members this year."


    Cheng Guowen flipped through the list and asked the secretary next to him for a short paragraph.


    "Fortunately, the members of the core group have not changed. Eighteen ordinary members have joined. But..." Xiao Duan hesitated.


    "But what..." Cheng Guowen raised his eyebrows.


    "There is a new member of the elite group who is a student of Jinghua Second Academy." Xiao Duan said, "This has never happened before, should we invite him to join the club normally?"


    "Student?" Cheng Guowen asked in surprise, but he thought about it, Director Cao Zhixin seemed to have explained to him that he had a student who wanted to apply for membership in the elite group.


    It seems that it should be the director''s student.


    "Well, invite to join the club normally, and then divide a small area for him."


    "alright, got it!"


    (end of this chapter)

 Chapter 103： The U wave behind the T wave!

    Chapter 103 The U wave behind the T wave!


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


    Suddenly, he received another email.


    is still sent by Jinghua Electrophysiology Association.


    Click to open the email, and you will see a line of bold bold small characters.


    "Congratulations to Mr. Lu Chen, who has officially become a member of the elite group of the Jinghua Electrophysiology Association. I hope that with the joint efforts of everyone, the Jinghua Electrophysiology Association will flourish in the future. The following describes the detailed responsibilities and rights of the elite group members."


    "Responsibilities of members of the elite group: responsible for the interpretation of difficult ECGs in a lower-level hospital..."


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


    This pattern is quite a lot!


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


    Jinghua, as the provincial capital, undertakes the diagnosis and treatment of most difficult and difficult patients in the province.


    Jinghua Electrophysiology Association also undertakes the task of ECG interpretation in lower-level hospitals.


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


    This not only saves medical resources, but also provides greater convenience for patients.


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


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


    Then use the WeChat group to interpret the difficult ECG.


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


    But correspondingly, there are no various benefits.


    Lu Chen is very interested in this model.


    Remote interpretation of ECG should not be regarded as a diagnosis of disease.


    will not improve the completion of the system upgrade, but he may get a certain amount of thanks from it.


    Follow the contact information given in the email.


    Lu Chen contacted the vice president of Jinghua Electrophysiology Association.


    The vice president in charge is the deputy chief physician of the Cardiology Department of Jinghua First Hospital.


    He assigned Lu Chen the tasks of Pingshui County and Fengm County.


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


    There are more than 200 people in the ?? group.


    Members of the ?? group, most of the county-level hospitals, or doctors in township health centers.


    We usually have academic discussions on ECG.


    Occasionally there are difficult ECGs, which are interpreted by members of the Electrophysiology Society.


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


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


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


    joined a WeChat group of several hundred people, but Lu Chen didn''t attract everyone''s attention.


    "In the near future, the association will send you some electrophysiology magazines and books, leave your contact address, and pay attention to check it."


    As soon as he joined the club, he had these benefits, and Lu Chen was still very happy.


    At present, he desperately hopes to be able to get in touch with more cutting-edge medical knowledge, but he always feels a little embarrassed to use it to inquire on the Internet.


    If you can get access to these cutting-edge knowledge from professional learning and formal platforms, it will be more reliable.


    ¡­


    Within five minutes of Lu Chen joining the group, someone sent WeChat.


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


    Instead of welcoming Lu Chen, he sent an electrocardiogram.


    "Could any teacher in the class help me analyze this electrocardiogram, thank you!"


    Come to work!


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


    glanced at the electrocardiogram, and his brows furrowed.


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


    "Isn''t this a normal ECG?"


    "Where am I negligent?"


    Lu Chen stared at the electrocardiogram in the group again.


    pondered back and forth several times, but still did not see any way out.


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


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


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


    Then, the doctor at the township health center immediately replied "Thank you".


    Lu Chen, who was holding his phone, had the expression of an old subway grandpa looking at his phone.


    "That''s it?"


    Normal... ECG?


    Yes... Did he think too much?


    ¡­


    Immediately afterwards, Lu Chen saw that an electrocardiogram would pop up one after another in the group.


    However, most of them are "ventricular premature", "atrial fibrillation", "myocardial ischemia" and so on.


    A slightly more difficult ECG is supraventricular tachycardia.


    These simple ECGs were interpreted by cardiologists in other hospitals.


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


    Suddenly, another electrocardiogram popped up in the group.


    This electrocardiogram was issued by the emergency doctor of Fengm County People''s Hospital.


    "Teachers, help the rivers and lakes!"


    "A male patient with a 1-day exacerbation of malaise, an electrocardiogram just arrived at the emergency department!"


    This picture was posted.


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


    ¡­


    Feng M County People''s Hospital, Emergency Department.


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


    The patient''s condition was extremely poor, with apathy and cyanosis of the lips.


    On the ECG monitor, the blood pressure is only 154/70mmHg, and the heart rate is only 49 beats/min.


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


    "Dr. Zhang, this patient is a relative of a director in the county. The director has called just now, and he must do his best to rescue him!"


    Zhang Wulong nodded helplessly: "Head nurse, the patient''s condition is too serious, and I can''t find any reason for the time being. I have already used all the medicines that should be used, and have invited multiple departments such as cardiology, ICU, and respiratory department for consultation. ."


    "Okay, I see, I have contacted the director, he will come right away." The head nurse said and left.


    Zhang Wulong stared at the electrocardiogram in front of him.


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


    Ask him to judge that some simple electrocardiograms are okay.


    If he encounters this kind of complicated electrocardiogram, he will start to be stretched and lose his head.


    "Isn''t the cardiologist here yet?" Zhang Wulong asked the nurse beside him.


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


    Zhang Wulong thought of the "electrophysiological communication group".


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


    ¡­


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


    P waves were normal, sinus rhythm.


    The rhythm was normal, no premature beats, atrial fibrillation, etc.


    The ST segment in the anterior chest leads is shifted down, and the T wave is inverted.


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


    At this time, someone in the group finally spoke.


    The nickname of the group is a cardiologist in a second-class hospital.


    "The patient has severe myocardial ischemia, does he have a history of coronary heart disease?"


    Zhang Wulong looked happy when he saw someone speaking, and immediately replied: "I don''t have coronary heart disease, but I have a history of hypertension and diabetes in the past."


    The cardiologist from the second-class hospital continued to reply: "There are high-risk factors for coronary heart disease, and it may be angina pectoris or heart failure!"


    At this moment, Lu Chen frowned.


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


    This may not be myocardial ischemia of coronary heart disease!


    Starting tomorrow, there is a small holiday, come on and update.


    (end of this chapter)

 Chapter 104： Professor Lu, its really hypokalemia!

    Chapter 104 Professor Lu, it''s really hypokalemia!


    Zhang Wulong recognized the doctor who spoke in the group.


    His name is Yu Songbei, and he is the deputy chief physician of the Cardiology Department of Pingshui County Hospital of Traditional Chinese Medicine.


    The level of reading the ECG is not bad. He is very active in the group and has always been very enthusiastic to help others to answer the ECG.


    "Thank you, Teacher Yu, for your guidance."


    Yu Songbei replied with a smiley expression: "You''re welcome."


    Zhang Wulong''s urgent mood calmed down a little.


    If you can have a preliminary impression diagnosis, it will be easy to handle.


    Since it is considered to be myocardial ischemia caused by coronary heart disease, it is enough to wait for the cardiologist to come for consultation and then be admitted to the cardiologist for hospitalization.


    ¡­


    "Doctor Zhang, the doctor who consults in the heart is here!"


    The nurse shouted in the corridor.


    Zhang Wulong immediately walked out of the ward and welcomed the cardiologist in.


    "Lao Fan, why did you come here? It''s been almost ten minutes. This patient is a relative of the county leader. The director has already spoken, so I can''t ignore it."


    "Hey, Corey is busy, so I have time to spare." Fan Zhiqing, the chief physician of the Cardiology Department, shook his head slightly, "Let me see what kind of patient it is."


    Zhang Wulong handed the electrocardiogram in his hand to Fan Zhiping.


    "The patient has been fatigued in the last day and has been progressively worsening. He has no special medical history, but he has high blood pressure, and his blood pressure has not been well controlled."


    Fan Zhiping looked at the electrocardiogram, and then performed a simple physical examination on the patient.


    "The patient''s myocardial ischemia is very serious."


    "Well, we also considered coronary heart disease just now." Zhang Wulong nodded, "But the patient has no obvious symptoms of chest tightness and chest pain. The symptoms of coronary heart disease do not seem to match."


    "That may be fatigue and anorexia caused by coronary heart disease and heart failure." Fan Zhiping said, "Some heart failure patients have less typical symptoms, and may have serious gastrointestinal symptoms, such as poor appetite and poor long-term nutritional status. , it may lead to fatigue and poor appetite.¡±


    At present, the diagnosis of Fan Zhiping and Zhang Songbei in Qunli are similar, and they mainly consider myocardial ischemia caused by coronary heart disease.


    "Then I will issue a hospitalization certificate for the Cardiology Department and let him go to your heart." Zhang Wulong said.


    "Okay." Fan Zhiping nodded, "Then I''ll go back to the department."


    "Thanks."


    Zhang Wulong smiled. He was about to issue a hospitalization certificate to the patient, but the phone beside him vibrated.


    He glanced slightly, and found that it was the news of the electrophysiological exchange group, as if someone was at him.


    Zhang Wulong frowned and opened the WeChat group suspiciously.


    Seeing the news in the group, his expression was taken aback.


    Immediately after that, he shouted to Fan Zhiping who was preparing for the emergency department: "Old Fan, wait and leave!"


    Fan Zhiping stopped and looked back in doubt: "What''s wrong?"


    "Look at this electrocardiogram again!"


    Fan Zhiping was stunned for a moment, then walked back to Zhang Wulong''s side quickly and picked up the electrocardiogram on the table.


    "Is it possible hypokalemia?" Zhang Wulong said softly.


    Fan Zhiping''s eyes narrowed, "Hypokalemia?"


    He focused his attention, carefully analyzing every waveform in the electrocardiogram.


    This is¡­ U wave?


    Fan Zhiping found that behind the T wave of this electrocardiogram, there is a very small waveform, the U wave!


    Small U waves are specific waveforms of hypokalemia.


    Fan Zhiping''s frowning brows suddenly stretched out.


    "Yes, this is hypokalemia!"


    "The patient has symptoms of general malaise, which is caused by hypokalemia!


    "In addition, the patient''s heart rate is relatively slow, also because of hypokalemia!"


    In this way, all the symptoms and signs of the patient can be explained!


    "Is it really hypokalemia?" Zhang Wulong asked in surprise.


    "Well, it seems that it is very likely to be hypokalemia!" Fan Zhiping nodded, "The report of the blood test may be out a little late, so take a blood gas analysis immediately to see the potassium in the blood gas analysis. ionic level."


    "Okay!" Zhang Wulong immediately ordered the nurse to collect arterial blood gas.


    Emergency departments are equipped with rapid blood gas analyzers, which usually provide results in minutes.


    Blood gas analysis, which draws blood from the patient''s arteries.


    It can preliminarily evaluate the lung ventilation function and the acid-base balance of the patient, and the blood gas analysis also has the value of potassium ions.


    The nurse started taking arterial blood gas.


    Fan Zhiping did not leave, but stayed in the emergency department, waiting for the results of the blood gas analysis.


    Arterial blood gas collection is completed, three minutes later.


    "Doctor Zhang, the results of the blood gas analysis are out!"


    The nurse handed Zhang Wulong a small note for blood gas analysis.


    Fan Zhiping immediately put his head over.


    "Blood potassium: 1.9mmol/L..."


    The normal serum potassium range is 3.5-5.5mmol/L.


    1.9mmol/L is already a standard for severe hypokalemia.


    Patients are at risk of cardiac arrest or even sudden death at any time!


    "Severely low potassium!" Zhang Wulong said.


    "Quickly replenish potassium!" Fan Zhiping nodded, "Although in general, the potassium ion level in arterial blood is lower than that in venous blood, this patient''s serum ion level should be higher than 1.9mmol/L. , but not by much."


    Zhang Wulong immediately issued a doctor''s order to start potassium supplementation at the same time, both oral and intravenous.


    "Old Fan, based on the patient''s history of hypertension, is there a possibility of protoaldehyde?"


    Fan Zhiping glanced at Zhang Wulong quite unexpectedly, "You are not simple, you are all diagnosed?"


    Everyone has been colleagues for many years, and Zhang Wulong''s level is very clear to him.


    I can¡¯t even see an ECG of myocardial ischemia at ordinary times. How can I directly judge hypokalemia today?


    also said primary aldosteronism?


    "Hey, I don''t have the ability to read an electrocardiogram."


    Zhang Wulong took out his mobile phone and clicked on the WeChat group.


    "No, I posted this picture in the electrophysiology exchange group. At the beginning, some doctors said it was coronary heart disease and myocardial ischemia."


    "However, a teacher just said that it may be hypokalemia, combined with the medical history, consider the original aldehyde, so I called you back."


    Fan Zhiping took over the phone and looked at the chat records in the group.


    The last message in the ?? group was sent by a person with the nickname "Jinghua Electrophysiology Association".


    "@FengM County People''s Hospital Zhang Wulong, there may be hypokalemia, combined with medical history, consider the original aldehyde."


    Fan Zhiping wondered: "Old Zhang, what are you guys doing?"


    "Oh, this group is a group established by Jinghua Electrophysiology Association in order to facilitate academic exchanges in primary hospitals. The members are doctors from some nearby county-level hospitals, and they usually communicate about electrocardiograms. Each group has Several are members of the Jinghua Electrophysiology Association, and they are basically doctors from Jinghua University Hospital, and some are even at the professor level." Zhang Wulong smiled, "But this teacher named Lu Chen, I seem to be the first time today. When I saw him speak, I had no impression of him before."


    "Do you still have such a group?" Fan Zhiping became interested.


    "Yeah, this has only emerged recently." Zhang Wulong said, "I also joined the group through a good friend."


    "Old Zhang, then quickly pull me into the group!" Fan Zhiping patted Zhang Wulong on the shoulder.


    "Hey, you still have to find someone else to see the picture in your heart?" Zhang Wulong teased.


    "Oh, it''s not like you don''t know that the cardiology department of our grassroots hospital doesn''t specialize in electrophysiology." Fan Zhiping shook his head slightly, "There are many difficult electrocardiograms that even our director can''t understand, so we have to ask patients to go to the top. A large hospital. But some patients'' family conditions do not allow it, so they still stay in our department, and it is difficult for us to do it."


    "Okay, then I''ll pull you into the group."


    "Old Zhang, thank you, please give me a meal in a few days."


    "It''s easy to talk."


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen was lying on the bed.


    "Congratulations, +1 thanks to Zhang Wulong!"


    Lu Chen''s face was overjoyed, it seems that this picture is really hypokalemia!


    as predicted.


    After a while, Zhang Wulong sent a message in the WeChat group.


    "@Jinghua Electrophysiology Association Lu Chen, thank you Professor Lu! It''s really hypokalemia!"


    Thanks for the reward I want a girlfriend, Daluzi, Yuntianxing, Kunlinyuanshan, Floating Life Bencun, 20190623.


    (end of this chapter)

 Chapter 105： I want my money back!

    Chapter 105 I want a refund!


    Lu...Professor Lu?


    Lu Chen was stunned, slightly embarrassed.


    then immediately edited a WeChat and sent it to the group chat.


    "I am either a professor or a member of the Electrophysiology Society."


    As soon as he finished sending WeChat, he realized that no one paid any attention to him!


    Because when Zhang Wulong confirmed that the patient was hypokalemic, many people in the group began to bubbling and began to speak.


    "I thought it was also hypokalemia at the time, which obviously has u waves."


    "Yes, although there is an inversion of the T wave, it may be a secondary factor."


    "If it is myocardial ischemia, it does not match the patient''s symptoms of general weakness!"


    "The patient also has a history of hypertension, which may be considered primary aldosteronism."


    ¡°¡­¡±


    You speak, he speaks.


    The whole group chat was so lively that he immediately covered up the message Lu Chen sent.


    However, some people in the group noticed the existence of Lu Chen, a newcomer.


    This newcomer actually carries the title of "Jinghua Electrophysiology Association".


    This is a bit tricky!


    ¡­


    This WeChat group originally had two members of the Electrophysiology Association.


    One is the deputy chief physician of the Cardiology Department of the First Affiliated Hospital of Jinghua Medical University, and he rarely speaks in the group.


    The other is Min Xiaobo, the attending physician of the Cardiology Department of Jinghua Central Hospital. He is a returnee doctor who has just returned to work in China, focusing on electrophysiology.


    Usually he doesn''t speak much, unless he has some difficult electrocardiograms, he will only say a few words in the group.


    Min Xiaobo just got off work.


    Walking out of the inpatient department building of the hospital, took out his mobile phone, and saw that there were dozens of unread messages in the electrophysiology group.


    Because he usually also undertakes some responsibilities for interpreting ECGs, he basically clicks on every ECG to take a look.


    "Hey, this picture is a bit interesting!"


    Usually, it is difficult to have an electrocardiogram to attract Min Xiaobo''s attention, but today''s picture made Min Xiaobo''s attention stay for a while.


    "Well, not bad! It should be hypokalemia caused by primary aldosterone!"


    The first person to be diagnosed with hypokalemia was a title with "Jinghua Electrophysiology Association".


    His name is Lu Chen.


    Min Xiaobo searched for Lu Chen in his mind, why hadn''t he seen it before?


    He is also a member of the elite group of Jinghua Electrophysiology Association?


    Everyone has been assigned to the same area, and there will be no less communication in the future.


    Min Xiaobo clicked on Lu Chen''s WeChat and sent a request to "add friends".


    At the same time, Lu Chen also received a prompt to "add friends".


    "Min Xiaobo of Jinghua Electrophysiology Association, please add a friend."


    Lu Chen had already noticed that there were two other members of the Jinghua Electrophysiology Association in the group.


    He clicked "Accept" right away.


    "Hello, I''m Min Xiaobo from Jinghua First Hospital."


    A simple sentence, and no other redundant information.


    Lu Chen thought about it and replied:


    "Hello, I''m Lu Chen from Jinghua Second Hospital, and I just joined Jinghua Electrophysiology Association recently."


    "Welcome."


    "thanks."


    The two chatted for a while, and then they stopped talking.


    Min Xiaobo still did not recall that there was someone named Lu Chen.


    But, a member of the elite group of Jinghua Electrophysiology Association, shouldn''t he be an unknown person?


    Jinghua''s medical circle is so big, is there another rising star?


    Min Xiaobo was very interested in Lu Chen''s identity.


    After looking at the schedule, there will be a general meeting of the Electrophysiology Association soon, and all members will be present at that time.


    At that time, you should be able to make friends.


    ¡­


    The ??Electrophysiology WeChat group also slowly quieted down.


    Lu Chen put down his phone, ready to rest.


    At this moment, Wang Zihao suddenly pushed open the bedroom door.


    Seeing that everyone was resting, he walked in cautiously.


    Lu Chen raised his head and looked under the bed.


    Wang Zihao just happened to be looking at him.


    The two looked at each other and both smiled.


    Wang Zihao took out a card from his pocket, placed it lightly on Lu Chen''s table, made a gesture to Lu Chen, and went out again.


    He just went out not long ago.


    Lu Chen received his WeChat.


    "I put a membership card on the table for you. It is the VIP membership card of my uncle''s real CS hall. If you go to play with him in the future, it will be a 50% discount!"


    "Thanks, don''t be too polite." Lu Chen replied.


    "My uncle asked me to give it to you." Wang Zihao replied with another WeChat message, "He said that when he finishes the operation, he must invite you to dinner and thank you in person!"


    "it is good."


    Lu Chen learned from Wang Zihao that his uncle Zhang Xugang had been admitted to the hospital.


    Currently diagnosed, the probability is still an early stage thyroid cancer.


    After surgical resection, the prognosis should be good.


    After completing the preoperative examination in the past two days, we are ready to operate immediately!


    ¡­


    The next day.


    Sunday, today is still a rest.


    Lu Chen was awakened by the ringing of Zhou Wei''s phone!


    looked at the time, it was only seven in the morning.


    "So early in the morning, you don''t sleep for a while?"


    "Oh, I''ve been to the lab long ago." Zhou Wei''s helpless voice came from the phone, "Lu Chen, are you free today?"


    Hearing this, Lu Chen became alert, and would not sell him the night shift again.


    "Today is indeed a day off, so tell me what you have to do first."


    Zhou Wei smiled, "I have a day shift here today, can''t you make it?"


    "Help someone on duty again?" Lu Chen wondered.


    "Oh, it''s not called a gang, it''s paid." Zhou Wei laughed.


    Lu Chen hesitated.


    "First tell me which department is the day shift."


    "It''s the day class of endocrinology!" Zhou Wei said, "My second-generation rich classmate who rotates in the endocrinology department has already traveled to other places. I originally took this class for him, but recently I have to do an experiment and have no time. what."


    "Endocrine... Still need to measure blood sugar?" Lu Chen recalled the "nightmare" of measuring blood sugar, not quite poking his fingers!


    "Hey, there is no need to measure blood sugar in the endocrinology day shift." Zhou Wei said.


    "Then I''ll think about it." Lu Chen said.


    "You have to go to work at eight o''clock." Zhou Wei said, "If you don''t show up, then I will sell the class to someone else."


    "How much is this endocrinology day shift?" Lu Chen asked.


    "Three hundred dollars."


    "Okay, deal!" Lu Chen smiled.


    Cough, it doesn''t matter if you have money or not, the key is to study.


    ¡­


    Zhou Wei was quick to do things, and immediately transferred 300 yuan to Lu Chen.


    Lu Chen immediately got up and started to wash.


    Endocrinology on duty, compared to departments such as cardiology, is still easier.


    At most, some patients with diabetes or hyperthyroidism are admitted.


    Lu Chen finished washing up.


    I bought a basket of small steamed buns and soy milk at a bun shop next to my bedroom.


    While eating the buns, he walked towards the endocrinology department.


    I just walked downstairs to the endocrinology department.


    Lu Chen saw the doctors and nurses dressed in the emergency department in full swing, pushing a flat cart into the endocrinology department building.


    On the flat car, there was an old man of about sixty years old.


    He closed his eyes tightly and looked completely unconscious.


    This inpatient building has relatively few floors, only a few wards of the Department of Endocrinology and a teaching and research room of the Department of Endocrinology.


    In other words, this patient was sent to the endocrinology department!


    Thinking of this, Lu Chen was about to enter the door of the inpatient department for a while.


    Now go to Zhou Wei, can you refund the money to him?


    (end of this chapter)

 Chapter 106： About updates and face black.

    Chapter 106 about updates and blackface.


    In the past few days, I have been working day shifts, and my face is dark every day.


    Patients with myocardial infarction are considered mild.


    I worked the night shift last night and didn¡¯t sleep all night.


    I slept all afternoon today, got up and wrote 2 chapters.


    I also really want to update 10 times a day, but it comes with the "black face" attribute, which is not allowed.


    Before ?? was on the shelves, it kept changing twice a day.


    After ?? is on the shelves, there will be as many as there are.


    Hope, your face is not dark!


    (end of this chapter)

 Chapter 107： Three monks have no water to drink

    Chapter 107 The three monks have no water to drink


    Endocrine Zone II.


    doctor''s office.


    "Doctor Min, here is the emergency patient."


    As soon as Min Ling took over, the nurse ran into the doctor''s room.


    "okay, I get it."


    Min Ling nodded, and at the same time was very puzzled.


    The night shift for endocrinology recently is too bad!


    She remembered working a night shift and was very busy.


    Why are there so many emergency patients suddenly?


    Have you been so "hot" recently?


    Min Ling had deep doubts about herself.


    ¡­


    On the other side, Lu Chen slowly walked into the endocrine inpatient department with an uneasy mood.


    These three hundred dollars are too hard to earn!


    However, there are four endocrine wards in this Jinghua Second Hospital.


    The patient will not necessarily receive the endocrine zone he went to.


    but.


    When Lu Chen got out of the elevator and came to the door of the second endocrine area, he saw the flat car in the emergency department in front of him.


    He could only silently accept the fact that he was "black-faced".


    The only good thing is that there is no need to test your blood sugar today.


    As soon as he entered the second endocrinology ward, Lu Chen met Min Ling head-on.


    Min Ling was about to go to the ward where the patient was, but suddenly saw a somewhat familiar figure on the way.


    "You are... Lu... Chen?"


    Min Ling''s memory is very good, she remembered Lu Chen at once.


    Mainly because Lu Chen left a deep impression on him!


    It was the first time she had seen such an outstanding graduate student!


    In the face of emergency rescue, he is calm, and his clinical thinking is in order, even better than many resident physicians who have already worked.


    "Hello Mr. Min."


    Lu Chen also saw Min Ling.


    This is really a coincidence, I worked with her on the last night shift.


    Now the day shift is still with her.


    "Go and change your white coat. I''m here for an emergency patient. It''s bed 18." Min Ling smiled.


    With Lu Chen as a good helper, even if she is busy today, she will feel a lot more relaxed.


    Lu Chen nodded: "Okay."


    I have bitterness in my heart, I can¡¯t say it.


    Lu Chen walked quickly into the duty room and put on his white lab coat.


    Grab a stethoscope and a small medical flashlight in your pocket.


    came to the bedside of the 18th bed.


    On the hospital bed, the patient was still in a coma with his eyes closed.


    However, his right hand occasionally waved involuntarily.


    Lu Chen saw that his health was 45 in red.


    Surrounded by the bed were three middle-aged women, all of whom were supposed to be the daughters of the patient.


    At this time, Min Ling was already issuing medical orders.


    "Go on ECG monitoring, inhale oxygen through nasal cannula, check fingertip blood sugar, and then urgently check blood routine, biochemistry, ions, coagulation items, myocardial enzymes, and blood gas analysis."


    "receive."


    One nurse brought in an ECG monitor, and another nurse started taking blood from the patient.


    The value of fingertip blood sugar came out soon.


    "Doctor Min, fingertip blood sugar is 1.8mmol/L." After measuring blood sugar, the nurse replied immediately.


    "So low?" Min Ling frowned, "Immediately inject two high sugar boluses, then hang a 500ml bag of sugar, and adjust the liquid speed faster."


    "receive."


    Min Ling then looked at Lu Chen next to him: "The emergency department considered this patient to be in a coma due to hypoglycemia, so a CT scan was done and sent to our department."


    Lu Chen frowned and said, "Mr. Min, do you still need to identify it with cerebral infarction?"


    "Yeah." Min Ling nodded slightly, "Although all the current evidence points to hypoglycemia coma, we must not forget that cerebral infarction must be ruled out. Because the treatment of cerebral infarction and hypoglycemia coma are very different."


    Not only hypoglycemic coma patients, but all delirious patients, acute cerebrovascular accidents must be ruled out.


    Then, Lu Chen asked the family members on the side of the patient''s illness.


    The patient has a history of diabetes for more than 20 years and has been taking insulin therapy at home.


    I don¡¯t know what happened recently. I have a bad appetite and eat less, but the amount of insulin I used is still the same as before.


    "Will you have a nervous system examination?" Min Ling continued.


    For delirious patients, in addition to routine physical examination, there is a complete set of neurological examination.


    Examination of the nervous system is cumbersome.


    If it is not used frequently in clinical practice, it is easy to forget.


    In addition to the doctors of neurology, doctors of many other departments will ignore the examination of the nervous system.


    Doctors with departments do not even know how to examine the nervous system at all.


    "A little bit." Lu Chen said.


    Min Ling nodded; "Then let''s start."


    Lu Chen walked to the right side of the hospital bed.


    The first step in the physical examination of the nervous system is to judge consciousness.


    Obviously, the patient in front of him is in a coma, but it is necessary to distinguish whether it is a deep coma or a light coma.


    Next is the examination of the cranial nerves.


    Focus on the examination of the oculomotor nerve, trochlear nerve, and abducens nerve, observe whether there is diplopia, whether the eye movement is in place, whether the angle of the mouth is skewed, and determine whether it is central facial paralysis or peripheral facial paralysis.


    Then check the muscle strength and muscle tension of the patient''s limbs to determine the level of muscle strength and whether there are extrapyramidal symptoms.


    Finally, it is the examination of the sensory system, physiological reflex, pathological reflex, as well as meningeal irritation and autonomic nervous system.


    It took a lot of time to examine the whole nervous system.


    Min Ling looked at Lu Chen''s physical examination and nodded with satisfaction.


    This is not a little bit, but quite a bit!


    For the student in front of her, she liked it more and more.


    Inspection completed.


    Lu Chen was a little tired, let out a breath, and said, "The patient is in a coma... The left nasolabial fold did not shrink during the orbital pressure stimulation, the left limb did not move spontaneously, and the right limb avoided Movement, left pathological signs are not elicited..."


    "In general, the patient currently has signs of hemiplegia of the left limb, which needs to be differentiated from cerebral infarction."


    "Okay." Min Ling nodded, and then said to the family members on the side, "Which of your family members can call the shots, come with me to the office."


    The three family members present, three middle-aged women, looked at each other, but no one spoke for a while.


    Min Ling frowned: "Who are you all from the patient?"


    At this time, one of the middle-aged women with short stature and dark skin stood up.


    "I''m the patient''s daughter, I''ll come with you."


    "Okay." Min Ling nodded, glanced at the other family members, and walked out of the ward.


    Middle-aged women followed.


    ¡­


    doctor''s office.


    Min Ling was sitting in front of the computer, and Lu Chen was standing beside her.


    The middle-aged woman sat aside, her expression restrained and a little restless.


    "At present, the patient is in a coma and is in a relatively dangerous situation. We must first consider hypoglycemia coma, and secondly do not exclude acute cerebrovascular accident, which is what we often call cerebral infarction."


    "Well, I understand." The middle-aged woman nodded, "The doctor in the emergency department told us."


    Min Ling continued: "That''s good. Although we have given corresponding treatment measures, in order to rule out cerebral infarction, we still need to go out for an examination."


    "Check?" The middle-aged woman asked nervously, "Didn''t you already have a CT scan in the emergency room?"


    "Head CT is to rule out trauma and cerebral hemorrhage." Min Ling explained, "Only by doing MRI, can cerebral infarction be ruled out!"


    The middle-aged woman frowned and her eyes flickered. She bit her lower lip and said, "Doctor, I, my brother hasn''t come yet. When he comes, let''s discuss it with him and give you an answer later."


    "Okay, but you have to hurry up. The patient is now in a serious condition. If it is not clear as soon as possible, it may delay the best time for treatment." Min Ling said.


    "Okay, thank you doctor."


    The middle-aged woman nodded and left the ward.


    Looking at the back of the middle-aged woman leaving, Lu Chen frowned and whispered, "Looking at the clothes of the patient''s children, it doesn''t seem like the financial conditions are particularly poor. It takes a long time to discuss how to do an examination... ¡­¡±


    Min Ling smiled helplessly: "Little Lu, as the saying goes, one monk carries water to drink, two monks carry water to drink, and three monks have no water to drink."


    "This person, it''s not that the more the better, and in this place in Jinghua, the idea of ????priority of sons and daughters is more serious. Generally, the family''s property will not keep a daughter."


    "After you come to the hospital, whoever pays the medical bills will make the decision."


    Thank you Jiulu Adviser and Fujisawataka for your reward.


    (end of this chapter)

 Chapter 108： Hypoglycemia? Cerebral infarction!

    Chapter 108 Hypoglycemia? Cerebral infarction!


    After listening to Min Ling''s story, Lu Chen understood.


    Clinically, many things are not black and white.


    In many cases, the patient''s family factors and economic conditions will seriously affect the patient''s treatment effect.


    It¡¯s not just about drugs, or the medical standards of doctors


    Lu Chen began to write the patient''s first course record.


    The main diagnosis at present is hypoglycemia coma, excluding cerebral infarction.


    In this case, it is necessary to complete the cranial DWI examination in time to exclude acute cerebral infarction.


    As for hemiplegia, hypoglycemia can also cause hemiplegia, but the current treatment mechanism is not very clear.


    ¡­


    After half an hour.


    "Dr. Min, 18 beds, just checked blood sugar is 6.6mmol/L."


    The nurse walked into the doctor''s office and shouted.


    "Okay, I understand, go ahead." Min Ling nodded, "Is the patient''s son here?"


    The nurse replied uncertainly: "It seems that a man has come, and their family members are discussing something in the corridor."


    "Yeah." Min Ling stood up, "I can''t delay any longer, I''m going to communicate with the family."


    Min Ling walked out of the doctor''s office, and Lu Chen followed her.


    in the corridor of the ward.


    The four family members of the patient are in a group and are having a heated discussion.


    Seeing Min Ling coming, the middle-aged woman came out.


    "Doctor, my brother is here. He wants to know more about my dad''s condition."


    A thin man with a scar on his right eye took a step forward and said, "Doctor, what''s my father''s condition now?"


    Seeing that the patient''s family members were all there, Min Ling explained patiently: "At present, it is considered to be a coma caused by hypoglycemia, but the existence of acute cerebral infarction cannot be ruled out, so now I have to go out to do a head MRI to rule out cerebral infarction! Diagnosed with cerebral infarction, the treatment method will be very different!"


    The middle-aged man touched his chin and asked in doubt, "Doctor, do you have to do this examination? Can''t you do it?"


    "No, cerebral infarction must be ruled out." Min Ling said.


    The middle-aged man frowned, "I just told a classmate who is a doctor about my dad''s situation, and he said it was hypoglycemia, so I don''t need an MRI."


    Min Ling replied expressionlessly.


    "No, it''s ok, the signature means refusing the inspection, and it''s ok to take all the risks."


    Hearing this sentence, the middle-aged man hesitated again.


    "If the examination is done, it is a cerebral infarction, can it be cured?"


    Min Ling shook her head, "Not necessarily, it depends on the size of the patient''s cerebral infarction and the individual''s condition. Some people have no sequelae, some may become hemiplegia, and a small number of people may even be in a coma forever and become a vegetative state."


    "This..." The middle-aged man was stunned for a moment, then looked back at the other family members.


    "Actually, the inspection is not expensive. It only costs a few hundred dollars, and it can be reimbursed." Min Ling looked at the clothes of the middle-aged man.


    "This..." The middle-aged man paused, "Actually, it''s my dad''s medical insurance. This year, his medical insurance will stop paying, so he may have to pay for it himself."


    Min Ling raised her eyebrows.


    "At your own expense?"


    "Yes. I asked. Now that I have to pay for medical insurance, I will not be able to use medical insurance until three months later."


    "I know you have your own reasons, but your illness doesn''t wait for anyone. You can make a decision within five minutes." Min Ling put down the ultimatum, "Do it, go now. If you don''t do it, just sign."


    "Okay, okay." The middle-aged man nodded quickly.


    ¡­


    Back to the doctor''s office.


    "Little Lu, if your family members are willing to go out and do it later, you can accompany you." Min Ling smiled.


    "Okay, Teacher Min." Lu Chen nodded. , "Do you think his family will agree to go for an inspection?"


    Min Ling paused, then smiled: "Yes, after all, it''s their father, just lying in bed like this, in case of acute cerebral infarction, not to mention the treatment, other family members of their family may gossip."


    "Sometimes, people''s words are scary."


    Lu Chen nodded.


    "Hey, by the way, do you remember the last time you sent a patient to the ICU?" Min Ling said suddenly.


    "Well." Lu Chen nodded, "What happened to the patient later?"


    Min Ling shook her head: "Hey, the patient stayed in the ICU for a few days, and the cost was too expensive, so he was transferred back to the general ward. Within two days, the patient was dying, and he was dragged home yesterday."


    "This is the case with his family. If you don''t take your last breath, you must not drag them home. Otherwise, the neighbors nearby and some relatives will gossip."


    Huaxia people love face and show it most vividly in many things.


    ¡­


    Five minutes later, the middle-aged man walked into the doctor''s office.


    "Doctor Min, we agree to do the examination, you can arrange it now."


    "Okay." Min Ling then glanced at Lu Chen, "Dr. Xiao Lu, you are now taking the patient''s family out for cranial DWI."


    "Well. Lu Chen nodded, then followed the middle-aged man out of the doctor''s office.


    The nurse has put the ECG monitor on the bedside.


    "Doctor Lu, you''re ready, you can go out to check at any time."


    "Okay, then let''s go."


    The four family members of the patient, two in front and two behind, pushed the beds out of the inpatient building of the Endocrinology Department.


    Generally speaking, there is no emergency examination for MRI.


    But head DWI is an exception.


    Cranial DWI refers to magnetic resonance imaging, that is, diffusion-weighted imaging.


    This is a generalized fMRI technique. Clinical application is mainly used to determine acute cerebral infarction, which can clearly display the lesions at an early stage and provide important help for treatment.


    Came to the MRI room.


    Four family members carried the patient to the examination table.


    Lu Chen also came to the operating room and stood beside the operating technician.


    "What''s the condition of the patient?" the technician asked while adjusting the interface of the examination.


    "The patient was admitted to the hospital in a coma, with hypoglycemia and left hemiplegia. We consider the possibility of hypoglycemia coma, but cerebral infarction is not excluded."


    "Oh." The technician nodded.


    In the inspection room, the machine has started to run.


    On the computer, the brain magnetic resonance image began to appear.


    Lu Chen concentrated his attention and watched the video data on the computer.


    One picture after another, slowly developing.


    Until, on a black brain tissue map, a white cloud appeared.


    At this time, the technician glanced back at Lu Chen.


    "You asked the patient to do a DWI, and the diffusion DWI of magnetic resonance showed a high signal image, and consider the possibility of acute cerebral infarction."


    Lu Chen felt a little fortunate, but fortunately Mr. Min Ling insisted on pulling out to do DWI.


    If the patient has been treated for hypoglycemia and the patient does not wake up, the problem will be serious.


    Even if the patient''s family has signed the informed consent, the hospital will still be partially responsible.


    Lu Chen immediately sent a WeChat message to Min Ling.


    "Mr. Min, the result is out, acute cerebral infarction!"


    (end of this chapter)

 Chapter 109： Push into the emergency department!

    Chapter 109 Pushed into the emergency department!


    Endocrine Division II, doctor''s office.


    Min Ling, who received Lu Chen''s WeChat, was shocked.


    To be honest, she just guessed that the patient may have acute cerebral infarction, but the real chance is not large.


    went out to do cranial DWI, just to rule out acute cerebral infarction as usual.


    I didn''t expect that, after doing this, I actually won!


    Hypoglycemia combined with cerebral infarction is very rare.


    is equivalent to winning the lottery!


    I actually met her today.


    Min Ling immediately took out her mobile phone and called Lu Chen.


    "Lu Chen, is the area of ??the infarction large? What are the main parts?"


    After receiving the call, Lu Chen asked the technician who did the inspection.


    "Mr. Min, the teacher in the MRI room said that there is a large area of ??cerebral infarction, and there is also a cerebellar infarction!"


    Min Ling heard the words, her heart sank to the bottom.


    The most severe parts of cerebral infarction are in the brainstem and cerebellum.


    After brainstem and cerebellum infarction, edema occurs after ischemia and hypoxia in brain tissue, physical expansion, resulting in increased intracranial pressure, brain tissue will be squeezed downward, easily squeezed into the foramen magnum, forming foramen magnum hernia.


    can also affect breathing and heartbeat, causing death.


    "Lu Chen, thank you for your hard work. After the examination, I will quickly push the patient back. I have already invited the neurology department for emergency consultation."


    "OK."


    Several family members took the patient out of the MRI room.


    "Slow down, don''t worry." Lu Chen assisted by the side.


    Carrying the patient back to the hospital bed, Lu Chen immediately glued the electrodes of the ECG monitor to the patient.


    "Doctor Lu, how are the test results?"


    Several family members watched Lu Chen nervously.


    "The specific and detailed results will have to wait for the MRI room to report." Lu Chen said, "But the doctor in the MRI room just took a quick look first, considering that there is indeed a large area of ??cerebral infarction!"


    Lu Chen''s voice just fell, and the expressions of the surrounding family members suddenly turned extremely ugly.


    Especially the middle-aged man, the only son of the patient, his brows furrowed into the word "Chuan".


    "Doctor, my dad, can you be cured?" the middle-aged man asked in a low voice.


    Lu Chen paused and said: "I can only tell you that the patient''s current condition is very dangerous, and he may suddenly stop breathing and heartbeat at any time!"


    The middle-aged man frowned.


    He looked at the patient on the bed and swallowed.


    "Now is not the time to talk about the condition, we must hurry up and return the patient to the ward." Lu Chen said.


    He is not aimless.


    Because just after the cranial DWI, Lu Chen suddenly noticed that the patient''s health had changed.


    Suddenly, it dropped 4 points!


    This is not a good sign, the patient must be sent back to the ward quickly.


    "Okay." The middle-aged man nodded.


    Several family members pushed the bed together and prepared to return to the second endocrine area.


    ¡­


    The ??MRI room is in the outpatient building.


    Everyone just pushed the bed out of the door of the magnetic resonance room.


    Lu Chen noticed that something was wrong with the patient on the hospital bed!


    Although the patient has always been in a coma and his left limb is paralyzed, his right limb is very restless, and even during DWI, his right hand will involuntarily wave.


    However, since the DWI examination, Lu Chen found that the patient''s restlessness disappeared!


    This is not a good thing!


    "Beep...beep...beep..."


    Suddenly, an alarm came from the ECG monitor on the hospital bed.


    Lu Chen quickly looked at the ECG monitor.


    The patient''s blood oxygen saturation suddenly dropped from 96% to 88%!


    Lu Chen thought that the blood oxygen clip on the fingertip was not accurate, and immediately changed the patient''s finger to measure the blood oxygen.


    is still 88%!


    And it continued to drop, becoming 85%!


    The health on his head also changed from 50 to 42!


    "Crap! Can''t breathe!"


    Lu Chen''s heart tightened.


    "Doctor, what''s wrong with my dad?" The middle-aged man beside him also noticed something strange.


    "I can''t go back to the department now!" Lu Chen shouted, then looked towards the lobby on the first floor, where the emergency department was located.


    "quick!"


    "Push the bed to the emergency department!"


    Several family members reacted immediately.


    Fortunately, before the hospital bed left the outpatient building, everyone pushed the hospital bed and headed for the emergency department.


    ¡­


    Jinghua Second Hospital, Emergency Department.


    Wang Xiaodong stayed in the emergency department after graduating this year.


    Today is the first day of work.


    As soon as I arrived at the emergency department ward in the morning, I met a patient who was in a coma in the emergency department.


    After being busy for a long time, it was finally delivered to the endocrine safely.


    "Xiaodong, did you send the patient to endocrinology just now?" The colleague on the side laughed cheerfully, "You''re a good start!"


    Wang Xiaodong grimaced.


    "I don''t want this kind of good start."


    If it weren''t for the positions of other departments in the hospital being full, Wang Xiaodong wouldn''t want to come to the emergency room!


    But there is no way!


    His mentor had little influence in the hospital, so he managed to establish a relationship so that he could stay in the school.


    But which department he can stay in is not something he can decide!


    In the end, only the emergency department was left.


    "While working, let''s take exams."


    Wang Xiaodong has an idea right now, when he was working in the emergency department, he tried to test Bo.


    If he wants to continue to stay in Jinghua Second Hospital, and go to other departments, and go to the next level, then only if he is admitted to the doctorate can he have a chance to turn the salty fish over.


    Just when Wang Xiaodong was thinking about his future plans.


    There was a sudden shout from outside the emergency ward.


    "The patient is here! We need rescue!"


    Wang Xiaodong jumped up from the chair immediately, he is the doctor on duty today.


    All rescue work is done by him.


    However, when he ran to the emergency room, he found that the patient on the bed looked so familiar?


    Isn''t this the patient he just sent to the endocrinology department this morning? !


    How come they were sent to their emergency department in a blink of an eye?


    "Xiaodong, don''t stand still, the patient''s blood oxygen saturation continues to drop, prepare for endotracheal intubation!" Wang Xiaodong''s superior doctor Dai Bin shouted to Wang Xiaodong at the door.


    "coming!"


    Wang Xiaodong immediately ran to the bedside of the patient and assisted Dai Bin with endotracheal intubation.


    "What''s the condition of the patient?" Dai Bing asked a doctor beside him while intubating.


    At this time, Wang Xiaodong realized that there was a young doctor standing beside the bed.


    "The patient from the emergency department was sent to the endocrinology department in the morning. We suspected acute cerebral infarction, so we sent out a DWI."


    "As soon as I finished the examination and walked out of the door of the MRI room, the patient''s blood oxygen collapsed. It would be too late to send it back to the department. It is the closest to the emergency department, so I pushed it directly to the emergency department."


    Lu Chen began to briefly describe the patient''s medical history.


    "What''s the result of DWI?" Dai Bin continued to ask.


    "Large area of ??cerebral infarction, and cerebellar infarction!" Lu Chen looked at the patient on the hospital bed and said slowly.


    After listening to Lu Chen''s words, Wang Xiaodong was startled, and his forehead was immediately covered with fine sweat.


    This patient was his first consultation in the morning.


    When the patient came to the emergency department, he was in a coma and his blood sugar was very low.


    Considering hypoglycemia coma, it was sent to the endocrine system.


    Acute cerebral infarction now?


    Dai Bin''s face sank, and he shouted to the nurse beside him, "Call immediately and ask the neurology department, neurosurgery department and ICU emergency consultation!"


    At the same time, Dai Bin''s movements were fast.


    The tracheal intubation was successful and the ventilator was connected.


    Seeing that the patient''s blood oxygen saturation gradually increased and the health value no longer decreased, Lu Chen finally breathed a sigh of relief.


    ¡­


    At this time, the second area of ??the Endocrinology Department, the doctor''s office.


    Min Ling''s right eyelid twitched.


    Lu Chen has been out for so long, why hasn''t he come back yet?


    Nothing will happen, right?


    It will be frequent next Saturday, Sanjiang dare not hope, and update it well.


    Thank you Daluzi, Is it the Three Kingdoms, There is a poem to be reconciled, 268 Keng Ye for the reward.


    (end of this chapter)

 Chapter 110： Giving up is also a better choice!

    Chapter 110 Giving up is also a better choice!


    Just when Min Ling wanted to call Lu Chen, she received his WeChat.


    "Mr. Min, the patient stopped breathing as soon as he finished DWI. I went straight to the emergency department for rescue!"


    Seeing Lu Chen''s WeChat, Min Ling''s head hummed.


    If something happens to the patient during the referral, then she will be miserable as the doctor on duty!


    Min Ling quickly called the doctor on duty in the endocrinology area downstairs and asked him to help take care of the patients in the ward.


    And she herself was wearing a white coat and rushed to the emergency department directly.


    ¡­


    The emergency room of the emergency department.


    Several family members of the patient looked nervously into the emergency room.


    "Doctor Lu, how is my dad''s condition?"


    After the patient''s blood oxygen stabilized, Lu Chen came out to communicate with the patient''s family.


    "The blood oxygen has stabilized, and it did not continue to fall." Lu Chen said.


    At this time, after Dai Bin was intubated, he also walked out of the emergency room.


    Wang Xiaodong took over other rescues, including the use of some breathing stimulants.


    "Who are the family members of the patient?" Dai Bin asked.


    "We are all!" The middle-aged man stood up.


    "Come in with a family member who can call the shots." Dai Bin frowned, "The others are waiting outside the rescue room."


    The middle-aged man followed Dai Bin into the emergency room.


    ¡­


    came to the rescue table.


    The old man was lying in front of the bed. After tracheal intubation, he was already on a ventilator.


    "Dad..." The middle-aged man hurriedly walked to the hospital bed and shouted softly.


    "Your father has now been diagnosed with acute large-area cerebral infarction. We suspect that he has cerebral edema, or even brain herniation, which compresses the respiratory center, so he just stopped breathing." Dai Bin explained on the side.


    The middle-aged man sighed slightly: "Just talk about how to treat it next."


    "We have invited neurosurgery, neurology and ICU emergency consultation." Dai Bin said, "In your father''s situation, emergency surgery may be needed to relieve intracranial hypertension."


    "Surgery?" The middle-aged man immediately shook his head, "I definitely won''t have surgery, so we''ll treat it conservatively."


    Dai Bin frowned upon hearing this.


    "With conservative treatment, it is very likely that the patient will never wake up, and even if he does, he will be paralyzed in bed."


    "I definitely won''t do surgery, you just do your best, we won''t blame your hospital." The middle-aged man reiterated it again.


    Lu Chen reminded: "Mr. Dai, the patient does not have any medical insurance."


    "There is no cooperative medical care in the ordinary government?" Dai Bin was taken aback.


    "No, the medical insurance did not pay this year."


    These days, there are still very few people without medical insurance.


    At least there will be an urban-rural cooperative medical insurance.


    "Then, then you..."


    Dai Bin also stopped persuading patients to undergo surgery.


    Patients who do not have medical insurance and are completely self-paying.


    You expect him to be fine if he doesn¡¯t evade money, and you also expect to pay for the patient¡¯s surgical treatment at his own expense, or such a large-scale craniotomy.


    It is absolutely impossible for family members to agree.


    At this time, the doctors in the emergency consultation came.


    Min Ling also rushed over.


    "Mr. Min, I''m here!" Seeing Min Ling at the door of the emergency room, Lu Chen waved to her.


    Min Ling ran forward panting.


    "Lu Chen, how is the patient now?"


    "After tracheal intubation, blood oxygen was maintained."


    "Yeah." Min Ling nodded, and the heart that she had been holding was also a little relaxed.


    Fortunately, the patient did not have an accident, otherwise the trouble would be big.


    "Xiao Ling, is this your patient?" Dai Bin also saw Min Ling, who was communicating with the consulting doctor about her condition.


    "Mr. Dai, I was also a patient when I first took over." Min Ling shrugged helplessly, "I was admitted by the emergency department considering hypoglycemia and coma. I thought it might be an acute cerebral infarction, so I asked my classmates to push it over to do it. DWI."


    Dai Bin nodded: "Xiaoling, I invited a few departments for consultation just now. The neurosurgery recommends immediate surgery to relieve intracranial hypertension."


    "But the patient doesn''t have medical insurance..." Min Ling frowned.


    "We just learned about this situation." Dai Bin said, "The family refused the operation and wanted conservative treatment."


    "Then let me communicate with the family..."


    This patient was originally in the second endocrine area, and Min Ling was mainly responsible for communication.


    "Lu Chen, you go back to the ward first, and I will take care of the rest." Min Ling said to Lu Chen, "I will ask the teacher in the downstairs area to help take care of our ward. If any patient in the ward changes in condition, assist him to deal with it."


    "OK."


    Lu Chen was useless in the emergency ward, so he returned to the department ahead of schedule.


    Stayed in Minling to communicate with the patient''s family in the emergency department.


    ¡­


    Min Ling spent half an hour in the emergency department.


    in the emergency department ward.


    "If you decide to give up the treatment, please sign here."


    Min Ling printed out a communication record of abandoning treatment in the emergency department.


    She put the communication record in front of the middle-aged man.


    This time, several other daughters of the patient were also present.


    "Doctor, I, I want to ask, with conservative treatment, what are the chances of my dad waking up?"


    The middle-aged man did not sign immediately, and looked up at Min Ling.


    "The chance is very small." Min Ling said softly, "The neurosurgery and ICU doctors also told you just now that the patient cannot be released from the ventilator in this condition. If you want conservative treatment, you should also go to the ICU. . The cost of ICU, presumably you are also aware of it."


    The middle-aged man nodded, and the other family members on the side were silent.


    "So I''ll be honest, conservative treatment doesn''t make much sense without surgery."


    The middle-aged man raised his head and saw that his three younger sisters'' eyes were all red.


    "Hey, Doctor Min, let''s drag my dad home."


    As soon as the ?? voice fell, the surrounding atmosphere became somewhat quiet.


    The middle-aged man lifted the pen and signed his name on the communication record.


    "Doctor Min, let me ask one more question, if the oxygen is removed, how long can my dad last?"


    "Soon." Min Ling replied, "If the ventilator hadn''t been used just now, the person might be gone right away."


    "Well, thank you Dr. Min." The middle-aged man turned his head away, making it difficult to see his expression.


    ten minutes later.


    Several doctors and nurses carried the patient into the ambulance on a stretcher.


    ¡­


    "Xiao Ling, there''s a good graduate student in your department." Dai Bin said to Min Ling with a smile, "If he hadn''t been clever, he had discovered the abnormality of the patient in advance and brought him directly to the emergency department. If something happens, then we will be in trouble."


    "It''s pretty good." Min Ling nodded with a smile, "Unfortunately, he''s not a graduate student in our department, he''s helping his friend to replace the day shift."


    This time, thanks to Lu Chen.


    If the patient''s blood oxygen drop is not detected in time, or the hospital bed is pushed to the second endocrine area stupidly, it will not only delay the patient''s condition, but also let the patient''s family get the handle.


    A lawsuit is indispensable.


    "Mr. Dai, if you are not sure about a comatose patient like this next time, you should ask the doctors below to ask for more consultations from our internal medicine department." Min Ling smiled bitterly, "Otherwise, after being admitted to the hospital, you will have to push it forward. Going to the outpatient clinic for examination is not only troublesome, but also delays the patient''s condition.


    "Hey, there are a lot of emergency patients, and the family members of the patients are also anxious, so sometimes we are not careful about triage." Dai Bin shook his head, "And the doctor who went to work today has not been here for a long time, and may not have enough experience. I will pay attention to it next time. ."


    "Thank you, Mr. Dai."


    Min Ling chatted with Dai Bin a few words, and then returned to the ward.


    ¡­


    "Teacher, his family gave up?"


    Lu Chen, who heard the news, was not in a good mood.


    After all, this patient, he accompanied him all the way to the examination, and then pushed him to the emergency department.


    Lu Chen''s heart is very much looking forward to the patient''s continued treatment.


    "Well, his family''s family conditions don''t allow it." Min Ling sighed.


    She could see that Lu Chen''s expression was somewhat regretful.


    "Xiao Lu, in fact, many times in clinical practice, it''s not that the treatment method is good, and the patient or family member must be asked to choose this kind of treatment."


    "We also need to take into account the patient''s family situation. Like this patient, the cost of surgery, including post-operative rehabilitation, cannot be afforded without 50,000 to 600,000 yuan."


    "Even if his family collects the cost of the operation and the operation is successful, the patient may not be able to take care of himself and needs someone else to take care of him for a long time."


    "Take a ten thousand steps back and say that the patient has undergone surgery, how will their family live in the future?"


    Lu Chen was silent, thinking about Min Ling''s words slowly in his heart.


    Perhaps, sometimes giving up is a better choice.


    (end of this chapter)

 Chapter 111： video call with mom

    Chapter 111 Video Call with Mom


    As soon as he was handed over, he encountered such a critically ill patient.


    Min Ling feels that this day shift is not very good!


    looked at Lu Chen next to him.


    Fortunately, there is a reliable student, otherwise I don¡¯t know how things will end today.


    "Little Lu, you haven''t started school yet?"


    After Min Ling finished the task at hand, she started chatting with Lu Chen.


    "Mr. Min, we start school next week." Lu Chen smiled.


    He came to the hospital on August 1 to report and has been in the department for three weeks.


    "Well, after school starts, you will start to rotate in various departments." Min Ling asked with a smile, "When did you come to our endocrine rotation?"


    Lu Chen took out his mobile phone and looked at the rotation table issued by the graduate department.


    "Endocrinology... oh... it''s the sixth department in my rotation, it will be a long time later." Lu Chen said.


    "Yeah." Min Ling smiled slightly, keeping an eye on her.


    When Lu Chen comes to rotate, he must be brought to his own group.


    He is his own "lucky star"!


    ¡­


    Min Ling''s remarks made Lu Chen realize that school is about to start.


    His postgraduate life is about to officially begin.


    The hospital will also arrange night shifts for them and start cultural classes.


    The most important point of ?? is the thorough examination at the beginning of the semester.


    "You have to prepare well for this thorough examination." Lu Chen thought to himself.


    This thorough examination is not only related to the scholarship level of freshmen, but also determines the candidates for Jinghua Medical University to take the National Medical Skills Test in the second half of the year.


    For this national medical skill test, the entire Jinghua Medical University attaches great importance to it.


    If you can win an award in this kind of exam, the future "appraisal" and "appraisal" will definitely be a green light all the way, unimpeded.


    And for master students, with such a resume, there will be a lot of extra points when applying for doctoral students.


    According to the current notice issued by the school, the exam should be held on the weekend of the first week after the school starts.


    In other words, everyone still has two weeks to prepare.


    The time is tight, you have to hurry up and review!


    ¡­


    morning.


    Lu Chen helped Min Ling treat patients in the second endocrine area, and dealt with various changes in the patient''s condition in the ward.


    The Department of Endocrinology is much better than the Department of Cardiology. Most of the patients are diabetics and their condition is relatively stable.


    Unlike the Cardiology Department, there may be patients with heart failure and angina pectoris at any time.


    But even so, Lu Chen and Min Ling were busy all morning, and they hardly had any time to spare.


    Either this patient''s blood sugar is high, another patient''s blood sugar is low, or another patient has a gout attack.


    "Hey, Dr. Min, it''s been eight lifetimes of bad luck for me and you to treat this day shift!"


    The nurse on the day shift finally took a breath and ran to the doctor''s office to complain.


    "Yesterday, the nurse on the day shift was leisurely. I spent most of the day at the nurse''s station and occasionally measured my blood sugar. How did I come to you... it changed?"


    Min Ling shrugged helplessly.


    "Xiaoguan, this really has nothing to do with me. Yesterday, District 1 accepted emergency patients. Today, it''s our turn to receive emergency patients in District 2. I''m a little busy, that''s what it should be."


    "The patients in the ward have changed so much, how do you explain it?" The nurse glanced at Min Ling angrily, "It''s not your fault, is it your classmate''s fault?"


    He does not mean that.


    Lu Chen felt that the back of his neck was shiny, could it be that his attributes were seen through?


    "Stop talking, another patient is ringing the bell..." The nurse muttered a few words and ran away.


    Lu Chen smiled awkwardly at Min Ling.


    Min Ling spread out her hands and didn''t care.


    ¡­


    The busy morning is over.


    Neither of them had time to go to the cafeteria to buy food, so Min Ling ordered two takeaways.


    After the takeaway arrived, Lu Chen took it to the postgraduate duty room.


    Min Ling ordered claypot rice.


    Lu Chen likes the fish-flavored pork shredded claypot rice the most. I need more rice with rice, it''s really fragrant!


    Before taking a few bites of rice, Lu Chen''s phone vibrated.


    He picked it up and saw that it was his mother''s WeChat video call.


    Click to answer.


    On the other side of the phone screen, the familiar smiling face appeared.


    "Son, isn''t today the weekend? Are you still on duty?"


    Seeing Lu Chen wearing a white coat, Luo Meizhen said in surprise.


    "Yeah, Mom, I''m on day shift today." Lu Chen smiled, then took another bite of rice.


    "You just entered the hospital, so the hospital is so relieved to let you newcomers be on duty?"


    "There is a higher-level doctor here." Lu Chen said, "I just came to write medical records and run errands, mainly because the higher-level doctor came to see the patient."


    "Oh, it''s almost the same this time." Luo Meizhen nodded slightly, "Where are you? You bought it in the cafeteria?"


    "We don''t have time to eat in the cafeteria. The superior doctor ordered takeaway."


    Luo Meizhen said: "Well, you big hospitals must be busier than these small hospitals at home. Xiaochen, you should pay attention to your health in the hospital."


    "Mom, I know how old I am, don''t worry about it." Lu Chen smiled.


    "Xiaochen, you have little clinical experience. If you encounter unreasonable patients, don''t argue with them and take a step back to ensure your personal safety is the most important thing!" Luo Meizhen exhorted earnestly, "When the situation is wrong, Yes, just take off your white coat and hurry to hide, you know?"


    "Mom, it''s not as scary as you said..." Lu Chen was taken aback.


    "Hey, the relationship between doctors and patients is so bad now, and there are frequent incidents of injuries to doctors. No one knows what will happen. You should be careful." Luo Meizhen sighed, "I will retire with your father after a few years. Yes, but you''re just getting started."


    "Don''t worry, Mom." Lu Chen nodded, "I cherish my life very much. If something goes wrong, I''ll run away."


    "Okay." A smile appeared on Luo Meizhen''s face, "Xiaochen, I''m calling you this phone to tell you that your dad and I are planning to visit Beijing for National Day!"


    Lu Chen was stunned.


    In my impression, for so many years, my parents rarely go out to play because of work.


    "This time, your dad and I are going to take the public holiday. It happens that you are in Jinghua, so I will come to play for a while, and I will visit you by the way."


    "That''s good." Lu Chen smiled, "I''ll show you guys around Jinghua then."


    "Okay!" Luo Meizhen smiled brightly.


    at this time.


    There was a knock on the door of the graduate duty room ??.


    "Doctor Lu, come to the emergency room!"


    "Okay, come right away." Lu Chen replied loudly, and then said to Luo Meizhen in the video, "Mom, the patient is here, I won''t tell you."


    Luo Meizhen was about to ask a few more words when Lu Chen hung up the WeChat video call.


    "Hey, this kid is so hot right after going to work." Luo Meizhen shook her head slightly, "It''s really up to his dad!"


    Lu Wenguo, who was on duty in the hospital, suddenly sneezed.


    There is one chapter left, which will be published tomorrow


    (end of this chapter)

 Chapter 112： The large is over, remember to look back!

    Chapter 112 is over, remember to look back!


    Lu Chen took a few tissues, wiped his greasy mouth, and walked quickly to the doctor''s office.


    "There is a gout patient in bed 30."


    Walking into the doctor''s office, Min Ling was already sitting in front of the computer.


    "Well, I''m going to see the patient and ask about the medical history." Lu Chen nodded, grabbed the stethoscope, and walked towards the 30th bed.


    While walking, Lu Chen recalled the concept of gout.


    Gout is a disease caused by the deposition of uric acid crystals in the joints due to excessive blood uric acid levels. The deposited crystals cause painful inflammation in and around the joints.


    With the prolongation of human life expectancy and changes in diet and lifestyle, this data shows an upward trend year by year.


    The age of gout patients is gradually getting younger, the male to female ratio is 15:1, and more than 50% of gout patients are overweight or obese.


    ¡­


    Came to the ward where the 30th bed was.


    As soon as he entered the ward, Lu Chen saw a very young male patient lying on the bed.


    He was about 30 years old, with a thin body and a morbidly pale complexion.


    Lu Chen walked to the bed, he was holding his right leg, grinning, his face full of pain.


    Gout is not a serious disease, but it hurts really badly!


    "Doctor, can you give me some painkillers first?"


    Seeing Lu Chen walk into the ward, the patient quickly raised his head and said.


    "The nurse is dispensing the medicine and will give you the medicine right away." Lu Chen said, "I will now ask you about the specific process of your illness."


    "Hey, I''m sick, and it happens many times a year." Xia Jinhua sighed, exposing his ankles on both sides, and then extending his right hand.


    Lu Chen saw that there were raised bumps on the skin of both his ankles and his right hand.


    This is tophi!


    Tophi is a characteristic clinical manifestation of gout, commonly found in the auricle, metatarsophalangeal, fingertips, metacarpophalangeal, elbow and other joints, Achilles tendon, patellar bursa, etc.


    The tophi of the patient in front of me is not too small, about the size of a ping-pong ball.


    "Then your medical history is really not short. The tophi is so big." Lu Chen sighed.


    He is also the first time to see a patient with such a big tophi, and the patient is still so young.


    "Oh, I used to be young and naive. I drank and ate seafood, and I didn''t control my diet." Xia Jinhua shook his head. "In the beginning, it happened five or six times a year. In recent years, it has happened several times a month, and I can''t stand it. !"


    The disease of gout, in addition to genetic and environmental factors, is most related to personal eating habits.


    Now that living conditions are better, more and more young people will get gout.


    At the same time, Lu Chen noticed that the patient''s HP was 62 in yellow.


    This value is somewhat unusual, it is only one step away from the red warning line.


    "Can gout reduce HP to around 60?" Lu Chen was a little puzzled.


    There were also gout patients in the ward. Lu Chen noticed that the health of the others was around 70 or 80.


    But the patient in front of him is so young, his HP is only 62, and it is hard to guarantee that his HP will continue to decline.


    Lu Chen inquired about the patient''s disease process in more detail, followed by a physical examination.


    "Have you always been so pale?"


    As soon as he entered the door, Lu Chen noticed that the patient''s complexion was a little morbidly pale.


    I thought that he was caused by a pain attack.


    However, I feel that this "pale complexion" may be unusual.


    The patient is not only pale, but also the bulbar conjunctiva is white, and the whole person is in a state of anemia.


    Xia Jinhua paused and recalled: "It''s been about half a year, and my colleagues next to me say that I look a little pale."


    Lu Chen frowned.


    Is it chronic anemia?


    "How is your diet lately?"


    "Hey, since the frequent gout attacks, I have strictly controlled my diet." Xia Jinhua said, "I don''t eat any meat dishes, I usually eat some vegetarian food."


    Lu Chen raised his brows. Anemia caused by malnutrition?


    "Have you ever been anemic before? Maybe the last time you were hospitalized, did the doctor tell you that you have anemia?"


    "Anemia?" Xia Jinhua was stunned, "I don''t think so. Doctor, you mean, I have anemia now?"


    "Not necessarily, a blood test can be used to confirm the diagnosis." Lu Chen said.


    Xia Jinhua nodded, and then recalled: "I have occasionally suffered from fatigue and dizziness in recent months. I have never had it before. Could it be caused by this anemia?"


    "If anemia is diagnosed, it may be caused by anemia."


    ¡­


    Back to the doctor''s office.


    Min Ling has finished all the doctor''s orders.


    "How is the patient''s condition?"


    "It''s mainly bilateral ankle pain. I''m currently considering an acute attack of gout." Lu Chen paused, "But..."


    "Is there anything else?" Min Ling looked back at Lu Chen.


    After getting along several times, Min Ling has already valued Lu Chen''s opinion.


    If it''s an ordinary graduate student, Min Ling can just listen to his opinion, don''t worry about it.


    But Lu Chen''s words, Min Ling paid more attention.


    "During my physical examination, I found that the patient had obvious anemia, but the patient denied any previous history of anemia."


    Min Ling nodded and said, "I looked at the patient''s previous medical records. He was also in the hospital half a year ago. At that time, it was a mild anemia, and the patient should not care."


    Lu Chen approached Min Ling''s computer and saw the patient''s laboratory test at that time, hemoglobin Hb105g/L.


    However, other indicators of blood routine, including mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC), were all mildly decreased and did not reach the level of microcytic hypochromic anemia.


    Generally mild anemia is difficult to find on physical examination.


    What''s more, the patient is currently showing obvious anemia.


    "I just checked the blood routine urgently." Min Ling said, "Let''s see the results and then talk about it."


    "Yes." Lu Chen nodded.


    ¡­


    After half an hour.


    The blood from the urgent investigation came out, and the hemoglobin was HB85g/L.


    Moderate anemia!


    Hemoglobin dropped further.


    "Looking at this blood routine, it should be microcytic hypochromic anemia." Min Ling frowned.


    "The patient has strictly controlled his diet recently, and hardly eats any meat dishes." Lu Chen said, "Could this be the reason?"


    Min Ling was silent for a long time before speaking.


    "Malnutrition does cause anemia, but moderate anemia is relatively rare."


    Unexplained anemia is generally more severe in males than in females.


    Female patients have a fixed blood loss every month, which is likely to be anemia caused by this reason.


    But male patients do not have this route of blood loss.


    Therefore, general male patients may have digestive tract diseases.


    "Could it be chronic gastrointestinal bleeding?" Lu Chen wondered.


    Min Ling said: "Does the patient have black stools?"


    Lu Chen frowned, "Occasionally, but the patient didn''t pay much attention."


    "When the patient''s gout gets better, I''ll arrange a gastroenteroscopy for him." Min Ling thought for a while and then said.


    Every time the tuba ends, it is important to look back!


    Pay particular attention to the shape and color of the stool.


    If there is blood in the stool, it may be bleeding from hemorrhoids.


    If the stool is black and not shaped, it is likely to be gastrointestinal bleeding, including gastrointestinal ulcers, and even the possibility of gastrointestinal malignant tumors.


    ¡­


    (end of this chapter)

 Chapter 113： arteriovenous puncture

    Chapter 113 Arteriovenous puncture


    It was 1:00 noon after the treatment of this gout patient.


    Lu Chen returned to the duty room, finished the rest of the claypot rice, and prepared to take a nap.


    After several days of accumulation, his gratitude value has reached 10 points again.


    As usual, 10 draws will be made in one round.


    "Congratulations on getting an arteriovenous puncture (primary)."


    Wow, I earned it!


    Lu Chen''s expression brightened, the drowsiness that had just arrived disappeared instantly!


    This skill book includes both arterial puncture and venipuncture.


    Venipuncture, the most common one is our usual "drop infusion", which is peripheral venipuncture.


    In addition, there are central venous punctures, such as the jugular vein and femoral vein commonly used in hemodialysis, and the subclavian vein puncture commonly used in the rescue room.


    Arterial puncture, the most common is radial artery puncture, blood gas analysis or arterial blood pressure test.


    The most important reason why Lu Chen was so excited was the arterial puncture.


    The first step of coronary angiography is the puncture of the artery, including the puncture of the radial artery and the femoral artery!


    Only after mastering arterial puncture is the beginning of learning coronary angiography!


    Lu Chen couldn''t wait to use the "arterial and venous puncture" skill book.


    With a ?? "swipe", his consciousness entered the virtual training space of the system.


    There are many classifications of arteriovenous puncture, and the system space is carried out in order of difficulty.


    But when Lu Chen saw the first training skill, he was dumbfounded.


    Peripheral Venipuncture!


    Take... an injection?


    Isn''t this just injecting the back of the patient''s hand?


    ¡­


    A virtual console appeared in front of Lu Chen''s eyes.


    There is a virtual patient on the table.


    Since everyone has come, we have to start training.


    Having said that, injections are usually the work of nurses.


    Lu Chen has never given any injection to a patient.


    At first glance, the injection is simple.


    But there are so many doorways.


    The first step is to select a suitable vein, tie a tourniquet, and disinfect the skin.


    Commonly used are the noble veins of the cubital fossa, the median vein, the cephalic vein, or the superficial veins on the back of the hand, the back of the foot, and the ankle.


    The second step is puncture.


    Tighten the skin at the lower end of the vein with the thumb of the left hand to make it fixed, hold the syringe with the right hand, the needle is inclined upward, the needle and the skin are at a 35-degree angle, pierce the skin from the top or side of the vein, and then sneak into the direction of the vein.


    ¡­


    This is not a complicated medical skill operation.


    However, in real life, it is difficult to say that there are real people who can keep you practicing, so the proficiency of piercing skills progresses very slowly.


    But now, relying on the virtual space of the system, it took only about an hour for Lu Chen to completely master the peripheral venipuncture.


    Skill proficiency is fixed at 80%!


    Based on the last pericardiocentesis training, Lu Chen knew that it would be difficult to increase his proficiency without going through actual combat.


    However, in normal departments, the nurses would not let a graduate student of them give injections to patients!


    Therefore, the proficiency of peripheral venipuncture, it is really difficult to continue to increase.


    But the good news is that when the peripheral venipuncture proficiency reached 80%, another virtual console appeared beside Lu Chen.


    "Is this a radial artery puncture?!"


    Lu Chen''s brows flashed with joy.


    The gold content of this skill book is really high!


    Radial artery puncture is the most basic and important operation in coronary angiography!


    Compared with the transfemoral approach, the transradial approach has significantly fewer vascular complications at the puncture site, and the patient suffers less pain, shorter hospital stay, and earlier ambulation.


    Just relying on this radial artery puncture, Lu Chen felt that he had spent so much gratitude before, and he was not wronged!


    However, it''s almost time for work in the afternoon.


    Lu Chen had no time to attempt radial artery puncture, and his consciousness exited the virtual space.


    ¡­


    The afternoon in the endocrinology department is easier than the morning.


    Lu Chen wrote about the course of his illness in the office, and occasionally read a book, which was quite relaxing.


    time flies.


    Soon it was time to get off work.


    "Excuse me, is Dr. Min here?"


    At the door of the office, a middle-aged woman suddenly appeared.


    Lu Chen saw that she looked familiar, but he didn''t remember where he had seen her for a while.


    "Dr. Min is seeing patients in the ward and will be back soon. What''s the matter with you?"


    The middle-aged woman did not reply immediately, but walked into the office and stared at Lu Chen for a few seconds.


    "You, are you Dr. Lu?"


    Lu Chen was stunned for a moment, looked at the middle-aged woman carefully, but still didn''t remember who she was.


    "I am, may I ask you to be..."


    "Doctor Lu, I''m Feng Xiaorui''s family." The middle-aged woman stepped forward and smiled.


    "Feng Xiaorui?" Lu Chen was still confused.


    "It''s also in this department, that night, a little girl with hypokalemia came..."


    As soon as the middle-aged woman told her illness, Lu Chen immediately recalled it.


    "Oh, it''s her!"


    Clinically, we encounter too many patients every day!


    Simply remembering the name is impossible.


    But often, most doctors can recall only the characteristic condition.


    "Auntie, hasn''t your daughter been discharged from the hospital?" Lu Chen smiled.


    "Yeah, thanks to you and Dr. Min, I found out the cause of my daughter. We stayed in the county below for a month and the doctor didn''t find out." The middle-aged woman looked at Lu Chen gratefully.


    "Then why did you come to the hospital this time..." Lu Chen wondered.


    The middle-aged woman sighed deeply after hearing the words, and said slowly after a long while.


    "The cause is found, but it is still difficult to cure it!"


    "After she was discharged from the hospital, she couldn''t quit the licorice tablets. She clamored for it every day. If she didn''t eat it, she felt uncomfortable, just like a drug addict. If we didn''t give her food, she would make a scene with us."


    "Later I thought of what you and Dr. Min said before, that you can send her to a drug rehabilitation shelter. But the drug rehabilitation shelter requires a diagnosis certificate issued by the hospital, so I came here today to find a true certificate from Dr. Min."


    The middle-aged woman spoke, her eyes slightly reddened.


    Hey, I really pity the hearts of parents all over the world, who sent their daughter to a drug rehab shelter with their own hands.


    Lu Chen felt very uncomfortable for a while, he still remembered the little girl lying in the corner of the hospital bed.


    At a young and lively age, he contracted this disease.


    Since then, the colorful life has only been left in black and white.


    "Auntie, don''t worry too much. When she comes out of the drug rehab center, she will slowly get better. She will also understand your good intentions in the future."


    Lu Chen didn''t know how to comfort him. Sometimes his language was too pale.


    "Well, thank you Dr. Lu." The middle-aged woman nodded.


    ¡­


    After waiting in the office for five minutes, Min Ling came back.


    Min Ling gave the middle-aged woman a certificate of diagnosis and she left.


    It is exactly 5:30, it¡¯s time to get off work!


    After ?? and the night shift, Lu Chen''s task for today is complete.


    "Little Lu, let''s add a WeChat account. If we meet again at work in the future, then we can get in touch."


    "OK, all right."


    and Min Ling added WeChat, and Lu Chen got off work.


    went to the cafeteria to quickly settle the dinner, and Lu Chen went back to the bedroom.


    He can''t wait to enter the virtual space of the system and wants to try radial artery puncture!


    (end of this chapter)

 Chapter 114： Dingley, standing still

    Chapter 114 The Standing Dingdeli


    Lu Chen''s consciousness entered the virtual space of the system and began the training of radial artery puncture.


    Cardiology is one of the most profitable, ahem, and most technical departments in internal medicine.


    is because of the existence of cardiac interventional surgery.


    In a sense, the Cardiology Department has robbed many patients of Cardiac Surgery.


    The two departments are increasingly overlapping in the diagnosis and treatment of many cardiovascular diseases.


    And the concept of cardiac intervention is very broad, not only including the often-called "stent placement".


    Cardiac intervention, including coronary angiography, PTCA+ stenting, mitral valve balloon dilation, radiofrequency ablation, pacemaker implantation, interventional treatment of congenital heart disease, intraluminal coronary thrombolysis, etc.


    The largest part of the cardiac interventional procedures are punctured through the radial artery, and then sent into the cardiac catheter to treat the lesion.


    Radial artery puncture is the basis of all interventions.


    ¡­


    Three hours of training in virtual space.


    Lu Chen tried various methods of radial artery puncture.


    The ?? virtual space is very smart, and arranged punctures of different difficulty for Lu Chen.


    The vascular condition of different people is different.


    The young man with strong blood and energy, the blood vessels must be easy to find.


    But some older patients, or those with a history of diabetes, have poor blood vessels and are not easy to find.


    The ?? system constantly increases the difficulty of training for Lu Chen according to different blood vessels.


    Compared with peripheral venipuncture, radial artery puncture is much more difficult.


    After three hours of training, Lu Chen increased his proficiency in radial artery puncture to 40%.


    Lu Chen felt a little tired, and his consciousness retreated from the virtual space.


    You can''t eat a fat man.


    And now he''s progressing very fast, mastering 40% of radial artery puncture in three hours.


    This is something that other cardiac interventional doctors dare not even think about!


    ¡­


    We are about to take the final exam for the beginning of the school year.


    After ?? exited the virtual space, Lu Chen, like everyone else in the dormitory, began to review the exam-related content.


    Because this entrance examination is related to the National Medical Skills Competition, the scope of the exam is also based on "medical skills".


    The four major puncture, cardiopulmonary resuscitation, and electrical defibrillation are mandatory.


    There are also other specialist physical examinations, such as heart, chest, and abdominal examinations.


    Everyone is in full swing.


    ¡­


    The next day.


    On Monday, it was time for the director''s big rounds.


    After Lu Chen arrived at the department in the morning, he began to organize the medical records of the patients he managed.


    "Lu Chen, how are you doing with your review?" Ke Yue approached Lu Chen and asked in a low voice.


    "It''s okay." Lu Chen smiled.


    "I think it''s fine if it''s a theory test, but this time it''s a skills test. Just reading books makes me feel like I''m just talking on paper." Ke Yue frowned.


    During her undergraduate period, she spent most of her time on theoretical exams and seldom participated in skill training.


    She has a relatively poor foundation, so she is more anxious than the average student.


    This exam is, for most freshmen, an opportunity to "make money".


    The first-year scholarship will be allocated based on the results of this test.


    The first-class scholarship is 10,000 yuan, and the fourth-class scholarship is 4,000 yuan.


    There are 6,000 yuan between the outside and the inside!


    "I know there is a skills training room in the Guipei Building. After work at night, we can go together."


    At this time, Jiang Qingyan suddenly spoke from the side.


    "Really?" Ke Yue looked at Jiang Qingyan in surprise, "But, can we go in?"


    "I''m very familiar with the teacher in the training room, so I should be able to go in." Jiang Qingyan nodded slightly.


    "That''s great!" Ke Yue said excitedly.


    Jiang Qingyan''s undergraduate degree was from Jinghua Medical University. Lu Chen is not surprised to have such a relationship.


    ¡­


    After the early shift is over.


    Li Yao took all the doctors in the group to make rounds as usual.


    quickly found 11 beds, Wang Zihao''s aunt, Fu Fengqin.


    Lu Chen began to introduce the condition: "Mr. Li, the 11-bed patient was admitted to the hospital with chest pain, and plans to arrange a coronary angiography this afternoon."


    Li Yao flipped through the medical records.


    "Are there high risk factors for coronary heart disease?"


    "No." Lu Chen shook his head.


    Li Yao continued: "Is the symptoms of chest pain typical?"


    "There was no significant correlation between chest pain and activity, not much like angina."


    "Then why not do coronary CTA?" Li Yao frowned.


    "We recommended the patient to do CTA, but the patient requested coronary angiography after admission."


    Li Yao glanced at Fu Fengqin lying on the hospital bed.


    "Okay, let''s arrange an imaging in the afternoon."


    ¡­


    Li Yao''s ward rounds are still mainly based on questions, and the questions asked are not routine.


    According to her words, if everyone can answer the question, there is no need to ask.


    Followed Li Yao to round the room, and everyone wore a "pain mask".


    is so hard!


    Only Lu Chen, he also had many questions that he couldn''t answer.


    But he kept it all silently in his heart, ready to find the answer after checking the room.


    This kind of knowledge learned in ward rounds is often the most reliable memory.


    Although he has been in the department for less than a month, Lu Chen can clearly feel that his clinical experience and theoretical knowledge are improving rapidly.


    ¡­


    "Director Lin Cui, a new patient is here!"


    Lu Chen had just followed Li Yao to check the room when he heard Liu Mei running to the doctor''s office and calling the doctor from Director Lin Cui''s team.


    "The patient was admitted to the hospital with chest pain. The doctor from Director Lin Cui''s team rushed to see it."


    In the doctor''s office at this time, only Ding Deli was the doctor of the chief team, and the others were still doing rounds.


    "Got it, go and see it right away."


    Ding Deli said without turning his head.


    "Doctor Ding, the new patient is in bed 43. After you have given the doctor''s order, go to him quickly, he is a little uncomfortable."


    "Hmm." Dingley nodded, and continued with his work.


    Lu Chen glanced at Ding Deli and stopped paying attention to him.


    Today their group has no vacant beds and no new patients will be admitted.


    "Everyone, just write down the course of the illness. After you finish your work, you can go back to your dorm to rest early." Sun Guoguo said to everyone, "I heard that you are about to take the exam, so go back and study early."


    "Thank you, Sister."


    Hearing this, Ke Yue was overjoyed.


    She hurriedly pulled Jiang Qingyan, preparing to go to the skill training room of the Guipei Building after writing the course of the disease.


    "Junior brother, next week I will be transferred to other departments by rotation."


    Dong Hao suddenly approached Lu Chen.


    "Ah? Senior Brother, you''re leaving so soon?" Lu Chen was taken aback.


    Dong Hao usually takes care of him in Corey.


    When he first arrived in the eight districts in his heart, Dong Hao taught him to learn various software and hardware.


    "Yeah, it''s been two months in my heart." Dong Hao smiled and said, "The next department is going to the endocrinology department, it''s much easier there than in my heart."


    "Ah, is that so..." Lu Chen touched his nose.


    Why didn''t he feel how relaxed the endocrinology department was.


    ¡­


    After half an hour.


    Jiang Qingyan and Ke Yue both finished writing the disease course records.


    "Lu Chen, do you want to go to the training room of the Guipei Building together?" Ke Yue asked.


    Lu Chen smiled and shook his head: "You guys go first, my bed at 11 is going to have an imaging in the afternoon, and I''ll have to sign an informed consent form with her later. I''ll go to you when I''m done."


    "Well."


    Ke Yue and Jiang Qingyan left the department.


    After another ten minutes, the rest of the group left one after another, leaving only Sun Guoguo and Lu Chen.


    at this time.


    Liu Mei suddenly ran into the doctor''s office again, looking anxious.


    "The doctor of Director Lin Cui''s team, 43 beds suffered from sudden difficulty breathing, please go and see!"


    In the office at this time, the doctors from Director Lin Cui''s team have all returned.


    Yin Xinhua immediately grabbed the stethoscope on the table and ran out of the office quickly.


    He Sirong followed closely.


    And Lu Chen frowned and looked at Ding Deli, who was standing still.


    These 43 beds seem to be the patients that Mr. Dingley just received, right? !


    (end of this chapter)

 Chapter 115： late radial artery puncture

    Chapter 115 Late radial artery puncture


    Ten minutes later.


    Yin Xinhua and He Sirong still did not return to the doctor''s office.


    And the nurse''s footsteps outside the corridor are getting faster and faster.


    Occasionally, the family members of the patients could be heard shouting.


    ¡­


    Lu Chen asked Fu Fengqin to sign the informed consent for the operation.


    Walking to the corridor of the ward, he saw that the door of the 43-bed hospital was already crowded with people.


    Most of them were family members of patients in other beds, and they all stretched their necks and looked into the ward.


    "Don''t be around everyone, it will affect the doctor''s rescue!"


    The head nurse also rushed over, evacuated the patient''s family members who were watching the excitement at the door, and at the same time erected a blue partition in front of the 43-bed bed.


    Lu Chen did not step forward, but returned to the doctor''s office.


    Each group is relatively independent.


    There are more than ten doctors in each group, from the senior chief physician to the junior interns.


    Even for rescue, there is basically no shortage of manpower.


    "Junior Brother, what''s the condition of that patient?"


    As soon as Lu Chen returned to the doctor''s office, Sun Guoguo asked curiously.


    "I don''t know." Lu Chen shook his head, "It should be rescuing."


    "Oh." Sun Guoguo nodded and continued to look at the work at hand.


    And Dingdeli on the side. Seeing that Yin Xinhua and He Sirong hadn''t come back for a long time, he couldn''t sit still. He picked up the stethoscope and walked out of the doctor''s office quickly.


    ¡­


    five minutes later.


    He Sirong quickly ran back to the doctor''s office.


    She sat in front of the computer, opened the medical record and started writing.


    "Xiao He, what kind of patient are you?" Sun Guoguo asked abruptly.


    He Sirong immediately said: "A female patient with acute and extensive anterior wall myocardial infarction with complete heart failure came to our hospital after being rejected by the City Hospital and the First People''s Hospital."


    "Ah? Why wasn''t it sent directly to the CCU?" Sun Guoguo frowned, "How come it was sent to our general ward?"


    He Sirong smiled bitterly: "The family is afraid that our hospital will not accept it and concealed the condition. I just suffered from acute heart failure. Senior Sister Yin is worried about what happened to this patient, so let me come back first and write about the course of the disease."


    After listening to He Sirong''s words, Sun Guoguo realized that the patient''s condition was unusual.


    Not only the patient''s condition, but also the patient''s family''s behavior of concealing the patient!


    The family members of this patient definitely have potential medical troubles!


    "Junior Brother Lu, let''s go check the patient''s condition." Sun Guoguo immediately put down her work.


    "Okay." Lu Chen nodded.


    The two immediately walked out of the doctor''s office and came to the ward where the 43rd bed was.


    ¡­


    came to the ward.


    Lu Chen saw a 60-year-old female patient sitting on the bed.


    The head of the bed was rocked high.


    She put a breathing mask on her mouth and put her hands on the guardrail of the hospital bed.


    The whole person was breathing very fast, sweating profusely, and looking very restless.


    Lu Chen stared at her health.


    Only 37 left!


    ¡­


    There are many nurses at the bedside for joint rescue.


    One nurse is opening the patient''s venous access, another nurse is inserting the patient''s urinary catheter.


    "Dopamine alone can''t maintain blood pressure! Another set of norepinephrine!"


    Director Lin Cui looked serious and gave orders from the side.


    "Received!" Liu Mei was the main nurse in the rescue, and immediately began to prepare liquids.


    "Another half morphine! Pay attention to the patient''s breathing!"


    "it is good!"


    Rescue is proceeding in an orderly manner.


    But the patient''s condition is not better at all!


    "Director Lin, transfer the patient to CCU now?" Yin Xinhua whispered aside.


    Lin Cui shook his head.


    "If you push to CCU now, it may be impossible for people on the way! Just communicate with the patient''s family members about the condition!"


    At this time, Liu Mei suddenly said.


    "Director Lin, the patient''s blood pressure is too low to be extracted by blood gas analysis!"


    "Can''t pump out the blood gas from the radial artery, can''t the blood gas from the femoral artery also be pumped out?" Lin Cui frowned.


    Liu Mei shook his head helplessly.


    She has an arterial puncture needle in her hand, but she has no idea where to start.


    "The pulsation of the patient''s femoral artery is very weak, almost palpable!"


    Lin Cui sank.


    "Try a few more times, if it really doesn''t work, forget it."


    Liu Mei had no choice but to nod and keep trying.


    The patient in front of me not only has low blood pressure and fast pulse, but also has diabetes and tortuous blood vessels in the past.


    The condition of the blood vessels is extremely poor!


    Lu Chen was moved in his heart. He had trained radial artery puncture with poor vascular conditions in the virtual space.


    Maybe, he can try!


    But with so many people on the scene, he, a new graduate student, couldn''t possibly have taken the job of a nurse.


    At this time, Liu Mei suddenly said: "Come on someone, help me hold down the patient, he is a little restless, I can''t puncture well."


    Patients with acute heart failure are often restless.


    The interns in Lin Cui''s group were a little stunned when they saw this rescue situation.


    He Sirong wrote the course record in the ward again.


    In an instant, no one at the scene responded to Liu Mei.


    When Lu Chen saw this, he immediately took a step forward.


    "Sister Liu, I''ll help you."


    Lu Chen pressed the patient''s right thigh, allowing Liu Mei to find a good angle for puncture.


    "thanks."


    Liu Mei tried several times, but failed to draw blood from the femoral artery.


    "It still doesn''t work!"


    "Sister Liu, do you want to try radial artery puncture?" Lu Chen asked tentatively.


    Liu Mei was stunned: "The femoral artery can''t be drawn out, but the radial artery can?"


    Lu Chen touched the patient''s radial artery with his other hand.


    "I can feel a throbbing here, maybe pumping out arterial blood!"


    "Really?" Liu Mei suspiciously touched the position Lu Chen pointed, as if there was a slight pulsation.


    Although it is not too obvious, you can try it!


    Liu Mei focused her eyes, picked up the puncture needle, and started the operation.


    The puncture needle is inserted into the blood vessel.


    Liu Mei adjusted several angles back and forth, but still did not see the red blood on the tail of the puncture needle!


    This proves that the piercing still failed!


    "It still doesn''t work!" Liu Mei was about to give up.


    "Sister Liu! When you withdraw the needle, you must withdraw it under the skin, then adjust the puncture direction, fine-tune it to the left or right, and try again!" Lu Chen whispered beside Liu Mei''s ear, "If the puncture needle is too deep , may not be able to touch the artery!"


    Liu Mei was stunned, when will this kid Lu Chen have his radial artery punctured?


    But listening to his tone, he seemed very determined, Liu Mei took the attitude of trying, and withdrew the needle under the skin.


    Gently fine-tune the direction of the needle.


    The tail of the puncture needle was immediately filled with red blood.


    The color of the blood is bright red, which proves to be arterial blood!


    Liu Mei looked happy and immediately began to draw arterial blood.


    She really didn''t expect that under Lu Chen''s guidance, she would actually succeed!


    But Lu Chen couldn''t smile.


    Because, he saw the patient''s health drop.


    The magnitude of the drop in health this time made his eyelids jump!


    The patient''s health has dropped from 37 to 25!


    This is the first time he has seen such a large drop.


    "Beep!"


    The monitor suddenly sounded an alarm.


    "The patient''s blood oxygen is dropping!" Someone shouted.


    Lu Chen looked back at the monitor.


    The patient''s blood oxygen dropped from 86% to 75% at once!


    The patient has calmed down from the previous restlessness!


    This is not a good sign.


    "Immediately push 2 sticks of Lobelin and Nicoshami!" Lin Cui said quickly, "Increase the oxygen flow!"


    "Beep!"


    The monitor started to alarm again.


    Lu Chen noticed that the patient''s heart rate suddenly slowed down.


    The graph in the ECG monitor has no P waves.


    This is Yibo!


    (end of this chapter)

 Chapter 116： Take off your white coat!

    Chapter 116 Take off the white coat!


    A person may develop an escape rhythm before death.


    The ventricular rate becomes slower and slower.


    Sometimes there are several beats after a long pause, which eventually develops into total cardiac arrest.


    "Beep! Beep! Beep!"


    The ECG monitor made a harsh alarm sound again.


    "Oops, heart rate and blood oxygen can''t be maintained anymore!"


    Lu Chen was so anxious that he saw that the patient''s HP dropped again!


    Only 15 points left!


    Upon seeing this, Yin Xinhua, who was beside him, immediately rushed to the side of the hospital bed and started chest compressions.


    For patients with heart failure after myocardial infarction, if they can operate in time, there may be a chance of survival.


    But now, it''s too late to say anything!


    You can only do your best and see the destiny!


    ¡­


    in the ward.


    Time passes by every minute and every second.


    Every second of this is very torment.


    On the hospital bed, the patient breathes spontaneously and heartbeat is extremely weak, and he is in a state of mandibular breathing.


    Director Lin Cui, Yin Xinhua and nurses are all struggling to rescue, but the patient''s blood pressure and heart rate are still decreasing.


    "Director Lin, the patient''s family refused to be transferred to the CCU!"


    Ding Deli quickly walked to Lin Cui''s side.


    "Then let her family sign!" Director Lin Cui looked at the patient on the hospital bed and said solemnly, "The patient can''t breathe and heartbeat! If you don''t go to the intensive care unit for intubation, it is almost impossible to save him."


    "Okay, let me communicate with her family."


    Ding Deli also put away his usual slack, walked outside the ward, and began to communicate with his family about his condition.


    for a long time.


    Lu Chen heard quarrels coming from outside the corridor of the ward.


    Then, Dingley returned to the ward with a dark face.


    "Director Lin, the family still refuses to be transferred to the CCU and refuses to sign the informed consent form!"


    Lin Cui heard the words, and his face was a little unsightly.


    She was never afraid of how serious the patient''s condition was, but she was afraid that the patient''s family would be too difficult to deal with!


    ten minutes later.


    Yin Xinhua is still undergoing CPR.


    On the ECG monitor, the patient''s blood oxygen saturation is only 65%, and the ECG waveform will only appear when pressing.


    "Hey, it still won''t work after all." Sun Guoguo said softly beside Lu Chen.


    Lu Chen also sighed slightly in his heart.


    The patient''s health has been reduced by 8!


    Now, all treatments are on except for bronchial intubation.


    But the patient''s breathing and heartbeat still could not be maintained.


    If not transferred to CCU, the patient has almost no chance of surviving.


    Even if they are transferred to CCU, the probability of the patient being able to wake up is very small!


    "Continue CPR, take an electrocardiogram, and then I will communicate with the patient''s family."


    Director Lin Cui sighed and then walked outside the ward.


    The intern beside ?? immediately took an electrocardiogram.


    In the case of no compression, the ECG is already in a straight line!


    Declared clinical death!


    people, it should be impossible to save them.


    But clinically, CPR continues for half an hour after clinical death is declared.


    This is humanitarian care, but also to prevent patients from pseudo-cardiac arrest.


    And now the most important thing is to communicate with the patient''s family to let them admit the fact of the patient''s death.


    ¡­


    Lu Chen and Sun Guoguo returned to the doctor''s office.


    Before his **** was hot, he heard roars from outside the office.


    Immediately after, another loud shout came.


    When people are in doubt.


    Liu Mei stumbled into the doctor''s office with an anxious look, and shouted loudly:


    "There was a conflict between the family and our doctor. More than 30 family members came, and Director Lin was beaten! Where is Director Li Yao? Where is Director Li?!"


    Everyone was shocked when they heard the news that Liu Mei brought back.


    Sun Guoguo suddenly stood up and said quickly, "Mr. Li will go to the CCU on the 4th floor after checking the room, and I will call her right away!"


    "Okay!" Liu Mei nodded and ran out of the doctor''s office again.


    At this time, outside the corridor of the ward, cries and noises echoed in the air.


    Outside the ward, chaos!


    All other patients and their families hid in their wards.


    In the ?? office, there are only two primary doctors from the other two groups.


    The doctors in Director Li Yao''s team, except for Lu Chen and Sun Guoguo, all got off work.


    The doctors in the director''s team of Lin Cui, except for He Sirong, who was writing the course records, were all outside the ward.


    "Senior sister, I''ll call the security department!"


    Lu Chen realized that the family members of the patients were coming.


    The situation may escalate further at any time!


    "Okay, I''ll go outside to see Director Lin." Sun Guoguo has informed Li Yao.


    "Senior Sister Sun, I''ll go with you!" He Sirong stood up, his face slightly pale.


    "Don''t go! All of you students are staying in the office!" Sun Guoguo immediately refused, "If something is wrong, you should take off your white coats and go back to your dormitory! I and the other teachers in the department went out to have a look! "


    After ??, Sun Guoguo and the other two attending doctors in the office walked out.


    ¡­


    Lu Chen has found the phone book of each department in the office, and quickly explained the situation to the security department.


    hung up the phone, and Lu Chen glanced around the doctor''s office.


    At present, including him, there are eight students, including graduate students, regular trainees and interns.


    "Senior Brother Lu, what should we do?"


    One of the male intern who was familiar with Lu Chen walked up to Lu Chen.


    During this time, some of Lu Chen''s deeds were widely circulated in the eight districts of his heart, such as blindly piercing the pericardium in the elevator, and he was often in the department, teaching everyone to learn electrocardiogram.


    Where ?? is, Lu Chen has a great influence in the hearts of all students!


    "You interns go back to the dormitory first!" Lu Chen said solemnly.


    "Ah? Senior Brother Lu, this..." The male intern paused, "This is not very good! Let''s go, in case the family fights later."


    Lu Chen said helplessly: "Junior brother, you really think this is a group fight. As long as we wear white coats, we can''t fight with our family members. What''s more, we can''t solve any problems with our hands. If you stay here, you won''t get up. To any effect, it is prone to accidental injury!"


    The male intern nodded, "Senior brother, let''s wait a little longer, if the situation is not right, we will go back to the dormitory immediately."


    "Okay." Lu Chen nodded.


    ¡­


    It was less than two minutes before Sun Guoguo left.


    Lu Chen saw the head nurse in the eight districts in his heart and ran back to the nurse station with a few nurses.


    They packed up all the important documents and items from some nurse stations.


    The condition changes and medical records of many patients are in it. If they are damaged, it will seriously affect the treatment of other patients in the ward.


    At the same time, Sun Guoguo also rushed back to the office out of breath, and shouted to everyone in the office:


    "Everyone, take off your white coat! Go back to the bedroom immediately!"


    (end of this chapter)

 Chapter 117： escalation

    Chapter 117 The situation escalates


    Take off the white coat and become the patient''s family in one second.


    Lu Chen originally thought it was a joke on the Internet, but now it has become a reality.


    "Senior sister, how is the situation outside?"


    Lu Chen got up and said.


    Sun Guoguo turned pale and shook his head slightly.


    She has taken off her white coat.


    "Don''t ask any more questions, go back to your dorm, the security department of the hospital has already arrived!"


    Seeing that Sun Guoguo said so, everyone started to take off their white coats.


    "Everyone go back to the bedroom, don''t worry about anything, don''t ask anything."


    changed his white coat and walked out of the doctor''s office one by one.


    Outside the ward.


    There was no complete table and chairs at the scene, and the steel hook frame specially used for hanging bottles was all bent and deformed.


    The scene was a mess.


    Lu Chen walked outside the corridor of the ward and saw a group of people surrounding the 43-bed ward.


    There are five men in security uniforms who guard all the doctors and nurses.


    Confronting them were more than thirty burly men.


    Lu Chen''s eyelids jumped, he noticed that several big men were holding steel rods half a meter long in their hands!


    These people blocked the door of the ward and stood outside the ward screaming.


    Even in the face of security guards, he is very arrogant.


    Suddenly, there was another shout from the crowd.


    Lu Chen looked at it intently, and then his scalp felt numb.


    The security guard standing at the front fell directly to the ground.


    ¡­


    walked out of the inpatient department.


    Lu Chen''s mind was still in a trance.


    "It is said that one of the family members of the patient has been released from prison and is currently working for a demolition company in Jinghua. These people should belong to a demolition company in Jinghua."


    He Sirong looked at his phone and said suddenly.


    Lu Chen looked back at He Sirong.


    "There was a message from a classmate in our group." He Sirong said softly, "After Teacher Lin told the family that the patient died, they started calling people and clamoring for trouble."


    From the beginning, this was a premeditated medical incident.


    Otherwise, these medical troublemakers could not have come so quickly!


    Impossible to be so organized!


    While the doctors in the eight districts in their hearts were thinking about how to treat the patients, the family members were already thinking about how to make trouble afterwards.


    Before returning to the bedroom, Lu Chen received a call from Ke Yue.


    "Lu Chen, I heard something happened to Corey!" Ke Yue''s tone was eager, "I called Senior Sister Guoguo, but she didn''t answer, are you all alright?"


    "Family members came to make trouble, all of our students have already left the department." Lu Chen whispered, "Mr. Li Yao, Senior Sister Guoguo, and other teachers, most of them are still in the department."


    "I saw a picture in the postgraduate group, is someone injured?" Ke Yue gritted her teeth.


    Lu Chen said: "I don''t know, I know there is a security guard..."


    "Then... what''s the difference between these family members and those in the underworld?"


    Hearing Ke Yue''s complaints, Lu Chen didn''t respond.


    hang up the phone.


    He stopped and looked back at the Eighth Inpatient Department behind him.


    Then, his eyes became more and more firm.


    He could not put himself at risk.


    But you can''t go like this!


    "Lu Chen, where are you going?"


    He Sirong saw Lu Chen suddenly turn his head and walked towards the eighth inpatient department.


    "Go to the supermarket to buy something."


    "The supermarket is in the first inpatient department, not in this direction." He Sirong wondered, "Don''t you want to go back to the department?"


    Lu Chen glanced back at her.


    "I''ll go to the department to see if there is anything I can do to help. If I don''t wear a white coat, I should be fine."


    "Then I have to go back too!" He Sirong also turned around and followed behind Lu Chen.


    "What are you going to do?" Lu Chen said in a deep voice, "Go back to the bedroom, it''s still dangerous!"


    "Then you can go back, why can''t I go back?"


    Lu Chen stopped and turned to look at He Sirong.


    shook his head slightly, without speaking, he continued to walk quickly towards the inpatient department of the heart.


    Seeing this, He Sirong followed closely behind him.


    ¡­


    Came to the eighth inpatient department.


    When Lu Chen was waiting for the elevator to go upstairs, he found a team of security guards, about a dozen people, wearing helmets and electric batons, came in.


    Judging from their appearance, they should be supporting the eight districts in their hearts.


    "Uncle, are you going to the eight districts in your heart?" Lu Chen asked quickly.


    A middle-aged security guard headed by ?? nodded: "Yes, if you are going to the eight districts in your heart, don''t go there for the time being."


    "Uncle, we are graduate students in the eighth district in our heart, and we just came out of there." Lu Chen said.


    "Then why are you two going back?" The middle-aged security guard asked suspiciously, "You just came out, you should know the situation over there best!"


    "Let''s not wear a white coat, let''s see if we can help." Lu Chen said.


    "That''s fine, you two be careful." The middle-aged security guard, "When the situation goes wrong, just run away."


    "Okay." Lu Chen nodded, then told the security guard what he had learned.


    "Jinghua Demolition Company? No wonder..." The middle-aged security guard said relieved.


    "Is there any problem with this demolition company?" Lu Chen wondered.


    "Hehe, what''s the difference between them and those gangsters? It''s because of their existence that Jinghua''s house is demolished so quickly and efficiently. The large area of ??Jingwu Road opposite the hospital can be demolished in less than a year. It''s clean." The middle-aged security guard shook his head, and then said to the other security guards behind him, "Brothers, cheer up, it''s not a good thing to meet you later."


    Although the security guards were fully armed, they were still a little nervous.


    What they are about to face is not a patient with powerless hands, but a group of extremely vicious "social people".


    The number of people is several times as many as them!


    ¡­


    Eighth floor.


    Eight districts in the heart.


    The sign of the eight districts in the heart at the gate has been knocked to the ground.


    Outside the corridor of the ward, there are two groups of people facing each other.


    On one side are the security guards guarding all the doctors and nurses, on the other side are the family members of the patients, as well as those more than 30 burly men!


    In the crowd, Lu Chen found his mentor Li Yao, his senior sister Sun Guoguo, and Director Lin Cui who was sitting on the ground.


    The medical department has come to mediate the work of the family members of the patients.


    Lu Chen noticed that the police had been called.


    The nearby police also came, and even the chief of the police station came.


    This thing has already made such a big deal?


    Lu Chen approached Sun Guoguo carefully, while He Sirong walked towards Lin Cui.


    "Senior sister." Lu Chen whispered.


    Hearing Lu Chen''s voice, Sun Guoguo quickly turned around.


    "Junior Brother, why didn''t you leave?"


    "How can I help?" Lu Chen said, "I''m not wearing a white coat, so I should be fine."


    Sun Guoguo paused and said, "Then you go to the treatment room, where there are several injured doctors and nurses, take them to the orthopedics and brain surgery."


    "Okay!" Lu Chen didn''t ask any further questions and walked directly to the treatment room.


    On the way to the treatment room, Lu Chen found that there was a large pool of undried blood on the ground.


    (end of this chapter)

 Chapter 118： do you regret it?

    Chapter 118 Do you regret it?


    In the air, the faint smell of blood mixed with the smell of disinfectant water makes people feel extremely irritable.


    Lu Chen frowned and walked into the treatment room in the eighth district of his heart.


    What used to be an orderly treatment room is now chaotic.


    There are broken glass bottles and seats everywhere.


    In the treatment room.


    There were two security guards clutching their shoulders, slumped on the ground, with expressions of pain on their faces, and kept moaning.


    Not far away, a young doctor was lying on the bed in the treatment room with a thick bandage wrapped around his head.


    On the bandage, there is still blood seeping out.


    "Doctor Zeng, how are you feeling now?" Liu Mei had taken off her nurse''s uniform, and was dressing the wound on the doctor''s head on the bed, and then used iodophor to clean the surrounding wound.


    "It''s alright, I won''t die." Zeng Yi raised his right hand slightly, pulled it to the sore spot, and then had to put it down again, "Liu Mei, go and show the two security guards first."


    "Yeah." Liu Mei nodded, looked up and suddenly saw Lu Chen standing at the door, "Lu Chen, why are you back? Didn''t Guoguo tell you to go back to the bedroom?"


    "Sister Liu, let me see if I can help."


    Liu Mei sighed and said, "Many doctors and nurses, as well as the security guard, were injured, all of them fractured to varying degrees, and some suffered head injuries. I have already transferred some severely ill patients to the corresponding departments."


    Lu Chen walked to Zeng Yi''s side and saw that his mental state was fairly normal.


    It''s just that his head was swollen with a large lump, and there were still some undried bloodstains on his forehead.


    Zeng Yi is a doctor in training in Director Lin Cui''s group. Lu Chen has only spoken to him a few times and is not particularly familiar with him.


    "Lu Chen, you students should be all right." One of Zeng Yi''s eyes was so swollen that he couldn''t open it, and there were bruises all over the frame.


    "Doctor Zeng, don''t worry, most of us have gone back to the dormitory." Lu Chen said.


    "That''s good." Zeng Yi nodded.


    At this time, Lu Chen looked at the health of Zeng Yi and the other two security guards.


    They are all fine, Zeng Yi''s HP is 75.


    The two security guards are 71 and 73 respectively.


    Everyone was injured, but not life-threatening.


    But outside the treatment room, the large pool of blood stains was obviously not from a few people present.


    Who would it be?


    Lu Chen remembered the security guard who fell to the ground when he left, where did he go? Why haven''t you seen it?


    "Lu Chen, let''s send Dr. Zeng and the two security guards out." Liu Mei''s words interrupted Lu Chen''s thoughts, "I have contacted the Department of Brain Surgery and Orthopedics. Dr. Zeng''s head trauma may require stitches. ."


    "Okay." Lu Chen nodded.


    However, there were three wounded present, and he and Liu Mei were only transported twice.


    At this moment, there was a commotion outside the ward.


    Through the crack of the door, Lu Chen saw explosion-proof police officers wearing helmets and holding shields in their hands.


    "Is this the city''s riot squad?"


    Liu Mei also came to the door of the treatment room.


    "Well, it''s the riot squad! It was useless for the police to come just now. They should have notified the riot squad."


    As soon as the ?? explosion-proof team came, they quickly controlled the scene.


    The more than 30 burly men in the department were all honest.


    Lu Chen stopped paying attention to the follow-up in the department. He and Liu Mei first sent Zeng Yi to the brain surgery department, and then came back and sent the two security guards to the orthopedic surgery department.


    ¡­


    On the way back to the eight districts in my heart.


    Liu Mei looked lonely.


    She kept her head down, Lu Chen couldn''t see the expression on her face.


    Lu Chen also felt extremely depressed.


    Neither of them said a word until they reached the door of the eighth district in their hearts.


    Liu Mei stopped.


    "Lu Chen, do you regret taking this road?"


    Lu Chen was stunned for a moment, then looked back at Liu Mei, and then fell silent for a while.


    "If the security captain hadn''t rushed to the scene today and rushed to the front, guarding the medical staff with his own flesh and blood, it might be our doctor or nurse who went to the ICU today."


    Liu Mei lowered her head, her voice was very small.


    "Someone is in the ICU?" Lu Chen''s voice was low, it was hard to imagine how tragic the scene was.


    "Yeah." Liu Mei hummed softly, "The big pool of blood outside the treatment room belonged to the captain of the security guard. The head trauma went into a coma and was sent to the ICU."


    "The biggest security guard who was seriously injured, they have been sent away."


    Lu Chen''s heart seemed to have been splashed with ice water, and it was extremely cold.


    It is hard to imagine what the scene of the department at that time was like.


    However, through the unrecognizable face of the current department, you can see it.


    Liu Mei raised her head and looked at Lu Chen, her eyes flickering uncertainly, and there seemed to be tears swirling in them.


    "Don''t you have to be beaten if you can''t save your life from an acute myocardial infarction?"


    "Is there any difference between them and the underworld?"


    Liu Mei paused, suppressed her inner emotions, and continued:


    "The bell was ringing in the middle of the night. After I ran over, the patient said I was fine, so I just wanted to see if you guys were asleep."


    "I was accidentally seen by the patient''s family while on duty to eat. He said, your doctors and nurses still need to eat."


    "When hanging the bottle, ask the patient''s name, the patient doesn''t answer, ask the family member what the patient''s name is, the family member scolded you and said that you can''t see unless you have eyes."


    Liu Mei said, her emotions couldn''t hold back anymore.


    She fought back her tears and sobbed: "What am I doing wrong, I have to do this job?!"


    Before Lu Chen could reply, Liu Mei silently walked into the department.


    Looking at Liu Mei''s petite, thin back, Lu Chen fell into deep thought.


    Just yesterday, my mother told him how bad the doctor-patient relationship was on the WeChat video call.


    In the past few years, there have been numerous incidents of injured doctors.


    You can¡¯t even save yourself, so how can you save people?


    ¡­


    Lu Chen re-entered the eight districts in his heart and found He Sirong in the duty room.


    "How''s Director Lin''s injury?"


    "Fortunately, it''s a skin injury." He Sirong took out his mobile phone and placed it in front of Lu Chen''s eyes. On the screen was a picture of a patient lying in the ICU. "The security captain has entered the ICU and is preparing for a craniotomy."


    "I just heard what Sister Liu said." Lu Chen nodded.


    "Alas." He Sirong sighed, "Lu Chen, I regret it, I really regret it."


    She covered her face with her hands, leaned against the desk in the duty room, and let out a deep breath.


    "Watching the teachers and the security guards get hurt makes me feel really good."


    "What age is it, why are there still people like this?"


    "Lu Chen, do you regret it?"


    ¡­


    Before ??, Lu Chen didn''t answer Liu Mei''s words.


    Now, he did not answer He Sirong''s words.


    What happened today will leave indelible damage in the hearts of every doctor.


    For Lu Chen, who has just started clinical practice.


    Medical trouble has changed from news to reality.


    The injured person has also become a familiar person around him.


    It is impossible to say that there is no regret.


    But it is even more impossible to back down.


    He remembered the apprehension of the first CPR.


    also remember the joy when suction was successful.


    I still remember the thrill of the pericardiocentesis.


    For him, it is a sense of pride and achievement.


    For every patient, it is the hope of life.


    Lu Chen thought of his first class in college.


    "Health is attached, life is attached. When I step into the sacred medical school, I solemnly swear..."


    (end of this chapter)

 Chapter 119：

    Chapter 119


    What happened in the eight districts in the heart spread rapidly in a very small area, and then stopped abruptly.


    On China''s major media portals, people occasionally discuss this matter, but they can''t make any waves.


    This matter seems to be known only in Jinghua.


    ¡­


    Return to the dormitory of Guipei Building from the eight districts in the heart.


    Wang Zihao and others are in the bedroom.


    When they saw Lu Chen coming back, they immediately got together.


    "Lu Chen, what happened to the eight districts in your heart?"


    "I heard someone making trouble in your place early in the morning."


    "I saw all the riot squads coming from the city?"


    Lu Chen shook his head slightly.


    He doesn''t really want to recall what happened this morning, let alone such a negative energy thing.


    "A friend of mine in high school asked me about this just now." Wang Zihao gave a wry smile, "He said in his circle of friends that this kind of thing happens because doctors now have no medical ethics and only know how to take kickbacks and receive red envelopes. , alas, he is still a master''s degree from a 985 university in Jinghua."


    Everyone in the bedroom was silent.


    Everyone didn''t want to talk, not because of default, but because the hot blood in their hearts was a little cold.


    for a long time.


    Wang Zihao said slowly: "I''m not afraid of your jokes, the other three roommates in my university dormitory, one went to sell medicine after graduation, the other dropped out of school, and the last one took the civil service exam. Only I chose to stay. I have At times, I really envy them, and I can leave without hesitation."


    In the past 10 years, Huaxia has graduated 4.31 million five-year students and 410,000 seven-year masters, totaling 4.73 million.


    But during this period, registered doctors only increased by 752,000, an increase of 15.9%, and the attrition rate was as high as 84.1%.


    In rural areas such as Huaxia, the loss of doctors is even more serious.


    And the development within the medical system is also extremely uneven, and almost no one wants to go to the pediatrics and emergency departments.


    "Maybe, one day I will also leave." The prince smiled arrogantly.


    Lu Chen stood up and patted Wang Zihao''s shoulder lightly.


    "Don''t think too much, do your own thing, I didn''t say such a discouragement."


    ¡­


    On this day, the entire Jipei dormitory was extraordinarily quiet.


    Lu Chen didn''t go out, he stayed in the dormitory and kept following the news from the group.


    "The security chief''s craniotomy was a success."


    "Today, except for emergency surgery, all other routine surgeries have been stopped."


    "The eight areas in the heart began to slowly return to normal medical activities."


    This chapter has been harmonized and is not going to be rewritten.


    (end of this chapter)

 Chapter 120： The entrance exam is approaching!

    Chapter 120 The entrance exam is approaching!


    In this incident, the most seriously injured were the security guards who came first.


    On the day of the medical trouble, thanks to the security guards who rushed to the front line, most of the medical staff were protected.


    The eight districts in my heart sent representatives to the ICU to condolence to the security captain.


    The security captain has completed the craniotomy and has regained consciousness after entering the ICU.


    The next two days.


    The medical work in the eight districts in the heart is back to normal.


    The doctors of Director Lin Cui''s team also returned to work.


    It''s just that each of them has different degrees of "wounds".


    Director Lin Cui had a slight fracture in his right hand, Ding Deli had a small wound on his head, and Yin Xinhua had some bruises on his forehead.


    But fortunately, it does not affect clinical medical treatment.


    ¡­


    ¡­


    The day after the medical trouble.


    Lu Chen arranged coronary angiography for Fu Fengqin.


    The whole coronary angiography process was smooth.


    In less than half an hour, Fu Fengqin returned from the catheterization lab to the eighth area of ??the heart.


    Lu Chen has seen the angiography results in the surgery report.


    "Auntie, you don''t have coronary heart disease, and your heart blood vessels are very good!" Lu Chen smiled and said to Fu Fengqin, "Don''t worry!"


    "Oh, Dr. Lu, your level is really high! You said that I don''t have coronary heart disease, but I really don''t have coronary heart disease!" Fu Fengqin gave Lu Chen a thumbs up, "But I still have chest pains during this period of time. , what''s going on?"


    Lu Chen pointed to a section of blood vessels in the angiography results: "It may be related to your myocardial bridge."


    "Myocardial bridge? What is this?" Fu Fengqin asked in confusion.


    Lu Chen paused and organized the language.


    would like to describe "myocardial bridge" in a more colloquial term.


    "Normal blood vessels are on the surface of the heart, but one of your blood vessels grows inside the flesh! When the heart contracts, the blood vessels inside the flesh will be compressed. At this time, the heart is ischemia and hypoxia, which may cause chest pain. attack."


    Usually, the coronary arteries run on the surface of the myocardium, and in the connective tissue below the epicardium, if a certain section of coronary artery is abnormally positioned and runs in the myocardium, this bundle of myocardial fibers is called myocardial bridge.


    "Oh, I understand a bit. So, is there any cure for this?"


    Lu Chen smiled and said, "The most important thing is that you need to rest and eat lightly. If the symptoms persist and are not relieved, we can use some oral medicines to control them."


    "Well, thank you Dr. Xiao Lu." Fu Fengqin grinned, "I should have listened to you in the first place, just do a coronary CTA."


    However, the exclusion of coronary heart disease is a great thing for Fu Fengqin.


    Her psychological pressure was immediately relieved a lot.


    "Congratulations, +1 for the thank you from Fu Fengqin!"


    The ?? system panel received a prompt, and Lu Chen got a little bit of gratitude.


    ¡­


    This rare and peaceful day has passed for a few more days.


    August is coming to an end!


    "Junior brother, tomorrow I will go to the endocrinology department." Dong Hao handed over all the patients who were in charge of his bed.


    From tomorrow, Dong Hao will end his rotation in the Department of Cardiology and start to enter the next department, the Department of Endocrinology.


    "Senior brother, we will miss you." Lu Chen smiled, "If you want to take the postgraduate entrance examination in the future, I have some postgraduate entrance examination materials and video resources here."


    "Okay, thank you, Junior Brother first."


    Dong Hao left, and other rotating regular trainees or graduate students came over.


    But with the end of this month, it means that it is time for the official admission of graduate students!


    Starting tomorrow, Lu Chen officially entered his postgraduate career.


    The hospital can not only arrange night shifts for everyone, but also arrange various online and offline courses.


    A more hectic life is coming soon!


    September 2nd.


    The opening day of Jinghua Medical University.


    Early in the morning, Lu Chen prepared the materials to be brought to start school, including undergraduate diploma, student ID, and transcripts, and went directly to the main campus of Jinghua Medical University.


    Lu Chen and Zhou Wei walked side by side on the campus.


    Today the whole campus is very lively, not only freshmen, but also many businesses who come to sell, such as the three major communication operators who are unstoppable every time the school starts.


    "Lu Chen, did you notice that there are still a lot of beautiful women in our medical university!"


    Zhou Wei sighed while looking around.


    "What, have an idea?" Lu Chen smiled.


    Zhou Wei touched the back of his head, "Hey, when I came to Jinghua to go to school, my mother told me that it''s better to find a daughter-in-law to go back."


    Lu Chen smiled and said, "Are other girls accompanying you back to Jiangcheng?"


    "Then what''s impossible." Zhou Wei smiled mysteriously, "I''ll abduct a girl and go home, haha."


    The two came to the registration hall, submitted the school opening materials, and returned to the dormitory after paying the tuition fee.


    ¡­


    In addition to going through the admission procedures, there is another important thing for all the freshmen of the first year.


    That means the entrance examination is approaching!


    In the past few days, all the bedrooms in the Guipei Building have been unusually quiet, and everyone is doing the final review sprint for the skill test!


    "Wow, Lu Chen, when did you go to the skill training room to practice?"


    In the bedroom, Wang Zihao mourned while holding the clinical operation skill book.


    "I went there twice a few days ago." Lu Chen smiled.


    This is also thanks to Jiang Qingyan, otherwise he would only be able to talk on paper.


    His current system virtual space can only practice specific skills.


    The skill range of this exam is very wide, and the virtual space of the system is not useful for the time being.


    "There shouldn''t be too many people visiting each time, otherwise I''ll tell you." Lu Chen shrugged helplessly, "The skills training room is not open to everyone yet."


    "Oh, the scope of this exam is too broad, and the exam syllabus issued by the school is not focused!" Wang Zihao sighed, "This is really different from the previous exams, it seems that my ten thousand yuan is going to waste. what!"


    "Don''t worry too much. Everyone''s situation is similar, no one is better than the other." Lu Chen comforted.


    "That''s the only way to think about it." Wang Zihao said, "Hey, right, my uncle''s thyroid surgery is done, and today the pathology came out after the operation. It''s thyroid cancer. Fortunately, it was found early, it was an early stage."


    "That''s good." Lu Chen smiled.


    "My uncle is talking about you every day these days." Wang Zihao said, "If it weren''t for your remote diagnosis, it might take a long time for his lump to be discovered, and it might be too late by then!"


    Lu Chen smiled, and immediately received a prompt from the system.


    "Congratulations, the system upgrade completion rate has increased by +1%!"


    The last time I received Zhang Xugang''s thank you point, after the diagnosis result came out this time, the system completion degree increased by 1%, which is a good gain!


    ¡­


    The day before the entrance examination.


    Li Yao deliberately called Lu Chen into the office.


    "How''s your review going?" Li Yao looked at Lu Chen with a smile, "How sure are you?"


    "Teacher, I can''t say how sure I am, I will do my best." Lu Chen said.


    "Okay, as long as you get into the top five in the total score, you will be guaranteed a place in the National Medical Skills Exam!"


    Top five?


    Lu Chen''s eyes narrowed.


    There are about 200 first-year graduate students this year, and it is quite difficult to rank in the top five among these 200 graduate students!


    (end of this chapter)

 Chapter 121： Virtual training universal card (Chong Sanjiang next week, ask for a ticket!

    Chapter 121 Virtual Training Universal Card (Chong Sanjiang next week, ask for a ticket!)


    Go back to the bedroom.


    Before reviewing, Lu Chen opened his own system virtual panel.


    After a week of accumulation, his gratitude value has reached 26 points again!


    There is an exam tomorrow.


    Lu Chen gritted his teeth and used up all his thanks.


    As long as he can draw a skill book related to the skill test, he will earn it!


    26 points of thanks are all used up!


    Lu Chen nervously looked at the system lottery panel.


    "Thank you for your patronage..."


    "Thank you for your patronage"


    "Ding, congratulations, get the virtual space training universal card (low level)."


    Won the third draw? !


    Lu Chen blinked.


    Isn''t his face dark?


    Before he could pay attention to the remaining lottery results, Lu Chen immediately used this "training universal card".


    In case it is a system bug and the universal card is taken back, it will be too late for him to cry!


    "Will you use the virtual space to train the universal card (2 hours)?"


    "Yes!"


    Lu Chen''s consciousness immediately entered the system virtual space.


    This virtual space is different from the previous practice of pericardiocentesis and arterial puncture.


    In the virtual space, there is no console, but rows of options for skill operation.


    There are cardiopulmonary resuscitation, electrical defibrillation, sputum suction, catheterization, etc.


    Continue to scroll down, and there are four skill operations such as puncture and pericardiocentesis!


    "This is a free choice of skill practice?"


    Lu Chen immediately chose the bone piercing among the four major piercings!


    A console immediately appeared in the virtual space, and there was a bone piercing bag on the console!


    "You can really choose skills, no wonder it''s a universal card!"


    However, Lu Chen also noticed that the validity period of this skill card is 2 hours.


    When he entered the system virtual space, the countdown had already started.


    Lu Chen continued to look at all the skill options.


    Perhaps because it is a "low-level card", there is no skill option similar to arterial puncture, let alone advanced surgical skills of coronary angiography.


    But Lu Chen was already satisfied.


    With this skill card, he can train these basic skills anytime, anywhere.


    Since he chose bone piercing, Lu Chen was ready to start training.


    At this moment, he received another system prompt.


    "Enough thank you points have been consumed to start the exchange."


    Suddenly, in Lu Chen''s system panel, in addition to the lottery board, another exchange panel appeared out of thin air!


    Lu Chen''s eyes widened.


    This exchange panel is equivalent to a "mall"!


    Goods are various medical-related items, including various skill books that you have acquired before!


    But this mall is also divided into several floors.


    Lu Chen can only open the first floor.


    The products on the first floor are all basic skill books, such as ECG interpretation, literature reading, etc.


    And the currency used by the mall is to get the thank you value yourself!


    The virtual universal card he just drew is worth 50 thanks points!


    And the skill book of ECG Basics (I) obtained before, is worth 20 points of thanks!


    EKG Basics (Medium) Skill Book, worth 30 points of thanks!


    Arterial Puncture Skill Book, worth 80 thanks points!


    Lu Chen is a little relieved!


    From the lottery to now, the overall is still earned!


    But Lu Chen also remembered it deeply.


    In the first lottery draw, I used up almost all the thank you points, and the result was all the black-faced moments of "thank you for your patronage".


    This is actually a "gambling" process!


    Win the bet, everyone is happy.


    I lost the bet, thank you for your patronage.


    If it wasn''t for the "Arterial Puncture Skill Book" and "Virtual Training Universal Card", Lu Chen would still be at a loss!


    However, as long as there is this mall, Lu Chen doesn''t have to rely on luck to obtain the skill book!


    Although the lottery is still to be drawn.


    But for some urgently needed and necessary items, Lu Chen still decided to accumulate gratitude points to exchange!


    At present, Lu Chen''s thanks value is zero.


    Fortunately, he has this virtual training universal card.


    Before the exam, you can make full use of the virtual space for 2 hours to train various medical operation skills!


    ¡­


    The next day, the entrance exam came as scheduled.


    All the freshmen of the first year of the first year are gathered in the regulation training building.


    A total of more than 200 freshmen were divided into 20 groups.


    This skill test is divided into four stations.


    The first stop is to collect medical history.


    Second stop, physical examination.


    The third stop is to test routine skill operations, including cardiopulmonary resuscitation, electrical defibrillation, and ECG interpretation.


    The fourth stop is to test the puncture operation, including the four major punctures.


    Li Juan, the teaching secretary of the Department of Cardiology, has distributed all the exam questions to the invigilators.


    This time, all the teachers who were enrolled in the examination came from the eight wards of the Cardiology Department.


    Each ward will choose an attending doctor to be an invigilator.


    Eight invigilators, each with two groups in charge of one station exam.


    The invigilator assigned to the eight districts in my heart is Yin Xinhua, who just arrived this year.


    In the lecture hall of the Jipei Building.


    Li Juan said to all the freshmen with a serious face: "This year''s exam is different from previous years. It is not only linked to the annual scholarship, but the school will use the results of this skills test to select candidates for the national medical student skills competition."


    As soon as the ?? voice fell, whispers rang out throughout the classroom.


    "This exam is actually related to the National Skills Competition for Medical Students!"


    Zhou Wei whispered to Lu Chen beside him.


    "I heard about this competition when I was an undergraduate student. If undergraduates get a good place in this competition, they can directly enter major universities for postgraduate study without exams!"


    "I wonder if our graduate students participate in the competition, will there be any better rewards?"


    "You still want to participate in this competition?" Lu Chen glanced at Zhou Wei and smiled.


    "No, I don''t want to." Zhou Wei shook his head. "Everyone who can participate in this kind of competition is a good person. I definitely won''t be selected. My idea is very simple, just get good grades in the test and get a first-class scholarship."


    "First-class scholarship?" Lu Chen laughed, "Then your idea is really simple..."


    "Hehe." Zhou Wei touched the back of his head.


    Only the top 10% can get the first-class scholarship.


    All those present here went through the "fierce fighting" of undergraduates before they were finally admitted to the Jinghua Second Academy.


    So everyone has the same strength, it is not easy to be in the top 10%!


    "Everyone, be quiet!" Li Juan pressed her hands down, signaling everyone to be quiet, "Wait a while to draw lots to decide the order of the exam. Those who haven''t had their turn to take the exam will review in the classroom, and then prepare for the next group. !"


    Li Juan handed the lottery box to everyone.


    Lu Chen drew No. 8 in the fourth group.


    is not bad, taking the exam in the middle.


    There is a certain amount of time to review, and it will not wait too long and cause tension.


    ¡­


    Gu Xinyue, he has the highest score in the graduate examination of Jinghua Medical University this year.


    At the same time, he is also a graduate student of Cao Zhiying, director of the University of Cardiology.


    For this time''s entrance examination, he is bound to win!


    "Huh, although the last electrophysiology elite group assessment failed, it wasn''t an exam for our graduate students after all." Gu Xinyue held her own lottery in her hand.


    He is the fourth group, number seven!


    There was a gleam in his eyes.


    "In this entrance exam, I will still be the first!"


    "As for the National Skills Exam for Medical Students, I''m going to set it too!"


    is the opposite of other people''s anxiety.


    Gu Xinyue held her head high and her chest high, full of confidence!


    He Sirong, who is also a cardiologist, bit her lower lip, and occasionally glanced at Lu Chen who was sitting in front of her right.


    Before she met Lu Chen, she was confident!


    But since being with Lu Chen for a month, her self-confidence has been hit hard!


    He Sirong closed his eyes and let out a deep breath to calm himself down.


    She slowly opened her eyes: "Although I''m not as good as Lu Chen, as for the others, I won''t admit defeat!"


    ¡­


    (end of this chapter)

 Chapter 122： Chong Sanjiang next week, ask for tickets!

    Chapter 122 Chong Sanjiang next week, ask for tickets!


    Received a big notice from the editor, there is a possibility of rushing to Sanjiang next week, and it will not be on the shelves for the time being.


    So, next week, it is up to all brothers and sisters to vote!


    Brothers and sisters, stop raising books for the time being!


    Let me taste the taste of Sanjiang!


    How many votes, all love!


    Everyone vote, I will add more to the best of my ability!


    Almost every day starts at eight o¡¯clock, and by late at night, there are really not many manuscripts, and we have to prepare for the shelves.


    Therefore, the rules for adding updates starting tomorrow are tentatively set as follows:


    Guarantee 2 changes every day.


    For every 800 recommended votes, add 1 chapter, and so on.


    For every 200 monthly passes, add 1 chapter, and so on.


    If you give a reward, it¡¯s all love, but I really don¡¯t have many manuscripts.


    So, reward, add 1 chapter, and so on.


    Add more, no upper limit.


    Ask for a ticket!


    (end of this chapter)

 Chapter 123： Isnt this a question of sending points?

    Chapter 123 Isn''t this a bonus question?


    "Ding Ding Ding!"


    There is a piercing bell outside the window, and the entrance exam officially begins!


    The first group of students left the classroom and entered the skills training room on the second floor of the Guiping Building.


    Students from other groups remained in the classroom to review.


    "Lu Chen, why do you keep your eyes closed? Stop reading and review for a while?"


    Zhou Wei looked back at Lu Chen who was sitting in the back row doubtfully.


    He found that Lu Chen had been closing his eyes since he came to the classroom.


    He Yincheng''s green clinical skills training book was placed by him at the corner of the table, and he never opened it at all!


    Lu Chen opened his eyes slightly, and his consciousness retreated from the virtual space of the system.


    The ?? system panel pops up a prompt.


    "Ding, the remaining duration of the system virtual training universal card: 34 minutes!"


    Lu Chen smiled and said to Zhou Wei, "I''m just training the operation skills in my mind!"


    Zhou Wei pouted, "Come on, I''m still training in my mind... I think we should read more books. Not only will we have operations later, but we will also ask questions during the operation!"


    "Don''t worry, I know what I have in mind." Lu Chen smiled, then closed his eyes again, and his consciousness entered the virtual training space of the system.


    Zhou Wei glanced at Lu Chen reluctantly, "Don''t care about this guy!"


    Everyone is working hard to read carefully, but you are closing your eyes and resting!


    This gap is a bit too big!


    He Sirong also discovered Lu Chen''s anomaly.


    But she knew that Lu Chen was not such a person!


    Unless, he was so sure that he acted so easily.


    As for Lu Chen, after closing his eyes, his consciousness escaped into the virtual space and began to continue training clinical skills.


    He deliberately reserved a small part of the time for the universal card, that is, to train again before the test.


    As the saying goes, sharpen the gun before the battle, and the unhappiness is also light.


    Half an hour of pre-exam training may be worth half a day of usual training.


    "Cardiopulmonary resuscitation, electrical defibrillation, thoracentesis, paracentesis, bone marrow aspiration..."


    Lu Chen practiced various clinical operation skills over and over again in the virtual space!


    Proficiency is rising rapidly!


    The only fly in the ointment is that there is not much time left for this universal card.


    In the ?? system mall, a virtual training universal card is worth 50 thanks points!


    It almost took him more than a week of hard work to earn 50 gratitude points.


    ¡­


    After half an hour.


    Li Juan returned to the classroom.


    "The first group is almost over, the second group is ready!"


    In the classroom, people stood up one after another and walked outside the classroom.


    "Lu Chen, I''m going to take the exam!"


    Zhou Wei carried his small bag.


    "I wish you ten thousand." Lu Chen smiled.


    "Hey, thank you." Zhou Wei waved his hand and left the classroom.


    There are only ten minutes left for the virtual training of the universal card, Lu Chen has to hurry up!


    ¡­


    After about twenty minutes.


    Zhou Wei walked out of the final exam room with his head down.


    "I''m going, it''s too hard!"


    From the medical history collection at the first stop to the last stop of the puncture operation.


    The scoring of each stop is extremely strict, as long as you are a little careless, you will be deducted!


    "Alas, this ten thousand yuan, it is estimated that it is difficult!"


    The students who had finished the exam all left, and Zhou Wei went back to look at the Guipei Building.


    "I can only hope that Lu Chen can get 10,000 yuan, then kill him!"


    At this time, in the classroom on the first floor of Jipei Building.


    Lu Chen''s virtual training universal card has expired!


    But he has already operated all the skills in the virtual space.


    This is where his advantage lies!


    Other students, let alone the actual operation, you may not even know what is in the bone piercing bag!


    And Lu Chen can train at will in the virtual space.


    Wrong, do it all over again!


    "The third group is over, the fourth group is ready!"


    "Huh..." Lu Chen let out a deep breath, packed his textbooks silently, and came to the second floor of the Guipei Building with his group and Li Juan.


    There are four test stations in total, each in four classrooms.


    "No. 1 and No. 2 enter the first test site, No. 3 and No. 4 enter the second test site, and so on!"


    Lu Chen was No. 8 in the fourth group. He entered the last test site.


    The last test site is all kinds of puncture tests!


    After Lu Chen entered the classroom, he found that a boy was already standing in the center of the classroom.


    "Hello teachers, I''m the No. 7 of the fourth group!"


    This guy looks extremely handsome, and he is definitely the kind of person who will never forget it at a glance.


    Lu Chen took a step forward.


    "Hello, two teachers, I''m No. 8 in the fourth group."


    Gu Xinyue glanced at Lu Chen, then withdrew her gaze.


    "This stop is the puncture test." One of the invigilators said straight to the point, "This box has all the operation skills items, whichever I draw will be yours!"


    After ??, the invigilator immediately started drawing lots, took out a note from the carton, and slowly unfolded the words on the note.


    "Pericardiocentesis!"


    Lu Chen blinked and smiled knowingly.


    Isn''t this a question to send points?


    Gu Xinyue heard the words, but frowned and whispered, "Teacher, this, isn''t this a question in the exam syllabus?"


    Pericardiocentesis is not one of the four routine punctures.


    The most common puncture in the skill test are thoracentesis, abdominal puncture, bone marrow puncture, and lumbar puncture!


    Gu Xinyue''s main review scope is also in these four types of punctures!


    The invigilator put down the ballpoint pen in his hand and laughed: "We gave you the exam syllabus?"


    "Isn''t it a skill test question for the training test?" Gu Xinyue wondered.


    "No, you have to remember that this is a skill test. Based on the National Medical Student Skills Competition, all our operations will be tested!"


    Gu Xinyue nodded helplessly and stopped asking.


    He is not very familiar with pericardiocentesis.


    Because when reviewing, he paid more attention to the conventional four punctures.


    But he is a cardiologist and has assisted the teacher in performing pericardiocentesis many times, so he is very clear about the basic procedure of pericardiocentesis.


    "To save time, you two do it on two dummies at the same time!"


    In the center of the two consoles, there is a shutter to separate the two.


    This is to prevent cheating.


    "Our two teachers will grade you separately, please start the exam!"


    The voice of ?? just fell.


    Lu Chen began to prepare the objects for pericardiocentesis on the operating table, and at the same time informed the "dummy" of the contraindications and indications of puncture, and signed the informed consent orally.


    Gu Xinyue was stunned for a moment, but she didn''t expect her opponent to be so professional.


    actually entered the state all of a sudden!


    "Hope you''re not a douchebag!"


    Gu Xinyue brought a smile to the corner of her mouth.


    He was also not far behind, quickly finding all the pericardiocentesis items.


    The two invigilators nodded slightly, the preparation before the puncture was equally important.


    Many candidates unpack and puncture at the very beginning, completely ignoring the pre-operative preparations, including preparing anesthesia and disinfecting the towel!


    In this regard, both candidates did a good job.


    Gu Xinyue has already started disinfecting the towel, exposing the surgical area, and recalling all the details of the operation in her mind.


    Brothers and sisters are very powerful!


    So far, today''s recommended votes are 1400+ votes


    The monthly pass is 204!


    So in addition to guaranteeing two updates, two chapters are added.


    This first update, there are three more.


    Plus 200 recommended votes, another chapter, everyone is so fierce, I stayed up late.


    (end of this chapter)

 Chapter 124： This stuff is off!

    Chapter 124 This thing is dead!


    Determine the puncture site, disinfect the drape, and then perform anesthesia.


    Every one of ??Gu Xinyue is carried out carefully.


    Because he performed pericardiocentesis very few times, he was afraid of omissions or mistakes in every procedure.


    "Phew, the anesthesia is successful, it''s time to enter the puncture needle!"


    Gu Xinyue just picked up the puncture needle when a voice came from her ear.


    "Teacher, my pericardiocentesis is over!"


    Lu Chen took off his gloves and put all the test supplies back to their original positions.


    Gu Xinyue couldn''t believe it, the one next door is done?


    He just entered the puncture needle!


    The movement in his hand was stagnant. Unexpectedly, the puncture needle could not help but send a few centimeters into the pericardium.


    "Cough, classmate, pay attention to the depth!"


    "Your needle, don''t go too deep!"


    Gu Xinyue was shocked and quickly pulled out a little.


    However, he was still in a state of shock in his heart!


    Next door, did you hang up?


    Gu Xinyue comforted herself again in her heart: Or maybe, the person next door won''t have a pericardial puncture at all, so it''s over in a few minutes, it doesn''t last as long as him!


    He was patient and slightly accelerated the speed of some operations.


    Finally finished the pericardiocentesis after five minutes.


    "After the two candidates are finished, please go to the next test room after the bell rings!"


    Gu Xinyue turned her head to look at Lu Chen, and found that this classmate was really calm.


    Could he really have a pericardiocentesis?


    No, no, no!


    "Teacher, when will we know our test scores?" Gu Xinyue couldn''t help asking.


    "I can''t tell you for the time being, but both of you have excellent grades!" said one of the male invigilators, "It''s the best group of students I''ve seen in so many groups!"


    Hearing this, Gu Xinyue said "oh", and there was not much joy on her face.


    The invigilator''s words, doesn''t it mean that the person next door is really capable of pericardiocentesis?


    Gu Xinyue couldn''t help but take a few more glances at Lu Chen.


    is not particularly handsome!


    ¡­


    "Ding Ding Ding!"


    The bell rang, and Lu Chen and Gu Xinyue walked out of the classroom in turn.


    Lu Chen and the two just left the classroom, and the two invigilators just started talking.


    "Hey, Lao Yang, why did you give this student No. 8 49 points? In our station, the full score is 50 points, so you will deduct one point?"


    "To be honest, I may or may not deduct one point from this. The main reason is that the full score is a bit exaggerated, so I will deduct one point casually."


    "What do you mean, this student has full marks?"


    "Yes, the whole process is pleasing to the eye. I dare say that student No. 8 has definitely done pericardiocentesis clinically, and he has done it quite a few times!"


    "Tsk tsk, the quality of this class of students is really good! Although the operation of this No. 7 student is slow, it is very stable, and there is almost no error, except that there is a place in the middle that is inserted too deep!"


    ¡­


    At this point, Lu Chen and Gu Xinyue had already arrived at the next exam site for medical history collection.


    This stop is relatively simple.


    The invigilator acts as a patient, stating his symptoms, and then the students ask questions.


    mainly examines the students'' inquiries about diseases.


    Check whether the consultation is focused and whether it shows the individual''s clinical thinking.


    This time, Lu Chen and Gu Xinyue still had the same exam questions, and then they interviewed the two invigilators respectively.


    Gu Xinyue held his breath, he must be faster than the one next door!


    "Classmate, slow down, it''s too fast!"


    The invigilators couldn''t keep up with Gu Xinyue''s questioning speed.


    Lu Chen is a steady, step-by-step question.


    In fact, the last time he had a pericardial puncture, the reason why he was so fast was entirely due to the results of his usual training in the virtual space.


    It is no exaggeration to say that he performed hundreds of pericardiocentesis.


    Closed his eyes and touched his heart, he knew where to puncture!


    The speed is subtly and gradually increased.


    His original intention was not to pursue speed.


    Medical History Collection Station is over!


    Gu Xinyue''s consultation was much faster than Lu Chen''s.


    "Student No. 7, your consultation speed is a bit fast!"


    "Although the question is correct, we are not comparing the speed, and there are many elderly people in the clinic. If you ask the doctor faster, the elderly may not be able to keep up with you!"


    Gu Xinyue touched her nose in embarrassment.


    "Teacher, I will pay attention."


    Lu Chen looked at Gu Xinyue strangely.


    He doesn''t seem to know this handsome man, why does he look at him with some hostility?


    Is ?? his own delusion?


    As everyone knows, Gu Xinyue has regarded him as an "imaginary enemy".


    ¡­


    came to the third stop, physical examination.


    Physical examination is divided into several categories, including chest examination, abdominal examination, nerve examination and so on.


    The physical examination of each part should be carried out in four aspects: sight, touch, percussion, and hearing.


    It seems that they are all common clinical examination items, but it is extremely difficult to be meticulous and not deduct a single point!


    "The exam question for the two students is, Neurological Examination!"


    Gu Xinyue, who heard the title, looked serious.


    In the ?? internal medicine system, the neurology department is separate.


    Because the neurology system is different from other subjects, and the study of the nervous system is also more difficult.


    It can be seen that the examination of the nervous system is more difficult than other systems!


    Gu Xinyue couldn''t help but said: "Teacher, there is a lot of content in the physical examination of the entire nervous system. Do you have to do it all over again?"


    The invigilator nodded slightly: "Well, start from scratch, you can do as much as you can, and we will grade you according to your degree of completion."


    There are many contents of the nervous system examination, and the most fearful thing is to miss something.


    And the most important point, usually you can''t use a dummy to practice.


    The ?? dummy does not make corresponding neural reflex changes.


    Unless you use a real person to practice, but which real person will let you knead him at will?


    And Lu Chen is different!


    In the virtual space, the dummy he used in practice is a simulated human, who can make corresponding changes in the nervous system.


    "The exam begins!"


    Lu Chen immediately started a nervous system examination.


    Nervous system physical examination includes general examination, cranial nerve, motor system, sensory system, reflex system, autonomic nervous system and other aspects.


    Recalling the practice process in the virtual space on weekdays, Lu Chen carried out the physical examination in an orderly manner.


    "First, judge the mental state. Check whether the patient has perceptual disorders, memory disorders, emotional disorders and intellectual disorders."


    "Secondly, judge the disturbance of consciousness. That is, judge whether the patient has drowsiness, lethargy, confusion, delirium or even coma."


    ¡°¡­¡±


    "Final reflex examination, including deep reflex, superficial reflex, pathological reflex, meningeal irritation sign..."


    The entire physical examination operation, Lu Chen completed in one go, without a single pause.


    Very silky!


    Gu Xinyue''s physical examination has just reached the third step.


    But when he caught a glimpse of Lu Chen out of the corner of his eye, he seemed to have finished the entire nervous system examination, and then he couldn''t help crying:


    "This product is definitely on the hook!"


    There are two more chapters


    (end of this chapter)

 Chapter 125： Can I continue? (recommended ticket plus more)

    Chapter 125 Can I continue? (recommended ticket plus more)


    "Calm down! Calm down! Phew..."


    Gu Xinyue withdrew her gaze, took a long breath, and kept herself calm.


    Don''t be led by the nose!


    The first exam room, he is fast!


    In the second examination room, he slowed down.


    In the third exam room, he got up again!


    He wants to get his rhythm back!


    Gu Xinyue is worthy of being one of the best graduate students this year. Instead of continuing to pay attention to Lu Chen, he successfully completed all the neurological examinations!


    Although he finished a few minutes slower than Lu Chen.


    But in the eyes of the invigilator, the No. 7 and No. 8 in front of you are equally outstanding!


    ¡­


    The last test room to examine the operation of conventional skills.


    When Lu Chen entered the examination room, his eyes couldn''t help but be stunned.


    The invigilator is Yin Xinhua!


    Yin Xinhua also saw the two candidates in front of him.


    Lu Chen and Gu Xinyue.


    She knew both of them.


    Lu Chen needless to say, they all belong to eight districts in their hearts.


    Gu Xinyue seems to be a graduate student of Cao Zhiying, the director of the heart this year!


    I heard that he was the No. 1 postgraduate student at Jinghua Medical University this year!


    Yin Xinhua couldn''t help showing a faint smile on the corner of his mouth.


    The two of them took the exam together, it looked good!


    "The exam at our station is quite special, and the operation content of the exam is not specified." Yin Xinhua looked at the two people in front of him and smiled, "The two of you each choose the operation you are best at and complete it within a fixed time. You will be graded according to difficulty and degree of completion.¡±


    "Choose the operation items yourself?" Lu Chen glanced at the tools on the console.


    There are quite a few ??, there are catheter kits, defibrillators, suction tubes, various puncture needles, and even dummies for cardiopulmonary resuscitation.


    "Teacher, I choose CPR!"


    Gu Xinyue also read all the tools on the console, and immediately chose CPR,


    Judging from the existing projects, cardiopulmonary resuscitation is moderately difficult, and it is relatively easy to get points.


    Because everyone usually trains more, they are more familiar with the operation of CPR!


    "Another classmate, what''s your choice?" Yin Xinhua looked at Lu Chen beside him.


    Lu Chen paused and said, "Teacher, can only choose one operation item?"


    "Lu... classmate, what do you mean?" Yin Xinhua almost missed his mouth and looked at Lu Chen in confusion.


    "Teacher, according to what you just said, you want us to complete the operation within the specified time, but you didn''t say a few operation items. I would like to ask, can you add points if you do a few more items?"


    Yin Xinhua was stunned, she had never encountered such a strange request before.


    I took the initiative to request to add items!


    Yin Xinhua looked at an older male invigilator beside him.


    He is the main person in charge of this exam.


    "Mr. Cheng, look at this student''s request..."


    Cheng Guoqiang glanced at Lu Chen in surprise.


    Now the students are so confident that they still take the initiative to ask for additional operation items?


    Other students think the exam time is too short!


    "If you have extra time, of course you can choose another project, but it''s more wrong to do more. If you make a mistake, you will be deducted points, and the gain will outweigh the loss. You should think about it!"


    "Okay!" Lu Chen nodded with a smile, "Then I''ll choose CPR, and then I''ll choose an electrical defibrillation!"


    "Then I have to choose one more defibrillator!" Gu Xinyue said quickly.


    He can''t admit it!


    Lu Chen glanced at Gu Xinyue, this guy didn''t look right at him.


    Cheng Guoqiang smiled helplessly in his heart, today''s students are really blindly confident!


    "Okay, if you can finish it within the stipulated time, then you can choose one more project!"


    ¡­


    Exam starts!


    CPR, this is what every medical staff is required to learn.


    And now more and more ordinary people are starting to learn CPR, which has gradually become a basic public skill!


    Lu Chen''s CPR is quite skilled.


    Even if there is no virtual training space, his cardiopulmonary resuscitation has achieved full marks in the graduation exam.


    Now there is a big helper called virtual space, and his proficiency in CPR has skyrocketed!


    on the other hand. Since Gu Xinyue dares to choose CPR first, his method of CPR must be quite professional!


    While performing CPR on the dummy, the two of them dictated the key points of the operation.


    CPR is over!


    Lu Chen immediately started electrical defibrillation, which was completely seamless.


    Gu Xinyue was a little behind, and also started defibrillation!


    "These two students have performed very well! No wonder there is one more item!" Cheng Guoqiang looked at the two who were operating and nodded slightly.


    "Mr. Cheng, this No. 8 is a graduate student of Li Yao in the eighth district in our heart, and No. 7 is a graduate student of Director Cao Zhiying." Yin Xinhua whispered aside.


    "Oh, is that so? Li Yao and Cao Zhiying?" Cheng Guoqiang was stunned, "Director Li Yao is in charge of this national medical student skills competition this year. It seems that she will definitely recommend this student to the school team!"


    "Well, Director Li Yao usually likes him very much in the department." Yin Xinhua smiled, "By the way, the one who performed blind pericardial puncture in the elevator before was the No. 8 student."


    Cheng Guoqiang''s eyes lit up, and he immediately became interested.


    "what is his name?"


    "Lu Chen."


    "Lu Chen? Why do I seem to have heard this name somewhere!" Cheng Guoqiang frowned, lowered his head and thought for a long time, but still didn''t have the slightest thought.


    "Mr. Cheng, Lu Chen is a freshman this year. Mr. Cheng, you usually manage so many people in the Electrophysiology Association. Maybe you have misremembered."


    "Well, it''s possible."


    Cheng Guoqiang didn''t care about this detail, and put his attention back on Lu Chen.


    "Huh? Isn''t it defibrillation? He... how is he catheterizing?"


    At this time, Lu Chen had taken apart the catheterization bag and was performing catheterization on the dummy.


    "The catheterization operation is completed, and there is still time. Then I will continue the operation of the suction skill."


    After Lu Chen finished speaking, before Cheng Guoqiang and Yin Xinhua could react, he immediately started the suction operation!


    "Xiao Yin, is he doing the fourth operation?"


    Cheng Guoqiang couldn''t believe it!


    "Yeah." Yin Xinhua was also stunned, and Lu Chen did it too!


    His skills are very fast, but not the kind of fast, instead he ignores the normal operating procedures!


    His speed is smooth and pleasing to the eye!


    is to keep every skill operation in mind, so it can be so fast!


    For operations such as sputum suction, catheterization, and even cardiopulmonary resuscitation, electrical defibrillation, etc., in the actual operation process, under the normal operating range, the sooner the better!


    At this time, Gu Xinyue had just finished defibrillation.


    "I''ll go, he... how is he doing suctioning?"


    Lu Chen quickly finished suctioning.


    Just when everyone thought he was going to end.


    Lu Chen glanced at the clock on the wall, there were still 3 minutes until the end of the exam!


    "Teacher, can I continue the operation of blood gas analysis?"


    Cheng Guoqiang widened his eyes.


    Yin Xinhua was shocked.


    And Gu Xinyue, the corners of her mouth twitched, she was already numb!


    1 more chapter!


    (end of this chapter)

 Chapter 126： Both are single dogs, why is it too urgent to fry each other! (monthly pass plus more

    Chapter 126 Both are single dogs, so why is it too urgent to fry each other! (monthly pass plus more)


    "Cough, classmate, please start your performance." Yin Xinhua replied softly.


    Lu Chen picked up the arterial puncture needle when he heard the words.


    Start radial artery puncture and draw arterial blood!


    After so many days of training in the virtual space of the system, his radial artery puncture has become proficient!


    Whether it is the direct puncture method or the penetration method, Lu Chen can use it proficiently!


    In the eyes of outsiders, this is a proper show!


    Two minutes later.


    "The arterial blood gas operation is over!" Lu Chen finished the action in his hands and looked up at Yin Xinhua and Cheng Guoqiang.


    At the same time, the bell rang outside.


    The fourth group of exams is over!


    Yin Xinhua and Cheng Guoqiang looked at each other.


    Lu Chen''s points, how should I give it?


    perfect score? It seems that the full score seems to be a bit low!


    Add points? But for those students who don''t know that they can choose multiple projects, it seems a bit unfair!


    Gu Xinyue on the side, for the first time, frustration grew in his heart!


    From childhood to adulthood, he was the best one!


    He got second place in the exam, and he would suffer for several days.


    In today''s skill test, Lu Chen crushed him.


    This is not just one exam room.


    But in all examination rooms, all-round crushing!


    ¡­


    Get out of the classroom.


    Gu Xinyue caught up with Lu Chen, and he was a little unwilling.


    "Classmate, I''m Gu Xinyue from Cardiology Department. Excuse me, which department are you from?"


    The person who can overwhelm him is definitely not an unknown student on campus.


    Lu Chen turned back and looked at the handsome Gu Xinyue.


    During the exam just now, his eyes seemed to have never left him.


    Shouldn¡¯t he¡­


    "Cough, classmate, I''m Lu Chen from the eighth district in my heart, what''s the matter with you?"


    Lu Chen took a step back without a trace.


    "You are also a cardiologist?" Gu Xinyue raised her eyebrows, "In the eighth district...then you should know He Sirong, right?"


    I didn''t expect that he was also a cardiologist!


    Gu Xinyue thought it was another department or a graduate student in surgery.


    "Of course I do." Lu Chen smiled, "Is there anything else you can do? I''ll leave if I''m fine."


    Gu Xinyue said solemnly: "I may not be as good as you in this exam, but when the school team is selected, I look forward to meeting you again!"


    "Huh? What... school team selection?"


    Lu Chen didn''t understand what was going on, but Gu Xinyue turned and left.


    It seems that his news is still not well-informed!


    He only knew that this exam was linked to the National Medical Skills Exam.


    But how it is related, how to choose the most suitable candidates, everything is unknown!


    It seems that in the future, I still have to ask my tutor Li Yao about this kind of thing.


    But this person named Gu Xinyue is quite strange.


    ran up to him, said something inexplicable, and ran away.


    Lu Chen shook his head and didn''t care.


    ¡­


    The exam is officially over!


    The test results will be announced tomorrow afternoon.


    Lu Chen packed up his review materials, and as soon as he walked out of the planning training building, he received a call from Zhou Wei.


    "Lu Chen, the old place is waiting for you!"


    said something, and he hung up the phone.


    Lu Chen listened to the busy tone from his mobile phone and smiled helplessly, is everyone so individual today?


    said a word and hung up.


    Lu Chen changed his destination and came to the hospital cafeteria.


    In the corner of the cafeteria, Zhou Wei had already ordered food.


    He waved to Lu Chen.


    "Lu Chen, I''m here!"


    "Looks like you did well in the test! You can come out and invite me to rub it!" Lu Chen came to Zhou Wei and slapped the meal he ordered, "These big meat dishes will cost a lot!"


    "Hey, don''t make fun of me." Zhou Wei curled his lips, "I got a pericardiocentesis! What a mess! It is estimated that there is no hope for 10,000 yuan, so I can only see if there is any hope for a second-class scholarship. "


    "Haha, I also had a pericardiocentesis!" Lu Chen said softly.


    "Then will you?" Zhou Wei pouted.


    "Of course!"


    "...Forget it, I''m not asking myself to be bored anymore and I won''t discuss this issue." Zhou Wei suddenly changed the subject, "Lu Chen, do you remember, I told you a while ago that I was with a classmate of endocrinology. A long-term partnership has been established.¡±


    "A night shift trader?" Lu Chen wondered.


    The endocrinology class he bought before was bought from Zhou Wei, a classmate.


    "Yes." Zhou Wei nodded.


    "Why did you suddenly say this?"


    "Hey, it''s not because I have to work in the laboratory for a long time in the future, and the partnership between me and this classmate can''t be maintained." Zhou Wei sighed, "He asked me to help find a long-term person, and occasionally help him. Night shift or day shift."


    "Are local tyrants so self-willed?" Lu Chen raised his brows, "Then why did he come to the hospital for training, what''s wrong, he has to suffer this crime."


    "His father insisted that he wanted to find a more stable job. On the surface, he didn''t want to go against his father''s wishes." Zhou Wei smiled, "How is it, Lu Chen? Will you take over?"


    Lu Chen shook his head: "I really can''t take over this for the time being. Occasionally it''s okay. And after school starts, it will definitely be busier. We still have classes, so it''s impossible to take care of it."


    "Well, I''ve also considered this issue." Zhou Wei nodded slightly, "Forget it, I''ll find someone else."


    Lu Chen paused and suddenly thought of Senior Brother Dong Hao.


    He is a regular trainee. He usually does not have to attend classes or write papers, so he is relatively leisurely.


    Maybe he can!


    "Well, let me ask someone to see if he can do it." Lu Chen said.


    "Well, okay, you fight."


    Lu Chen immediately took out his mobile phone and called Senior Brother Dong Hao.


    Sure enough, Dong Hao readily agreed.


    Relatively speaking, he is not very busy, and he is somewhat short of money.


    One night shift can earn 150-300 yuan, which is a very good extra income.


    "Lu Chen, thank you so much, help me with this." Zhou Wei patted Lu Chen on the shoulder and smiled.


    "Tsk, I''ve never seen you so caring about one thing before, why are you so attentive this time?" Lu Chen put down his phone, raised his eyebrows and said with a smile, "couldn''t your partner be a woman?"


    Zhou Wei coughed lightly, his face flushed.


    "That, that, don''t talk nonsense, that''s not the case!"


    Lu Chen smiled slightly, it seemed that he had guessed it right!


    This man is so diligent only when stimulated by the opposite **** hormones!


    "Okay, just work hard and end the 24-year solo period of your mother''s womb!" Lu Chen laughed.


    Zhou Wei couldn''t help but whispered back: "Hey, it''s like you''re not a female solo player?"


    "Both are single dogs, why is it too urgent to fry each other!"


    ¡­


    The next afternoon.


    In the postgraduate group of Jinghua Second Academy, the transcript of the entrance examination suddenly popped up.


    Sorry, I forgot to post it after I wrote it. Yesterday''s second chapter added more!


    Take a rest today, let Kagga come more violently!


    At present, the recommended ticket is 2000+, and the monthly ticket is 260, so today a new chapter will be added temporarily. If the recommended ticket exceeds 2400, another chapter will be added. Monthly Pass 400 Chapter Two.


    (end of this chapter)

 Chapter 127： Result announcement (first update)

    Chapter 127 Results Announcement (First Update)


    Gu Xinyue immediately opened the file sent in the group.


    Entrance Examination Transcript.


    First place: Lu Chen 200 points.


    Second place: Gu Xinyue scored 195 points.


    Third place: He Sirong with 193 points.


    ¡­


    7th place: Jiang Qingyan scored 189 points.


    ¡­


    Twelfth place: Wang Zihao scored 182 points.


    ¡­


    The first place is not yours after all!


    is actually the guy next door!


    Moreover, he turned out to be a perfect score of 200!


    Gu Xinyue''s eyes flickered, and she couldn''t believe it.


    Although he is still five points away from the perfect score, there is still a big, big gap.


    It is much harder for a student with excellent grades to progress to full marks than to pass the exam!


    A perfect score means perfection.


    This requires Lu Chen to make no mistakes in every link!


    This transcript is issued.


    All those who are concerned about the entrance examination, including the students of Jinghua Second Academy, and some teachers, are all shocked!


    Everyone stared at their mobile phones in amazement.


    This exam actually got a perfect score!


    In the history of Jinghua Second Academy, did anyone get full marks in the entrance examination?


    ¡­


    Liu Sijia from the Endocrinology Department of the Second Hospital of Jinghua. She is the invigilator of this exam. She invigilates the station where the medical history is collected.


    At this time, Liu Sijia also saw the transcript, and her eyes were suspicious.


    "I remember, we didn''t give any classmates full marks in my exam at this stop?"


    "Why does the first-place student get full marks? It must be the wrong score statistics!"


    Liu Sijia found Cheng Guoqiang, the person in charge of the exam, as soon as the results were announced.


    "Ah? Teacher Cheng, do you mean that he was at your station and got extra points for the reward?" Liu Sijia''s eyes widened, looking at Cheng Guoqiang in disbelief.


    "Yeah, you didn''t see it. Lu Chen''s amazing performance at our stop at that time." Cheng Guoqiang sighed, "Yin Xinhua and I considered it over and over again, and finally decided to give him extra points."


    Liu Sijia nodded slightly and paused at the same time, and said, "Mr. Cheng, I actually have an impression of this classmate who got full marks. At that time, his consultation was quite complete, and he couldn''t find any deduction items. In the end, I just gave a symbolic One point is deducted. If you add his points back, it can be regarded as another alternative compensation."


    ¡­


    When the transcript was released, Lu Chen was taking a lunch break.


    He was pulled out of the bed by Wang Zihao.


    "Zihao, what''s wrong?" Lu Chen was sleepy.


    "Yesterday''s exam results came out!" Wang Zihao looked excited, "You won the first place in the school, and you got a perfect score!"


    Lu Chen rubbed his eyes, took the mobile phone that Wang Zihao handed over, and took a closer look.


    Drowsiness disappeared by more than half!


    Your name is the first on the transcript.


    And the classmate named Gu Xinyue, who was in the same group as him, also did well in the test and was in second place.


    He Sirong, who is also the eighth district in his heart, is in third place.


    In this way, the top three in the hospital are all cardiology departments!


    However, this is also more conventional, generally in the cardiology department are the existence of academic masters.


    Jiang Qingyan ranked seventh.


    I didn¡¯t expect Wang Zihao, who usually doesn¡¯t show off the mountains and dew, to be ranked 12th!


    Lu Chen took out his mobile phone and found that all the messages on WeChat were congratulatory messages from friends or classmates of Jinghua Second Academy!


    Zhou Wei posted dozens of messages by himself, all of which were messages such as "beautiful" and "treating guests."


    Jiang Qingyan and Ke Yue also sent WeChat messages similar to congratulations.


    Among them, what Lu Chen was most concerned about was that tutor Li Yao personally sent him a "Congratulations" message.


    This is one of the few chats between him and Li Yao''s tutor on WeChat.


    "Lu Chen, the school just sent a notice that the top 20 students in this exam will have a meeting on the fourth floor of the teaching building at 2 o''clock this afternoon!" Wang Zihao said.


    "Well, good." Lu Chen nodded, while wondering, "Zihao, do you know what this meeting is for?"


    Wang Zihao spread his hands and shrugged.


    "What else can I do? It must be involved in the selection of the school team!"


    "School team selection?"


    This is the second time Lu Chen has heard about the school team selection.


    I heard this news from Gu Xinyue yesterday.


    "Yes, the school team of the National Medical Skills Competition." Wang Zihao nodded, "The selection of the school team was selected from the four larger affiliated hospitals of our Jinghua Medical University."


    "This entrance examination is equivalent to the preliminary examination. Each medical school will submit a list of about ten to twenty people to the school headquarters."


    "All the students from the last few affiliated hospitals will be screened at various levels to select a representative team to participate in the National Medical Skills Competition to be held in October in the second half of the year."


    "That''s right." Lu Chen suddenly realized, "The school seems to attach great importance to this competition?"


    "Of course, as long as the medical schools in the country can be named, they will participate in the competition." Wang Zihao smiled, "This is an excellent opportunity to enhance their influence. For undergraduates, if they can take the When the ranking is reached, the school will provide the opportunity to protect the research and even keep the job.¡±


    "Just like our hospital, as long as we can get a place in the competition, the undergraduates will be guaranteed postgraduates, and the postgraduates will be directly retained! All many students want to participate in this skill competition!"


    "How many people are there on the school team?" Lu Chen wondered.


    Wang Zihao said: "According to the rules of each previous session, there are usually four people and one substitute."


    "The entire Jinghua Medical University chooses five? That''s really difficult!" Lu Chen exclaimed.


    "It''s definitely difficult for us to get into the school team, but you definitely can." Wang Zihao smiled, "You got full marks in the first test. With your ability, you can definitely get a place on the school team!"


    "There are still a lot of powerful people." Lu Chen shook his head slightly, "The entire affiliated hospitals of Jinghua Medical University are not guaranteed to have a few powerful people. And those who can participate in the school team will not be based on test scores alone. Bar?"


    Everyone''s skill test scores may be almost the same.


    But in such an important game, if you want to enter the school team, you will never just look at the single attribute of the score.


    Although Lu Chen is not deeply involved in the world, he has experienced the postgraduate re-examination, and he also understands the truth.


    Grade is not the only factor that determines the final result!


    Wang Zihao glanced at Lu Chen in surprise.


    "It''s true that we won''t fully look at the results. In the end, the school team members are decided by the school leaders."


    Lu Chen smiled helplessly.


    "Don''t think about it so much, it''s two o''clock soon, let''s go to the teaching building for a meeting."


    "Yeah." Wang Zihao nodded.


    ¡­


    Jinghua Second Hospital, teaching building.


    In the lecture hall on the second floor, the top 20 of this exam have already gathered.


    Many of Lu Chen''s acquaintances were among them.


    Including Jiang Qingyan, He Sirong, roommate Wang Zihao, and Gu Xinyue, who have a relationship with each other!


    The first update.


    The recommendation ticket is 2400, so today the recommendation ticket adds 2 chapters.


    The monthly pass is 140+, which has not yet reached the standard of addition.


    (end of this chapter)

 Chapter 128： Best results of the year! (Second update)

    Chapter 128 The best results over the years! (Second update)


    Everyone waited in the classroom for about ten minutes.


    Li Yao wore a white lab coat and walked into the amphitheater.


    behind her, followed by Sun Guoguo.


    Li Yao saw Lu Chen sitting in the front row, nodded slightly, and looked up at everyone.


    The classroom immediately became silent.


    "I am Li Yao from the eight districts in my heart. First of all, congratulations to everyone who came out on top in yesterday''s skill test."


    "I believe everyone knows that this time the entrance examination is linked to the National Medical Skills Competition, and the candidates for the school team will be selected from among you."


    "The purpose of this meeting is to inform everyone that the selection of school teams for the Medical Skills Competition has officially begun!"


    As soon as the ?? voice fell, someone started whispering in the classroom.


    The group of them can basically get 10,000 yuan of first-class scholarships now!


    If I can be selected by the school team again and get a place in the skill competition, it will really make a lot of money!


    However, there are always some misfits.


    Lu Chen''s back row, a thin boy whispered something.


    "As far as I know, the best result of Jinghua Medical University in the skill competition is the 11th place in the country. There is no reward for this ranking, it''s just an **** or a free trip."


    Lu Chen was taken aback, Jinghua''s best score was only eleven?


    However, it is understandable that Jinghua¡¯s geographical location is not very good, and many high-quality students have been lost over the years.


    The local students with good grades all went to top medical schools in other provinces.


    Students with good grades from other places will not be Jinghua Medical University as their first choice.


    Although Jinghua Medical University still maintains its status as a first-class medical university, it is only the tail of a crane.


    If there is no further breakthrough, the development of the school may get worse and worse!


    On the podium, Li Yao pressed down with both hands, signaling everyone to be quiet.


    "If there are students who don''t want to join the school team, you can leave now."


    After Li Yao finished speaking, everyone was quiet, but no one left.


    The thin little boy behind Lu Chen also closed his mouth and stopped talking.


    I have been addicted to mouth before.


    After half an hour.


    Li Yao looked around and said slowly: "Okay, since no one has left, I will assume that everyone will participate in this school team selection."


    "The form of selection is very simple. The school will issue a skill test outline, and everyone needs to learn every skill operation in it."


    "Within one month from today, everyone must participate in the assessment of all skill operations. Remember, it is all!"


    "Within this month, every weekend, everyone can apply for the assessment. The location is in the clinical skills training room of the school. The school will record everyone''s operations in the form of video, and then give everyone a score."


    "By the end of September, everyone must complete the assessment of all skills. Students who have not completed it will be automatically withdrawn."


    After Li Yao finished speaking, Sun Guoguo began to issue the specific rules for the selection of the school team.


    When ?? sent it to Lu Chen, Sun Guoguo quietly paused.


    "Junior brother, come on, I''m optimistic about you."


    "Thank you, Senior Sister." Lu Chen replied with a smile, then flipped through the selection rules for the school team in his hand.


    There are 60 people participating in the selection of Jinghua Medical University, 20 people from the first hospital and 20 people from the second hospital.


    The third and fourth academies, because of the small number of students, only ten people participated in the selection.


    The composition of the school team is the same as what Wang Zihao once said, four main players and one substitute.


    Sixty new students, fighting for five places!


    Everyone is the best among the freshmen, and the competition is extremely fierce and cruel.


    During this month, Jinghua Second Hospital will open a clinical skills center, so that everyone present can go to the training at any time.


    As long as you think you are proficient in a certain operation, you can submit an application for the assessment on Friday, and you can participate in the assessment on weekends.


    Li Yao and everyone explained some precautions and left.


    "If there is anything you don''t understand, you can ask me now." Sun Guoguo stood on the podium and said to everyone with a smile, "I participated in a national skills competition before."


    Lu Chen raised his brows, Senior Sister Guoguo also participated in this competition?


    I never heard her mention it.


    "Mr. Sun, I want to ask a question, can I take the assessment every weekend for the next month?" He Sirong stood up and asked.


    "Yes, but you have to apply in advance." Sun Guoguo smiled, "The number of people to be assessed each week is limited. Once the number of places for the day is full, it will be arranged for the next week."


    "How many items can I take each time I apply for an exam?"


    "It depends on your personal abilities, one is fine, two are fine, and more are fine. As long as you can complete all the assessments by the end of September, that''s fine."


    ¡­


    Someone asked questions one after another, and Sun Guoguo patiently answered everyone.


    "If everyone is alright, let''s break up!"


    Seeing this, everyone began to leave the classroom one after another.


    Some people can''t wait to enter the clinical skills center of Jinghua Second Hospital for training.


    So, after some students left the classroom, they went directly to the Skills Center.


    "Hey, Lu Chen, wait a second." Sun Guoguo stopped Lu Chen who was about to leave, "Mr. Li told you to go to the eight districts in your heart to find her after the meeting."


    "Now?" Lu Chen was stunned.


    "Well, about this skill competition." Sun Guoguo smiled, "I just happen to be going back to the department, so come with me."


    "it is good."


    On the way back to the eighth district in my heart, I couldn''t help but say, "Senior sister, what is the National Medical Skills Competition like?"


    Sun Guoguo smiled and said, "The scale is very large, and the influence is greater than everyone imagined. As long as they have won the first place in this competition, they have basically grown into big names in the industry."


    "Senior sister, where did you finish in that competition?" Lu Chen asked cautiously.


    "The eleventh place in the country." Sun Guoguo shrugged.


    "This is our school''s best grade?"


    "Well, compared to other first-class medical schools, our school''s results are too shabby." Sun Guoguo said helplessly, "Actually, we were very hopeful to enter the top ten in that year, but there were many troubles in the middle, which led to the final result. not ideal."


    "Senior sister, I heard from many students that this exam can allow undergraduates to stay on campus, graduate students to stay on campus, and even have certain advantages when applying for a doctorate. What grades are needed to meet the requirements?"


    "This reward is really there. But I don''t know exactly what rank is required to achieve it." Sun Guoguo said, "Take me as an example. Although it is the eleventh place, it seems that it is not very good for outsiders. But it is also the best result of our school in the past. So when I applied to stay in the school after my master''s degree, this 11th place helped me a lot."


    Jinghua Second Hospital is the top tertiary hospital in the province.


    Generally, doctoral graduates are required to stay in school, and a master¡¯s degree like Sun Guoguo can stay in school. Relatively speaking, there are very few.


    Lu Chen raised his brows, the eleventh place has such a good treatment?


    Then this National Medical Skills Competition is really worth taking part in.


    During the conversation, the two returned to the eight areas in their hearts.


    The second update.


    (end of this chapter)

 Chapter 129： This apprentice is so reliable! (recommended ticket plus more)

    Chapter 129 This Junior Brother is too reliable! (recommended ticket plus more)


    Office of the Director.


    Li Yao is bowing his head to sort out the bids for the recent national nature project.


    bang bang bang!


    There was a knock on the door, and Li Yao raised her head slightly.


    "Please come in."


    Lu Chen opened the door and walked in.


    "Teacher, are you looking for me?"


    "Well, come on, sit down."


    Li Yao had put down the tender in her hand and pointed to the chair in front of her desk.


    "This exam was pretty good, and it didn''t disappoint me."


    Li Yao looked at Lu Chen with an indescribable joy in her eyes.


    First place in the hospital!


    And it is the first out of 200!


    In recent years, the quality of her recruiting students has declined, and exams like this are basically not on the list.


    Lu Chen''s birth, this made Li Yao proud!


    "It''s because the teacher gave good guidance." Lu Chen smiled, then flattered shamelessly.


    "Then don''t say that, I just round the room every day and test you a few questions." Li Yao waved her hand gently, "I don''t teach you as much as Guoguo taught you. You can achieve the current results, It''s all up to you."


    Hearing Li Yao''s compliments to him, Lu Chen also liked it very much, and smiled and grinned behind his ears.


    "But, as I told you in the classroom just now, the selection of the school team is the top priority!" Li Yao said solemnly.


    Lu Chen immediately said: "Teacher, don''t worry, I will continue to work hard!"


    Li Yao nodded gratified, and then said: "This time the school team''s assessment and selection, you must be in the top three!"


    "Top three?" Lu Chen paused and asked in confusion, "Teacher, shouldn''t it be the top five? There are five people on the school team, right?"


    Li Yao''s eyes flickered and she whispered: "Because the selection of the school team is not entirely based on grades!"


    Lu Chen was taken aback for a moment, it seemed that what he and Wang Zihao had guessed before were not wrong.


    The selection of the school team does not depend entirely on the results!


    The number of places to participate in this competition may determine the qualifications for postgraduate studies and school retention!


    This is a sweet pastry!


    Li Yao continued: "Usually speaking, the first-ranked student will enter the school team by default, but not necessarily the others!"


    "The final candidates will be selected from the top ten. From the second to the ninth, other teachers need to be recommended! Usually, they are recommended by their tutors!"


    Having said that, Lu Chen understood what Li Yao meant.


    This is ostensibly a student competition.


    In the final competition, in addition to the student''s grades, it also depends on the influence of the tutor!


    The greater the influence of the mentor, the greater the right to speak, and the greater the possibility of being able to enter the school team in the end!


    "In the past few years, as long as you rank in the top ten, you can enter the school team, such as the one in Ruo Guo." Li Yao paused, "But now, just ranking in the top ten is not enough! You must If you want to be in the top three, then I will be sure enough to let you enter the final school team."


    A bright light flashed in Lu Chen''s eyes.


    He has been in the eight districts of his heart for a month, and he also knows that Li Yao''s mentor has been excluded by many people in the hospital because of certain things.


    Originally, you only needed to be in the top ten to get into the school team, but now you have to be in the top three!


    The difference is not that big.


    However, his goal is never just the top three!


    Lu Chen suddenly smiled and said, "Teacher, don''t worry, I won''t let you down."


    "Well, I still have confidence in you." Li Yao nodded, "This month, I will give you a vacation, you will not be used for clinical practice, go to the clinical skills center for training every day, and prepare well for the selection of the school team."


    "Huh?" Lu Chen was taken aback, "No, teacher, I can come to work in the department as usual."


    He also wants to earn thanks points!


    Otherwise, he would not be able to draw lottery prizes, nor would he be able to exchange various skill books in the system mall.


    In Lu Chen''s plan, he also wanted to exchange several virtual training universal cards to improve his proficiency in various clinical skills.


    Li Yao glanced at Lu Chen in surprise.


    Others are now eager to go to the skill center for training.


    You are good, but you still want to stay in the clinic!


    "Don''t worry about Guoguo being too busy. There will be a new trainee to rotate this month. I''ll ask the teaching secretary to assign one more student to come here. The other students participating in the selection will be off-duty for a month and come to train exclusively."


    Li Yao felt that Lu Chen was a good boy.


    may be worried that the group is too busy and no one will help Guoguo.


    Lu Chen was still worried that he couldn''t find an excuse. Seeing Li Yao say so, he climbed up the pole.


    "Teacher, but we''re only two people when we leave. Not only am I leaving, Jiang Qingyan is also going to train. Just let me stay in the department and help. When I''m not busy, I''ll go to the skill center for training. "


    Li Yao frowned and hesitated: "This..."


    "Teacher, besides, these skills are all clinical operation skills, which can be seen and used in clinical practice. If I can meet them in the department, I will personally operate them on real patients, which is the same as using a dummy. The experience is different.¡±


    Lu Chen chased after the victory.


    His skill operation proficiency can rise to a maximum of 80% in the virtual space of the system.


    If you want to go further, you must operate it yourself clinically.


    In general, in clinical practice, various operations such as electrical defibrillation, sputum suction, catheterization, collection of arterial blood gas analysis, etc., are not allowed to be performed by a single student.


    Now if you can get Li Yao''s approval, take advantage of this skill test to train his skills.


    Isn''t it a good thing to kill two birds with one stone?


    "Well, that''s fine." Li Yao felt reasonable, "However, every time you do, you must keep Guoguo by your side, and don''t make any trouble."


    This is not to believe Lu Chen.


    But before obtaining the license of a practicing doctor, during the clinical operation, the superior doctor must be watching over him, so as to comply with the medical code of conduct.


    "Thank you, teacher!" Lu Chen smiled happily.


    With this Shangfang sword, he can perform clinical skills operations in the eight areas of his heart.


    Seeing the back of Lu Chen leaving, Li Yao nodded with great satisfaction.


    This is such a good seedling!


    And she has to get back everything that belongs to her as soon as possible!


    is not only for ourselves, but also to create a better environment for these students.


    Thinking of this, Li Yao turned out the bidding document applied by the State Nature and continued to review it.


    ¡­


    "Junior Brother, don''t you go to training full-time?"


    Sun Guoguo looked at Lu Chen in astonishment.


    "Well, Senior Sister, I will come to the department tomorrow to accompany you." Lu Chen smiled.


    "But, you..." Sun Guoguo paused, "Junior brother, you have to think clearly, this opportunity is rare, you must seize it! It doesn''t matter if the department is busy."


    Lu Chen smiled and shook his head: "Senior sister, I made an agreement with the teacher. When I''m not busy, I will go to the skill center for training, and I usually help in the department."


    "Hey, you really are."


    Sun Guoguo saw that Lu Chen had made up his mind, so he no longer discouraged him.


    In her heart, she felt more and more that this junior brother was too reliable!


    Didn''t find Lu Chen''s "black face" attribute at all.


    (end of this chapter)

 Chapter 130： Earn gratitude points! (recommended ticket plus more)

    Chapter 130 Earn Appreciation Points! (recommended ticket plus more)


    Except for Lu Chen, all the students who participated in the selection of the school team have all left their jobs.


    Everyone, strive to make the clinical skills in the syllabus very familiar in this month''s time.


    the next day.


    When Lu Chen came to work in the eight districts of his heart, Yin Xinhua and others were stunned.


    Corey He Srong and Jiang Qingyan, who are also going to participate in the selection, have already gone to train full-time.


    Lu Chen still came to the department, and was lying in front of the computer writing a medical record.


    This wave of operations is really incomprehensible!


    It stands to reason that Lu Chen''s entrance examination results are so excellent, he should strike while the iron is hot and go to the clinical skills center for training.


    After all, the formal clinical skills test is not as simple as the entrance examination.


    Is Lu Chen proud?


    Indulgence?


    You feel that you don¡¯t need to train if you get a perfect score?


    Yin Xinhua sighed slightly in her heart, she still admired Lu Chen before.


    But it would be a shame if he was such a person!


    Even Sun Guoguo on the side couldn''t stand it any longer.


    "Junior Brother, why don''t you go to the Clinical Skills Center for training, now that Corey is not busy, the beds are full, and we won''t be accepting new patients."


    Lu Chen hurriedly shook his head: "Senior sister, I haven''t written my medical record yet."


    "Let Junior Sister Ke Yue write it." Sun Guoguo suggested.


    "Yeah, Lu Chen, let me write it for you. It''s still early, you can go to training today." Ke Yue nodded quickly.


    She didn''t make the top 20 in this exam, so she was not qualified to participate in the school team selection.


    However, Ke Yue''s ranking also entered the top 40.


    She can''t get the first-class scholarship, but she should be able to get 8,000 yuan for the second-class scholarship!


    This is already a good result for Ke Yue, who has a weak foundation.


    "No need, I heard from their classmates in the clinical skills center that there are so many people there now that if you want to train, you have to wait in line for a while, so I won''t go." Lu Chen smiled, "and I''ll be teaching the patients in the ward later."


    This is a great opportunity to earn thank you points!


    He can''t miss it!


    Sun Guoguo glanced at Lu Chen helplessly.


    It seems that the younger brother has such deep feelings for the eight districts in his heart!


    "Okay, I finished writing the course record and went to preach to the patient."


    Lu Chen walked out of the doctor''s office happily.


    Yin Xinhua and Sun Guoguo looked at each other and could see the confusion in each other''s eyes.


    "Senior brother, I''ll go with you."


    Yao Jie, this little valet, trotted all the way behind Lu Chen.


    ¡­


    "Congratulations, get +1 thanks from Li Guangping!"


    "Congratulations, get +1 thanks to Yuan Ruyu!"


    "Congratulations, get +1 thanks from Liu Lisheng!"


    ¡°¡­¡±


    As the mission progressed, a series of prompt sounds came from the system.


    Lu Chen''s mouth crooked with a smile.


    This is the easiest way to earn thank you points, just waste some words.


    However, the method of mission, for each patient, seems to have only one chance.


    "Senior brother, what makes you so happy?"


    Yao Jie followed Lu Chen and asked with a smile.


    "Cough cough." Lu Chen cleared his throat, "Education for patients is a very happy thing."


    Yao Jie blinked, this was the first time she heard such an argument.


    Don¡¯t those senior brothers and sisters hate communicating with patients the most?


    Special Cardiology Department, a department where the elderly are mostly.


    Many people are deaf, or can¡¯t understand Mandarin.


    The work of ?? missionary work is a test of a doctor¡¯s patience, and it is often thankless.


    "Senior brother, will you let me try missionary later?"


    "Uh, this...you''d better take a look and learn more, I''ll do it for the time being." Lu Chen said sternly.


    This kind of opportunity to earn thank you can''t be let go!


    "OK then."


    So, Lu Chen continued to teach patients in the department.


    Yao Jie followed behind him, learning the missionary skills of Lu Chen and patients.


    ¡­


    Mission is over.


    Lu Chen looked at the system panel. In just one hour, he received 15 points of thanks!


    This kind of speed of earning gratitude points really makes him envious.


    However, this mission method can only be done once a week or two.


    Back to the doctor''s office.


    "Junior Brother, your missionary work is over, so you should go back first."


    Lu Chen''s buttocks haven''t settled down yet.


    Sun Guoguo started chasing people and told him to go back to training quickly.


    "Senior sister, it''s half past ten, and the clinical skills center closes at half past eleven." Lu Chen smiled, "I''m going to the skills center now, I won''t be here for more than ten minutes, and I''ll be back."


    Sun Guoguo: "..."


    Seeing that the persuasion was ineffective, Sun Guoguo could only leave Lu Chen in the department.


    But she told Lu Chen that if she wanted to leave, she could leave at any time.


    This sentence makes all the other groups of Ji Peisheng envious!


    Lu Chen nodded with a smile, and continued to stay in the doctor''s office.


    "What other way to earn gratitude points faster?"


    Suddenly, Lu Chen''s eyes lit up.


    "Junior sister, come here quickly."


    Yao Jie, who was sitting on the side reading a book, raised her head blankly and saw Lu Chen waving at her.


    "Senior brother, do you call me?"


    "Well." Lu Chen nodded, "Come and move a chair and sit next to me."


    Yao Jie''s face turned red.


    Senior brother, this is to...


    She quickly moved a chair and sat beside Lu Chen very obediently.


    "Sister, do you have any clinical questions that you don''t understand recently? I''ll see if I can help you answer them." Lu Chen showed a warm smile.


    Yao Jie''s face showed disappointment, it turned out to be a lecture.


    She pouted: "Not yet..."


    "Forehead¡­¡­"


    Lu Chen, who was preparing to give a lecture, was stunned. In the past, junior sisters liked to ask questions the most!


    what is it today?


    "You can ask me any questions you usually have when doing questions or in the thesis." Lu Chen immediately added.


    Yao Jie is about to answer "no".


    Unexpectedly, another intern in the group suddenly said: "Senior brother, I have an electrocardiogram that I can''t understand, can you teach me?"


    Lu Chen was about to take the electrocardiogram, but Yao Jie immediately opened the book of He Yincheng beside her.


    "Senior brother, I didn''t understand something in the chapter on cardiomyopathy."


    Lu Chen glanced at Yao Jie, then the intern beside him smiled and said, "Then I''ll tell Junior Sister Yao first, and I''ll show you the electrocardiogram later."


    "Okay, thank you Brother Lu."


    Lu Chen fixed his eyes on the content of this He Yincheng.


    "Junior sister, this page you turned is myocarditis! It''s not cardiomyopathy!"


    Yao Jie smiled awkwardly and quickly turned to the chapter on cardiomyopathy.


    "Well, okay, then I''ll start talking."


    Lu Chen''s voice is not too loud, in the noisy doctor''s office, it will not affect others.


    But it was just enough to be heard by the people around him.


    ¡­


    more than ten minutes later.


    "Congratulations, get +1 thanks to Yin Li!"


    "Congratulations, get +1 thanks to Xue Rong!"


    Received 2 more thanks points.


    But Lu Chen is a little strange, why didn''t he receive the thanks from Junior Sister Yao Jie?


    Is he not good at speaking today?


    "Junior sister, do you understand?"


    "Mmmm, Senior Brother made it very clear and understood." Yao Jie nodded.


    Lu Chen frowned even deeper.


    Is the system down?


    Until the end of the morning, Lu Chen did not receive any thanks from Yao Jie.


    Even so, he had a lot of harvest today, and he added 17 points of thanks!


    However, a universal card is worth 50 gratitude points.


    He wants to earn more gratitude points as soon as possible and exchange the system virtual training universal card again.


    So far, the recommended tickets for these two days are 2800+, and the recommended tickets are added today.


    The monthly pass is 194, which has not reached the standard of plus update for the time being. There are no updates yet.


    Tomorrow is a new week, and the update rules are still in effect. Until next Friday, it''s up to everyone to vote.


    (end of this chapter)

 Chapter 131： God of night shift bless me!

    Chapter 131 The God of Night Shift bless me!


    I''m on night shift tonight.


    You can only update as much as possible, otherwise you will owe it until tomorrow.


    The current monthly pass is 200+, and I owe one chapter.


    Recommended tickets 800+, owe a chapter.


    Plus 2 chapters of the guarantee, and 4 chapters will be added today.


    If you don''t update it today, you will return it tomorrow.


    Hope the **** of night shift bless!


    ps: The epidemic is getting serious again, everyone should pay attention to wearing masks, less visits, and less visits to the hospital.


    Finally, ask for a wave of tickets until Friday!


    (end of this chapter)

 Chapter 132： Strange zediland (please ask for votes)

    Chapter 132 Strange Cidilan (please ask for votes)


    These days, Lu Chen also devotes some of his energy to paying attention to the "Jinghua Electrophysiology Exchange WeChat group".


    In this group, doctors send electrocardiograms every day to exchange some interpretation experiences with each other.


    Before ??, Lu Chen had been reviewing the skill test and didn''t have much time to pay attention.


    Now, he will open WeChat from time to time to see if there are some difficult electrocardiograms that need to be interpreted.


    Perhaps, you can earn some thanks from it.


    ¡­


    Feng M County People''s Hospital.


    Cardiology.


    Fan Zhiping is in the doctor''s office, sharing his stock market experience with his colleagues.


    "Oh, the current market is not very good, the position was liquidated some time ago, and the losses were heavy!" Fan Zhiping sighed, beating his chest.


    "Director Fan, you''re pretty good. You made a lot of money some time ago, but I''ve lost a lot this time." A resident doctor in Corey shook his head, "My mother-in-law is almost anxious for me. Hey."


    Just when the two sighed.


    The head nurse hurriedly walked into the doctor''s office and knocked on the door of the office.


    "Director Fan, a patient with acute heart failure has been brought in by the emergency department! I think the patient is in a serious condition, go and see!"


    Fan Zhiping was shocked, and immediately put away his smile and grabbed the stethoscope.


    "How many beds? I''ll go now!"


    "The patient is in the rescue room!"


    "it is good."


    Fan Zhiping walked out of the ward immediately, followed by the resident doctor who had just chatted with him.


    Soon to the emergency ward.


    On the hospital bed, was an old lady in her seventies or eighties, sitting beside the bed, panting heavily, her lips slightly cyanotic.


    A young doctor with glasses was standing beside the hospital bed.


    "Director Fan, you are here, this should be a patient with heart failure."


    The emergency doctor was relieved when he saw Fan Zhiping coming, and immediately started reporting his medical history.


    "The patient, a 78-year-old female, complained of palpitations for more than 10 days".


    "The patient''s conscious heart rate is rapid, which is continuous and sometimes aggravated. There is no chest tightness, chest pain, dyspnea, cough, expectoration, dizziness, syncope, abdominal pain, abdominal distension and other discomforts."


    "The old lady complained that she was in good health, denied any other medical history and any history of taking medicine, and seldom went to the hospital to see a doctor."


    "Physical examination on admission: blood pressure 125/75mmHg, heart rate 125 beats/min, absolutely irregular rhythm, varying heart sounds, no murmurs, clear breath sounds in both lungs, no dry or wet rales, and no edema in both lower extremities."


    "Check ECG after admission: it is rapid atrial fibrillation with frequent ventricular premature beats. Chest CT has been done, but the results have not yet come out."


    Fan Zhiping nodded and started the physical examination.


    At the same time, he instructed the nurse to perform ECG monitoring and oxygen inhalation for the patient.


    The emergency doctor handed the electrocardiogram and emergency medical records to the resident doctor beside him.


    "Director Fan, the patient will be handed over to you, I''ll go first."


    "Okay." Fan Zhiping nodded.


    The emergency doctor pushed the flat cart and left.


    "Director, is this acute left heart failure caused by rapid atrial fibrillation?" The young resident doctor on the side picked up the electrocardiogram and took a closer look, "It is also accompanied by secondary ST segment changes."


    "Yeah." Fan Zhiping nodded gratified and said to the nurse at the same time, "First urgently check blood, renal function, ions, myocardial enzymes, BNP, then intravenously push a furosemide, and then push half a cedilan!"


    "Okay, Director."


    The ?? nurse soon returned to the treatment room to dispense the medicine.


    Fan Zhiping said to the resident next to him: "Xiao Fang, the first choice for heart failure we usually encounter is to use furosemide. If the effect is not good, we can use cedilan to strengthen the heart. But this patient is different. , I chose cardiotonic from the beginning, do you know why?"


    Xiaofang paused, pondered for a moment, and said slowly: "I remember that the internal medicine book said that the best indication for cedilan is rapid atrial fibrillation accompanied by heart failure. This patient... just fits!"


    "Yes." Fan Zhiping nodded slightly, "Yes, cedilan can control the ventricular rate of atrial fibrillation, and can quickly relieve the symptoms of heart failure."


    At this time, the nurse just brought furosemide and cedilan.


    "Director, I''ll give you another oral doctor''s order, one intravenous injection of furosemide and half of cedilan."


    "That''s right."


    The nurse received Fan Zhiping''s affirmative reply and began to execute the doctor''s order.


    Furosemide static push!


    Cydilan pushes slowly and quietly!


    ¡­


    Fan Zhiping has returned to the doctor''s office, and only Fang Yong is left in the ward to observe the patient''s condition.


    At this time, the nurse had just finished pushing the cedilan.


    "Mother-in-law, do you feel any more tightness in your chest?" Fang Yong asked softly as he approached the hospital bed.


    On the hospital bed, the old lady was still breathing hard and waved her arms weakly.


    Fang Yong frowned.


    Looking at the patient''s condition, not only has it not improved, but it seems to be getting worse!


    This is not quite right!


    "I, I have some chest pains and chest tightness..." A few words popped out of the old lady''s mouth with difficulty.


    The patient''s family members on the side of ?? were a little anxious when they heard this.


    "Doctor, what''s the matter, I feel that my mother''s symptoms have gotten worse after taking these medicines!"


    "Don''t worry, take a look again!" Fang Yong calmed down and turned back to the nurse, "Go and call Director Fan over."


    At the same time, he picked up the stethoscope to auscultate the patient''s lungs.


    As soon as he placed the stethoscope in the auscultation area of ??the patient''s lungs, Fang Yong felt something was wrong.


    When the patient first came to the department, her lungs were clean by auscultation, and she did not smell any wet or dry rales.


    But now.


    The old lady¡¯s lungs were newly developed with expiratory wheezing, and a little moist rales could be heard in both lower lungs.


    Why is it happening like that?


    "Xiao Fang, what''s wrong?"


    At this time, Fan Zhiping arrived.


    "Director, the nurse has just finished pushing Cedilan, and the patient feels more chest tightness!" Fang Yong immediately said, "I just auscultated the patient''s lungs, and compared to before, there has been a change!"


    Fan Zhiping frowned, and quickly auscultated his lungs again.


    "There is indeed a change. You can hear wheezing, and there are even some wet rales at the bottom of the lungs, which I hadn''t heard before."


    This is a sign of a worsening condition!


    "Push a piece of furosemide, and then give the patient a set of nebulization! Push another piece of panting!"


    Fan Zhiping immediately started giving oral medical orders.


    Now is not the time to consider the cause of a patient¡¯s exacerbation.


    Stabilize the condition first, this is the most important!


    After about ten minutes.


    The patient''s symptoms began to ease, and the symptoms of chest tightness and chest pain gradually disappeared.


    Everyone breathed a sigh of relief.


    ¡­


    At the same time, Fan Zhiping began to speculate on various possible reasons.


    "This patient has symptoms after pushing cedilan. Could it be a drug reaction of cedilan?"


    Back to the doctor''s office.


    Fan Zhiping looked through all the test indicators of the patient, still puzzled for a long time.


    "Director Fan, I just checked another electrocardiogram."


    Fang Yong was very diligent. After the patient''s symptoms were relieved, he reviewed an electrocardiogram.


    Fan Zhiping got the re-examination ECG and took a closer look.


    The electrocardiogram of the re-examination was still atrial fibrillation, frequent ventricular premature beats, and the heart rate returned to normal.


    However, compared with the general lead ST segment depression and T wave inversion on the electrocardiogram at admission, there were changes in myocardial ischemia.


    "Director Fan, why did the patient''s condition suddenly worsen?" Fang Yong asked in a low voice.


    "I don''t know." Fan Zhiping shook his head. He didn''t find the source of the aggravation.


    But according to the specification for the use of cedilan, it is definitely right to push cedilan in this situation!


    The only thing that has changed now is the two electrocardiograms before and after!


    But he pondered for a long time, and on the electrocardiogram, he could not find the slightest thought.


    Suddenly, Fan Zhiping thought of the "Jinghua Electrophysiology Exchange Group" he had just joined.


    Maybe the professor of the higher-level hospital can see the difference!


    thought of this.


    He quickly took pictures of the two types of electrocardiograms with his mobile phone, and then sent them to the Jinghua Electrophysiology Exchange Group.


    Fan Zhiping also briefly described the patient''s medical history, and at the end, specially called Lu Chen.


    "@Professor Lu, if you have time to look at these two electrocardiograms for me, thank you."


    Still owes three more shifts.


    Thank you all for your donations!


    (end of this chapter)

 Chapter 133： Contradiction! (Seeking tickets and favorites!)

    Chapter 133 Contradiction! (Seeking tickets and favorites!)


    At this time, "Professor Lu" was lying in front of the computer, writing down the course of the disease.


    Sun Guoguo couldn''t stop Lu Chen''s "lai" behavior in the department.


    We can only hope that as the school team selection approaches, he will be able to "return the prodigal son"!


    "Dududu..."


    The phone vibrated slightly.


    Lu Chen stopped typing, took out his phone, and glanced at it.


    saw the message notification bar, someone was in Aite himself.


    Professor Lu''s words came into view.


    Lu Chen''s face was not red or his heart was beating, he opened WeChat, and clicked on the group chat of Jinghua Electrophysiology Association.


    "It turned out to be asking for help to see an electrocardiogram."


    flipped up the chat log, and he immediately saw two electrocardiograms that appeared in the group.


    Click on the electrocardiogram and zoom in!


    Lu Chen started to read pictures.


    The heart rhythm of both ECGs is atrial fibrillation.


    But the basal heart rate is different, and other waveforms are also different.


    The first electrocardiogram showed rapid atrial fibrillation with frequent ventricular premature beats and ST depression.


    The second post-treatment ECG shows slow heart rate atrial fibrillation with extensive ST-segment depression and T-wave inversion.


    After reading the electrocardiogram, Lu Chen still didn''t reply.


    Someone in the group started to ask questions.


    "Doctor Fan, is your electrocardiogram from the same person?"


    "Yes, from the same patient. After the drug treatment, the heart rate dropped, and then the ECG was reviewed!"


    "Doctor Fan, please tell me the patient''s medical history in detail."


    "Okay, the patient was admitted to the hospital with dyspnea, and we consider heart failure... After the patient finished the intravenous injection of cedilan, the symptoms of chest tightness and palpitation began to worsen..."


    ¡­


    After intravenously pushing cedilan, the symptoms of chest tightness aggravated


    Lu Chen frowned.


    From the electrocardiogram, rapid atrial fibrillation combined with heart failure is the absolute indication for cedilan.


    How could the symptoms get worse after the cedilan was given intravenously?


    Other people in the group were silent for a moment when they saw Fan Zhiping''s words.


    After all, this side reaction is somewhat unreasonable.


    Lu Chen didn''t speak for the first time.


    He kept deducing in his mind, trying to sort out his diagnosis and find out the reason for the side effects of cedilan.


    Although an electrocardiogram does not represent the diagnosis of any disease, sometimes don¡¯t underestimate the information contained in an electrocardiogram.


    A small graph, the changes of each waveform or vector can reflect the state of the heart!


    An excellent cardiologist is also an excellent electrophysiologist. He will find clues to the diagnosis from the details of the changes.


    And now, Lu Chen is on such a path!


    ¡­


    About five minutes passed.


    The ?? group started to speak one after another.


    "The electrocardiogram showed premature ventricular and T wave inversion. The possibility of digitalis poisoning cannot be ruled out, and the blood concentration of digitalis should be combined."


    "Whether it is an allergy to cedilan, which can cause bronchial asthma, acute pulmonary edema, coronary spasm, and lead to myocardial ischemia. Symptoms are relieved after diuretic, atomization and other treatments."


    "Is it possible that the patient has low potassium, which then leads to digitalis poisoning?"


    ¡°¡­¡±


    The opinions of the people are mostly concentrated on the poisoning of digitalis (cedilan).


    Lu Chen shook his head slightly, he didn''t quite agree with the doctors in the group.


    Half a stick of cedilan is injected intravenously, such a small dose.


    And the patient did not have gastrointestinal symptoms and yellow chlorophyll.


    There should be no digitalis poisoning!


    In the group for a while, no one could come up with a conclusion.


    Fan Zhiping has been following the news in the group to avoid missing some useful information.


    How he hopes to see "Professor Lu" appear again!


    I still remember the last time I was in the emergency department, it was Professor Lu who saw hypokalemia at a glance!


    Just when everyone was silent.


    An ID with the prefix "Jinghua Electrophysiology" spoke.


    Jinghua Electrophysiology Min Xiaobo: "Dr. Fan, does the patient have lung disease? Such as COPD?"


    Fan Zhiping, who is always following the group news, looked happy.


    Although that Professor Lu didn''t speak last time, this Doctor Min with "Jinghua Electrophysiology" on his head should also be an expert of Jinghua Electrophysiology Association!


    Fan Zhiping quickly replied: "The chest CT results came out. The patient has chronic bronchitis and chronic obstructive pulmonary disease."


    Min Xiaobo, who was lying in the duty room, smiled slightly when he saw the message popped up on his phone.


    As expected!


    He continued to reply in the group: "I am currently considering cor pulmonale, perhaps patients with chronic obstructive pulmonary disease have hypoxemia, and the use of cedilan increases myocardial oxygen consumption, thereby aggravating the symptoms of myocardial ischemia."


    Seeing Min Xiaobo''s reply, Fan Zhiping frowned.


    Even if it is pulmonary heart disease and heart failure, there will be no such side effects with cedilan, right?


    Fan Zhiping posted in the group: "Professor Min, I still don''t quite understand what you mean."


    Min Xiaobo, who was lying in the duty room, sat up.


    paused, started to organize the language, and then posted it in the group.


    "The patient''s electrocardiogram showed a fast ventricular rate and atrial fibrillation and frequent premature ventricular arrhythmias when he was admitted to the hospital. It stands to reason that cedilan is suitable."


    "However, the patient''s lung CT showed chronic bronchitis and emphysema. It should be pulmonary heart disease combined with right heart failure, and blood pooled in the systemic circulation. At this time, after intravenously pushing cedilan, its cardiotonic effect caused the left heart to shoot to the whole body. There is less blood, both the heart itself and the coronary arteries are ischemic, and the right heart is pumping more blood to the lungs."


    "However, the left atrium is large, the left atrial pressure is high, the blood returning to the left heart is reduced, and the blood accumulates in the lungs, which invisibly leads to left heart failure. Squeaks and rales in both lower lungs."


    "These are all manifestations of left heart failure. The symptoms are relieved after treatment such as diuresis and asthma, and the ECG is still atrial fibrillation, with frequent premature ventricular contractions, but the ST segment depression and T wave inversion in the leads are common, and myocardial ischemia occurs. Change."


    "I personally think that after intravenous injection of cedilan, secondary left heart failure, resulting in insufficient coronary blood supply."


    Fan Zhiping watched this long speech and had to admire the experts from the big hospital!


    Enough detail!


    Enough wonderful!


    And there is enough convincing!


    A group of "flattering" people immediately appeared in the group.


    "Like, Professor Min''s analysis gave me a lot of energy!"


    "Professor Min is amazing! This can be analyzed!"


    "Thank you Professor Min for your pointers!"


    Lu Chen also had to admit that this was an extremely wonderful speech.


    If there is no solid theoretical knowledge, there will never be such a clear judgment!


    However, Lu Chen found one of the "hard wounds".


    According to Min Xiaobo, the patient not only has left heart failure, but also right heart failure.


    Left heart failure, mainly due to blood stasis in the pulmonary circulation, manifested as dyspnea.


    Right heart failure, mainly systemic blood stasis, manifested as jugular vein filling and edema of both lower extremities.


    But in Fan Zhiping''s medical history description, the patient did not have any signs of right heart failure when he was admitted to the hospital!


    This is the paradox!


    "Dududu..."


    The ?? WeChat alert sounded again.


    Fan Zhiping smiled and looked down.


    Hey, it''s Professor Lu!


    He finally spoke!


    Make up for the first update owed yesterday.


    I was really busy on the night shift last night... I almost didn''t sleep all night.


    The **** of the night shift is also black!


    (end of this chapter)

 Chapter 134： As expected of Professor Lu! (Ask for a ticket!)

    Chapter 134 As expected of Professor Lu! (Ask for a ticket!)


    "Doctor Fan, let me tell you my personal opinion. Unlike Dr. Min''s diagnosis, I think there are two other possibilities."


    What? Are there two other possibilities?


    Lu Chen''s speech just appeared in the group, and it attracted the attention of everyone in the group.


    They scratched their ears and cheeks, they couldn''t even think of a diagnosis?


    There are two possibilities for Professor Lu to come out at once?


    Lu Chen''s remarks even attracted some melon eaters.


    For example, Zhang Wulong from the People''s Emergency Department of Fengm County.


    It was he who invited Fan Zhiping to join this Jinghua Electrophysiology WeChat exchange group.


    The emergency department happened to be free for a while, and he just saw this scene in the group when he swiped his phone.


    "Yo, this is the beginning of a battle between two members of the Jinghua Electrophysiology Association?"


    After all, it was Professor Lu who helped him last time, and Zhang Wulong still hoped that Lu Chen would win.


    However, Zhang Wulong also took a look at the case just now.


    He felt that Professor Min''s diagnostic analysis seemed reasonable!


    What new work can Professor Lu do?


    Everyone is looking forward to Lu Chen''s next speech.


    ¡­


    "Has the patient''s heart ultrasound been done?"


    Lu Chen''s message appeared in the group.


    Fan Zhiping grabbed his phone and responded immediately: "Professor Lu, the patient has just come to the department and has not had time to do it yet. Moreover, in our small hospital, there is no bedside echocardiography, so we can only wait for the patient''s condition to improve, and let him go tomorrow or the day after. Do."


    Min Xiaobo noticed Lu Chen''s speech in the group.


    "Heart ultrasound? What is he doing with a heart ultrasound?"


    Fan Zhiping was also curious, what other insights does Professor Lu have?


    Just now Min Xiaobo made it very clear that his reasons have persuaded most of the people in the group, including him of course.


    ¡­


    Lu Chen thought to himself: "Have you had an ultrasound yet? That''s not a good diagnosis."


    Before ??, he carefully checked the two electrocardiograms sent by Fan Zhiping.


    Actually, carefully observe this second electrocardiogram.


    still can find a lot of clues.


    ECG showed extensive T wave inversion, with upright T wave in lead avR, and deepest T wave inversion in leads V3 and V4.


    The depression of the T wave is asymmetric, and its vector points to the apex!


    The patient''s troponin is normal, and it is difficult to explain such a wide T wave inversion only by coronary ischemia!


    This is also the second contradiction Lu Chen discovered!


    Assume that the patient experienced increased chest tightness after being injected with cedilan intravenously.


    Lu Chen thought of two possibilities!


    "The ECG has reversed elevation and depression of the ST segment, which is considered to be caused by myocardial hypertrophy. If the patient has hypertrophic obstructive cardiomyopathy, after cediline strengthens the heart, it will aggravate the obstruction of the ventricular outflow tract and reduce cardiac output. , and then lead to insufficient perfusion of the brain and coronary arteries, which manifests as chest pain, chest tightness, and difficulty breathing, that is, the symptoms of heart failure are aggravated!"


    When Min Xiaobo saw Lu Chen''s speech in the group, his eyes suddenly lit up.


    Yup!


    This ECG does have the possibility of hypertrophic obstructive cardiomyopathy.


    For patients with hypertrophic obstructive cardiomyopathy, the symptoms of chest tightness and chest pain will be aggravated after using cedilan!


    This is equivalent to a blocked water pipe, and you have to increase the horsepower and give it more pressure.


    This will not only prevent the water from coming out, but may also damage the water pipes.


    As long as it is a cardiologist, almost all know that cedilan is contraindicated in patients with hypertrophic obstructive cardiomyopathy.


    However, when patients experience increased chest tightness symptoms using cedilan, few people think that this is hypertrophic obstructive cardiomyopathy!


    No wonder Lu Chen asked the patient if he had had a cardiac ultrasound.


    Hypertrophic obstructive cardiomyopathy is generally diagnosed by ultrasound, and cannot be seen on chest CT.


    Min Xiaobo was a little annoyed, why didn''t he think of such a simple knowledge point?


    People from other departments in the group may not be able to understand this mood, but as long as they are from the Cardiology Department, the mood at this time is somewhat similar to that of Min Xiaobo.


    A very simple question, but after racking my brains, I didn''t think of anything.


    Then, after someone called it, I suddenly realized it!


    This feeling, with a bit of annoyance and a hint of joy.


    ¡­


    Zhang Wulong of the emergency department was a little puzzled. He didn''t quite understand the professional knowledge in his heart.


    But after Lu Chen finished speaking, no one responded in the group for a long time.


    Did Professor Lu stumble?


    At this moment, Fan Zhiping spoke again.


    "Professor Lu, this is the first possibility, didn''t you say there is a second possibility?"


    Actually, when he saw the words hypertrophic obstructive cardiomyopathy, he knew that Lu Chen was probably right!


    He is the doctor who received this patient, and he has the most intuitive feeling.


    According to the patient''s symptoms, signs and auxiliary examination results, the probability of hypertrophic obstructive cardiomyopathy is very high!


    But just as this thought occurred to him, he thought of what Lu Chen said.


    There are two possible diagnoses!


    Fan Zhiping just confirmed the diagnosis of hypertrophic obstructive cardiomyopathy, and now it is shaken again.


    All because, Lu Chen said there are two possibilities!


    The group was very quiet, and everyone was waiting for the next possibility of Lu Chen.


    Min Xiaobo was sitting in the duty room with a very serious expression. He was also looking forward to Lu Chen''s next speech.


    Hypertrophic obstructive cardiomyopathy was something he did not expect, but he was not very convinced.


    This knowledge point is very simple, but he ignored it.


    He wanted to see, what convincing diagnosis would this Lu Chen, who is also an elite member of Jinghua Electrophysiology Association, come up with? !


    ¡­


    Eight districts in the heart.


    When it was time to get off work, Yue stood up and stretched.


    Jiang Qingyan has gone to the skill center for training recently, and she doesn''t want to go to the cafeteria alone to eat.


    "Lu Chen, let''s go to dinner together at noon."


    "Oh, I still have something to do, why don''t you go first, don''t wait for me."


    Lu Chen was editing the information with his mobile phone in his hand without raising his head.


    This sentence is rather long.


    Lu Chen checked it and sent it out without any typos.


    "The second possibility is stress cardiomyopathy. The cause may be chronic obstructive pulmonary disease, because chronic obstructive pulmonary disease itself is hypoxia, which can easily lead to rapid heart rate, sympathetic excitement, and easy release of large amounts of catecholamines, especially after menopause. older women are more likely to develop stress cardiomyopathy on this basis!"


    "Cedilan is similar to catecholamines (dopamine, epinephrine, norepinephrine), and after use, it will aggravate the condition! Second, stress cardiomyopathy has hyperactivity of the basal part, weakened apical contractility, and outflow tract obstructive hypertrophy. type cardiomyopathy is quite similar."


    "In my opinion, do a cardiac ultrasound first to rule out hypertrophic obstructive cardiomyopathy; if not, do a coronary angiography to determine whether there is stress cardiomyopathy."


    If it is said, Min Xiaobo may not be quite convinced about the first possibility mentioned by Lu Chen.


    When Lu Chen mentioned stress cardiomyopathy, he was puzzled, then shocked, and finally just shook his head helplessly.


    Combined with this case, the diagnosis of stress cardiomyopathy is well-founded and convincing!


    Why, he wouldn''t think of the diagnosis of stress cardiomyopathy!


    "Who the **** is he?"


    Min Xiaobo had to re-examine, this elite member named Lu Chen.


    ¡­


    After Lu Chen finished speaking in the group.


    The ?? WeChat group exploded.


    Stress cardiomyopathy was not thought of by all.


    But after listening to Lu Chen''s analysis, everyone thinks it makes sense!


    The disease cannot be diagnosed, but it does not hinder the judgment of the disease.


    "Professor Lu''s analysis is great!"


    "I''m also in the Department of Cardiology! Although I know all the diseases that Professor Lu said, I just can''t think of one!"


    "Dr. Fan, when the patient''s symptoms improve, quickly push the patient for examination! I really look forward to the patient''s final diagnosis!"


    This group of people is really a mess!


    Fan Zhiping had to sigh.


    "As expected of Professor Lu!"


    Make up for the second shift owed yesterday, and still owe one shift yesterday.


    Plus today''s guaranteed 2 updates, 1700+ recommended tickets, and an additional chapter for recommended tickets.


    The monthly pass is 300+, which is not enough for the time being.


    So I still owe 4 more updates, I will try to pay it off tonight!


    (end of this chapter)

 Chapter 135： Run away! (Ask for a ticket!)

    Chapter 135 Fleeing! (Ask for a ticket!)


    In this case, Lu Chen not only gave a complete diagnosis, but also provided Fan Zhiping with a complete diagnosis and treatment idea.


    Do echocardiography first to rule out hypertrophic obstructive cardiomyopathy; then do coronary angiography to rule out stress cardiomyopathy.


    "Xiao Fang, when the patient''s condition is better, take her out for a cardiac ultrasound." Fan Zhiping said to Fang Yong who was beside him.


    Fang Yong was writing the medical records, when he saw it, he asked suspiciously: "Director, didn''t you say that the patient has coronary heart disease before, so why don''t you rush for the examination?"


    Fan Zhiping put away his mobile phone and coughed lightly: "That''s right, I just analyzed it again, the patient is likely to have hypertrophic obstructive cardiomyopathy, and there are some contraindications for the treatment of this cardiomyopathy, so it is necessary to do so as soon as possible. Diagnosed!"


    "Hypertrophic cardiomyopathy?" Fang Yong was stunned for a moment, and then suddenly realized, "So it is, no wonder the patient''s symptoms worsened after we used cedilan!"


    "So we have to diagnose as soon as possible!" Fan Zhiping nodded.


    "Well, I will try to take her out for a checkup tomorrow morning!" Fang Yong smiled, "It''s still the director who is very good, and I immediately thought of hypertrophic cardiomyopathy."


    "This..." Fan Zhiping blushed, but fortunately his skin was dark and hard to spot. "You should read and learn more, this case is still very typical."


    "Okay, Director."


    ¡­


    "Congratulations, get +1 thanks from Fan Zhiping!"


    "Congratulations, get +1 thanks to Min Xiaobo!"


    "Congratulations, get +1 thanks to Zhang Wulong!"


    ¡°¡­¡±


    "Congratulations, +1 for the thank you from Songbei!"


    "Congratulations, the completion of the system upgrade has reached 5%!"


    With the sound of a system prompt, Lu Chen was stunned for a moment, and then his eyes showed surprise.


    Until the system beep stops, he has gained a total of 23 thanks points!


    Through this ECG judgment, I can actually get so many gratitude points.


    This is more than the gratitude points you get for missions, and it¡¯s still getting the gratitude points from your peers.


    More importantly, the system upgrade completion rate has also increased!


    Lu Chen suddenly thought that if he had the opportunity to give lectures at some large conferences in the future, wouldn''t the gratitude value go up?


    If you have the chance, you must try it!


    ¡­


    "Ke Yue, why haven''t you left yet?" Lu Chen raised his head and saw Ke Yue sitting beside him.


    "Wait for you to have dinner together." Ke Yue smiled, "Seeing how serious you are in sending messages and giggling at your phone, I didn''t bother you."


    Lu Chen smiled awkwardly. He was very excited just now because he was so grateful.


    "Okay, then let''s go."


    "Um."


    Changed out of the white coat and came to the hospital cafeteria.


    After preparing the meal, the two found a vacant seat.


    "Senior Brother Lu, Sister Ke!"


    As soon as he sat down, a familiar female voice came from behind him.


    Lu Chen looked back, it was Junior Sister Yao Jie.


    "I met my brothers and sisters. I went to sit there." Yao Jie said hello to the little friends next to her with her dinner plate, and sat next to Ke Yue.


    "Junior sister, you''re here too." Ke Yue moved her plate to the side.


    "Well, I came with my classmates." Yao Jie smiled and then said to Lu Chen, "Senior brother, are you going to the clinical skills center for training this afternoon?"


    Lu Chen took a mouthful of rice and shook his head: "No. I''ll go back to Keli in the afternoon, what''s the matter with you?"


    "Oh, I''ll just ask, it''s okay."


    The two girls were eating and chatting, it was so lively.


    "Senior sister, which school do you think is better for me to take the postgraduate entrance examination?"


    "Sister, first of all, you need to know what level of strength you have, then decide on your favorite major, and finally choose a school."


    "Oh." Yao Jie nodded, "I also want to study Cardiology, but there are too many top students in Cardiology, and the competition is too fierce. I''m afraid I won''t be able to pass the exam."


    "You must choose the school that suits you the most. Otherwise, you won''t even have a chance to adjust." Ke Yue said, "I think the Cardiology Department of the Second Hospital of Jinghua is good, and Teacher Li Yao is very good. Hey, Junior Sister , your undergraduate degree is from Jinghua Medical University, your grades are good, the school should have the qualifications for postgraduate research."


    "Well, I can keep the postgraduate study, but I''m still hesitating whether I want to take the exam again."


    ¡°¡­¡±


    Lu Chen didn''t say much. When he asked him, he would occasionally reply a sentence or two.


    He was thinking about the system''s gratitude value.


    At present, he has a total of 40 gratitude points, and he is still 10 points away, and he can exchange for a universal card for virtual training.


    But this training card is only valid for 2 hours.


    There are too many types of skill operations, and it is impossible to train all the items in 2 hours.


    Even if you can finish the training, your proficiency will not meet the requirements.


    Lu Chen wanted to earn as much gratitude as possible within this month, and exchanged a few more universal cards for backup.


    However, there are not many opportunities to earn gratitude points like today.


    He still has to figure out a way, is there any other way to earn gratitude points.


    ¡­


    The three of them finished their meal and were about to leave.


    As soon as he walked out of the cafeteria, he met a group of ten people.


    Jiang Qingyan, He Sirong, Gu Xinyue, and even Wang Zihao were among them.


    They should be the one who did the school team selection.


    "Lu Chen, why didn''t you go to the clinical skills center today?" Wang Zihao also saw Lu Chen and ran to him quickly, "You left early in the morning, I thought you went early."


    "I''ll go back to the department to do some work." Lu Chen smiled.


    The voice just fell, except Jiang Qingyan, the others were a little surprised.


    "Have you returned to the department? The teacher in the skill center also asked me, why didn''t you go today." Wang Zihao wondered, "Will you go to the skill center in the afternoon?"


    "No." Lu Chen said.


    "Ah? Then when are you going to go?" Wang Zihao looked at Lu Chen in surprise.


    "Let''s see the situation." Lu Chen smiled.


    Seeing that Lu Chen had said so, Wang Zihao didn''t say much.


    Gu Xinyue stared at Lu Chen closely.


    He felt that this product was too arrogant!


    Everyone went to training, but he was absent!


    Just because he is a full score, do you think the rest of the training is superfluous?


    Gu Xinyue stared at Lu Chen, a little disdain for his arrogance and neglect.


    Now you are number one.


    However, after a month, it is not necessarily!


    Do you think the school team is so good?


    Lu Chen also found that Gu Xinyue was looking at him.


    And, without blinking your eyes!


    This guy is quite handsome, so there won''t be any bad taste, right?


    From the time of the entrance examination, he felt that something was wrong.


    "Cough cough." Lu Chen looked away and cleared his throat, "Zihao, if it''s all right, then I''ll go first."


    "Well, you should try to go to the skill center."


    Ke Yue also greeted Jiang Qingyan and left with Lu Chen.


    So, in the eyes of Gu Xinyue''s "reluctance", Lu Chen "run away".


    There are still updates, but you don''t have to wait, it''s very late.


    (end of this chapter)

 Chapter 136： Emergency department night shift, please guide!

    Chapter 136 Night shift in the emergency department, please guide!


    The news that Lu Chen did not go to the Skills Center for training spread like wildfire in the Jinghua Second Hospital.


    Anyone who has followed the selection of the school team knows that Lu Chen is a god-level figure who has scored full marks in the entrance examination.


    And now, Lu Chen has a few more tags.


    conceit, arrogance, etc.


    Lu Chen didn''t care about everyone''s discussion.


    The selection result after one month is the best counterattack.


    And he will continue to stay in the eight districts of his heart to help Sun Guoguo treat patients.


    ¡­


    After get off work the next day.


    His gratitude value finally reached 50 points!


    Open the system mall and exchange the virtual training universal card again.


    Thanks are cleared.


    Lu Chen had been to the Clinical Skills Center of the Second Jinghua Hospital before.


    All kinds of equipment and equipment that simulate real people are very advanced.


    However, with this one skill center, it is still not enough to provide training for 20 people every day.


    After all, there are only a few training equipment, and everyone can only use it in turn.


    If Lu Chen went to the Clinical Skills Center of the Second Jinghua Hospital, he would probably spend more than half of his time watching others operate.


    His own time to really get started will be very short!


    In this way, it is better to earn more clinical gratitude points to exchange for universal cards.


    Training in virtual space is far more efficient than training in a real skill center!


    However, the skill test syllabus given by the school this time is very broad, covering all internal medicine, including some surgical skills.


    Lu Chen looked up past medical skills exams.


    The scope of the competition is particularly wide, including diagnostics, basic nursing, internal and external women and children, ENT, and infectious diseases.


    Among them, operations related to internal medicine and surgery account for more than half of the topics.


    The specific test content involves various clinical knowledge points, and various operations may be tested, and may even be inter-professional, ranging from various injections, surgical knots, to more complex clinical rescue content. There is dabbling.


    In short, what Lu Chen needs to train now is not only related operations in internal medicine, but also other professional operations.


    ¡­


    Go back to the bedroom.


    Using the universal card of virtual training, consciousness enters the virtual space.


    Lu Chen''s first choice is the training of basic nursing related operations.


    These include gastric lavage, oxygen inhalation, intravenous infusion, intravenous injection, sputum suction, and blood transfusion.


    The operation of ??Basic Nursing is very simple. Lu Chen took only half an hour to master all these items.


    In the system panel:


    Gastric lavage proficiency 74%


    Oxygen 80%


    Suction 76%


    ¡­


    The proficiency of all basic nursing operations is close to 80%, and the remaining 20% ??needs to be perfected in real clinical practice.


    The validity period of the universal card is still one and a half hours.


    Lu Chen continued to choose operations related to internal medicine to train skills.


    Including: gastric tube placement, catheterization, four major punctures, cardiopulmonary resuscitation, poisoning rescue, use of ventilator, electrical defibrillation, etc.


    There are many items in internal medicine, about 20 kinds.


    Lu Chen used up the remaining one and a half hours of the universal card, and only finished one-third of the training.


    In the system panel:


    Gastric tube placement 70%


    Catheterization 78%


    CPR 80%


    Defibrillation 75%


    ¡­


    This is also the first virtual training universal card that has been used in "internal medicine operations". With this second universal card, Lu Chencai will be able to complete one third of the project.


    In addition to medical operation items, there are other items such as surgery and pediatrics.


    "It''s so lacking in gratitude!" Lu Chen couldn''t help but sigh, "At least 20 universal cards are needed to complete all the projects!"


    Twenty Universal Cards, that''s 1000 points of gratitude!


    To earn 1,000 gratitude points within a month.


    Lu Chen himself felt that this was impossible!


    "You can only try to earn as much as you can, exchange a few more universal cards, and have a better grasp!"


    He now has to allocate the time for the use of the universal card reasonably.


    Spend your time in virtual space training on projects that are difficult and difficult to encounter in clinical practice!


    There are some small projects left, Lu Chen can practice his hands when he encounters them in the clinic, or go to the clinical skills center for training.


    The second virtual training card is invalid and used up!


    Lu Chen began to consolidate theoretical knowledge while watching videos of clinical operation skills.


    ¡­


    "Beep beep."


    The ?? WeChat alert sounded, and Lu Chen immediately picked up the phone.


    He now pays special attention to the "Jinghua Electrophysiology Exchange Group".


    If he can solve a difficult ECG, then he can receive a lot of thanks!


    Another disappointment for Lu Chen was that the source of the news was not from the "Jinghua Electrophysiology Exchange Group".


    is the "Jinghua Second Academy Learning and Exchange Guidance Group"!


    This is a WeChat group that Zhou Wei invited Lu Chen to join.


    Most of the ?? group members are graduate students and regular trainees of Jinghua Second Academy.


    If you have day shifts or night shifts that you don¡¯t want to go to, you can ¡°sell¡± them through this WeChat group.


    Or some third-year students, facing the pressure of writing a graduation thesis or finding a job, they often sell their classes.


    "Night shift in the Department of Respiratory Medicine, please guide!"


    This is a night shift where someone sells respiratory medicine in the group.


    Zhou Wei once told him that if he wants to buy a night shift, he can add other people''s WeChat for private chat, mainly to discuss the price.


    The price of night shift is also floating.


    During the graduation season or the Chinese New Year, the night shift fee of each department will increase significantly.


    Lu Chen smiled, ready to close WeChat.


    Suddenly, he seemed to have thought of something, and the movement of his hand was stunned.


    "Maybe, I can also buy some for the night shift!"


    Although their cardiology department is busy, the night shift in the general ward does not accept patients.


    Patients from night shift will be sent to CCU.


    Before Zhou Wei put him on the night shift of the endocrinology department, this night shift was too easy.


    Cough, it is relatively easy.


    After all, I can still sleep for a few hours.


    It is a night shift in an endocrinology department, so thank you can''t go up a few points.


    But it¡¯s a night shift in a busy department, so it¡¯s different!


    In a department like neurology, Lu Chen heard from classmates that their department can admit up to 20 emergency patients a night.


    Lu Chen''s eyes glowed.


    How much thanks for this!


    Just do it!


    Lu Chen also opened the "Jinghua Second Academy Learning Exchange Guidance Group".


    "How about the night shift of this respiratory medicine department?" Lu Chen touched his chin, "They will admit patients on the night shift, but there shouldn''t be many."


    There is a lot of information about "seeking guidance" in the learning exchange guidance group.


    Lu Chen continued to scroll up the chat history.


    "Nephrology night shift, please guide!"


    "Rheumatology night shift, ask for guidance!"


    These are some departments where night shifts are relatively easy, and Lu Chen simply ignored them.


    Continue to scroll up.


    "Emergency Department night shift, please guide!"


    Lu Chen''s eyes lit up, that''s all!


    Make up for the first update yesterday


    (end of this chapter)

 Chapter 137： The price of emergency department night shift!

    Chapter 137 The price of night shifts in the emergency department!


    Lu Chen immediately added each other''s WeChat friends.


    In less than a minute, the other party passed the verification immediately and sent a message to Lu Chen.


    "The night shift in the emergency department ward tomorrow, three hundred?"


    Lu Chen was taken aback, the other party was so straight to the point!


    However, he did not reply immediately.


    For the market that buys and sells night shifts, he doesn''t know the price yet.


    Although his main purpose is to earn gratitude points, he still has to take the reward he should get, and he cannot be tricked by others.


    Lu Chen immediately sent a WeChat message to Zhou Wei.


    "How much is the night shift in the emergency department?"


    Zhou Wei is an "expert" in this field, and it is better to refer to his opinion on this matter.


    Zhou Wei was lying on the bed playing King of Glory when this message suddenly popped up in the notification bar of the mobile phone.


    He didn''t even care if he cheated on his teammates, so he quickly replied: "Lu Chen, why are you asking this? Shouldn''t you buy a night shift in the emergency department?"


    "Just tell me what price is more appropriate."


    "How can I put it, very few people buy emergency night shifts! Unless the sellers bid very high!" Zhou Wei thought for a while and continued, "Just think about it, the endocrinology department''s night shift costs two hundred and one nights, and the emergency department ward The night shift is at least four hundred!"


    "Four hundred and one nights?" Lu Chen was taken aback, "Will it be too expensive?"


    Everyone is a student, so the price is a bit expensive!


    "Hey, don''t look at how busy the emergency department is! This is the night shift in the emergency department ward!" Zhou Wei said helplessly, "At most, everyone should buy an endocrinology night shift that is easy to work on, and rarely buy a night shift in the emergency department. Aren''t you just looking for abuse?"


    "Well, I see." Lu Chen frowned, it seems that the other party offered three hundred, obviously because he was a newcomer and wanted to lower the price.


    "Hey, Lu Chen, don''t you really want to buy a night shift in the emergency department? Let me tell you, the night shift in the emergency department of Jinghua Second Hospital is quite difficult!"


    Jinghua Second Hospital is one of the most powerful hospitals in Jinghua City.


    Almost all emergencies and critical illnesses will be sent to the emergency department of the Second Jinghua Hospital.


    Lu Chen said: "Okay, I know, that''s all for now."


    "You can take it easy. If you can''t do it, buy an endocrinology department or a rheumatology and immunization department. These departments are on duty very well and have a lot of money."


    Zhou Wei still didn''t know what Lu Chen planned.


    But if it was him, he wouldn''t be on the night shift in the emergency department, no matter how much money it costs!


    The night shift in the emergency department is not only busy, but also has various emergencies!


    This will be busy "dead" people!


    ¡­


    Yang Lifan, a graduate student of Jinghua Second Academy.


    This year, I am going to graduate school and I will graduate next year.


    Recently, he is very distressed, because he has not published the thesis required for graduation.


    It¡¯s September, and in a few months, this article will be even harder to publish.


    And in the first few months of the graduation season, the publication fee for this paper is much more expensive than usual!


    Yang Lifan decided to organize the papers well recently.


    I will not go to night shifts for now.


    And he recently rotated in the emergency department.


    This night shift in the emergency department ward, he doesn''t even want to work!


    As a result, Yang Lifan came up with the idea of ??"selling" night shifts in the emergency department.


    He immediately posted relevant information in the "Learning Exchange Guidance Group".


    However, no one came to consult the message he sent in the morning until the evening.


    "Hey, the night shift in the emergency department is really hard to sell!"


    "If there''s nothing I can do, I''ll have to go to work tomorrow by myself."


    Just when Yang Lifan was about to give up.


    Lu Chen took the initiative to add friends to ask.


    Yang Lifan checked the status of Lu Chen''s WeChat Moments.


    This should be a junior fellow who just entered graduate school.


    So, he quoted a price that seemed to be very high for laymen¡ªthree hundred!


    ¡­


    Lu Chen learned the price of the emergency department from Zhou Wei.


    "Three hundred is not enough." Lu Chen immediately replied to the other party, "The endocrine night shift is about the same price, but for the emergency room, isn''t it a bit low?"


    Yang Lifan was taken aback.


    It seems that this apprentice understands the market quite well and is not very good at fooling around.


    Finally met a "buyer"!


    He must not miss it, otherwise he will have to work the night shift by himself in the end.


    Yang Lifan gritted his teeth and said, "Four hundred?"


    400 is a high price for a person without any income, and it is only for one night.


    Lu Chen looked at the price proposed by Yang Lifan, without hesitation: "Okay, I agree!"


    It doesn''t matter if you have money or not, but Lu Chen can''t buy night shifts at a low price.


    Otherwise, he might disrupt the entire market of "buying and selling" night shifts. By then, he will be a sinner


    Yang Lifan thought that Lu Chen would raise the price again, but he did not expect him to agree directly


    "Well, my name is Yang Lifan. Tomorrow''s night shift in the emergency department ward, if a teacher in the emergency department asks me, you can say that you are here to replace me."


    "Okay." Lu Chen nodded.


    The chat is over.


    Yang Lifan immediately transferred 200 yuan to Lu Chen.


    The remaining two hundred dollars will be distributed to Lu Chen after the night shift is over.


    Although it cost four hundred dollars, it is already very good to be able to sell the night shift of the emergency department.


    "This may be a newborn calf that is not afraid of tigers!"


    Yang Lifan is still in a good mood, he can concentrate on writing his graduation thesis.


    ¡­


    At this time, Lu Chen was also very happy.


    He got a night shift in the emergency department, and he was looking forward to it.


    This month, he does not need to go to the department every day to work.


    After finishing the night shift in the emergency department, he can also go back to the dormitory to rest well during the day.


    Now Lu Chen, he needs to earn enough gratitude points.


    In clinical practice, the more patients you see, the faster you get thank you points!


    Emergency department is undoubtedly the best choice.


    However, it will consume a lot of his energy.


    The night shift can be used once in a while, but only in moderation.


    For the time being, let¡¯s get over the difficulty of the school team selection in front of us!


    In addition, Lu Chen regretted that his system didn''t reward some "energy potions" or the like.


    Then he can keep replenishing his energy and work 24 hours a day, which is probably not difficult.


    ¡­


    The next day.


    Lu Chen works in the eight districts of his heart during the day.


    Admitted 3 patients and earned 3 gratitude points.


    "Senior sister, I won''t be in the department tomorrow."


    Hearing Lu Chen''s words, Sun Guoguo''s eyes lit up.


    "Okay, no problem!"


    Junior Brother Lu has figured this out? Ready to train at the Clinical Skills Center?


    Sun Guoguo smiled gratified: "I heard Junior Sister Jiang say that some of you have already gone to the school to assess some projects, so you have to hurry up."


    "Yeah." Lu Chen nodded in surprise.


    Yesterday was Friday, just in time to go to the school to take the assessment.


    I didn''t expect that someone would take part in the school team''s assessment so quickly.


    Lu Chen thought that they would concentrate on taking part in the assessment in the last few weeks.


    This can only show one problem, everyone has a strong self-confidence, otherwise they would not have participated in the individual assessment so quickly.


    ¡­


    In the afternoon.


    Lu Chen got off work early from the eight districts in his heart to prepare for the night shift in the emergency department tonight.


    There are also updates.


    (end of this chapter)

 Chapter 138： Unexpected Thanks Value (Important Notice)

    Chapter 138 Unexpected Gratitude (Important Notice)


    Emergency, divided into emergency outpatient department (emergency internal medicine, emergency surgery, emergency pediatrics and emergency gynecology), emergency ward and emergency observation room.


    After triage in the emergency outpatient department, the patient will be sent to the emergency observation room or emergency ward for further treatment.


    And Lu Chen''s night shift tonight is the night shift in the emergency ward.


    ¡­


    Emergency Clinic is on the first floor.


    Emergency ward and observation room are on the second floor.


    At half past five in the evening, Lu Chen came to the emergency department ward on time.


    Lu Chen came here once before.


    It was still the night shift of the endocrinology department. He pushed a patient with acute cerebral infarction to rescue him.


    Changed into his white coat in the duty room, passed the nurse station, and Lu Chen walked into the doctor''s office.


    Many students in the day shift are packing up and preparing to leave work.


    "Well, are you a student in the night shift?"


    Wang Xiaodong was writing a medical record of the succession when he found Lu Chen walking in.


    "Yes." Lu Chen nodded.


    The doctor in front of him looked a little familiar.


    seems to be the doctor in the emergency department that he treated the endocrinology patient last time.


    "Are you watching or in the ward?" Wang Xiaodong asked with a smile, he didn''t recognize Lu Chen.


    "Teacher, I am the night shift in the ward."


    "Don''t call me teacher, I just started working soon, so just call me senior brother, then you can come with me tonight." Wang Xiaodong smiled, "Which subject do you study? How long did you study?"


    "In your heart, study one."


    "Yanyi, just entered school?" Wang Xiaodong was stunned.


    This is not very easy to handle.


    Just entered the school, which means that the clinical experience is still shallow, and many things may not be known.


    "You should be able to use the hospital system, right?" Wang Xiaodong asked tentatively.


    "Yes, I''ve been in the department for a month." Lu Chen nodded, he knew what the emergency doctor was worried about.


    "Okay, Junior Brother, when another classmate on the night shift arrives, we''ll go round the room."


    The night shift in the emergency department is often staffed with one undergraduate doctor, two students, and a second-line doctor.


    ¡­


    The people in the emergency department work vigorously and resolutely.


    As soon as another student on duty arrived in the ward, they were dragged by Wang Xiaodong to the ward.


    "Hey, didn''t I work night shift with Yang Lifan today? Why is it you, I don''t seem to have seen you in the emergency room!"


    Another student on duty is a girl.


    She is a third-year student of respiratory medicine and has a good relationship with Yang Lifan.


    "Senior sister, Brother Yang has something to do today, let me work the night shift for him." Lu Chen said.


    Work the night shift for him? Of course He Qin would not believe it, Yang Lifan must have sold the night shift again.


    "Oh, he really is, and he doesn''t come to work." He Qin shook his head helplessly, "Classmate, how many did you study?"


    "Kenichi."


    "Huh?" He Qin showed a hint of disappointment.


    I felt more and more resentful towards Yang Lifan.


    You said that he sold the night shift, but he sold it to a young student in the first grade.


    Kenyi''s student came to the emergency department, but he knew nothing!


    Didn''t this make her miserable!


    This junior is also timid and daring, dare to buy the night shift of the emergency department as soon as he is a graduate student?


    "Junior Brother, then you can start fighting later, if you can''t, come and ask me."


    Everyone came, He Qin could only accept this reality silently.


    ¡­


    There are not many patients in the emergency department ward.


    Most of the patients were poisoned and attempted suicide.


    There are patients with rat poisoning, pesticide poisoning, sleeping pill poisoning, and even mushroom poisoning, and there are also very few patients with CO poisoning.


    "Most of the patients in the ward are in relatively stable condition. Our night shift mainly deals with patients who come to the emergency room for rescue." He Qin said.


    He Qin''s words are straightforward.


    The job of the emergency department ward is rescue!


    Patients who come to the emergency department due to night shifts, generally patients with stable condition, will be in the emergency observation room.


    There are also some patients whose condition is relatively critical. In addition to those admitted to the hospital, some of them need immediate rescue in the emergency ward.


    The patient will be transferred to other departments for treatment only after the patient''s patient is slightly stabilized.


    ¡­


    Wang Xiaodong took the two and quickly checked the ward.


    The purpose of ?? night shift ward rounds is mainly to understand the condition of critically ill patients and to check their condition changes in a timely manner.


    "Junior Brother Lu, the 10-bed patient said he is not feeling well, you go see him." He Qin shouted to Lu Chen.


    "Okay." Lu Chen nodded.


    The ??10 bed is an old lady who took thirty sleeping pills and was poisoned by psychotropic drugs.


    Lu Chen came to the hospital bed.


    The health value on the old lady''s head is 67.


    She was lying on the bed and fell asleep, while the family members sat beside the bed and played with their mobile phones.


    "Is the patient uncomfortable?" Lu Chen asked the family members in a soft voice.


    "My mother''s ECG monitor rang just now." The family raised their heads, glanced at Lu Chen, and continued to play with their phones.


    Lu Chen frowned and glanced at the blood oxygen saturation, heart rate and breathing rate on the ECG monitor, all of which were normal.


    "It''s okay, it''s normal." Lu Chen said.


    The family members put down their mobile phones and wondered: "Is it normal? I can see my mother''s heart rate. It''s more than 100 times for a while, and then it jumps to 70 times. Isn''t this normal?"


    On the ECG monitor, the number on the top row shows the patient''s heart rate.


    Lu Chen paused and said, "The heart rate is not static, and according to the ECG monitoring, the patient''s arrhythmia is arrhythmia, which should be a heart rate of atrial fibrillation. If the heart rate is such, the monitor cannot measure it accurately."


    "Thank you, doctor." The family nodded, with suspicion in their eyes.


    Lu Chen came out of the ward, but did not receive any thanks


    It seems that the gratitude value of the emergency department is not so easy to earn!


    ¡­


    Back to the doctor''s office.


    Lu Chen was just about to open the computerized medical record system to see the course of the disease and the doctor''s orders for the 10 beds.


    He Qin''s voice came from his ear again.


    "Junior Brother, Bed 21 is a boy who cut his wrists by suicide. He said he was flustered, you go and do an electrocardiogram for him."


    "it is good."


    Before his **** was hot, Lu Chen stood up, found the electrocardiograph at the nurse station, and came to bed 21.


    On the hospital bed, lay a boy of fourteen or fifteen years old.


    He has a handsome appearance, but his lips are slightly pale and his expression is dull.


    Next to the hospital bed, an old man in his sixties and seventies sat.


    He stared at the boy on the hospital bed without moving.


    "Classmate, what''s wrong with you?" Lu Chen approached the bed and asked in a low voice.


    The little boy pointed to his chest and shook his head slightly, but did not speak.


    Lu Chen picked up the stethoscope and auscultated the boy''s heart and lungs respectively.


    The heart rate was slightly higher, and no pathological murmur was heard.


    The lungs also did not hear obvious wet and dry rales.


    "Then I''ll give you an electrocardiogram." Lu Chen said.


    "Yeah." The little boy replied softly.


    When he clipped the electrode, he found that there were many cut marks on the boy''s left wrist, which were dense and terrifying.


    Lu Chen sighed slightly in his heart.


    Sometimes, he really couldn''t figure out why such a child would choose to seek death.


    ¡°Zizzizi¡­¡±


    The ECG machine comes out with an ECG.


    Lu Chen picked it up and saw that it was just a sinus tachycardia, and did not see any other arrhythmia.


    "Fortunately, there is nothing abnormal in the electrocardiogram." Lu Chen packed up the electrocardiograph.


    "Thank you, doctor." The old man on the side stood up tremblingly.


    "Classmate, what''s wrong with you, you can call me later."


    Lu Chen pushed the electrocardiograph and was ready to leave.


    took a few steps, but still couldn''t help but turn around and asked in a low voice, "Uncle, why is he this time..."


    Uncle shook his head and sighed softly.


    "Hey, his parents have been working outside for many years, and I am the only one to take care of him at home."


    "I can''t control him, tell him not to play mobile phones or games, he will start to get angry and throw things."


    "If you don''t give him pocket money, he will run away from home, or even... hey..."


    Uncle shook his head helplessly again.


    The wrinkles on his face deepened, and the lines were uneven, like mottled marks on the wall.


    Lu Chen sighed, it turned out to be a left-behind child.


    He pushed the electrocardiograph and just walked out of the door of the ward.


    At this moment, he suddenly received a prompt from the system.


    "Congratulations, get +1 thanks to Ding Yongxiang!"


    "Congratulations, get +1 thanks to Ding Lei!"


    After receiving 2 points of thanks, Lu Chen was slightly taken aback.


    He looked back at the little boy curled up on the hospital bed, feeling a little sour.


    In fact, he is not a child who does not know how to be grateful.


    Or maybe he just wanted to use this method to attract the attention of his parents.


    I received a big notice from the editor in the morning, and I will go to Sanjiang next Monday!


    This is really the result of the hard work of all brothers and sisters!


    Thank you for your votes, tips, follow-up readings and comments!


    Thanks!


    Thanks!


    I still owe 4 more changes, which will be made up in these two days.


    Last but not least, the launch notification!


    It''s on the shelves next Friday, and I''m going to start saving.


    We hereby guarantee that 10 updates will be guaranteed on the day of launch.


    (end of this chapter)

 Chapter 139： suddenly busy

    Chapter 139 Sudden busyness


    Back to the doctor''s office.


    "Junior brother, how is his electrocardiogram?" Wang Xiaodong asked.


    "Fortunately, it was a sinus tachycardia." Lu Chen handed the electrocardiogram to Wang Xiaodong, "The patient is a little flustered, I think it must be a mental factor."


    Wang Xiaodong took the electrocardiogram and looked at it, then put it down.


    "Hey, these left-behind children now have too many psychological problems. Usually they are looked after by the elderly at home, and the elderly can''t control them at all, and they lack correct guidance."


    "Every once in a while, in our emergency department, we encounter a case of this kind of patient."


    "Last week, I took a left-behind child who bought rat poison online, just because his grandfather didn''t let him play that King of Glory, he started to get angry, and then he bought medicine online. Fortunately, the online medicine is now available. Ah, most of them are fake, and there is no such highly toxic medicine for sale."


    He Qin nodded and said, "But this kind of child usually doesn''t dare to come to the real world. At most, it will scare the parents."


    "It''s hard to say! All I can say is that people who want to die are generally not let others find out." Wang Xiaodong shrugged.


    "Oh, by the way, what about the other old lady who took too many sleeping pills? How is he?"


    Lu Chen immediately replied: "She is still in a state of drowsiness. On the monitor, she has atrial fibrillation, so her heart rate is irregular, fast and slow. The family members are very nervous when they know a little medical knowledge."


    "Yes." Wang Xiaodong nodded, "It seems that the graduate student in your heart is quite professional."


    "Junior Brother, are you a graduate student in your heart?" He Qinqing let out a light sigh.


    "Yes." Lu Chen nodded.


    "I heard that you have a very good freshman in the Department of Cardiology, and you got a perfect score in the skill test for the entrance examination!" He Qin laughed, "I have participated in skill competitions before, and I don''t want to make any mistakes, that''s true. It''s not easy."


    Lu Chen smiled and said nothing.


    It''s embarrassing to praise him in front of his face.


    ¡­


    Just when a few people were chatting.


    The emergency department nurse hurried into the doctor''s office.


    "Doctor Wang, here comes a patient drinking medicine!"


    "Okay, I''ll be right there!"


    Wang Xiaodong stood up immediately and walked out of the office quickly, He Qin and Lu Chen immediately followed.


    "Sister Zhang, what''s the specific condition of the patient?" Wang Xiaodong asked the nurse in charge of the ward as he walked out.


    Nurse Zhang Huan immediately said: "I heard from the ambulance doctor that the patient had taken rat poison at home. He didn''t know the exact drug, and he had already given vomiting treatment in the ambulance."


    "Um."


    ¡­


    came to the rescue room.


    Lu Chen saw a middle-aged woman in her fifties lying on the bed in the emergency room.


    Her eyes were tightly closed, she was lying on the bed, her expression was extremely sluggish, and the corners of her mouth were still filled with vomit residue.


    Her HP is 59, which is a critical state.


    "Doctor, come and see my mom!"


    Beside the hospital bed is a young woman, with a worried expression on her face, she is bent over beside the bed.


    Nurses in the emergency department quickly put the patient on ECG monitoring.


    "Blood pressure 152/87mmHg, heart rate 93 beats/min, body temperature 36.2¡ãC."


    Wang Xiaodong quickly checked the patient and started the consultation at the same time.


    Lu Chen and He Qin brought an electrocardiograph to the patient.


    "What medicine did the patient drink?" Wang Xiaodong continued.


    There was a hint of crying in the young woman''s voice.


    "I don''t know either. My mother quarreled with my father at home. Later, my mother secretly drank the rat poison at home, or we found out that she was not in a good state, and only after questioning did we find out that she drank the medicine."


    "Did you bring the medicine bottle?" The woman shook her head, "My dad went back and got it, he''ll be here soon."


    "When did you drink it?"


    "4 pm."


    After completing the physical examination, Wang Xiaodong turned to the nurse beside him and said, "The patient''s vital signs are temporarily stable, and there is no obvious bleeding on his body. First, the blood routine, biochemistry, myocardial enzymes, etc., are checked in the emergency, and then gastric lavage is prepared."


    "Okay." The nurse nodded and began to prepare the tools for gastric lavage.


    "Family, come and sign the informed consent form with me." Wang Xiaodong said to the young woman beside him.


    The young woman nodded, looked at her mother on the hospital bed, and followed Wang Xiaodong to the disease communication room.


    ¡­


    "Junior brother, the most important thing in the treatment of drug poisoning is to figure out the type of poison. We must let the patient''s family members use it to handle the remaining medicines or bottles."


    "Because there are some poisons, it is a special antidote."


    "Secondly, most of the drugs that enter through the mouth can be gastric lavage, and gastric lavage can remove most of the residual drugs. Even after the optimal gastric lavage time, drug toxins enter the blood, and gastric lavage has a certain effect."


    He Qin is a very good person. While letting Lu Chen work, he also taught him some basic knowledge.


    "But when the drug causes severe liver and kidney damage, we need blood purification."


    Lu Chen nodded: "Well, I see, Senior Sister."


    However, what Lu Chen was thinking about at this moment was the gastric lavage to be performed next.


    This operation is one of the basic nursing sciences.


    is usually done by nurses.


    Lu Chen really wanted to get started. He has done it many times in the virtual space.


    The proficiency of gastric lavage has reached 75%!


    But in reality, I have never tried it once.


    However, in this case, the nurse would not let a student perform gastric lavage.


    ¡­


    Wang Xiaodong returned to the rescue room with a stack of informed consent forms in his hand.


    "The family members have signed the informed consent form and can do gastric lavage."


    "Okay." Just as Zhang Huan took out the gastric lavage tool, the operating tool was about to be operated.


    The door of the emergency ward was pushed open again.


    A doctor with a national character in a white coat walked into the office in a hurry, with two flat cars behind him.


    "Two critically ill patients are here! Who will be on the night shift in the emergency department tonight?"


    Everyone in the rescue room was shocked.


    There are two more serious patients?


    Wang Xiaodong was the first to react, and quickly said to Lu Chen and He Qin, "I can''t do gastric lavage for the time being. Junior brother, you are here to take care of this patient. Junior sister, you accompany me to see the two patients outside.


    "receive!"


    "receive!"


    Lu Chen is on standby, and the patient''s condition is relatively stable at present.


    "By the way, Nannan, go and call Director Yang out! When I finish evaluating the condition of the other two patients, I''ll come over with Sister Zhang for gastric lavage." Walking to the door of the emergency room, Wang Xiaodong said to one of the nurses.


    "Okay!" Nan Nan is another nurse on the night shift.


    She responded immediately and ran to the duty room of the emergency department to find the second-line class of the emergency department today, Yang Chunlai, the director.


    Three critically ill patients came at once, and Wang Xiaodong had to call the second-line doctor on duty.


    And this gastric lavage operation can only be suspended.


    ¡­


    Wang Xiaodong and the nurse both left.


    Only Lu Chen was left in the rescue room.


    "Doctor, what about my mother?" The young woman grabbed the corner of Lu Chen''s clothes, for fear that he would leave too.


    Lu Chen had never encountered such a situation before, and he had three serious problems all at once, so he could only comfort him:


    "Family, don''t worry, the condition is prioritized. Your mother''s condition is temporarily stable. When Dr. Wang sees the other two critically ill patients, he will immediately perform gastric lavage with the nurse."


    "Then let them hurry up." The young woman looked anxious.


    "Um."


    ¡­


    The rescue room on the other side.


    Wang Xiaodong looked solemnly at the two patients in front of him.


    A severe chest pain, blood pressure actually reached 220/140mmHg.


    The other has fallen into a coma.


    what is it today?


    As soon as he took over, three patients came.


    The female patient who took the medicine was fine and her vital signs were stable, but she also needed gastric lavage as soon as possible.


    But these two patients in front of me are a little tricky!


    "Junior sister, I''ll see this comatose patient first. You go to see a patient with chest pain, first do an electrocardiogram, ask the nurse to check all the blood that was urgently checked, and then wait for Director Yang to come over."


    "it is good!"


    He Qin felt that she didn''t read the almanac when she went out today.


    Or should be like Yang Lifan, sell the night shift, then you can escape this disaster.


    (end of this chapter)

 Chapter 140： Insert the intake pipe!

    Chapter 140 The intake pipe is inserted!


    Yang Chunlai, Deputy Chief Physician of the Emergency Department of Jinghua Second Hospital.


    However, he is already fifty years old this year, and he has no projects or papers.


    If you want to be promoted to Zhenggao, there is basically no hope.


    Therefore, Yangchunlai is a mess every day in the emergency room, just living by.


    But he''s a little good, and doesn''t bother the emergency department.


    If you have any questions, please consult each department and try to triage patients to other departments.


    "Little Wang, what''s the situation in the ward?" Yang Chunlai''s face was a little ugly.


    After finally laying down in the duty room for a while, I was called up.


    "Director Yang, there are three people here, and I''m really too busy, so I can only invite you out." Wang Xiaodong looked anxious, and he ignored Yang Chunlai''s complaining face, "The patient''s condition is not stable, one is in a coma, and Acute cerebral infarction possible; a chest pain, especially high blood pressure."


    Yangchun Lai walked into the rescue room and saw two patients respectively.


    "Patients in a coma should consult a neurology department, and patients with chest pain should consult a cardiologist. First, lower the blood pressure, and then urgently check myocardial enzymes and D-dimer."


    Wang Xiaodong complained in his heart about the doctor''s advice from Yangchun.


    "Director Yang, the consultation has already been requested, please see if there are other measures." Wang Xiaodong said.


    "Let''s do it for now."


    Yangchunlai is doing a physical examination for a patient with chest pain.


    Suddenly, the patient rolled his eyes and spit out a few mouthfuls of foam, mixed with a lot of food residue.


    His people have no consciousness at all.


    "Dududu..."


    The ECG monitor beside the bed also started to alarm frantically.


    "Damn, ventricular fibrillation!"


    Wang Xiaodong glanced at the ECG monitor, scolded in his heart, and the movements of his hands were not slow at all.


    He quickly ran to the bedside and immediately performed CPR on the patient!


    "The patient has ventricular fibrillation! Quick, get the defibrillator!"


    Wang Xiaodong shouted loudly.


    Fortunately, this is in the emergency room, and the defibrillator is placed next to the hospital bed.


    The nurse was immediately alert and quickly pushed the defibrillator over.


    On the side, Yang Chunlai immediately said to He Qin: "Classmate, please call the Cardiology Department again to urge an emergency consultation!"


    He Qin nodded quickly and ran to the nurse station to call the Cardiology Department.


    Wang Xiaodong was about to cry but had no tears!


    Although it is important to have a cardiologist consultation, this patient is likely to have an Aspen attack.


    But at this time, he also sent a living force out to make a phone call. Isn¡¯t this a disservice?


    However, Wang Xiaodong can''t control so much anymore.


    Because the patient''s ventricular fibrillation continues!


    "Charge complete!"


    Wang Xiaodong finished applying the conductive paste and placed the two electrode pads on the patient''s body.


    "Discharge!"


    He stared at the waveform on the ECG monitor.


    When the discharge was over, Wang Xiaodong breathed a sigh of relief.


    "Sinus rhythm restored!"


    Zhang Huan has been giving patients balloon-assisted ventilation.


    At this time, he noticed that the patient''s blood oxygen saturation dropped from 95% to 86%.


    "Doctor Wang, the patient''s blood oxygen has dropped!"


    Wang Xiaodong groaned in his heart.


    hurriedly looked at the ECG monitor, and sure enough, the patient''s blood oxygen saturation was decreasing.


    "The patient''s blood oxygen is not good either! Director Yang, intubate!" Wang Xiaodong anxiously looked at Yang Chunlai who was beside him.


    "Okay, you can intubate him. I''m going to communicate with the patient''s family about his condition."


    Yang Chunlai nodded, then walked out of the rescue room with his hands behind his back.


    "This..." Wang Xiaodong sighed softly, a little helpless.


    It is indeed very important to communicate about the condition, but, Director Yang, are you too stupid? !


    ¡­


    The next room is in full swing for rescue.


    And the patient who was poisoned by rat poison was ignored.


    "Doctor, how long will it take to wash my mother''s stomach?" The young woman became more and more nervous.


    Although it was less than three minutes before Wang Xiaodong left.


    But for her, every minute and every second is an incomparable torment.


    Lu Chen sank his heart.


    Comparing to the two rescued patients next door, this patient who was poisoned by rat poison is relatively stable.


    But gastric lavage is also required as soon as possible.


    Otherwise, once the time is prolonged, the toxins are released into the blood, which may cause irreversible damage to the liver and kidney functions.


    Gastric lavage is usually done by nurses.


    But several nurses in the emergency ward are now rescuing them next door!


    Now the nurse named Nan Nan next to Lu Chen is just a new nurse who just came to the emergency department.


    "Sister Nan Nan, can you do gastric lavage?" Lu Chen looked at the handsome nurse beside him.


    "Mr. Zhang Huan taught me, and I did a few cases with her cooperation." Nan Nan shook his head, "But now without the authorization of the superior teacher, I can''t do it."


    "Sister Nan Nan, then you stay here first." Lu Chen said, "I''ll go next door and ask Teacher Wang."


    Poisoned patients can no longer procrastinate!


    ¡­


    Lu Chen came to the rescue room next door.


    As soon as he walked in the door, his eyelids jumped.


    Two patients were lying on the bed.


    their health.


    A 31!


    A 45!


    It is no wonder that Wang Xiaodong has not come over, these two patients are at risk of death at any time.


    "Successful tracheal intubation!"


    At this time, Wang Xiaodong finally breathed a sigh of relief.


    After using the ventilator, the patient''s blood oxygen saturation tends to be stable!


    Lu Chen hurriedly stepped forward and took the time to ask: "Senior brother, the family members of the patient next door are a little anxious. Ask us when we will give the patient gastric lavage."


    "There are too many patients, and the nurses in the emergency ward are all resuscitating them. They can''t take any manpower. Let the patients wait for a few more minutes. Hey, by the way, Gong Nannan is also next door. I remember she did it. Please put your stomach first. Plug it in." Wang Xiaodong shook his head slightly.


    "Yes." Lu Chen nodded.


    At present, this is the best solution.


    "That''s it, let''s not talk about it, the consulting doctor from the Cardiology Department is here."


    Wang Xiaodong dropped these words and immediately greeted the cardiologist.


    Lu Chen looked at the door. He also knew the doctor who came to the Cardiology Department for consultation.


    is the chief inpatient of the Cardiology Department, Li Qinghua.


    ¡­


    Go back to the rescue room.


    Lu Chen pulled Gong Nannan aside.


    "What did Dr. Wang say?" Nan Nan whispered.


    "He asked you to do it." Lu Chen glanced at the patient''s family members not far away, and said softly, "Can you do it?"


    "Of course!" Nan Nan''s little face was full of confidence, "Although I have only inserted gastric tubes twice, but Teacher Zhang is beside me and praises me for being very skilled."


    "Okay, then hurry up." Lu Chen said, "The patient can''t delay any longer.


    "Yes." Gong Nannan nodded.


    Gastric lavage is the content of basic nursing.


    The difficulty of gastric lavage is the insertion of the gastric tube.


    Lu Chen really wanted to do it, but he currently does not have any qualifications or authorization from a superior doctor.


    Once there is any error, it is not a small problem.


    ¡­


    Prepare the tools for gastric lavage.


    Lu Chen confirmed with the patient''s family again.


    The patient had no previous contraindications to gastric lavage, including gastrointestinal bleeding, esophageal varices, aortic aneurysm, and severe heart disease.


    After the confirmation of ??, the family members were invited to the rescue room.


    "Lu Chen, then I''ll start."


    Gong Nannan applied paraffin oil to the front end of the sterilized gastric tube, held the gastric tube with gauze in his left hand, and wrapped the gastric tube 5-6 cm with gauze in his right hand.


    From the nasal cavity, slowly insert the gastric tube.


    The gastric tube entered smoothly.


    Gong Nannan continued to advance the gastric tube.


    1cm, 3cm, 5cm¡­


    The ?? process went very smoothly, and the nervous look on Gong Nannan''s face slowly disappeared.


    The gastric tube slowly started to go deep.


    8cm.


    10cm.


    until 11cm.


    "Cough...cough...cough...cough..."


    Suddenly, the patient coughed violently.


    This shocked Gong Nannan.


    However, the movements on her hands were steady, and she comforted the patient immediately: "Auntie, don''t be nervous, it''s normal to have a little reaction."


    Gong Nannan continued to push the gastric tube.


    Lu Chen frowned.


    Something seems wrong!


    at this time.


    The patient''s eyes suddenly widened, his hands tightly gripping the guardrail of the hospital bed, panting heavily.


    "Sister Nan Nan, get out! You''ve inserted the intake pipe!"


    (end of this chapter)

 Chapter 141： Im not fast at all

    Chapter 141 I''m not happy at all


    The insertion process of the gastric tube is a strong stimulation process to the nasopharynx, esophagus and stomach.


    If the patient experiences severe choking, difficulty breathing, or facial hair clippers on the way, it is very likely that the gastric tube has been inserted into the trachea.


    This situation is more dangerous and can easily cause the patient to suffocate.


    Gong Nannan heard Lu Chen''s reminder and immediately pulled out the stomach tube.


    As soon as the gastric tube is pulled out, the patient''s symptoms of breathing difficulties are relieved immediately!


    At this time, Gong Nannan''s little face was covered with fine sweat.


    In my own imagination, a very simple operation turned out to be a big problem.


    Fortunately, Lu Chen reminded in time that if she continued to insert it, the consequences would be disastrous!


    She turned her head to look at Lu Chen, feeling a little like the rest of her life,


    "Sister Nan Nan, don''t interrupt for now. Take a rest and let the patient rest too."


    After Lu Chen finished speaking, he auscultated the patient''s lungs.


    Make sure that Gong Yunan''s operation just now causes adverse consequences such as pneumothorax.


    Gong Nannan nodded, her little hands were shaking uncontrollably.


    Now let her put a stomach tube, she may have to think about it.


    "Sister Nan Nan, go and rest."


    "it is good."


    Gong Nannan put down the stomach tube, took off his gloves, and went to the sink to wash his hands.


    She had already retreated in her heart.


    Still waiting for Teacher Zhang Huan to come, let her insert the gastric tube, or insert it again under her guidance.


    Gong Nannan was a little depressed.


    Obviously an easy operation, why can''t she do it well?


    Every time Mr. Zhang Huan did it, it was easy to complete!


    Feelings of self-blame and regret filled her heart.


    After washing his hands, Gong Nannan was ready to go back to the patient''s bedside.


    ¡­


    As soon as she raised her head, she was stunned.


    Lu Chen is holding a stethoscope and auscultating the patient''s abdomen.


    Hey, what is he auscultating?


    The gastric tube has not been put in. Is it to auscultate the gastric bubble area for the sound of gas passing through water?


    What an international joke!


    However, when she looked up.


    She was stunned.


    A gastric tube has been inserted into the patient''s nasal cavity.


    Then look at the depth, it should be about 50cm in.


    In the blink of an eye, less than 1 minute.


    Is the stomach tube inserted?


    Also, who inserted this?


    Gong Nannan couldn''t believe it, and walked quickly to the bedside.


    At this time, Lu Chen put away the stethoscope and muttered to himself, "It should be in the stomach."


    "Lu...Lu Chen, you inserted this?" Gong Nannan stammered out a few words.


    "There shouldn''t be anyone else in this rescue room." Lu Chen shrugged.


    For him, gastric tube placement is an extremely simple operation.


    If it wasn''t for the fact that he was only a student, and he didn''t get the authorization of the superior doctor, he would have done it himself.


    But now Gong Nannan has made a mistake, and the patient really can''t delay any longer.


    can no longer look ahead, he can only do it himself.


    "But why are you so fast?" Gong Nannan said, "It''s less than a minute, right?"


    "Sister Nan Nan, don''t talk nonsense, I''m not happy at all." Lu Chen said sternly.


    He has trained hundreds of times in virtual space.


    These operations actually have no special skills.


    We are familiar with you!


    And this time, the speed is much slower than that in the virtual space.


    After all, he was a real patient, and Lu Chen had to take into account the influence of many practical factors.


    Gong Nannan blushed.


    She looked at the state of the patient on the eye bed.


    is not bad, the patient has no discomfort at present.


    "You are so powerful, why didn''t you tell me earlier?" Gong Nannan patted Lu Chen''s shoulder lightly, "I was so scared that I almost made a mistake."


    Lu Chen smiled and said nothing.


    How could he know that Gong Nannan would make such a low-level mistake and inserted the stomach tube into the trachea.


    "Quickly wash your stomach." Lu Chen said.


    "it is good."


    It has been delayed for a while now, and it is necessary to perform gastric lavage to remove toxins.


    At the same time, Lu Chen also invited the patient''s family back to the rescue room again.


    (Remarks: Medical care needs to avoid the patient''s family members for any operation)


    "Thank you two doctors and nurses."


    Seeing that the gastric tube has been successfully placed, the patient''s family finally breathed a sigh of relief.


    Gong Nannan is extremely skilled in the next gastric lavage operation, so Lu Chen should not continue to look after him.


    "Sister Nan Nan, I''m going to help the brothers next door."


    "Okay, you go."


    As soon as he walked out of the ward, Lu Chen received a system prompt.


    "Congratulations, get +1 thanks from Gong Nannan!"


    "Congratulations, get +1 thanks from Shi Fang!"


    "Congratulations, get +1 thanks from Ye Meiyu!"


    "Congratulations, gastric lavage skill proficiency +1%!"


    Not only did he successfully get 3 points of thanks, but his skill proficiency also increased.


    It seems that the emergency department is really a good place!


    ¡­


    Came to the rescue room next door.


    Wang Xiaodong is communicating with Li Qinghua about the patient''s condition.


    "Combined with the changes of the electrocardiogram and the elevated myocardial enzymes, the patient should have acute extensive anterior myocardial infarction, and it should have been an Aspen attack just now. This situation is more critical and the mortality rate is high." Li Qinghua said with a frown.


    Wang Xiaodong nodded: "Now after intubation, the patient''s vital signs are stable, but the next treatment is..."


    "Go to our CCU..."


    "Okay, then let''s go directly now."


    At this time, Wang Xiaodong asked when Lu Chen came in.


    "Junior brother, the patient who was poisoned, has the stomach tube been put in?"


    "Well, gastric lavage is in progress." Lu Chen nodded.


    "That''s great." Wang Xiaodong breathed a sigh of relief.


    Zhang Huan on the side of ?? heard this, and his face also showed a hint of relief.


    Nan Nan has grown a lot!


    can perform gastric lavage independently.


    At the same time, Li Qinghua also noticed Lu Chen.


    This student is really familiar.


    seems to be a graduate student of their cardiology department.


    "Are you from the Cardiology Department?" Li Qinghua looked at Lu Chen suspiciously.


    "Well, Mr. Li, I am the eighth district in my heart, a student of Mr. Li Yao." Lu Chen smiled.


    "Oh, I remembered." Li Qinghua suddenly realized, "You are that Lu Chen, follow Guoguo. Guoguo has mentioned you several times in front of me."


    Lu Chen was stunned for a moment, has Senior Sister mentioned him in front of other teachers?


    "It''s not easy, I got a perfect score in the entrance examination this year." Li Qinghua smiled.


    Lu Chen touched the back of his head, smiled, but did not speak.


    However, Wang Xiaodong on the side was stunned.


    Junior Brother Lu Chen... Is he the one who got a perfect score in the skill test in his heart?


    Didn''t they just talk about this in the department?


    Junior Brother Lu Chen is really low-key enough to hide so deeply.


    "Why are you working the night shift in the emergency department?" Li Qinghua continued.


    According to the rotation regulations, the first three months of freshmen are in their own undergraduate room.


    So Lu Chen should be in the eight areas of his heart, not in the emergency department.


    "One of my senior brothers has something to do. I''ll help him work the night shift." Lu Chen coughed softly, and had to lie again.


    The matter of buying and selling night shifts is not very pleasant to talk about.


    "Okay, do your best." Li Qinghua patted Lu Chen''s shoulder, and then said to Wang Xiaodong, "The patient with chest pain just now was transferred to our CCU and may need emergency interventional surgery. You should communicate with the patient''s family first, and I will go back to the ICU for catheterization. Prepare the room."


    "Okay, thank you Mr. Li." Wang Xiaodong said.


    ¡­


    five minutes later.


    Patients with chest pain were transferred to CCU.


    The comatose patient underwent emergency DWI, was diagnosed with acute cerebral infarction, and was transferred to the neurology department.


    The emergency ward, which was a bit noisy at first, became much quieter immediately.


    In the ?? rescue room, only the poisoned patient was still undergoing gastric lavage.


    "Nan Nan, didn''t you put this stomach tube?"


    Everyone returned to the rescue room of the poisoned patient.


    Zhang Huan looked at Gong Nannan in disappointment.


    Gong Nannan nodded slightly, then glanced at Lu Chen.


    "It was released by Dr. Lu."


    Except for Wang Xiaodong, everyone present was surprised.


    Everyone knows that Lu Chen is a freshman of Yanyi University, but he can put a stomach tube too?


    "Junior brother, you can do it." He Qin smiled, "I haven''t let go of the stomach tube, I have the opportunity to learn from you."


    "Yeah." Lu Chen smiled.


    Wang Xiaodong had a calm face, because he knew that Lu Chen was the one who got perfect marks for his skills.


    This gastric lavage operation, other students can''t do it, Lu Chen will definitely do it!


    He was originally worried that the students in the night shift would be unreliable, but it seemed that he was overthinking it.


    With Junior Brother Lu Chen around, he should feel much more relaxed.


    (end of this chapter)

 Chapter 142： unusual diarrhea

    Chapter 142 Unusual Diarrhea


    Director Yang Chunlai returned to his duty room.


    The people in the emergency department were also very helpless to this dick-ass deputy director.


    There may be such people in every department. They are not motivated, but they will not cause trouble for you.


    The director marginalized him, and he didn''t care. There was no hope of promotion.


    ¡­


    After half an hour.


    The family members who were poisoned by the drug hurried into the rescue room.


    "Doctor, here''s the medicine bottle, take a look."


    She was holding a plastic bag with a black bottle wrapped in it.


    Wang Xiaodong walked forward, wearing gloves, took the plastic bag, and took out the bottle.


    "It turned out to be Sniff Dilong."


    Brodiolone is a highly effective anticoagulant rodenticide with good palatability, high toxicity and broad target spectrum.


    When poisoned, it can cause bleeding from the skin and organs.


    Vitamin K1 is a special antidote for Brodiolone.


    Now that the poisoning drug is clarified, the rest will be easy to deal with.


    "Use two doses of vitamin K for the patient just now." Wang Xiaodong said to the nurse beside him.


    The most common symptom of sniffling poisoning is bleeding.


    The patient currently does not have any tendency to bleed, and coagulation appears to be normal, so the prognosis is relatively good.


    After dealing with these three patients, the emergency department was quiet for a while.


    ¡­


    Back to the doctor''s office.


    "Is there a problem? Most of the suicides in our emergency department are female patients." Wang Xiaodong said to Lu Chen and He Qin.


    "Senior brother, listening to you, I feel like it''s true. There are only a few males who committed suicide by taking drugs, and there are many more female patients." He Qin nodded, "It seems that women are still too vulnerable."


    Wang Xiaodong shook his head: "That''s not the reason."


    "Huh?" He Qin was taken aback, "Isn''t it?"


    Lu Chen paused, then said, "Because women''s suicide by taking medicine is usually tentative, not a single-minded desire to die, but mostly to scare their family members, so they can be sent to the hospital for diagnosis and treatment in time."


    "And they don''t drink much, so the prognosis is relatively good. For example, the patient who was poisoned by nifediline just now, she definitely didn''t drink much, so it was mainly gastrointestinal symptoms, and there was no bleeding!"


    "As for men, they generally don''t want to die, but if they are determined to die, it will be the end of death. There is almost no room for turning around, and it is too late to be sent to the hospital for treatment, so there are very few male patients in the emergency department."


    As soon as he finished speaking, Wang Xiaodong glanced at Lu Chen in surprise. He didn''t expect this junior brother to understand so much.


    "That''s right! The real begging for death is silent, and there is no chance to come to the hospital for diagnosis and treatment."


    He Qin nodded thoughtfully.


    "So don''t look at the symptoms of some female poisoning patients are very serious, but in fact they are very life-threatening." Wang Xiaodong said, "On the contrary, it is those male patients who are silent, and their disease is the most serious."


    "Junior brother, how did you know this?" He Qin looked at Lu Chen beside him.


    Lu Chen smiled, "She was very cooperative when I inserted a gastric tube into the patient just now. In addition, when I was doing rounds in the ward before, those female patients who were poisoned were in good condition; but those male patients were in good condition. , most of them are in critical condition.¡±


    "Oh, so it is!"


    He Qin glanced at Lu Chen and felt that this junior brother''s observation skills were too keen.


    Even such small details were discovered.


    Actually, that''s because Lu Chen carefully observed everyone''s health during the rounds.


    He is also judged by the level of health.


    He found that the female patients who were poisoned all had more than 60 health points.


    Although there are not many male patients, most of them have a life value of around 40, and almost all of them are seriously ill and critically ill.


    This speaks volumes.


    ¡­


    eight pm.


    There is a short window period in the emergency department.


    There are no new patients.


    But when Lu Chen is free, he will go to the ward to inspect patients.


    Wang Xiaodong was the first time he met such a serious student.


    Now most young people are very impetuous.


    Not to mention visiting the ward every once in a while, even twice a day is difficult to do.


    "Junior brother, you also have a good rest, there is still the middle of the night." Wang Xiaodong reminded.


    "It''s okay, I''m not tired." Lu Chen smiled.


    This emergency ward is no better than a normal ward, and patients may have some changes in their condition at any time.


    For example, sudden chest tightness, palpitation, nausea, vomiting, or unresolved stool...


    As long as Lu Chen handles it in time, he may get a little thank you.


    From 5:30 to 8:00, Lu Chen got a total of 8 points of gratitude.


    This is because he is in the ward, and it takes almost two or three days to save enough.


    ¡­


    Just when Lu Chen was about to rest for a while, Nan Nan ran into the office and shouted.


    "Doctor Wang, come to the patient!"


    This patient''s rhythm really doesn''t want Lu Chen to rest!


    Wang Xiaodong stood up, turned around and said, "Junior brother, come with me. Junior sister He, you should take care of the patient who was poisoned by Nidilong, and report anything abnormal to me in time."


    "Well, alright." He Qin nodded, she was also enjoying herself.


    ¡­


    Emergency ward.


    Lu Chen saw the patient who came to the clinic.


    This is a 48-year-old female patient, surnamed Xiao, who is a manager of a listed company.


    She looks pale, her lips are dry, and she looks in a bad mood.


    And the health on her head is 64.


    "Auntie, where are you feeling?" Wang Xiaodong stepped forward and asked.


    Xiao Yunfei sighed: "Doctor, I have diarrhea..."


    "Diarrhea?" Wang Xiaodong was stunned, "Did you eat bad? Just drink some hot water, don''t use it for emergency hospitalization."


    "Hey, if I pull it once, I won''t come to the hospital." Xiao Yunfei said with a wry smile, "Five days ago, I started to have diarrhea, the kind that can pull out ten or eight times a day, and all that comes out is yellow water. There''s no way to work at all."


    "I thought about it, what was the problem. Then I realized that I must have eaten the pickled chicken feet given by my colleague."


    "Pickled pepper chicken feet?" Wang Xiaodong wondered.


    "Yes, I''m usually very healthy and don''t like to eat those messy things, but I drank some wine that day, and my colleague happened to have a bag of phoenix claws. Seeing that everyone was enjoying it, I couldn''t help but take a sip." Xiao Yunfei said helplessly, "I didn''t expect it to happen, and I have diarrhea."


    In order to save time, Xiao Yunfei did not go to the hospital.


    Instead, I went to the pharmacy and bought some medicines for diarrhea.


    "At that time, the clerk introduced berberine hydrochloride, saying that this berberine is very strong and generally effective. I bought it and ate it for 2 days, and I felt that the diarrhea did not improve at all."


    Xiao Yunfei took out a box of berberine from her bag.


    "As long as the **** sticks to the seat, the pain will come again. In the end, it will be hot and hot when the **** is pulled, which is extremely uncomfortable."


    "I couldn''t take it tonight, so I rushed to the hospital."


    Xiao Yunfei looked like she was unlovable.


    The matter of diarrhea, whoever pulls it, who knows!


    "Eat less of what you shouldn''t eat, and less of what you like to eat to protect your gut." Wang Xiaodong frowned, "Are there any other symptoms besides diarrhea? Do you have stomach pain, bloating? Nausea and vomiting? Fever? Chest tightness or panic?"


    "No, it''s just diarrhea, it''s killing me." Xiao Yunfei shook her head.


    At this moment, she has been pulling for five full days, and she has been pulled away without eating much every day, so it is inevitable that she is short of water.


    Seeing her dry lips, Lu Chen''s heart lifted.


    Diarrhea, pulled into shock, is also possible.


    (end of this chapter)

 Chapter 143： Atrial fibrillation at will!

    Chapter 143 Atrial fibrillation at will!


    Diarrhea itself will not cause a big problem, and it will not kill people.


    But if you suffer from severe diarrhea for a long time, it is possible to expel some potassium ions and calcium ions from the body, and the body will experience electrolyte imbalance, and severe electrolyte imbalance will be fatal.


    For example, hypokalemia, manifested as limb weakness or even arrhythmia.


    "I''ve only seen such severe diarrhea in books." Wang Xiaodong frowned.


    "Cholera?" Lu Chen responded.


    "Yes." Wang Xiaodong nodded, "I heard the director said that they had a lot of cholera at that time, and cholera would be scary. But now cholera is hardly seen. But we must be vigilant."


    Cholera, with rapid onset and rapid spread.


    The main manifestations are diarrhea, "rice-like" stools, and vomiting. It is an international quarantine infectious disease. In my country, cholera is a Class A infectious disease.


    "Doctor, give me some glucose first, I''m afraid I will faint." Xiao Yunfei was a little anxious when she saw Wang Xiaodong''s delay in prescribing the medicine, "I heard that glucose can replenish energy, but I haven''t been well for several days. ate."


    Wang Xiaodong comforted: "Don''t worry, just see clearly. How is your physical condition?"


    "It''s all fine, nothing sick." Xiao Yunfei replied.


    Wang Xiaodong nodded and turned to Lu Chen.


    "In view of the fact that the patient had eaten unclean food before diarrhea, and the diarrhea was so severe, considering that the possibility of acute gastroenteritis is the highest, we will do a routine stool test for him, and then do an abdominal B-ultrasound to see and observe with some antibiotics. "


    Wang Xiaodong finished all the doctor''s orders.


    Before leaving, he asked Lu Chen to do an electrocardiogram on the patient.


    This electrocardiogram is routine.


    No matter what the problem is, as long as it is an adult, the first thing to do when you come to the emergency room is to have an electrocardiogram.


    Lu Chen turned on the electrocardiograph and quickly performed an electrocardiogram on the patient.


    "The electrocardiogram is fine, but the heart rate is too fast." Lu Chen said to Xiao Yunfei.


    "Well, thank you doctor."


    Xiao Yunfei paid the money, left the stool, and went for an abdominal ultrasound.


    For patients with diarrhea, in addition to acute gastroenteritis, it is also necessary to consider whether there are other problems.


    Such as kidney stones, appendicitis, etc.


    Don¡¯t think that kidney stones will only cause back pain, and appendicitis will only cause abdominal pain. These diseases may cause diarrhea, and similar to gastroenteritis, there is no evidence without examination.


    The ultrasound results came out soon, and the liver, gallbladder, pancreas and spleen were basically normal.


    Lu Chen looked at the existing auxiliary examinations.


    thinking about the patient''s possible diagnosis.


    He has performed a physical examination on the patient just now, and the abdominal examination was negative.


    The most likely diagnosis at present is what Wang Xiaodong said, acute gastroenteritis!


    However, Lu Chen always felt that something was wrong.


    A simple acute gastroenteritis will definitely not make the HP only 64.


    This value has reached a dangerous limit.


    At this time, Wang Xiaodong returned to the emergency ward.


    He also saw the patient''s ultrasound results.


    "Junior Brother, I''m still considering gastroenteritis. Please give the patient some levothane."


    "Okay." Lu Chen nodded, currently he can only listen to the doctor''s orders.


    Levofloxacin injection, which is a relatively broad-spectrum antibiotic, has a good effect on the treatment of infectious diarrhea.


    "Doctor, is it necessary to use some antidiarrheal medicine? I just took it again." Ms. Xiao asked Wang Xiaodong with a sad face.


    "After using the medicine, observe it again. Diarrhea is not always a bad thing. It can expel all the unclean things in the stomach, and it''s fine. I''ll give you more water, electrolytes, and energy. , if the diarrhea is not good, I will give you some antidiarrheal medicine." Wang Xiaodong explained.


    Xiao Yunfei heard the words and went to the toilet at ease.


    Lu Chen also returned to the doctor''s office.


    "Junior brother, what kind of patient came in just now?" He Qin smiled and looked at Lu Chen.


    Lu Chen replied: "The patient with diarrhea, the abdominal ultrasound is normal, it may be acute gastroenteritis."


    "Oh, this season, if you don''t eat cleanly, you can easily get gastroenteritis." He Qin said.


    Lu Chen smiled and said nothing.


    He always felt that this patient must not be so simple.


    But now I can only observe it with medication.


    After Xiao Yunfei was dealt with, several more patients came to the emergency department one after another.


    Most of them are patients with abdominal pain, chest pain, fever and cough.


    Lu Chen followed Wang Xiaodong to deal with several patients, and gained 3 points of gratitude.


    ¡­


    after an hour.


    Just when Lu Chen was about to forget Xiao Yunfei.


    At some point, she was standing at the door of the doctor''s office.


    "Doctor, why do I feel some chest tightness?"


    Xiao Yunfei covered her chest with one hand, with a pained look on her face.


    At this time, Wang Xiaodong just went to the ward to see the patient.


    There are only Lu Chen and He Qin in the office.


    Lu Chen looked a little puzzled.


    Chest tightness?


    She didn''t have this symptom before!


    He Qin whispered from the side: "Junior brother, could it be drug allergy? Some people are easily allergic to antibiotics such as levofloxacin."


    Lu Chen frowned, but just now the patient said that he usually has no food allergies.


    "It should not be an allergy. Almost all drug allergies occur during the use of the drug, especially 30 minutes before the drug is used. I have never heard of the allergy after the drug is finished. This is not logical." Lu Chen said.


    He Qin nodded and said, "It''s fine as long as it''s not a drug allergy, otherwise it''s troublesome if the drug allergy causes chest tightness."


    Drug allergy, which is very likely to cause anaphylactic shock, or even laryngeal edema, with the risk of suffocation.


    Then what is the reason?


    Looking at Xiao Yunfei''s frown, it seems that her chest is really uncomfortable.


    Lu Chen stepped forward and auscultated Xiao Yunfei''s heart with a stethoscope.


    "broken!"


    As soon as the stethoscope touched her chest, Lu Chen heard a frantic rhythm, his heartbeat was very fast, hopping!


    No wonder she was so uncomfortable!


    At least he has a heartbeat of 160 beats/min. No one can stand such a fast heartbeat.


    With such a fast rhythm, the heart cannot pump blood normally, so both the brain and the heart will be ischemia, and chest tightness is inevitable!


    He Qin also stepped forward to auscultate her heart, her expression was exactly the same as Lu Chen''s.


    Heartbeat is so fast, what happened?


    Why is there an arrhythmia?


    Lu Chen brainstormed right away.


    "Auntie, did you have a heart attack before?"


    Xiao Yunfei shook his head: "No."


    Lu Chen raised his brows, this was the first time arrhythmia appeared!


    "Auntie, then we need to review another electrocardiogram."


    "Okay, listen to you." Xiao Yunfei was very cooperative.


    When ?? came to the ward, Lu Chen and He Qin reviewed an electrocardiogram for her.


    "Rapid Atrial Fibrillation!"


    After getting the electrocardiogram, Lu Chen immediately made a diagnosis.


    A normal human heart beats very regularly, beating at the same time interval.


    But people with atrial fibrillation.


    The heartbeat is irregular, sometimes fast, sometimes slow.


    The heart is free.


    (end of this chapter)

 Chapter 144： Imminent diagnosis

    Chapter 144 Imminent Diagnosis


    At this time, Wang Xiaodong also came to Xiao Yunfei''s bed.


    "Junior Brother, what''s the condition of the patient?"


    Looking at Xiao Yunfei''s painful face, Wang Xiaodong also understood that something was wrong.


    Lu Chen immediately handed the electrocardiogram to Wang Xiaodong.


    "This is... atrial fibrillation?" Wang Xiaodong frowned.


    There is no P wave, the heart rate is definitely irregular, this is atrial fibrillation.


    Although he is not a cardiologist, atrial fibrillation should be one of the more common ECGs in clinical practice, and he recognized it immediately.


    "Well, rapid atrial fibrillation." Lu Chen nodded.


    "It may be necessary to seek help from the Cardiology Department." Wang Xiaodong said solemnly.


    Although atrial fibrillation is a relatively easy arrhythmia to deal with, it is professional after all.


    In addition, it is a good thing to share with multiple people.


    According to Director Yang Chunlai''s words, consultation is to share one''s responsibilities.


    "Senior brother, I''ve already asked." He Qin said.


    "Okay." Wang Xiaodong nodded slightly.


    Then he looked back at Xiao Yunfei who was lying on the bed, "Are there any chest pains?"


    "A little bit." Ms. Xiao replied in a low voice, her expression extremely distressed.


    "Use amiodarone injection first and push her." Wang Xiaodong instructed the nurse.


    Amiodarone is an antiarrhythmic drug that can often convert atrial fibrillation to a normal rhythm.


    However, amiodarone should be used within 48 hours of the onset of atrial fibrillation.


    Because once atrial fibrillation lasts for more than 48 hours, it is easy to form a blood clot in the atrium.


    At this time, the application of amiodarone may cause the thrombus to fall off.


    A thrombus travels to the brain along with the blood circulation and blocks the blood vessels in the brain, causing a "stroke".


    This is also one of the most important reasons why most people have a "stroke".


    ¡­


    Li Qinghua, the consulting doctor of the Cardiology Department, is here again.


    He basically agreed with Wang Xiaodong''s handling.


    "Add some potassium ions." Li Qinghua said, "This patient has long-term diarrhea and is prone to low potassium, and low potassium can easily induce atrial fibrillation."


    "Okay." Wang Xiaodong instructed the nurse to hang a bottle of potassium again.


    Facts have also proved that amiodarone is effective.


    Less than 20 minutes later, Xiao Yunfei''s heart rhythm finally returned to normal.


    Heart rate went back to 100 bpm.


    Xiao Yunfei''s brows finally stretched a little.


    ¡­


    "But the question now is, why did she have an arrhythmia?"


    In the doctor''s office, Wang Xiaodong''s eyes were full of doubts.


    She has no previous heart disease, is young, and does not have high blood pressure.


    Why does the good end have arrhythmia?


    He Qin thought for a while, then said, "Senior brother, I don''t think it can be ruled out that it is caused by the stress of gastroenteritis."


    Wang Xiaodong shook his head slightly: "This situation is relatively rare, and it is not the first consideration."


    Lu Chen frowned.


    To be honest, it is rare for such a young atrial fibrillator to have no history of heart disease in the past!


    He looked at Xiao Yunfei''s treatment plan.


    Suddenly, I was attracted by a medicine.


    "Brother, could it be caused by this quinolone antibiotic (levofloxacin belongs to this type of antibiotic)? This is not uncommon. I have seen a few cases during my internship."


    Lu Chen pointed to the doctor''s order on the computer.


    Wang Xiaodong was taken aback.


    "You said that, but I remembered that the last time an old man used moxifloxacin, he also developed atrial fibrillation."


    Moxifloxacin is also a quinolone antibiotic.


    "Is it really a side effect of the drug?" He Qin echoed.


    Wang Xiaodong paused and said, "Maybe it''s true, it seems that I have to change her cephalosporin antibiotics."


    Cephalosporins are safer and less allergic.


    But the antibacterial spectrum is not as broad as that of levofloxacin, and some atypical pathogens cannot be dealt with.


    But clinically, it is a hooligan to talk about the curative effect without the side effects!


    "Let''s observe first. Junior brother, you can do more electrocardiograms for the patient. In addition, after she stabilizes, let her have time to go to the Cardiology Department to do a Holter monitor."


    "OK."


    ¡­


    But when Xiao Yunfei''s symptoms got better, she started to worry again.


    "Doctor Lu, when can I go home?"


    "It''s too dangerous to go home now, we have to observe for one more night, don''t make any fools." Lu Chen rejected Xiao Yunfei''s request.


    "Alas, there is still a lot of work to do tomorrow!"


    "Is work more important or life more important?" Lu Chen directly snorted back.


    "Oh, that''s fine." Ms. Xiao shook her head and sighed.


    Lu Chen was about to turn around and leave the ward.


    Xiao Yunfei suddenly stopped him again: "Doctor Lu, where do you have a supermarket? I''m a little thirsty and want to buy some water."


    "We already replenished a lot of water for you, are you still thirsty?" Lu Chen frowned.


    "Yes, I''m a little thirsty." Ms. Xiao nodded.


    "The supermarket is in the eighth inpatient department. It''s a little far from our emergency department. It''s not very convenient for you. There is a drinking room in our ward. Let me get you a glass of water." Lu Chen said.


    In Xiao Yunfei''s current state, she can''t move around casually, not to mention that she has no family to accompany her.


    Lu Chen found a disposable water cup and took a cup of water between the drinking water.


    "The water is coming."


    "thanks."


    Ms. Xiao took the water and just wanted to drink it, but was stopped by Lu Chen.


    "Wait a minute!"


    Xiao Yunfei''s movements froze for a while.


    Holding a water glass in her right hand, she stopped in mid-air and looked at Lu Chen suspiciously.


    "What''s wrong?"


    Lu Chen stared at her right hand.


    "Do you usually have tremors in your hands?"


    "I see that your hands are shaking so much now!"


    "Are you nervous? Or uncomfortable?"


    Lu Chen asked several questions in a row.


    Looking at Lu Chen''s serious expression, it didn''t seem like he was chatting, but more like he had discovered some important information.


    Xiao Yunfei was a little bit overwhelmed when asked.


    Hmmm for a moment, she looked at her right hand and said, "Usually it''s a little bit, but I''m probably scared today, my hand is shaking a lot."


    It was a pair of delicate little hands, and at first glance it looked like the hands of a gentleman.


    But unfortunately, the right hand that was hovering in the air trembled slightly, and the more I looked at it, it seemed to tremble more and more.


    "Not quite right!" A trace of doubt flashed in Lu Chen''s eyes.


    "Lu... Doctor Lu, what''s wrong?" Xiao Yunfei swallowed, feeling a little more nervous in her heart, sweating from her palms and forehead.


    Lu Chen stared at Xiao Yunfei and said slowly: "You may be nervous and your hands are shaking. But since you came to the emergency ward, I found that you like to sweat very much, and you sweat more when you are nervous."


    At the same time, Lu Chen also noticed.


    Xiao Yunfei''s eyes are also very bright.


    He hadn''t paid much attention to it before.


    But now link all the signs together.


    loves to sweat, her eyes are a little bulging, and her hands are a little trembling.


    There is also arrhythmia.


    Lu Chen suddenly felt as if the layers of fog were cleared away.


    The diagnosis of the patient in front of me is about to come out.


    "If this is really the disease, then her diarrhea is not..."


    Lu Chen was startled, and suddenly, he thought of a terrible situation...


    (end of this chapter)

 Chapter 145： Hyperthyroid crisis!

    Chapter 145 Hyperthyroid crisis!


    "Hyperthyroidism?" He Qin''s eyes widened, but it was still so small.


    Lu Chen nodded and said, "Not necessarily, but it must be considered."


    The patient likes to sweat, his eyes are a little bulging, and his hands are a little trembling. There are absolutely reasons to suspect the existence of hyperthyroidism.


    "The shaking of hands may be nervous, sweating may be nervous, but I especially like to sweat, and my eyes are so bright, if we don''t give people a thyroid function test, then we have to lose this dress. "Wang Xiaodong sighed.


    He glanced at Lu Chen aside, and there was an indescribable admiration in his heart.


    Name the symptoms, everyone knows it is hyperthyroidism.


    But not everyone has the ability to detect these symptoms clinically.


    "Senior brother, the patient has hyperthyroidism, does it have anything to do with our illness this time?" He Qin didn''t understand the patient''s condition for a while.


    Wang Xiaodong eased and continued: "If the patient really has hyperthyroidism, then this arrhythmia can be explained."


    Many patients with hyperthyroidism will have arrhythmia, and many people do not know they have hyperthyroidism before they have arrhythmia.


    Wang Xiaodong continued: "You must know that thyroid hormones increase in the body when hyperthyroidism is present. Thyroid hormones are very strong and will constantly stimulate various organs in the body. Stimulating the gastrointestinal tract will lead to eating more and pulling more and stimulating muscles. Bones can cause shaking of the hands, stimulating the heart can lead to arrhythmias, and it may damage the heart in the long run.¡±


    "So it is." He Qin suddenly realized.


    "What''s worse..." Lu Chen said in a deep voice, "If the patient really has hyperthyroidism, then this diarrhea will be unusual."


    Wang Xiaodong was stunned for a moment, thinking of what Lu Chen said, and immediately said: "First, let''s draw blood for a test of nail function. I''ll call the endocrinologist later and ask for advice."


    ¡­


    in the emergency ward.


    "You said I have hyperthyroidism?" Xiao Yunfei was surprised.


    She didn''t believe she had hyperthyroidism at all.


    "Do you usually have a hot temper, eat a lot, and stretch a lot, but you can''t gain weight?" Wang Xiaodong said, "Are you particularly fond of sweating?"


    Xiao Yunfei was speechless when asked.


    would like to answer no, but the situation seems to be a bit similar.


    I want to answer yes, but I don¡¯t want to admit this situation.


    "We are the executives of the company, and whoever doesn''t get angry, the subordinates will definitely learn a lesson if they do something wrong."


    "It''s normal to eat a lot when the workload is so heavy. The work pressure is so high, no matter how much you eat, you can''t gain weight. Many people are like this, so what''s surprising?"


    A dead duck has a hard mouth.


    "Then wait for the results to verify." Wang Xiaodong said.


    Lu Chen frowned: "Senior brother, it will take 1-2 days for the thyroid function result..."


    "Can''t wait, let''s do a thyroid B-ultrasound first to see if the thyroid is swollen."


    "But there is no emergency thyroid ultrasound at night..." He Qin said abruptly from the side.


    Lu Chen nodded in agreement.


    Emergency ultrasound, only to see the heart or chest or abdomen.


    Wang Xiaodong smiled: "It''s okay, there is an emergency cardiac ultrasound at night, I asked them to take a thyroid ultrasound by the way. And I have an acquaintance in the ultrasound department, I will say hello to him."


    "However, on the surface, it seems that her thyroid is not big, and it''s not big to the touch." He Qin wondered.


    She also specially performed a thyroid check on Xiao Yunfei just now.


    Wang Xiaodong nodded and said, "When we can see it with the naked eye, the thyroid gland is already very large."


    "Furthermore, there is a possibility that the thyroid gland grows inside the chest rather than outside. In this case, even if it is very swollen, we won''t be able to see it. We have to do an examination," Lu Chen explained.


    He Qin couldn''t help sighing when he heard Lu Chen''s explanation.


    This Junior Brother, it seems really not easy!


    not only completely follow Wang Xiaodong''s ideas, but also can come up with new insights.


    By the way, he can also insert a gastric tube!


    Is he really a freshman in the first grade?


    ¡­


    After Wang Xiaodong contacted the ultrasound department, Xiao Yunfei was immediately sent there for a thyroid B-ultrasound.


    The results came out immediately.


    Goiter!


    And there are many nodules in the thyroid gland, which is a problem thyroid at a glance.


    Seeing the report, Xiao Yunfei couldn''t believe it.


    "The company has a physical examination every year, and my physical examination was normal last year."


    "That was last year!" Wang Xiaodong said.


    This is a stone hammer!


    doctor''s office.


    Wang Xiaodong sighed, "I almost fell over."


    "Senior brother, can''t we just diagnose it now?" He Qin felt a little strange. Listening to Wang Xiaodong''s tone, it seemed that he almost made a mistake?


    "Sister, do you remember why the patient came to the hospital?"


    He Qin was taken aback, "Diarrhea? Isn''t this caused by acute gastroenteritis?"


    Lu Chen shook his head and said, "The patient''s diarrhea may be acute gastroenteritis, but it is absolutely necessary to consider that it may be caused by hyperthyroidism."


    In fact, a bag of chicken feet is not very dirty.


    However, if it is really gastroenteritis caused by uncleanness, then other colleagues who eat it should also have problems.


    But according to Xiao Yunfei, everyone else seemed to be fine, she was the only one who had diarrhea for a few days.


    Then this is suspicious.


    "Junior Brother, are you talking about diarrhea caused by hyperthyroidism?" He Qin wondered.


    Lu Chen nodded, "Well, if the diarrhea is really caused by hyperthyroidism, then the patient is very likely to have a hyperthyroid crisis next!"


    Wang Xiaodong glanced at Lu Chen, it seemed that the younger brother really wanted to go with him.


    "Hyperthyroid crisis?!" He Qin opened his mouth wide.


    Seeing Wang Xiaodong''s expression of approval, she knew that Lu Chen''s diagnosis was mostly correct.


    He Qin has never encountered hyperthyroidism clinically, but has only learned about hyperthyroidism in books, but he also knows the danger of this disease!


    In the condition that the condition of hyperthyroidism is not under control, due to some stress triggering factors, the condition of hyperthyroidism is suddenly aggravated, and the patient''s health and life are seriously endangered.


    Medically called thyroid crisis, or simply called hyperthyroid crisis.


    Hyperthyroid crisis is uncommon but has a high mortality rate.


    Hyperthyroid crisis may present with high fever, arrhythmia, nausea and vomiting, disturbance of consciousness, severe diarrhea, etc.


    This diarrhea may not be gastroenteritis!


    may be the consequence of hyperthyroidism reaching a certain degree of severity, that is, hyperthyroidism crisis!


    "I just contacted the endocrinologist." Wang Xiaodong continued to ask for a consultation, "The consultation doctor will be here soon."


    ¡­


    Endocrinology.


    Min Ling finally took a relaxing night shift today after two hectic night shifts in a row.


    Nothing has happened since he took over.


    She originally planned to handle all kinds of emergencies at any time like the previous two night shifts.


    But so far, only one or two patients have high blood sugar.


    "Doctor Min, please consult the emergency department!"


    Just when Min Ling was about to go to the duty room to rest, the nurse suddenly called out to the office.


    "Okay, I''ll go right away."


    Min Ling is a little puzzled, why did the emergency department ask for an emergency endocrine consultation?


    Endocrine emergencies, usually diabetic ketoacidosis, hypoglycemia, coma, etc.


    In these situations, the emergency department will not invite a consultation, and generally will directly admit the patient to the hospital.


    With this doubt, Min Ling came to the emergency department.


    Many students were diagnosed with hyperthyroidism.


    (end of this chapter)

 Chapter 146： Passive properties discovered?

    Chapter 146 Passive Attributes Discovered?


    "Mr. Min, you are here."


    As soon as Min Ling walked into the office, Wang Xiaodong immediately stood up and welcomed her in.


    "I just saw a patient suspected of hyperthyroidism."


    Min Ling immediately frowned upon hearing this.


    Hyperthyroidism, you actually called for an emergency consultation?


    Then she has to criticize Wang Xiaodong.


    Even if Wang Xiaodong was once a student she brought out, she couldn''t be merciful.


    Min Ling''s complexion changed, Wang Xiaodong knew that he had not expressed clearly, and quickly added: "Mr. Min, there is a possibility of a hyperthyroid crisis."


    Min Ling raised her eyebrows.


    "Hyperthyroid crisis?"


    At present, this disease is also very rare.


    Although there are many cases of hyperthyroidism, even Min Ling seldom sees hyperthyroidism.


    As an endocrinologist, she has only seen a few cases of hyperthyroid crisis in her years of practice.


    "Take me to see the patient." Min Ling said.


    "Junior Brother Lu, take Teacher Min to see the patient." Wang Xiaodong turned to Lu Chen.


    At this time, Min Ling also noticed Lu Chen standing beside her.


    "Lu Chen? Why are you here?"


    The freshmen of the first year will rotate in their own undergraduate room for three months, and then they will rotate in other departments.


    Lu Chen is a graduate student in his heart. Logically speaking, he should be working in the Cardiology Department now.


    Why did you come to the emergency department to work the night shift?


    "Mr. Min, I''m helping a senior to work the night shift." Lu Chen scratched the back of his head, a little embarrassed.


    When he was working the night shift in the endocrinology department, he also used this reason to prevaricate Min Ling''s questioning.


    Min Ling smiled lightly: "Okay, then you can take me to see the patient."


    "Okay." Lu Chen nodded quickly.


    Min Ling, as a relatively old doctor in Corey, has encountered many unfamiliar students who come to work at night.


    Generally, students who rotate to the undergraduate room work night shifts.


    At first, she was also very strange, why these night shift classmates have never seen them at work during the day!


    Later, she found out that among the students there was a WeChat group for buying and selling night shifts.


    Now these young people are really lazy.


    It seems that Lu Chen also bought the night shift in the group.


    ¡­


    Just walked out of the doctor''s office.


    Min Ling paused, then turned around and said to Lu Chen.


    "You are still in the clinical stage. Working night shifts can certainly increase your experience, but you should also pay attention to rest. Your body is the most important thing."


    She is very optimistic about Lu Chen as a student, otherwise she would not "book" him in advance.


    "Okay." Lu Chen blushed, and Teacher Min saw through his "lie".


    "Don''t take what I said to heart." Min Ling shook her head, "I was just like you when I was young. No matter how tired I was working the night shift, I would regain my energy after a night''s sleep. But the older I get, the more I recover. The longer it will take, and now it may take two or three days to restore the state before the night shift, and it will become more and more powerless.¡±


    Lu Chen was a little moved when he heard Min Ling''s exhortation.


    "Don''t worry, Mr. Min, I came to the emergency room because I was bored."


    Min Ling heard the words, glanced at Lu Chen, and the corner of her mouth twitched.


    Good guy, bored to the emergency room?


    Are all children so fierce now?


    ¡­


    came to Xiao Yunfei''s bed.


    Min Ling gave her another comprehensive physical examination.


    "Combining the results of the current thyroid ultrasound, the diagnosis of hyperthyroidism should be correct." Min Ling said, "As for whether the diarrhea is caused by hyperthyroidism, this is not necessarily. Let''s take the patient to our endocrinology department for inpatient observation."


    "Ah? Still in hospital? Isn''t it just hyperthyroidism, it shouldn''t be a big deal!" Xiao Yunfei said with a bitter face, "I have an important meeting tomorrow!"


    If I had known, she would not have come to the hospital.


    This time she came to the hospital, not to mention all kinds of examinations, and now she has to be hospitalized.


    "Auntie, I have told you many times that your condition may change at any time. If it is really caused by hyperthyroidism, it is very dangerous!"


    Lu Chen still took the trouble to persuade.


    However, at this time, Min Ling suddenly said: "It''s okay if you don''t want to be hospitalized. Signing means giving up the hospitalization."


    She did not persuade too much, her tone was extremely indifferent.


    Lu Chen was stunned for a while, then glanced at Min Ling, but did not continue to persuade Xiao Yunfei to be hospitalized.


    Xiao Yunfei was silent for a while, then gritted her teeth.


    "Then I''ll listen to Dr. Lu and be hospitalized!"


    Hearing Xiao Yunfei''s words, Lu Chen finally breathed a sigh of relief.


    This is really not afraid of ten thousand, just in case.


    If the patient is really in a hyperthyroid crisis, and he is put home, it will be troublesome.


    It is very likely that more serious complications will occur at home, and there is even a risk of sudden death.


    ¡­


    On the way back to the office, Min Ling suddenly looked at Lu Chen.


    "Lu Chen, I asked the patient to sign, do you think I am impersonal?"


    "This..." Lu Chen paused, then shook his head, "Mr. Min, you have been in clinical practice for a long time and have much more experience than me. You must have your own reasons for doing things."


    Min Ling smiled, stopped and looked back at Lu Chen.


    "Nothing In clinical practice, our primary task is to help patients diagnose the disease, judge the prognosis of the disease, and finally provide the best treatment plan."


    "However, because of poor information between doctors and patients, as well as factors such as the social environment, patients often do not take our opinions. At this time, we cannot blindly persuade patients to follow our doctor''s orders. We must quickly write communication records and form a written A written record for the patient to sign.¡±


    "In the event of a medical dispute, medical records are the only evidence to protect ourselves."


    Lu Chen knew that these were summed up by Min Ling over the years based on her own experiences.


    Perhaps she has seen many clinical disputes before she has the awareness she is today.


    "Thank you, Teacher Min, for your reminder." Lu Chen nodded.


    In fact, his idea is also very simple, try to persuade patients to accept treatment and accept the best treatment measures as much as possible.


    ¡­


    Back to the doctor''s office.


    "Little Wang, you should just put this patient in the hospital." Min Ling said.


    "Okay." Wang Xiaodong smiled and nodded.


    It is safer to have a patient in the hospital than in the emergency department.


    In case something really happened, he really had no experience in dealing with it.


    "Xiao Wang, there are not many people in the emergency room tonight, I think it''s relatively leisurely." Min Ling smiled.


    "Oh, Mr. Min, don''t say such things." Wang Xiaodong hurriedly stopped, "Before you came, we just took a break."


    "yes?"


    "Yes, there are a few rescued patients, and I even brought up Director Yang."


    "Then it''s really not easy for you to call Director Yang up." Min Ling smiled.


    "Hey, I seem to be busier than the previous night shift tonight." Wang Xiaodong couldn''t help sighing, "The rescued patients come in waves one after another."


    The emergency department is indeed a very busy department.


    But from tonight to 9 o''clock, there have been so many rescued patients, which is really rare.


    Min Ling smiled, she suddenly caught a glimpse of Lu Chen beside her, her brows furrowed tightly.


    She remembered that she used to have a good night shift and could almost sleep all night.


    But since two night shifts with Lu Chen, the situation started to go wrong.


    It is common practice to rescue patients on night shifts.


    It would be strange if we didn¡¯t accept one or two intractable patients.


    Lu Chen didn''t come today, and she was doing well in the endocrinology night shift.


    But as soon as he came to the emergency department, the emergency department was busy!


    "Lu Chen, are you black?"


    Hearing Min Ling''s question suddenly, Lu Chen''s expression froze.


    Has his dark-faced passive attribute been discovered?


    Corey has a colleague who was drawn to the isolation point to help.


    I don''t know if I will be drawn...


    Monday is here, and I''m on night shift again tonight.


    I just went to the emergency department to rescue a ruptured aortic dissection bleeding, and I was half dead from exhaustion.


    One chapter today.


    (end of this chapter)

 Chapter 147： Wang Xiaodongs fear

    Chapter 147 Wang Xiaodong''s fear


    "Mr. Min, you see what you said..." Lu Chen touched his nose, "My face is white."


    Admit that you have a dark face?


    That is absolutely impossible!


    "Isn''t your face dark? Then why are you so busy when I work the night shift with you?" Min Ling said with a faint smile.


    "This..." Lu Chen paused with an embarrassed smile on his face.


    "Just kidding, there''s no shame in the clinic." Min Ling smiled, "You can judge the changes of the patient''s condition in advance, which is your keen observation. Even if someone else is on duty, the patient should be sick. The disease will still occur. What we can do is to detect it in advance and avoid more serious consequences. You have done a good job of this.¡±


    Min Ling''s remarks made Lu Chen feel a lot more relieved.


    Ever since he got this system and went to the clinic, he felt that his face was dark enough.


    Except for the first night shift, the other night shifts seem to have not slept much.


    is either rescuing patients in the ward or rescuing patients outside the hospital.


    But on second thought, Lu Chen was often the first person to notice changes in the patient''s condition.


    It is precisely because of his ability that he will appear darker than other people''s faces!


    "Okay, I''ll go back first." Min Ling stood up and turned to Wang Xiaodong, "The patient will be admitted to the hospital later."


    "Then thank you Teacher Min." Wang Xiaodong smiled.


    After Mr. Min left, Wang Xiaodong began to issue a hospitalization certificate for Xiao Yunfei.


    ¡­


    in the emergency ward.


    "Auntie, go to the endocrinology department for hospitalization now."


    Lu Chen handed the hospitalization certificate to Xiao Yunfei.


    Xiao Yunfei nodded, "Doctor Lu, thank you, I will come to see you next time I see a doctor."


    Lu Chen smiled, "Farewell, I hope you don''t come to the hospital. You can go to the first floor of the inpatient department to pay, and then go to the endocrinology department."


    "OK, all right."


    Accompanied by emergency nurses, Xiao Yunfei left the emergency department and went to the endocrinology department of the inpatient department.


    "Congratulations, +1 for receiving thanks from Xiao Yunfei!"


    "Congratulations, the system upgrade completion rate has reached 6%!"


    Lu Chen''s expression brightened.


    Although the gratitude value is only 1 point, the completion of the system upgrade has increased.


    This is really not easy!


    For each case diagnosed correctly, the system upgrade completion rate will only increase by 1%.


    In other words, according to the current progress, Lu Chen still needs to diagnose 94 more cases in order to reach 100% completion.


    The road is long and difficult!


    ¡­


    Lu Chen returned to the doctor''s office in the emergency department.


    He Qin looked at Lu Chen suspiciously, moved a chair, and sat beside Lu Chen.


    "Junior Brother, are you really a freshman in this year''s first year?"


    "Yes, Senior Sister, what''s wrong?" Lu Chen asked in surprise.


    "I really can''t tell." He Qin looked Lu Chen up and down, "Junior brother, your clinical thinking is too powerful. If you didn''t tell that this patient was hyperthyroidism, we might be atrial fibrillation caused by antibiotics. "


    He Qin is a third-year graduate student this year. Except for the one year of undergraduate internship, she also stayed in the clinic for three years, and she is considered an old fritter.


    She has never seen a doctor of the same age with such meticulous clinical thinking.


    Lu Chen smiled modestly, "I also accidentally noticed that the patient''s hands were shaking."


    He Qin felt that this junior and junior fellow was really good.


    has strength and is very humble, so he can''t help but feel more good about Lu Chen.


    "Hey, by the way, Junior Brother, I just heard Mr. Min from the endocrinologist say that your face is black, what''s the situation?" He Qin gave Lu Chen a nervous look.


    The topic of ?? black face cannot be avoided clinically.


    He Qin touched the jacket pocket of the white lab coat.


    There was a blessing that she went to the nearby temple to seek.


    She would always take it with her when she was working the night shift.


    "Cough cough." Lu Chen coughed lightly, "It was just two night shifts with Mr. Min, and those two nights were just busy."


    "Oh..." He Qin stretched out the ending and glanced at Lu Chen.


    Although the younger brother is very powerful, this black-faced person cannot get too close.


    In He Qin''s notebook, Lu Chen has been divided into the dark-faced camp.


    ¡­


    The emergency department is calm again.


    Occasionally one or two patients who received IV drip were placed in the observation room.


    After half an hour.


    Lu Chen received Min Ling''s WeChat.


    "The patient who was admitted to the hospital just now has a sudden high fever with a maximum temperature of 40¡ãC! Hyperthyroid crisis is highly suspected!"


    Lu Chen told Wang Xiaodong the news.


    Wang Xiaodong was taken aback!


    Although he had long thought of this possibility and didn''t find it abrupt, there was still a cold sweat on his back.


    "Fortunately, I was admitted to the hospital!"


    Hyperthyroid crisis, people will die at any time!


    Moreover, he has no experience in rescuing patients with hyperthyroid crisis.


    Lu Chen was also a little fortunate, fortunately he persuaded Xiao Yunfei a few more times to be admitted to the hospital.


    Otherwise, if she was released home, the consequences would be disastrous.


    A simple diarrhea with so many problems involved.


    If you are not careful, you may overturn the car!


    "Congratulations, +1 for receiving Wang Xiaodong''s thanks!"


    The ?? system prompt made Lu Chen stunned for a moment, then looked up at Wang Xiaodong.


    Why did the senior brother suddenly give some thanks.


    Lu Chen noticed that Wang Xiaodong''s expression was a little nervous.


    It seems that Senior Brother Wang Xiaodong is also afraid.


    ¡­


    After the patient Xiao Yunfei, Wang Xiaodong obviously became more careful and rigorous when receiving patients.


    The most important thing is that he will always ask Lu Chen''s opinion.


    made the patients a little puzzled, who is the superior doctor?


    "Junior Brother, what do you think the diagnosis is for this patient with abdominal pain and diarrhea?"


    "If the abdominal examination is negative, it is considered to be acute gastroenteritis."


    "What about this patient with dizziness and headache?"


    "The blood pressure is high and the head CT is normal, which should be posterior circulation ischemia."


    "What about the patient with chest pain just now?"


    "I think dissection and myocardial infarction should be ruled out and admitted to CCU hospital."


    ¡­


    Generally higher-level doctors ask lower-level doctors questions, all with the purpose of teaching.


    But when we got to Lu Chen and Wang Xiaodong, it was very strange.


    Wang Xiaodong''s every inquiry is in a negotiating tone.


    11pm.


    The number of patients in the emergency department has also gradually decreased.


    "Junior Brother, Junior Sister, you two take turns to go to the duty room to rest." Wang Xiaodong said, "If you are too busy with something, another person will get up and help."


    Lu Chen nodded and said to He Qin, "Senior sister, why don''t you go to sleep first, I''ll be here to watch."


    He Qin was a little embarrassed, but she was really sleepy.


    The night shift in the emergency department was a lot busier than usual tonight, and she had been yawning all day long.


    "Okay, Junior Brother, if you have something to do, just call me."


    "Yes." Lu Chen nodded.


    He Qin greeted Wang Xiaodong and went to sleep in the duty room in the back room.


    "Senior brother, why don''t you go to the duty room to lie down for a while?"


    There are two duty rooms, one is for senior doctors and the other is for students.


    "No." Wang Xiaodong shook his head, "I''ll just lean on the table for a while. You can squint for a while too, the night is still long."


    Emergency department nights don¡¯t stop.


    Go to the duty room to sleep, maybe just close your eyes, you will be woken up by the nurse.


    Lu Chen and Wang Xiaodong took a nap in the office.


    Fortunately, in the second half of the night, there were no major rescue patients in the emergency department, only some patients with minor illnesses and minor pains.


    Lu Chen received more than ten points of gratitude while handling the patient.


    (end of this chapter)

 Chapter 148： Contact Professor Lu for you

    Chapter 148 Help you contact Professor Lu


    He Qin opened his eyes and took out the phone under the pillow.


    "I''m going, it''s seven o''clock?!"


    She bounced off the bed immediately, and her sleepiness disappeared.


    "Oops, I remember I went to bed at eleven o''clock at night... How come I slept until seven o''clock?"


    Didn''t Junior Brother Lu Chen not sleep all night?


    He Qin got up quickly, touched his face with cold water, combed his hair a little, and walked out of the duty room.


    doctor''s office.


    Lu Chenzheng and Wang Xiaodong are discussing something.


    "Hey, junior brother, do you think this electrocardiogram is pre-excitation syndrome with atrial fibrillation? So you can''t use cedilan?"


    "Well, brother, atrial fibrillation should be easy to identify, and you can see that there is a small delta wave in front of the QRS wave on the electrocardiogram, so the pre-excitation syndrome is also established..."


    "Oh." Wang Xiaodong didn''t realize it.


    He was only a layman in the electrocardiogram, but Lu Chen''s explanation was easy to understand, and he understood it instantly.


    "Junior sister, you are awake."


    Wang Xiaodong saw He Qin walking out of the duty room.


    "Well, Senior Brother, why didn''t you call me last night?" He Qin smiled and looked at Lu Chen, "And Junior Brother, don''t you mean to take turns on duty? Why didn''t you call me?"


    Wang Xiaodong smiled: "There are no critical patients in the second half of the night, and my junior brother and I took care of it, so I didn''t call you."


    Lu Chen also smiled and nodded.


    "Oh." He Qin was a little embarrassed.


    This night shift was done by two people, but now it is equivalent to Lu Chen doing it alone.


    This Junior Brother is so interesting!


    "That, Junior Brother, do you have a girlfriend?" He Qin leaned beside Lu Chen and asked in a low voice.


    "Huh?" Lu Chen blushed, "I don''t have a girlfriend for now."


    "Cough, don''t get me wrong, I have a friend who is also single, I will help her ask." He Qin narrowed his eyes and smiled.


    Lu Chen: "..."


    ¡­


    This night shift in the emergency department has benefited Lu Chen a lot.


    From the beginning to follow Wang Xiaodong to deal with patients, to finally being able to handle emergency patients independently, Lu Chen''s gratitude value has risen rapidly!


    One night, Lu Chen saw more than 50 patients, and his gratitude value increased by more than 40 points.


    Although it was a bit tiring, it was worth it!


    In one night, I almost earned the gratitude value of a universal card.


    But just like what Min Ling said, it¡¯s better to take your time on the night shift, otherwise it¡¯s really too much to bear.


    Got off the night shift.


    Lu Chen, Wang Xiaodong and He Qin added WeChat to each other, and then went to the cafeteria to buy a bowl of beef noodles to treat themselves.


    "Ding ding ding..."


    The ?? WeChat alert sounded.


    Lu Chen picked up his phone and saw that it was Yang Lifan''s transfer information.


    is the remaining two hundred dollars.


    Yang Lifan also sent a WeChat message: "Thank you brother, next time there is such a night shift, I will come to you again."


    "You''re welcome."


    Take money to work, you can also earn gratitude points, and kill two birds with one stone.


    Back to the bedroom, Lu Chen fell asleep.


    This night, I was still too tired.


    ¡­


    Eighth Inpatient Department, eight districts in the heart.


    "Senior sister, Lu Chen didn''t come to work today?" Ke Yue looked at the vacant seat.


    "Well, he should have gone to the skill center." Sun Guoguo smiled, "There are only a few of us in the group today, maybe we are busy, everyone should work harder!"


    Sun Guoguo was very happy that Lu Chen could take the initiative to go to the skill center for training.


    After all, he is his own junior brother, if she can finally enter the school team, then her face will be brighter.


    "Huh? Did you go to the skill center?" Ke Yue asked in confusion.


    "Yes, Junior Brother Lu Chen asked for leave yesterday." Sun Guoguo nodded.


    Ke Yue frowned.


    When she went out in the morning, she also ran into Lu Chen''s roommate, who was Zihao.


    He said that Lu Chen didn''t go back to the dormitory all night, and he didn''t come out with him in the morning. How could he go to the skill center?


    Thinking of this, Ke Yue sent Jiang Qingyan a WeChat message and asked Lu Chen if he went to the skill center.


    Jiang Qingyan quickly replied "No".


    "Then where will he go?" Ke Yue looked suspicious.


    ¡­


    When Lu Chen woke up, it was already two in the afternoon.


    He was the only one in the dormitory, everyone should have gone to work.


    He is full of blood and resurrected!


    Looking at the gratitude value in the system panel, Lu Chen felt very satisfied.


    It''s been a long time since I drew a lottery, so let''s draw one first!


    Consume a point of gratitude...


    As expected, nothing was drawn.


    Forget it, let¡¯s exchange the universal card with peace of mind.


    took out his mobile phone, and several people sent him WeChat messages.


    Min Ling: "The patient''s thyroid function came out..."


    Ke Yue: "Lu Chen, where have you been today? Senior Sister Guoguo said you went to the skill center, but Xiaoyan said you didn''t."


    Wang Zihao: "You didn''t go back to the bedroom all night, where did you go?"


    Zhou Wei: "Damn, you haven''t moved all night, you won''t really go to the night shift in the emergency department, will you?"


    ¡­


    With so many people caring about him, Lu Chen felt a little warmth in his heart.


    In addition to these WeChat messages, Lu Chen also noticed that there was a "Add friend" notification.


    The other side''s remark is Fan Zhiping, a cardiologist in Fengm County.


    Isn''t this the doctor of the county hospital in the group?


    Why did he add his friend?


    Lu Chen noticed that there were hundreds of more messages in the Jinghua Electrophysiology Exchange Group.


    But he worked the night shift all night and didn''t have time to read the information.


    ¡­


    Feng M County People''s Hospital, Department of Cardiology.


    "Director Fan, what do you call my mother''s hypertrophic cardiomyopathy?" A middle-aged man stood in the doctor''s office, looking at Fan Zhiping nervously.


    "Don''t worry, I''ll tell you slowly." Fan Zhiping said slowly, "Your mother''s disease, we went through the expert consultation of Jinghua University Hospital, and then combined with the results of our hospital''s echocardiography, and finally confirmed the diagnosis. , called hypertrophic obstructive cardiomyopathy."


    "Then how to treat it?" The man continued.


    Fan Zhiping said: "This disease can be treated conservatively with drugs. If the effect is not good, then you can try minimally invasive interventional treatment. The effect of interventional treatment is definitely better than conservative treatment."


    "Then I''ll just choose interventional therapy!" The man said without hesitation, "Money is not a problem, Director Fan, you can use the best treatment, as long as it can cure my mother."


    "It''s not about money." Fan Zhiping shook his head, "Our county hospital can''t do this interventional surgery, neither the hardware nor the software can work, you have to go to the big hospital in Jinghua."


    "This..." The man frowned, "Director Fan, I don''t know a doctor in Jinghua, can you introduce me?"


    "Uh... that''s it." Fan Zhiping paused and said, "Your mother''s disease was diagnosed by Professor Lu from the Jinghua Second Hospital through remote consultation. Their hospital can perform this operation. I will help you contact him, you Just go to Professor Lu and do it."


    "Then thank Director Fan." The man was very grateful.


    "No thanks, it''s your job." Fan Zhiping smiled.


    Open WeChat, find "Professor Lu" in the group, and add his WeChat.


    ¡­


    (end of this chapter)

 Chapter 149： Men always have so few days a month...

    Chapter 149 Men always have so many days in a month...


    Verified by friends.


    Lu Chen successfully added Fan Zhiping as a friend.


    "Professor Lu, hello!"


    Fan Zhiping''s first sentence made Lu Chen feel a little guilty.


    He has explained it many times, and Fan Zhiping doesn''t seem to see it.


    And Fan Zhiping''s idea is also very simple.


    In this Jinghua Electrophysiology Exchange Group, with the ID prefixed by the Electrophysiology Association, even if it is not a professor now, it will become a professor sooner or later in the near future.


    Calling Professor Lu, that''s absolutely not wrong!


    is just a little early.


    Fan Zhiping felt that he was still very far-sighted.


    "Dr. Fan, hello."


    Fan Zhiping, who was holding the mobile phone, was a little excited to be able to talk to Lu Chen smoothly.


    Those professors are usually busier than the other and colder than the other. How can they have time to pay attention to these little doctors? !


    "Professor Lu, do you remember a patient diagnosed in the group a few days ago?"


    "which one?"


    Fan Zhiping sent the ECG of the hypertrophic cardiomyopathy patient to Lu Chen.


    Lu Chen immediately recalled this patient when he saw the ECG for the first time.


    "Isn''t this the patient whose heart failure symptoms worsened after taking cedilan?"


    "Yes, Professor Lu, it''s the patient who was diagnosed with hypertrophic cardiomyopathy as you said."


    "Oh, what else is there?"


    "It''s like this, the patient wants to have minimally invasive ablation surgery, but our county hospital doesn''t have the conditions, and the family members want to come to Jinghua to see them. Should I ask the family members to come to you?"


    Lu Chen was taken aback for a moment, but did not reply immediately.


    to find him?


    But he will not be able to perform this interventional ablation procedure, nor is he qualified to do it.


    Hypertrophic cardiomyopathy, usually first drug treatment.


    Medical treatment is not good, and then choose ablation or surgical thoracotomy.


    Ablation, the full name is percutaneous septal myocardial ablation.


    The method of injecting alcohol into one or more septal branches of the anterior descending branch through a catheter, causing myocardial infarction in the corresponding hypertrophic part, and thinning the base of the ventricular septum to relieve obstruction.


    This ablation procedure can improve symptoms and increase activity tolerance.


    Fan Zhiping waited silently when he saw that Professor Lu didn''t answer or was impatient.


    He guessed that Professor Lu''s major is more inclined to electrophysiology.


    He may not be very good at this kind of hypertrophic cardiomyopathy surgery.


    for a long time.


    The ?? dialog box pops up a message.


    "Let the patient come to Jinghua Second Hospital to find Professor Li Yao, I will tell Professor Li."


    "Okay, thank you Professor Lu."


    Fan Zhiping smiled, it seems he guessed right.


    Professor Lu did not ask the patient to go to him directly, but to a professor who can do this kind of surgery.


    But that''s fine too.


    There is at least one way.


    When ordinary people go to see a doctor in a big hospital, they always have dark eyes.


    Find a doctor''s profile on Baidu.


    Basically, how many articles have been published, how many scientific researches have been done, how many association positions have been held, but they will not talk about the technology of seeing a doctor.


    ¡­


    Feng M County Cardiologist''s Office.


    "I''ve already contacted Professor Lu. You can go directly to the Second Academy of Jinghua and find a professor named Li Yao."


    Fan Zhiping wrote the names of "Jinghua Second Hospital", "Lu Chen" and "Li Yao" on a note and handed it to the patient''s family.


    "Thank you, Director Fan!" The family is very grateful.


    "Don''t thank me, it was Professor Lu who diagnosed your mother''s illness." Fan Zhiping smiled, "Now he also introduced you to the professor at the Second Hospital of Jinghua for treatment. When you arrive at Jinghua, thank him again."


    "Okay!" The patient''s family members clung to the note in their hands, thinking of coming to Jinghua, they must thank Professor Lu.


    "Then when are you leaving for Jinghua?"


    "Let''s go early tomorrow morning."


    On Lu Chen''s side, he directly sent a WeChat message to Teacher Li Yao, telling her that a patient with hypertrophic cardiomyopathy might come to the outpatient clinic.


    ¡­


    Jinghua Second Hospital.


    Three in the afternoon.


    After chatting with Fan Zhiping, Lu Chen got up to look for food.


    After eating, he decided to go to the skill center.


    At present, his gratitude value is not much, and the universal cards that can be exchanged are limited. It is impossible to train all the skills of the test in the virtual space.


    And spending time on basic skills training is a waste of time!


    Therefore, Lu Chen decided that for some basic skills, he would come to the skill center of Jinghua Second Academy for training.


    And those more complex skills are trained in virtual space.


    ¡­


    Jinghua Second Hospital.


    Skills Training Center.


    "Continue to train everyone! You must grasp the points of each operation!"


    Dai Wansong slumped his stomach and put his hands behind his back, walking back and forth in the classroom, inspecting the operation and training of everyone.


    He is the person in charge of the skill center, and he is also responsible for the training of the school team selection.


    The total number of people trained was 20, but only 19 came every day.


    I heard that there was a student who got full marks in the basic skills test and did not come.


    Dai Wansong sneered when he heard the news.


    The basic skills test is relatively simple, and the tests are all routine skill operations.


    But this time the school team selection is different.


    In addition to routine puncture, there are basic nursing, and even surgery, gynecology, and pediatrics.


    Don''t come to training?


    Ha ha!


    The first place in the entrance examination, I am afraid to be the last few!


    "Everyone should train hard, don''t be lazy!"


    Dai Wansong instructed a few more words, then left the classroom with his hands behind his back.


    He was going to the office to make a cup of coffee.


    As soon as he walked to the door of the office, he saw a boy poking his head in from the outside.


    "Hey, classmate, this place is temporarily closed to the public."


    Dai Wansong beckoned, signaling the boy in front of him to leave.


    "Ah? Not open to the public?" Lu Chen was taken aback, "Isn''t this a skills training center?"


    "That''s right." Dai Wansong frowned, "It''s not open to outsiders at the moment, and there are people training inside."


    "Teacher, I''m here to train." Lu Chen smiled.


    "Are you here to train?"


    Dai Wansong looked Lu Chen up and down. Could he be the student with perfect skills?


    Lu Chen took out his access card.


    This access card is specially prepared by the school for twenty of them, and they can come to the skill center for training at any time.


    Dai Wansong took the access card and read the name on it - Lu Chen.


    is really that student who got full marks.


    "Have you come to training now?" Dai Wansong frowned and returned the access card to Lu Chen, "What have you been doing the other day?"


    "Teacher, I was working in Corey the other day."


    "Corey''s work? The department can''t operate without you?" Dai Wansong snorted coldly, "Don''t look for these reasons, don''t want to come to training, then don''t force yourself to come, many people can''t come if they want to come."


    Lu Chen looked at the middle-aged teacher with a big belly in front of him.


    so angry?


    You didn''t provoke him, did you?


    Maybe...


    Men feel uncomfortable for a few days a month.


    The day after tomorrow!


    The day after tomorrow on the shelves! !


    The day after tomorrow on the shelves! ! !


    Say important things three times.


    (end of this chapter)

 Chapter 150： Did he give up?

    Chapter 150 He gave up?


    Dai Wansong looked at Lu Chen coldly, and went back to the house to make coffee without saying anything.


    Lu Chen shrugged and didn''t care, then walked towards the classroom of the skill center.


    In the classroom of the Skills Center.


    Wang Zihao is training for bone marrow puncture.


    Bone marrow puncture, compared to the other three major punctures, is slightly more difficult and difficult to master.


    However, these are not real skill operations, they are all operated on the simulator.


    Therefore, in many cases, as long as you do the right thing and master the points, you can pass the assessment.


    "Zihao, not bad, are you so skilled in bone piercing?"


    A familiar voice came from his ear.


    Wang Zihao stopped what he was doing, looked up, and said in surprise, "Lu Chen? Why are you here?!"


    "I''m here to practice too!" Lu Chen laughed.


    "I thought you weren''t coming." Wang Zihao smiled, "Where did you go last night? Why didn''t you go back to the bedroom all night."


    "He helped a senior to work the night shift."


    "Oh, that''s it." Wang Zihao said, "Then hurry up and train, now many operating equipment are lined up for use."


    "Oh, good." Lu Chen nodded.


    As soon as he walked into the teacher, he saw a table on the blackboard in front of him.


    The ?? table writes the various types of skill operations, and who should use them for each time period.


    The arrival of ??Lu Chen also attracted the attention of everyone present.


    After all, he is the first place in this year''s entrance examination.


    "Finally willing to come to train..." Gu Xinyue glanced at Lu Chen not far away.


    He has been holding back his strength recently, and wants to be a blockbuster in the school team selection, surpassing Lu Chen!


    But Lu Chen had never been to the skill center, which made Gu Xinyue a little disappointed.


    "You are here, my number one is more valuable!"


    The arrival of ??Lu Chen has further inspired Gu Xinyue''s fighting spirit.


    He ignored Lu Chen and concentrated on the skill operation in front of him.


    ¡­


    At this time, Dai Wansong returned to the classroom with a cup of coffee in his hand.


    He leaned against the door, cleared his throat, and said loudly: "All the operating equipment must be used in a queue, and those who arrive later can wait."


    After ?? finished speaking, Dai Wansong glanced at Lu Chen.


    This is the price you pay for being late!


    Now, except for some basic and simple operating equipment, all other equipment is basically in use.


    Dai Wansong''s words reminded Wang Zihao.


    He stopped the operation in his hand, turned back to Lu Chen and said, "Lu Chen, every kind of equipment is used by people at every time period, and you need to make an appointment one day in advance. Now those more complicated skills and operation equipment are used first, you This... or I''ll let you go, you can practice bone piercing first."


    Lu Chen quickly smiled and waved his hand.


    "Zihao, keep practicing, don''t worry about me."


    "But you have to wait for other equipment to be free, then the skill center will be closed!" Wang Zihao said.


    "It''s okay, I''ll go see if there are any other projects available." Lu Chen smiled.


    "Hey, you..." Wang Zihao wanted to say something, but Lu Chen had already turned and left.


    ¡­


    Lu Chen looked around the entire skill center.


    At present, in the skill center, some main skill operation equipments are occupied.


    If you want to practice skills such as the four major piercings, you may have to wait until the day after tomorrow to get there.


    "Lu Chen, why don''t you try me first?" Jiang Qingyan was training for endotracheal intubation, and when she saw Lu Chen wandering aimlessly, she couldn''t help but said, "I''m almost ready, you bring it on."


    "Thank you, no need." Lu Chen smiled.


    This time he came, not for the four major punctures.


    At the door of the classroom, Dai Wansong glanced at Lu Chen in surprise.


    He has rejected others twice in a row, what does he want to do?


    Are you waiting like this?


    Under the surprised eyes of everyone, Lu Chen walked to an inconspicuous corner of the classroom.


    There is a large table in the corner.


    There are some relatively simple skill equipment on the table.


    Such as suction tubes, urinary catheters, intravenous infusions¡­


    These operations are very simple, everyone practiced a few times before they did not practice again.


    When Lu Chen picked up the IV set on the table.


    Everyone present was stunned.


    "He is..."


    "The operation of those equipment is very simple."


    "Should Lu Chen practice these operations?"


    Lu Chen doesn''t care about everyone''s eyes.


    In his system panel, the proficiency of these simple skill operations has not reached 80%.


    Although some operations are very simple, such as intravenous infusion, oxygen inhalation, sputum suction, etc., the simpler the operation, the easier it is to lose points!


    Lu Chen must try his best to be perfect!


    However, training these skills in a virtual space is a luxury.


    Now in the skill center, there are equipment for skill operation, this is a good opportunity to improve basic skills!


    "This student can''t figure out the priority, right?" Dai Wansong frowned.


    Everyone scrambles to train those complex skills.


    Lu Chen was good, but he went to train simple skills.


    ¡­


    "Oxygen inhalation proficiency increased..."


    "Intravenous fluid proficiency on the rise..."


    "The proficiency of sputum suction has increased..."


    In the system panel, prompts are constantly being refreshed.


    Lu Chen''s training of these basic skills is getting higher and higher!


    Until it reaches 80%!


    But these are just basic skills after all.


    It only took Lu Chen an hour to raise the proficiency of all basic nursing skills to 80%.


    contentedly stopped what he was doing, Lu Chen felt that he should leave.


    The rest of the equipment for skill operation is occupied.


    And training in this skill center for a week is not as good as training in a virtual space for two hours.


    Training in the virtual space, the system will correct the wrong place at any time and inform the correct operation method.


    "Lu Chen, are you leaving now?" Wang Zihao grabbed Lu Chen who was about to leave, "Will you not practice for a while?"


    "Well, you''re almost done." Lu Chen smiled.


    "Then don''t you make an appointment for tomorrow''s training?"


    "No." Lu Chen shook his head, he would return to the department tomorrow to earn thanks points.


    And in clinical skills operation, his skill proficiency can further increase, exceeding 80%.


    "You... just come and practice for an hour!"


    "enough."


    Wang Zihao: "¡­"


    Lu Chen smiled, waved to Wang Zihao, and left the training center in the eyes of everyone in shock.


    Wang Zihao stared suspiciously at the back of Lu Chen''s departure.


    Just practiced a few basic skill operations. Could it be that Lu Chen gave up the selection for the school team?


    It wasn¡¯t just Wang Zihao who had this idea, everyone present had this idea in their hearts.


    "Did you know that Lu Chen was going to take the assessment on Friday?"


    In the crowd, I don¡¯t know who asked a question.


    During this month, there will be a skill assessment every Friday.


    Every time, you can choose one or more skills for assessment.


    Just at the end of this month, all the skills in the syllabus will be assessed once.


    A thin boy wearing glasses said: "I don''t remember it! There is a table on the wall of the school''s assessment center. Everyone''s name is on it. It''s all above. For Lu Chen''s item, the number of completed assessment items is zero."


    Most of the people present have completed more than one assessment, and some even completed three assessments!


    And Lu Chen''s current grade is zero!


    Everyone was suspicious, did Lu Chen really give up?


    (end of this chapter)

 Chapter 151： Lu Chen, Professor Lu.

    Chapter 151 Lu Chen, Professor Lu.


    Lu Chen didn''t know what everyone was thinking, and even if he did, he wouldn''t care.


    After returning to the dormitory, he entered the system virtual space and began to train other more complex skill operations.


    The efficiency of training in virtual space is much higher than in reality.


    If it weren''t for the fact that there were not enough gratitude points to exchange so many universal cards, Lu Chen really wanted to train in the system space all the time.


    Two hours later.


    The training time of the wild card is over.


    Lu Chen looked at the system panel.


    Gastric tube placement 81%


    Catheterization 80%


    CPR84%


    Defibrillation 82%


    Gastric lavage proficiency 80%


    Oxygen 83%


    Suction 81%


    ¡­


    ¡­


    Basic nursing skills have reached more than 80%.


    The skills of some internal medicine departments have also reached 80%.


    There are also forty points of gratitude in the system panel.


    Go to the department tomorrow to earn a little more thanks, and then you can exchange it for another universal card!


    In the evening, Wang Zihao returned to the bedroom.


    He put down his backpack and immediately got in front of Lu Chen.


    Lu Chen turned off the skill video that was playing on the computer.


    "Lu Chen, why haven''t you gone to the assessment yet?"


    "No hurry, don''t you have a few more opportunities for assessment?"


    Although this month, the assessment can be conducted every Friday.


    It sounds like there are a lot of assessments, but in fact, there are only five opportunities for the breakdown.


    There are more than 50 skill operations in the ?? outline.


    To complete more than 50 operations in five assessments, the time is very tight!


    In other words, it¡¯s not enough at all!


    And now, Lu Chen has not been to the examination center of the school department.


    "Hey, Lu Chen, there are too many items in the test, do you stay in the last one or two tests?" Wang Zihao said, "At that time, there are too many items for each test, it is easy to confuse the operation, or separate them. It¡¯s better to come and check.¡±


    Lu Chen smiled, "Don''t worry, I will finish the exam."


    "Okay, you can handle it yourself."


    Wang Zihao didn''t know where Lu Chen''s confidence came from.


    The examination of the entrance examination and the selection of the school team are different levels of assessment.


    The entrance examination is only to assess the basic skills of internal medicine.


    The assessment of school team selection is based on the outline of the National Medical Skills Examination, and carries out in-depth and more complex assessments.


    After these days of training in the skill center, Wang Zihao felt that if he took another examination of the entrance examination, although he could not get a full score, he could get a score close to full score.


    Moreover, this time, the competitors are not only within the Jinghua Second Hospital, but also the students of the entire Jinghua Medical University system.


    I hope that Lu Chen''s self-confidence is supported by strength.


    ¡­


    The next day.


    Jinghua Second Hospital, outpatient building.


    As a provincial leading hospital, the outpatient building is crowded every day.


    There are many people who see a doctor, and there are also many scalpers.


    There was no registered number on his mobile phone, so Yuan Hang came to the window early in the morning to line up.


    There are some numbers that are only open in the window.


    "Hello, I would like to register with Professor Lu Chen of Cardiology Department." Yuan Hang took out his mother''s ID card and medical insurance card.


    The window staff took the ID card and was stunned for a moment.


    "Department of Cardiology, Professor Lu Chen?"


    "That''s right." Yuan Hang nodded.


    The window staff frowned. She remembered that there was no professor named Lu Chen in the Cardiology Department.


    checked the computer again, but couldn''t find this person.


    "Is it from the Cardiology Department?" The staff asked again.


    "Yes, that''s right, it''s the Department of Cardiology." Yuan Hang held a note in his hand with two big characters on it - Lu Chen.


    "Professor''s surname is Lu, and his name is Lu Chen?"


    "That''s right."


    "Sorry, we don''t have this professor named Lu Chen in the Cardiology Department of the Second Hospital. Did you see the wrong hospital or department?"


    Hearing what the front desk staff said, Yuan Hang was startled.


    There is no such person as Professor Lu Chen?


    its not right!


    Director Fan Zhiping clearly said that Professor Lu Chen had a remote consultation and diagnosed his current disease.


    How can there be no such person?


    The people in line behind him got impatient.


    "Hey, I said that the people in front of you, go to the side without registering, don''t waste everyone''s time!"


    "I''m sorry, I''ll be fine soon." Yuan Hang said apologetically.


    Thinking that Director Fan gave him the name of another professor, he then said to the staff at the window: "Is there a professor named Li Yao? Then I will call her number."


    "Yes, Professor Li Yao is an expert, and the registration fee is two hundred." The staff nodded.


    is really expensive, it costs two hundred yuan!


    The registration fee for the ?? county hospital is only a few dollars.


    But since it was recommended by Professor Lu Chen, he must still hang up.


    paid the money and got an expert account of Professor Li Yao.


    Go back to the waiting room on the side.


    Yuan Hang''s mother sat in a wheelchair and asked softly, "Hangzi, how is it? Have you registered your number?"


    Yuan Hang shook his head: "The staff here said that there is no Professor Lu Chen. But he recommended Professor Li Yao, and I hung up an expert number of Professor Li Yao."


    "Hey, no?" The old lady frowned, "We still have to find Professor Lu Chen. He diagnosed my disease, we must thank him."


    Yuan Hang thought for a while and said, "Well, Mom, let''s go to Professor Li Yao first, and then we''ll go to Professor Lu Chen after we are hospitalized."


    "Okay." The old lady nodded.


    After about half an hour.


    on the big screen outside the waiting room.


    "No. 15, No. 4 Clinic, Cardiology Department, please see a doctor."


    Yuan Hang looked down at the registration slip in his hand.


    "Mom, it''s our turn."


    "Um."


    Yuan Hang pushed the wheelchair and walked into the cardiology clinic.


    pushed open the door of the fourth clinic.


    ¡­


    The 4th Clinic of Cardiology.


    "Sasha, how''s your graduation thesis going?" Li Yao said with a smile to the students beside him.


    Li Yao brings her students every time she goes to the doctor.


    can not only help you to open laboratory tests, write outpatient medical records, but also understand the current situation of students.


    "Teacher, I''m still revising." Wang Shasha said, "Some data are not very accurate, and it may have to be re-recorded."


    "Then do you have time? It''s almost October." Li Yao frowned, "In two or three months of next year, you will have to hand in your graduation thesis and collect data again. I''m afraid it will be too late."


    Wang Shasha paused and said, "Teacher, I''m going to let the younger brothers and sisters from this year help me record the data. Do you think this is okay?"


    "Okay, they are fine for the time being." Li Yao nodded, "But they will record the data for you, and your paper must bring their names."


    "Well." Wang Shasha smiled, "That''s for sure."


    bang bang bang...


    There was a knock on the door.


    Li Yao immediately put away her smile and said loudly, "Please come in."


    Yuan Hang pushed the wheelchair and walked in.


    "Professor Li, hello, we were introduced by Professor Lu." After Yuan Hang finished speaking, he lowered the medical record in his hand.


    Li Yao was taken aback, "Professor Lu?"


    She searched a piece of her mind for interpersonal relationships.


    There doesn''t seem to be a professor named Lu.


    "Well, Lu Chen, Professor Lu." Yuan Hang said sternly.


    "Lu Chen?"


    A look of astonishment appeared on Li Yao''s face.


    Today is really dark.


    Originally it was a day off, but a patient with pulmonary trunk embolism was admitted to the bed. The patient was old, had high blood pressure, and thrombolysis was contraindicated, so he hurriedly underwent intervention.


    I just got off work now...


    (end of this chapter)

 Chapter 152： Testimonials

    Chapter 152 Testimonials


    This book tells the story of a black-faced doctor.


    To be honest, when I was in graduate school, I realized that my face was black.


    I was on duty at the nephrology department at noon, only for two hours, and a patient who was in stable condition suddenly disappeared.


    Worked night shift at CCU and sent 4 away in one night. So much so that the graduate student in my class remembered me until graduation.


    Of course, I remember him too.


    ¡­


    Others say that when I was a student, my face was dark, and I will be better when I go to work in the future.


    But I don''t feel like it!


    Now that I go to work by myself, it is still booming.


    There is absolutely no escape from the fate of the face!


    There is a two-hour shift at noon and can take in five patients.


    Thinking about when to go to the temple to ask for a blessing and transfer.


    ¡­


    Tell me about writing a book.


    During the epidemic last year, Yansan was trapped at home and could not go back to school.


    At home, I was completely in a hurry, and then I picked up a pen and wrote the first book.


    is all about writing whatever comes to mind.


    In the later period, due to graduation, training examinations and job hunting, the Buddhist system was updated.


    One million words, and I have been writing it for more than a year.


    is too slow.


    The first book did not write anything about clinical medicine, it was more like a city.


    As I write, I think about writing a book that is purely medical and clinical in the future.


    Write down what you have encountered in clinical or interesting medical records.


    Let everyone see a more real clinical life, and at the same time do some popular science and express their thoughts.


    So with this book - I can see health.


    Receive the patient''s gratitude value, improve your ability, and then treat the patient.


    This is a very good wish and the original intention of this book.


    As for the emotional drama, I won''t touch it again.


    ¡­


    The second book, after a two-month free period.


    Tomorrow at 12 noon, it will be on the shelves!


    Not to mention anything else, first guarantee the bottom 10 changes.


    Everyone, please subscribe.


    Perhaps, even a dark face can be transported.


    You said yes...


    ps: See you tomorrow at 12 noon.


    ps: Plus update rules: 300 monthly passes plus one update, 10,000 rewards for one update, starting from 1000 subscriptions, each additional 200, plus one update.


    (end of this chapter)

 Chapter 153： Im really not short of money (1/10 for the first order!)

    Chapter 153 I''m really not short of money (110 for the first order!)


    "Who are you talking about?" Li Yao leaned forward with doubts in her eyes.


    Yuan Hang was taken aback by this question, and then he slowly said, "It''s Lu, Professor Lu Chen. Yes, is there any problem?"


    Li Yao confirmed that she heard correctly.


    Wang Shasha on the side was taken aback.


    Lu Chen?


    Isn''t this my new junior apprentice this year?


    He was also the junior and junior who got full marks in the entrance examination.


    may be the same name.


    Li Yao didn''t speak, picked up the medical records on the table and started to read.


    "Patient Zhang Fengying, female, 78 years old."


    "Current Diagnosis: Hypertrophic Obstructive Cardiomyopathy..."


    Li Yao recalled the message Lu Chen sent him yesterday that a patient with hypertrophic cardiomyopathy was coming to the outpatient clinic.


    That''s right, this should be the patient Lu Chen mentioned.


    However, the man in front of him was called Lu Chen and was "Professor Lu Chen".


    Professor Lu Chen? When did this happen?


    It seems that there are some inside stories that she doesn''t understand.


    "Mother-in-law, your name is Zhang Fengying, right?" Li Yao smiled and started her regular consultation.


    "Yeah." The old lady nodded.


    "Why are you feeling uncomfortable recently?"


    "It''s just chest tightness, mainly because of severe chest tightness after activities, and occasionally chest pain..."


    ¡­


    Expert clinic, although the registration fee is expensive, it also has an advantage.


    That is, the time spent between doctors and patients is relatively long.


    Li Yao inquired about the whole process of the patient''s onset in detail.


    If Zhang Fengying couldn''t explain clearly, Yuan Hang made some additions.


    "The doctor in your county hospital is not bad. Hypertrophic cardiomyopathy was diagnosed on the first day." Li Yao flipped through the medical records.


    She found something amazing.


    On the first day of admission, after taking the medicine, the doctor of the county hospital suspected that it was hypertrophic cardiomyopathy or stress cardiomyopathy.


    It stands to reason that on the first day of admission, the patient did not do any imaging tests except for blood tests.


    The most critical echocardiography for diagnosing hypertrophic cardiomyopathy is, of course, not done.


    This doctor Fan from the ?? County Hospital actually inferred hypertrophic cardiomyopathy only from the electrocardiogram and drug response.


    This is really not easy!


    "Professor Li, this was not diagnosed by the doctor in our county hospital." Yuan Hangdao, "I heard from Director Fan, the director of the county hospital, that it was diagnosed by Professor Lu Chen''s remote consultation."


    "What?" Li Yao heard the words, her eyes were full of surprise.


    Professor Lu Chen, remote consultation...


    If this person is really Lu Chen, how did he achieve remote consultation?


    Could there really be this professor named Lu Chen?


    Li Yao couldn''t help shaking it, it was too strange.


    "Wait a minute, I''ll make a call to confirm."


    Li Yao took out her cell phone, found Lu Chen''s cell phone number, and dialed it.


    ¡­


    Lu Chen was "interrogated" as soon as he arrived at the department today.


    Sun Guoguo knew that he didn''t go to the skill center yesterday, but only played soy sauce for an hour in the afternoon.


    "Junior Brother, you said you went to the emergency department to work the night shift?"


    "Yeah." Lu Chen nodded helplessly.


    He can only "confess".


    "Are you buying the night shift?" Sun Guoguo smiled.


    "Senior sister, you know..." Lu Chen smiled awkwardly.


    "You''re not talking nonsense, I came here from your time." Sun Guoguo scolded with a smile, "You kid, it''s really worrying, are you short of money?"


    A normal person would not buy a night shift.


    What''s more, this is the night shift in the emergency room.


    Is this pure abuse?


    There is only one reason to buy emergency night shifts, that is, lack of money.


    "No, Senior Sister, I''m really not short of money." Lu Chen quickly waved his hand.


    Although his family is not a wealthy family, but his parents, a doctor and a nurse, are considered a well-off family.


    Usually there is no shortage of food and clothing.


    Although he strongly denied it, Sun Guoguo didn''t believe it.


    Wouldn¡¯t it be for the hundreds of night shift fees, who would buy the night shift?


    "Junior brother, although I really didn''t have much money during my postgraduate studies, my body is still the most important thing." Sun Guoguo said earnestly, "You value those hundreds of dollars now, what if you ruin your body? Heavy!"


    "And it''s not impossible for you to buy night shifts, but why do you buy emergency night shifts? Are you stupid?"


    The night shift in the emergency department is not a human shift.


    "You should buy night shifts in endocrinology, infectious diseases, and rheumatology. Night shifts in these departments are all very good."


    Lu Chen whispered, "The night shift in the endocrinology department isn''t easy either!"


    "Ah? What did you say?" Sun Guoguo wondered.


    "Ah, no... I didn''t say anything..." Lu Chen immediately changed the subject, "Senior sister, I''m really not short of money, do you want to see my Alipay balance?"


    Having said that, Lu Chen really opened Alipay.


    "Uh..." Sun Guoguo was taken aback, "Isn''t it really a lack of money?"


    If Lu Chen is really short of money, then she may be able to introduce some work-study jobs to Lu Chen.


    "Senior sister, I just feel that my clinical experience is too poor, so I want to exercise more." Lu Chen''s expression was very sincere.


    If someone else said this, Sun Guoguo would definitely not believe it.


    But what came out of Lu Chen''s mouth, she didn''t know what to do, she believed it.


    "That''s alright, you should have a good rest yourself." Sun Guoguo said, "Now you are facing the selection of the school team, you must allocate your time reasonably."


    "Well, thank you senior for your concern." Lu Chen smiled.


    Although he didn''t get along with Sun Guoguo for a long time, Lu Chen could really feel that Sun Guoguo, as a senior sister, took care of his junior brothers and sisters.


    As soon as Sun Guoguo left, Ke Yue put his head close.


    "Hey, Lu Chen, how much did you pay for this night shift?"


    She heard everything Lu Chen and Sun Guoguo said just now.


    Can you still buy it for night shift?


    This opened up a new continent in her cognition.


    "Four hundred." Lu Chen whispered.


    Ke Yue opened her mouth wide, "Four... four hundred?"


    "Yes, 400 yuan for night shifts in the emergency department is relatively low." Lu Chen spread his hands and said, "I heard from Zhou Wei that some night shifts in the emergency department even sold for more than 500 yuan."


    "It''s so tall!" Ke Yue''s eyes flashed with gold stars, "Lu Chen, where did you buy this night shift from?"


    "You don''t know?" Lu Chen wondered, "I thought everyone knew about this learning exchange and guidance group."


    "I don''t know, you quickly pull me in!" Ke Yue said quickly.


    She also wants to buy a few night shifts so that she can save money from her parents.


    After all, my younger brother also went to college this year.


    There will be a lot of extra expenses at home.


    Usually the work in the hospital is too busy, she can''t do any part-time jobs to make money.


    "Ke Yue, you are a girl, so don''t buy it for night shifts." Lu Chen frowned, "You two work a night shift, and your skin has deteriorated a lot. The cosmetics are very expensive, so it''s not worth it."


    "Oh, I won''t buy the night shift in the emergency department." Ke Yue smiled, "I heard what Senior Sister Guoguo said to buy the night shift in the endocrinology department."


    "The night shift in the endocrinology department is only 200 yuan a night." Lu Chen said.


    "Two hundred is a lot." Ke Yue smiled, "You can add me to the group."


    Lu Chen couldn''t beat Ke Yue, so he had to pull her into the "Jinghua Second Academy Study and Exchange Guidance Group".


    Just as ?? added her to the group, Lu Chen was about to turn off his phone.


    Unexpectedly, the caller ID popped up on the phone screen.


    "Tutor Li Yao."


    (end of this chapter)

 Chapter 154： I am Lu Chen (2/10 for the first order)

    Chapter 154 I am Lu Chen (210 first order)


    It''s only half past eight in the morning.


    Mr. Li Yao should be out of the clinic, right?


    Why are you calling him at this time...


    Lu Chen walked outside the doctor''s office and pressed the switch button in confusion.


    "Hello, Lu Chen?"


    "Teacher, it''s me."


    "There is a patient named Zhang Fengying who is diagnosed with hypertrophic obstructive cardiomyopathy. Is that the patient you posted on WeChat yesterday?"


    Lu Chen recalled the patient information Fan Zhiping sent him yesterday, "Yes, teacher."


    "The patient came to the outpatient clinic to find me, then I admitted her to the hospital."


    "OK, all right."


    hung up the phone, Lu Chen was a little puzzled.


    He heard Teacher Li Yao''s tone, which seemed a little strange, not the same as usual.


    Is ?? his illusion?


    But since the patient has come, that''s fine.


    He promised Fan Zhiping that he would find a good surgeon for the patient.


    Now that the patient has come to his own department, he is more at ease,


    Lu Chen took out his mobile phone and sent a WeChat message to Fan Zhiping.


    "Patient Zhang Fengying has arrived at Jinghua Second Hospital."


    ¡­


    Jinghua Second Hospital, Cardiology Clinic.


    Yuan Hang''s eyes lit up when he heard Li Yao''s call.


    You heard right, Professor Li Yao just called Professor Lu Chen just now.


    I was not wrong, Professor Lu Chen was indeed in the inpatient department.


    "I''ll issue a hospitalization certificate for you. Now go to the Cardiology Department for hospitalization." After Li Yao finished speaking, Wang Shasha, who was on the side, immediately issued a hospitalization certificate on the computer.


    "Thank you, Professor Li." Yuan Hang took the hospitalization certificate and hesitated for a while, but couldn''t help but ask, "Professor Li, was it Professor Lu Chen who spoke to you just now?"


    "Yes." Li Yao smiled, "You can see him when you go to the inpatient department."


    "Thank you." Yuan Hang breathed a sigh of relief.


    For him, being able to find Lu Chen was a very exciting thing.


    After all, his mother''s illness was diagnosed by Professor Lu Chen at the beginning.


    "Thank you, Professor." Zhang Fengying also thanked him.


    Yuan Hang pushed his mother out of the outpatient building and went to the inpatient department of Cardiology.


    After the patient leaves.


    Wang Shasha finally couldn''t help but said, "Teacher, do we have a professor named Lu Chen in the Department of Cardiology?"


    Li Yao smiled but did not speak.


    "They shouldn''t be talking about Junior Brother Lu Chen, right?"


    Li Yao said with a smile: "The patient said yes, so there should be."


    She didn''t know how Lu Chen transformed himself into Professor Lu Chen.


    There must be an interesting story in it.


    What she didn''t expect was that the source of "Professor Lu Chen" would actually be herself.


    ¡­


    Back to the doctor''s office.


    Sun Guoguo is giving a lecture to the new graduate students.


    Dong Hao left, and naturally someone took his place.


    This time, it''s another well-trained girl.


    I didn''t get admitted to graduate school, so I had to come to the training program.


    "Junior Sister Xiaomin, you just came to the department, so ask more if you don''t understand." Sun Guoguo is an extremely patient senior doctor, and he pays great attention to every newcomer.


    "Thank you, Senior Sister." Xiao Min nodded.


    She heard that the water in the eight districts in her heart is very deep, and she was reluctant to be divided over.


    Now it seems that the atmosphere of this teacher Li Yao is not bad.


    At least Senior Sister Sun Guoguo looks very kind.


    Lu Chen stepped forward and said softly, "Senior sister, Teacher Li called just now, and a patient with hypertrophic cardiomyopathy will come later."


    "Oh, okay." Sun Guoguo turned around and glanced at Lu Chen, "Hey, that''s not right, Mr. Li never greets patients in advance, so why did he call you today."


    Lu Chen stroked the back of his head: "This...I''m not too sure."


    He couldn''t say that he received the consultation remotely.


    Isn¡¯t that revealing the stuffing?


    "Okay, Junior Brother, you can take Junior Sister Xiaomin to accept this patient." Sun Guoguo ordered.


    "Okay." Lu Chen nodded.


    Yao Jie, who was sitting beside her, suddenly felt tight.


    As a qualified "little follower", this is usually her job...


    "Senior sister, I also want to follow Senior Brother Lu." Yao Jie whispered.


    "You can go." Sun Guoguo smiled, "It''s good for your interns to see more clinical patients."


    "Well, thank you, Senior Sister." Yao Jie''s mood suddenly improved again.


    Seeing Yao Jie''s happy smile, Sun Guoguo murmured in his heart.


    "Junior Brother Lu is really good. The little girls in Corey follow his **** every day."


    ¡­


    Lu Chen didn''t think so much.


    One more small class, which means that every time a class is taught in the future, there will be a little more gratitude!


    This is a good business with no losses.


    "Senior brother, then I''ll follow you." Xiao Min smiled while standing beside Lu Chen.


    "I''m not a senior brother. I''m in the same class as you, but I came a month earlier than you." Lu Chen smiled, "We just communicate normally and teach each other. There is no one who teaches who."


    "You are also new here this year?" Xiao Min blinked.


    This really surprised her!


    She came to the department for a few days and saw that Lu Chen was very skilled in managing patients in the department, and could already handle some patients alone.


    Senior Sister Sun Guoguo also likes Lu Chen very much and values ??him very much.


    She thought Lu Chen was a second, third, or even a doctoral student.


    I didn''t expect that Lu Chen, like her, was just a freshman.


    She can''t do anything right now.


    Why is the gap between people so big?


    "The doctor of the director group, the doctor of the director group, a new patient has arrived, in 10 beds!"


    The head nurse yelled at the doctor''s office.


    "I got it, come right away." Lu Chen stood up and said to Xiao Min who was beside him, "The patient is here, let''s see."


    "Yes." Xiao Min nodded and followed behind Lu Chen.


    Yao Jie also noticed Lu Chen''s actions and immediately followed.


    ¡­


    Eight-area ward in the heart, 10 beds.


    "Why is the environment of the big hospital not as good as that of our county hospital?" Yuan Hang frowned and looked at the ward.


    This is a quadruple room.


    There is very little space between the beds, almost enough for one person to pass through.


    There is only one old TV in the ward, as well as four bedside tables and wardrobes.


    In the Cardiology Department of their county hospital, the wards are all triple rooms, and the decoration is the latest.


    "Hangzi, don''t pick, it''s good to have a ward, this big hospital focuses on the level of medical care." Zhang Fengying was already lying on the hospital bed, "You think about it, if Professor Lu didn''t see my illness, I wouldn''t Knowing how much more to suffer, it''s fine now."


    "Well, that''s true." Yuan Hang nodded, "When I meet Professor Lu, I really have to thank him."


    At this time, Lu Chen walked into the ward with two small attendants.


    "Are you Zhang Fengying?"


    Lu Chen walked to the 10th bed and asked softly.


    "Well, yes." Zhang Fengying nodded, "I''m a new patient who just arrived."


    Lu Chen smiled and said, "I''m a doctor in Teacher Li Yao''s group. Now I''ll ask the patient''s specific condition."


    Lu Chen was interrupted by Yuan Hang before he could ask for the exit.


    "That... is Professor Lu Chen here?"


    Lu Chen''s words were instantly choked back into his stomach.


    His face turned red and white for a while.


    Director Fan just called him Professor Lu Chen, how could he even call the patients he introduced like that?


    No wonder Mr. Li Yao''s tone on the phone was very strange...


    This patient must have shouted the same in front of Teacher Li Yao.


    "That, I, I am Lu Chen."


    Lu Chen''s voice just fell, Yuan Hang''s eyes widened immediately.


    (end of this chapter)

 Chapter 155： Everyone eats a meal (3/10 for the first order)

    Chapter 155 Everyone is a mess (310 first order)


    In front of this young doctor who looks like he is not even a few years older than his son.


    Is that the Professor Lu Chen that he has been thinking about for the past few days?


    Yuan Hang''s head buzzed, and he didn''t quite believe it.


    His gaze shifted to Lu Chen''s badge.


    I saw a few big characters written on the badge¡ªLu Chen, a graduate student in the Department of Cardiology.


    It''s really Lu Chen...


    Is it really him?


    Looking at the young face, Yuan Hang hesitated.


    Zhang Fengying, who was lying on the bed, smiled and hurriedly struggled to sit up.


    "You are Dr. Lu. Thank you very much. If it weren''t for you, I really don''t know when my fault will be discovered."


    Lu Chen immediately helped Zhang Fengying, "Mother-in-law, this is what our medical staff should do."


    "Professor Lu Chen" was never his original intention.


    He explained it many times in the group, but the doctors didn''t believe it and insisted on calling him professor.


    Now it is a good thing to clarify with these patients.


    "You are really the Lu Chen that Director Fan said..."


    Yuan Hang paused, looking up and down at Lu Chen.


    "Yes, Director Fan you said is Director Fan Zhiping of Fengmei County People''s Hospital." Lu Chen smiled.


    Hearing what Lu Chen said, Yuan Hang believed it.


    The little doctor in front of him is the "Professor Lu Chen" in Fan Zhiping''s mouth.


    No wonder he didn''t have any information about "Professor Lu Chen" from Baidu to Jinghua Second Academy on the Internet.


    There is no information about "Professor Lu Chen" at the outpatient registration window.


    There is no such person as "Professor Lu Chen" at all!


    Yuan Hang''s current mood can be described as wanting to cry without tears.


    Originally thought that he came to Jinghua Second Academy and found Professor Lu Chen, so he found a way.


    Now I did find "Professor Lu Chen", but I didn''t expect it to be a student.


    Lu Chen saw that Yuan Hang had been silent, and he was very keen to capture his emotional changes.


    "If you don''t trust our department, you can go to another hospital. We don''t force you to come here." Lu Chen said solemnly.


    Because of such distrust, it is better to cut off this relationship directly.


    "Hey, you..." Yuan Hang just wanted to speak, but was interrupted by his mother.


    "Doctor Lu, we are all here, we must believe you." Zhang Fengying smiled, "You can treat it, I will listen to you."


    Seeing what his mother said, Yuan Hang would naturally have no opinion.


    "Well, that''s good." Lu Chen smiled. "Mother-in-law, although I know your condition, we still have to consult according to the usual procedures."


    "Okay." Zhang Fengying nodded.


    "Junior sister, you can start asking." Lu Chen said to Xiao Min beside him.


    "Huh? Me..." Xiao Min was stunned for a moment, then stepped forward.


    Like Yao Jie just now, she was confused and didn''t know what happened.


    The patient was called "Professor Lu Chen" for a while, but he didn''t seem to trust their cardiology department for a while.


    What kind of plot is this?


    Xiao Min looked at Yao Jie suspiciously.


    Yao Jie also shrugged, expressing that she was also confused.


    "First ask the patient about the specific disease condition, and then perform a physical examination." Lu Chen reminded Xiao Min again.


    She just came back to her senses.


    "Oh, okay."


    Xiao Min took out his pen and paper and began to record important information while inquiring.


    "Sister, do another electrocardiogram for the patient." Lu Chen said to Yao Jie.


    "Okay." Yao Jie has already brought the electrocardiograph.


    ¡­


    Consultation and physical examination are over.


    "Mother-in-law, you have a good rest first. We will complete some examinations today. According to your situation, we will adjust the treatment plan as appropriate." Lu Chen said.


    "Isn''t it a direct ablation operation?" Yuan Hang frowned.


    This time, he came here for surgery.


    Lu Chen said: "First of all, the surgery is not just done. We have pre-operative preparations, evaluate the patient''s condition and physical condition, how to have the indication of ablation surgery, and there are no contraindications, we will arrange the surgery for your mother."


    "How long does it take to prepare for surgery?"


    Yuan Hang was about to continue his questioning, but was stopped by Zhang Fengying.


    "Doctor Lu, just do what you want, I trust you." Zhang Fengying smiled.


    Lu Chen couldn''t help but have a good impression of the mother-in-law in front of him.


    They are not actually critically ill patients, they are just afraid of disobedient patients.


    Patients with poor compliance, even a small problem, can lead to a big disaster.


    "Mother-in-law, don''t worry, we will definitely give you the best treatment method. Then you have a good rest first." Lu Chen smiled and left the ward.


    Yuan Hang looked at Lu Chen''s back, and looked back at his mother in confusion.


    "Mom, how are you..."


    "Hey, don''t talk about me for now." The smile on Zhang Fengying''s face subsided a bit, "Lu Chen is not the professor you thought, so you don''t believe him?"


    "Mom, that''s not what I meant, listen to me..."


    "You are a piece of meat that fell from my stomach, I still don''t understand what you mean?" Zhang Fengying sighed, "If Lu Chen is really a great professor, would you have this attitude?"


    Yuan Hang whispered: "In reality, he''s just a graduate student..."


    "Then you are wrong." Zhang Fengying said, "A graduate student can see at a glance, those diseases that the director has not diagnosed, why don''t we believe him?"


    "This..." Yuan Hang was taken aback.


    He thought his mother was right.


    But a professor turned into a student.


    is still hard to accept!


    "In our time, no matter what age the doctor was, whether it was a director or a junior doctor, the common people believed in them." Zhang Fengying said.


    "Mom, that was your era, what era is it now? It''s different!"


    "I know, you always say that doctors receive red envelopes and kickbacks. There must be such doctors, and there are such people in any profession." Zhang Fengying smiled, "But I always feel that the profession of a doctor is not ordinary, and there is no great perseverance. Without a good heart, one cannot be a doctor."


    "Hey, Mom, you think too much. Which profession is not a job now? No one has such a lofty ideal."


    Yuan Hang couldn''t persuade his mother.


    If you don¡¯t come here, then just stay.


    By the way, he also has to contact Director Fan, who highly respects "Professor Lu Chen".


    After settling his mother, Yuan Hang came to the corridor of the ward.


    called Fan Zhiping.


    "Hello, Director Fan."


    "Hey, Yuan Hang, I have already received a WeChat message from Professor Lu Chen, he said that you have arrived at the Second Jinghua Hospital."


    "..." Yuan Hang didn''t know how to speak.


    During the few days he was hospitalized in the county hospital, he knew that Director Fan highly respected this "Lu Chen" professor.


    "Hello? Can''t you hear me? Hello?"


    "Director Fan, I''m listening."


    "Oh, then you should have lived in the Jinghua Second Hospital by now."


    "Stayed."


    "Have you seen Professor Lu Chen? How are others?"


    "He, others, is fine."


    "Very good, right?" Fan Zhiping wondered.


    Why add a ¡°bar¡±?


    "Others are very enthusiastic." Yuan Hang replied again.


    "He must be very young. I think he plays very smoothly on WeChat and sends messages very quickly." Fan Zhiping said, "Older people don''t have the same speed."


    "It''s very young. He is estimated to be only twenty-three or four years old this year." Yuan Hang said expressionlessly.


    "Huh?" Fan Zhiping was taken aback for a moment, "Professor at the age of twenty-three or four? Is it thirty-two..."


    "Director Fan, Lu Chen is only twenty-three or four years old, and he is not a professor. He just graduated this year."


    Fan Zhiping: "¡­"


    Until he hung up the phone, Fan Zhiping''s head was buzzing.


    (end of this chapter)

 Chapter 156： What level of membership are you? (4/10 for the first order

    Chapter 156 What level of member are you? (410 for the first order)


    Professor Lu Chen may not be a professor, he thought.


    But at least he should be a doctor at the level of deputy chief physician.


    However, Yuan Hang told him.


    Lu Chen is a first-year graduate student?


    recalled his WeChat chat with Lu Chen.


    He doesn''t even dare to open the dialog with Lu Chen now.


    The image of "Professor Lu Chen" in his own imagination, the elegant and wise image, disappeared in an instant.


    ¡­


    doctor''s office.


    "Senior brother, why did the family call you Professor Lu Chen?"


    Yao Jie secretly came to Lu Chen and asked.


    "It''s just a misunderstanding, don''t gossip at a young age." Lu Chen smiled, "Have you recognized all the electrocardiograms?"


    "Oh." Yao Jie stuck out her tongue and ran away immediately.


    She was afraid that her brother would start asking him to interpret the electrocardiogram again.


    "Junior brother, what kind of disease is the new patient thinking about?" Sun Guoguo walked into the doctor''s office.


    Now that Lu Chen is here, she is much more relaxed.


    Lu Chen can write the course of the disease, make doctor''s orders, and even help her deal with the changes in the condition of some patients.


    is so easy to use!


    When Lu Chen was away, Sun Guoguo still missed him very much.


    "Senior sister, this patient has been diagnosed at the county hospital and is considered hypertrophic obstructive cardiomyopathy."


    "Oh?" Sun Guoguo opened Zhang Fengying''s medical records in the county hospital with great interest.


    "Hey, I read in the medical record that after the administration of Cedilan, the patient''s symptoms of heart failure worsened, and then he considered hypertrophic obstructive cardiomyopathy." Sun Guoguo said, "Which county hospital''s cardiology department, the doctor''s It''s a good level."


    Lu Chen smiled, isn''t this praising himself in disguise?


    I''m really embarrassed.


    Sun Guoguo glanced at Lu Chen, Junior Brother is so shy.


    "Junior Brother, does this patient want to have an ablation operation?"


    Lu Chen nodded: "Well."


    "That''s alright, make preparations before surgery, and be sure to review a heart ultrasound." Sun Guoguo said, "If the patient''s heart valve has problems, then ablation and interventional surgery may not work."


    In patients with hypertrophic cardiomyopathy, if there is severe valvular heart disease, it is not enough to solve the hypertrophic myocardium.


    It also requires surgical thoracotomy to address the hypertrophic myocardium and valve problems.


    "Senior sister, I also think so," Lu Chen said. "I have communicated with the patient''s family. If there is a problem with the preoperative assessment, the ablation operation may not be performed. As for the problem of thoracotomy, the patient is old and the risk is high, and the family may not be able to do it. I will consider this technique."


    "Well, just communicated." Sun Guoguo smiled.


    It¡¯s great to have this kind of apprentice and brother, and I¡¯ve done everything I thought of.


    ¡­


    Busy morning.


    Lu Chen took Xiao Min and Yao Jie to accept two new patients.


    They wrote a patient''s first medical record by themselves, and Lu Chen was responsible for helping them revise it.


    "Junior sister, look at your chief complaint. The number of words exceeds 20 words."


    "Senior brother, I counted it twice, and there are only 19 words. If you don''t believe me, you can count it carefully." Yao Jie blinked her eyes with determination.


    Lu Chen smiled, "You forgot, punctuation marks are counted as one word."


    "Ah! Yes, I forgot again." Yao Jie scratched her head and blushed.


    Let the senior brother look down on him again!


    Lu Chen is a little strange. Recently, Junior Sister Yao Jie has not given him much thanks!


    What''s going on here?


    He remembered that in the past, as long as he taught Junior Sister Yao Jie to write medical records, he would definitely get a few points of gratitude.


    is gone now!


    "Lu Chen, look at how I wrote about the course of my illness?" Xiao Min finished writing the first course of illness record (hereinafter referred to as the first course).


    "Okay." Lu Chen nodded. "Well...not bad, but the main complaint doesn''t correspond to the time of the first journey..."


    Xiao Min listened carefully to Lu Chen''s revisions.


    After half an hour.


    Lu Chen received a system prompt.


    "Congratulations, +1 for receiving Xiao Min''s thanks!"


    Look, doesn''t this create a contrast?


    Xiao Min immediately gave a little thanks.


    Lu Chen glanced at Yao Jie, who was seriously changing her medical records.


    Junior sister should have no opinion on him, right?


    ¡­


    It''s almost time to get off work.


    Yao Jie and Xiao Min have written all the medical records, and Lu Chen has also finished his own work.


    "Come back in the afternoon, everyone, let''s get off work." Lu Chen smiled and said to Xiao Min and Yao Jie beside him.


    "Well, okay. Senior Brother, are you going..."


    Yao Jie was about to invite Lu Chen to the cafeteria for dinner, but found that Director Li Yao walked into the Director''s office, and immediately swallowed her words.


    "Teacher, you came back from the outpatient clinic." Lu Chen also saw Li Yao.


    "Well." Li Yao nodded slightly, "Is it alright in the morning."


    "Accepted two patients, and their condition is relatively stable." Lu Chen smiled.


    "Okay, then come to the office with me." Li Yao left the office after saying that.


    Lu Chen was taken aback.


    Could it be that he asked him about "Professor Lu Chen"?


    Confused, Lu Chen followed Li Yao into the director''s office.


    ¡­


    Office of the Director.


    Li Yao sat in the office, with a smile on the corner of her mouth, she pointed to the sofa in front of her.


    "Professor Lu Chen, sit down."


    Lu Chen blushed, it really was this.


    "Teacher, don''t make fun of me."


    "Cough cough." Li Yao cleared her throat, and then smiled, "My students have become professors, and I''m too happy to be happy."


    Lu Chen smiled awkwardly: "Teacher, it''s all those patients who screamed, don''t take it seriously."


    Li Yao swayed and said, "I heard from the patient that you had a remote consultation and diagnosed this hypertrophic obstructive cardiomyopathy."


    Lu Chen nodded.


    "I joined an electrophysiological exchange group, and there are often people who send some very difficult electrocardiograms."


    "Electrophysiology communication group?" Li Yao frowned, "What group is this? Why don''t I know?"


    "The medical staff in the nearby counties who are interested in electrophysiology joined this group," Lu Chen explained.


    "How many counties nearby? I remember you are not from Beijing, but from another province. How could you join our electrophysiology exchange group?"


    "Teacher, have you forgotten that you asked me to join the Jinghua Electrophysiology Association?"


    "Of course I remember." Li Yao nodded.


    Before she saw that Lu Chen was very interested in electrocardiography, she let him join the Jinghua Electrophysiology Association.


    She happens to be the deputy director of the Electrophysiology Association, and every year she invites her students to join the association.


    "After I joined the Jinghua Electrophysiology Association, the association asked me to join this electrophysiology exchange group." Lu Chen said.


    A look of doubt appeared in Li Yao''s eyes.


    When will the Jinghua Electrophysiology Association allow members to join this WeChat group?


    Wrong!


    Li Yao''s eyes suddenly narrowed.


    She remembered that the Electrophysiology Association seemed to have a tradition of letting members join the Electrophysiology Exchange Group to guide the interpretation of electrocardiograms in lower-level hospitals.


    But, this doesn¡¯t seem to be the authority of ordinary members, right?


    Then, there is only one truth.


    "Lu Chen, what level of member are you in the Jinghua Electrophysiology Association?"


    Li Yao looked at Lu Chen, in addition to being shocked, there was a trace of anticipation in her heart.


    (end of this chapter)

 Chapter 157： Muxiu Yulin (5/10 for the first order)

    Chapter 157 Mu Xiu Yulin (510 first order)


    Lu Chen said slowly, "Members of the elite group."


    Li Yao''s eyes flickered, and on the surface it was calm, but inside, a huge wave was already set off.


    is actually a member of the elite group!


    The members of Jinghua Electrophysiology Association are divided into four levels.


    The first level, chairman, deputy chairman and standing committee. Generally, they are the directors of the cardiology departments of major hospitals in Beijing.


    The second level, core members. Generally, they are professors and chief physicians of cardiology departments in major hospitals, and have considerable achievements and influence in the field of electrophysiology.


    The third level, members of the elite group. Almost all of them are the backbone of the cardiology departments of major hospitals, people at the level of deputy chief physicians, or doctorate attending physicians who have just returned from overseas.


    The fourth level, ordinary members. Anyone who majors in Cardiology, recommended by someone and paid the membership fee can join. All students are in this ranks.


    Li Yao originally asked Lu Chen to join the Electrophysiology Association, just to make him an ordinary member, and he could go to some conferences at ordinary times.


    I didn''t expect him to become a member of the elite group.


    Just by looking at the composition of the elite group, it is impossible for a single student to join it.


    Li Yao knows that there are currently two ways to join the elite group.


    One is a direct invitation from the director or deputy director, and the other is an online assessment!


    The invitation code she gave to Lu Chen was only at the ordinary member level.


    She didn''t dare to give a student an invitation code at the elite level.


    If ?? is known to others, then she will not even want to be the vice chairman.


    Then Lu Chen passed the elite group assessment with his own efforts?


    "Lu Chen, how many times have you passed the exam?" Li Yao said softly.


    "Twice."


    The examination questions of the elite group, Li Yao has seen.


    The questions are not only difficult, but also changeable. Ordinary cardiologists simply cannot pass the examination.


    was silent for a long time.


    Li Yao''s heart is still digesting the shock of this news.


    "how did you do it?"


    "Teacher, after failing the first test, I analyzed the test questions and conducted targeted training..."


    Lu Chen explained a lot.


    It''s just that his words now seem extremely pale.


    The gap in knowledge can not be bridged only by training or tactics.


    Lu Chen can pass the assessment of the elite group, which shows that his inner strength is far more than what he has shown on the surface.


    "Lu Chen, do you know who are the members of the elite group?" Li Yao said softly.


    "I don''t know." Lu Chen shook his head.


    "As far as the Department of Cardiology of the Second Jinghua Hospital is concerned, Li Qinghua, the current resident chief physician, is a senior attending physician and is going to be promoted to deputy director this year; there is also Wang Peng from the first district of the heart, the deputy chief physician; and the third district of the cardiology department. Tang Liang, this year''s returnee doctor..."


    The more Lu Chen heard these names, the more frightened he became.


    To be honest, from Li Yao''s mouth, for the first time, he knew the weight of his elite group member.


    No wonder Fan Zhiping kept calling himself "Professor" in the group.


    He explained it so many times, but he ignored it.


    Most of the members of the ?? elite group are associate professors and above.


    "So this patient was diagnosed by you on WeChat?"


    "Yeah." Lu Chen smiled helplessly, "I''ve explained it many times, I''m not a professor, and the doctors in these groups don''t believe it, that''s why today''s event is happening."


    Li Yao said with a smile: "It''s not wrong for them to be called like that. Most of the members of the elite group are the backbone of their hearts and eventually become professors. And they insist on calling you a professor, partly because they don''t want to admit their backwardness. "


    "They subconsciously think that it''s not that they are poor, but that the disease is too rare, and only a professor-level doctor can diagnose it."


    "If you let them know you''re a student, where''s their old face?"


    Raise the value of your opponent, and your own value will also rise.


    "Yeah." Lu Chen nodded, "But I''m just a student, and I''m very guilty when they call it that."


    "Haha." Li Yao smiled, walked to Lu Chen''s side, and patted him on the shoulder, "You''re an unusual student!"


    Li Yao felt that she really found a treasure.


    is still a rare treasure.


    But, the pool here is too shallow.


    Lu Chen''s future should be in the vast sea of ??stars.


    "You are a member of the elite group, don''t talk about it for the time being." Li Yao thought about it and said.


    The wood is beautiful in the forest, and the wind will destroy it.


    Lu Chen is still young, and now that this news is announced, it will definitely attract everyone''s attention.


    And her current identity is sensitive, Lu Chen is easily implicated.


    It may be better to wait until the time is right and then announce the identities of the members of Lu Chen''s elite group.


    Lu Chen nodded.


    He still understands the truth of ?? the first bird with a gun.


    Just speaking in the group, he was regarded as a professor.


    If the identity of the student is announced, then he will be in the spotlight of the public.


    Wretched development, isn''t it fragrant?


    "However, you can speak more in that WeChat group." Li Yao said, "Being familiar with the group will make it easier to do things in the future. There are people in these groups in every hospital. If you are a local from Jinghua, you will know. It''s good. Secondly, it can also drain some patients from the Cardiology Department of our Second Hospital. Look at you, a patient with hypertrophic cardiomyopathy, who came to you because of your reputation."


    "Okay, teacher, I will speak often." Lu Chen smiled.


    In fact, he has another benefit of speaking in the group, that is, earning gratitude points!


    Why not do it!


    "Oh, by the way, I have another matter with you today." Li Yao said, "I heard from Mr. Dai from the skill center that you went to the skill center to practice a few simple projects. I was going to have a good talk with you. But now, I think you should have your own ideas."


    A student who passed the elite group assessment during the first year of research.


    This kind of student cannot be handled with common sense.


    Li Yao thought, just let Lu Chen do it by himself.


    In her heart, she almost acquiesced that Lu Chen would successfully pass the selection for the school team.


    In this national medical skills competition, what kind of results will he create?


    ¡­


    After Lu Chen left the director''s office.


    Li Yao immediately called the headquarters of Jinghua Electrophysiology Association.


    "Give me a list of the latest members of the association"


    "Okay, Director Li, I will send it to your mailbox right away."


    Less than a minute.


    Li Yao''s mailbox has a list of members of the Jinghua Electrophysiology Association.


    His eyes fell directly on the elite group members.


    On the list of ?? members of the elite group, the last one is Lu Chen!


    This is real!


    said from Lu Chen''s mouth and confirmed it himself.


    This shocking effect is different.


    Li Yao looked at the names on the list, her eyes still shining with incredible light.


    (end of this chapter)

 Chapter 158： The beef bun in my hand is suddenly not fragrant (6/10 beg

    Chapter 158 The beef bun in my hand is suddenly not fragrant (610 ask for the first order)


    Go back to the duty room and change into the white coat.


    Lu Chen breathed a sigh of relief.


    "Professor Lu Chen" has been resolved.


    However, the school team assessment that Teacher Li Yao said, he will also put it on the agenda.


    It is definitely impossible and unrealistic to put more than 50 operational skills in the last one or two assessments.


    One is that time does not allow, and the other is that in case of an accident, he did not complete all the projects.


    That would be an unjust death!


    There are only three days left until the next assessment.


    Lu Chen methodically trained in the virtual space.


    At the same time, earn gratitude points in clinical work and exchange them for universal cards for virtual training.


    ¡­


    Friday, it''s time for the assessment.


    This is also the second assessment.


    All the students who participated in the selection of the school team applied for the assessment program today.


    Lu Chen applied for eight projects, all of which are basic nursing skills.


    "Lu Chen, you also go to the assessment today!"


    "Yes." Lu Chen nodded.


    He was packing his backpack in the dormitory, preparing to go to the school''s skill assessment center.


    Wang Zihao, who was opposite the bed, jumped out of the bed at once.


    "Then wait for me, I also applied for the assessment."


    Wang Zihao quickly finished washing up and went out with Lu Chen.


    "Have you washed your face?" Lu Chen glanced at Wang Zihao.


    This product washes his face and brushes his teeth for two minutes, and also sprinkles a bath of urine.


    "Of course it''s clean." Wang Zihao took a bite of the beef bun in his hand, "How many programs did you apply for today?"


    "Eight."


    "It''s quite a lot!" Wang Zihao said, "I took two items in the water test last time, and this time I''m going to test six items, and there are eight in total."


    "I think there are quite a lot of people being assessed today," Lu Chen said.


    Came to the school headquarters and walked in the direction of the skill assessment center. He saw many familiar faces from the Second Academy.


    "Yeah, everyone is working hard and wants to join the school team." Wang Zihao said, "I heard that Gu Xinyue also applied for extra training and goes to the skill center every night. He looks like he wants to surpass you. Hey, hey, say Cao Cao, Cao Cao is here."


    At some point, Gu Xinyue came to the two of them.


    "Morning." Gu Xinyue greeted Lu Chen and nodded to Wang Zihao.


    "Morning." Lu Chen replied lightly, he was a little worried about this guy.


    Gu Xinyue is very handsome, but he always feels that his motives are impure.


    "How was your training?" Gu Xinyue asked again.


    "Generally average." Lu Chen walked a little to the side.


    "Hehe, then you have to be careful." Gu Xinyue smiled, "I applied for twenty assessment programs today."


    Lu Chen glanced at Gu Xinyue in surprise.


    This man is so fierce?


    Then he almost spent the whole day in the school''s assessment center.


    Wang Zihao interjected, "We are not fast, you are doing something wrong."


    Gu Xinyue said indifferently: "The projects I choose are the ones I have the most confidence in."


    "Then congratulations in advance." Lu Chen smiled.


    "I don''t think you have any fighting spirit at all." Gu Xinyue frowned.


    "I''m saying this as a compliment, didn''t you hear it?" Lu Chen glanced at Gu Xinyue, "Am I going to tell you that I''ve already reserved a place for the school team."


    Gu Xinyue "..."


    Wang Zihao couldn''t help but chuckle.


    Gu Xinyue glanced at the two of them and left quickly.


    "I heard that Gu Xinyue has always been the first in the undergraduate degree, and he lost to you in the entrance examination. He is very unwilling." Wang Zihao looked at Gu Xinyue''s back and said.


    "Who did you hear, his undergraduate has always been the first?" Lu Chen said, "Which undergraduate student have you ever seen who would choose to stay in school? In fact, the best wave of people have all gone to better medical schools, or out of the country."


    "Lu Chen, you are too ambitious for others, destroy your own prestige." Wang Zihao said helplessly.


    "What I''m saying is the truth." Lu Chen said solemnly, "Although Jinghua Medical University is a first-class medical school, it basically belongs to the tail of the crane. There are many top-level medical schools in Huaxia, and even some second-class medical schools. The development of colleges and universities in recent years is also better than that of Jinghua.¡±


    This point, when Lu Chen adjusted and chose the Jinghua Second Hospital, he always warned himself in his heart.


    "Besides Jinghua, there are more powerful people. Entering the school team has never been my ultimate goal."


    At present, the best result of Jinghua Second Academy is only eleventh.


    Lu Chen wanted more than this ranking.


    Wang Zihao stopped when he heard Lu Chen''s words.


    was slightly behind Lu Chen, but he accelerated to catch up.


    He turned his head and glanced at Lu Chen who was eating the meat buns with sauce.


    Everyone is working hard for the selection of the school team, but he has already thought of the national competition after the selection.


    Originally in Wang Zihao¡¯s heart, it would be nice to be selected for the school team and travel outside for free.


    Compared with what Lu Chen thought, it was very different.


    He suddenly felt that the beef bun in his hand was not fragrant, and he also wanted to take a bite of the sauce pork bun.


    ¡­


    Came to the School Skills Assessment Center.


    As soon as you enter the hall.


    The giant screen in the hall displayed everyone''s name.


    After the ?? name, there are the number of items passed and the score of each test.


    The final result of the test is not a simple addition of scores.


    Instead, a comprehensive calculation is carried out according to the proportion of each type of skills through a weighted method.


    For example, internal medicine has the largest proportion of skills, and the corresponding score is high.


    The proportion of ?? pediatrics and gynecology is small, and the score is also small.


    The first person in the ranking is a surgical student at Jinghua First Hospital.


    He has completed ten assessments, and the weighted score is the highest among all.


    The second ?? is a girl from the Jinghua Group of Three Hospitals.


    She also completed ten assessments, ranking second in weighted points.


    The highest-ranked student of Jinghua Second Academy is a boy named Li Hengzhen.


    Lu Chen had met him several times, and he seemed to be a graduate student in anorectal surgery.


    He currently completed nine assessments, ranking third.


    In the last row, number sixty, Lu Chen discovered his own name.


    "Lu Chen, the completed project is zero, and the weighted score is zero."


    Wang Zihao also found his name on the screen.


    He is currently ranked 45th.


    "My ranking is so low." Wang Zihao sighed.


    "It''s meaningless to look at this ranking now." Lu Chen said, "Prepare for the assessment."


    "Yeah." Wang Zihao nodded.


    ¡­


    Ding dong! Ding dong! Ding dong!


    The ?? bell rang, and the skill assessment was officially tested.


    Lu Chen''s first assessment was the sputum suction technique in basic nursing.


    Enter the examination room for sputum suction.


    Cameras are installed around the room, a console is placed in the center, and there is a dummy model next to the console.


    There is a male invigilator next to the console.


    When he saw Lu Chen walk into the classroom, he said.


    "The skill assessment begins, the time is five minutes, and the countdown begins!"


    Lu Chen heard the words and quickly entered the examination state.


    (end of this chapter)

 Chapter 159： Substantial rewards (7/10 for the first order)

    Chapter 159 Substantial Rewards (710 for the first order)


    Wash your hands, wear a mask, gloves.


    Prepare all the supplies and bring them to the console.


    Explain the purpose of the procedure and the method of cooperation to the patient.


    Start the operation, turn the patient''s head to the operator''s side, the comatose patient can use a tongue depressor or an opener to help the patient open the mouth...


    This set of procedures was memorized by Lu Chen.


    The seemingly simple operation actually requires the operator''s proficiency.


    Otherwise, in clinical practice, it is easy to cause harm to the patient, or the suction operation cannot be completed.


    But now, when operating on the dummy, there are basically no such concerns, and the difficulty of the operation has dropped by a whole grade.


    Three minutes later.


    "Teacher, my operation is finished."


    The invigilator smiled and nodded.


    This student has done a good job and is the most standard one he has seen so far.


    "There is a question for you to answer, which patients are contraindicated in nasal cannula suction."


    Lu Chen was about to leave when he heard the question.


    It was the first time he participated in the assessment, and he really did not expect to answer questions.


    "It should be a patient with a skull base fracture, and nasal cannula suction is contraindicated."


    Fortunately, this question is relatively simple, and Lu Chen answered it easily.


    "Well, very good, the assessment of phlegm suction is over." The invigilator said, "The assessment results of this project will be announced on the big screen in an hour."


    Only then did Lu Chen know that the test scores were not scored by an invigilator.


    There are two monitors in the room, each monitor has a teacher to review and score.


    This is modeled after the National Medical Skills Test, which can prevent a teacher from misjudging.


    spent the whole morning.


    Lu Chen completed eight skill operations in basic nursing.


    In fact, the operation time of each skill is not long, and it is a waste of time to wait for the assessment.


    at noon.


    The ranking of the giant screen has been refreshed.


    Lu Chen rose from the last place to the 42nd place.


    "Lu Chen, completed 8 projects, with a weighted score of 154.32, ranking 42."


    Many of the people behind Lu Chen have not yet been assessed.


    After today is over, Lu Chen''s ranking will definitely continue to drop.


    Wang Zihao completed the assessment a long time ago.


    Although he only applied for six skill operations.


    But the six skill operations are operations that account for a relatively high score.


    His ranking suddenly rose to 31st.


    6:30 PM.


    With the end of the last assessment, the current overall ranking has also been refreshed.


    In the entire overall ranking, Gu Xinyue jumped directly to the first place.


    Li Hengzhen of the Second Academy of Jinghua also rose to the second place.


    In addition, among the top ten, Jing Er Yuan Hua also accounted for four places.


    ranks fifth, seventh, eighth, and tenth.


    For a time, Jinghua Second Hospital, "Boundless Scenery".


    ¡­


    Jinghua Medical University headquarters, conference room.


    In a small conference room, more than ten people sat.


    The people present were all affiliated hospitals, who were in charge of the skill competition.


    "Director Li, your Jinghua Second Academy has a good year." A tall and thin man said cheerfully to Li Yao, "Today''s second assessment is over, and your Jinghua Second Academy''s student rankings are very high."


    "The current rankings don''t explain much." Li Yao smiled, "Director Lei, at least two students from your Jinghua First Academy are selected every year, but they just haven''t made any efforts yet."


    "There are still three more chances to be assessed. I hope our hospital can catch up." Lei Fan narrowed his eyes and smiled.


    This Li Yao quite understands the situation.


    What ?? said was very useful to him.


    In terms of overall strength, the Jinghua No. 1 hospital overwhelmed the Jinghua No. 2 hospital.


    But in terms of individual departments, the Cardiology, Neurosurgery, and Ultrasound Departments of Jinghua Second Hospital are all ranked in the top ten in the country, steadily overshadowing the limelight of Jinghua First Hospital.


    The owner of the ?? conference room was a middle-aged man, Luo Binghe, the dean of the Graduate School of Jinghua Medical University.


    He is also the general director of the National Medical Skills Competition.


    "Everyone, be quiet." Luo Binghe pressed his hands down, signaling everyone present to be quiet.


    "The main reason to call everyone here is to discuss this national medical skills competition."


    Everyone sitting is very puzzled, what else is there to discuss in the skill competition.


    Selected the members of the school team, and then went out to play.


    Luo Binghe looked around the crowd and said slowly: "Given the continuous loss of students in our school in recent years, Principal Zhang is also very worried about the development of various affiliated hospitals. It coincides with this national medical skills competition, which is a good way to enhance the influence of our school. Chances are, Principal Zhang attaches great importance to this competition."


    "This time we are not only going to the competition, but also going with the mentality of winning!"


    As soon as the ?? voice fell, everyone present looked at each other in dismay.


    Win an award?


    This should at least be in the top three!


    But the best result of Jinghua Medical University is only 11th.


    "President Luo, don''t you think the gap is too big?" Lei Fan said what everyone wanted to say.


    "How can I say that, the grades are all achieved." Luo Binghe smiled, "If you don''t try hard, how do you know that these kids can''t do it?"


    Everyone heard the words and talked a lot.


    "President, it''s not that we don''t work hard, it''s that our source of students is worse than that of other big hospitals, and we lose from the starting line."


    "This is changing the soup or not! What team did they bring, and what team did we bring? What level are we in Jinghua? With just a few people, you, Li Hengzhen, ranked second. He can participate in the national medical skills. Compete? Can¡¯t compare, do you know if you don¡¯t have this ability? If you go on like this, if you lose to a first-rate medical school, you will lose to a second-rate medical school. If you continue to compete, I¡¯m afraid even those second-rate medical schools will not be able to compare. "


    Luo Binghe turned black when he heard everyone''s discussion.


    "It really doesn''t work, just treat it as training for next year''s medical skills competition. On the other hand, we are the first to prepare for next year''s skills competition."


    Lei Fan couldn''t help laughing when he heard this.


    If you can¡¯t win others now, do you still expect to win next year?


    Next year, others will stay where they are, waiting for you to surpass?


    "Dean, if you want me to tell you, you still have to give substantive rewards to individuals." Li Yao smiled, "Let these students have enough motivation to fight, it may be better."


    The rewards at this stage are all rumors.


    There is no written documentation.


    Although all the students know the benefits of participating in this competition, but they can''t see or touch, they still have a sense of distance.


    Everyone applauded when they heard Li Yao''s proposal.


    "Dean, I think Director Li is right!"


    "Yes, there are rewards, everyone will fight."


    "Now these students are better than each other. It is impossible for them to work hard without any obvious benefits."


    Luo Binghe fell into deep thought.


    It has always been said that there are rewards for participating in skill competitions, but it is also shared by everyone, and no documents have been issued.


    Maybe, really want to give some rewards?


    (end of this chapter)

 Chapter 160： Red envelopes, this thing must not be touched! (8/10 ask

    Chapter 160 Red envelopes, this thing must not be touched! (810 for the first order)


    The second assessment is over.


    That night.


    The Graduate School of Jinghua Medical University immediately issued a notice, clearly indicating the ranking award in the National Medical Skills Competition.


    Enter the top ten in the country and unconditionally receive the first-class scholarship for the following year. Priority will be given to various evaluations, prior evaluations, and graduation to stay in school.


    Enter the top six in the country and unconditionally receive the first-class scholarship and national scholarship for the following year. Priority will be given to various evaluations, prior evaluations, and graduation to stay in school.


    Enter the top three in the country and get the first-class scholarship and national scholarship for the whole year unconditionally. Priority will be given to various evaluations, prior evaluations, and graduation to stay in school. When applying for doctoral assessment after graduation, you have the right to choose.


    First in the country, unconditional access to all scholarships. In all selection activities, there is priority to choose. At the same time, they have the opportunity to study abroad at Jinghua Medical University.


    Seeing this notice, those students who did not have the opportunity to participate in the competition all regretted that they did not perform well in the entrance examination.


    Some people even want to join a petition to take the test again.


    Those who entered the school team selection were all red-eyed.


    Get a scholarship, which is just a material reward.


    Get the opportunity to stay in school and take an assessment, which is paving the way for the future life!


    All those who participated in the selection of the school team have completely exploded the potential in their bodies.


    The skill training center of the Second Academy of Jinghua is brightly lit almost every night.


    Lu Chen also saw this notice.


    "The school has made a lot of money this time!"


    Don¡¯t underestimate the ownership of scholarships, school retention and PhD opportunities in each country.


    There are even opportunities to go out and communicate.


    Originally, most of these rewards belonged to some interest groups.


    Now it''s all divided up like this, and there must be many people''s interests behind it.


    It seems that the leaders of the headquarters of Jinghua School are paying special attention to this national medical skills examination.


    Lu Chen certainly won''t miss this great opportunity to get rewards!


    In his daily life now, in addition to earning gratitude points in the clinic, he takes time to go to the skill center for training.


    After returning to the bedroom at night, enter the system virtual space for intensive training.


    The training of ?? operation skills is proceeding in an orderly manner.


    ¡­


    Eight Divisions of Cardiology.


    "Mother-in-law, your preoperative examination results come out, and there is an indication for ablation surgery."


    In the ward, Lu Chen smiled and said to Zhang Fengying.


    "Thank you so much Dr. Lu." Zhang Fengying smiled, "When will the surgery be done?"


    "The surgery is scheduled for tomorrow morning, when someone takes you to the catheterization lab, you don''t have to worry about it."


    "OK."


    explained some preoperative precautions, and Lu Chen prepared to leave the ward.


    "Hey, Doctor Lu, I have something to do with you." Yuan Hang stood up.


    "What''s the matter?" Lu Chen stopped and looked back at Yuan Hang, who was a little hesitant.


    "Doctor Lu, it''s inconvenient here, I''ll tell you in the corridor outside."


    "Um."


    Lu Chen nodded and followed Yuan Hang to the corner outside the corridor.


    "Doctor Lu, I''ve been bothering you a lot these days." Yuan Hang said with a smile.


    After getting along for the past few days, Yuan Hang found that Lu Chen was really a good and competent doctor.


    Not only do we conduct ward rounds several times a day, but also regularly come to popularize some medical knowledge and educate patients.


    This was something he had never seen in any other hospital.


    Other patients in the ward also spoke highly of Lu Chen.


    Young guy, patient and good-natured.


    The key is that on his hospital bed, he gets better quickly.


    "This is what we should do." Lu Chen smiled.


    He thought that Yuan Hang came out to find him to learn more about the risks of the operation, so he was here to express his gratitude?


    "Tomorrow my mother will have an operation, and I want Dr. Lu to take care of her."


    After Yuan Hang finished speaking, he glanced around.


    Lu Chen felt that something was wrong with his actions.


    Sure enough, Yuan Hang took out a black bag from his arms and quietly stuffed it into Lu Chen''s pocket.


    Lu Chen''s expression changed and he took a step back.


    "Can''t, can''t."


    "Doctor Lu, this is a trivial matter, not much." Seeing that his black bag was empty, Yuan Hang hurriedly stepped forward and wanted to stuff the black bag into Lu Chen''s pocket.


    "You don''t have to do this, I won''t charge it. Not only me, in the eighth district of our Cardiology Department, no one will charge you this money, and no one dares to charge you this money."


    Lu Chen took a step back with his hands behind his back.


    Yuan Hang looked a little embarrassed. Someone next to him was looking at him. He quickly put the bag back into his arms.


    "Doctor Lu, you..."


    Lu Chen smiled helplessly: "You really don''t have to do this. No matter what kind of patient it is, we will try our best to diagnose and treat it. If you give me a red envelope now, it will hurt me."


    Not to mention that he is a student now, even if he took up his job, he became a real resident physician, attending physician, and even chief physician.


    Then he wouldn''t even reach out to receive the money!


    "Well, then, this is me." Yuan Hang touched his head a little embarrassedly, "Doctor Lu, don''t mind."


    "No, just don''t do this next time."


    "Then shall I buy you some fruit?"


    "That''s ok." Lu Chen smiled, "It''s all right, we won''t take special care of you just because you sent something."


    "Okay, I understand." Yuan Hang nodded.


    This Doctor Lu is really different.


    Yuan Hang hurriedly left the ward, ready to go to a fruit stand and buy some good fruit.


    Lu Chen looked at his leaving back and smiled helplessly.


    This family is really willing, the black bag just now is not thin, it is a few thousand dollars in size.


    ¡­


    Back to the doctor''s office.


    Lu Chen saw that the expressions on his face were wrong.


    what is wrong?


    touched his face, did he become handsome again today?


    At this time, Sun Guoguo leaned in front of him and whispered.


    "Junior Brother, the patient gave you a red envelope just now, you should confiscate it!"


    Lu Chen was taken aback, "Of course it''s confiscated. Senior sister, how did you know about this?"


    Sun Guoguo glanced at Lu Chen angrily, "Aren''t you talking nonsense? The department is so big, the nurse went to the ward to change the medicine, and saw each patient talking beside you, and the patient took out a bag of things. ... What else is this if it''s not a red envelope?"


    Lu Chen touched the back of his head, but luckily he confiscated the red envelope.


    Otherwise this would be right under everyone''s nose!


    Hey, no, he didn''t plan to take it from the beginning.


    "Junior brother, you must not accept it." Sun Guoguo said earnestly, "First of all, in terms of the professional ethics of our doctors, red envelopes are definitely not accepted! In addition, some patients'' family members may stumble you behind their backs. , you should understand."


    Lu Chen smiled, "Senior sister, don''t worry, I know."


    His parents are both medical staff and have been fascinated by them since childhood.


    Red envelope, this thing must not be touched!


    8 chapters are released first, and the remaining 2 chapters need to be revised. in the afternoon,


    As for how much to add, it''s up to everyone.


    (end of this chapter)

 Chapter 161： Patients with myocardial infarction who cannot urinate (9/10 for subscription)

    Chapter 161 Patients with myocardial infarction who cannot urinate (910 subscription)


    Eight districts in the heart, the doctor''s office.


    Lu Chen was busy making up his medical records when a little nurse suddenly walked up to him.


    "Lu Chen, go do me a favor."


    The little nurse''s name is Jia Liu, and she has only been working in the eight districts of the heart for one year.


    "What''s wrong?" Lu Chen looked back at Jia Liu suspiciously.


    "I have a patient after PCI. I have been unable to urinate and need to insert a urinary catheter..." Jia Liu whispered, "Will you help me get it?"


    "Male patient?"


    "Yes, if it''s a female patient, why would I want you to go?" Jia Liu patted Lu Chen''s shoulder lightly, "Go, do me a favor, don''t you usually help Sister Liu Mei?"


    "But you usually do it yourself for male patients, why did you let me go today?"


    "Hey, that male patient is very young and a little shy, so he had to let the man insert him." Jia Liu smiled helplessly, "We are not shy, I really don''t know how shy he is, a big man. Woolen cloth."


    Lu Chen coughed lightly and smiled: "You guys are well-informed, but the patient may not have a girlfriend."


    "Fuck you." Jia Liu laughed and scolded, "Will you go?"


    "Okay." Lu Chen naturally agreed.


    This kind of thing to improve skill proficiency, the more the better.


    "Thank you." Jia Liu smiled, "Next time we work night shift together, please drink milk tea."


    "Okay." Lu Chen nodded and went to the treatment room to get a catheter pack.


    This time, the little class behind him didn''t follow him.


    ¡­


    Eight district wards in the heart.


    Yang Song felt that he was too miserable.


    He is only 21 years old this year. After staying up all night for a week, he suddenly suffered from chest pains.


    After being sent to Jinghua Second Hospital, he was diagnosed with acute myocardial infarction, and three stents were placed.


    On the second day after the operation in today''s room, he was transferred from the CCU ward back to the general ward.


    But the embarrassing thing happened again.


    The patient with myocardial infarction cannot get out of bed in the acute stage, and his urination has never been solved!


    The nurse said to put him in a catheter.


    Yang Song quickly refused, how embarrassing it is!


    But lying on the bed, he had the urge to urinate, but he couldn''t urinate.


    This taste is even more uncomfortable!


    "Why don''t you find a male doctor for me to insert it." In the end, Yang Song had no choice but to compromise.


    ¡­


    Lu Chen took the catheterization kit and came to the 36th hospital bed that needed catheterization.


    "Yang Song, right?" Lu Chen began to check the patient''s name.


    "Well." Yang Song nodded, "Doctor, are you here to insert a catheter for me?"


    "Yes." Lu Chen smiled, "If you have any discomfort during the intubation process, you can tell me at any time."


    "Is there any discomfort?" Yang Song frowned.


    He was most afraid of pain.


    "Definitely, when the catheter is inserted, it will be a little uncomfortable." Lu Chen said.


    "Oh, doctor, please be gentle." Yang Song whispered.


    Lu Chen nodded.


    "Take off your pants."


    "Ah? Why, how to take it off?"


    "It''s just taking your pants down below your knees and keeping your legs slightly apart."


    "Oh." Yang Song blushed and pulled down his pants.


    "Take off your **** too."


    Yang Song glanced to the side, there was no one else, and then slowly took off his underwear.


    "I need to disinfect first." Lu Chen said to Yang Song.


    "What do you use to disinfect?" Yang Song was taken aback.


    "Iodophor, which is commonly used in the hospital, don''t be too nervous. I''m doing it well, and it''s over soon."


    Yang Song nodded, then closed his eyes, not daring to look directly.


    When sterilizing, you need to sterilize from the outside to the inside for the first time.


    The second pass is disinfected from the inside out.


    After disinfection, the catheter is inserted.


    The whole process went very smoothly.


    When the catheter entered the urethra for about 20cm, Lu Chen saw urine flow out.


    and then insert 2-3cm.


    Inject 20mL of normal saline into the balloon port, and then fix the catheter to connect the catheter bag.


    "It''s done." Lu Chen opened the catheter, "Yang Song, I''ll put 400ml of urine for you first, but you can''t put more."


    The first catheterization can not be too much.


    Otherwise, it is easy to cause the bladder volume to shrink rapidly, resulting in bladder bleeding.


    "Thank you, doctor." Yang Song opened his eyes, but he was still a little uncomfortable.


    After Lu Chen cleaned the catheterization equipment, he heard the system prompt.


    "Congratulations, +1 for receiving Yang Song''s thanks!"


    "Congratulations, the proficiency in catheterization has reached 81%!"


    not bad.


    You can gain thanks points for one operation, and you can also train skills.


    "Doctor, wait a minute." Yang Song suddenly stopped Lu Chen.


    Lu Chen stopped and looked back.


    "Anything uncomfortable?"


    "I feel like I still can''t pee." Yang Song frowned.


    Lu Chen was taken aback for a moment, then looked towards.


    There is indeed no urine coming out of the catheter.


    There is only about 20ml of urine in the catheter bag.


    There is definitely no problem with the operation of this catheter.


    The ?? system has increased his proficiency.


    But why is there no urine drainage?


    "How long have you been urinating?" Lu Chen frowned.


    "It''s almost a day." Yang Song thought about it and said.


    "One day?" Lu Chen looked solemn, "This day, did you eat a normal diet? Did you drink a lot of water?"


    "Didn''t your doctor tell me to drink more water?" Yang Song wondered, "I drank a lot of water."


    "Do you feel chest tightness?" Lu Chen continued.


    Yang Song nodded quickly.


    "I felt chest tightness last night. I told the doctor on duty and he said that I had acute myocardial infarction. Although a stent was placed, it would definitely not fully recover."


    "Before the stent was placed, what symptoms did you have? Did you have chest tightness?"


    "It''s just chest pain, no chest tightness."


    Drinked a lot of water and did not urinate all day.


    There are more symptoms of chest tightness.


    Lu Chen felt that something was wrong with the patient''s condition.


    This is not a simple problem of inability to urinate.


    Almost no urine for a whole day, which can completely diagnose acute renal failure!


    The human body undergoes metabolism all the time.


    Most of the wastes produced by metabolism are excreted through the kidneys.


    If there is no urine, it means the kidneys are damaged.


    Persistent anuria, the accumulation of metabolic waste in the body, is likely to cause damage to various organs.


    If there is no urine for a long time, it is also called "uremia".


    "Yang Song, rest in bed first." Lu Chen said, "I''ll have your doctor in charge come to see you later."


    "Okay, thank you doctor." Yang Song nodded.


    ¡­


    Dispose of the waste from the catheterization and return to the doctor''s office.


    Lu Chen immediately opened the laboratory test list of 36 beds of Yang Song.


    "Preoperative creatinine was normal."


    Afterwards, Lu Chen turned to the renal function indicators that were reviewed after Yang Song''s operation.


    "Creatinine 141umol/L!"


    Lu Chen''s eyes narrowed.


    In the first follow-up after the operation, the creatinine increased, which means that the renal function has been damaged.


    Open the doctor order system.


    Lu Chen saw that in the doctor''s order system, there was no doctor''s order to review the renal function again.


    This patient is not a patient in their group, but a patient in Chief Physician Shao Jun¡¯s group.


    Lu Chen has no right to dispose of it.


    "Fatty, who are you in charge of this 36-bed?" Lu Chen came to the students of Director Shao Jun''s group.


    Cheng Peng is Director Shao Jun''s graduate student, and Lu Chen is the same as a freshman in the first year.


    Because of his fat body, everyone called him fat.


    "36 beds Yang Song..." Cheng Peng turned on the computer, "I am in charge of the patient who was transferred from CCU yesterday, what''s wrong?"


    Lu Chen said in a deep voice, "This patient hasn''t urinated for a day. His diet is normal. I heard from him that you even made him drink a lot of water, but he still hasn''t urinated."


    "I haven''t urinated all the time? Could it be acute renal failure?"


    Cheng Peng''s complexion changed, and the fat on his face shook.


    Don''t worry, there are a few more chapters tonight.


    (end of this chapter)

 Chapter 162： Acute renal failure (10/10 for subscription)

    Chapter 162 Acute Renal Failure (1010 for subscription)


    "Fatty, where is the superior of your group?" Lu Chen said in a deep voice.


    Cheng Peng said with a bitter face, "Director Shao and Senior Brother Xia Gang have both gone to the catheterization room for surgery, and we are the only students left in the group."


    Lu Chen immediately said: "Hurry up and call them, be sure to inform them of the patient''s condition, and then order an emergency blood test to check the patient''s blood routine, liver and kidney function, myocardial enzymes, and electrolytes."


    If the patient''s condition changes, they should tell the superior doctor as soon as possible!


    "Okay." Cheng Peng nodded.


    Lu Chen usually has a high prestige in the freshman, and everyone still trusts him.


    He not only spread the story of being pierced in the elevator, but also the "feat" of getting a perfect score in the entrance examination.


    "By the way, I have to call an emergency nephrology consultation." Lu Chen added.


    "Are you sure it''s an emergency consultation?"


    "In this case, emergency consultation is definitely needed!" Lu Chen nodded, "The patient may need emergency dialysis."


    "Yeah!" Cheng Peng also knew the seriousness of the matter, and immediately notified Director Shao Jun by phone, and then asked other friends in the group to give medical advice.


    ¡­


    "Junior Brother, what were you discussing there just now?"


    Sun Guoguo had already noticed the situation on Director Shao Jun''s side.


    Lu Chen paused and said, "Senior sister, when I inserted a urinary catheter with Bed 36 just now, I found that he hadn''t urinated all day."


    "36 beds?" Sun Guoguo frowned, "What kind of patient is that?"


    "Acute myocardial infarction. I just had a stent. Today is the second day after the operation. The CCU was transferred up just now."


    "Is Director Shao not in the department?" Sun Guoguo looked around the office, but did not see Director Shao Jun and Xia Gang.


    "He and the doctors in the group went to the operating room." Lu Chen said.


    "Did you have another surgery?" Sun Guoguo shook his head helplessly, "Hey, Director Shao turned an internal medicine department into a surgery. Junior brother, go and help the classmates in their group."


    "Um."


    Got Sun Guoguo''s instruction, Lu Chen didn''t have any scruples and came directly to Cheng Peng.


    "Fatty, how are you? Have you contacted Director Shao?"


    "No, no one answered the phone." Cheng Peng shook his head, "It may be that Senior Brother Xia Gang didn''t answer the phone during the operation."


    It can¡¯t go on like this!


    "Fatty, let an intern from your group go to the catheterization room to find Director Shao." Lu Chen said.


    "Okay, that''s all we can do now."


    ¡­


    Cheng Peng quickly instructed an intern to go to the CCU on the fourth floor to find Director Shao Jun and Senior Brother Xia Gang.


    "Nephrology emergency consultation, which patient is that?"


    A burly middle-aged male doctor walked into the office.


    Judging from his size, he doesn''t look like a physician, but rather like a surgeon.


    "Hey, Mr. Wang, why did you come to the consultation in person?"


    Sun Guoguo asked kindly when he saw the middle-aged male doctor.


    "Hey, Dr. Corey is busy." Wang Jun smiled, "Guo Guo, are you working alone now?"


    "Mr. Wang, I''ve been working for several years." Sun Guoguo laughed.


    "Oh, I forgot." Wang Jun patted his head, "Look at my memory... Oh, which bed is the patient in the consultation?"


    At this time, Cheng Peng got up quickly and said.


    "Teacher, the number of patients in the consultation is 36 beds. I will show you there."


    "Well, good." Wang Jun nodded and followed Cheng Peng out of the doctor''s office, "What''s the condition of the patient?"


    "The patient''s condition..."


    Cheng Peng didn''t know how to organize his language for a while, he looked at Lu Chen beside him begging for help.


    Lu Chen immediately understood and walked out of the doctor''s office.


    "Teacher, the patient''s situation is like this." Lu Chen said, "He has just finished the second day after the interventional operation for acute myocardial infarction. Today, he has not urinated. After I inserted a urinary catheter for him, he only went out for a few days. Ten milliliters of urine, consider the possibility of acute renal failure."


    Wang Jun glanced at Lu Chen, "Are you a doctor in charge of the bed?"


    Lu Chen was taken aback for a moment, then shook his head.


    "Teacher, I''m a bed doctor." Cheng Peng whispered.


    "You are the doctor in charge of the bed, how can you ask others to explain your condition?" Wang Jun raised his brows.


    Cheng Peng was a little nervous and didn''t know what to say for a while.


    Lu Chen smiled and said, "Teacher, I just inserted a urinary catheter into the patient. I just found out that he didn''t urinate today, so I know the changes in his condition."


    "Don''t you routinely record the amount of urine after your surgery?" Wang Jun wondered.


    "It will record the 24-hour urine output." Lu Chen said.


    "Why didn''t the doctor of the tube bed find any abnormal urination?"


    Wang Jun''s series of questions made Cheng Peng sweat on his forehead.


    Fat people tend to sweat easily.


    Being asked by Wang Jun, he felt that his palms and backs were all sweaty.


    Lu Chen also felt the oppression of the middle-aged doctor in front of him.


    "Who is your superior doctor?"


    "Teacher, I am from Director Shao Jun''s team." Cheng Peng whispered.


    "Oh, is that kid Xia Gang taking you?"


    "Well, Senior Brother Xia will take me." Cheng Peng nodded straight.


    "Then I understand, they really got into the surgery eye." Wang Jun shook his head helplessly, "Let''s go see the patient first."


    ¡­


    In front of the hospital bed.


    Yang Song nervously looked at the three doctors in front of him.


    He read a joke on the Internet, inpatients are most afraid of having many doctors come to see you.


    Either your condition is typical or your condition is critical.


    At this moment, Yang Song hopes that he is the former.


    "Young man, don''t be nervous, I''ll show you." Wang Jun came to the bed and began to perform a physical examination on Yang Song.


    "Small wet rales can be heard at the bottom of both lungs, the heart auscultation is normal, and the lower extremities are slightly edematous."


    Wang Jun said all the positive signs he checked out.


    Lu Chen was surprised.


    At that time, he only cared about the situation that "the patient did not urinate" and forgot to examine the patient.


    Positive signs like ?? are very meaningful and represent that the patient has fluid retention at this time.


    "Young man, you haven''t urinated all day today?" Wang Jun said.


    "Yeah." Yang Song nodded, "Just when the catheter was inserted, there was a little pee."


    Wang Jun put away the stethoscope and looked at Cheng Peng beside him.


    "What was the patient''s creatinine before and after surgery?"


    Cheng Peng thought for a while and said, "It was normal before surgery, but a little higher after surgery."


    "How high is it?" Wang Jun frowned.


    "One hundred thirty or forty." Cheng Peng hesitated.


    "How many patients are you in charge of? Can''t even remember the patient''s test value?" Wang Jun raised his eyebrows, then looked at Lu Chen beside him, "Tell me, what is the patient''s creatinine?"


    "73umol/L before surgery, and 141umol/L on the first day after surgery."


    Wang Jun glanced at Lu Chen in surprise, "What''s the creatinine clearance rate?"


    Lu Chen paused, "Teacher, I roughly calculated that his creatinine clearance rate should be 58ml/min."


    "Well, not bad." Wang Jun''s face finally showed a relieved smile, not all those unreliable ones.


    "You are also from Director Shao Jun''s team?"


    "No, I was in Teacher Li Yao''s group, and now Senior Sister Sun Guoguo is taking me." Lu Chen said.


    "Well, Guoguo brought it well." Wang Jun smiled and walked out of the ward first.


    Back to the doctor''s office.


    Wang Jun read the patient''s disease course and auxiliary examination.


    "Student Lu, right? You think this patient has acute renal failure. What is the cause? Is there any basis?"


    Hearing Teacher Wang''s question, everyone around turned their attention to Lu Chen.


    Thank you Xirushui for the reward, so there is one more update.


    Also, thank you for the donations from other students!


    (end of this chapter)

 Chapter 163： Contrast Nephropathy! (Added for "Xi Rushui" ten thousand rewards

    Chapter 163 Contrast Nephropathy! (Add more rewards for "Xi Rushui")


    Lu Chen met Wang Jun''s gaze.


    "I?"


    "Yes, didn''t you just say that you are considering acute renal failure?" Wang Jun smiled, "There must be a reason for renal failure, right?"


    Lu Chen glanced at Sun Guoguo, who was beside him, and found that she nodded to him.


    Getting Sun Guoguo''s signal, Lu Chen stood up.


    In the doctor''s office, most people''s eyes were on him.


    Even those classmates who were working were watching Lu Chen from the corner of their eyes.


    I saw Lu Chen said slowly: "Although the patient''s renal function has not yet yielded results, but according to the urine output, the patient has no urine within 24 hours, and the diagnosis of acute renal failure is basically clear."


    "The diagnosis is clear, what about the cause of acute renal failure?" Wang Jun continued.


    Lu Chen was silent for a long time.


    Seeing that Lu Chen didn''t speak, everyone looked at him silently, waiting for his speech.


    At this moment, all possible factors for acute renal failure immediately appeared in Lu Chen''s mind.


    The human body is a very interesting organism, and each organ does not operate independently.


    Blood circulation connects various organs. Once an organ becomes diseased, it is likely to affect other organs and tissues.


    For example, there is a problem with the heart, there is heart failure, not enough blood is pumped out, and not enough blood is flowing through other organs.


    Heart failure may lead to kidney failure.


    If the kidneys are not good, it will in turn have toxic side effects on the heart.


    In clinical practice, it is often said that the heart and the kidney are not separated, and this is the truth.


    Therefore, in the field of cardiology, if there is renal failure, the first thing to consider is the renal failure caused by heart failure.


    However, Lu Chen found that there was something strange about this patient.


    Clinically, to determine whether a patient has heart failure, the most important thing is whether there are symptoms of chest tightness and dyspnea, and then combine the laboratory indicators.


    And this patient named Yang Song, before stent surgery, only had symptoms of chest pain and no symptoms of chest tightness.


    That is to say, before the stent surgery, he did not have heart failure.


    Could it be that after the stent operation, his heart is worse? Heart failure?


    This is a bit counterintuitive.


    The patient is very young, and a stent was placed in time after the onset of the disease. Logically speaking, there should be no heart failure!


    If it wasn''t because of heart failure, what could be the reason for him?


    "By the way, he is anuria after surgery!"


    Lu Chen''s eyes suddenly lit up.


    Before and after surgery, there is a difference between having surgery or not.


    In other words, the patient''s renal failure must be related to a certain factor in the operation!


    And heart stent surgery is an angiography operation, so a contrast agent is bound to be used!


    At this moment, Lu Chenmao suddenly opened up.


    "In general, acute renal failure, there are three major categories of factors."


    Lu Chen spoke, and everyone focused on him.


    "respectively pre-renal factors, renal factors, and post-renal factors."


    "The patient had no urinary tract obstruction, and post-renal factors were excluded; the patient had no major blood loss, no heart failure, and pre-renal factors were also excluded."


    "The only thing left is the renal factor. The patient denies any previous renal disease, and the renal function was normal before surgery, so now there is only one possibility left."


    Lu Chen paused, looked around, and said slowly, "Contrast nephropathy!"


    As soon as he finished speaking, there were whispers in the doctor''s office.


    "Why not consider renal failure caused by heart failure?"


    "I think this patient is very young and in good condition before surgery. The probability of heart failure after surgery is low."


    "Contrast nephropathy? Why didn''t I think of this?"


    "I have never encountered such a situation in clinical practice!"


    Contrast nephropathy, which refers to a sudden decline in renal function caused by contrast media.


    Commonly used contrast agents are generally hyperosmotic, with an iodine content of up to 37%. In the body, they are filtered by the glomerulus without being absorbed by the renal tubules. When dehydration occurs, the concentration of the drug in the kidney increases, which can cause kidney damage and Acute renal failure occurs.


    Cheng Peng glanced at Lu Chen in surprise, and couldn''t help muttering in his heart, "It''s really amazing, it''s indeed Lu Chen!"


    He just heard from the teacher that the contrast agent may cause damage to the kidneys.


    However, it is very rare to actually encounter contrast agents that lead to renal failure.


    Wang Jun looked up and down at Lu Chen.


    This student is not easy.


    For these old clinicians, it is normal to think of the diagnosis of contrast agent nephropathy.


    But for a fledgling student, it is quite difficult to think of contrast agent nephropathy!


    The most important thing is that Lu Chen showed his entire diagnosis and treatment ideas in front of everyone.


    Step by step analysis and exclusion, and finally came to the diagnosis of contrast nephropathy.


    In other words, no matter what the cause of renal failure, Lu Chen could draw conclusions through his own clinical thinking and final analysis.


    "Guoguo, you taught this student?" Wang Jun smiled and looked at Sun Guoguo beside him.


    "Mr. Wang, Lu Chen is a graduate student of Mr. Li Yao this year and has just entered the department." Sun Guoguo smiled.


    "You just entered the department?" Wang Jun was even more surprised.


    He was still a freshman in the first year of research.


    So young, but the clinical mindset is already mature.


    "Student Lu Chen, your analysis is very good. I am also considering the possibility of contrast agent nephropathy." Wang Jun read the patient''s doctor''s order, "When the patient''s urgent blood results come out, evaluate the renal function. Persistent anuria, which is likely to require emergency dialysis."


    Dialysis, in short, is the removal of blood from a patient¡¯s body.


    The metabolic waste and excess water are removed by the machine, and then the blood is returned to the human body.


    Cheng Peng glanced at Lu Chen again.


    He remembered that Lu Chen had also said before that the patient was likely to need emergency dialysis.


    "Others, there is no special treatment for the time being. Wait for your superior doctor to return, and then communicate with the patient''s family about the condition."


    "Furthermore, after the urgent renal function test results come out, continue to ask our department for consultation."


    Wang Jun wrote the consultation opinion on the computer.


    "Guoguo, then I''ll go first."


    Sun Guoguo smiled and sent Wang Jun out of the doctor''s office.


    "Mr. Wang, bye bye."


    Finally sent Wang Jun away, and the sense of oppression he brought to the crowd disappeared.


    Lu Chen and Cheng Peng looked at each other and smiled, and both breathed a sigh of relief.


    "Junior brother, Mr. Wang was my teacher in the kidney at the beginning. I know that he rarely praises others." Sun Guoguo said to Lu Chen, "Your analysis today won his heart. "


    "Actually, all this knowledge is in the book." Lu Chen smiled modestly.


    "The knowledge in the book is dead. If you use it, it is your knowledge." Sun Guoguo laughed, "Do you still need to hold a medical book to see a patient?"


    Just then, Xia Gang ran into the doctor''s office out of breath.


    "Fat man, hurry up! Urgently check the kidney function! Then ask the nephrology department for emergency consultation!"


    Thank you for the reward of Roaring Dragon Breath, I owe one more update, and I will update it tomorrow.


    The monthly pass has not arrived, so no updates have been added for the time being. Subscription Plus starts tomorrow.


    (end of this chapter)

 ~： Results report and update time.

    Score report and update time.


    24 hours have passed.


    Collection 2.7w, first order 2350, all orders 2050.


    Thank you for every subscription, monthly pass and tip.


    There are too many students who voted for monthly tickets and rewards, so I won''t list them one by one, but I remember everyone''s ID.


    all look familiar!


    Thank you for your love, not much to say, all turned into an update.


    The next three shifts are guaranteed every day.


    The update time is concentrated after 8 pm. (No way, I get off work at 6 o''clock every day, and it''s almost 7:30 after dinner, and there are one or two night shifts every week.)


    Although the update speed is not fast, there are still rules for adding updates:


    1. For every 200 price increase, add one more update.


    2. The monthly pass is 300, plus one more.


    3, 10,000 rewards, 10 updates are capped.


    Now there is no more manuscripts for one chapter, and will be updated and added as much as possible.


    I still owe several chapters. After a little calculation, I owe 1 update for the reward, 5 updates for the subscription, and 1 update for the monthly ticket.


    adds up to 7 more.


    ¡­


    ¡­


    Working hard to code.


    (end of this chapter)

 Chapter 164： Surgeon? (first update)

    Chapter 164 Surgeon? (first update)


    Cheng Peng was stunned for a while, but did not act at the moment.


    "Quick, Fatty, hurry up." Xia Gang walked into the office, sat in front of the computer, opened the doctor''s order system, and prepared to place a doctor''s order.


    "Senior brother, no need." Cheng Peng quickly stepped forward and said, "The blood has been checked urgently, and the emergency consultation has been invited. Now it is left to communicate with the family members about the condition."


    "What? You, you did it all?"


    Opened the doctor''s order for the 36-bed, and saw that the doctor''s order had already been issued.


    Xia Gang''s hands stopped for a moment, then turned to look at Cheng Peng with doubts in his eyes.


    My fat junior brother, when did you become so clever?


    "Did Teacher Wang come to the emergency consultation just now?" Xia Gang asked.


    "Well." Cheng Peng nodded.


    It''s no wonder that when he just went upstairs, he ran into Mr. Wang Jun in the elevator.


    "Teacher Wang, what''s your opinion?" Xia Gang asked.


    "Mr. Wang has written his opinion in the consultation record. Considering contrast agent nephropathy, there is the possibility of acute renal failure. There is no special treatment at present. First, look at the results of the emergency examination of renal function, and then ask you to communicate with the patient''s family about the condition. Emergency dialysis may be needed." Cheng Pengdao.


    Xia Gang heard the words, and his expression was stunned.


    "Mr. Wang knows that this is my patient?"


    "Well, I told him."


    Xia Gang was a little confused, why didn''t Teacher Wang tell him about it in the elevator just now?


    "Okay, then I''ll go talk to my family about my illness first."


    Let go of your doubts.


    Xia Gang walked out of the doctor''s office and went to communicate with the patient''s family about the condition.


    ¡­


    doctor''s office.


    "Lu Chen, if it wasn''t for your help just now, I really didn''t know what to do for a while." Cheng Peng came to Lu Chen''s side, "I can only wait for Senior Brother Xia to return to the ward."


    "It''s okay, we all belong to the same department." Lu Chen smiled.


    When he first came to the department, Senior Brother Xia Gang also helped him a lot.


    The system pops up a prompt.


    "Congratulations, +1 for receiving thanks from Cheng Peng!"


    The fat man is really nice, and I gave him a little thank you.


    "But why do I think Brother Xia has been performing surgery?" Lu Chen wondered, "either during surgery, or on the way to surgery."


    Cheng Peng shook his head helplessly.


    "Director Shao is engaged in coronary intervention, and Senior Brother Xia follows him, naturally he is mainly doing surgery. The ward is in charge of the students below. Senior Brother Xia will check the room once a day. If it is busy, it will be done at night. Come check the room."


    "Oh." Lu Chen nodded.


    Of the four chief physicians in the eight districts in his heart, the least he saw was Director Shao Jun.


    Because Director Shao is almost always in the catheterization room, he occasionally comes to the ward for a big round.


    After chatting with Cheng Peng, Xia Gang also walked back from the ward.


    It''s just that his face is not very good-looking.


    "Hey, the patient is too young, and the family can''t accept the fact of renal failure." Xia Gang continued to Cheng Peng, "Fatty, let''s wait for the results of renal function first, let the patient have an emergency urinary system ultrasound, and then Let''s see what to do next."


    "Okay, brother."


    Cheng Peng immediately opened the ultrasound application form, and then pushed the patient out for a urinary ultrasound.


    Although renal failure caused by urinary tract obstruction has been ruled out, conventionally, ultrasound should be perfected so as not to miss other diagnoses.


    About twenty minutes passed.


    Cheng Peng came back with 36 patients.


    Urinary ultrasound results showed that the size of both kidneys was normal, and there was no obvious abnormality in the rest. The bladder and ureter were unremarkable.


    Ultrasound results further ruled out the possibility of post-renal renal failure.


    At this time, the renal function results of the patient''s urgent examination came out!


    "36 beds of Yangsong, creatinine 540umol/L!"


    Turning on the laboratory system, when Lu Chen saw this kidney function report, he knew that his diagnosis should be correct.


    Kidney function has risen from 150umol/L to 540umol/L in such a short period of time!


    The following system prompts prove this point.


    "Congratulations, the system upgrade completion rate has risen to 7%!"


    is really not easy, the diagnosis is correct again, and the system rewards completion.


    "Fatty, please ask the Nephrology Department for emergency consultation again." Xia Gang immediately ordered, "I''ll go talk to my family about emergency dialysis."


    "it is good."


    The two immediately split up.


    Wang Jun soon came to the eight districts in his heart.


    "This patient has a stent because of myocardial infarction. If he is on dialysis in our department, the risk is high. I suggest going to CCU for dialysis. I remember that your CCU also has dialysis machines."


    "Okay, Mr. Wang."


    Xia Gang has negotiated with the family after many times of communication with the family.


    At this time, the family members do not accept the reality of acute renal failure, so they have to accept it.


    If emergency dialysis is not performed, the patient''s condition will deteriorate further at any time.


    "I''ll leave if I''m fine."


    Wang Jun and Xia Gang didn''t say much, they said hello to Sun Guoguo, and he left.


    Cheng Peng soon contacted the CCU doctor and planned to transfer Yang Song to CCU for dialysis treatment.


    Xia Gang personally pushed the hospital bed and sent Yang Song to the CCU on the 4th floor.


    ¡­


    "Senior sister, why do I feel that Teacher Wang doesn''t seem to have a cold heart with Brother Xia Gang?"


    After Xia Gang left, the fire of gossip in Ke Yue''s heart began to burn again.


    She had already seen that Teacher Wang''s attitude towards Senior Brother Xia Gang was strange.


    Lu Chen also pricked up his ears, he was also very interested in this.


    "Junior sister, your feeling is right." Sun Guoguo laughed, her gossip heart was not inferior to Ke Yue at all, "Actually, Teacher Wang is also a cardiologist."


    "Mr. Wang is a cardiologist?" Ke Yue was astonished.


    "Yeah." Sun Guoguo whispered, "Mr. Wang and Xia Gang have no conflict, but what he doesn''t like are those surgeons in the Cardiology Department. The general environment at that time was to do more operations than anyone else, and then he left. I went to the cardiology department and went to the kidney."


    Cardiology is different from other internal medicines.


    Interventional surgery occupies a large proportion.


    A cardiologist who doesn''t intervene has almost no future.


    Everyone also tacitly agreed.


    In Cardiology, if you want to continue to climb, you need to learn to intervene and put stents!


    Especially in the past few years of Huaxia, the annual cardiac intervention volume has increased exponentially.


    Many patients with coronary heart disease have more than one stent.


    As few as two or three, as many as twenty or thirty!


    "Senior sister, it should be a normal thing to do intervention in the Cardiology Department." Ke Yue wondered, "Why does Teacher Wang dislike this?"


    "He is not disgusted with surgery, but with those who only think about surgery and ignore the most fundamental things in cardiology." Sun Guoguo sighed, "Mr. Wang once said something to me, which I will never forget."


    "He said that the most basic condition for an excellent interventional cardiologist is to become an excellent major physician."


    "Many cardiologists ignore this and pull patients for surgery every day."


    "Do many coronary heart disease patients meet the standard for stent placement? Do they really need stent placement?"


    "If more than 20 stents need to be placed, wouldn''t it be better for this kind of patient to have coronary artery bypass surgery?"


    Sun Guoguo''s words made Lu Chen beside him silent.


    To be honest, a large part of the reason why he chose Cardiology is also because of cardiac intervention.


    His goal is also to intervene.


    Sun Guoguo''s words continued to ring in his ears.


    "There is nothing wrong with cardiac intervention, and many patients have been saved."


    "But because of interest, it was definitely abused."


    "Mr. Wang is disgusted by such a group of people, taking all the patients for angiography. Forgetting that he is a doctor of cardiovascular medicine, not just a surgeon."


    (end of this chapter)

 Chapter 165： 3MLittmann brand stethoscope (second more)

    Chapter 165 3MLittmann Stethoscope (Second)


    In clinical practice, there is a very interesting thing.


    The internal medicine department looks down on the surgery department and only takes a knife, and the surgery department looks down on the internal medicine department and cannot cure any disease.


    Internal medicine and surgery, in fact, more often, should be complementary to each other.


    After work, Lu Chen returned to the bedroom.


    He kept thinking about what Sun Guoguo said.


    "The most basic condition for an excellent interventional cardiologist is to become an excellent physician."


    From the moment he chose Cardiology, he has been working hard for intervention.


    The ?? system once performed an "arteriovenous puncture", which made him excited for many days, which is also the reason.


    recalls the patients managed by Director Shao Jun¡¯s team.


    The patients in their group had the longest hospital stay. A patient with heart failure may have to stay for half a month, while the other groups may only need one week.


    The patients in their group will always have various changes in their condition, and they are often not resolved in the first place.


    ¡­


    Sun Guoguo''s words made Lu Chen wake up.


    His path may be a little off.


    Hypertrophic cardiomyopathy was diagnosed from one electrocardiogram, contrast nephropathy, acute renal failure from one symptom.


    One precise medication can improve the patient''s condition, and one effective communication can relieve the pressure of the patient.


    These kinds of things, aren''t they more "hot-blooded" than an operation?


    Cardiac intervention must be done.


    But the status of intervention in Lu Chen''s heart is no longer supreme.


    As Sun Guoguo and Teacher Wang said, we must work hard to become an excellent physician!


    That night, Lu Chen did not enter the system virtual space.


    Instead, lie on the bed, close your eyes, and think silently.


    He could really feel that his heart became clearer and clearer.


    For the future medical path, he is more and more determined.


    ¡­


    The next day.


    Lu Chen just walked into the gate of the eight districts in his heart.


    met an acquaintance head on.


    "Xiaochen, long time no see."


    "Uncle Zhang, why are you here?" Lu Chen asked in surprise.


    The person in front of him is Wang Zihao''s uncle, Zhang Xugang.


    Lu Chen once diagnosed his thyroid mass from a distance.


    Finally, he came to Jinghua Second Hospital for examination and was diagnosed with thyroid cancer.


    "I heard Zihao say that you are now working in the eight districts in your heart, and I came here specially to thank you." Zhang Xugang smiled.


    There was a faint scar on his neck.


    "Uncle, I already got the discount card for the Reality CS Pavilion that you asked Zihao to give me." Lu Chen smiled.


    Isn''t this another gift?


    Zhang Xugang smiled and shook his head: "What is that? If you hadn''t diagnosed my tumor this time, then I don''t know when I''ll find it, and it may be too late!"


    "Uncle, Zihao and I are roommates, don''t be so polite." Lu Chen smiled and said, "Besides, any doctor who sees this bag on your neck will remind you."


    Zhang Xugang smiled, then took out a black bag from the bag he was carrying.


    Lu Chen''s eyes narrowed, why is it a black bag again?


    He took a step back.


    "Uncle, don''t do this."


    "Hey, Xiaochen, don''t take me as a patient." Zhang Xugang took out a box from the black bag, "I''m Zihao''s uncle, you call me uncle, and now you''ve helped me so much. , I thank you, it should be normal, right?"


    Lu Chen didn''t know how to answer for a while.


    Those who do business can speak.


    Gifts are so subtle!


    However, when I saw the box that Zhang Xugang took out.


    Lu Chen was slightly taken aback.


    This is not some cash, but a stethoscope!


    Judging from the outer packaging, this is a stethoscope from 3MLittmann.


    This is much more expensive than the twenty-dollar Fish Leap stethoscope around his neck!


    Mr. Li Yao''s stethoscope is from 3M, and Lu Chen used it once.


    That ear feeling is simply too comfortable.


    Small heart murmurs can be distinguished.


    "Xiaochen, this is uncle''s care." Zhang Xugang smiled, "If you don''t accept it, then it will look like a life."


    "Uncle, aren''t you embarrassing me?" Lu Chen still shook his head, "This 3M stethoscope is not cheap, it''s nearly enough to cover my living expenses for two months."


    Zhang Xugang was quite helpless when he saw that Lu Chen had no plans to take over.


    "This is the fourth-generation stethoscope of the 3M Cardiology Department, and it is very suitable for you." Zhang Xugang continued, "If you don''t accept it, I will come to you every day. Or give it to Zihao and let him give it to you, just like a friend at the time. gifts in between."


    He chose for a long time in order to give this gift.


    Finally, I listened to Wang Zihao''s suggestion and bought this stethoscope.


    I just didn''t expect that Lu Chen would not accept it.


    Resolutely do not accept!


    "Uncle, you won''t get paid without merit." Lu Chen waved his hand, "I really can''t accept this stethoscope from you."


    Zhang Xugang sighed with a helpless look on his face.


    "How about this. As for this stethoscope, I bought it cheaply from a friend. I''ll give you a discount. You can take it for Xiaochen. It''s like you bought it."


    To be honest, Lu Chen was moved.


    For a cardiologist, a stethoscope is a weapon!


    A good stethoscope is a handy weapon, which can definitely improve clinical diagnosis.


    But this stethoscope is too expensive.


    In clinical practice, if it is lost, the loss will be huge.


    Lu Chen has been reluctant to buy it.


    "Uncle, how much is it?" Lu Chen was finally relieved.


    "Five hundred." Zhang Xugang reported a number at random.


    Lu Chen knew that Zhang Xugang was definitely underreporting.


    This fourth generation 3M stethoscope is the latest generation.


    It is definitely a thousand yuan to go up, it is impossible to only five hundred.


    "Xiaochen, just transfer the money to Zihao." Zhang Xugang laughed, "I will sell you this stethoscope!"


    "Then thank you Uncle Zhang." Lu Chen nodded.


    It¡¯s not a solution to stand still and not accept it.


    Moreover, this high-end stethoscope has also helped him a lot.


    He decided to check the specific price of this 3M stethoscope on the Internet first.


    At that time, according to the actual price, the money will be directly transferred to Wang Zihao.


    "Okay, then I''ll go first, you can contact Zihao."


    Zhang Xu just left after giving the stethoscope.


    ¡­


    With such an expensive stethoscope in his hand, Lu Chen was still a little "frightened".


    He immediately checked the price online and found it to be 2,500!


    Zhang Xugang was really generous, he directly sold the 2,500 stethoscope to Lu Chen for 500.


    After opening WeChat, Lu Chen directly transferred 2,500 to Wang Zihao WeChat.


    "Lu Chen, you didn''t come to the skill center for training in the morning. What do you mean by transferring money to me?"


    On the other side, Wang Zihao arrived at the skill center. Just as he was about to train, he received Lu Chen''s WeChat.


    Lu Chen briefly explained what had just happened.


    "Hey, Lu Chen, there''s no need for you to do this." Wang Zihao smiled, "There are several companies under my uncle''s name, and he won''t accept it if it''s not bad. I''ll give you the money back. Ah!"


    "If you return it, then I will also return the stethoscope!"


    Lu Chen''s words made Wang Zihao stunned.


    This kid is so smart sometimes, he got a perfect score in the entrance examination.


    Now it''s such a shaft, don''t even need a free stethoscope!


    I really don''t know what he was thinking.


    Wang Zihao looked at the information on the phone and shook his head with a smile.


    However...sometimes he still likes such an axe Lu Chen.


    There is at least one more watch, and if you don''t fall asleep, then two more.


    (end of this chapter)

 Chapter 166： Does perfusion work? (The third update yesterday)

    Chapter 166 Is perfusion effective? (The third update yesterday)


    After ?? Wang Zihao accepted the WeChat transfer, Lu Chen felt a little relieved.


    The 3M stethoscope in my hand is not so hot.


    Changed the white coat and came to the doctor''s office.


    Replaced the Yuyue stethoscope on the neck and put on a brand new 3M stethoscope.


    Sure enough, expensive things are good.


    Lu Chen felt that his temperament was different.


    "Junior Brother, your new stethoscope is pretty good."


    Sun Guoguo saw Ke Lu Chen''s 3M stethoscope at a glance.


    It seems that the junior and junior brothers are really not short of money and can use such a high-end stethoscope. She has only seen it at Teacher Li Yao.


    Lu Chen smiled and said nothing.


    Be low-key¡­


    ¡­


    Finished the class.


    The most important thing this morning is Zhang Fengying''s hypertrophic cardiomyopathy ablation surgery.


    "Mother-in-law, let me explain the precautions and risks of ablation surgery again."


    Lu Chen came to the hospital bed and took the trouble to communicate with Zhang Fengying and Yuan Hang about the risks of surgery.


    "The risk of surgery is that it may lead to acute myocardial infarction, malignant arrhythmia, and even the risk of sudden death..."


    "Doctor Lu, you''ve explained it many times, and I''ll memorize it." Zhang Fengying smiled, "Everything depends on your arrangement."


    "That''s good." Lu Chen nodded, "Mother-in-law, wait by the hospital bed first, a nurse will come to pick you up to the catheterization room soon."


    nine in the morning.


    The nurse from the catheterization room came to pick up Zhang Fengying on time.


    Yuan Hang helped push the bed and went to the CCU catheter room on the fourth floor with Zhang Fengying.


    The surgeon is arranged by the cath lab.


    Now, Lu Chen is waiting for the final result.


    After getting along these days, Yuan Hang has greatly improved Lu Chen.


    The aura of "Professor Lu Chen" has faded, and now it is the young doctor Lu Chen.


    The young Lu Chen is more real and full of sense of responsibility.


    In addition, since Lu Chen told Fan Zhiping on WeChat that "patients came to the Second Jinghua Hospital".


    Fan Zhiping never took the initiative to contact Lu Chen again.


    Even if there was a difficult and interesting electrocardiogram in the Jinghua Electrophysiology Group, Fan Zhiping did not speak.


    If we say, the former Fan Zhiping was a talker in the group.


    But now, he is a squid who loves to dive, and he almost stops bubbling.


    "It is estimated that my identity was discovered by him, then it would be embarrassing." Lu Chen couldn''t help but guess.


    But he didn''t care.


    In line with the original intention of improving the ECG level and earning gratitude points, he is still active in the electrophysiology WeChat group every day.


    It hasn''t been a month since he entered the group chat.


    The title ?? "Professor Lu Chen" is already quite loud in the group.


    ¡­


    11:30 AM.


    Zhang Fengying''s ablation operation was over and she returned to the eight areas of her heart.


    "Mother-in-law''s surgery was a success!"


    On the hospital bed, Zhang Fengying was still a little weak.


    But when she heard Lu Chen''s words, she grinned, "Thank you Dr. Lu."


    Lu Chen picked up his 3M stethoscope and auscultated Zhang Fengying''s heart valve area.


    "The murmur was significantly reduced compared to preoperatively."


    In patients with hypertrophic cardiomyopathy, pathological murmurs can be heard in the heart valve area.


    After the ablation operation, the obstruction will be reduced and the murmur will be weaker.


    "Doctor Lu, thank you so much." Yuan Hang was excited, "Well, when will my mother be discharged from the hospital?"


    is another timeless topic.


    As soon as the surgery was done, I was thinking of leaving the hospital.


    Lu Chen smiled, "Although the operation was successful, I still have to beware of postoperative complications, such as acute myocardial infarction, high-grade atrioventricular block, and other malignant arrhythmias. I usually observe it for a week, and there is no problem, mother-in-law. I can leave the hospital."


    This time, Yuan Hang nodded very cooperatively: "Doctor Lu, I''ll listen to you. If you want to stay for a week, it''s a week."


    Next, the most important thing is to perfect the cardiac ultrasound.


    Echocardiography is the most non-invasive test for understanding the structure of the heart.


    After surgery, the effect of surgery can be further evaluated.


    Sun Guoguo directly requested a bedside emergency cardiac ultrasound.


    Bedside echocardiography showed that the pressure gradient of the left ventricular outflow tract decreased significantly to 30 mmHg, the contraction of the hypertrophic myocardium in the ventricular septum was weakened by ultrasonography, and the left ventricular outflow tract widened.


    "Well, the effect of the operation is good." Sun Guoguo read the echocardiography report, "Let''s be discharged on a scheduled date and review it regularly."


    "Okay." Lu Chen nodded.


    "Congratulations, +1 for the thank you from Yuan Hang!"


    "Congratulations, +1 for the thank you from Zhang Fengying!"


    The ?? system prompt made Lu Chen very happy.


    Zhang Fengying is regarded as the first "fan" in the true sense on his way of practicing medicine.


    Now the task has been satisfactorily completed.


    ¡­


    Busy day in clinic.


    Lu Chen went to the Second Academy Skills Center again in the afternoon.


    This time, Dai Wansong did not continue to block.


    Since the last time the school released the latest awards, everyone has been working hard to enter the school team and get a good ranking.


    Lu Chen''s arrival did not attract everyone''s attention.


    He came to the corner alone and started training on basic skills.


    The system panel keeps popping up prompts:


    Skill proficiency increased...


    Skill proficiency increased...


    ¡­


    After the proficiency of some basic skills has risen to 80%, he will finish the smooth training and leave the skill center.


    After dinner, go back to the bedroom.


    At present, Lu Chen still has the last universal card for virtual training. He wants to further improve the skill operation of internal medicine.


    Thinking of this, his consciousness entered the virtual space training and began to carry out targeted internal medicine training.


    After using this universal card for two hours, he should be able to complete 1/3 of the operation of the internal medicine system.


    ¡­


    Fengmei County People''s Hospital, Department of Cardiology.


    "Damn it, how did the emergency department take this drug-poisoned patient into our hearts?"


    When Fan Zhiping saw the patient in front of him, he couldn''t help cursing the emergency room.


    He was on the night shift today, and just after he took over, the emergency department sent him a patient who was drinking medicine.


    Female patient, 17 years old, took 50 tablets of propafenone, 1 bottle of atenolol, and some adenosine triphosphate orally one hour ago.


    The patient''s condition is not very good, and the spirit is extremely lethargic, and he complains of persistent palpitation and chest tightness.


    After gastric lavage in the emergency department, he was immediately sent to the cardiology department.


    "Director Fan, all she takes are anti-arrhythmic drugs, so she brought it to you." The emergency doctor quickly explained that Fan Zhiping''s face was not very good.


    The patients have all been brought here, what else can Fan Zhiping do?


    "This is an electrocardiogram taken in the emergency room." The emergency doctor handed the electrocardiogram to Fan Zhiping, "I look like atrial fibrillation."


    Fan Zhiping took the electrocardiogram and frowned.


    The electrocardiogram showed rapid atrial fibrillation and wide QRS, which was consistent with the electrocardiographic manifestations of propafenone poisoning and atenolol poisoning.


    But their cardiology department will not treat overdose of this drug!


    "Invite the nephrology department and ICU emergency consultation immediately to see if blood perfusion can be done!" Fan Zhiping ordered immediately.


    "Received!" The nurse on duty responded and started contacting the relevant departments.


    In the emergency department of the primary hospital, there is no ability to diagnose and treat drug poisoning. Most of the poisoned patients are sent to the nephrology department, or it is recommended to go to a higher-level hospital.


    Consultants from nephrology and ICU came quickly.


    Doctors in both departments were hesitant about blood perfusion.


    "The patient''s blood pressure cannot be stabilized, and the effect of blood perfusion is not good!"


    "Director Fan, should the patient be transferred to a higher-level hospital?"


    Fan Zhi was anxious.


    "Don''t be silly, the two of you. If the patient''s family members are willing to transfer to the hospital, they won''t be admitted. And now the patient''s blood pressure is unstable, and something happens on the way to the hospital, what should I do?"


    The doctor who consulted in the ICU shook his head helplessly and said, "Director Fan, we have never seen this kind of drug poisoning. The blood perfusion costs tens of thousands of dollars once it is on the machine, and it is not reimbursed, and the effect is uncertain. If the family insists on Perfusion, you can come to our ICU."


    The ICU and the nephrology department have written consultation opinions, and blood perfusion is performed when necessary.


    Fan Zhiping is very helpless, isn''t this the equivalent of not writing anything?


    Outside the doctor''s office, the patient''s family members are still urging outside, wanting to understand the condition and know the next step for treatment.


    "What should I do in the end?" Fan Zhiping didn''t have a clue in his heart either.


    He was stunned for a moment, thinking of the Jinghua Electrophysiology Exchange Group.


    Now I can only try it out.


    Fan Zhiping posted the electrocardiogram and the medicine the patient was taking to the group with text.


    "Is the perfusion effective after taking these medicines?"


    Since the last time he communicated with Lu Chen, he finally bubbled up in the group again.


    Yesterday, I updated the guaranteed three watches, and I will update it when I take a break.


    (end of this chapter)

 Chapter 167： Dedicated to death?

    Chapter 167 Dedicated to death?


    After Fan Zhiping sent the message, a doctor in the group responded immediately.


    "50 tablets of propafenone and 1 bottle of atenolol! Director Fan, you are such a cruel patient!"


    "Sorry, I have never seen such a poisoned patient."


    "The patient has very low blood pressure and may not be suitable for hemoperfusion or plasma exchange."


    "I encountered a case when I went to Jinghua University Hospital. The drug propafenone has a high protein binding rate. Although it can be cleared by hemoperfusion, CVVH or direct plasma exchange, it takes time, and the fastest plasma exchange is 3 hours. But the patient currently has arrhythmia and needs to be dealt with immediately! But how to deal with this arrhythmia, I don''t know..."


    "Don''t forget that the patient also took atenolol!"


    Everyone in the ?? group talked a lot, but no one could come up with a solution.


    There is a doctor who has encountered such a case, but he can only give a general idea. He does not know how to treat the arrhythmia specifically.


    "Has no one else encountered this kind of poisoning?" Fan Zhiping asked again.


    Someone in the ?? group replied: "I have encountered it, but the patient''s vital signs are stable, and we have transferred it to a higher-level hospital."


    Fan Zhiping calmed down.


    At present, he has nothing to do with this poisoned patient.


    is really not feasible, and we can only recommend transferring to the ICU ward, or transferring to a higher-level hospital at risk.


    However, medical insurance stipulates that patients who are poisoned by taking medicine are not reimbursed for hospitalization.


    All treatment costs are at their own expense, which is not something that ordinary families can afford!


    "Beep...beep..."


    Someone in the group sent a message again.


    Fan Zhiping picked up the phone and took a look.


    The speaker was a doctor from the Cardiology Department of Fengmei County Hospital of Traditional Chinese Medicine.


    "Why don''t you let Professor Lu have a look? Maybe he has a solution."


    As soon as the doctor finished speaking, someone immediately agreed.


    "Yes, Lao Fan, go to Professor Lu, he may have a solution."


    "Professor Lu usually doesn''t reply to messages at this point, you may have to find him alone."


    "This should be @Professor Lu Chen."


    ¡­


    Ask him to find Professor Lu...?


    Fan Zhiping saw everyone talking, a wry smile appeared on his face.


    If it was placed before, he would have taken the initiative to go to @Professor Luchen.


    But now, asking him to go to a graduate student to see a doctor, he really can''t keep his face.


    "Wait and see if anyone else has a good idea." Fan Zhiping muttered in his heart, "Or maybe he appeared by himself, and I don''t need to look for it."


    Although Lu Chen is no longer a professor, Fan Zhiping never doubted his level.


    At this moment, Lu Chen is training his internal medicine skills in the virtual space of the system.


    If Lu Chen wanted to find out the news himself, he was destined to disappoint Fan Zhiping.


    ¡­


    "Director Fan, do you mean to let us transfer to the ICU ward?"


    The patient''s mother was a middle-aged woman, about forty years old.


    "Yeah." Fan Zhiping nodded indifferently, "There is no good way here."


    He is helpless now, and if he drags on like this, once there is a problem with the patient''s vital signs, there is a risk of sudden death at any time.


    "Director Fan, I heard from the doctor in the emergency department that our disease doesn''t seem to be reimbursed?" the woman asked tentatively.


    "Yes." Fan Zhiping nodded, "Drinking medicine, drinking alcohol, committing suicide, these are not reimbursed."


    "Then...then how can I afford to live here!" At this moment, the woman''s face showed despair.


    "You can''t think about money now! If you drag it on, your life will be lost!" Fan Zhiping said solemnly.


    The woman shook her head in despair, and tears began to accumulate in her eyes.


    "Her father is gone, I''m pulling her and his brother up by myself, how can there be any money left!"


    If you are transferred to the ICU for treatment, the daily cost starts at 10,000 yuan, which does not include the cost of blood perfusion or plasma exchange.


    "If you can''t, you can borrow some from relatives and friends, and then pay it back slowly!" Fan Zhiping said.


    "I''ll borrow everything I can!"


    The woman''s cry was not loud, but in the small doctor''s office, it looked extremely desolate.


    According to the current situation, Fan Zhiping knows that it is impossible to transfer patients to higher-level hospitals or ICUs.


    "Director Fan, can''t we treat conservatively with drugs?" The woman burst into tears.


    "Maybe useful, but our hospital has no experience. The most important thing is that the patient''s current condition is unstable and may deteriorate at any time."


    "That means, maybe you don''t need to go to ICU?" The woman seemed to catch a glimpse of life.


    Fan Zhiping shook his head: "According to the current situation, we recommend that you be transferred to the ICU. If you refuse, then you need to sign, indicating that you refuse to be transferred to the ICU and hospital, and bear all the consequences."


    The woman gritted her teeth and wiped away the tears from the corners of her eyes.


    "Director Fan, then wait a while, and I''ll ask again to see if I can borrow money."


    "Then you have to do it as soon as possible." Fan Zhiping nodded.


    At present, the patient is already in arrears.


    If you continue to owe it, the pharmacy will not issue the medicine back at all.


    This is the age of seventeen or eighteen, it is the time of the flower girl!


    Fan Zhiping really couldn''t bear to see his family give up like this!


    The woman left and started to call.


    Ask one by one and borrow money.


    Fan Zhiping looked down at the phone beside the table and sighed slightly.


    He hesitated for a long time, and finally picked up the phone.


    Open the WeChat contact list.


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen is training in the virtual space.


    There are too many skill operations in internal medicine, and it is also the top priority of the skill test.


    Many operations are usually not encountered in clinical practice. Lu Chen can only perform targeted training in the virtual space.


    There is half an hour left in the universal card.


    Lu Chen saw the skill proficiency prompt on the system panel.


    "After using this card, I should be able to complete 1/3 of the internal technology operation project."


    "Beep...beep...beep..."


    Just then, the phone vibrated, and the WeChat alert sounded four or five times in a row.


    Usually, Lu Chen blocks group news.


    Then someone should be looking for him, and the other party sent several messages in a row.


    Is there something urgent?


    Lu Chen quickly withdrew from the virtual space.


    Pick up your phone, open WeChat, and take a closer look.


    It was actually a WeChat sent to him by Fan Zhiping!


    "Professor Lu, take a look at this electrocardiogram."


    "The patient is a 17-year-old female who took 50 tablets of propafenone and 1 bottle of atenolol!"


    "Current blood pressure is unstable, about 90/50mmHg."


    "The family members temporarily refused to be transferred to the ICU and higher-level hospitals."


    ¡­


    Lu Chen had some doubts in his heart, Fan Zhiping definitely knew that he was not a professor, but a newly admitted graduate student.


    This point, Lu Chen also confirmed from Yuan Hang.


    Yuan Hang had already informed Fan Zhiping of his information.


    However, now he actually took the initiative to pull down his face to find himself.


    After all, Fan Zhiping is the deputy chief physician who has been in clinical practice for many years, and he is only a graduate student.


    However, when he saw the patient''s condition information sent by Fan Zhiping, Lu Chen''s expression also changed.


    Propafenone 50 tablets, Atenolol 1 bottle!


    My dear, this is eating medicine like jelly beans!


    It''s all about death!


    Thank you Ye Ye Yuan Yuan, lce-TW, cathyo for all the rewards.


    In addition to the ten thousand rewards from the roaring boss, I successfully owe 4 more updates.


    There are currently 10 updates, and there are 2 more updates today.


    (end of this chapter)

 Chapter 168： Professor Lu, you are amazing!

    Chapter 168 Professor Lu, you are truly amazing!


    Propafenone and atenolol are both antiarrhythmic drugs.


    But one thing is very interesting, all antiarrhythmic drugs can cause arrhythmia!


    Therefore, clinically, the use of any arrhythmia drug is very cautious.


    For example, general premature beats, whether it is ventricular premature beats or atrial premature beats, as long as there is no organic heart disease, they do not need special treatment, nor do they need to take any antiarrhythmic drugs.


    Abusing drugs may lead to more serious consequences!


    ¡­


    Lu Chen''s clinical career was very short, and he never encountered propafenone poisoning.


    The drug principle of propafenone in the treatment of arrhythmia is to increase the refractory period of cardiomyocytes, thereby blocking the depolarization of ectopic cells and allowing sinus rhythm to preempt.


    However, Lu Chen encountered a case of aconitine poisoning during his internship.


    Aconitine, like propafenone, can inhibit sinus node function.


    At that time, the patient suffered from frequent premature ventricular tachycardia and paroxysmal ventricular tachycardia. He did not undergo blood purification treatment, but simply used drug treatment, and finally his condition improved.


    Lu Chen thought about it, then edited and replied immediately.


    "Director Fan, if you can stabilize sinus rhythm and blood pressure, blood perfusion may have a certain effect."


    Fan Zhiping kept staring at the dialogue with Lu Chen.


    When Lu Chen''s news appeared in the dialog box, he looked happy.


    This is what he saw today, the first person to say that blood perfusion is effective.


    Fan Zhiping immediately replied: "But the patient''s blood pressure is unstable, fluctuating at 90/50mmHg, and now doing an electrocardiogram, it shows fast atrial fibrillation, with a heart rate of 130 beats."


    "That might not work, the arrhythmia problem must be solved first." Lu Chen frowned.


    "Can you be cardioverted?" Fan Zhiping sent another message.


    Generally, patients with arrhythmia with unstable hemodynamics, that is, low blood pressure, can basically use electrical cardioversion.


    "This patient cannot use electrical cardioversion." Lu Chen replied, "The patient''s sinus node function is suppressed, and there is potential conduction block, which is a contraindication to electrical cardioversion."


    The electrical conduction system of the heart is a system with distinct upper and lower levels.


    The ?? sinoatrial node sends out electrical impulses, which then conduct downwards step by step.


    The ?? sinoatrial node acts as a commander, controlling all downstream conduction systems.


    Once the function of the sinoatrial node is inhibited, without the commander, the cardiac conduction system will be disrupted.


    "Then what else can be done?" Fan Zhiping wondered.


    "Put a half atropine statically first!"


    When the message from Lu Chen appeared on Fan Zhiping''s phone screen, he was taken aback for a moment.


    The blue light of the screen further accentuates the consternation on his face.


    However, the movements in his hands were not slow, and he immediately replied: "Are you sure?"


    "Sure!"


    To be on the safe side, Lu Chen asked Fan Zhiping to push half atropine first.


    Seeing Lu Chen''s exact answer, Fan Zhiping did not hesitate.


    He immediately placed a doctor¡¯s order in the computerized medical record system¡ªa semi-atropine intravenous bolus.


    "Luo Xin, give a half atropine to the poisoned patient who came here just now! I have given the doctor''s order." Fan Zhiping walked out of the doctor''s office and came to the nurse''s station.


    "Received!" After Luo Xin agreed, he felt that something was not right, "Director Fan, the patient''s heart rate is 130 beats per minute, are you sure you want to take half atropine?"


    Atropine is a heart rate-raising drug!


    In many medical dramas, an emergency case will be involved, that is, organophosphorus poisoning.


    The special antidote for organophosphorus poisoning is atropine.


    At this time, a large amount of atropine needs to be injected intravenously, so there will be various scenarios of working together to "break atropine by hand".


    But now, their heart rate for this patient is 130 beats per minute.


    Also give him atropine?


    Will the heart rate continue to soar?


    Luo Xin felt that this should be a wrong doctor''s order based on his own shallow knowledge.


    "Yes, it''s an intravenous injection of half atropine, push it now!" Fan Zhiping''s voice was beyond doubt.


    Luo Xin could only abide by the doctor''s orders.


    She came to the ward and took out the medicine on the emergency cart.


    The **** the hospital bed was slowly injected with half atropine intravenously.


    Fan Zhiping and Luo Xin were both standing beside the hospital bed, staring at the ECG monitor at the bedside.


    Atropine works very quickly.


    Just finished the static push, less than half a minute later.


    The patient''s heart rhythm changes.


    On the bedside ECG monitor.


    Patient''s heart rhythm changed from atrial fibrillation to sinus rhythm (normal heart rhythm)!


    Heart rate also dropped from 130 beats/min just now to 80 beats/min.


    Luo Xin widened his eyes and watched the patient''s heart rhythm change with his own eyes. This scene was still very shocking.


    She stared at the ECG monitor, afraid it was just a flash in the pan.


    lasted about a minute.


    The patient''s heart rate stabilized, basically maintaining 80 beats/min.


    Fan Zhiping immediately stepped forward and asked the patient on the bed.


    "Classmate, do you feel more flustered?"


    On the hospital bed, the girl nodded slightly: "After the injection just now, I feel better."


    Fan Zhiping was also amazed in his heart.


    Half atropine actually solved the problem of arrhythmia!


    Up to now, he has not figured out the rationale for this.


    Atropine is obviously a heart rate-raising drug!


    How did the patient''s heart rate drop after using it?


    "Luo Xin, you take care of the patient first, and call me anytime if you need to."


    "it is good!"


    Fan Zhiping immediately walked out of the ward and came to the corridor.


    took out his mobile phone, and immediately edited a message for Lu Chen in a very excited mood.


    "Professor Lu, you are amazing!"


    If Fan Zhiping couldn''t hold back before, but now, he shouted out the words "Professor Lu" without any psychological burden.


    No matter how old he is, whether he is a student or whatever.


    At this moment, to Fan Zhiping, Lu Chen is like a "professor"!


    Lu Chen received this message with a smile on his face.


    It seems that the patient''s arrhythmia problem has been resolved!


    Lu Chen continued: "Change to a low-dose atropine micropump, maintain a sinus heart rate of about 80 beats/min, and last for five half-lives of propafenone, about one and a half days. The other cases will be dealt with!"


    "Received!" Fan Zhiping replied immediately.


    Lu Chen''s words are now the "decree"!


    "Luo Xin, change the low-dose atropine micropump to keep the patient''s heart rate at 80 beats per minute!" Fan Zhiping held his mobile phone and called to Luo Xin in the ward.


    "Okay, Director."


    Luo Xin also saw Director Fan''s greatness, and this time there was no doubt.


    She immediately executed Fan Zhiping''s doctor''s orders.


    "If there''s nothing to do, I''ll be busy first." Lu Chen said.


    "Professor Lu, go get busy, I won''t bother you."


    Now Fan Zhiping called out the three words "Professor Lu", without the slightest embarrassment, but felt that it was very smooth!


    One more chapter. About two-thirty to three o''clock.


    (end of this chapter)

 Chapter 169： Long experience (yesterdays third update)

    Chapter 169 Long Experience (Yesterday''s Third Update)


    Jinghua Second Hospital.


    Guipei Building bedroom.


    "Congratulations, +1 for the thank you from Fan Zhiping!"


    Because it was a private chat with Fan Zhiping, other people in the group didn''t know it, so they didn''t harvest their gratitude.


    But it''s better than nothing...


    But Lu Chen felt that he had to communicate in the group next time, otherwise it would be too bad!


    At least a few dozen points of gratitude!


    Lu Chen sighed, his consciousness re-entered the virtual space of the system, and began to train his skills.


    ¡­


    Jinghua Electrophysiology Exchange Group.


    "Half atropine was pushed! The patient regained sinus rhythm with fast atrial fibrillation!"


    Fan Zhiping''s sudden message caught the attention of all the cardiologists in the group.


    "Rapid heart rate atrial fibrillation, intravenous atropine?"


    "Director Fan, are you sure the patient''s heart rhythm has recovered?"


    "Just kidding, Lao Fan, I''ve never seen atropine with a fast heart rate!"


    In the group, all cardiologists questioned Fan Zhiping''s doctor''s order.


    There is only one exception.


    That was Min Xiaobo, another elite member of the Electrophysiology Association in the group.


    He has been following this case in the group.


    It¡¯s just that he didn¡¯t have a clue for the time being, so he didn¡¯t speak.


    And he has been looking forward to the appearance of Lu Chen in his heart.


    "Atropine?" Min Xiaobo raised his brows, could it be...


    ¡­


    Seeing that everyone in the group did not believe it.


    Fan Zhiping first reviewed an ECG for the patient and sent the reviewed ECG to the group.


    Then, he recorded a short video of the patient''s bedside ECG monitor and uploaded it to the group.


    When everyone in the group saw this living evidence, they had to believe it.


    "I''ll go, Lao Fan, you can do it!"


    "Director Fan, what is the principle?"


    "Why does atropine lower the heart rate? It doesn''t make sense, right?"


    Fan Zhiping looked at everyone''s inquiries, but smiled helplessly.


    He himself did not know the reason for using atropine.


    "It''s all under the guidance of Professor Lu." Fan Zhiping sent another message.


    This message detonated all the doctors in the group at once.


    "Wow, you really deserve to be our Professor Lu!"


    "Old Fan, you actually chatted with Professor Lu privately. You are trying to teach Professor Lu to teach you a secret!"


    "Director Fan, we are very interested in this case, so please don''t give a shit! Tell us about the principles of medication."


    Fan Zhiping is also very helpless!


    It¡¯s not that he doesn¡¯t want to say it, it¡¯s that he really doesn¡¯t know!


    "Professor Lu only talked about medication, not the principle of medication."


    Seeing Fan Zhiping''s message in the group, everyone was a little disappointed.


    "Where''s Professor Lu? @Professor Lu, come out and help us explain!"


    I don''t know who is in the group @Luchen.


    followed, one after another.


    There was a group member Aite Lu Chen who tried to summon Lu Chen.


    "@Professor Luchen!"


    "@Professor Luchen!"


    Fan Zhiping added quickly: "Professor Lu has something to do."


    It''s just that this news from Fan Zhiping was quickly overwhelmed by everyone''s "summoning technique".


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen was in the middle of a virtual training session when suddenly the series of WeChat alerts interrupted.


    Training was interrupted again!


    What''s up today?


    Lu Chen exited the system virtual space with doubts.


    Picked up the phone and saw the content in the Jinghua Electrophysiology WeChat group, all of which are @own.


    He blocked group messages, and ordinary messages could not be received.


    kept scrolling up, and when Lu Chen saw everyone''s demands, he couldn''t help but smile.


    He was still lamenting that he had not received thanks from others.


    Now everyone has taken the initiative to send thank you points!


    "It seems that everyone wants to know the principle of using atropine."


    After all, in the traditional concept, this is a drug that increases the heart rate, which runs counter to the treatment of atrial fibrillation.


    In fact, he was able to solve this case entirely thanks to the "Elite Group Assessment" he participated in some time ago.


    The ?? elite group assessment not only examines ECG knowledge, but also comprehensively examines basic electrophysiology, ECG interpretation, and arrhythmia treatment.


    Lu Chen went through countless electrophysiology books some time ago!


    In addition, the aconitine poisoning that Lu Chen had encountered was also treated with atropine.


    An experience, coupled with a wealth of clinical theoretical knowledge, allowed Lu Chen to successfully solve this problem.


    ¡­


    "Has anyone carefully read the instructions for propafenone and atenolol?"


    Lu Chen''s question appeared in the group, and the noisy WeChat group suddenly became quiet.


    Fan Zhiping immediately went to the Internet to look up the instructions for these two drugs. After finding the results, he immediately copied and pasted them in the WeChat group.


    "This is the instruction of propafenone: if there is a high degree of sinoatrial or atrioventricular block, it can be rescued by intravenous injection of sodium lactate, atropine, isoproterenol, or metarenaline."


    "This is the instruction manual for atenolol: Overdose: Severe bradycardia can be given atropine 1-2 mg intravenously, followed by high-dose glucagon 10 mg intravenously if necessary, which can be repeated according to response or followed by intravenous infusion Glucagon."


    Everyone in the group saw the instruction manual sent by Fan Zhiping.


    All of them have an idea in their hearts, their common rescue drug is: atropine!


    "Professor Lu, although the common rescue drug for the two drugs is atropine, both of them are aimed at slow heart rate, and there is no mention of treating rapid atrial fibrillation?"


    Fan Zhiping''s remarks expressed what everyone was thinking.


    Although on the surface, atropine is a rescue drug for two drugs at the same time, but its pharmacological indications do not include atrial fibrillation, but only sinus bradycardia.


    Lu Chen smiled and replied quickly: "This involves the mechanism of the poisoning of the two drugs."


    Toxicity Mechanism?


    Everyone in the group was a little stunned.


    It¡¯s okay to let them and other clinicians treat the disease, but what kind of pathogenesis and other issues have to be dealt with, which makes them a big head!


    As soon as Lu Chen said these words, the originally noisy group instantly became quiet again.


    In the message box of the ?? group chat, there were only messages sent by Lu Chen alone.


    "Atenolol suppresses sinus rhythm, ectopic heart rhythm begins to depolarize, and propafenone blocks ectopic heart rate, which leads to slow atrial fibrillation, resulting in hemodynamic changes, myocardial cell damage, and rapid atrial fibrillation and ventricular premature fibrillation. , propafenone poisoning can certainly aggravate other serious arrhythmias..."


    ¡­


    Looking at Lu Chen''s message, Fan Zhiping could only sigh.


    Professor Lu, awesome!


    These drug mechanisms, he knows more or less.


    But it is very difficult to combine his clinical work with practical problems!


    Most of the people in the group were ignorant about Lu Chen''s words.


    Except for one person, that is Min Xiaobo.


    Lu Chen opened his head, and Min Xiaobo immediately understood what he meant.


    "I see!"


    "The cardiac reaction caused by the poisoning of these two drugs involves not only atrial fibrillation caused by conduction problems, but also severe sinus node depression caused by atenolol, which should also be the cause of aggravation of atrial fibrillation, correcting the root cause of the heartbeat. Restoration of sinoatrial node function is needed to enhance the impulse from the anteroposterior pacemaker."


    "Atropine increases the activity of the sinoatrial node and enhances the sinus rhythm to regain the leadership of the sinoatrial node, improve the inhibition of the atrioventricular node, and enhance the ventricular rhythm."


    "It''s really insightful that it can be treated like this!"


    Min Xiaobo slapped his thigh and shouted loudly, frightening the students who were on duty alongside him.


    Mr. Min, what''s the matter?


    stared at the phone, frowning for a while, laughing again for a while.


    Where is Mr. Min, who is usually unsmiling in the department?


    This chapter is the one that was not published yesterday. (Drinking Red Bull or sleeping)


    Today is Monday, another night shift.


    Tomorrow, the day after tomorrow, rest and work harder. More time today.


    (end of this chapter)

 Chapter 170： The third examination

    Chapter 170 The Third Assessment


    "Mr. Min, you, what''s the matter with you?"


    Min Xiaobo consciously lost his temper, immediately turned off his mobile phone, and said solemnly, "It''s nothing."


    The students looked at Min Xiaobo strangely, and just saw Teacher Min laugh out loud.


    "Are you busy right now?" Min Xiaobo raised his brows, "Then go and measure the blood pressure of all hypertensive patients."


    student:"¡­"


    Just because he looked at him one more time, he had to measure so much blood pressure?


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    "Congratulations, the system upgrade completion rate has risen to 8%!"


    "Congratulations, +1 for receiving thanks from Min Xiaobo!"


    "Congratulations, +1 for the thank you from Lu Yunfei!"


    "Congratulations, +1 for the thank you from Song Wei!"


    ¡°¡­¡±


    A series of beeps from the system made Lu Chen smile from ear to ear.


    It¡¯s better for everyone to get together and discuss academic issues!


    In just a few minutes, he has gained 20 or 30 points of gratitude!


    But this opportunity is rare.


    So far, there have been only two such large-scale harvesting scenes.


    Lu Chen looked at his system panel.


    Completion of system upgrade: 8%.


    Remaining thanks: 34.


    The skills you already have are divided into theoretical skills and clinical skills.


    Theoretical skills:


    Basics of ECG Interpretation (Top), Basics of ECG Interpretation (Middle).


    Heart anatomy (top), heart anatomy (middle).


    Literature Reading Basics (Part 1).


    Clinical Skills:


    Pericardiocentesis 85%


    Arteriovenous puncture (primary) 64%


    Gastric lavage proficiency 82%


    Oxygen 90%


    Suction 87%


    ¡­


    At present, all basic nursing skills have been completed, and the proficiency is above 80%


    Internal medicine skills completed 1/3 of the projects.


    Surgical skills completed 1/4 of the project.


    The skills of gynecology and pediatrics have not yet begun to be trained.


    Lu Chen did the math and found that if he wanted to complete all the skills of internal medicine, he would need about five universal cards.


    There are still three assessment opportunities, we must continue to work hard to earn thank you points!


    ¡­


    Jinghua Electrophysiology Exchange Group.


    "I don''t seem to understand, but I think what Professor Lu said makes sense."


    "You''re not alone, I feel the same way..."


    "I feel like Professor Lu knows everything, including electrocardiogram and pharmacology!"


    "Professor Lu must bubble up in the group more!"


    Although many people don''t understand Lu Chen, there is research on the poisoning mechanism, but this does not prevent them from shouting "666"!


    ¡­


    "It is recommended that after the patient''s vital signs are stable, please consult a psychiatrist."


    This was the last sentence Lu Chen left in the group.


    At such a young age, I can¡¯t think of anything, and I want to die.


    If the underlying psychological cause is not found, then next time, it may not be as simple as taking medicine.


    Whether ?? can be successfully sent to the emergency department, that''s another question!


    ¡­


    Fengmei County People''s Hospital.


    Cardiology ward.


    "Director Fan, thank you so much." The woman wiped away the tears on her face, forced a smile, and bowed deeply to Fan Zhiping, "Xiao Li said that she is much better, and she doesn''t feel short of breath. The blood pressure has also risen."


    Fan Zhiping nodded and said: "At present, the patient''s arrhythmia is under control, and the blood pressure has also risen. However, the specific need for blood perfusion depends on the patient''s next condition."


    "If the condition is stable and there is no serious arrhythmia and hypotension, hemoperfusion is not required, otherwise, hemoperfusion therapy may be performed at any time."


    "Okay, thank you Director Fan." The woman said.


    Fan Zhiping has already made her see a glimmer of light.


    "But I suggest that after she recovers, you should take her to see a psychiatrist." Fan Zhiping said solemnly, "If you don''t solve the psychological problem, you will treat the symptoms but not the root cause. No one knows what will happen next time. !"


    "Alas." The woman sighed softly, then shook her head, looking like she was hesitant to speak, "Xiao Li, what should I say, hey, thank you Director Fan for reminding her."


    "It''s what we should do." Fan Zhidao.


    The patient''s condition is temporarily stable, and as long as the arrhythmia can be controlled, blood perfusion is not required for the time being.


    Fan Zhiping''s heart was tight, and he calmed down a little.


    Back to the doctor''s office.


    Recalling the patient''s condition and the process of Lu Chen''s diagnosis and treatment, Fan Zhiping still sighed very much.


    Although "Professor Lu" is not a real professor, his experience in clinical diagnosis and treatment is not comparable to that of ordinary people.


    What''s more, he seems to be only a graduate student of the Second Beijing University.


    His own son is also his age and is also studying medicine.


    But his son has just entered the clinic, and he can''t even read the electrocardiogram of atrial fibrillation!


    Fan Zhiping is hard to imagine that such a person is actually just a graduate student!


    What the **** is the Second Academy of Jinghua? How can a graduate student be so powerful?


    The former Fan Zhiping was always a bit pretentious.


    I think the cardiologists in those big hospitals are nothing special, they are better at performing surgery than they are, and the machines are more precise than the county hospital.


    In addition, those medicines for internal medicine are basically the same in large hospitals and small hospitals.


    Medicine for internal medicine, no matter how tricky it is, it¡¯s just those few things


    However, after meeting Lu Chen several times, he really didn''t feel good in his heart!


    Whether it is the last patient with hypertrophic cardiomyopathy, or the "propafenone" poisoning this time.


    Lu Chen''s clinical thinking ability is something that Fan Zhiping rarely encounters.


    "I have the opportunity to go out for further study this year. I originally planned not to go, but now it seems necessary to go to Jinghua Second Hospital!"


    In Fan Zhiping''s original plan, he would give up a good opportunity to go out to study.


    But this time, he has a new goal, and that is the Jinghua Second Hospital!


    He would go to the Second Academy of Jinghua to see if he could train "Professor Lu Chen", what kind of place is he!


    ¡­


    for the next week.


    Lu Chen earned more than 60 points of gratitude, plus the remaining 30 points of gratitude.


    He successfully exchanged two more universal cards, completing 1/2 of the internal technology energy project.


    ¡­


    It¡¯s Friday again.


    Jinghua Medical University.


    School headquarters, skill assessment center.


    The 3rd assessment of the school team selection has officially started!


    This time, Lu Chen applied for 10 internal technology assessments.


    Including the previous 8, he has completed a total of 18 so far.


    Because this time, Lu Chen chose internal technology skills, and the weight of internal technology skills is relatively large, Lu Chen''s ranking rose steadily, rising to the 27th position.


    But after the first 3 assessments, everyone has generally completed about 30 projects.


    Lu Chen still has 28 projects that need to be completed in the last 2 assessments.


    "There are 14 items left for each assessment, so there should be no problem."


    Lu Chen has already made a complete plan for the next two assessments.


    Night shift. Please take a break. Tomorrow and the day after tomorrow, try to make up what you owe.


    (end of this chapter)

 Chapter 171： Sending pennants, is there a bonus?

    Chapter 171 Sending pennants, is there a bonus?


    Ten o''clock at night.


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Most of the bedrooms were not turned off.


    Some people are in love, some people are Douyin, some people are pushing towers, and some people are studying.


    Wang Zihao asked Lu Chen who was in the opposite bed while watching the skill operation video in the bed.


    "Lu Chen, have you seen the final ranking of today''s assessment?"


    Lu Chen was still reading through the theoretical knowledge of skill operation. Hearing this, he looked up at Wang Zihao on the bed.


    "No, I left after the operation test. I remember that my ranking was 27th."


    Lu Chen finishes the test at 4:00 pm, and the final ranking will be refreshed around 7:00 pm.


    Wang Zihao immediately got up from the bed and sighed: "Lu Chen, tell you, that kid Gu Xinyue is really amazing, he took more than 10 exams this time, and after the exam, he was the first, and the weighted score was second. Li Hengzhen''s score is 10 points higher! I took 10 exams this time, and the final ranking was only 36th."


    "Isn''t there two more assessments? What are you doing in such a panic?" Lu Chen smiled, "And I remember that you still have internal skills to operate, right? The rankings will definitely go up in the future.¡±


    "That''s what I said, but I''m still a little nervous." Wang Zihao said, "After all, everyone went to training like crazy."


    At the beginning of the school team selection, Wang Zihao didn''t really care.


    Because even if you successfully join the school team, you will go on a free trip at most once.


    But since the school released the rewards for the national skill test, everyone has been jealous, and Wang Zihao is no exception.


    Material rewards are secondary.


    The key is that this is very useful for future exams and staying in school.


    Wang Zihao is a local of Jinghua.


    He originally planned to stay in the Jinghua Second Hospital.


    However, there are few places to stay in the school and the competition is fierce.


    This time there is an extra opportunity, and Wang Zihao still wants to try it.


    So he spends more time practicing skill operations, and even after returning to the dormitory every night, he has to watch the skill operation videos again.


    "By the way, Lu Chen, I heard that the conditions for the selection of the school team seem to have changed."


    Wang Zihao''s sudden words made Lu Chen stunned for a moment.


    "Conditions changed?"


    "Well, it used to be that the students who ranked first in the overall ranking directly entered the school team, and the other four candidates were selected from the top ten, but they needed to be recommended by the teacher." Wang Zihao said, "Now it has become the top three in the total score. Go directly to the school team, and the remaining two places are recommended by teachers."


    Lu Chen smiled.


    This selection emphasizes the importance of grades. The first grades were directly entered, and the top three grades were selected.


    There are only two places left for those leaders to operate.


    The leaders of Jinghua Medical University really want to make a breakthrough in the skill test!


    "Don''t think too much, just train hard." Lu Chen smiled. "Even if we didn''t join the school team, after this intensive training, our clinical skills have definitely improved several times. This will be very important for our future clinical work. It definitely helps a lot.¡±


    "Yeah." Wang Zihao nodded.


    After this period of training, he can clearly feel that his clinical operation has undergone a qualitative change.


    When he saw those who wore chest or waist, he avoided them.


    Now he is eager to pierce others every day.


    Lu Chen and Wang Zihao chatted a few more words, and then focused on the theoretical study of skill operation.


    ¡­


    ¡­


    Clinical work continues.


    After a week of hospitalization, Zhang Fengying did not have any postoperative complications.


    I can finally leave the hospital today!


    Eight districts in the heart, the doctor''s office.


    "Dr. Sun, Dr. Lu, thank you for your care this week."


    Yuan Hang pushed Zhang Fengying to the doctor''s office.


    "This is what we should do." Sun Guoguo smiled.


    Lu Chen smiled and said, "Mother-in-law, remember to have regular check-ups in the future. If you have chest tightness or chest pain, you should immediately go to the hospital to see a doctor. You must take the medicine regularly, and don''t stop it casually."


    "Okay, thank you Dr. Sun and Dr. Lu." Zhang Fengying nodded with a smile, and reached out to greet Yuan Hang.


    Yuan Hang understood and immediately took out a pennant from the backpack behind him.


    "Dr. Sun, Dr. Lu, this is what my mother must let me give you."


    Yuan Hang spread out the pennant.


    The ?? pennant has a red background and a yellow border, with two lines of large characters written on it.


    "Exquisite medical skills eliminate pain, and noble medical ethics warm people''s hearts."


    There is a group of boys next to the right side, which are presented to the Second Affiliated Hospital of Jinghua Medical University, Director Li Yao, Physician Sun Guoguo, Physician Lu Chen and all the medical staff in the eight districts in the heart.


    Signed, presented by patient Zhang Fengying and his family.


    This is to send the pennant!


    Lu Chen grinned, this was the first time he had his name on the pennant.


    In the past, there were patients in the group who sent pennants, but they were all thanks to the director or the superior doctor.


    Sun Guoguo smiled, "Unfortunately, Director Li Yao went out for a meeting today and is not in the ward. I will convey your thanks to Director Li."


    Yuan Hang nodded and smiled, "I''m sorry to bother Dr. Sun."


    "Well." Sun Guoguo took the pennant in his hand.


    sent pennants, of course, to take pictures.


    Yao Jie''s little attendant immediately took a mobile phone and arranged a photo for everyone.


    After saying hello to Lu Chen, Yuan Hang pushed Zhang Fengying away.


    ¡­


    "Junior brother, this pennant is thanks to you." Sun Guoguo said to Lu Chen with a smile.


    Zhang Fengying was managed by Lu Chen alone from the very beginning.


    Although Sun Guoguo and Li Yao had ward rounds, most of the work was done by Lu Chen.


    Lu Chen smiled and scratched the back of his head.


    Receiving the patient''s pennant is undoubtedly one of the happy moments as a doctor.


    After all, the patient''s condition has recovered, and his work has also been recognized by the patient.


    But while receiving the thanks, Lu Chen also felt a pressure.


    The higher the patient''s trust, the more he is afraid of not doing well, and the greater the pressure!


    Just then, Lu Chen suddenly noticed that a prompt popped up on his system panel.


    "Congratulations, received +5 thanks from Zhang Fengying!"


    ah?


    Lu Chen looked at the pennant in Sun Guoguo''s hand with a stunned expression.


    He had received a thank you from Zhang Fengying before.


    After his verification, this system cannot charge the same patient''s gratitude value twice in a week.


    Now I actually received it again? !


    And it''s 5 o''clock all of a sudden!


    Is there a buff bonus when sending pennants?


    This system is really annoying.


    If you want to get this bonus, you still need the patient to send a pennant?


    Lu Chen shook his head helplessly, this condition is too harsh!


    What''s more, receiving thanks or rewards from patients is never the purpose of studying medicine to save lives.


    The pennant, or the patient''s gratitude, is that every doctor gets a trace of spiritual comfort after treating the disease and saving the patient.


    The patient can be cured and discharged from the hospital, which is the best reward for every doctor.


    ¡­


    time flies.


    In the blink of an eye, another week has passed, and tomorrow is Friday again.


    It was time for the fourth assessment, which was also the penultimate assessment.


    (end of this chapter)

 Chapter 172： The speed of life and death (1)

    Chapter 172 Life and Death Speed ??(1)


    The fourth assessment basically determines the final ranking trend.


    Lu Chen applied for 10 projects.


    Because there is still half of the training in internal technology, Lu Chen applied for 10 projects this time, which are some skills in pediatrics, gynecology, and surgery.


    For the remaining internal medicine operation skills, Lu Chen decided to complete it in the final assessment.


    ¡­


    Friday.


    Wang Zihao went out early in the morning and went to the skill assessment center.


    He applied for 12 internal technology projects this time, ready to go all out and finish the hardest part.


    And because Lu Chen applied for the examination content of pediatrics, gynecology and surgery, his examination time was arranged on Friday afternoon.


    ¡­


    Jinghua City.


    Huyan Community in Wanzhang District


    There is a "25 Vegetable Market" near Huyan Community.


    25 Market has two floors and is a large market.


    Cheng Lin has a habit of going to the wonton shop next to the 25 vegetable market every morning, eating a bowl of fresh shrimp chaos, and then going to work.


    Today is no exception.


    Cheng Lin walked out of the community with a tune in his mouth.


    Sweep a shared bicycle downstairs.


    At this time, the vegetable market is already open for business.


    From a distance, there are many people who buy and sell vegetables and eat breakfast.


    "Ding ding ding..."


    Feeling the phone ringing in his pocket, Cheng Lin stopped the shared bicycle less than 100 meters away from the gate of the "25 Vegetable Market".


    took out his cell phone, it was the phone of the superior Brother Wang.


    "Hey, Brother Wang...you said, I''m listening...what? I don''t have to go in the future?"


    Cheng Lin froze in place.


    After two years in the job, the job just got on the right track, and I was suddenly fired like this?


    What can he do with his 6k monthly mortgage!


    For a while, Cheng Lin fell into despair.


    at this time.


    He suddenly heard a deafening explosion.


    Looking up, he saw that the whole vegetable market had been overturned. In an instant, bricks and rubble were flying all over the sky, and the flying bricks almost hit him.


    ¡­


    Jinghua Second Hospital.


    Emergency Department.


    Wang Xiaodong, who was on duty, kept his right eyelid twitching.


    "What''s wrong with me?" Wang Xiaodong couldn''t help muttering, "Could it be that I didn''t sleep well last night?"


    He suddenly remembered that the last time his right eyelid twitched, as if it was the last night shift, when three critically ill patients were rescued in one breath.


    "No... no way?" Wang Xiaodong looked outside the emergency department ward.


    The weather is fine today, with clear skies.


    Business as usual and nothing else happened.


    "I must be thinking too much." Wang Xiaodong comforted himself in his heart.


    In the emergency ward, there are two other groups of doctors.


    They got together and were discussing the recent stock market.


    Other training students and postgraduates are sitting in the office sporadically, some are writing the course of the disease, some are playing with their mobile phones.


    "I''d better do two discharge medical records."


    Wang Xiaodong took out the medical records of the recently discharged patient from the cabinet.


    "Beep...beep...beep..."


    The mobile phone on the table vibrated, and Wang Xiaodong saw the name of the caller ID - Director Lu Jianjun.


    Lu Jianjun, director of the emergency department.


    Occasionally come to the ward to check the room several times a week, and usually hold meetings and lectures all over the country.


    What is Director Lu doing to himself?


    As a newcomer to the emergency department, his presence is almost zero.


    Wang Xiaodong answered the phone suspiciously.


    "Hello! Xiaodong?"


    "It''s me, Director, what''s wrong?"


    Director Lu''s voice was urgent.


    Wang Xiaodong immediately had a bad premonition in his heart.


    "Today is Peng Lei''s 120. He called me. There was a gas explosion in Huyan Community in Wanzhang District!"


    "what?"


    Wang Xiaodong immediately jumped up from the chair.


    Huyan Community?


    Isn''t this a community less than 2 kilometers away from the Second Hospital of Jinghua?


    Lu Jianjun continued: "Peng Lei said that the exact number of casualties is uncertain!"


    Wang Xiaodong was stunned.


    "Our Jinghua No. 2 Hospital is the closest tertiary hospital to the accident site, and we will be in the emergency room soon. We will also send patients over later."


    "Director, this...this..." Wang Xiaodong''s voice trembled.


    "I''m not in Jinghua now, so I don''t have time to come back. I''ve informed all the doctors in the emergency department to return to work, Xiaodong, you are ready to fight a tough battle!"


    "Receive, receive, Director!"


    When Wang Xiaodong hung up the phone, his hands were almost trembling.


    "Xiaodong, did you receive a call from the director?"


    Xia Yingzheng from the emergency department rushed into the emergency medical ward like a rabbit.


    "Brother Xia, I got it..." Wang Xiaodong swallowed and tried his best to calm himself down.


    He just graduated this year and has only been employed for less than two months.


    Comparatively speaking, Xia Yingzheng is relatively calm, he is a senior attending doctor in emergency surgery.


    "Xiaodong, this kind of blast injury, burn and secondary injury requires joint rescue by our internal medicine and surgical department. You organize the internal medicine department, and I will be waiting for Peng Lei''s 120 at the door of the emergency department."


    "it is good!"


    Wang Xiaodong nodded, as long as he survived this period, other doctors in Corey would arrive one after another.


    The earliest damage in the blast injury is often the injury caused by the shock wave caused by the energy generated by the explosion (barotrauma).


    These shock waves tend to cause damage to hollow organs in the body such as eardrums, lungs, gastrointestinal tract.


    Secondary damage is usually the damage caused by the object caused by the explosion, such as penetrating injury caused by the ejection of object fragments, blunt damage caused by the impact of larger object fragments, etc. The same size objects are even more damaged than bullets.


    In addition, the huge shock wave generated by the explosion may throw people, hit the ground or other objects when falling, causing injury.


    In addition, the explosion may cause thermal burns, or produce harmful fumes during the explosion, which can easily cause lung damage if the person is in a confined space or has pre-existing lung disease.


    ¡­


    Wang Xiaodong and Xia Yingzheng organized most of the emergency medical staff to wait at the emergency door.


    Some other people are taking care of the original critically ill patients in the ward, and some patients with milder conditions are persuaded to go to other hospitals or to the inpatient department.


    5 minutes after receiving the call from Director Lu.


    The emergency department of Jinghua Second Hospital welcomed the first wave of patients.


    120 The ambulance stopped outside the emergency door.


    Peng Lei disgraced and pushed the stretcher out of the car, then yelled at Wang Xiaodong and others.


    "The patient suffered severe burns! There is a possibility of septic and hemorrhagic shock, and there are multiple fractures throughout the body!"


    (end of this chapter)

 Chapter 173： The speed of life and death (2)

    Chapter 173 Life and Death Speed ??(2)


    Wang Xiaodong and Xia Yingzheng immediately got into the ambulance.


    They carefully helped Peng Lei to **** the patient out of the car to prevent secondary injury to the fractured patient.


    "Brother Xia, Xiaodong, then I''ll go first!" After Peng Lei lifted the patient from the ambulance, he immediately followed the car.


    Because there are more patients waiting for rescue at the site of the incident!


    In addition to the patient with severe burns before, there were two critically ill patients on this ambulance trip.


    One has a penetrating injury to the abdomen and is currently in hemorrhagic shock; the other has a skull fracture, bleeding from the head, and lost consciousness.


    "Quick! Push all three patients to the emergency room!"


    Xia Yingzheng immediately directed everyone and carried the three people to the emergency room of the emergency department.


    "Immediately establish multiple venous channels for all patients, urgently check blood routine, blood type identification, cross-match blood, check biochemical series, and then refill at full speed!"


    "The nurse immediately called the blood transfusion department, and we applied for emergency blood! A large amount of plasma may be needed!"


    "Notify General Surgery, Orthopedics, Neurosurgery, ICU Emergency Consultation!"


    "Xiaodong, quickly organize students to proofread patient information, assign students to do electrocardiograms, write medical records, and help nurses with simple nursing work!"


    "receive!"


    At this moment of emergency rescue, Wang Xiaodong took Xia Yingzheng as his backbone.


    "More patients will definitely be sent over later. The first consultation is very important, and the priority of the patient''s condition must be distinguished. In addition, the space in our ward is limited, and critically ill patients must be sent to the emergency room, while those with mild symptoms must be sent to the emergency room. Observation room, rational allocation of emergency room space!"


    "OK!"


    Rescue at this time is not divided into internal medicine and surgery.


    Many patients often have multiple traumas and require multidisciplinary joint rescue!


    ¡­


    In the emergency room, all three patients in a row are in emergency rescue.


    Nurse Gong Nannan quickly reported the vital signs of the burn patients.


    "The patient''s blood pressure was 67/34mHg, with severe burns to the whole body, severe dehydration, and comminuted fractures of both lower extremities!"


    Xia Yingzheng immediately ordered:


    "The burn area is about 70%. First clean the surface dirt, then remove the carrion, and finally disinfect the wound!"


    "Full-speed rehydration, dopamine stop, and vital signs must be stabilized first!"


    After reading the severely burned patient, Xia Yingzheng immediately checked another traumatized patient beside him.


    "The patient suffered from a penetrating injury to the abdomen, and the sharp weapon penetrated the patient''s abdomen. At present, the blood pressure continues to drop, and there is a high possibility of visceral bleeding such as liver rupture!"


    "Stop the bleeding first! Please consult emergency general surgery, the patient may need emergency laparotomy!"


    At this time, Gong Nannan''s voice came over.


    "Doctor Xia, the patient''s family members are not present, what should I do!"


    "Never mind, rescue first! Wait for the patient''s family to come, and then communicate the condition!"


    "receive!"


    The patient on Wang Xiaodong''s side is a patient with head trauma and skull fracture.


    He is a person from internal medicine, when has he encountered such a patient.


    For a while, Wang Xiaodong was at a loss.


    Fortunately, Xia Yingzheng arrived in time.


    "Find the bleeding point, apply pressure to stop the bleeding, and then quickly take it to the CT room for an emergency head CT!"


    "Okay!" Wang Xiaodong nodded.


    At this time, even if you are nervous, you must suppress it.


    In front of him are all critically ill patients in urgent need of rescue.


    A little carelessness can cause serious consequences!


    ¡­


    Wang Xiaodong and Xia Yingzheng were rescuing the current patient, and the ambulance sent another wave of patients.


    This time, five patients came.


    Three fractures, one burn, and one barotrauma patient.


    "Go to the observation room first if your vital signs are stable!"


    "All those with unstable vital signs are pushed to the ward!"


    Xia Yingzheng and Wang Xiaodong couldn''t move at all.


    The three patients in the first wave were already in critical condition.


    At this time, Wang Xiaodong suddenly noticed that the bedside ECG monitor of the burn patient made an alarm sound.


    "No, ventricular fibrillation!"


    He rushed forward immediately and performed CPR on the patient.


    Gong Nannan saw this and hurriedly brought the defibrillator.


    ¡­


    Wave after wave of rescues.


    In critically ill patients, new changes in the condition will occur at any time.


    In just thirty minutes, twenty patients came.


    Ambulances are still transporting patients to the emergency department of Jinghua Second Hospital.


    Even though all the doctors and nurses in the emergency department were there, they were still understaffed.


    "Director Dai, there are not enough doctors and nurses now!" Xia Yingzheng said to Dai Bin with a tired face, and he was almost collapsed by participating in the rescue continuously.


    Director Lu is not in the department, Director Dai Bin is the top person in charge of the emergency department.


    "I have already reported it to the hospital." Dai Bin said solemnly, "Our Jinghua Second Hospital is the closest to where the incident happened and the hospital with the best medical resources."


    "Some mildly ill patients will be sent to the third affiliated hospital a little further away. At the same time, the hospital will urgently deploy manpower to assist our emergency department."


    Xia Yingzheng gave a wry smile.


    "Transfer manpower?"


    Which department of the hospital is not operating at full capacity now?


    There is a shortage of doctors in every department, and a lot of clinical work is undertaken by graduate students and regular trainees.


    It is no exaggeration to say that the operation of the entire hospital will be paralyzed if there are no regular trainees and postgraduates in the current large-scale tertiary hospitals.


    So, dispatch our doctors to assist the emergency department?


    In this emergency situation, that is quite difficult.


    In addition, then only some graduate students or graduate students will be transferred.


    But postgraduates and regular trainees are only students after all, and they can do very limited things!


    ¡­


    Ten o''clock in the morning.


    Lu Chen was ready to go out.


    Today''s 10 skill operations, he must win it perfectly.


    Carrying his usual Little Black Cao, Lu Chen walked out of the bedroom door.


    Go from the dormitory of the Jiupei Building to the campus.


    On the way, you will pass the emergency building of Jinghua Second Hospital.


    "What''s wrong?" Lu Chen frowned.


    There are a lot of patients in the emergency department of Jinghua Second Hospital, that''s right.


    But not so exaggerated, right?


    At this moment, Lu Chen''s phone vibrated.


    Several messages appeared in the postgraduate WeChat group.


    is issued by the assistant of the graduate department.


    "The hospital organizes support for the emergency department!"


    "Students of the second and third grades of cardiology, gastroenterology, respiratory medicine, and neurology, who are not on duty today, have nothing to do, they can sign up voluntarily, we need twenty people!"


    Lu Chen was stunned and stopped.


    He immediately opened the browser that came with the phone.


    In the postgraduate WeChat group, students spoke immediately.


    "Teacher, I am from the Department of Endocrinology, can I sign up?"


    "This...preferably from the departments I mentioned above!"


    "Teacher, I am a gastroenterologist, but I am a graduate student, can I go?"


    "Yan Yi, don''t go for the time being!"


    ¡°¡­¡±


    Dozens of messages popped up in an instant.


    Lu Chen glanced at the news of the WeChat group and turned it off.


    He adjusted his direction and ran quickly towards the emergency department.


    ...Be careful...I''m afraid of being caught by river crabs...


    (end of this chapter)

 Chapter 174： The speed of life and death (3)

    Chapter 174 Life and Death Speed ??(3)


    Jinghua Second Hospital.


    Emergency Department.


    There was chaos in the emergency room at this time.


    The pained groans of the patients, the crying of the family members, and the cries of the medical staff were all mixed together.


    The emergency ward was full, and the corridors were full of wounded.


    There are fractures, trauma, and barotrauma.


    There are also some elderly people who have underlying diseases in their early years. After experiencing this accident, their condition suddenly deteriorated.


    Gong Nannan trotted all the way to the rescue ward.


    "Dr. Wang, the patient in bed 5 is going to have a head CT. Do you think there are any graduate students or graduate students who are free to help take a CT?"


    Wang Xiaodong was intubating a patient with apnea. Hearing this, he didn''t lift his head and replied loudly: "The students here are busy, you go to Brother Xia!"


    "I just asked Dr. Xia, and there is no one there anymore!"


    At this time, Wang Xiaodong finally inserted the endotracheal tube, quickly connected to the ventilator, and adjusted the parameters.


    He raised his arm, wiped the sweat from his forehead, and said to Gong Nannan who was beside him.


    "There''s no one left, so we have to wait for the supporters to arrive. Director Dai just said that the hospital has already sent more people to rush over."


    Gong Nannan nodded solemnly, "That has to be as soon as possible, this is a patient with traumatic brain injury, and his condition is very serious."


    Wang Xiaodong nodded helplessly.


    "Everyone is running at full capacity now, we can only wait for support!"


    Critically ill patients are being rescued.


    Patients with mild illness are placed in the observation room of the emergency department before the doctor can see them.


    "Xiaodong, I just received a call from Peng Lei, and he will send two more patients soon! The two of us will pick him up immediately!"


    Dai Bin walked into the emergency room of the emergency ward anxiously with his mobile phone in his hand.


    Wang Xiaodong looked helpless: "Director Dai, why are you still sending it to us? There are no doctors and nurses available!"


    "These are two critically ill patients. If they are sent to the third hospital or other hospitals, it may be too late!" Dai Bin said solemnly, "I have communicated with them, and patients with mild symptoms will not be sent to us in the future. Our burden. But critically ill patients, we may still have to take over!"


    Even though the patients have been shunted as much as possible, there are still too many casualties.


    New wounded are constantly being discovered, and critically ill patients are being sent to the emergency department of the Second Jinghua Hospital.


    "Director Dai! The severely burned patient who came here at the beginning, his blood pressure and blood oxygen were almost unstoppable!"


    Xia Yingzheng suddenly said loudly.


    The emergency wards of the emergency department are all connected. Dai Bin heard the words and immediately rushed to Xia Yingzheng''s side, and at the same time left a sentence.


    "Xiaodong, wait for the two patients from 120, go see them first!"


    "it is good!"


    Wang Xiaodong felt numb in his hands, and he couldn''t remember how many times he performed CPR.


    He only knew that the nurse had been calling him, so he went back and forth between several emergency rooms.


    ¡­


    five minutes later.


    Peng Lei''s ambulance has arrived again.


    Wang Xiaodong was already at the door to greet him. As soon as the door of the ambulance opened, Peng Lei jumped down.


    "Xiaodong, a patient was rescued from a waste mound with crush injuries all over his body! Blood oxygen is no longer enough, there may be ARDS!"


    "The other patient is an old man in his 70s. He is still some distance away from the vegetable market and has not been affected too much, but he himself has a basic heart disease. In the accident just now, he suffered a heart attack. Now, in the ambulance, he had ventricular fibrillation twice!"


    Wang Xiaodong escorted the patient from the ambulance while listening to Peng Lei''s handover.


    "Quick to the emergency room, we have vacated two beds."


    Wang Xiaodong and several nurses trot all the way to **** the patient to the emergency ward.


    As soon as ?? came to the emergency room, Gong Nannan walked in.


    "Dr. Wang, the 5-bed patient suddenly lost consciousness during the first CT scan, and is being rescued in the CT room! The CT room called, let''s go take a look and bring the patient back!"


    This is really a house leak and it rains overnight!


    "Who accompanies the inspection?" Wang Xiaodong wondered.


    "An intern and a nurse went."


    "Fuck! How do you let the interns go?!" Wang Xiaodong said a swear word.


    "No way, there''s really no one left!" Gong Nannan said helplessly.


    "Then don''t let the interns go!" Wang Xiaodong looked around, everyone was busy, and he still had two critically ill patients on his hands, "Is there anyone else over there with Director Dai and Teacher Xia?"


    "No more, the burnt patient is being rescued!"


    Wang Xiaodong really wants to have a shadow clone now, he can''t leave now!


    "Senior brother, let me go!"


    A voice rang in Wang Xiaodong''s ear, and there was a sense of familiarity in the strangeness.


    For Wang Xiaodong at this time, it was tantamount to the sound of heaven.


    He looked back.


    "You are Lu, Junior Brother Lu Chen?"


    Wang Xiaodong''s eyes flashed a happy look.


    "Yes." Lu Chen nodded.


    After he came to the emergency department, he immediately ran into the duty room and changed into an idle white coat.


    Support is also about being organized and structured.


    So he found Wang Xiaodong right away.


    "Great, junior brother, go to the CT room, check the patient''s condition first, and take him back to the emergency room!"


    "it is good!"


    Lu Chen didn''t hesitate at all, quickly found an old stethoscope in the cabinet of the nurse''s station, and immediately ran towards the CT room.


    Watching the back of Lu Chen leaving, Wang Xiaodong finally let go.


    As for why Lu Chen came to the emergency room, it is no longer his consideration.


    There are two critically ill patients waiting for him to deal with.


    ¡­


    Fortunately, the CT room is not far from the emergency department, and Lu Chen''s speed is also very fast.


    In less than a minute, he ran to the CT room of the outpatient building.


    Before entering, he saw a group of people gathered at the door of the CT room No. 1 clinic.


    In the innermost part of the crowd, three doctors and a nurse are surrounded by a hospital bed.


    Lu Chen opened the crowd and saw a young doctor giving chest compressions to the patient.


    "What''s the condition of the patient?" Lu Chen stepped forward and saw that the electrodes of the ECG monitor at the bedside were not connected.


    It seems that it should be for inspection, so the electrode pads were temporarily torn off.


    "The patient had a sudden disturbance of consciousness as soon as he got off the CT machine after the CT was done." A middle-aged doctor next to him said, "You are..."


    "He came from the emergency department." Lu Chen said.


    The patient had a relapse after the examination, which should be regarded as a fortune in misfortune!


    The middle-aged doctor looked happy and said quickly, "Come and see the patient, or else, go to the emergency department."


    The doctors in the CT room are actually not even doctors, most of them are clinical technicians.


    is to control the machine in the operation room, and there is no rescue skills at all.


    Once you encounter this kind of emergency rescue, there is absolutely no other way except giving oxygen and cardiopulmonary resuscitation.


    Lu Chen stepped forward, immediately connected the electrodes to the patient, and put on the blood oxygen jacket.


    "Dududu..."


    ECG monitoring started working again.


    Oxygen saturation 95%, heart rate 125 beats/min.


    Because of chest compressions, the patient''s heart rhythm waveform is disorganized.


    Lu Chen performed a physical examination on the patient.


    The patient is unconscious and completely unresponsive to the outside world.


    The patient has a trauma to the head, the skull is deformed, and there is a hematoma bulge on the surface.


    "Don''t press for now!"


    Lu Chen''s words surprised the middle-aged doctor and the doctors next to him.


    "No more pressing?" The young doctor turned to look at Lu Chen in confusion.


    He was an intern in the emergency department.


    Originally, he was sitting in the duty room playing with his mobile phone. The sudden accident made him participate in the first rescue in his life and was sent out to accompany the patient to check.


    "Well, let''s not press for now." Lu Chen nodded.


    Because after his physical examination, the patient''s breathing and heartbeat were still there.


    Not all comatose patients need CPR!


    The standard of cardiopulmonary resuscitation is cardiac and respiratory arrest.


    "The patient''s heartbeat and breathing have recovered." Lu Chen paused.


    He did not know the condition of the previous patient.


    But in the current situation of the patient, it is not necessary to continue CPR.


    Hearing Lu Chen''s affirmative answer, the intern who was doing chest compressions stopped.


    Everyone stared at the ECG monitor.


    On the ECG monitor, the patient''s heart rate and blood oxygen saturation were still normal.


    Lu Chen''s judgment was correct, and everyone breathed a sigh of relief.


    "Send the patient back to the emergency department." Lu Chen looked at the middle-aged doctor, "How is the patient''s CT result?"


    The middle-aged doctor immediately said: "Brain contusion, intracranial hemorrhage, and symptoms of cerebral edema."


    Lu Chen nodded, it seemed that the patient''s disturbance of consciousness was related to cerebral edema.


    He then pushed the bed back to the emergency department with the intern and another nurse.


    "Brother Wang, the patient is back." Lu Chen immediately reported the patient''s condition to Wang Xiaodong, "The patient may be suffering from cerebral edema and disturbance of consciousness caused by intracranial hypertension. Please consult with emergency neurosurgery?"


    "Okay!" Wang Xiaodong nodded, "If the patient''s family members come, remember to communicate with the family members about the condition first. I''ll take care of the patient and come over immediately!"


    Lu Chen immediately started to call the neurosurgery doctor.


    ¡­


    In less than three minutes, the neurosurgery doctor arrived.


    To be more precise, the neurosurgery doctor stayed in the emergency department and did not leave.


    He Luping watched the patient''s head CT, and said solemnly: "According to the CT results and the patient''s symptoms, there are indications for surgery, but the patient''s family has not come, this is not easy to handle."


    "Mr. He, we contacted the patient''s family and they will be here in ten minutes." Lu Chen said.


    "Well, then pay close attention to the patient''s vital signs, especially breathing and blood oxygen." He Luping nodded, "We will talk about the operation when the family members come."


    Intracranial hypertension causes brain herniation, compresses the brain stem, and may cause breathing and cardiac arrest at any time.


    "Okay, Mr. He."


    Lu Chen settled the traumatic brain injury patient and was immediately called by Wang Xiaodong.


    "Junior brother, a patient with coronary heart disease came here just now and has been suffering from ventricular fibrillation. Come and have a look!"


    Wang Xiaodong knew that Lu Chen was a cardiologist.


    Eye This patient is different from other patients. There is no injury on the surface, but he has suffered from ventricular fibrillation several times!


    "Senior brother, here I come!"


    (end of this chapter)

 Chapter 175： No no no no, you are my brother!

    Chapter 175 Don''t, don''t, you are my senior brother!


    "Ventricular fibrillation again!"


    Lu Chen just ran to the bedside, and the ECG monitor at the patient''s bedside showed ventricular fibrillation again!


    Lu Chen roared, and after reminding the surrounding medical staff to pay attention, he started chest compressions.


    "The patient is 70 years old this year. He has coronary heart disease, high blood pressure, and diabetes in the past. When this incident happened, he was still far away from the scene of the incident. After being frightened, he started to get sick!"


    Gong Nannan explained the patient''s condition and brought a defibrillator.


    "Charge is complete!" Gong Nannan adjusted the defibrillation energy.


    "Junior Brother, I''m ready to defibrillate!" Wang Xiaodong took the defibrillator and spread the conductive paste evenly.


    "it is good!"


    Lu Chen nodded and withdrew from the hospital bed.


    Wang Xiaodong immediately took his place and placed the two electrode pads of the defibrillator on the patient.


    "boom!"


    After the discharge, the ECG monitor is still ventricular fibrillation!


    Wang Xiaodong put down the defibrillator, and Lu Chen immediately started CPR again!


    failed, is it an acute psychogenic reaction?


    No, if it''s just a stress response, then it won''t be ventricular fibrillation all the time?


    But now is not the time to think, the most important thing is to convert the patient''s ventricular fibrillation first!


    "Junior Brother, you come to defibrillate, do it again!"


    "it is good!"


    Continue to charge, 360J energy.


    Lu Chen took over the defibrillator and discharged it!


    "boom!"


    The second defibrillation is over.


    On the ECG monitor, the ventricular fibrillation rhythm was finally converted into sinus rhythm.


    Wang Xiaodong breathed a sigh of relief.


    Lu Chen put the defibrillator aside and frowned: "Sister Nan Nan, check the patient''s cardiac enzymes, I think it''s not as simple as a stress reaction!"


    "Okay." Gong Nannan nodded and immediately started preparing the test tube for blood collection.


    Lu Chen brought an electrocardiograph and performed an electrocardiogram on the patient. The ST depression in the chest leads and the extensive T wave inversion!


    "Junior brother, do you think it is ventricular fibrillation caused by acute coronary syndrome?" Wang Xiaodong said aside.


    "It is possible." Lu Chen said, "The patient has a medical history, and various malignant arrhythmias are prone to occur on this basis."


    "Well, it makes sense." Wang Xiaodong nodded.


    ¡­


    The emergency room of the ?? emergency ward was already overcrowded.


    Lu Chen is currently taking care of two critically ill patients, one with head trauma and cerebral hemorrhage, and the other with ventricular fibrillation just now.


    Wang Xiaodong went to deal with the newly arrived critically ill patients.


    "Is there any free nurse, here is a patient who needs catheterization!"


    Lu Chen was beside the rescue bed, and a young doctor shouted to the surroundings.


    But in the ward, all the nurses were busy, the environment was noisy, and no one heard his voice at all.


    "Is there a nurse, this patient can''t hold back!" He called four or five times, but still no one responded.


    "Senior brother, you help me take care of these two patients, I''ll insert the catheter."


    Lu Chen walked to the young doctor and pointed to the two hospital beds beside him.


    "You? Can you insert a urinary catheter?" Ning Siyang frowned and looked at the unfamiliar classmate in front of him.


    He is currently rotating in the emergency department, and he doesn''t seem to have seen this person yet.


    "I will. I''ve been inserted in the ward many times." Lu Chen nodded.


    He has trained countless times in the virtual space, and has many practical experiences in the eight areas of his heart.


    Ning Siyang was still a little hesitant.


    If you are a novice and damage the patient''s urethra, it will be even more troublesome.


    "Ning Siyang, Lu Chen will insert it, you can let him come." Gong Nannan, who was collecting blood from the patient, raised her head and said something.


    Hearing Gong Nannan''s words, Ning Siyang believed, "Okay, then you can insert the catheter, and I will take care of the patient."


    Lu Chen nodded, and immediately found a catheter kit.


    Disinfect, spread towels, lubricate the catheter, find the urethral opening, and insert the catheter. .


    In less than thirty seconds, Lu Chen''s operation was completed.


    "Ah? You, you..." Before Ning Siyang had time to react, he felt that this junior brother was done.


    too fast!


    Faster than he saw those nurses insert catheters before!


    "Senior brother, don''t put too much the first time, four hundred is enough, put it slowly, otherwise the bladder will easily bleed."


    "Oh." Ning Siyang stared blankly at Lu Chen, feeling that this junior brother is a little unusual!


    At this moment, the old man with ventricular fibrillation just now, the ECG monitor at the bedside suddenly alarmed.


    Lu Chen looked back.


    Heart trembled.


    I wipe, why is he having ventricular fibrillation again!


    What''s even more terrifying is that the old man''s blood oxygen has also dropped!


    Lu Chen immediately rushed to the bed and started chest compressions.


    Ning Siyang also picked up the breathing bag at the head of the bed, fastened the mask on the patient''s face, and performed balloon-assisted ventilation.


    "Sister Nannan, hurry up and call Senior Brother Wang over!" Lu Chen shouted at Gong Nannan.


    "Okay!" Seeing this, Gong Nannan ran out immediately.


    Lu Chen pressed about 30 times, and he found that the patient''s ventricular fibrillation actually recovered!


    Although the heart rate is still fast, the heart rhythm waveform is normal!


    He stopped chest compressions.


    However, the blood oxygen of the old man is continuously decreasing!


    "No way! I need endotracheal intubation!" Lu Chen said loudly.


    Ning Siyang was taking some balloons, kept pressing, delivering oxygen, "Intubation? Then we have to wait for Senior Brother Wang to come."


    As soon as he finished speaking, he saw Lu Chen take out the tracheal intubation equipment from the rescue cabinet, including the laryngoscope and the tooth pad.


    "Junior Brother, you, you..." Numerous question marks appeared on Ning Siyang''s head.


    This guy actually has to intubate his own trachea?


    They did learn about endotracheal intubation and took the exam.


    But it has never been used clinically!


    "Senior brother, this patient can''t wait any longer!" Lu Chen frowned.


    Balloon-assisted ventilation alone cannot maintain blood oxygen.


    The continuous decrease of blood oxygen will cause hypoxia to major organs, especially the brain to supplement hypoxia, and the consequences are almost irreversible damage.


    On Lu Chen''s side, he had already prepared all the supplies for endotracheal intubation and stood beside Ning Siyang.


    "Senior brother, make room."


    "But, this..." Ning Siyang looked out of the ward and didn''t see Wang Xiaodong''s shadow at all. After hesitating for a while, he removed the balloon and mask, and made way for Lu Chen.


    Lu Chen was wearing gloves, holding a laryngoscope, half squatting at the head of the bed, and started intubation.


    Tilt the patient''s head back and lift the lower jaw forward and upward with both hands to open the mouth,


    Lu Chen holds the laryngoscope handle with his left hand, puts the laryngoscope blade into the patient''s mouth from the right corner of the mouth, and pushes the tongue to the left side and then slowly advances.


    After seeing the uvula, lift the lens vertically forward until the epiglottis is revealed, and after provoking the epiglottis, the glottis is revealed.


    Lu Chen pulled out the stylet and inserted the catheter into the trachea.


    "Plug it in!"


    The whole process, Ning Siyang could see it very clearly.


    Fast, accurate and steady!


    Lu Chen''s technique was not sloppy at all, and it took less than a minute from preparation to completion.


    This kind of person actually calls him senior brother?


    Ning Siyang blushed.


    "Brother, bring a tape over here, and I''ll fix the catheter." Lu Chen said to Ning Siyang.


    "Don''t, don''t, don''t call me senior brother, I want to call you senior brother." Ning Siyang waved his hand quickly, took out the tape from the treatment tray on the side, and handed it to Lu Chen.


    He is not such a powerful junior brother!


    Lu Chen fixed the tracheal tube, connected the ventilator, and set all the parameters of the ventilator. The patient''s blood oxygen finally started to rise!


    Ning Siyang on the side was even more surprised.


    "You can even adjust the ventilator!"


    But thinking about the speed at which he inserted the urinary catheter and tracheal intubation before, he felt that it was nothing.


    At this moment, Wang Xiaodong finally came over, and before entering the ward, he called out to Gong Nannan.


    "Bring the laryngoscope here, ready for intubation!"


    However, as soon as he walked into the ward, he saw that Lu Chen was setting the parameters of the ventilator.


    "Junior brother, this, is this what you inserted?" Wang Xiaodong asked in disbelief.


    Lu Chen nodded and said solemnly: "The patient''s blood oxygen drops very quickly, it is impossible not to plug it in!"


    Wang Xiaodong showed a hint of surprise in his eyes, and patted Lu Chen on the shoulder: "Good job, Junior Brother."


    But now is not the time to be shocked.


    He picked up the stethoscope and auscultated the patient''s lungs. The position of the trachea should be right!


    The blood oxygen of the bedside ECG monitor is also 97%!


    The patient''s vital signs have temporarily stabilized, and now it is time to consider why the condition has suddenly changed.


    "Why did the patient''s blood oxygen suddenly drop?" Wang Xiaodong wondered.


    The beginning is ventricular fibrillation, and after ventricular fibrillation, blood oxygen drops.


    At this time, Lu Chen handed the result of fast troponin to Wang Xiaodong.


    "Senior brother, the patient''s rapid troponin results, and the troponin increased by more than 50 times! It should be severe heart failure after acute myocardial infarction, and respiratory failure caused by pulmonary edema!"


    "Then you have to ask for an emergency consultation from the Cardiology Department!" Wang Xiaodong glanced at Lu Chen.


    Lu Chen nodded and said, "I have already called the inpatient department of Cardiology."


    ¡­


    Just as the two were discussing, Xia Yingzheng''s shout suddenly came from the emergency bed next to him.


    "Where is the head nurse?! The patient on my side can''t get the needle!"


    Wang Xiaodong put down the laboratory test sheet in his hand and frowned slightly: "It''s the patient with severe burns. He doesn''t have a piece of good skin on his body at all, and there is no way to start with the needle. After finally getting a needle, the liquid can''t get in at all!"


    When Lu Chen came to the emergency department, he also saw this patient, his whole body was completely wrapped in gauze.


    "I went to the head nurse, she was just putting needles on another patient with low blood pressure."


    Gong Nannan ran away immediately after hearing the words.


    At this time, new prompts kept popping up in Lu Chen''s system panel.


    "Congratulations, catheterization proficiency has increased by 3%!"


    "Congratulations, the proficiency of endotracheal intubation has increased by 5%!"


    "Congratulations, the defibrillator proficiency has increased by 6%!"


    ¡°¡­¡±


    However, Lu Chen just glanced at the system prompt and didn''t care.


    If this is normal and the skill proficiency increases, he will be happy.


    But at this time, he was not at all happy at all.


    In addition to the urgency of rescue, his heart was filled with a faint sadness.


    In his emergency room, the patient''s condition is relatively stable.


    In the emergency room of Teacher Xia next door, all patients were severely burnt, severely shocked, and even had to rely on oxygen and ventilators to maintain their lives.


    (end of this chapter)

 Chapter 176： Really an intern?

    Chapter 176 Is he really an intern?


    Jinghua Second Hospital.


    Emergency Department Ward.


    Lu Chen is like a firefighter, rushing to various emergency wards, helping patients with catheterization, sputum suction, blood gas extraction, and even bronchial intubation.


    This shocked Ning Siyang.


    This apprentice is almighty right...


    Can do anything!


    The blood that the nurse couldn''t draw out, he drew it out as soon as he got started.


    Some elderly people have severe prostatic hyperplasia, and the urinary catheter cannot be inserted. As soon as he gets started, he inserts it very smoothly!


    And Lu Chen''s system panel.


    The proficiency of various skills is rising rapidly.


    Oxygen 100%.


    Suction 100%.


    Catheterization 100%.


    ¡­


    ¡­


    About twenty minutes passed.


    The condition of the two critically ill patients under Lu Chen''s care has temporarily stabilized.


    "Junior Brother, I''ll take care of you here, you can go and see the patients in the observation room." Wang Xiaodong said, "There are still many patients who have not been treated, and we can''t vacate anyone here for the time being."


    Most of the doctors in the emergency department are rescuing critically ill patients, so that the mild patients in the emergency observation room have not been taken care of.


    It¡¯s okay for a while, but it¡¯s going to be trouble after a long time.


    More importantly, no one can guarantee that there are no hidden severe patients among these mild patients!


    "Okay." Lu Chen nodded.


    For most of the critically ill rescues, he could not get involved at all, so he could only go for catheterization and blood gas extraction.


    Many clinical operations, even if he can do it, he is not qualified to do it, and the superior doctor will not let him do it.


    ¡­


    Emergency observation room.


    At least four patients sit on each hospital bed.


    There were patients who moved a chair and sat in the corridor.


    What''s more, sit directly on the ground.


    Lu Chen walked into the observation room. The first thing he did was not to look at the patients, but to observe the health on each patient''s head.


    This allows him to screen critically ill patients as quickly as possible and give them timely treatment.


    As long as he sees a person whose HP is lower than 60, Lu Chen will immediately transfer the patient to the emergency ward.


    Patients with HP above 80, there is no and there is no possibility.


    There are some patients with HP between 70-80.


    But this kind of patient is in stable condition and need not be managed for the time being.


    Lu Chen is more concerned about the patients in the 60-70 HP range.


    Some patients may recover slowly, but some patients may get heavier and heavier until their health falls below 60.


    "What''s wrong with you?"


    In front of Lu Chen, there was a young man half lying on the bed, with 63 health.


    Currently in the emergency observation room, the patient with the lowest life value.


    Cheng Lin kept his eyes closed, opened his eyes when he heard the voice, and when he saw it was a doctor, he whispered, "It''s okay, just a little dizzy."


    "Dizzy?" Lu Chen frowned, "How did you get hurt?"


    The young man in front of him, on the surface, Lu Chen didn''t see any wounds.


    "I was still far from where the incident happened, but I was about to ride a bicycle when a stone suddenly flew over. I ducked and fell down accidentally."


    "Falled?" Lu Chen raised his brows, "Did you hurt your head?"


    "No." Cheng Lin shook his head and pointed to his lower right abdomen, "It was the handlebar that hit my stomach here. At first, my stomach hurt a little bit, but now it''s better and no longer hurts. But I don''t know why, after entering the hospital. , I''ve been feeling a little dizzy."


    "Stomach pain and then dizziness?" Lu Chen was a little puzzled, "Come on, lie down and I''ll show you."


    Cheng Lin nodded and did as Lu Chen said, lying flat on the hospital bed.


    Lu Chen began to perform a physical examination on Cheng Lin.


    No wounds were seen on his head, chest or abdomen.


    There is only a small bruise under the right sternum, which should be the impact of the handlebar.


    Other than that, all other physical examinations were negative.


    "Doctor, when will I be discharged from the hospital?" Cheng Lin said, "If it''s just dizzy, I don''t feel anything, I should go back and get some sleep."


    Lu Chen shook his head and said, "You still have to observe for the time being, maybe a CT of the head and full abdomen."


    "Do you still want to do CT?" Cheng Lin hesitated, "Is this necessary? I feel like I''m already well, and it''s not a big problem. I still have some urgent things to do."


    "It is very necessary, we have to rule out whether your internal organs are damaged." Lu Chen explained, "Many internal organ damages are delayed."


    The patient''s HP is 63, and he must not be put back home.


    "I''ll take your blood pressure first."


    Nurses are very busy. Most of the patients in the emergency observation room have not done any examinations, and they have not even had time to measure their blood pressure.


    After searching at the nurse station for a long time, Lu Chen finally found an electronic blood pressure monitor.


    "Doctor, I don''t usually have high blood pressure." Cheng Lin said.


    "Blood pressure needs to be measured routinely." Lu Chen said, and quickly tied a cuff to Cheng Lin.


    On the electronic sphygmomanometer, the blood pressure value was quickly displayed: 108/64mmHg, heart rate 98 beats/min.


    "Look, let me tell you, my blood pressure is not high." Cheng Lin smiled.


    Lu Chen looked at Cheng Lin''s body shape. He was about 1.7 meters tall, but his weight should be close to 160 pounds.


    This BMI is about to reach the standard of obesity.


    People with this body type should have high blood pressure, not just this low.


    For example, Cheng Peng in the eighth area of ??the heart, he is about the same size as the patient in front of him, and his blood pressure is usually 130-140/80mmHg.


    Although it has not yet reached the standard of high blood pressure, it is already in the high normal range and may develop into high blood pressure at any time.


    "What''s your normal blood pressure range?" Lu Chen put away the sphygmomanometer.


    Cheng Lin thought for a while and said, "I don''t usually measure blood pressure, but during the entrance examination, it seemed to be around 130/80mmH."


    Lu Chen nodded.


    Now it seems that the patient''s current blood pressure is still low compared to the usual blood pressure.


    Then the CT of the head and the whole abdomen is even more necessary!


    "I''ll give you a CT scan later, be sure to do it."


    "Ah? This..." Cheng Lin hesitated.


    Is the government reimbursed for this emergency?


    If he doesn''t reimburse him, he will suffer a lot!


    I just got fired, and it''s so sad to have this kind of thing happen again.


    Seeing the patient''s hesitation, Lu Chen frowned: "Don''t want to do it?"


    Cheng Lin shook his head and looked at the young doctor in front of him.


    "Doctor, do I have to do it?"


    "Yes, it must be done!" Lu Chen said decisively.


    His tone was unmistakable.


    Cheng Lin hesitated for a moment, and finally let go.


    "Okay, then I''ll do it."


    ¡­


    Lu Chen first returned to the emergency ward and reported Cheng Lin''s condition to Wang Xiaodong.


    "At present, the patient does not exclude the injury of abdominal organs, and I think it is still necessary to improve the abdominal CT."


    Wang Xiaodong listened to the medical history report.


    "Well, it is really necessary, then you can arrange a CT for him."


    "Okay." Lu Chen nodded and prepared to leave.


    "Junior brother, wait a moment." Wang Xiaodong stopped Lu Chen, "What kind of examinations those patients need to do, you can arrange it, don''t use it to report to me."


    After getting along for this period of time, Wang Xiaodong already trusts Lu Chen''s ability very much.


    Lu Chen was taken aback for a moment, then smiled: "Okay."


    With Wang Xiaodong''s approval, it would be more convenient for him.


    Otherwise, every time he sees a patient, he has to report back, which is a waste of time.


    Next, Lu Chen returned to the emergency observation room and continued to look for patients with 60-70 HP.


    "Doctor, come and see me, my heart is not feeling well, have I been injured by the shock?" When passing by a hospital bed, a middle-aged woman stopped him and said she had already taken off her coat.


    Lu Chen stopped and saw that the HP on her head was 76.


    This patient should not be considered a patient.


    However, although her health value is displayed as 76, Lu Chen still has to check it out in person.


    This system is a system after all, what if there is a card bug?


    He also cannot rely entirely on the system to judge his condition.


    "Auntie, let me show you."


    Lu Chen came to the bedside. After a series of examinations such as blood pressure measurement and physical examination, he smiled and said, "Auntie, you''re fine, maybe you''re scared."


    "Doctor, then you said I don''t need a CT?" the woman said nervously.


    Lu Chen shook his head slightly: "I checked just now. You are not injured anywhere. Your blood pressure and electrocardiogram are normal. You may have been frightened, so you don''t need to do CT examination for the time being."


    "Then can you guarantee that I''m all right?" the middle-aged woman asked.


    "This, no matter what kind of hospital doctors, doctors of any level, dare not guarantee this to patients!" Lu Chen was quite helpless.


    "That''s okay. I think it''s better to get a CT insurance. You can prescribe a full-body CT for me and check it out for me." The woman said, "I heard news just now that the medical expenses this time, The government is fully reimbursed.¡±


    "Auntie, I really don''t know about reimbursement." Lu Chen said.


    "Of course you don''t know. Well, you have already checked everything that should be checked, such as an MRI of the head, ultrasound of the liver, gallbladder and spleen... You should do these tests for me first."


    Lu Chen''s face was startled, my dear, this is the preparation for the mattress.


    "Auntie, I said in case, if the reimbursement is not made by then, then you..."


    The middle-aged woman was stunned for a moment, and there was a hint of hesitation in her eyes: "What you said seems to make sense, then I''ll wait and see, and I''ll come to you when the meeting is done."


    Lu Chen: "¡­"


    After solving this middle-aged woman, Lu Chen continued to look for patients with 60-70 HP.


    He found three more one after another, and after a simple consultation and physical examination, he asked them to do the corresponding examinations.


    There is no need to report the condition to Wang Xiaodong, Lu Chen''s speed of seeing patients is significantly faster.


    ¡­


    Outside the emergency department building of Jinghua Second Hospital.


    Xiao Zhongjiang, counselor of the graduate department.


    He manages all graduate students of Jinghua Second Academy, including masters and doctorates.


    At this time, more than a dozen graduate students came to support him behind him.


    "This accident has a great impact. Our Jinghua No. 2 Hospital is the closest to the accident site, so some patients were sent to us at first." Xiao Zhongjiang said to the students behind him, "The emergency department is not enough, so I temporarily transferred you here. Help take care of some patients with mild symptoms, and also need to accompany patients to go out for examinations."


    The students who followed behind nodded one after another.


    Most of them are graduate students.


    Many students of ??Graduate III are busy with their graduation thesis and have no time to come.


    "I won''t let you come in vain. Everyone will get extra points for the scholarship selection at the end of the year. In addition, today''s support will also give everyone an on-duty allowance."


    Xiao Zhongjiang led everyone to the emergency department.


    He found Director Dai Bin right away.


    "Director Dai, my wave of students is at your disposal."


    "Mr. Xiao, you are here!"


    Dai Bin is really busy, the nursing team asked him to borrow someone, and the various doctor teams also asked him to ask for help.


    Before, he thought that Director Lu, the director of this department, had a good job, but now it seems that it is really a hot potato.


    Director Lu was in Kyoto, and gave him this broken stall.


    "All the students come with me, and I will assign tasks to you." Xiao Zhongjiang brought all the students to the emergency ward, "two students from the nursing group, one from Wang Peng''s group, and two from Xia Yingzheng''s group, and then Teacher Dong Yuan''s team will go to two...the remaining five people, listen to Teacher Wang Xiaodong''s dispatch and go to the emergency room for observation."


    "Okay, teacher."


    People are assigned to each medical group.


    Wang Xiaodong stood in front of five students, three men and two women.


    "Mister brothers and sisters, you are in charge of the patients in the observation room, so the task is a little more difficult than others." Wang Xiaodong said, "You come with me first."


    Wang Xiaodong brought five students to the emergency observation room.


    Lu Chen is taking an old lady''s blood pressure.


    "Junior Brother Lu, come here."


    "Okay, it''s coming soon."


    Lu Chen quickly finished his blood pressure measurement and came to Wang Xiaodong.


    "Junior Brother Lu, these five classmates will follow you first and let them help them deal with the patients in the emergency observation room." Wang Xiaodong said, "Call me anytime if you have anything."


    "Okay, Senior Brother." Lu Chen nodded.


    Wang Xiaodong was about to leave when he suddenly turned around and said: "By the way, the patient with ventricular fibrillation just now, your diagnosis is correct. Mr. Li from the Department of Cardiology came for consultation and diagnosed acute myocardial infarction. Considering that it was caused by acute stress, go to CCU''s."


    "That''s good, otherwise he''ll be in ventricular fibrillation all the time, and sooner or later there will be a problem." Lu Chen said happily.


    At this moment, the system pops up a prompt.


    "Congratulations, the system upgrade completion rate has risen to 9%!"


    Lu Chen glanced at it and didn''t care.


    "Okay, then I''ll go first." Wang Xiaodong patted Lu Chen''s shoulder.


    He was more assured of Lu Chen.


    ¡­


    Lu Chen looked at the five students in front of him, with some doubts in his heart. Senior brother asked them to follow him.


    Are all these trainees in front of you?


    The five students who came to support were also puzzled.


    Is this very young doctor in front of me a new doctor in the emergency department?


    They wanted to see Lu Chen''s badge, but found that he didn''t have a badge in front of his white coat.


    "Okay, let''s do this first." Lu Chen coughed lightly, "Everyone manages patients in one area, takes electrocardiograms, measures blood pressure, and records the medical history. If the patient feels uncomfortable, tell me immediately. "


    "Okay, brother."


    One of the girls named Chi Jia nodded immediately.


    Seeing Chi Jia calling out Senior Brother, several others also agreed.


    Lu Chen knew it in his heart.


    "It seems that they are really interns."


    There are more than 40 patients in the observation room, and each person is assigned to manage seven or eight patients.


    Lu Chen''s burden was suddenly much lighter.


    The crowd began to work separately, examining everyone''s patients.


    ¡­


    About seven minutes later, Cheng Lin came back from the abdominal and head CT.


    He happened to be in the area in charge of Chi Jia.


    After Chi Jia learned about Cheng Lin''s condition, he immediately turned on the computer and watched the images in the video system.


    "Doctor, is there something wrong with my test results?" Cheng Lin couldn''t wait to ask Chi Jia''s side.


    "There is no problem with the head CT, and this abdominal CT... should be fine." Chi Jia quickly glanced at the images, "But we still have to wait for the CT room to issue a report. We are not professional."


    "Oh, okay, then I''ll wait." Cheng Lin nodded.


    But when he heard Chi Jia''s words, he felt a little more relaxed.


    Although my stomach started to hurt again, but forbearance passed.


    Lu Chen had just bandaged an old lady''s wound when she noticed that Cheng Lin was back.


    "Sister, what is the result of this patient''s abdominal CT?"


    Chi Jia immediately stood up and said, "The CT room hasn''t gotten the results yet, but I looked at the images and felt fine, nothing unusual."


    Lu Chen frowned. Is the result okay?


    He looked at Cheng Lin, but found that the health value on his head had changed!


    His health was 63 before, but now it has become 60!


    "Junior sister, you go to take this patient''s blood pressure." Lu Chen''s heart tightened.


    Although Chi Jia felt a little strange, she obediently went to get a blood pressure monitor.


    Lu Chen quickly sat in front of the computer, turned on the imaging system, and began to view Cheng Lin''s CT images.


    Head CT...no problem.


    Abdominal CT, at first glance, there is no problem.


    Could it be that he is wrong, the system is bug, does he really have no problem?


    Lu Chen sank his heart and carefully looked at every layer of the abdominal CT image.


    At this time, Lu Chen didn''t answer, and stared at the image.


    He suddenly noticed that when looking at the fourth slice of the abdominal CT, there seemed to be a low density shadow in the liver area.


    The area of ??this low-density shadow is very small, and it¡¯s really not easy to see if you don¡¯t look carefully.


    "Senior brother, the patient''s blood pressure is not very high, only 92/58mmHg, and the upper extremities are symmetrical." Chi Jia has finished measuring his blood pressure.


    "Oops, blood pressure has dropped!" Lu Chen''s heart sank.


    There is a problem, a big problem!


    Brothers and sisters, how many words should a chapter have?


    (end of this chapter)

 Chapter 177： Id rather do one more check

    Chapter 177 I''d rather do one more inspection


    "Junior sister, you take care of this patient." Lu Chen stood up with a dignified expression, "I''ll go to Senior Brother Wang."


    "Okay." Chi Jia still doesn''t quite understand what happened.


    However, the blood pressure of the patient in front of him is indeed a little low.


    According to his body type, it should definitely not be this blood pressure!


    Lu Chen trotted all the way to the emergency room.


    In front of the burn patient''s bed, he found Wang Xiaodong.


    "Senior brother, that patient just finished his abdominal CT."


    Wang Xiaodong saw Lu Chen''s eager face and understood that something might not be right.


    "What''s the problem?"


    "Senior brother, let''s take a look at the CT image of the patient''s abdomen first." Lu Chen found a computer and transferred Cheng Lin''s image in the imaging system. He pointed to the low-density liver lesion he found.


    "Senior brother, look, this location...what is it?"


    Wang Xiaodong didn''t find any problems at first, until he saw what Lu Chen was pointing at, and then he realized that it was different.


    "This is... a hypodense foci of the liver..."


    In fact, liver hypodense foci can be seen in many conditions. Benign diseases include liver cysts, heterogeneous fatty liver, liver abscess, liver hemangioma, liver adenoma, liver cirrhosis nodules, etc.


    Malignant tumors include primary liver cancer and metastatic liver cancer.


    These diseases all showed hypodense shadows on the CT scan of the upper abdomen.


    However, at this time, Lu Chen was not thinking of these situations!


    "Brother, the patient''s blood pressure is low and may be prone to shock."


    Shock is often referred to as blood pressure less than 90/60mmHg.


    But this is not an accurate definition.


    Many patients have blood pressure not lower than 90/60mmHg, but may also be in shock.


    This needs to be compared with the patient''s usual blood pressure. Some people''s usual systolic blood pressure is 180mmHg, and suddenly it drops to 130mmHg, which may also be in shock.


    "Junior Brother, what do you mean, the patient is at risk of liver rupture?" Wang Xiaodong thought of this, and a thin layer of perspiration appeared on his forehead.


    If it is a ruptured liver, it will be a big deal.


    "Yes! It''s very possible!" Lu Chen nodded, "Although this low-density lesion is not large, and there is a possibility of cysts or nodules, we can''t take this risk."


    The liver is the largest digestive gland in the human body and an important organ for metabolism and detoxification in the body.


    Normal liver is soft and easily ruptured by violent blows.


    Under normal circumstances, closed liver ruptures are divided into three categories: central rupture, subcapsular rupture and true rupture from an anatomical point of view.


    Clinically, there are more cases of death due to acute hemorrhage due to liver rupture. Death due to less violent and delayed liver rupture is less common.


    Violent blows or falls are minor, and they do not pay attention to them. Neglecting to go to the hospital for examination can easily delay the timing of treatment. Chronic blood loss is very likely to lead to acute heavy bleeding.


    "I''ll call the CT room first and ask them about the results of the film."


    CT just finished, the report will not come out so fast.


    Wang Xiaodong immediately took out his mobile phone and called the CT room.


    In less than a minute, he hung up.


    "The teacher in the CT room said that this low-density lesion does not rule out the possibility of bleeding, and it is recommended to do enhanced CT." Wang Xiaodong looked at Lu Chen with a solemn expression, "Junior brother, let''s go and see the patient first."


    ¡­


    Emergency observation room.


    "What? Do you want me to do a CT scan of the abdomen?" Cheng Lin wanted to get up from the bed, but Lu Chen pressed him back.


    At this time, the patient should maintain absolute bed rest to avoid secondary injury.


    "We found that there is something wrong with your abdominal CT, and we cannot rule out the possibility of liver rupture." Wang Xiaodong said solemnly, "So, this enhanced CT must be done!"


    "Liver... Liver rupture?" Cheng Lin''s face turned pale.


    His stomach was already a little sore, but at this time, he felt even more sore.


    "But...but I''ve been injured for two or three hours. If it was a ruptured liver, I should have reacted long ago, right?" Cheng Lin still couldn''t believe his liver ruptured.


    When I heard the name, I felt terrible.


    Chi Jia on the side also widened his eyes.


    Is this patient at risk of liver rupture?


    There was no problem with the abdominal CT just now!


    She herself is a graduate student in the Department of Gastroenterology, so she can still see the CT of the abdomen.


    Why did a liver rupture and hemorrhage suddenly appear?


    "If it is a subcapsular rupture, that is, a small ruptured wound, symptoms will not appear immediately. We call it delayed hepatic rupture and bleeding." Wang Xiaodong explained.


    But the more he explained, the more scared Cheng Lin became.


    He felt that his stomach pain was getting worse and worse.


    "What¡¯s wrong with you?"


    Lu Chen immediately noticed the pained look on Cheng Lin''s face.


    Moreover, the health on his head suddenly dropped from 60 to 54!


    "I, my stomach hurts..." Cheng Lin suddenly felt a cramp in his abdomen.


    Wang Xiaodong and Lu Chen''s expressions changed.


    "Please call for an emergency general surgery consultation!" Lu Chen shouted to Chi Jia, "Tell them, we have a patient who is highly suspected of liver rupture and bleeding, and has a tendency to go into shock, hurry up!"


    Hearing Lu Chen''s order, Chi Jia immediately took action, ran to the nurse''s station, and started contacting general surgery.


    At this time, Wang Xiaodong was giving Cheng Lin an abdominal examination.


    "I have abdominal tenderness and rebound pain!" Wang Xiaodong said solemnly.


    Lu Chen''s expression became more and more solemn.


    There is tenderness and rebound tenderness in the abdomen, which indicates that there is peritoneal irritation. Ninety-nine percent of the patients are diagnosed with liver rupture and bleeding, and the amount of bleeding continues to increase!


    "Brother, let''s transfer the patient to the emergency room first!"


    Wang Xiaodong nodded, and the two worked together to push the hospital bed in the observation room to the emergency ward.


    The ?? general surgeon arrived soon after.


    As soon as he saw the patient, he was startled.


    "Liver rupture and hemorrhage, combined with shock, and peritoneal irritation, need emergency laparotomy!"


    Wang Xiaodong immediately said: "Take the emergency green channel and push it directly into the operating room! We have contacted his family."


    "Okay." The general surgeon nodded, "I will contact the operating room to prepare, you can push it to the operating room now!"


    Lu Chen immediately, Chi Jia and another nurse pushed the hospital bed directly to the operating room of the surgical building.


    "Xiaodong, it''s fortunate for you to have an abdominal CT done in advance." The general surgeon sighed, "If the diagnosis cannot be made in time, and the CT scan is performed when the patient becomes ill, it will take a lot of time! Last time a liver The ruptured patient is gone on the way to the operating room."


    Wang Xiaodong nodded, lingering fears.


    This kind of hidden critically ill patient is the worst.


    At first, there are no special symptoms. Once the condition changes, it will be too late for rescue!


    This time, Junior Brother Lu Chen had to be careful, otherwise the consequences would be disastrous.


    ¡­


    When Lu Chen pushed the hospital bed into the operating room, he breathed a sigh of relief.


    "Congratulations, the system upgrade completion rate has risen by 10%!"


    "Congratulations, +1 for receiving thanks from Cheng Lin!"


    "Congratulations, +1 for receiving thanks from Wang Xiaodong!"


    Brother Wang Xiaodong is really interesting, he also gave him a little thanks.


    "Let''s go, let''s go back to the emergency department." Lu Chen said to Chi Jia, there are dozens of patients waiting for them in the emergency department.


    "Well." Chi Jia nodded, "Senior brother, how did you find out that the patient''s liver was ruptured?"


    There are so many patients in the entire emergency observation room, why did this young man have to do abdominal CT?


    Lu Chen paused and said, "Because of a fall from a bicycle or a hit by the handlebar, these conditions are most likely to cause liver rupture. The patient also has abdominal pain symptoms. Although it is not obvious, we cannot ignore it. The most important thing is What''s more, there is a low density shadow on the abdominal CT, and we have to highly suspect the risk of liver rupture!"


    Of course, Lu Chen still had one very important thing to say.


    That is the patient''s HP, which was only 63 at the beginning!


    This is also the reason why Lu Chen focused on Cheng Lin.


    "Are there still low-density shadows on the abdominal CT?" Chi Jia was stunned, but she didn''t find anything!


    "I''ll show you when I''m back in the emergency room."


    "Okay, thank you brother." Chi Jia nodded.


    The senior brother in front of me is quite powerful, and he is willing to teach others.


    At this moment, another prompt popped up on Lu Chen''s system panel.


    "Congratulations, +1 for the thank you from Chi Jia!"


    He looked back at Chi Jia, this intern is pretty good too.


    ¡­


    Back to the emergency ward.


    Lu Chen was surprised to find that Wang Xiaodong was looking at the patients he had selected in the emergency department with a life value of 60-70.


    Seeing Lu Chen coming back, Wang Xiaodong immediately waved to him.


    Lu Chen came to Wang Xiaodong''s side.


    Wang Xiaodong handed the examination results of several patients in his hand to Lu Chen, and said, "Junior brother, I found that your eyes are very vicious! The patients you picked out and let them do the examination, more or less found some of them. question."


    Lu Chen smiled, took these reports, and said, "I would rather do one more examination than let a patient with a problem be spared."


    That''s what he said, but Lu Chen really didn''t do another inspection.


    The middle-aged woman who had been wanting to be examined was suppressed by Lu Chen.


    "Junior brother, you did a good job." Wang Xiaodong said, "Go ahead and go to the emergency room for observation. If the patient''s condition changes, if you are sure, deal with it first, and then let the junior brothers and sisters come to me."


    "Okay." Lu Chen nodded and returned to the emergency room with Chi Jia.


    ¡­


    It was already two o''clock in the afternoon.


    Jinghua Medical University Headquarters.


    Skills Assessment Center.


    Wang Zihao came out of the examination room and searched the whole examination center, but couldn''t find any sign of Lu Chen.


    Looking at the ranking on the screen, Lu Chen''s completed projects have not changed at all, and his ranking has been dropping!


    "What did Lu Chen do? He didn''t come, right?" Wang Zihao couldn''t help thinking, "Did he take a nap?"


    He called Lu Chen several times.


    But no one responded.


    "He didn''t come, so what about the assessment!" Wang Zihao was a little anxious, "I remember that he still has more than 20 items to take the test!"


    ¡­


    (end of this chapter)

 Chapter 178： Difficult blood

    Chapter 178 Unbearable Blood


    Could it be that Lu Chen wants to keep the last twenty-eight items in the final assessment?


    This...this is unlikely!


    Wang Zihao remembered that among Lu Chen''s remaining skill items, there were still many difficult internal technology skills.


    This is simply not something normal people can do!


    ¡­


    Time passed slowly.


    The students in the Skills Assessment Center had changed twice, but Wang Zihao still didn''t see Lu Chen''s shadow.


    And Lu Chen''s ranking kept dropping.


    At four o''clock in the afternoon, the assessment is almost over.


    Lu Chen''s ranking reached fifty-eighth.


    Ranked third from last!


    "Didn''t Lu Chen come?" He Sirong found Wang Zihao and asked suspiciously.


    "No." Wang Zihao shook his head.


    "Did he not apply for the skills assessment this time?"


    "No, he applied for ten programs." Wang Zihao said helplessly.


    He Sirong''s expression became even more strange, "Then, why didn''t he come?"


    In this assessment, many students of the Second Academy were very motivated and wanted to surpass Lu Chen.


    But now, the fact is here, Lu Chen has only completed eighteen projects, and there are still twenty-eight projects to be completed.


    He Sirong couldn''t help but think, did Lu Chen just give up?


    ¡­


    Five p.m.


    Gu Xinyue finished today''s fourth assessment, he has completed all skill items.


    Yes, that''s all items!


    In the previous entrance examination, Gu Xinyue was extremely shocked by Lu Chen''s hand speed.


    So this time, he will complete the assessment as quickly as possible, surpassing Lu Chen!


    Walking out of the skill test room, Gu Xinyue looked up at the ranking on the screen.


    "First place, Gu Xinyue, completed skill item 46..."


    "Fifty-eighth, Lu Chen, completed skill item 18."


    Gu Xinyue ranked first overall, surpassing Li Hengzhen who was second by ten points!


    But Lu Chen...


    Gu Xinyue looked around, frowning.


    "He didn''t come?"


    "No, I know you won''t give up!"


    Gu Xinyue stopped paying attention to the rankings, turned around and left the skill assessment center.


    ¡­


    Jinghua Second Hospital, Emergency Department.


    At this time, Lu Chen was still busy in the observation room.


    Receive patients, judge their condition, and triage patients.


    With the help of five "interns", Lu Chen''s work went very smoothly.


    His skill proficiency and the gratitude value he received are also constantly rising.


    Until about 5:30 in the afternoon, most of the patients in the observation room had been treated by him.


    In addition to the previous patient with a ruptured liver, Lu Chen found two hidden critically ill patients.


    in the system panel.


    The proficiency of ten skills in basic nursing is almost 100%!


    Internal medicine skills are mostly above 80%!


    "Cuckoo...Cuckoo..."


    A hungry cry came from his stomach.


    Lu Chen just remembered that he hadn''t eaten at noon.


    Not only did he not eat, but most of the doctors and nurses in the entire emergency department did not have time to eat.


    Wang Xiaodong even opened a bag of glucose and poured it into his mouth because he was physically weak!


    Actually, Lu Chen''s participation in the rescue of critically ill patients was not high.


    After all, he is just a student, and he can only watch the higher-level doctors operate.


    ¡­


    However, Wang Xiaodong sent Lu Chen to the observation room, and he completed the task very well.


    All hidden critically ill patients were discovered by Lu Chen in advance.


    So much so that when Wang Xiaodong came to take over from Lu Chen, he couldn''t believe it.


    Junior Brother Lu is really good enough. He led five classmates to treat more than 40 patients in the entire observation room.


    And once encountering a sicker patient, Lu Chen had an early warning.


    "Junior Brother, you guys did a great job." Wang Xiaodong patted Lu Chen''s shoulder and sighed softly, "If it wasn''t for your support, I wouldn''t be too busy here."


    "We should do it." Lu Chen smiled, and the five "interns" standing behind him also nodded.


    With their support, the emergency department can breathe a sigh of relief, and after the condition of critically ill patients is stabilized, they will be sent to various specialized departments to triage the patients.


    Although the rescue in the emergency department is not over yet, the work of Lu Chen and others is over.


    "Hurry back and rest, you''ve been tired for a long time." Wang Xiaodong smiled, "Next time, I will definitely invite all of you to dinner."


    "Okay." A group of students who came here began to slowly disperse.


    Came to the duty room, Lu Chen took off the white lab coat he borrowed temporarily.


    took a deep breath, and his tense mind was completely relaxed.


    At this time, Ning Siyang also got off work.


    He came to the duty room and happened to meet Lu Chen who was about to leave.


    Lu Chen greeted him with a smile, and said, "Senior brother has worked hard today, so I''ll go back to the bedroom first."


    Ning Siyang smiled and nodded in response: "Well, junior brother, you are the hardest, go back and have a good rest."


    Lu Chen''s all-round performance today was amazing.


    Ning Siyang had a very good impression of him.


    While in the duty room at this time, Chi Jia, who has not had time to leave, widened his eyes.


    If she heard correctly, Lu Chen called Ning Siyang "Senior Brother"...


    But she knew Ning Siyang, he and himself are both graduate students this year.


    Lu Chen actually called him "Senior Brother"?


    For a while, Chi Jia''s head didn''t even turn around.


    Isn''t he the home doctor of the emergency department?


    After Lu Chen left, she came to Ning Siyang''s side and whispered, "Ning Siyang, that person just now, what do you call his junior brother?"


    "You mean Junior Brother Lu Chen?" Ning Siyang was packing his backpack. Hearing this, he turned around and said strangely, "Is there a problem? He is a freshman in the first year of this year!"


    "What? A freshman in the first grade?" Chi Jia opened her mouth in disbelief.


    She followed other people''s buttocks all day today and kept calling senior brother.


    He is actually just a freshman in the first year of graduate school?


    More importantly, he actually promised to call himself "Junior Sister"?


    Recalling Lu Chen''s fearlessness in the observation room, Chi Jia still shook his head, his eyes full of doubts.


    She still didn''t quite believe that Lu Chen was just a graduate student.


    ¡­


    When ?? left the emergency department, it was already 6 pm.


    Lu Chen took out his mobile phone and saw the WeChat message Wang Zihao sent him.


    Only then did he remember that he had already missed today''s skill assessment.


    There are still twenty-eight project assessments that have not been completed...


    Lu Chen shook his head helplessly. It was too late to rush to the skill center now.


    There is only one last chance for the assessment!


    Even Lu Chen didn''t know if he could complete all the skill items in the last assessment.


    After having a meal in the cafeteria, Lu Chen dragged his exhausted body and returned to the dormitory.


    Now, he didn''t want to think about anything, he threw himself on the bed, and he fell asleep immediately.


    ¡­


    Jinghua Second Academy Teaching Building, Graduate Division.


    Xiao Zhongjiang looked suspiciously at the support list that the emergency department replied to him.


    Among them, there was an unfamiliar name.


    When ?? went to support, there were ten people.


    Xiao Zhongjiang asked the emergency department to give him a list after finishing the mission in order to prevent the ten people from leaving halfway.


    However, there is one more name in the returned list.


    Lu Chen?


    Xiao Zhongjiang has a little impression of this name.


    "Isn''t this the freshman of today''s first year? It''s the student who got a perfect score in the basic skills test!"


    Why did he also go to the emergency department to support him?


    And in Director Dai''s feedback letter, he also specially praised Lu Chen.


    "Could it be that the emergency department made a mistake?"


    Xiao Zhongjiang contacted several classmates who went to support him, including Chi Jia, and everyone confirmed the existence of Lu Chen.


    "It seems that the list is correct!" Xiao Zhongjiang added Lu Chen''s name to the award certificate announced by the school.


    ¡­


    "Important notice from the Graduate Department of Jinghua Second Hospital: today the emergency department encountered an emergency. Many students in our hospital volunteered to go to the emergency department to provide support, and contributed their own strength to the emergency department to overcome this difficulty. Classmates: Lu Chen, Chi Jia, Fang Yu, Li Dong..."


    At this time, Wang Zihao immediately received this message from the WeChat group.


    He has heard about the sudden "gas explosion" incident,


    I also know that the Graduate School will send people to support.


    When he saw the first name on the list, Wang Zihao was stunned.


    He finally understood why Lu Chen gave up today''s exam.


    Lu Chen didn''t say a word, gave up the assessment, and went to support the emergency department!


    Wang Zihao had to admire Lu Chen''s courage.


    But what about his exam?


    The school will definitely not give you one more chance for assessment just because you went to support.


    ¡­


    Jinghua Second Hospital.


    Eight districts in the heart.


    Lu Chen participated in the support, and the matter of giving up the fourth assessment spread like wildfire.


    Li Yao got the news at the first time.


    Regarding Lu Chen''s behavior, she didn''t know whether to cry or laugh.


    A graduate student actually ran over to support him?


    also gave up the important fourth assessment!


    At the same time, she felt a little gratified.


    She seemed to see a figure participating in the rescue in the emergency department.


    In Lu Chen''s body, there is an unbearable blood!


    Although we know that the road ahead is difficult, we still move forward.


    As for the assessment, go to hell!


    The big deal, as I said before, is to train for next year''s skill test!


    ¡­


    Most of the people around Lu Chen knew about him.


    After praising Lu Chen''s actions in the emergency department, he also regretted his school team selection.


    According to the latest news, a maximum of 24 projects can be applied for each assessment!


    If there are more than 24 items, the assessment time will overlap.


    There will always be projects that cannot be completed.


    And Lu Chen still has twenty-eight projects left, so there must be four projects that cannot be completed.


    According to the rules of the school team selection, if all the assessments are not completed, it will be regarded as unqualified!


    Jinghua Second Hospital, the dormitory of Jipei Building.


    "Hey, there is no hope." Wang Zihao looked at Lu Chen helplessly.


    The current situation is not a matter of Lu Chen''s final ranking.


    But he couldn''t complete all the skill tests at all!


    Lu Chen pursed his lips and showed a calm smile, "Even if there is no hope, I still want to give it a try."


    ¡­


    A week later.


    The final assessment of the school team selection started quietly amid everyone''s expectations.


    I got home from get off work at 8 o''clock and started coding, it was a little late.


    As much as possible.


    (end of this chapter)

 Chapter 179： Four zero-point assessments

    Chapter 179 Four zero-point assessments


    For the last assessment, the heads of all affiliated hospitals came to the skills assessment center.


    They were all gathered in the conference room next to the assessment center.


    At the end of today''s assessment, there will be places for three school teams, that is, the top three in the total score!


    ¡­


    Skills Assessment Center.


    in the conference room.


    There is a large monitoring screen in the conference room with pictures of each exam room.


    At this time, Lei Fan, the person in charge of Jinghua First Hospital, looked at Li Yao with a smile, and said, "Professor Li, I heard that your student with a perfect score in the entrance examination went to support the emergency department of the Second Hospital, even the last assessment. It''s a pity I didn''t go."


    Today''s Lei Fan is full of confidence.


    Don''t look at the second place of Jinghua Second Academy, but after today''s assessment is over, this ranking will change!


    Li Yao smiled and said, "Isn''t the reason why the country holds a national skills competition to improve our skill operation so that we can better treat patients clinically?"


    Li Yao paused and glanced at Lei Fan.


    "Professor Lei, don''t put the cart before the horse."


    Lei Fan was stunned for a moment, the smile on his face froze, and then slowly said: "Then I hope that after the assessment is over, the Second Academy led by Professor Li can achieve good results."


    "Then I''ll borrow your auspicious words." Li Yao smiled.


    Lu Chen is probably hopeless.


    She can only pin her hopes on the other students of the Second Academy.


    If Gu Xinyue and Li Hengzhen can keep the top three positions, that would be great.


    ¡­


    7:30 AM.


    Lu Chen and Wang Zihao came to the skill assessment center together.


    Most of the students have about 10 skill items left, except Lu Chen.


    "Lu Chen, in fact, you don''t need to come this time, don''t waste your time." Wang Zihao reminded.


    Lu Chen can''t even complete the skill project now, and he is doomed to be eliminated.


    Even if he came to participate in the project, he was only showing his face.


    "When you do things, you have to have a beginning and an end." Lu Chen smiled.


    "Okay then, how many programs did you apply for?" Wang Zihao was a little curious.


    "Twenty-eight." Lu Chen smiled.


    "Twenty-eight?" Wang Zihao said in surprise, "Didn''t you say you can only apply for twenty-four programs at a time?"


    A person can only take up to 24 assessments in one day.


    Once there are more than 24 items, there must be some overlap in the time of assessment items.


    "Well, you can apply for 28 items, but there are 4 items that overlap, so you can''t go." Lu Chen said.


    "Then...it doesn''t make any sense." Wang Zihao looked at Lu Chen suspiciously.


    Lu Chen''s unwillingness, Wang Zihao can understand.


    He just hoped that Lu Chen would not be too persistent, lest he be too disappointed.


    "Don''t worry, I''m fine." Lu Chen smiled.


    His future cannot be decided by a national skills test.


    What''s more, this result is not necessarily certain.


    ¡­


    Today, Gu Xinyue also came.


    He has finished all the items and just needs to wait for the final ranking result.


    "Gu Xinyue, I will try to surpass you."


    Li Hengzhen from the Second Hospital of Jinghua walked up to Gu Xinyue and said.


    Li Hengzhen still has two assessments to complete.


    In theory, he does have the possibility to surpass Gu Xinyue.


    "Beyond me?" A smile appeared on Gu Xinyue''s handsome face, "I just hope you can hold on to the second place."


    His opponent was never someone else.


    Only Lu Chen!


    Gu Xinyue looked around the entire skill assessment center and found Lu Chen in a corner.


    He is finally here!


    Li Hengzhen also noticed Gu Xinyue''s eyes.


    "He is no longer qualified. I heard that he still has 28 items left to complete, but he can complete up to 24 items in a day."


    Gu Xinyue did not reply, he silently looked at Lu Chen.


    Without his participation, the victory this time would have been extraordinarily pale.


    ¡­


    Eight o''clock sharp.


    Assessment officially started!


    Lu Chen stood up and walked slowly towards the first exam room.


    Pericardiocentesis, four major puncture...


    Every skill operation, Lu Chen tried his best to complete.


    Because of countless realistic trainings in the virtual space, Lu Chen''s skill proficiency and completion are much higher than other students.


    His ranking is also slowly rising.


    58th place.


    57th place.


    55th place.


    After performing fifteen operations, Lu Chen''s ranking jumped directly to the fifty-third place!


    Although the increase in ranking is small, this is the ranking after other students have completed all skills.


    Lu Chen was able to rank 53rd with less than a dozen items to be assessed!


    Although someone is paddling, this ranking has surprised most of them.


    ¡­


    After Lu Chen completed today''s eighteenth assessment item, the assessments of the other fifty-nine people were all over.


    Currently, Lu Chen is ranked 48th.


    Except his grades fluctuated, everyone else''s rankings were fixed.


    Current Ranking:


    First, Jinghua Second Hospital, Gu Xinyue.


    Second, Jinghua First Hospital, Liu Qiong.


    Third, Jinghua First Hospital, congratulations.


    Fourth, Jinghua Group of Hospitals, Cheng Guoqiang.


    ¡­


    Fifth, Jinghua Second Hospital, Li Hengzhen.


    Seventh, Jinghua Second Hospital, Wang Zihao.


    ¡­


    Tenth, Jinghua Second Hospital, He Sirong.


    ¡­


    in the conference room.


    The smile on Lei Fan''s face could not be concealed at all.


    "The results are out! Congratulations to Professor Li, the No. 1 ranking is from your Jinghua Second Academy."


    Li Yao gave a soft "um" and responded.


    This result is still within her acceptable range.


    Jinghua Second Hospital won the first place and kept a seat.


    And Jinghua First Hospital took the lead in taking two places.


    "President Luo, announce the results." Lei Fan smiled and looked at Luo Binghe beside him.


    Luo Binghe didn''t reply, he was staring at the screen on the monitor in front of him...


    In the exam room.


    "Classmates, please start your operation."


    The invigilator frowned and looked at Lu Chen who didn''t move in front of him.


    Once the other students came in, they all quickly prepared to operate the equipment.


    This student is better, standing motionless at the door.


    "Teacher, this stop, I don''t do anything, will you give me points?" Lu Chen said slowly.


    The invigilator''s face darkened.


    "Zero points."


    Hearing the invigilator''s answer, Lu Chen smiled and said, "Teacher, I''m done."


    Invigilator: "..."


    Lu Chen left the current exam room and quickly went to the next exam room.


    The same scene was staged again.


    ¡­


    in the conference room.


    Lei Fan also saw a series of Lu Chen''s actions on the monitor screen.


    "He''s violating the exam regulations!" Lei Fan frowned. "After entering three rooms in a row, he came out. What does he think of our assessment? I suggest disqualifying directly. Don''t waste everyone''s time."


    Li Yao smiled and asked: "Professor Lei, dare to ask which rule he violated?"


    Lei Fan paused and said, "He entered three rooms in a row, and when he entered the last two rooms, was he late?"


    At this moment, Luo Binghe on the side said: "After each assessment starts, if you enter the room within one minute, you will not be late."


    "This..." Lei Fan was stunned for a moment, then smiled, "Even if he doesn''t violate the rules, after this tricky operation, he will have zero points in four items. What''s the difference between this and abstaining?"


    Li Yao didn''t speak, she looked at Lu Chen on the screen, her thoughts were similar to Lei Fan''s.


    Although using this method, Lu Chen could complete all skill items in disguise.


    However, he has zero points for four items!


    How does this compare?


    ¡­


    Outside the Skills Assessment Center.


    Everyone looked at Lu Chen''s in and out, with expressions of 100,000 reasons on their faces.


    Go in for a few seconds and come out.


    This, this is not tested at all, right?


    On the scene, only Gu Xinyue understood Lu Chen''s intention right away.


    "He will use four zeros to compare with us."


    Wang Zihao was slightly taken aback.


    "Four zeros?"


    Immediately, a look of astonishment appeared on his face.


    "This, this is impossible!"


    All of a sudden, the scores of four items are missing. What will Lu Chen use to rank with everyone?


    ¡­


    At this time, Lu Chen had already given up the exam in four rooms in a row.


    His current ranking is 48th, and there are still six skill items left to complete.


    "Huh..." Lu Chen took a long breath and walked to the next exam room.


    When Lu Chen came out of the room again, the ranking on the screen changed.


    Lu Chen''s ranking rose from 48th to 36th!


    "Continue!" Lu Chen''s eyes became more and more firm.


    There are five skill items left!


    When the fifth-to-last project group was completed, Lu Chen''s ranking rose from thirty-sixth to twenty-ninth.


    The fourth-to-last item, ranked twenty-seventh!


    ¡­


    At this time, everyone understood Lu Chen''s intentions.


    In the conference room, all the people in charge were staring at the monitoring screen.


    Li Yao didn''t even dare to let out the air, but a trace of anticipation slowly grew in her heart.


    Perhaps, there really is such a possibility.


    Outside the conference room, all the students looked at the rankings on the screen.


    Gu Xinyue smiled.


    Regardless of the outcome, Lu Chen did not disappoint him.


    ¡­


    At this moment, the one with the most relaxed mood might be Lu Chen.


    He can''t see the instant ranking at all, and he doesn''t have any psychological burden.


    had the heart of trying, no matter the result, he could face it calmly.


    The penultimate project was completed, and the ranking rose directly to the 22nd place!


    "Fuck, Lu Chen is really fierce!"


    "Counting the four zero-point items, he now has six less items to assess, and his ranking is higher than mine!"


    "Shh, everyone, stop talking, keep watching!"


    ¡­


    The penultimate project completed, the twelfth place!


    The most nervous at this time are the third-ranked congratulations and Lei Fan in the conference room.


    Lu Chen walked into the last exam room.


    "Students, the operation at this station is, endotracheal intubation!"


    Lu Chen nodded. In addition to the practice process in the virtual space of the system, there was also the tracheal intubation in the emergency department.


    That was his first tracheal intubation in real life.


    Silky, smooth, skilful¡­


    Without the slightest slack, Lu Chen completed this final assessment.


    When he walked out of the exam room, his ranking changed again!


    From the twelfth place to the third place suddenly!


    (end of this chapter)

 Chapter 180： The end of the varsity selection

    Chapter 180 The end of the school team selection


    When Lu Chen''s ranking became third, there was silence inside and outside the conference room.


    Everyone looked at each other with inexplicable surprise in their eyes.


    Although the four assessments that Lu Chen gave up were all extremely simple items in pediatrics and gynecology.


    According to the weighted score, the impact of the score is not high, but the visual impact is also very shocking.


    Lu Chen walked out of the exam room, raised his head, and saw his ranking.


    Third, his expression was extraordinarily calm.


    Take a deep breath and let it out slowly.


    ¡­


    Lu Chen began to reflect, what happened in this incident reflected his shortcomings.


    In the past period of time, because of the help of some systems, he was a little too smooth.


    Whether it is clinical work or life and study, Lu Chen always feels that he can solve all problems.


    The selection of the school team was divided into five assessments.


    However, he actually left half of the assessment items for the last two times.


    Moreover, from the very beginning, Lu Chen wanted to be the first, and never thought about the second or third.


    There is systematic help, but isn''t it a shame?


    But the reality hit him hard in the face.


    Although there was an accidental impact, it was also because he didn''t pay attention to it at the beginning and wasted the first opportunity for the assessment.


    Arrogance and arrogance are always the biggest stumbling block on the road of growth and progress!


    Lu Chen calmed down and let himself settle down, instead of becoming a medical worker with an impetuous mentality.


    ¡­


    Conference room.


    Lei Fan''s face was full of disbelief. Even after the final ranking was announced, he still kept shaking his head.


    "This, this is impossible!"


    With zero points in the four assessments, he was able to rank third!


    Not to mention Lei Fan, even Li Yao thought it was incredible. In fact, she was already mentally prepared, and Lu Chen couldn''t make it into the top ten at all.


    If Lu Chen was lucky enough to rush into the top ten, she would try her best to recommend Lu Chen to the school team.


    However, the chances of such a recommendation are extremely slim.


    However, now Lu Chen has entered the top three and won a spot!


    Jinghua Second Hospital also occupied two places in the top three middle schools.


    It''s amazing!


    "Is this student the Lu Chen you have been talking about?" Luo Binghe looked up at Li Yao, "I heard that he is still your graduate student."


    Li Yao smiled and nodded, "Yes."


    "Well, not bad." Luo Binghe nodded slightly, "It''s really a good seedling, but I want to know why he still has so many projects left to complete in the last assessment?"


    "Dean, it''s like this, the gas explosion last Friday..." Li Yao explained Lu Chen''s participation in the emergency rescue.


    "There is such a thing..." Luo Binghe raised his brows slightly.


    A first-year graduate student who went deep into the frontline of emergency rescue.


    For a doctor, professional skills can be trained, but this kind of consciousness as a doctor does not require much training.


    "Dean, the assessment has all ended, are you announcing the results of the assessment now?" Li Yao smiled.


    Luo Binghe nodded and said, "Well, the top three students are currently in the school team, and the remaining two places will be selected among the top ten students and will be recommended by the teachers."


    "Okay, Dean." Li Yao said.


    Although Lei Fang on the side of ?? was extremely reluctant, the situation in front of him was beyond his control.


    ¡­


    Current Ranking:


    First, Jinghua Second Hospital, Gu Xinyue.


    Second, Jinghua First Hospital, Liu Qiong.


    Third, Jinghua Second Hospital, Lu Chen.


    Fourth, Jinghua First Hospital, congratulations.


    ¡­


    Sixth, Jinghua Second Hospital, Li Hengzhen.


    Eighth, Jinghua Second Hospital, Wang Zihao.


    ¡­


    Eleventh, Jinghua Second Hospital, He Sirong.


    "According to the current assessment results, the top three students, Gu Xinyue, Liu Qiong, and Lu Chen, will enter the school team. The remaining two places will be announced tomorrow morning!"


    Li Yao, on behalf of all the responsible persons, announced the final result in the classroom of the skill assessment center.


    Walk out of the skill assessment center.


    Wang Zihao looked at Lu Chen with a look of surprise.


    "Lu Chen, you can get into the top three with less than four test scores, but you really deserve it!"


    "Actually, the four items that I scored zero are actually skills in pediatrics and gynecology, and their weight is very low." Lu Chen said.


    "That''s not easy." Wang Zihao praised, "You didn''t see everyone''s expressions just now, the congratulations from the first hospital, his face turned green!"


    He Zhang was ranked third before, if it wasn''t for Lu Chen, he would have also got a spot on a team.


    Now, he becomes the fourth!


    The third and the fourth are worlds apart.


    Third, directly enter the school team.


    Fourth, you can only enter after being recommended and selected by your teacher.


    4th to 10th rankings, there is no difference.


    "Zihao, I think your ranking is not bad." Lu Chen smiled, "If you are ranked eighth, you also have a chance to enter the final school team."


    "Hehe." Wang Zihao scratched his head.


    His entrance examination results are only in the middle and lower reaches.


    This month, he also trained hard.


    Finally ranked eighth, and also had the opportunity to enter the school team.


    ¡­


    He Sirong walked to Lu Chen, bit his lip and said softly, "Lu Chen, congratulations."


    "Thank you." Lu Chen nodded.


    After He Sirong finished speaking, he glanced at Lu Chen with a complicated look, and then left.


    "What happened to her?" Lu Chen frowned slightly.


    "Hey, Lu Chen, didn''t you see He Sirong''s ranking?" Wang Zihao reminded in a low voice.


    Lu Chen looked up at the screen.


    Eleventh place, Jinghua Second Hospital, He Sirong!


    So, before Lu Chen''s assessment was over, she was the tenth place.


    He Sirong had a chance at first, but now, he has become the eleventh, and has no chance of being selected for the school team at all.


    No wonder the way she looked at herself was so complicated.


    ¡­


    After the ?? assessment, Lu Chen was finally able to have a good night''s rest.


    After this assessment, he not only improved his proficiency in various skills, but also deeply realized his own shortcomings.


    Despite the help of the system, Lu Chen still hopes that his abilities can be improved as much as possible.


    ¡­


    The next day, at nine in the morning.


    The quotas for the other two varsity teams were also announced.


    "Cheng Guoqiang ranked fifth in the Jinghua Third Hospital."


    "Jinghua Second Hospital, the eighth-ranked Prince Hao."


    Lu Chen was also quite surprised when he saw Wang Zihao''s name appear on the school team roster.


    Wang Zihao, who usually does not show off the mountains and waters, actually has such a background?


    Lu Chen only knew that he had an uncle who opened a real CS club, and he wanted to give him a 3M stethoscope before.


    ¡­


    Among the school teams this time, Jinghua No. 2 Academy has three places, one each for Jinghua No. 1 and Jinghua No. 3.


    Li Yao, as the person in charge of Jinghua Second Academy, finally became the general person in charge of the national skills assessment.


    Ten o''clock in the morning.


    All five school team members, including Lu Chen, received the notice from the school.


    "The National Medical Skills Exam will be held at Jiangcheng University in two weeks."


    (end of this chapter)

 Chapter 181： revenge?

    Chapter 181 Revenge?


    The venue of the competition, Jiangcheng University?


    When Lu Chen saw this notice, he couldn''t help laughing, he was going home!


    He had never paid attention to the location of the skill test before. After the school announced it, he learned that the location of this competition was actually Jiangcheng University in Huzhong Province.


    Jiangcheng University School of Medicine is the organizer of this competition.


    There, he stayed for five full years, but they were all his old acquaintances.


    Not to mention, after coming to Beijing for a month, Lu Chen really felt homesick.


    ¡­


    "Mom, I''m going back to Jiangcheng in two weeks." Lu Chen smiled and said to Luo Meizhen in the video.


    "Son, are you on vacation?" Luo Meizhen looked at Lu Chen with joy.


    "No, I''m coming to Jiangcheng to participate in a competition." Lu Chen smiled.


    "That''s great." Luo Meizhen said, "I originally said that I would go to Jinghua with your father to find you, but now it doesn''t seem to be necessary."


    Lu Chen said with a smile: "Mom, I''m going back to Jiangcheng to compete this time. Maybe I don''t have any vacations, so I can''t accompany you guys!"


    "Oh, I don''t need you to accompany me, your dad and I will just go to your game!"


    Until she hung up the phone, Luo Meizhen was still smiling from ear to ear.


    "What''s the good thing, making you so happy?" Lu Wenguo glanced at Luo Meizhen, and then turned his attention to the spy war movie on TV.


    "Just made a video call with my son, and he said he would return to Jiangcheng in two weeks." Luo Meizhen laughed.


    "What are you doing back to Jiangcheng?" Lu Wenguo turned down the sound of the TV.


    "It seems to be participating in any competition. I didn''t ask for the specifics. When that time comes, the two of us will take an annual leave and go to Jiangcheng to see him."


    "Competition?" Lu Wenguo wondered, "What kind of competition are graduate students going to participate in? They are still coming to Jiangcheng to compete, so this should be a national competition."


    "I didn''t ask for the specifics." Luo Meizhen said, "I''ll know when the time comes."


    Although Luo Meizhen didn''t ask, Lu Wenguo was very interested.


    He turned down the volume of the TV and started checking on his phone.


    "In two weeks, there will be some medical exams..."


    Lu Wenguo noticed a piece of news that the National Medical Skills Competition hosted by Jiangcheng University will open!


    Lu Chen should be participating in this national medical skill operation competition!


    Lu Wenguo was a little surprised, this kind of national competition should be considered a very high standard.


    At the same time, he also noticed that each school has five teams, four main members and one substitute.


    It is really not easy for Lu Chen to stand out from the whole school and become a member of the school team!


    Lu Wenguo suddenly lost interest in the spy war movie in front of him, but was full of expectations for the two-week skill competition.


    In addition, he has the capital to show off in the department...


    ¡­


    Jinghua Second Hospital.


    After the members of the school team were confirmed, a new round of intensive training began.


    The school leaders attach great importance to this skills competition.


    This time, the school will open all the skills and operation equipment to the members of the school team.


    Lu Chen and other five people are training in the skill center every day.


    Gu Xinyue was appointed captain.


    Each subject has a teacher, one-to-one teaching.


    Everyone, every project, has to demonstrate over and over again.


    Lu Chen stayed at the skill center with peace of mind, and did not go to the clinic to earn gratitude points.


    in his current system panel.


    The forty-six items required in the assessment outline of the ??Medical Skills Competition are all above 80% skill proficiency.


    Among them, basic nursing skills, and some internal medicine and surgical skills have reached 100%!


    The only fly in the ointment is the skills of pediatrics and gynecology, which only stay at 80% at most.


    Without practice, there is no way to further improve.


    If there is no accident, the skills of pediatrics and gynecology will remain at 80%.


    ¡­


    Two weeks passed quickly.


    The opening day of the National Medical Skills Competition is approaching.


    This skills competition has a total of 28 teams from major medical schools across the country.


    The participating team of Jinghua Medical University, in addition to the five members of the team, also has a team leader, a teacher in charge of skills training, and a teacher in charge of logistics support.


    A group of eight people flew to Jiangcheng in Huzhong Province two days before the opening of the skill competition.


    got off the plane.


    Lu Chen and his party came to the accommodation hotel arranged by the organizer.


    "Free activities today, get used to the venue from 2:00 to 3:00 pm tomorrow, and the game will officially start the day after tomorrow."


    Cai Guangming looked at the five people in front of him with a serious expression.


    He is the director of the school''s skills training center and the team leader of Jinghua Medical University.


    "After more than a month of training results, it''s time to test it, everyone must work hard, strive for the top, and strive to get good results!"


    Cai Guangming''s predicted score is the top ten in the country.


    Just enter the top ten, then break through the best results in history, and he will be good at going back.


    Cai Guangming mobilized everyone again, and everyone went back to their own rooms.


    Lu Chen and Wang Zihao live in a room.


    "Hey, Lu Chen, go to Jiangcheng University later." Wang Zihao smiled, "You are the host, take us to have a good meal!"


    "You..." Lu Chen raised his brows, "Who else?"


    "Gu Xinyue..." Wang Zihao smiled.


    "When did you have such a good relationship with him?" Lu Chen laughed.


    "Lu Chen, don''t think that this person is a little arrogant and arrogant, but when they get along, it''s not bad, there''s nothing to say about his character." Wang Zihao said.


    In the past two weeks, we have gotten to know each other a lot.


    "Okay then, pack your bags and let''s go for a walk."


    "Okay. I''ll tell Gu Xinyue and ask him to wait for us on the first floor."


    packed up and put the toiletries in the bathroom, Lu Chen and Wang Zihao went downstairs.


    came to the front desk of the hotel.


    A dozen people came in a mighty way.


    is headed by a middle-aged man, and the others are young people.


    It seems that they are also the team that came to participate.


    "Hey, Lu, Lu Chen?"


    When Lu Chen passed by this group of people, a voice suddenly stopped him.


    A little fat man walked out of the crowd and quickly came to Lu Chen.


    At first glance, Lu Chen felt a little familiar.


    "You are¡­¡­"


    "I''m Qi Ruilin, Kyoto University School of Medicine. We met during the re-examination, and I added your WeChat."


    Hearing what the little fat man said, Lu Chen remembered it.


    "Are you here too?" Lu Chen smiled and glanced at the crowd behind Qi Ruilin.


    The group of people behind him is the team from Kyoto University School of Medicine.


    "Yeah." Qi Ruilin laughed, his eyes narrowed, "I finally got selected for the school team, but I am a substitute. With your strength, I should be the main member."


    "Well, do your best, you will still have a chance to appear." Lu Chen smiled, "I have time to chat, my classmates are waiting for me outside."


    "Goodbye." Qi Ruilin nodded.


    Lu Chen waved his hand and left.


    Qi Ruilin also returned to the team.


    "Fatty, what school did you just say this from?" the middle-aged man in the lead asked.


    Qi Ruilin blurted out: "It should be from Jinghua Medical University. I met him when I participated in our school''s re-examination."


    He remembered that Lu Chen was at Jinghua Medical University.


    "Oh." The middle-aged man nodded, "Jinghua Medical University, they have never been in the top ten."


    "But this person just now is very powerful." Qi Ruilin said.


    Everyone smiled and didn''t care.


    A person who was brushed out by the re-examination is very powerful?


    ¡­


    Walking out of the hotel, Gu Xinyue was waiting at the door.


    "Lu Chen, which school was that just now..." Wang Zihao whispered.


    "Kyoto University School of Medicine, I know their team members during the re-examination." Lu Chen said.


    "Ah? Kyoto!" Wang Zihao was taken aback, "They have won the first place in three consecutive competitions."


    "So powerful?" Lu Chen raised his brows.


    "Yes." Wang Zihao nodded, "They are the top medical schools in the country, so it''s not surprising that they have this result."


    Gu Xinyue on the side, but her eyes flashed a little bit of busyness, and she said something that made Lu Chen stunned.


    "Lu Chen, don''t you want revenge?"


    "Vengeance? I have nothing against them." Lu Chen glanced at Gu Xinyue suspiciously.


    "Didn''t you get swiped in the retest? That''s not revenge?" Gu Xinyue smiled, "Why, are you afraid?"


    Lu Chen glanced at Gu Xinyue, what happened to this guy, he kept stirring up his emotions.


    However, after thinking about it carefully, what Gu Xinyue said also makes sense.


    Lu Chen was somewhat unwilling to be brushed in the retest.


    Now we meet again with Kyoto University School of Medicine, and we still meet in the competition.


    Revenge is not to mention.


    However, Lu Chen seems to have one more reason to get the first place.


    (end of this chapter)

 Chapter 182： Lu Chens worries

    Chapter 182 Lu Chen''s Worries


    The accommodation hotel arranged by the organizer is very close to Jiangcheng University.


    The three of Lu Chen walked for less than five minutes before they saw the gate of Jiangcheng University.


    stood at the gate of the school, looking at the school name engraved on the marble tablet.


    Lu Chen had a long-lost smile on his face.


    Jiangcheng University carries his five-year memory, where he became a medical student, stepped into the palace of medicine, and embarked on the road of no return.


    "Jiangcheng University''s overall ranking is much higher than that of Jinghua Medical University. With your grades, it shouldn''t be a problem to stay in school." Gu Xinyue glanced at Lu Chen next to her.


    Lu Chen always gave him a calm, calm, and mysterious feeling.


    "Jiangcheng University''s comprehensive strength is very strong, but its medical strength is unsatisfactory." Lu Chen said, "I want to study cardiovascular medicine, Jinghua Second Hospital ranks seventh, but Jiangcheng University ranks 20th."


    "However, it''s not bad if you can stay close to home." Gu Xinyue said.


    "Although my home is nice, but I also want to go out and have a look. I have stayed in Jiangcheng for five years. If I continue to stay for three years or longer, I will always feel a little tired. When I think about it, life is very monotonous."


    After Lu Chen finished speaking, he walked into the gate of Jiangcheng University with a smile.


    Gu Xinyue glanced at Lu Chen, looked away, and followed closely with Wang Zihao.


    ¡­


    Strolling through the campus, you can occasionally hear the chirping of insects and birds among the trees.


    Walking through the familiar classrooms, cafeterias, and playgrounds, I thought of Brother Chong, Huang Mao and Ajie, who were in the same dormitory. They should be doing well in their respective schools.


    "This is much bigger than our Jinghua Medical University." Wang Zihao smiled, "To be honest, if I have the chance, I really want to study here."


    "Then come when you are studying for a PhD." Lu Chen smiled.


    "Hey, I don''t want to study for a Ph.D. I''m going to be tortured to death for a postgraduate study." Wang Zihao waved his hand quickly, "Why do you want to study for a Ph.D. if you can''t think of it?"


    Lu Chen smiled and said nothing.


    Gu Xinyue said: "Study medicine, a doctorate is the beginning. If you stop at a master''s degree, you will have no future in the future, and you will be accepting patients in the department for the rest of your life."


    Wang Zihao spread his hands, "Isn''t it good to be a little doctor? I really can''t do it if I do those scientific researches."


    "No future." Gu Xinyue glanced at Wang Zihao.


    "Then you will become a doctoral supervisor in the future, and I will read your doctorate." Wang Zihao teased.


    Gu Xinyue: "..."


    ¡­


    Everyone felt a little tired, so Lu Chen took them to a time-honored home-style restaurant near Jiangcheng University.


    On the way, Lu Chen also passed by Happy Internet Cafe.


    He really wanted to go in and see if the former internet cafe **** was there.


    Speaking of which, the owner of the store had promised him and Zhou Wei that they would get discounts online.


    However, Lu Chen glanced at him from a distance, and then left.


    ¡­


    I ordered four dishes and one soup at a home cooking restaurant.


    "Are you two used to eating?" Lu Chen asked with a smile.


    Huzhong Province is located in the central and western parts of China, and Jinghua is in the north. The food culture of the two places is not small.


    "The portion of the food is a little smaller, and the taste is a little sweet." Gu Xinyue said lightly, "Other than that, it''s okay."


    Wang Zihao smiled, "I feel pretty good, not so heavy on taste, to avoid high blood pressure."


    "That''s good." Lu Chen nodded.


    During the ?? period, Wang Zihao also suggested drinking some beer.


    However, Lu Chen and Gu Xinyue sternly refused.


    This guy is a surgeon. He didn''t do it for a long time, but he learned a lot from the bad habits of those surgeons who drink alcohol.


    ¡­


    "Ding ding ding..."


    The phone rang, Lu Chen picked it up and saw that it was his mother''s call.


    "Hey, Mom."


    "Xiaochen, your dad and I have already arrived in Jiangcheng, are you at school?" Luo Meizhen''s excited voice came from the phone.


    Lu Chen was taken aback, "Mom, didn''t you say you''ll be there tomorrow?"


    "Hey, I was planning to arrive tomorrow, but your father insisted on coming to see you one day earlier. We will come today and we will be at Jiangcheng University soon."


    On the other end of the phone, Luo Meizhen said with a smile.


    Lu Wenguo, who was driving beside him, could only shake his head slightly and threw the pot on him again.


    "Where are you? Your dad and I are looking for you."


    "Mom, I''m near Jiangcheng University, I''ll send you a location."


    hung up the phone, Wang Zihao asked in confusion, "Is your mother here?"


    Lu Chen smiled and nodded, then Luo Meizhen posted a position on WeChat.


    This meal is almost finished.


    Lu Chen, as the host, treated the guests and settled the bill.


    "Lu Chen, let''s go back to the hotel first." Wang Zihao said, "I won''t disturb your reunion with your parents."


    "Okay." Lu Chen smiled, "I''ll look for you when I go back."


    As soon as the three of them left the restaurant, a domestic SUV car stopped in front of the restaurant.


    Luo Meizhen got out of the car first and saw Lu Chen who had just walked out of the restaurant.


    "Xiaochen!" Luo Meizhen waved at Lu Chen, and then Lu Wenguo also got out of the car.


    "Mom and Dad, you are here so soon." Lu Chen walked forward with a smile.


    "We only called you when we arrived at Jiangcheng University." Luo Meizhen smiled, she noticed the two people behind Lu Chen, "Are these two your classmates?"


    "Yes." Lu Chen nodded, "They are all my graduate students."


    "Hello, uncle and auntie." Gu Xinyue and Wang Zihao said in unison.


    "Hello." Luo Meizhen narrowed her eyes and smiled.


    Then Wang Zihao whispered, "Lu Chen, let''s go first."


    Lu Chen nodded.


    The two said hello and left.


    ¡­


    Lu Chen got into the car.


    Luo Meizhen took his hand and said suspiciously, "Xiaochen, what''s the matter with you?"


    "Ah... what''s going on?" Lu Chen looked confused.


    "After going to school for so long, I haven''t met one or two girls? Why are all the guys with you guys?"


    "Mom..." Lu Chen said helplessly, "This time there is only one girl here, and I''m not familiar with her."


    "Oh, that means at school, you know each other very well?" A smile flashed in Luo Meizhen''s eyes.


    Lu Chen: "..."


    Lu Wenguo, who was driving, immediately relieved his son.


    "You were saying some time ago, don''t ask Xiaochen to find medical staff as his girlfriend, why are you asking about this now?"


    Luo Meizhen heard the words and said angrily: "I care about my son. He usually lives in a small circle, and there is no one else except doctors and nurses."


    "He hasn''t graduated yet, so don''t be in such a hurry." Lu Wenguo said again.


    "Because I haven''t graduated yet, so you have to hurry up now. The circle will be smaller in the future, and you usually don''t care about him."


    "You, why did you get involved with me, why didn''t I care?"


    ¡°¡­¡±


    Next, Lu Wenguo and Luo Meizhen quarreled all the way.


    Lu Chen wisely shut up.


    Dad is really righteous, he successfully transferred the conflict and got on fire.


    If Lu Wenguo can also receive thanks points, he should be full by now.


    However, after five minutes, Lu Wenguo took the initiative to admit his mistake.


    Lu Chen: "..."


    Could this be the reason why the Lu family has been in harmony for so many years?


    ¡­


    Lu Chen stayed with his parents for a few hours, had dinner, and told them about his skills competition schedule.


    Lu Wenguo sent Lu Chen to the downstairs of the hotel.


    "Mom and Dad, I have field training tomorrow, so I can''t accompany you. The game will officially start the day after tomorrow."


    "Okay, don''t worry about us, train hard." Luo Meizhen smiled.


    "Well." Lu Chen waved his parents and walked into the hotel.


    watched Lu Chen walk into the hotel, and Luo Meizhen and Lu Wenguo also left.


    The time he spent with his parents was very short, but it was the most relaxing time for Lu Chen.


    Back in the hotel room, Wang Zihao was watching a skill video with headphones on.


    Lu Chen did not disturb him, and also began to review the relevant skills and operation knowledge.


    ¡­


    The next day.


    Twenty-eight participating teams will conduct training to adapt to the venue in batches.


    At two o''clock in the afternoon, Lu Chen and others followed the team leader to the gymnasium of Jiangcheng University.


    The gymnasium is divided into several areas, which were transformed into the venue for this skill competition.


    This skill competition is divided into preliminary, semi-final, resurrection, semi-final and final.


    Preliminary rounds and semi-finals are held on the first day, and semi-finals and semi-finals are also held on the second day.


    All competitions will be completed within two days.


    Lu Chen is relatively familiar with the gymnasium. He often came here to play in college.


    Coincidentally, Jinghua Medical University and Kyoto University School of Medicine conducted field adaptation training in the same batch.


    Lu Chen met Qi Ruilin again.


    "Lu Chen, will you play in the preliminary round tomorrow?" Qi Ruilin took time to come to Lu Chen''s side.


    "Well, come on stage." Lu Chen nodded, "How about you?"


    "Hey, I don''t have a chance." Qi Ruilin shook his head helplessly, "There are a bunch of fierce people in the team, I have no chance to play at all, and this substitute opportunity was obtained with great difficulty."


    "Are they all that powerful?"


    "Lu Chen, you don''t know, many of them have been out of labor for four months, specifically to train their skills." Qi Ruilin said.


    "Four months, so long?" Lu Chen frowned. He thought that Jinghua Medical University had been out of labor for a month and a half, which was already a long time.


    Unexpectedly, this student of Kyoto University School of Medicine spends four months off-the-job to train skills.


    These operating skills are actually not very difficult, let alone doing them on a dummy, practice makes perfect.


    Those who practiced for four months are definitely better than those who practiced for one month!


    This skill test is a team competition, not a solo fight.


    Looking back at Jinghua''s team members, Lu Chen suddenly became a little worried about his team''s prospects.


    I''m about to be assigned to the fever clinic, to see patients with fever...


    (end of this chapter)

 Chapter 183： Sudden change!

    Chapter 183 Sudden change!


    The acclimatization training on the field is over soon.


    The organizer issued work permits to all of them.


    Lu Chen and others got the preliminary competition certificate. After the preliminary competition, the next level of work certificate will be issued.


    Back to the hotel.


    Team leader Cai Guangming gathered everyone in a room and told the rules of the game.


    "Tomorrow''s preliminaries will be multi-stop, with two rounds, each with ten stops, for a total of twenty stops."


    "After two rounds and 20 rounds of competition, the top ten teams will enter the semi-finals, the eleventh to fourteenth teams will enter the undetermined area, and the remaining half of the teams will be eliminated directly and go home. ."


    "Tomorrow afternoon, the rematch will be held in a track format, with four out of ten. The six teams that did not make the cut will join the four teams in the preliminaries to be determined. team."


    Wang Zihao held the competition rules and was a little surprised, "Half of the teams will be eliminated tomorrow morning. This is too cruel."


    Cai Guangming nodded and looked around his five team members.


    "You should all know that our best result in Jinghua is 11th. To put it nicely, it is the 11th place. To put it badly, it means that we didn''t even make it to the semi-finals."


    When everyone heard this, they were all silent.


    "This time, we won''t talk about getting a good ranking, but we must enter in the semi-finals!" Cai Guangming said solemnly.


    The leader of Jinghua Medical University gave him a death order.


    Entering the top ten, there are bonuses, and points will be added first for evaluation.


    was eliminated in advance, nothing left!


    "Tomorrow''s preliminaries will be played by Gu Xinyue, Liu Qiong, Lu Chen, and Cheng Guoqiang. All of you will be ready tomorrow morning, and you must play your best!"


    Cai Guangming still has confidence in Gu Xinyue, Lu Chen and Liu Qiong.


    The two performed very well in both the school team assessment and the usual training.


    "Mr. Cai, then, what about me?" Wang Zihao whispered.


    After training for so long, it would be a pity if you didn¡¯t make a round!


    "You are a substitute, stand by first." Cai Guangming said.


    "Oh." Wang Zihao was also a little unwilling.


    In fact, Wang Zihao''s level is similar to that of Cheng Guoqiang, but Cheng Guoqiang''s ranking in the school team selection is higher than that of Wang Zihao.


    Exams, in addition to the usual training, but also rely on on-the-spot performance.


    Cai Guangming considered Cheng Guoqiang again and again.


    ¡­


    Each went back to the room.


    Wang Zihao was a little gloomy.


    Although he opened the skill learning video as usual, he obviously lost the attention he used to be.


    Lu Chen stepped forward and said, "Zihao, you just admit defeat?"


    Wang Zihao shook his head helplessly: "No way, Teacher Cai doesn''t send me, what else can I do?"


    "Then you need to work harder to adjust your mentality." Lu Chen moved a stool and sat next to him, "The meaning of being a substitute is to replace others at any time. If one of us is not in good condition tomorrow and affects the operation, you have to be ready to play. . If you don¡¯t adjust your mentality, then our team will be miserable. In any game, there must be a substitute.¡±


    Wang Zihao is not a person who digs the horns, "Lu Chen, hearing that, I feel much better."


    Lu Chen smiled and patted his shoulder.


    At this moment, there was a sudden knock on the door.


    Lu Chen got up and opened the door, Gu Xinyue walked in with three cups of milk tea.


    "Aren''t you going to review?" Lu Chen closed the door.


    "Review, but you have to combine work and rest." Gu Xinyue came to Wang Zihao and put the milk tea on the table, "And this is a skill test, we are only talking about the video when we watch it."


    Lu Chen found that Gu Xinyue''s people were not bad.


    came to Wang Zihao with milk tea, obviously wanting to relieve his depressed mood.


    The three chatted for a while, and Wang Zihao was in a better mood.


    "Okay, you can go back and review." Wang Zihao took a sip of milk tea, "Although watching the video is not comparable to the actual operation, it can also continuously stimulate the nerve endings and form muscle memory, which is still beneficial."


    Gu Xinyue nodded and got up to leave.


    Suddenly he paused and looked back at Lu Chen, "Do you think our hopes are high this time?"


    Lu Chen was silent for a long time before slowly saying: "This will wait until the end of the preliminary round tomorrow. I still don''t know the strength of other schools. But according to the rankings over the years, the chance of our Jinghua entering the finals is actually very small."


    This time, the skill competition focuses on team cooperation ability. The preliminary round includes individual skills and multi-person skills. The semi-finals and finals are mainly multi-person cooperation.


    Wang Zihao and Gu Xinyue glanced at Lu Chen and fell silent.


    When did they think about entering the finals!


    What Gu Xinyue wants to ask is, the chances of entering the semi-finals...


    Although they also practiced very hard, in terms of school hardware equipment, teachers and other conditions, Jinghua still has a lot of gaps from top medical schools.


    "Although the odds are not high, I have confidence." Lu Chen broke the silence and smiled, "Although our opponents are strong, we are not bad!"


    And Gu Xinyue, who has always been confident, just nodded at this time.


    The opponents are all fierce, the top medical students in China.


    The final, just think about it, it is not realistic.


    After Gu Xinyue left, Lu Chen and Wang Zihao also started to review.


    Lu Chen kept a universal card, that is, to exercise before the exam to avoid handicap.


    The next day.


    Eight in the morning.


    Twenty-eight teams from all over China came to the Jiangcheng University Gymnasium.


    After the organizer held a simple opening ceremony, the National Skilled Medicine Competition officially started!


    The ?? team leader and others were in the venue next door, watching the live broadcast in real time.


    At the same time, each skill competition will be broadcast live on major portals across the country.


    The number of online viewers is around one million every year.


    ¡­


    In a certain district of Jiangcheng.


    Lu Wenguo and Luo Meizhen did not live in a hotel, but stayed at a relative''s house.


    Lu Wenguo turned on the TV early in the morning.


    There was no broadcast on TV, so he projected the live webcast on TV.


    "Brother, this is the competition Xiaochen participated in?" Lu Wenjun also came to the living room with a cup of tea.


    "Yeah." Lu Wenguo smiled and nodded, "I originally came to see it live, but this game is not open to the public, it is only broadcast live on the Internet."


    "This is still a national competition!" Lu Wenjun sighed in his speech at the opening ceremony, "Xiaochen has a bright future, unlike my family, alas, I really don''t know what university he can get into next year''s college entrance examination."


    "Don''t worry too much, children and grandchildren will have their own blessings, and there will always be a way out."


    "That''s all I can think of." Lu Wenjun nodded and focused his attention on the TV.


    The family gathered in front of the TV to watch Lu Chen''s game.


    ¡­


    Jinghua Second Hospital.


    In the conference room of the teaching building, the school opened a 100-person amphitheatre to broadcast the skills competition.


    "Mr. Li, why are you here? Didn''t you leave the clinic today?"


    Sun Guoguo looked at Li Yao in surprise.


    "I changed classes with Director Lin Cui." Li Yao said with a smile, "I am the person in charge of this skill competition, and there are my students here, so I must come and see."


    Sun Guoguo nodded, and immediately gave up a good seat for watching the game.


    In the viewing classroom, many people came one after another.


    Lu Chen and Wang Zihao''s entire bedroom came.


    Ke Yue, Jiang Qingyan, Cheng Peng and others from the eight districts in their hearts, and even Senior Brother Dong Hao and Junior Sister Yao Jie came.


    A total of about 30 or 40 people came, and most of them were familiar with the contestants and those who participated in the school team selection.


    "The game is on."


    Li Yao looked at the big screen in front of her, and there was a glimmer of anticipation in her eyes.


    ¡­


    Jiangcheng University Gymnasium.


    The National Medical Skills Competition has officially started!


    A green washcloth with a white lab coat over it.


    Masks and hats are on, everyone is ready to go!


    The first round, a total of 20 stations, each station 6 minutes.


    The four players of each team have four labels A, B, C and D on their clothes.


    There will be a lottery before each skill starts.


    is divided into two students to operate, and two students answer questions.


    The label on Lu Chen''s clothes is C.


    Gu Xinyue''s label is A.


    The competition started, and the four Lu Chen walked into the test venue of the first stop.


    There are cameras all around the venue.


    Not only is the score scored by the referee on the spot, but there is also a remote monitoring referee behind the camera for real-time scoring.


    "The first station of skill operation, radial artery puncture and blood gas analysis, is operated by AC students, and BD students answer the questions."


    Lu Chen glanced at Gu Xinyue and said in a low voice, "I''ll do it, you''ll help."


    Gu Xinyue nodded.


    Radial artery puncture is one of Lu Chen''s most assured operations.


    He not only trained many times in virtual space, but also practiced many times in real clinical practice.


    Gu Xinyue prepared to operate the equipment, and explained the condition to the patient "dummy", as well as the necessity and danger of the operation.


    Lu Chen started to wash his hands and wear gloves.


    In the operation of the first stop, Lu Chen did not pursue speed, but stability.


    Disinfection, anesthesia, puncture.


    Elevate the patient''s wrist to keep the wrist in hyperextension.


    Every step, Lu Chen will be careful to avoid mistakes.


    Picking up the needle, Lu Chen took a deep breath.


    As soon as the needle is inserted, the end of the needle will see "blood".


    The referee next to ?? nodded slightly, it seems that the quality of this year''s students is good.


    The first classmate to get started, the level is very high!


    "Teacher, our operation is complete!"


    Gu Xinyue was doing errands next to him and began to pack up the operating equipment.


    After Lu Chen and Gu Xinyue finished, they stood by and waited while Liu Qiong and Cheng Guoqiang answered the questions.


    The referee nodded: "According to the results of the blood gas analysis, classmate B judges the patient''s acid-alkaliosis, and classmate D briefly describes the next treatment measures."


    Liu Qiong is B. She looked at the blood gas analysis and said directly: "The patient has respiratory acidosis combined with metabolic alkalosis."


    Cheng Guoqiang is D, and he quickly answered the relevant treatment measures.


    The first stop of skill operation, the Jinghua Medical University team, performed perfectly.


    In the broadcast classroom of the Second Hospital of Jinghua.


    Li Yao saw the performance of the Jinghua representative team and was very determined.


    Perhaps, this year can really make a breakthrough!


    ¡­


    The second test, catheterization!


    "Operated by BD students, AC students answer the questions."


    Because it is for male catheterization, Cheng Guoqiang is the main operation, and Liu Qiong is assisted.


    Cheng Guoqiang stepped forward. When he saw the operating equipment on the table, his expression suddenly changed.


    This is different from the equipment they usually train with!


    Lu Chen and others also noticed this change.


    The operating equipment in the south and the north is not the same!


    Although the principle is the same, but suddenly seeing different equipment, this is still a large-scale competition, Cheng Guoqiang is inevitably a little nervous, and he did not start the operation immediately.


    "Please start the operation." The invigilator reminded.


    Cheng Guoqiang nodded, swallowed softly, bit his head, and started to move forward.


    (end of this chapter)

 Chapter 184： Ranking announced!

    Chapter 184 Rankings announced!


    Jinghua Second Hospital.


    Broadcast classroom in the teaching building.


    Everyone didn''t know what happened, but it was obvious that Cheng Guoqiang was a little panicked.


    His hands were moving very slowly, and Liu Qiong, who was beside him, looked anxious.


    There is a countdown watch on the wall, and each skill operation is only 6 minutes away!


    It has been a minute now, and Cheng Guoqiang has not officially started.


    "Wen Guo, why hasn''t this child started to operate?"


    Luo Meizhen nervously looked at the scene in front of her.


    "Maybe he''s thinking?" Lu Wenguo frowned, "But he has to hurry up, otherwise there won''t be much time left to answer the questions."


    ¡­


    "Bang bang bang..."


    At this time, Cheng Guoqiang''s hand suddenly shook, and the catheter accidentally fell to the side of the operating table.


    Liu Qiong on the side was stunned.


    The catheter has been contaminated and cannot be used any more.


    Re-unpack and prepare instruments.


    This...this is a major mistake!


    At this point, there are still four minutes left until the end of the operation.


    Fortunately, this time, Cheng Guoqiang''s operation was very smooth.


    "Teacher, our operation is finished."


    Cheng Guoqiang''s voice trembled a little, he looked up at the countdown on the wall, there was still one and a half minutes left to answer the question.


    "Okay, it''s time to answer questions." The referee nodded.


    "What is the amount of catheterization for the first time and the amount of each subsequent catheterization..."


    There is not much time left.


    After listening to the question, neither Lu Chen nor Gu Xinyue had any room to think, so they answered the question directly.


    Fortunately, the question was relatively simple, and both of them answered it perfectly.


    Second stop, it''s over!


    Eight stops left!


    ¡­


    Walk out of the room at the second stop.


    "Guoqiang, don''t be too nervous." Liu Qiong said softly.


    Cheng Guoqiang nodded helplessly: "This equipment is not the same as what we usually use for training, I accidentally..."


    "The principle is still the same. We are in this situation, and other teams will definitely be in this situation." Lu Chen relieved, "Don''t affect your mentality, there are still eight exams!"


    "Well." Cheng Guoqiang replied softly, took a few deep breaths, and tried his best to calm himself down.


    The four came to the third stop.


    The operation of the third stop, the use of ophthalmoscope, to check the changes of the fundus!


    This will be another eye exam.


    Lu Chen''s complexion was not bad, but the faces of the other three were darkened!


    How come an ophthalmology question suddenly appeared?


    This is completely out of the category of inner, outer, women, and children for a long time.


    Lu Chen also knew that several other people had never practiced at all, because Jinghua headquarters did not set up this operation item at all.


    He has only practiced in the virtual space, and his proficiency is only around 70.


    The draw is over.


    "BC students operate, AD students answer questions!"


    Lu Chen breathed a sigh of relief, and several others turned their attention to him.


    The only hope now is to see Lu Chen''s actions!


    Ophthalmoscope, divided into direct ophthalmoscope and indirect ophthalmoscope.


    The ?? exam gives a direct ophthalmoscope.


    Lu Chen recalled all his operations in the virtual space in his mind.


    Before the formal examination of the fundus, use the side-illumination method to observe whether the refractive medium is cloudy, and turn the dial to +8~+10D (black).


    10~20cm away from the eye to be inspected, the fundus mirror light is injected into the pupil, the pupil area is normally orange-red reflection, such as a black shadow in the red reflection, indicating that the refractive medium is turbid...


    Four minutes later, Lu Chen completed the entire operation, which was relatively smooth.


    However, it¡¯s time to answer the questions.


    The topic of ?? is to look at the pictures of the fundus and judge the changes of the fundus.


    This time, Cheng Guoqiang can''t do it again!


    hesitated for a long time, and finally gave up.


    Lu Chen''s operation passed the test, but in the part of answering questions, the Jinghua team failed again!


    ¡­


    Walking out of the room at the third station, everyone''s expressions changed.


    Just after the third stop, there were so many situations.


    There are still seven stops left!


    "Guoqiang, are you okay?" Lu Chen looked at Cheng Guoqiang.


    Cheng Guoqiang was already sweating on his forehead.


    "It''s okay, it''s okay, but the title is a little unexpected, and it should be better in the future."


    Adjusted their emotions, Lu Chen and others continued with the next skill items.


    The viewing room next to the stadium.


    The broadcast here is different from the one on the Internet. There are many small pictures on the screen, and you can see the real-time progress of each team.


    At this time, Cai Guangming''s face was ashen.


    He saw Cheng Guoqiang''s mistake during catheterization, and then he didn''t answer the fundus examination question.


    "Wang Zihao, prepare yourself well. In the next round, it''s your turn." Cai Guangming said to Wang Zihao next to him.


    No substitutions are allowed in the middle of the ten stations of each round, only before the start of the second round.


    Wang Zihao nodded with a solemn expression on his face.


    To be honest, if Cheng Guoqiang was in those situations, he might not be able to do better.


    The only thing he could do was try to keep himself as calm as possible.


    Taking advantage of the waiting time, he took out his mobile phone and began to watch ENT, gynecology, pediatrics, and infectious diseases, which are relatively unpopular technical operations.


    ¡­


    Fourth stop, dressing change + traction.


    The fifth battle, skin removal + suture for skin diseases.


    ¡­


    Tenth stop, adult waist piercing!


    The operation of the last stop was relatively conventional, and was operated by Lu Chen and Gu Xinyue.


    Gu Xinyue is the main operation, Lu Chen is the assistant!


    The whole process went very smoothly, and Gu Xinyue showed his strength as the number one in the school team selection.


    After the ?? operation, Liu Qiong''s answer is also very good.


    The Jinghua representative team, the ten rounds of the first round, are over!


    Lu Chen and the four returned to the lounge.


    After an hour break, the second round will begin.


    During this period, the results of the first round will be announced.


    Cai Guangming also came back with Wang Zihao.


    But neither of them had the slightest smile on their faces.


    The people who were watching the game were able to see the performance of all the teams most intuitively.


    In the first round just past, the performance of Jinghua Medical University was not bad, but it was definitely not the first echelon.


    Everyone is a player chosen by thousands of people, and the comparison is who has the fewest mistakes.


    Cheng Guoqiang''s few mistakes are absolutely fatal!


    "Everyone has worked hard." Cai Guangming said, then looked at Cheng Guoqiang, "Guoqiang, you rest in the next round, let Zihao come on."


    Cheng Guoqiang''s face darkened, he nodded, and didn''t say much.


    "Okay, everyone have a good rest. After an hour, the second round will start."


    After half an hour.


    The results of the first round are out.


    First place, Kyoto University School of Medicine.


    Second place, Huachuan Medical College of Northwestern University.


    The third place, Modu Jiaotong University.


    Fourth place, Pingjin Medical University.


    ¡­


    Tenth place, Jiangcheng University.


    17th place, Jinghua Medical University!


    "No. 17, not too bad!" Lu Chen looked at the ranking on the screen. This result was higher than he expected.


    There were two fatal mistakes, and it was not bad to be able to rank in the middle level.


    "I''m sorry, if it wasn''t for me..." Cheng Guoqiang blamed himself.


    If he didn''t make a mistake, Jinghua Medical University might have squeezed into the top ten promotion circle now.


    Everyone was silent.


    According to previous competitions, the results of the first round basically determine the qualifying team.


    After the second round of the competition, at most two or three teams in the top ten will have their results changed.


    "Don''t say these frustrating words, you have performed very well after that." Lu Chen patted Cheng Guoqiang on the shoulder, "We are ranked 17th, the next round of hard work, there is still great hope!"


    Wang Zihao immediately echoed: "Everyone cheer up, there are ten stops in the next round! Lao Gu, please say something!"


    "When did I become Lao Gu?" Gu Xinyue said angrily.


    "Hey, don''t be sullen!" Wang Zihao smiled, "When the exam is over, I invite everyone to have a meal and eat whatever you want."


    "Then I''m going to Hubu Lane." Gu Xinyue finally showed a smile on her face.


    Lu Chen curled his lips, "There is a place to trap you outsiders. It''s expensive and not delicious. We never go there."


    "Just say please or not?" Gu Xinyue glanced at Lu Chen.


    "Please! Of course please!" Wang Zihao laughed.


    Liu Qiong on the side of ?? also suddenly said, "Then I''m going too."


    Everyone looked at each other and smiled, and the gloomy atmosphere before dissipated a lot.


    ¡­


    The second round begins!


    Cheng Guoqiang was replaced, and Wang Zihao went into battle.


    First stop, posterior fornix puncture!


    The first stop of this afternoon, we have a gynecology program for everyone.


    The lottery is over, this skill is operated by Wang Zihao.


    Lu Chen was a little worried at first, but Wang Zihao completed all the operations very smoothly.


    Although there are still some flaws, the degree of completion is very high.


    It seems that he has put in a lot of hard work.


    At this time, the mood of the audience outside the venue was even more nervous than Lu Chen and others.


    Jinghua Second Hospital.


    "Mr. Li, the situation is not optimistic." Sun Guoguo frowned and said, "After the first round, we only ranked 17th. Unless the second round breaks out, it will be very difficult."


    Li Yao sighed slightly, "No way, those two mistakes are too fatal, otherwise it should have been in the top ten by now. Let''s take a look, I believe Lu Chen is a child, and now he can only look at him."


    After ??, everyone''s attention was focused on the broadcast screen again.


    Jiangcheng District.


    "Wen Guo, is there any hope for Xiaochen''s team?"


    Luo Meizhen stared at the TV screen without blinking.


    "I read the rules of the competition. There are ten rounds left in the second round, so there should be a chance." Lu Wenguo said solemnly.


    Although he said so, Lu Wenguo knew it.


    The gap between the 17th and 10th places doesn''t seem big, but everyone is very good. It''s probably difficult to catch up!


    ¡­


    Jinghua Gymnasium.


    The second round of exams continues!


    Second stop, intramuscular injection in the buttocks, and intravenous blood transfusion.


    The third stop, pediatric nasogastric intubation, and nasogastric feeding.


    Fourth stop, adult osteotomy.


    The fifth stop, gynecological release ring.


    ¡­


    In the entire ten-station operation, Lu Chen was selected four times for the main operation.


    This is a very high probability.


    Lu Chen accomplished everything very well.


    In the remaining six stops, several others also completed smoothly.


    The second round of the competition is over!


    Back in the lounge, Cai Guangming''s face finally looked a lot better.


    "It''s still very hopeful!" He said to everyone, "I followed the games of several other teams with similar performance as ours, and none of them did as well as us!"


    Lu Chen and others were all relieved.


    Buy a plane ticket to go back to school, or continue the game.


    Just look at the results after half an hour!


    This wait is undoubtedly very long.


    Whether it is on-site or off-site watching the broadcast, a heart is mentioned in the throat.


    After half an hour, the results will be announced!


    First place, Kyoto University School of Medicine.


    Second place, Modu Jiaotong University.


    The third place, Huachuan Medical College of Northwestern University.


    Fourth place, Pingjin Medical University.


    ¡­


    Tenth place, Jiangcheng University.


    The eleventh place, Jinnan Medical University.


    Twelfth place, Jinghua Medical University!


    (end of this chapter)

 Chapter 185： Unremarkable Easter

    Chapter 185 The ordinary resurrection match


    Twelfth place!


    When the ranking of Jinghua Medical University appeared, Lu Chen and others were silent.


    Although they were in the second round, they desperately chased.


    But still failed to enter the top ten, failed to enter the semi-finals in one breath.


    There was disappointment and frustration on everyone''s faces.


    Even Cai Guangming has no voice.


    "The game is not over yet, are you going to give up?" Lu Chen suddenly said.


    "We still have a chance to play in the resurrection, but what about the school teams that didn''t even make it to the 14th?"


    "Look at the eyes of their team members, how eager they are to have an opportunity like ours!"


    After Lu Chen finished speaking, the other four remained silent, not even Wang Zihao.


    Resurrection, ten to one¡­


    is so hard!


    Seeing that everyone still didn''t speak, Lu Chen didn''t continue to exhort him, stood up, and was about to leave the competition venue.


    "Lu Chen, where are you going?" Wang Zihao hurriedly called out.


    "Go back to rest, recharge your batteries, and then review for a while. The Easter Tournament starts at four in the afternoon." Lu Chen stopped, glanced at Wang Zihao, and left.


    Wang Zihao gritted his teeth, looked back at Gu Xinyue, and followed behind Lu Chen.


    After half an hour.


    Gu Xinyue stood up and said to Cheng Guoqiang and Liu Qiong, "Let''s go, let''s go back too."


    ¡­


    ¡­


    "Qi Ruilin, is this the one you said is very powerful?"


    The captain of Kyoto University School of Medicine smiled and looked at Qi Ruilin beside him.


    Qi Ruilin was stunned, he also saw the ranking of the Jinghua representative team, the twelfth place.


    "They should still have a chance, isn''t there a resurrection match?"


    The captain raised his eyebrows, "The resurrection match of ten points and one point... How difficult is this, I don''t need to say it."


    Qi Ruilin did not speak.


    However, he suddenly recalled in his mind Lu Chen''s stunning performance during the re-examination in Kyoto.


    For Lu Chen, maybe this is not a problem.


    However, this is a team game after all, and no matter how good the individual performance is, it may not be able to change the final outcome.


    ¡­


    Jinghua Second Hospital.


    When the rankings were announced, many people present left.


    Even the members who had participated in the varsity selections left.


    "Senior Brother Cheng, there is a resurrection game in the afternoon, won''t you come?" Yao Jie said to Cheng Peng who was about to leave.


    Cheng Peng spread his hands, shook his head and said, "Don''t look at it, I have to go back to work, and it''s too difficult to get ten to one. When the results come out, remember to send me a WeChat."


    After ??, Cheng Peng waved his hand and left.


    Yao Jie looked at the ranking on the screen, clenched her fists tightly, and felt a little unwilling, "With Senior Brother Lu here, there must be a chance!"


    At this time, the expression on Li Yao''s face was very serious.


    Sun Guoguo''s voice rang in her ear.


    "Teacher, the situation on the field is not good, the resurrection game is ten to one, the competition is too fierce!"


    "If it wasn''t for a first-round mistake, it''s at least the top eight now!"


    Li Yao''s voice was low: "Whether they can break through the resurrection match, now depends on their desire to win!"


    ¡­


    After the preliminary round, there will be a two-hour break at noon.


    At one o''clock in the afternoon, the rematch begins.


    The rematch is four out of ten.


    After the semi-finals, the six teams that did not advance will join the four teams that are currently pending to fight for the last place to enter the semi-finals.


    After using up the lunch provided by the organizer, Lu Chen returned to the hotel room.


    He opened a skill operation book, and his consciousness entered the virtual space.


    Lu Chen originally decided to use the time for the last all-purpose card before tomorrow''s semi-finals or finals.


    Now it seems to be impossible.


    In the resurrection game this afternoon, he has to maintain his best form.


    Lu Chen quickly went through the operations of each subject to keep his hands hot.


    Wang Zihao went back to his room and saw that Lu Chen was still studying.


    He originally planned to take a break, but upon seeing this, he also clicked on the operation video and continued to study.


    ¡­


    Maybe Lu Chen''s words played a role, or maybe it was some other reason.


    After the other four members of the Jinghua team returned to the hotel, they all chose to continue reading books or reviewing videos.


    It is unknown how much ?? does review now.


    But everyone''s dedication and hard work, Cai Guangming sees in his eyes.


    He didn''t continue to say any words of encouragement, but bought some snacks and drinks for everyone and sent them to their respective rooms.


    ¡­


    At three o''clock in the afternoon, the rematch ends.


    The first teams to enter the semi-finals are:


    First place, Kyoto University School of Medicine.


    Second place, Huachuan Medical College of Northwestern University.


    The third place, Pingjin Medical University.


    4th place, Magic City Jiaotong University.


    The ranking of Kyoto University School of Medicine is very stable and has always been the first.


    The other six representative teams, including Jiangcheng University, will compete with the four undetermined teams in the morning for a resurrection match to determine the final places to advance to the semi-finals.


    The rules of the resurrection match are the same as the rematch. It is a track style. The participating players are two random people, and they are decided by lottery.


    At four o''clock in the afternoon, the resurrection game begins!


    The Jinghua representative team was the last to come to the venue.


    "Xiaochen, come on!"


    Lu Wenguo and Luo Meizhen stayed in front of the TV for a moment.


    In the broadcast room of the Second Hospital of Jinghua.


    At this time, there were only a dozen people left, all of them from the eighth district of the heart and Lu Chen''s bedroom.


    In fact, in their hearts, they no longer have too many expectations.


    Stay here, just waiting for a result.


    ¡­


    "Are you ready?"


    At the entrance of the race track, Lu Chen glanced at Gu Xinyue.


    This draw was lucky, with Lu Chen and Gu Xinyue going out together to compete on the entire track.


    Gu Xinyue nodded, her eyes firm.


    If there is someone else beside him at this time, maybe he is still a little unconfident.


    But standing next to Lu Chen, Gu Xinyue''s heart couldn''t help but calm down.


    Resurrection Race, each track has six operation events.


    The first stop, ECG interpretation and electrical cardioversion.


    The second stop, adult chest wear.


    The third stop, put on and take off protective clothing.


    ¡­


    The sixth stop, hemostasis and dressing of open wounds.


    These six exams have a total time limit.


    In the case of the same score, it depends on the length of the team''s time.


    Among the six stations, each person needs to be assigned the main operation of three stations.


    "Lao Gu, look at which three operations you are familiar with. You choose first, and leave the rest to me." Lu Chen said.


    Gu Xinyue nodded.


    Now is not the time to be polite.


    Gu Xinyue chooses the first, second and fourth stops.


    The main operations of these three stations are all his own.


    The remaining three stops were left to Lu Chen.


    "I said, we will enter the finals, do you believe it?" Lu Chen smiled towards Gu Xinyue.


    Look at Lu Chen''s confident and bright smile.


    Gu Xinyue''s handsome face also showed a slight smile.


    Maybe, he can really do it!


    Like, the perfect score in the entrance examination.


    It''s like, the lack of items in the school team selection is the third.


    As the referee''s whistle blew, the game began.


    Gu Xinyue conducts the main operation of the first stop.


    ¡­


    Outside the venue, Wang Zihao and the others were sweating from the palms of their hands.


    They might want people on the field to be more nervous.


    In front of the broadcast screen, there is a real-time score ranking.


    Whenever a team completes an operation, the score will be displayed immediately.


    At this point, there are ten teams on the screen panel, and the scores of all teams are zero!


    five minutes later.


    "The ranking has changed!"


    Wang Zihao suddenly shouted.


    In less than ten seconds before and after, the rankings on the field changed three times in a row.


    Because there were three teams, they took the lead in completing the first leg of the competition.


    "We are number one!"


    Cai Guangming whispered, a hint of surprise flashed in his eyes.


    On the screen, several large characters of Jinghua Medical University ranked first!


    is followed by Bingcheng Medical University, Pingjin Medical University, and Jiangcheng University.


    "Old Gu is really good!" Wang Zihao smiled, "When the game is over, I''ll take him to Hubu Lane to eat and have enough!"


    The second stop is still operated by Gu Xinyue.


    Adult chest wear, this item is the most routine operation item.


    In this second leg, each team received similar points.


    The second stop is over.


    In the column of total scores, Jinghua Medical University leads by a slight advantage.


    At the third stop, it was Lu Chen''s turn to operate.


    The content of this stop is, put on and take off protective clothing!


    is mainly to respond to public health emergencies.


    The whole process looks simple, but it is easy to miss some operations.


    For example, when taking off the protective clothing, you need to wash your hands for every operation!


    In addition, the order of each step cannot be reversed, otherwise points will be deducted.


    Gu Xinyue watched from the sidelines.


    Lu Chen''s speed was very fast, as if he had trained countless times.


    Each step is precise and precise, without any extra movement.


    Looking at Lu Chen''s operation, Gu Xinyue felt it was a kind of enjoyment.


    is not sloppy, but just right.


    The third stop is over!


    Jinghua Medical University is still in the first place, and the lead has expanded a bit.


    "Old Gu, there are still three stops, let''s work harder!" Lu Chen smiled at Gu Xinyue.


    Gu Xinyue smiled, "Lu Chen, I believed you, you want to take me to the finals!"


    "I didn''t take you, it was us!"


    Lu Chen and Gu Xinyue looked at each other and smiled.


    ¡­


    Offsite.


    Everyone thought that the resurrection match was a very intense match, it could even be said to be white-hot.


    After all, ten college teams are competing for a spot!


    Everyone thought that the final team would come from Kyoto Medical University, Bingcheng Medical University, and Pingjin Medical University. These three teams were among the top teams in the preliminary round.


    However, the outstanding performance of Jinghua Medical University exceeded everyone''s expectations.


    At present, everyone''s attention is focused on Jinghua Medical University!


    From the first stop, Jinghua started to lead.


    After the fourth stop of the skill event, the Jinghua team has established a considerable lead!


    Whether it is on or off the court, people who are not familiar with the Jinghua team begin to have some doubts in their hearts.


    "How come you didn''t make the top ten in the preliminary round at this level?"


    "I think it''s more than ten, at least the top five!"


    "You don''t know yet, I paid attention to Jinghua''s preliminary competition before. They made mistakes in two operations and deducted a lot of points, so they came to participate in the resurrection because of such a low ranking."


    ¡­


    The sixth race is over.


    This also means that the resurrection is over.


    on the giant screen of the broadcast.


    The name of Jinghua Medical University still firmly occupies the top position!


    A game that was thought to be bloody.


    At this time, it was bland, without the slightest ups and downs.


    starts from the first stop and ends at the last stop.


    Jinghua Medical University, represented by Lu Chen and Gu Xinyue, has always occupied the top spot!


    The viewing area next to the stadium.


    The people here are the first to know the result.


    When the results are announced.


    Team leader Cai Guangming, and Wang Zihao and others who did not play, were very excited.


    If not in public, they would all shout with joy.


    Jinghua entered the semi-finals, they created the best record in history!


    ¡­


    At this time, in the distant Jinghua Second Hospital.


    broadcast room.


    at the moment the results are announced.


    In the originally quiet classroom, suddenly there were warm applause and shouting.


    Li Yao had a smile on her face, suppressing her inner excitement.


    She is a mentor and cannot be gaffe.


    Sun Guoguo next to her was different, but she jumped up with joy.


    Yao Jie looked at the broadcast with red face.


    She was muttering in her heart, she already knew that Senior Brother Lu would definitely be able to do it!


    Those who didn¡¯t know it thought that Jinghua had entered the finals!


    But for the current Jinghua.


    The final, even the championship, is only one step away!


    There is one more chapter before 12:00


    (end of this chapter)

 Chapter 186： If you dont do it, you will score!

    Chapter 186 Score points only if you don''t operate!


    A community in Jiangcheng.


    Lu Wenguo and Luo Meizhen were sitting in front of the TV.


    "Wen Guo, Xiao Chen, he really advanced?"


    From the beginning to be determined, to entering the resurrection.


    From the twelfth in the preliminary round to the first in the resurrection competition.


    Things change so quickly that it is too late for people to react.


    Actually, both Lu Wenguo and Luo Meizhen were about to give up.


    Unexpectedly, Jinghua Medical University came with a Jedi counterattack.


    "Really advanced!"


    Lu Wenguo looked excited. He was not on the field, but he could fully feel the excitement in the field.


    From the hands of the other nine teams, they stole the promotion spot, and Jinghua Medical University has already earned enough attention this time.


    Luo Meizhen took out her mobile phone and immediately sent Lu Chen a message of blessings.


    ¡­


    "Captain, look, they made the cut!" Qi Ruilin pointed to the ranking on the screen.


    Zhang Yunzhe stared closely at Lu Chen and Gu Xinyue.


    These two are not easy!


    What he noticed was not only the first place in Jinghua, but also the points obtained by Lu Chen and Gu Xinyue for each skill.


    Among the three items that Lu Chen operated, two of them were full marks!


    Gu Xinyue performed a full score in one of the three items, and the other two were close to full score!


    This kind of result is even more shocking than the first place!


    It seems that on their way to winning the first place, they will have another strong opponent!


    ¡­


    All games on the first day are over, and the semi-finalists are out.


    First place, Kyoto University School of Medicine.


    Second place, Huachuan Medical College of Northwestern University.


    The third place, Pingjin Medical University.


    4th place, Magic City Jiaotong University.


    5th place, Jinghua Medical University!


    This is the first time Jinghua Medical University has entered the top ten and the first time it has entered the top five!


    Inside the hotel.


    Cai Guangming smiled and said to Lu Chen and the other five.


    This afternoon is the day he smiles the most.


    "Tomorrow morning semi-final, five to three! Tomorrow afternoon final, three to one!"


    "This time, everyone''s performance is very good, and the school leaders are very satisfied!"


    Wang Zihao hurriedly came out and flattered.


    "Mr. Cai, it''s you who led the team well!"


    Cai Guangming glanced at Wang Zihao.


    "In the next game, don''t put too much pressure on everyone and play well. Tonight, I invite everyone out for a drink and treat everyone!"


    The crowd came to a restaurant near the hotel.


    Cai Guangming ordered several big dishes, and everyone enjoyed it.


    After eating and drinking, everyone returned to the hotel.


    Lu Chen and others started their review journey again.


    was speechless all night.


    ¡­


    The next day.


    At nine o''clock in the morning, the semi-finals began.


    The semi-finals, like the semi-finals, are also track-style competitions.


    But there are only three semi-finals.


    These three exams are combined with the actual clinical situation, and are no longer a simple skill operation.


    The referee will give a lift, and then let the students judge the condition and analyze the patient, as the best treatment operation.


    The final score is scored by three judges.


    Each station is operated by two students, and two students answer questions.


    Lu Chen and Wang Zihao were selected for the first stop!


    All teams will start the assessment at the same time.


    "First stop, case topic."


    The patient, male, 63 years old, was admitted to the hospital with the main complaint of "vomiting 400ml of bright red blood 2 hours later".


    Symptoms of the patient on admission: stomach discomfort, nausea, dizziness, fatigue, palpitation, lucidity, and poor spirit. The patient has a history of liver cirrhosis and ascites, no history of hepatitis, and a history of long-term alcohol consumption, and has now quit.


    Physical examination on admission: P112 times/min, R20 times/min, blood pressure 80/60 mmhg, anemia appearance, sane, poor activity, no tenderness, and mild upper abdominal tenderness.


    ¡­


    After introducing the condition, the referee asked a question: "Please choose the items given and handle them urgently!"


    On the console next to ??, there is a dummy model.


    Next to the ?? console, there are many operational items.


    Including three-chamber two-capsule tube bag, infusion needle, indwelling needle, stethoscope, syringe, etc., as well as sodium chloride and omeprazole.


    Seeing the items and medicines given by the operating table, Wang Zihao immediately responded: "Lu Chen, this patient has the possibility of upper gastrointestinal bleeding, so he should use a three-lumen two-bag tube to stop the bleeding in this test."


    Lu Chen nodded slightly.


    From the patient''s chief complaint, symptoms, and physical examination, the upper gastrointestinal tract is currently considered, and shock bleeding!


    Now the most important thing is to stop the bleeding!


    On the operating table in front of you, the most conspicuous is the three-lumen two-capsule tube bag.


    Three-lumen two-capsule tube, suitable for compression and hemostasis in patients with bleeding from esophageal and gastric varices.


    Among them, the three-lumen two-bag tube includes a three-lumen tube, a gastric balloon and an esophageal balloon. The gastric balloon and the esophageal balloon are attached to one end of the three-lumen tube. The three-lumen tube consists of a semicircular lumen and two quarters. A circular cavity is formed.


    Watching Wang Zihao pick up the three-lumen two-capsule tube from the console, Lu Chen suddenly felt something was wrong!


    He remembered that in the preliminary round, he seemed to have passed the three-lumen two-capsule tube!


    According to the urine nature of these tests, is it possible to test a knowledge point at the same time?


    Have you passed the knowledge of the three-lumen bicapsular tube, will you take the test again?


    the answer is negative!


    "Zihao, wait a moment, don''t unpack the operation package yet!"


    Hearing Lu Chen''s words, Wang Zihao''s hands stagnated for a while, and then he put down the three-lumen two-capsule tube.


    "Lu Chen, what''s wrong?"


    Lu Chen quickly whispered: "I think this patient may not need a three-lumen two-capsule tube."


    "Don''t use this? Then what are we going to do?" Wang Zihao wondered.


    Lu Chen lowered his head and pondered: "I remember the indications for the triple-chamber two-capsule tube. One of them is that after the drug has failed to stop the bleeding, I will consider the three-chamber tube!"


    "This..." Prince Hao paused.


    Lu Chen is right, it fits the actual clinical situation, but it is an exam after all!


    If you don¡¯t take the three-chamber hemostasis test, what else can you test?


    At this time, Lu Chen said, "It''s for me to take charge, Zihao, you help."


    "Well, that''s fine." Wang Zihao nodded.


    ¡­


    Lu Chen stepped forward and informed the patient''s "dummy" of his condition first.


    The first step is to conduct an emergency blood test (blood typing and cross-matching), open multiple venous accesses, replenish blood volume, and correct shock.


    The second step is to stop the bleeding.


    Lu Chen glanced at the three-lumen two-capsule tube that was close at hand, but gave up using it.


    Embed the indwelling needle first, then use omeprazole, and do a lot of fluid rehydration at the same time!


    ¡­


    Offsite.


    Everyone saw Lu Chen''s operation,


    Cai Guangming was very puzzled, the other four teams had already started to use the three-lumen two-capsule tube to stop the bleeding.


    Lu Chen did not hurry to perform the hemostasis operation on the three-lumen two-capsule tube.


    Just like this, do you use medicine to stop the bleeding?


    What kind of operation is this?


    There is no technical content!


    Not only Cai Guangming didn''t understand, but Wang Zihao also didn''t understand!


    ¡­


    However, after eight minutes, the first operation was completed.


    On the big screen, the ranking of each team is displayed.


    The score of Jinghua Medical University actually ranks first for the time being!


    is 20 points more than the other four teams!


    (end of this chapter)

 Chapter 187： Closing (Part 1)

    Chapter 187 Ending (Part 1)


    In the field, the participating teams are not aware of the real-time points and rankings.


    And those who fought off the field, all had a thought in their hearts.


    Could it be that the scoreboard is faulty?


    The first-place Jinghua Medical University actually leads the second place by more than 20 points!


    Could it be that other teams made mistakes?


    However, if one representative team made mistakes, why did the other four teams also make mistakes?


    In the spectator room next to the gym.


    Cai Guangming looked very puzzled.


    He has been following the operation process of Jinghua Medical University.


    The only difference between ?? and other teams is that Lu Chen did not perform the compression hemostasis operation on the triple-lumen and two-capsule tube!


    No action, score points.


    But the other team did it, but didn''t score?


    "Mr. Cai, I understand. Could it be this case question? It''s not only about operation, but also about our overall clinical thinking."


    Cheng Guoqiang whispered.


    "Returning to the root of this case, in fact, the first choice is to use internal medicine rehydration therapy such as acid suppression, fluid rehydration, and hemostasis. Only after conservative treatment operations are ineffective, can a three-lumen two-capsule tube be used!"


    The ?? three-lumen two-capsule tube, placed in front of all candidates, is too confusing.


    But think carefully.


    As long as anyone who has actually stayed in the clinic knows that the triple-lumen and two-capsule tube is an invasive operation after all.


    Any invasive operation will definitely cause damage to the human body.


    If there is a conservative medical treatment for hemostasis, why use radical methods, and these methods may cause a series of complications!


    "Guoqiang, you mean that what this question really wants to test is not three-chamber hemostasis." Cai Guangming said solemnly, "The deeper purpose is to investigate the emergency treatment strategy for upper gastrointestinal bleeding."


    "Yes!" Cheng Guoqiang nodded, "When we perform technical operations in the clinic, the objects are not cold instruments, but real people, real people. Any operation we choose should be carried out with the least risk. Get the most out of it!"


    Clinical operation does not depend on how difficult it is.


    Rather, it is to use the most suitable method to give the patient reasonable and reasonable treatment.


    Off the field, more and more people are realizing this.


    The ?? three-lumen two-capsule tube may be the key to this question.


    However, no one can guarantee that he will be able to ignore the three-lumen and two-capsular tube in front of him in the state of the exam!


    After all, this pipe, this point, is right in front of you, can you not get it?


    ¡­


    The game continues.


    The second stop of the semifinals, deep hemostasis!


    "Patient, male, 38 years old, weighing 85KG."


    "The patient was admitted to the hospital due to a knife stab wound on the right side of the abdomen for half an hour. During the emergency operation, four active vascular hemorrhages were found in the deep abdominal cavity. Two sutures and hemostasis were performed according to the provided model."


    This is a typical surgical problem.


    On the representative team of Jinghua Medical University, only one person is a surgical surgeon, and that is Wang Zihao.


    This question, the best result, is assigned to Wang Zihao to complete.


    After the lottery, the second leg was completed by Gu Xinyue and Liu Qiong.


    Both of them are internal medicine students, one is cardiology and the other is respiratory medicine.


    "How is it, are you sure?" Lu Chen said softly.


    "Of course there is." Gu Xinyue raised her eyebrows, "At the beginning I was going to choose what was outside my heart, but in the end, for some reasons, I chose what was inside my heart"


    After ??, Gu Xinyue and Liu Qiong stepped forward and started the operation of the second stop.


    "Outside your heart?" Lu Chen''s eyes showed a hint of doubt.


    Intra-cardiac and extra-cardiac, although both belong to the field of the heart, and there are many intersections, but they are fundamentally different from internal medicine and surgery, and the span is very large.


    However, when Lu Chen saw Gu Xinyue''s skillful operation on the console, he began to believe his words a little.


    Gu Xinyue''s posture and movements with the scalpel are very standard.


    Less than 30 seconds, quickly find the bleeding point.


    When stitching, Gu Xinyue''s speed is not fast, but it is very stable.


    On the side of ??, Liu Qiong is only assisting in the role of handing scalpels and various equipment.


    Lu Chen knew that in this second stop, their scores would also not be less!


    Offsite.


    Cai Guangming raised the glasses on the bridge of his nose, "Although Gu Xinyue''s operation speed is not as fast as those of the surgical ones, but every step is very standard, there are no mistakes, and he should be able to get a good score."


    The second stop is over.


    The second leg of Jinghua Medical University was just as expected by Lu Chen and Cai Guangming. They were five points less than the second-placed Kyoto University School of Medicine and three points less than the third-placed Northwestern University Huachuan School of Medicine.


    But Jinghua''s total score is still at the top of the list!


    Be aware that there are only three semi-finals.


    This also means that in the final battle, as long as there are no accidents, Jinghua Medical University will definitely be ranked in the top three!


    This kind of situation was unexpected for Cai Guangming, and also for Lu Wenguo and Luo Meizhen.


    Even Li Yao from the Second Hospital of Jinghua never thought of it!


    ¡­


    Jinghua Second Hospital at this time.


    The number of people in the broadcast classroom gradually increased.


    When I got 20 points at the first stop of Jinghua, many people came to hear the sound.


    A classroom that can only accommodate 100 people is nearly two-thirds full.


    Li Yao''s hands are shaking, shaking with excitement!


    There is only one last stop left, Lu Chen and others can make it to the finals! ! !


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Today happened to be the weekend. Except for the students on duty, no one else went to work.


    Cheng Peng is preparing to play two Yasuo, the last wave of silver.


    Suddenly, he received a WeChat message from Yao Jie.


    took out his mobile phone and read his sister''s WeChat, Cheng Peng was a little surprised.


    "What?! Currently ranked first, after the last stop, there is a high probability of entering the finals?"


    Cheng Peng swallowed. Yesterday, Jinghua entered the semi-finals with a bump.


    I thought it was already a good result, but today, there may be a further breakthrough!


    He immediately turned on the computer, found the broadcast URL, and clicked on the game broadcast screen.


    Sure enough.


    On the scoreboard, Jinghua Medical University ranked first with an advantage of 15 points!


    There is still one final exam left.


    It''s just that the cultural level is not high enough in normal times. After thinking about it for a long time, Cheng Peng can only shout:


    "Fuck you, awesome!"


    Others in the same room were attracted by Cheng Peng''s "compliment", thinking that he was looking at something good again.


    The other three roommates came up immediately, but they were a little disappointed when they saw the picture.


    "Fatty, what are you looking at? It''s so boring..."


    Cheng Peng quickly grabbed his roommate who was about to leave.


    "This is a national medical skills competition! We Jinghua also participated, and we will enter the finals soon!"


    The roommate was shocked when he heard it.


    "What did you say? Finals...?"


    Although the school once released a reward for a skill competition, they did not participate in the competition. After being envious for a while, they did not pay much attention.


    "Isn''t the best grade in our school eleventh?"


    Cheng Peng pointed to the flashing figure on the screen.


    "Today is different. There is a ruthless person in our school, a graduate student in the eight districts in our hearts!"


    "You mean...that, Lu, Lu Chen?" A roommate said slowly.


    Full marks in the entrance examination, blindly pierced the pericardium in the school elevator...


    These deeds made Lu Chen famous in the student circle.


    When it comes to new students, everyone will think of the name Lu Chen.


    "Yeah." Fatty nodded heavily.


    "Then I''ll watch the game too!"


    All three of the roommates moved stools and sat around Cheng Peng.


    This kind of scene was staged in many dormitories. Many people saw the news of the "National Medical Skills Competition" in the circle of friends, and then clicked on the broadcast screen out of curiosity.


    ¡­


    Jiangcheng University, Gymnasium examination room.


    The final semi-final is in progress.


    This last stop is more important than the previous two stops.


    100 points for each previous stop, 150 points for this last stop!


    "Patient, male, 60 years old."


    "I was admitted to the hospital for 3 hours due to sudden chest tightness, and the 120 ambulance was called. When the ambulance arrived, the patient was in a coma. The 120 emergency personnel had already done preliminary treatment on him and sent the patient to the emergency department quickly. Four people from each team are requested to cooperate in the rescue. ."


    This last stop was done by four people!


    From the beginning of admission, to disease judgment, emergency skill operation, this station is completely to show the cooperation of the team.


    "Gu Xinyue and I are in charge, Zihao, you and Liu Qiong are there to assist!"


    Although it is a four-person cooperation, any operation must be divided into primary and secondary.


    After everyone responded, the division of labor and cooperation began immediately.


    "Preliminary judgment, the patient has acute heart failure..."


    If Lu Chen is alone, he must have done it quickly.


    But now it is a four-person operation, Lu Chen also has to pay attention to the operation speed of the other three.


    Wang Zihao is opening venous access, and Liu Qiong is assisting the patient with ventilation.


    Lu Chen and Wang Zihao cooperated with the patient''s physical examination, ECG examination, etc.


    Although the operation of Jinghua Medical University is very smooth.


    However, compared to Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine, Jinghua¡¯s cooperation is slightly inferior.


    Lu Chen and Gu Xinyue''s operation level is obviously higher than the other two.


    So in the scene, it was like Lu Chen and Gu Xinyue were operating with the other two.


    ¡­


    Off the court, Cai Guangming took the performance of the Jinghua team very seriously.


    Although he is currently 15 points ahead of the second place, he still does not dare to relax.


    In this last stop, Jinghua¡¯s score will definitely not be too high.


    Now we have to see if Jinghua''s score can be stabilized.


    Before the broadcast, everyone who was cheering for Jinghua was sweating in their hearts.


    Whether we can make it to the finals depends on this last stop!


    Time passes by every minute and every second.


    Lu Chen felt soreness in his waist and arms, and his whole body even lost his strength due to the continuous operation.


    The other three were no exception. Under the pressure of both mental and physical strength, everyone was patiently persevering.


    "The game is over!" The referee blew his whistle.


    When the last operation was over, Lu Chen breathed a sigh of relief.


    walked out of the exam room and looked up at the ranking on the giant screen.


    First place, Kyoto University School of Medicine.


    Second place, Jinghua Medical University.


    The third place, Huachuan Medical College of Northwestern University.


    ¡­


    "We, advanced?!"


    Wang Zihao widened his eyes and stared at the screen in front of him.


    He looked back at Lu Chen and Gu Xinyue, and found their faces were calm.


    Ah, this... Could it be that I saw it wrong?


    When he turned to look at Liu Qiong, he found that she was also very excited.


    After confirming the ranking on the screen again, Wang Zihao knew that he should have read it right.


    They really made the cut!


    At this time, the distant Jinghua Second Hospital.


    The broadcasting room of the teaching building and the dormitory of the Guipei building all erupted with deafening shouts.


    "We advanced!"


    As usual, there is one more chapter before 12 o''clock.


    (end of this chapter)

 Chapter 188： Closing (middle)

    Chapter 188 Ending (Part 2)


    "Old Gu, I did what I said." Lu Chen grinned at Gu Xinyue.


    Gu Xinyue was calm on the surface, but the excitement in her heart was beyond words.


    When did he think that he could enter the finals of the National Medical Skills Competition? !


    Although he is conceited and arrogant, he is only in Jinghua Medical University. He knows very well that there are many powerful people across the country.


    Ever since he was perfectly defeated by Lu Chen in the entrance examination, he was holding a sigh of relief.


    Must surpass Lu Chen!


    Discontinued from clinical work, training day and night.


    Arguably, he trains longer than everyone else!


    But without Lu Chen, he couldn''t have this kind of indomitable drive and determination.


    From an opponent to a teammate, Gu Xinyue got to know Lu Chen again.


    "Thank you." Gu Xinyue said softly.


    "Thank me for what I did, this is the result of everyone''s hard work." Lu Chen smiled, "I''ve entered the finals, what do you think?"


    When everyone heard Lu Chen''s words, a thought arose in their hearts that they had never thought of before.


    But as soon as it was raised, it was instantly pressed down again.


    Wang Zihao licked his lips, but did not speak.


    "Doesn''t everyone want to be first?" Gu Xinyue raised her eyebrows.


    "Old Gu, why did you start fooling us like Lu Chen?" Wang Zihao laughed.


    "Ten to one, we all entered." Gu Xinyue smiled, "What''s more, the final is three to one, our probability of winning has risen from 10% to 33.33%!"


    Lu Chen: "..."


    Lu Chen felt that Lao Gu was more suitable for demagogic than himself.


    Cai Guangming is very satisfied with the current results.


    In the top three, the school has already given a lot of bonuses.


    First?


    Cai Guangming never dared to think about it.


    However, according to the performance in the semi-finals, if the finals perform normally, there is still a glimmer of hope!


    ¡­


    Kyoto University School of Medicine.


    The atmosphere here is not as relaxed as before.


    Qi Ruilin did not speak.


    He has never had the chance to play, and this performance is too far away from him.


    "Qi Ruilin, the one you''re talking about is Lu Chen, who participated in our school''s re-examination?"


    Seeing the captain''s question, Qi Ruilin quickly replied: "Well, he applied for the cardiology department. In the rematch skill competition, he got full marks."


    "Out of the box, you''ve been brushed yet?" the captain asked in surprise.


    "His grades in the first test don''t seem to be very good." Qi Ruilin whispered.


    "That''s it." The captain touched his chin, "At present, the most powerful ones in Jinghua are him and another named Gu Xinyue, and the others should not be afraid."


    ¡­


    After the semi-finals ended, Lu Chen received a call from Luo Meizhen halfway through.


    On the phone, Luo Meizhen naturally praised Lu Chen for more than ten minutes, and then told him not to be nervous in the final.


    hung up the phone, and Lu Chen received WeChat messages from several acquaintances one after another.


    Teacher Li Yao, Senior Sister Sun Guoguo, as well as Zhou Wei, Cheng Peng, and Junior Sister Yao Jie, all sent themselves encouraging WeChat messages.


    Lu Chen did not reply for the time being.


    There is still the finale waiting for him.


    Only after the finals can he breathe a sigh of relief.


    ¡­


    The pace of the National Medical Skills Competition is fast.


    The semi-final at 11:00 in the morning and the final at 2:00 in the afternoon!


    The rules of the final, there is only one test, four people cooperate, and the time limit is 30 minutes.


    After the operation of this station, the ownership of the champion will be decided.


    During the noon break, all Jinghua team members gathered in one room.


    After realizing the unfamiliar cooperation of the four, Lu Chen decided to gather everyone to simulate the process of collective rescue.


    There is no rest for everyone, or it is difficult for people to rest in peace when they are in a state of extreme tension.


    It''s better to get together and practice the skill operation of collective rescue.


    Although the probability of the first place is very small, it is still necessary to sharpen the gun.


    ¡­


    On the Internet, more and more viewers watched the broadcast, and even exceeded the 2 million limit.


    For a medical skills competition, it can be said that it is a lot.


    The broadcast classroom in the teaching building of Jinghua Second Academy is full!


    Many people watched the game in the bedroom without atmosphere, and they all came to the classroom,


    The classrooms with more than 100 people are full.


    In the gaps in the corridor, some people even brought chairs to sit.


    ¡­


    At two o''clock in the afternoon, the finals started.


    This time, the people who played were Lu Chen, Gu Xinyue, Wang Zihao and Cheng Guoqiang.


    Two medical players and two surgical players, this combination is much more reasonable than before.


    Cheng Guoqiang took a deep breath. The image of yesterday''s mistake flashed through his mind from time to time.


    Because of him, the Jinghua representative team was almost eliminated in the preliminary round.


    When Cai Guangming asked him to replace Liu Qiong just now, he was still very resistant, and he was afraid of dragging him down again.


    But after the consolation of Lu Chen and others, Cheng Guoqiang finally dared to play.


    In the joint rescue of four people, the proportion of surgery and internal medicine is similar.


    Cheng Guoqiang will play, which can definitely raise the upper limit of the team!


    "The final starts!"


    "There was an explosion in a city, and many people were injured. One of the men suffered extensive burns, and 120 people were rushed to the hospital. Please cooperate with the rescue!"


    As soon as the topic came out, all the members of the team were a little stunned.


    Burns, or extensive burns!


    Everyone has no experience!


    Usually everyone''s training is mostly the rescue of hemorrhagic shock, septic shock, and acute heart failure.


    But the rescue of this burn is very rare, almost never encountered.


    But everyone is the best of the bunch.


    Although I am not familiar with it, everyone knows the basic procedure of rescue.


    Open venous access to maintain vital signs!


    But just as he was about to get started, everyone was stunned again.


    There is a large area of ??burns, and there is no intact skin on the body. How can I infuse this!


    "Lu Chen, what should we do..." Gu Xinyue frowned.


    "Everyone stay focused and listen to me!"


    At the scene, except for Lu Chen, everyone looked a little flustered.


    "Okay." Gu Xinyue and the others nodded quickly.


    "I''ll do the infusion operation." Lu Chen said, "Please pay attention to other physical examinations, bronchial intubation, sputum suction, and catheterization."


    "Where are you piercing?" Gu Xinyue was a little puzzled, the patient''s skin was almost not good! "


    "Cubital vein puncture!" Lu Chen replied lightly.


    If he hadn''t been rescued in the emergency department of Jinghua, Lu Chen really didn''t know what to do with burn patients.


    But Lu Chen encountered burn patients in the emergency department, and it was the patients with extensive burns.


    At first, the patient was unable to infuse fluids, so after the head nurse came, he performed cubital vein puncture.


    Lu Chen has been training in the virtual space for a long time since the emergency rescue.


    For cubital vein puncture, he can do it at his fingertips!


    (end of this chapter)

 Chapter 189： Closing (below)

    Chapter 189 Ending (Part 2)


    cubital vein puncture is an unconventional puncture and infusion method used when other peripheral veins cannot be punctured.


    Lu Chen first tied a tourniquet about 6cm above the horizontal line of the elbow.


    At this time, the part of the elbow with obvious elasticity and tension is the filled vein, which is the puncture site.


    To disinfect the skin at the puncture site, use a sterile cotton swab dipped in iodophor to sterilize the skin at the injection site in a spiral manner with the puncture point as the center.


    The diameter of the disinfection range should be greater than 5cm.


    Run along the vein and quickly pierce the skin at an angle of 20-30 degrees to the skin. After seeing the return of blood, the needle is moved forward a little along the vein, and the blood collection needle is fixed for blood collection.


    After the blood collection was completed, the infusion was started immediately.


    Gu Xinyue, Wang Zihao and others also completed the preliminary physical examination and operation.


    The other team members quickly found a way to deal with them after they were initially confused.


    In addition to cubital vein puncture, there are also puncture of dorsal foot vein and other peripheral veins.


    However, at this time, Jinghua Medical University, the operation progress is already in a leading position.


    "The patient''s blood oxygen saturation continues to drop, and urgent bronchial intubation is required!" said Wang Zihao.


    At this time, Gu Xinyue had prepared the equipment for the laryngoscope and the equipment for intubation.


    "I''ll come." Gu Xinyue looked at Lu Chen and asked for his opinion.


    "Okay!" Lu Chen nodded.


    After the resurgence and semi-finals, he now believes in Gu Xinyue''s proficiency.


    "Zihao, calculate the patient''s fluid loss, we must strictly control the patient''s fluid input."


    Burn patients with extensive burns often have severe hypovolemic shock.


    Active fluid resuscitation is the most fundamental measure of treatment.


    However, how much you need to make up, and how much time you need to make up for, requires strict calculation, rather than imagining it out of thin air.


    All rescues were carried out in an orderly manner under the command of Lu Chen.


    This final will not test team cooperation, clinical skills, or the emergency response ability of each team in the event of a major safety accident.


    Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine, the two school teams have a very tacit understanding of the operation.


    In addition to being a little flustered at the beginning, it was very smooth after that, and every rescue measure was completed.


    In Jinghua Medical University, everyone''s proficiency is uneven, Lu Chen and Gu Xinyue are obviously higher than Wang Zihao and Cheng Guoqiang!


    ¡­


    The ?? rescue is coming to an end.


    "Guoqiang, next, the two of us will clean the patient''s skin, clean the carrion, and bandage." Lu Chen whispered to Cheng Guoqiang.


    The first element of ?? rescue is to maintain various vital signs of the patient, including blood oxygen, respiration, blood oxygen and so on.


    After the patient''s vital signs are stabilized, other things that affect the patient''s prognosis are dealt with.


    After burns, the extensive skin barrier is destroyed, and a large amount of necrotic tissue and exudation become a good opportunity for microbial culture.


    If the patient''s skin is not treated properly, the patient is very likely to have septic shock in the later stage of treatment!


    Strictly speaking, these operations are considered nursing.


    However, Cheng Guoqiang has more experience in the treatment of trauma in the surgical profession. Lu Chen has experienced the diagnosis and treatment of burn patients again, so it is most appropriate for them to deal with the skin.


    "Lu Chen, after cleaning the skin, do you need to clean up the carrion?" Cheng Guoqiang asked.


    "Yeah." Lu Chen nodded, "It is divided into three steps. First, clean the wound surface, then clean the slough, and finally disinfect the wound. If the slough is not removed, the wound will not only be difficult to heal, but also suffer from severe infection. possible."


    These three steps were also learned by Lu Chen in the emergency department of the Second Jinghua Hospital.


    "Okay, no problem!" Cheng Guoqiang now trusts Lu Chen extremely.


    What Lu Chen asked him to do, he would do.


    The sims provided by the organizer are very realistic, with dirt on the skin surface and many carrion models inside the skin.


    Cheng Guoqiang cleaned the Sim''s skin again and again, and then began to remove the rotten flesh.


    This is a delicate job.


    Don¡¯t be in a hurry, otherwise it¡¯s easy to miss.


    Lu Chen and Cheng Guoqiang did not do anything else, and began to treat the slough of the patient''s skin and carefully disinfect the wound surface.


    "Teacher, we''re done."


    Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine ended their operations almost at the same time.


    Take off gloves and wash hands. Candidates from both schools walked out of the exam room.


    They looked to the side and unexpectedly found that Jinghua Medical University had not finished the exam.


    No accident, it will take a lot of time.


    The exam was limited to half an hour, and now twenty-five minutes have passed.


    "Take note, candidates, there are five minutes left until the end of the exam!"


    Lu Chen and Cheng Guoqiang were sweating profusely.


    This last step, skin treatment, is a waste of time.


    In fact, if it is placed in real clinical work, it may take more than an hour or two.


    It is now a skill competition, and Lu Chen has already accelerated.


    "Disinfect again!"


    Finally got rid of the carrion, Cheng Guoqiang was about to breathe a sigh of relief, but Lu Chen ordered.


    "Okay!" Cheng Guoqiang didn''t hesitate to pick up the disinfectant and try again.


    Lu Chen silently calculated the exam time in his heart.


    After sterilizing this last time, and then bandaging, the time should be just enough!


    At this time, the results of Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine have come out.


    Kyoto University School of Medicine, leading by two points!


    Now we will see the results of Jinghua Medical University.


    ¡­


    Offsite.


    The Broadcasting Room of the Second Hospital of Jinghua


    "Why isn''t our school over yet?"


    "Yeah, only the last two minutes left, I see they''re still bandaging."


    "They were not very smooth before, why are they still behind?"


    Although you can follow the operation in real time through the broadcast screen, it is impossible to see it in great detail.


    What they can distinguish the most is the speed of each team''s operation.


    At this time, Li Yao was staring at Lu Chen in the broadcast screen.


    She recalled that Lu Chen had forgotten to take the fourth examination because he went to the emergency department for assistance some time ago.


    In that explosion, there must have been burn patients!


    Sun Guoguo said, "Teacher, I think Lu Chen and the others spent their time on the patient''s skin treatment in the end."


    Li Yao nodded: "The most feared thing for burn patients is the infection in the later stage. Many patients have been rescued, but various infections are inevitable in the later treatment process. All in the early treatment, we must pay attention to the skin. care."


    "However, it''s an exam after all. The treatment of burn patients is mainly to examine bronchial intubation, sputum suction, catheterization, as well as the calculation of infusion volume, intravenous infusion, blood transfusion, etc. Skin treatment does not account for much. ." Sun Guoguo frowned.


    The real clinical practice is different from the operation examination.


    Li Yao also knows this.


    A doctor who is usually skilled in operation goes to the examination. If he does not deduct every point strictly, then he will not be able to get a high score.


    "Now we can only wait for the final result."


    There is no way to know the scoring standard of the referee, and Li Yao can''t judge the situation at this time.


    ¡­


    Time passed slowly, and the test time began to count down.


    When there was one minute left, after Lu Chen wrapped the last piece of skin, he stood up and raised his hand.


    "Teacher, we are done!"


    The head referee nodded in response, and then started scoring with other referees around, and counted the final score.


    Get out of the exam venue.


    Lu Chen looked at each other and smiled, all breathing a sigh of relief.


    For the past two days, each of them has been nervous. In addition to operational skills, they have operational skills in their minds.


    Even in his sleep, he still dreamed that he was in the skill center.


    Cai Guangming came up and gave everyone a big hug.


    "Whatever the outcome, everyone has done a great job!"


    "The school has granted us a two-day vacation, and tomorrow we can take a break in Jiangcheng to relax."


    The result of entering the finals is beyond everyone''s expectations.


    Everyone came to the lounge, waiting for the final result.


    ¡­


    The backstage of the game.


    The referee Zhu Zhenhua is still watching the video of the game from Jinghua Medical University.


    There were three assistant referees sitting beside him.


    "We usually seldom test burn cases. The reason why we used burn cases in this final is mainly because of the explosion some time ago." Zhu Zhenhua said solemnly.


    One of the deputy referees said: "From the performance of the three teams, the Kyoto University School of Medicine is the most skilled and the operation is extremely standard. Northwestern University and Jinghua Medical University are slightly inferior. There are candidates with outstanding performance, and there are some who do not. So brilliant."


    "In terms of clinical skill operation scores, Kyoto University School of Medicine ranks first, and Jinghua Medical University ranks second. However, in terms of clinical literacy, Jinghua Medical University far outperformed the other two teams. The handling of puncture and carrion is far superior to the other two teams." Another referee said.


    Zhu Zhenhua listened to the opinions of the three referees, and at the same time began to give the final score to Jinghua Medical University.


    ¡­


    The number of viewers in the network broadcast room reached its peak at this moment.


    Luo Meizhen even closed her eyes and dared not look at the TV.


    In the eyes of everyone, the ranking on the screen changed.


    First place, Jinghua Medical University, took 29 minutes and 14 seconds, with a total score of 92.23 points.


    Second, Kyoto University School of Medicine, with a time of 24 minutes and 43 seconds and a total score of 90.67 points.


    The third place, Huachuan Medical College of Northwestern University, took 24 minutes and 50 seconds, with a total score of 88.12 points.


    As soon as the results came out, everyone on and off the field was boiling!


    The Kyoto University School of Medicine, which won the first place for three consecutive years, actually lost.


    And Jinghua Medical University, which had the best record in history only 11th, was killed all the way from the Easter competition.


    In the final, he won the championship in one fell swoop!


    At this time, whether it is the students of Jinghua Medical University or students of other schools, their hearts are extremely shaken.


    The weak overcome the strong and counterattack, these are topics that have never been short of discussion in human history.


    On the field, the members of the Jinghua Medical University team were stunned.


    Lu Chen''s heart was also extremely excited.


    At this time, a series of prompts popped up on his system panel.


    "Congratulations, +1 for the thank you from Wang Zihao!"


    "Congratulations, +1 for the thank you from Gu Xinyue!"


    "Congratulations, +1 for the thank you from Cheng Guoqiang!"


    "Congratulations, +1 for the thank you from Cai Guangming!"


    ¡°¡­¡±


    Those familiar or unfamiliar names appear in the system prompt.


    In less than half a minute, Lu Chen''s thanks value rose by more than 30 points!


    ps: Before 12 o''clock, there is one more chapter, and the rotation of life will continue.


    (end of this chapter)

 Chapter 190： Its not just a game!

    Chapter 190 It''s not just a game!


    These names seem to be students of Jinghua.


    Lu Chen also saw Junior Sister Yao Jie and Fatty Cheng Peng''s name.


    Is it because winning the first place has inspired the honor and disgrace of some students of Jinghua Medical University, so they will thank themselves?


    No matter what the reason, Lu Chen really received a thank you.


    Although the rate of getting thank you points continues to decrease, the overall number is already considerable.


    According to Lu Chen''s estimation, the total thanks he received was at least a hundred!


    Beside him, Wang Zihao happily hugged Gu Xinyue''s shoulder.


    Gu Xinyue is also quite rare, and did not reject Wang Zihao.


    "Old Gu, we are number one!"


    "We are number one!"


    Liu Qiong and Cheng Guoqiang were so happy that they stared at the rankings on the big screen in surprise, unwilling to look away.


    Cai Guangming, the leader of the team, was in disbelief at the beginning, until he saw the ranking on the screen, and then he accepted this reality.


    "This...this...we got first?"


    The bag in his hand had already slipped to the ground, but he was not aware of it yet.


    "Yes, Mr. Cai, we are number one!" Lu Chen grinned.


    "I, I, this, I..." Cai Guangming''s eyes widened, and his words were incoherent.


    Before he set off, his goal was to be in the top ten, but now, step by step, he not only entered the top five and top three, but even won the first place.


    He thought of the bonus promised by the school, which must not make a fortune!


    ¡­


    Jinghua Second Hospital.


    Broadcasting room in the teaching building.


    The cheers of the classroom have been linked together!


    Countless students began to send messages that Jinghua Medical University won the first place in WeChat Moments and Space.


    For Jinghua Medical University, which has been weak for a long time, the first place in the national medical skills competition is undoubtedly like a rain of rain, which makes everyone excited!


    Junior Sister Yao Jie was watching the broadcast with joy, her eyes were constantly looking for Lu Chen.


    Sun Guoguo jumped up from her seat with joy, but Li Yao was still sitting in the first row.


    She looked at the members of the Jinghua Medical University team in the broadcast screen.


    In addition to the excitement, there is a trace of trance in the mind.


    Two months ago, they were still fighting for the top ten.


    Today, two months later, I am actually standing on the highest podium.


    All this is because of his student, Lu Chen.


    After watching the entire game, Li Yao knew one thing very clearly.


    Without Lu Chen, the Jinghua Medical University team might have been eliminated in the preliminary round!


    In the next resurrection, semi-finals, and finals, whether it is single-player skills, double-player skills, or teamwork, Lu Chen is undoubtedly the core of the entire team.


    He alone controls the rhythm and direction of the entire team.


    Together with Gu Xinyue, through excellent cooperation, among the ten teams, they won the only place in the top ten.


    refused to do a three-lumen two-capsule tube, dragging the team directly into the finals.


    In the final, the cubital vein puncture and the skin treatment of the burn patient, in cooperation with other team members, successfully took the first place from Kyoto University.


    This is the Jinghua Medical University team!


    ¡­


    He Sirong, these two days, he has been in the bedroom.


    There is a computer in front of her, which is also playing a skill competition.


    "The first... is actually the first..."


    He Sirong bit her lower lip lightly, she was unwilling to believe the result.


    In the eight districts of the heart, is the gap between the two getting bigger and bigger?


    He Sirong suddenly closed the broadcast page, opened PubMed instead, and continued to read the latest medical papers.


    "The most important thing in medicine is the dissertation, and I want to publish the dissertation!" He Sirong''s mood slowly began to calm down, "What about the first place in the skill test, if you don''t have a dissertation, you still can''t get a good doctorate, and you still can''t go to a top tertiary hospital! One month, just one month, I can publish this Chinese core!"


    ¡­


    On and off the field, some people are happy and some people are sad.


    But for Lu Chen at the moment, that doesn''t matter anymore.


    The two-day competition is not only a physical and mental test, but also allows him to integrate into the cooperation of the entire team.


    Medicine, whether it is the operation of skills or the mode of clinical thinking.


    In many cases, multi-person and multi-disciplinary combined therapy is required.


    In this exam, Lu Chen re-acquainted with these people around him, including Gu Xinyue, Wang Zihao, etc.


    They are often inconspicuous and ordinary people.


    But from now on, every member of their team will be known to the people of Jinghua Medical University.


    ¡­


    A community in Jiangcheng.


    Lu Wenguo and Luo Meizhen stared at the computer screen with joy on their faces.


    Even though they were disliked by countless people, they still believed in their son.


    Every morning, I turn on the TV, hold a cup of tea, and wait.


    The two of them witnessed the whole process of Lu Chen winning the first place.


    Luo Meizhen''s eyes were even filled with happy tears.


    In the beginning, they stopped their son from going to graduate school.


    Now, Lu Chen has been walking on a road that they have never touched.


    ¡­


    After the results of the competition are announced, the award ceremony will be held.


    Li Jun, vice president of Jiangcheng University, the organizer, came to the scene and presented awards to the top three schools.


    For this kind of national medical competition, the organizer will not give any substantial material rewards, but only award trophies to each team.


    Before awarding the award, Vice President Li Jun ended his speech as usual.


    "Actually, every medical skills competition is criticized by many people. They say that we only focus on form and speed, and we don''t care about anything else, nor the specific condition of the patient."


    "So this year''s competition, we combined clinical practice and topics. All operations must be based on clinical practice, which is divorced from actual operations. Not only will there be no points, but points may be deducted!"


    "For example, for the three-lumen and two-capsule tube in the semifinals, we tested the indications in disguise. Whether you can grasp the indications of an operation is more important than the proficiency of the operation; the burn patients in today''s final are to investigate medical treatment. The clinical literacy in the process is very important! The patient is not a machine without emotion, but a living person. During the rescue process, we must also pay attention to the protection in the later stage and carry out humanistic care. On these two points, the Jinghua team, Excellent performance!"


    "Remember, this is not just a competition!"


    Originally, the members of Kyoto University School of Medicine were not reconciled.


    But after listening to Li Jun''s words and watching the operation clip of Jinghua Medical University playing in front of them, everyone silently accepted the result in their hearts.


    Jinghua Medical University, in fact, is a treatment for the skin carrion of patients!


    Compared with the skills, it is slightly unskilled. This operation of dealing with skin carrion has a significantly higher proportion!


    This National Medical Skills Competition is not only a competition, but also an inspection of humanistic care.


    I''m in a hurry to post, there are some typos, I''m sorry. is changing.


    (end of this chapter)

 Chapter 191： strange electrocardiogram

    Chapter 191 Strange ECG


    After the ?? awards, the entire skill competition is coming to an end.


    The entire Jinghua Medical Team was immersed in joy.


    People always feel that this is a dream-like journey.


    Although the time is not long, only two days, but what they won is not only the first place, but also an unforgettable experience.


    And Lu Chen''s name left a deep imprint on each of them.


    "Lu Chen, congratulations." Qi Ruilin ran in front of Lu Chen and gave a thumbs up, "I thought you could do it."


    "Thank you." Lu Chen smiled, "The School of Medicine of Kyoto University has won the first place for three consecutive years, and this time it is also the second place. It is already very impressive."


    Qi Ruilin spread his hands and shrugged.


    He had no chance to play at all, and the second place this time had nothing to do with him.


    But Lu Chen is different. He is the main member of the entire Jinghua Medical University team.


    "If you have the opportunity to come to Kyoto again, I will be your tour guide." Qi Ruilin said.


    "Okay." Lu Chen nodded, "I will definitely come to you when the time comes."


    The two chatted for a while and then separated.


    ¡­


    The closing ceremony is over.


    Lu Chen received a lot of WeChat messages and phone calls from relatives and friends.


    After reading everyone''s concern and congratulations, Lu Chen replied one by one.


    Then, he and Luo Meizhen made a phone call for twenty minutes.


    Luo Meizhen can''t wait to come to the competition venue now and take Lu Chen out for a big meal.


    However, their representative team had group activities at night, so they had to give up.


    "Wang Zihao, what you said about Hubu Alley, it counts!" Gu Xinyue took the initiative to find Wang Zihao.


    Wang Zihao was calling his parents. Hearing this, he nodded quickly and made an OK gesture.


    "I said it all, Hubu Alley is not delicious, so you still want to go?" Lu Chen said to Gu Xinyue with a smile.


    "When you come to Jiangcheng, you have to go and see. It doesn''t matter if it''s good or not." Gu Xinyue said.


    "Then I have no choice." Lu Chen smiled.


    Anyway, Wang Zihao is a rich second-generation, so prepare to have a big hemorrhage tomorrow!


    Lu Chen was about to turn around and leave, but Gu Xinyue stopped him.


    "Lu Chen."


    "Um?"


    Lu Chen stopped, turned around, and looked at Gu Xinyue with a serious face.


    "Next time, I will definitely surpass you."


    Gu Xinyue smiled and looked at Lu Chen, there was no hostility in her eyes.


    Lu Chen smiled.


    "Then you have to work hard, otherwise you really won''t be able to catch up with me."


    Gu Xinyue: "..."


    As soon as I woke up, the atmosphere was ruined by Lu Chen.


    However, after this skill competition, Gu Xinyue also knew very well the gap between herself and Lu Chen.


    From the point of view of clinical operation alone, Lu Chen''s proficiency in various skills is obviously a level higher than his own.


    It''s hard to believe how Lu Chen trained. He didn''t spend much time in the skill center!


    Gu Xinyue was puzzled, Lu Chen could be said to have the shortest training time in the skill center.


    Although Re Luchen has been exercising his skills clinically, there are definitely not many opportunities for clinical operation.


    However, this kind of doubt only flashed in Gu Xinyue''s heart. They have just studied one, and there is still a long way to go in the future.


    He, there are still many opportunities to surpass Lu Chen!


    ¡­


    night.


    Team leader Cai Guangming took everyone to a star-rated restaurant for a big meal and rewarded everyone.


    Fees are, of course, fully reimbursed by the school.


    Everyone enjoyed their meal and went to KTV afterwards.


    After Lu Chen finished his song, everyone disqualified him from taking Mai.


    For the first time, Gu Xinyue felt the thrill of surpassing Lu Chen.


    Lu Chen could only be on the sidelines, watching other people''s K songs angrily.


    He just hates that the system cannot exchange singing skills!


    ¡­


    After the ?? revelry, when he returned to the hotel, Lu Chen calmed down again.


    In this skill competition, he has gained a lot, and he has also seen outstanding young people of the same generation.


    Lu Chen asked himself, without the help of the system, can he surpass everyone else and help Jinghua Medical University win the first place?


    There is systematic help, of course Lu Chen will not refuse.


    However, his own strength still needs to be strong.


    Take the current health system as an example, in many cases, the change of health is delayed.


    When the color of the patient''s head, or the health value changes, the progression of the disease is irreversible.


    Lu Chen lay on the bed, opened his eyes, looked at the white ceiling, and his mind was full of thoughts.


    Medicine is a science full of unknown fields, and he hopes to go further and further on this road!


    ¡­


    the next day.


    A group of Jinghua Medical University visited various scenic spots in Jiangcheng.


    Lu Chen is not a qualified tour guide. After eating some snacks in Hubu Lane at noon, he separated from everyone.


    took a taxi on the side of the road.


    In less than twenty minutes, Lu Chen arrived at the house of his uncle Lu Wenjun.


    At home, Lu Wenguo and Luo Meizhen are looking forward to it.


    "Our champion is back!"


    Lu Chen was grabbed by Luo Meizhen as soon as he entered the door.


    "Mom, what are you doing?"


    "I want to take a good look at you." Luo Meizhen pulled Lu Chen''s hands with a smiling face and looked up and down, as if something was missing from Lu Chen''s body.


    "Okay, okay, let Xiaochen have a good rest." Lu Wenguo stood aside and smiled.


    "Come, Xiaochen, here''s some fruit for you."


    Lu Wenjun came out of the kitchen with a large plate of fruit in his hand.


    "Thank you uncle, auntie, isn''t she at home today?"


    Lu Chen came to the living room with his parents.


    "Your aunt, she''s back home." Lu Wenjun brought the cut fruit to Lu Chen.


    "Oh." Lu Chen nodded.


    Everyone chatted for a while, and Lu Chen started to tell some interesting things about the skill competition.


    "Xiaochen, you are really promising." Lu Wenjun sighed, "Unlike Lu Hao, it''s hard to get into a university, alas."


    "Uncle, isn''t it still a year away?" Lu Chen comforted him, "Work hard and your grades will improve a lot."


    "Hey, I hope so." Lu Wenjun shook his head.


    Luo Meizhen naturally praised Lu Hao in a different way.


    After chatting for a while, Luo Meizhen went to the kitchen to prepare dinner.


    "Ding ding ding..."


    Just when everyone was chatting happily, Lu Wenjun''s cell phone rang suddenly.


    He got up and went to the bedroom to answer the phone.


    When he returned to the living room, Lu Wenjun''s expression had changed.


    "Wenjun, what''s wrong?" Lu Wenguo wondered.


    "My father-in-law is hospitalized and has just been sent to the emergency department of the local county hospital." Lu Wenjun said solemnly, "The situation is not very good, Xiaohui said that the person was in a coma, and the doctors of the county hospital still don''t know the reason."


    "What''s the situation?" Lu Wenguo said quickly, "Have a stroke? Did he have any underlying diseases before?"


    Lu Wenjun shook his head, "As far as I know, my father-in-law didn''t have any illness before, and he was in good health. He often danced some square dances. Alas, I''ll go to the company tomorrow morning to take over the work, and I''ll rush back in the afternoon. ."


    "I didn''t have any problems before, but suddenly I fell into a coma?" Lu Chen also wondered, "Are there any underlying diseases such as high blood pressure and diabetes?"


    "No." Lu Wenjun replied affirmatively, "He is afraid of getting these diseases, he has always been a vegetarian, and he doesn''t eat eggs and dairy products at all."


    Lu Wenguo wondered: "Could it be hypoglycemia coma? Wen Jun, you ask Xiaohui to send a copy of the relevant test results, I''ll take a look first."


    "it is good."


    Lu Wenjun quickly called his wife Liang Hui and asked her to send a copy of all the current inspection documents.


    Less than five minutes.


    Lu Wenjun''s WeChat alert sounded one after another.


    Liang Hui has sent all the inspection reports done in the hospital.


    Lu Wenguo took the phone and said in surprise: "The blood sugar is normal, and the emergency head CT is also normal. Hypoglycemia coma and cerebrovascular accident are ruled out."


    After all, he was just a general surgeon and had no clue for a while.


    Lu Chen came over quickly.


    When he saw the electrocardiogram, he immediately frowned.


    This electrocardiogram is so strange!


    One more chapter. Guarantee 2 more, work hard for 3 more.


    (end of this chapter)

 Chapter 192： The truth about the coma

    Chapter 192 The truth of the coma


    "Brother, are there any problems with these inspection results?" Lu Wenjun asked nervously.


    "I haven''t found it for the time being." Lu Wenguo shook his head, "I have to look at the results of the blood test. When the results of the blood test come out, let Xiaohui send it again."


    "Okay." Lu Wenjun nodded.


    At this time, Lu Chen took the mobile phone from Lu Wenguo and turned to this picture of the electrocardiogram.


    "Dad, you look at this electrocardiogram, I think it''s a little strange." Lu Chen pointed to the electrocardiogram and handed the phone to Lu Wenguo.


    "The electrocardiogram?" Lu Wenguo was taken aback, he hadn''t looked at the electrocardiogram carefully.


    As a general surgery surgeon, he glanced at the "machine report" of the electrocardiogram at most.


    is the result of automatic analysis by the electrocardiograph.


    "Xiaochen, isn''t this right bundle branch block? I remember that in normal people, right bundle branch block should also appear, right?" Lu Wenguo took another look at the electrocardiogram, and then replied tentatively. .


    Although he is an old doctor for many years, he does not dare to care about the electrocardiogram.


    Lu Wenguo deeply remembered that Lu Chen once saw the electrocardiogram of "idiopathic ventricular tachycardia" at a glance.


    This is a figure that even the deputy chief physician of the Cardiology Department misjudged.


    Lu Wenjun was stunned for a while.


    Why does he feel that his big brother cares about Xiaochen''s opinion?


    Although Xiaochen is very powerful and won the championship in the skill competition, he is only a student after all.


    However, his eldest brother, Lu Wenguo, has been in clinical practice for so many years!


    Is this my own delusion?


    "Dad, this is indeed a right bundle branch block." Lu Chen stroked his chin, "However, in addition to the right bundle branch, there are other abnormalities."


    Lu Wenguo took the mobile phone and carefully identified it again.


    After a while.


    He finally noticed something abnormal and quickly said, "The electrical axis is deviated to the right, right bundle branch block, right ventricular high voltage, clockwise transposition. And s1q3t3, does it look like a pulmonary embolism?"


    Pulmonary embolism, some patients do have signs of coma.


    At first glance, it sounds quite similar.


    Lu Chen was startled when he heard what his father said, but he didn''t see it.


    He picked up the electrocardiogram, then shook his head: "It doesn''t look like it in lead III."


    Lu Wenguo scratched his head, took a closer look, this III really doesn''t look like it, he is a bit far-fetched.


    "Dad, look at the test sheet later." Lu Chen said, "By combining the test sheet, we can make a more accurate judgment."


    ¡­


    Huzhong Province, H County near Jiangcheng.


    County People''s Hospital, Emergency Department.


    Liang Hui nervously looked at the emergency doctor in front of her.


    "Doctor Fu, can you take pictures of my dad''s blood draw results?"


    Fu Shuo frowned, "I didn''t explain it to you just now."


    "Well, there is a relative in my family who is also a doctor. I will take a photo and show it to him." Liang Hui explained quickly.


    "Well, that''s fine."


    Fu Shuo is most afraid of such relatives who have a doctor. They not only ask for reports of various laboratory tests, but also sometimes dictate the treatment plan.


    "Where is your relative''s doctor?" Fu Shuo asked casually.


    "It''s a surgeon at a county hospital." Liang Hui thought about it.


    "Oh." Fu Shuo nodded.


    He really didn''t believe that a doctor in a county hospital could remotely see the cause of a patient''s coma.


    Common causes of coma, such as cerebrovascular accident, hypoglycemia, diabetic ketoacid, cardiogenic, etc., have been ruled out.


    Liang Hui quickly took all the test sheets and passed them to Lu Wenjun.


    ¡­


    A community in Jiangcheng.


    "Brother, I received a test order."


    Lu Wenguo took over the phone.


    In this photo, there are not only laboratory test sheets, but also detailed medical records.


    A 64-year-old male patient was admitted to the hospital mainly due to a 2-hour coma. The family members complained that the patient is a "strict vegetarian" and does not eat eggs and dairy products, but has recently developed symptoms of fatigue and anorexia without any inducement. The patient had no history of specific diseases.


    Physical examination on admission: coma, GCS score: 8¨C9 points. BP132/67mmHg, HR115bpm, R24/min, BMI16kg/m. Cardiopulmonary and abdominal examination showed no abnormality.


    Admission laboratory report: urea 6.84mmol/L, creatinine 263mmol/L, calcium 4.17mmol/L, phosphorus 0.14mmol/L, alkaline phosphatase 189U/L, albumin 38g/L, globulin 37g/L. 24-hour urinary calcium was 286mmol/24h.


    Blood routine, coagulation function, free thyroid function, prostate-specific antigen (PSA), carcinoembryonic antigen (CEA), and CA19-9 were all normal.


    ¡­


    Lu Wenguo immediately said, "The patient''s vital signs are temporarily stable, and the renal function is abnormal, but this level of abnormality should not lead to a coma, right?"


    If there is severe renal failure and uremic encephalopathy, there is a possibility of coma.


    However, the patient''s creatinine is not particularly high, and this diagnosis is not supported for the time being.


    At this time, Lu Chen added: "He still has hypercalcemia."


    Lu Wenguo looked at the test value again and nodded: "Well, the normal value of blood calcium is 2.25-2.75mmol/L, this indicator is indeed higher."


    Lu Chen shook his head.


    "Dad, this is not just higher. The electrocardiogram of this person just now shows that the right bundle branch is accompanied by a 120ms shortening of the QT interval. Combined with the results of the test, it is completely consistent with the performance of hypercalcemia."


    "I read all the medical records, and at present, cerebrovascular accident, hyperosmolar glucose coma, and hypoglycemia coma have been ruled out. I think the most likely one is the coma caused by hypercalcemia."


    "Coma caused by hypercalcemia?" Lu Wenguo frowned.


    Lu Chen nodded: "When the blood calcium reaches about 3-4, the patient should have symptoms of mental weakness and fatigue, which can also explain why there was anorexia a few days ago."


    "When the blood calcium is above 4, there may be delirium and confusion, and if it is close to 5, it may be persistent coma."


    After listening to Lu Chen''s explanation, Lu Wenguo was still skeptical.


    He has yet to see a case of coma caused by high calcium levels.


    And Lu Wenjun on the side was even more surprised.


    When Xiaochen talks about it, he is really righteous.


    Although he didn''t quite understand it, he didn''t seem to have thought of it when he saw the expression on his elder brother''s face.


    The level of medical graduate students is so much higher than that of county hospital doctors?


    At this time, Lu Wenguo thought about it and said, "Xiaochen, just tell me what is the reason for the high blood calcium, so I can tell your aunt and let her remind the doctor over there."


    Lu Chen blinked and continued: "The differential diagnosis of hypercalcemia, including distant metastasis of malignant tumors, multiple myeloma, primary hyperparathyroidism, sarcoidosis and vitamin D poisoning, I That''s all I can think of right now."


    Lu Wenguo coughed lightly, "Xiaochen, can you put it in a simpler way?"


    The knowledge reserve of surgeons is really not too much.


    These diseases, he knew all about them, but when he looked closely, he didn''t seem to know.


    Lu Chen paused, is he still unclear?


    "Dad, please ask the doctor at the county hospital over there to do a chest CT. Most likely there is a problem with the parathyroid glands."


    "Okay." Lu Wenguo nodded, so he would understand.


    (end of this chapter)

 Chapter 193： Let Xiaohao also study medicine!

    Chapter 193 Let Xiaohao also study medicine!


    Huzhong Province, H County Hospital Emergency Department.


    Liang Hui received Lu Wenjun''s WeChat.


    "Doctor, can you do a chest CT for my dad?" She found Dr. Fu Shuo in the emergency department.


    Fu Shuo was dealing with other patients at hand. Hearing Liang Hui''s request, he looked a little puzzled.


    "The patient was admitted to the hospital in a coma. What are you doing with chest CT?"


    "This..." Liang Hui didn''t know how to explain it. She couldn''t say that it was requested by her relatives, which would not give face to the emergency doctor.


    Although Liang Hui didn''t say it, Fu Shuo had already guessed it.


    Most of the time, her doctor relatives asked her to do it.


    "You can do it as well, just treat it as a routine checkup, as long as your family members have no opinion, don''t say that our hospital arranges checkup for you indiscriminately." Fu Shuo said.


    In order to avoid conflicts between doctors and patients, within a reasonable range, the requirements of the patient''s family will generally be met.


    "No, no." Liang Hui quickly waved his hand, "Don''t worry, we asked for it ourselves."


    Although she didn''t quite understand why Lu Wenjun asked for a chest CT, she knew that her eldest brother''s family were medical staff, and most of them were their opinions, so there shouldn''t be anything wrong.


    "That''s fine, I''ll arrange for a doctor and nurse to accompany you to do a chest CT later."


    Fu Shuo immediately issued an application form on the computer and ordered a lower-level doctor to accompany the examination.


    ¡­


    Jiangcheng District.


    After Lu Wenjun sent a message to Liang Hui, he looked at Lu Chen suspiciously.


    "Xiaochen, although I''m not a doctor, a comatose patient needs to have a chest CT. Why is this?"


    Having a CT of the head, he can understand.


    But doing a chest CT doesn''t seem to have anything to do with coma, right?


    Lu Chen paused, organized the language, and wanted to explain it in an easy-to-understand way.


    "There are many reasons for coma, most of which are cerebrovascular accidents, but there are also other uncommon ones, such as hypercalcemia in ion disorders. The reason for hypercalcemia is that the parathyroid gland grows nodules, leading to hyperfunction. , releases too much calcium, which triggers a change in mental state, and there is a possibility of coma."


    "Oh." Lu Wenjun nodded, he understood somewhat.


    To put it bluntly, medicine is a whole, and it affects the whole body.


    Consciousness, common cerebrovascular accident.


    But other non-brain factors are also taken into account.


    ¡­


    H County, Emergency Department.


    In less than ten minutes, the emergency doctor pushed the bed and took the old man to complete the chest CT.


    When Fu Shuo took the result of chest CT, he was a little surprised.


    Chest CT showed that there was a low-density lesion near the thyroid gland, with a size of 2.7¡Á4.8¡Á3.1 cm, and extending in the direction of the manubrium, esophagus, and tracheal bifurcation, and a parathyroid adenoma was considered.


    "Hurry up and ask the endocrinology department for consultation!" Fu Shuo immediately issued a doctor''s order for consultation.


    After the emergency treatment, an idea came to his mind, the family members asked for a chest CT, did they consider this possibility?


    Fu Shuo shook his head vigorously, unlikely.


    He was the first doctor who did not consider this kind of problem.


    The family members on the opposite side of the phone are even less likely to think.


    It should be luck, Fu Shuo thought.


    "Doctor, what''s the problem with the results?" Liang Hui stood beside Fu Shuo, looking quite nervous.


    "Well, there is a problem." Fu Shuo nodded.


    "Is it a parathyroid adenoma?" Liang Hui''s simple words surprised Fu Shuo.


    The report of the chest CT, he just saw it!


    How did the patient know?


    "You, how did you know?" Fu Shuo asked in surprise, "You are also a doctor?"


    Liang Hui quickly waved her hand, "No, I''m not a doctor, it was said by a relative at home."


    At the same time, Liang Hui was also a little scared.


    Brother Lu Wenguo''s medical skills are so superb?


    Actually diagnosed his father''s disease directly and remotely.


    Fu Shuo was silent.


    It seems that the relatives of this patient''s family are masters!


    Without seeing the patient, the diagnosis was made only through some examination and test sheets.


    Fu Shuo couldn''t help but be in awe.


    ¡­


    The consulting doctor from the endocrinology department will arrive soon.


    "Doctor Fu, this patient should be in a coma caused by hyperparathyroidism and high calcium levels, so let''s take calcium-lowering therapy for the time being."


    "Okay, then I''ll take the patient to your endocrinology department?" Fu Shuo heard the words.


    "No, go directly to the thoracic surgery department. If conservative treatment fails, the parathyroid glands may need to be removed."


    "Oh, good." Fu Shuo nodded.


    After the consulting doctor left, Fu Shuo began to explain his condition to Liang Hui.


    "May require surgery."


    Liang Hui didn''t hesitate, "Okay, I''ll listen to you."


    Fu Shuo was the first time he saw such a cheerful family member.


    "You, don''t you ask why?"


    Liang Hui frowned and said slowly: "It should be something growing on the neck, causing high calcium in the blood and causing a coma, just cut this thing off."


    Fu Shuo was stunned. It was the first time he had experienced this. The patient explained the condition to him.


    "Well, which department is your relative from?" Fu Shuo whispered.


    "General surgery, I said it when I came." Liang Hui thought about it and said.


    This department is also not the right one!


    Fu Shuo can only sigh, there are ruthless people among the county doctors!


    ¡­


    "The chest CT results came out."


    Lu Wenjun looked at the result from his phone with a hint of joy and surprise in his eyes.


    "Xiaochen, you guessed it right!"


    Lu Wenguo on the side of ?? smiled and said, "Wen Jun, this is not a guess! It is a reasonable guess based on the examination results and symptoms, which are all well-founded!"


    Lu Wenjun quickly nodded in agreement, but then he wondered.


    "Brother, didn''t you see it? It''s still Xiaochen. It''s true that the back waves of the Yangtze River pushed the front waves, and the front waves were shot to death on the beach."


    Lu Chen smiled and said nothing.


    "Cough cough." Lu Wenguo coughed lightly to hide his embarrassment.


    But after thinking about it, his son is better than himself, what can he be embarrassed about.


    "Xiaochen is a graduate student. Of course he is better than my undergraduate graduate." Lu Wenguo laughed.


    "Oh, really?" Lu Wenjun pretended to be surprised, "Who didn''t let Xiaochen go to graduate school?"


    Speaking of the pain point, Lu Wenguo quickly changed the subject.


    "Stop talking about this, and you quickly ask how your father-in-law is doing."


    Lu Wenjun shrugged his shoulders and started to call Liang Hui.


    ¡­


    After calcium-lowering therapy, the patient quickly recovered.


    "Wen Jun, thank you brother for me, he is too good."


    On the phone, Liang Hui''s tone was very happy.


    Her father was awake and in good condition.


    "Xiaohui, you are wrong this time." Lu Wenjun said, "This time Xiaochen diagnosed it."


    "Huh?" Liang Hui opened his mouth wide, "Xiaochen? Isn''t he just a graduate student, so he''s so good?"


    When her father first came to the emergency department, the doctors in the entire department were helpless and were preparing to mobilize her to be transferred to a higher-level hospital.


    "Yeah, our old Lu family can finally make a bright future." Lu Wenjun sighed, "Big brother''s family is really lucky."


    "Well." Liang Hui echoed, "Wen Jun, what do you think, let Xiaohao also study medicine?"


    Lu Wenjun''s eyes lit up.


    "Yeah, why didn''t I think of it before. But our medical school in Huzhong Province has a very high score. I''m afraid Xiaohao''s grades are not very good."


    Just when the two were discussing Lu Hao''s future.


    Lu Hao, who was in class in the classroom, couldn''t help sneezing a few times.


    He looked around, was someone cursing himself in his heart?


    (end of this chapter)

 Chapter 194： 10,000 crit damage

    Chapter 194 10,000 Crit Damage


    "Congratulations, +1 for receiving thanks from Liang Hui!"


    "Congratulations, +1 thanks to Lu Wenjun!"


    "Congratulations, the completion of the system upgrade has increased!"


    ¡­


    Came to my uncle''s house, solved a case, and earned a wave of thanks by the way. Lu Chen was in a good mood.


    night.


    Luo Meizhen cooked a large meal, and Lu Chen enjoyed it.


    "Xiaochen, let your brother study medicine, how do you feel?"


    Lu Wenjun''s voice just fell, but Lu Chen didn''t speak.


    Lu Wenguo immediately put down his chopsticks and waved his hands quickly, "Wenjun, I can''t do it!"


    "What''s the matter?" Lu Wenjun wondered, "Is it bad to study medicine? I don''t think Xiaochen is very good?"


    "What do you say, the relationship between doctors and patients is not very good now." Luo Meizhen interjected, "Xiaochen works in the hospital, and Wen Guo and I are worried every day!"


    "Hey, sister-in-law, don''t give up eating because of choking!" Lu Wenjun laughed, "Is there no conflict between doctors and patients before? There must be, but now the media is developed, the information age, all kinds of news have been exposed. As far as I feel , the patient respects the doctor very much."


    Lu Wenguo paused and said slowly.


    "The doctor-patient relationship is one of the reasons. On the other hand, the study period of medicine is too long. I won''t talk about it for five years. The minimum standard is that if you don''t go to graduate school, you will need to train for three years, and you may get a special school in the future. Pei, another two years, when a doctor can truly work independently, I am afraid he will be twenty-seven or eight-year-old."


    "If you study for a master''s degree and a doctorate, the cycle will be longer. Isn''t it bad to learn something else? Why do you have to study medicine?"


    Lu Wenjun was a little silent when he heard the words.


    After a while, he turned to look at Lu Chen.


    "Xiaochen, what''s your opinion?"


    Lu Chen was taken aback, this question is a bit tricky.


    Saying that studying medicine is not good, then he is still studying for graduate school. Isn¡¯t this a slap in the face?


    said to study medicine, if Lu Hao is reluctant, isn''t this pushing him to the fire?


    "This, how should I say it, it depends on the interest." Lu Chen hesitated for a moment, "If Xiaohao is interested in medicine and can continue to study hard and earnestly after going to college, then studying medicine is a good choice. But If you feel relaxed when you go to college, you can have fun, or you are more resistant to studying medicine, then forget it.¡±


    Study medicine, if you want to study well, five years of university is equivalent to experiencing high school life again.


    Of course, you can also mess around.


    After graduation, he went to work in a county hospital or a township hospital, or changed his career to engage in other medical-related industries.


    "Well, Xiaochen is right, I will have a good talk with Xiaohao." Lu Wenjun nodded.


    This matter involves the future of the child, but it has to be discussed carefully.


    After eating, everyone moved to the living room and started talking.


    Until Lu Hao went home from self-study next night.


    "Brother, why are you here?"


    Seeing Lu Chen at home, Lu Hao was surprised.


    As a child, he was Lu Chen''s follower.


    Now that we are grown up and go to school separately, it is difficult to get together again except during the New Years and festivals.


    What''s more, Lu Chen has gone to other provinces now, and it will be even more difficult to come back.


    "Participate in a competition, the competition location is in Jiangcheng, and I will come back." Lu Chen smiled.


    "Brother, you can participate in competitions everywhere in graduate school. That''s great." Lu Hao immediately put down his schoolbag and ran to the living room.


    The two had not seen each other for a long time, and Lu Hao dragged Lu Chen to his bedroom.


    "Brother, is Jinghua fun?" Lu Hao asked curiously.


    Lu Chen smiled, then said angrily, "I went to school, not to play."


    "Oh." Lu Hao touched his head, "Brother, is studying medicine fun?"


    Lu Chen raised his brows.


    It''s time to choose whether to cheat or not.


    "Why, you also want to study medicine?" Lu Chen asked tentatively.


    "No, I''ll just ask, I haven''t decided what major to study." Lu Hao smiled.


    Looking at Lu Hao''s innocent and splendid face, Lu Chen couldn''t bear it, so he said, "Study medicine is very tiring, it''s like studying high school again."


    "Ah?" Lu Hao''s expression changed, "Brother, how miserable you are! Our teachers say every day that we can''t play now, and we can''t have fun until we go to college after the college entrance examination. You''re going to college, so you can''t have fun! "


    "Yeah." Lu Chen nodded, "So you should choose another major, not to mention the medical grades are not low. With your current grades, there is no good school to go to."


    Lu Hao pouted, "If it weren''t for that... I also got good grades."


    Lu Chen was taken aback, "What?"


    Lu Hao''s face turned red, and he felt that he had missed out, "Nothing, nothing."


    Lu Chen came from this age, and immediately understood Lu Hao''s thoughts.


    "Xiaohao, are you in love?" Lu Chen raised his brows.


    "No, no."


    Young lads are just not very good at lying.


    When Lu Chen saw his appearance, he knew that he had guessed correctly.


    "Really not?"


    "No."


    "real?"


    "real!"


    "How about her grades?"


    "Better than me..." Lu Hao quickly closed his mouth.


    Lu Chen grinned, "Do your parents know?"


    Lu Hao: "..."


    "Don''t worry, I won''t tell them, it''s human nature." Lu Chen shrugged.


    Lu Hao was relieved when he heard this.


    "But you already know that falling in love affects your studies, why haven''t you restrained yourself?" Lu Chen frowned.


    "Brother, how can you control this kind of thing." Lu Hao scratched his head, "Sometimes I always miss her and want to send her a message to see if she responds."


    "She looks pretty?" Lu Chen smiled.


    "Yeah." Lu Hao nodded like a chicken pecking at rice, then took out his phone, opened the album, and pulled out a photo, "Brother, she''s pretty."


    In the photo, there is a girl with a shy smile. She wears a little makeup and looks very green, which can only be regarded as an ordinary kind.


    Lu Chen couldn''t help but sigh, it really is the lover''s eyes.


    But the girls in high school didn''t grow, and they didn''t make up at all.


    Occasionally there will be one or two makeup that will make you look different.


    "Xiaohao, can you guarantee that you will go to college and go to the same school as her?"


    Lu Chen felt that it was necessary to enlighten my brother, of course not the kind of abrupt dismantling.


    "This, I..." Lu Hao bit his lip and did not continue.


    Lu Chen continued to strike while the iron was hot: "Even if you go to the same university, can you continue to be together? What if she meets another boy?"


    Lu Hao shook his head, "Brother, I believe her."


    Lu Chen smiled, "What if you meet a more beautiful girl? How many times more beautiful than her?"


    Lu Hao: "..."


    Look at Lu Hao''s hesitant expression.


    Lu Chen thought to himself, this little brother of mine has the potential to be a scumbag!


    "Xiaohao, when you go to university, you will discover a new world. Now, you should study hard." Lu Chen said earnestly.


    Lu Hao lowered his head and pursed his lips, not knowing what he was thinking.


    After a while, he raised his head and looked at Lu Chen suspiciously: "Brother, you said it so well, why don''t you have a girlfriend in college?"


    Lu Chen: "..."


    He originally wanted to earn a little thanks from his brother, but now he feels that he has received 10,000 critical damage.


    ¡­


    But the end result was good, Lu Hao heard something.


    Lu Chen talked without wasting words.


    As for whether Lu Hao studied medicine or not, it was beyond Lu Chen''s control.


    On the second day, we stayed in Jiangcheng for one day.


    Lu Chen returned to Jinghua with the Jinghua representative team and started his rotating life again.


    (end of this chapter)

 Chapter 195： myocardial infarction without risk factors

    Chapter 195 Myocardial Infarction Without Risk Factors


    Back to Jinghua Second Hospital.


    The entire team was honored by the champion.


    Luo Binghe, the dean of the Graduate School, met everyone in the school hall and reiterated the award that the school had promised before.


    Won the first place in the country in the skill competition and won all scholarships unconditionally. And in all selection activities, there is priority to choose. At the same time, they have the opportunity to study abroad at Jinghua Medical University.


    Scholarships, including grants and state scholarships.


    The annual first-class bursary is 10,000 yuan, and the national scholarship is also 10,000 yuan.


    This is a huge amount of money for students who have just not had a job.


    In addition, the priority of staying in school after graduation is high, and there are opportunities to go out and communicate.


    Lu Chen and other five people have gained a lot in this national skills test.


    Not only has economic incentives, but it is of great benefit to their future development.


    ¡­


    After the ?? skill test was over, they returned to Jinghua Second Hospital. Lu Chen and others returned to the clinical department.


    According to the latest rotation plan, Lu Chen still needs to stay in the Cardiology Department for two months before being rotated to other departments.


    The day after returning to the Jinghua Second Hospital, Lu Chen returned to the ward in the eighth district of his heart and started the clinical rotation.


    "Junior Brother Lu, the schedule for your graduate students is out. Take a look at your class and don''t forget it."


    In the early morning, as soon as Lu Chen arrived at the ward, he received a shift schedule handed over by Sun Guoguo.


    He just remembered that after the official rotation started, the hospital began to arrange shifts for them.


    Shifts are mainly divided into two types.


    One is the class in your own professional department, and the other is the class in the rotating department.


    For example, Lu Chen is working in the cardiology department, so he only needs to be on duty in the cardiology department.


    But when Lu Chen was transferred to other departments, such as endocrinology, he would need to be on duty in both the cardiology department and the endocrinology department at the same time.


    In each department, there are about three shifts per month.


    That is to say, each graduate student will be on duty for six classes per month.


    The subsidy for each duty varies from 60 to 100 yuan depending on the department.


    Lu Chen looked at the schedule in his hand.


    "There is a night shift this week. The day after tomorrow, the superior doctor is Yin Xinhua."


    Physicians and postgraduates on duty are randomly arranged.


    Lu Chen''s first night shift was the attending doctor Yin Xinhua, who was in the team with Mr. Lin Cui.


    ¡­


    After finishing work in the morning.


    Lu Chen took back the four hospital beds he had previously managed.


    However, these patients were all ready to be discharged from the hospital, and Lu Chen directly completed the record of the disease course without much thought.


    Following Sun Guoguo''s room inspection and returning to the doctor''s office, Lu Chen saw a group of people gathered around.


    There are interns, as well as regular trainees and graduate students, as if they are discussing something.


    Lu Chen glanced at it and saw Director Lin Cui sitting in it. He probably knew what was going on.


    Recalling that when he first came to the eight districts in his heart, Director Lin Cui liked to give lectures in Keli and ask questions to everyone.


    Ke Yue was severely criticized by Lin Cui for not recognizing the electrocardiogram of atrial fibrillation.


    It seems that Director Lin Cui has started to teach again and is almost finished.


    "Do you have any questions about the electrocardiogram? You can bring it up and discuss it together." Director Lin Cui smiled.


    A group of students chatted and started to ask questions one after another, including the meaning of the P wave QRS complex, the identification of premature beats and so on.


    Director Lin Cui held his temper and explained to them one by one.


    "Director Lin, I''m very interested in a question. The ECG can judge the condition of our heart, whether there is myocardial damage, whether there is cardiac hypertrophy, etc. Since the ECG is so amazing, I would like to ask, through the ECG, can we identify the gender?"


    At this time, a question from an intern caught Lu Chen''s attention.


    Lin Cui was taken aback by this sudden question.


    "Looking at a person''s gender?"


    "Yes, Director Lin, can''t you see it?" the intern asked in confusion.


    Lin Cui''s face darkened, "You little children, ask more practical questions, all of them are some of them, can you determine the gender, can you cure the disease?"


    The intern blushed when he heard the words, said "Oh", and stopped asking.


    Although Lin Cui did not answer, everyone was interested in this question.


    "Senior brother, can the ECG determine the gender of the patient?"


    Junior Sister Yao Jie suddenly came over.


    "Do you think you can?" Lu Chen asked back with a smile.


    "No, can''t you?" Junior Sister Yao Jie shook her head slightly.


    "That''s it." Lu Chen smiled, "Junior sister, go get some ECGs, don''t let me see the patient''s information."


    "Okay." Yao Jie hurried to the side of the medical record car and found five electrocardiograms.


    handed the electrocardiogram to Lu Chen, Yao Jie blinked.


    "Senior brother, can you really tell the gender?"


    Lu Chen smiled and picked up the electrocardiogram that Yao Jie gave him.


    "First EKG, male."


    "Second EKG, female."


    ¡­


    "Fifth ECG, male."


    When Lu Chen finished speaking, Yao Jie was shocked by the patient''s information.


    "Senior brother, you, how did you know?"


    These five medical records were randomly selected by her.


    Lu Chen completely judged the gender of the patient correctly.


    Is it really possible to determine the gender of the patient?


    Lu Chen smiled and said, "Sister, the electrocardiogram is a very wonderful thing. Although it cannot be 100% accurate, it can reflect a lot of things."


    Yao Jie didn''t quite believe it, so she immediately found ten electrocardiograms for Lu Chen to identify.


    Lu Chen did not refuse, "Male, male, female, male..."


    Very electrocardiogram, Lu Chen made one mistake, and all the others were successfully identified.


    Although there is a mistake, the correct rate is already quite high.


    "Senior brother, you can identify both men and women, but what about transgender people?"


    Lu Chen''s face darkened, what was he thinking about all day long in his little sister''s little head?


    Lu Chen was about to explain the reason to Yao Jie, but the nurse on duty walked into the office.


    "The doctor of the chief team, a new patient is here!"


    "Okay, come right away." Lu Chen stood up immediately, and then said to Yao Jie, "I''ll explain to you when I''m free. It''s true that gender can be judged by electrocardiogram, and even transgender people can tell."


    Yao Jie''s eyes widened, the electrocardiogram is so amazing?


    ¡­


    The newly admitted patient is in 11 beds.


    Lu Chen came to the bed, Yao Jie followed behind him pushing the electrocardiograph.


    On the hospital bed was a man of about twenty-five years old.


    He was lying on the hospital bed with his eyes closed.


    "I''m your bed doctor, what''s wrong with me?"


    This is Lu Chen''s most typical opening remarks.


    The man''s complexion was a little pale, he slowly opened his eyes, and said softly, "I feel a little uncomfortable in my chest."


    "Chest pain or chest tightness?" Lu Chen continued


    "It hurts a little bit, but after the pain, it''s still a little stuffy."


    "When did the chest pain start?"


    "I woke up in pain at about four o''clock tonight."


    Lu Chen looked at the ECG performed by the patient in the outpatient clinic, and it showed that the T wave was slightly high and sharp, and there was nothing abnormal.


    "Junior sister, review another electrocardiogram." Lu Chen ordered.


    ECG is the most accessible and cheapest cardiology examination.


    Many heart disease patients will have ECG changes when their condition changes, so many times, doctors need to constantly review the ECG.


    "Okay, Senior Brother." Yao Jie nodded lightly.


    ¡­


    After the ECG is done.


    As soon as Lu Chen got it, his heart sank.


    ECG prompt, compared with admission ECG, ST segment elevation in leads II, III, aVF!


    "There is a possibility of acute myocardial infarction, and it is a myocardial infarction in the lower wall." Lu Chen said solemnly, "Junior sister, you go to inform Senior Sister Guoguo, let her take a look at this patient, and then notify the catheterization laboratory to prepare."


    "Okay." Yao Jie nodded immediately and walked out of the ward quickly.


    Leads II, III, and aVF correspond to the inferior wall of the heart. If these leads are abnormal, it often indicates that the inferior wall of the heart may be avascular and necrotic.


    "Just an electrocardiogram to know that I have a heart problem?" The man on the bed said lightly, "The electrocardiogram can see the changes in my body through my skin?"


    Lu Chen paused and explained: "When we put the electrodes of the electrocardiogram on the chest wall, we can feel the electrical conduction, and then record it on the electrocardiogram. If there is ischemic necrosis of the myocardium, their discharge must be poor. It can be faithfully reflected on the ECG chart.¡±


    "Now, based on your symptoms and the results of the electrocardiogram, we can determine that the disease you are suffering from is likely to be myocardial infarction."


    However, what Lu Chen has a little doubt about now is the life value on the patient''s head.


    His health is 68.


    According to the previous rules, the life value of acute myocardial infarction is below 60.


    Could it be that this patient''s condition is still in the process of progress?


    "What about your family?" Lu Chen continued to ask.


    Acute myocardial infarction is a kind of acute and critical illness, and there is a risk of sudden death at any time.


    Therefore, the immediate family members of the patient should be informed as soon as possible.


    "No." The man''s face darkened.


    "Not married?" Lu Chen asked, "What about the wife and children?"


    "I left a few days ago, no children."


    "Where are the parents?"


    "I''m not in Jinghua, I''m the only one in Jinghua."


    Lu Chen''s heart sank, this matter is even more difficult to do!


    Acute myocardial infarction requires emergency coronary intervention.


    This invasive surgical treatment must require the signature of the patient''s family.


    At this time, Sun Guoguo also came.


    She quickly asked the patient''s medical history and checked the electrocardiogram.


    "It is indeed an acute myocardial infarction, which is still within the intervention time window and requires emergency surgery."


    Sun Guoguo''s opinion was completely consistent with Lu Chen''s.


    "Senior sister, the patient has no family members in Jinghua." Lu Chen whispered aside.


    "Are there none?" Sun Guoguo looked at the man on the hospital bed.


    "No." The man shook his head.


    Sun Guoguo also felt that this matter was very difficult.


    In such a special situation, if the patient died on the operating table, it would be troublesome.


    Not to mention who is responsible, even who will claim the corpse and who will pay for the cost.


    "Junior Brother, you take care of the patient first." Sun Guoguo took out her phone, "I''ll tell Teacher Li about the patient''s condition."


    Li Yao is the director of the department. Any situation involving potential disputes must be reported to her in time.


    Sun Guoguo got out of the hospital bed and called Li Yao.


    Lu Chen stayed and asked the nurse to monitor the patient''s ECG.


    On the bedside ECG monitoring, the patient''s heart rate was 120 beats/min and blood pressure was 98/50mmHg, which is low for a young adult in his twenties.


    Looking at the heart rate on the ECG monitor, Lu Chen frowned.


    Something seems wrong.


    Inferior myocardial infarction, the heart rate is generally slow.


    This patient is a bit abnormal, with a heart rate of 120 beats/min.


    However, Lu Chen didn''t think of any other anomalies for a while.


    At this time, the patient on the hospital bed asked again: "Doctor, you have always said that I have a myocardial infarction, is this serious illness?"


    When Lu Chen heard the words, he suppressed his doubts about the heart rate and began to organize language to explain the patient''s condition.


    Explaining the condition is extremely important, which is related to whether the patient can receive the next treatment.


    "Have you heard of coronary heart disease?" Lu Chen asked.


    The man frowned and nodded.


    "Acute myocardial infarction is the most serious type of coronary heart disease, and people may die at any time!"


    "Acute myocardial infarction is because the blood vessels of the heart are blocked by thrombus, and the blood flow cannot flow through. The myocardial cells at the far end are naturally ischemia and hypoxia, and will soon die."


    "Cardiomyocytes are not ordinary cells. Cardiomyocytes are innate. If one dies, there will be one less, and if a batch of dies, the entire heart may fail."


    "Once the heart fails and heart failure occurs, the patient may die."


    "Therefore, opening the blocked heart blood vessels (coronary arteries) as soon as possible is the only effective treatment. In more advanced hospitals, coronary intervention is the preferred method, such as the placement of cardiac vascular stents to open the narrowed blood vessels and remove them. Thrombus blocking the way."


    After Lu Chen''s explanation, the patient also understood his condition.


    "In other words, I must do this interventional surgery?" the patient said.


    "Yes!" Lu Chen nodded without doubt.


    "Okay, then I''ll listen to you."


    "The problem now is that you don''t have family members, and you must have family members'' signatures for the operation."


    "Can''t I sign it myself?"


    "We need to contact the superior doctor about this issue."


    ¡­


    Sun Guoguo quickly returned to the ward.


    "Mr. Li said that we are only responsible for saving lives. I can''t manage so many miscellaneous matters. She contacted the medical department, filed a record in the medical department, and signed the matter for them to solve. They did this thing in the first place."


    Lu Chen nodded, the best way now is to file a record with the medical department and tell the medical department that there is such a thing.


    They can''t just sit back and watch their patients.


    Everything was ready and the patient was quickly taken to the cath lab.


    ¡­


    The rescue in the intervention room competed for points, and Lu Chen and others returned to the doctor''s office.


    Doctors from other groups also knew about this patient, and everyone sighed.


    Such a young myocardial infarction is really frightening!


    Lu Chen was sitting in front of the computer and began to write his medical records when he realized another problem.


    The patient has no history of hypertension or hyperglycemia, only one history of hyperlipidemia, neither smoking nor drinking.


    To be honest, there are not many high-risk factors.


    This patient is about the same age as him, and he has such a heart attack. Who would have thought? !


    Twenty minutes later, there was a piece of news that no one expected from the intervention room.


    (end of this chapter)

 Chapter 196： broken heart syndrome

    Chapter 196 Broken Heart Syndrome


    This is not a heart attack!


    The news from the ?? intervention room surprised everyone.


    Lu Chen was also stunned.


    Because during the patient''s surgery, the patient''s test results also came out.


    Troponin is elevated!


    Troponin is a protein that exists almost exclusively in cardiomyocytes. Once troponin is elevated, we can infer that the myocardial cell necrosis has ruptured, releasing troponin into the blood, and we can detect the elevation of troponin.


    Acute myocardial infarction can basically be diagnosed by the symptoms of chest pain, changes in electrocardiogram, and elevated troponin.


    But the results of coronary angiography were completely opposite to this diagnosis.


    In addition, Lu Chen also looked at the patient''s surgical records.


    Not only does the patient have no myocardial infarction, but his heart blood vessels are extremely smooth, without any stenosis and plaque, so he does not look like a person with heart disease at all.


    "Could it be variant angina pectoris?" Ke Yue said aside.


    Sun Guoguo shook his head and explained: "If it is variant angina pectoris, even if the patient''s blood vessels are not completely occluded, there must be a problem. However, in our patient, his coronary angiography showed that the patient''s coronary The arteries are clear, there is no significant stenosis, there is no thrombosis, it is not a myocardial infarction, and it is not variant angina."


    "What about myocarditis?"


    You should know that sometimes, pulmonary embolism and aortic dissection can also show similar symptoms of acute myocardial infarction, especially chest pain.


    The heart and lungs are not separated, and sometimes diseases that affect the lungs also affect the heart sideways, so it is possible to have changes in the electrocardiogram.


    Although troponin is unique to cardiac muscle cells, elevated troponin often indicates myocardial cell rupture and necrosis, but it is not necessarily the increase caused by coronary artery occlusion ischemic necrosis (myocardial infarction), but may also be caused by other diseases. Cardiomyocyte destruction and necrosis, such as myocarditis.


    However, Sun Guoguo still rejected the diagnosis.


    "Myocarditis generally has malignant arrhythmia and prodromal infection. This patient is not very suitable."


    After considering so much, Lu Chen was very puzzled at this time.


    It is not myocardial infarction, angina pectoris, or myocarditis, so what other diseases can show chest pain + ECG changes + elevated troponin at the same time?


    ¡­


    Because the patient had no myocardial infarction, he was pushed back to the eighth area of ??the heart after surgery.


    Generally speaking, patients with acute myocardial infarction should be observed in the CCU for a few days after the operation to ensure that there are no complications before they are transferred back to the general ward.


    The patient returned to the eighth area of ??the Cardiology Department. Sun Guoguo instructed Lu Chen to observe him closely, and to review the electrocardiogram and troponin in time.


    At the same time, Li Yao also convened all the doctors to discuss difficult cases.


    Lu Chen, as the first doctor, gave a detailed medical history introduction.


    In order to further exclude other fatal diseases, such as aortic dissection, pulmonary embolism, etc., Sun Guoguo performed a chest and abdomen CT scan + enhancement for the patient.


    Fortunately, the result was normal.


    At this point, the three most dangerous and deadly diseases in cardiology have been ruled out - myocardial infarction, dissection and pulmonary embolism.


    "The real diagnosis of the patient will not be found in a while, so let''s monitor closely first." Sun Guoguo reluctantly ordered.


    Fortunately, the patient''s vital signs gradually stabilized, and the blood pressure also increased to 120/80mmHg.


    ¡­


    The discussion of difficult cases is over.


    Lu Chen reorganized all the information of the patient.


    In fact, from the very beginning, this patient had many doubts.


    First, the patient''s heart rate changes, which is inconsistent with inferior myocardial infarction.


    Secondly, the patient''s life value was not reduced to less than 60 like other patients with myocardial infarction.


    Lu Chen continued to think for a long time, but still could not find the diagnosis of the patient, so he could only temporarily put aside his doubts.


    He is not the only patient clinically, and there are other patients who need to be dealt with.


    One morning, Lu Chen received a total of four patients and was quite busy.


    Fortunately, with the help of Junior Sister Yao Jie, Lu Chen can handle it.


    After one or two months of training, Yao Jie has also grown from a novice in cardiology to an old white who can understand some simple electrocardiograms.


    As he got off work at noon, Lu Chen thought of the myocardial infarction patient in the morning.


    "Junior sister, go and check him an electrocardiogram again."


    "OK."


    Yao Jie immediately reviewed an electrocardiogram.


    The ECG was still pretty much the same as the morning.


    It was time to get off work at noon, so Lu Chen decided to take another look at him.


    ¡­


    came to the bedside, where the patient was eating gruel.


    Messy hair and stubborn beard.


    Lu Chen walked over and said softly, "Is your appetite okay?"


    The man smiled lightly, "It''s normal, you can eat two bowls of white porridge and you won''t die of starvation."


    "You don''t have a myocardial infarction." Lu Chen looked at him and said.


    "I see, you all told me this morning, it doesn''t matter." The man looked at Lu Chen with sadness and emptiness in his eyes.


    This indifferent answer was somewhat unexpected to Lu Chen.


    At this time, the man continued, "I know I must have a problem."


    He lowered his head and said after taking a mouthful of porridge.


    " I divorced my wife a few days ago. It''s not that I don''t have any children. The children belong to her. The company also fired me. I deserve all of this, haha."


    As soon as the man''s voice fell, Lu Chen felt a little creepy.


    Especially his last laugh made his hair stand up.


    However, his words also awakened Lu Chen.


    Could it be that he has broken heart syndrome?


    When a person is extremely sad, it is a huge stress to the heart, which is likely to cause damage to the myocardial cells, and the patient will experience severe chest pain and chest tightness.


    This is similar to myocardial infarction, but coronary angiography is normal, not myocardial infarction.


    This disease is rare, Lu Chen has never seen it before, only on the news.


    Lu Chen left the ward and returned to the doctor''s office.


    "Sister, could the patient have broken heart syndrome?"


    Lu Chen immediately expressed his thoughts to Sun Guoguo, and described the patient''s family situation in detail.


    "Broken Heart Syndrome?" Sun Guoguo was stunned, "Yes, it''s probably stress myocarditis, commonly known as Broken Heart Syndrome. It''s the first time our department has encountered such a situation."


    Sun Guoguo immediately agreed with Lu Chen''s idea.


    All test results are normal, and now only mental factors can be considered.


    "Senior brother, what is broken heart syndrome?" Yao Jie asked in a low voice.


    Lu Chen thought about it and said, "Broken heart syndrome is actually stress myocarditis, but this is not the viral myocarditis (caused by viral infection) that we often call it."


    "Stress myocarditis is a self-limiting disease. Although it is a bit scary at the onset, similar to a real myocardial infarction, it is not a coronary artery blockage after all, so it will not pose a fatal threat."


    Broken Heart Syndrome, similar to being hit **** the heart by someone, the strong hit causes some myocardial cells to rupture, and the troponin increases.


    The consequences of ?? impact are far less than coronary artery blockage. You can recover without treatment after impaction. However, if the coronary artery blockage is not opened in time, the entire heart will be wiped out.


    "Senior brother, I feel very uncomfortable hearing this name." Yao Jie wrinkled her nose.


    "Yeah." Lu Chen nodded, "This metaphor is very vivid. Did a heartbreak really happen? Heartbreak is just an emotional diagnosis, not a physical one."


    "If it is a physical heart fragmentation, the patient will die on the spot, and there is no possibility of survival. The heart is the blood pump of the human body. It takes 6 seconds to faint, and 4-6 minutes of brain hypoxia can lead to irreversible damage or even brain death.¡±


    ¡­


    Lu Chen returned to the ward.


    The patient has finished drinking the porridge.


    Lu Chen hesitated for a while, but still said, "You may have broken heart syndrome."


    "Broken Heart Syndrome?" The man said lightly, "What is this disease?"


    Lu Chen told him the mechanism of the disease.


    The patient was silent after listening.


    After a period of rest, his body can recover.


    He was lucky.


    However, he seems unfortunate again.


    Life is really impermanent.


    Cherish the people in front of you and live the moment well.


    I have heard one case from the teacher in clinical practice, but I have never seen it before.


    One more chapter.


    (end of this chapter)

 Chapter 197： The arrival of Fan Zhiping

    Chapter 197 The arrival of Fan Zhiping


    "Congratulations, the completion of the system upgrade has increased!"


    The system upgrade completion rate has increased, but Lu Chen did not receive any thanks.


    But he didn''t care.


    This was the first time he encountered "broken heart syndrome" in reality, which touched him a lot.


    Treatment is not just the cure of disease.


    And also pay attention to the psychological state of the patient.


    To cure a disease is far better than to cure a person.


    ¡­


    Got off work at noon.


    Lu Chen and Zhou Wei met in the cafeteria.


    "Lu Chen, this meal is yours!"


    The prize money for the first place in the national skills exam made Zhou Wei a little jealous.


    He worked so hard to buy night shifts, how much money did he make!


    Lu Chen went out this time, but he made a lot of money!


    "Okay, I invite you, then you can take it easy." Lu Chen smiled.


    "Don''t worry, I won''t cheat on you!"


    Looking at Zhou Wei''s figure ordering food, Lu Chen had a bad premonition in his heart.


    Sure enough, when the food was on the table, Lu Chen couldn''t help but say, "Viagra, how many days have you eaten meat?"


    "Hey, I''ve been a little tight recently, so I have to improve the food today." Zhou Wei smiled.


    "No, I remember when you were in college, your living expenses were not less at all, right?" Lu Chen wondered, "Isn''t it because you talked about a girlfriend and you ran out of money?"


    "No, no." Zhou Wei quickly denied it.


    But seeing him like this, Lu Chen could only shrug his shoulders and stop asking.


    After eating, go back to the bedroom.


    Lu Chen was about to go to bed for a nap when he received a WeChat message from his senior sister Wang Shasha.


    "Junior Brother Lu, if you have time, help me read some literature and record some data for me."


    Wang Shasha is also a master''s degree from Teacher Li Yao. This year, she is in her third year of master''s degree and is about to graduate.


    Lu Chen doesn''t have much interaction with her, but she only met a few times at a few parties.


    Senior sister''s request, Lu Chen is naturally not easy to refuse.


    But it also depends on whether it is within the scope of his ability and whether he has spare time to complete it.


    "Senior sister, what documents to read and what data to record?" Lu Chen did not agree.


    Wang Shasha soon sent Lu Chen more than 20 documents, all of them in English.


    At the same time, there is a data filling form.


    "Junior brother, help me read these twenty articles and see which genes are mentioned in the article."


    "In addition to this form, I need to go to the department to help me find some eligible patients, and then record their clinical data."


    Wang Shasha has a lot of requirements.


    Lu Chen took a glance and understood that the scientific research she had done was mainly to analyze the relationship between genes and cardiovascular diseases.


    This is also a popular research direction internationally in recent years.


    Twenty English documents may be a lot for others, but for Lu Chen, it is really a piece of cake.


    However, filling out the form with this data is a lot of work.


    The ?? form not only involves the basic information of the patient, but also various laboratory indicators and imaging data of each hospitalization.


    In addition, there are data on their review of each admission.


    Lu Chen did a rough count and found that there were about 500 patients whose data needed to be collected.


    This can take a lot of spare time.


    The most important thing is that the work of recording data is completely mechanical, without any technical content.


    "Senior sister, I can help you read the literature, but your data collection may be too much."


    Lu Chen''s words were very euphemistic.


    He can help, but he won''t act as a good man, agreeing to all the requests of others in one breath, even if the other party is his own senior sister.


    After Lu Chen finished speaking, there was no movement on the other side.


    After about five minutes, Wang Shasha replied again.


    "Junior Brother, how much data do you want to record?"


    "When I''m free in the department, I can help Senior Sister record the data." Lu Chen didn''t rashly agree to a specific number.


    He does not yet know the workload of recording data, specifically how much each patient has.


    "Okay, then thank you, Junior Brother."


    Wang Shasha finished saying this, and there was no more text.


    Lu Chen didn''t care too much, Mr. Li Yao had too many students.


    If every brother and sister asked him for help, and he agreed, he wouldn''t be too busy.


    He can only give appropriate help within the scope of his ability.


    "Dududu..."


    The ?? WeChat alert sounded again, and Lu Chen thought it was Senior Sister Wang Shasha again.


    Unexpectedly, it was a group chat message between him, Ke Yue and Jiang Qingyan.


    It was Ke Yue who sent a message in the group.


    "@Luchen@½­ÇåÑà, did Senior Sister Wang Shasha ask you two for help?"


    Lu Chen was taken aback, it seems that Senior Sister Wang Shasha is casting a wide net!


    "I found it." Lu Chen replied casually.


    "Looking for me too." Jiang Qingyan also replied.


    Ke Yue continued: "Originally, Senior Sister didn''t find me alone. Senior Sister asked me to read 20 documents, and then recorded the data of 800 patients."


    Seeing the message from Ke Yue, Lu Chen''s eyes widened. Eight hundred data?


    At this time, Jiang Qingyan continued: "Ke Yue, you agreed?"


    "Ah? I, I agreed! Could it be that you didn''t agree?" Ke Yue asked in confusion.


    Lu Chen couldn''t help but reply: "Ke Yue, do you know how much work 800 patients have?"


    "Yes, Xiao Yue, it is difficult to collect this kind of clinical data." Jiang Qingyan also reminded, "Eight hundred data is enough for you to record more than a month."


    Originally, Ke Yue still thought that after helping Senior Sister, Wang Shasha would still be able to bring her name when publishing the paper.


    Now it seems that things are not as simple as imagined.


    ¡­


    Jinghua Second Hospital, Continuing Education Center.


    Fan Zhiping came to Jinghua Second Hospital with a report for further study in his hand.


    Every time the professional title is promoted, some doctors in lower-level hospitals need to have the experience of going abroad for further education.


    Originally, Fan Zhiping also planned to go to a small tertiary hospital.


    But what happened in the electrophysiology WeChat group made him change his mind.


    "Hello, your major is Cardiovascular Medicine. Is there a department you want to go to, or a group you want to join?"


    Jinghua Second Academy is very strict in the management of advanced education.


    However, if students have their favorite department, they will not refuse.


    "Eight districts in the heart, Mr. Li Yao and Li''s group."


    Fan Zhiping''s words surprised the management of the Continuing Education Center.


    Few people would choose Director Li of the eight districts in their hearts.


    "You choose Director Li Yao?"


    "That''s right." Fan Zhiping nodded, "Could it be that Teacher Li is already full?"


    "Not full." The person in charge of the Continuing Education Center said, "Then I will contact Mr. Li and tell her about your situation."


    "Okay, thank you." Fan Zhiping said.


    After completing the formalities, Fan Zhiping walked directly towards the eight districts in his heart.


    ¡­


    As soon as he went to work at noon, Lu Chen noticed that there were more people in the group.


    seems to be an "acquaintance".


    (end of this chapter)

 Chapter 198： Most expensive skill card

    Chapter 198 The most expensive skill card


    Eight districts in the heart.


    doctor''s office.


    Sun Guoguo smiled and introduced to everyone in the group: "This is Dr. Fan Zhiping, who has just come to study. He will study in our group for six months. Please take care of everyone in the future."


    Fan Zhiping?


    As soon as he heard the name, Lu Chen felt a bit familiar.


    After thinking about it, isn''t this the same name as him and the person he met in the electrophysiology WeChat group?


    He also added his WeChat friend.


    "I pulled Dr. Fan into our group''s WeChat group." Sun Guoguo added Fan Zhiping''s WeChat friend, and then he was added to the group.


    Lu Chen opened the WeChat group and saw Fan Zhiping''s avatar.


    It was Fan Zhiping from the Electrophysiology Association!


    Why did he come here to study?


    General training for cardiologists mainly focuses on coronary interventional surgery and electrophysiological surgery.


    It is relatively rare to come to the department for further study like this.


    Sun Guoguo instructed again: "Junior Brother, in the past two days, you will take Dr. Fan to familiarize yourself with the hospital environment, the computer''s operating system, etc."


    "Uh..." Lu Chen looked back at the burly Fan Zhiping, "Okay."


    Although he agreed, Lu Chen always felt a little embarrassed.


    If another "Professor Lu" pops up in Fan Zhiping''s mouth, wouldn''t it be another "social death" scene?


    Fortunately, such an embarrassing thing did not happen.


    Fan Zhiping finally saw the "Professor Lu" he was thinking of.


    This is the big guy who usually guides everyone in the interpretation of the electrocardiogram in the WeChat group?


    Although he was mentally prepared, the moment he saw Lu Chen, he found that he was younger than he thought.


    Fan Zhiping still couldn''t help but sigh in his heart, if other people in the group knew Lu Chen''s true identity, what kind of expressions would they have?


    However, he still had a question in his mind.


    The elite members of the Electrophysiology Association are generally at least the level of the attending doctor.


    Lu Chen is only a graduate student, how can he join the elite group of Jinghua Electrophysiology Association?


    This is so weird!


    "Doctor Fan, I''ll take you to see the patients in our group." Lu Chen said to Fan Zhiping, "Then go and get acquainted with the environment of the department."


    Fan Zhiping came back to his senses and nodded quickly: "Okay."


    Lu Chen brought Fan Zhiping to the ward managed by their group.


    "There are more than 70 beds in the eight districts in the heart. Our group has more than 20 beds in total. Although there are not many beds, the beds flow quickly every day."


    Fan Zhiping clicked his tongue slightly.


    There are only fifty beds in the Cardiology Department of the doctors in their county.


    And the Cardiology Department of the Second Jinghua Hospital has ten wards, and each ward has more than 70 beds!


    Immediately afterwards, Lu Chen took Fan Zhiping to get acquainted with all the patients in the group.


    "This patient came this morning and complained of chest pain for a long time, ST segment elevation in the inferior leads of the ECG, and elevated myocardial enzymes, but the coronary angiography was negative. Consider stress myocarditis, which is what we often call broken heart syndrome. "


    Fan Zhiping was taken aback when he heard Lu Chen''s words.


    Broken Heart Syndrome?


    He has also heard of it, but he has never seen such a patient in clinical practice for so long.


    Today, on the first day I came to Jinghua Second Hospital, I encountered such a rare case. It seems that it was a worthwhile trip!


    "The second patient is a patient with coronary heart disease. A total of 14 stents have been placed. This time, I''m here to prepare for an angiography."


    "This is a patient with frequent multi-source ventricular tachycardia, ready for radiofrequency ablation."


    "This is a patient after a heart transplant. This time, he was hospitalized with heart failure."


    ¡°¡­¡±


    Lu Chen introduced all the patients in his group.


    Fan Zhiping really opened his eyes.


    Every one of these patients would be very difficult to deal with if they were placed in a lower-level hospital.


    In Jinghua Second Hospital, there are a lot of such patients.


    "Doctor Fan, if you have any questions, you can always ask me." Lu Chen smiled.


    "Well, good." Fan Zhiping nodded, "Well, I really have doubts."


    "You ask." Lu Chen was taken aback


    "Doctor Lu, you, are you really just a graduate student?"


    Fan Zhiping asked the question that had been stuck in his mind.


    Lu Chen smiled, "Well, really."


    "Then why did you join the elite group of Jinghua Electrophysiology Association?"


    "Online exam." Lu Chen said.


    "Huh? Can you still pass the exam to join the elite group?" Fan Zhiping asked in surprise.


    "Yes." Lu Chen nodded.


    Fan Zhiping knew for the first time that the elite group could join the exam.


    Because most people will not take this road, it is all recommended by upper-level leaders.


    "Then I want to be able to take the test too?" Fan Zhiping whispered.


    "Yes, but you need someone to invite you to join the club." Lu Chen smiled, "Doctor Fan, if you want to take the test, I can invite you."


    Fan Zhiping was overjoyed and thanked him continuously.


    You also need someone to recommend you to take the exam. At the beginning, Lu Chen¡¯s recommender was Li Yao.


    And when Lu Chen joined the elite group of Jinghua Electrophysiology Association, he was also qualified to invite others.


    "Director Fan, you don''t need to be too cautious. I''m really just a student. As for my status in the Electrophysiology Association, that is to communicate with everyone academically, you don''t need to care too much."


    Lu Chen felt that Fan Zhiping''s attitude towards him was a little weird.


    Fan Zhiping''s title in the county hospital is deputy chief physician, and he is only a resident physician.


    Fan Zhiping has played several levels better than him!


    "This..." Fan Zhiping didn''t know how to answer.


    After countless cases in the electrophysiology WeChat group, he already admired Lu Chen in his heart.


    Suddenly seeing the real person, still a young man so much younger than himself, he felt somewhat unnatural in his heart.


    After Lu Chen finished speaking, he walked into the doctor''s office.


    Fan Zhiping followed closely.


    ¡­


    With the arrival of Fan Zhiping, the members of the entire Li Yao teacher group increased again.


    In the current group, in addition to senior doctors such as Li Yao and Sun Guoguo, there will also be three graduate students including Lu Chen, three interns including Yao Jie, and a training doctor Fan Zhiping.


    The entire medical team has a very strong lineup.


    "The director''s team, here comes the patient, in twenty beds!"


    Ke Yue stood up immediately and said, "Come on!"


    Twenty beds are the patients she manages, so she goes to see them.


    "I''m going to have a look too, to get acquainted with the process." Fan Zhiping followed Ke Yue out of the office.


    Although he is already a doctor at the deputy director level, in this top tertiary hospital, no one will care about your status.


    After Fan Zhiping left, Sun Guoguo approached Lu Chen and said, "Junior Brother, do you know this doctor of advanced training?"


    "This, how can I say it, I haven''t met, but I have his WeChat." Lu Chen said.


    "Oh, no wonder he just arrived in the department and asked if you were there." Sun Guoguo shrugged, "I thought it was an acquaintance of yours."


    Lu Chen scratched his head, "No."


    However, although he is not familiar with Fan Zhiping, he feels that he should be here for himself.


    "He''s quite serious." Sun Guoguo said again, "Unlike the last doctor who was studying, he just came to mess around, and he didn''t usually come to the department to work."


    Lu Chen nodded slightly.


    The last training doctor in their group was really fishing for three days and drying the net for two days, and sometimes he didn''t come to the department at all.


    Although the management and training doctors of Jinghua Second Hospital are strict, they do not come to check posts every day.


    And most of these doctors who are studying are about to be promoted.


    They want to fish, and ordinary departments will not be too embarrassed for them.


    ¡­


    Twenty minutes later.


    Fan Zhiping followed Ke Yue back to the doctor''s office.


    This time, the expression on Fan Zhiping''s face was much more relaxed.


    Although Ke Yue is better than the residents in their county hospital, it is within a reasonable range.


    A monster like Lu Chen is only a few after all!


    At this time, the nurse on duty suddenly ran into the doctor''s office again.


    "Lu Chen, the blood of the 35-bed patient is so hard to collect, you can help me."


    "Oh, good." Lu Chen replied without turning his head.


    "Thank you." The head nurse left the office with satisfaction.


    Lu Chen saved the hospital bed record he was writing, and then went to the treatment room to find a tool for radial artery puncture.


    Fan Zhiping was shocked and asked a student to collect blood gas?


    Although Lu Chen has solid theoretical knowledge, this is a bit too hasty!


    He and Lu Chen came to bed 35.


    This is a patient with pulmonary heart disease, who has been in a state of respiratory failure for a long time, and needs to collect blood gas to determine the partial pressure of oxygen in the body.


    I saw Lu Chen wearing gloves and approaching the patient''s bed.


    touched the position of the patient''s radial artery, and then began to puncture.


    "Uncle, bear with me, I''ll be fine soon."


    As soon as Lu Chen finished speaking, Fan Zhiping saw pulsating blood coming out from the tail of the puncture needle.


    Fan Zhiping had a capital question mark on his face.


    Doesn''t it mean that this patient is not very good at puncture?


    Why Lu Chen succeeded in puncturing as soon as he got started?


    Fan Zhiping walked to the patient''s bedside and tried to feel the radial artery pulse of the patient''s other hand.


    "The patient has diabetes for more than 20 years, and the condition of the blood vessels is not very good." Lu Chen said aside.


    Fan Zhiping nodded slightly, his pulse was indeed very weak and not easy to touch.


    Lu Chen''s ability to hit the nail on the head is really not easy!


    This at least has many practical experience in order to be so skilled.


    Radial artery puncture, which is the introduction to cardiac intervention.


    Being able to master radial artery puncture skillfully is definitely the sweet pastry of cardiology department.


    Fan Zhiping did not expect that Lu Chen was not only so knowledgeable about electrocardiography, but also his clinical skills!


    I really don''t know how he trained at such a young age.


    ¡­


    At this time, a prompt popped up in Lu Chen''s system panel.


    "Congratulations, the proficiency of radial artery puncture has risen to 97%!"


    After training in virtual space and in reality, Lu Chen''s proficiency in radial artery puncture is close to 100%!


    However, Lu Chen also noticed that the improvement of proficiency was not as fast as before.


    Now the system does not focus on the quantity of punctures, it may focus more on the quality!


    Next, his skill proficiency will increase only by puncturing the difficult radial artery.


    After successfully collecting blood gas, Lu Chen handed the blood gas tube to the nurse in charge.


    "Lu Chen, thank you."


    "You''re welcome."


    Lu Chen smiled, and he received a little more gratitude from the nurse.


    At this time, Fan Zhiping, who was standing beside him, looked like he was hesitant to speak.


    "Doctor Fan, what''s wrong?" Lu Chen noticed his expression.


    Fan Zhiping paused for a while before slowly opening his mouth and said, "You, can you do coronary angiography now?"


    Lu Chen was taken aback for a moment, then smiled and shook his head: "Not yet."


    Fan Zhiping breathed a sigh of relief, it''s okay, it''s not too outrageous.


    Actually, Jinghua Second Hospital has strict control over coronary angiography.


    Because the contrast agent is used in the imaging, the contrast agent has the radiation of rays.


    Radiation is not only harmful to the practitioner, but may also affect the next generation.


    Theoretically, avoiding the rays for a year is enough before having a baby.


    But if most people want to learn angiography, they have to get married and have children before they can start.


    Of course, there are a small number of people who will learn imaging before giving birth.


    This is really an operation with the health of the next generation!


    In Lu Chen''s plan, he would only consider learning coronary angiography after giving birth to a child.


    This is also for the sake of his descendants.


    But it''s too early to think about this now, he doesn''t even have a girlfriend!


    ¡­


    Throughout the afternoon, Lu Chen''s main task was to bring Fan Zhiping to familiarize himself with the hospital''s doctor''s order and medical record system.


    Fan Zhiping didn''t plan to come here for six months, so he got started quickly.


    The time of the afternoon passed quickly.


    Got off work.


    Lu Chen returned to the dormitory and began to read the 20 documents given to him by Senior Sister Wang Shasha.


    The reason why ?? helped, except that she was his senior sister, was not easy to refuse.


    Secondly, Lu Chen also wanted to know some academic knowledge.


    Although he has a clinical master''s degree, he still has to publish a dissertation and a graduation thesis after graduation.


    There are still many advantages to contacting papers in advance.


    Because of the "Document Reading" skill book, Lu Chen''s ability to read documents has been greatly improved.


    Although it is still not as good as reading Chinese papers, he has been able to translate most of the basic papers in real time.


    The twenty papers given by Sister Wang Shasha are all about genetics.


    Lu Chen quickly finished reading one.


    The general content of ?? is that people who contain the S3453 gene have a 1.32-fold higher risk of vascular disease than normal people.


    This article is an SCI paper published in the journal GENE, with an impact factor of 3.2.


    To be honest, the experimental approach of this paper is simple.


    Lu Chen''s experiment is easy to understand, and he will compare the genes with and without the genes.


    Most of the next nineteen papers are this way.


    After browsing all the papers, Lu Chen also knew the number of the papers of Senior Sister Wang Shasha.


    All the above-mentioned documents are discussing the races of the Americas, not the races of the Asians or the Chinese.


    Therefore, Wang Shasha''s paper idea is to change the population in the experiment from America to Asia, and then do the same experiment before publishing it.


    After Lu Chen learned about it, he had no interest in continuing to read it.


    This experiment is not innovative at all. It only requires funds to send the patient''s blood samples to the relevant experimental company, and finally conduct genetic screening.


    "It''s really an easy-to-obtain SCI article." Lu Chen couldn''t help shaking his head, "It''s just an SCI made with money. It seems that Senior Sister Wang Shasha is not bad for money."


    The cost of genetic screening is not cheap. Publishing such a SCI paper requires a lot of page fees. It will cost a lot of money in combination!


    Graduate students of Jinghua Second College will start their graduation thesis in the next semester.


    is to choose the direction of the graduation project and make an opening report.


    Lu Chen doesn''t have any ideas yet, but he doesn''t seem to want to do this kind of repetitive experimental research.


    Research on a different race has no innovation at all.


    Although he also knows that many colleges and universities in China have acquiesced in this research paper idea.


    As long as there are no relevant papers in China, it can be said to fill the domestic gap!


    Isn¡¯t this a major research finding?


    ¡­


    After reading the literature, Lu Chen flipped through his system mall to find out if there were any skill cards related to scientific research.


    He really found two skill cards about scientific research.


    These include Basic Research Skills Card (Elementary) and Clinical Research Skills Card (Elementary).


    For these two primary skill cards, the basic scientific research skill card is worth 300 gratitude points, and the clinical research skills card is worth 200 gratitude points.


    "It''s really expensive!" Lu Chen couldn''t help shaking his head.


    These are also the two most expensive skill cards in the mall that Lu Chen can see so far.


    Research skill cards are much more expensive than other skills.


    Even the system defaults that in the medical field, scientific research is more important than other medical skills!


    As for the higher-level system mall, Lu Chen does not have permission to open it yet.


    (end of this chapter)

 Chapter 199： Leave, or a new beginning!

    Chapter 199 Leave, or a new beginning!


    Medical research can be divided into basic research and clinical research.


    Basic scientific research is mainly the research of basic experiments in the laboratory, involving the microscopic world, such as the pathogenesis of diseases, drug synthesis and so on.


    Clinical research, as the name suggests, is the experimental research carried out in the clinic, such as judging the efficacy of two drugs, the side effects of drugs, etc., generally does not need to be carried out in experiments.


    Comparing the two types of scientific research, Lu Chen still wanted to choose clinical research.


    After all, he doesn''t have time to enter the laboratory right now. It may be better for him to find some scientific research inspiration in clinical practice.


    ¡­


    Although the title of the thesis is in the second semester of the first year of research, Lu Chen still has to plan ahead to avoid the situation of school team selection again.


    In the ?? system panel, Lu Chen''s gratitude value was 136 points.


    After the national skill competition, Lu Chen''s gratitude value has actually been exhausted.


    If he hadn''t won the championship and harvested a wave of everyone''s gratitude, his current gratitude would not exceed ten points.


    However, there is still a long way to go to exchange the 200 points of gratitude for the clinical research skill card.


    Next, you have to work harder to earn gratitude points to exchange for clinical research cards.


    As for the lottery, Lu Chen spends a little gratitude every day to try his luck.


    Even if you don¡¯t win, it¡¯s not a big loss.


    In, you earn!


    ¡­


    night.


    Lu Chen sorted out the twenty papers written by Sister Wang Shasha, but did not send them to her immediately.


    If you send it to Wang Shasha now, maybe she has made some **** and let him continue to do other things.


    "Dududu..."


    Just then, Lu Chen''s phone vibrated.


    The ?? WeChat alert sounded, which was a message from Fan Zhiping.


    "Doctor Lu, about the online exam of the Jinghua Electrophysiology Association..."


    Lu Chen patted his head and almost forgot about it.


    He agreed before and invited Fan Zhiping to conduct an evaluation of the elite group by the Electrophysiology Association.


    "Wait a minute, I''ll send you the invitation code right away.


    " Lu Chen replied immediately, then turned on the computer, entered the official website of Jinghua Electrophysiology, logged in to his account, found his invitation code, and sent it to Fan Zhiping.


    Lu Chen''s current authority allows three people to be invited for assessment each year.


    ¡­


    Jinghua Second Hospital, a nearby rental house.


    The hospital has a collective dormitory, but Fan Zhiping was not used to it, so he moved out and lived everywhere by himself.


    Sitting in front of the computer, Fan Zhiping received the invitation code from Lu Chen and the website link.


    He immediately opened the official website of Jinghua Electrophysiology.


    "Ordinary members, elite members, core members..."


    After browsing the website, Fan Zhiping had a preliminary understanding of the composition of the Electrophysiology Association.


    Elite group assessments can be conducted every Friday, up to three times a year!


    "Today happens to be Friday!" Fan Zhiping glanced at the calendar.


    Every Friday at 8:00, the elite group can be assessed.


    Fan Zhiping decided to strike while the iron was hot and experience the assessment of the elite group.


    Click to open the exam interface and enter the invitation code.


    Fan Zhiping was waiting for the start of the exam.


    Arrived at eight o''clock.


    He took a deep breath and clicked the button to start the exam.


    ¡­


    ten minutes later.


    Fan Zhiping has been smug at the beginning, and now he is lost...


    "What the **** are these questions?!"


    From the very beginning of the electrocardiogram vector, Fan Zhiping was completely uncertain.


    After skipping three questions in a row, the test is forced to be suspended directly.


    Lu Chen actually joined the elite group of Jinghua Electrophysiology in this way!


    is really unimaginable!


    Fan Zhiping''s evaluation of Lu Chen was one more point higher.


    Although there are three chances to take the exam, Fan Zhiping has no idea of ??continuing the exam at all.


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    In addition to Fan Zhiping taking the exam, Gu Xinyue was also taking the exam.


    "Failed again!" Gu Xinyue stared at the computer screen in front of her.


    All three exam opportunities this year have been used up, and he has also lost the opportunity to join the elite group of Jinghua Electrophysiology Association this year!


    "Alas, it''s still too difficult to join the elite group now." Gu Xinyue shook her head slightly.


    The question of this elite group exam is too perverted.


    was only the first type of ECG vector questions, which cost him a lot of time, not to mention other types of questions.


    "You can only become a regular member."


    Gu Xinyue gave up the assessment of the elite group and has applied to become an ordinary member.


    Next year, he will only have three more chances to be assessed, and then try the elite group assessment again.


    ¡­


    was speechless all night.


    The next day.


    When Lu Chen came to see the Cardiology ward, he saw Ke Yue and Fan Zhiping staring at a **** eye.


    "Did you sleep well last night?" Lu Chen looked at Ke Yue.


    "Hey, I went to see the literature that Senior Sister gave me." Ke Yue gave a wry smile, "After reading it all night, I only finished two articles, and they were all ignorant."


    Lu Chen has a skill book on "literature reading", but others don''t.


    Ke Yue looked at the unfamiliar medical English proper nouns, and her head grew big.


    "Lu Chen, how many have you read?" Ke Yue asked in confusion.


    "I am about the same as you, only three or four articles."


    In order to avoid further attacking Ke Yue and affecting his future gratitude, Lu Chen told a small lie.


    After he finished speaking, he turned to look at Fan Zhiping beside him.


    Ke Yue is looking at literature, he is not looking at literature!


    Fan Zhiping saw Lu Chen''s gaze, coughed awkwardly, but did not speak.


    ¡­


    The shift is over in the morning.


    Sun Guoguo led the crowd to start rounds.


    When he found a patient with broken heart syndrome, Sun Guoguo spoke again about the pathogenesis of the disease.


    "By the way, if you are interested, you can write this case as a case report." Sun Guoguo said, "After all, this kind of case is still very rare. If it can be translated into English, it may even be published in some SCI journals."


    Sun Guoguo''s words reminded Lu Chen.


    I remember when he first came to the eighth district of his heart, he met a patient who was poisoned by oleander.


    At that time, Sun Guoguo asked Lu Chen to try to write a case report, but he didn''t care.


    Looking back now, these are relatively good cases. If they can be summarized and written into papers, it would be a good direction for publishing papers.


    Lu Chen decided to study the writing of casereport after returning to the bedroom at night.


    ¡­


    After checking the room, go back to the doctor''s office.


    Before the buttocks were hot, Yao Jie''s younger sister approached Lu Chen.


    "Senior brother, do you remember, yesterday you said there was a way to identify male and female gender by electrocardiogram?"


    Yao Jie''s words attracted the attention of others in the group next to her.


    Sensing everyone''s gaze, Lu Chen felt that this was another good opportunity to pretend...to earn gratitude points.


    "Cough cough." Lu Chen cleared his throat and nodded, "There is indeed such a method."


    Fan Zhiping''s eyes lit up, and the electrocardiogram was used to identify the gender of men and women.


    It was the first time he knew about this function of the electrocardiogram. It sounded useless, but it looked amazing.


    Lu Chen took out an electrocardiogram, and the rest of the group gathered around.


    "By judging the elevation of the J point and the ST segment angle, we can infer whether this ECG is from a male or a female."


    "If the pre-chest lead J-point elevation is 0.1mV and the ST segment angle is >20¡ã, then this ECG is basically a male pattern, and vice versa for a female pattern."


    "In addition, you can''t guess with an abnormal ECG, such as atrial fibrillation, myocardial infarction, or electrolyte imbalance, etc., so there may be errors."


    As soon as Lu Chen finished speaking, some students couldn''t wait to start the verification.


    "Wow, that''s what Brother Lu Chen said."


    "Yeah, I just measured it, this one is female, this one is male, that''s right!"


    "Yesterday Director Lin Cui didn''t answer, but today Senior Brother Lu Chen did!"


    After everyone''s verification, they found that it was as Lu Chen said, and the success rate of identification was over 90%!


    "Congratulations, +1 for the thank you from Fan Zhiping!"


    "Congratulations, +1 for the thank you from Yao Jie!"


    ¡°¡­¡±


    gained another 6 points of gratitude, and Lu Chen''s total gratitude point reached 142 points.


    Although everyone feels that this skill is not very useful, but you can take it out and pretend it!


    Fan Zhiping''s idea is different.


    A simple little knowledge, if you want to delve into the truth, you need a relatively complete knowledge of electrophysiology, which is not simple.


    Fan Zhiping has experienced the elite group assessment last night, and he understands the difficulty even more.


    ¡­


    Everyone was just immersed in the joy of learning a little trick, when the nurse in the main class came in and shouted: "The chief team, the patient is here."


    "Okay, I''ll go collect it first." Lu Chen stood up.


    He slept well last night, but unlike Ke Yue and Fan Zhiping, staring at two big dark circles.


    "Mr. Liu, which bed is the patient in?" Lu Chen followed the nurse in charge out of the doctor''s office.


    Liu Min is an old nurse in the department.


    General residents, even young attending physicians, would call her Teacher Liu.


    "Eighteen beds." Nurse Liu said.


    "Okay, thank you Teacher Liu." Lu Chen suddenly thought of another thing, "Why haven''t I seen Sister Liu recently?"


    "You mean Liu Mei?" Nurse Liu paused, her expression a little unnatural.


    "Yes." Lu Chen nodded.


    He hasn''t seen Liu Mei for a long time recently.


    "After that incident, she resigned." Nurse Liu sighed.


    "Resign?" Lu Chen was taken aback, thinking she was on vacation.


    "That''s right." Nurse Liu gave a wry smile, "She has other part-time jobs, and has been hesitating whether to change jobs. When this happened, she just quit."


    Lu Chen heard the words and fell silent.


    Liu Mei was the first nurse he met in the eight districts of his heart.


    They also cooperated in many rescues.


    "It''s a pity." Nurse Liu shook her head, "Xiao Liu is the best nurse in our department. Every year, she is the first in the in-hospital nurse competition. She resigned, and everyone is very reluctant. But she can leave this. The environment, many other little nurses, are very envious."


    In this industry, some people have persisted, and some people have left.


    The courage to persevere is invaluable.


    Leaving, isn''t it a new beginning?


    Lu Chen sighed and walked slowly towards the ward.


    He is going to see a new patient.


    (end of this chapter)

 Chapter 200： unethical doctor

    Chapter 200 Doctors Without Medical Ethics


    Lu Chen came to the 18th bed.


    Fan Zhiping and Yao Jie, his little valet, followed behind him.


    A male patient of about forty years old was lying on the hospital bed.


    Lu Chen was stunned when he saw his health.


    His health is only 51.


    Another critically ill patient!


    However, the patient does not look uncomfortable now.


    Lu Chen patiently began to ask about his medical history.


    He couldn''t have run up the first time and told the patient that your condition was very serious.


    Seeing a doctor still has to follow the procedure, but Lu Chen has a string in his heart, and pays attention to the changes of the patient''s condition at any time.


    ¡­


    After routine medical history inquiries, Lu Chen collected brief information about the patient.


    Patient, male, 46 years old, complained of chest pain for 2 days and was admitted to the hospital.


    Another patient with chest pain!


    Most of the patients in the Cardiology Department are patients with chest pain or chest tightness.


    "Where is the pain? Show me the specific location." Lu Chen said to the patient.


    The patient raised his right hand, paused, and then pointed to his chest: "It hurts here, the whole part hurts."


    This position is at the lower end of the sternum.


    "What kind of pain do you feel? For example, is it like a needle stick, or a stone pressing, or a tearing pain?"


    "This..." The patient couldn''t find the words to express for a while, "It''s like something is pulling on my chest."


    "When did it hurt the most?" Lu Chen continued.


    "Two days ago when I was working, the pain started. It started again at 4 am this morning. The most painful time should be around 5 am this morning. After taking painkillers in the emergency department, the pain went away."


    "Did you sweat when it hurt?"


    The patient nodded quickly and said, "Sweat!"


    Lu Chen''s heart sank.


    In cardiology, there is an empirical talk.


    Patients with chest pain, if the pain is sweating, it is generally not a bad disease!


    In addition, combined with the patient''s health, his condition is not optimistic.


    ¡­


    Next, Lu Chen asked about other situations.


    It turned out that the patient had a history of herpes zoster in the first half of the year.


    The chest pain attacked this time, and I went to the local hospital to consider intercostal neuralgia.


    After symptomatic treatment, the symptoms of chest pain were relieved during the medication.


    But at 4 o''clock this morning, the patient suddenly woke up from his sleep with pain. After seeing the local hospital, the pain continued to not relieve, so he came to Jinghua Second Hospital. "


    Next is the physical examination for admission.


    The patient was conscious, with a soft neck, negative cardiopulmonary and abdominal examination, and no edema in both lower extremities. There were no obvious positive signs.


    Because of the broken heart syndrome patient yesterday, Lu Chen also specifically asked the patient''s mental state, and there was no problem.


    "Sister, give the patient an ECG review."


    Although the patient brought an electrocardiogram from the local hospital and also had an electrocardiogram in the emergency department, both electrocardiograms were normal, but Lu Chen adhered to the principle of prudence and gave the patient a reexamination of the electrocardiogram.


    ¡°Zizzizi¡­¡±


    The ECG machine finished the paper.


    Lu Chen picked up the electrocardiogram, and Fan Zhiping also came over.


    "Sinus rhythm, generally normal ECG."


    There is no difference from the ECG done before.


    At this time, Yao Jie said from the side: "Senior brother, the patient''s blood pressure is a little high, and the blood pressure is 172/90mmHg."


    "This is the blood pressure of the right hand, what about the blood pressure of the left hand?" Lu Chen frowned.


    "Oh, I haven''t measured yet, I''ll take another measurement on my left hand." Yao Jie took out the blood pressure monitor again.


    Patients with high blood pressure must measure the blood pressure of both hands.


    Yao Jie took the stethoscope and fastened the cuff to the patient.


    Press the air bag to inflate.


    Then slowly deflate. When the first beat is heard, it is the systolic blood pressure; when the beat disappears, it is the diastolic blood pressure.


    "What''s your blood pressure?"


    Lu Chen saw Yao Jie re-measure several times, but did not report a prepared value.


    Yao Jie took off the stethoscope and frowned: "Brother, I don''t know if I heard it wrong or what. The blood pressure of the patient''s left hand is only 140/72mmHg."


    Lu Chen was shocked.


    "I''ll measure it."


    Put on the stethoscope and tie the cuff.


    Inflate, deflate.


    The first pulsation was indeed at 140.


    "That''s right, the systolic blood pressure is 140." Lu Chen put down the stethoscope and glanced at Fan Zhiping beside him.


    Both of them could see the solemnity in each other''s eyes.


    The chest pain persists and does not relieve, and there is high blood pressure.


    And the blood pressure on both sides is not equal.


    The diagnosis of aortic dissection is about to come out!


    The aorta is composed of three layers, from the inside to the outside are the intima, the media and the adventitia.


    Long-term high blood pressure, not well controlled. The intima is easily torn. Once the intima is torn and the blood flows between the intima and the adventitia, a local false lumen will be formed in mild cases, while in severe cases the false lumen may involve the entire aorta.


    If the blood pressure is too high or the activity is intense, the adventitia is ruptured, and the blood in the false cavity will be gushed out, and the patient has almost no chance of survival.


    This is one of the most dangerous killers in cardiology - aortic dissection!


    If the patient is not treated in time, the mortality rate is 25% within 24 hours, 50% within 48 hours, and 70% within 1 week.


    At this point, Lu Chen almost confirmed the diagnosis of "aortic dissection".


    Because the patient not only has the same symptoms and signs, his HP is also lower than 60, and he is in a very critical state.


    ¡­


    Back to the doctor''s office.


    Lu Chen immediately reported all the patient''s conditions to Sun Guoguo.


    "Aortic dissection?! I''ll go see the patient first." Sun Guoguo stood up abruptly.


    If it is really aortic dissection, then this is a ticking time bomb!


    Sun Guoguo came to the ward and checked the patient again.


    "There is a high probability of dissection." Sun Guoguo said to Lu Chen, "But still do aortic CTA diagnosis."


    No matter how similar the clinical manifestations are, to diagnose any disease, evidence must be presented.


    For aortic dissection, that is contrast-enhanced CT of the aorta.


    "Okay." Lu Chen nodded.


    The patient is accompanied by a family member, his wife.


    The conversation went smoothly, and the family agreed to go out for inspection.


    Because the patient''s condition was relatively critical, Lu Chen personally took him out for an examination.


    Prepare the monitor and first aid kit for going out for inspection. When Lu Chen was about to go out, he was stopped by Nurse Liu.


    "Lu Chen, the patient is in arrears after completing this examination. Afterwards, the medicine is paid on credit first, so you are urging the family to pay."


    Lu Chen nodded in agreement.


    Patients are covered by rural medical insurance in different places, and they need to pay first and reimburse them later when they go back.


    ¡­


    pushed the patient to the CT room.


    When the image results are displayed on the computer, the patient''s aortic arch all the way to the thoracic aorta, all of which are tears.


    There is no suspense, this is aortic dissection, Stanford type A, requiring emergency surgery.


    "Congratulations, the completion of the system upgrade has increased!"


    At this time, Lu Chen didn''t mean to be happy at all.


    He immediately called Sun Guoguo and informed him of the test results, then carefully moved the patient back to the hospital bed and escorted him back to the ward.


    Lu Chen was afraid that something might happen in the middle of the road.


    However, nothing happened along the way, and he returned to the eight districts of his heart safely.


    Sun Guoguo has requested an emergency consultation of vascular surgery.


    This kind of operation involves surgery, and ordinary medical intervention can no longer be solved.


    ¡­


    The vascular surgeon arrived soon after.


    "Director Zhang, transfer the patient to your department?" Sun Guoguo looked at the cardiac surgeon who came for consultation.


    "If you want to have surgery, you can transfer to our department. If you don''t have surgery, it doesn''t make sense to transfer to a department. It''s just a symptom of lowering blood pressure. Your internal medicine department is more professional than our surgery."


    The opinion of the consulting doctor is clear.


    This type of dissection requires emergency surgery.


    Without surgery, it is like carrying a time bomb on your body that may explode at any time!


    Director Zhang of the Cardiac Surgery Department wrote the consultation opinion and explained the condition to the patient''s family before leaving.


    ¡­


    The antihypertensive drugs have been used, and the next step is to communicate with the patient about the operation.


    Lu Chen followed Sun Guoguo to the ward and called the patient''s family out of the corridor.


    Sun Guoguo repeated the conversation with his family countless times before.


    "You even have to do surgery, if you don''t do it, you will die at any time!"


    The patient''s wife, who also looked very poor in the countryside, asked Sun Guoguo with tears in her eyes: "Doctor, we have medical insurance in the countryside, how much does the operation cost?"


    Sun Guoguo paused and said slowly: "Rural medical insurance, you have to pay for it yourself and then go back to reimburse. If everything goes well, the overall hospitalization fee will be 20W, but you pay 10W first, enough for the operation fee, we can first Surgery to save your life."


    The patient''s wife cried, and after groping for a long time in her pocket, she found several pieces of ten yuan and five yuan: "After two days of tossing, we only have so much in our family."


    Lu Chen took a look and saw that it was not enough to add up to 100 fast, it was too far behind.


    Sun Guoguo was also a little anxious: "Don''t you have a card or something? WeChat and Alipay are also fine!"


    The patient''s wife fumbled in her pocket for a long time and took out a bus card.


    Sun Guoguo was stunned for a while, seeing that she had already cried to tears, gritted her teeth: "In this way, hurry up to raise money, as long as you have 5w, I will report it here for you, find a way to transfer you to a department, and help you. Done!"


    The patient''s wife may really be out of money, shaking her head and crying.


    Lu Chen and Sun Guoguo felt tight, this was already their best effort.


    If this is not enough, then there is really nothing that can help.


    ¡­


    It may be that the cries of the family members were too sad, which attracted a middle-aged woman from the family members of the next ward.


    The woman listened to the outline, probably thinking that her relatives were also in critical condition, so she stepped forward, shed a few tears with her, and said fiercely, "The current doctor is really unethical!"


    Lu Chen and Sun Guoguo were a little confused.


    For no reason, he was hammered all of a sudden.


    Just listen to the woman continue to say: "The doctor in the past, the operation was done first, so it doesn''t matter if you have money or not."


    Before Sun Guoguo could recover, Lu Chen sank his heart and said slowly: "There is no money in the account, I can''t get anesthesia, and I can''t even get anesthesia. He can lie down on the water for treatment, and he has already used the head nurse. The authority allowed him to treat him on credit."


    As if she hadn''t heard, the woman comforted the patient''s wife, and continued to breathe out a fragrance: "The doctors now are all in the eyes of money! In the past, the old doctors in our village used to advance money to treat others by themselves. Now How can there be such good people, everyone is full of bad water!"


    Lu Chen''s heart sank to the bottom.


    He stood directly in front of the woman and took out his mobile phone.


    The ?? woman was startled, thinking that Lu Chen was going to smash her.


    But thinking that this is in the hospital, there are so many people around, and there are cameras, so he doesn''t show weakness and glares.


    At this time, Lu Chen held up his mobile phone and opened Alipay''s Yu''ebao.


    glanced at the balance, quickly exited, and reopened the loan.


    Lu Chen gritted his teeth and said, "Eldest sister, you are right, I really should be a doctor with medical ethics. Look at this, I don''t have much money as a poor doctor. There is a loan of 3W here. Lend them all out and put them on the mat. You are so caring, put together the remaining 2w, and let''s do a good deed together to save people, right?"


    The patient''s family listened, widened their eyes, and looked at the woman with hope.


    The woman''s mouth trembled, and she stepped back.


    The patient''s family took a step in front of the woman, wiped away tears, and tried to speak.


    The woman was so frightened that she pushed her hard and quickly disappeared in the corridor of the ward...


    (end of this chapter)

 Chapter 201： The unfavorable Fan Zhiping

    Chapter 201 Fan Zhiping, who was unfavorable in his apprenticeship


    However, Lu Chen broke his promise.


    I didn¡¯t help patients with money. After all, my moral standard was relatively low, and I couldn¡¯t reach the realm of giving oneself to others.


    Besides, there are too many such things.


    ¡­


    Eight districts in the heart.


    doctor''s office.


    "The patient can''t be transferred to the department for the time being." Sun Guoguo said, "I can''t make up the cost of the operation, so I can''t do this operation, and I won''t want it in cardiac surgery."


    In the first half of this year alone, there were five patients who escaped fees in the eight districts of the heart.


    There are no fees to be paid, all of which are shared equally by the doctors and nurses in the department.


    Lu Chen hesitated for a while, then asked, "Senior sister, doesn''t our hospital have any foundation or charity association?"


    "Yes, yes, but the application conditions are very harsh." Sun Guoguo said, "And only part of the fee can be reduced or exempted, and the patient still has to pay part of the money."


    Lu Chen thought for a while, then said, "Senior sister, let''s do it. Let the patient''s family members collect money first, and we''ll help him contact the foundation to see if the patient''s sign meets the requirements. If it can be done, then it''s the best. We did our best."


    "Well, you can give it a try." Sun Guoguo said.


    "Senior brother, I''m here to help you get in touch. I''ve seen the foundation''s contact information in a school group before." Yao Jie, who was beside him, took the initiative to ask Ying.


    "Okay." Lu Chen nodded.


    ¡­


    Back to the ward again.


    Lu Chen told the patient''s family about the foundation.


    The patient''s wife said thank you, "Dr. Lu, thank you. I will try my best to raise money."


    "Well." Lu Chen said, "There will also be people from the Foundation, and you will need your cooperation. The sooner the surgery, the better. Now every day that is delayed, the risk of the patient will increase by one point. Now even in the hospital, at any time There is also a risk of sudden death."


    "Okay." The patient''s wife nodded quickly.


    Desperate person, if she catches a life-saving straw, she will hold it tightly.


    "Congratulations, +1 for the thank you from Yu Meiling!"


    "Congratulations, +1 thanks to Zhang Degui!"


    As soon as Lu Chen walked out of the ward, he received a thank you from the family.


    "Hey." Lu Chen sighed slightly in his heart.


    This kind of thing is not an exception, it happens in the hospital every moment.


    can help one patient, but not all.


    As the old saying goes, money does not equal life.


    But sometimes, money can really buy life.


    ¡­


    Back to the doctor''s office.


    Lu Chen and Yao Jie started to contact the hospital''s foundation and charity association.


    To apply for the help of the foundation, the conditions are very harsh.


    Not only requires the patient''s family conditions to meet the review standards, but also requires the approval of the department leaders and hospital leaders.


    Li Yao directly approved Lu Chen''s request after learning about the patient''s family conditions.


    In addition, the Foundation will also send people to the department to conduct an investigation and filing of the actual situation.


    The whole process takes at least three days, and at most only a part of the cost can be reduced, and the rest of the operation cost needs to be paid by the family.


    ¡­


    Lu Chen helped the patient contact a charity association in the hospital, and the rest of the matter was left to the communication between the patient and the charity association.


    "It''s better to have a big hospital." Fan Zhiping sighed in a low voice, "Like our county hospital, there is no foundation or charity association. Besides, we are especially afraid of the three-no-ill patients picked up by the police from the roadside, as long as they are Evasion, even on our heads."


    "Actually it''s the same." Sun Guoguo looked helpless, "We have absolutely no way to avoid paying patients at their own expense, so unless there are special circumstances, we generally don''t give patients credit."


    Every family has scriptures that are difficult to read.


    The problem is not something that can be solved by the medical staff at the bottom, but involves multiple issues.


    After Lu Chen dealt with this patient with aortic dissection, he began to see other patients.


    The Cardiology Department of Jinghua Second Hospital has many beds, and the circulation is fast.


    As long as the patient''s condition improves a little, the patient will be urged to leave the hospital and the bed space will be maximized.


    "Let me accept a patient." Fan Zhiping took the initiative.


    "Okay." Sun Guoguo smiled and nodded.


    Those who come to study are all clinical old fritters, and few of them take the initiative to accept patients.


    This Fan Zhiping is an exception.


    "For the next patient, let Dr. Fan pick him up." Sun Guoguo said.


    As soon as she finished speaking, Nurse Liu walked into the room.


    "Director, the patient is here."


    Really what to say.


    Sun Guoguo stood up, took the hospital certificate handed over by Nurse Liu, and turned to look at Fan Zhiping, "Do you want to see this patient?"


    "Okay." Fan Zhiping nodded with a smile, and then walked outside the doctor''s office.


    He didn''t come to Jinghua Second Hospital to mess around, otherwise he wouldn''t come to Lu Chen.


    "Sister Xiaoyu, you go follow Dr. Fan and help him measure his blood pressure and do an electrocardiogram." Sun Guoguo instructed another intern in the group to follow Fan Zhiping.


    Fan Zhiping is a deputy chief physician, and it is not reasonable to ask him to do an electrocardiogram by himself.


    Sun Guoguo originally wanted Yao Jie, who was a little smarter, to help, but seeing that she had been leaning in front of Lu Chen, she did not let her go.


    "OK."


    The female intern with the surname Yu nodded and followed behind Fan Zhiping.


    ¡­


    With Fan Zhiping''s help, everyone in the group felt a lot easier.


    Sun Guoguo glanced at Ke Yue and found that she was writing something with a frown.


    "Junior sister, what are you doing?"


    Sun Guoguo is usually very concerned about Ke Yue and Jiang Qingyan. These two junior sisters don''t talk much, but they are very serious.


    She walked to Ke Yue and saw a stack of questionnaires on her desk.


    Pick it up and take a look, it is a form for collecting patient data.


    "Helps Senior Sister Wang Shasha to record the data." Ke Yue smiled helplessly.


    "Sasha asked someone to help record the data again?" Sun Guoguo was taken aback.


    Sun Guoguo''s words attracted Lu Chen and Jiang Qingyan.


    "Senior Sister, has Senior Sister Wang Shasha ever found someone else?" Ke Yue asked in surprise.


    "That''s right." Sun Guoguo nodded, "You didn''t come last year, Sasha went to your senior sister from the previous term."


    "Ah? This..." Ke Yue looked like she was hesitant to speak.


    "What''s wrong?" Sun Guoguo looked at Ke Yue suspiciously.


    Ke Yue hesitated for a while, looked around, and then whispered: "Senior Sister, did Senior Sister Sasha send someone else''s name in the last article?"


    Sun Guoguo frowned and recalled hard: "I remember that Sasha has not posted SCI, if it has, everyone will know. If it is only published in Chinese core journals, it is useless to carry a name, and it is not valuable. "


    "Oh." Ke Yue nodded, slightly disappointed.


    "Actually, your graduate thesis is very good." Sun Guoguo continued, "The graduation thesis is not required to be published, only a review is required."


    "What is a summary?" Ke Yue paused.


    "This..." Sun Guoguo thought for a while, "Review is actually a summary of existing viewpoints, and you don''t need to have your own things. As opposed to a review, it is a treatise, and a treatise requires its own experimental data."


    After listening to Sun Guoguo''s words, Ke Yue seemed to understand.


    She looked at the questionnaire in her hand, and she no longer had the same energy as before.


    There are still 800 copies waiting for her.


    This job is really thankless!


    Jiang Qingyan saw her reluctance.


    "Xiao Yue, as much as we can record, we don''t need to indulge others. Helping is a sentiment, and it is normal not to help."


    "Hey." Ke Yue sighed, "Just this time, next time Senior Sister Sasha asks me for help, I have to think about it."


    Lu Chen shook his head aside, Ke Yue was really thin-skinned, he promised others, but was embarrassed to go back.


    If it goes on like this, maybe someone else will kill you.


    "Ke Yue, the topic will start next semester, we have to start preparing our own thesis topic, don''t give up on the basics." Lu Chen reminded.


    When Ke Yue heard this, she was a little nervous. Looking at the questionnaire in front of her, she hesitated.


    ¡­


    About ten minutes later.


    Fan Zhiping took an electrocardiogram and took Junior Sister Xiaoyu back to the doctor''s office.


    "This is really, it''s not good to be a teacher!" Fan Zhiping sighed, his face slightly embarrassed.


    As soon as he walked into the doctor''s office, he was looking for where Lu Chen was.


    (end of this chapter)

 Chapter 202： silent heart

    Chapter 202 Silent Heart


    "Doctor Fan, what''s wrong?"


    Lu Chen looked strangely at Fan Zhiping who walked in front of him.


    Didn''t he go to treat patients?


    "This electrocardiogram..." Fan Zhiping took out the electrocardiogram in his hand and placed it in front of Lu Chen''s desk, "It always feels strange, but I can''t tell what is strange."


    Lu Chen looked down at this electrocardiogram.


    His first impression was that he did not see P waves, but there were small F waves with different shapes, so this was atrial fibrillation.


    However, it doesn''t look like atrial fibrillation!


    Because the heart rhythm of atrial fibrillation is absolutely irregular, and the heart rhythm of this electrocardiogram is tidy!


    ¡­


    Ke Yue is also very interested in ECG now.


    Since Director Lin Cui severely criticized her, she has worked hard to learn electrocardiography.


    After two months of hard work, the level of ECG reading has improved a lot.


    She put her head in front of Lu Chen, and immediately looked puzzled.


    "This, isn''t this atrial fibrillation?"


    No P-waves are seen, but small sawtooth f-waves are clearly visible.


    This is one of the most important ways to identify atrial fibrillation.


    Atrial fibrillation is the eternal pain in Ke Yue''s heart.


    She was sure that the electrocardiogram in front of her was definitely atrial fibrillation!


    However, such a simple ECG.


    Fan Zhiping, as the deputy chief physician of the Cardiology Department, could not have seen it!


    Ke Yue''s words also attracted the rest of the group.


    Sun Guoguo happened to be fine, so he also came to Lu Chen''s side and picked up the electrocardiogram on the table.


    "This is..." Sun Guoguo raised her brows, "This electrocardiogram is really strange! There are no P waves, there are small F waves of atrial fibrillation, but the heart rhythm is regular."


    looks like atrial fibrillation, but after thinking about it, it doesn''t look like it!


    "Heart rhythm?"


    Ke Yue was stunned for a moment, and quickly looked at the electrocardiogram again.


    Sure enough, the heart rhythm is regular, that is, the time between each beat of the heart is the same.


    This completely violates the ECG characteristics of atrial fibrillation.


    ¡­


    This electrocardiogram is really strange. So far, Lu Chen has no clue.


    It was the first time he had seen such an electrocardiogram.


    "What''s the condition of the patient?" Lu Chen looked up at Fan Zhiping with the electrocardiogram.


    "This is a heart transplant patient." Fan Zhiping paused and began to tell the patient''s medical history.


    Patient, male, 61 years old.


    In 2014, he was diagnosed with coronary heart disease, atrial fibrillation, cardiac insufficiency, and type 2 diabetes.


    In the first half of this year, the patient received a heart transplant due to end-stage heart disease. The patient underwent the Bicaval technique, the recipient left atrium and great vessels were preserved, and the right atrium and ventricle were resected.


    Regular outpatient review after surgery, the heart donor has no relevant past medical history. The patient experienced acute cellular rejection 7 months after transplantation.


    "Heart transplant?" Lu Chen frowned.


    Heart transplant patients are still rare.


    Generally speaking, the transplanted heart can be managed for about five years.


    After learning about the patient''s medical history, Lu Chen still didn''t have any thoughts about this electrocardiogram.


    Sun Guoguo also shook his head.


    "I can''t tell what the electrocardiogram is for the time being. We can only wait for Teacher Li''s rounds tomorrow and ask her for her opinion."


    Lu Chen nodded, this is the only way to do it now.


    But he was a little unwilling.


    He has studied the electrocardiogram for so long, but he will not give up easily.


    The more difficult the ECG is, the more passionate and motivated Lu Chen is.


    ¡­


    Twenty minutes later.


    Junior Sister Xiaoyu, who helped Fan Zhiping, returned to the doctor''s office with a stack of examination sheets.


    "Brother, here are some results of the patient''s last review."


    "Okay, thank you." Lu Chen nodded and began to read the patient''s previous auxiliary examinations.


    Echocardiography: Left ventricular ejection fraction was 60%, right ventricular function was normal, tricuspid and mitral valve regurgitation was moderate, and left atrium was severely dilated.


    In the medical record, the last time the patient was in the outpatient clinic, he had no symptoms of palpitations, chest pain or dyspnea recently, and there were no positive signs in the physical examination.


    "What about his medication?" Lu Chen asked.


    "There is a medication list at the end."


    Lu Chen turned to the end.


    The patient is currently taking regular medication: tacrolimus 1 mg POBID, sirolimus 4 mg POQD, prednisone 3 mg POQD, bisoprolol 1.25 mg POQD, and rivaroxaban 15 mg POQD.


    (Note: po is oral, QD is once a day, BID is twice a day)


    Among them are immunosuppressants, hormones, anticoagulants, and drugs to improve heart function after heart transplantation.


    The medication of patients is relatively routine.


    "The patient did not feel any discomfort when he came to the hospital this time, mainly for reexamination." Fan Zhiping added aside.


    "Yes." Lu Chen nodded.


    He synthesized all the test results, as well as the patient''s medical history.


    But still can''t see the diagnosis of the patient''s ECG.


    Fan Zhiping suddenly whispered: "How about I send this electrocardiogram to the Jinghua Electrophysiology WeChat group for everyone to discuss?"


    "Okay." Lu Chen said, "Relying on the collective wisdom, we may be able to come up with ideas."


    Fan Zhiping saw that Lu Chen agreed, so he took a picture of the electrocardiogram and sent it to the Jinghua Electrophysiology WeChat group.


    ¡­


    Jinghua Electrophysiology Exchange Group.


    Every day in the ?? group, people send ECG questions.


    There are easy ones and some more difficult ones.


    Lu Chen often speaks in groups before the national skills exam.


    But since preparing for the exam, he hasn''t bubbled in the group for more than a month.


    On the contrary, it is Fan Zhiping, who can be said to be one of the most active people in the group. He is usually very enthusiastic about helping others answer electrocardiograms, or discussing electrocardiogram academic issues with everyone.


    After Fan Zhiping posted this strange electrocardiogram to the group, it immediately attracted the attention of most people.


    "Lao Fan, isn''t this atrial fibrillation?"


    "Yes, obviously atrial fibrillation! What are you looking at when you send this electrocardiogram?"


    As soon as Fan Zhiping posted in the group, someone couldn''t wait to speak.


    However, before Fan Zhiping explained, someone asked a question: "Look carefully, the heart rhythm of this electrocardiogram is neat! Are you sure it is atrial fibrillation?"


    "Hey, I heard you say that, it seems so."


    "From the point of view of the p wave, it is atrial fibrillation, but from the point of view of the heart rhythm, it is not!"


    "Think about it, if it was a picture of atrial fibrillation, Lao Fan wouldn''t show it to us!"


    "This should be @Professor Lu!"


    ¡°¡­¡±


    Everyone in the group chatted, but didn''t say anything.


    After Lu Chen looked through the chat history of WeChat, he found no useful information.


    He can only put this electrocardiogram aside for the time being, and after he goes back to the bedroom, he will look through the electrocardiogram data again.


    ¡­


    Fan Zhiping held the electrocardiogram in his hand, but he was quite helpless.


    As soon as he came to the eight districts in his heart, this electrocardiogram gave him a slap in the face.


    Fortunately, it was a somewhat difficult ECG.


    Otherwise, this is not to make everyone look down on their Cardiology Department in Fengm County.


    However, just a day after he arrived, Fan Zhiping could feel that the academic atmosphere of the eight districts in his heart was much stronger than that of the county hospital.


    The doctors in their county hospital are always talking about stocks and options whenever they have time, so where would they discuss academic issues?


    Someone who can take the initiative to look through internal medicine books is considered a good person.


    However, in the eight districts in the heart of the Jinghua Second Hospital, when everyone encounters any question they do not understand, they will immediately look up relevant information, and even find literature to solve the problem, and discuss together to find the answer to the problem.


    These are incomparable to the doctors of the county hospital!


    Fan Zhiping felt this.


    Although he felt a little helpless, he also tried to pick up books and documents to slowly enrich himself.


    The profession of a doctor really is to live to old age and learn from old age.


    ¡­


    After get off work at noon, Lu Chen packed a meal in the cafeteria.


    Back in the dormitory, he started to check the electrocardiogram data while eating.


    The knowledge of ECG is vast, far more than what he has now.


    However, his current ECG interpretation skills are only basic.


    In the ?? system mall, intermediate skills cannot be exchanged for the time being. Only when you unlock a higher-level mall, you may be able to exchange for higher-level skill cards and skill books.


    Now, Lu Chen can only rely on his own efforts to slowly discover the information related to this strange ECG in the data of the ECG.


    After about half an hour.


    The other people in the dormitory also came back after lunch one after another.


    "Lu Chen, you came back so early today?"


    Wang Zihao walked to Lu Chen''s side and patted his shoulder lightly.


    "Well, I need to check something." Lu Chen smiled, "I packed the meal back."


    "You''re really fascinated by electrocardiograms, and you started nibbling on books with electrocardiograms."


    Wang Zihao also admired Lu Chen.


    Some people are not only talented, but also work harder than you!


    Originally wanted to play two games before going to sleep, but Wang Zihao thought it was better to read an article before going to sleep!


    Otherwise, the gap will get bigger and bigger.


    "Hey, Old Wang, you don''t play games anymore?" Another roommate said in surprise, "A new hero just came out, strong thief! Why don''t you try?"


    Wang Zihao curled his lips, "I read the skill introduction, isn''t this a combination of two hero skills in another game? It''s just a stitching monster, it''s nothing fun, let''s play."


    "All right."


    The other two roommates can only play double row.


    ¡­


    But the speaker has no intention, and the listener has intention.


    When Lu Chen heard the stitching monster mentioned by Wang Zihao, a sudden inspiration flashed in his mind.


    "Two heroes combined, stitch monster..."


    "Two hearts, heart transplant..."


    When he looked at this electrocardiogram that "looked like atrial fibrillation" again, he was suddenly stunned!


    "I see!"


    Behind the silent heart, there is another wonderful world.


    (end of this chapter)

 Chapter 203： patient pretending to be asleep

    Chapter 203 The patient pretending to be asleep


    Jinghua Second Hospital.


    Guipei Building bedroom.


    Lu Chen took out his mobile phone and excitedly opened the electrocardiogram of the heart transplant patient.


    The heart has 4 chambers.


    There are left and right atrium above, and left and right ventricles below. The ipsilateral atrium and ventricle communicate.


    The patient received the Bicaval technique.


    The left atrium and great vessels of the ?? recipient were preserved, and the right atrium and ventricle were removed.


    Therefore, the right atrium and ventricle of the patient were transplanted, and the left atrium was preserved.


    If the patient was originally in atrial fibrillation rhythm and his donor was in sinus rhythm, what would the ECG look like?


    Lu Chen carefully checked the electrocardiogram and compared each lead.


    Sure enough, in the small F wave of the electrocardiogram, he found an unusual P wave.


    Conventional ECG has 12 leads.


    In lead V1, Lu Chen found a less obvious sinus P wave and a small F wave belonging to atrial fibrillation.


    P waves are in sinus rhythm.


    Small f wave, belonging to atrial fibrillation rhythm.


    Lu Chen''s face showed surprise, that is to say, this patient has both sinus rhythm and atrial fibrillation rhythm, two types of heart rhythm!


    This also explains why the patient''s heart rhythm is regular.


    There are two different heart rhythms in one heart!


    This is completely contrary to our normal thinking!


    Heart rate and ventricular depolarization did not change and were regular.


    It''s just that the back atrial waves have become irregular.


    Lu Chen can speculate that the left atrium may be in an isolated state based on the surgical operations the patient has experienced.


    Left atrial enlargement and atrial fibrillation due to asynchrony of atrioventricular contraction and valve problems.


    And ventricular activation is conducted through the sinoatrial node, right atrium, and is also regular.


    Then came what looked like atrial fibrillation, isolated left atrial fibrillation.


    However, the dominant heart rhythm is from a donor and is sinus rhythm.


    The atrial depolarization potential recorded by the ECG is the composite potential of the left and right atrium, so atrial fibrillation rhythm and sinus rhythm appear on the same ECG.


    "Congratulations, the completion of the system upgrade has increased!"


    Lu Chen''s expression brightened.


    The prompt of the ?? system undoubtedly proved that his conjecture was correct.


    Lu Chen was very happy that ?? could solve this difficult ECG.


    However, it also made him realize his own inadequacies.


    His clinical experience is not rich enough, and when faced with such difficult patients, he failed to quickly judge the patient''s condition.


    ECG is a subject with a low threshold but a very high ceiling.


    Although his current electrocardiogram level is a bit higher than the people around him, there is still a big gap compared to those professional electrophysiology experts.


    ¡­


    Wang Zihao, who was already lying down, looked at Lu Chen with a happy face, and said strangely: "Lu Chen, what''s wrong with you, the electrocardiogram looks so good?"


    It was the first time he saw someone staring at the electrocardiogram and smirking.


    "Zihao, thank you for your stitching monster." Lu Chen smiled.


    "Huh?" Wang Zihao blinked, "You also play games?"


    "Don''t fight." Lu Chen shook his head, "your Yasuo is too delicious, it''s a good meal."


    Wang Zihao: "..."


    After solving this ECG problem, Lu Chen went to bed and took a nap.


    The combination of work and rest can lead to better work and study.


    ¡­


    Lu Chen fell asleep, but Fan Zhiping could not.


    In the rental house near the Second Jinghua Hospital, he repeatedly studied the electrocardiogram of this heart transplant, and even consulted a lot of related materials.


    But still no clue.


    I didn''t sleep well last night, and I didn''t sleep well at noon today.


    When it was time for work, Fan Zhiping drew his eyelids and walked slowly to the Jinghua Second Hospital.


    As soon as he walked to the door of the doctor''s office in the eighth district in his heart, he heard the voice of someone discussing.


    "Donor in sinus rhythm and recipient in atrial fibrillation rhythm."


    "So this ECG shows two heart rhythms at the same time!"


    "How did Brother Lu come up with this complicated electrocardiogram?"


    Fan Zhiping, who was standing at the door, was shocked.


    He could vaguely hear the conversation of everyone in the room, but he couldn''t hear it clearly.


    He quickly walked into the doctor''s office and saw Lu Chen explaining the electrocardiogram to everyone.


    didn''t even bother to go to the duty room to change into a white coat, so he got close to everyone.


    Just listening to Lu Chen continued: "Other leads may not be clear, but this V1 lead is very obvious, there are sinus P waves and small F waves of atrial fibrillation... The patient is a heart transplant, and the left side is preserved. the atrium, so the ECG showed atrial fibrillation in the left atrium and sinus rhythm in the donor¡­¡±


    Fan Zhiping''s eyes widened, swept away the previous decadence.


    It only took one noon for Lu Chen to solve this electrocardiogram.


    In the morning, everyone was helpless about this electrocardiogram!


    Fan Zhiping can''t wait to squeeze into Lu Chen''s side, get closer, and listen to his explanation.


    ¡­


    At this time, Lu Chen was sitting in the middle of the crowd.


    He received another five points of gratitude.


    "Congratulations, +1 for the thank you from Yu Huihui!"


    "Congratulations, +1 for the thank you from Yao Jie!"


    ¡°¡­¡±


    "Congratulations, +1 for the thank you from Fan Zhiping!"


    Lu Chen looked beside him, and it turned out that Comrade Fan was also here, and he didn''t even have time to change his white coat.


    "Lu Jiao... Lu Chen, I have a question."


    Fan Zhiping almost blurted out the words "Professor Lu", but fortunately he swallowed it back in time.


    When Lu Chen heard his words, cold sweat broke out on his forehead, "Doctor Fan, you said."


    Fan Zhiping paused and said slowly, "Why is the patient''s heart rhythm orderly? According to what you said, the patient''s ECG shows two heart rhythms at the same time, one is atrial fibrillation and the other is sinus rhythm. The heart rhythm can be orderly. But it can also be uneven, right?"


    Lu Chen frowned. He had thought about this question, but he couldn''t find a definite answer for the time being.


    He thought for a while before speaking.


    "It may be because the left atrium is isolated and it is not connected to the transplanted right heart, so the right heart is the dominant heart rhythm, so the overall ECG shows the right heart sinus rhythm."


    Fan Zhiping nodded.


    At present, this explanation should be the most likely.


    He looked up at Lu Chen with admiration in his eyes.


    "Professor Lu" is really amazing!


    He chose to come to the eighth district in his heart to follow Lu Chen, and decided it was the right choice.


    ¡­


    After discussing the patient''s electrocardiogram, everyone started to work on their own.


    At four o''clock in the afternoon, Li Yao returned to the ward.


    After ?? asked if there were any critically ill patients in the group, Sun Guoguo reported them one by one.


    "There was a new aortic dissection in the morning, and one after a heart transplant."


    "There was also a broken heart syndrome yesterday..."


    "There are three other myocardial infarctions, and two patients with severe heart failure."


    ¡­


    Li Yao sat in the office, reading the medical records of all the patients.


    "There are quite a lot of critically ill patients. If you want to close the patients managed by other people, don''t let them go. You must give everyone the opportunity to exercise, and don''t let them go too much, so as not to make mistakes."


    "Well, don''t worry." Sun Guoguo smiled, "Several brothers and sisters are very good, usually I don''t need to worry about it. If there is any change in the condition, they will report it in time."


    "That''s good." Li Yao nodded, she suddenly turned to the electrocardiogram of the heart transplant patient, "Hey, this electrocardiogram is quite rare, can you see what it is?"


    After Li Yao finished speaking, she saw that the expressions of everyone were a little strange.


    "What''s wrong?"


    Sun Guoguo whispered: "Teacher, is this an ECG with sinus rhythm and atrial fibrillation coexisting?"


    "Guoguo, not bad." Li Yao looked surprised, "The level of interpretation has improved a lot."


    Sun Guoguo hurriedly shook his head and pointed to Lu Chen beside him, "Junior Brother Lu saw it."


    Lu Chen smiled and scratched his head, but did not speak.


    Li Yao glanced at Lu Chen, the smile on her face was still bright, but the surprise in her eyes was a little less.


    She knew that Lu Chen was a member of the elite group of Jinghua Electrophysiology, and he was admitted by his own efforts.


    It''s not so strange that he can see this kind of electrocardiogram.


    "Okay, I''ve seen all the patients, so let''s do it first." Li Yao said, "If you have any questions, feel free to report to me."


    "Received." Everyone replied in unison.


    After Li Yao finished speaking, she stood up and turned to leave.


    As soon as she walked out of the office, she suddenly stopped and looked back at Lu Chen.


    "Lu Chen, come to my office now."


    Lu Chen was stunned for a moment, then responded quickly, and followed behind Li Yao.


    ¡­


    The director''s office is furnished as usual.


    The bookshelves are full of books related to cardiology, including coronary intervention, electrophysiology, and anatomy.


    Beside the desk, there is a stack of thick documents.


    "Lu Chen, you performed well in this national skills test. The school will have the opportunity to go out to communicate next year. The quota was fixed, but this time your school team members have the opportunity, so you have to take advantage of it."


    Lu Chen and Li Yao sat opposite each other.


    "Okay, thank you teacher." Lu Chen smiled.


    The opportunity to go out and communicate is rare.


    The five members of their school team occupied five of them.


    "You don''t need to thank me, you won it with your own efforts." Li Yao smiled and continued, "I came to you today to tell you one thing. I wanted you to join the Jinghua Electrophysiology Association, just because I wanted to. It gives you an early opportunity to get in touch with cutting-edge academic knowledge.¡±


    "Next weekend, Jinghua Electrophysiology Association will hold an academic exchange meeting. At the end, there will be an opportunity to share and report cases. You can see if there are any suitable cases and prepare."


    "Prepare a case?" Lu Chen''s reflex arc was half a beat slower, and he didn''t react for a while.


    "Well, I''ll let you report the case at the exchange meeting." Li Yao nodded, "Have an academic exchange with other electrophysiology doctors."


    Lu Chen was stunned.


    Let him be a graduate student to report cases at this kind of conference?


    This...isn''t that good?


    Even though Lu Chen rarely participates in this kind of academic exchange meeting, he also knows that the people who speak at the meeting should generally be the attending physicians who are already working, and doctors above the level.


    "Why, don''t you want to go?" Seeing that Lu Chen didn''t respond, Li Yao raised her brows.


    "No, no, I want to go, of course I want to go!" Lu Chen nodded quickly.


    Of course, he had to seize the opportunity to show his face and gain fame!


    "That''s good." Li Yao smiled, "I thought you were stage fright."


    Lu Chen shook his head, and then hesitantly said: "Teacher, but I am a graduate student to report, wouldn''t it be strange..."


    "Don''t worry, although you are the only student this time, you are not a precedent." Li Yao said, "There have been students who have reported related cases before, and the identity of the students is second, mainly whether the cases you share are outstanding, so That''s the most important thing!"


    Lu Chen nodded.


    Teacher Li Yao can give him such an opportunity, of course he has to prepare well.


    "The case is related to electrophysiology?" Lu Chen asked.


    "Yes." Li Yao nodded, "EKG, electrophysiology combined with clinical practice, you find a suitable case, then make a PPT, complete it and send it to me before next Friday, because it will be discussed on Sunday afternoon."


    "OK."


    ¡­


    Leaving the Director''s Office.


    A string in Lu Chen''s heart tightened again.


    After finishing the National Skills Test, he thought he could rest for a while.


    Now we have to devote ourselves to a new round of learning.


    This is a municipal academic conference, and doctors from several major hospitals in Jinghua City will come.


    Lu Chen is going to speak at this conference, and he is currently facing two difficult problems.


    First, the selection of cases.


    Second, the production of PPT.


    For the selection of ?? cases, Lu Chen had several candidates in mind, but he had to carefully consider them.


    Regarding the production of PPT, Lu Chen did it when he was an undergraduate, but it was just a few simple pictures without any technical content.


    This kind of conference level, the content is important, the production of PPT and the speaker''s speech level are also extremely important.


    Lu Chen felt that it was too refreshing to promise Teacher Li Yao.


    It is a very challenging job to complete these contents within a week!


    ¡­


    Back to the doctor''s office.


    Lu Chen looked at Ke Yue and Jiang Qingyan beside him.


    "Can you do PPT?"


    Jiang Qingyan and Ke Yue both shook their heads.


    Lu Chen looked at Sun Guoguo beside him.


    Sun Guoguo should be able to do PPT, but Lu Chen knew that she was preparing for the exam recently, so she couldn''t trouble her.


    "Let''s find the case first, determine the subject content, and then consider the content of the PPT." Lu Chen thought to himself.


    Without content, no matter how beautiful the PPT is, it is just empty talk.


    Throughout the afternoon, Lu Chen did not accept any new patients.


    In his spare time, he has been searching for suitable cases.


    "Fuck, this patient is too difficult to deal with."


    Beside him, Fatty Cheng''s voice came over.


    The ?? voice was a little louder, and Lu Chen''s attention was also attracted by him.


    Cheng Peng faced the computer with a bitter face, shaking his head and sighing uncontrollably.


    "What''s wrong?" Lu Chen asked in confusion.


    Cheng Peng shook his head and sighed: "I just accepted a middle-aged woman with a history of tachycardia. She was arguing with others, and suddenly fainted. She couldn''t stand down. But her vital signs were normal. , has not woken up."


    "Have you done a CT scan?" Lu Chen frowned.


    "The blood and head CT of the urgent investigation are normal, but I have been asleep and can''t see any problem." Cheng Peng smiled bitterly, "We all suspected that she was pretending."


    "Pretend?" Lu Chen raised his brows.


    These days, there are still people who pretend to be sick?


    "Well. When I checked her pupils, I found that she was a little resistant, so I began to suspect that she was pretending." Cheng Peng said, "The superior doctors in our group have all gone down to the 4th floor for surgery. I just informed my senior brother, He''ll be up in a while."


    Fan Zhiping stayed beside Lu Chen the whole time, and he also heard Cheng Peng''s complaints.


    "I have a way to wake her up by herself." Fan Zhiping said suddenly.


    Lu Chen and Cheng Peng turned to look at Fan Zhiping who was beside him.


    "What way?" Cheng Peng asked quickly.


    "Push a furosemide."


    Fan Zhiping grinned.


    (end of this chapter)

 Chapter 204： Embolism, and bleeding again!

    Chapter 204 Embolism and bleeding again!


    "If the patient is pretending to go down with a furosemide, he will definitely have to go to the toilet later." Fan Zhiping said.


    "Well, that''s a good idea." Cheng Peng nodded.


    Lu Chen frowned, "I think there may be something wrong."


    "What could be wrong with this?" Fan Zhiping asked in confusion.


    "Push furosemide, there are indications." Lu Chen said, "We currently consider the patient to be in a pseudo-coma, but we can''t be 100% sure, so we can''t just use it. Because once the patient uses furosemide, there will be a Any problem, such as malignant arrhythmia, etc., that is our responsibility, and the consequences can be serious."


    "Then what should we do?" Cheng Peng glanced at Lu Chen helplessly, "Just wait for the patient to become impatient and wake up by himself?"


    Lu Chen smiled, "No, don''t you forget that patients in a coma have some operations that must be done according to the principles of treatment."


    Fan Zhiping frowned at first, then suddenly realized.


    "You mean intubation and upper stomach tube?"


    "Yes!" Lu Chen laughed.


    Cheng Peng and Fan Zhiping glanced at each other.


    It turns out that Lu Chen is the most "bad" one...


    ¡­


    "What are your expressions..." Lu Chen glanced at the two of them angrily, "I''m just going to give it a try. If I''m in a coma, according to the principles of treatment, the urinary catheter must be inserted. If you have to insert a catheter, you will wake up 100%..."


    "Then give it a try." Cheng Peng said.


    A person who pretends to be in a coma, if you pinch him, he can also grit his teeth and endure it.


    Because of the pain of pinching, most people have psychological expectations, know what is going on, and can prepare psychologically.


    But when the stomach and urinary tubes were inserted, he couldn''t bear it.


    Because the feeling of inserting a stomach tube and a urinary tube is something that most people have never experienced before, and they cannot make psychological expectations to endure it.


    ¡­


    came to the bedside.


    Lu Chen was fully armed, wearing gloves, hats and masks.


    Cheng Peng stood beside him on the platform, holding a catheter kit in his hand.


    On the hospital bed, a middle-aged woman was lying on the bed, her face was very calm.


    Lu Chen clearly saw her HP¡ª74.


    It seems that as Fatty Cheng said, the patient is pretending to be in a coma.


    "Doctor, you are..." The patient''s accompanying family member is a young woman, who should be the patient''s daughter.


    Cheng Peng said quickly: "We all need a urinary catheter for comatose patients."


    The patient''s daughter''s face changed.


    "This... shouldn''t be necessary."


    Cheng Peng shook his head, "Urinary catheters must be intubated. For all comatose patients, this is the basic principle of treatment. We cannot violate them, and after catheterization, you will take better care of the patients."


    The young woman still waved her hand to refuse, stood up, and stood in front of Lu Chen.


    "Doctor, why don''t you wait a little longer, my mother might wake up soon."


    Lu Chen pretended to be puzzled: "We can''t guarantee when we will wake up. If our condition changes and we don''t have time to respond, it will be bad."


    "No, it won''t." The young woman looked very resistant to the operation of the catheter.


    The family members did not agree to insert the catheter, so Lu Chen and Cheng Peng naturally would not force the operation.


    "Then let''s observe for another 20 minutes. If the patient does not wake up, a urinary catheter must be inserted, otherwise this does not meet the treatment principles."


    Lu Chen''s voice was so loud that he believed that the middle-aged woman lying on the bed could also "hear" it.


    "This, this... that''s fine."


    The young woman looked back at the woman on the bed and could only nod silently.


    ¡­


    The catheter bag was not opened, and Lu Chen and Cheng Peng returned the same way.


    Back to the doctor''s office.


    Cheng Peng said hesitantly, "Lu Chen, does this really work? If you try Dr. Fan''s method, I think it should work!"


    "Don''t worry," Lu Chen said with a smile, "I will give her twenty minutes, and she will definitely wake up later. Pushing furosemide seems to be a good solution, but it does not conform to the principles of treatment. If you trouble us, it won''t be easy."


    "Well." Cheng Peng nodded.


    Now we can only wait.


    Waiting for the patient to wake up on his own.


    ¡­


    Eight district wards in the heart.


    "Mom, if you don''t wake up again, the doctor will insert a urinary catheter for you!" The young woman looked around and whispered to the woman on the hospital bed, "I heard that the urinary catheter is very painful, and there are many complication¡­"


    The middle-aged woman on the hospital bed, with her eyes closed and her eyelashes fluttering slightly, seemed to be waking up at any time.


    "Mom, it''s almost done... I''ve already scared others. The neighbors won''t dare to quarrel with you in the future. They have already paid for the medical bills."


    After the young woman finished speaking, the middle-aged woman on the hospital bed slowly opened her eyes, her voice sounded extremely weak, "Then I will have to buy a few more expensive bottles of qi and blood!"


    "Okay, then I''ll go talk to the doctor." The young woman breathed a sigh of relief, she was really afraid that her mother had overplayed.


    ¡­


    While Lu Chen and Cheng Peng were chatting, Nurse Liu walked into the doctor''s office.


    "Doctor Cheng, your comatose patient is awake!"


    Cheng Peng looked happy and stood up quickly: "That''s great! I''ll go see her."


    Lu Chen smiled and joked: "Come on, or you''ll be unconscious again later."


    Cheng Peng came back within five minutes of going to the ward.


    "Hey, what kind of injection does the patient need to replenish qi and blood? We don''t have any proprietary Chinese medicine here, so we can''t take it!" Cheng Peng said helplessly.


    Chinese people, especially the older generation, are very superstitious about Chinese patent medicine preparations.


    It cannot be said that Chinese-made preparations are useless, but the ones that really play a clinical role are also Western medicine preparations.


    Many proprietary Chinese medicines are only placebos.


    "Fatty, just call her a bottle of amino acids and a bottle of vitamins." Lu Chen suggested.


    "That''s the only way." Cheng Peng nodded.


    Amino acids, albumin and other drugs have special magic power for the older generation.


    Many patients, no matter what disease or department they are in, will come up and ask if they can take amino acid or albumin.


    For the treatment of diseases, amino acids are useless, even as a nutritional medicine.


    If the albumin is not low, the infusion of albumin will not only have no benefit, but also increase the burden on the heart, leading to the occurrence of heart failure.


    After negotiating with the patient, Cheng Peng solved most of the problems.


    Everyone opened one eye and closed one eye, and did not reveal the fact that she was pretending to be asleep.


    The middle-aged woman asked to be discharged from the hospital after finishing the drip.


    Compared with Fan Zhiping''s "push furosemide", Lu Chen''s "intubation catheter" is more in line with the clinical thinking of diagnosis and treatment.


    Otherwise, in the process of pushing furosemide, if there is a real change in the condition, it will not be worth the loss.


    After the incident, Lu Chen also received thanks from Cheng Peng.


    "Congratulations, +1 for the thank you from Cheng Peng!"


    ¡­


    After ?? resolved this episode, Lu Chen continued to prepare his case report.


    He flipped through the medical records he had encountered before.


    The more interesting cases are oleander poisoning and the recent heart transplant case.


    Other cases are either too simple and common, or too out of touch with the clinic.


    Lu Chen temporarily listed two cases of oleander and heart transplantation as candidate cases.


    ¡­


    After get off work, Lu Chen finished his dinner in the cafeteria and went back to the bedroom very early.


    As soon as he opened the bedroom door, he received a call from his uncle Lu Wenjun.


    On the phone, Lu Wenjun thanked Lu Chen again.


    His father-in-law is already in good condition, and he is going to undergo surgery. This time, he came to ask Lu Chen''s opinion.


    Lu Chen patiently explained it to Lu Wenjun.


    hung up the phone, Wang Zihao and others also returned to the bedroom.


    "Zihao, can you do PPT?" Lu Chen looked at Wang Zihao.


    Wang Zihao shook his head and walked to Lu Chen''s side.


    "You can do simple things, but you can''t do things that are too complicated. What''s the matter, do you want to give a PPT lecture? Or do you do it for the boss?"


    "I use it myself. I''m not familiar with some functions in the PPT." Lu Chen said, "The time is tight, and learning slowly may be too slow. I want to find someone to show me."


    "Well, I remember Lao Gu seems to know, he is an old driver." Wang Zihao thought for a while, "When he was an undergraduate, he gave speeches on stage several times, and the PPT is very beautiful."


    "Gu Xinyue?" Lu Chen wondered.


    "Yeah." Wang Zihao nodded, "He and I are both undergraduates from Jinghua Medical University, so we know him well."


    "it is good."


    Lu Chen found Gu Xinyue on WeChat.


    ¡­


    "You want to do PPT?"


    "Well, after I finish the first edition, can you help me review and proofread it?"


    Lu Chen''s words appeared in the dialog box, and a smile appeared on Gu Xinyue''s face.


    He was finally in a field where he could overtake Lu Chen.


    Lu Chen thought that Gu Xinyue was unwilling, and was about to say it, but Gu Xinyue sent an "OK" gesture.


    Lu Chen was overjoyed.


    "Thank you so much, I''ll send you the first version in two days, you can help me review it, and I''ll invite you to dinner next time."


    "Okay, then I can remember."


    Gu Xinyue said many words, but she readily agreed.


    After solving the problem of ppt production, Lu Chen re-invested in the screening of cases.


    ¡­


    and on the other side of the bedroom in the Guipei Building.


    Gu Xinyue received an email from Jinghua Electrophysiology Association after accepting Lu Chen''s request.


    He is now an ordinary member of the Electrophysiology Association, and occasionally receives emails from the association.


    "Dear members, next Sunday, the Jinghua Electrophysiology Association will hold an academic exchange meeting. All members are welcome to participate actively at that time. The fare is at your own expense, and there is room and board."


    "Electrophysiology exchange meeting?" Gu Xinyue touched her chin, "I must go see it."


    This kind of academic exchange meeting is generally the exchange of academic frontier knowledge.


    For Gu Xinyue, this is definitely a good opportunity to gain knowledge.


    He had to go.


    ¡­


    ¡­


    was speechless all night.


    The next day.


    Today Lu Chen is on the night shift.


    So after he checked the room in the morning, he could go back to the bedroom to rest.


    Recharge your batteries and prepare for the night shift at night.


    Came to the department, Sun Guoguo led everyone to check the room.


    As soon as he returned to the doctor''s office, Lu Chen saw that the hospital charity meeting was coming.


    The purpose of their trip was to investigate the patient with aortic dissection.


    If the patient¡¯s condition is true, then they will waive part of the patient¡¯s fee.


    The entire review process was relatively smooth.


    The information of patients with aortic dissection is very detailed, and the survey by the Charity Association has passed!


    In the end, you can reduce the fee by about 30%.


    This should be considered a large proportion of the cost of surgery that can cost hundreds of thousands of dollars.


    However, it also depends on the patient''s family members and whether they can make up the remaining surgical expenses.


    As long as the family members can collect the remaining expenses, the patient can be transferred to surgery immediately!


    ¡­


    After resolving the matter of the Charity Association, Lu Chen was ready to leave the department.


    Suddenly, Li Yao returned to the department.


    She has been in the department more recently than before.


    She walked into the doctor''s office and glanced at everyone at work.


    "The three districts in my heart have invited a general hospital consultation. Lu Chen, please accompany me to attend."


    After ??, Li Yao walked away.


    Lu Chen was about to leave. Hearing this, he could only stay temporarily.


    It seems that we will have to wait until after attending the general consultation before going back to the dormitory.


    "Junior brother, let''s go, this is a good opportunity to learn." Sun Guoguo whispered, "The whole hospital has a large consultation, there are eight districts in the heart, each district will visit, and there will be people in other related departments of the hospital. join."


    Lu Chen nodded, while thinking in his heart, "What kind of intractable patient is this, and he is so inspiring?"


    He was in the Jinghua No. 2 Hospital, and it was the first time he met a patient in a general consultation of the whole hospital.


    While thinking, Lu Chen followed Teacher Li Yao downstairs.


    ¡­


    The place where the general consultation of the whole hospital is located is the showroom on the fourth floor.


    This classroom can accommodate more than 200 people, and it is a classroom specially prepared for various meetings of the Cardiology Department.


    The whole floor on the fourth floor is very large and is mainly divided into two areas, the CCU ward of the Cardiology Department on the right, and the catheterization room on the left.


    Between the CCU and the catheterization laboratory, there is also a large classroom, which is the large classroom of the Department of Cardiology.


    Lu Chen put on his shoe covers and hat, and followed Li Yao into the classroom.


    indicates that there are already many people in the classroom, and everyone¡¯s conversations are endless.


    Lu Chen also met Gu Xinyue, who was sitting in the second row with a very good location.


    Li Yao greeted the teachers in other districts in his heart.


    Ten minutes later, the number of participants was almost there.


    Director Yang of the third district in the heart, who presided over the general consultation of the whole hospital, slowly stepped onto the stage and began to speak.


    "Thank you all for taking time out of your busy schedule to attend this general consultation of the whole hospital. This case is very difficult. The patient has been admitted to the hospital many times, and the condition has repeated. The current diagnosis is not clear, and it involves many disciplines. I think Again, I only invited the general meeting of the whole hospital this time."


    "I hope everyone can brainstorm and propose a feasible diagnosis and treatment idea for this patient in our department!"


    "Below is the patient''s doctor Wang Peng, who will introduce the patient''s medical history."


    A young doctor came to the stage.


    He is thin, about 1.7 meters tall, and has a light beard at the corner of his mouth.


    On the screen in front of the stage, the patient''s medical history information is displayed.


    Wang Peng''s voice also sounded.


    Patient, female, 54 years old.


    was admitted to hospital due to "sudden chest tightness for 4 hours".


    Three months before admission, he received thrombolytic therapy in a local hospital for ¡°inferior myocardial infarction¡± (the specific diagnosis and treatment process is unknown), and then underwent emergency coronary angiography to show proximal occlusion of the anterior descending artery.


    On the third day after the operation, the patient developed tarry black stools of about 200g, **** occult blood (+++) and hemoglobin 97g/L after abdominal pain during hospitalization. The symptoms improved and he was discharged from the hospital.


    After 2 months, the patient was admitted to the gastroenterology department of our hospital again due to "two times of black stool". On the 9th day after admission, the patient developed headache, vomiting, and blurred vision. Magnetic resonance imaging examination showed hemorrhagic cerebral infarction in the right occipital lobe and hippocampus.


    ¡­


    "From a monistic perspective, what are the possible causes of multiple arterial embolisms and gastrointestinal bleeding in this patient?"


    After listening to Wang Peng''s description, Lu Chen felt that this patient was not simple.


    Embolism for a while, and bleeding for a while.


    It seems that these are two completely contradictory things.


    No wonder we have to invite the whole hospital for a general consultation!


    Lu Chen did not come up with any possible diagnosis or treatment for a half hour.


    (end of this chapter)

 ~： chat with everyone

    Chat with everyone


    Regarding the previous chapter, the controversy over proprietary Chinese medicines.


    First of all to throw out my point, both Chinese medicine and Chinese medicine are very good.


    There are many classmates around me who are studying Chinese medicine, many of them have masters and doctorates, and they usually communicate with each other.


    For example, for certain cardiovascular and cerebrovascular and digestive tract diseases, how is traditional Chinese medicine treated, how is the treatment effect, and what is the prognosis.


    Doctors who are studying Chinese medicine now spend 50% of their time studying western medicine, or even more.


    In our country, Chinese medicine and Western medicine are not separated.


    The profoundness of TCM theory and the unique way of inheritance make TCM destined not to be accepted by most modern people, and some people call it "pseudoscience".


    But when your great-grandfather''s great-grandfather''s great-grandfather was seriously ill, maybe it was a certain Jianghu Langzhong who relied on these "pseudoscience" to pull him back from the gate of hell, and then he could have you.


    However, Chinese medicine has its limitations and it is difficult to develop into modern medicine.


    ¡­


    In addition, what I said in the last chapter is that the injection preparation of Chinese patent medicine, not the real Chinese medicine.


    Chinese patent medicine injection preparation, this is a very rare drug that Western medicine does not recognize, nor does Chinese medicine recognize.


    Major hospitals are phasing out the drug.


    Many people use the guise of traditional Chinese medicine and Chinese medicine to make profits and deceive the common people.


    ¡­


    Although I studied Chinese medicine in university, I still don¡¯t know much about Chinese medicine, so I don¡¯t have much say.


    But I know one thing.


    Since ancient times, quack doctors have harmed people, not medical skills (Chinese and Western medicine).


    is long-winded four or five hundred words, everyone can just read it.


    ps: Rest today, a little more.


    (end of this chapter)

 Chapter 205：

    Chapter 205


    After Wang Peng told the patient''s medical history, he began to give the results of various auxiliary examinations.


    Such indicators as coronary angiography, chest and abdomen CT, electrocardiogram and laboratory tests.


    Wang Pengdao: "It is extremely rare for a patient to have myocardial infarction, cerebral infarction, and gastrointestinal bleeding at the same time. I hope all teachers can provide opinions on diagnosis or treatment."


    Next, everyone in the room has a short time to think, and then they will start to focus on the discussion.


    Lu Chen quickly finished reading all the auxiliary examination results of the patient.


    Beside, Li Yao suddenly whispered: "Lu Chen, you found this case, are there any strange things?"


    Lu Chen raised his brows, and Teacher Li began to ask questions again.


    has started her "room rounds" mode again!


    He didn''t answer in a hurry, looked at the relevant auxiliary examinations carefully again, and said slowly: "The patient was diagnosed with myocardial infarction, and the descending artery was occluded before coronary angiography. However, after the thrombus was suctioned out, no stenosis was seen in the blood vessel, on the contrary Her veins are so smooth!"


    "Combined with the fact that the patient has no previous risk factors for coronary heart disease such as hypertension, diabetes, and hyperlipidemia, it can be judged that the patient does not have myocardial infarction caused by plaque rupture like the conventional one."


    Acute myocardial infarction, which we often say, is when the blood vessel has underlying disease, the blood vessel narrows, the plaque ruptures, and then a thrombus is formed to block the blood vessel, resulting in cardiac ischemia and hypoxia, and finally myocardial necrosis occurs.


    But this patient is strange.


    There was only thrombosis, and no vascular stenosis and plaque rupture were seen, all of which were not myocardial infarction in the conventional sense.


    "Well, not bad." Li Yao nodded.


    It is very simple for mature interventional doctors to judge the condition of blood vessels through the results of coronary angiography.


    But as a freshman in the first year of graduate school, Lu Chen was able to judge this, which was not easy.


    Lu Chen continued: "Teacher, I also noticed that Mr. Wang Peng didn''t say anything, but the PPT he made included the patient''s family history. Her sister died of "nosebleed" when she was ten years old. I feel that this should be related to the patient''s repeated gastrointestinal bleeding after surgery."


    Having a family history of bleeding is common, but because of this death, that''s rare.


    Li Yao smiled with satisfaction: "Very good, look carefully, there is indeed a problem with this nosebleed."


    "One more point." Lu Chen paused.


    "Huh?" There was a hint of surprise in Li Yao''s eyes, "Don''t stop, keep talking, and tell everything you know."


    Lu Chen nodded and continued: "Although I don''t understand the patient''s cranial MRI image, we can see from the report that there is no problem with the patient''s blood vessels, and only the right occipital lobe and hippocampus have brains. Infarct lesions."


    "In other words, the patient''s cardiovascular and cerebral vessels are somewhat similar."


    "What kind of similarity method?" Li Yao smiled.


    She was very relieved to see Lu Chen''s serious appearance.


    Lu Chen said sternly: "The thrombus in the heart and brain did not grow by himself, but came from other places!"


    A very simple truth, a blood vessel is blocked, there are two possibilities.


    The first possibility is that there is a problem with the blood vessel itself, such as the rupture of plaque in the blood vessel wall, the formation of thrombus, and the blockage of the blood vessel.


    The second possibility is that there is nothing wrong with the blood vessel itself. The thrombus comes from elsewhere in the body and comes to this location through the blood circulation.


    This patient had no problems with the blood vessels of the heart and brain, and the results of angiography and MRI showed that the blood vessels were very smooth.


    The only possibility is that the blood clot comes from other parts of the body!


    "Then where do you think it came from?" Li Yao asked.


    "The most common possibility is that atrial fibrillation causes atrial thrombus, and the thrombus falls off and leads to infarction of the heart blood vessels and brain." Lu Chen frowned, "However, this patient does not have atrial fibrillation, so it should not be caused by atrial fibrillation. Other possibilities, I don''t know."


    Lu Chen has very limited clinical experience.


    All he could think of was the possibility of atrial fibrillation causing blood clots.


    "Well, but your analysis is already very good." Li Yao smiled, "General residents, or even young attending physicians, may not have as much clinical thinking as yours."


    Lu Chen smiled and scratched his head, then quickly flattered: "The teacher taught me well."


    Although ?? is flattering, Lu Chen did learn a lot from Li Yao.


    Every time Li Yao rounds the room, he will inevitably ask some difficult questions.


    Her principle is not to ask simple questions.


    If you want to ask, you must make it difficult for them!


    After this kind of torture, Lu Chen felt pain and happiness, and his clinical thinking ability was also improving rapidly.


    ¡­


    The time for thinking ends, and the time for collective speaking begins.


    Li Qinghua, the chief inpatient of the Cardiology Department, was the first to stand up.


    He motioned to Wang Peng to hand over the microphone.


    "This patient is obviously caused by ectopic thrombus causing myocardial infarction and cerebral infarction. Could it be a thrombus caused by atrial fibrillation?"


    Li Qinghua''s speech was exactly what Lu Chen thought.


    "Mr. Li, all the patient''s electrocardiograms show that she does not have atrial fibrillation." Wang Pengdao, "So the thrombosis caused by atrial fibrillation is unlikely."


    "Have you done a 24-hour Holter? No?" Li Qinghua said.


    "I did, no atrial fibrillation was found."


    Li Qinghua nodded slightly, put down the microphone, and sat back to his original position.


    The second doctor who spoke was Ouyang Jing, a deputy chief physician of the Department of Rheumatology and Immunology.


    He stood up and took the microphone from Li Qinghua''s hand.


    "The patient is a middle-aged and elderly woman with a chronic disease course, recurrent multi-organ arterial thromboembolism (heart, brain), and gastrointestinal bleeding."


    "There are several reasons I am currently considering repeated multiple thrombosis."


    Ouyang Jing''s aura was very strong. As soon as he opened his mouth to speak, everyone held their breath and listened carefully.


    shows that in the classroom, it is so quiet that you can hear needles falling.


    "First, vascular disease, such as vasculitis, but the patient has no manifestations of multi-organ involvement such as blood system, muscle joints, liver and kidney function, and immune-related antibodies are all negative, so vasculitis secondary to connective tissue disease is not considered for the time being."


    "The patient''s gastroscopy showed duodenal plexiform telangiectasia and microvascular involvement. In systemic vasculitis, ANCA-associated vasculitis, polyarteritis nodosa, and Behcet''s disease were more common. The patient had no systemic involvement. ANCA is negative, and ANCA-related vasculitis and polyarteritis nodosa are not considered for the time being. The patient has multi-level vascular involvement, coexistence of thrombus and bleeding, and the possibility of Beh?et''s disease is high. Happening¡­¡­"


    Lu Chen just thought of a possibility of atrial fibrillation thrombosis.


    But the teacher of the Department of Rheumatology and Immunology immediately mentioned such a big differential diagnosis.


    The Department of Rheumatology and Immunology can be said to be the department most prone to incurable diseases.


    Lu Chen listened very seriously, although he didn''t quite understand some parts.


    Vasculitis, polyarteritis nodosa, Behcet¡¯s disease¡­


    He still wrote it down in his notebook.


    "In addition, the patient has the possibility of antiphospholipid syndrome. The patient has negative anticardiolipin antibodies and normal platelets, but the disease is still not excluded. It is necessary to ask the patient whether there is a history of repeated miscarriage, and to improve the erythrocyte sedimentation rate, anti-¦Â2-GP1, lupus Anticoagulants are further clarified."


    "In addition, there are other thrombophilias. The patient has a family history of epistaxis and death, and tests such as anticoagulation factor III and coagulation factor XII should be improved to further exclude hereditary abnormal coagulation and fibrinolysis or vascular disease."


    "Okay, that''s all I have to say." Ouyang Jing, Deputy Chief Physician of the Department of Rheumatology and Immunology finished his speech.


    His analysis aroused heated discussions among the crowd.


    At this time, Wang Peng stood on the podium again and said: "Mr. Ouyang''s speech was very good, and he sorted out the differential diagnosis of thrombosis. Among them, we asked the patient''s relevant medical history, and she did not have oral ulcers or genitalia. Ulcers and no history of repeated miscarriages, and related rheumatic immune indicators are all normal, preliminarily ruling out rheumatic immune-related diseases.¡±


    Ouyang Jing''s speech was very exciting and opened up everyone''s ideas.


    But Wang Peng¡¯s words directly ruled out immune-related diseases.


    Everyone present fell into contemplation again.


    At this time, Chief Physician Xu Zhonghuang of the Department of Hematology got the microphone.


    "I see that everyone is analyzing the possible causes of embolism. Did you forget to analyze the cause of the patient''s repeated gastrointestinal bleeding?"


    Lu Chen pricked up his ears and listened.


    His intuition, the patient''s repeated gastrointestinal bleeding must be a problem.


    But no one mentioned it just now.


    Xu Zhonghuang continued: "The patient, a 54-year-old female, has no history of liver cirrhosis, and has recurrent upper gastrointestinal bleeding. The results of gastroscopy showed that there were no ulcers or erosions in the esophagus-gastroduodenum, and there were no gastric antrum and duodenum. Plexiform telangiectasia with local old bleeding foci can be seen at the proximal end of the bulb. The patient''s sister also has a history of epistaxis. Based on the above clinical features, the cause of the patient''s upper gastrointestinal bleeding is considered to be HHT."


    Lu Chen was slightly taken aback when he heard the words.


    "HHT, what is this?"


    Li Yao whispered: "HHT is a hereditary hemorrhagic telangiectasia. The clinical manifestations are multiple tufted telangiectasias on the skin and mucous membranes, often involving the nasal mucosa, which can manifest as epistaxis or even persistent epistaxis. Internal organs can also be affected, with the digestive tract being more common.¡±


    Lu Chen suddenly realized.


    He had only seen this disease in the text, and had never encountered it clinically.


    Xu Zhonghuang paused and continued: "HHT can also affect the blood vessels of the brain, manifesting as intracranial telangiectasia, which is generally asymptomatic and is mostly discovered accidentally during autopsy, but it can also cause cerebrovascular disease, and the lesions are prone to bleeding A hematoma was formed, which manifested as spontaneous intracerebral hemorrhage. According to the patient''s sister''s history of epistaxis, the diagnosis of the patient''s bleeding should be HHT."


    Lu Chen in the audience was very impressed when he heard everyone''s speech.


    Constantly instilling new content into his mind.


    Lu Chen felt that he had many blind spots in his thinking and was stripped away bit by bit.


    Medical diagnosis is like investigating a case. It takes a little bit of clues and scrutinizes it step by step, and finally gets the most reasonable explanation.


    This is different from reading a book is just memorizing knowledge mechanically.


    And this kind of large-scale discussion in the whole hospital is in one case, there are collisions of various thoughts!


    ¡­


    However, although the discussion was heated and each department gave their own unique opinions, in the end, they still did not get a reasonable diagnosis.


    At this moment, Lu Chen suddenly noticed.


    He had been silent on the system panel, and a prompt popped up suddenly.


    "Congratulations, received clinical insights and obtained the clinical thinking skills book (primary)!"


    There are two more chapters, which will be published after revision.


    (end of this chapter)

 Chapter 206： clear the fog

    Chapter 206 Clear the fog


    Seeing the system prompt, Lu Chen''s heart was extremely shocked.


    It turns out that the system can not only receive thank you points, but also receive clinical thinking insights!


    And at this moment, he gave a book of clinical thinking skills directly.


    Although it is only a primary skill book, it is enough for Lu Chen now.


    This clinical thinking skill book, if you want to measure it with a gratitude value, it will definitely surpass all the current skill books and skill cards.


    This is also a skill that all doctors dream of.


    Lu Chen is just a "rookie" who has just entered the clinic. Perhaps his knowledge of cardiovascular medicine is not bad, but when it comes to other departments, his knowledge reserve is somewhat stretched!


    With the thought of ??, Lu Chen immediately used this "Clinical Thinking Skills Book".


    After using the skill book, he didn''t feel any difference.


    However, according to the previous method of using the system skill book, this is not to directly instill various knowledge, but requires him to practice.


    So, Lu Chen turned his attention back to the case in front of him.


    ¡­


    "Are there any other teachers with a different diagnosis, or any good advice on the current treatment plan?"


    Wang Peng stood on the podium and looked around the crowd.


    In this discussion so far, although there are many opinions, not many are more reliable.


    Among them, the HHT diagnosed by Mr. Xu Zhonghuang is one of the more reasonable diagnoses to solve the patient''s gastrointestinal bleeding.


    However, how should the patient''s myocardial infarction and cerebral infarction be explained?


    Everyone in the audience whispered, but no one stood up to speak.


    Lu Chen has been immersed in the clinical thinking skills book, which brought him insights.


    When he reviewed the case, he saw something different from before.


    The patient''s thrombosis and bleeding, these two contradictory symptoms, seem to be separated, but is there any internal connection?


    Lu Chen turned his head to look at Li Yao, who was beside him, and said softly, "Teacher, you said, if you use monism to explain all of the patient''s conditions, will there be any connection between the patient''s cerebral infarction, myocardial infarction, and gastrointestinal bleeding?"


    Li Yao was stunned when she heard Lu Chen''s words, and then fell into deep thought.


    Thrombosis and bleeding, two completely opposite things, how can they be related?


    If it was what other students said, she might not care so much.


    But this came from Lu Chen''s mouth, and Li Yao couldn''t help but take it to heart.


    ¡­


    "If there is no teacher to continue to speak, then this whole school discussion will be over, thank you..."


    Before Wang Peng''s words were finished, Li Yao suddenly stood up.


    Wang Peng''s words were forced back.


    "Director Li, do you... have other opinions?"


    Everyone passed the microphone to Li Yao''s hands.


    Li Yao smiled slightly, "Because I have some ideas, or some tips from my students, I will just say a few words."


    "Mr. Li, please speak." Wang Peng smiled.


    Everyone in the room automatically ignored Li Yao''s "hint from the student".


    Li Yao looked down at Lu Chen next to her, and then said slowly.


    "Based on the medical history, physical examination, and related test results, the possibility of paradoxical embolism cannot be ruled out."


    Li Yao just stood up when Lu Chen opened his notebook again.


    "Paradoxical embolism, what is this?"


    Lu Chen had some doubts in his heart.


    This is another new knowledge point!


    "Paradoxical embolism, also known as paradoxical embolism and singular embolism."


    It refers to the thrombus in the venous system and the right atrium from the right heart system into the left heart system through the communication in the heart, causing arterial embolism in the heart, brain, kidney and peripheral blood vessels.


    Common causes of paradoxical embolism: ventricular septal defect, patent ductus arteriosus, atrial septal defect, pulmonary arteriovenous malformation and patent foramen ovale, the most common of which is patent foramen ovale.


    At this time, Director Yang of the third area of ??the heart said slowly: "Director Li, we have just considered the diagnosis of this contradictory embolism, but the transesophageal ultrasound examination did not find any cardiac chambers such as patent foramen ovale. Internal shunt disease, so these should be ruled out."


    Everyone looked at Li Yao in unison, the director of the eight districts in his heart could not just give this explanation


    They pricked up their ears and wanted to hear what other explanations Li Yao could give.


    And Li Yao still had a faint smile on her face.


    "Intracardiac shunt disease has been ruled out. Is pulmonary arteriovenous malformation ruled out?"


    Director Yang shook his head when he heard this: "This disease is relatively rare, and we have not considered it for the time being."


    Li Yao smiled and continued: "Then leave the pulmonary arteriovenous malformation alone. Tell me about the HHT that Director Xu Zhonghuang just mentioned."


    Everyone here is not sure why.


    Regarding HHT, Mr. Xu Zhonghuang just now made it very clear.


    What is Li Yao doing?


    Only when Xu Zhonghuang heard Li Yao''s words, he frowned at first, then his face was stunned, revealing a hint of surprise!


    "Pulmonary artery malformation and HHT?!"


    He looked up at Li Yao, who was talking, with a hint of admiration in his eyes.


    At this time, Li Yao''s words continued to come from his ears.


    "HHT, as we all know, this disease is a hereditary disease caused by abnormal development of the blood vessel wall. This disease occurs in young and middle-aged people and can be affected by both men and women. The typical lesions are bright red on the skin and mucous membranes. Or purplish-red capillaries or dilation of small blood vessels, resulting in skin and mucous membrane bleeding or gastrointestinal bleeding."


    After listening to Li Yao''s words, everyone was even more puzzled.


    She did not talk about new viewpoints, but told the characteristics of HHT again.


    "Director Li, we all know about your HHT." Wang Peng said on stage.


    "Then do you know what the pathophysiology of HHT is?" Li Yao asked with a smile.


    "Ah? This..." Wang Peng was stunned.


    He is a cardiologist, how does he know the pathophysiology of HHT!


    Li Yao smiled and said: "HHT, its basic pathological changes are incomplete smooth muscle of arterioles and venules, and the surrounding matrix lacks elastic tissue."


    "The earliest morphological abnormality is post-capillary dilation of venules. With the dilation of the venules, the venules curl into a mass, and finally, the capillaries connecting the arterioles and venules disappear, and the arterioles are directly connected to the venules."


    "This is the reason for the formation of arteriovenous fistulas. If this morphological change occurs in the blood vessels of the lungs, it is a pulmonary vascular malformation - a pulmonary arteriovenous fistula!"


    Before Li Yao''s words were finished, Director Yang from the three districts in his heart was the first to react.


    "HHT, first causes hemorrhage, and then causes pulmonary artery malformation. Pulmonary arteriovenous fistula will form thrombus, and the thrombus will reach the coronary artery and cerebrovascular of the patient''s heart along with the blood circulation, causing myocardial infarction and cerebral infarction!"


    Therefore, myocardial infarction, cerebral infarction, and digestive tract will appear in one patient!


    That''s all for now.


    Everyone here is a doctor from a top-level tertiary hospital, and they understood it instantly.


    One HHT, causing all the chain reactions of the patient!


    Lu Chen finished listening to Teacher Li Yao''s explanation.


    As if the layers of fog were cleared away, there was a feeling of being drenched and dizzy!


    "Congratulations, received clinical insights!"


    The ?? system beep sounded again, but this time, no skill book was received.


    One more chapter


    (end of this chapter)

 Chapter 207：

    Chapter 207


    Chapter 203 Final Diagnosis


    (Chapter name dropped again...)


    Lu Chen is not quite clear for the time being, what is the standard for the system to judge the received clinical perception.


    He also had case discussions in the department before.


    He also listened to Li Yao and Sun Guoguo talk about some difficult cases, but neither received any "clinical insights".


    And this clinical perception is not as digitized as the gratitude value.


    In the ?? system panel, there is only the value of gratitude value, and there is no column of sentiment value.


    In the ?? system mall, there is no option to exchange the clinical thinking skill book.


    It seems that this kind of skill book may require Lu Chen to comprehend from his usual clinical work.


    ¡­


    At this time, the Cardiology Department of Jinghua Second Hospital was in the classroom.


    Everyone was surprised and happy when they heard Li Yao''s opinion!


    Wang Peng''s expression is the most exciting.


    First doubts, surprises, and finally surprises!


    He is the patient''s doctor.


    In the hospital where the patient stayed for so long, he never had any clues about the patient''s disease.


    "HHT?" Wang Peng murmured in his heart, "Myocardial infarction, cerebral infarction, and gastrointestinal bleeding, completely opposite things, are actually caused by a disease!"


    He has never had this mode of thinking.


    It is easy to think of the same type of symptoms or signs, but different things, habitual thinking will separate them!


    Wang Peng suddenly encountered such a patient, and he still reminisced over and over again, and he also felt that there was another village in the dark.


    "Director Li, do you have any comments on the patient''s next treatment?" Wang Peng asked very sincerely.


    This difficult patient has been in his hands for a long time.


    He also wanted to be cured as soon as possible, so she was discharged from the hospital.


    Li Yao thought for a while and said, "First improve pulmonary arteriovenous angiography. In general, there is no special treatment for this disease, mainly symptomatic treatment, but due to the danger of pulmonary arteriovenous fistula, even if there are no symptoms, it should be thoroughly checked for the presence of this disease. problem for prophylactic embolization.¡±


    "Surgical resection or embolization is possible for pulmonary arteriovenous fistula. Beta-blockers can improve the state of hyperdynamic circulation, reduce hepatic blood flow, reduce shunt flow, and relieve gastrointestinal bleeding."


    "The prognosis depends on whether the visceral blood vessels are involved. If only the skin and mucosal capillaries are damaged, the prognosis is good. If the visceral blood vessels are extensively involved and form hemangiomas, the prognosis is poor..."


    Wang Peng listened and began to record Li Yao''s opinions.


    ¡­


    Originally prepared for the "unfinished" general hospital consultation, but because of Li Yao''s sudden appearance, there was a relatively complete finale.


    After Li Yao finished speaking, Wang Peng made a brief summary.


    Based on what everyone said and the current impression diagnosis, that is what Li Yao said about pulmonary arteriovenous fistula!


    The general meeting of the whole hospital is over.


    Director Yang from the three districts in the heart, Xu Zhonghuang from the Department of Hematology, and Ouyang Jing from the Department of Rheumatology and Immunology all came to Li Yao.


    Although Li Yao said that in recent years, she has been unsatisfactory, but the work on the surface of everyone still needs to be done in place.


    "Director Li, your thinking is really out of your mind. The patient has been in the third area of ??the heart for almost a week, and we haven''t even considered the possibility of pulmonary arteriovenous fistula." Director Yang said with a smile, "As soon as you come, give us a brand new one. Ideas!"


    "Director Yang is right. I said HHT at the beginning, but Director Li used it vividly!" Xu Zhonghuang praised, "About 5% of HHT patients have pulmonary arteriovenous fistulas. I forgot about this stubble, hey, old man!"


    Compared with the other three, Li Yao is the youngest in age, but has the highest position in Keli.


    She is the director of the eighth ward of the Cardiology Department, and the other three have no positions.


    "Several directors have won awards." Li Yao smiled lightly, "I also heard my student''s reminder, and I had a flash of inspiration. I thought of this, and it is only an inference at present, and it has not been diagnosed yet."


    Director Yang smiled and said, "Hey, I have already instructed Wang Peng to do a pulmonary arteriovenography immediately after I go back. When the results come out, I will notify the directors."


    "Hey, wait a minute, Director Li, I heard it right, you said earlier that you listened to the opinions of the students." Xu Zhonghuang suddenly said, "Which student are you?"


    Director Yang also looked at Li Yao''s side, but did not see such familiar faces as Sun Guoguo!


    Li Yao waved to Lu Chen who was beside him.


    Lu Chen understood and hurried forward, "Teacher."


    "Let me introduce to you, this is my master''s student this year, Lu Chen." Li Yao smiled and looked at Director Yang and others.


    A doctoral supervisor suddenly introduced her first year student to everyone. If this student is quite good, then she is related to her.


    Director Yang looked up and down at Lu Chen, a handsome young man.


    "Lu Chen...Is this name familiar?" Director Yang said suddenly.


    Li Yao smiled, "Some time ago, Lu Chen represented our school in the National Medical Skills Competition and won the first place."


    As soon as he finished speaking, Director Yang, Xu Zhonghuang and others looked stunned.


    Jinghua won the first place in the National Medical Skills Competition, which is a big event!


    Even though they don''t pay much attention to this kind of competition, they have heard that the Jinghua team has passed all the way and won the first place.


    "It turned out to be you, no wonder it sounds familiar to me." Director Yang said with a smile, "I have also watched several live broadcasts of the National Medical Skills Competition."


    Xu Zhonghuang and Ouyang Jing didn''t care much about Lu Chen at first, but after hearing what Li Yao said, they also looked at Lu Chen.


    No wonder Li Yao suddenly mentioned his student.


    They didn''t feel that this discussion was because Lu Chen reminded Li Yao.


    On the contrary, he thought that Li Yao deliberately said this in front of everyone in order to support Lu Chen.


    With such an outstanding student, who doesn''t want to take it out and show it off.


    Lu Chen stood beside Li Yao, silent.


    Usually, it is difficult for a student to appear in the communication circle of professors.


    He can stand here entirely because of Li Yao.


    Lu Chen knew that it was Li Yao who started to give him "reputation".


    As a mentor, Li Yao is already very competent to be able to do this.


    Several people exchanged again, and then left one after another.


    Lu Chen also said goodbye to Li Yao and returned to the bedroom.


    ¡­


    Three areas in the heart.


    After Wang Peng returned to the ward, he immediately communicated with the patient''s family and needed an enhanced CT of the pulmonary artery and vein.


    In order to find out the final diagnosis, the family readily agreed.


    Wang Peng personally pushed the bed and took the patient out for inspection.


    In less than 20 minutes from the end of the general meeting of the whole hospital, the results of the enhanced CT of the pulmonary arteries and veins came out.


    Enhanced CT showed that the right pulmonary artery was abnormally developed, the distal end of the right lower pulmonary artery was tortuous and connected with the right lower pulmonary vein, and the diagnosis was pulmonary arteriovenous fistula!


    Wang Peng breathed a sigh of relief the moment he saw the results, and finally figured out the patient''s diagnosis!


    "Director Li Yao in the eight districts in his heart is really amazing!" Wang Peng sighed in his heart.


    The patient has been in their department for so long, and he has also invited many departments for consultation, but it is still useless.


    Mr. Li Yao directly interspersed all the clues and finally got the correct diagnosis!


    Wang Peng immediately informed Director Yang of the inspection results.


    ¡­


    Jinghua Second Hospital.


    Guipei Building bedroom.


    After repeated consideration by Lu Chen, he decided to take the case of oleander poisoning as the content of his speech.


    Oleander poisoning is relatively common, and this kind of case can be easily combined with clinical through the evolution of electrocardiogram.


    The electrocardiogram of this patient with a heart transplant is relatively neglected clinically, that is to say, it can be diagnosed just by looking at the electrocardiogram.


    Now that the content of the case discussion has been determined, Lu Chen started the production of the PPT.


    From outline drafting, text polishing, to typesetting and beautification, Lu Chen spent most of the day and only completed one third of the content.


    looked at the time, it was almost five o''clock in the afternoon, it was time for the night shift.


    Lu Chen turned off the computer, packed his things, and got ready to go to work.


    There is an apple on the table, which was given to him by Wang Zihao at noon.


    Sometimes, you still have to believe in this kind of metaphysics.


    Put the apple in the bag, and Lu Chen went out.


    The night shift of the Cardiology Department, here he comes!


    ¡­


    (end of this chapter)

 Chapter 208： sudden headache

    Chapter 208 Sudden Headache


    Summer slowly passed and the weather turned cooler.


    Walking on the path of the hospital, Lu Chen was in a happy mood.


    After coming to Jinghua, he not only joined the elite group of the Electrophysiology Association, but also won the first place in the National Medical Skills Competition. Next, he will give a speech at the Electrophysiology Academic Exchange Conference.


    More importantly, his clinical business capabilities are rapidly improving.


    Everything is going in a good direction at the moment.


    ¡­


    came to the eight districts of the heart.


    Yin Xinhua, the superior doctor on duty, has not arrived yet.


    Lu Chen saw Fan Zhiping sitting in the doctor''s office.


    "Brother Fan, why are you here?"


    Jinghua Second Hospital does not arrange night shifts for advanced doctors.


    Fan Zhiping was reading the doctor''s order, and when he heard Lu Chen''s words, he stood up and turned around and said, "I think you are on the night shift, so I thought of taking a look together."


    Lu Chen smiled and said nothing.


    Brother Fan is too active, he doesn''t look like a training doctor at all.


    He has an apple in his bag, and the night shift should be fine tonight.


    ¡­


    The night shift in the general ward of the Cardiology Department does not require admission of new patients.


    Patients who come at night will be admitted to the CCU ward.


    However, even if no new patients are admitted, the night shift in the cardiology ward is not very good.


    Because many heart failure patients experience changes in their condition during night shifts.


    At night, the human body is in a supine position, the return of blood to the heart increases, and the vagus nerve is excited, so it will induce a heart failure attack.


    Lu Chen turned on the doctor''s order system, he needed to know about the seriously ill patients in the ward.


    ¡­


    5:25pm.


    With five minutes left to take over, Yin Xinhua came to the ward.


    "You''re here." Yin Xinhua looked at Lu Chen, and at the same time she noticed Fan Zhiping beside her.


    Good guy, the postgraduates are on duty with a deputy chief doctor for further study! !


    "Lu Chen, let''s take a look at the critically ill patient." Yin Xinhua said, clearing his throat.


    "Okay." Lu Chen nodded.


    Fan Zhiping heard the words, stood up and followed closely.


    "2 beds, 11 beds, 16 beds, 18 beds, 25 beds, 31 beds... These are all patients who are seriously ill or critically ill. We must check the patients carefully and not be lazy."


    Yin Xinhua took Lu Chen and Fan Zhiping to see all the critically ill patients in the ward.


    It also includes heart transplants and patients with aortic dissection received in the Lu Chen group in the past two days.


    During the ward round, Lu Chen not only paid attention to the patient''s life value, but also followed Yin Xinhua carefully and asked about the patient''s specific situation.


    "Lu Chen, this is your first night shift. Let me tell you some things to pay attention to during night shifts."


    "First of all, all critically ill patients should be rounded to find out in time whether their condition has changed."


    "Secondly, take a look at the new patients who came today to prevent the day shift doctors from making mistakes."


    "Finally, pay attention to the content of the day shift doctor''s shift, such as which test values ??to pay attention to..."


    Yin Xinhua told Lu Chen all the precautions for the night shift.


    In addition to some hard requirements, there are also some experience.


    Lu Chen recorded them one by one. This is what he will do in the night shift in the future.


    ¡­


    "There are so many patients in big hospitals." Fan Zhiping sighed, "In our county hospital, there are only thirty patients in the entire ward. But you are also a little good, you don''t have to admit patients at night, our county hospital does it every night. The patient can''t sleep all night."


    "We may not be able to sleep here." Yin Xinhua pouted.


    Once a patient in the ?? ward becomes ill, it will not be easy.


    Lu Chen has a calm expression, the **** of night shift will take care of him!


    "Brother Fan, why don''t you go back to the dormitory in no time." Lu Chen looked at Fan Zhiping who was beside him, "If it''s too late, it won''t be easy to walk at night."


    "It doesn''t matter, since I''m here, I definitely won''t leave." Fan Zhiping said with a smile, "It has to have a beginning and an end, and I have nothing to do."


    I don''t know what happened.


    Fan Zhiping had an intuition, as long as he followed Lu Chen''s side, he could see some strange cases.


    "Alright then." Lu Chen said helplessly.


    It was the first time I saw someone who wanted to work night shifts.


    It was just that he felt a little awkward, no matter what Fan Zhiping said, he was also a deputy chief physician.


    Fan Zhiping stayed in the department, and Lu Chen couldn''t even direct him to work!


    The fact that Fan Zhiping stayed in the department was not beneficial to Lu Chen at all, on the contrary, it was a bit of a hindrance.


    ¡­


    7pm.


    The night shift has passed 2 hours, and the doctor''s office in the eighth district is very calm.


    Lu Chen had nothing to do, so he started to look at some treatment guides.


    In actual clinical work, the knowledge in internal medicine books can no longer meet the needs.


    Many practical problems encountered in clinical practice need to be found in the guidelines.


    Familiar with various guidelines, this is the basic skill of a good clinician.


    But the good times don¡¯t last long!


    Dong Haimeng, a night shift nurse, suddenly walked into the doctor''s office.


    "Dr. Yin, the patient in bed 41 complained of a headache, you should go and have a look."


    Yin Xinhua glanced at Dong Haimeng and nodded: "Okay, I''ll go right away."


    Having said that, Yin Xinhua did not get up.


    After Dong Haimeng left, she said to Lu Chen, "Lu Chen, go and see the 41st bed and see if he has any problems. If you can solve it, solve it for him. If you can''t solve it, come back and tell me."


    "Um."


    Lu Chen first read the patient''s medical records.


    This is a patient with high blood pressure. He has long-term high blood pressure and is not controlled by regular medication.


    This time, I came to the hospital this afternoon because of high blood pressure and pain in the head.


    After understanding the basic condition.


    Lu Chen walked out of the doctor''s office, took a blood pressure monitor, and came to bed 41.


    On the hospital bed, a male patient about 60 years old was sitting on the edge of the bed with a pained expression.


    Lu Chen looked at his health first¡ª69.


    "Master, do you have a headache?" Lu Chen stepped forward.


    "Hmm." The patient nodded and pointed his right hand to his head.


    Lu Chen continued: "Does the pain hurt so bad? Is there any blur in your eyes?"


    "It hurts. Except for the headache, there is no other discomfort."


    Lu Chen immediately measured the patient''s blood pressure, 180/110mmHg.


    "What antihypertensive drugs did you take?"


    "Nifedipine Sustained-Release Tablets."


    On the side, a family member of the patient, a man in his 40s frowned and said, "The pain started at about 6 o''clock in the afternoon, and it is now 8 o''clock. "


    An elderly man in his 60s with a history of high blood pressure suddenly has a headache and the pain is still severe. In addition, the blood pressure is so high that the effect of taking medicine is not good. What is the most worried about?


    The biggest worry is cerebral hemorrhage or cerebral infarction, especially subarachnoid hemorrhage. Many patients with subarachnoid hemorrhage say that the headache is unbearable. (Subarachnoid hemorrhage is also a type of cerebral hemorrhage)


    Be aware that cerebral hemorrhage itself can cause high blood pressure, and such high blood pressure may in turn lead to cerebral hemorrhage!


    Although the patient''s HP did not drop below 60, Lu Chen still performed a physical examination on the patient.


    Observe whether the corners of the mouth are skewed, whether the nasolabial fold is symmetrical, etc., and even ask the patient to stick out the tongue to see if it can be centered.


    If the patient has a cerebral hemorrhage or cerebral infarction on one side, the tongue sticks out to one side.


    In this patient, the tongue is centered, and there is no limb weakness or hemiplegia.


    Cerebral hemorrhage and cerebral infarction are temporarily excluded.


    ¡­


    Back to the doctor''s office.


    Lu Chen reported the patient''s condition to Yin Xinhua.


    Yin Xinhua said after checking the patient, "Although there are no localization signs, the patient is so old and has high blood pressure for so many years, and suddenly he has a headache. It is definitely not such a simple headache."


    After ?? consideration, Yin Xinhua decided to ask the patient to do a cranial CT.


    Be careful sailing for thousands of years, especially now that the doctor-patient relationship is tense.


    Yin Xinhua would rather do one more examination than miss a diagnosis, but this is life-threatening!


    Even if the signs are not like cerebral hemorrhage, the imaging results must be obtained.


    Before the CT, Yin Xinhua routinely asked Lu Chen to do an electrocardiogram, and the electrocardiogram results were not too problematic.


    "Take an antihypertensive pill first, after the blood pressure drops a little, go out in the cart to take a CT scan."


    Lu Chen asked the patient to take another nifedipine sustained-release tablet.


    The patient''s family borrowed a wheelchair.


    "Lu Chen, let me accompany the patient for an examination." Fan Zhiping volunteered.


    But Lu Chen quickly waved his hand to refuse, "Brother Fan, let me go."


    Let a deputy chief physician accompany him to do the examination, no matter what.


    Lu Chen measured the patient''s blood pressure again.


    The patient''s blood pressure dropped to 160/90mmHg, and Lu Chen took him out for a CT scan.


    Because of time, the first CT was done, and the results came out soon.


    CT showed some brain atrophy and some lacunar cerebral infarction.


    Lacunar cerebral infarction is a cerebral infarction caused by the occlusion of very small blood vessels in the brain.


    Back to the doctor''s office in the eight districts of the heart.


    Yin Xinhua saw the CT results and frowned: "For elderly people with high blood pressure, if a CT scan is performed, they will have lacunar infarction more or less. It is enough to control blood pressure and blood sugar. May be the cause of this headache."


    The most important information of cranial CT is that no cerebral hemorrhage is found.


    Fan Zhiping said on the side: "Then the cause of the patient''s headache is related to the increase in blood pressure. Lowering the blood pressure may improve it."


    "Well." Yin Xinhua nodded, "At present, the main reason for the headache is the sudden increase in blood pressure."


    Lu Chen lowered his head in thought, but did not speak.


    He felt that this patient was strange, but he couldn''t tell exactly what was strange.


    At this time, the patient''s family walked into the doctor''s office.


    "Doctor, my dad feels a little tight in his chest and seems to be out of breath."


    What kind of review is the doctor doing? I went home at 9 o''clock this evening and wrote a chapter. I really can''t bear it anymore. I will make it up tomorrow.


    (end of this chapter)

 Chapter 209： ventricular fibrillation after headache

    Chapter 209 Ventricular Fibrillation After Headache


    "Chest tightness and breathlessness?" Yin Xinhua paused, "This may also be related to high blood pressure."


    "Can high blood pressure also cause chest tightness?" The patient''s family looked puzzled, "Doctor, you...you should go see my dad."


    Yin Xinhua glanced at Lu Chen, Lu Chen understood, and immediately nodded to the patient''s family: "Go right away."


    High blood pressure can cause chest tightness, which is easy to understand.


    Imagine that blood pressure is so high that it is much harder for the heart to pump blood out.


    It¡¯s like when a typhoon blows outside and you have to carry an umbrella forward, it¡¯s not bad to not be blown backwards.


    But the heart can''t help pumping blood, so even if the blood pressure is high, the heart still has to try desperately to pump the blood out. The higher the blood pressure, the more effort it takes to pump it out.


    In this way, the heart itself is tired, and the heart itself is prone to ischemia and hypoxia, so you will feel chest tightness and even chest pain.


    ¡­


    came to the ward.


    Lu Chen took the patient''s blood pressure again.


    The blood pressure of both upper extremities is symmetrical, around 140/70mmHg.


    The patient''s blood pressure has dropped, but what''s strange to Lu Chen is that his chest tightness still persists, and it seems to be getting worse!


    "Let''s do an ECG again."


    In a rigorous manner, Lu Chen brought in an electrocardiograph and performed another electrocardiogram on the patient.


    Another surprise to Lu Chen was that the patient''s electrocardiogram had changed!


    The ECG showed that the ST-T segment appeared to be slightly elevated.


    Lu Chen frowned, this change may mean that the patient''s heart is ischemia!


    ¡­


    Take the ECG and go back to the doctor''s office.


    Lu Chen handed the electrocardiogram to Yin Xinhua.


    Yin Xinhua compared the two electrocardiograms before and after.


    Fan Zhiping said solemnly: "I think, could it be a myocardial infarction!"


    Yin Xinhua nodded in agreement: "Although the patient has no typical chest squeezing pain for the time being, not everyone has typical symptoms, and the disease is not static."


    Myocardial infarction, the most typical symptom is chest pain.


    But there are exceptions. Some people have toothache, sore throat, and even shoulder pain as the first symptoms, and they are finally found to be myocardial infarction.


    Yin Xinhua returned to the ward, listened to the medical history report of the patient and his family again, and called the patient''s family out for a private conversation.


    "At present, a head CT has been performed to temporarily rule out cerebral hemorrhage. However, based on the patient''s symptoms of chest tightness and electrocardiogram, we suspect the possibility of myocardial infarction..."


    Yin Xinhua is communicating with the patient''s family.


    Lu Chen and Fan Zhiping stayed in the ward.


    Lu Chen thought more, in addition to considering acute myocardial infarction, he also considered whether the patient would have aortic dissection.


    With such high blood pressure and chest tightness, aortic dissection cannot be easily ruled out.


    ¡­


    Lu Chen brought the blood pressure monitor and wanted to continue taking a blood pressure monitor for the patient.


    Walking to the bedside, Lu Chen looked at the patient. Just as he was about to speak, he found that the patient rolled his eyes and foamed at the corners of his mouth.


    "Dududu..."


    On the side of the ECG monitor, the alarm sound suddenly exploded in the ward!


    Fan Zhiping shouted: "Ventricular fibrillation!"


    Lu Chen was startled, he threw the blood pressure monitor aside, immediately threw himself beside the hospital bed, and started chest compressions.


    At the same time, he roared: "Brother Fan, go and call the nurse and Doctor Yin!"


    Fan Zhiping was taken aback for a moment. In the past, this kind of rescue was done by him, and others went to run errands.


    Today the role is reversed.


    It can only be said that Lu Chen''s rescue response is really fast!


    He immediately ran out of the ward and called to the nurse on duty and Yin Xinhua.


    In fact, there was an accident in the ward, and the nurse on duty found out that she had already pushed the rescue car and rushed to the ward, calling Yin Xinhua all the way.


    ¡­


    On Lu Chen''s side, he was undergoing emergency cardiopulmonary resuscitation.


    Six months ago, he was only a novice in CPR.


    And now, he is very familiar with CPR!


    Yin Xinhua came over after hearing the news, Lu Chen had already got the defibrillator handed over by the nurse.


    "Lu Chen, what''s the situation!"


    "Sister Yin, the patient suddenly suffered from ventricular fibrillation!" Lu Chen said.


    Yin Xinhua''s heart sank, "Ventricular fibrillation?"


    Is it really a malignant arrhythmia after myocardial infarction?


    "Prepare for defibrillation!"


    The defibrillator is ready, and Lu Chen has already applied the conductive paste.


    Charge, Discharge!


    The first cardioversion was unsuccessful.


    Continue CPR!


    Second defibrillation.


    "Success!"


    After the second defibrillation.


    The patient finally recovered sinus rhythm, but the patient still did not wake up.


    "Oops! The patient''s blood oxygen is dropping!"


    Just when Lu Chen breathed a sigh of relief, Fan Zhiping''s voice made him tense again.


    The patient''s blood oxygen saturation dropped from 97% to 92%, and then the value on the monitor jumped.


    has become 90% again!


    "This, what''s the situation!"


    Whether it is myocardial infarction or aortic dissection, the patient''s blood oxygen saturation generally does not drop!


    Yin Xinhua immediately instructed the nurse: "Change to a mask to inhale oxygen and increase the concentration of oxygen inhalation!"


    "Received!" The nurse immediately replaced the nasal cannula for oxygen inhalation with a mask.


    Put on a mask to inhale oxygen, and the patient''s blood oxygen saturation fluctuated around 90%!


    "Although the blood oxygen is stable, emergency intubation may be required at any time!" Lu Chen said solemnly.


    At this time, the nurse has opened three venous accesses.


    Yin Xinhua also knew the seriousness of the matter.


    "Urgently check blood routine, biochemistry, ions, myocardial enzymes, D-dimer, please consult the anesthesiology department for emergency consultation, be ready for emergency intubation at any time, and then call the general hospital in the heart." Yin Xinhua said to another nurse.


    "Okay, Doctor Yin."


    ¡­


    The patient has now returned to sinus rhythm, and the most important thing at present is cardiopulmonary resuscitation and contacting the anesthesiology department to help with endotracheal intubation.


    "Doctor, my dad, he, he is..." The patient''s family members were extremely nervous. He swallowed and looked at the bed who was rescuing his father.


    "Family, you come out first and I''ll talk to you later."


    Yin Xinhua immediately called the patient''s family to the side of the corridor and began to communicate about the condition.


    ¡­


    Lu Chen and Fan Zhiping stayed at the bedside, ready to deal with the patient''s condition changes.


    Staring closely at the ECG monitor beside the bed, Lu Chen noticed that the patient''s blood oxygen could no longer be maintained!


    It started pulsing up and down 90%, and now it''s down to around 85%!


    "No way! I''m going to be intubated soon, so I can''t wait for the anesthesiology department to come." Lu Chen immediately said, "It''s too late when they come!"


    Fan Zhiping was stunned for a while, "Yes, but neither do I."


    Fan Zhiping subconsciously thought that Lu Chen wanted him to be intubated.


    Broncho intubation, except for doctors in critical care, emergency, anesthesia and other departments, doctors in other departments rarely do this operation.


    Although Fan Zhiping is the deputy chief physician of the elderly, he has not touched bronchial intubation for many years.


    But the next moment, he was stunned.


    Lu Chen had already picked up the laryngoscope.


    He is preparing to intubate the patient himself?


    Just when Fan Zhiping was still thinking about whether Lu Chen would be able to do it, he saw that he had already pinpointed the position and stuffed the tracheal tube into the patient''s mouth.


    (end of this chapter)

 Chapter 210： take off the ventilator

    Chapter 210 Removing the Ventilator


    This is too fast, right? !


    Fan Zhiping is now a black question mark face.


    Although Lu Chen''s nickname is "Professor Lu", it is also academic.


    As for the clinical operation, Fan Zhiping only knew that Lu Chen would puncture the radial artery.


    But Lu Chen knew about the operation of bronchial intubation, which really calmed Fan Zhiping.


    is not to say how difficult this endotracheal intubation operation is.


    However, the division of labor in medicine is extremely fine now, and doctors in ordinary departments basically do not learn about bronchial intubation.


    Lu Chen is only a first-year graduate student. Not only can he know, but he is so proficient, which is surprising.


    Fan Zhiping took a deep look at Lu Chen.


    How many secrets does he have?


    ¡­


    After Lu Chen was intubated, he connected the breathing bag and began to ventilate the patient at a constant speed.


    At the same time, the nurse also pushed the non-invasive ventilator over.


    With a large amount of oxygen input, the patient''s blood oxygen saturation gradually increased from 80% to 90%.


    At this time, Yin Xinhua also returned to the ward.


    When she saw that the patient had been put on bronchial intubation, she was only slightly surprised, but she was not particularly surprised.


    Yin Xinhua''s performance was extremely calm, which made Fan Zhiping a little puzzled.


    Is everyone used to Lu Chen''s operations?


    That Lu Chen is usually a little too scary.


    "Senior sister, the patient''s blood oxygen couldn''t be maintained just now, so I had to plug him in first." Lu Chen said.


    "Okay, then you can cancel the consultation in the anesthesiology department." Yin Xinhua said to the nurse beside him.


    The role of the anesthesiology department is intubation.


    Since Lu Chen was intubated, they were useless.


    The nurse nodded and hurriedly called the anesthesiology department to cancel this emergency consultation.


    ¡­


    At present, the patient''s heart rate and blood pressure are normal, only consciousness has not recovered.


    All rescues follow a basic principle, and do everything possible to maintain the patient''s vital signs, that is, blood pressure, heart rate, breathing, etc.


    In other words, if the patient''s vital signs are stable, it means that the patient''s condition has improved.


    "Let''s observe it for now." Yin Xinhua said, "I talked to the patient''s family and wanted them to be transferred to the CCU, but the family refused."


    Such critically ill patients who need a ventilator are generally transferred to CCU for more sophisticated treatment.


    However, due to the cost, many family members cannot afford it.


    "Senior sister, I just reviewed the patient''s electrocardiogram, and there was not much change." Lu Chen said in a deep voice, "I think it may not support the diagnosis of myocardial infarction."


    Yin Xinhua heard that, she couldn''t make up her mind for a while.


    "Wait for the blood test results."


    According to the patient''s current symptoms and auxiliary examinations, myocardial infarction is still the first diagnosis, but it is still necessary to wait for the results of the blood troponin test.


    If troponin is elevated, there is a high probability of myocardial infarction.


    If troponin is not high, then myocardial infarction is ruled out!


    As for other diagnoses, Lu Chen, Yin Xinhua and others had no idea for a while.


    ¡­


    At present, the patient''s vital signs are maintained and there is no life-threatening condition for the time being.


    Lu Chen and others went back to the doctor''s office.


    Because of the bonus from the "Clinical Thinking Skills Book" in the afternoon, after returning to the office, Lu Chen, who was open, began to sort out the entire disease process of the patient.


    From high blood pressure, headache, and later ventricular fibrillation, is there any clue in it?


    ¡­


    After about ten minutes, the nurse walked into the office.


    "Doctor Yin, the patient is awake."


    Everyone looked happy.


    The patient''s consciousness is restored, which means that everything is developing in a good direction.


    However, it is undoubtedly very uncomfortable for patients to perform endotracheal intubation in a clear state.


    "Let''s go see him."


    Yin Xinhua brought Lu Chen and Fan Zhiping to the ward.


    The patient is lying on the hospital bed with half-squinted eyes.


    Beside the hospital bed, his son was sitting by the bed with a nervous expression.


    "Master, how are you feeling now?"


    The patient''s lips are pale, he can''t speak now, he can only blink his eyes to indicate that his condition is ok.


    The nurse took another blood pressure measurement for him.


    The blood pressure monitor shows that the blood pressure is around 130/60mmHg.


    The patient''s blood pressure has returned.


    ¡­


    "Doctor, when will my dad be released from the ventilator? I think his condition is stable."


    In the doctor''s office, the patient''s family asked.


    Yin Xinhua frowned: "Don''t be in a hurry, wait first, we will remove the ventilator in time when the patient has an indication to go offline. If it is removed rashly, it may be life-threatening."


    "How long will it take?"


    "About two days." Yin Xinhua thought for a while.


    The patient''s family members were relieved when they heard the words.


    "Okay, thank you doctor."


    The patient''s family temporarily canceled their plans to withdraw the ventilator, and then left the doctor''s office.


    "This son is so ruthless that he wants to take off the ventilator." Fan Zhiping shook his head slightly.


    "He''s still the only child." Yin Xinhua sighed, "Sometimes raising a child can''t prevent old age."


    ¡­


    After about half an hour.


    The result of the patient''s emergency blood test came out!


    "Sister Yin, the patient''s troponin is negative!"


    Lu Chen immediately hit the test system and found the test result of myocardial enzyme.


    "Huh? Troponin is negative?" Yin Xinhua was startled.


    Troponin negative, which completely ruled out the possibility of myocardial infarction!


    What else would the diagnosis be?


    Yin Xinhua frowned, she had no clue.


    Fan Zhiping and Lu Chen on the side had no clue.


    at this time.


    The nurse on duty ran into the office again.


    "Dr. Yin, the patient''s blood pressure is high again. I just measured 198/110mmHg! Both upper limbs are symmetrical."


    Everyone looked at each other when they heard what the nurse said.


    The blood pressure has dropped to 130/70mmHg just now, but now it is 198/110mmHg.


    In less than half an hour, the blood pressure changed rapidly!


    There must be something wrong with this!


    "Use intravenous antihypertensive drugs first to lower blood pressure." Yin Xinhua said.


    "Okay." Lu Chen nodded and began to make a doctor''s order.


    After the doctor''s order was given, the nurse began to execute it.


    Lu Chen glanced at Yin Xinhua and Fan Zhiping, paused, then hesitated: "Senior sister, Brother Fan, do you think the patient has a pheochromocytoma?"


    The patient''s blood pressure fluctuated rapidly in a wide range, and there were accompanying symptoms of headache and chest tightness.


    This has to make people suspect pheochromocytoma!


    When Fan Zhiping and Yin Xinhua heard the diagnosis, they were slightly taken aback.


    Pheochromocytoma?


    This disease, simply explained, is that there is a gland above the kidneys in the human body, called the adrenal glands (the glands above the kidneys).


    If this adrenal gland grows a tumor, the tumor may secrete a lot of hormones, including epinephrine, norepinephrine and so on.


    These hormones can stimulate the sympathetic nerves in the human body, such as high blood pressure, fast heart rate, sweating, excitement, restlessness and so on.


    When will such hormones be secreted in large quantities?


    For example, when you hold a stick in your hand and there is a lion in front of you, these hormones will be secreted like crazy.


    These hormones will make you nervous and at the same time more powerful, whether it¡¯s for running or fighting.


    If there are no special circumstances, hormones will be secreted according to the needs of the human body.


    However, if the secretion is completely unregulated by command.


    Instead, it secretes in a random way. For a while, the secretion is concentrated, and when it is exhausted, there is no secretion. The blood pressure will be like a roller coaster, with highs and lows.


    This can also damage the heart, kidneys, etc., especially may lead to arrhythmia.


    "I think 80% of them are. The patient''s ventricular fibrillation and cardiac arrest may be caused by the excessive secretion of hormones by the pheochromocytoma!"


    Fan Zhiping is Lu Chen''s loyal supporter.


    When Lu Chen said this diagnosis, he consciously matched all the symptoms!


    Yin Xinhua was a little silent, she kept thinking "pheochromocytoma" in her heart.


    This disease is not common in clinic, and it may take a long time to encounter one.


    The symptoms of pheochromocytoma vary widely, but the most common is the paroxysmal increase in blood pressure, which fluctuates greatly!


    To diagnose pheochromocytoma, it is necessary to complete abdominal CT or contrast-enhanced CT.


    ¡­


    And here in Lu Chen, when he finished saying "pheochromocytoma", a prompt popped up on the system panel.


    "Congratulations, the completion of the system upgrade has increased!"


    (end of this chapter)

 Chapter 211： strange wheezing sound

    Chapter 211 Strange Wheezes


    The ?? system prompt also confirmed Lu Chen''s diagnosis.


    Actually, Yin Xinhua also thought of pheochromocytoma.


    As an attending physician in the Department of Cardiology, the blood pressure fluctuated rapidly, accompanied by corresponding symptoms of dizziness and palpitations, and the first reaction was pheochromocytoma.


    However, this diagnosis was first mentioned by Lu Chen, and she was still thinking about acute myocardial infarction.


    This is a bit, ahem, slap in the face.


    However, Yin Xinhua also knew that Lu Chen was different from other graduate students.


    "When the patient''s condition is stable, I will go to complete the abdominal examination tomorrow." Yin Xinhua said.


    Although he had a diagnosis error, Yin Xinhua corrected it in time.


    For patients with pheochromocytoma, surgery is generally required after diagnosis.


    ¡­


    The night has not yet begun.


    One patient has already experienced a change in condition.


    Yin Xinhua had to doubt his luck tonight.


    "Doctor Fan, are you on the night shift?" She quietly looked at Fan Zhiping beside her.


    "How can I say that, we are on duty, and there are not many serious patients." Fan Zhiping said, "But every night, new patients are admitted, so it is quite busy."


    Yin Xinhua nodded, she looked back at Lu Chen.


    Lu Chen is the first night shift today, so it shouldn''t be because of him, so it''s probably because of Fan Zhiping.


    It seems that there is a reason for Lu Chen to bring Fan Zhiping back to the dormitory.


    After half an hour.


    Yin Xinhua walked slowly to Lu Chen''s side.


    Lu Chen is perfecting the disease course record and communication record of the suspected "pheochromocytoma" patient just now.


    When Yin Xinhua communicated his condition before, he had already informed about the possibility of intubation and cardiopulmonary resuscitation.


    The family members also signed, but the doctor''s signature has not yet been signed, and now it is time to sign up.


    Yin Xinhua leaned down and whispered, "Junior Brother Lu Chen, you...let Dr. Fan go back to the dormitory later. We''re fine here, we don''t need so many people."


    "Well, alright." Hearing this, Lu Chen stopped what he was doing and nodded immediately.


    Fan Zhiping was beside him, and he was also a little uncomfortable.


    Wait and see what reason, let Fan Zhiping go back to the bedroom first.


    ¡­


    The doctor''s office is calm again.


    Yin Xinhua and Fan Zhiping chatted aside.


    Both are cardiologists, one is in the provincial top three hospitals, and the other is in a primary hospital. They still have a lot of discussion points.


    Unconsciously, Fan Zhiping talked about Lu Chen.


    "Dr. Yin, the graduate students of the Second Jinghua University are all so good? Tracheal intubation, radial artery puncture, etc. are all easy to do."


    Yin Xinhua hurriedly waved his hand and glanced at Lu Chen not far away: "Doctor Fan, don''t make a mistake. This is just a special case, oh no, this is a special case, that is Lu Chen meeting! No one else can."


    Fan Zhiping was relieved when he heard the words.


    If young people are like Lu Chen, then these old guys have no room to live.


    "Why is Lu Chen so powerful? I just saw his technique, and he''s very skilled. It can''t be done once or twice." Fan Zhiping said.


    He had seen the doctors in the county hospital intubate, and he was probably not as skilled as Lu Chen.


    Yin Xinhua smiled, "It''s really not once or twice, Lu Chen participated in the national medical skills competition and won the first place! He is very skilled in all kinds of operations!"


    "National Medical Skills Competition?" Fan Zhiping was stunned, "Or the first?!"


    He had heard about this competition, but he didn''t expect Lu Chen to win the first place in the country!


    There is more than one skill in the national competition. To get the first place, the emphasis is on comprehensive strength, not the first place in a single event.


    Fan Zhiping looked back at Lu Chen, who was writing a medical record, and his evaluation of "Professor Lu Chen" was a little higher.


    ¡­


    Lu Chen is making up the course record.


    Fan Zhiping and Yin Xinhua were talking in the corner of the ward. Lu Chen could only hear faint voices, but he couldn''t hear what they said.


    bang bang bang...


    At this time, there was a knock on the door of the doctor''s office.


    Lu Chen turned his head to look.


    A middle-aged man stood at the door of the doctor''s office, with his right hand resting on the door frame, his face paled slightly, and he was breathing heavily.


    "Doctor, I, I''m not feeling well."


    "You go back to the ward first, and I will come to see you right away." Yin Xinhua quickly stood up and said.


    The man shook his head slightly, the uncomfortable feeling of chest tightness and panting made him unable to speak.


    Lu Chen was the closest to the man. Seeing that his state was not right, he immediately helped him in.


    Yin Xinhua also noticed something was wrong.


    She hurried forward, picked up the stethoscope, and auscultated the patient''s chest.


    "There is a clear wheezing sound in both lungs." Yin Xinhua put away the stethoscope and said.


    Lu Chen nodded, the patient''s wheezing was obvious.


    Even without a stethoscope, a lot of wheezing can be heard near the patient.


    "You go back to the ward first, we need medication immediately!"


    There are many reasons for ?? wheezing, and Yin Xinhua still doesn''t know the patient''s condition.


    But the wheezing sound of the lungs has already indicated that the situation is very urgent.


    Lu Chen immediately took the patient back to the ward.


    ¡­


    Yin Xinhua took time to look at the patient''s medical records.


    The patient, a 43-year-old male, suffered from chest tightness and wheezing for half an hour.


    He has been wheezing badly in the last three months, which is obvious after activities.


    I went to the community health station for an injection today, but the effect was not very good, so I went directly to the hospital.


    The patient has a history of asthma and denies hypertension, diabetes and other diseases.


    The diagnosis of the outpatient doctor, in addition to asthma, does not exclude coronary heart disease, so I received a cardiologist.


    ¡­


    Yin Xinhua came to the ward.


    The patient''s wheezing did not improve, and he was sweating profusely. Auscultation revealed diffuse wheezing in both lungs and inability to speak.


    "First, use dexamethasone 5mg intravenously!" Yin Xinhua instructed the nurse beside him.


    About 2 minutes after bolus of dexamethasone.


    The patient complained that it was significantly improved, and the wheezing sound disappeared after auscultation of both lungs again!


    "What the **** is this, it''ll be over so soon?" Yin Xinhua was quite surprised.


    Asthma that I usually encounter is unlikely to get better so quickly after using hormones!


    "How old is asthma?" Yin Xinhua wondered.


    "21 years."


    "Have you been using medication for control?"


    "Occasionally smoke salbutamol!"


    "Well, that''s fine! You take a rest." Yin Xinhua nodded, then looked at Lu Chen, "The patient should have developed asthma. The recent weather changes may be affected by environmental factors."


    After the inquiry, Lu Chen and others prepared the doctor''s office.


    At this moment, the door of the ward banged and was pushed open.


    A middle-aged woman with slender hair, dark and burly came, and walked to the patient''s bed aggressively.


    "Why did you call me? You can''t quarrel, so why call me!"


    The woman''s voice is exceptionally loud, her voice is extremely penetrating, and her voice is thick.


    Lu Chen was two meters away from her, still feeling deafening.


    The woman has the feeling of Lu Zhishen''s rebirth!


    Hearing her voice, before Yin Xinhua got up to stop it, the family members of the other patients said directly, "Keep your voice down, you scared me."


    Even so, the lady continued to question.


    Lu Chen noticed that the patient in the hospital bed suddenly couldn''t speak again.


    He immediately took a stethoscope to auscultate the patient''s lungs.


    "Wheezing, low breathing!"


    This just ran out of ground rice, relieved.


    Another attack so soon?


    Yin Xinhua said solemnly, "Push another rice."


    As soon as he finished speaking, the patient pointed at the woman.


    "Go, you, you go!"


    The woman was obviously angry, she turned around and opened the door, and left.


    The woman leaves everyone''s sight.


    Lu Chen turned to look at the patient. Surprisingly, his condition was obviously better!


    Take out the stethoscope and auscultate the lungs...


    The patient''s bilateral lung wheezing disappeared again!


    (end of this chapter)

 Chapter 212： Why didnt Lao Fan leave?

    Chapter 212 Why didn''t Lao Fan leave?


    "You?" Lu Chen was stunned.


    The wheezing sound suddenly disappeared!


    Wheezing is mainly a dry rales caused by lesions in the respiratory tract.


    Clinically, it is mainly due to the impact of the mucous membrane of the congested and edematous respiratory tract through the relatively narrow air flow, which is like a whistle blowing sound.


    The patient lowered his head and sighed: "Don''t push me on hormones, you let her divorce me, and I''ll be fine!"


    Lu Chen: "..."


    Yin Xinhua: "..."


    It turns out that fear can also trigger an asthma attack?


    Although Lu Chen knew that mental factors could affect asthma before, this was the first time he saw such a situation today.


    The wheezing sounds in the patient''s lungs, appearing and disappearing so strangely and quickly.


    Lu Chen even suspected that there was something wrong with his stethoscope.


    But the stethoscope is 3M, and it costs several thousand dollars. It should not be a problem with the stethoscope!


    comforted the patient.


    Lu Chen observed at the patient''s bedside for another five minutes, and the patient''s asthma was no longer ill.


    ¡­


    Back to the doctor''s office.


    Lu Chen flipped through the internal medicine book in the office.


    Find the chapter on Respiratory Medicine.


    "Asthma patients not only suffer from physical and pathological damage to the airway, but also have mental and psychological abnormalities."


    "Mental factors such as nervousness, anxiety, fear, irritation, depression, or hyperexcitability can trigger or aggravate asthma."


    On paper, you will feel shallow!


    These words, Lu Chen read many times.


    However, if it wasn''t for his own experience and experience, Lu Chen would have a hard time believing that there was such a person, whose asthma was triggered by fear.


    Fan Zhiping and Yin Xinhua also felt novel.


    Both of them are cardiologists, and there are not many patients who have encountered this kind of asthma.


    ¡­


    "Lu Chen, why don''t you let Dr. Fan go back to the bedroom."


    Taking advantage of Fan Zhiping''s time to go to the toilet, Yin Xinhua quickly approached Lu Chen and said.


    It''s nine o''clock at night now.


    If he doesn''t leave again, he may really stay in the department to rest at night.


    Lu Chen''s expression was rather helpless, "Senior Sister Yin, I told Brother Fan, but he won''t leave, so I can''t do anything... I can''t drive him away."


    "Don''t go?" Yin Xinhua''s face turned black.


    This Doctor Fan is too serious!


    Other training doctors wish to go back to rest early.


    He is so good, he actually took the initiative to stay on duty!


    Actually, Fan Zhiping''s mind is extremely simple.


    Within a few hours of this night shift, two interesting cases have already been encountered.


    Sure enough, following "Professor Lu Chen" is a different feeling!


    He came to Jinghua Second Hospital to broaden his horizons.


    If you don¡¯t seize this opportunity, it will be no different from salted fish.


    ¡­


    Back to the doctor''s office.


    Fan Zhiping found that Yin Xinhua looked at him strangely.


    "Cough, Doctor Yin, what''s the matter?"


    Yin Xinhua came back to his senses and said quickly, "That''s a bit late now, do you think..."


    Yin Xinhua was interrupted by Fan Zhiping before he finished speaking.


    "It''s okay, don''t worry about me, I won''t go back tonight, I see there is a bunk in the duty room, Lu Chen sleeps in the bottom bunk, I''ll sleep in the top bunk later."


    Yin Xinhua could only helplessly smile, "Okay, okay..."


    It seems that Comrade Lao Fan has already made up his mind to stay.


    Yin Xinhua had no choice but to pray for a peaceful night.


    ¡­


    9:30 pm.


    Lu Chen has completed all the medical records.


    During the ?? period, many family members of patients came to the office to inquire about their condition.


    Many family members do not have time to come to the hospital during the day and only have time to come to the hospital at night.


    But there is only a doctor on duty at night, and it is impossible to understand the condition of each patient.


    Although communication was a little troublesome, Lu Chen tried his best to communicate and explain his condition. If he couldn''t solve it himself, he asked the patient''s family to find the doctor in charge of the bed tomorrow.


    After Lu Chen''s efforts, he also gained a lot of gratitude.


    ¡­


    "Dududu..."


    The phone''s WeChat alert sounded, and Lu Chen thought it was a WeChat group message.


    Picked it up and took a look, I didn''t expect it to be a message from Senior Brother Dong Hao.


    Lu Chen remembered that he seemed to have gone to the endocrine cycle.


    It''s so late, what does Dong Hao have to do with him?


    Open WeChat when in doubt.


    Brother Dong Hao sent him an electrocardiogram.


    "Junior Brother, please help me to see this electrocardiogram."


    It turned out to be a picture, is it that Brother Dong Hao is also on the night shift tonight?


    Lu Chen opened the big picture of the electrocardiogram and began to interpret it carefully.


    ECG, narrow QRS complex tachycardia, heart rate about 180 beats/min.


    No p waves were seen in all leads, and retrograde p waves were occasionally seen.


    "Senior brother, this should be... a typical paroxysmal supraventricular tachycardia." Lu Chen immediately replied with a message, and then added, "This patient can use physical stimulation first, if not, use a little more. Dalong."


    "Okay, thank you, Junior Brother."


    Dong Hao''s message came back, but Lu Chen was stunned by the next sentence.


    "However, this is not the patient''s, it''s mine..."


    Ah, is this the electrocardiogram of Senior Brother Dong Hao?


    Lu Chen was slightly surprised, "Senior brother, are you in the emergency department now?"


    He took another look at the time of this electrocardiogram. It was done at 9:20 in the evening, just recently.


    And looking at the paper material of this ECG, it should be the ECG chart of the Emergency Department of the Second Jinghua Hospital.


    Dong Hao replied: "Well, I have been on a few night shifts recently, and I feel a little uncomfortable in my chest. It got worse tonight, so I came to the emergency room for an electrocardiogram."


    After getting along for more than two months, Dong Hao still believes in Lu Chen''s judgment level.


    Since Lu Chen said it was a paroxysmal supraventricular tachycardia, then there is a high probability of it.


    "Senior brother, then you can find a time to come to the Cardiology Department for ablation surgery?" Lu Chen said.


    Paroxysmal supraventricular tachycardia is a cardiac arrhythmia, which is one of the few diseases that can be cured in cardiology.


    Ablation surgery is to insert electrodes into the heart to ablate the power-off pathway, so that this arrhythmia will not recur in the future.


    After a while, Dong Hao replied.


    "Forget it, I haven''t committed that many times. It''s inconvenient to be hospitalized now, so I''ll talk about it later."


    The prognosis of paroxysmal supraventricular tachycardia is relatively good.


    When the arrhythmia does not occur, the patient is generally the same as the normal person, and there is no abnormality.


    "Senior brother, then you should eat some Betaroc first, take a rest, don''t stay up late." Seeing Dong Hao''s refusal, Lu Chen had to say, "Next time you get sick again, you must come to the Cardiology Department to be hospitalized."


    He knew that Dong Hao was preparing for the postgraduate entrance examination.


    In addition to going to work and working night shifts, I have to review various homework after work.


    Although the prognosis of paroxysmal supraventricular tachycardia is good, if the symptoms occur frequently, it can also cause various serious complications.


    "Okay, thank you, Junior Brother."


    Lu Chen chatted with Dong Hao for a few more words, and then closed WeChat.


    "Congratulations, +1 for the thank you from Dong Hao!"


    ¡­


    Lu Chen just put down his phone when the nurse on duty came again.


    Lu Chen''s heart tightened, this night, it really didn''t stop.


    (end of this chapter)

 Chapter 213： piss, look again

    Chapter 213 Pee soaking, see again


    "Doctor Yin, the 39-bed patient is going to get out of bed to go to the toilet to urinate. He is pumping nitroglycerin, can he go?"


    The nurse''s voice came from outside the office.


    Lu Chen breathed a sigh of relief, fortunately, just asked about this, and there was no change in his condition.


    This kind of thing is handled by the superior, Lu Chen didn''t say anything.


    "Not for the time being." Yin Xinhua replied loudly, "Bed 39 is a patient with heart failure in our group. He just came to the hospital today, so let him urinate beside the bed."


    "Okay, I got it, I''ll go tell him!"


    "In addition, let his family members take good care of him, and don''t go to the ground casually."


    In the Department of Cardiology, whether it is heart failure or myocardial infarction, in the acute stage of the onset, it is not allowed to go to the toilet to defecate, and it can only be done at the bedside.


    The unpredictable nature of heart disease is too much. Once the condition changes while urinating and urinating, it is difficult to detect it in time, so we can only urinate at the bedside.


    However, there are more than one patient in the ward, and sometimes there are family members of the opposite sex. Some patients cannot pass this psychological barrier and always want to go to the toilet secretly.


    "Lu Chen, go take a look and tell his family not to let the patient go to the ground." Yin Xinhua was still worried, so he instructed.


    "Okay." Lu Chen nodded, picked up the stethoscope, and walked out of the doctor''s office.


    This time, Fan Zhiping did not follow him, but chatted with Yin Xinhua in the office.


    ¡­


    came to 39 beds.


    A middle-aged man in his 60s was lying on the bed, his HP was 68.


    Bedside monitor, intravenous infusion pump, everything is available.


    Lu Chen just walked into the house.


    The patient sat up and said to Lu Chen, "Doctor, let me go to the toilet, in the ward, I really can''t figure it out."


    The patient''s expression was uncomfortable, not the discomfort of being sick, but the feeling of wanting to urinate but unable to urinate.


    "Just beside the bed." Lu Chen whispered.


    It''s almost ten o''clock now, and some of the patients in other beds are already asleep.


    "Master, you can''t get out of bed yet. You can only get out of bed when your condition stabilizes a little and with the consent of the doctor in charge of the bed."


    The patient did not speak, and looked around with a tangled expression.


    Some people, the older they get, the more stubborn and stubborn they become.


    The patient''s wife was on the side, holding a urinal in his hand, and persuaded: "Old man, you can stay in bed. I''ll go to the nurse to borrow something to cover, it''s all right."


    The patient had a stern face, did not speak, but did not refuse.


    After a while, the nurse brought the shield, and seeing this, Lu Chen left the ward.


    ¡­


    Back to the doctor''s office.


    "Junior Brother, the patient didn''t get out of bed, right?" Yin Xinhua said.


    Lu Chen shook his head, "The nurse took a shield and made it easier for him to stay in bed."


    "Well." Yin Xinhua said, "This is an old patient with heart failure. He spends a week or two in our department every year, but he also relies on himself as an old patient and doesn''t listen to the doctor''s words."


    Fan Zhiping on the side of ?? immediately took over.


    "The Cardiology Department of our county hospital is like this. A considerable part of them are old patients. Many people know what medicines they use. When they come to the department, they take the initiative to ask for nitroglycerin, and some medicines for tube expansion. They don''t listen to the doctor at all."


    "Some good-tempered ones are okay, some bad-tempered ones often quarrel with nurses, and no one wants to accept them..."


    Lu Chen''s career is still very short, or he has not yet managed patients completely independently.


    Generally, all communication matters are resolved by the superior physician.


    "Let me ask the nurses to step up their patrols. This kind of patient is the most prone to accidents." Yin Xinhua sighed.


    "Okay." Lu Chen nodded.


    Clinically, treatment only takes up 50% of the time, and the rest of the time is spent dealing with patients and wrestling with family members.


    ¡­


    After dealing with the patient''s condition, Lu Chen began to perfect the case he was going to take next week.


    "Dududu..."


    WeChat beep sounded continuously.


    Lu Chen picked up his phone and saw that it was news from the dormitory group.


    I wasn''t going to watch it, but Wang Zihao caught his eye.


    "Fuck!!!"


    "Why is there so much foam in my urine today?"


    Before everyone in the bedroom responded, Wang Zihao started a series of self-questions that impacted his soul.


    "Could it be that I have proteinuria!"


    Generally speaking, there is foam in the urine because there is protein in the urine.


    "Will there be **** urine that can''t be seen for a while!?"


    "Is it nephrotic syndrome? Is it chronic nephritis?"


    Lu Chen picked up the phone and was thinking about how to edit the information, when Wang Zihao''s words popped up from the dialog box again.


    "Ah, am I going to have kidney failure!"


    "I''m going to have uremia!"


    Lu Chen smiled helplessly.


    There are so many dramas in this stuff.


    At this time, another roommate replied in the group.


    "Pharaoh, I received a few young guys yesterday, one was suffering from acute renal failure after taking a prescription of Chinese medicine that I don''t know where it came from, and the other was in his 20s with malignant hypertension and renal failure..."


    This roommate is a graduate student in the Department of Nephrology.


    As soon as his words came out, Wang Zihao had nothing to follow.


    Lu Chen immediately replied: "Don''t scare Old Wang, if he goes to the Nephrology Department tomorrow and is hospitalized, then you will take care of him."


    "Do you really need to go to the hospital?" Wang Zihao replied cautiously.


    Lu Chen was quite helpless: "You go... everyone will definitely not stop you..."


    Wang Zihao: "Really... I always feel sick..."


    "It''s normal." Lu Chen smiled, "I usually see some symptoms, so I put them on myself. Do you feel that you have high blood pressure when you have a headache, and that you feel edema when your legs are a little fatter?"


    Even though everyone is a graduate student now, they are still clinical rookies.


    During the period of just coming into contact with clinical disease.


    Medical students have limited diagnostic level, coupled with personal psychological factors, they are prone to hallucinations of unhealthy health.


    I see many people with the same or similar symptoms every day, reviewing typical symptoms every day!


    I always feel sick!


    Wang Zihao said: "But... there is really foam in my urine! If you don''t believe it, I will urinate later and take a picture for you."


    Lu Chen: "Don''t take a picture of me, next time you finish urinating, wait a minute or two to see if the foam disappears."


    "Is this still possible?" Wang Zihao said in surprise, "If it disappears, then it will be fine?"


    Lu Chen replied with an OK gesture.


    Nephrology classmates also posted an expression of approval.


    Wang Zihao immediately bounced off the bed when he saw everyone''s reply.


    got out of bed, poured a glass of water, took a sip, and took another sip...


    After half an hour, Wang Zihao felt the urge to urinate.


    ran to the toilet, finished urinating, did not leave immediately, but silently observed for a while.


    Wang Zihao looked happy, the bubbles really disappeared!


    ¡­


    Eight districts in the heart of Jinghua Second Hospital.


    Lu Chen suddenly saw another prompt pop up from the system.


    "Congratulations, +1 for the thank you from Wang Zihao!"


    Is this guy really going to pee to see the foam?


    (end of this chapter)

 Chapter 214： Speed ??up the pump!

    Chapter 214 Speed ??up the pump!


    Just as Lu Chen was checking the WeChat group news, a hurried shout suddenly came from outside the office.


    "Doctor...Doctor, come to the doctor!"


    Lu Chen was shocked.


    Fan Zhiping and Yin Xinhua, who were sitting next to them, also stood up immediately.


    The three of them ran towards the ward in unison.


    Lu Chen followed Yin Xinhua. As soon as he walked out of the doctor''s office, he heard the nurse on duty shouting.


    "The 39-bed patient fainted!"


    39 beds?


    Isn''t this the patient who just wanted to get out of bed to urinate?


    Was he disobedient and got out of bed again?


    The three of them walked like flying.


    Lu Chen pushed the electrocardiograph and ran towards the ward.


    ¡­


    ran quickly into the ward.


    Lu Chen saw the nurse on duty performing CPR on the patient.


    On the ECG monitor at the bedside, the ventricular fibrillation waveform is displayed!


    Health on the patient''s head is 42.


    is not urinating, but sudden ventricular fibrillation!


    However, without any warning, why did you suddenly have ventricular fibrillation?


    The patients and their family members on the two beds next to them were frightened.


    Family members and active patients all left the hospital bed, ran out of the corridor, and looked inside from a distance.


    The originally quiet ward suddenly became noisy.


    In the wards next door, people who didn''t sleep and liked to join in the fun all ran out.


    ¡­


    Lu Chen couldn''t figure out the cause, but he couldn''t allow him to think too much now.


    "I''m going to get the defibrillator!"


    Lu Chen ran out, rushed to the treatment room, and found the defibrillator.


    Back to the ward.


    Fan Zhiping has taken over the position of nurse and performed CPR.


    Lu Chen applied conductive paste to the defibrillator.


    "Brother Fan, I''m ready to defibrillate!"


    Fan Zhiping nodded, then moved away from his position.


    When Lu Chen saw this, he immediately stepped forward.


    Place the paddles on the patient.


    "Get out of the hospital bed!"


    Charge!


    Discharge!


    However, the patient''s ECG waveform did not change, still ventricular fibrillation!


    Defibrillation cannot be performed continuously.


    Lu Chen stopped what he was doing and removed the electrode plate.


    Fan Zhiping immediately stepped forward and continued to start CPR.


    "Why did ventricular fibrillation suddenly occur?" Yin Xinhua also asked.


    The patient was admitted to the hospital with heart failure this time, and the admission examination only had a high BNP, and there was no other abnormality.


    Could a sudden myocardial infarction induce ventricular fibrillation?


    "Adrenaline 1mg intravenously, continue defibrillation!" Yin Xinhua said solemnly.


    Lu Chen applied the conductive paste again and performed a second defibrillation.


    Charge!


    Discharge!


    The whole process was incredibly fast.


    He and Fan Zhiping alternated defibrillation and cardiopulmonary resuscitation.


    Defibrillated three times in a row and pushed epinephrine twice.


    However, the patient''s heart rhythm is still ventricular fibrillation!


    In Lu Chen''s eyes, the patient''s health has been declining.


    Dropped from 42 to 39 before, and then to 36!


    "Mother-in-law, her condition is critical now, we will immediately transfer the patient to the CCU downstairs!"


    Yin Xinhua immediately communicated with the patient''s family and contacted the patient''s son.


    Fortunately, he is an old patient, and his family members are more willing to treat him, so he agreed to be transferred to CCU.


    In this state of the patient, there is no time to waste.


    Lu Chen turned over, climbed onto the bed, knelt beside the bed, and began to perform CPR on the patient.


    Fan Zhiping and Yin Xinhua pushed the bed together and pushed out the ward.


    ¡­


    At this time, Li Qinghua, the chief inpatient of the Cardiology Department, came.


    When encountering this kind of rescue, the hospital manager is usually called.


    Li Qinghua seemed to know that Lu Chen was in bad condition by lying on the bed for CPR.


    Yin Xinhua quickly explained the patient''s condition to Li Qinghua.


    Next, Li Qinghua took over Yin Xinhua''s position of pushing the hospital bed, and worked with Fan Zhiping to push the hospital bed into the elevator.


    Yin Xinhua stayed in the ward to take care of other patients in the ward.


    The crowd pushed the hospital bed towards him.


    Lu Chen lay on the bed and performed cardiopulmonary resuscitation without a break.


    He felt that his hands were extremely sore and heavy, but he did not dare to slack off in the movements of his hands!


    "Ding!"


    The elevator finally reached the fourth floor.


    The hospital bed was pushed to the door of the CCU.


    At this time, a doctor from CUU greeted me at the door.


    Everyone worked together to push the hospital bed into the rescue room of the CCU.


    Doctor CUU immediately took over from Lu Chen, "What''s the condition of the patient?"


    "Sudden ventricular fibrillation, defibrillated three times in the ward without success." Li Qinghua said solemnly, "I heard from the ward doctor that the patient''s admission this time is a state of valve disease and heart failure, and there is no other disease or cause. factor."


    "Are the electrolytes normal?" said the doctor on duty.


    Li Qinghua nodded, "It''s normal, it''s not yet clear why the patient developed ventricular fibrillation."


    "Okay, hard work."


    ¡­


    When Lu Chen got off the hospital bed, he felt that his hands were almost not his own.


    This kind of high-intensity chest compression, although not long, is extremely exhausting.


    "It''s okay." Fan Zhiping said aside.


    He just saw that Lu Chen''s rescue speed was not inferior to some of the attending doctors.


    But when he thought of Lu Chen''s previous performance, he felt that it was normal.


    "It''s okay." Lu Chen looked back at the patient on the eye bed.


    The patient was pushed to the CCU, any of theirs was done.


    The next thing to look at is the CCU doctor''s ability to treat and the patient''s desire to survive.


    However, Lu Chen was very curious about the cause of the patient''s ventricular fibrillation.


    The occurrence of any disease or the change in the condition is based on a reason.


    Even if you can''t find a definite cause, you can find clues.


    But this patient, Lu Chen went to see him half an hour ago.


    The patient was in good condition at that time, and there was no arrhythmia on the ECG monitor at the bedside.


    "Brother Fan, let''s go back to the eighth floor." Lu Chen said.


    They couldn''t have been waiting in the CCU for rescue.


    Night shift tonight, there is a lot to do upstairs.


    "it is good."


    Fan Zhiping nodded, then pushed the empty hospital bed with Lu Chen and returned to the eighth area of ??his heart together.


    ¡­


    Eight districts in the heart.


    Lu Chen and Fan Zhiping pushed the empty hospital bed back into the ward.


    Set up the hospital bed, and Lu Chen is ready to leave.


    He glanced and suddenly saw the IV pump on the bedside table, and stopped immediately.


    The nurse is cleaning up the medicine for the rescue, and I haven''t had time to get the infusion pump back.


    "What''s the matter?" Fan Zhiping asked suspiciously when he saw that he hadn''t left.


    "Brother Fan, look at this infusion pump." Lu Chen stepped forward and pointed to the infusion pump in front of him.


    Fan Zhiping looked at the infusion pump, "No problem, what''s wrong?"


    Lu Chen leaned over to examine the infusion pump carefully, and said solemnly, "The medicine in the infusion pump has run out."


    "The medicine has run out, so, what could be wrong with this?" Fan Zhiping just finished saying this, and then he seemed to have thought of something, and his eyes were stunned, "What medicine was used? Nitroglycerin?"


    Lu Chen nodded, "Yes, I came to the ward half an hour ago. I remember the patient''s intravenous infusion pump at that time, at least half of the fluid was not finished."


    Fan Zhiping also realized that something was wrong, and said slowly: "According to the normal pump speed, it will take at least five hours for the rest of the normal medicine to be pumped, but why did he finish the pump in half an hour?"


    "The only explanation is that the patient adjusted the speed of the nitroglycerin himself!" Lu Chen frowned.


    (end of this chapter)

 Chapter 215： The helplessness of a small hospital

    Chapter 215 The helplessness of the small hospital


    Speeding up the fluid infusion is a skill that many older patients are familiar with.


    The speed of the drip infusion is very adjustable, and there is a valve to adjust the speed.


    Intravenous pump infusion, but not so easy to adjust.


    There are many buttons on the intravenous pump, and the operation is complicated.


    However, for these old patients, they are used to seeing the operation of nurses, and many people can do it.


    "Turn up the pump speed?" Fan Zhiping''s face turned black.


    Many drugs in cardiology have strict infusion rates.


    Some drugs, once infused too much in a short period of time, can cause serious side effects.


    Nitroglycerin has the effect of dilating coronary arteries and reducing cardiac preload and afterload. It is routinely used in various types of angina pectoris, chronic heart failure and other diseases.


    When the patient adjusts the pump speed of nitroglycerin by himself, the large dose of nitroglycerin in the body causes the blood vessels to dilate greatly, which temporarily disappears the contractility of the coronary arteries.


    The intracoronary blood pressure is temporarily reduced, and the microcirculation is temporarily opened and closed, resulting in myocardial ischemia and hypoxia, which in turn induces the occurrence of malignant arrhythmia events.


    At present, the most likely reason is that the patient adjusted the pump speed faster, which induced the occurrence of ventricular fibrillation.


    However, this matter has to be confirmed by the nurse on duty.


    ¡­


    Lu Chen came to the nurse station and found the nurse who was handling the medical order.


    "His nitroglycerin pump ran out?"


    When the nurse heard Lu Chen''s words, her face became extremely ugly.


    "I remember that the pump speed is obviously 3ml/h. It takes at least ten hours to run out! He, finished the pump in such a short time?"


    "After running out, you didn''t change your medicine on the way, right?" Lu Chen said in a deep voice.


    "No, the medicine has never been changed!" the nurse said decisively.


    It seems that the fact that the patient adjusts the pump speed privately is almost confirmed.


    "He adjusted the speed himself." Lu Chen said.


    "Huh? This..." The nurse shook her lips, looking like she was hesitant to speak.


    "What''s wrong?" Lu Chen asked in confusion.


    Could it be that there are other hidden secrets in it?


    "Hey, hasn''t this patient been wanting to urinate all the time?" the nurse said after a pause, "I let him rest for a while, and he can get out of bed when his condition is stable. But this uncle insisted on asking for a specific time, I I just said casually, at least until the infusion pump is finished..."


    The nurse on duty looked helpless.


    She means that the patient should not be in a hurry. When the infusion pump is finished, he will not be able to get out of bed until tomorrow at least.


    "So this is because the patient adjusted the infusion pump privately in order to get off the ground earlier?" Fan Zhiping whispered.


    Lu Chen nodded: "I think Bacheng is like this, otherwise I can''t explain the rapid use of this medicine."


    Really solved the case!


    At this time, a prompt popped up on Lu Chen''s system panel.


    "Congratulations, the system upgrade completion rate has increased! The current completion rate is 21%!"


    After so long of hard work, Lu Chen''s system completion rate has finally reached one-fifth!


    The ?? system prompt also confirmed Lu Chen''s guess.


    As the saying goes, a long illness becomes a doctor, but don¡¯t think of yourself as a real doctor!


    ¡­


    Back to the doctor''s office.


    Lu Chen told Yin Xinhua of his guess.


    Yin Xinhua was silent for a long time, and adjusted the speed of the venous pump by himself?


    This is too dramatic!


    "I called the doctors in CCU and asked them to ask the patient''s family members to help confirm it." Yin Xinhua immediately called CCU and told Dr. U of CC about Lu Chen''s guess.


    "The patient adjusted the pump speed of nitroglycerin by himself?" The CCU doctor on duty was surprised.


    Such patients are still rare!


    He hurriedly called the patient''s family into the CCU.


    "Mother-in-law, in the upstairs ward just now, the uncle adjusted the speed of nitroglycerin by himself?"


    The mother-in-law is also a sincere person, and nodded: "He thought the medicine was too slow, so he adjusted it a little faster. He was hospitalized before, and he also adjusted it. Is there any problem?"


    It''s actually really fast!


    The CCU doctor on duty immediately said: "Then do you know how much faster it is?"


    Mother-in-law paused and frowned, "I don''t know about this, but this medicine is taken very quickly and it will be over in a while. Do you... think there is a problem with this?"


    "Mother-in-law, we are only suspicious for the time being, and we are not sure yet. I will ask you any questions."


    The family grabbed the sleeve of the CCU doctor and said nervously, "Doctor, is my old man alright now?"


    "Not very good, I haven''t regained consciousness." The CCU doctor shook his head.


    "Hey¡­¡­"


    ¡­


    Eight districts in the heart.


    Got feedback from the CCU doctor, which basically confirmed the fact that the patient adjusted the pump speed privately.


    Although in normal wards, nurses will visit each patient at regular intervals, but it is impossible to pay attention to the patient''s status all the time.


    This patient completely infused most of the nitroglycerin in half an hour.


    This will definitely go wrong!


    aside, Fan Zhiping couldn''t help but sigh, this big hospital is really different!


    Doctors are fierce, but patients are even fiercer!


    ¡­


    After about half an hour.


    The news was sent back from the CCU, the patient''s rescue was invalid, and the clinical death was confirmed!


    "The patient is gone."


    Lu Chen and others sighed deeply, but they were not surprised.


    When the ventricular fibrillation was not corrected in the ward, Lu Chen realized that the patient might be dying.


    Sure enough, although he went to CCU to rescue him for so long, he still failed to rescue him.


    "Take a warning." Yin Xinhua said solemnly, "We need to strengthen the monitoring of patients, and do a good job in the publicity and education of patients!"


    Many patients rely on their own experience to do whatever they want.


    This situation is the hardest to deal with!


    Fan Zhiping said: "Your big hospital is fine, and many family members of patients dare not make trouble. If this kind of thing happens in our county hospital, the family members may have to bring someone to make trouble again."


    In fact, patients have much more trust in doctors in large hospitals than in small hospitals!


    This is why some people are reluctant to go to the local small hospital for treatment when they are sick, and they all want to go to the best tertiary hospitals for treatment.


    This is also the thinking of most patients, who have a higher sense of trust in large hospitals.


    But for small hospitals, they may doubt the level of doctors.


    As long as there is a problem, I think the doctor must be at fault, and I like to make trouble.


    Yin Xinhua frowned and said, "Why should you be afraid of these patients? If there is a problem, go to legal channels. If you need to pay, you will pay. If you shouldn''t, you will not pay. Everything is subject to the court''s decision!"


    "Hey..." Fan Zhiping shook his head helplessly, "It''s not like this in a small hospital, if someone makes trouble, if it''s not particularly serious, the hospital will give some money to settle the matter in order to settle the matter. It''s the hospital''s fault, so pay more. , it''s not the hospital''s fault, so I''ll pay less. But clinically, it''s hard not to make mistakes!"


    This is also the current status of small hospitals. Severely ill patients are afraid to be treated. Even if they have this level, they will try to push them to higher-level hospitals to avoid potential disputes.


    (end of this chapter)

 Chapter 216： Lao Fan is really hot!

    Chapter 216 Lao Fan is really hot!


    The understanding and trust of patients can allow doctors to lose their psychological burden and do their best to maximize the benefits for patients.


    In the face of the harshness and doubts of the patient, the doctor will become indifferent and sophisticated, and would rather admit his incompetence and give up the optimal treatment plan than take a little risk!


    In this game, the doctor may not be the winner, but the patient is definitely the biggest loser.


    ¡­


    Eight districts in the heart.


    11pm.


    Most of the patients were already asleep.


    The three of Lu Chen also felt sleepy.


    "Okay, nothing to do, let''s go to sleep." Yin Xinhua said.


    "Okay." Lu Chen nodded.


    Yin Xinhua slept in the doctor''s duty room.


    Lu Chen and Fan Zhiping slept in the bunks of the postgraduate duty room.


    After taking a shower, Lu Chen went to bed.


    And Fan Zhiping finally had a chance to be alone with Lu Chen, so he seized the time and started his own questioning mode.


    "Lu Chen, who did you learn that electrocardiogram from?" Fan Zhiping said suddenly.


    As a cardiologist, Fan Zhiping especially wanted to learn electrophysiology well.


    Electrophysiology is also the foundation of a good cardiologist.


    If you really understand the ECG graphics and don¡¯t understand the principle of the ECG, it is no different from rote memorization.


    "This..." Lu Chen''s tone froze, he couldn''t say that he was hanging up.


    He completely relies on the super comprehension ability provided by the systematic skill book to make progress so fast.


    But Fan Zhiping did not have it.


    "When I was studying as an undergraduate, there was a teacher who was an expert in electrophysiology, and my father was also a doctor." Lu Chen said.


    Throw the blame on teachers and parents, that''s right.


    Fan Zhiping nodded. It turned out that Lu Chen''s parents also studied medicine.


    Presumably Lu Chen''s father is also an expert in the medical field!


    Lu Chen''s eyes and ears have been stunned since he was a child, and it is understandable that he has become the current situation.


    "Brother Fan, if you want information on electrophysiology, I have a lot of information here." Lu Chen said, "You can send an email when you get there, and I''ll send you a copy."


    "That''s great." Fan Zhiping laughed.


    The doctors in primary hospitals have limited access to cutting-edge knowledge.


    Many times, Fan Zhiping wanted to know the progress of scientific research in a certain aspect, but he was suffering from no data and no way.


    After just a few days of getting along, Fan Zhiping no longer knew what words to use to describe Lu Chen.


    In the beginning, what Fan Zhiping admired most was Lu Chen''s electrocardiogram level.


    But now that he has seen Lu Chen''s clinical skills, he is a little ashamed!


    Therefore, Fan Zhiping threw a lot of praise at Lu Chen''s body.


    However, now Lu Chen is extremely calm.


    He knew that he was only a student, and he had just entered the clinic, and there was still a long way to go in the future.


    "Brother Fan, you also know that the current medical system requires not only learning to see a doctor, but also scientific research." Lu Chen said helplessly, "No matter how well you can see a doctor, you can''t be promoted to a professional title. On the contrary, as long as you can write a paper , the road to professional title promotion will be much faster. On this road of scientific research, I am also a novice."


    Fan Zhiping nodded helplessly.


    He returned to the county-level primary hospital because he didn¡¯t like doing scientific research.


    The promotion of grass-roots hospital positions is mostly based on seniority ranking, and the requirements for papers are not so high.


    Basically, there will be no such strange creatures as "The Ruler of Ten Thousand Years"!


    Actually, in Lu Chen''s heart, he is more inclined to be a clinician.


    Otherwise, he would not have given up the master''s degree in Kyoto at first, but he chose the second place and chose the master''s degree in Jinghua.


    However, it is impossible to distinguish between clinical medicine and scientific research.


    In medicine, many important scientific research advances were discovered by clinicians.


    In other words, if you want to become a top doctor, it is not enough to treat and save people. You also need to study how to treat diseases in a better way and become an excellent scientific researcher!


    ¡­


    The duty room of the superior doctor.


    Yin Xinhua was tired for most of the night, and finally lay down and rested.


    "This old comrade Fan is really hot!"


    Count what happened tonight.


    Not counting the trivial matters, three critically ill patients have already experienced changes in their condition.


    There was even a patient who died after being pushed into the CCU.


    "Next time I''ll be on duty with Lu Chen, I must not let him bring old Comrade Fan, no one can stand it!"


    After washing up, Yin Xinhua lay on the bed and watched a short video for a while.


    Drowsiness strikes.


    Yin Xinhua just closed his eyes when he heard a hurried knock on the door.


    Her heart rate rose to 120 beats/min in an instant.


    "Doctor Yin, 52 beds are uncomfortable, you should get up and take a look!"


    The nurse''s voice came from outside the door.


    "Okay, here we come!"


    Yin Xinhua got out of bed immediately, slipped on his gloves and put on a white lab coat, and walked outside the duty room.


    Generally speaking, nurses call students on duty first.


    The student will only call the higher-level doctor on duty when he can''t handle the patient.


    In other words, this patient with chest tightness may be more difficult.


    At the same time, Yin Xinhua had already scolded Lao Fan again in his heart.


    is really fire!


    ¡­


    Came to the 52-bed ward.


    Lu Chen and Fan Zhiping were already watching the patient by the bedside.


    "Senior sister, this patient just suffered from shortness of breath and chest tightness." Seeing Yin Xinhua coming, Lu Chen handed over the electrocardiogram he just had.


    Yin Xinhua took a look at the electrocardiogram.


    ECG: sinus tachycardia, low voltage in limb leads, low voltage in chest leads is not very obvious, although it does not reach limb lead voltage > 0.5mv, chest lead voltage > 1.0mv.


    "Junior Brother, what are the reasons for your chest tightness?" Yin Xinhua said.


    Lu Chen paused, then said: "The patient is an elderly male. He has had chest tightness and dyspnea for nearly half a month. He was just admitted to the hospital today and has not had time for an examination. The physical examination just showed: no edema in both lower extremities, distant heart sounds and jugular vein distention. , blood pressure around 100/60mmhg."


    "Do you suspect pericardial effusion?" Yin Xinhua put down the electrocardiogram and looked at the patient on the hospital bed.


    Lu Chen nodded: "Yes. The symptoms are typical, and this patient''s electrocardiogram shows electrical alternation and electrical ladder phenomena. It is obvious that the voltage of the QRS complex in the chest leads changes with the respiratory cycle, which is a very typical ECG for pericardial effusion. "


    Yin Xinhua inspected the patient and also performed a physical examination.


    She basically agreed with Lu Chen''s judgment.


    "Junior brother, considering a large amount of pericardial effusion, it may be an emergency puncture. You go to an emergency bedside echocardiography, and Dr. Fan prepares the tools for pericardiocentesis. I will communicate with the patient''s family about the condition."


    "it is good."


    The three of them immediately divided their work and cooperated, and immediately began to diagnose and treat patients.


    The ?? ultrasound doctor came quickly with a cardiac ultrasound machine.


    After careful inspection by the sonographer, it turned out to be pericardial effusion.


    "There is a lot of pericardial effusion, I have already positioned it for you." The sonographer paused, "However, this pericardial effusion is encapsulated and has many divisions, so the requirements for puncture are relatively high."


    Hearing this, Yin Xinhua frowned.


    If it is ordinary pericardial effusion, she will do it herself.


    But the pericardial effusion is encapsulated...


    She hasn''t been pierced yet, so she doesn''t have a clue.


    "Only call the hospital chief." Yin Xinhua said.


    She glanced at Lu Chen beside her. .


    She remembered Lu Chen''s blind puncture of the pericardium in the elevator.


    However, this encapsulated pericardial effusion is not the same, and has high requirements for the operator''s proficiency.


    At present, only Li Qinghua, the chief inpatient of the Cardiology Department, has been called over to help.


    (end of this chapter)

 Chapter 217： A long way to go

    Chapter 217 A long way to go


    Jinghua Second Hospital.


    The total number of inpatients in the Cardiology Department is rotated once a year.


    General responsibilities of hospitalization, mainly responsible for emergency consultation of all cardiology departments.


    When the night shift ward is short of manpower, it will be temporarily on duty or assist in rescue.


    Li Qinghua, the rotating inpatient chief this year, is a senior attending doctor.


    Although he has not been promoted to deputy chief physician, he has rich experience and is not inferior to those deputy chief physicians.


    The main reason is that there are not enough papers, so I have not been able to get promoted.


    Now that the pericardial puncture is in trouble, Yin Xinhua had to call Li Qinghua for help.


    ¡­


    This is the second time that Li Qinghua has come to the eighth district in his heart tonight.


    "Junior Sister Yin, your night shift is quite fulfilling!"


    Yin Xinhua shrugged and said helplessly to Li Qinghua: "Senior brother, you are making fun of me too, I really can''t do anything about it. The night shift was fine some time ago. I don''t know what happened to this night shift."


    After finishing speaking, Yin Xinhua glanced at Fan Zhiping without any trace.


    "Does the family agree to the puncture?"


    Li Qinghua came to the doctor''s office to check the patient''s auxiliary examination results.


    Before general invasive operations, it is necessary to check the patient''s blood routine, coagulation pattern, etc.


    "The family has agreed and has signed." Yin Xinhua said.


    "Okay." Li Qinghua checked the patient''s tests and found no contraindications, "Then let''s start."


    "Brother, the patient''s pericardial effusion has many compartments." Yin Xinhua said, "It may be difficult."


    "Tuberculosis?" Li Qinghua raised his eyebrows.


    "It''s not very clear for the time being, but there is a high probability."


    "Okay, let''s go see the patient."


    ¡­


    came to the ward.


    Li Qinghua saw Lu Chen standing beside the bed.


    He suddenly remembered that it seemed that Lu Chen had a blind puncture of his pericardium when the elevator broke down.


    After that, Li Qinghua met Lu Chen several times on the night shift.


    Some time ago, Lu Chen, as a member of the school team, successfully won the first place in the National Medical Skills Competition for Jinghua Medical University!


    This is amazing!


    "Lu Chen, I remember you can do pericardiocentesis independently, right?" Li Qinghua asked Lu Chen.


    He can puncture blindly, and this kind of puncture under ultrasound guidance is even less of a problem.


    Lu Chen said modestly: "Mr. Li, I haven''t done this kind of puncture of encapsulated pericardial effusion."


    Speaking without intention, the listener intentionally.


    Lu Chen is telling the truth.


    Although he has trained many times in the system space, even including encapsulated pericardial effusion, he has only done one case of puncture of pericardial effusion in reality.


    Compared to Li Qinghua''s rich piercing experience, Lu Chen is no different from a rookie.


    Fan Zhiping, who was beside him, stared blankly at Lu Chen.


    How many operational skills does Lu Chenhui have!


    Can still perform pericardiocentesis independently...


    Many attending doctors in their county hospitals do not have this ability.


    Although Lu Chen is the first in the national medical skills competition, the competition is just a competition after all.


    The objects of the competition are all tool simulators.


    Simulation and real people, the gap is still big.


    "Then wait by my side for a while and fight for me." Li Qinghua said.


    "Okay, Teacher Li." Lu Chen nodded.


    ¡­


    For general pericardial effusion, pericardiocentesis can be performed after localization under ultrasound.


    For this kind of encapsulated effusion, the ultrasound probe needs to be operated continuously, and ultrasound images are given in time for operation.


    The ultrasound doctor had already left, and Li Qinghua pushed up the CCU ultrasound machine.


    "This is..." Lu Chen wondered, "Didn''t the ultrasound doctor already leave? Who will do the cardiac ultrasound?"


    "You don''t need a sonographer. Brother Li will do a heart ultrasound himself." Yin Xinhua said.


    "Do it yourself?" Lu Chen was taken aback.


    The clinical work of a cardiologist is already very tedious, yet there is still time to learn ultrasound?


    "Yeah." Yin Xinhua said, "Brother Li''s heart ultrasound skills are similar to those of the teachers in the ultrasound room."


    "This, this is too powerful." Lu Chen sighed.


    Now the medical specialization is very serious, let alone an imaging technology, many doctors will not learn the professional content of other departments.


    I saw Li Qinghua skillfully turn on the cardiac ultrasound machine, pick up the ultrasound probe, apply couplant, and then place the probe under the patient''s xiphoid process.


    "There is a lot of pericardial effusion, and there is separation." Li Qinghua said solemnly, "Although there is no obvious sign of pericardial tamponade, it must be punctured as soon as possible!"


    Although Lu Chen can''t read ultrasound images, the images produced by Li Qinghua are very clear.


    On the display screen of the ultrasound machine, a peristaltic mass of heart is visualized.


    Around the heart is a dark liquid area.


    This liquid dark area is pericardial effusion!


    After Li Qinghua finished the operation, he said to Lu Chen, "Let''s start."


    Lu Chen nodded, opened the cardiac puncture bag, and placed it on the table above.


    Li Qinghua first disinfected the location where the puncture was located, then put on gloves, began to spread towels and anesthetize.


    Lu Chen''s job is very simple, that is, to help Li Qinghua deliver the utensils in the puncture bag.


    ¡­


    Li Qinghua is indeed one of the most experienced attending physicians in the Cardiology Department of the Second Hospital of Jinghua.


    This seemingly difficult encapsulated pericardial effusion was successfully punctured and drained in Li Qinghua''s hands.


    Lu Chen was shocked!


    He believed that he had already trained the pericardiocentesis skillfully in the system space.


    However, if this patient were to be given to him, he would not be able to do better than Li Qinghua.


    One of the biggest factors is the presence of echocardiography.


    Ultrasound is performed by the operating doctor himself.


    This is like having a right-hand man who knows what''s going on in the heart.


    When puncturing, you will not look forward and backward, afraid of hurting the heart muscle.


    Compared to Li Qinghua, Lu Chen was completely at a disadvantage in cardiac ultrasound.


    At most, he can only understand a little bit of heart ultrasound images, but he can''t operate at all.


    "The drainage tube is in place, don''t put too much pericardial effusion for the first time." Li Qinghua said.


    Regardless of the puncture and drainage of any effusion, the fluid that can be drained for the first time is limited.


    "Okay." Yin Xinhua said with a smile, "Thank you, Brother Li."


    "Hands up." Li Qinghua said, "Then I''ll go back first. I remember that you also have portable echocardiography in the eight areas of your heart. Sister Yin, you are on the interface under the xiphoid process, pay attention to the situation of pericardial effusion."


    "Received, brother."


    After the puncture, Yin Xinhua removed part of the patient''s pericardial effusion, and the patient''s symptoms of chest tightness improved a lot immediately.


    Li Qinghua explained some precautions, and then pushed the cardiac ultrasound machine downstairs.


    "Senior sister, we also have ultrasound machines in the eight areas of our hearts?" Lu Chen wondered, "How come I''ve never seen it before?"


    "Yes, but it''s portable, it''s only the size of a palm, and no one in the department usually does ultrasound, so it''s basically used." Yin Xinhua said, "I''ll go to the treatment room to get it later, this one under the xiphoid process. Location, I will still be a little bit.¡±


    After ??, Yin Xinhua went to the treatment room to get a portable echocardiograph.


    ¡­


    After Li Qinghua''s pericardiocentesis, Lu Chen even understood his own inadequacy.


    Even though he has the system by his side, he has trained many pericardiocentesis in the virtual space of the system.


    But when encountering such a difficult operation, it is still a little powerless.


    On the road to becoming a top doctor, Lu Chen has a long way to go.


    (end of this chapter)

 Chapter 218： Dingleys arrival

    Chapter 218 The Arrival of Dingdeli


    Yin Xinhua quickly brought a portable echocardiograph.


    A very small instrument, the screen is only the size of a palm, it can only be used for cardiac ultrasound, and cannot be used for other parts.


    "Actually, I''m not very good at using ultrasound, but I can still see pericardial effusion." Yin Xinhua said.


    She took the probe of the portable ultrasound machine and checked the pericardial effusion under the patient''s xiphoid process.


    "Compared to before, it''s a little less."


    From time to time, it is necessary to dynamically observe the condition of the patient''s pericardial effusion.


    Lu Chen followed Yin Xinhua with great interest, learning her operation techniques.


    The accuracy of the ??cardiac ultrasound examination has a lot to do with the operator''s technique.


    Ultrasound doctors with high-end techniques can not only judge cardiac function and ventricular wall motion, but also assist in the diagnosis of critical diseases such as aortic dissection and pulmonary embolism.


    "Do you want to learn cardiac ultrasound?" Yin Xinhua looked at Lu Chen beside him.


    "Yes." Lu Chen nodded.


    How many skills do you not push yourself!


    "It''s good to have this idea." Yin Xinhua smiled, "Do you know what major Cao Zhiying, director of our Cardiology University, used to be?"


    Lu Chen was taken aback for a moment, "Could it be an image?"


    Yin Xinhua nodded: "Director Cao studied ultrasound for his master''s degree, and he was transferred to the Department of Cardiology when he was a Ph.D. Director. Therefore, Director Cao is very familiar with the entire cardiac anatomy, which makes him better than the general cardiology department on the road of cardiac intervention. Doctors are smoother."


    This is the first time that Lu Chen heard that Cao Zhiying actually spoke out from the ultrasound department!


    From an ultrasound auxiliary department to an intracardiac clinical department, Cao Zhixin''s span is not too big!


    What is even more commendable is that Cao Zhixin almost single-handedly raised the level of Jinghua Cardiology to the top ten in the country.


    Cao Zhixin is already a legendary figure in the Jinghua Second Hospital.


    "If you want to learn ultrasound, you must first learn to read pictures, then learn basic theoretical knowledge, and learn several commonly used aspects of cardiac ultrasound." Yin Xinhua said.


    Lu Chen nodded, cardiac ultrasound technology must be learned.


    Ultrasound technology, there is no shortcut, that is, practice makes perfect, see more, learn more, and do more!


    What Lu Chen lacks the most is this "do"!


    He also saw the "Cardiac Ultrasound Technology (Elementary skill card in his system mall.


    This skill card can be exchanged for 40 thanks points.


    Although Lu Chen now has more than 100 points of gratitude, the most important thing for him now is to exchange the "Clinical Research Card".


    This "Cardiac Ultrasound Card" can only be redeemed when there are remaining thank you points in the future.


    ¡­


    Jinghua Second Hospital.


    Twelve o''clock in the evening.


    The condition of the patient with pericardial effusion gradually improved.


    Yin Xinhua added the doctor''s order, and Lu Chen wrote down the course of the disease.


    The three returned to their respective lounges again.


    "I hope you will be more comfortable in the second half of the night." Yin Xinhua prayed in his heart.


    Lu Chen also wiped his face again and lay on the bed.


    After chatting with Fan Zhiping for a while, Lu Chen heard his small snoring.


    Lu Chen stared at the pitch-black ceiling, but he didn''t fall asleep, everything from the past few months appeared in his heart.


    With the help of the system, most things went smoothly for Lu Chen.


    Now that he has the system, he must become the top doctor, otherwise he will be no different from salted fish.


    However, as he deepened his clinical work, Lu Chen was able to discover his own shortcomings.


    "It''s really hard!"


    It is really hard to become a top doctor!


    The distance he has traveled now is only one-thousandth of the distance.


    Medicine is a life science.


    In addition to curing diseases and saving people, we must also strive to explore the meaning of life.


    Lu Chen took a deep breath and exhaled slowly.


    This road is destined to be extremely difficult, but he has no turning back.


    This night is doomed to be sleepless.


    ¡­


    It is true that the doctor has no sleep.


    Lu Chen had just slept for an hour, and at about one o''clock in the middle of the night, the nurse knocked on his duty door again.


    Lu Chen woke up.


    Fan Zhiping also got ready, but he stopped him.


    "Brother Fan, I''ll just go see it myself, you can continue to sleep."


    Every time the nurses see each other, two people get up, which is not worth it.


    Fan Zhiping was getting older and more prone to fatigue. Seeing what Lu Chen said, he lay down and went back to sleep.


    came to the ward.


    Lu Chen found out that a heart failure patient was ill.


    The more it is late at night, the easier it is for patients with heart failure to fall ill.


    The patient''s blood pressure was measured, which was about 150/80mmHg.


    "Push a furosemide." Lu Chen said.


    "it is good."


    The nurse nodded.


    For patients that Lu Chen could handle, the nurse would not call Yin Xinhua.


    After waiting for the nurse to execute the doctor''s order, Lu Chen paid close attention to the patient for half an hour, and his chest tightness was relieved.


    Lu Chen returned to the ward and continued to sleep.


    ¡­


    The whole second half of the night.


    Although none of the critically ill patients have changed their condition, but every half an hour, a certain patient has minor illnesses and pains.


    Lu Chen went back and forth, not knowing how many times he got up.


    Every time I felt like I had to stop for a while, I was woken up by the nurse immediately.


    "Hey, is it really not me who is black, but Comrade Fan who is too black?" Lu Chen glanced at Fan Zhiping, who was sleeping soundly in the upper bunk, and this thought popped into his mind.


    He also worked a few night shifts before. Although he was busy, he wasn¡¯t that busy, right? !


    ¡­


    Unconsciously, the sky turned white.


    Lu Chen picked up his phone and looked at it, it was six o''clock.


    Around seven o''clock, people will come to the department one after another.


    Even if I sleep now, I can''t sleep for a while.


    Lu Chen took a shower and went to the doctor''s office.


    At this time, he suddenly met an unexpected person.


    "Mr. Ding, you are here..."


    Ding Deli, the chief physician of the eight districts in his heart, actually sat in the doctor''s office.


    He was not wearing a white coat, but casual clothes.


    Since the medical incident, there have been two less people in the eight districts in my heart.


    One is Liu Mei, and the other is Ding Deli.


    Liu Mei resigned, what about Ding Deli?


    "Come back and get some things." Ding Deli glanced at Lu Chen, then withdrew his gaze.


    He stood up and rummaged in his closet for something.


    Lu Chen nodded, but did not speak.


    about ten minutes later.


    Tin Deli found several books and a stack of materials.


    "I found it." Dingley muttered to himself, then got up to leave.


    As soon as he reached the door of the office, he suddenly stopped.


    "Lu Chen, I''m leaving."


    Lu Chen turned his head in surprise and glanced at Ding Deli.


    "Mr. Ding, aren''t you going to work today?"


    "Haha." Ding Deli smiled self-deprecatingly, "I don''t go to work today, and I won''t go to work in the future."


    Lu Chen was startled, what Ding Deli meant...he also resigned?


    "After working for so many years, I''m still attending." Ding Deli shook his head and smiled bitterly, "Many of those who were the same age as me were deputy high school students, and even high school students. What''s the point of me continuing to work?"


    Lu Chen was silent, he didn''t have much say in this kind of thing.


    Lu Chen raised his head and found that Ding Deli was staring at him.


    "Lu Chen, you are not bad, you are a smart boy." Ding Deli said, "I hope you can stick to this path."


    After ??, Ding Deli left the ward without looking back.


    Looking at Ding Deli''s back, Lu Chen didn''t know what it was like.


    He didn''t have much contact with Dingdeli, but through the descriptions of others, he and Dingdeli''s usual performance.


    He gave everyone the impression that he was a very irresponsible doctor.


    However, hearing what Ding Deli just said, Lu Chen was willing to believe that Ding Deli used to be a good doctor.


    What changed him and made him what he is now is unknown.


    "Don''t worry, I will persevere." Lu Chen murmured in his heart.


    (end of this chapter)

 Chapter 219： shift

    Chapter 219 Handover


    Jinghua Second Hospital, eight districts in the heart.


    7:30 in the morning.


    There have been many doctors and students in the department one after another.


    Yin Xinhua and Fan Zhiping also came out of the duty room.


    "It was fine in the second half of the night yesterday, but the first half of the night was really busy." Yin Xinhua said.


    Lu Chen''s face turned dark, how was the second half of the night?


    That''s because the nurse didn''t call you...


    "Senior sister, these are the bed numbers for patients who are uncomfortable in the second half of the night. I have written a record of the disease course." Lu Chen said.


    "Huh? There are still so many patients uncomfortable in the middle of the night?" Yin Xinhua smiled shyly.


    At least six or seven patients had to cry out in the second half of the night.


    "It''s all a little bug, I took care of it myself." Lu Chen said.


    "Well, that''s good." Yin Xinhua nodded, "You can sort out the changes in the patient''s condition last night, and you will come to change the shift later."


    "OK."


    After Lu Chen agreed, he thought about it for a while, and it was only four rescues.


    This is not to mention those patients with minor illnesses and pains.


    This shift has more content.


    ¡­


    Sun Guoguo, Ke Yue and others also came.


    "Senior brother, how was the night shift last night?" Yao Jie came to Lu Chen''s side.


    However, as soon as she approached and saw Lu Chen with two dark circles under his eyes, she knew that she had said the wrong thing.


    "Let''s be so-so." Lu Chen said softly.


    He really didn''t want to think about what happened last night.


    Up to now, his arm is still a little sore, which is the sequelae of the cardiopulmonary resuscitation yesterday.


    "Oh, brother, I''m going to be out of the department next week." Yao Jie said again.


    Lu Chen said, "Where is the next department?"


    "We are no longer taking courses, and there is more than a month left before the postgraduate entrance examination. We will take the postgraduate entrance examination leave."


    Lu Chen just remembered that the date of the annual postgraduate entrance examination is at the end of December.


    It¡¯s almost November now, and it¡¯s indeed approaching the postgraduate entrance exam.


    "Then you should work hard and try to get admitted to the school of your choice." Lu Chen smiled.


    "Thank you, Senior Brother." Yao Jie smiled.


    "Which major did you choose?" Lu Chen asked.


    "In my heart." Yao Jie narrowed her eyes and smiled.


    Lu Chen glanced at Yao Jie in surprise, "I remember you said before that Cardiology is difficult, and you want to go to Nephrology?"


    "Well, but I''ve been in the Cardiology Department for a long time, and I like it more and more." Yao Jie said, "Although the Cardiology Department is tiring and difficult, it is very fulfilling."


    Before Lu Chen could speak, Ke Yue, who was beside him, spoke up.


    "Junior Sister, Cardiology is really a tiring department, you should think about it clearly."


    Yao Jie nodded very firmly, "I think clearly."


    Seeing Yao Jie''s firm attitude, everyone could only wish.


    Now that he has entered the "pirate ship" of medicine, no matter what major he is, it is almost the same.


    ¡­


    At eight in the morning, shift starts.


    After the nurses finished their shifts, Lu Chen was assigned to shift them.


    "Last night shift, a 41-bed male patient had a sudden headache...and ventricular fibrillation, considered pheochromocytoma, and given symptomatic treatment such as tracheal intubation..."


    "30 bed patients, sudden chest tightness, wheezing...Considering an acute asthma attack..."


    "58 bed patients..."


    "The 39-bed patients adjusted the pump speed by themselves...then were transferred to the CCU ward, and died after the rescue failed."


    ¡°¡­¡±


    ¡°¡­¡±


    "23 bed patients..."


    "3 bed patients..."


    Lu Chen''s shift lasted for ten minutes.


    Everyone listened to the content of the shift in a daze, thinking about how many patients had changes in their condition this night!


    This night shift is really hot!


    Although the eight districts in my heart are busy, such a busy night shift goes back a long time.


    Everyone didn''t know that Fan Zhiping was there, and his eyes on Lu Chen and Yin Xinhua changed.


    These two, no matter who they are, be careful with them in the night shift in the future!


    ¡­


    "The shift is over!"


    After more than ten minutes of shift, Lu Chen finally ended.


    Li Yao came to the ward today.


    After Lu Chen finished her shift, she cleared her throat and said, "There are a lot of critically ill patients in the ward. I hope all the doctors will be more diligent, make more trips to the ward, and communicate with the patients well, so that not only can they grasp the condition in time. Changes can also avoid some medical disputes.¡±


    "Last night, a patient adjusted the speed of the infusion pump privately, which caused major consequences... We must take this as a warning. The nurses should strengthen the inspection of the ward, and the doctors should also strengthen the publicity and education work!"


    After Li Yao finished speaking, she looked around the crowd, and finally her eyes stayed on Lin Cui.


    "Recently, there have been some personnel changes in the department. I won''t talk about the nurse''s side. On the doctor''s side, Dr. Dingley has resigned."


    As soon as Li Yao finished speaking, there were whispers from everyone in the office.


    "Mr. Ding actually resigned?"


    "When I came to the hospital today, I ran into Mr. Ding."


    "Yeah, I heard that he went to a pharmaceutical company to be the regional director, and I heard that his annual salary is seven or eight hundred thousand!"


    ¡°¡­¡±


    It seems that there is a reason why Ding Deli chose to come to the department so early to get things.


    If I came to the door now and met everyone in the department, I guess I would have to waste a lot of words.


    "There will be a doctor who will replace Dr. Ding in the future. I''ll talk about this early today, let''s end the meeting!" Li Yao said.


    After the meeting.


    The family of the patient who died last night who was transferred to the CCU came to issue a "death certificate".


    Yin Xinhua wondered: "It should be to CCU to issue a death certificate!"


    "Are you going to go back to the 4th floor?" The patient''s family muttered and left.


    The patient had not died when he was transferred to the CCU.


    He was declared dead after he went to CCU for rescue.


    Therefore, the CCU doctor should fill in the death certificate.


    ¡­


    Finished the class.


    After Lu Chen followed Sun Guoguo to check the room, he went straight to get off work.


    Lu Chen is fighting with his upper and lower eyelids now!


    He didn''t sleep all night, he was really sleepy.


    bought fried dough sticks and soy milk in the hospital cafeteria. After Lu Chen finished eating, he went back to the dormitory.


    As soon as he touched the bed, Lu Chen fell asleep.


    ¡­


    When Lu Chen woke up, it was already four in the afternoon.


    His stomach was grumbling and he protested.


    At this time, before the hospital cafeteria opened, Lu Chen went to the alley by the back door.


    ordered a bowl of rice bowls and a bowl of soup, and Lu Chen began to feast on them.


    Youth is good, sleep well, eat and drink well.


    The tired body regained its full vitality.


    Back in the bedroom, Lu Chen began to perfect his speech PPT.


    This is his first time giving a speech on stage. The PPT content should be made as beautiful as possible.


    After Lu Chen finished the format of the PPT and the content of the big frame, he sent the entire PPT to Gu Xinyue.


    ¡­


    Gu Xinyue who returned to the bedroom at night.


    When he saw this black and white PPT, his face was a little helpless.


    Helping this kid Lu Chen make ppt, the workload is a bit heavy!


    "Where are you speaking?" Gu Xinyue sent Lu Chen a WeChat message.


    "Well, at a conference." Lu Chen said.


    "Then you are... too plain and simple." Gu Xinyue was speechless.


    "Please, I''ll do it myself, maybe it''s too late." Lu Chen said.


    Lu Chen''s experience in making PPT is far inferior to that of Gu Xinyue.


    You can learn it slowly in the future, but now I¡¯m afraid it won¡¯t work.


    Lu Chen said, "Lao Gu, how''s your breakfast for a week?"


    Gu Xinyue thought about it and said, "One month!"


    "Okay, deal!"


    Gu Xinyue saw that Lu Chen agreed so readily, and suddenly regretted saying less.


    (end of this chapter)

 Chapter 220： temple prayer

    Chapter 220 Temple Blessing


    was speechless all night.


    The next day.


    Today is the weekend, so it¡¯s finally a holiday.


    Lu Chen is going to have a good rest in the bedroom for a day.


    These days, his clinical work is a bit too tiring, and he has to work a night shift, which really drains his energy.


    Lu Chen first sent her the thesis explained by senior sister Wang Shasha by email.


    Actually, Lu Chen had already finished it a long time in advance.


    But in order to prevent Senior Sister from continuing to assign him tasks, he delayed for a few days, and only gave it to her today.


    Although the practice is a bit unorthodox, there is no way.


    In case, he handed in the assignment paper from the beginning, and Wang Shasha saw that he was so good, and put him in the assignment, it would be too late to cry!


    In addition, Gu Xinyue will also be handed over to Gu Xinyue to revise the PPT of the speech next week.


    Lu Chen just waits for Gu Xinyue''s reply now.


    ¡­


    morning.


    Lu Chen has compiled several books on electrocardiography and electrophysiology, preparing to consolidate the knowledge of electrophysiology.


    Although his current knowledge of electrophysiology is no longer comparable, there is still more content waiting for him to complete.


    Not long after reading the book, Lu Chen received a message from Fan Zhiping.


    "Lu Chen, this is my mailbox..."


    Seeing this message, Lu Chen immediately remembered that he had promised to send Fan Zhiping some books on electrophysiology.


    immediately turned on the computer, Lu Chen compressed and packaged all the electrophysiological data he had collected, and sent them all to Fan Zhiping.


    These materials are all that Lu Chen thinks are more important.


    He has read almost all of them once, and many classic contents have been browsed many times.


    When Fan Zhiping received Lu Chen''s reply email, he was also taken aback.


    There are dozens of G¡¯s in this information!


    These are all text books, not some salacious video materials.


    The data of more than a dozen G is already a lot!


    Looking at the dense document, Fan Zhiping swallowed.


    Lu Chen''s ECG level is so high, how much bitterness and bitterness he paid in it!


    Looking at the information in front of him, Fan Zhiping decided to start with the simplest basics of electrophysiology and learn electrocardiogram bit by bit.


    The assessment of the electrophysiology elite group, he still wants to continue to try!


    ¡­


    nine in the morning.


    When Lu Chen was reading a book, he suddenly received a message from Zhou Wei.


    "Lu Chen, will you go to the temple to pray later?"


    When Lu Chen saw the information, his expression was stunned: "Ah? What are you doing in the temple?"


    "Pray for blessings, please transfer!" Zhou Wei said.


    Lu Chen wondered: "You still believe this?"


    "Yeah." Zhou Wei said, "I feel that my face is too dark recently. I heard that Senior Sister Corey, someone went to a nearby temple to ask for a blessing, and it''s quite spiritual."


    "After asking for blessings, the duty is not hot?" Lu Chen blinked.


    "Yes, every time she is on night shift, she has to admit several patients. Since praying for blessings, there are almost few night shifts."


    Lu Chen was silent for a long while before he suddenly said, "Alright then, I''ll try it out."


    "Okay!" Zhou Wei replied, "I''ll go out immediately."


    Lu Chen stretched his waist. He originally planned to take a good rest, but now he only has to go out.


    But it''s better to go out for a walk, Lu Chen hasn''t exercised for a long time.


    His whole body was almost rusted.


    He came to the mirror and saw himself in the mirror.


    Health is not bad, 85!


    ¡­


    Zhou Wei''s bedroom was upstairs, and Lu Chen went to see him after packing up.


    "Lu Chen, I also called Ke Yue and Jiang Qingyan." Zhou Wei said.


    "Huh?" Lu Chen was startled, "They are coming too?"


    "Well, yes, how boring it is to be in the dormitory." Zhou Wei smiled, "Go for a walk outside."


    "Hey, Viagra, I remember you didn''t have a girlfriend some time ago, what about her? Why don''t you come together?" Lu Chen laughed.


    "Hey, don''t mention it." Zhou Wei sighed, "She said I was a good person..."


    helped others to work so many night shifts for free, and finally got a good person card.


    "Then you come out to Ke Yue or Jiang Qingyan, you are..." Lu Chen raised his brows.


    Zhou Wei, this kid, shouldn''t he be casting a wide net again!


    ¡­


    Lu Chen and Zhou Wei waited for a while downstairs in the dormitory, when they saw Jiang Qingyan and Ke Yue walking downstairs, arm in arm.


    Ke Yue''s expression didn''t seem very good, and she muttered to Jiang Qingyan all the way.


    "Ke Yue, what''s wrong with you?" Zhou Wei immediately stepped forward and asked.


    Ke Yue sighed, shook his head and said, "Hey, I promise a senior sister to help her read papers and record data... There''s too much to do!"


    Lu Chen asked aside, "How much have you done?"


    "It''s less than one-fifth." Ke Yue grimaced, "I''ve read the paper several times, but there are still many that won''t work."


    "It''s as many as you can see." Lu Chen paused, "Don''t be too anxious, we''ve just studied one, it won''t be normal."


    Jiang Qingyan nodded in agreement.


    "Hey, that''s the only way." Ke Yue said.


    ¡­


    Thirty minutes later.


    The four of them took the bus to the destination station.


    However, they still need to walk twenty minutes to reach their final destination.


    Zhou Wei was chatting all the time, surrounded by the two girls.


    This guy is engaged in today''s temple activities, talking about going to the temple to pray for blessings, but Lu Chen thinks that he is probably "the drunkard''s intention is not drinking."


    Lu Chen didn''t go out to exercise for a long time. After walking for more than ten minutes, he started to feel sore all over...


    "It seems that I will come out to exercise more often in the future." Lu Chen shook his head and smiled bitterly.


    The body is the capital of the revolution!


    They go to work and don''t get much exercise.


    I usually stay in the bedroom, and my body is almost rusted.


    ¡­


    glanced at the mobile phone map, the temple is halfway up the mountain.


    After walking for ten minutes, Lu Chen finally saw the temple.


    This temple is not big, the roof of the temple is covered with glazed glaze, and there are many immortals carved on the roof, which are lifelike.


    Today is the weekend, many people came to the temple to pray for blessings, and many of them brought their families with them.


    Lu Chen and his party came to the compound and worshipped the Buddha statues one by one.


    Lu Chen also specially asked for the word "Fu". When he was going to work the night shift in the future, he would put the word "Fu" in his jacket pocket.


    Just as he was about to walk out of the hall, Lu Chen suddenly noticed that a woman with a black turban came in.


    The weather is getting cooler, but the temperature outside is still around 26 degrees.


    The woman is not only wrapped in a black turban, but also wearing gloves, with only a pair of eyes exposed all over her body, which is really strange!


    "Isn''t it... not Chinese?"


    Lu Chen glanced at him, and he subconsciously glanced at the health on the woman''s head.


    It doesn''t matter if you don''t see it, as soon as Lu Chen saw it, he was startled.


    The patient''s HP is 61!


    This is already the limit value.


    That is to say, women may change their condition at any time!


    Lu Chen stopped, which made Zhou Wei and Ke Yue stunned.


    "Lu Chen, let''s go! Go to the next Buddha statue."


    Lu Chen slowly retracted his gaze, "Okay, I''ll be here soon."


    (end of this chapter)

 Chapter 221： vampire?

    Chapter 221 Vampires?


    Lu Chen soon finished visiting the temple with Zhou Wei and others.


    Zhou Wei also asked for signatures, including career signatures, academic signatures, and even marriage signatures...


    "Lu Chen, I''m going to find someone to cancel the signing!"


    Zhou Wei got the sign he asked for with a look of joy.


    "You show me first."


    "Okay." Zhou Wei handed over a note.


    On the note is a line of verse--The dangerous mountain is all over, don''t think the road is heavy. If you see Lan Gui gradually growing, go to the snake and turn into a dragon.


    "What are you asking for?" Lu Chen smiled.


    "Marriage." Zhou Wei whispered.


    "Viagra, you are a good sign!" Lu Chen laughed.


    Zhou Wei looked suspicious, "You still cancel the signing?"


    "Cough cough." Lu Chen cleared his throat and said, "This sentence means that the marriages in the past all ended in failure, but the bad things have passed, and the oncoming road is a well-established avenue, with beautiful flowers and trees on both sides of the avenue. One of the snakes will also turn into a dragon. It means that in the days to come, you will definitely find your own good marriage."


    Zhou Wei blinked, looked at the note in his hand, and then looked at Lu Chen.


    "You combined my situation and then fooled me, right?"


    Lu Chen: "..."


    ¡­


    Although there were many people in the temple, it was not noisy.


    After a rare day off, Lu Chen enjoyed this moment of tranquility.


    During the ?? period, he also met the woman with the black hood a few times.


    The woman''s HP has always been 61, without any change.


    The two of them once passed by, and Lu Chen took a close look at her.


    Although she couldn''t see her features clearly, she should be Chinese.


    "Let''s go, it''s time to go back to the hospital." Zhou Wei suggested.


    At half past eleven in the morning, everyone was a little tired.


    "Okay, let''s go down the mountain to eat something." Lu Chen said.


    Ke Yue and Jiang Qingyan agreed, and everyone packed up and prepared to leave.


    at this time.


    Not far from the temple compound, there was a sudden shout of several people.


    "Someone fainted!"


    "Come on someone! Come on someone!"


    Lu Chen looked for the source of the sound.


    I saw a person lying on the ground not far away, and there were several young men around her crouching down to check the situation of the people on the ground.


    Someone is calling 120 ambulance.


    There were more and more people around, and Lu Chen couldn''t see the specific situation.


    However, at this moment, a commotion broke out in the crowd of onlookers in front.


    The people who were still joining in the fun at the beginning suddenly dispersed.


    Centered on the people lying on the ground, and there were only a few people around.


    "What''s going on?" Zhou Wei stopped.


    Lu Chen shook his head slightly, the scene was too chaotic, he couldn''t see it clearly.


    Some panicked young people walked towards the distance.


    They kept muttering something.


    "I''m going, there are zombies..."


    "It''s not a zombie, that person''s skin is so white, he''s obviously a vampire!"


    "That''s right! It''s a vampire."


    Zhou Wei also heard the conversation of these people.


    "What zombies and vampires, they read too many novels"


    "Go and see?" Zhou Wei looked at Lu Chen.


    Lu Chen nodded and took the lead in walking towards the front.


    Ke Yue and Jiang Qingyan saw this and followed closely.


    ¡­


    stepped forward, and Lu Chen saw the man lying on the ground.


    Looking at this person''s attire, it was astonishingly the woman in black hood that he had met before.


    At this point, she was lying on the ground.


    Health is 58!


    is three points lower than before, but not much.


    It''s just that her black hood has been ripped off.


    revealed a pale face.


    This kind of pale, very horrific, a kind of morbid white.


    is definitely not the skin color that a normal person can have.


    And on her ears and nose, there are large scars, which seem to have been corroded.


    No wonder this woman has been wearing a headscarf, wrapping herself tightly.


    The most important thing is that Lu Chen saw the teeth in the woman''s mouth, they were fangs!


    No wonder someone was calling a vampire just now!


    Although it is not as scary as the vampire in the movie, it is obviously different from the teeth of normal people.


    "This...what is this..." Zhou Wei said in surprise.


    Ke Yue and Jiang Qingyan on the side of ?? have seen a lot of disgusting pictures, but when they saw this woman, they were also shocked.


    terrible!


    Lu Chen calmed down, it was the first time he had encountered such a situation.


    Lu Chen stepped forward and checked the patient''s breathing and carotid pulse.


    Fortunately, the patient just fainted, breathing and heartbeat!


    The patient''s HP is 58, so the situation shouldn''t be too bad.


    Lu Chen turned her head to one side to avoid blockage of the trachea caused by aspiration.


    "I''ve already called an ambulance," said a young man next to him.


    Lu Chen frowned, "Is she alone? Does she have any family members?"


    The young man shook his head, "No, she was alone when we saw her."


    There is no family to accompany you, which is more troublesome.


    "Lu Chen, what kind of disease is this?" Ke Yue whispered from the side.


    Lu Chen shook his head, "I don''t know, I haven''t seen it before."


    The patient''s face is that of a vampire.


    But what is it, Lu Chen has never seen it.


    "It''s not really a vampire, is it?" Zhou Wei whispered.


    "You still believe in this ghost and god? And it''s still a ghost from the West." Lu Chen glanced at Zhou Wei, "Take ten thousand steps back, even if it''s a vampire, we are a temple here. Would she dare to come?"


    "Isn''t this coming?" Zhou Wei shrugged.


    Lu Chen was a little helpless. He was about to speak, but found that the woman on the ground moved her right hand.


    Although her movements were very light, she was still caught by Lu Chen.


    "She''s about to wake up." Lu Chen whispered.


    Zhou Wei and others immediately turned their attention to the woman on the ground.


    I saw the woman''s eyelashes flutter slightly, and then slowly opened her eyes.


    She suddenly seemed to realize something.


    touched her face, but did not find the black hood, her expression immediately became flustered.


    "The headscarf is in your bag." Lu Chen said.


    The woman glanced at Lu Chen alertly, then sat up immediately, took out the head scarf from her carry-on bag, and put it on her head.


    "Are you all right?" Lu Chen leaned over and asked.


    "Thank you, I''m fine, I''m sick."


    The woman stood up slowly, her body was still a little weak, and she was a little unstable when she stood up.


    Lu Chen wanted to help her, but she refused.


    "We called an ambulance, why don''t we go to the hospital to check." Zhou Wei said.


    "It''s useless to go to the hospital, I know this disease myself." The woman wrapped her head and exposed skin with a black turban again.


    "Let''s go and have a look." Lu Chen continued.


    All patients with syncope are high-risk patients.


    Because you don''t know when she will faint next time and whether she has serious cardiovascular and cerebrovascular complications.


    The woman glanced at Lu Chen, still shaking her head, "My family members are nearby, they will take me there."


    After ??, the woman turned and left.


    (end of this chapter)

 Chapter 222： Origin of vampires

    Chapter 222 The Origin of Vampires


    The woman in the black turban just left.


    Although her walking posture is very floating, she looks weak and windless, but she still walks forward without looking back.


    On the side of ??, the young man who called 120 just now saw this, and quickly called 120 again to cancel the ambulance.


    "This person... so strange." Ke Yue raised her brows.


    "She is sick." Zhou Wei said.


    "Aren''t you talking nonsense?" Ke Yue glanced at Zhou Wei, she looked at Lu Chen beside her without saying a word, and asked suspiciously, "Lu Chen, what do you think?"


    Lu Chen looked at the back of the woman leaving, and said, "I vaguely remember that I saw a similar case, but I can''t remember it for a while."


    "Is there really such a disease as vampires?" Zhou Wei asked in surprise.


    Lu Chen nodded, "It''s not a vampire, but it should be similar to a vampire. I haven''t thought of what it is yet. Go back and check, maybe you can find it."


    "Just by looking at the patient, you can find out what is wrong with her?" Ke Yue whispered.


    Lu Chen paused, stopped, and said slowly, "Have you noticed that this patient''s symptoms are actually quite typical."


    "The paleness of her face is definitely caused by anemia. And her teeth, scars, these things are characteristic, I suspect it is caused by some kind of toxin."


    "Well, it''s really strange to hear you say that." Zhou Wei nodded.


    "You''ll be right behind the scenes." Ke Yue laughed.


    Lu Chen and others stayed at the temple for a while, then went down the mountain to have lunch, and then drove back to the hospital.


    ¡­


    Go back to the bedroom.


    Lu Chen recalled the patient he met in the morning, so he turned on the computer and searched for relevant literature.


    Relying on the specific symptoms to search for the disease.


    In the afternoon, Gu Xinyue sent Lu Chen a WeChat message.


    "The PPT is done, take a look."


    The information is very concise, in line with Gu Xinyue''s style of doing things.


    Lu Chen opened the ppt.


    The style of ??ppt has changed from black and white to a beautiful and dynamic model.


    "Old Gu, I really have you!" Lu Chen said, "It''s great!"


    Gu Xinyue said: "No thanks, just remember breakfast for a month."


    "Haha, no problem." Lu Chen laughed.


    Gu Xinyue is still very reliable. After his hard work, this ppt is still very beautiful.


    This time, Lu Chen did not hesitate and forwarded the ppt directly to Li Yao.


    Mr. Li Yao will continue to give comments to the ppt. After revisions and confirmation, Lu Chen can give a speech at the conference.


    ¡­


    ¡­


    After forwarding the ppt to Li Yao, Lu Chen continued to search for literature about "vampires".


    Finding literature is a technical job!


    the most important is.


    Most of the domestic literature in Huaxia are water articles, or fake articles for promotion, and have no scientific value at all.


    If you want to find useful literature information, you can only go to the literature website in foreign languages!


    After all, ?? is not his native language. Although Lu Chen has a literature reading skill book, reading foreign literature is definitely not as good as Chinese literature.


    "Hey, when will China have its own top journals!"


    Lu Chen thought to himself as he checked the documents.


    If you have mastered the top journals, you will have the right to speak in scientific research!


    The ?? academic circle has a deep relationship with academics.


    In top journals, important papers are published, in addition to the excellent content of the article, the important thing is whether it has anything to do with¡­


    Checked for most of the day.


    Lu Chen finally checked a foreign language document.


    The patient''s symptoms partially overlapped with the symptoms of the woman he met in the morning.


    "The patient is addicted to blood, afraid of sunlight, fangs, pale,..."


    This is like a "vampire"!


    When Lu Chen turned his attention to the diagnosis of the case, her condition was stunned.


    Porphyria?


    what is this?


    This disease, Lu Chen has only heard the name once or twice.


    As for porphyria, he didn''t know what disease and symptoms it was.


    Lu Chen continued to read the explanation of porphyria in the literature.


    Porphyrin is a photosensitive pigment that accumulates on human skin, bones and teeth.


    Porphyria, due to the lack of enzymatic activity in the heme biosynthesis pathway, causes abnormally elevated concentrations of porphyrin or its precursors, such as delta-amino-r-ketovaleric acid (delta-ALA) and porphyrinogen (PBG) A class of diseases caused by high levels and accumulation in tissues, causing cell damage.


    Most porphyrins are benign in the dark and cause little harm to the body, but once exposed to sunlight, they are converted into dangerous toxins that devour human muscles and tissues.


    Therefore, porphyria patients, like the legendary vampires, can only live in the dark world and cannot see light.


    For most porphyria patients, blood transfusion and heme can effectively relieve symptoms and are still the mainstream treatment methods.


    "So it is." Lu Chen frowned slowly, "No wonder"


    The text also uses a metaphor.


    Ancient porphyrias could smoke or drink blood to make themselves feel better¡ªprobably the origin of vampire tales.


    In most vampire legends, garlic, like the cross, is depicted as the vampire''s nemesis.


    "Why do you still hate garlic?"


    Lu Chen continued to look down.


    Porphyria sufferers also loathe garlic. The simple reason is that certain chemicals in garlic can worsen their condition, causing pain and other symptoms.


    "Looking at this, the paleness of the patient''s face can be explained." Lu Chen thought.


    The vast majority of people with porphyria suffer from severe anemia, not least because they usually have to live in the dark.


    More importantly, the porphyrins in their bodies can affect hematopoiesis and disrupt the production of heme.


    Often, people with porphyria also have large patches of pigment¡ªoften purple in color¡ªon their bodies.


    At this time, Lu Chen thought of the patient''s fangs and the scar on the skin on his face.


    I didn¡¯t expect that later in this article, there are also explanations for dentures and scars.


    Porphyrin, which is converted into toxins that can eat muscle and tissue when exposed to sunlight, is one of the main manifestations of it eroding the lips and gums of patients, exposing them with sharp, wolf-like teeth.


    Rotten gums always look bloody, reminiscent of blood-sucking vampires.


    In addition, due to the effects of toxins, porphyria sufferers can erode their ears and noses, and their skin will be scarred, making them look extra old.


    See the full article.


    Lu Chen''s heart froze.


    This document from the United States carefully records all the symptoms, signs, and even the diagnosis of porphyria.


    It seems that the patient has a high probability of porphyria!


    "Congratulations, system upgrade completion +1!"


    Does this make the system upgrade complete?


    Lu Chen was quite surprised, he should be guessing that the woman''s diagnosis was porphyria in the morning, and the system gave the degree of completion!


    Lu Chen kept sighing in his heart while rejoicing.


    He read a lot of Chinese literature, there are very few literatures that record porphyria in such detail, almost none!


    Huaxia has a large population base, and there must be a lot of patients, but no similar evidence can be found in the literature.


    On the contrary, it is a foreign language document, and you can find detailed documents.


    "Alas." Lu Chen shook his head, feeling a little disappointed in his heart.


    At this moment, Lu Chen suddenly wanted to meet that black hooded woman again and tell her his reasoning diagnosis.


    This woman must have asked for a doctor many times, but in the end she had no choice but to come to the temple to pray for blessings.


    (end of this chapter)

 Chapter 223： arts

    Chapter 223 The title of the article


    Jinghua Second Hospital.


    Eight districts in the heart.


    Li Yao is in the office, burying his head in carefully revising the application form for the National Natural Surface Project.


    Because there are many people who applied with her in the second hospital of Jinghua this year, so her chances of passing this time are not very high.


    But Li Yao decided to give it a try.


    This national natural project is more important, and it is related to her academic development in the next few years.


    If she can be rated, then she might as well go a step further!


    "Dududu..."


    A notification of new mail popped up on the desktop of the computer.


    Li Yao clicked on the email, it was the electrophysiology society speech ppt sent by Lu Chen.


    "So fast to make ppt?"


    She remembered that she had asked Lu Chen to hand it over to her before next Friday.


    I didn''t expect him to hand it in today


    "Hey, this ppt is not bad."


    Li Yao clicked on the ppt, and the content and mode of the entire ppt were not bad.


    doesn''t look like a newbie at all.


    It seems that Lu Chen should have had the experience of making ppt before.


    Li Yao also planned to ask one of his doctors to help Lu Chen modify the ppt, but now it seems that he does not need it.


    Just fine-tune the format and content.


    Li Yao quickly picked out a few small flaws in the ppt, and then emailed Lu Chen back.


    Li Yao is quite satisfied with Lu Chen as a student.


    This electrophysiology conference in Jinghua was also an opportunity for her to show her face to Lu Chen.


    In the medical field, in addition to having excellent skills, the most important thing is the network of relationships.


    It is very important to show up at conferences and gain reputation.


    ¡­


    Guipei Building bedroom.


    Lu Chen received an email from Li Yao.


    In the ?? email, Li Yao praised Lu Chen and then raised some flaws.


    Lu Chen immediately made changes according to the requirements in the email.


    The process of modification is relatively slow.


    But now that there is plenty of time, Lu Chen has patience to make changes slowly.


    He also found some ppt tutorials and began to teach himself ppt production.


    ¡­


    time flies.


    In the blink of an eye, two days of the weekend passed.


    Lu Chen opened his eyes from the bed, it was a new week.


    He was about to get up and go to the department when he suddenly thought that he had not touched the lottery system in the system for a long time.


    In the system panel at this time, the lottery disc has been dimmed for a long time.


    "Wake up so early today, let''s have a shot!"


    With a thought, consume a point of gratitude.


    As expected, nothing was drawn.


    But the prompt popped up by the system made Lu Chen stunned.


    "The consumption of gratitude value reaches the threshold, and the winning rate increases!"


    The winning rate has increased?


    There is no other content except for such a prompt.


    What is the threshold for consuming gratitude?


    How much has the ?? winning rate increased?


    The ?? system does not have any instructions.


    But since the winning rate has increased, Lu Chen thought about drawing another lottery!


    With a thought, consume a bit of gratitude and continue to draw.


    The lottery disc rotates, and the light keeps flashing.


    "Congratulations, get the Cardiac Ultrasound Skill Card (Elementary)!"


    Lu Chen was stunned for a moment, and then his face showed joy.


    How much has the winning rate increased?


    One shot into the soul!


    I just won the Card, a Cardiac Ultrasound Skill Card worth 40 Thanks.


    However, Lu Chen also knew the urine properties of this system, maybe after dozens of pumpings in a row, there was nothing.


    So he accepted it as soon as he saw it, and stopped drawing the lottery.


    By winning this skill card, Lu Chen has already made a lot of money!


    The importance of learning cardiac ultrasound is self-evident for a cardiologist.


    With this skill card, Lu Chen can practice his ultrasound skills anytime, anywhere!


    ¡­


    After washing up, I came to the department.


    Lu Chen found out that his patient with aortic dissection had been transferred to the Cardiac Surgery Department and was ready to undergo thoracotomy.


    The family has collected enough money, and the charitable foundation will give out another part, barely enough to cover the cost of the operation.


    Seeing that a patient has hope of surviving, undoubtedly makes the whole group very happy.


    The remaining patients in the ?? group were all in stable condition.


    These days, with the admission and discharge of patients, Lu Chen''s gratitude value has steadily increased.


    on the system panel.


    Thanks points have reached 176 points, which can be exchanged for the "Clinical Research" skill card immediately.


    After handing over the class, Li Yao led everyone in the group to check the room.


    Back to the doctor''s office.


    Lu Chen saw He Sirong surrounded by four or five interns, chatting and talking.


    lasted about dozens of minutes, and the surrounding group of people slowly dispersed.


    "Lu Chen, I heard that He Sirong posted an article." Ke Yue leaned over to Lu Chen and whispered.


    "Oh, congratulations to her then." Lu Chen replied and continued to write today''s ward round records.


    "I heard that it is still a relatively powerful core journal in Chinese." Ke Yue said, "The journal still starts with Chinese."


    Lu Chen raised his brows, the magazines of the China series? This is even harder to publish than some SCI journals with low scores!


    Lu Chen glanced at He Sirong, she was really not easy!


    For a student who just entered the first year of graduate school, it would be good to be able to post a Chinese core.


    He Sirong posted a Chinese series of papers directly!


    No wonder there were so many people surrounding her just now. He Sirong''s mentor, Chief Physician Lin Cui, was laughing too hard today.


    The standard for graduation from Jinghua Second Academy is to publish a Chinese core thesis.


    In other words, He Sirong''s thesis has reached the graduation standard.


    "Lu Chen, I still decided to finish the task that Senior Sister gave me."


    After a while, Ke Yue found Lu Chen again.


    "There are so many things to get, can you do it?" Lu Chen looked at Ke Yue suspiciously.


    "Hey, if you can''t do it, you have to do it!" Ke Yue shook her head, "I''m worried that I won''t be able to post an essay after graduation. If Senior Sister Sasha can post an essay with my name, that''s great, I''ll definitely graduate!"


    Ke Yue has the worst basic knowledge among them, and has almost zero scientific research experience, so she has always been worried that she will not be able to graduate.


    "Don''t worry." Lu Chen said with relief, "You said that SCI papers are not easy to publish, and Chinese series papers are not easy to publish, but it is not difficult to publish a Chinese core paper."


    "How did you know?" Ke Yue blinked.


    "Look at the passing rate of graduate students every year, it''s actually very high." Lu Chen said, "Out of 200 students, only ten at most can''t graduate, so I think this Chinese core paper should be published well!"


    The requirement for graduation is to publish a Chinese core.


    Almost everyone can graduate, which shows that Chinese core papers are easy to publish.


    Although ??Ke Yue believed Lu Chen''s words more, he still shook his head: "I''ll still help Senior Sister with the work, these are just a waste of time. If you can really bring your own name, then you''ll make money."


    When Lu Chen saw this, he didn''t persuade him any more.


    Everyone has their own ideas, some people just need to graduate.


    But for Lu Chen, he doesn''t like the title of this kind of article!


    (end of this chapter)

 Chapter 224： actually woke up!

    Chapter 224 Actually woke up!


    Clinical work, the repeatability is very high.


    On this point, Fan Zhiping is very aware.


    Now the degree of specialization is very high, and there are only a few common diseases in each department.


    For example, in the Department of Cardiology, the common diseases are coronary heart disease, heart failure, hypertension, arrhythmia and so on.


    As long as you are familiar with the routine diagnosis and treatment of these diseases, you can be a qualified cardiologist in a primary hospital.


    However, since coming to the Department of Cardiology of Jinghua Second Hospital for further study, Fan Zhiping found that everything has changed!


    As the top tertiary hospital in the province, most of the patients in the Cardiology Department of Jinghua Second Hospital are critically ill patients!


    In addition to the patients of Cardiology, there are other professional diseases.


    Fan Zhiping feels that his brain is not enough!


    Especially since he was with Lu Chen, he has encountered all kinds of severe and strange cases one after another.


    This not only opened his eyes, but also enriched his diagnosis and treatment thinking!


    As a Deputy Chief Physician, although Fan Zhiping came to study in a primary hospital and followed a graduate student, he did not have any embarrassment or psychological burden.


    The master is the teacher!


    What''s more, in the Jinghua Electrophysiology Exchange Group, Lu Chen has long been "Professor Lu"!


    Lu Chen also slowly got used to Fan Zhiping being by his side.


    Although Fan Zhiping was born in a primary hospital, he has rich clinical experience.


    The two usually communicate with each other.


    Fan Zhiping has made progress, and Lu Chen has also gained a lot!


    Now Fan Zhiping can even conceive the idea of ??taking a postgraduate entrance examination.


    "Brother Fan, do you want to go to graduate school now?" Lu Chen heard Fan Zhiping''s thoughts.


    "Well, what do you think?" Fan Zhiping nodded.


    "Very good, it''s good to be a part-time graduate student." Lu Chen smiled.


    Medicine is a process of continuous communication and progress.


    is the so-called learning to live to old age.


    For the profession of a doctor, the standards of diagnosis and treatment are updated very quickly. If you don¡¯t learn, you will be eliminated sooner or later.


    "Postgraduate student?" Fan Zhiping frowned, "But I want to study full-time."


    Lu Chen was taken aback for a moment, he glanced at Fan Zhiping beside him.


    Comrade Lao Fan is not simple, he actually has such an idea!


    Part-time and full-time are completely different.


    On the job, to put it bluntly, it is a mess.


    Full-time, that is a real diploma.


    "Brother Fan, I support you." Lu Chen smiled.


    Lao Fan grinned, "This matter has to be considered in the long run."


    Lu Chen and Fan Zhiping chatted for a while, then each did their own thing.


    ¡­


    10:33am.


    The nurse suddenly walked quickly to the office.


    "Bed 15 just felt chest tightness, the doctor of the director team go to see!"


    15 is a new patient who just arrived this morning.


    This bed is the bed that Ke Yue manages.


    Ke Yue immediately stood up and grabbed the stethoscope beside him, "I''ll go now!"


    As soon as she walked to the door of the office, she heard the cry of a nurse from outside the ward.


    "Come here! 15 beds are not enough!"


    Ke Yue was startled and ran to the ward immediately.


    Lu Chen also stood up and shouted to Yao Jie, "Sister, go to the director''s office to find Sister Sun!"


    "Received!" Yao Jie nodded and ran out of the office.


    And Lu Chen and Fan Zhiping ran to the ward together!


    ¡­


    Outside the 15-bed ward, there was already a circle of people.


    Lu Chen and Fan Zhiping pushed aside the crowd and walked into the ward.


    The patient in ??15 beds is an elderly male approximately 60 years old.


    At this time, he was lying on the bed, gasping for breath.


    Lu Chen looked at his head, his health was only 35!


    Ke Yue is auscultating the patient''s heart and lungs.


    At this time, the ECG monitor suddenly issued a "beep" alarm!


    "Ventricular fibrillation!" Fan Zhiping roared in a low voice.


    Lu Chen also noticed the patient''s condition, and immediately rushed forward when he saw it.


    Start giving the patient chest compressions.


    At this point, the patient has been breathing like a sigh, lost consciousness, and the fluctuation of the aorta has disappeared!


    Ke Yue stood beside the bed, feeling a little overwhelmed for a while.


    The ?? nurse has pushed the ambulance and defibrillator over.


    Lu Chen immediately opened his mouth and ordered: "Immediately give an electric defibrillation, the energy is 360j!"


    "Give another adrenaline push!"


    Fan Zhiping has turned on the defibrillator and applied conductive paste to the electrode pads.


    At this time, Sun Guoguo had already heard the sound.


    Seeing Lu Chen and Fan Zhiping being rescued, Sun Guoguo''s heart sank: "Junior sister, you took this patient, what''s the specific situation?"


    Ke Yue spoke a little nervously, and whispered: "The patient was admitted to the hospital with chest pains, suspected of angina pectoris, and just had sudden chest tightness. When I came over, he suddenly had ventricular fibrillation."


    Sun Guoguo looked at the ECG monitor on the bedside, the patient''s blood oxygen saturation was constantly dropping.


    "What about the patient''s family?"


    Ke Yue said: "Wait at the door of the ward."


    "I''m going to talk to the patient, maybe intubation."


    Sun Guoguo immediately walked out of the ward, found the patient''s family, and informed him of his condition.


    The family did not hesitate, and immediately agreed to endotracheal intubation and related operations!


    ¡­


    On Lu Chen''s side, although he had been defibrillated once, on the ECG monitor beside the bed, the patient was still in ventricular fibrillation!


    "Brother Fan, you''ll do chest compressions, I''ll intubate the trachea!"


    The patient''s blood oxygen saturation is constantly declining. At present, the primary task is to maintain the patient''s blood oxygen in addition to maintaining the heartbeat.


    "Okay!" Fan Zhiping immediately took over from Lu Chen.


    The nurse has brought the tools for endotracheal intubation.


    Lu Chen did not hesitate to intubate the patient immediately!


    At this time, Sun Guoguo also returned to the ward.


    She glanced at the ECG monitor at the head of the bed and said solemnly, "Push another adrenaline! At the same time, cool the ice cap!"


    "Received, a static push of adrenaline!" The nurse immediately executed the doctor''s order.


    At this point, Lu Chen had finished inserting the tube.


    Fan Zhiping started the second defibrillation!


    Defibrillation ended.


    VF is still on the ECG monitor, but still no success!


    Lu Chen took Fan Zhiping''s place and continued chest compressions.


    "A solid push of adrenaline!"


    Five minutes later, Sun Guoguo issued another doctor''s order.


    Lu Chen calmed down and looked at the health on the patient''s head, only 21!


    Is it really impossible?


    ¡­


    Outside the ward, the patient''s family members were already crying.


    "The third electrical defibrillation!" Fan Zhiping picked up the defibrillator again.


    Defibrillation ends,


    is still ventricular fibrillation!


    "Lidocaine 50mg intravenously, and another adrenaline!"


    I don''t know when, Li Yao came to the ward.


    "Received, lidocaine 50mg and a bolus of epinephrine!" The nurse did not hesitate and immediately executed the doctor''s order.


    "Give another 125ml of 5% sodium bicarbonate intravenously!" Li Yao continued.


    "receive!"


    Fan Zhiping glanced at Lu Chen who was doing chest compressions.


    "I''m going for the fourth defibrillation!"


    Lu Chen nodded.


    When he stopped chest compressions, Fan Zhiping immediately took his place.


    4th defibrillation!


    Defibrillation ended.


    "Dududu..."


    Above bedside monitoring, the patient''s heart rate suddenly changed from ventricular fibrillation to sinus.


    The patient''s HP has also risen to 48!


    Sun Guoguo stepped forward and performed a physical examination on the patient.


    "The pupil is dilated to 5mm, and the light reflex is sluggish!"


    The rescue was successful!


    Although the patient''s consciousness has not recovered, his heart rate and blood oxygen saturation have been maintained!


    Everyone present breathed a sigh of relief.


    From the beginning of the rescue to the end of the rescue, it was only twenty minutes, but Lu Chen felt like he had run a marathon.


    I was soaked with sweat all over my body.


    Lu Chen and Fan Zhiping looked at each other and smiled.


    This kind of joy of successful rescue cannot be given by other professions.


    ¡­


    Sun Guoguo brought the family members of the patient to the office.


    "The patient was admitted to the hospital this time, the possibility of myocardial infarction is higher, the rescue time is longer, and the patient''s central damage is greater, so he may not be able to wake up."


    The patient''s family members are very compliant and understandable. They nodded and said, "Just save me."


    This is actually a very simple rescue of in-hospital ventricular fibrillation.


    The medical and nursing cooperation is very smooth, and the rescue process is still perfect.


    However, although the patient''s heartbeat has recovered, it is difficult to regain consciousness.


    But what everyone can''t think of is...


    About 30 minutes after the rescue was successful, the patient actually woke up on his own!


    And more updates!


    (end of this chapter)

 Chapter 225： Soul crossed?

    Chapter 225 The soul has crossed?


    The patient woke up so quickly!


    Amazing!


    Li Yao''s clinical experience is very rich, but he is also very surprised.


    It is very rare to wake up quickly after successful cardiopulmonary resuscitation.


    But, the more amazing thing is yet to come!


    The patient spent the whole day in a stable condition.


    the next day.


    After the early shift.


    Ke Yue, as the tube doctor, evaluates the patient''s condition.


    The state of the patient''s whole body is simply refreshing!


    All vital signs recovered completely.


    "Then... pull the tube out."


    After communicating with the patient''s family, Lu Chen directly pulled out the patient''s tracheal intubation.


    The patient and his family have normal conversations, normal limb movements, and can eat normally.


    ¡­


    doctor''s office.


    Yao Jie asked in a low voice, "Senior brother, what''s the matter with this patient? How did it get better so quickly?"


    Before Lu Chen spoke, Cheng Peng, who was beside him, interjected.


    "You''re old, maybe it''s coming back!"


    Ke Yue heard the words and quickly told Cheng Peng to shut up.


    Cheng Peng smiled and stopped talking.


    "I can''t tell you the exact reason, maybe it''s the patient''s physique?" Lu Chen paused.


    Everyone discussed for a long time, but there is still no definite answer.


    afternoon.


    The patient''s family sent two boxes of jujubes, which were very sweet.


    The crowd distributed sweet dates from their families.


    Lu Chen also received several points of thanks in a row.


    Total thanks is approaching 200!


    At this time, the patient''s test results are all out.


    The high-sensitivity myocalcin has risen to 5.0ng/ml, which means that the new myocardial infarction is confirmed.


    The cause of the patient''s sudden ventricular fibrillation was also caused by acute myocardial infarction.


    After being diagnosed with myocardial infarction, Ke Yue ran to the ward and continued to explain her condition to her family.


    For such a critically ill patient, the doctor in charge of the bed needs to take the trouble to explain the condition.


    ¡­


    But when Ke Yue returned to the doctor''s office, her expression changed.


    "Ke Yue, what''s wrong? The patient''s condition is not very good?" Lu Chen asked in confusion.


    Ke Yue frowned and said slowly, "No. I heard from the family just now that the patient was a little strange. Before the rescue, the patient didn''t speak, and his hands and feet didn''t move. After the rescue, now he keeps talking and moving. And get out of bed to poop."


    "Look, I just said it, this is returning to the light!" Cheng Peng came over and muttered again.


    "You, don''t say that." Ke Yue glared at Cheng Peng.


    Hearing Ke Yue''s words, Lu Chen fell silent.


    This patient is too strange!


    Not only has consciousness recovered, but it has recovered so quickly!


    ¡­


    Just like that, another day passed.


    This patient is getting better and better!


    the next day.


    When everyone rounded the room together, Lu Chen saw the patient lying on the bed with his legs crossed, looking very relaxed.


    Lu Chen also performed auscultation on the patient''s heart and lungs, all of which were normal.


    Back to the doctor''s office.


    Li Yao happened to be in the department today.


    She suddenly said to Ke Yue, "Ke Yue, how do you feel about 15 beds?"


    Ke Yue was stunned for a moment and scratched the back of his head: "The first two days were like a flashback, but now the various data are getting more and more, like... it seems to be good."


    Cheng Peng curled his lips aside. He said yesterday that he would return to the light, and he was not allowed to say it, but today he said it himself.


    Li Yao smiled: "The family sent me a WeChat message yesterday, saying that it was not his father who was rescued!"


    Ke Yue was stunned.


    Everyone present was shocked.


    "Director Li, don''t scare me!" Cheng Peng swallowed, "I am a staunch materialist three-good youth!"


    Ke Yue frowned and whispered: "Teacher, in fact, the family told me that the patient has changed a bit."


    "Where do you feel has changed?" Li Yao said.


    "The voice has changed and I am younger. The family also said that the patient will eat bread today and go to the toilet to defecate."


    Li Yao smiled: "The family members said that the patient''s voice became the patient''s brother-in-law, and all the things he said belonged to his brother-in-law."


    The voice of ?? just fell.


    Everyone in the doctor''s office who was listening to Li Yao''s description of this incident was shocked.


    Lu Chen sat next to Li Yao, and also got goosebumps.


    The person they rescued is actually not himself?


    Ke Yue''s voice trembled: "Teacher, you... don''t be scared! When the patient woke up for the first time, he asked me where this was? I told him this was the hospital. The patient said he knew! What he asked was this Where? I said this Jinghua City, you don''t know? The patient also said at the time, I have two houses here."


    Li Yao continued with a smile: "What the family said is that the one who lives now is his brother-in-law, the brother-in-law who went to Taiwan and didn''t come back."


    Ke Yue shivered!


    Lu Chen also felt a chill in his neck.


    Could it be that you have crossed over?


    He can have this plug-in system himself, so maybe someone else''s soul has passed through!


    "Don''t scare me, Director, I won''t listen to you. I''ll go to the ward to see other patients." Yin Xinhua heard Li Yao''s words and quickly "escaped" out of the doctor''s office.


    The hospital has some metaphysics, so I have to believe it!


    Li Yao left the doctor''s office after saying these words.


    But everyone in the office couldn''t calm down for a long time.


    After half an hour.


    Lu Chen and Ke Yue walked to the bedside of the 15th bed together.


    The health value on the patient''s head is 61!


    is completely out of critical condition.


    Lu Chen chatted with him a few words.


    "Master, do you know where you are?"


    "Master, how many people are in your family?"


    "Master, what did you do before?"


    The patient is very organized and clear, and even his accent has turned into pure Mandarin!


    However, what he said was not his own experience!


    He, it seems that he is no longer that him!


    Ke Yue continued to shiver...


    Lu Chen swallowed.


    This thing really smells like a sub-net novel.


    Take home? Reborn? cross? Possessed?


    ¡­


    This patient''s condition is getting better and better, but this strange state is still unexplained.


    Lu Chen relied on his own literature reading skill card and checked a lot of materials!


    However, there is still no way to give a reasonable explanation.


    The anatomy of the human body is too mysterious, and the neural aspects are more esoteric.


    Neurology and Psychiatry are two completely independent disciplines.


    Many phenomena simply cannot be explained with current knowledge.


    However, Mr. Li Yao came up with an idea.


    "I consider the organic mental disorder of the brain caused by long-term cerebral ischemia and hypoxia. The patient''s cognitive, emotional, advanced functions and other brain areas have been stimulated, and the memory of his brother-in-law has been strengthened, and a similar body image disorder has occurred. psychiatric symptoms.¡±


    This conjecture is just a conjecture and has not been confirmed.


    Lu Chen suggested that his family members do a cranial MRI to rule out neuropathy.


    But the patient''s family was hesitant this time.


    "We want the patient to stay in the hospital for a few more days." The family said, "In a few days, my son will get married, and then my dad will be brought home."


    The family members expressed that they were unwilling to toss the patient, so Lu Chen could only give up.


    (end of this chapter)

 Chapter 226： Heart stents finally drop in price!

    Chapter 226 The price of cardiac stents is finally reduced!


    night.


    Jinghua Second Hospital, the dormitory of Jipei Building.


    After Lu Chen modified the speech ppt, he entered the system training space.


    This time, he used the Cardiac Ultrasound Basic Skill Card.


    Cardiac ultrasound is the only instrument that can dynamically display the structure of the heart cavity, the heart beat and blood flow, without any damage to the human body.


    The probe is like the lens of a camera. With the rotation of the probe, the various structures of the heart are clearly displayed on the screen.


    Through cardiac ultrasound, valvular heart disease, cardiomyopathy, the location of myocardial ischemia, etc. can be diagnosed.


    In addition, cardiac ultrasound is different from other CT, X-ray, and MRI examinations.


    Ultrasound is subject to too many subjective factors!


    Each doctor''s manipulation and the accuracy of the machine will affect the final ultrasound result.


    ¡­


    After ?? consciousness enters the system space.


    In front of Lu Chen, a cardiac ultrasound machine appeared.


    On the screen of the ultrasound machine, images of common slices of the heart appeared.


    The first step in virtual space training is to identify various ultrasound patterns.


    First recognize the normal heart patterns, and then distinguish the abnormal images after getting familiar with them.


    The content of the primary card is not much.


    But for Lu Chen now, it''s enough!


    The most important thing is that there is no time limit for the skill primary card.


    Before Lu Chen is familiar with the basic skills of mastering cardiac ultrasound, he can stay in the virtual space of the system for an unlimited time!


    Lu Chen spent the whole night in the training of cardiac ultrasound.


    The more in-depth study of cardiac ultrasound technology, the more Lu Chen gained.


    Cardiac ultrasound can help the operator to better understand the cardiac anatomy.


    This is an extremely important point for cardiologists.


    ¡­


    was speechless all night.


    The next day.


    As soon as Lu Chen came to the department, he found that Junior Sister Yao Jie was gone.


    Thinking back to Yao Jie following him, Lu Chen really earned a lot of thanks.


    Especially at the beginning, Lu Chen earned a lot of thanks every time he lectured with Yao Jie.


    It''s just that, for some unknown reason, Lu Chen received less and less thanks from Yao Jie.


    After Lu Chen checked the room, he received a WeChat message from Yao Jie.


    "Senior brother, I can''t do room rounds with you today."


    Lu Chen smiled and immediately replied to a WeChat message.


    "Study hard and try to get into the ideal school."


    After a while, Yao Jie returned to WeChat.


    "Okay, thank you brother. Maybe we can still work together in the future."


    Looking at Yao Jie''s message, Lu Chen smiled slightly and didn''t care too much.


    In the morning, Lu Chen received two patients with coronary heart disease.


    Both of them came for coronary angiography.


    During this time, many people came to do coronary angiography, because the price of cardiac stents was officially reduced!


    The bracket that originally cost tens of thousands of dollars has now become a minimum of four or five hundred dollars.


    Many patients who were hesitant to do coronary angiography before, are now coming to the hospital in a rush!


    But it is very strange that Director Shao Jun, the senior doctor of Cheng Peng''s group, has been idle these days.


    In the past, Director Shao Jun''s team mainly performed operations.


    Recently, although there are many patients, they are not busy!


    "Fatty, your group didn''t have surgery today?" Lu Chen looked at Cheng Peng beside him.


    Cheng Peng nodded and said softly: "Director Shao is unwilling to do it, the stents are purchased with quantity, there are no rebates, and he has to eat rays, so he is unwilling to do it."


    Lu Chen frowned and said, "But there are some patients who are so sick that they have to put stents. What should you do?"


    "Unless necessary, now Director Shao doesn''t put stents, he''s making drug balloons." Cheng Peng looked around and saw no one, so he said in a low voice, "Because the drug **** have not been purchased in volume yet, and the price has not been reduced, so Try to do this as much as possible. If you have a stand, you won''t put this thing on unless you have to."


    Drug balloon, to put it bluntly, is to use a balloon to expand the narrowed area of ??the blood vessel.


    But if the stent is not placed, the problem of stenosis will not be fundamentally solved, and the patient may fall ill in the future!


    Immediately afterwards, Cheng Peng continued: "I originally planned to study coronary angiography, but now I have given up! Senior Brother Xia Gang in the group suggested that I study electrophysiology, there is no radiation hazard, and now the equipment for electrophysiology is all No price cuts."


    Lu Chen shook his head helplessly.


    This is a very realistic problem. The original intention of the price reduction is good, but the price reduction is too sharp!


    did not go step by step, but directly dropped from tens of thousands to hundreds of dollars.


    When a job, the benefits and risks are not proportional, then there will be a loss of talents.


    Pediatrics and emergency departments are already a lesson in the past.


    High risk, low benefit, there is a serious shortage of specialists.


    Even, many people who cannot be admitted to practicing physicians can go to be admitted to practicing pediatrics as long as they pass a certain score.


    This is equivalent to lowering the entry standards for pediatrics.


    Would you like your children to see a doctor in the future for those who failed the clinical practice doctor exam?


    "Lu Chen, you won''t learn coronary angiography in the future, right?" Cheng Peng smiled and looked at Lu Chen.


    Due to the big environment, fewer and fewer people will learn imaging in the future.


    Lu Chen slowly shook his head under Cheng Peng''s surprised eyes: "I want to learn!"


    Lu Chen didn''t explain too much, but in his mind, no matter which technique, the purpose is to cure diseases and save people.


    As for making money, he has never thought that being a doctor can make you rich!


    If you want to get rich, you will not be a doctor.


    ¡­


    The beds in the group are all slow today. After Lu Chen has dealt with his patients, he can get off work.


    After get off work, go back to the bedroom.


    Lu Chen continued to revise his speech ppt.


    Under the guidance of Li Yao, the ppt finishing work is about to be completed.


    Tomorrow is the weekend, and the Jinghua Electrophysiology Conference will finally open!


    It''s time to test his achievements!


    This night, Lu Chen did not enter the system virtual space for training.


    He needs to recharge his batteries and make sure he is in the best shape tomorrow.


    the next day.


    7:30 in the morning.


    Lu Chen got up, and several other roommates, including Wang Zihao also got up!


    "Today is the weekend, what are you doing?" Lu Chen looked at Wang Zihao who also got up.


    "What kind of electrophysiology conference are you going to attend!" Wang Zihao was taken aback, "Aren''t you?"


    "Ah? You guys are going too?" Lu Chen asked in surprise.


    "Yeah, aren''t you? We all have to gather the number of people for the first year of research!" Wang Zihao nodded, "This kind of meeting, the school is afraid that there will be not many people participating in the meeting, and every time it sends freshmen to the meeting to gather people. Counting, but I will take care of a meal at noon, so I will take it as a meal."


    "Oh oh." Lu Chen responded quickly.


    He really didn''t pay attention to the news in the hospital. It turned out that everyone would go to the meeting.


    Only this time, he has another identity - a guest speaker.


    (end of this chapter)

 Chapter 227： The Electrophysiology Society has begun!

    Chapter 227 The Electrophysiology Association has begun!


    out of the dormitory building.


    Lu Chen, Wang Zihao and others got on the bus to the hotel together.


    The Jinghua Electrophysiology Conference was held at the Shangri-La Hotel in Jinghua.


    According to the previous plan, Li Yao will arrange a special car to pick up Lu Chen, in fact, let the pharmaceutical agent come to pick up Lu Chen.


    But after thinking about it, Lu Chen thought it would be better to take the bus to the hotel with everyone, so he cancelled the special car arranged by Li Yao.


    ¡­


    On the bus.


    Graduate counselor Xiao Zhongjiang is taking the call.


    The students who didn''t come should be in the notebook.


    On the bright side.


    "The electrophysiology conference this time was organized by the province, and experts from other provinces came to the conference, so everyone should be careful when listening to the conference! Don''t hold your mobile phone and hide behind to fight chickens and pesticides! "


    "If I catch one, don''t blame me for not giving everyone face!"


    Xiao Zhongjiang wears glasses and is slightly fat.


    He has been a postgraduate counselor for many years, and he knows that these students are hard-hearted rather than soft-hearted!


    Lu Chen and Wang Zihao sat together.


    "Lu Chen, I heard that there is a buffet at noon, this conference is not bad!" Wang Zihao said, "Shangri-La is also a hotel in Jinghua, the organizer is really rich!"


    Lu Chen smiled and didn''t speak. Instead, he opened the laptop he was carrying with him.


    "I said what are you doing with a bag, so you brought your computer with you!" Wang Zihao was a little surprised, "When you go to a meeting, what are you doing with your computer?"


    "I''ll change the ppt." Lu Chen smiled.


    "Oh." Wang Zihao glanced at Lu Chen''s screen, glanced briefly, and then withdrew his gaze,


    He knew that Lu Chen had been doing ppt recently, it seemed like a case discussion.


    Wang Zihao didn''t particularly care.


    ¡­


    The road is bumpy.


    About forty minutes later, the bus arrived at the door of Shangri-La.


    Just got off the bus.


    Lu Chen saw Ke Yue and Jiang Qingyan.


    It seems that all the first grade students should be here.


    Ke Yue also saw Lu Chen and ran over quickly.


    "Lu Chen, did you know that Teacher Li Yao is also here today?" Ke Yue smiled, "We can go later"


    "I know." Lu Chen smiled.


    "You knew it before?" Ke Yue glanced at Lu Chen suspiciously.


    "Yeah." Lu Chen smiled, he didn''t know who knew, even he was invited by Teacher Li Yao!


    Everyone walked into the hotel together during the conversation.


    ¡­


    At the entrance of the hotel, there is an expert check-in desk.


    Beside the check-in desk, there are also many gift boxes.


    However, students are not eligible to sign in.


    On the list of speeches on the table, Lu Chen saw his name!


    And his case discussion session started at three o''clock this afternoon.


    Lu Chen also noticed that a total of five people were going to speak on stage this time.


    After the speech, the guests and the host of the conference will give scores to five people, and finally the ranking will be decided!


    The other four people have the lowest title of attending physician, and there is even a deputy chief physician among them.


    "You still have to score?" Lu Chen was taken aback.


    Li Yao didn''t tell him about it.


    He is a first-year graduate student, and it is too "over his own capabilities" to compete with these chief or deputy directors.


    Really catch the ducks on the shelves.


    However, Lu Chen was more confident in himself.


    ¡­


    Gu Xinyue also came.


    As an ordinary member of Jinghua Electrophysiology Society, he is different from other students this time!


    The other students are here to eat, but Gu Xinyue is not here.


    His goal is to become a member of the elite group!


    This year, he has no chance to conduct an assessment.


    The current Gu Xinyue can only understand the frontier knowledge of electrophysiology as much as possible. When the assessment next year, he will have a higher chance of passing the assessment of the elite group!


    "There should be a lot of elite group members coming this time." Gu Xinyue murmured in her heart, "If I can meet a teacher who passed the assessment and entered the elite group, then I can go to him to learn from him."


    The scale of this conference is not national, but its influence is still relatively large!


    The most important thing is that, coincident with the price reduction of cardiac stents, the status of electrophysiology in the heart will definitely continue to rise in the future!


    ¡­


    At this time, in the backstage of the conference hall.


    Min Xiaobo from Jinghua Central Hospital is debugging his ppt.


    As the backbone of the department and a member of the elite group of the Electrophysiology Association, Min Xiaobo will of course come to this Jinghua Electrophysiology Conference.


    Moreover, he was also one of the five guests who participated in the medical record competition in the afternoon.


    In order to find this case, Min Xiaobo searched all over the information of most of his recent patients, but unfortunately, there are no valuable cases.


    Finally, Min Xiaobo found a case of hypertrophic cardiomyopathy in his electrophysiological communication group.


    He didn''t diagnose this electrocardiogram at first, but another elite group member in the group diagnosed it.


    This case is quite interesting!


    Min Xiaobo also followed up the patient''s future treatment. After the diagnosis of hypertrophic cardiomyopathy, the patient successfully underwent ablation of hypertrophic cardiomyopathy, and the effect was very good!


    After debugging the ppt, Min Xiaobo took the USB flash drive and prepared to return to the conference hall.


    As soon as he got up, he saw a very young face.


    "Is this also the guest who is going to have a case discussion today?"


    Min Xiaobo had a hint of doubt in his heart.


    This is too young!


    It is estimated that he is only twenty-four or five years old!


    Looking at Lu Chen turning on the computer, he was also debugging the speech ppt, which confirmed his conjecture.


    At the same time, Lu Chen saw that there was already a template for speech ppt in the debugging computer.


    The title of ??ppt is exactly Min Xiaobo of Jinghua Central Hospital.


    "This name...how do I feel so familiar!"


    Lu Chen frowned, mobilizing his memory.


    But she racked her brains, but she still couldn''t recall that Min Xiaobo had seen or encountered him anywhere.


    ¡­


    ten minutes later


    After the successful debugging, Lu Chen returned to the conference hall.


    "Lu Chen, where did you go just now?" Wang Zihao waved at Lu Chen, "The meeting is about to start!"


    Lu Chen saw that Gu Xinyue was also sitting beside Wang Zihao.


    "Well, I''ll just go for a walk." Lu Chen smiled, then looked at Gu Xinyue, "Old Gu, thank you for your ppt! You did a great job!"


    Gu Xinyue pouted, "Pediatric stuff."


    "Will breakfast be waived for that month?" Lu Chen asked tentatively.


    "Think beautiful!" Gu Xinyue raised her eyebrows.


    Lu Chen: "..."


    The ??Electrophysiology Congress started soon.


    Chairman of the conference - Cao Zhiying came to the stage to deliver a speech.


    "With the price reduction of cardiac stents, the future market potential of electrophysiology is definitely huge..."


    After the long-winded, I will introduce some of the guests who participated in the conference.


    There are electrophysiology experts from Jinghua and other provinces.


    At nine o''clock in the morning, the electrophysiology conference officially started!


    Sorry for being a few minutes late!


    (end of this chapter)

 Chapter 228： It tastes better!

    Chapter 228 Eat more deliciously!


    morning.


    Four experts from major hospitals in China explained the recent popular research contents in the field of electrophysiology one by one.


    The first is the occlusion of the left atrial appendage in atrial fibrillation.


    The expert''s speech was quite satisfactory, and Lu Chen could still understand it.


    But the second expert gave a speech titled "Using synchronous intraventricular and epicardial mapping to explain the three-dimensional reentry mechanism of ventricular tachycardia".


    Even though Lu Chen has done in-depth research on electrophysiology, when he heard the content of the speaker on the stage, he still didn''t understand it, and he was confused.


    After all, his electrophysiology skill book is only elementary!


    If the electrophysiology was a little more esoteric, it would be difficult for Lu Chen to understand the content.


    ¡­


    Lu Chen only knew a little about the contents of the speeches of the next two experts.


    However, he also knew that cardiac electrophysiology was an extremely esoteric subject.


    It includes not only the identification of electrocardiogram, but also the judgment of various abnormal electrocardiograms, electrophysiological intervention and other diagnosis and treatment methods.


    For Lu Chen. If you want to improve the level of cardiac electrophysiology, in addition to step-by-step learning, you can only get a higher-level skill card of electrophysiology through the system!


    However, in the current system mall, all primary skill cards are sold.


    Lu Chen guessed that maybe the system mall could only open the next level after the consumption thanks value reached a certain threshold.


    ¡­


    time flies.


    Although Lu Chen didn''t quite understand it, he still tried his best to keep his attention.


    The fourth speaker is over.


    It was half past eleven and it was time for dinner.


    "I heard that there is a buffet provided by the organizer." Wang Zihao smiled and said to Lu Chen, "Shangri-La''s buffet is not bad."


    "Is there a buffet?" Lu Chen was quite surprised. He just ran upstairs and met Xiao Zhongjiang, a counselor.


    Xiao Zhongjiang was counting the number of people at that time, and ordered a box lunch for everyone.


    Sure enough, ten minutes later.


    Xiao Zhongjiang brought a few staff members and distributed lunch boxes to everyone.


    "I''m going, it''s actually a box lunch!" Wang Zihao wailed, opened the box lunch, and found that there were only one meat and three elements, "This is too rude."


    Lu Chen was about to pick up the lunch when the WeChat message alert sounded.


    is the message that Li Yao sent him!


    This time, Li Yao was the commenting guest at the conference.


    She has been sitting on the podium all morning.


    "Lu Chen, come to the cafeteria on the first floor."


    Lu Chen glanced at WeChat and handed his lunch to Wang Zihao.


    "I''ll give you mine, eat more."


    Wang Zihao was taken aback for a moment, although the amount of this lunch box is a little less, but the taste is still okay.


    "You don''t eat?"


    "I''ll go to the first floor." Lu Chen smiled, then got up and left.


    "The first floor?"


    Looking at Lu Chen''s back, Wang Zihao looked at Gu Xinyue beside him in doubt, "What is the first floor?"


    Gu Xinyue raised her eyebrows, "The first floor is a cafeteria."


    But he was also very strange.


    Cafeteria, it seems that only those teachers who participated in the conference are qualified to go.


    "Lu Chen is going to the cafeteria?" Wang Zihao helplessly looked at the lunch box at hand, "Can he go in? I see someone watching at the door!"


    Gu Xinyue shook it, he glanced at himself and the lunch box, and instantly didn''t feel the fragrance.


    ¡­


    Lu Chen came to the first floor, and Li Yao was waiting at the door.


    "Teacher, why did you come out and wait..." Lu Chen smiled a little embarrassedly.


    Li Yao smiled and said, "I''m afraid you won''t be able to get in! I was asked to sit in the front row in the morning, but you have to sit in the back."


    Lu Chen scratched his head and followed Li Yao into the cafeteria.


    "The front row is full of experts participating in the conference. If I go, it may not be suitable. Besides, my roommates are sitting in the back, so it''s good for me to be with them." Lu Chen said.


    Li Yao said: "That''s what I said, but you are the guest of the afternoon case speech. After dinner, you have to sit in the front row! Prepare for the afternoon speech, and it will be more convenient to be on stage at that time."


    Seeing that Li Yao said so, Lu Chen naturally couldn''t refuse.


    In the afternoon, he was the third to appear, and he was indeed waiting in the front row.


    Li Yao and Lu Chen chatted for a while, then went to chat with some directors and experts.


    Lu Chen stayed alone in the cafeteria and began to enjoy a rich lunch.


    thought of Wang Zihao and Gu Xinyue eating a boxed lunch upstairs.


    Lu Chen felt that his lunch was more fragrant...


    ¡­


    After eating and drinking, go back to the conference hall on the second floor.


    "Lu Chen is back." Gu Xinyue whispered to the prince proudly.


    Wang Zihao turned his head and saw Lu Chen, "Look, this guy must have had enough to eat and drink. Hey, why did he... sit in the front row?"


    In the sight of Wang Zihao and Gu Xinyue, Lu Chen directly passed them and sat in the second row of the conference hall.


    The first two rows of the hall are all experts participating in this conference!


    And each seat in the front row has a corresponding name plate.


    Lu Chen just sat up so generously?


    Wang Zihao and Gu Xinyue were puzzled.


    At this time, Lu Chen was sitting in the second row, he was also a little embarrassed.


    Surrounded by people at the level of directors and deputy directors of major hospitals in Beijing.


    And he, is a graduate student.


    "Classmate, are you sitting in the wrong seat?"


    The person who manages the discipline on site is a student of the Graduate Student Union.


    He saw a first grade student sitting in the second row and ran over quickly.


    "That''s right!" Lu Chen pointed to the name plate in front, "I am Lu Chen."


    "Ah? You...you..." The boy from the student council said in surprise.


    should be the same name, otherwise there would be no student''s name!


    "Do you want to see your student ID card?" Lu Chen blinked.


    "No, no need." The boy from the student council waved his hand quickly and then walked away.


    A little thing is worse than a little thing, as long as he doesn''t sit awkwardly, it''s fine.


    ¡­


    One thirty at noon.


    After everyone''s lunch break, the meeting starts again!


    The afternoon half was hosted by Li Yao himself.


    First of all, two experts continue to tell the frontier knowledge of cardiac electrophysiology to everyone.


    In addition to listening to the speeches of the experts on the stage, Lu Chen spent the rest of the time silently recalling the content of his speeches in his heart.


    Saying that you are not nervous at all is false!


    All the people here are Jinghua-style experts.


    Lu Chen worked hard to adjust his breathing to keep himself in the best condition.


    "The speeches of the experts are very exciting!" Li Yao said on the stage, "The next step is to have five excellent doctors from various hospitals in Jinghua, each of them will share a case related to cardiac electrophysiology. , will select the best case!"


    "The first doctor to speak is below."


    After Li Yao finished speaking, Min Xiaobo took a deep breath, stood up slowly, and walked onto the rostrum.


    "Dear experts, teachers and classmates, I am a doctor from the Cardiology Department of Jinghua Central Hospital. This time I bring you a case of hypertrophic cardiomyopathy..."


    "This patient was admitted to the hospital with heart failure. After being admitted to the hospital, cedilan was administered intravenously. The patient''s heart failure symptoms not only did not relieve, but aggravated!"


    Lu Chen felt that something was wrong.


    Isn''t this case the one you diagnosed in Jinghua Electrophysiology WeChat?


    If Fan Zhiping was present, he thought he could see the clue!


    "Is it just a coincidence?" Lu Chen frowned.


    Wrong!


    The various test results provided by this doctor are exactly the same as the hypertrophic cardiomyopathy he managed!


    This is the same person!


    Around 12:00, there will be an update.


    (end of this chapter)

 Chapter 229： On stage to speak!

    Chapter 229 Speaking on stage!


    This case is only known to people in the Jinghua Electrophysiology WeChat group.


    And the members of this group, like Fan Zhiping, are all doctors in county-level hospitals.


    But the doctor on stage, when he just introduced himself, was a doctor at Jinghua Central Hospital.


    and many more!


    Lu Chen suddenly had a thought in his mind.


    There is another elite member of the Electrophysiology Society in the WeChat group!


    I once added his WeChat.


    Lu Chen immediately took out his mobile phone, opened the WeChat group, and found the WeChat account of the elite member.


    "Min Xiaobo of Jinghua Electrophysiology..."


    Sure enough, it was him!


    Lu Chen couldn''t help but sigh, this world is really small.


    The people I know on WeChat have actually met in reality!


    Fan Zhiping may have found it himself, but this Min Xiaobo was definitely unexpected.


    However, when Lu Chen thought about it carefully, the academic circle of a certain field in each city is so big!


    We usually meet in a meeting.


    ¡­


    On the stage, Min Xiaobo continued to talk about the case.


    "Consider the possibility of hypertrophic cardiomyopathy through the patient''s electrocardiogram, as well as follow-up symptoms and signs..."


    This case, from diagnosis to treatment, is quite wonderful.


    Min Xiaobo ended his speech, and the audience erupted into warm applause.


    He is very satisfied with his performance today.


    On the podium, Cao Zhiying took the lead in commenting.


    "This case is very interesting. After the first use of cedilan, the symptoms of heart failure aggravated. Finally, based on the information from all parties and the later echocardiogram, the diagnosis was hypertrophic cardiomyopathy."


    "Actually, like this ECG, from the very beginning of the asymmetric T wave, it can be seen that it is not coronary heart disease, but probably hypertrophic cardiomyopathy..."


    "Overall, the cases prepared by Dr. Min are very good."


    For Min Xiaobo''s speech case, Cao Zhiying gave a high evaluation.


    Li Yao was the second guest to comment.


    "I want to ask a digression, Dr. Min, did you personally treat this patient?"


    Actually, when Li Yao saw this case.


    She had the same idea as Lu Chen.


    Because some time ago, Lu Chen introduced that she had encountered exactly the same patient in the outpatient clinic.


    Comparing the information provided by Min Xiaobo, she is almost certain that she is the same person!


    "Professor Li, this patient is indeed not my patient." Min Xiaobo said, "I also saw this patient''s electrocardiogram occasionally, and it was very interesting. With the consent of her previous doctor, I sorted out the case."


    Min Xiaobo is very frank.


    Li Yao nodded and said with a smile, "I''ve seen the patient you mentioned, so that''s why I''m asking you that."


    "Huh?" Min Xiaobo was stunned.


    "You said it yourself, the patient later underwent surgery for fat heart disease." Li Yao said, "She came to our department to do it."


    Hearing Li Yao''s words, Min Xiaobo remembered what the patient had said, that is, the surgery she went to the "Professor Lu" ward in the group.


    Does the "Professor Lu" in the group have anything to do with Professor Li Yao?


    ¡­


    Next, is the second doctor speaking.


    She is a female attending physician from the Cardiology Department of Jinghua First Hospital.


    "I''m talking about a patient with atrial fibrillation with pre-excitation..."


    This attending doctor''s speech was quite satisfactory.


    There are no mistakes, but there are not too many highlights.


    After commenting a little, Li Yao continued: "Next, let''s invite a third doctor to speak."


    As soon as he finished speaking, Lu Chen slowly got up.


    Walking to the rostrum, Lu Chen bowed at the rostrum, and then smiled: "Hello, experts, teachers, and classmates, I''m a graduate student in the Department of Cardiology of the Second Jinghua Hospital, and I am a first-year graduate student this year."


    After Lu Chen finished speaking, everyone on the field except Li Yao was stunned.


    "Huh? His name is Lu Chen?" Min Xiaobo was stunned.


    Isn''t this the same name as the "Professor Lu" in the group?


    But, he... how did he just study one?


    Impossible, it should be the same name!


    However, thinking of the various things that Li Yao said in the future, it can''t be such a coincidence!


    ¡­


    The other experts and professors present were a little sleepy after listening to the lecture for a day.


    But when they heard that the speaker was just a student, they all looked up at the rostrum curiously.


    Wang Zihao and Gu Xinyue under the stage, their eyes widened in unison.


    "No wonder he can go to the restaurant on the first floor for a buffet..."


    "No wonder he can sit in the front row..."


    It turns out that all of this is "natural".


    It¡¯s just that they don¡¯t know it!


    Gu Xinyue looked at Lu Chen with flickering eyes, and stared at the ppt on the screen!


    No wonder he asked himself to help with the ppt, he was coming to the conference to give a speech!


    Gu Xinyue felt an inexplicable pride in her heart. Lu Chen used his own ppt.


    At the same time, there is also a hint of anger, this guy didn''t tell himself that he was going to give a speech!


    However, Gu Xinyue also had a question in her heart.


    "Lu Chen, how is he qualified to speak on stage?"


    Although his clinical operation skills are very strong, everyone teamed up and won the first place in the country.


    However, in terms of cardiac electrophysiology, how could Lu Chen be good at it?


    He is going through the back door?


    ¡­


    Except for Gu Xinyue and Wang Zihao, all the other students have this idea in their hearts.


    Everyone is about the same age, and they are all freshmen in the first grade.


    I am an audience member off the court, while Lu Chen is an "expert" who gives lectures on stage!


    This kind of gap is the most difficult for peers to accept!


    At this time, Lu Chen on stage didn''t care what others thought.


    He cleared his throat, adjusted his condition, and started his speech.


    "This time I bring a series of ECG cases about digitalis-like poisoning."


    "The patient''s ECG showed sinus bradycardia, premature atrial, and digitalis effects, such as ST-segment downslope depression, T wave flattening, and QT interval shortening (280ms). It is highly suggestive of digitalis effect..."


    "However, the patient has no history of taking digoxin, and oleander poisoning should be considered, both of which contain cardiac glycosides similar to digoxin..."


    ¡­


    "Li Yao, this is your outstanding student this year?" Cao Zhiying whispered to Li Yao, "No. 1 in the national skill test competition?"


    Li Yao nodded slightly.


    "Well, yes, he''s a good seedling." Cao Zhiying glanced at Lu Chen on the stage, "At first, I thought you were letting him come on stage to experience it. Now that I have heard his speech, it is not inferior to the previous two. Doctor."


    Li Yao smiled and said, "Actually, the first case mentioned by the doctor was diagnosed by Lu Chen before."


    "Oh? What''s the matter?" Cao Zhiying raised an eyebrow.


    Min Xiaobo, he is a doctor who just returned from abroad.


    Lu Chen, a student who just came to Jinghua for graduate school.


    One is in Jinghua Central Hospital and the other is in Jinghua Second Hospital.


    "How did they meet?"


    Li Yao whispered, "Lu Chen and Min Xiaobo are both elite members of the Electrophysiology Association."


    I fell asleep many times in the middle. If there is a typo, I will change it tomorrow


    (end of this chapter)

 Chapter 230： announcing results

    Chapter 230 Announcement of Results


    Elite member of Jinghua Electrophysiology?


    Cao Zhiying thought he heard it wrong.


    He whispered hesitantly to Li Yao: "Are you talking about ordinary members or elite members?"


    "Elite member." Li Yao is authentic.


    Cao Zhiying frowned, "Li Yao, are you using your recommended quota?"


    The chairman and vice-chairman of their Electrophysiology Association have direct recommended places.


    But the candidates they generally recommend are at least the attending doctor, and they are the attending doctor with a certain experience.


    Recommending a student to become an elite member is too much to cherish your own wings!


    I am afraid that countless people will complain about her, so she, the deputy chairman, will be the end of it!


    "There is no use for the recommended quota." Under Cao Zhiying''s astonished eyes, Li Yao shook her head, "Lu Chen passed the assessment himself."


    This time, Cao Zhiying''s expression was even more surprised than before!


    If you say, using the recommended quota is still a shortcut to join the elite group.


    Then, passing the online exam to get the elite membership is a single-plank bridge that very few people pass! .


    Especially for a graduate student, the probability of such passing is extremely low, almost zero!


    To put it bluntly, truly powerful doctors will not pass the assessment to become members of the elite group, and most of them will be directly invited to join.


    The ?? assessment system has a greater significance, just to show a plausible system to outsiders.


    The doctors who actually pass this assessment to join the elite group are very few!


    And this small group of members are undoubtedly doctors with certain electrophysiological strength and foundation.


    ¡­


    Cao Zhiying never thought that a student can become a member of the elite group!


    Li Yao looked at Cao Zhiying at this time, just like looking at herself when she knew that Lu Chen was an elite member.


    equally incredible!


    "So the purpose of letting him come to this meeting is far more than that." Cao Zhiying glanced at Li Yao.


    Li Yao nodded undeniably.


    "Director Cao, Jinghua is not his end, but his starting point. It depends on how long he can stay in Jinghua, and he will leave sooner or later."


    "Are you so optimistic about him?" Cao Zhiying narrowed his eyes, "I have seen too many gifted children over the years, but how many of them can grow to the level of you and me?"


    "Then let''s wait and see." Li Yao smiled slightly, staring closely at the boy on the stage.


    Cao Zhiying also smiled and turned to Lu Chen on the stage.


    ¡­


    on the podium.


    Lu Chen is finishing his speech.


    "Cardiac electrophysiology is not just a simple electrocardiogram, it reflects all the electrophysiological activities of the human heart! Of course, we cannot make clinical diagnosis based on the results of an electrocardiogram, but cardiac electrophysiology can help us a lot The diagnosis and treatment of the disease point to a clear path¡­¡±


    Under the stage, Min Xiaobo listened to Lu Chen''s speech, and a thought arose in his heart.


    If Lu Chen is really that "Lu Chen", isn''t the case he talked about the one that Lu Chen diagnosed in the WeChat group?


    As a returnee doctor, this is the first time he felt frustration after returning to Jinghua.


    Although he has published several high-scoring SCI papers and hosted several funded projects.


    But at this moment, Min Xiaobo''s mood is extremely lost.


    Before today, "Lu Chen" was not only Professor Lu in Jinghua Electrophysiology WeChat, but also the object of Min Xiaobo''s admiration.


    But now, the person he has always respected is actually a graduate student?


    He is different from Fan Zhiping from the township health center!


    He is a returnee medical doctor!


    Min Xiaobo looked at Lu Chen on the stage, his eyes never left.


    Consternation, loss, shame, embarrassment and other emotions quietly rose in Min Xiaobo''s heart.


    ¡­


    "Old Gu, do you understand what Lu Chen said?" Wang Zihao looked at Gu Xinyue who was beside him, "Why can''t I understand anything?"


    Gu Xinyue glanced at Wang Zihao, "You really asked the right person, I helped him revise the ppt of Lu Chen''s speech."


    "What?" Wang Zihao was stunned, "No wonder Lu Chen asked if anyone could do ppts last time, it seems that it was for today''s speech. Hey, Lao Gu, I remember your boss is the chief director Cao Zhiying, why didn''t he let you give a speech on stage? ?"


    "Do you think anyone can give a speech on stage?" Gu Xinyue said helplessly, "Look at the first few speakers, the chief physicians and even the deputy chief physicians of the cardiology departments of major hospitals! What''s on stage?"


    "According to you, how can Lu Chen be qualified to take office?"


    "Who knows." Gu Xinyue spread her hands, "But I know that Director Li Yao, Lu Chen''s mentor, is the vice chairman of the Electrophysiology Society."


    Wang Zihao understood, "Then Lu Chen is so lucky to be careful, the boss gave him such a good opportunity!"


    Experts and professors from major hospitals were present, and they were able to show up and have a sense of presence. It''s definitely helpful!


    ¡­


    At this time, Lu Chen''s speech also ended.


    Cao Zhiying picked up the microphone and began to comment: "First of all, I am glad that Lu Chen brought this case to everyone. The difference in this case is that the patient was suspected of having cardiac glycoside poisoning through the results of the electrocardiogram. The cause of the disease can only be found by carefully asking the patient''s medical history."


    "Lu Chen''s case or the interpretation of the electrocardiogram is not difficult, but it really provides an idea for our clinical diagnosis and treatment. Based on the existing results, we can infer the cause of the disease..."


    Cao Zhiying''s mouth is full of praise.


    After hearing this, Li Yao didn''t want to be cheeky and praised Lu Chen again.


    Next, it was the turn of the remaining two doctors to give speeches.


    However, with Lu Chen''s amazing performance, many people ignored the speeches of the remaining two doctors.


    ¡­


    Lu Chen returned to his seat in the front row.


    As soon as he sat down, he saw Min Xiaobo come up.


    "You are..." Min Xiaobo whispered, "The core member of Jinghua Electrophysiology WeChat group, Lu Chen?"


    "Yes." Lu Chen nodded.


    Min Xiaobo''s eyes widened, looking at Lu Chen who was too young, "You...you..."


    The words came to his lips, but they couldn''t come out.


    He had imagined countless times that if he met "Professor Lu Chen" offline, he should have a lot of cardiac electrophysiology content and have a lively discussion with the professor.


    He chose the case that Lu Chen had diagnosed before this time, also to pay tribute to "Professor Lu Chen".


    However, now that Lu Chen is sitting beside him, he is unwilling to admit this fact!


    The fourth, fourth, and fifth doctors finished their speeches.


    Min Xiaobo paid no attention to the content of their speeches.


    His mind was filled with the word "Lu Chen".


    ¡­


    Until all five people finished their speeches, several experts present gave everyone their scores.


    When Cao Zhiying started to announce the results of the medical record speech, Min Xiaobo came back to his senses.


    There will be an update tonight


    (end of this chapter)

 Chapter 231： Number one! (Please subscribe!)

    Chapter 231 Ranked first! (Please subscribe!)


    "The first place is Lu Chen from Jinghua Second Hospital!"


    "The second place is Min Xiaobo from Jinghua Central Hospital!"


    "Third place..."


    When Cao Zhiying announced the result, everyone present was stunned.


    The expert team for this rating is from major hospitals in Jinghua, including not only Jinghua Second Hospital, but also experts and professors from other Jinghua hospitals.


    The fairness of the competition can definitely be guaranteed.


    But the result of the game surprised everyone.


    A graduate student actually won the first place among a group of attending doctors and deputy chief doctors!


    Some people who don''t know Lu Chen have a thought in their hearts.


    Perhaps it wasn''t because Lu Chen was so good. It was very likely that the deputy directors and attending doctors of the office did not prepare the medical record lecture seriously, so Lu Chen had the opportunity to take the first place!


    However, as long as you carefully read the speeches of all the doctors, there must be no doubts about this result.


    Perhaps, the medical records Lu Chen chose were not the most difficult.


    But his medical records best illustrate the connection between clinical and cardiac electrophysiology.


    Perfect for the theme of today''s electrophysiology conference!


    Experts, professors such as Cao Zhiying, and even Min Xiaobo, in their hearts, have already agreed with this scoring result.


    Although Min Xiaobo''s heart is still not calm, he is already very satisfied with his second result.


    ¡­


    The expert group here includes professors from the Jinghua Medical University system, as well as professors from Jinghua Central Hospital, People''s Hospital, and even two professors from Kyoto and Modu.


    All the members of the expert group realized that the Second Academy of Jinghua actually produced such an amazing student this year!


    "Director Cao, the quality of the students in your Jinghua Second Academy is good." A professor from Kyoto said with a smile.


    "Overwhelmed." Cao Zhiying smiled and said modestly, "Professor Ouyang, there is still a big gap between us and your Kyoto Medical College."


    "Hey, the gap is gradually narrowing." Ouyang Ming smiled, "Didn''t you Jinghua Medical University still win the first place in the National Medical Skills Competition some time ago?"


    "It''s a coincidence that just now this student also represented our Jinghua and participated in the National Medical Skills Competition." Cao Zhiying said.


    "Really?" Ouyang Ming looked at Lu Chen under the stage, then turned to look at Cao Zhiying, "Xiao Cao, is this your graduate student this year?"


    "No, it''s our director Li Yao''s graduate student." Cao Zhiying said.


    "Oh, then Director Li found a good seedling." Ou Yangming smiled and turned to look at Li Yao.


    ¡­


    Under the stage, all the ordinary audience exploded.


    Including Wang Zihao and Gu Xinyue, they all looked at each other in disbelief.


    "Lu Chen, he is number one..." Wang Zihao swallowed.


    This is not a competition with peers!


    It is to compete with the chief physician and deputy chief physician of the older generation.


    Gu Xinyue is also a member of the Electrophysiology Association. Compared with Wang Zihao, who majors in surgery, Gu Xinyue, who majors in Cardiology, is more aware of this kind of conference, and he can push other doctors to win the first place.


    Even if this is a small case discussion, the opponents are all highly qualified clinicians.


    For example, the second Min Xiaobo, Gu Xinyue has met Min Xiaobo several times, he is a rising star in the field of cardiac electrophysiology in Jinghua in the future!


    Moreover, he is also an elite member of Jinghua Electrophysiology Association.


    However, Lu Chen was able to stand out!


    This can no longer be measured by common sense!


    But Gu Xinyue thought about it, before their Jinghua representative team participated in the national skills competition, who would have thought that they would be able to get the first place?


    In this way, today''s number one is not too surprising.


    ¡­


    Offstage.


    Lu Chen, who was the client, was also surprised.


    Before giving the speech, he didn''t know the level of other doctors, but only knew that they were the attending doctor and deputy chief doctor of major hospitals in Beijing.


    Lu Chen''s more ideas are to learn.


    As for the rank of the speech, he didn''t care at all.


    But now, things are a little bit beyond his imagination!


    Or really other doctors did not prepare seriously.


    "The first place in the case discussion will be awarded 2,000 yuan in cash by the sponsor of the conference!" The person in charge of the conference organizer also stood up and said, "The doctors of other rankings will also have some gifts. gift."


    Medical conferences like this are assisted by sponsors of drugs or devices.


    Lu Chen was called to the podium again.


    Then, Cao Zhiying awarded him the first certificate.


    "Damn it, Lu Chen, this guy came out, he can still earn extra money!" Wang Zihao couldn''t help saying.


    Gu Xinyue also sighed inwardly.


    Before helping Lu Chen modify the ppt, let him pack breakfast for a month, the price is still too small!


    The ptt of his speech, but he took great pains to correct it!


    After returning to the hospital, Lu Chen must be treated to a meal.


    ¡­


    With the conclusion of the case discussion, the whole electrophysiology conference is also coming to an end.


    All the students took the bus back to the hospital.


    Lu Chen wanted to go back to the hospital with everyone, but Li Yao stopped him.


    Li Yao took Lu Chen to the cafeteria downstairs.


    "Lu Chen, I told Director Cao that you are a member of Jinghua Electrophysiology Elite." Li Yao said.


    "Oh." Lu Chen nodded.


    Many of the attendees are members of the Electrophysiology Association.


    The fact that he is an elite member will be known to everyone sooner or later.


    "Next, you may have to get to know some people, especially experts from Kyoto and the magic capital." Li Yao said earnestly, "One of the professors is one of the authorities in the field of electrophysiology in China, and this time Director Cao invited him a lot. Then he relented and was willing to come over. He usually rarely shows up."


    Lu Chen nodded. He had already noticed that there was an old professor with gray temples on the podium, and everyone was very respectful towards him.


    Li Yao walked in front, and Lu Chen followed.


    The two came to the lounge next to the cafeteria on the first floor.


    As soon as he entered the door, Lu Chen saw the old professor sitting in the first place, and Cao Zhiying next to him.


    "Little Li is here." Ou Yangming smiled and narrowed his eyes, beckoning Li Yao to sit beside him.


    "Professor Ouyang, this is my graduate student this year." Li Yao sat next to Ouyang Ming, and then said to Lu Chen, "Professor Ouyang is an authority figure in cardiac electrophysiology in China. As long as he is engaged in cardiac electrophysiology, everyone knows it. Professor Ouyang''s name."


    Lu Chen bowed slightly and said, "Hello, Professor Ouyang."


    "Yes." Ou Yangming nodded, "You, not bad!"


    There were not many words, but everyone could hear the appreciation in Ou Yangming''s words.


    "After graduating from a master''s degree, are you interested in coming to Kyoto for development?"


    Ou Yangming''s words made everyone present and Lu Chen look stunned.


    Make up for yesterday''s inability.


    There are five more updates today.


    (end of this chapter)

 Chapter 232： Medical and excellent Zeshi (first update)

    Chapter 232 Doctors and You Zeshi (First Update)


    This is Chi Guoguo''s digging foot!


    This is the kind of thing someone like Ouyang Ming can say.


    And he had to say it in a joking tone. If others said this, Cao Zhiying would have turned his face long ago.


    This is digging a wall on your own site!


    Lu Chen smiled slightly and said, "Professor Ouyang, the students haven''t thought that far for now. I just want to do my current things well. As for the future development, let''s go with the flow."


    In this situation, Lu Chen can only do Tai Chi.


    There was Cao Zhiying, the chief director of the Cardiology Department!


    "Young people, it''s better to make plans for yourself earlier." Ouyang Ming smiled, "We in the field of cardiac electrophysiology in Kyoto need young people like you."


    Lu Chen paused, and then said: "To tell the truth, Professor, I chose Kyoto Medical College before, but it was rejected by your school."


    Since studying medicine, Lu Chen''s goal has been the Cardiology Department of Kyoto Medical College.


    It was just that during the re-examination of the postgraduate entrance examination, it was brushed!


    These words, uttered on this occasion, were originally out of place.


    But hearing Professor Ou Yangming''s words today, Lu Chen couldn''t help but say it.


    No matter what the reason is, no one will be able to treat them with an ordinary mind if they are brushed down by the exam.


    Even with the system, Lu Chen is still an ordinary person!


    Although he has long looked down on what happened before, but he still wants to fight for a while in his heart.


    You Kyoto Medical College swiped me, so I must do something to prove your choice is wrong.


    "Oh? Did you apply for the Kyoto Medical School?" Ouyang Ming frowned.


    "Well." Lu Chen nodded, his face calmly said, "Maybe it''s because my grades didn''t meet the standard, and the retest was brushed."


    Ou Yangming took a sip of tea and fell silent.


    He is the doctoral tutor of Kyoto Medical College. He is very clear about the way behind the postgraduate re-examination.


    In the re-examination, most of the time, what you see is not the result.


    is the background, connections, etc. behind him.


    With the ability that Lu Chen has shown so far, it is absolutely impossible for him to be wiped out because his grades are not up to standard.


    After a long while, Ouyang Ming said slowly, "Lu Chen, right? As long as you are willing to go to Kyoto in the future, you can come directly to the Kyoto Medical College to find me."


    As soon as the voice fell, everyone present was shocked.


    This is not just a solicitation, but a guarantee to Lu Chen!


    Cao Zhiying showed a shocked expression on her face.


    Lu Chen''s performance is really good, but it shouldn''t make Ou Yangming take it so seriously!


    And it was the first time that Ou Yangming and Lu Chen met, so they made such a hasty decision, it really didn''t look like Ou Yangming''s steady style.


    Is there any other intersection between the two?


    "Thank you, Professor Ouyang." Lu Chen smiled.


    Actually, even Lu Chen himself was very strange.


    How can these big boss-level figures in front of me value themselves so much?


    Could it be that his system has some kind of domineering aura, as long as the tiger''s body is shaken, others will value him?


    is not right either!


    With the ?? system by his side for so long, he never knew that the system had such a function.


    Although Lu Chen had heard of Ou Yangming''s name, he was only at the level of hearing.


    He and this big guy met for the first time today.


    "Okay, that''s it for today."


    After chatting for a while, Ou Yangming waved his hand, and Li Yao took Lu Chen away.


    The two walked out of the lounge.


    "Lu Chen, go to the cafeteria to eat." Li Yao said, "I have asked Xiao Fang to wait outside. After you finish eating, let him take you back to the Second Hospital."


    "Okay, thank you teacher." Lu Chen nodded.


    Then, Li Yao returned to the lounge, while Lu Chen went to the cafeteria alone.


    ¡­


    The buffet restaurant has a very rich dinner, with a variety of seafood, meat, vegetables and fruits.


    But Lu Chen''s mind was not on eating at this time.


    He was still thinking in his heart why Ou Yangming had such a good attitude towards him.


    Lu Chen would not be overconfident. He felt that Professor Ouyang Ming valued a certain point of himself.


    A professor of this level knows countless people and has seen many geniuses.


    It is impossible to make such a guarantee to him just because of a speech!


    "Hey, by the way, how did I forget about Li Yao''s mentor!"


    Lu Chen''s mind suddenly flashed a ray of light.


    If he has any background in Jinghua, it is his mentor Li Yao.


    It is rude to say that apart from Li Yao, Lu Chen''s background in medical field is almost zero.


    His parents are only the county doctors'' little doctors. If Lu Chen didn''t go back to his hometown, his parents couldn''t bring them any help!


    Li Yao is Lu Chen''s only background.


    And she is also the one in the medical circle who can help Lu Chen!


    Li Yao''s tutor is actually not very old, just in his early forties.


    At her age, it is rare to be a ward director and a doctoral tutor!


    "Mr. Li Yao probably knows Professor Ouyang, and the relationship between the two is pretty good!" Lu Chen murmured in his heart.


    Then, the reason why Professor Ouyang treats him differently is most likely because of Teacher Li Yao.


    To make a big coffee like Professor Ouyang signal to himself in front of everyone, this is to pave the way for his future!


    If the guess is correct, Li Yao''s mentor is really well-intentioned.


    ¡­


    Shangri-La Hotel, first floor.


    The organizer has prepared a rich dinner for all the experts, and most of them have already gone to the restaurant next door.


    In the lounge at this time, only Li Yao and Ou Yangming were left.


    "You value your student so much, and you want me, an old man, to accompany you to act in front of everyone." Ouyang Ming smiled and said to Li Yao in front of him.


    "Uncle, thank you for your hard work." Li Yao smiled.


    Her state at this time is completely different from what she usually does in the department, and she has completely become a good girl in front of her elders.


    "Hey." Ou Yangming shook his head helplessly, "I''m going to retire in a few years, so I can''t take care of you. You should let my last influence and the last residual heat exert on you."


    Li Yao put away her smile and said slowly, "Uncle, don''t worry. Although I haven''t been with him for a long time, Lu Chen is a student, but his future achievements are absolutely limitless! You have worked hard for most of your life, don''t you? Is it just to cultivate a few more good seedlings for the Chinese medical community?"


    "You little girl, you are so clever!" Ouyang Ming smiled, then turned serious: "But you have to think about yourself, although you didn''t participate in PieroAnversa''s fraud, it didn''t affect you. Xiao, after a while and when the limelight is over, I will communicate with Cao Zhiying and move your position up."


    Li Yao paused and said, "Uncle, don''t be too **** Director Cao."


    "Hehe, Cao Zhiying, I''m not embarrassing him." Ou Yangming snorted coldly, "His mind has long been not clinical, let alone academic. You can see him running around and lobbying everywhere in recent years, isn''t he? For the title of academician?"


    "Do you think he invited me to Beijing to attend this electrophysiology conference?"


    "If it weren''t for you, I really don''t want to come to Jinghua."


    Li Yao sighed helplessly in her heart.


    The doctor is the best!


    No matter what field you are in, as long as you have made certain achievements, it is easy to leave your original job and embark on a career path.


    (end of this chapter)

 Chapter 233： Passionate Pharmacy (Second)

    Chapter 233 Passionate Pharmacy (Second)


    Shangri-La Hotel, cafeteria on the first floor.


    After Lu Chen figured out this relationship, he began to enjoy the delicious food in front of him.


    "Lu Chen?"


    Lu Chen had just made a plate of beef when a voice suddenly came from his ear.


    Lu Chen looked back, is it him?


    Attending doctor of Jinghua Central Hospital, Dr. Returnee, member of Jinghua Electrophysiology Elite, Min Xiaobo!


    Lu Chen had already given him so many titles in his mind.


    "Dr. Min, hello." Lu Chen smiled.


    "Hello." Min Xiaobo nodded slightly, "Eat together?"


    At this time, Min Xiaobo had recovered from his previous complicated emotions.


    Seeing that Lu Chen was dining alone, he thought of inviting us to eat together, and asked some questions by the way


    "Okay." Lu Chen nodded.


    Then, the two found a seat with few people and sat opposite each other.


    "I''m sorry, I used the case in your WeChat group without informing you." Min Xiaobo said.


    "It''s nothing, besides, you are using the medical records of him when he was in the county hospital, which has little to do with me." Lu Chen smiled.


    "Thank you for your understanding." Min Xiaobo paused, then said, "Actually, I want to know how you got into the electrophysiology elite group?"


    According to Min Xiaobo''s understanding, the elite group is nothing more than joining through the recommendation and invitation of others.


    But, who would invite a student!


    No matter how capable he is, others may gossip.


    "Online assessment." Lu Chen said softly.


    "You, did you get in?" Min Xiaobo was stunned.


    Now Lu Chen already knows that many people will not choose this path of assessment.


    First of all, the assessment is difficult.


    Secondly, there is really not much difference between the elite group and the ordinary group.


    Those who are truly capable will be directly invited by the Electrophysiology Society to join the elite group.


    For example, Min Xiaobo, after he returned from the United States, was directly invited by the Electrophysiology Association and easily joined the elite group.


    As long as two years later, Min Xiaobo will naturally become a core member.


    However, doctors in county hospitals like Fan Zhiping can only become core members through this assessment method.


    This is doomed, the difficulty of the assessment will not be low.


    Even if the examination questions are given to the members who are invited to join the elite group, most of them will not meet the passing standard!


    "Then you are really fierce!" Min Xiaobo couldn''t help sighing.


    He really couldn''t figure it out, how could a student who just entered the first year of graduate school be so evil!


    On the level of electrophysiology alone, Lu Chen definitely did not lose to himself, and even slightly overwhelmed himself!


    "Can you tell me how you usually study?"


    Lu Chen raised his brows, "Learn normally, maybe it''s because you have better comprehension ability and learn faster!"


    Min Xiaobo pouted, but he didn''t believe Lu Chen''s words at all.


    Some things, maybe hard work can be achieved.


    But there are many things that cannot be achieved by hard work alone.


    For example, in the discipline of medicine, in addition to the accumulation of knowledge, it also places great emphasis on the accumulation of experience.


    Both are indispensable!


    Even if you memorize internal medicine books, you will not see a doctor!


    But judging from Lu Chen''s performance in the WeChat group, his clinical thinking is meticulous, and he is definitely not something that a fresh graduate student can have!


    "Looking at your speech on WeChat, sometimes I even feel that you are really a professor." Min Xiaobo said, "There are many electrocardiograms, I just have some ideas, and you can diagnose them."


    Lu Chen smiled, took a bite of the meat, and said nothing.


    Because he really doesn''t know what to say...


    No matter how many explanations, it seems a little pale at this moment.


    Seeing that Lu Chen didn''t want to say more, Min Xiaobo didn''t ask any more.


    ¡­


    about twenty minutes later.


    Lu Chen finished his dinner.


    Before ?? and Min Xiaobo separated, Lu Chen couldn''t help but ask, "Doctor Min, have you been tired recently?"


    Min Xiaobo was about to leave when he heard Lu Chen''s nonsensical words, so he stopped.


    He frowned and looked back at Lu Chen: "I''ve been staying up late to write a bid for the country''s nature, so I''m tired."


    "Then pay more attention to rest!" Lu Chen said.


    He noticed that the health on Min Xiaobo''s head was only 70!


    A normal middle-aged person of his age has at least 75 HP.


    And Min Xiaobo is far below this average!


    "Okay, thank you for your concern." Min Xiaobo nodded.


    But he was very puzzled, how did Lu Chen see that he was tired recently?


    Could it be that his face is so haggard?


    It looks like I need a good rest when I go back.


    ¡­


    Walk out of Shangri-La Hotel.


    Lu Chen called the little party that Li Yao had just mentioned.


    "Hey, Brother Fang, I''m out."


    "Lu Chen, my car is across from the hotel, come here."


    Fang Yu is a pharmacist who has been in the Jinghua Second Hospital for a long time.


    The Cardiology Department of Jinghua Second Hospital is well-known and has a large number of patients. There are also many patients from the following counties and cities.


    Fang Yu is mainly responsible for the Cardiology Department of Jinghua Second Hospital.


    got into the car.


    Lu Chen got into the co-pilot.


    "Brother Fang, trouble you again." Lu Chen said.


    Fang Yu was going to pick up Li Yao, but Li Yao had a special car from the hospital to pick him up, so he asked him to follow Lu Chen.


    "It doesn''t matter, I''m on the way too." Fang Yu smiled, "Are you going back to the second hospital?"


    "Yes." Lu Chen nodded.


    "Okay." Fang Yu handed Lu Chen a bottle of drink, "But there is a traffic jam at this time, so it might be a bit late to go back."


    "It''s okay, I''m not in a hurry, it''s okay to go back." Lu Chen said.


    ¡­


    It happened to be off-duty time, the traffic jam was serious, and the car was slowly crawling on the road.


    met another traffic light.


    "Hey, we have to wait for another long time." Fang Yu smiled and said to Lu Chen who was beside him, "Lu Chen, when there is a suitable opportunity, you can help me to use my medicine more often."


    Lu Chen smiled helplessly.


    In fact, he is most afraid of dealing with these pharmaceutical agents.


    The enthusiasm is a bit scary!


    "Brother Fang, I''m just a student, and the superior doctor will still proofread the doctor''s order."


    "Hey, I know this, so you can help." Fang Yu smiled, "And I see your group, Mr. Sun Guoguo also trusts you, and usually doesn''t change your doctor''s orders."


    "Brother Fang, if the patient has necessary indications, we will use it." Lu Chen could only say, "Otherwise, there is nothing we can do."


    "All right, that''s enough."


    After ??, Fang Yu took out a card from his bag.


    "Lu Chen, this is Zhongbai''s shopping card."


    Lu Chen quickly waved his hand and said, "Brother Fang, this is not necessary."


    "Oh, it''s okay, and I don''t have much money." Fang Yu handed the card to Lu Chen, "You can buy anything you usually lack."


    "I really don''t need it." Lu Chen still shook his head, "Brother Fang, you can give it to someone else."


    After pushing ?? several times, seeing Lu Chen''s firm attitude, Fang Yu smiled helplessly and could only take back the shopping card.


    (end of this chapter)

 Chapter 234： Attack again! (Han Xiaohe Wan reward plus more!)

    Chapter 234 Another attack! (Han Xiaohe Wan reward plus more!)


    When we got back to the bedroom, it was almost eight o''clock in the evening.


    "Lu Chen, you''re going to eat and drink spicy food again." Wang Zihao looked at Lu Chen with a resentful expression, "We have a boxed lunch, and you go to a buffet that costs 400 yuan. Why is there such a big gap between people?"


    "Tell me, what do you want to eat? I''ll invite you to eat tomorrow." Lu Chen glanced at Wang Zihao.


    The expression on Wang Zihao''s face immediately changed from cloudy to sunny.


    He jumped off the bed, leaned beside Lu Chen and smiled, "Anything is fine?"


    "Aren''t you losing weight recently?" Lu Chen raised his brows, "You still eat so much?"


    "You have the strength to lose weight when you''re full." Wang Zihao smiled, "I''ll tell Lao Gu the good news first, and then discuss where to eat tomorrow."


    Lu Chen was quite speechless, these two foodies!


    ¡­


    Midnight.


    Lu Chen''s consciousness entered the virtual space of the system and began to continue training the cardiac ultrasound technology.


    Heart ultrasound images of various slices, Lu Chen is already familiar with them.


    Tonight, he decided to train for the operation.


    in virtual space.


    A cardiac ultrasound machine and a simulated patient appeared in front of Lu Chen''s eyes.


    The steps of cardiac ultrasound technology flashed through my mind.


    Position the "patient", apply couplant to the probe, and determine the position of the cut-plane probe.


    Lu Chen started his first ultrasound operation.


    Ultrasound operation, the most important thing is to be able to quickly identify the image in the section.


    The benefits of the system space, you can point out whether the operation deviates from the correct position at any time, correct it in time, and get twice the result with half the effort.


    In the virtual space of the system, Lu Chen''s proficiency in cardiac ultrasound technology is also gradually increasing.


    ¡­


    was speechless all night.


    the next morning.


    As soon as Lu Chen got up and finished washing up, he received a WeChat message from Brother Dong Hao.


    "Junior Brother, I''m sick again."


    Lu Chen frowned: "Senior brother, where are you now?"


    Dong Hao immediately replied to a WeChat message: "Emergency Department."


    Lu Chen picked up his mobile phone and rushed to the emergency department before he had time to eat breakfast.


    ¡­


    Emergency Department.


    Observing room.


    "Junior Brother Dong, are you working the night shift again?" Wang Xiaodong looked at the boy in front of him helplessly, "Didn''t I tell you all to have a good rest, it''s better not to let the night shift work."


    Dong Hao was lying on the bed and said weakly: "Senior brother, how do I know that it will happen again. In the past, the disease occurred at most once in a year or two, but now it occurs twice a month."


    "Hey." Wang Xiaodong looked at the ECG monitor at the head of the bed, shook his head and said, "If you don''t rest well, you will have more seizures in the future!"


    Dong Hao just came out of the cardiology department and knew that Wang Xiaodong was not trying to scare him.


    When SVT occurs, if the heart rate is too fast, it will lead to heart failure and may even cause myocardial damage.


    ¡­


    At this time, Lu Chen walked into the observation room of the emergency department.


    He saw Dong Hao lying on the bed and Wang Xiaodong beside him at a glance.


    "Lu Chen?" Wang Xiaodong looked at Lu Chen suspiciously, "Why are you here? Buy it again... Help others work the day shift?"


    Wang Xiaodong is beating drums in his heart, Lu Chen must never come to work again!


    The last time he met Min Ling from the Endocrinology Department in the cafeteria, it happened that Lu Chen won the first place in the National Medical Student Skills Competition.


    The two happened to be talking about Lu Chen.


    After chatting ??, the two concluded that this Junior Brother Lu is a bit wicked!


    As long as he is on duty, the department will be busy.


    The level of this black face is already quite terrifying!


    "Senior Brother Wang, I didn''t come to work." Lu Chen walked to Dong Hao''s bedside, "I came to see Brother Dong Hao''s situation."


    Lu Chen looked at Wang Xiaodong strangely.


    He felt that Wang Xiaodong seemed a little afraid of him, or he was afraid that he would come to work.


    "Oh, that''s it."


    Hearing Lu Chen''s words, Wang Xiaodong breathed a sigh of relief.


    It¡¯s not just about coming to work!


    ¡­


    "Junior Brother, why are you running here?" Dong Hao struggled to get up from the bed, but Lu Chen quickly held him down.


    "Senior brother, let me see how you are doing!" Lu Chen said, "Why don''t you go directly to the Cardiology Department to be hospitalized and have radiofrequency ablation done!"


    Dong Hao frowned when he heard this, his expression a little hesitant.


    Lu Chen continued: "If you don''t do it now, the attacks of supraventricular tachycardia will become more and more frequent in the future, and it may even affect work and study.


    "How much will it cost?" Dong Hao paused and looked at Lu Chen beside him.


    Lu Chen thought about it and said, "The price of our hospital is about 10,000 to 20,000. This is the price before reimbursement."


    Dong Hao''s face darkened.


    "That is to say, even after reimbursement, I want six or seven thousand yuan, or even ten thousand yuan."


    Lu Chen nodded, "This is already the case with the lowest cost."


    "Then just wait." Dong Hao shook his head, "After a while, if the symptoms recur, I will go to the hospital for surgery."


    Lu Chen was silent.


    He knew that Dong Hao had a younger sister who had just gone to college, just when he needed money, and it seemed that his mother was the only labor force in the family.


    for a long time.


    Lu Chen just said, "Senior brother, do it now. The longer you delay, the more it may cost in the future. We have seen many such patients in clinical practice."


    "But..." Dong Hao gritted his teeth and whispered, "I don''t have enough medical expenses right now."


    "Senior brother, then I''ll give you a cushion for the time being." Lu Chen said, "You can pay it back later."


    "Is this... OK?" Dong Hao was still hesitant, "Then your living expenses..."


    Lu Chen smiled, "Senior brother, have you forgotten that I won the first place in the national medical skills competition, and the school has given a lot of material rewards. All scholarships and grants are given at the highest standards!"


    "And, today I went to a case discussion conference, and the first place was awarded a few thousand dollars."


    "Is this still possible?" Dong Hao admired Lu Chen.


    Knowledge is money.


    These words were vividly expressed in Lu Chen.


    "That''s right." Lu Chen smiled, "So, brother, don''t worry, my own living expenses are still too much."


    Dong Hao also understands his physical condition and the disease "Supraventricular Tachycardia".


    It may not be fatal at first, but if there is always sudden palpitation and chest tightness, it may seriously affect study and work.


    "Well, brother, before the end of the year, the hospital will give out another bursary. When you get the scholarship, just give it back to me." Lu Chen said.


    Lu Chen was not in a hurry to ask Dong Hao to pay back the money.


    But first, he just found a reason, so that Dong Hao could accept help with more peace of mind.


    Dong Hao is not the kind of person who is not very affectionate.


    Hearing Lu Chen''s words, he also knew that the sooner he had the ablation surgery, the better.


    "Then I will thank my junior brother first." Dong Hao said.


    Lu Chen chatted with Dong Hao again.


    Wang Xiaodong issued a hospitalization certificate for Cardiology Department.


    Lu Chen pushed the wheelchair and sent Dong Hao to the eighth district in his heart to be hospitalized.


    After a rough calculation, the amount of updates and rewards is about 20 chapters. Take an integer, let''s say 20 chapters. Next, there will be 7 days off for National Day, and it will be paid back slowly.


    (end of this chapter)

 Chapter 235： Encounter with Senior Sister (First Update)

    Chapter 235 Encounter with Senior Sister (First Update)


    After Lu Chen settled down Dong Hao, he helped him go through the hospitalization procedures.


    "Senior brother, our group happens to have an empty bed, so you can stay in this bed." Lu Chen said.


    "Okay, this is also convenient." Dong Hao nodded.


    Although Lu Chen was resting today, he still took the initiative to undertake the task of treating Dong Hao.


    "Fatty, Senior Brother Dong Hao, I''ll pick it up, I''ll take care of the doctor''s orders and the course of the disease, so you don''t have to worry about it." Lu Chen said to Cheng Peng, who was on duty today.


    "That''s really good." Cheng Peng heard this, the fat on his face shook, and his eyes narrowed with a smile.


    As usual, Lu Chen inquired about Dong Hao''s medical history in detail.


    Dong Hao described his condition from front to back.


    They are all medical students, so there is no need for Lu Chen to ask additional questions, which is relatively easy.


    After ??, Lu Chen went to the graduate department to help Dong Hao get a leave of absence.


    Fortunately, he is familiar with Xiao Zhongjiang, a postgraduate counselor.


    briefly explained the situation, Xiao Zhongjiang did not embarrass Lu Chen, and asked him to make a copy of Dong Hao''s hospitalization certificate so that he could go through the formalities for applying for leave.


    ¡­


    After finishing these things, it was twelve o''clock noon.


    At this time, the phone rang at the right time.


    Lu Chen took out his mobile phone and saw that it was Wang Zihao calling.


    Urge the eater to come!


    picked up the phone, and Wang Zihao''s loud voice rang.


    "Lu Chen, I have discussed with Lao Gu, let''s go to eat chuanchuan together, there is a chuanchuan restaurant at the back door of the school headquarters, I heard that it is not bad!"


    "Okay, it''s fine for you to decide." Lu Chen is more casual about what to eat, as long as it is clean and hygienic.


    hung up the phone, and Lu Chen received the WeChat location from Wang Zihao.


    The school headquarters is not far from the Second Hospital, so this Chuanchuan store is also very close, about ten minutes walk.


    Lu Chen first went back to the bedroom, met with Gu Xinyue and Wang Zihao, and then the three went to the Chuanchuan store together.


    ¡­


    This Chuanchuan shop is located in the snack street at the back door of the school headquarters.


    There are many kinds of restaurants in Snack Street, and you can find food from all over China.


    And as long as it''s night, there will be various barbecue stalls.


    The Chuanchuan shop that Wang Zihao found is not very well located in the snack street.


    But the taste is good and the price is affordable. As long as it comes to the weekend meal, there will be a long queue.


    "Fortunately, I made an appointment in advance, otherwise it would have taken a long time to wait like this!"


    Came to the entrance of Chuanchuan store, there were already four or five tables waiting, Wang Zihao couldn''t help but sigh.


    "You should book more than this one, right?" Gu Xinyue glanced at Wang Zihao.


    "Hey, I made a few reservations yesterday, and you can come directly to see what you want to eat today." Wang Zihao laughed.


    "Okay, anyway, there are local tyrants for a treat today, so I''m welcome."


    Lu Chen looked at the duo who sang a harmony, and could only smile and shake his head, following behind them.


    ¡­


    The three of them were preparing to enter the store under the leadership of the Chuanchuan waiter.


    "Lu Chen!"


    Lu Chen suddenly heard a somewhat familiar voice.


    Looking back, it turned out to be Ke Yue.


    And beside her stood a pretty girl, but she looked more mature than Ke Yue.


    Although he had not seen it many times, Lu Chen recognized at a glance that the girl beside Ke Yue was his senior sister Wang Shasha.


    "Ke Yue, Senior Sister, it''s such a coincidence that the two of you come to eat too?" Lu Chen stopped and said to the two of them.


    Before Ke Yue could speak, Wang Shasha laughed out loud: "Yeah, today is the weekend, so I just wanted to go out for dinner with Xiao Yue and thank her for her help during this time."


    "Oh." Lu Chen nodded.


    He remembered that Ke Yue had said some time ago that she still decided to help Senior Sister Wang Shasha finish her work.


    Wang Shasha had approached the three of them before, but both Lu Chen and Jiang Qingyan refused.


    It seems that Senior Sister Wang Shasha specially invited the guests to dinner this time, thank Ke Yue for her help.


    Ke Yue smiled at Lu Chen, but did not speak.


    "Senior sister, are you waiting for a seat?" Lu Chen asked with a smile.


    "Yes, this store is very popular." Wang Shasha nodded, "There are probably four tables in front of us."


    Lu Chen looked back at Wang Zihao and Gu Xinyue, "Would you like to have a table with my senior sister?"


    Wang Zihao spread his hands, "Okay, it''s not interesting for the three elders to eat.."


    Gu Xinyue said lightly: "It''s your treat anyway, you have no opinion, of course we have no opinion."


    Seeing that the two had no objection, Lu Chen said to Ke Yue and Wang Shasha senior sister: "Senior sister, let''s do it, how about everyone playing together? So you don''t have to wait."


    Ke Yue naturally has no opinion.


    Wang Shasha thought for a while, and nodded in agreement, "Then I''ll trouble Junior Brother."


    "No trouble." Lu Chen smiled.


    Although Wang Shasha has assigned them so much work, she is still her own senior sister after all, and the two have no emotional grudges at all.


    As for Wang Shasha and Ke Yue, one of them is willing to fight and the other is willing to suffer.


    ¡­


    The three-person line became a five-person line.


    The waiter brought everyone into the store.


    "Beautiful guy and beauties, what kind of pot do you want?" The waitress asked everyone.


    Lu Chen looked at Ke Yue and Wang Shasha, "All of us boys can do it, it''s up to you two."


    Wang Shasha was not polite, and immediately said: "Then let''s make a pot."


    "Okay." The waiter nodded, "You can pick up the sauce yourself. You can also choose what kind of skewers you want to eat."


    "Thank you." Lu Chen said.


    Then, Wang Shasha and Ke Yue went to choose the sauces and skewers first, leaving Lu Chen and the three to wait.


    "Lu Chen, this is your senior sister, Wang Shasha?"


    Gu Xinyue, who seldom speaks, suddenly said a word.


    "Well, what''s wrong?" Lu Chen looked at Gu Xinyue who was beside him.


    Gu Xinyue hadn''t spoken yet, Wang Zihao smiled wickedly, "Old Gu may have taken a fancy to your senior sister."


    Lu Chen smiled, Wang Shasha looks pretty and has a good figure, that''s really possible!


    "Shut up." Gu Xinyue glanced at Wang Zihao, then said to Lu Chen, "I seem to have heard of her."


    "You were an intern at the Second Academy of Beijing University as an undergraduate, so it''s normal to hear about it." Lu Chen smiled.


    But Gu Xinyue frowned, "I didn''t hear it in the clinical department, but in the laboratory."


    "Old Gu, have you been in the laboratory?" Wang Zihao asked in surprise.


    "Well, I stayed there when I was an undergraduate." Gu Xinyue nodded, "Don''t interrupt first. What I want to say is that when I was in the laboratory before, I heard that a senior sister always likes to assign work to junior brothers and junior sisters, but she said After the article, I will not bring the names of my junior and junior sisters.¡±


    "Ah? This is too much..." Wang Zihao said.


    Lu Chen frowned, "Lao Gu, the senior sister you''re talking about, could it be..."


    Before he finished speaking, Gu Xinyue nodded, and Lu Chen immediately understood.


    At this time, Wang Zihao coughed lightly when he saw that Ke Yue and Wang Shasha were coming back soon.


    Lu Chen and Gu Xinyue put aside the topic.


    "Junior brother, you guys also go pick the sauce." Wang Shasha sat back in her seat and said to everyone.


    "Okay." Lu Chen nodded.


    The three of them got up and picked the sauce.


    ¡­


    The bottom of the pot is on, and everyone chooses the sauce and skewers.


    The crowd began to feast on the food.


    During the meal, Lu Chen introduced the people on both sides again.


    When Wang Shasha learned that the three of Lu Chen were participating in the National Medical Skills Competition, her expression was also quite surprised.


    But the surprised expression was fleeting, and Wang Shasha immediately said: "Clinical skills are very important, but when we study medicine, the most important thing is the thesis."


    "Well, what Senior Sister said is." Lu Chen said casually.


    Wang Zihao was originally a fan, so naturally he also echoed a few words.


    Wang Shasha became interested when she heard this.


    (end of this chapter)

 Chapter 236： Unrelieved chest pain (second more)

    Chapter 236 Chest Pain Without Relief (Second)


    "Clinical treatment, there are only a few common diseases in each department. If you study the clinical guidelines, you will be able to learn it in a month or two!"


    "But it''s a big difference to develop papers in this subject! No one leads the way, no good resources, and no talent. Even if you spend a year or two in the lab and don''t know how to write articles, it''s useless!"


    "The three juniors are very good, but clinical skills are something that practice makes perfect. You still need to read more papers and focus on doing scientific research and writing papers."


    ¡°¡­¡±


    To be honest, is what Wang Shasha said wrong?


    correct!


    At least in the eyes of most doctors in top tertiary hospitals, scientific research and papers mean opportunities for promotion!


    Research ability can be assessed according to the quality of the paper.


    However, there is currently no standard for evaluating the quality of treatment.


    Curative effect? Patient feedback?


    If this is the case, many doctors will refuse to treat intractable diseases.


    Wang Shasha''s words, there is nothing wrong.


    However, when Lu Chen heard these words, he had an indescribable feeling in his heart.


    During his internship, he met many teachers with high clinical medical level.


    Many of them have better clinical treatment ability than those deputy directors or even director-level doctors.


    But it was because he couldn''t do scientific research or write papers, so he was a 10,000-year-old attending doctor.


    But this is the reality and there is no way to change it.


    Since he was in this kind of environment, he couldn''t change for a while, so Lu Chen could only adapt to it.


    ¡­


    However, what Sister Wang Shasha said next was a little "crooked".


    "As for scientific research, Junior Sister Ke Yue has done a very good job."


    Wang Shasha said Ke Yue, but her eyes were fixed on Lu Chen.


    "Junior Sister Ke Yue is hardworking and talented in scientific research. So Junior Brother Lu Chen, you have to work hard! Don''t do useless work every day, and use your energy to do the right thing."


    Lu Chen knew that Wang Shasha was insinuating, and secretly said that he had rejected her request for help.


    "Well, I do have to learn from Ke Yue." Lu Chen smiled lightly.


    There is no need for him to fight to the death with his senior sister.


    Wang Shasha nodded slightly: "Well, you can ask me if you don''t understand, and I will tell you if I can help you, so that you can avoid some detours."


    "Then I would like to thank Senior Sister first." Lu Chen said.


    Anyway, Wang Shasha did this job very skillfully on the surface.


    But after Wang Shasha chatted like this, the originally more active dining atmosphere suddenly became a bit dull.


    Lu Chen didn''t take the initiative to talk much, and Wang Zihao and Gu Xinyue didn''t take the initiative to chat.


    Ke Yue on the side of ?? also only occasionally heard everyone talking about him and said a few words, then he buried his head and continued to eat.


    This meal will soon come to an end.


    Lu Chen went to the front desk to check out in advance, Wang Shasha said nothing after politely.


    ¡­


    After the bill was settled, Ke Yue and Wang Shasha left first, and they had other things to do.


    The three of Lu Chen walked back to the Second Hospital of Jinghua.


    On the way back, Gu Xinyue turned to look at Lu Chen.


    "Lu Chen, why do I feel that you, senior sister... seems to have a little opinion on you!"


    Lu Chen smiled, "Lao Gu, your sixth sense is quite accurate!"


    "What? Really?" Wang Zihao asked in surprise.


    "Yes." Lu Chen nodded, "This senior asked me to help her read papers and record data. There are too many data to be recorded. There are probably more than 500 patients'' information. I refused."


    "Five hundred?" Wang Zihao was also taken aback, "She is too daring to speak, she really doesn''t treat you as an outsider!"


    "This...who knows?" Lu Chen shrugged.


    Gu Xinyue said, "So your girl named Ke Yue, she agreed?"


    "Well." Lu Chen said.


    "Then this is useless work!" Wang Zihao said quickly, "Aren''t you going to remind your classmate?"


    Lu Chen smiled bitterly, "She should have done more than half of it, otherwise senior sister wouldn''t take her out for dinner. What''s more, if she is asked to give up now, she probably won''t be reconciled. Giving up is really useless. If you don''t give up, maybe the senior sister will bring her name in the article."


    "Hey." Wang Zihao shook his head, "It''s unlucky for you to meet such a senior sister, but she will graduate next year, so it won''t hurt you for a long time."


    The three walked and chatted, and soon returned to the hospital.


    ¡­


    afternoon.


    Lu Chen rested for a while, and then continued to start the skills training of cardiac ultrasound.


    After this period of training, he has learned to interpret and operate the four common cardiac slices.


    includes parasternal left ventricular long-axis view, right ventricular inflow tract view, aortic short-axis view, and apical four-chamber view.


    The proficiency of ?? Cardiac Ultrasound has also risen to 40%.


    The skill proficiency increased very quickly in the early stage, but it has not increased now!


    If he wants to continue to improve his cardiac ultrasound technology, Lu Chen needs a higher-level skill card for cardiac ultrasound!


    According to the current permissions of the system mall, Lu Chen can''t redeem it yet.


    ¡­


    Clinical life continues.


    Lu Chen has been at Jinghua Second Hospital for two and a half months, and officially started work in less than a month.


    However, although the time was short, the changes it brought to Lu Chen were huge.


    The ?? system is being upgraded, and his clinical thinking and clinical skills are constantly improving.


    What Lu Chen is most looking forward to now is the next upgrade of the system.


    This health value mechanism is a bit tasteless in emergency situations.


    Now the completion of the system upgrade is only about 20%, so I can''t be in a hurry.


    The rice should be stuttered in one bite, and the road should be walked step by step, so as to be steadfast.


    ¡­


    The weekend is over and another busy working day has arrived.


    In the morning, Lu Chen brought Gu Xinyue a breakfast and went to the eight districts in his heart.


    Today, there is a new friend in the group to take over the vacant position after the previous wave of students left.


    Li Yao grouped two interns.


    One male and one female, they are all fifth-year students of Jinghua Medical University.


    One of the boys is Wei Wenwen. He wears glasses, is thin, and doesn¡¯t speak much. He often sits in the office with a book in his hand.


    Because there are many discharged patients today, there are a lot of vacant beds, and the morning is extra busy.


    Lu Chen received four patients by himself, and Ke Yue and Jiang Qingyan also received a lot.


    Fortunately, with the help of Fan Zhiping and this boy named Wei Wenwen, Lu Chen was able to process all the patients'' admissions and doctor''s orders before leaving get off work.


    "Go to work at two o''clock in the afternoon, remember not to be late." Lu Chen reminded the two new interns. He was about to get up and go to the duty room to change his white coat. The nurse on duty hurried into the office.


    When Lu Chen saw her walking towards him, he knew that there was nothing good.


    Sure enough, the nurse on duty shouted, "Lu Chen, the 10-bed patient you received in the morning just had chest pains again. He himself contained nitroglycerin and said the pain was not relieved, so hurry up and take a look!"


    "Okay, I''ll go now."


    Lu Chen immediately stood up, frowned, and walked out of the office.


    10 beds, this is a patient with chest pain he received in the morning.


    The outpatient doctor suspected coronary heart disease and angina pectoris, so he was directly admitted to the hospital.


    He had a pain attack before, and every time he took a nitroglycerin tablet under the tongue, the pain was relieved.


    However, after taking nitroglycerin this time, the pain did not ease.


    Wouldn''t it be a heart attack? !


    Lu Chen''s eyelids twitched, and the pace under his feet could not help but speed up a bit.


    ¡­


    There are also updates. Around 12 o''clock.


    (end of this chapter)

 Chapter 238： Shall I try it? (first update)

    Chapter 238 Shall I try it? (first update)


    Sun Guoguo has a relatively stable personality. When the dissection cannot be completely ruled out, she will not easily allow the patient to undergo interventional surgery.


    "Let''s do it at the same time!"


    After thinking about it for a few minutes, Sun Guoguo decided to contact the catheterization lab to prepare for the intervention.


    The other side is to contact the CT room, saying that patients with chest pain should undergo an enhanced CT scan of the chest to rule out the possibility of aortic dissection.


    "Lu Chen, please push the patient for enhanced CT in a while. If the results are ok, then don''t go back to the ward, just push the patient to the catheterization room."


    "Okay, Senior Sister." Lu Chen nodded.


    This is by far the safest way.


    However, it was an enhanced CT and an interventional operation. The patients and their families were a little scared by the situation.


    Sun Guoguo directly communicated with the patients and their families about the condition, obtained informed consent for all operations, and signed his name.


    Then, Lu Chen pushed the patient to the CT room.


    ¡­


    On the way, the patient''s brows were not loosened, and they were tightly wrinkled.


    At the door of the CT room, the patient''s chest pain got worse!


    "Just push a morphine." Lu Chen said to the accompanying patient.


    "Okay." The nurse nodded.


    A morphine injection was prepared in the first aid box in advance, and the nurse directly gave 4mg morphine to intravenous push and analgesia.


    Morphine injection is a strictly controlled narcotic drug.


    Whether the patient has myocardial infarction or aortic dissection, excessive pain is not conducive to the recovery of the disease.


    In particular, it may increase the oxygen consumption of the heart, so Lu Chen decided to push the morphine needle.


    Because I had communicated with CT in advance, as soon as I arrived in the CT room, the needle for angiography was inserted, and the examination was arranged immediately.


    The enhanced CT scan was completed soon.


    Lu Chen took a general look and found that there was no obvious dissection of the thoracic and abdominal aorta, so it should not be chest pain caused by aortic dissection.


    The rest is acute myocardial infarction!


    On the ward side, after the enhanced CT is completed, the image results are directly uploaded to the medical record system.


    In the ward, Sun Guoguo has also seen CT images.


    "If you don''t see the dissection, then push it directly into the catheterization room. I contacted the doctor in the catheterization room." Sun Guoguo also called Lu Chen and asked him to directly send the patient to the catheterization room for emergency interventional surgery.


    Now, Lu Chen was completely relieved, and stepped up to push the patient directly to the catheterization room.


    ¡­


    Less than 10 minutes before and after.


    Lu Chen handed the patient over to the doctor in the cardiac catheterization room.


    The catheter lab sent a doctor again to communicate with the family.


    There is not too much communication about surgery. Only with proper communication can we avoid doctor-patient disputes after surgery as much as possible.


    The doctor in the catheterization room spoke very fast, and regardless of whether the family understood it or not, he put the consent form in front of her directly.


    "Sign it."


    The patient''s wife also listened to the general idea. The overall meaning is that this stent is effective, but expensive.


    And there may be problems, but if you don''t do it, you will die.


    "That''s nothing to say, I''ll sign." The patient''s wife picked up the pen, gritted her teeth, and her fingers were shaking.


    After signing the operation communication, the operation began.


    but¡­¡­


    The accident came as expected.


    ¡­


    Cardiac catheterization room.


    Interventional Cardiologist Ren Feng, he stared at the screen and repeatedly irradiated with X-rays, but he didn''t see any obvious narrowed or blocked coronary arteries.


    A few large blood vessels are still very smooth!


    What''s going on here?


    Ren Feng on the stage was sweating on his forehead and began to swear, "tmd, I didn''t see anything abnormal on the chest CTA."


    After ?? stepped down, Ren Feng transferred the CT film he just made.


    After checking it repeatedly, there is indeed no aortic dissection!


    Combined with the current coronary angiography, there is no myocardial infarction.


    nothing!


    The patient has severe chest pain, which is obviously a problem!


    But no problem was found, this is no joke.


    Fortunately, the patient''s chest pain seems to have improved at this time, and the brows are slightly stretched.


    Otherwise, the interventionists in the cath lab would have to be rushed to death.


    "End the operation." Ren Feng said to the assistant and nurse beside him, "Tell the family that the patient is not acute myocardial infarction, nor is it coronary heart disease, and there is no coronary heart disease at all."


    Although the coronary artery is a little narrow, it is far from the level that causes myocardial ischemia and hypoxia and frequent angina pectoris.


    The patient was quickly pushed back to the eighth area of ??the heart.


    ¡­


    Eight areas in the heart at this time.


    Lu Chen, Sun Guoguo and others have seen the results of coronary angiography.


    Everyone was a little stunned.


    Not aortic dissection, nor acute myocardial infarction!


    At this time, the patient''s wife walked into the doctor''s office.


    "Dr. Sun, what is the cause of chest pain, isn''t it coronary heart disease? It has always been treated according to coronary heart disease. Before, nitroglycerin can also relieve chest pain. Isn''t it said that nitroglycerin is a special medicine for coronary heart disease. "


    The patient''s wife insisted on "coronary heart disease" this time.


    She has no choice but to worry.


    This is not, that is not, there is an explanation for what is sick!


    "The chest pain just now is really scary, it feels like a person can''t die all of a sudden."


    Sun Guoguo was also very depressed, but depression could not solve the problem.


    However, she immediately thought of a remedy.


    Judging from the severity of the patient¡¯s chest pain, it must be related to the condition of the heart or lungs or large blood vessels.


    Since no obvious problems were found in coronary angiography and chest CTA, it is very necessary to do a cardiac ultrasound!


    The heart of the human body is like a house, with walls, pipes, and circuits.


    ECG is to look at the circuit (cardiac conduction system), coronary angiography is to look at the water pipe (coronary artery), and echocardiography is to look at the walls and doors and windows.


    A problem with the electrical circuit and water pipe in the house can cause chest pain.


    Broken walls (myocardium), doors and windows (valves) can also cause chest pain. So this echocardiography is a must.


    Originally, coronary heart disease patients routinely have echocardiography.


    But it was too urgent just now, and I was racing against time to get on stage.


    Sun Guoguo also thought that the echocardiography might be a superfluous examination.


    But in retrospect, echocardiography is still a must.


    Of course, the family agreed to do it. As long as she found the cause, she couldn''t be so confused.


    Besides, she has done all the dangerous and expensive coronary angiography, not less than a heart ultrasound.


    ¡­


    Sun Guoguo returned to the ward and auscultated the patient''s heart again. It seemed that there was a murmur, but it was not too obvious.


    "Junior Brother Wei, please give the patient a bedside echocardiography." Sun Guoguo said.


    "Okay!" Wei Wenzhong nodded.


    However, in less than two minutes, he returned to the ward.


    "Senior sister, the teacher in the ultrasound room is doing an ultrasound at the CCU on the fourth floor. It may take more than ten minutes!" Wei Zhong said.


    Cardiac ultrasound is not a routine emergency examination, and some small hospitals do not even have bedside emergency ultrasound.


    "Okay, then we can only wait!" Sun Guoguo frowned.


    The patient has repeated chest pains, and it is imperative to do a cardiac ultrasound!


    At this time, Lu Chen suddenly said, "Senior sister, why don''t I try an ultrasound?"


    (end of this chapter)

 Chapter 239： Mysterious Lu Chen (Second Update)

    Chapter 239 The Mysterious Lu Chen (Second)


    Although Lu Chen''s view is not as accurate as a professional cardiac ultrasound doctor, he can still see a few rough slices of the heart.


    However, Sun Guoguo''s expression was somewhat puzzled.


    "Junior brother, when will you have a heart ultrasound??"


    The theoretical knowledge of cardiac ultrasound is very simple, but it requires long-term training.


    Their clinicians rarely touch this thing, unless they go to learn it, they basically don''t know it.


    Lu Chen nodded and said, "I have learned before, and I can still see the common cuts clearly."


    was ambiguous when he looked back, but Sun Guoguo did not continue to ask.


    "That''s all right, Junior Brother, try it first, if not, wait for the ultrasound teacher to do it."


    She knew that Lu Chen was not a targetless person. If she said that she could do a heart ultrasound, she must have two brushes!


    Lu Chen saw that Sun Guoguo agreed, so he went to the treatment room to get a portable echocardiograph.


    ¡­


    However, Lu Chen forgot one thing.


    On a night shift, Fan Zhiping and Lu Chen worked together.


    Fan Zhiping knew very well that Lu Chen at that time was completely unaware of cardiac ultrasound.


    It''s only been a week since Lu Chen suddenly met?


    If Lu Chen is not lying, then this is too unbelievable!


    But based on Fan Zhiping''s understanding of Lu Chen, he is not such a person at all, so he doesn''t need to lie.


    And it will be operated on the spot in a while, this lie will be seen immediately, it is completely unnecessary!


    Fan Zhiping watched Lu Chen walk into the ward with a portable echocardiograph in his hand. He suddenly felt that Lu Chen was covered with mist.


    Many things on Lu Chen''s body are too mysterious!


    The closer ?? got, the stronger Fan Zhiping felt.


    ¡­


    Lu Chen got the echocardiograph, smeared the probe with couplant, and started his own operation.


    "Uncle, turn your body to the left." Lu Chen instructed.


    When probing the heart with an ultrasound machine, it is disturbed by air in the lungs.


    Therefore, the patient''s body is generally tilted slightly to the left, the plane of the heart is down, and the interference by the gas becomes less.


    The patient nodded and shifted.


    Lu Chen sat on the right side of the hospital bed and began to view the first cardiac section.


    Sun Guoguo saw that Lu Chen''s posture was very standard, and he knew that he would probably do it.


    Fan Zhiping on the side of ?? was also shocked.


    Lu Chen''s actions did not feel unfamiliar.


    Lu Chen came to work in the department every day, where did he get time to train?


    Could it be that he bought a portable cardiac ultrasound machine and trained in the bedroom?


    is the cheapest portable ultrasound machine and costs tens of thousands of dollars.


    It¡¯s not unreasonable to buy one yourself!


    ¡­


    At this time, Lu Chen didn''t have time to pay attention to the thoughts of the people around him. He read the four common heart slices.


    At this look, I really see the problem!


    "The patient''s left ventricle is hypertrophic and asymmetric, and the left ventricular outflow tract is also narrow, which is completely different from the normal heart myocardium."


    Lu Chenchao said to Sun Guoguo and Fan Zhiping on the side.


    "Myocardial hypertrophy?" Sun Guoguo was taken aback.


    This really showed Lu Chen the problem!


    Sun Guoguo knows the results of cardiac ultrasound, which are closely related to the operator''s technique.


    It''s not that she doesn''t believe Lu Chen.


    It''s that Lu Chen''s performance is too evil!


    The surprised expression on Fan Zhiping''s face was exactly the same as that of Sun Guoguo.


    If he didn''t know Lu Chen''s past, he would definitely feel that Lu Chen was talking nonsense.


    However, Lu Chen nodded firmly: "I roughly measured the thickness of the myocardium, and the thickness of the myocardium was obviously widened, so there must be myocardial hypertrophy. However, in the specific situation, we still have to wait for the ultrasound teacher to do it again before making a diagnosis. ."


    The screen of the portable ultrasound system is only the size of a palm, and many functions are not available, and it is limited to Lu Chen''s current technology. For further diagnosis, it is still necessary to rely on a professional ultrasound teacher.


    Sun Guoguo nodded: "If the ultrasound results are correct, why does the patient''s left ventricle have asymmetric hypertrophy? And the left ventricular outflow tract is also narrow."


    "Hypertension?" The first thing Lu Chen thought of was that the patient''s high blood pressure for many years had caused the left ventricular hypertrophy of the heart.


    Imagine that the blood pressure is so high that if the heart wants to pump blood out, it must increase the horsepower and do more work.


    Like regular physical exercise, over time, the left ventricle will become hypertrophic.


    The degree of myocardial hypertrophy is within a certain range of compensation, which is beneficial.


    But if there is too much hypertrophy, it will be like a spring that loses its elasticity and the heart function will be affected.


    Sun Guoguo shook his head, "Hypertension''s cardiac hypertrophy is generally symmetrical, but you just didn''t say that the patient''s cardiac hypertrophy is asymmetric!"


    Lu Chen thought about it and said, "Could it be hypertrophic cardiomyopathy?"


    Sun Guoguo nodded in agreement.


    Hypertrophic cardiomyopathy is an inherited cardiomyopathy.


    Usually the ventricular muscles are characterized by asymmetric hypertrophy, and many adults die suddenly because of this disease.


    This type of hypertrophic myocardial infarction does not pump blood smoothly in the heart, which will lead to coronary ischemia, so it will also cause chest pain and chest tightness.


    But this is not the cause of the coronary artery itself, but the obstruction of the outflow tract caused by myocardial hypertrophy, which makes it difficult to pump blood.


    Thinking of this, Sun Guoguo began to feel annoyed, and should have done this echocardiography early in the morning.


    But then again, at that moment, a one-minute delay could be fatal.


    ¡­


    About twenty minutes later, the doctor from the cardiac ultrasound department finally came.


    Sun Guoguo asked the doctor in the Department of Cardiac Ultrasound to re-do the patient''s echocardiography.


    The results reconfirmed that the patient is a hypertrophic cardiomyopathy, and his interventricular septum thickness: left ventricular free wall thickness> 1.3:1.


    The patient had asymmetric ventricular hypertrophy without enlargement of the ventricular cavity, and the patient did have left ventricular outflow tract obstruction.


    "Junior Brother, you are really amazing!" Sun Guoguo exclaimed.


    In Sun Guoguo''s mind, Lu Chen must have been studying cardiac ultrasound for a long time.


    Otherwise, it would be impossible to have this skillful technique.


    Diagnosed cardiac hypertrophy in a patient with just one portable echocardiograph!


    Even the ultrasound teacher was surprised,


    It is rare for such a young graduate student to be able to independently diagnose hypertrophic cardiomyopathy!


    ¡­


    Fan Zhiping''s expression became a little numb.


    Can you diagnose hypertrophic cardiomyopathy in less than a week of studying cardiac ultrasound?


    Although Fan Zhiping is not a professional cardiac ultrasound, he is well aware of the difficulty.


    Hypertrophic cardiomyopathy is easily missed because of their county hospital sonographers.


    Many patients had no problem with the cardiac ultrasound done at the county hospital, but when they arrived at the big hospital, they developed cardiac hypertrophy!


    This is not one or two patients, but a regular occurrence!


    Fan Zhiping looked at Lu Chen, it was hard to imagine.


    How did Lu Chen train his cardiac ultrasound technology to such an extent this week!


    There is one more.


    (end of this chapter)

 Chapter 240： Dwarf winter squash! (Snow a bit of Bi Wan reward plus more)

    Chapter 240 Dwarf winter melon! (Snow a bit of Bi Wan reward plus more)


    Now the patient''s diagnosis is finally clear, that is hypertrophic cardiomyopathy!


    The family members were relieved when they heard a statement.


    People are most afraid of the unknown!


    "Is this disease serious?" the patient''s wife suddenly asked.


    Lu Chen thought for a while, then said: "The cause of this disease is unknown, it may be related to heredity, severe heart failure or even sudden death. Many young people died suddenly, or it was reported in the news that so-and-so was playing basketball. Died, maybe this hypertrophic cardiomyopathy."


    Due to the patient''s repeated chest pain attacks over the past few years, his cardiac function was not very good after the echocardiography just now.


    Sun Guoguo said to the patient on the bed: "If you don''t control your blood pressure well, your heart function will get worse and worse."


    High blood pressure will increase the load on the heart, which will further cause myocardial hypertrophy.


    When severe heart failure occurs, the patient will be unable to move.


    "After my blood pressure drops, can I stop the antihypertensive drugs?" the patient whispered.


    Sun Guoguo said with a serious expression, "You can''t take antihypertensive drugs if you want to take them, and you can''t take them if you don''t want to. Antihypertensive drugs should be taken every day, just like eating, so that blood pressure can be stabilized."


    If the blood pressure fluctuates greatly, this is more harmful than pure high blood pressure!


    Imagine that a water pipe is constantly expanding and contracting, and sooner or later it will explode.


    "Doctor, is my hypertrophic cardiomyopathy really incurable?" the patient asked with a bitter face.


    "I don''t even know the cause of this disease. How can I cure it?" Sun Guoguo said, "Of course, just because it can''t be cured doesn''t mean it can''t be cured."


    "We have drugs to control the symptoms. The metoprolol we give you now is a better drug. It can make your heart beat a little slower, relax a little bit, and relieve obstruction."


    "Besides, you can throw away your nitroglycerin. Eating nitroglycerin for hypertrophic cardiomyopathy may aggravate the condition."


    "But before chest pain, sublingual application would really help." The patient was a little puzzled.


    "It may be that the blood pressure is too high. Nitroglycerin can lower blood pressure and relieve symptoms." Sun Guoguo emphasized, "But anyway, it is better to use metoprolol in the future, and use less nitroglycerin. You do not have coronary heart disease. ."


    "If I take this metoprolol, will the pain continue?"


    "If the drug doesn''t work well, surgery is still possible." Sun Guoguo continued, "The left ventricular outflow tract of the heart is obstructed. If it gets worse, it can be surgically removed."


    Lu Chen and Sun Guoguo patiently explained the condition to the patients and their families.


    ¡­


    "Congratulations, get +1 thanks to Luoping!"


    "Congratulations, get +1 thanks from Zhang Fang!"


    Lu Chen got two more points of gratitude.


    However, Lu Chen was surprised that the system upgrade completion rate did not increase!


    According to the previous practice, each time a case is diagnosed, the upgrade completion rate will increase by 1%.


    However, the diagnosis of this patient is already clear, but the system has not given any hints.


    "Is it a system delay?" Lu Chen couldn''t help but think, "Or is it a system bug?"


    However, after the patient applied metoprolol, the chest pain did ease!


    So Lu Chen didn''t pay much attention to this.


    ¡­


    Because of dealing with this patient, most of the lunch break time has passed.


    Lu Chen had to go to the cafeteria to buy a meal.


    After ?? finished eating, with only ten minutes left, he went directly to the eighth district in his heart.


    The patient with hypertrophic cardiomyopathy in the morning made Lu Chen aware of some of his own problems.


    For example, the auscultation of the heart is not careful enough!


    Heart auscultation is the housekeeping skill of a cardiologist.


    The patient has myocardial hypertrophy and left ventricular outflow tract obstruction. It stands to reason that a murmur can be heard in the cardiac auscultation area.


    But Lu Chen subconsciously felt that the patient was a patient with myocardial infarction, so he did not carefully auscultate the heart valve area!


    Without careful auscultation, such an important sign was missed all of a sudden!


    In addition, Lu Chen also realized the importance of cardiac ultrasound for clinical diagnosis.


    Especially for patients with such changes in heart structure, no matter whether it is ECG, chest CT, or coronary angiography, it is impossible to diagnose and judge.


    Only through cardiac ultrasound can we better understand the morphological characteristics of the heart structure!


    Doing a cardiac ultrasound by yourself is far more intense than having someone else do a cardiac ultrasound.


    ¡­


    After a busy day, I went back to my bedroom at night.


    Lu Chen continued his training in cardiac ultrasound.


    After a real-world drill, he became more aware of the weaknesses of his technique.


    Based on this, Lu Chen started targeted training!


    It is precisely because of the existence of the virtual space of the system that he was able to master the entry-level technology of cardiac ultrasound in such a short period of time.


    The skill proficiency of cardiac ultrasound rose all the way to 60% before it stopped.


    Although this kind of cardiac ultrasound skill card is elementary, it still benefits Lu Chen a lot.


    ¡­


    The next day.


    Today, Li Yao came to the ward and started the director''s rounds once a week.


    Recently, because Li Yao was busy writing the national nature tender, she came to the ward less frequently.


    This further ensures the quality of ward rounds.


    Therefore, Li Yao''s rounds are very slow today.


    "Mr. Li, this 10-bed patient came yesterday, and the echocardiogram showed hypertrophic cardiomyopathy." Sun Guoguo said.


    Li Yao stood at the head of the bed of the 10-bed patient, holding his medical records in his hand.


    At this time, the patient''s wife suddenly complained: "Director Li, the doctors told our family to lose weight, but if you look at him, he is fat on his face and stomach, and his hands and feet are not fat. If he loses weight, he will look like a winter melon. ."


    This made everyone laugh.


    "Hypertensive patients must lose weight!" Li Yao read his laboratory report, "Blood lipids are high, blood sugar is also high, and the glycated hemoglobin is 7.5%, which means that he is very likely to have diabetes. But you didn''t find it before. High blood pressure, high blood lipids, and high blood sugar are all there. If you don''t lose weight, then wait for the hospital to be re-hospitalized in the future."


    Li Yao checked the patient while talking.


    She found that the patient is really fat on the head and face, mainly on the trunk, and the limbs are not very fat, but look a little thin.


    Li Yao pondered for a while, then sighed, as if he had noticed something strange.


    She turned to look at the crowd behind her.


    "When you see the patient''s body shape, what do you think of?"


    Lu Chen had already noticed it.


    When the patient''s family said about the dwarf winter melon, everyone else laughed, but he was the only one who couldn''t laugh.


    The completion rate of the system upgrade has not increased for a long time. Lu Chen thinks that this may not be a system bug!


    He thought of a situation that no one else might have thought of, except for Li Yao of course.


    No one else in the ?? group spoke.


    Lu Chen took over the words: "The patient''s condition is more complicated, and I''m afraid this cardiac hypertrophy is not the main cause."


    As soon as these words came out, everyone was in an uproar.


    No more updates, everyone, go to sleep.


    (end of this chapter)

 Chapter 241： Live as a case (first update)

    Chapter 241 Lived into a Case (First Update)


    Director Li Yao was the only one who smiled. She looked at Lu Chen and said, "Keep talking."


    Lu Chen nodded, wondering if it was because of the "clinical insight" he received last time.


    He quickly sorted out all the information of the patient in his mind, and began to integrate and analyze it.


    "From the point of view, the patient''s chest pain, chest tightness, heart failure and other symptoms may be caused by hypertrophic cardiomyopathy."


    "However, the diagnosis of hypertrophic cardiomyopathy is still a bit sloppy, and other diseases may also have similar myocardial changes, not necessarily caused by the primary genetic inheritance, but may also be caused by acquired diseases. Cardiac hypertrophy."


    Lu Chen was also puzzled until he just saw the patient''s body shape.


    "Look at the patient, the typical full moon face and buffalo back."


    When Lu Chen said this, everyone was even more surprised.


    "Have you seen the face of the full moon and the back of a buffalo?" Lu Chen looked at Wei Wenwen who was beside him.


    Wei Wenwen nodded, "I''ve seen it in books, but I haven''t seen it in reality."


    Lu Chen said sternly: "If you guessed correctly, the patient in front of you has a typical full moon face and a buffalo back."


    It stands to reason that buffalo backs and full moon faces are not uncommon.


    But everyone''s attention is not on this one, it''s all on the heart and myocardium.


    So when Lu Chen proposed a full moon face and a buffalo back.


    Everyone was very surprised, and after looking at them carefully, many people started to nod again.


    Especially the patients have thin limbs, which is similar to some patients who have been taking hormones for a long time.


    Central obesity, thin hands and feet around, this is the result of the redistribution of protein and fat.


    Lu Chen continued: "The patient either took hormones for a long time, or the level of hormones increased due to diseases in the body."


    But the patients and their families were taken aback.


    "I''ve never taken hormones!" The patient said immediately.


    Lu Chen smiled and said, "That''s right, that means you may have a hidden disease."


    "This disease is constantly secreting hormones, and excessive secretion of hormones will cause your blood sugar to rise, blood lipids to rise, and concentric obesity on your full moon face and buffalo back."


    "More importantly, it also causes heart damage, causing cardiac hypertrophy."


    Lu Chen finally spoke up.


    "Is the patient Cushing''s syndrome?" Wei Wenwen couldn''t help asking.


    Any doctor or medical student, you only need to mention the full moon face and the buffalo back to him.


    He must think of Cushing''s syndrome, because this is too classic.


    The so-called Cushing''s syndrome is a general term for diseases caused by various causes that cause the adrenal gland to secrete too much glucocorticoid (hormone).


    Many diseases cause the adrenal glands to overproduce hormones, so this is a syndrome, not a specific disease. The most common cause is a pituitary tumor, followed by a tumor of the adrenal gland itself.


    "Well, that''s what I thought about it." After Lu Chen finished speaking, he looked at Li Yao, waiting for her to express his position.


    I saw a very bright smile on Li Yao''s face.


    It seems that she is very satisfied with Lu Chen''s analysis, "Yes, if it wasn''t for the family''s reminder, I would have ignored the patient''s central obesity. If you look closely, the patient''s skin is also relatively thin, which indicates that It''s Cushing''s syndrome."


    Everyone looked at the patient''s skin and gasped in amazement.


    "The patient''s skin really looks thinner and more transparent."


    Everyone is convinced of Li Yao and Lu Chen''s analysis.


    And it can also explain all the positive symptoms of the patient from start to finish, from hypertension, hyperlipidemia, hyperglycemia, central obesity, cardiac hypertrophy, thin skin and so on.


    Especially the patient''s high blood pressure, according to the patient''s own words, has not been well controlled after changing a lot of medicines. On the one hand, it is related to the irregularity of their medication, and of course it may also be related to the disease itself.


    ¡­


    Next, Li Yao used an easy-to-understand analogy to tell the patients and their families about the disease.


    Pituitary and adrenal glands are endocrine organs of our body.


    The pituitary gland is the leader and the adrenal gland is the subordinate.


    Therefore, if the patient is really Cushing''s syndrome, the next step is to find out whether the leader of the pituitary gland has a problem, or the subordinate of the adrenal gland has a problem.


    "Director Li, how should we investigate this disease next?" said the patient''s wife nervously.


    Li Yao did not answer directly, but turned to look at everyone.


    "Where is the pituitary gland? The pituitary gland is in our brain. Where is the adrenal gland? As the name suggests, it is above our kidneys, almost at our waist."


    "No matter where the problem is, the top priority is to first determine whether the patient has Cushing''s syndrome."


    ¡­


    Patients and their families were mixed when they heard that they had Cushing''s syndrome.


    I am delighted that Director Li Yao said that if it is a simple tumor, it can be cured by one-size-fits-all.


    Sadly, it may also be cancer that causes too much hormone secretion, which is tricky.


    On the same day, blood tests will be arranged to check related hormones, and blood hormone levels in three time periods will also be checked.


    is the blood hormone level at 16:00 pm, 0:00 am, and 8:00 am the next morning, respectively.


    The purpose of this separate examination is to see whether the hormone secretion in the patient is still regular.


    ¡­


    Li Yao is worthy of being the director of the department. Not only this case, but every subsequent case, she has analyzed it very well.


    All the places that you don¡¯t usually think of are called out.


    The seemingly difficult cases are analyzed step by step, and finally a correct diagnosis and the best treatment measures are obtained.


    rounds, and finally found Dong Hao.


    Dong Hao was lying on the hospital bed, and Li Yao''s expression was also stunned.


    Lu Chen immediately explained: "Teacher, Brother Dong Hao had a heart attack and was diagnosed with paroxysmal supraventricular tachycardia. This time he came to the hospital for radiofrequency ablation."


    Li Yao understood.


    "You just got out of the Cardiology Department, Xiao Dong, you should be well aware of this disease, right?"


    Dong Hao gave a wry smile, "Director Li, I feel that I have lived as a typical case, and I compare every symptom of mine with the book, and it feels right!"


    "Don''t worry too much." Li Yao smiled, "The technology of radiofrequency ablation is now very mature, and there are few side effects and complications."


    "Well, I know, Director Li." Dong Hao nodded slightly.


    But Li Yao frowned and said, "However, Xiao Dong. I still want to remind you that there is a risk of recurrence after surgery. Because we can''t eliminate all abnormal pathways!"


    After some people have surgery, the paroxysmal appeal has recurred in a few months at a very long time!


    "Don''t worry, Director Li, Junior Brother Lu Chen told me about these precautions for surgery." Dong Hao said.


    Even for the most familiar friends, none of these communication records should be missing, and they all need the signature of the patient or guardian.


    ¡­


    Li Yao''s big rounds lasted a full hour and a half.


    it is finally over!


    (end of this chapter)

 Chapter 242： Endpoint of Diagnosis (Second Update)

    Chapter 242 The End Point of Diagnosis (Second Update)


    Everyone went back to the doctor''s office, first revised the doctor''s order that Li Yao ordered, and then began to write the course record.


    Lu Chen specially instructed the nurse on duty to pay attention to the doctor''s orders for blood draws for the 10-bed patients.


    Because these correspond to different time periods, it is easier to miss.


    This morning, Lu Chen was quite busy, and basically had no time to rest except going to the toilet.


    Of course, Cardiology itself is one of the busiest departments in the internal medicine system.


    As long as Lu Chen is still in the Cardiology Department, this kind of busy clinical life is a common occurrence.


    In contrast, Zhou Wei lived a life of "raising mice" ahead of schedule.


    Although Zhou Wei is also a postgraduate student, his mentor is in the rising stage of his career, and there is a shortage of people in the laboratory. After various coordination, he was temporarily transferred to the laboratory.


    So, Zhou Wei stayed in the laboratory every day, basically not in the clinical department.


    But although the clinical work is hard, the scientific research life in the laboratory is not much better!


    "I also want to go to the clinic! Raising mice is not only troublesome, but also really stinky!"


    During lunch, Zhou Wei couldn''t help but complained to Lu Chen.


    "And no matter what I say now, I''m a master''s degree holder. In the future, I will still have to take the final exam for regulated training. If I can''t pass the exam, then I won''t be able to get my graduation certificate!"


    "Don''t worry, your instructor won''t keep you in the lab all the time." Lu Chen comforted, "You are equivalent to double cultivation. In the future, you can not only do clinical studies, but also do scientific research, find a job or study for a Ph.D., which will all be beneficial. of."


    Zhou Wei sighed lightly: "That''s all I can think about now. But I won''t even think about coming out of the lab within half a year."


    "Strive for an SCI article, if you can, then you''re worth it!" Lu Chen smiled.


    "Hey, SCI is not something you can post if you want!" Zhou Wei shook his head and smiled wryly, "What''s more, I''m just a chorus, can you bring my name, let''s talk about it!"


    Lu Chen smiled helplessly.


    This is also an embarrassment for most graduate students.


    Do nothing, nothing!


    done, may be useless.


    Before you really master the key technology, whether you can publish an article or not depends on the character of the tutor.


    ¡­


    In the afternoon, as soon as Lu Chen came to the department, he received a surprising and happy news from Sun Guoguo.


    Dong Hao''s radiofrequency ablation was scheduled for the day after tomorrow.


    At that time, Lu Chen can go to the catheterization room on the fourth floor together to watch the entire operation process up close.


    For a graduate student, this opportunity is extremely rare!


    According to Sun Guoguo, this opportunity was won by Teacher Li Yao with him.


    This is also a reward for winning the first place in the case discussion last weekend!


    Compared with the two thousand dollars, Lu Chen was more willing to choose this opportunity to observe the operation.


    What''s more, electrophysiological surgery is almost free of radiation effects.


    Today, Lu Chen was busy all day.


    ¡­


    the next day.


    The test results of 10 patients came out!


    The final result confirmed the analysis of Director Li Yao and Lu Chen.


    The cortisol (hormone) of the patient was 402 ¦Ìg/L (reference value 55-168 ¦Ìg/L) at 0:00 am, 450 (reference value 150-552 ¦Ìg/L) at 8 am, and 578 (reference value 55) at 16:00 pm -248¦Ìg/L).


    It is obvious that cortisol levels at 0:00 and afternoon are much higher than normal.


    and adrenocorticotropic hormone (ACTH) determination <1.0 (reference value 25-100ng/L).


    This is also in line with Cushing''s syndrome!


    ACTH is secreted by the pituitary gland to control the secretion of hormones by the adrenal glands.


    Theoretically, the more ACTH is secreted, the more hormones the adrenal glands secrete, because the pressure on the top is great.


    But now the patient''s ACTH is obviously less.


    This is easy to understand. It shows that the patient¡¯s increased cortisol secretion has nothing to do with the pituitary gland. It is not the pituitary gland that makes the adrenal gland secrete more hormones, but the adrenal gland secretes so many hormones on its own initiative.


    The more hormones the adrenal glands secrete, the more they will be fed back to the pituitary gland. The pituitary gland feels that the adrenal gland has already secreted so many hormones, so there is no need to beat it or put pressure on it, so it secretes less ACTH.


    This is the classic negative feedback regulation in the human body!


    "Junior Brother, do you understand?" Lu Chen told Wei Wenwen all the principles of negative feedback.


    Wei Wenwen shook his head with a confused look in his eyes.


    Lu Chen was not impatient and explained very patiently.


    Junior Brother Wei is a potential source of gratitude, and he has to "take care" carefully!


    Lu Chen thought about it and continued:


    "Brother, think about it, the pituitary gland is the boss, and the adrenal glands are the employees. If you want employees to work more (secreting cortisol), the boss has to keep urging them (secreting ACTH, the purpose is to urge the adrenal glands to work). "


    "Now we see employees do a lot of work (secreting a lot of hormones), but the boss doesn''t urge them (ACTH is very low), but they don''t talk much (ACTH is really too low), why?"


    "Because the employees are working like crazy now, working hard and secreting a lot of hormones, after seeing this situation, does the boss have the nerve to urge the employees? There is no reason to urge the employees anymore, so ACTH secretion It¡¯s less. Negative feedback regulation is just that!¡±


    Wei Wenwen suddenly realized, "Senior brother, it seems that this is what you said."


    "Congratulations, I received a thank you from Wei Wenwen!"


    Sure enough, hard work pays off!


    ¡­


    The next step is to improve brain MRI and adrenal CT.


    A cranial MRI is done to make sure that the pituitary gland is fine.


    Adrenal CT is done to confirm that the problem is in the adrenal gland, whether it is adrenal adenoma or adenocarcinoma, it must be seen clearly.


    In the afternoon, the patient''s head MRI was done first, and the results came out.


    The pituitary gland is really innocent, well, without any tumor.


    The patient was a little nervous, and immediately underwent CT of the kidney and adrenal gland.


    In the eight districts in the heart, the doctors of Li Yao''s group are all surrounded by a computer.


    Everyone is waiting for the results of kidney CT and adrenal CT.


    When the patient completes CT, the image will be uploaded to the case system.


    Lu Chen immediately clicked on the image and looked at the patient''s kidney shape frame by frame.


    "There really is something!"


    Lu Chen noticed that the patient had a small mass on the right adrenal gland, about 3cm in size.


    Needless to say, this small lump must be the murderer of the abnormal increase in hormone secretion!


    About twenty minutes later, the report from the CT room came out.


    The diagnosis of CT report is: right adrenal cortical adenoma (high probability)!


    Since then, the truth has finally come to light!


    When Lu Chen informed the patients and their families of the results, they finally breathed a sigh of relief.


    Because from the film, it looks more like an adenoma than a cancer.


    Adenomas are easier to treat. One cut and it''s done.


    ¡­


    "Please come to the Department of Urology for consultation!" Li Yao ordered.


    Soon the urologist was called to the Cardiology Office.


    The doctor outside the department finally decided to transfer the patient to another department, and the small tumor was surgically removed under laparoscopy.


    The patient''s family naturally agreed immediately!


    Lu Chen didn''t leave any ink, he directly helped him go through the department transfer procedures, and the patient was transferred to the Urology Department on the same day.


    "Congratulations, the completion of the system upgrade has increased!"


    The ?? system beep sounds.


    Lu Chen is one step closer to the next upgrade!


    ¡­


    Eight districts in the heart, the doctor''s office.


    Although the patient was transferred to the department, all the doctors in Li Yao''s group, including Sun Guoguo and Fan Zhiping, were amazed when they recalled the diagnosis process of this patient.


    From suspected myocardial infarction, aortic dissection, to suspected hypertrophic cardiomyopathy, to finally Cushing''s syndrome, adrenocortical adenoma.


    When you think you''ve reached the end of your diagnosis, it''s often just the beginning!


    It''s too late to go home today, so I''ll just watch two more.


    (end of this chapter)

 Chapter 243： Is this a ghost to lose weight?

    Chapter 243 Is this a ghost if you can lose weight?


    After dealing with this adrenaloma patient, Lu Chen''s total gratitude value finally reached 200!


    Open the system panel and enter the mall.


    With a thought, Lu Chen directly exchanged the "Clinical Research Skill Card" (Elementary)!


    Lu Chen is more interested in clinical research.


    The clinical medical technology work of the hospital is inseparable from the support of scientific research work.


    Compared with basic scientific research, clinical scientific research pays more attention to the clinical diagnosis and treatment of doctors, rather than various technical operations in the laboratory.


    The system immediately popped up a prompt.


    "Is the clinical research skills card (primary) used?"


    "use!"


    Lu Chen''s consciousness suddenly entered the system virtual space.


    This surprised him a little.


    Originally thought that this kind of scientific research skill card is to directly instill knowledge or improve scientific research ability.


    did not expect to let him enter the system virtual space.


    But this is not a basic experiment, it does not require any hands-on operations, such as raising mice and doing experiments!


    Just when Lu Chen was confused, three options appeared in the system virtual space.


    The first stage, the study of clinical experimental methods. 0% completion.


    The second stage, the study of collecting clinically valid data. 0% completion.


    The third stage, the study of statistical methods. 0% completion.


    ¡­


    Lu Chen''s expression was taken aback, this skill is really enough.


    directly subdivides all clinical research into three stages.


    Each of these stages is the main point of clinical research.


    In simple terms, first determine the method of the experiment, then collect the data, and finally analyze the data through statistical methods, and finally draw a conclusion.


    Lu Chen directly chose to enter the first stage of study.


    Then, countless information flows appeared in the virtual space of the system.


    These information flows are not directly instilled into Lu Chen''s brain, but form different learning materials such as videos, audios, books, etc., which are placed in front of Lu Chen''s eyes.


    "This is to allow yourself to learn in a virtual space?"


    Lu Chen was a little puzzled, isn''t this just a different place to read and study?


    However, when he really came into contact with this kind of information flow, Lu Chen found that everything related to the clinical experiment method was completely displayed in his mind.


    The efficiency of this kind of learning is dozens of times higher than in reality.


    For a while, Lu Chen was immersed in this kind of learning.


    At the same time, the completion of the first stage is also quietly rising.


    ¡­


    It took about an hour for Lu Chen''s consciousness to exit the virtual space of the system.


    Because the lunch break is almost over, it''s time for work.


    Otherwise, Lu Chen really didn''t want to exit from the system virtual space.


    After just one hour of study, Lu Chen started to learn clinical research.


    He has a further understanding of this kind of scientific research experiment.


    It seems that there is a brand new door open to Lu Chen!


    in the information flow of the system virtual space.


    It emphasizes that in the process of clinical research, every patient and every treatment is a clinical research work!


    "The essence of medicine is scientific research!"


    These viewpoints, Lu Chen has never been exposed to.


    Because from the point of view of the general public, clinical diagnosis and treatment and hospital scientific research are opposed, or even disconnected.


    Through this information flow study, Lu Chen has a deeper understanding.


    The development of every stage of medicine and every technological progress are inseparable from the development of science and technology, and are inseparable from major breakthroughs in medical theory and innovation in medical technology.


    The relationship between clinical diagnosis and treatment and scientific research is integrated.


    However, Lu Chen is also very clear.


    Easier said than done!


    Otherwise, there would not be so many thousands of years of rule.


    "Since there is system help, I must try it!" Lu Chen''s eyes became extremely firm.


    Packed up his ambitions, Lu Chen got up, washed his face, and left the bedroom.


    ¡­


    The weather is getting cooler, and it is slowly beginning to enter the winter.


    Walking on the path of the hospital, Lu Chen even felt the cool breeze coming from his face.


    When I came to the eighth inpatient department, there were many people queuing up to go through the hospitalization procedures on the first floor.


    This is because the weather is cold, and the condition of patients with heart disease changes frequently.


    The Cardiology Department of the Second Jinghua Hospital started to get busy.


    Even in the afternoon, Lu Chen received four patients.


    As long as there are vacant beds in the ward, new patients will be admitted immediately.


    After such a busy day, Lu Chen had dinner after get off work.


    When we got back to the bedroom, it was almost nine o''clock in the evening.


    "Lu Chen, what have you been doing? What time did you come back?"


    As soon as he returned to the dormitory, Wang Zihao was looking through various documents at the table, and when he saw Lu Chen entering the room, he asked aloud. .


    Since he won the first place in the National Skills Competition, Wang Zihao returned to the hospital as if he had changed and rarely played games.


    As long as he has free time, he will use it to read literature.


    "Hey, I''m working overtime again! Winter is here, and our hearts are full of people, unlike your departments, which are very busy." Lu Chen put his backpack on the table, then hammered his shoulder, trying to relieve the pain.


    "Working overtime so late, does your boss subsidize the students'' living expenses every month?" Wang Zihao said.


    Lu Chen shook it, "No. And it''s been busy recently, and it was fine before."


    "Then your boss is too stingy." Wang Zihao said half-jokingly, "Every time we have an operation, we have a platform fee!"


    Speaking of which, Lu Chen is still very envious of his classmates in surgery.


    For the last operation, you can basically get a subsidy ranging from 60-100 yuan.


    As long as there are more surgeries, they can even get thousands of extra allowances every month.


    They don''t have such good treatment in their internal medicine department!


    In addition to the 600 yuan subsidy per month from the state, plus some night shift fees, there is basically no other source of income.


    Fortunately, Lu Chen earned a lot of "extra income" these days, so he didn''t ask his parents for living expenses.


    ¡­


    Lu Chen chatted with Wang Zihao for a while, and was about to wash up.


    Suddenly the phone''s WeChat alert sounded.


    He thought it was a message from a WeChat group, picked up his phone and saw that it was his cousin Li Huiyan.


    "Cousin, are you here?"


    Lu Chen frowned. This cousin is a sophomore this year. Except for the New Year''s get together, she rarely communicates with herself.


    What is she doing today, she came to find herself suddenly?


    There is nothing to do without going to the Three Treasures Hall, Lu Chen thought about it, but still replied: "Yes."


    As soon as Lu Chen put down his phone, Li Huiyan sent him a picture and also sent a WeChat message.


    "Brother, is it useful to eat this to lose weight? Will it have side effects on the body!"


    Lu Chen clicked on the picture and zoomed in. It was a weight loss product that he had never heard of before.


    "I haven''t heard of it." Lu Chen replied immediately, "It''s best not to eat it. If there is a problem with eating it and cause liver and kidney damage, it will be a big loss!"


    "Oh, got it¡­¡­"


    On Lu Chen''s side, he also thought of his cousin, who is only about 160cm tall but weighs 80kg.


    A little fat girl, she has been looking for various ways to lose weight for so many years.


    But she is lazy, unwilling to control her diet, and unwilling to exercise.


    Is this a ghost if you can lose weight?


    (end of this chapter)

 Chapter 244： What qualifications do you have to touch my doctors order? (Second

    Chapter 244 What qualifications do you have to touch my doctor''s order? (Second more)


    Seeing that Li Huiyan didn''t continue to pay attention to herself, Lu Chen didn''t care either.


    Although this cousin has an eccentric personality, she is not someone who acts recklessly and recklessly.


    Losing weight is a protracted battle, and it is impossible to just take some weight loss pills.


    ¡­


    After washing, Lu Chen lay on the bed.


    Consciousness entered the virtual space and began the first stage of clinical research training.


    "I wipe, why did Lu Chen sleep so early?"


    Wang Zihao glanced at Lu Chen, who had already gone to bed, and muttered in his heart.


    Everyone usually works in the department, and they only have time to study when they come back in the evening.


    But Lu Chen sleeps so early every day, where does he get time to study?


    With the ability that Lu Chen has shown so far, he definitely spent a lot of time and effort to achieve it.


    However, the reality is just the opposite.


    As Lu Chen''s roommate, Wang Zihao is the one who knows Lu Chen''s schedule the most.


    Every night, be sure to go to bed before ten!


    Even most of the time, Lu Chen went to bed around nine o''clock.


    At this time, everyone else in the dormitory is playing games in a group!


    However, it was precisely because of Lu Chen''s existence that they developed a good habit in their bedroom.


    Even when playing games, everyone doesn¡¯t make a lot of noise.


    Do not interfere with each other''s living habits.


    "Maybe, this is what makes genius different from others?" Wang Zihao shook his head helplessly, then continued to look at the documents in his hand.


    At this time, Lu Chen was constantly training clinical research projects in the virtual space of the system.


    ¡­


    The next day.


    Lu Chen came to the department early and saw Brother Dong Hao right away.


    "Senior brother, the surgery has been arranged. It will start at 2 o''clock this afternoon." Lu Chen looked at Brother Dong Hao lying on the bed.


    However, Senior Brother Dong Hao''s face turned pale.


    "Brother, didn''t you sleep last night?"


    Dong Hao nodded and said, "Hey, I was flustered in the middle of the night last night. The doctor on the night shift gave me an electrocardiogram, and I had another attack of supraventricular tachycardia!"


    Lu Chen heard the words, quickly picked up the stethoscope, and auscultated Dong Hao''s heart.


    "Junior brother, don''t be nervous, you''ve recovered now." Dong Hao smiled reluctantly, "But the taste of this episode is not very pleasant. I haven''t slept much all night, so it won''t affect today''s surgery, right?"


    "Generally speaking, it shouldn''t affect it." Lu Chen said.


    He just finished auscultation of Senior Brother Dong Hao''s heart. The heart rate is about 70 beats/min, and the heart rhythm is regular. It should be sinus rhythm.


    "Okay, then I''m relieved." Dong Hao said, "I think now, this operation should be done earlier, the symptoms are too frequent. Thank you so much, junior brother, for helping me pay for the medical expenses this time, I will return it to you in time."


    Lu Chen smiled and shook his head: "Senior brother, don''t be in a hurry to pay back the money, the most important thing now is to cure your illness! Let''s talk about it in the future."


    "Yeah." Dong Hao nodded, "It''s about to be an early shift, you can go to work, don''t worry about me."


    "OK."


    Looking at the back of Lu Chen leaving, Dong Hao felt that during his rotation in the Cardiology Department, the luckiest thing was to meet Lu Chen.


    ¡­


    Back to the doctor''s office.


    Except for a few nurses on duty, most of the medical care has already come.


    After the ?? nurses perform a simple shift, the night shift doctor will shift the shift.


    Last night''s night shift doctor was Xia Gang''s attending doctor and graduate student He Sirong.


    Early shifts are usually made by graduate students.


    I saw He Sirong take a step forward and said, "The doctor on the night shift is on duty..."


    "Bed 56 complained of chest tightness and shortness of breath at around 2 in the middle of the night. Considering the onset of heart failure, furosemide was given intravenously, and the symptoms improved after about 10 minutes..."


    "At 6 o''clock on the 3rd night, I suddenly complained of headache, accompanied by blurred vision. The blood pressure was 220/134mmHg. Considering a hypertensive emergency, I immediately gave urapidil intravenous pump..."


    "The 15-bed patient complained of palpitation, heart chest and tachycardia at around ten o''clock last night. He checked the electrocardiogram for paroxysmal ventricular appeal, and was immediately given intravenous amiodarone..."


    ¡°¡­¡±


    He Sirong''s previous shifts have not had any problems.


    But when Brother Dong Hao''s condition changed, Lu Chen felt something was wrong!


    "He Sirong actually gave Brother Dong Hao amiodarone!" Lu Chen was shocked.


    Brother Dong Hao''s surgery today seems to be impossible!


    Lu Chen glanced at Sun Guoguo next to him, and found that she also had a solemn expression, and her eyes were fixed on He Sirong and Xia Gang.


    After He Sirong finished his shift, Sun Guoguo walked straight to Xia Gang.


    Sun Guoguo''s tone was a little cold.


    "Dr. Xia, do you know that the 15-bed patient is going to undergo radiofrequency ablation today?"


    Xia Gang was stunned for a moment, then shook his head slightly, "I didn''t see the surgery wall, so I''m not sure."


    But just after he finished speaking, his expression suddenly froze, as if thinking of something, he immediately turned to He Sirong and said, "Did you use amiodarone for 15 patients last night?"


    Seeing Xia Gang''s serious expression, He Sirong looked surprised, and nodded immediately: "Yes, he had a paroxysmal supraventricular tachycardia attack last night. I had an electrocardiogram to confirm the diagnosis, and then I used amiodarone."


    Xia Gang''s expression suddenly became extremely gloomy.


    "Student He, why didn''t you ask my opinion before giving this patient the doctor''s order?"


    He Sirong whispered: "Senior Brother Xia Gang, this patient also had a history of similar disease attacks before. I did an electrocardiogram and it must be a supraventricular tachycardia attack. What''s the problem with using amiodarone?"


    Amiodarone is one of the most commonly used antiarrhythmic drugs in clinical practice.


    "Then do you know that the patient is going to undergo radiofrequency ablation today?" Xia Gang continued.


    "I know!" He Sirong nodded.


    Xia Gang snorted coldly, "Then you give amiodarone to a patient who is about to undergo radiofrequency ablation? Do you know what the half-life of amiodarone is?"


    At this time, He Sirong finally woke up.


    Her face flushed red, and it took a long time for her to say a word: "I...I..."


    The so-called radiofrequency ablation is to induce the patient''s arrhythmia before the operation, and then use the device to detect the place where the arrhythmia occurs, and finally burn it with electrodes.


    Amiodarone is a good antiarrhythmic drug, but it has a long half-life and is easy to accumulate in the human body.


    This will lead to a problem, the surgical patient cannot induce arrhythmia on the operating table.


    Cannot induce arrhythmia, then there is no way to judge what is wrong with the cardiac conduction system!


    Surgery is impossible!


    Therefore, in patients undergoing radiofrequency ablation, amiodarone is contraindicated before surgery.


    At this time, in the doctor''s office in the eighth district of the Department of Cardiology.


    Xia Gang stared closely at He Sirong and said slowly.


    "He Sirong, you are a graduate student. If you haven''t obtained a practicing doctor''s certificate and you haven''t asked your superior doctor, what qualifications do you have to touch my doctor''s order?"


    2 updates today. Thank you Han Xiaohe for your reward, I will add more tomorrow.


    (end of this chapter)

 Chapter 245： Bold and careful (first more)

    Chapter 245 Bold and Careful (First Edition)


    In the department, there was a moment of silence.


    Several director-level doctors were not there, only Xia Gang''s angry voice could be heard.


    He Sirong lowered his head, his body trembling slightly.


    Lu Chen couldn''t see the expression on her face.


    "Senior brother, I know I''m wrong." He Sirong said slowly.


    "You shouldn''t apologize to me." Xia Gang said coldly, "What''s more, is an apology useful? Before performing radiofrequency ablation, stop amiodarone for at least 2 weeks, preferably 1 month! If the operation is to be performed, it will take a month, what do you think should be done now?"


    "I... I won''t do it next time." He Sirong whispered.


    "Next time?" Xia Gang snorted coldly, "Next time, remember that you don''t have the right to make a doctor''s order! Now let''s see how to solve this problem."


    He Sirong raised his head, bit his lower lip lightly, and turned to look at Sun Guoguo beside him.


    "Senior sister, I..."


    Sun Guoguo shook his head helplessly: "Junior Sister He, Dong Hao''s surgery was originally scheduled for this afternoon, but it must not be done now. We will communicate with him about the specific reasons. As for you...hey..."


    Sun Guoguo did not continue.


    If this happened to other patients, the doctor on duty and the tube bed must take corresponding responsibilities.


    But the patient happened to be Dong Hao, a training student in our hospital, and he just passed through the eight districts in his heart.


    Perhaps, they can win Dong Hao''s understanding.


    Let Dong Hao rest for a month before undergoing radiofrequency ablation.


    However, due to reason, Dong Hao has no reason to pay for this mistake.


    What''s more, every hospitalization fee is a small expense.


    "Let me communicate with Senior Brother Dong Hao." Lu Chen said.


    As a doctor in charge of the bed, Lu Chen also has a certain responsibility for managing such a patient.


    "Okay." Sun Guoguo nodded, she knew that Lu Chen and Dong Hao had a good relationship.


    Lu Chen ignored He Sirong and walked out of the doctor''s office.


    ¡­


    In the ward of the eight districts in the heart.


    "The surgery may be delayed by a month?" Dong Hao looked at Lu Chen helplessly.


    "Well." Lu Chen nodded, "Generally speaking, amiodarone should be stopped for two weeks before surgery, but it is better to stop for a month, which is safer. Otherwise, if you go to the operating table, you will not be able to induce arrhythmia, and you will not be able to do it at all. ."


    "Hey." Dong Hao shook his head, "Forget it, don''t blame He Sirong. She worked hard at night shift last night, and she didn''t sleep for almost the whole night. We are all still students. It is inevitable that such mistakes will occur, so be careful in the future. That''s it."


    "Senior brother, your mentality is really good." Lu Chen said.


    Dong Hao gave a wry smile: "In the past few years, I have honed a lot in clinical practice, how can I still have a bad heart? If even my peers can''t understand medical workers, who can I expect to understand? Woolen cloth?"


    Lu Chen smiled.


    Dong Hao is only slightly older, but he can see things clearly.


    At this time, Xia Gang walked into the ward.


    "Senior Brother Xia." Dong Hao sat up from the bed.


    Lu Chen also turned slightly to his side.


    "Junior Brother, do you feel better?" Xia Gang said to Dong Hao with a smile.


    "Very good." Dong Hao nodded.


    Xia Gang turned his head to look at Lu Chen, then turned his head back again with a hesitant expression.


    Dong Hao took the initiative to say: "Senior brother, let''s forget about this. You see, I also came to the Cardiology Department. When I took the medicine yesterday, didn''t I respond?"


    "Hey, this is my fault." Xia Gang sighed, "Junior brother, Lu Chen should have told you just now that the operation will not be performed until a month later."


    "Yes." Dong Hao nodded.


    "Then we will bear the medical expenses for your hospitalization this time, you don''t have to worry about it." Xia Gang said.


    "This..." Dong Hao was stunned, then turned to look at Lu Chen.


    "It''s because of our mistakes that we didn''t do the surgery." Xia Gang said sternly, "You will definitely not bear such consequences. I know your students don''t have much money."


    There was no surgery in this hospitalization, just some preoperative preparations, so the overall hospitalization cost is not high.


    "Junior brother, you promise, these money is really nothing to us working people, don''t worry about it too much." Xia Gang comforted.


    Lu Chen also nodded towards Dong Hao.


    Within a reasonable range, you can forgive others, but you can¡¯t let yourself suffer losses.


    What''s more, Dong Hao himself was short of money.


    "Then I will trouble Senior Brother Xia Gang." Dong Hao said.


    "No trouble, you have a good rest first."


    Xia left the doctor''s office as soon as he finished speaking.


    ¡­


    Looking at the back of Senior Brother Xia Gang leaving, Lu Chen couldn''t help sighing in his heart, this Senior Brother Xia Gang seemed to be fierce towards He Sirong on the surface, but he actually helped her settle everything.


    even took the initiative to bear Dong Hao''s hospitalization expenses this time.


    Just after this incident, Lu Chen was constantly reflecting in his mind, did he usually have this situation?


    Currently in the group, Sun Guoguo believes in him, most of the doctor''s orders are from Lu Chen.


    Even many times, Sun Guoguo didn''t even read it, and Lu Chen gave the doctor''s order to deal with the various changes in the patient''s condition by himself.


    The reason why He Sirong is so bold in handling patients is that Lu Chen''s usual performance in the department is really outstanding!


    As a freshman in the first year of research, Lu Chen can already undertake most of the clinical diagnosis and treatment work, treat patients by himself, and deal with changes in patients'' conditions.


    This is also very rare in the entire Jinghua Second Hospital.


    He Sirong saw it, but his actions slowly began to move closer to Lu Chen, boldly admitting patients, without asking the opinion of the superior doctor, and directly issuing the doctor''s order.


    Therefore, it led to what happened last night.


    ¡­


    Walking out of the ward, Lu Chen found that Brother Xia Gang did not leave, but was waiting for him at the door of the ward.


    "Junior Brother Lu, thank you for communicating with Dong Hao about this."


    Seeing Lu Chen walking out of the ward, Xia Gang stepped forward immediately.


    "Senior Brother, Senior Brother Dong Hao is my patient in charge of the bed. I have a responsibility here and I should do it." Lu Chen said.


    "Anyway, thank you." Xia Gang patted Lu Chen on the shoulder, and then sighed, "Actually, in clinical practice, in addition to being bold, you must also be careful."


    Lu Chen looked at Xia Gang and felt that this senior brother had something to say.


    The two walked to the corner of the corridor of the ward.


    Xia Gang looked out the window and said, "After my doctoral degree, the first night shift I worked alone was when I met a patient who had a paroxysmal appeal."


    Speaking of this, Xia Gang paused and glanced at Lu Chen: "Junior Brother, you should know what is the preferred drug treatment for Shi Ling?"


    Lu Chen nodded and blurted out, "Adenosine."


    "Yes, it is clearly stated in the textbook that adenosine is the first choice for VS." Xia Gang said, "I still remember that it was a fourteen-year-old girl, and I gave her an adenosine."


    "As soon as half of it was advanced, her heart stopped."


    (end of this chapter)

 Chapter 246： Cousin is in the hospital (second update)

    Chapter 246 Cousin is in the hospital (Second Update)


    "At that time, I was very confident. In the eyes of outsiders, it may be a kind of conceit."


    Lu Chen listened carefully to what Brother Xia Gang said.


    Xia Gang is a doctor who came back from studying in the United States and has published many high-scoring SCI papers.


    After returning to the Jinghua Second Hospital, he did have the capital of such self-confidence.


    "But this little girl''s cardiac arrest caught me off guard."


    "Although her heartbeat recovered after rescue, it also made me realize that even the smallest disease, as doctors, we should do our best to treat it, let alone carelessness and carelessness."


    "For us, it may be just a mistake, but for the patient, it may cost lives."


    "Lu Chen, you are excellent, even better than me back then." Xia Gang turned to look at Lu Chen, "But a doctor, with the growth of age and experience, encounters more and more patients, it should be More and more "timid", with a heart of awe. If you lose this heart of awe, you will become more and more courageous, and sooner or later there will be problems."


    Lu Chen was silent.


    Xia Gang''s voice was not loud, but every word was deeply imprinted in Lu Chen''s heart.


    He really felt that he had become very courageous, he wanted to try everything, and he dared to try everything.


    Usually in the department, he often issued doctor''s orders, but Sun Guoguo didn''t ask, and he didn''t ask for instructions.


    This is pretty common!


    The more he thought about it, a cold sweat appeared on Lu Chen''s forehead.


    Xia Gang''s words reminded Lu Chen of these problems.


    If you don¡¯t pay attention, you will likely hit a wall in the future, or even have more serious consequences.


    "Thank you for your guidance, Senior Brother." Lu Chen said.


    "It''s not preaching, it''s just mutual encouragement." Xia Gang smiled, "Okay, let''s go back to the office."


    "Um."


    ¡­


    Dong Hao''s matter was settled satisfactorily under the coordination of both parties, and Xia Gang took the initiative to deduct part of the performance salary.


    Lu Chen also realized that he should adjust his mentality.


    He sometimes considers himself lucky.


    Not only has the help of the system, but there are so many brothers and sisters around him who take care of him, so that he has avoided many detours on the path of medicine.


    "Senior brother, then come back to the hospital for surgery in a month." Lu Chen said.


    "Okay." Dong Hao nodded.


    "But if you get sick during this period, you can still have surgery at any time."


    On the same day, after Dong Hao''s condition improved, Lu Chen went through the discharge procedures for him.


    It doesn''t make much sense to continue to be hospitalized now.


    ¡­


    At the same time, news came from the Urology Department.


    Patients with epinephrine tumors that have been transferred to eight areas in the heart have successfully undergone surgery to remove the tumor.


    The tumor was all gone, and the patient''s blood pressure dropped.


    This completely resolved the high blood pressure that had plagued the patient for many years.


    When Lu Chen was about to get off work, the patient''s wife returned to the eighth area of ??her heart.


    Everyone thought she was here to pick up the items left in the department, but unexpectedly she brought a pennant.


    "Hanging the pot to help the world, the wonderful hand rejuvenates the spring."


    The signature of the pennant is a special thanks to the doctors of Li Yao''s team, and even the name of the intern Wei Wenwen.


    "It''s the first time I''ve received this."


    Wei Wenwen, who usually doesn''t speak much, was also very excited at this time, and he even talked more.


    It is rare to receive pennants from patients.


    But Lu Chen has only been in the department for a month or two, and he has already harvested two pennants, which is quite rare!


    Even Sun Guoguo said half-jokingly, "Junior Brother Lu, I''m dragging your luck, otherwise there won''t be a pennant for a year."


    In addition to the pennant, the family also sent a whole box of fruit.


    "Congratulations, +5 for the thank you from Luoping!"


    Because of the bonus effect of the pennant, Lu Chen gained another 5 points of gratitude.


    ¡­


    After work, Lu Chen was in a good mood and ordered three meat dishes in the cafeteria.


    After eating and drinking, he went back to the bedroom.


    Just prepared to continue training "clinical research" in the virtual space of the system.


    Lu Chen saw dozens of messages pop up one after another on the family WeChat!


    Lu Chen didn''t like this kind of family WeChat group.


    Usually every family is "spelling babies", whichever family has a promising child will find a good job.


    Or some elders are pushing various "health tips" and "Buzhuan is not a Chinese person" in the group.


    Lu Chen usually blocks group messages, but today dozens of messages still pop up.


    Open WeChat and click on the family group.


    It turned out that someone had added all the members.


    Lu Chen was about to put down his phone when he glanced at a few messages and was suddenly stunned.


    "Huiyan took diet pills and was admitted to the hospital!"


    "How is Huiyan''s situation?"


    "I told her a long time ago that diet pills are useless. If they work, will female stars still have fat people?"


    "Hey, this little girl, it''s really worrying!"


    Everyone in the group started to speak, and some people even wrote Lu Wenguo.


    "Wen Guo, you are a professional, let''s see how Huiyan is doing?"


    In less than five minutes, dozens of messages appeared in the group.


    Lu Chen immediately captured the most crucial information. Cousin Li Huiyan took diet pills and was sent to the hospital!


    She asked herself on WeChat last night if she could take diet pills.


    was sent to the hospital tonight!


    The ingredients of this diet pill are unknown. If there is damage to the liver and kidneys, resulting in acute liver and kidney failure, then things will be bad.


    ¡­


    Jiangcheng Central Hospital, emergency department at this time.


    Li Huiyan was lying on the hospital bed in the observation room, her round face was full of pain.


    Beside the bed, there are also a pair of middle-aged parents.


    "I told you not to eat indiscriminately, but if you don''t listen, now that you''re all set, you''ll be happy when you enter the hospital!" Lu Yufen stared at her daughter Li Huiyan fiercely, not letting her anger out.


    "Hey, stop talking, what are you talking about at such a time now?" Li Yuan frowned and looked at his wife, "The most important thing now is to get cured! Huiyan still has to go to school!"


    Li Huiyan curled up on the bed, feeling a colic in her stomach.


    "Parents, stop arguing, I won''t take diet pills in the future."


    This feeling is too uncomfortable, Li Huiyan regrets not listening to the advice of yesterday''s form, and took the diet pills recommended by her classmates.


    "I''ll call and ask Wenguo. He is a doctor. He should have an acquaintance in Jiangcheng. I''ll ask him to help and take care of him." Lu Yufen thought of her own Lu Wenguo. After she finished speaking, she called Lu Wenguo.


    Lu Wenguo just got off work, and before he could read the group chat news, he received a call from Lu Yufen.


    "Ah? An acquaintance from Jiangcheng Central Hospital, I really don''t have that!" Lu Wenguo frowned, "I''m a surgeon, and I only know a few general surgery professors from the Provincial People''s Hospital."


    "Then what should we do? Huiyan is now in Jiangcheng Central Hospital. We don''t know each other very well here, so we don''t know what to do!" Lu Yufen said anxiously.


    Lu Wenguo pondered: "You just listen to the doctor''s arrangement over there. If there are any test indicators, you can take a picture of it for me."


    "But without acquaintances, it''s hard to do things." Lu Yufen sighed.


    At this time, Li Yuan whispered: "I remember his son Lu Chen, didn''t he study medicine at Jiangcheng University? This central hospital is the affiliated hospital of Jiangcheng University. He should have acquaintances?"


    Lu Yufen''s eyes lit up, and she immediately said, "Did Lu Chen graduate from Jiangcheng University to study medicine?"


    "Yes, but..."


    Before Lu Wenguo finished speaking, Lu Yufen interrupted: "That''s fine, I''ll go find him."


    bang...hang up.


    Lu Wenguo listened to the busy tone on the phone, his expression was quite helpless, what kind of acquaintance can a fresh graduate have, and what relationship can it have?


    (end of this chapter)

 Chapter 247： effective weight loss pills

    Chapter 247 Special effect diet pills


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen was about to wash up when his aunt Lu Yufen called.


    Seeing the caller ID, Lu Chen frowned and answered the phone.


    A loud voice came from the other end of the phone.


    "Hey, Lu Chen, your cousin is disobedient. She took diet pills and was admitted to the hospital. Now it''s in the emergency department of your central hospital affiliated to Jiangcheng University. Do you have any acquaintances?"


    Aunt Lu Yufen was not polite, and expressed her appeal straight to the point.


    Lu Chen was slightly taken aback when he heard the words.


    Not to mention that he is a student, he has come to Jinghua, where can I find an acquaintance for her?


    Only a small number of students from ?? University stayed in our school for graduate studies, not necessarily emergency department majors.


    "Aunt, I don''t have any acquaintances in the emergency department of the central hospital." Lu Chen said, "And my classmates are also students, so it doesn''t help at all!"


    "You don''t know any professor or director?" Lu Yufen wondered.


    Lu Chen was quite helpless, "Aunt, you said to find acquaintances, these professors, I know them, but they don''t remember me."


    "Hey, okay, that''s it." Lu Yufen hung up the phone after she finished speaking.


    Lu Chen put down his phone helplessly.


    "Lu Chen, what''s wrong?" Wang Zihao looked at Lu Chen beside him in confusion.


    "A relative in Jiangcheng asked me if I had any acquaintances in Jiangcheng University Central Hospital." Lu Chen said, "How can I have this magical power? Even if I have acquaintances, they are all students who stayed on campus for postgraduate studies."


    "That''s what our profession is like." Wang Zihao curled his lips, "It''s better if you don''t work independently now. When you work independently, you will see more people looking for you. Besides, Lu Chen, you are not in your hometown, so there are not many people looking for you. , look at our family in Jinghua, and people come to look for them every once in a while. One time it''s a colleague from my dad''s unit, and another time it''s a relative of a distant relative..."


    Wang Zihao shook his head slightly, his expression extremely depressed.


    "Everyone thinks it''s useful to find a relationship, but it''s not bad." Lu Chen said, "It''s just to make the patient feel that we value him, but the one that should be treated is still treated."


    "Yeah." Wang Zihao sighed, "You remember my great aunt some time ago, it''s okay for relatives to talk, but I''m afraid that kind of bad temper will make you not human inside and out."


    Lu Chen and Wang Zihao chatted for a while, then went to wash up.


    Lying on the bed, Lu Chen flipped through the university''s WeChat group.


    There are about forty people in the university class.


    After graduation, the grade counselor asked everyone to write the hospital they went to and the professional department in front of their name.


    The role of ?? is self-evident, it is for everyone to understand and communicate in the future.


    Of the more than 40 people in the ?? group, most of them added hospitals and departments in front of their name remarks.


    Lu Chen also revised his remarks to Lu Chen, the heart of Jinghua Second Hospital.


    Click on the WeChat group to view the group members.


    Lu Chen did not find any classmates in the emergency department of Jiangcheng Central Hospital.


    As he was about to close WeChat, Lu Chen thought about it and turned to the WeChat address book.


    He suddenly saw a name - Han Kang, Emergency Department of Jiangcheng Central Hospital.


    Hey, there are really classmates in the emergency department of the Central Hospital!


    Although Lu Chen and Han Kang are not in the same class, Han Kang is in the dormitory next to Lu Chen. The relationship between the two is not bad and they often play together.


    And looking at the remarks, Han Kang should have stayed in the emergency department of the Central Hospital with an undergraduate degree.


    Emergency Department and Pediatrics, these are the only two departments that do not require much education.


    looked at the time, it was just half past eight in the evening, Han Kang should not have slept yet.


    Lu Chen thought about it and sent a WeChat message to Han Kang.


    ¡­


    Jiangcheng Central Hospital, Emergency Department.


    Lu Yufen hung up the phone with a frustrated expression.


    ''s husband, Li Yuan, still didn''t give up and asked, "Can''t find an acquaintance?"


    Lu Yufen nodded: "Hey, Lu Chen said he didn''t have any acquaintances. I really don''t know how he got along in the hospital. In school for five years, he didn''t have an acquaintance. It''s really not as good as Zhang Tao''s son!"


    "Zhang Tao''s son?" Li Yuan frowned, "Didn''t he also study medicine?"


    "Yes, he is studying medicine at Kyoto University Hospital, and he is also in graduate school. I heard that he knows many professors and plans to study abroad." Lu Yufen said, "It''s just that he is not in Jiangcheng, otherwise it would be fine."


    "Hey, don''t say these words now, let''s ask the doctor on duty how Huiyan''s condition is."


    ¡­


    Jiangcheng Central Hospital, emergency physician lounge.


    Han Kang is resting in the duty room.


    He was on duty in the second half of the night today, and took over after twelve o''clock. Taking advantage of the middle time, he seized the time to take a nap.


    Emergency department is really tired!


    Han Kang just came to the hospital a few months ago, and he felt a lot more tired than before.


    But there''s nothing he can do. He didn''t go to graduate school. Now that he can come, he is in the Central Hospital, which is also due to a lot of connections.


    was about to swipe Douyin for a while when Han Kang received a message from Lu Chen, "Kang Zai, are you there? I have something to ask you."


    "Huh, Lu Chen? I remember he went to graduate school."


    Han Kang immediately replied with a message, "What about the night shift tonight?"


    Lu Chen frowned when he saw Han Kang''s message, which was a coincidence.


    "Are you in the emergency department of Jiangcheng Central Hospital?"


    "Um."


    "Kangzai, it''s like this..."


    Lu Chen briefly explained his purpose.


    "Just help take care of my cousin, let me know what''s going on, her parents are a little nervous."


    "Okay, no problem, trivial matter. Is your cousin''s name Li Huiyan?"


    "Well, thanks Kang Zai. Next time I go home, I''ll treat you to dinner."


    "Then I''ll wait."


    After ??Han Kang finished talking, he changed his white coat and came to the observation room of the emergency room.


    ¡­


    Observe the interior.


    Han Kang first retrieved the relevant information of Li Huiyan from the computer.


    "Are you still a girl taking diet pills?" Han Kang read the medical records.


    At this time, Lu Yufen and Li Yuan came to the observation room and asked the doctor on duty about their daughter''s condition.


    Han Kang saw this and immediately stepped forward.


    "Brother Li, what''s the condition of this patient?"


    "Taking diet pills, stomach pain. White blood cells are high, liver and kidney function and emergency abdominal CT results are normal. It is considered to be acute gastroenteritis."


    "Oh, thank you Brother Li."


    At this time, Han Kang asked Lu Yufen, "Are Li Huiyan''s family members?"


    Lu Yufen nodded quickly, "Yes."


    Han Kang immediately said: "Auntie, I am an emergency doctor. Lu Chen is my classmate, and he has already greeted me."


    "Huh?" Lu Yufen was stunned, didn''t Lu Chen say that he didn''t know anyone?


    But she reacted immediately and said: "Then I will trouble the doctor. Lu Chen is my nephew, and he is studying abroad now."


    "Don''t worry, there is no problem for the time being, just observe for a night, and you can go home tomorrow." Han Kang said, "But in the future, you can''t take diet pills casually."


    Lu Yufen reluctantly said: "Hey, the child is in the period of rebellion. If you don''t listen to anything, it will be difficult for us..."


    Later, Han Kang went to the bed to take a look at Li Huiyan.


    The general condition is good, and there is no obvious liver and kidney damage.


    Lu Yufen felt relieved when she saw Han Kang say so.


    Han Kang returned to the duty room, and Lu Chen also explained Li Huiyan''s condition on WeChat.


    ¡­


    Jinghua Second Hospital.


    Lu Chen was lying on the bed and was relieved to see Han Kang''s reply.


    But just as he was about to enter the system virtual space, Lu Chen unexpectedly received another WeChat message from his cousin Li Huiyan.


    "Brother, do you know any special medicine for weight loss?"


    This little cousin, lying on the hospital bed still didn''t give up, Lu Chen was quite helpless.


    It seems that blocking is worse than sparse!


    Lu Chen thought about it and sent a WeChat message to Li Huiyan.


    "Have!"


    (end of this chapter)

 Chapter 248： Slimming needles!

    Chapter 248 Slimming needles!


    As soon as Lu Chen finished posting, Li Huiyan immediately replied: "Brother, what you said is true?!!!"


    Lu Chen said: "Really, but you are not particularly fat now. You should be able to lose weight with exercise. Why are you so anxious to lose weight?"


    Li Huiyan: "Brother, you understand."


    "What? I don''t understand!"


    "Brother, didn''t you find a girlfriend?"


    Lu Chen: "..."


    "Brother, tell me quickly, what kind of medicine is there?!"


    "Then tell me first, what diet pills have you taken?"


    About ten minutes later, Lu Chen received the WeChat message from Li Huiyan.


    There are probably dozens of drugs written in ??.


    Most of them are health supplements, they are useless and have no side effects.


    However, Lu Chen noticed two of the drugs, metformin and dapagliflozin.


    "Cousin, are you still taking two drugs, metformin and dapagliflozin?"


    Li Huiyan said: "Yes, is there a problem?"


    Lu Chen said: "No problem, so you haven''t lost any weight?"


    "It worked a bit, but it rebounded immediately."


    Metformin and Dapagliflozin are both hypoglycemic drugs used by diabetic patients.


    Both of these drugs can reduce weight.


    Mechanism of weight loss of metformin may be related to appetite suppression, food intake; improvement of hyperinsulinemia, reduction of basal insulin and post-load insulin levels, etc.


    Dapagliflozin, a sodium-glucose co-transporter-2 (SGLT-2) inhibitor, is a new type of oral hypoglycemic drug that has been marketed in China.


    Lu Chen has seen in clinical practice that a small number of fat doctors and even celebrities use these two drugs in combination to lose weight.


    The combination of these two drugs should be considered relatively common, and the effect is not bad.


    "These two drugs are actually useless." Lu Chen couldn''t help sighing, "My little cousin is too powerful!"


    "Brother, what about the other methods you mentioned?"


    Li Huiyan kept asking Lu Chen.


    Lu Chen thought about it and said, "I need an injection to lose weight."


    "Slimming needles?" Li Huiyan was stunned for a long time before replying, "Brother, are you not a quack doctor? How can there be such a thing!"


    Lu Chen: "..."


    Since his cousin didn''t believe in him, and Lu Chen didn''t care, he put down his phone, moved his thoughts, and entered the system virtual space.


    ¡­


    Jiangcheng Central Hospital, emergency department observation room.


    Li Huiyan was lying and putting it on, her stomach pain was relieved.


    At this time, she was holding her phone and staring at the dialogue with Lu Chen.


    "Why doesn''t my cousin reply to me?"


    "Should I ask him again?"


    "But weight loss injections, is this reliable? I''m most afraid of injections..."


    Seeing that Lu Chen didn''t reply, Li Huiyan finally couldn''t help it.


    "Brother, are you there?"


    "Brother, tell me now."


    "Brother...I want a weight loss needle..."


    Lu Chen, who was in the virtual space of the system, was also disturbed by a series of WeChat messages from Li Huiyan.


    He reluctantly opened WeChat.


    "Have you heard of liraglutide?"


    "No." Li Huiyan said.


    "This drug is also a hypoglycemic drug, a GLP receptor agonist, which can reduce food intake and delay gastric emptying. In foreign countries, there are already indications for weight loss on the instructions, but in China, there are currently no indications for weight loss. Write it into the instructions. The most important thing is that with this medicine, you can eat normally without deliberately dieting."


    "Brother, just say, how much weight can this medicine reduce?"


    Lu Chen said: "According to some papers I read, some clinical research results show that GLP-1 analogs can reduce the weight of patients by 1-4kg, or even more! There are people who have lost dozens of pounds."


    "Are there any side effects?" Li Huiyan asked.


    "Yes! The most common is diarrhea, and some people have acute pancreatitis!"


    "You can use it a few times first, and stop if there are side effects!"


    Lu Chen also knew that his cousin was stubborn.


    Instead of keeping her from taking medicine, it is better to tell her the regular diet pills directly, so as to prevent her from taking other medicines indiscriminately and eventually have more serious problems.


    Drugs such as liraglutide have been studied by large institutions, and the indications for weight loss are written into the instructions.


    Although these drugs have side effects, they are controllable and predictable.


    "Thank you bro!"


    "But if you use this medicine and still can''t lose weight, then you should die of the idea of ??using weight loss medicines. Basically, it is impossible to lose weight with medicines."


    "I see." Li Huiyan finally got the answer she wanted from Lu Chen.


    In order to lose weight, she really tried all kinds of methods, but she was reluctant to exercise and control her diet.


    "Huiyan, you should also know the best way to lose weight. Keep your mouth shut and open your legs. Drugs can never replace thank you." Lu Chen said, "Otherwise, it will easily rebound, and these drugs will be useless in the future."


    "Don''t worry, I''ll start to control my diet when I lose some weight first."


    Li Huiyan sent Lu Chen a smile, then closed WeChat and started looking for information about "liraglutide" at night.


    Lu Chen shook his head helplessly, hoping that the little cousin could lose weight.


    After passing through the little disturbance of his cousin, Lu Chen re-entered the virtual space of the system and started training in "clinical research".


    ¡­


    was speechless all night.


    The next day, as soon as Lu Chen opened his eyes, he received a WeChat message from his cousin Li Huiyan.


    She is doing well and has been discharged from the hospital.


    Aunt Lu Yufen also specially sent a thank you message to Lu Chen.


    Lu Chen glanced, but did not reply.


    This kind of thing, the less the better, all owed to him.


    After washing up, we had breakfast.


    The weather is nice today, but the hospital trail is full of people.


    There are still many people who come to see a doctor!


    As soon as Lu Chen walked out of the bedroom door, he received a message from Li Yao.


    "Today Wang Shasha has something to do, so you won''t go to the ward, but accompany me to the outpatient clinic."


    Lu Chen immediately replied: "Okay."


    Instructor Li Yao goes out to the clinic one day a week.


    Sun Guoguo will arrange shifts for all the postgraduate students, and each will accompany Li Yao to the outpatient clinic for a month.


    According to the order, it should be Senior Sister Wang Shasha''s turn.


    But she was busy with the thesis recently, so she temporarily let Lu Chen take over.


    As Lu Chen walked towards the outpatient building, he sent Senior Sister Sun Guoguo a WeChat message about the shift.


    briefly explained his current management of patients.


    ¡­


    This is Lu Chen''s first outpatient clinic.


    Came to the outpatient building, Lu Chen found that the outpatient building was full of people.


    People go after people, people crowd people.


    There is no way, Jinghua Second Hospital is the leading hospital, which concentrates most of the medical resources.


    Patients from surrounding counties and cities will go to Jinghua Second Hospital as long as they have intractable diseases.


    Lu Chen pushed through the crowd with difficulty and came to the second floor where the Cardiology Clinic was located.


    Walking into Room 3 of the Cardiovascular Internal Medicine Clinic, it was 7:40 in the morning, and tutor Li Yao had not arrived yet.


    Lu Chen turned on the computer, logged into the outpatient medical record system, and entered the account of Li Yao''s tutor.


    "Excuse me, is Professor Li Yao there?"


    At this moment, an old woman of about seventy years old stood tremblingly at the door.


    "Mother-in-law, Professor Li hasn''t come yet, please wait outside for a while." Lu Chen said.


    However, the old woman obviously didn''t listen to Lu Chen''s words, she walked in and put the bag of medicine in her hand on the table.


    "I just wanted to ask, how should these medicines for coronary heart disease be taken?"


    Lu Chen looked at the bag and climbed open the medicine box to take a look.


    No aspirin, no betaloc.


    is actually some "Tibetan medicine"!


    (end of this chapter)

 Chapter 249： Weird patients in the outpatient clinic (please ask for subscription and monthly pass!)

    Chapter 249 The wonderful patient in the outpatient clinic (please subscribe and monthly ticket!)


    "Little doctor, I have coronary heart disease, can you help me with these medicines, what is the way to take them?"


    The old woman had a charitable face, and the hand holding the bag trembled slightly.


    Lu Chen couldn''t help but said, "Mother-in-law, where did you buy this medicine?"


    "It''s your hospital. It''s in the outpatient department of your cardiology department. It''s still opened by a professor." The old woman said, "This professor''s expert number costs 300 yuan. I see a doctor in our rural hospital, and the outpatient registration fee is only how much."


    "Professor?" Lu Chen''s face sank, "Which professor?"


    "I can''t remember exactly, but it was in this outpatient room anyway."


    "Professor Li Yao?" Lu Chen was a little nervous and asked slowly.


    "No." The mother-in-law shook her head, "I remember it was a man, what''s his name Shi..."


    Lu Chen was taken aback for a moment, the professor of cardiology surnamed Shi?


    There is indeed a professor surnamed Shi in the eight districts in my heart, called Shi Guobin, who is a retired professor.


    He is usually more Buddhist, and has no interest conflicts with the rest of the department.


    "Little doctor, just tell me how to take this medicine, and I won''t delay you." The mother-in-law continued, "You guys will go to work soon, and there will be more people."


    Lu Chen reluctantly looked at the Tibetan medicine in his mother-in-law''s hand.


    Not to mention the authenticity of this Tibetan medicine, whether it is useful or not, just looking at the packaging of this Tibetan medicine, it looks like something of inferior quality.


    Lu Chen didn''t know how to take this medicine.


    "Mother-in-law, have you taken aspirin or statin?" Lu Chen didn''t answer her mother-in-law''s question, but asked, "Have you taken these medicines for Betaloc?"


    The old lady was slightly taken aback, "I''ve taken aspirin before, but Professor Shi told me to stop, so I just took these medicines in my hand."


    If Professor Shi really prescribed this medicine to the old woman, then Lu Chen would really doubt his intentions.


    Patients with coronary heart disease do not take aspirin, but go to Tibetan medicine. This is too absurd!


    Just when Lu Chen couldn''t solve the old woman, Director Li Yao came.


    With a puzzled look on her face, she slowly walked into the ward and sat in front of the computer.


    "Lu Chen, this is..."


    Lu Chen immediately breathed a sigh of relief and explained to Li Yao, "Teacher, mother-in-law came over and asked how to take these medicines."


    Li Yao looked at the medicine in the patient''s hand and immediately understood, "Mother-in-law, I have never seen your medicine before, and I don''t know how to take it. You may have to go to the doctor who prescribed it."


    "Then, where is Professor Shi?" The mother-in-law asked suspiciously.


    "He leaves the clinic the day after tomorrow, you can come and find him." Li Yao paused.


    "Okay, thank you." The mother-in-law smiled, picked up the medicine in the bag, and was about to get up and leave.


    At this time, Li Yao stopped the old woman.


    "Mother-in-law, but you have coronary heart disease, you must take medicines like aspirin."


    Mother-in-law turned her head, with a hint of doubt in her eyes, and pointed to the bag in her hand, "Are these medicines useless?"


    Li Yao said softly: "Strictly speaking, these things may not be considered medicines. Whether they can be effective or not can be said."


    "Ah? This..." There was a trace of confusion in her mother-in-law''s eyes, "I, I''d better go and ask Professor Shi first."


    This time, Li Yao didn''t stop her.


    Watching her mother-in-law leave, Lu Chen frowned.


    Tibetan medicine, what is the use of Tibetan medicine?


    Why did Professor Shi prescribe this Tibetan medicine to patients with coronary heart disease?


    turned his head to look at Li Yao, who was beside him. Lu Chen noticed that her face was also rather solemn.


    "Teacher, this..."


    "This matter is not complicated, but there are a lot of things involved, so you don''t know it for the time being." Li Yao sighed slightly.


    Lu Chen could only nod his head when he heard this.


    ¡­


    It''s almost eight o''clock.


    Lu Chen regained his mood and began to cooperate with Li Yao to receive patients.


    His job is to help Li Yao write prescriptions and check orders.


    Li Yao''s tutor''s account is an expert account, each account is 300 yuan, and there is a limit of 30 accounts per day.


    The first patient who walked into the outpatient room was a twenty-year-old boy.


    His face was ruddy and his steps were vigorous, and he did not look like a patient at all.


    As soon as the young man sat down, Li Yao said, "What''s wrong?"


    "I don''t feel any discomfort, I just want to have a physical examination and an electrocardiogram." The young man said.


    Li Yao was stunned for a moment, and Lu Chen''s expression was also stunned.


    Hang up an expert number and do an electrocardiogram?


    Expert is three hundred dollars!


    "Then you can retire my expert account and go to a regular account for an electrocardiogram," Li Yao reminded.


    "If you don''t go back, I''ll just call an expert to do an electrocardiogram." The young man said sternly, "Hurry up and make an order for me, I''ll do it now, don''t waste time."


    What a wayward boy!


    Li Yao glanced at Lu Chen helplessly, "Give him an application form for an electrocardiogram."


    "Okay." Lu Chen nodded and immediately printed out an ECG application form.


    After the young man got the application form, he walked out of the clinic without looking back.


    The first patient he met was so strange, Lu Chen was looking forward to the next outpatient clinic more and more in his heart.


    ¡­


    "Bang bang bang!" There was a knock on the door.


    "Please come in." Lu Chen replied loudly.


    The door was pushed open.


    A male patient in his fifties walked in.


    His complexion was sallow, with a lingering sadness on his forehead, and in his right hand he was holding a white bag containing CT films.


    This man looks like a patient.


    As soon as he sat down, before Li Yao could ask questions, he took the initiative to take out his medical records from the white bag.


    "Professor Li, look at my medical record first." The man said straight to the point, "I''ll tell you about my past medical history."


    Li Yao nodded slightly, picked up the man''s medical record, "Go ahead."


    "I was diagnosed with coronary heart disease five years ago..."


    After the man finished speaking, Lu Chen also sorted out his entire medical history.


    The patient was diagnosed with coronary heart disease five years ago in the county doctor, and two stents were placed.


    At first, the patient had no discomfort, but in recent years, the symptoms of chest pain have been repeated after activities.


    Repeated coronary angiography several times, and the results showed that the heart vessels were normal and there was no obvious stenosis.


    This time, the purpose of the man is to solve the problem of chest pain after activity.


    "Professor Li, this time I came to see you to see a doctor, just to completely solve my chest pain."


    The man''s medical records are very complete. After reading it, Li Yao knew the general condition of the patient.


    The patient was found to have coronary heart disease because of "chest pain after activity".


    But after the stent was placed, his chest pain did not significantly relieve.


    The results of each coronary angiography after ?? were normal.


    Li Yao reviewed the patient''s most recent coronary angiography, which was reviewed three months ago. All blood vessels were unobstructed, and the original stent was smooth without obvious stenosis.


    It stands to reason that pain of this nature and degree must be related to the heart.


    Is the chest pain after exercise has nothing to do with coronary heart disease?


    (end of this chapter)

 Chapter 250： Help me "correct" the electrocardiogram! (please order a wave

    Chapter 250 Help me "correct" the electrocardiogram! (Ask for a wave of subscriptions and monthly passes)


    Because it is an expert number, Li Yao sees patients very slowly, and asks about the condition very carefully.


    Although there are medical records, Li Yao asked the relevant medical history again.


    The patient was then given a careful physical examination, including auscultation of the heart and lungs.


    "I think it''s angina caused by coronary heart disease."


    However, the opinion given by Li Yao in the end could not convince the patient.


    "Professor Li, my blood vessels are fine and I don''t have any stenosis. The doctors at the county hospital have said that my chest pain may not be related to the heart."


    Li Yao heard the words, but shook her head firmly, "First of all, there is something wrong with your blood vessels. It is only because the stents are placed that the blood vessels are not narrowed. Secondly, if the blood vessels are normal, can''t it be chest pain caused by coronary heart disease? "


    "This..." The man scratched his head, "I just heard what the county doctor said, and I don''t quite understand it!"


    "Well, you go for an electrocardiogram and ultrasound first, and we''ll deal with it after the results come out." Li Yao said.


    The man is also good at talking, he nodded, immediately took the checklist that Lu Chen gave him, and left.


    ¡­


    In the outpatient room.


    Lu Chen shrugged, "Teacher, why do I feel that the patient is a little strange?"


    "It''s right to feel this way!" Li Yao smiled, "Those who can spend 300 yuan to register, except for those who are not bad, most of the patients are the ones that the lower-level hospitals can''t handle, more or less. Strange. When you stay in the clinic for a long time, you will know the way."


    As soon as Li Yao finished talking to Lu Chen, the third patient walked into the outpatient room.


    This time the patient looked more normal than the previous two.


    She is a female patient in her sixties.


    As soon as ?? walked in, he said to Li Yao very affectionately: "Professor Li, I finally waited for you to leave the clinic again."


    This patient looks like an old patient of Mr. Li Yao.


    "Aunt Zhang, why are you feeling uncomfortable?"


    Auntie Zhang smiled and shook her head, "It''s nothing uncomfortable, I just came to see, do I need to adjust the oral medicines I''m taking now?"


    Under Lu Chen''s eyes, Aunt Zhang took out an old medical record from her small bag.


    "Hey, you don''t need to turn over your medical records." Li Yao smiled, "I know your situation. These medicines you are taking now, there are two medicines you can stop, but you need to review your blood first."


    "Okay, I''ll listen to you." Aunt Zhang smiled.


    So, under the authorization of Li Yao, Lu Chen started to open some application forms for examinations and tests to patients...


    As the outpatient consultation progressed, Lu Chen discovered that Mr. Li Yao had too many old patients!


    Because there are only 30 people per day on the expert number, so many people register one day in advance, and they don¡¯t care about the registration fee of 300 yuan.


    ¡­


    Just when Li Yao received the fifth patient, the first young man took the electrocardiogram and returned to the outpatient room.


    Li Yao reached out and took the electrocardiogram, and was about to send a few words before letting the young man go back.


    When ?? looked down at the electrocardiogram, Li Yao''s expression was stunned.


    ECG: T waves in leads V1 to V6 are all inverted.


    Although the inversion of the T wave is not deep, it is obviously abnormal for such an electrocardiogram to appear in a young man!


    "This, is this your electrocardiogram?" Li Yao asked hesitantly.


    "Yes." Zhu Zhonghua nodded, "Is there any problem?"


    Li Yao paused, and said in the organization language: "If this electrocardiogram appears in middle-aged and elderly people, there is a high probability of coronary heart disease! But now it appears in a young person..."


    And the young man in front of him, his expression changed, he didn''t seem to be surprised by this result.


    "You already knew there was something wrong with your electrocardiogram, right?" Li Yao also found the abnormality and asked aloud.


    "Well, I did an electrocardiogram during the physical examination before." Zhu Zhonghua nodded, "The doctor who performed the physical examination told me that there might be some problems with my electrocardiogram. Later, I did a lot of examinations, including ultrasound and the like, all of which no problem."


    Hearing this, Lu Chen felt relieved.


    No wonder he must hang up an expert number to do an electrocardiogram, and then there is a "premeditated plan"!


    "Do you feel any discomfort after your usual activities?" Li Yao continued, "For example, chest tightness, chest pain, etc."


    Zhu Zhonghua shook his head, and then patted his chest, "I usually do well, I often participate in physical exercise! I don''t smoke or drink on weekdays."


    Li Yao thought about it and said, "Then your electrocardiogram is not normal for others, but it may be normal for you! It doesn''t matter, go back and have a good rest, don''t stay up all night."


    After Li Yao said these words, Zhu Zhonghua was slightly silent.


    He took a deep look at the electrocardiogram in his hand before slowly saying: "Professor Li, to tell you the truth, this time I am preparing for the medical examination of civil servants, and I have already done an electrocardiogram in advance, saying that there is such an abnormality. , if the formal medical examination is still like this, I may be brushed off."


    The medical examination procedures for civil servants are relatively strict.


    What''s more, the ECG is a very intuitive test result.


    Once these results are different from ordinary people, it is possible to say goodbye to the position of civil servant.


    "But your electrocardiogram..." Li Yao shook her head slightly, "For you, it''s really no problem."


    Zhu Zhonghua gritted his teeth and whispered: "Professor Li, don''t you have any way to correct the T wave of my ECG? Let it stand up!"


    Li Yao frowned.


    ECG can change.


    However, there is usually a sudden change in the condition, and the T wave changes from upright to inverted, which is a common "myocardial ischemia" change.


    However, now Zhu Zhonghua is under normal circumstances, his electrocardiogram is upside down!


    Wanting his electrocardiogram to stand upright, could it make him sick?


    This is obviously unlikely!


    "It''s impossible for your upright T wave to become an upright T wave." Li Yao shook her head.


    "Really not?" Zhu Zhonghua was a little desperate.


    The notes and interviews for the civil service exam are all over!


    Now he actually fell at the check-up level.


    But he did not have any physical disease!


    "No." Li Yao shook her head, "You can only try to go to the hospital where the physical examination was conducted, and ask their cardiologist to issue a certificate to prove that you are not sick."


    "Hey." Zhu Zhonghua sighed, "If this method works, then I don''t need to worry so much!"


    Lu Chen has been listening carefully to the conversation between Zhu Zhonghua and Li Yao.


    In addition to the condition described by Zhu Zhonghua, he also noticed another thing, that is, the character of the young man in front of him seems to be a little anxious and speaks very fast.


    Suddenly, an idea flashed in Lu Chen''s mind.


    He turned his head and whispered to Li Yao beside him: "Teacher, I may be able to correct the T wave in his electrocardiogram!"


    (end of this chapter)

 Chapter 251： Proprietary Experiment (please subscribe monthly pass)

    Chapter 251 Proximity Experiment (Seeking Subscription Monthly Pass)


    Li Yao is a professor-level person. After hearing what Lu Chen said, she thought about it and knew what Lu Chen had in mind.


    "Lu Chen, are you talking about the propranolol experiment?"


    Lu Chen nodded quickly: "Yes, teacher, I feel like I can give it a try."


    Propranolol, a beta-blocker, also known as "propranolol".


    The ?? propranolol test is mainly to identify non-specific ST-T changes caused by autonomic dysfunction and ST-T changes caused by cardiomyopathy.


    Zhu Zhonghua also looked expectantly at the two doctors in front of him.


    To be honest, he came from the county hospital below.


    He has gone to the best hospital in the county and the best tertiary hospital in the city, but no doctor can solve his ECG T wave inversion problem.


    Because the electrocardiogram failed, so the physical examination was stuck!


    But he clearly does not have any disease!


    The doctors in the Cardiology Department of the county and city hospital were all helpless, and even told him clearly that this T wave cause would accompany him for life.


    It will never be possible to stand upright!


    Zhu Zhonghua almost gave up.


    But this civil servant''s post is in Jinghua City, and the benefits are really good!


    Zhu Zhonghua is really reluctant to give up!


    Jinghua Second Hospital is the best hospital in the province and the seventh hospital in China for cardiology.


    Therefore, this time Zhu Zhonghua came to Jinghua Second Hospital to try his luck.


    If there is still no way, then he really gave up!


    "Professor Li, what are you talking about? Whether it works or not, I''m willing to give it a try!" Zhu Zhonghua quickly asked.


    Now he can grab a life-saving straw, then he will hold on desperately!


    This is related to the direction of his entire life in the future.


    Li Yao hesitated for a moment.


    This propranolol laboratory, to put it bluntly, is to identify whether this patient is an autonomic disorder or really sick.


    But the specificity of this test is not strong.


    Propranolol-positive patients, she has seen only a few cases so far, and they are all female patients!


    But there seems to be no other way now!


    Li Yao glanced at Zhu Zhonghua. Slowly said: "The method we said is to do a propanadm experiment."


    After oral administration of propranolol, the 12-lead ECG was recorded at 30min, 1h, and 2h after taking the drug, and compared with the 12-lead ECG before taking the drug.


    If the T wave is inverted from the pre-drug lead to upright after the drug is administered, the propranolol test is positive.


    suggested that the ST-T changes before treatment were caused by autonomic hyperfunction.


    After listening to Li Yao''s description, Zhu Zhonghua seemed a little impatient.


    "Isn''t it just taking a medicine? I take... by the way... is this medicine expensive?"


    "It''s not expensive, a box of 60 pieces is only 20 yuan, and you can eat two pieces." Li Yao said.


    "Okay, let me try this experiment!"


    Li Yao did not prescribe medicine to Zhu Zhonghua immediately, but recorded all the conditions in the course record, and then prescribed a box of propranolol to Zhu Zhonghua.


    Li Yao explained: "I will open a box of medicine for you first, and then I will open an ECG application form for you. Remember to take the medicine for half an hour before taking the ECG. Compare the two ECGs before and after. If the T wave is upright, it will prove useful! "


    "no problem."


    Zhu Zhonghua walked out of the outpatient clinic with the medicine collection form and the electrocardiogram application form.


    That excitement, Li Yao couldn''t bear to hit him.


    ¡­


    After dealing with this patient, the patient who registered later finally came in.


    "Hey, after waiting for a long time, it''s finally my turn!"


    The patient this time was a middle-aged man with a fat head and big ears, with a briefcase under his arm.


    As soon as I walked in the door, I started shouting: "I came here to have a physical examination. Before, my blood sugar was high, so I checked my blood sugar, and I also checked blood lipids, liver and kidney function, and electrolytes. By the way, my uric acid was also high before, so I will check again. Uric acid, I am afraid that I will develop gout in the future. Why don''t you check a blood routine..."


    Before Li Yao could speak, the fat man in front of him had already "diagnosed" himself.


    "Let''s drive so much first."


    After ??, the fat man added.


    Li Yao was expressionless and motioned to Lu Chen to ask him to open all the items that the patient asked to be examined.


    "Okay, then thank you." The fat man left the outpatient room with his briefcase in his hand.


    This man comes in a hurry and goes in a hurry.


    Li Yao smiled and said, "Nowadays, a lot of people can consult a patient, and even if they can''t, they will Baidu. Look at this patient, I didn''t say a word, he has already finished his diagnosis."


    "But the expert number is 300 yuan each." Lu Chen pouted.


    "Don''t worry, they will come to see me when their test results come out."


    Li Yao is right, the previous patient with chest pain had already completed the echocardiography and returned to the clinic.


    Echocardiography results showed no obvious abnormality in cardiac structure and function.


    "Professor Li, you see my ultrasound results are normal, what is the chest pain?" The man''s expression was very impatient.


    He has done a lot of checks.


    I have done a heart ultrasound four or five times, and every time there is no problem, but I can''t find out what the problem is!


    This worry has ruined him!


    Chest pain, this taste is not good!


    However, Li Yao had seen this heart ultrasound, but a smile appeared at the corner of her mouth.


    "Your chest pain may still be related to coronary heart disease!"


    The man was about to interrupt Li Yao''s words, but his blood vessels had been operated on, and there was no stenosis!


    But Li Yao reached out his hand to stop him: "Don''t worry. You must first understand a concept, the blood vessels are not narrowed, and the chest pain may also be caused by coronary heart disease."


    "Our heart blood vessels are like branches. In addition to large blood vessels, there are also small blood vessels, and even roots buried in the ground. The blood vessels examined by angiography are all large blood vessels and some small blood vessels. Those roots buried in the ground, we There''s no way to check."


    "This root is what we often call microcirculation. If the microcirculation disorder reaches a certain level, the patient will experience chest pain!"


    The man looked quite flustered.


    "You mean, I am a microcirculation disorder now?"


    "It seems so." Li Yao nodded.


    "Microcirculation disorder... Then how to treat this disease?"


    "I''ll prescribe you a medicine called Nicorandil. You can go back and take it for a while to see how it works. If it doesn''t work, come back for a consultation."


    Li Yao immediately gave the man a prescription.


    Lu Chen typed it out on the computer very cooperatively.


    "Okay, then thank you Professor Li."


    The man went to many hospitals, but the problem of chest pain was not resolved.


    Now that he can get a cause for his chest pain, he is satisfied.


    With the prescription, he left the clinic.


    ¡­


    For two hours, Li Yao saw more than ten patients in total.


    Lu Chen followed Li Yao and learned a lot of communication methods and diagnosis and treatment skills.


    But so far, they have not encountered any difficult patients.


    At least in Lu Chen''s view, it is relatively easy to solve.


    This may be because Lu Chen has rich clinical experience and has seen many medical records, so he has this feeling.


    (end of this chapter)

 Chapter 252： "Toothache" is not a toothache! (please subscribe monthly pass)

    Chapter 252 "Toothache" is not a toothache! (please subscribe monthly pass)


    Li Yao received two more patients.


    About half an hour later, Zhu Zhonghua slowly walked into the outpatient room with a smile on his face.


    From his expression, Lu Chen knew that the propane experiment was a success!


    Zhu Zhonghua smiled and handed over the electrocardiogram in his hand.


    "Professor Li, you are truly amazing! I took this medicine and took an electrocardiogram half an hour later. The T wave is really upright!"


    Although Zhu Zhonghua couldn''t read the electrocardiogram, he could still distinguish the upright and inverted waveforms.


    Li Yao and Lu Chen turned their attention to this electrocardiogram.


    The T wave of the ECG really stood up straight!


    It takes only half an hour for the patient to take the medicine, and the effect of the medicine is so obvious. It is really not easy!


    However, this also reflects the fact that Zhu Zhonghua is usually very nervous, easily anxious, and his autonomic nerves are seriously disordered, so the T wave inversion occurs on the electrocardiogram.


    To put it bluntly, patients with this autonomic disorder are a little nervous.


    "You have to thank the Dr. Lu next to you, who suggested that you do the propanadm experiment." Li Yao said.


    "Thank you Doctor Lu!" Zhu Zhonghua cast a grateful look to Lu Chen.


    "No thanks, we should do it." Lu Chen smiled.


    At this time, the system panel sounded a beep.


    "Congratulations, +1 for receiving thanks from Zhu Zhonghua!"


    "Congratulations, the completion of the system upgrade has increased!"


    At this time, Li Yao handed back the electrocardiogram to Zhu Zhonghua.


    "This kind of upright electrocardiogram may not last long. After that, you should take two capsules of this propranolol before the physical examination, and then go to the physical examination for the electrocardiogram. Usually, you don''t need to take medicine."


    "Well, thank you so much Professor Li and Dr. Lu!"


    Zhu Zhonghua said many thanks again, and the smile on his face was very bright!


    This small bottle of medicine gave him infinite hope.


    Zhu Zhonghua thought to himself that as long as he succeeded in joining the civil service, he must come back and thank the two doctors in front of him.


    In fact, Zhu Zhonghua''s abnormal T-wave ECG is also common in normal people.


    No treatment or treatment at all!


    However, the medical examination of civil servants is for such things as cards.


    Being able to help a young man pass the physical examination, Lu Chen is also very happy.


    This is all about changing the lives of others through your own efforts!


    The sense of pride and honor of a doctor is often reflected in this trivial time.


    ¡­


    The time in the outpatient clinic is passing by every minute and every second.


    Li Yao''s thirty outpatient numbers will be finished soon.


    "The last patient, we can get off work after reading." Li Yao said to Lu Chen with a smile.


    As soon as Li Yao finished speaking, the last patient walked into the outpatient room.


    The person who came in was a middle-aged couple.


    The woman supported the man and walked to Li Yao.


    Both of them are about fifty years old.


    The woman supports the man with one hand and holds this outpatient medical record in the other hand.


    "What''s wrong with you?" Li Yao asked while opening the outpatient medical record book.


    "I just have a toothache." The man covered his mouth with his right hand, and the expression on his face was quite painful.


    "Huh?" Li Yao looked up at the man, her eyes puzzled, "Come to see the cardiology department with a toothache?"


    "Doctor, that''s the way it is." The woman on the side explained, "We are going to have our teeth extracted, but because of the high blood pressure, the dentist dare not pull it out for us. Let''s lower our blood pressure first."


    Li Yao suddenly realized, "How high is the blood pressure?"


    "It was 190/100mmHg measured at the clinic this morning." The woman thought about it and said, "The dentist said it''s better to lower the blood pressure to below 140/80mmHg, so it''s better to extract the tooth!"


    "Well, that''s right." Li Yao nodded and said to Lu Chen, "Take the patient''s blood pressure again."


    Lu Chen immediately took out the blood pressure monitor in the drawer and measured the man''s blood pressure.


    "Teacher, it''s almost 200/100mmHg now, and the blood pressure on both sides is symmetrical." Lu Chen finished measuring his blood pressure.


    He felt that the patient was a little nervous, and probably because of the pain, the blood pressure was higher than before!


    "The blood pressure is indeed quite high." Li Yao said, "I don''t usually find that the blood pressure is so high?"


    The woman nodded: "I used to be in good health. If it wasn''t for this toothache, I wouldn''t know that he has high blood pressure!"


    Li Yao wrote all the main complaints and symptoms in the medical record while listening to the patient''s description.


    "Lu Chen, go ahead and ask the doctor."


    "Okay." Lu Chen nodded, "Uncle, besides toothache, do you have any other discomforts, such as headache, dizziness, nausea, vomiting, chest pain, chest tightness?"


    This time, a woman cannot answer.


    The man on the side ?? hurriedly shook his head, covered his mouth, and his voice was a little vague: "It''s just a toothache."


    "Well." Lu Chen continued, "Then how long have you had this toothache?"


    "It''s been more than a month," the woman said. "At the beginning, the pain went away after a while, so I didn''t care much. But in the last week, the toothache has gotten worse and lasted longer. I was thinking of going to the hospital, but I went to the dentist this morning and said that I might have to extract the tooth, but the blood pressure is elevated, and the extraction of the tooth is easy to bleed, so the blood pressure must be lowered before the tooth extraction can be performed.¡±


    Lu Chen has already learned most of the specific medical history, and some cases are still unclear, so he continued: "Then uncle, is your toothache related to dietary stimulation, strenuous exercise, or other factors?"


    As soon as Lu Chen finished speaking, the patient became impatient.


    "Doctor, I just have a toothache. You can help me lower my blood pressure. I''ll just go and have my teeth pulled. Don''t ask me if I have any!"


    "This..." Lu Chen just wanted to say something.


    The woman on the side also sang and said: "Yes, doctor, just help us lower our blood pressure. We hang up the 300 yuan expert account, just to make it faster, take antihypertensive drugs directly, and lower blood pressure, we don''t need to do so much. Imaginary!"


    At this time, Li Yao, who was sitting beside him, frowned and said, "You two, this is our procedure for seeing a doctor. For all patients in the general outpatient clinic, we need to ask for their medical history!"


    Seeing that Li Yao said this, the two didn''t say much, just urged the process to proceed quickly, and wanted to go to the dentist to extract the teeth.


    Lu Chen sorted out his thoughts and continued: "Uncle, besides the toothache, do you have a sore shoulder? Or a feeling of tightening in your throat?"


    "Hey, this is the point of the question." The man said, "My left shoulder really hurts too! Maybe it''s frozen shoulder. I''ll take a look when I have my teeth pulled out."


    Lu Chen frowned upon hearing this.


    "Uncle, you may need to have an electrocardiogram! Ask your family to get the antihypertensive medicine, and then accompany you to have an electrocardiogram."


    "What did you say? Electrocardiogram?" The man laughed, as if he had heard a joke, "I have a toothache, will you check my heart?"


    There have been 2 updates recently, waiting for the National Day to add more updates


    (end of this chapter)

 Chapter 253： What a thick envelope!

    Chapter 253 What a thick envelope!


    Li Yao''s complexion remained the same, she had encountered many such patients, and explained patiently: "First of all, as long as you want to extract a tooth, not only do you need to lower blood pressure before surgery, but also routinely do an electrocardiogram to evaluate the heart condition; It must be a problem with the teeth itself, and maybe the pain from a heart attack."


    "Huh? I heard that heart disease is all chest pain or chest tightness. Does heart disease also cause toothache?"


    A trace of doubt flashed in the eyes of the man in front of him.


    "And, I''ve never had a heart attack before, and neither did my parents!"


    Li Yao shook her head slightly: "The onset of heart disease is sudden, and it does not necessarily mean that there is any past medical history. Moreover, many diseases are not all symptoms, and a small number of coronary heart disease patients have symptoms, that is, toothache! Therefore, now you not only need To lower blood pressure, an electrocardiogram needs to be done to rule out heart disease.¡±


    "Then make one!" The woman on the side immediately said, "This electrocardiogram is not expensive. We make an electrocardiogram and treat it as a peace of mind. If there is a problem, we will solve it. If there is no problem, then it is the best. !"


    The man ignored the woman, but said to Li Yao, "Doctor, as long as my blood pressure drops and my electrocardiogram is fine, then I can extract my teeth?"


    "Yeah." Li Yao nodded, "The blood pressure is stable and the heart is fine, then you can extract the teeth!"


    "Okay, then I''ll do an electrocardiogram!"


    Seeing the patient''s agreement, Lu Chen immediately issued an ECG application form and a prescription for antihypertensive drugs.


    "Then go quickly." Li Yao said, "The ECG room is in the next building."


    The patient in front of him and his family nodded and left the outpatient room together.


    ¡­


    After the patient left, Li Yao glanced at Lu Chen admiringly.


    "Yes, inquiring about the medical history is more careful. For patients with toothache like this, don''t forget to ask about the history of heart disease. Many patients with heart disease are not necessarily chest pains, but may have toothaches, sore throats, shoulder pains, and what''s more, It''s a headache!"


    The heart itself has no pain nerves.


    Once the myocardium is ischemia due to coronary heart disease, many metabolites such as lactic acid will accumulate.


    These metabolites stimulate the autonomic nerves of the heart, and the stimulation signals are transmitted to the spinal cord center through the autonomic nerves.


    Different people can have slightly different afferent spinal cord segments, so the pain symptoms of coronary heart disease are also different.


    Since the afferent segments of the autonomic nerves of the heart are usually the afferent segments of the left chest and left upper limb sensory nerves, most patients with coronary heart disease present with pain in the left chest or left upper limb.


    However, if the afferent segment of the autonomic nerve of the heart is too high, it may manifest as toothache and jaw pain.


    Similarly, if the afferent segment is low, it may appear as upper abdominal pain and be mistaken for a symptom of a digestive tract disease.


    Some people can also have shoulder and back pain.


    Lu Chen nodded, "Well, I see, teacher."


    Although his clinical career was short, the number of cardiac patients he encountered was no longer rare.


    All kinds of strange complaints may be myocardial infarction!


    Each patient is unlikely to get sick according to the typical symptoms in textbooks, so some rare diseases and symptoms must not be ruled out.


    ¡­


    Finish this patient.


    This is Li Yao''s last patient this morning.


    It''s eleven o''clock, Li Yao has closed the clinic, and others can''t get her outpatient number.


    "We''ll get off work after sitting for another half an hour. We don''t see new patients now, but some patients need to see test results in the morning." Li Yao said, "We''ll wait for them."


    Lu Chen nodded slightly and sat beside Li Yao like a good student.


    "How is it in Corey during this time?" Li Yao asked suddenly.


    "Fortunately, although I''m a little busy, I can learn a lot." Lu Chen said.


    "I heard that you also taught yourself about cardiac ultrasound?" Li Yao smiled, "It''s not easy, isn''t it? It''s not easy when I''m so busy in clinical practice, and I still have time to learn ultrasound technology."


    Lu Chen smiled and said: "It''s just some fur, and there are many heart sections that I don''t know how to read."


    "Well, it''s better to be humble." Li Yao said, "When you go to the CCU for rotation, then you have a professional ultrasound equipment, and you can train at any time."


    The current portable ultrasound in the eight areas of the heart is a small castration version of the ultrasound machine.


    Professional cardiac ultrasound machine can more accurately judge the patient''s condition.


    "Teacher, it will take a long time for me to go to CCU." Lu Chen said.


    Li Yao said: "Well, where are you going to the next department?"


    "After a month and a half, you should go to the emergency department." Lu Chen thought about it and said.


    "You went to the emergency room so soon?" Li Yao was stunned, "I thought you would go to the emergency room for breathing or digestion! But the emergency room is also good. Going to the emergency room will benefit you a lot in the future."


    During the conversation, the patient with a toothache just now also returned.


    Walking into the outpatient room with him, besides his wife, there was also a young doctor in a white coat.


    "Director Li, is this your patient?" The young doctor stepped forward anxiously, holding an electrocardiogram in his hand.


    "It''s my patient." Looking at his expression, Li Yao''s face sank.


    Shouldn''t it really be a heart attack?


    "Director Li, then take a quick look at the electrocardiogram." The young doctor handed the electrocardiogram to Director Li.


    Li Yao looked down, and Lu Chen also brought his head close.


    "The anterior leads are all elevated!"


    Both of them were shocked.


    If you don''t check it, you don''t know, you will be shocked when you check it!


    Patient''s ECG showed extensive short ST elevation in the precordial leads.


    No wonder the doctor in the ECG room brought the patient in person.


    There is now the possibility of acute anterior myocardial infarction!


    Li Yao immediately said to the patient: "There is a problem with the electrocardiogram, we consider the possibility of acute myocardial infarction!"


    The man became anxious when he heard it, "Aren''t you kidding me, I...I have a heart attack?"


    The patient''s wife was also a little overwhelmed.


    "Uncle, don''t get excited yet." Lu Chen hurriedly stepped forward and said, "We are just suspecting now, you need to go to the hospital for further examination."


    At this time, the doctor in the ECG room took out a critical value registration book and asked Li Yao to sign it.


    The man was hesitant for a while, "I don''t feel like it hurts much, do I have to be hospitalized?"


    Li Yao took a deep breath, held her temper, and said slowly: "I''ll just say it directly, in your current situation, if you are diagnosed with acute myocardial infarction, it will be very dangerous."


    After finishing speaking, Li Yao also looked at the patient''s wife.


    "Acute myocardial infarction, high risk of sudden death!"


    The woman nodded quickly: "Doctor, I took a picture of this electrocardiogram and sent it to a family member studying medicine."


    "There is no rush to take pictures. The most important thing now is to be hospitalized as soon as possible, and to further improve relevant examinations. If there is a myocardial infarction, emergency surgery is required!" Li Yao said solemnly.


    Lu Chen is also constantly on the side, emphasizing the risk of myocardial infarction to patients and their families!


    "Doctor, what do you think we should do now?" The woman bit her lip with a look of sadness between her brows.


    "Now go to the emergency department and ask the emergency department to send nurses and doctors to accompany you to the CCU ward for hospitalization." Li Yao said.


    Although the outpatient building is only a few hundred meters away from the eighth inpatient department, there is no guarantee what will happen during this period.


    When encountering such emergency patients, emergency nurses and doctors must accompany them.


    "Then listen to you, go and live!" The woman nodded.


    After the patient and his family agreed, Lu Chen took the two to the emergency department.


    After explaining the condition to the emergency doctor, the doctor on duty in the emergency department immediately became alert and performed a quick troponin screening test for the patient.


    Three minutes later, the result came out.


    Troponin positive!


    Myocardial infarction diagnosed!


    The emergency department immediately dispatched doctors and nurses, brought rescue supplies, and sent the patient to the CCU!


    ¡­


    This side of the outpatient building.


    Lu Chen and Li Yao were relieved when they received this message.


    I can finally leave work in peace.


    "It''s almost time to get off work."


    Li Yao smiled, she suddenly took out an envelope from her carry-on bag, and handed it to Lu Chen.


    Lu Chen subconsciously took the envelope and paused before he could react.


    Good guy, what a thick envelope!


    (end of this chapter)

 Chapter 254： a salary

    Chapter 254 A Salary


    "Teacher, you are..."


    What was inside the envelope, Lu Chen knew without opening it.


    He looked at Li Yao with confusion on his face.


    "Your salary for two and a half months." Li Yao smiled.


    "Huh?" Lu Chen was stunned for a moment, but he didn''t react, "Wage?"


    "Well." Li Yao nodded, "Otherwise, with the six hundred yuan that the country distributes every month, is your daily life enough? You young people now spend much more than we did back then. Once you talk about friends, it''s not enough."


    Besides the 600 yuan subsidized by the state every month, there is almost no other source of income for the graduate students of Jinghua Second Academy, except for the meager silent night shift fee.


    Therefore, most graduate students still have to ask their families for money.


    Of course, teachers in some departments will give students partial subsidies every month.


    This part of the subsidy is not mandated by the school. It depends on the personal wishes of the tutors, and they can give as much as they want.


    Some teachers give subsidies, there are more or less.


    And some teachers have nothing at all.


    Lu Chen could feel that the envelope that Li Yao gave him was really thick.


    At least around 2,000 yuan.


    As for why Li Yao did not transfer money directly, but gave cash, Lu Chen was not too sure.


    "Thank you, teacher." Lu Chen thanked him repeatedly.


    "This is two and a half months." Li Yao said, "Your senior sister Sun Guoguo will make simple calculations based on your usual workload, such as the number of patients admitted and the number of discharges. Each person''s monthly subsidy will be calculated. It''s all different!"


    "So it is." Lu Chen nodded.


    No wonder Sun Guoguo asked several of their students to register all the information on admission and discharge in the notebook.


    "But after you leave the Cardiology Department, you will have no money." Li Yao said, "Unless you come to the laboratory to help out, there will be some subsidies."


    "Okay." Lu Chen smiled.


    As a mentor, Li Yao is already quite competent.


    Finally got off work, and both Lu Chen and Li Yao left the outpatient room.


    That envelope was put in the bag by Lu Chen, ready to open it after returning to the bedroom.


    ¡­


    After Lu Chen and Li Yao separated, he came to the cafeteria to eat alone.


    Because he was out of the clinic today, Lu Chen came to the cafeteria very early.


    "Hey, Lu Chen, why are you so early today?"


    Lu Chen was holding a dinner plate, and just sat down when he heard a familiar voice behind him.


    Looking back, it really was Zhou Wei.


    "You''re pretty early today too?" Lu Chen smiled.


    Zhou Wei took the plate and sat across from Lu Chen.


    "Hey, I''m in the lab, I can come out whenever I want!" Zhou Wei laughed.


    Lu Chen said: "I went out of the clinic today, so I got off work earlier."


    "Accompany the instructor to the doctor''s office?"


    "Um."


    "Hey." Zhou Wei sighed slightly, "I want to go too, I haven''t been out of the outpatient clinic, it should be fun."


    "You will have a chance in the future!" Lu Chen glanced at Zhou Wei, "Don''t be ignorant of happiness in the midst of happiness, how many people want to go to the laboratory but can''t go!"


    Zhou Wei scratched his head and gave a wry smile: "I envy a ghost! It''s like a siege, I want to come out, you want to go in."


    "How is it? Have you posted an article recently?" Lu Chen asked again casually.


    As soon as he heard this, Zhou Wei immediately came to his senses: "Don''t say it, my tutor has actually published a few articles recently, although I''m doing odd jobs, but the teacher signed my name, it''s two SCI papers. !"


    Lu Chen raised his brows.


    It''s not easy, Zhou Wei is mixed with SCI papers!


    "Okay, you kid." Lu Chen smiled, "Your graduation requirements have been met."


    Peking University Second Academy requires the publication of a dissertation.


    Chinese core papers, first author is required.


    SCI papers, just put a name on it.


    "The school graduation requirements are met, but I have not yet met the requirements of my supervisor. Now I am the third or fourth author at most, and my supervisor asks me to publish an SCI as the first author." Zhou Weidao.


    "Then you have to cheer up." Lu Chen said.


    Zhou Wei nodded: "Well, try to post an article next year."


    Lu Chen smiled and said nothing.


    Today''s people are full of energy and want to post articles!


    This is a good thing, but also a bad thing!


    ¡­


    After eating, the two of them went back to their bedrooms.


    As soon as he returned to the dormitory and found that no one else in the dormitory had returned, he opened the envelope.


    The money is really a lot!


    Lu Chen took it out and counted it, a total of 2,500 yuan!


    Now he has been on classes for two and a half months in total, which is spread evenly to about 1,000 per month.


    Li Yao is really not stingy with her students.


    She is not only Lu Chen''s student now, but in this class alone, there are also Ke Yue and Jiang Qingyan.


    Put the money away, Lu Chen plans to deposit the money in the bank after a while, but basically no cash is needed now.


    ¡­


    afternoon.


    Lu Chen still accompanied Li Yao to the outpatient class.


    Throughout the afternoon, Li Yao did not see new patients, but dealt with patients left over from the morning.


    Many patients do some tests and examinations in the morning, and bring them to the doctor in the afternoon.


    Compared to being on duty in the ward, Lu Chen felt that it was much more relaxing in the outpatient clinic.


    For most of the afternoon, Lu Chen was chatting with Li Yao.


    Li Yao not only cares about and asks about Lu Chen''s daily life, but also asks about academic and scientific research.


    After training in "clinical scientific research" in the virtual space of the system, Lu Chen''s clinical scientific research ability has improved rapidly.


    Although Lu Chen''s clinical research has not been practiced, his theoretical knowledge is very solid, and he says it all.


    "Hey, Lu Chen, when did you study clinical research?"


    Li Yao was also surprised when talking with Lu Chen.


    How many secrets do you have about yourself as a student?


    I will be doing cardiac ultrasound in a while, and clinical research in a while.


    Where did he get the time to do so many things?


    Lu Chen can only say haha: "Teacher, I have been in contact with it when I was an undergraduate, and now I go back to the dormitory to study by myself every night, so I may know a little bit more."


    Li Yao did not continue to ask questions.


    Student is so good, as a tutor, she has a light on her face!


    After this conversation with Li Yao, Lu Chen had new ideas for his clinical research.


    Lu Chen decided to set up his own research content and personally verify the feasibility of this kind of clinical research in clinical practice.


    Seeing Lu Chen''s self-consciousness, Li Yao was quite relieved.


    "Lu Chen, do it yourself first. If you have any difficulties, come to me at any time, or go to the brothers and sisters in the laboratory."


    "Okay, thank you teacher."


    A simple outpatient clinic gave Lu Chen a very rich harvest.


    In addition to a salary, there is a lot of clinical and scientific experience.


    (end of this chapter)

 Chapter 255： ECG Contest

    Chapter 255 ECG Contest


    Clinical life, most of the time, is cookie-cutter.


    Admission and treat patients, record the course of the disease, and then handle the discharge.


    Sometimes even boring.


    Lu Chen struggled clinically, and another half month passed.


    It has been three months since he came to the eighth district in his heart.


    It is already early November, and the weather is slowly getting cooler.


    Late at night.


    Lu Chen was lying on the bed in the bedroom.


    With a thought of ??, the system panel appeared in front of him.


    Currently, the system upgrade completion rate has reached 36%, and the total thank you point is 46 points.


    The ?? system mall has only opened the first floor, which are all primary skill cards.


    At the bottom of the ?? system panel is Lu Chen''s skill bar.


    Because he has experienced national skills competitions, Lu Chen has a variety of skills, both internal and external, and he knows all kinds of skills, and his proficiency in each skill is not low.


    However, Lu Chen noticed that some skills in pediatrics and gynecology have not been used for a long time, and their proficiency has actually decreased!


    This system is also human-like!


    Lu Chen was quite helpless.


    At present, Lu Chen''s clinical research card is almost finished.


    All primary courses on clinical research have been completed.


    At the same time, Lu Chen also started his own way of clinical research, collecting patient data in his usual clinical work.


    Through data collection, comparison, and final statistical analysis, the final conclusion is drawn.


    This is a routine clinical research procedure, but it takes a long time.


    Lu Chen estimated that it would take about 4-6 months to complete his first clinical research project.


    However, Lu Chen is not in a hurry. He has just entered the first grade, and he still has a lot of time.


    Clinical research is different from the usual training of this skill.


    There is no rush, and a long period of precipitation is needed to obtain good results that are beneficial to clinical practice.


    Most of the short-term and accelerated scientific research is either of low quality, or fraudulent and plagiarized.


    Thinking of this, Lu Chen began to summarize the main tasks for the next period.


    First of all, it is to obtain the system upgrade completion degree. After all, the system is now his greatest help.


    Secondly, it is to get the gratitude value and open the next-level system mall to exchange for higher-level skill cards.


    Finally, he completed his first clinical research.


    After arranging everything, Lu Chen fell asleep.


    ¡­


    The next day.


    Lu Chen came to the eight districts in his heart as usual.


    It has been two months since he came to the eighth district in his heart.


    In the past two months, Lu Chen has been fully familiar with clinical work and has occupied an important role in Li Yao''s medical team.


    Lu Chen has become an excellent resident physician who is skilled in treating patients.


    The fly in the ointment is that Lu Chen has not yet obtained a practicing doctor certificate (a practicing doctor certificate needs to be obtained one year after graduating from a bachelor''s degree), so he cannot issue certain medical orders independently.


    Many times, he still has to ask the opinions of the superior doctors Sun Guoguo and Li Yao.


    "Junior brother, the patient in bed 16 needs to intervene. You can communicate with them and bring them along with the interns, so that they can learn communication skills."


    Sun Guoguo is much more relaxed with Lu Chen as a good helper.


    You only need to check some doctor''s orders every day, and you can even ask Lu Chen to communicate about the condition.


    This can make the attending doctors of other groups envious.


    Everyone praised Lu Chen in secret, and some doctors even wanted to borrow Lu Chen for a week.


    Sun Guoguo of course refused.


    Lu Chen is a treasure in their group!


    "Okay, Senior Sister, I''ll go now." Lu Chen nodded, then took the four interns to the ward.


    ¡­


    "Surgical communication is mainly to inform patients of the necessity and risks of surgery, and then to sign a power of attorney and informed consent for surgery..."


    In the ward, Lu Chen talked eloquently to all the interns.


    The patient in front of him is suspected of having coronary heart disease and is likely to have a stent implanted, so Sun Guoguo directly suggested that the patient undergo coronary angiography.


    After Lu Chen communicated with the patient, he also received thanks from the four interns.


    "Congratulations, +1 for receiving Wei Wenwen''s thanks!"


    "Congratulations, +1 for receiving Shen Wenbo''s thanks!"


    ¡°¡­¡±


    Thanks can be obtained every day, but it is more difficult to obtain system upgrade completion.


    As soon as Lu Chen returned to the doctor''s office, the phone''s WeChat alert sounded.


    Picked it up and took a look, it was a message sent by Li Yao''s mentor.


    Li Yao went out of the clinic today and was not in the ward.


    Lu Chen opened the WeChat dialog box.


    Li Yao sent a link - the 7th ECG competition of the Chinese Society of Electrophysiology will be held soon.


    "EKG competition?" Lu Chen''s eyes lit up.


    Except for a link, Li Yao did not send any other information.


    But Lu Chen was very interested in this game.


    If the last clinical skills competition was a promise to Li Yao, then this time the electrocardiogram competition is due to Lu Chen''s strong desire to participate!


    Ever since he was exposed to electrocardiography and electrophysiology, Lu Chen has become more and more moved by its charm.


    A small ECG drawing can see the ECG changes of the entire human body!


    Even diagnose the patient''s disease!


    At present, Lu Chen has encountered no really difficult ECG cases in clinical practice, at least he can judge them.


    He wanted to know, where is his limit? !


    Lu Chen couldn''t wait to open the link sent by Li Yao''s tutor.


    This time, the Huaxia Electrophysiology and ECG Competition was held online.


    This competition was initiated by the Chinese Society of Electrophysiology.


    is held every two years, and this time it is the turn of Bingcheng Medical University.


    The participating teams are selected by each municipal electrophysiology society and are divided into provincial preliminary rounds, national semi-finals and finals.


    The top ten of the competition, in addition to a generous bonus, can also enter the Huaxia Electrophysiology Class to study for a month!


    Just seeing this reward made Lu Chen''s heart skip a beat.


    Huaxia Electrophysiology Class is a training institution established by top electrophysiology experts in the country.


    In the first half and second half of each year, there is a one-month study opportunity, and the number of places each time is extremely limited.


    There are only two places per province, or even less!


    This competition is an individual competition.


    If you get the top three in this competition, you will have the opportunity to enter the electrophysiology class. This opportunity is a once-in-a-lifetime!


    In addition, the top ten contestants in the country can be directly promoted to become the core members of the Electrophysiology Society!


    However, the previous reward alone is enough to be exciting.


    "The day after tomorrow is the provincial preliminary competition. The conditions for registration are ordinary members and elite members of county and municipal electrophysiology associations."


    The registration conditions directly restrict the core members from participating.


    In fact, the core members of electrophysiology, generally speaking, are directors-level characters, and they don''t even bother to participate in the competition.


    This kind of competition is more about giving young doctors a stage to perform.


    Lu Chen did not hesitate at all and chose to sign up!


    Click on the registration official website to verify his elite membership of the Municipal Electrophysiology Society.


    "Congratulations, Lu Chen, an elite member of Jinghua Electrophysiology Society, has passed the registration!"


    "The provincial preliminary round will be held at two o''clock in the afternoon the day after tomorrow. Please enter the competition website half an hour in advance to prepare."


    After passing the registration, Lu Chen got his own test number - No. 313!


    In other words, more than 300 people have signed up across the province.


    ¡­


    As soon as Lu Chen finished registering his name, he heard Senior Sister Sun Guoguo''s voice ringing beside him.


    "Hey, Lu Chen, are you also participating in this competition?"


    I don''t know when, Senior Sister Sun Guoguo came to his side.


    (end of this chapter)

 Chapter 256： ups and downs

    Chapter 256


    Lu Chen suddenly remembered that Senior Sister Sun Guoguo was an ordinary member of the Jinghua Electrophysiology Association.


    He nodded quickly: "Yes, Senior Sister, I want to try it."


    Sun Guoguo smiled, "Just in time, I also signed up for the competition, let''s cheer together then!"


    Sun Guoguo was not surprised by Lu Chen''s participation.


    The ECG level that Lu Chen usually shows in the department has completely surpassed the vast majority of people.


    To be honest, Sun Guoguo even felt that Lu Chen''s level surpassed her own.


    "If you don''t know about this competition, I''m going to tell you." Sun Guoguo smiled, "Our ordinary members just have the opportunity to participate."


    Sun Guoguo currently knows that he is a member of the Electrophysiology Association, but does not know that he is an elite member.


    Actually, this competition was announced two months ago.


    However, at that time, Li Yao and Sun Guoguo did not think that any students would participate, so they did not advertise it.


    But now that Lu Chen is on the rise, Li Yao will naturally let him try it too.


    Lu Chen smiled, without explaining too much, just said: "Mr. Li sent me the link."


    "There are many people from our Jinghua No. 2 Hospital who participate in the competition. As long as they are ordinary members or elite members, they will try it out." Sun Guoguo said, "Like Xia Gang and Dr. Yin Xinhua from the eight districts in our hearts, they will all participate."


    "So many people!" Lu Chen was taken aback.


    "Of course, if you can enter the top ten, you can enter the Huaxia Electrophysiology Study Class." Sun Guoguo said excitedly, "As long as you can successfully get the certificate of completion from this class, you will be an expert in electrophysiology from now on! Our Dean Cao Zhiying and Li Yao''s tutor have all studied in this class. As long as you can get this certificate of completion, you can choose any of the top hospitals in China!"


    Lu Chen blinked.


    He already looked up to this electrophysiology class, but after listening to Sun Guoguo''s description, he didn''t expect this electrophysiology class to be even better than he imagined!


    However, Sun Guoguo sighed again and said: "Let''s not think about it, the top ten in China is too difficult! It''s still more knowledgeable."


    Lu Chen nodded in agreement.


    He also knew the difficulty of this competition.


    In the last national skills competition, he was competing with his peers.


    In this ECG conference, most of the clinicians are already working, and only a very large number of students participated!


    Although the difficulty has risen by a few levels, this has also aroused Lu Chen''s desire to win!


    ¡­


    While the two were talking, Fan Zhiping also heard what they were saying.


    Fan Zhiping was a little excited, and he also wanted to try this game.


    As a senior cardiologist, he has heard of this competition, but he has never participated in it before, and he has no awareness of this competition.


    But after this period of study, Fan Zhiping also feels that he has grown a lot.


    Especially following Lu Chen''s side, his ability to interpret electrocardiograms has greatly improved!


    He happens to be a member of the County Electrophysiology Association and has the qualifications to participate.


    "Participate!"


    Fan Zhiping made a secret decision and wanted to test his own level.


    ¡­


    After get off work, Lu Chen went back to the bedroom.


    With a thought of ??, the virtual system panel appeared in front of him.


    At present, Lu Chen has skill books on ECG basics (top) and ECG basics (middle).


    The proficiency of ECG interpretation skills is 81%!


    Although the proficiency level is already very high, Lu Chen noticed that the proficiency level has remained at 81% and has not risen for a long time!


    ECG Basics (top) and ECG Basics (middle), both of which are primary skill cards.


    The primary skill card is almost enough to deal with the usual clinical work.


    But for those difficult cases, as well as the electrocardiogram competition, it is obviously not enough to watch!


    "If you can draw or exchange for a skill card of a higher level... that''s great!" Lu Chen muttered in his heart.


    At present, it is extremely difficult to improve the electrocardiogram ability as soon as possible with only his own ability.


    The only hope can only be placed in the skill card of the system!


    But the system draws cards, which is not realistic.


    As far as the lottery system is concerned, Lu Chen doesn''t expect his character to explode at all, so he can directly draw higher-level cards.


    Another way, direct exchange!


    But the system mall only opened the first layer.


    In the mall on the first floor, there is only the elementary "Electrocardiogram Basics (below, which is worth 40 gratitude points.


    Lu Chen did not find a higher level skill card.


    "Let''s exchange this ECG basics (below) first."


    With a thought of ??, 40 gratitude points were consumed, and Lu Chen exchanged the ECG basics (below).


    Using the skill card of ECG basics (below), Lu Chen''s ability to comprehend the basics of ECG has been further improved!


    Strikes while the iron is hot, Lu Chen finds out books related to electrocardiograms to watch, and starts to watch.


    ¡­


    At this time, he was in the dormitory of the Jinghua Building in the Second Hospital of Jinghua.


    Gu Xinyue also received the notification of this electrocardiogram contest.


    He didn''t sign up for the first time, but immediately sent Lu Chen a WeChat message.


    "EKG competition, are you participating?"


    Gu Xinyue has been paying more and more attention to Lu Chen since then.


    Maybe because Lu Chen led them to win the first place in the national skills competition, Gu Xinyue no longer had the arrogance that he used to be.


    "join."


    Seeing the two words sent by Lu Chen, Gu Xinyue''s eyes were firm, she took a deep breath, and clicked on the registration website.


    ¡­


    Jinghua Central Hospital, Department of Cardiology.


    As an elite member of the Electrophysiology Association, Min Xiaobo also has the opportunity to register for this competition.


    And this ECG competition, Min Xiaobo is very important!


    As a Ph.D. in Cardiology Electrophysiology, he knows better than anyone the weight of the Huaxia Electrophysiology Class.


    If you can successfully get this place, and get a certificate of completion of the electrophysiology class.


    Then he is in the Jinghua Central Hospital and will definitely be the reserve for the future director candidate!


    Don''t look at him as a returnee doctor, but in this kind of provincial tertiary hospital, education is just a stepping stone.


    Without a strong background, if you want to go further, you need to rely on this kind of national top honor!


    However, most cardiologists are closely watching this opportunity.


    This is tantamount to crossing a single-plank bridge with thousands of troops!


    "I tried my best this time, and I want to enter the top ten!"


    Seizing this opportunity means taking a shortcut!


    Min Xiaobo suddenly thought of Lu Chen, who was also a member of Jinghua Electrophysiology Elite, the first-year graduate student.


    "Lu Chen should also participate, just to compare!"


    Thinking of this, Min Xiaobo''s eyes were very firm.


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen doesn''t care about the ups and downs of the outside world.


    He was immersed in the basics of electrocardiography (below), the super comprehension ability brought by this skill card.


    The afternoon after tomorrow is the provincial preliminary round.


    Although it was only the preliminary round, Lu Chen didn''t dare to take it lightly.


    In the last two days, he will make full use of the advantages brought by the skill card for the final training.


    (end of this chapter)

 Chapter 257： The last ten questions! (seek wave subscription)

    Chapter 257 The last ten questions! (seek wave subscription)


    Two days passed quickly.


    After these two days of assault training, Lu Chen has brought the super comprehension given by the basics of electrocardiography (Part 2) into full play.


    The fly in the ointment is that he still hasn''t opened the next-level mall in the system, nor has he drawn a higher-level ECG skill card.


    Exam time is approaching.


    Although it is an online exam, it is still difficult to cheat.


    Each team member needs to place two cameras in the test room, front and rear, to monitor the entire room.


    Secondly, after entering the test platform, the background will supervise all operations.


    Take ten thousand steps back, for this kind of electrocardiogram competition, the contestants are not afraid to search for information online, because it is difficult to find the original title.


    ¡­


    One thirty in the afternoon.


    All contestants in the province have entered the examination platform website in advance.


    Guipei''s dormitory, other roommates are not in the house.


    Lu Chen sat upright.


    Although this is a provincial competition, the lion must fight the rabbit with all his strength, so Lu Chen didn''t dare to slack off.


    The rules of this provincial preliminary competition are very simple, and it is divided into three rounds.


    The first round is equivalent to the audition, and fifty contestants are selected from all the contestants.


    The second round is the provincial semi-finals, with 50 to 10.


    The last round is the provincial final, with ten out of three.


    The top three in the final will go out to the national competition as the provincial team!


    Today is the first round of the provincial preliminary round.


    In the first round, there are 50 ECG questions in total, and each question has 90 seconds of thinking time.


    The ?? question type is multiple choice, but each question has five options.


    The difficulty of these fifty ECG questions is evenly distributed from easy to difficult.


    In the end, the contestants with the top 50 points will be selected. If the points are the same, the one with the shorter time wins.


    ¡­


    Time passes by every minute and every second.


    At two o''clock in the afternoon, the exam officially started.


    Brush face verification passed!


    Lu Chen took a deep breath and exhaled slowly.


    Click the "Start Exam" button, and Lu Chen started answering the questions.


    first question.


    The question is, the patient is male with chest tightness.


    In a simple sentence, the following is a 12-lead electrocardiogram.


    Lu Chen glanced at it, observed it for ten seconds, and immediately judged the result.


    "Sinus rhythm, left axis deviation, frequent multi-source ventricular prematures, and interfering P-R interval prolongation."


    Question 2, the patient is female, 9 years old.


    Lu Chen spent thirty seconds on this question.


    "Wandering rhythm in the sinoatrial node, counterclockwise transposition!"


    The third question...


    Lu Chen answered the questions very quickly.


    Many questions, you can see the result at a glance.


    Except for a few questions, he would spend about thirty seconds.


    ¡­


    Gu Xinyue was also taking the exam in the dormitory of the Guipei Building.


    Compared to Lu Chen''s ease, his speed was much slower.


    For each question, the final answer will be chosen almost only when 90 seconds are almost used up.


    For some common graphics, Gu Xinyue is quite sure.


    But once he encounters those that are easier to confuse, he begins to hesitate and struggle.


    It took ?? five minutes for Gu Xinyue to complete the three questions.


    Unconsciously, fine sweat broke out on his forehead.


    The current ECG exam is still too difficult for Gu Xinyue as a student!


    After all, he is only the first researcher, has very little clinical experience, and has seen much less pictures than other doctors.


    ¡­


    Jinghua Second Hospital, in a nearby rental house.


    Fan Zhiping closed all doors and windows in all houses.


    Reject all external noises and answer questions without distraction.


    "Sinus rhythm, right atrial abnormality, multiple multi-source atrial early with poor transmission, and T wave changes."


    "Sinus rhythm, intermittent ventricular pre-excitation."


    "Accelerates junctional spontaneous heart rhythm and interferes with incomplete atrioventricular separation!"


    ¡°¡­¡±


    The first 30 electrocardiograms were not very difficult for Comrade Fan.


    With his years of clinical experience, he can almost correctly interpret the results.


    The only thing that doesn''t work is his speed of answering questions.


    Fan Zhiping will check a question multiple times, so as not to miss the point or miss it.


    Like Gu Xinyue, he tried his best to use up 90 seconds of each question.


    For Fan Zhiping, his strategy is very simple, that is, try to get full marks on the questions he can do.


    As for those difficult questions, he will not waste too much time and energy at all.


    ¡­


    Jinghua Central Hospital, Department of Cardiology.


    Min Xiaobo also found a free lounge and answered the questions quickly.


    The exam time has only passed ten minutes, and he has already completed the nineteenth question.


    The average answering time for each question is controlled within 30 seconds.


    "Sinus rhythm, complete left bundle branch block, left anterior branch block."


    This nineteenth question was also quickly solved by Min Xiaobo.


    These are the most common ECG patterns in clinical practice.


    For a senior attending cardiologist, Min Xiaobo has gone through all the difficulties without any pressure at all.


    ¡­


    More than half of the exam questions.


    Lu Chen''s answering speed finally slowed down.


    He found that starting from the thirty questions, the difficulty of the ECG gradually increased.


    There is no ECG that can give results at a glance.


    Instead, it requires step-by-step analysis and comparison, and finally a conclusion can be drawn.


    Question 34, a female patient, 71 years old, complained of dizziness.


    "Sinus rhythm, left axis deviation, slow junctional escape rhythm, third-degree atrioventricular block, ventricular phase arrhythmia consistent with hooking phenomenon."


    Every time he did a question, Lu Chen had to keep calculating in his mind.


    Fortunately, he had exchanged the ECG (bottom) skill card, otherwise Lu Chen would feel exhausted now.


    Although the speed of answering questions has slowed down, Lu Chen can still ensure the accuracy and continue to answer questions in an orderly manner.


    ¡­


    At this time, Gu Xinyue was not so relaxed.


    I did the 31st question stumblingly.


    Gu Xinyue encountered an electrocardiogram that she couldn''t understand at all.


    After carefully observing for a minute, I still have no clue, so I can only skip!


    However, seeing the graph of the next question is completely unfamiliar.


    Gu Xinyue''s heart wants to cry without tears!


    look at one, no,


    The next one, not yet.


    The next one, still not!


    His answering rhythm has been completely disrupted.


    ¡­


    After ??30 questions, Fan Zhiping in the rental house also felt stretched.


    He seemed to have seen every question, but he didn''t have the confidence to answer each question correctly.


    Fortunately, the question type is multiple choice.


    Fan Zhiping can analyze and exclude certain options according to the content given by the options.


    His answering speed is still very slow.


    At the same time, his accuracy rate began to decline.


    ¡­


    At this time, Min Xiaobo was far away in Jinghua Central Hospital.


    He also finally came across the tricky graphics, but it was after forty questions.


    Between ??30 to 40 questions, Min Xiaobo could still finish it easily.


    "Question 42...what is this?" Min Xiaobo frowned, and began to sink his heart, carefully checking the details of each electrocardiogram.


    The last ten questions are more than twice as difficult as the previous forty questions.


    In addition to Min Xiaobo, in the Jinghua First Hospital, Jinghua Second Hospital, Jinghua Central Hospital and other hospital districts.


    There are also many excellent cardiologists who are taking the remaining ten exams.


    (end of this chapter)

 Chapter 258： The counterattack of the middle-aged uncle (Laibo subscription)

    Chapter 258 Middle-aged Uncle''s Counterattack (Laibo Subscription)


    These last ten questions.


    Mostly rare ECGs from hospital beds.


    In order to interpret correctly, not only the level of viewing pictures, but also the basic knowledge of electrophysiology is required!


    If he can only read and recognize pictures, then he may be able to complete the first forty questions.


    But if you have no knowledge of electrophysiology at all, you will be unable to start with the last ten questions.


    ¡­


    Time passed slowly.


    Exam time is also coming to an end.


    When Lu Chen finished answering the last question, he clicked the "Submit" button.


    For him, the first round of the entire provincial exam is over.


    "Phew..." Lu Chen finally breathed a sigh of relief.


    Fifty questions, which doesn¡¯t seem like much.


    But trying to complete so many ECG interpretations in one go, Lu Chen also felt a little tired.


    After all, his clinical experience is not as rich as others, and many electrocardiograms are very easy to be confused.


    Lu Chen needs to be screened again and again to avoid misjudgment and missed judgment.


    The test results will be announced on the test platform one hour later.


    ¡­


    With the end of the test time, other contestants also submitted test papers one after another.


    Even the contestants who have not completed the exam papers are forced to hand in the exam papers at this time.


    Gu Xinyue sighed in the bedroom.


    Without seeing the results, he knew that he would never be in the top 50.


    In this exam, he is also very clear about his abilities.


    He came out on top among a group of students.


    But it is still a long way from being an excellent cardiologist!


    At present, what Gu Xinyue is most interested in is Lu Chen''s results.


    He knew that Lu Chen was different from normal peers.


    If you want to choose a student to enter the top 50 in the province, Gu Xinyue feels that it must be Lu Chen.


    ¡­


    After ??Fan Zhiping handed in the papers, he immediately began to look up books and related materials.


    For Fan Zhiping, there were five electrocardiograms, which he also saw for the first time.


    He deduced the final result based on the electrophysiological knowledge he had learned from Lu Chen.


    However, there is not the slightest confidence in the correctness of this result.


    So, Fan Zhiping began to look up the information.


    Although the exam is over, he is still studying.


    As for his own ranking, Fan Zhiping felt that it would be best to be in the top 50.


    Even if you didn''t make it into the top 50, it was a good learning opportunity, and there was nothing to regret.


    ¡­


    Jinghua Central Hospital, Department of Cardiology.


    After submitting the papers.


    The smile on Min Xiaobo''s face remained undiminished.


    The ?? question is difficult, but for Min Xiaobo, these ECGs are still not enough to see.


    The last ten questions involve some electrophysiological knowledge, but in Min Xiaobo''s view, they are all relatively basic.


    Now, just wait for the final results to be announced.


    ¡­


    An hour is neither short nor long.


    When Lu Chen opened the exam website again, the results of the first round of the ECG competition came out!


    He suddenly felt a little nervous in his heart, swallowed a little, and clicked on the shortlist for the next round.


    "First place, Jinghua Second Hospital, Hu Yiming, 100 points!"


    "Second place, Jinghua First Hospital, Deng Fangfang, 100 points!"


    "The third place, Jinghua Second Hospital, Lei Cui, 98 points."


    ¡°¡­¡±


    "Fifth place, Jinghua Central Hospital, Min Xiaobo, 98 points."


    ¡°¡­¡±


    "Eleventh place, Jinghua Second Hospital, Lu Chen, 96 points."


    ¡°¡­¡±


    "Forty-eighth, Jinghua Feng M County, Fan Zhiping 84 points."


    "Forty-ninth place, Jinghua Fourth Hospital, Ding Xin 84 points."


    "No. 50, Jinghua Second Hospital, Gao Ning 82 points."


    ¡­


    Eleventh place!


    Lu Chen raised his brows, this result is the eleventh place in the province!


    As a student, the eleventh grade can already be said to be very evil.


    In this list of achievements, the top ten are all cardiologists in major hospitals in Jinghua, the lowest level are attending physicians, and there are even four deputy chief physicians.


    The only student in the top fifty middle schools was Lu Chen.


    Lu Chen couldn''t say he was satisfied with this result, but he couldn''t say he was sad either.


    You must know that although there is systematic help, the time he has been exposed to cardiac electrophysiology is only three months.


    In just three months, he has been able to rank among the top eleven in the province, which is quite amazing!


    "I can still improve!" Lu Chen muttered in his heart.


    In the field of electrophysiology, he is at best a rookie who has just started.


    As long as he is given enough time, his grades will definitely go further!


    ¡­


    This transcript can be viewed by all participants.


    When Gu Xinyue saw Lu Chen''s name, it was reasonable and unexpected.


    He is outside the fifty and has no place.


    Lu Chen was in eleventh and successfully entered the second round.


    Although he had long recognized Lu Chen''s strengths in his heart, the huge gap in reality made him feel quite helpless.


    A month ago, they were teammates fighting side by side.


    Today, he no longer even has the qualifications to follow!


    This feeling is the saddest.


    After a long silence, Gu Xinyue sent a message to Lu Chen.


    "Congratulations, keep up the good work."


    ¡­


    Jinghua Central Hospital, Department of Cardiology.


    Min Xiaobo narrowed his eyes slightly, looking at the report card in front of him.


    He was basically satisfied with his fifth result.


    As long as he goes one step further in the next exam and ranks among the top three in the province, he will have a chance to enter the national competition!


    At this time, Min Xiaobo also noticed Lu Chen''s achievements.


    "Eleventh place?"


    It is not easy to have eleven students for one student.


    But he knew that Lu Chen was different, and he was also an elite member of the Jinghua Electrophysiology Association.


    The second round is in the top ten, and then there is a chance to enter the third round.


    If this continues, let alone the national competition, Lu Chen will not even be able to make it to the third round of the provincial competition.


    "Lu Chen, is this your mistake? Or is it your true strength?" Min Xiaobo murmured, "We''ll know when the second round is over."


    ¡­


    Jinghua Second Hospital, in an old rental house.


    Fan Zhiping, who had no hope at first, widened his eyes when he saw his name appear on the shortlist.


    "I... I''m the forty-eighth?"


    wiped his eyes in disbelief, it was really him.


    The test number and identity information are all correct!


    "I... actually... passed the first round!"


    There was no one around to celebrate with him, but Fan Zhiping was still ecstatic, dancing with joy.


    Although it is only the end of the list, this is the ranking of the whole province!


    Being able to make the list has already surpassed most of the cardiologists in the province.


    Fan Zhiping, two months ago, never imagined that he would be able to do this.


    The deputy chief physician of a county-level hospital came to the provincial top-three cardiology department for further study, followed by a graduate student.


    In addition to going to work every day, I read guides and literature after get off work.


    This is really a counterattack from a middle-aged uncle!


    Tomorrow is National Day! Start adding more! Try to pay off the nineteen chapters you owe!


    ps: Happy National Day everyone!


    (end of this chapter)

 Chapter 259： Dont come here! (The first update asks for a subscription month

    Chapter 259 Don''t come here! (The first request is to subscribe to a monthly pass)


    Jinghua Electrophysiology WeChat group.


    Most of this WeChat group are cardiologists.


    They also have a small number of people who participated in the provincial preliminary competition for electrocardiography.


    Many people noticed the names of Lu Chen and Fan Zhiping when they saw the shortlist for the first round.


    Lu Chen''s name appeared in the list, which is normal.


    However, it is not easy for Fan Zhiping to appear on this list!


    This provincial preliminary competition is to gather all the cardiologists in the province.


    The top 50 in the province, this ranking is basically unattainable for a doctor in a county hospital.


    As long as those who are interested carefully study this shortlist, they can find that most of the doctors shortlisted in the second round are from the provincial top three hospitals in Jinghua.


    There are very few doctors from county-level hospitals.


    To some extent, this can also reflect the imbalance of Huaxia''s medical resources.


    In the WeChat group of ?? Jinghua Electrophysiology, there was an immediate fallout.


    "Lao Fan, you participated in this electrocardiogram contest?"


    "I heard Lao Fan say in the group once before that he participated in the competition."


    "Could it be that Fan Zhiping on the shortlist is really an old fan?"


    "Don''t guess, it should be @fanzhiping at this time, let Director Fan come out and talk about it..."


    ¡­


    The group was very lively, Fan Zhiping was holding his mobile phone and watching everyone discussing himself, he was also quite excited.


    "it''s me."


    posted two simple words in the Fan Zhiping group, and the group immediately exploded.


    Fan Zhiping suppressed his excitement, chatted a few words, and then closed WeChat.


    There is a second round in three days.


    This is by no means the end for him, and he wants to go further.


    Packed up his mood, Fan Zhiping took out books related to electrophysiology.


    ¡­


    Lu Chen also noticed the news in the ?? Jinghua Electrophysiology WeChat group.


    He didn''t look at the shortlist carefully before, I didn''t expect Fan Zhiping to be shortlisted too!


    In addition to the accident, Lu Chen was also happy for Comrade Lao Fan.


    Fan Zhiping''s hard work is serious, he sees it in his eyes.


    Usually his night shift, he would definitely follow along.


    Fan Zhiping will also read the information in time for any different clinical questions, but if he can''t find the answer, he will seek his help.


    "Old Fan is so serious, so I can''t fall behind!"


    Lu Chen smiled and stopped paying attention to the shortlist. He continued to immerse himself in the electrophysiology students, and integrated old and new knowledge.


    ¡­


    ¡­


    Headquarters of Jinghua Electrophysiology Society.


    Chairman Cheng Guowen frowned, looking at the shortlist for the first round of the provincial preliminary round in his hand.


    The candidates who entered the top 50 this year are really surprising.


    A doctor from a county hospital was shortlisted!


    However, what surprised Cheng Guowen the most was that a student was shortlisted!


    "Lu Chen, this name sounds familiar."


    Cheng Guowen pondered for a moment, then remembered that among the Jinghua Electrophysiology members, there was a member named Lu Chen, who was still an elite member.


    This Lu Chen is a student studying in the second hospital of their Jinghua University.


    About a month or two ago, Cao Zhiying greeted him and said that he had a student who was going to take the elite assessment.


    He always thought that Lu Chen was Cao Zhiying''s student, but he discovered some time ago that Director Cao''s student Gu Xinyue was just an ordinary member.


    And this student named Lu Chen is Li Yao''s student!


    Although he made an oolong, it didn''t have much impact.


    It was just unexpected that Lu Chen was able to enter the provincial preliminary competition this time.


    "This kid still has two brushes!" Cheng Guowen couldn''t help but smile.


    Lu Chen is representing the Jinghua Electrophysiology Society.


    He is the chairman of the Jinghua Electrophysiology Association. The better Lu Chen''s grades are, the happier he is.


    "It''s just that, if you want to enter the second round, but you want to enter the top ten, this Lu Chen, I''m afraid it will be difficult." Cheng Guowen shook his head, "But anyway, Li Yao is a good student."


    Next year, the Jinghua Electrophysiology Society will have a re-election of the chairman.


    Cheng Guowen, as the current chairman, naturally hopes that someone from the Second Jinghua Academy will take his place.


    Originally, the best candidate for him and Director Cao Zhiying was Li Yao.


    But Li Yao was exposed to the plagiarism of the paper, and it was inappropriate for her to be the chairman again.


    You can only select other people in the Cardiology Department of Jinghua Second Hospital.


    However, the qualifications of the experts in the electrophysiology field of the Cardiology Department of the Second Jinghua Hospital, except for Li Yao, are somewhat unqualified.


    "If our second hospital can''t choose one person, I''m afraid it will let several other hospitals in Jinghua take advantage of it!"


    Cheng Guowen sighed deeply.


    The seat of the chairman of the Electrophysiology Association is a sweet treat.


    This electrophysiological society ECG competition may be an opportunity.


    If the Jinghua Second House of Representatives can achieve good results, it may be able to occupy a certain advantage in the general election.


    Conversely, if the performance of other hospitals exceeds that of Jinghua Second Hospital.


    The chairman''s seat, I''m afraid I can''t keep it!


    ¡­


    Lu Chen''s results were immediately known to Li Yao.


    "Number 11." Li Yao sat in the office with a smile on the corner of his mouth, "Not bad."


    Among her students, only Lu Chen entered the top 50.


    Although Sun Guoguo also participated in the competition, his result was just in the 60s, and he was still a little short of being shortlisted.


    Not to mention other students, their grades were appalling.


    In Li Yao''s heart, Lu Chen is still in the growth stage.


    Now he can be in the top 50 in the province, so after three years, his results are absolutely limitless!


    ¡­


    Because of this electrocardiogram contest, many people turned their attention to Lu Chen.


    At this time, Lu Chen was preparing to pack up and work the night shift!


    Lu Chen also put the blessing he asked for at the temple last time in his jacket pocket.


    5:30 PM.


    Lu Chen came to the department on time.


    Tonight''s night shift senior doctor is Yin Xinhua again.


    Lu Chen felt that he and Yin Xinhua were really destined to meet two night shifts in a row.


    In the doctor''s office in the eight districts of the heart.


    When Yin Xinhua saw Shi Lu Chen, a graduate student on the night shift, his heart was shocked.


    "Why is it Lu Chen again!"


    She suddenly recalled her last night shift.


    worked that night shift, she went back to sleep for a whole day, and her mental state recovered.


    Fan Zhiping must still follow Lu Chen.


    Whether it''s Lu Chen''s face black, or Fan Zhiping''s face black.


    This night shift tonight is considered a waste.


    Looking at Lu Chen''s figure in the eight districts in his heart, Yin Xinhua suddenly thought of a way, that is to change shifts!


    However, after inquiring in the department for most of the day, the other attending physicians have problems.


    No way, it seems that there is no escape today!


    ¡­


    Arrived at 5:30, and it was about to take over the ward round.


    At this time, Lu Chen walked towards Yin Xinhua with a smile.


    Fan Zhiping slowly followed behind him.


    Yin Xinhua could only cry in his heart.


    "Don''t come here!"


    Ask for tickets and subscriptions


    (end of this chapter)

 Chapter 260： The tranquility before the storm

    Chapter 260 The Tranquility Before the Storm


    Lu Chen came to Yin Xinhua.


    He felt that Yin Xinhua had a forced smile on his face.


    Yes, it is definitely a forced smile!


    Is it because she didn''t make it to the second round of the provincial competition?


    Lu Chen knew that Yin Xinhua also participated in the ECG competition, but in his memory, he did not see Yin Xinhua''s name in the shortlist.


    "Senior Sister Yin, shall we go to the ward round?" Lu Chen whispered.


    "Oh, good." Yin Xinhua coughed lightly, then stood up.


    Since you can¡¯t change it, you can only accept it silently.


    ¡­


    Regular succession rounds.


    Yin Xinhua walked in front, Lu Chen and Fan Zhiping followed behind her.


    The content of the shift rounds is mainly to check the critically ill, seriously ill, postoperative and newly admitted patients in the ward.


    It took about half an hour for the three of them to check the patients in the ward.


    "Lu Chen, take a look at the shift book. Does the doctor in the day shift have any test indicators that need to be seen?"


    Yin Xinhua said to Lu Chen.


    For many patients who came in the afternoon, the blood test indicators came out at night.


    Others are critically ill, critically ill, and patients who have undergone stenting.


    In such cases, the doctor on the day shift will take over the shift of the doctor on the night shift.


    The night shift doctor takes care of the rest.


    "Okay, Senior Sister, I''m watching."


    Without Yin Xinhua''s reminder, Lu Chen picked up the handover book because he felt himself.


    Yin Xinhua couldn''t help but nodded slightly.


    Lu Chen may have a dark face, but he has nothing to say about his business ability!


    There are so many graduate students in Keli, whether they are freshmen in the first grade or old fried dough sticks in the third grade, Lu Chen''s ability is undoubtedly top-level.


    Lu Chen opened the shift and marked every patient assigned by the day shift doctor.


    Those who should look at the laboratory indicators, those who should communicate the condition, and those who need to check the operation area, all recorded.


    ¡­


    The time passed slowly, and it was already eight o''clock in the evening.


    The eight districts in my heart were a bit terrifyingly quiet, and the nurses on duty hardly ever looked for a doctor.


    Yin Xinhua is sitting in the office, always feeling that this is the tranquility of the storm coming.


    Lu Chen on the side of ?? also felt that Yin Xinhua was a little strange today.


    In the past, Yin Xinhua would not be so taciturn and would always find someone to chat with.


    But today, when she was sitting in front of the office, she never moved.


    At this time, Fan Zhiping came to Lu Chen with a book on electrophysiology.


    "Lu Chen, look at the distribution and regulation of gap junctions in the heart written here, I don''t understand..."


    Old Comrade Fan frowned.


    This book on electrophysiology is obscure and difficult to understand. Without the teacher''s teaching, it is really impossible to understand it.


    Lu Chen also had the skill card given by the system. Otherwise, he would not have the current knowledge of electrophysiology in a few years.


    "This place, according to my understanding, should be like this..."


    Lu Chen took the book and began to explain slowly to Fan Zhiping.


    It''s just that I''m not busy right now, and the two of them have free time to discuss.


    Yin Xinhua, not far away, also heard the discussion between the two.


    "Are they talking about cardiac electrophysiology?"


    Yin Xinhua vaguely heard a few terms, but they were not complete.


    Recalling today''s ECG competition, Yin Xinhua felt even more depressed.


    52nd place!


    It is really only one step away from the top 50.


    This is the second time she has participated in this type of electrocardiogram competition. Before, she was out of 100. This time she was the most promising, but she still did not make the finalists.


    But she didn''t look at the shortlist carefully, she only knew that the first place in the first round was a deputy chief physician of Jinghua Second Hospital, and she was very strong.


    "Lu Chen and Fan Zhiping seem to have participated." Yin Xinhua thought.


    She silently took out her mobile phone, opened the shortlist, and checked it from front to back.


    "This¡­¡­"


    Suddenly, her pupils shrank suddenly.


    "Lu Chen''s eleventh? Fan Zhiping''s forty-eighth?"


    Lu Chen is a student of the first grade, and Fan Zhiping is a doctor at the county hospital.


    How could these two possibly pass the first round?


    Yin Xinhua swallowed hard and looked back at Lu Chen.


    The most important thing is that Lu Chen''s ranking is so high, eleventh!


    I have to say that Lu Chen''s performance in the department was excellent, and he also won the first place in the national skills competition on behalf of Jinghua Second Academy.


    These are within the normal range and understandable.


    However, this ECG competition is not a competition between students, but a competition with those senior cardiologists.


    Lu Chen''s results are too evil!


    ¡­


    Just when Yin Xinhua was shocked by Lu Chen''s grades, the nurse on duty walked into the office.


    "Doctor Yin, 37 patients have a fever."


    Yin Xinhua was stunned for a moment before reacting.


    "how many degree?"


    ¡°38.9¡æ¡±


    "So high?" Yin Xinhua frowned, "Did you have a fever before?"


    "Bed 37 is a new patient who came at 4 o''clock this afternoon." The nurse said.


    Hearing the nurse''s words, Lu Chen looked at the shift book.


    In the shift book, the day shift doctor recorded the condition of 37 beds.


    The patient who was admitted to the hospital with "chest tightness" also wrote that he had a fever in the past.


    "Sister Yin, should I go see the patient first?"


    "Okay, you can go." Yin Xinhua nodded, "After seeing the patient, we will deal with it."


    ¡­


    Lu Chen and Fan Zhiping came to the 37th bed.


    33 years old, male patient, relatively thin.


    This was Lu Chen''s first impression of him.


    "How long have you had a fever?" Lu Chen asked.


    "It''s been almost half a month." The patient''s spirit is not very good, and his voice is a little weak.


    Have a fever for more than half a month?


    These ordinary words made Lu Chen immediately alert.


    A common cold and fever usually lasts no more than a week, at most ten days, and is unlikely to last more than two weeks.


    If a fever lasts for more than 2 weeks, it means that he may not have a cold!


    Associating that the patient was admitted to the hospital with "chest tightness", Lu Chen immediately asked, "Did you take pictures in the outer hospital before?"


    "I went to the clinic and took antipyretics, but I didn''t take any pictures." The patient shook his head, "Afterwards, he lost his appetite and suffered frequent chest tightness, so he came to the hospital."


    Lu Chen nodded and asked a series of questions: "What medicine did you take? How is the effect? ??What is the maximum body temperature? Are there any other discomforts besides fever?"


    "Headache, vomiting, abdominal pain? Is the bowel movement normal?"


    The patient takes a piece of paper from his chest.


    This piece of paper even recorded his own body temperature.


    Although the handwriting is not good-looking, it can be recognized.


    Lu Chen took it over and frowned.


    The highest body temperature was 39.2¡ãC, that was 4 days ago, and the body temperature was still 39.1¡ãC this morning!


    This kind of fever patient, just because of chest tightness, was sent to their cardiology department?


    Lu Chen was a little puzzled about the operation of the outpatient clinic, but he still asked the nurse on duty to help measure the patient''s temperature again.


    pondered for a moment.


    Lu Chen put the stethoscope close to the patient''s chest and listened to the heart and lungs.


    "The lungs sounded a bit wet, but the heart didn''t hear anything too special." Lu Chen looked at the patient on the hospital bed, "There must be lung infections, but other conditions cannot be ruled out."


    (end of this chapter)

 Chapter 261： Sudden chest tightness

    Chapter 261 Sudden chest tightness


    "Am I not having a common cold?" the patient wondered.


    Lu Chen shook his head.


    "Pneumonia is very different from a cold. Most colds are also viral infections, but the infection site is generally limited to the nose and pharynx, which may cause discomfort such as runny nose, sneezing, and sore throat."


    "Once the infection enters the trachea, it is bronchitis. If it continues to penetrate further and violates the alveolar lung parenchyma, it is pneumonia."


    "In this respect, pneumonia is definitely much heavier than a cold."


    "What''s more, if it''s just a common cold, you will definitely not be hospitalized, and you will be admitted to our cardiology department."


    The patient nodded, indicating that he understood.


    Lu Chen asked a few more questions, all of which were routine medical histories, and the patients truthfully explained them.


    Such as no marriage, no children, no history of unclean sex, etc., and no infectious diseases such as hepatitis B and tuberculosis.


    Although there should be records in the medical records, Lu Chen asked again.


    Back to the doctor''s office.


    Yin Xinhua immediately looked at Lu Chen and Fan Zhiping.


    "What is the patient''s condition?"


    Lu Chen paused and said, "It is initially considered to be a delayed pneumonia. In addition, the patient''s electrocardiogram has ST-T changes, which does not rule out the possibility of myocarditis."


    Such young patients are generally unlikely to have myocardial infarction, but myocarditis cannot be ruled out.


    Myocarditis is also easy to miss. It is like a cold, but it is much more serious than a cold. Blood must be drawn to test for myocardial enzymes and troponin to confirm the diagnosis.


    For patients with pneumonia and suspected myocarditis, the emergency department usually receives a cardiology department instead of a respiratory department.


    Cardiology department will definitely treat pneumonia, but respiratory department will not necessarily cure myocarditis.


    Therefore, this patient was admitted to the Cardiology Department in the emergency department.


    Yin Xinhua nodded slightly, "I just looked at the medical records, and the diagnosis was a pulmonary infection, which does not rule out the possibility of myocarditis. The patient''s myocardial enzymes are normal, and it is considered to be a pulmonary disease. We attach great importance to the diagnosis and treatment of pneumonia and cannot be trusted. Big, it might really be fatal."


    Pneumonia will not be cured without antibiotics.


    You must know that in the era of no antibiotics, pneumonia will kill people.


    We don¡¯t feel scared to hear pneumonia now, that¡¯s because we are used to the times when we have antibiotics.


    "The patient''s examination has not been done yet." Lu Chen checked the patient''s doctor''s order.


    When the patient was admitted to the hospital, his body temperature was only low fever, which was not as high as it is now, so the receiving doctor did not perfect the chest CT examination.


    "Let''s do a chest CT in the emergency department, and then do an abdominal CT as well." Yin Xinhua said, "Then check the blood culture and review the inflammatory indicators."


    Some patients who appear to be pneumonia may also have cholecystitis, appendicitis, and pancreatitis.


    In this case, it¡¯s hard to explain, it¡¯s hard to understand.


    Check is the most reliable.


    Your hands and your eyes are not necessarily reliable, don''t rely too much on your own eyes, unless you really have sharp eyes.


    Lu Chen returned to the ward again and explained to the patient the necessity of these examinations.


    The patient was very cooperative and went out for an examination.


    The results of chest and abdomen CT came out, suggesting a little inflammation in both lungs.


    Among the indicators for the blood reexamination later, except for the high white blood cell count, the others were basically normal. The myocardial enzymes were re-examined again, and the myocardial enzymes were basically normal.


    "Look, the problem should still be in the lungs, the possibility of myocarditis is very small." Yin Xinhua pointed to the lesions on the chest CT, "The patient may have had pneumonia more than ten days ago, but he has not paid attention to it. When treating a cold, Without antibiotics, that''s not going to work."


    Lu Chen nodded, "I''m going to explain the condition to the patient."


    ¡­


    Lu Chen came to the ward.


    "Then can I be discharged after a few days of anti-inflammatory injections?" the patient wondered.


    Lu Chen paused and said, "It depends on the specific condition. A patient with pneumonia has chest tightness, and you must be alert to the possibility of developing severe pneumonia, so don''t worry, take good care of yourself. In addition, we still have to be vigilant about the heart. If you are sick, it is good to run less."


    "it is good."


    The patient was obedient. He had no family to accompany him, so he borrowed a power bank from the patient in the bed next to him, and then infused it with peace of mind.


    After dealing with the patient, Lu Chen and Fan Zhiping returned to the doctor''s office.


    ¡­


    Today''s night shift seems to be extraordinarily quiet.


    Except for the 37-bed patient who has a fever, other patients in the ward are in stable condition.


    Ten p.m.


    The lights in many of the wards went out.


    Yin Xinhua breathed a sigh of relief.


    She turned to look at Lu Chen and Fan Zhiping beside her.


    The two are discussing the knowledge of electrophysiology in full swing.


    "It seems that these two are not popular tonight?"


    As soon as this thought flashed through his mind, Yin Xinhua heard the cry of the nurse on duty from the nurse station.


    "Doctor Yin! 37 beds are sick! No way!"


    The nurse shouted several times in a row.


    "I really can''t think about this!" Yin Xinhua''s slightly relaxed heartstrings immediately tightened.


    picked up the stethoscope beside her hand, and immediately ran out of the office.


    Lu Chen and Fan Zhiping saw this and followed closely.


    ¡­


    ran out of the doctor''s office.


    As Lu Chen ran, a big question mark appeared in his heart.


    "The 37-bed patient is dying? But didn''t he just have 68 HP?"


    "Even with severe pneumonia, how could he suddenly get sick?"


    With this question in mind, Lu Chen hurried into the ward.


    in the ward.


    The patient was panting heavily and sweating profusely.


    My eyes are almost blurred!


    "The patient suddenly became short of breath, and his entire face turned blue."


    The nurse on duty quickly reported the situation.


    Yin Xinhua is a battle-hardened attending doctor after all.


    Although the situation in front of her happened quickly, she responded very quickly. She immediately asked several nurses to help the patient breathe oxygen, and at the same time ordered Lu Chen to prepare tracheal intubation, ventilator and other equipment.


    The ?? rescue kit was also pushed over.


    Yin Xinhua put the stethoscope close to the patient''s chest.


    But at this time, the patient''s breathing sounds were too chaotic, and with the sound of gasping for breath, no special changes could be heard at all.


    But one thing, Yin Xinhua is clear, the breath sounds of the patient''s two lungs are basically symmetrical.


    This means that the patient should have no pneumothorax or atelectasis, which is critical.


    If the patient has tension pneumothorax, the patient will definitely be finished if he can''t breathe.


    Watching the patient''s lips turn purple.


    "What was the patient doing just now, and why is his condition getting worse so fast?" Yin Xinhua said to the two nurses on duty again.


    The two nurses on duty shook their heads, "There''s nothing special, I''ve been here all the time, nothing else."


    came so suddenly that everyone couldn''t understand the situation.


    Beside him, Lu Chen was ready for endotracheal intubation.


    had no choice, at this time the patient was severely hypoxic.


    Although the cause is not very clear, pulmonary embolism, pneumothorax, atelectasis, pericardial effusion, etc. still need to be considered.


    Auscultation is not like pneumothorax or atelectasis.


    The pericardial effusion cannot be heard, and the breath sounds are too loud, which especially affects the auscultation of the heart. We can only rely on echocardiography, but it is obviously not possible to do echocardiography now, and we must save your life first!


    (end of this chapter)

 Chapter 262： Pulmonary embolism? (Fourth more cold Xiaohe Wan reward plus more)

    Chapter 262 Pulmonary Embolism? (Fourth more cold Xiaohe Wan reward plus more)


    At this moment, the patient''s eyes suddenly widened and he passed out.


    Everyone present was very nervous.


    If you don¡¯t put the endotracheal tube into the patient¡¯s trachea and connect the ventilator within a minute, the patient may soon stop the heart due to lack of oxygen.


    However, Lu Chen did not disappoint everyone. With a few clicks, he put the tracheal intubation tube into the patient''s trachea.


    The two nurses immediately came over to connect the ventilator.


    Lu Chen also quickly adjusted the parameters of the ventilator.


    Puchi puchi, the ventilator began to pump up the patient.


    "Give pure oxygen first." Lu Chen said after wiping the sweat off his face.


    Before he knew it, his back was soaked through.


    "What about the patient''s family?"


    Yin Xinhua asked the nurse on duty beside him in a deep voice.


    "I''ve already contacted my family and I''m on my way," said a nurse on duty.


    "Report to the medical department immediately." Yin Xinhua said sternly, "At the same time, ask the ICU and respiratory department for consultation."


    "Okay, I''ll call."


    Fan Zhiping nodded and immediately walked towards the nurse station.


    On the line of life and death, it is very easy to have disputes without family accompany.


    Such patients are extremely special, and the medical department must be notified to let them assist in this matter.


    ¡­


    on a ventilator.


    The patient is still in a coma, and his breathing is still very fast, but it is slightly better than before.


    Oxygen saturation went from the lowest 70% to 92%. No matter how you adjust the parameters, the blood oxygen saturation will not rise.


    "The blood oxygen saturation is not going up, there must be a problem!" Yin Xinhua said solemnly.


    The blood oxygen saturation of normal people is 100%, and the blood oxygen saturation of very severe pneumonia patients will definitely drop.


    But if you are connected to a ventilator and give pure oxygen, you can get better quickly, like this patient has been maintained at 92% oxygen saturation...


    Lu Chen thought of a possibility, that is pulmonary embolism!


    He re-examined the patient with an electrocardiogram.


    This time the electrocardiogram had an unexpected harvest.


    The ?? ECG showed a relatively typical high pressure load on the right heart, deepening in lead I, Q/q waves in lead III, and inversion of the T wave.


    Professional respiratory and cardiologists will know that this may be a pulmonary embolism as soon as they see this electrocardiogram.


    When the pulmonary artery is blocked by an embolus, the pressure of the entire pulmonary artery will increase, which will cause the right heart pressure to increase transitively, and the electrocardiogram will show it.


    Yin Xinhua gave a wry smile and said: "Junior brother, this should be a pulmonary embolism, we won the first prize. But now I definitely dare not launch a pulmonary artery CTA to confirm the diagnosis, we can only wait, let''s take the respiratory department and ICU doctors first. Let¡¯s talk about it later, let¡¯s discuss it. We are responsible for stabilizing the vital signs first.¡±


    The most important thing is that the family members of the patients have not come yet.


    Any subsequent operations require the consent of the patient''s family.


    Less than five minutes.


    The respiratory doctor is here.


    Re-analyzed the patient''s medical history, but the patient was in a coma, and it is difficult to ask about the situation now.


    After seeing the patient, the consulting doctor in the respiratory department returned to the doctor''s office and said to Yin Xinhua: "Judging from the patient''s speed of onset, manifestations and electrocardiogram, it is indeed consistent with the manifestations of pulmonary embolism, short-term shortness of breath, hypoxia, and respiratory failure, and no pneumothorax was found. , Atelectasis, if possible, do a pulmonary artery CTA to see at a glance, it is really not good, you can also see some manifestations by doing a cardiac ultrasound or electrocardiogram, especially the cardiac ultrasound."


    The consulting doctor of the respiratory department also agreed with Lu Chen and Yin Xinhua.


    However, Lu Chen frowned, "Senior sister, I have a question."


    Yin Xinhua glanced at Lu Chen, "You said."


    "If the patient is considered to have pulmonary embolism, but he does not have any high-risk factors for pulmonary embolism!"


    According to the patient''s previous medical history, he has no history of lower extremity surgical injury, no long-term bed rest, and no congenital factors, such as protein S/protein C deficiency or anticardiolipin syndrome, etc.


    How can I get pulmonary embolism all the time?


    This question surprised Yin Xinhua and the respiratory doctor.


    Seems to be the case!


    If you just pass the symptoms, it does look a lot like a pulmonary embolism.


    But there are very few cases of pulmonary embolism without risk factors!


    "There may be other unknown factors." The respiratory doctor frowned, "Anyway, pulmonary embolism should be considered first."


    The reason is put aside for now, and the cure is the main thing.


    Lu Chen nodded, now the first problem is to solve the patient''s cause.


    The ICU doctor came soon.


    After seeing the patient''s condition, he basically agreed with Yin Xinhua and the respiratory doctor''s judgment.


    But it is impossible for the patient to do CT in this situation, unless he pushes the ventilator to follow, but the patient''s vital signs are still fluctuating.


    "May have thrombolysis!"


    The results of everyone''s discussion were consistent, but further examinations of color Doppler ultrasound or CT were required to confirm the use of thrombolytic drugs.


    If I make a mistake, I''m afraid I won''t be able to eat and walk around.


    Although the thrombolytic drug can dissolve the thrombus, it may cause cerebral hemorrhage in minutes, which is troublesome.


    "Why don''t you go to the ICU first to see what''s going on? Then we''ll use our own heart ultrasound to see if we can see signs of pulmonary embolism. If it''s a pulmonary embolism, we''ll consider thrombolysis. If you find anything else, you will analyze it later. Save your life first and then talk about it.¡±


    The ICU doctor told Yin Xinhua.


    What patients need most right now is a ventilator, but if the patient really has a large area of ??pulmonary embolism, the ventilator is not too useful. The reason is very simple.


    The working principle of the ventilator is to put oxygen into the patient''s lungs, and force it.


    But if the patient''s pulmonary artery is blocked by an embolus and there is no blood flow, there is no way to carry out effective blood oxygen exchange!


    Oxygen alone will not work. Without blood flow, it will not be able to bring oxygen into it, and it will not be able to expel carbon dioxide. The patient will still die due to hypoxia and carbon dioxide retention.


    Yin Xinhua nodded and agreed with the ICU doctor, "If a pulmonary embolism is diagnosed, the timing is right, and then thrombolysis can dissolve the embolus and restore pulmonary artery patency. There should still be a chance, after all, the patient is so young."


    ¡­


    About half an hour later.


    The family is finally here!


    The medical department also came forward to communicate and explained.


    However, the patient¡¯s family refused to be transferred to the ICU.


    The family members are the patient''s sister. The patient is not married yet, and she rents an apartment in Jinghua. Her sister works here, and her income is not expected to be high. The ICU is simply bad news for them.


    But the existence of ICU has indeed turned the bad news of many people into good luck, which is also what many people expect from it.


    The patient was quickly assigned to a separate room, and various monitoring equipment was installed.


    The blood pressure is low, with active drugs, the blood pressure can barely be maintained at 90/60mmHg.


    (end of this chapter)

 Chapter 263： I am a beginner

    Chapter 263 I''m a Beginner


    Since the patient''s family did not agree to be transferred to the ICU, Yin Xinhua decided to give the patient a cardiac ultrasound before making the next step.


    If the patient really has a pulmonary embolism, a heart ultrasound can also be found.


    Color Doppler ultrasound can find that the pressure of the right heart of the patient has increased, and it may also be seen that the pressure of the pulmonary artery has increased. If you are lucky or skilled, you can even see the emboli blocked in the pulmonary artery.


    If this is the case, the diagnosis is a certainty.


    However, the emergency echocardiography at night cannot come immediately, and it takes about 20 minutes to wait.


    Like the last night shift, Yin Xinhua called the inpatient department of cardiology and asked the inpatient department to do an ultrasound. After a preliminary diagnosis, he waited for a professional doctor in the department of ultrasonography.


    However, by coincidence, the Cardiology Department was in the second area of ??the heart to help rescue the patient, so he couldn''t come over immediately.


    "Senior sister, do you want me to try this first?"


    When Lu Chen appeared in the ward with a portable echocardiograph, Yin Xinhua was extremely surprised.


    "You know this?"


    Recalling the last night shift, Lu Chen couldn''t even read the most basic heart section.


    Today, pulmonary embolism is diagnosed, but it is more difficult to look at the image of the pulmonary artery than to look at the structure of the heart.


    "Senior sister, I just learned, so I''ll give it a try." Lu Chen smiled.


    Fan Zhiping stood beside Lu Chen, but in his heart he "despised" Lu Chen''s words.


    You just learned?


    cheating ghosts!


    Fan Zhiping remembered that Lu Chen used this portable ultrasound a while ago to diagnose cardiac hypertrophy for others.


    Yin Xinhua nodded in agreement when Lu Chen really wanted to try it.


    Waiting is also waiting, it is better to let Lu Chen practice his hands.


    ¡­


    came to the bedside.


    Lu Chen placed the ultrasound probe close to the patient''s chest wall.


    swiped twice and it was frozen.


    He frowned: "Senior sister, look, the patient''s right ventricle is really dilated, and the pressure is high!"


    Yin Xinhua was stunned for a while, then took a closer look.


    The patient''s right ventricle seems to have really grown!


    At this time, the probe is turned to the section of the pulmonary artery.


    Lu Chen didn''t see the emboli in the pulmonary artery, but what he could see was that the pulmonary artery had thickened!


    This ultrasound manipulation technique is so skillful!


    Yin Xinhua looked at Lu Chen in surprise.


    This kid, did you play stupid last night shift?


    Lu Chen didn''t notice Yin Xinhua''s expression, he said slowly: "Senior sister, although I didn''t see a pulmonary embolism, but the right heart pressure and pulmonary artery pressure load have increased, can we indirectly think that the patient still has a pulmonary embolism? ?"


    Hearing Lu Chen''s words, Yin Xinhua came back to his senses.


    "If the ultrasound can really see these signs, then it can indeed confirm the diagnosis of pulmonary embolism."


    After saying these words, Yin Xinhua still looked at Lu Chen in disbelief.


    This Junior Brother is too almighty.


    Skill operation, electrocardiogram, cardiac ultrasound... all will be done!


    The only thing that doesn''t happen is that he hasn''t published a paper yet.


    ¡­


    At this moment, the inpatient of the Cardiology Department came to the eight districts in the heart.


    "Mr. Li Qinghua again?" Lu Chen was quite surprised when he saw the person coming.


    He felt that Li Qinghua had always been hospitalized in the Cardiology Department.


    Almost every night shift can meet him.


    Then doesn''t he stay in the hospital every day?


    Li Qinghua also noticed Lu Chen.


    "Lu Chen, why is it your kid again?" Li Qinghua looked at Lu Chen in surprise, then smiled.


    This student made a deep impression on him.


    It''s three to five, and you can meet it on the night shift.


    "Mr. Li, this is fate..." Lu Chen smiled.


    face black, that does not exist.


    Li Qinghua held the cardiac ultrasound machine and said with a smile, "Then our fate is really not shallow!"


    After chatting for a while, Li Qinghua immediately started using the ultrasound.


    He noticed couplant residue in the patient''s heart.


    "Have you seen it?"


    Lu Chen nodded, "I took a look."


    "What did you see?" Li Qinghua looked up at Lu Chen, who was beside him. He thought it was Yin Xinhua who tried to have an ultrasound. "What did you see?"


    Lu Chen immediately said, "The right ventricle is enlarged and the pulmonary artery is enlarged."


    Li Qinghua smiled and didn''t answer, and focused on checking the patient''s heart and pulmonary arteries.


    Although he is not as good as a doctor who specializes in ultrasound, he can probably handle it.


    About five minutes passed.


    Li Qinghua said slowly, his eyes did not leave the ultrasound screen for a moment, "The right ventricle is obviously enlarged, and the pulmonary artery can also be seen thickening, but the emboli in the pulmonary artery cannot be seen."


    Li Qinghua''s ultrasound results are basically consistent with Lu Chen''s!


    "Thrombolysis should be arranged." Li Qinghua looked up at Lu Chen, this kid''s skills are pretty good!


    Thrombolysis in pulmonary embolism is different from thrombolysis in myocardial infarction.


    Although both of them are thrombus blocking the blood vessel, the thrombolytic drug for myocardial infarction is much more urgent, and it will be completed within 1-2 hours, otherwise the myocardial cells will all be necrotic, and it may be meaningless to have thrombolysis again.


    But pulmonary embolism is different. The lungs have many blood supply channels. The pulmonary artery is blocked and the bronchial artery is still supplying blood, so it will not be necrotic so quickly. Therefore, thrombolysis in pulmonary embolism can be considered within 14 days.


    But the patient in front of me is so serious, it cannot be delayed.


    If the embolus does not melt away for a moment, it blocks the pulmonary artery all the time, and the patient is still extremely hypoxic, which is not enough.


    It is barely maintained now because the ventilator has given full horsepower, and it is easy to have an accident with a little trouble.


    "Then let''s dissolve it." Yin Xinhua said. "I''m going to communicate with the family to sign."


    This communication is extremely important, Yin Xinhua did not let Lu Chen go.


    Because the complications of thrombolysis are very serious, especially cerebral hemorrhage, etc., don''t melt the embolus by then, but have a cerebral hemorrhage, then you will lose a lot of money.


    "However, in order to be more precise, let the teachers of echocardiography come over and let them guide and confirm whether there is pulmonary hypertension and whether there is a possibility of thrombosis, so we can be relieved." Li Qinghua said.


    "Okay." Yin Xinhua nodded, "I''ll go to the ultrasound room, and then communicate with the patient''s family."


    ¡­


    Yin Xinhua left the ward, leaving only Lu Chen, Fan Zhiping and Li Qinghua.


    At this time, Lu Chen looked at the patient on the bed and asked his doubts again.


    "Mr. Li, the patient has no high-risk factors for pulmonary embolism, nor does he have a tumor, only this pneumonia. Could it be pulmonary embolism caused by pneumonia?"


    Li Qinghua didn''t answer immediately. He pondered for a moment before saying: "Pneumonia is not a high-risk factor for pulmonary embolism, but it''s hard to say, it has to be carefully considered."


    At this moment, the nurse on the side suddenly said, "Dr. Li, Dr. Lu, look, what''s wrong with the patient''s arm?"


    Her tone was incredible, apparently finding something unusual.


    Lu Chen and Li Qinghua followed the direction she pointed, which was the patient''s arm, near the elbow joint.


    Lu Chen and Li Qinghua were shocked when they saw it.


    Why is this hand so dense that it is a rash?


    This is the fifth update today.


    (end of this chapter)

 Chapter 264： Vein (the first request to subscribe to a monthly pass)

    Chapter 264 Vein


    Lu Chen glanced at the patient''s elbow, calmed down, and pondered: "This may not be a rash!"


    "Not a rash?" The nurse on duty frowned.


    Lu Chen leaned over and continued: "Look carefully, this may be a pinhole! Some of the pinholes are a little infected, so they appear like a rash."


    When these words came out, everyone was stunned.


    Li Qinghua was also surprised.


    He leaned forward and took a closer look.


    is really a pinhole, densely packed, just near the patient''s left arm and cubital vein.


    "The patient''s right hand also has a lot of rashes like this, it''s really a pinhole!" The nurse on duty opened the patient''s right sleeve again.


    She was changing the patient''s gown when she found these details.


    "If it''s really a pinhole, then it''s incredible." Lu Chen frowned and said slowly.


    Li Qinghua also nodded in agreement: "Well, then the thrombolysis can''t be done."


    At this moment, Yin Xinhua walked into the ward, heard the conversation between the two, and asked, "Why can''t thrombolysis be done again?"


    Li Qinghua paused, looked around, the patient''s family was not there, so he said slowly.


    "He is most likely a drug addict."


    Lu Chen also agrees with Li Qinghua''s point of view.


    With so many pinholes in the body, there is only one possibility, and that is drug addiction!


    When the nurse on duty heard this, she immediately loosened the quilt on her hand and hurriedly washed her hands and changed her gloves.


    Lu Chencai exposed the patient''s pinhole to Yin Xinhua.


    Yin Xinhua looked surprised.


    Seeing this, Li Qinghua immediately said: "You don''t have to be too afraid, just take personal protective measures. If he is really a drug addict, then there may be STDs or AIDS, etc., but this possibility is not high. Be careful. Just fine."


    After finishing speaking, Li Qinghua looked at Yin Xinhua and Lu Chen on the side, "So I think the patient may not be an ordinary pulmonary embolism!"


    "Well, at least it''s probably not pulmonary thromboembolism." Lu Chen nodded slightly.


    Li Qinghua continued: "If the patient is really a drug addict, then the fever may be related to the infection caused by this. There was a similar case in our CCU the year before last. Infectious endocarditis occurred in drug addicts, causing long-term Fever. Infective endocarditis will have cardiac vegetations, and if there are vegetations in the right heart, once it falls off, it may also cause pulmonary embolism.¡±


    If the patient is really infective endocarditis, then the sloughed emboli are bacterial clumps and tissue.


    This is not a blood clot, so there is no need for thrombolysis!


    Thrombolytic drugs are aimed at thrombus and do not help bacterial clumps and tissue clumps. At this time, thrombolysis does more harm than good.


    Although this possibility is very small, it makes sense and can also explain the symptoms that the patient is currently experiencing.


    Yin Xinhua frowned and said, "But Lu Chen and I have both auscultated the patient''s heart and did not hear any obvious heart murmur. If the patient really has such obvious cardiac growths, they should be able to hear a murmur. "


    Li Qinghua shook his head and said solemnly, "That''s not necessarily true!"


    "First of all, the vegetations are not necessarily very large, and the patient was breathing so rapidly at the time that the auscultation was easily disturbed."


    "Let''s call the color Doppler ultrasound teachers over and let them see the heart. After all, we don''t have their majors, they might be able to see heart growths and pulmonary emboli."


    Yin Xinhua nodded: "Now we have to wait for the teacher from the cardiac ultrasound room to come."


    Lu Chen took a portable ultrasound machine and looked at the patient''s heart several times, but he still couldn''t see any cardiac growths or pulmonary emboli.


    No way, his Cardiac Ultrasound Skill Card is only rudimentary.


    After learning about the patient''s condition, Yin Xinhua immediately called his family and sister over.


    "The pinhole on his elbow, you know? Does he have any bad habits..."


    The patient''s sister was so stunned that she almost yelled at her.


    "How could my brother be on drugs!"


    Yin Xinhua comforted the patient''s family: "We are just suspicious, whether there is any drug abuse that can be detected, and also ask if you understand."


    The patient''s sister did not speak, and kept tugging at the cuffs of her clothes with both hands.


    After being silent for a long time, she continued: "Actually, our sister and brother haven''t seen each other for more than half a year. It was absolutely impossible for him to take drugs before, and now I can''t guarantee it."


    Can''t guarantee now?


    As soon as these words came out, Lu Chen, Yin Xinhua and Li Qinghua looked at each other.


    They found that the patient''s sister looked a little panicked.


    Li Qinghua said: "Is it a drug addiction? Find a laboratory or a testing institution outside the hospital to do a toxicology test, and use the patient''s head to send the test. Generally, drug users can be found within half a year. And your brother has both arms out. It''s all pinholes, and we have reason to doubt that."


    When the patient''s sister heard this, she almost collapsed on the ground, with a hint of crying in her voice.


    "My eldest brother is a drug addict, but my brother doesn''t... Doctor, I beg you to cure my brother..."


    Seeing this scene, Li Qinghua whispered to Yin Xinhua: "The patient should be a drug addict."


    Yin Xinhua nodded calmly.


    ¡­


    At this time, the doctor in the ultrasound room that everyone has been waiting for is finally here!


    The ultrasound doctor held the probe and carefully looked at the patient''s heart several times.


    "It''s really a pulmonary embolism!"


    Lu Chen and others immediately stepped forward.


    The ultrasound doctor pointed to a place on the screen.


    "Look, there is an embolus in the pulmonary artery. Although it is not obvious, it exists, and there is a growth on his right heart valve. You really guessed it!"


    When Lu Chen heard this, he was completely relieved, and his back was slightly cold.


    Really dangerous!


    If the thrombolysis is performed directly, the consequences will be disastrous!


    "In this case, the embolus should be a bacterial mass, not a thrombus." Yin Xinhua repeated.


    Li Qinghua nodded, and at the same time ordered: "Keep blood for culture, monitor body temperature, and use the strongest vancomycin, which is not thrombolytic."


    If the patient is really an intravenous drug user, then the infective endocarditis that occurred this time is likely to be related to intravenous drug use.


    The most likely bacteria to be infected is Staphylococcus aureus, because this bacteria is most abundant in the skin and may be infected at any time due to needle eyes.


    This Staphylococcus aureus may or may not be resistant.


    But the patient ran out of time and had to cover it with the strongest vancomycin.


    Vancomycin is a special class of antibiotics.


    An application must be submitted for this special class of antibiotics.


    However, this is an emergency emergency.


    Li Qinghua skipped the application and used vancomycin directly.


    Soon, the nurse brought vancomycin from the pharmacy and gave it to the patient.


    ¡­


    Li Qinghua and the doctor in the ultrasound room left.


    Lu Chen and Yin Xinhua looked at each other with lingering fears.


    It''s almost twelve o''clock in the evening.


    Yin Xinhua has invited consultations from multiple disciplines, including ICU, respiratory department, ultrasound department and CCU.


    After a comprehensive consultation of so many disciplines, the correct conclusion was finally reached.


    This patient has pits everywhere.


    A little carelessness will cause trouble!


    On the other hand, ICU and respiratory doctors heard that pulmonary embolism was caused by infective endocarditis in intravenous drug addicts.


    They couldn''t believe it at first, but they came to the eight areas of the heart, and they were convinced when they saw the patient''s arms were densely packed with pinholes.


    "Damn it, it''s rare to see drug addicts these days. Drug dealers should really kill the whole family!"


    The ICU doctor muttered, and then left the eight areas in his heart.


    (end of this chapter)

 Chapter 265： Hot Potatoes (Second)

    Chapter 265 Hot Potatoes (Second)


    "Congratulations, the system upgrade completion rate has risen to 37%!"


    After completing this case, Lu Chen''s system completion degree increased.


    But Lu Chen didn''t get any thanks, and he didn''t care.


    Most of the family members are still struggling with i drug use.


    The patient''s blood pressure increased after the application of vancomycin.


    Although the oxygen saturation did not rise, the vital signs were temporarily stable.


    In Lu Chen''s eyes, the patient''s health is slowly rising.


    "Should we call the police?" Yin Xinhua said suddenly.


    People who use drugs like this have indicators at the police station.


    However, the patient''s current situation is probably a hot potato.


    "Hey, I''ve seen two of these drug addicts." Fan Zhiping said suddenly, "They are both young, they have dilated cardiomyopathy, and they have severe and refractory heart failure. It is related to drug use. Every time they fall ill, they come to our department. Everyone knows that they use drugs, and the police also know that, but the police station does not dare to take care of their sudden death at any time.¡±


    Yin Xinhua sighed, this patient is also an unstable factor in the eight areas of his heart.


    "I hope he wakes up early and leaves the hospital early."


    After dealing with this patient, the eight areas of the heart returned to calm.


    ¡­


    Recalling the diagnosis and treatment process just now, Yin Xinhua thought of Lu Chen in addition to being lucky.


    Fortunately, Junior Brother Lu Chen is here. If it was someone else, it wouldn''t be so easy tonight.


    The pinhole on the patient''s skin was discovered by Lu Chen.


    Everyone thought it was a "rash" at first!


    "It''s not easy!"


    Yin Xinhua looked back at Lu Chen and found that he was perfecting the patient''s course record and doctor''s order.


    For some reason, Yin Xinhua suddenly felt relieved at the result of Lu Chen entering the second round of the provincial competition.


    Unlike Yin Xinhua, Comrade Lao Fan is extremely calm.


    Following behind Lu Chen, such difficult and bizarre cases are endless!


    Comrade Fan began to ponder and collect the cases he encountered during this period.


    All of them are very classic cases!


    ¡­


    Maybe this drug addict has spent too much energy on everyone.


    Throughout the night, the condition of the other patients was very stable.


    That night, Lu Chen, Yin Xinhua and Comrade Lao Fan all slept very peacefully.


    was speechless all night.


    The next day, Lu Chen opened his eyes and checked the time, it was already 7:30.


    It was rare to be quiet all night without being called by the nurse.


    Lu Chen hurriedly took a shower, and left the ink for a while before everyone else arrived.


    After washing up, I went to the doctor''s office.


    Lu Chen saw Fan Zhiping and Yin Xinhua sitting and chatting.


    They both smiled when they saw Lu Chen come in.


    Yin Xinhua smiled at Lu Chen: "Junior Brother Lu, get up."


    "Yeah." Lu Chen nodded, "Senior sister, didn''t the nurse call you last night?"


    "It''s great that you didn''t call me." Yin Xinhua smiled.


    "That''s good." Lu Chen also found a seat and sat down.


    "That''s right." Yin Xinhua suddenly said, "Junior brother, yesterday I saw that you are so skilled in ultrasound technology. Who did you learn it from?"


    Lu Chen was stunned for a moment, and then said without blushing and heartbeat: "I usually study a part of myself. In addition, there is a classmate in the ultrasound department in my dormitory. Sometimes I go to him to rub the machine and learn a lesson."


    "Oh, that''s it." Yin Xinhua didn''t believe Lu Chen''s words.


    She has taught herself cardiac ultrasound for a long time, but she is not as skilled as Lu Chen.


    But Lu Chen didn''t want to say it, and she didn''t ask anymore.


    ¡­


    At eight o¡¯clock sharp, the shift starts.


    The only content of Lu Chen''s shift is this drug addict.


    "The 37-bed patient had a sudden high fever at around 8 o''clock last night, followed by dyspnea... After consultation with multiple departments, after completing the echocardiography, the patient was finally suspected to be an intravenous drug addict, infective endocarditis, and valve vegetations. It falls off, causing a pulmonary embolism."


    As soon as these words came out, the doctors in the entire department were a little surprised.


    Although Lu Chen''s shifts are not much, his clinical thinking is meticulous.


    This case of drug addiction is definitely not as simple as it says.


    It is quite difficult to get a clear diagnosis of a patient in one night!


    The eyes of everyone looking at Yin Xinhua are a little different.


    Because everyone took it for granted that this patient was diagnosed by Yin Xinhua, the superior doctor on duty.


    "Let''s call the police and contact the police for a drug test."


    Knowing that there is this special patient, Li Yao also came to the ward.


    "I have to report this patient to the medical department. Lu Chen, if you are familiar with the patient, I will leave it to you."


    "Good teacher." Lu Chen nodded.


    The shift is over.


    Several attending doctors in Keli gathered around Yin Xinhua.


    Xia Gang tutted his tongue in admiration and said, "Junior Sister Yin, you are so cruel, you have figured out the diagnosis of this patient in one night."


    The doctor who sees drug addicts is Xia Gang.


    He was still thinking about the cause of the patient''s fever and chest tightness yesterday, but he didn''t expect to be solved by Yin Xinhua when he came in the morning.


    This is a pulmonary embolism!


    It''s not just an ordinary pulmonary embolism!


    Such an extremely dangerous disease, once it is missed, just wait for a lawsuit.


    Director Lin Cui''s face was full of smiles, "Dr. Yin is good, he was able to diagnose pulmonary embolism caused by infective endocarditis in such a short period of time. The complexity of this case can be regarded as a teaching case. !"


    Yin Xinhua had a hint of embarrassment on his face.


    She played a part in the diagnosis of this patient, but not the main one.


    Without Lu Chen, Li Qinghua, and the ultrasound doctor, it would be absolutely impossible to diagnose on her own.


    She might have lysed someone else''s thrombolysis in a foolish way!


    "It''s all thanks to everyone." Yin Xinhua said angrily.


    Everyone thought Yin Xinhua was polite and praised her again.


    Lu Chen hides his merit and fame deeply.


    After he filed with the medical department, he went back to the bedroom after checking the room.


    The day after tomorrow is the second round!


    He has more important things to do, which is to continue to learn about electrophysiology.


    I slept well last night, Lu Chen didn''t sleep as usual, but directly turned on the open learning mode.


    Tomorrow happens to be the weekend, so he can study for a few more days in the dormitory with peace of mind.


    ¡­


    It¡¯s Monday again.


    Today is the day of the second round.


    The start time of the game was set at 2:00 pm as usual.


    In the morning, Lu Chen came to the eight districts in his heart.


    The high fever of the drug addict turned into a low fever.


    Blood pressure was completely stabilized and respiratory oxygenation improved.


    Lu Chen called out the doctor''s order and saw that the doctor in charge of the bed had reviewed him with a heart ultrasound.


    Echocardiographic results showed that the right heart pressure load was reduced.


    Lu Chen estimated that the bacterial mass embolus was dissolved and dispersed, so the pulmonary artery patency was restored.


    Blood culture results are in.


    positive is Staphylococcus aureus.


    Since then, the diagnosis is no longer a doubt!


    From the beginning, the patient may have been infected with Staphylococcus aureus.


    Bacteria enter the bloodstream, causing infection of the lining of the heart, and bacterial clumps form when the lining of the heart becomes inflamed.


    The mass will fall off accidentally. If it is a left endocardial mass, it will not cause pulmonary embolism, but will only cause other arterial embolism.


    But if the right endocardial bacterial vegetation falls, it is a pulmonary embolism.


    This kind of pulmonary embolism is not a common pulmonary thromboembolism, but a pulmonary bacterial vegetation embolism, so thrombolysis is not required, and thrombolytic drugs cannot be used.


    Only relying on powerful antibiotics to break up the bacteria can restore the patency of the pulmonary arteries.


    The patient thus recovered a small life!


    (end of this chapter)

 Chapter 266： The second round of high difficulty (the third more IceTW million

    Chapter 266 The difficult second round (the third IceTW reward plus more)


    In the afternoon, the second round of the provincial preliminary round officially started.


    This time, there were only fifty participants.


    The top ten in the second round are eligible to enter the final third round of the provincial competition for a chance to enter the national competition.


    The rules of the second round of exams are different from the first round.


    This time the exam questions are divided into mandatory questions and optional questions.


    There are 20 must-do questions in total, and each question is worth three points.


    There are ten optional questions in total.


    Contestants choose four questions out of ten questions and answer them.


    In order to increase the difficulty, the second round of the competition is not a multiple-choice question.


    Instead, the contestants write down the electrocardiogram diagnosis results themselves.


    Can do is do!


    can''t do it, it really can''t even write a word.


    In this way, to the greatest extent, the influence of luck factors on the results is reduced, and the fairness of the game is guaranteed.


    ¡­


    1.30pm.


    Lu Chen entered the exam platform early in the morning.


    After a few days of intensive training, Lu Chen has mastered all the basic contents of the electrocardiogram.


    The knowledge of ?? related electrophysiology is also one step closer.


    Last time, Lu Chen was the eleventh.


    This time, as long as you play stably, the possibility of promotion is very high!


    Lu Chen took a deep breath and let it out slowly.


    He stared at the computer screen, and various electrophysiological knowledge emerged in his mind.


    ¡­


    Compared with the first round, there are many more people who follow the second round!


    The entire senior management of Jinghua Electrophysiology is basically paying attention to this game.


    According to the practice of the past few years, after the second round of competition, the candidates to advance to the national competition are basically determined.


    In the third round, the ranking will hardly change!


    Li Yao made an exception and did not go to the laboratory, but sat in the office of the eighth district in his heart.


    She turned on the computer and took the exam platform.


    This time, there is a real-time ranking list of results on the page of the test platform.


    As long as you enter the website of the test platform, you can see the real-time ranking of the second round.


    Contestants will add corresponding points for each correct answer.


    This ranking, the audience can see the ranking, but the contestants cannot.


    "I hope Lu Chen can enter the third round." Li Yao muttered to himself.


    To be honest, Li Yao didn''t have much confidence in Lu Chen this time around.


    If it is a competition of peers, Li Yao will definitely support Lu Chen unconditionally.


    But this time is different, Lu Chen is competing with a senior doctor with so much clinical experience.


    Many things cannot be compensated with talent and intelligence!


    ECG, even if the theoretical knowledge is rich, if there is no actual clinical experience, it is difficult to interpret some difficult ECGs.


    There is often a big gap between the standard knowledge in books and the real clinical situation!


    ¡­


    Jinghua Electrophysiology WeChat exchange group.


    Since everyone knew that both Lu Chen and Fan Zhiping participated in this electrocardiogram competition, and both were shortlisted.


    Everyone in the ?? group paid more attention to this competition.


    Many people even started the "text live broadcast" of the second round.


    "Five minutes, the exam is about to start!"


    "I hope Professor Lu and Comrade Lao Fan will win!"


    "This time there are real-time rankings, I''ll start the text live broadcast later!"


    The WeChat group is quite lively.


    At this time, Lu Chen and Fan Zhiping had turned off their phones.


    They focused all their attention and counted down thirty seconds in their hearts.


    Arrived at exactly two o''clock, and all the contestants entered the exam website.


    ¡­


    first question.


    The patient is a 55-year-old female patient. The electrocardiogram is as follows. What is the diagnosis?


    When Lu Chen saw the first picture, his brows began to wrinkle.


    This first picture, judge the patient''s paced heart rhythm.


    It is very difficult to judge this kind of paced heart rhythm.


    I didn''t expect that at the beginning, it gave everyone a slap in the face!


    Lu Chen calmed down and was not impatient.


    He called up the tool ruler in the computer and began to carefully analyze this paced heart rhythm.


    After about five minutes, Lu Chen wrote his diagnosis.


    "Pacing rhythm, pacing mode DDDD, no abnormal atrial pacing function, complete right bundle branch block, and poor ventricular sensing delay."


    Filled in his diagnosis, and Lu Chen immediately started the next question.


    ¡­


    At this time, Fan Zhiping was sweating on his forehead!


    The first question is a tough nut to crack.


    After finally finishing the first question, I still don¡¯t know if it¡¯s right or wrong.


    The second question I encountered was another difficult subject related to electrophysiology.


    In the first round of the competition, there were still a few questions related to electrophysiology, and most of them were regular questions.


    But this second round, the knowledge of electrophysiology test is more and more, and the difficulty of the test has directly increased several grades!


    ¡­


    Jinghua Central Hospital, Department of Cardiology.


    Min Xiaobo analyzed the electrocardiogram in front of him without changing his expression.


    He could feel that the difficulty of the question had risen.


    However, his clinical experience is much richer than that of Lu Chen.


    In addition, there are still several years of overseas study, and the electrocardiogram of the experience is also a lot more than ordinary people.


    For Min Xiaobo, it only takes a little time to analyze, he can answer all these questions one by one.


    However, the top ten is not Min Xiaobo''s ultimate goal.


    What he wants is to be in the top three, or even get the first provincial championship!


    ¡­


    in the real-time ranking of the exam website.


    After completing the first question, Lu Chen ranked 24th!


    About half of the people were faster than Lu Chen''s judging!


    The first place at this time is Min Xiaobo, and his score has reached 6 points.


    In other words, Min Xiaobo has already surpassed the time for Lu Chen''s question.


    "Come on! Lu Chen."


    Li Yao stared at the real-time ranking list, her eyes almost never left her sight.


    ¡­


    Jinghua Electrophysiology''s WeChat.


    Someone started posting the latest rankings.


    "Damn it, Professor Lu has more than 20, and Director Fan is only 46!"


    "Yes, Director Fan is going to continue like this, there''s basically no drama."


    "There are still a lot of ruthless people. I thought that Professor Lu was already very powerful. This is really a heaven."


    "Don''t worry, everyone, I believe Professor Lu Chen, he will definitely exert his strength in the future. But as for Comrade Fan, he will fend for himself!"


    ¡°¡­¡±


    Time passed slowly.


    The exam time is half over.


    Lu Chen''s answering speed is not fast, and his ranking has been hovering around 20.


    Fan Zhiping is worse, and his ranking has been in the bottom.


    On the contrary, Min Xiaobo''s ranking is very stable, never falling out of the top three.


    ¡­


    Lu Chen''s must-do questions, only the last three questions remain.


    Question 18, the patient performs esophagus pacing, S1S1 stimulation for 60s continuously, according to the figure below, make a diagnosis!


    This question has already involved the electrophysiological examination - esophageal pacing.


    Lu Chen has never seen a real esophagus maneuvering. Fortunately, the picture of this problem is not difficult.


    He thought for a moment and made a diagnosis immediately.


    "Secondary prolongation of SNRT, consider sick sinus syndrome."


    After answering this question, Lu Chen''s ranking rose slightly to the eighteenth place!


    (end of this chapter)

 Chapter 267： Promotion (first update)

    Chapter 267 Advancement (First Update)


    Lu Chen''s mandatory questions have been completed.


    He also reached the 16th place in the ranking!


    Among all the contestants, the correct rate of the required questions is quite high.


    Especially among the top 20 people, almost no one does the required questions wrong, just the difference in the speed of doing the questions.


    The Department of Cardiology was originally a department where academics haunt and gather.


    If you want to stumbling everyone on regular questions, it is difficult not to continue to increase the difficulty of the questions!


    Now, the key to the winning hand is the remaining optional questions!


    Choose four out of ten optional questions.


    The scores of these ten questions are not the same.


    Some of the questions are worth fifteen points, and some are only five points!


    Lu Chen guessed that the score of the question is most likely to be divided by the difficulty of the question.


    ¡­


    Lu Chen glanced at all ten questions.


    Soon, his heart sank to the bottom.


    These ten questions are mainly composed of three types of ECGs: difficult ECG, pacing ECG, and esophageal pacing.


    Every question, at first glance, Lu Chen could feel the difficulty.


    Even, there are two pictures that Lu Chen has never seen before!


    "It seems that for the time being, we can only choose the four most certain questions!"


    Lu Chen thought about it for a long time, and quickly picked out the four questions that he was most confident about.


    These elective questions he selected are of medium difficulty, and their scores are all around ten.


    He is very confident that he can get the scores for these four questions!


    ¡­


    first question.


    After VVI pacing in patients with atrial fibrillation, please comprehensively judge whether the pacing and sensing functions of the pacemaker are normal?


    This is another paced ECG.


    Lu Chen pondered for a moment, and immediately gave the answer.


    "Pacing dysfunction, normal sensory function."


    The second question.


    The patient male, 34 years old, went to the doctor because of whole body freezing. The electrocardiogram diagnosis?


    This electrocardiogram is very interesting, the patient is frostbite.


    The medical history is a bit complicated, but the electrocardiogram is not difficult.


    "Sinus bradycardia, left axis deviation, hypothermic J waves!"


    The progress of answering questions is relatively smooth.


    Lu Chen was about to do the third question when he suddenly hesitated as if he had thought of something.


    If you continue to choose this medium difficulty question, although the correct rate can be guaranteed, the score is low!


    Even if you get it right, you probably won''t get the same score as someone else''s on two questions right!


    Lu Chen knew that he was currently not fast enough to solve problems.


    When everyone is at a similar level, I don¡¯t have much advantage.


    Although Lu Chen didn''t know his ranking very well, according to the current difficulty of the questions, he felt that he was likely to be out of the top ten.


    No idea!


    If it is only for interpreting difficult electrocardiograms, then Lu Chen will definitely be in the top ten.


    But now the ECG of the exam also involves a lot of electrophysiological knowledge.


    The ?? ECG skill card is just a basic card, it is extremely difficult to make Lu Chen''s ranking so high.


    There are two paths in front of Lu Chen.


    In other words, at the moment of all the contestants, there are two paths.


    Conservatives, choose a question with a low score to ensure that you can get a score.


    Radicals, choose high-scoring questions, which are very difficult, but the accuracy rate is not high.


    For a moment, Lu Chen hesitated.


    ¡­


    At this time, the eight district director''s office in the heart.


    Li Yao stared closely at the internship ranking of the exam platform.


    Lu Chen''s ranking is 14th!


    However, there are only two questions left!


    "Hey, Lu Chen tried his best, but unfortunately..."


    Li Yao shook her head slightly, then sighed.


    In the last two questions, as long as no one in the top ten made mistakes, it would be difficult for Lu Chen to enter the top ten.


    "After all, it''s still too young, and the knowledge system is too weak."


    Jinghua Electrophysiology WeChat exchange group.


    Group messages, only those who send text live broadcasts are left.


    Few of the others spoke, and everyone held their breath.


    Now the situation is grim, and even Professor Lu ranks out of the top ten.


    Not to mention Fan Zhiping, although the ranking has improved, it is still 40th!


    Everyone is always watching Lu Chen''s ranking changes.


    Up one, up one, all touched everyone''s heartstrings.


    But as time passed, the exam came to an end.


    The hope of a comeback is getting slimmer!


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen was silent for a few minutes, and finally decided to choose a difficult topic!


    There are many talented people in this competition. It seems a bit wishful thinking to rush into the top ten with four questions of medium difficulty.


    Lu Chen gave up the two questions he had chosen before, and instead chose two questions that both scored 15 points!


    Elective question, the third question.


    A 65-year-old female patient with sick sinus syndrome. After dual-chamber pacemaker implantation, the picture below shows the discontinuous recording of the dynamic electrocardiogram. What is the diagnosis in this picture?


    In front of Lu Chen was a discontinuous recording of a dynamic electrocardiogram.


    On the electrocardiogram, a clear pacing signal can be seen.


    At first glance, Lu Chen felt that this must be an abnormal electrocardiogram.


    However, Lu Chen couldn''t tell exactly where the problem was.


    There are fifteen minutes before the end of the exam time.


    Lu Chen has plenty of time.


    He calmed down and calmed himself down.


    ¡­


    The second district of the heart, the doctor''s office.


    Gu Xinyue sat in front of the computer.


    Look at him, although he is typing on the keyboard and revising the medical record, his eyes are always on the mobile phone at the table.


    On the screen of the mobile phone, there is a real-time ranking of the electrocardiogram competition.


    At this time, there were only ten minutes left until the end of the exam, and Lu Chen was ranked 14th.


    "Junior Brother Gu, just now the 6th bed said that his chest was uncomfortable, you should take a look."


    I heard the voice of my brother.


    Gu Xinyue was stunned for a moment, and when the senior brother repeated it for the second time, he realized that he quickly picked up the phone and said, "Okay, I''ll go now."


    Gu Xinyue walked briskly. After treating the patient, he immediately returned to the doctor''s office.


    has opened the ranking of the electrocardiogram competition.


    There are only five minutes left until the end of the game!


    At this time, Lu Chen''s ranking rose again, to the twelfth place.


    Gu Xinyue stared at the phone screen tightly, not daring to let out the atmosphere.


    "Lu Chen, can you do it?"


    For Gu Xinyue, Lu Chen is his opponent and also his friend.


    Recalling the scene of the National Skills Competition, Gu Xinyue had a faint expectation in her heart.


    "Perhaps, Lu Chen can do some impossible things."


    ¡­


    When the exam time is cleared.


    The real-time ranking of the ?? exam platform will no longer change.


    Lu Chen''s test paper was also officially submitted, and he could not continue to answer the questions.


    For the last two questions, Lu Chen exhausted the electrophysiological knowledge he had learned recently and wrote down the diagnosis of these two questions.


    Exit the test interface and come to the test ranking platform.


    When he saw the ranking, Lu Chen breathed a sigh of relief.


    His choice was not wrong, he made the right bet!


    "Lu Chen, the final result of the second round of exams, the ninth place!"


    (end of this chapter)

 Chapter 268： The dilemma of the second hospital (the second is to subscribe to a monthly ticket)

    Chapter 268 The Dilemma of the Second House


    The second round of the qualifying list.


    "First place, Jinghua Central Hospital, Min Xiaobo, 98 points!"


    "Second place, Jinghua First Hospital, Deng Fangfang, 96 points!"


    "Third place, Jinghua Second Hospital, Lei Cui, 94 points."


    ¡°¡­¡±


    "Ninth place, Jinghua Second Hospital, Lu Chen, 88 points."


    ¡­


    Li Yao was sitting in the office, originally she was ready to turn off the real-time ranking of the exam platform.


    But when the results were frozen, Li Yao stared at the rankings on the computer screen in disbelief.


    "Lu Chen, he, he actually made the cut!"


    In addition to being surprised, there was a hint of joy.


    When there were the last two questions left, Lu Chen was still ranked 14th.


    Li Yao, as the vice chairman of the Electrophysiology Society, knows more about the subject of the ECG competition.


    These last four questions are all optional.


    Li Yao''s eyes narrowed slightly, she seemed to have guessed Lu Chen''s strategy.


    Lu Chen was able to make a comeback, he was definitely picking a difficult elective question, and he got it right!


    In the competition with a group of chief and deputy chief doctors, a student was squeezed into the top ten.


    Lu Chen can no longer be described according to common sense.


    Li Yao believes that Lu Chen will definitely be the most topical name in the Jinghua electrophysiology field for some time to come.


    ¡­


    Jinghua Electrophysiology WeChat group.


    When the results are announced.


    All the group members are boiling.


    Lu Chen advanced!


    The group members who are familiar with Lu Chen, ran to tell each other.


    Fan Zhiping''s 40th place was directly ignored.


    Of course, there are also dissonant sounds.


    The Cardiology Hospital of a county-level hospital in the group spoke:


    "Professor Lu Chen entered the third round, isn''t that a matter of course? Why are you so happy? He didn''t make it to the third round, that''s a strange thing, right?!"


    However, these words were submerged in the congratulatory speeches of the crowd.


    "@Luchen, Professor Lu is really amazing! The last two questions are really good!"


    "I already knew that Professor Lu would definitely make the cut!"


    "Shameless upstairs, weren''t you worried just now?"


    Lu Chen often speaks in the group, helping everyone to interpret some electrocardiograms on a voluntary basis.


    And most of the difficult cases can be solved here by Lu Chen.


    Therefore, Lu Chen''s prestige in the group is extremely high, obviously higher than that of Min Xiaobo, who is also an elite member.


    This time Min Xiaobo was the first place in the second round, but few people mentioned him in the WeChat group.


    ¡­


    Jinghua Second Hospital, the second district in the heart.


    Gu Xinyue looked at the shortlist and couldn''t help but smile.


    There was a hint of envy in his eyes.


    Lu Chen really did it!


    However, there was a hint of loneliness in his eyes.


    The same as the first grade students, Lu Chen has left them far behind.


    A student was able to rank among the top ten in this electrocardiogram competition.


    Who could have imagined this?


    Recalling the skill competition, Gu Xinyue felt that she could still compete with Lu Chen.


    But now, the gap is getting bigger and bigger.


    This kind of gap makes people unable to even feel jealous, only envy.


    "Lu Chen has come this far, so I can''t fall behind..."


    Gu Xinyue put down her phone and returned to work in the department.


    ¡­


    Jinghua Central Hospital, Department of Cardiology.


    Min Xiaobo is also a counterattack this time.


    From the fifth place in the first round to the first place in the second round!


    Min Xiaobo''s performance directly overwhelmed the doctors of Jinghua Second Hospital and Jinghua First Hospital, which brought the Cardiology Department of Jinghua Central Hospital into everyone''s field of vision.


    "Lu Chen, is he the ninth?"


    Min Xiaobo frowned.


    To be honest, he was quite surprised by Lu Chen''s achievement.


    Although he didn''t communicate much with Lu Chen, he could feel that Lu Chen''s ability should not be underestimated.


    In Min Xiaobo''s view, Lu Chen''s performance should be in the top five.


    But in this ECG competition, Lu Chen''s results were not amazing.


    In the first round, Lu Chen ranked eleventh.


    In the second round, Lu Chen ranked ninth.


    It was an accident that I didn''t pass the exam once.


    But now the second time is still ninth, Min Xiaobo started to evaluate Lu Chen again in his heart.


    This ECG competition is not only about the interpretation of ECG, but also pays more attention to the knowledge of electrophysiology.


    Because an excellent cardiology electrophysiologist can not only read pictures, but also perform electrophysiology-related surgeries.


    Such as ablation of various arrhythmias, pacemaker implantation, etc.


    This requires a high degree of mastery of electrophysiology knowledge!


    Therefore, most electrocardiogram competitions will involve a lot of electrophysiological knowledge.


    Lu Chen''s performance was not as amazing as before.


    "This shows a problem." Min Xiaobo narrowed his eyes, "Lu Chen''s ability in the field of cardiac electrophysiology is not as powerful as imagined!"


    Gu Xinyue''s eyes flashed with a glimmer of light.


    "If Lu Chen can only reach this level, then he can''t go to the national competition!"


    ¡­


    But at this time in the Jinghua Second Hospital, there was one person who couldn''t laugh.


    He is the chairman of Jinghua Electrophysiology Society, Cheng Guowen!


    In the second round, the first place was Jinghua Central Hospital.


    The second place is Jinghua First Hospital.


    They, the Second Academy of Jinghua, were able to keep the third place, and this third famous test is still in jeopardy.


    In addition, among the top ten finalists, there are only three people in the Jinghua Second Academy, including Lu Chen!


    "It would be bad if we were promoted to the national competition list without members of the Jinghua Second Academy!"


    Cheng Guowen frowned into the word "Chuan".


    Even though Lu Chen''s results were amazing, it didn''t make Cheng Guowen happy.


    In his opinion, the ninth place result may have been very good for others.


    But for Jinghua Second Hospital, it is far from enough!


    Cheng Guowen wants the top three!


    I want to advance to the national competition!


    In this way, the Jinghua Second Academy will have a certain advantage in next year''s director general election.


    "I hope Lei Cui can keep the top three!"


    Lei Cui is the senior attending physician of the Cardiology Department of the Second Jinghua Hospital, and the only member of the second Jinghua Second Hospital in the top three this time.


    As long as the Jinghua Second Academy retains a place to enter the national competition, then there is still hope for the general election next year!


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    "Ding ding ding..."


    As soon as the game ended, Lu Chen received congratulations from many people one after another.


    Too many people are following this game.


    Lu Chen entered the third round as a student, attracting the attention of countless people.


    Not talking too much with everyone, Lu Chen turned off his phone.


    To be honest, he was quite satisfied with his ninth place result.


    With his current ability, it is already due to luck that he can advance to the third round.


    Want to be in the top 3 in the third round¡­


    Now, it seems unrealistic!


    "Fortunately, the third round is scheduled for a week later." Lu Chen frowned.


    Although it is difficult to enter the top three, Lu Chen has never given up easily.


    There is still a week left until the third round.


    During this week, Lu Chen still has a chance to work hard!


    There are two more


    (end of this chapter)

 Chapter 269： Cardiac Arrest in the Catheterization Lab (third more

    Chapter 269 Cardiac Arrest in the Catheterization Lab


    The second round is over.


    Lu Chen''s grades caused quite a stir in the Cardiology Department of Jinghua Second Hospital.


    Many doctors know about Li Yao''s mentor in the eight districts of the heart, and there is a very good student.


    This newly admitted graduate student not only won the first place in the national skills competition, but also entered the top ten in the provincial competition in the national electrocardiogram competition.


    In the eight areas of the heart, all the doctors had a better understanding of Lu Chen''s abilities.


    In the past few days, many people in the department have been discussing his affairs.


    Although he was complimenting him, it still made him a little embarrassed.


    This situation continued for two or three days before it got better.


    Lu Chen can work normally in the department.


    "Junior Brother, you are much more powerful than Senior Sister." Sun Guoguo sighed, "I was beaten in the first round of this electrocardiogram contest, but you actually made it to the third round!"


    Lu Chen smiled and said nothing.


    "Lu Chen, I heard that you are still an elite member of the Jinghua Electrophysiology Society?"


    When Sun Guoguo learned that Lu Chen was an elite member, his expression was extremely surprised.


    "Yes, Senior Sister." Lu Chen nodded.


    No wonder Lu Chen joined the Electrophysiology Society very late, originally to participate in the assessment of the elite group.


    ¡­


    There are still four days left until the third round.


    Early in the morning, Lu Chen received a WeChat message from Brother Dong Hao.


    He decided to come to the eighth district of the heart today for ablation of supraventricular tachycardia.


    It has been almost three weeks since the last admission.


    Dong Hao was going to wait another week for surgery.


    But he fell ill again this year, and Lu Chen immediately arranged for him to be hospitalized.


    This time, Lu Chen managed Dong Hao''s hospitalization throughout the entire process, so as to avoid the same thing as last time.


    "Senior brother, don''t be nervous. The surgery can be arranged this afternoon. I have already reported to Teacher Li Yao."


    In the ward, Lu Chen smiled at Senior Brother Dong Hao.


    "I don''t worry about your work. I''ll listen to your arrangements." Senior Brother Dong Hao nodded, "By the way, I heard that you entered the top ten in the electrocardiogram competition last time, congratulations, junior brother."


    Lu Chen smiled, "Senior brother, you already said it on WeChat."


    "It doesn''t matter if you say it again." Dong Hao patted Lu Chen on the shoulder. "Come on, try to get into the top three and enter the national competition!"


    Lu Chen said with a bitter face: "It is quite difficult to enter the top three!"


    The difficulty of this is known only to those who have actually participated in the competition.


    Although Lu Chen is busy every day to accumulate electrophysiological knowledge.


    But the rate of progress is too slow!


    "Junior Brother, I believe in you!" Dong Hao laughed.


    Lu Chen shook his head slightly.


    He found that the people around him seemed to believe that he could enter the top three more than himself.


    Why!


    Now I can only do my best and obey the destiny!


    ¡­


    Because of Dong Hao''s last hospitalization, the preoperative examination has been done.


    The hospitalization this time was simple.


    Lu Chen applied for surgery and finished the preoperative discussion.


    At three o''clock in the afternoon, Lu Chen and the nurse in the catheterization room on the fourth floor pushed Senior Brother Dong Hao into the catheterization room together.


    With Li Yao''s approval, Lu Chen could watch the whole process of electrophysiological ablation.


    This is also because the electrophysiological intervention has almost no radiation, otherwise Lu Chen would not have the chance to come to power.


    Jinghua Second Hospital, Cardiology Catheterization Laboratory.


    The Cardiology Catheterization Room and Cardiology Intensive Care Unit (CCU) are both on the fourth floor, which facilitates patient transfer after intervention.


    The entire catheter lab occupies a large area.


    There are eight operating rooms in total, five of which are working.


    The other three are spares and can be activated at any time.


    This time Dong Hao''s ablation operation was performed in operating room No. 5, and the chief surgeon was Director Li Yao!


    Two thirty in the afternoon.


    Lu Chen and Dong Hao had already arrived at the catheterization room.


    Entering the catheterization room, Lu Chen pushed the hospital bed in front of the No. 5 operating room.


    At this time, Operation Room No. 5 is being occupied.


    Catheter Miri, two doctors are performing ablation of atrial fibrillation.


    "What''s the patient''s name?"


    Suddenly, a nurse in a green surgical gown came over.


    "The eight districts in my heart are called Dong Hao." Lu Chen said quickly.


    "Oh." The nurse nodded and took a look at the medical records on the bedside. "You are the next machine of No. 5. After a while, the operation inside will be over soon."


    "Okay, thank you!" Lu Chen laughed.


    Taking advantage of this waiting time, Lu Chen just happened to be able to see the Cardiology Catheterization Room of the Second Hospital.


    This is not the first time he has come to the catheterization laboratory of Jinghua Second Hospital.


    But the previous few times, the patients were sent in in a hurry, and there was no time to stop and watch.


    Lu Chen has been to the Cardiology Catheterization Laboratory of Jiangcheng University Affiliated Hospital.


    There are only four operating rooms, and only half the size of the Jinghua catheterization laboratory.


    Each console has doctors and nurses with it.


    This is a 24-hour operation. As long as there are surgical patients, the catheter room has to be open to work.


    ¡­


    Time passed slowly.


    Lu Chen noticed that from time to time a doctor pushed the bed in.


    The beds are full of patients who need interventional surgery.


    One of the operating rooms No. 1 and No. 2 is for patients undergoing emergency coronary intervention.


    No. 3 and No. 4 are patients undergoing coronary intervention with plain diagnosis.


    There are relatively few electrophysiological interventional operations, so only the fifth operation room does it.


    Room 1 and Room 5 are opposite.


    Lu Chen turned his head and could see the scene in the No. 1 operating room.


    At this time, a young doctor and nurse pushed the bed into the catheterization room.


    came to the No. 1 operating room, and they stopped.


    "Ren Feng, come to the emergency surgery!" The young doctor shouted loudly.


    "okay, I get it!"


    A tall, middle-aged male doctor with slightly bald hair came over.


    He was wearing a green surgical gown and white-rimmed glasses, looking extraordinarily gentle.


    "Myocardial infarction in which wall?"


    The young doctor said: "Extensive anterior wall."


    "Does the patient have diabetes? Does he smoke?" Ren Feng said.


    "Has a history of smoking, but no diabetes."


    "Is there any heparin in the ward?" Ren Feng continued.


    "Did not give."


    "Okay, the last emergency room on No. 1 will be finished soon, this one should wait a few minutes before going to the emergency room."


    After Ren Feng finished speaking, he was about to turn around and leave.


    At this time, the young doctor stopped him.


    "Brother Feng, there are still many things to do in the ward, so the nurse and I will go back first."


    Ren Feng nodded and said, "Go."


    ¡­


    The young doctor pushed the hospital bed in front of the No. 1 operating room and left with the nurse.


    This hospital bed was placed in front of the No. 1 operating room, side by side with Senior Brother Dong Hao''s bed.


    And just now, the middle-aged male doctor named Ren Feng took a look at the patient and walked to the second operating room.


    In the No. 2 operating room, there is a patient who is undergoing emergency surgery. The surgery is more difficult and requires Ren Feng to guide him outside.


    Lu Chen looked at the patient lying on the bed.


    He was younger, about forty years old, of a fatter build, with a goatee.


    The patient was lying flat on the bed, his face slightly pale.


    When Lu Chen looked at his health, his pupils shrank slightly, only 46!


    Before Lu Chen could think about it, he saw that the patient''s expression seemed uncomfortable.


    Suddenly, his body stopped moving, and the sound of pain disappeared.


    Lu Chen felt that the situation was not right, so he bypassed Dong Hao''s hospital bed and ran forward.


    "Hey, uncle, uncle..." Lu Chen patted his shoulder.


    Patient still did not respond.


    He subconsciously touched patient Feng''s carotid pulse.


    There is no pulsation!


    Lu Chen was startled, he immediately shouted to the side while doing chest compressions.


    "The patient''s heart stopped!"


    (end of this chapter)

 Chapter 270： hands-on teaching

    Chapter 270 Hands-on Teaching


    Lu Chen''s loud shout instantly attracted everyone''s attention.


    Ren Feng is next door to the No. 2 operating room.


    Hearing Lu Chen''s voice, he turned to look.


    Immediately stood up and ran towards Lu Chen.


    ¡­


    At this time, Lu Chen was at the bedside, giving the patient chest compressions.


    The patient is currently unconscious and has suffered cardiac arrest.


    CPR is the primary rescue measure.


    At this moment, the ECG monitoring of the bedside defibrillator suddenly sounded an alarm.


    The patient''s heart rhythm suddenly became ventricular fibrillation!


    Ren Feng just stepped forward and saw the ECG waveform of ventricular fibrillation at a glance.


    "Patient has ventricular fibrillation!"


    Lu Chen nodded while pressing.


    He also noticed changes in the patient¡¯s heart rhythm.


    "Prepare for defibrillation!"


    Ren Feng immediately picked up the defibrillator by the bedside.


    Quickly adjust the defibrillator from monitoring mode to defibrillation mode.


    Lu Chen understood, and immediately took a step back.


    Taking advantage of this gap, Ren Feng quickly stepped forward and placed the two electrode pads on the defibrillation site.


    Charge¡­¡­


    Discharge!


    One defibrillation ends.


    On the ECG monitoring of the defibrillator, the patient is still a pattern of ventricular fibrillation.


    The first defibrillation failed!


    ¡­


    At this time, other people in the catheterization lab also reacted.


    As long as they were free intervention doctors, they all ran to the bedside.


    A small hospital bed was immediately surrounded by doctors.


    Some doctors are giving patients balloon-assisted breathing.


    Some doctors are ready to take over from Lu Chen''s chest compressions.


    Some doctors hurried to call a nurse and brought an ice pack for brain protection.


    This rescue is definitely the one that Lu Chen has seen the most doctors.


    Seven or eight doctors gathered in front of the hospital bed and worked together to perform cardiopulmonary resuscitation on the patient.


    ¡­


    "The second defibrillation starts!" Ren Feng frowned and shouted.


    All the people beside the hospital bed, when they heard this, immediately dispersed.


    Charge, Discharge!


    The second defibrillation is over.


    The patient''s ventricular fibrillation rhythm suddenly returned to sinus rhythm.


    Success!


    "Ah... ah..."


    At this time, a painful moan came from the patient''s mouth.


    Hearing this voice, everyone looked happy, and the patient woke up!


    Consciousness recovered and ECG recovered, which also means that the rescue was successful!


    Lu Chen stood beside the bed and breathed a sigh of relief.


    This patient is really fortunate, and ventricular fibrillation occurred in the CCU catheterization room.


    In the catheter, all are cardiologists!


    Everyone''s rescue experience is extremely rich.


    If the patient comes back later, outside the hospital when the ventricular fibrillation occurs, or on the way to the cath lab.


    Then whether he can save a small life, let''s talk about it!


    At this point, the operation in the No. 1 operating room was completed.


    Patients with ventricular fibrillation after myocardial infarction need more emergency surgery.


    Everyone immediately pushed the hospital bed together, entered the No. 1 operating room, and put the patient on the operating table.


    The nurses in the catheterization room have also prepared the rescue kit and defibrillator, ready to carry out the next rescue at any time.


    ¡­


    Lu Chen watched the patient enter the catheterization room, and finally let go of the hanging heart.


    "Classmate, thank you."


    I don''t know when, Ren Feng walked to Lu Chen''s side.


    He lightly patted Lu Chen''s shoulder.


    "If you hadn''t discovered the patient''s condition in time, we might have been delayed."


    Lu Chen shook his head lightly and said with a smile, "Teacher, I''m just one step ahead. The defibrillator will call the police, and you will be able to find out when the time comes."


    Ren Feng looked Lu Chen up and down.


    "Which area in your heart are you from? Why haven''t I seen you before?"


    Ren Feng has been operating in the catheterization room for a long time. It is normal that he does not know Lu Chen.


    Lu Chen smiled and said, "Teacher, I''m a graduate student in the eight districts of the heart. Today, a patient came for electrophysiological ablation surgery, and I pushed the bed over."


    Ren Feng was taken aback, "Eight areas of electrophysiology in the heart, Li Yao... Then is your name Lu Chen?"


    Lu Chen never expected that the teacher in the catheterization lab in front of him actually knew his name.


    He nodded hastily.


    Ren Feng smiled, "I''ve heard of you, nice guy."


    He patted Lu Chen on the shoulder, praised Lu Chen two more words, then turned around and left.


    ¡­


    "Junior Brother, you are amazing!"


    Dong Hao was lying on the hospital bed. I saw this scene just now.


    Dong Hao was used to Lu Chen''s quick response, but he couldn''t help but admire him.


    Lu Chen smiled, "Instinct reaction."


    "Junior Brother, do you know Teacher Ren?" Dong Hao asked again.


    Lu Chen shook his head: "Which teacher?"


    "That''s the one who was talking to you just now, his name is Ren Feng!" Dong Hao said, "He is the hottest interventional physician in the Cardiology Department of the Second Hospital of Jinghua. I heard that he posted a 20-point SCI some time ago. In the catheterization room of the Cardiology Department, apart from the director Cao Zhiying, he is the second person in Jinghua''s heart to intervene!"


    "So powerful?" Lu Chen looked back at the No. 1 operating room.


    Ren Feng has entered the operating room.


    "Yes, the key is that he can not only publish papers, but also perform operations." Dong Hao praised, "In the past, the emergency interventional surgery in the Cardiology Department was done by Mr. Ren Feng. The former Mr. Ren Feng, one head Black hair, don''t look at his bald head now, but he has also become powerful!"


    "But Mr. Ren Feng is very strict and usually doesn''t take students at all." Dong Hao regretted, "Many people wanted to let Mr. Ren Feng teach, but he refused."


    Emergency interventional surgery in the Department of Cardiology is generally performed by a doctor with rich surgical experience.


    Because there are too many unknowns in the emergency department, many patients with a history of diabetes and smoking will have poor vascular conditions.


    At this time, an experienced doctor is needed, otherwise it will be difficult to puncture successfully.


    At this time, Lu Chen suddenly received a system prompt.


    "Congratulations, +1 for the thank you from Ren Feng!"


    Unexpectedly, after the rescue just now, Mr. Ren Feng actually gave him some gratitude!


    Lu Chen was quite surprised.


    ¡­


    Three in the afternoon.


    Li Yao came to the catheterization room.


    The operation in operating room No. 5 was also completed.


    "Lu Chen, push the hospital bed in, we''re ready to start."


    Li Yao put on a green surgical gown.


    Lu Chen nodded and pushed the hospital bed into the operating room.


    Dong Hao also moved to the operating table.


    Ablation of supraventricular tachycardia starts from brachial artery puncture.


    "Lu Chen, can you disinfect the surgical area?" Li Yao suddenly asked Lu Chen.


    Lu Chen nodded immediately.


    At this time, Li Yao suddenly smiled, "Oh, I almost forgot that you are the No. 1 in the National Skills Competition! You may be better than most people in disinfecting the surgical area." Lu Chen smiled .


    He first exposed the surgery area, and then disinfected Dong Hao''s surgery area.


    Outside Operation Room No. 5.


    "Hey, why didn''t Director Li bring an assistant today?"


    Outside Operation Room No. 5, a nurse asked strangely.


    "Didn''t she always bring one of her doctoral students with her before?"


    Another training doctor said: "Nuo, didn''t this bring one?"


    "This man looks so raw! Has he never been here before?"


    "Hey, we don''t care about this, as long as the operation goes well, it''s all done as soon as possible."


    ¡­


    on the operating table.


    Lu Chen has disinfected Dong Hao''s surgical area and finished the towel.


    "Dong Hao, don''t be nervous, I''m going to take anesthesia." Li Yao said to Dong Hao.


    She had put on gloves and sucked the anaesthetic with a syringe.


    This operation is under local anesthesia.


    Dong Hao gave a soft "um".


    "Lu Chen, come over and take a look." Li Yao turned her head and said to Lu Chen, "The location of our puncture is usually right below the most obvious arterial pulsation, that is, 1-2cm below the groin skin fold."


    Lu Chen stepped forward immediately.


    This is a rare opportunity.


    There is a teacher''s hands-on teaching, and ordinary people don''t have this kind of treatment.


    (end of this chapter)

 Chapter 271： An email

    Chapter 271 A Mail


    Ablation of supraventricular tachycardia is a relatively simple minimally invasive interventional surgery.


    From the selection of puncture point, catheter placement, target point determination, to the final electrode ablation.


    Li Yao carefully showed each step in front of Lu Chen''s eyes.


    Li Yao told Lu Chen what to pay attention to at every step.


    But the master leads the door, and the practice is personal.


    No matter how carefully Li Yao teaches, Lu Chen''s own practice is still needed.


    "Lu Chen, follow me to watch a few TVs first, and then slowly get started."


    "Okay, teacher."


    The conversation between the two was overheard by the trainee doctor and nurse outside.


    The two looked at each other and could see the shock in each other''s eyes.


    Getting a student started?


    This is electrophysiological interventional surgery! It''s not an ordinary chest or waist piercing!


    What is the background of this student?


    There were many questions in the minds of the two of them.


    To get started, advanced doctors need to go through layers of tests, and finally, the higher-level doctors are willing to let go, so that they have a chance to get started.


    Is this student a relative of the leader?


    The trainee doctor was wailing in his heart, how unfair!


    It has been two months since he came to the catheterization laboratory of Jinghua Second Hospital. He is observing and observing every day, and he is still observing...


    At this time, Lu Chen was also very excited. Li Yao''s tutor actually let him start the operation in the future.


    It feels so good to have a backstage feel!


    "I usually read more books on electrophysiological intervention to understand the most basic steps." Li Yao emphasized.


    Lu Chen quickly nodded in agreement.


    But Li Yao looked back and thought, Lu Chen, a student, doesn''t need her to say more.


    Lu Chen watched the entire operation.


    He has a relatively preliminary understanding of electrophysiological interventional surgery.


    To become an excellent electrophysiologist, electrophysiology theory, catheter technology, and imaging knowledge are all indispensable!


    At present, he is just getting started in electrophysiology theory and imaging knowledge. As for catheter technology, he still knows nothing about it.


    In order to really start the operation, Lu Chen still needs a good opportunity!


    ¡­


    An hour later, the ablation procedure is over.


    "Senior brother, the operation was a success." Lu Chen said to Dong Hao with a smile.


    Radiofrequency ablation of supraventricular tachycardia has high success rate, low risk and low recurrence rate. It is also one of the few diseases that can be cured in cardiology.


    Generally speaking, recurrence mainly occurs within 2 months to half a year after the operation, less after half a year, and even less recurrence after 1 year.


    Dong Hao was lying on the bed, his face was slightly pale, but he still squeezed out a smile.


    "Thank you, Junior Brother, and Director Li."


    Li Yao explained some precautions after the operation, and Lu Chen prepared to send Dong Hao back to the eighth area of ??his heart with the nurse in the catheterization room.


    Because the surgery site is on the leg, Dong Hao still needs to observe for a day.


    As long as there is no obvious abnormality in the surgery area tomorrow morning, Dong Hao can be discharged from the hospital.


    ¡­


    Lu Chen just moved Dong Hao to the hospital bed and was about to push out the eight areas in his heart, but he met a doctor with white temples.


    He is thin, with Mediterranean hairstyle and piercing eyes.


    Lu Chen noticed that when the doctor came in, the doctor at the door of the No. 5 operating room immediately stood up and respected his doctor.


    "Director Cheng, why do you have the time to come to us to guide the work?" Li Yao smiled and said to the doctor in front of him.


    Lu Chen was stunned, Director Cheng?


    Could it be Cheng Guowen, director of electrophysiology at Jinghua Second Academy?


    Cheng Guowen put his hands behind his back, glanced at Lu Chen inadvertently, and smiled at Li Yao: "I''m just here to walk around and take a look, Director Li, are you trying to train students now?"


    Li Yao smiled, "Director Cheng, my students are not as good as yours, they definitely need some help from us."


    Cheng Guowen waved his hand and said, "Hey, Director Li, don''t be modest."


    After ?? finished speaking, Cheng Guowen glanced at Lu Chen, which was self-evident.


    "Your name is Lu Chen, right?"


    "Yes." Lu Chen nodded.


    "You performed well in this ECG competition." Cheng Guowen patted Lu Chen''s shoulder, "You are the only student in the top ten this time. I have some books and materials on electrophysiology. I''ll ask someone from the Jinghua Electrophysiology Society to send it to you later. For the next third round, work hard!"


    Electrophysiology books and materials?


    Lu Chen didn''t pay attention to Cheng Guowen''s meaning for a while, but he still thanked him continuously.


    Cheng Guowen and Li Yao chatted for a while before leaving.


    Really came and went in a hurry.


    ¡­


    Return to the eight areas of the heart.


    Lu Chen explained the postoperative care measures to the nurse on duty, and then he returned to the doctor''s office and began to write a record of the postoperative course and the doctor''s order after the operation.


    Sun Guoguo was treating a new patient. When she saw Lu Chen coming back, she asked, "Junior Brother, is Dong Hao''s surgery over?"


    Lu Chen smiled and nodded: "It''s very successful, I should be able to leave the hospital tomorrow."


    "That''s good, I''ll take the new patient first and see him later."


    At this time, He Sirong quietly walked to Lu Chen''s side.


    She hesitated, wanted to say something, opened her mouth, and swallowed again.


    Lu Chen glanced at him and noticed He Sirong''s abnormality.


    "What''s wrong?" Lu Chen asked softly.


    He Sirong paused before slowly saying, "Senior Brother Dong Hao, how is his surgery?"


    "Very good." Lu Chen said.


    "Oh." He Sirong lowered his head.


    After Lu Chen knew that night shift, He Sirong had always felt guilty.


    The patient at that time was fortunately Brother Dong Hao.


    If it is another patient, it is light to complain to the medical department, and there may be a lawsuit!


    "He Sirong, don''t think too much." Lu Chen said, "Clinically, everyone makes mistakes. The key is not to make mistakes in the future."


    He Sirong nodded, then walked away.


    ¡­


    After writing the postoperative course record, it was almost time to get off work.


    Brother Dong Hao has no family in Jinghua.


    Lu Chen went to the cafeteria to order a meal for Dong Hao, and then bought some fruit in the supermarket in the courtyard.


    Back to the ward in the eighth district of the heart.


    Lu Chen found that there was already a basket of fruits on Dong Hao''s table.


    "Junior Sister He Sirong bought it. I asked her to take it back. She insisted on putting it here." Dong Hao shook his head helplessly and smiled.


    "Senior brother, just keep it." Lu Chen put the lunch and fruit on the table, "This way, her heart will feel better."


    "Yeah." Dong Hao nodded with a smile, "Junior Brother, thank you so much this time."


    Lu Chen put down the clapboard for eating, "Brother, thank you, I can hear calluses in my ears."


    Dong Hao said in a serious tone: "Junior Brother, if you need help in the future, just come to me."


    "Okay." Lu Chen nodded and helped Dong Hao put the lunch box on the partition.


    After taking good care of Dong Hao, he left the eight districts in his heart.


    ¡­


    After having dinner in the cafeteria, Lu Chen went back to the bedroom without stopping.


    Just now, he received an email from the Jinghua Electrophysiology Society.


    What exactly is in this email?


    Actually asked Cheng Guowen to come and run in person.


    Driven by intense curiosity, Lu Chen opened the email.


    (end of this chapter)

 Chapter 272： Drugs are addicting! (The third more roaring spit dragon breath

    Chapter 272 Taking medicine will make you addicted! (The third more roaring spit dragon breath and reward plus more)


    The web page is loaded.


    The content of the email immediately appeared in front of Lu Chen''s eyes.


    This is an email signed by Jinghua Electrophysiology Society.


    The main body has no text and content, only one attachment.


    The attachment is a compressed package, and the name of the compressed package is "Electrophysiology Learning Materials".


    When Lu Chen saw this, he immediately downloaded it.


    Decompressed the compressed package, and Lu Chen finally saw the content.


    This is the real question and detailed answer of the third round of the provincial competition over the years.


    From the very first session to the sixth session of the previous session, there are real questions for each session!


    This is the first-hand information on the ECG exam, which cannot be found online.


    Cheng Guowen is the chairman of the Jinghua Electrophysiology Society, so it is not surprising to have these materials.


    Lu Chen also knew that the top ten Jinghua Second Hospital staff.


    Besides him, there is only one other!


    Then, Cheng Guowen has also passed this "electrophysiological study material" to another shortlisted doctor.


    ¡­


    Lu Chen guessed right.


    Another top 10 doctor in the Department of Cardiology, Jinghua Second Hospital also received this "Electrophysiology Learning Materials".


    Cheng Guowen has not yet planned to give it to Lu Chen.


    Because he felt that Lu Chen''s hopes were not too great!


    But after thinking about it, he still gave Lu Chen the information by the way.


    Hands up, what if it happens?


    Although the hope is slim¡­


    ¡­


    For such a big gift, Lu Chen naturally accepted it with joy.


    Strictly speaking, this is not cheating.


    just takes advantage of poor information and poor resources.


    What''s more, the other contestants are all provincial tertiary hospitals and should be able to get various materials from other channels.


    But no matter what, Lu Chen browsed through the past six years of real questions.


    In his mind, he already knew the difficulty of the topic.


    Also have a preliminary understanding of the type, scope, and difficulty of the exam.


    However, after Lu Chen read all the real questions.


    His heart was even less confident about the third round of the exam!


    This question is too difficult!


    Whether it is the ECG of difficult cases, pacing ECG, or electrophysiological related ECG, the overall difficulty is far more than the second round.


    This third round of the exam is really the best of the best!


    This whole night, Lu Chen was studying the real questions over the years.


    He can only try to understand the questions and scope of the exam, and then try his best to overcome the difficulties in this area.


    ¡­


    was speechless all night.


    the next day.


    Early in the morning, Lu Chen received a call from Li Yao''s mentor.


    "Teacher, you mean, let me accompany you to the free clinic in Fengm County Hospital this morning?"


    "Yes. In fact, it''s not just a free clinic. I''m also the honorary vice president of Fengm County Hospital. I will go to the Cardiology Department of the County People''s Hospital tomorrow for a teaching round."


    "Received, teacher."


    Although the time for study is very urgent now, Lu Chen will not refuse the matter of Li Yao''s mentor.


    As for Li Yao, her idea is simpler.


    Today she can take Lu Chen out to see.


    Although Feng M is only a county hospital, it can always communicate with the director and director below.


    What she didn''t expect was that Lu Chen was still working hard to enter the national competition, otherwise he wouldn''t bother Lu Chen.


    In her mind, Lu Chen''s ability to enter the third round is already his limit.


    As for the national competition, Lu Chen will definitely be able to go in the future, but for him now, it is out of reach!


    ¡­


    came to the eight districts of the heart.


    Lu Chen handed over his patient to Sun Guoguo, and followed Li Yao on the road.


    This time, the free clinic was arranged by Jinghua Second Hospital and Fengm County, and there was a special hospital car.


    At present, the state is vigorously promoting the work of "point-to-point assistance".


    A provincial-level leading tertiary hospital like the Jinghua Second Hospital naturally has to undertake a lot of tasks.


    Lu Chen followed Li Yao to the gate of Jinghua Second Hospital and got into a commercial car.


    At this time, many people were already sitting in the car.


    They are all the directors or deputy directors of each department of the Beijing Second Hospital.


    "Director Li is here."


    In the front row of the commercial car, a middle-aged man greeted Li Yao with a smile.


    "Director Zhu came very early." Li Yao also nodded in greeting, and whispered to Lu Chen, "This is Director Zhu Bin from the Department of Endocrinology."


    "Hello Director Zhu." Lu Chen also said quickly.


    Zhu Bin nodded slightly, glanced at Lu Chen, and then said to Li Yao, "Director Li, how did you go about your last general project? I remember that it''s about to end?"


    Li Yao shook his head and sighed: "Not very good, we can only reluctantly conclude the question."


    Lu Chen sat silently beside Li Yao.


    He couldn''t get in on the director-level conversation either, so he could only listen silently.


    After about five minutes, the director of the respiratory medicine department came.


    The ?? people finally arrived, and the commercial vehicle started to go to Fengm County People''s Hospital.


    Jinghua is not far from Fengm County. After about two and a half hours'' drive, the group arrived at the destination of the trip.


    ¡­


    Zhongfeng M County People''s Hospital got off the car at the gate.


    Lu Chen looked up and went to the sign of Feng M County People''s Hospital on the outpatient building.


    The overall building of the hospital is rather dilapidated.


    The gate is not wide, only one car can pass through.


    The leaders of Feng M County Hospital attach great importance to this free clinic activity.


    The executive vice president and the leaders of the medical department received the crowd.


    "It is a great honor for the expert team from the Second Hospital of Jinghua to visit our hospital..."


    After the vice-principal made some official talk.


    All the experts from the Second Jinghua Hospital entered the Jinghua Famous Doctor Hall prepared for them by the hospital.


    Famous Doctor Hall is located on the second floor of the outpatient building, with a total of more than a dozen outpatient rooms.


    The expert group of Jinghua Second Hospital conducted this free clinic in the famous doctor hall.


    ¡­


    Li Yao is very familiar with all the processes.


    It seems that this is not the first time she has come to the free clinic.


    Lu Chen followed Li Yao to the outpatient room of the cardiologist.


    "Lu Chen, the operating system of their county hospital is very simple. You should try to prescribe a doctor''s order to get familiar with it."


    "Okay, teacher."


    Lu Chen''s main job is to help Li Yao with doctor''s orders, take blood pressure, and occasionally do some physical examinations.


    There are still ten minutes before the official start of the free clinic.


    This time, all the experts from the Second Academy of Jinghua are limited to thirty numbers.


    After reading the thirty numbers, it means the free clinic is over.


    ¡­


    Lu Chen was familiar with the operating system of the county hospital.


    The system here is quite old.


    The ?? system is not difficult, but very cumbersome.


    After trying for seven or eight minutes, Lu Chen basically understood.


    Free clinic has officially started!


    The patient who came in for the first time was an aunt in her sixties.


    "Professor Li, I have high blood pressure. I want you to see if there is anything you can do?"


    As soon as the aunt entered the door, she shouted, the penetrating power of the voice was a little big.


    "How long have you had high blood pressure?" Li Yao asked.


    Lu Chen took the mercury sphygmomanometer on the side, ready to measure the patient''s blood pressure.


    "It''s been five or six years." Auntie thought for a while.


    "What is your normal blood pressure?"


    "Sometimes high, sometimes low. High 200/100mmHg, low 150/80mmHg."


    Li Yao frowned: "Do you usually take medicine?"


    "No medicine."


    "Why don''t you take medicine?"


    "Because I heard others say that after taking antihypertensive drugs, you will need to take it for the rest of your life, and you can''t stop it!"


    "By the way, I still have diabetes, and I haven''t taken any medicines or taken any insulin. I heard that taking insulin may be addictive!"


    Lu Chen shook his head slightly when he heard the patient''s description.


    Yes, it is very "tricky" to meet the first patient!


    (end of this chapter)

 Chapter 273： I dont see a doctor, I just ask (fourth more Qingfengyin

    Chapter 273 If I don''t see a doctor, I will ask


    Lu Chen didn''t speak. After Li Yao asked about her condition, she took her blood pressure.


    "Teacher, the blood pressure in the right hand is 180/80mmHg."


    The smile on Auntie''s face did not change, "Look, I said, it''s usually a little tall."


    Lu Chen pouted.


    Is this still a bit high?


    Auntie''s heart is so big!


    Lu Chen turned his head and glanced at Li Yao, only to see her expression unchanged: "Auntie, I believe the doctor here must have told you about the dangers of high blood pressure and diabetes..."


    Li Yao was interrupted by her aunt before she could finish her words.


    "I know, the doctor from the small hospital in the county said that if the high blood pressure is not controlled, there may be a stroke, and if the diabetes is not controlled, the limb may be amputated!"


    Lu Chen thought to himself, this aunt is not stupid.


    These complications, she is very clear.


    "Then why don''t you take medicine?" Li Yao frowned.


    "Didn''t I tell you as soon as I walked in the door?" The aunt asked back, "I''m addicted to taking medicine! You can''t take this medicine, and you can''t take insulin!"


    Lu Chen was just about to hear how Li Yao communicated with the patient, but Li Yao came directly.


    "Auntie, then I can only prescribe medicine for you and give you insulin injections, and there is no other way. If you believe me, I will prescribe medicine for you. If you don''t believe me, then you don''t need to look to me. already."


    Auntie was taken aback for a while, "Professor Li, you...do you have any other way to lower blood pressure?"


    "No." Li Yao said decisively, "Your blood pressure is so high that it can only be controlled by taking medicine."


    "Then I can''t take medicine!" The aunt shook her head resolutely, "The old man next door to our house, he has high blood pressure all the year round, and he didn''t take medicine, but now he lives very well. On the contrary, the old man on the other side takes antihypertensive medicine every day, and now he My kidneys are broken, and I have cancer!"


    Li Yao frowned: "Auntie, you should go and see how many elderly people suffer from stroke every year without taking medicine for high blood pressure, and some even suffer from dissection. A disease that can cause sudden death at any time under control.¡±


    "Let me tell you this. I''ve seen many old ladies like you who are stubborn and don''t take medicine. Some people have strokes, some people have coronary heart disease, and some people have high blood pressure and uremia."


    "Why go to the ICU to solve something that can be solved by taking a few pills a day?"


    Aunty stared at Li Yao after listening to her words.


    "Ah, this...this..." Auntie swallowed.


    If it was a doctor from a county hospital in front of her, she would have started to fight.


    Isn''t this cursing yourself?


    But sitting opposite is a great professor from Jinghua.


    Auntie held back and did not swear.


    Li Yao chased after the victory and said, "Auntie, if your blood pressure and blood sugar are not well controlled, let alone stroke, what kind of myocardial infarction, heart failure, diabetic nephropathy, uremia, everything will come."


    Auntie was shocked when she heard the words: "Professor, you, don''t scare me!"


    "Auntie, I''m done. Please go back, I''ll see the next patient."


    Li Yao''s attitude is extremely tough.


    Aunt hesitated for a while, but finally got up and walked slowly towards the door.


    ¡­


    Looking at the back of Auntie leaving, Li Yao turned her head and said to Lu Chen, "If I were a doctor at the county hospital, this patient would probably have already quarreled with me."


    Lu Chen nodded in agreement.


    Li Yao''s attitude just now, not to mention bad, may be indifferent in the eyes of the public.


    Li Yao continued: "For this kind of patient, the doctor of the county hospital must have explained to her many times that there is no harm in not taking medicine. She must not believe it, so she hung up my number today. I will communicate with her calmly. , she may still not believe it."


    "However, if my attitude was a little firmer, or even a little less human, she might have believed me more."


    Lu Chen frowned, "Teacher, could this be the reason why many doctors have weird temperaments, but there are so many patients who come to see them?"


    "You can''t say that." Li Yao smiled, "The premise of everything is to cure the patient. As for our attitude at work, it varies from person to person. However, sometimes the attitude is too easy-going, which may Decrease your prestige in the minds of patients, and their medical compliance will become worse! What''s more, they think your attitude is good because of poor skills..."


    Lu Chen nodded.


    Doctor-patient communication is a big question.


    Some people have said that in clinical work, medical technology only accounts for one-third, and the remaining seven is entirely dependent on doctor-patient communication.


    Although there are some exaggerated ingredients in it, it also illustrates the importance of communication from the side.


    Next second patient.


    This is a middle-aged man with frequent chest pains.


    After inquiring about the medical history and physical examination, Li Yao suggested that the patient choose coronary CTA or coronary angiography.


    After confirming whether there is coronary heart disease, you can do another gastroscopy.


    After the patient got a satisfactory answer, he left.


    The third patient.


    This person has nothing serious, just came to consult some medical conditions.


    However, after Li Yao received him, the patient asked Li Yao for a call directly.


    also has a posture that he will not leave without a phone call.


    "Professor Li, give me your mobile phone number or WeChat, I won''t have to come next time."


    "Professor Li, as long as I''m not feeling well, I''ll call you."


    ¡°¡­¡±


    Lu Chen thought Li Yao would refuse.


    Unexpectedly, Mr. Li Yao actually gave WeChat to the patient and added WeChat in person.


    After the patient added Li Yao as a friend, he left with satisfaction.


    "Teacher, you are..." Lu Chen''s eyes were full of puzzlement.


    Doesn¡¯t this become a private family doctor?


    Li Yao smiled: "I have two mobile phone numbers and two WeChat IDs. This WeChat ID is for some patients or family members. I will check it in my spare time. When I get off work, my cell phone will be turned off."


    Lu Chen suddenly realized that it was Teacher Li Yao''s wit!


    In this free clinic activity, Lu Chen did not see any incurable diseases.


    Li Yao explained that most of the difficult patients had already gone to Jinghua, but they would not stay in the county hospital unless their family members gave up.


    ¡­


    Just when the 30th issue was about to be read, the first aunt who "doesn''t take medicine for high blood pressure" made a carbine.


    Lu Chen thought she had changed her mind and was going to prescribe medicine.


    Unexpectedly, she led her son, a middle-aged man in his forties, into the outpatient room in a hurry.


    "Professor Li, you can help my son take a look by the way."


    "He doesn''t see a doctor, he just wants you to read the report!"


    Lu Chen knew at a glance that this middle-aged man was not registered.


    Although this is a free clinic, there is a quota limit.


    Otherwise, everyone will come to the clinic to see it again, and it will be endless.


    "Have you registered?" Li Yao said.


    The middle-aged man did not answer directly, but emphasized again: "Professor, I don''t see a doctor, I just leave after asking a question."


    (end of this chapter)

 Chapter 274： Destroy the Great Wall?

    Chapter 274 Destroy the Great Wall?


    Li Yao frowned: "Have you registered?"


    The middle-aged man immediately showed a displeased look on his face, "If you don''t register, your doctor won''t see a doctor, right?"


    "Go to register." Li Yao said lightly.


    Auntie is also excited at this time, "If you don''t have to say a word, you won''t be able to see it if you don''t register? What about your vocation to save the dying and the wounded?"


    Li Yao''s expression remained unchanged.


    In her career, this kind of thing happened too much!


    "I repeat, you can only see a doctor after you sign up."


    Li Yao''s voice was not loud, but she was unusually firm.


    "What an unethical doctor, how about you still teach? I''m going to sue you!"


    Li Yao said, "Do you want me to tell you the complaint number?"


    The middle-aged man left the clinic angrily when he heard the words.


    Auntie glanced at Li Yao and followed closely behind.


    ¡­


    After the two of them left, calm returned to the outpatient room.


    For the first time, Lu Chen saw that under Li Yao''s weak appearance, his heart was so strong.


    In the face of an adult man, she can also argue with reason.


    Li Yao turned her head and said to Lu Chen, "To condone those who do not abide by the rules is to trample on the rules, and it is malicious to those who are so registered and abiding by the rules."


    Lu Chen nodded lightly.


    In just over two hours of free clinic, he learned a lot.


    This has nothing to do with medical technology, but the skills of doctor-patient communication and treating people.


    ¡­


    Free clinic is over.


    Lu Chen didn''t know whether the mother and daughter just complained.


    However, the relevant medical staff did not tell Li Yao about this.


    Mostly there is no complaint, or no complaint is successful.


    "Have a meal at noon, then rest for a while. After going to the Cardiology Department in the afternoon to teach ward rounds, we will return to Jinghua." Li Yao said.


    Came to the hotel near the hospital, and the hospital leaders accompanied the experts to dinner.


    Today''s trip is rather rushed.


    Lu Chen accompanied Li Yao to lunch, and also met some vice presidents and related leaders of Fengm County Hospital.


    Everyone paid a little attention to Lu Chen, a graduate student.


    Most of the other experts brought Keli''s attending doctor, but Li Yao brought his own master''s graduate student.


    ¡­


    After lunch, we rested for an hour at the hotel.


    Lu Chen and Li Yao went to the Cardiology Department of Fengm County Hospital.


    Walking on the road, Lu Chen suddenly received a WeChat message from Fan Zhiping.


    "Lu Chen, are you going to Fengm County Hospital for a free clinic? Are you going to the Cardiology Department for teaching ward rounds?"


    Lu Chen took out his phone and replied, "Yes."


    "Hey, if I had known, I would go back together too!"


    Lu Chen then remembered that Comrade Fan seemed to be from the Cardiology Department of Fengm County Hospital.


    It seems that this time they have to take good care of their cardiologist.


    On the first floor of the inpatient department of internal medicine in Fengm County, Lu Chen saw the director of their cardiology department, who was Lao Fan''s immediate boss.


    "Welcome Professor Li to our department for guidance." Yin Chao happily took Li Yao and Lu Chen up the stairs, "Professor Li, the last time you came to our hospital was three months ago."


    Li Yao replied with a smile: "Director Yin, I''ve been busy with work during this time. If it wasn''t for the hospital''s unified arrangement of free clinics, I might not have time to come."


    "Professor Li, you are a busy person. This time you finally came here. You must teach the doctors in our department a good lesson!" Yin Chao said.


    "Learn from each other." Li Yao smiled.


    At this time, Yin Chao also saw Lu Chen beside him.


    Li Yao immediately introduced: "Director Yin, this is my graduate student this year, Lu Chen."


    "Lu Chen, this is Yin Chao from the Cardiology Department, Director Yin."


    Lu Chen said quickly, "Hello Director Yin."


    Yin Chao laughed, "Dr. Lu is really young, really young and promising!"


    At the same time, a trace of doubt flashed in Yin Chao''s eyes.


    He thought that Li Yao brought a doctoral student today, but he didn''t expect it was just a master''s degree.


    Thinking that this kind of graduate student is no different from an undergraduate student.


    According to Li Yao''s usual habit, she brought doctoral students here!


    Because of this kind of teaching ward round, Li Yao can''t cover everything, and many things need to be handled by accompanying doctors.


    Yin Chao frowned when he thought of this. Could it be that Li Yao doesn''t pay attention to them?


    This is also not right!


    Send a master student here, if you don¡¯t know anything, isn¡¯t this also self-destructing the Great Wall?


    For a while, Yin Chao didn''t want to understand Li Yao''s intention.


    ¡­


    Department of Cardiology is on the eleventh floor.


    Compared to the ten districts of the Cardiology Department of Jinghua Second Hospital, the Cardiology Department of Fengm County Hospital has only one district.


    There are only fifty beds in total, which is not comparable to the number of beds in a district in the heart of Jinghua Second Hospital.


    Yin Chao stood on Li Yao''s left and guided Li Yao and Lu Chen into the cardiology ward.


    Although the number of beds is small, the decoration and furnishings in the department are better than those in the Cardiology Department of the Second Hospital of Jinghua.


    The floor tiles here should be renovated again.


    passed the nurse''s station, and in front of it was the doctor''s office.


    At this moment, a nurse suddenly came out of the ward in a hurry.


    She happened to see Yin Chao, so she hurriedly said, "Director, the blood pressure in bed 31 is still 220/140mmHg, and it can''t be lowered all the time!"


    Yin Chao stopped immediately and turned to look at the nurse: "Didn''t you already pump urapidil for her?"


    The nurse gave a bitter face and sighed: "Director, the pump speed has been adjusted very fast, and her blood pressure has never dropped. At the lowest point, it was 180/120mmHg."


    Yin Chao nodded: "Okay, I''ll go see her right away."


    After ??Yin Chao finished speaking, he was ready to bring Li Yao and Lu Chen into the doctor''s office.


    Li Yao said, "Director Yin, we''re going to see this patient. The blood pressure is so high, you just took the medicine, and the blood pressure hasn''t dropped yet. There must be a reason."


    Yin Chao was taken aback for a moment, and then he said, "This... it''s fine too."


    He turned to the nurse beside him and said, "Go and call the doctor in charge of bed 31."


    As soon as he finished speaking, Li Yao quickly refused: "Director Yin, let''s take a look, we don''t need to let them come over. This patient shouldn''t have been admitted to the hospital today, right?"


    "It''s been three days since I was hospitalized." Yin Chao nodded.


    Lu Chen is also a little curious. It has been three days since he was admitted to the hospital. After taking urapidil, his blood pressure is still so high?


    Listen to what the nurse said, the amount used should be quite a lot. Why can''t the blood pressure be lowered?


    Even malignant hypertension and refractory hypertension can generally lower blood pressure with adequate drug treatment.


    Lu Chen and Li Yao followed Yin Chao to the bedside of bed 31.


    The patient is a woman, about forty years old.


    The woman''s body is fat, Lu Chen estimates that she weighs at least 200 pounds.


    "This is Professor Li from the Cardiology Department of the Second Jinghua Hospital. I''m here to help you today."


    As soon as he came to the bedside, Yin Chao said to the patient.


    "Hello, Professor Li." The patient immediately sat up from the bed.


    Although her blood pressure is very high, she doesn''t look uncomfortable from the look on her face.


    For the chapters that you have worked hard to make up for, you should still owe about eleven chapters.


    Let''s talk about the rules for adding updates: Currently, the order is about 4,000 (floating), and each order is increased by 200, and one chapter is added. The monthly pass is 500 chapters, and the ten thousand rewards are one chapter.


    (end of this chapter)

 Chapter 275： in a cold sweat

    Chapter 275 Shocked in a cold sweat


    "Lu Chen, go see the patient first." Li Yao looked at Lu Chen.


    Lu Chen nodded knowingly.


    Yin Chao on the side was slightly surprised.


    Let a graduate student see this patient?


    Would it be a bit sloppy?


    This patient has been in their department for three days, but there is still no clear diagnosis.


    Even the blood pressure has not dropped yet!


    Or maybe, Professor Li should just let Lu Chen practice his hands, Yin Chao thought, he should check it himself later.


    ¡­


    Lu Chen walked to the patient''s bedside and began to ask the patient''s medical history.


    Hypertension patients mainly ask about the course of hypertension, the highest blood pressure, specific oral drugs and blood pressure control level, etc.


    After asking about the general medical history, Lu Chen did not find any special illness.


    The patient felt dizziness, headache, and occasional edema in both lower extremities in the last month. Then he went to a clinic near his home to measure his blood pressure, only to find that his blood pressure was extremely high.


    The patient has no previous medical history, no history of genetic disease, heart disease, etc.


    After asking about his medical history, Lu Chen started a physical examination.


    He picked up the stethoscope and placed it in the auscultation area of ??the heart and lungs, and heard no special murmur.


    The only sign of significance was mild edema in the patient''s lower extremities.


    The two most common causes of edema are cardiac and nephrogenic.


    In addition, the patient is a typical abdominal obesity with a large belly.


    "Heart, lung and abdominal auscultation was negative, and mild edema of both lower extremities."


    Lu Chen reported the abnormal situation he found during his physical examination.


    "The basic clinical skills are quite solid."


    Yin Chao was quite surprised to see Lu Chen asking about his medical history and physical examination.


    Today''s younger generation of doctors are increasingly relying on imaging techniques, thereby ignoring the most basic physical examination.


    When seeing a patient, many doctors prescribe CT and ultrasound, omitting physical examination and medical history.


    "Dr. Lu, if you have finished reading, let''s go back to the office to see the patient''s examination results." Yin Chaodao.


    The basic situation of the patient has been understood. According to the routine process, it is to check the results of blood drawing and examination after the patient is hospitalized.


    Especially in patients with refractory hypertension, it is necessary to exclude secondary hypertension through tedious examinations.


    However, Lu Chen shook his head and refused.


    "Director Yin, I have one more question, I''ll end it after asking."


    Yin Chao was taken aback for a moment, then smiled, "You ask."


    Lu Chen noticed that there was a little girl about five years old sitting at the end of the bed.


    The little girl is dressed in pink and jade, and her appearance is very cute, but she doesn''t look like the patient in the hospital bed at all.


    "I want to ask about your marriage history and menstruation." Lu Chen said.


    In clinical practice, as long as women are of childbearing age, they must ask about marriage, childbirth and menstruation.


    When the patient heard this, he whispered, "I am married, but I have not had children."


    "What about menstruation?"


    "Menstrual periods are very irregular, sometimes once a month, sometimes once every two or three months. If I drink traditional Chinese medicine to regulate menstruation, it will be more regular. However, I have not taken traditional Chinese medicine for a long time."


    "When was the last time you had your period?" Lu Chen asked.


    The patient thought about it and said, "It was probably two or three months ago. I don''t remember much."


    Lu Chen nodded and looked at Li Yao and Yin Chao beside him: "I''m done asking."


    Yin Chao smiled, he thought Lu Chen was going to ask some serious questions, but it turned out that he was just asking about the history of marriage and childbirth and menstruation.


    This question was asked before.


    "Then let''s go back to the doctor''s office?" Yin Chao looked at Li Yao and asked for her opinion.


    "Okay." Li Yao nodded.


    Yin Chao led Li Yao and Lu Chen to the doctor''s office of the Cardiology Department.


    ¡­


    As soon as you walk into the doctor''s office.


    Yin Chao greeted him: "Xiao Lin, bring the medical records of the 31-bed patients, and print out the test sheets and examination sheets!"


    "Okay!" A resident physician named Xiaolin responded quickly.


    At this time, other doctors in the department also saw Li Yao and Lu Chen who came.


    Li Yao and Lu Chen sat at the table in the center of the office.


    Yin Chao clapped his hands and motioned the people present to be quiet: "Today, Professor Li Yao came to our department to guide the work, everyone is warmly welcome."


    There are not many doctors in the office.


    As soon as the ?? voice fell, there were sparse applause in the department.


    "Professor Li will take a look at the situation of the 31 beds first, and then start our teaching rounds today."


    Dr. Lin quickly handed over the medical records of the 31-bed patients to Li Yao.


    Li Yao turned her hand and handed it to Lu Chen next to her.


    Doctor Lin looked a little dazed. Who is the overly young doctor next to him?


    Yin Chao explained in a low voice, "Xiao Lin, this is Director Li''s graduate student, Lu Chen, the two of you can have a good conversation."


    Xiaolin is a graduate student who just graduated this year. Because his home is in Fengm County, and he doesn''t want to be too far from his parents, he stayed at the County People''s Hospital.


    "Tell Professor Li and Dr. Lu about the patient''s diagnosis and treatment in the past three days."


    "Okay." Dr. Lin nodded.


    Lu Chen was reading through the cases while listening to Dr. Lin''s report.


    The patient''s three-day diagnosis and treatment is very simple.


    is mainly to improve the examination of secondary hypertension.


    In terms of treatment, it is to give urapidil and oral antihypertensive drugs to lower blood pressure.


    Dr. Kobayashi continued: "The patient''s blood pressure has been hovering around 180/100mmHg, and the systolic blood pressure occasionally rises above 200mmHg."


    "Currently, the patient''s creatinine is high, and the urine protein and urine occult blood are positive. In addition, other test results, including potassium ions, are normal."


    "We consider that the diagnosis may be secondary hypertension to be discharged, hypertensive kidney damage. The confusing part is that the patient''s blood pressure has not been able to drop."


    Lu Chen frowned.


    The patient''s serum potassium is normal, which excludes many diseases of the endocrine system.


    Echocardiography and renal ultrasound were also normal, temporarily ruling out coarctation of the aorta, renal artery stenosis and other diseases.


    The most difficult problem is that the patient''s blood pressure remains high.


    No matter what kind of high blood pressure it is, with so many antihypertensive drugs, blood pressure should also drop!


    "Professor Li, do you have any comments on our diagnosis and treatment process?" Yin Chao asked aside.


    Li Yao smiled and turned to look at Lu Chen, "Lu Chen, talk about it first."


    Yin Chao raised his brows.


    It''s all over now, this Professor Li is still testing his students?


    Lu Chen pondered for a moment before slowly opening his mouth and said, "According to the current examination results, our common secondary hypertension factors, such as pheochromocytoma, protoaldehyde, adrenaline, etc., can be ruled out."


    Kobayashi nodded, this is where he was confused.


    The common secondary hypertension factors have been ruled out. Is this patient primary hypertension?


    However, Lu Chen''s next sentence caused all the doctors in the Cardiology Department of Fengm County to break out in a cold sweat.


    "However, you missed one condition, and that is gestational hypertension!"


    Forced to go out for shopping... Late update


    (end of this chapter)

 Chapter 276： take a look

    Chapter 276 Take a Look


    Gestational hypertension refers to the symptoms of high blood pressure, edema, proteinuria and other symptoms after 20 weeks of pregnancy in women, which are transient and disappear after delivery.


    This is a pregnancy-specific disease and is currently one of the main causes of maternal and perinatal illness and death.


    "Hypertension during pregnancy?" Dr. Xiaolin shook his head quickly, "What Dr. Lu means is that the patient is pregnant? This is impossible...it is absolutely impossible..."


    Dr. Kobayashi''s face was full of disbelief.


    Lu Chen frowned and said, "The patient said that he hasn''t had a period for two or three months..."


    Before he could finish speaking, he was interrupted by Dr. Liu Lin.


    "I know this. I asked her on the day she was admitted to the hospital. The patient had this condition before, and her menstruation was irregular. After she drank the traditional Chinese medicine, her menstruation became regular. Besides, if she is pregnant, can she not know it? "


    Director Yin Chao on the side of ?? was a little silent.


    He recalled the patient''s entire medical history, and vaguely felt that Lu Chen''s words seemed to make sense.


    The patient has not had a period for two to three months.


    In this situation, the first thing to consider is not menstrual disorders, but whether there is a possibility of pregnancy!


    The most critical point is that in the patient''s urine routine, occult blood and urine protein are positive, and the blood pressure has never been lowered!


    This is more in line with the characteristics of gestational hypertension!


    Clinical diagnosis requires bold guessing, questioning, and finally speaking with the test results.


    Lu Chen pondered for a moment, then said slowly: "I don''t deny that this may be caused by menstrual disorders, but I still recommend improving some gynecological ultrasounds, and it is best to rule out gestational hypertension."


    In case, the patient really has gestational hypertension, then she can''t use many drugs.


    involves this multidisciplinary disease, which is often complex.


    Because once the wrong drug is used, or an overdose causes problems with the fetus, that''s bad.


    Dr. Xiaolin also turned his head to look at Li Yao beside him.


    Li Yao said softly, "Dr. Lu''s opinion is my opinion. I suggest improving gynecological ultrasound."


    Dr. Xiao Lin wanted to say something, but Yin Chao waved his hand and interrupted: "Xiao Lin, it is absolutely necessary for this patient to improve the gynecological ultrasound. Just listen to Dr. Lu''s advice and arrange a gynecological ultrasound for her immediately. If there is any problem , and then ask for a gynecological consultation."


    Seeing that the director had said so, Dr. Kobayashi could only nod his head.


    He immediately left the doctor''s office and went to communicate with the patient''s family about the condition.


    The only thing I can be thankful for now is that the patient and family members have a milder attitude and have no idea of ??having children.


    The little girl beside her bed was adopted by her.


    "Professor Li, this case, we are still negligent."


    After Dr. Xiaolin left, Yin Chao said to Li Yao, "The patient himself said that he had irregular menstruation, he had taken traditional Chinese medicine, and he had no birth history. We didn''t think about gestational hypertension at all."


    Common secondary hypertension, mainly coarctation of the aorta, renal artery stenosis, epinephrine tumors, etc., few people think about hypertension during pregnancy.


    Clinically, a doctor''s judgment is easily affected by various factors.


    For example, many patients with breathing difficulties said that they had emphysema before when they came to the hospital. They treated the lungs for a long time, and they did not improve at all, but they were finally found to be heart failure!


    Therefore, how to correctly extract useful information from the medical history is very important.


    ¡­


    The first patient is a small episode.


    However, after some analysis by Lu Chen, the case that has not been diagnosed for three days already has a clue.


    The doctors in the Cardiology Department of Feng M County began to pay attention to this young doctor.


    At the beginning, everyone thought that Lu Chen was just here to make up the numbers.


    After all, no one pays attention to a fresh graduate student.


    But now, even Yin Chao has some admiration.


    Sure enough, Professor Li Yao is not aimless!


    This master student of hers really has two brushes.


    As for Li Yao, she thought Lu Chen would have some stage fright.


    But so far, she is quite satisfied with Lu Chen''s performance.


    ¡­


    Li Yao came to the Department of Cardiology on this trip to prepare for teaching ward rounds.


    However, the patient in the teaching rounds is not this hypertensive patient, but someone else.


    "Professor Li, shall we start teaching ward rounds?"


    It was getting late, Yin Chao asked Li Yao.


    "Okay." Li Yao nodded.


    Teaching ward rounds, as the name suggests, are carried out by the superior physician with all doctors to conduct ward rounds on patients.


    Generally speaking, the form of this kind of teaching ward rounds is very standardized, and the patients in the ward rounds are also difficult cases.


    "Professor Li, this is the medical record of this teaching round."


    Wang Zhihe, another attending physician in the Cardiology Department, has prepared all the medical records.


    Li Yao took the medical record with a smile, she read it carefully, and then handed it to Lu Chen.


    Lu Chen also took the medical record curiously.


    He also encountered this form of teaching rounds once, and he looked quite curious.


    This is a 41-year-old male patient.


    was admitted to hospital mainly due to "sudden cardiac arrest".


    No family history of sudden cardiac death, no smoking or drinking history.


    The patient''s wife found that the patient was unresponsive in bed at night. After calling the emergency number, the doctor gave electrical defibrillation and cardiopulmonary resuscitation.


    After about 33 minutes of cardiopulmonary resuscitation, the patient returned to spontaneous circulation.


    Wang Zhi explained: "Professor Li, this patient is living in our 25th bed, and his condition is basically stable, but we have not yet found out the cause of his cardiac arrest. We mobilized the patient to go to a higher-level hospital for examination, but at home Because of economic conditions, he refused to be transferred to a higher-level hospital."


    Li Yao nodded: "Go see the patient first."


    The group followed Li Yao to bed number 25.


    Li Yao conducted a comprehensive medical history inquiry and physical examination of the patient.


    "Is the patient''s myocardial enzymes and ions normal after admission?" Li Yao asked.


    "Normal." Wang Zhidao, "In addition, echocardiography showed no abnormality in the size of the atrium and ventricular cavity, LVEF was 65%, the valve motor function was normal, and there was no ventricular wall movement disorder. There was no obvious abnormality in the chest CTA."


    Lu Chen frowned.


    The health value on the patient''s head is 68, indicating that he is out of danger.


    However, the results of cardiac ultrasound, laboratory tests, and CT are all normal, which can basically rule out the common causes of cardiac arrest such as myocardial infarction and cardiomyopathy.


    Immediately afterwards, Li Yao asked a few more questions.


    For example, the common causes of cardiac arrest, the possible diagnosis of the patient and the treatment measures are currently considered.


    The doctors in the Cardiology Department of Feng M County answered one by one, but obviously they did not meet Li Yao''s wishes.


    Back to the doctor''s office.


    "What about the electrocardiogram done after admission?" Li Yao said.


    "Here it is." Wang Zhi took out all the ECGs the patient had done before and after, a total of five copies.


    Li Yao raised her brows, "You have done so many electrocardiograms, but you haven''t figured out any problems?"


    "This..." Wang Zhi paused. Then he scratched his head embarrassedly, "No."


    Corey''s only deputy director, Fan Zhiping, who can read ECGs well, has already gone to study.


    Li Yao sighed slightly in her heart, and she handed the electrocardiogram to Lu Chen.


    Lu Chen took the five electrocardiograms.


    After careful comparison, he found something abnormal, "There should be broken QRS waves and early repolarized J waves."


    Yin Chao looked at Lu Chen with a surprised expression.


    Good guy, just take a look and see the problem?


    In the following real case from a county-level hospital, the patient finally had an abortion and his blood pressure returned to normal.


    (end of this chapter)

 Chapter 277： Lu Chens "Small Classroom"

    Chapter 277 Lu Chen''s "Little Classroom"


    Feng M County People''s Hospital, Department of Cardiology.


    The attending doctor Wang Zhi took the five electrocardiograms of the "cardiac arrest" patient and figured it out again.


    For patients with cardiac arrest, after excluding organic heart diseases such as myocardial infarction and cardiomyopathy, arrhythmia is a relatively common cause.


    However, he has read the patient''s five electrocardiograms many times, and so far he has not found any abnormality.


    At this moment, his mobile phone WeChat suddenly rang.


    Wang Zhi picked up his mobile phone and saw that it was a WeChat message sent to him by Fan Zhiping, the deputy director of Corey.


    "Has Professor Li Yao come to our department?"


    Wang Zhi was a little unclear, but he replied immediately.


    "Director Fan, Professor Li Yao has come to the department."


    "Oh, with her, is there a doctor named Lu Chen?"


    "Yes, hey, Director Fan, how did you know this?" Wang Zhi was a little puzzled.


    "Because I''m currently studying in Professor Li Yao''s group! If you have any difficult cases this time, I''m too embarrassed to trouble Professor Li. You can directly ask Dr. Lu Chen, especially the electrocardiogram."


    Fan Zhiping was far away in Jinghua, but he was still heartbroken for the department.


    He knows very well that in county hospitals, electrocardiography and electrophysiology are a very weak field.


    Because this requires not only hard study, but also someone to teach.


    Wang Zhi suddenly felt puzzled, "Isn''t he a graduate student? Director Fan, is it useful for me to ask him?"


    "Hehe, you don''t know, I''ll tell you that, Dr. Lu Chen has been shortlisted for the third round of this Huaxia ECG competition!"


    "What?" Wang Zhi''s expression was a little unbelievable.


    This electrocardiogram contest, as a cardiologist, he is very clear.


    He also participated in this competition, and he was not even qualified to rank second in the department.


    Those who can enter the third round will be ranked in the top ten in the province!


    These people are all doctors who are very good in the field of electrocardiography.


    Wang Zhi looked up at Lu Chen and swallowed silently.


    It is hard to imagine that a first-year graduate student can be so awesome.


    No wonder he just glanced at the five ECGs and immediately saw the problem!


    ¡­


    At this moment, Lu Chen also began to answer the five electrocardiograms.


    Wang Zhi, who was still a little careless, pricked up his ears to listen.


    "Compared with the admission ECG, the patient''s ECG after admission showed sinus rhythm, the electrical axis was deviated to the right, and the J-point elevation in the inferior wall leads, up to 2.5 mm, was accompanied by QRS notch."


    "In the later follow-up ECG, from the perspective of leads V1 and V2, the end of the QRS complex is a broken QRS complex! From the inferior leads Il, lII, and avF, it looks like a J wave again! It needs to be related to Brugada syndrome, ARVC, Differentiation of old myocardial infarction."


    "The patient''s echocardiography and cardiac angiography did not reveal any abnormalities, and these diseases can be temporarily ruled out."


    Lu Chen''s explanation was very organized, and he marked the abnormal place on the electrocardiogram.


    At this moment, not only Wang Zhi listened carefully without saying a word, but even the other deputy chief doctors came over to listen carefully to Lu Chen''s explanation.


    Just listening to Lu Chen continued: "But whether it is a broken QRS wave or a J wave, in this specific case, it is a high-risk early warning sign of sudden cardiac death from ventricular fibrillation! Studies have confirmed that early repolarization is a sudden cardiac arrest. Signs, the risk of ventricular fibrillation is twice the normal population!"


    "Doctor Lu, can you talk more about this broken QRS wave, I don''t quite understand it."


    Wang Zhi scratched his head. His question represented the voice of the cardiologists in the Fengm County People''s Hospital. "Hey, I still don''t seem to understand..."


    Lu Chen was extremely patient, took out the blank A4 paper again, and began to write on the paper while explaining.


    "Broken QRS complexes represent myocardial scarring and fibrosis with conduction delay, leading to conduction anisotropy in the myocardium, which can be used as sudden death in patients with coronary heart disease, heart failure, hypertrophic cardiomyopathy, ARVC, dilated cardiomyopathy, and congenital heart disease. Risk Predictors!"


    "This ECG represents that the QRS complex in the right ventricle V1 and V2 appears at the end of the QRS complex, which is also called Epsilon wave in ARVC..."


    ¡­


    This teaching round has completely become Lu Chen''s chapel.


    Although some of them didn''t understand Lu Chen''s explanation very well, in general, they all understood the cause of the patient''s cardiac arrest.


    That is early repolarization syndrome (ion channel disease)!


    "Congratulations, the completion of the system upgrade has increased!"


    "Congratulations, +1 for the thank you from Wang Zhi!"


    "Congratulations, +1 for receiving a thank you from Ke Shuwen!"


    "Congratulations, +1 for receiving thanks from Cheng Lin!"


    ¡°¡­¡±


    Lu Chen didn''t expect that he could get so many benefits by participating in a teaching ward round.


    Really worthwhile trip!


    Director Yin Chao looked at Lu Chen who was chatting, and couldn''t help but sigh, it was really the back waves of the Yangtze River pushing the front waves, and the front waves were shot to death on the beach!


    Looking at Lu Chen, his heart was itching, it would be great if there was such a young man in his department!


    Comparing Dr. Xiaolin and Lu Chen, the gap is huge!


    "Director Yin, are you satisfied with Dr. Lu''s explanation?" Li Yao looked at Yin Chao.


    "That''s great!" Yin Chao smiled, "I finally know why Professor Li brought Dr. Lu here. He is much better than so many of us."


    Lu Chen hurriedly said: "Director Yin, you are over the top. I also came to this result based on your previous examination results. Without your early diagnosis and treatment, I would not have been able to diagnose it at once."


    Lu Chen''s modesty also made Yin Chao feel better.


    "Congratulations, +5 for receiving thanks from Yin Chao!"


    Seeing the system prompt, Lu Chen was slightly taken aback.


    Give 5 points of gratitude at one time?


    Director Yin Chao didn''t even give him any pennants!


    Lu Chen frowned. Could it be because of Yin Chao''s status as the section director?


    Most of the gratitude points he obtained before came from patients or their family members, and then from his junior brothers and sisters.


    Today is the first time that Lu Chen has received thanks from a department director!


    ¡­


    After Lu Chen finished his lectures, Li Yao also gave a summary of this teaching round.


    On the basis of Lu Chen, Li Yao gave her own diagnostic opinion, and there are other possibilities such as J wave syndrome.


    Doctors including ??Wang Zhi are quite satisfied with this teaching round.


    In such a county-level hospital, everyone has different levels, and it is extremely rare to have a doctor teach by hand.


    At this moment, Dr. Kobayashi returned to the doctor''s office.


    He was holding a color Doppler report in his hand, and his face was a little unsightly.


    "Director, Professor Li, the gynecological ultrasound results of the 31-bed patient are out."


    (end of this chapter)

 Chapter 278： Open the second floor mall (cathyo reward plus more)

    Chapter 278 Open the second-floor mall (cathyo rewards plus more)


    Yin Chao took over the gynecological ultrasound report and his expression changed.


    "22 weeks pregnant, stillbirth..."


    Lu Chen''s diagnosis is not wrong, it is really gestational hypertension!


    At this time, another prompt came from the system.


    "Congratulations, the completion of the system upgrade has increased!"


    But the ultrasound result of the "stillbirth" changed everyone''s face.


    Lu Chen also frowned.


    To be honest, he never expected such a result...


    "Please ask for an obstetric consultation immediately!" Yin Chao immediately ordered, then turned to look at Dr. Lin, "How are the mood of the patient and the patient''s family?"


    Dr. Xiaolin said: "The patient and family members are relatively stable emotionally. They have no plans to have children. They are not unacceptable for this result."


    Lu Chen was sweating for the Cardiology Department of the county hospital.


    If this patient deliberately wants to sue the hospital, the Cardiology Department will definitely bear certain medical responsibilities!


    Losing money is for sure, it just depends on the problem of losing more and less.


    However, it seems that patients and their families don¡¯t care much at the moment, so the situation is not too bad.


    Dr. Kobayashi quickly called for an emergency obstetric consultation.


    After the consultation doctor comes, it is recommended to induce labor.


    The rest of the matter is not about Lu Chen and Li Yao.


    ¡­


    A small teaching round, but involved so many things.


    The cardiologist of Feng M County Hospital felt a little fortunate, but also felt the gap between the county-level hospital and the provincial leading tertiary hospital.


    Before leaving, Yin Chao and Li Yao went to the director''s office to talk alone, leaving Lu Chen in the doctor''s office.


    Lu Chen is relatively young, not like Li Yao. Because of her status as a professor, everyone is very restrained in front of her.


    Wang Zhi remembered the WeChat message Fan Zhiping had just sent him. If there is any difficult case, he can ask Lu Chen to solve it.


    He first got into a relationship with Lu Chen, and then started the journey of "asking for advice".


    Of course, the most important thing is the interpretation of the electrocardiogram.


    Wang Zhi found out all the difficult electrocardiograms that he was currently managing the bed.


    Lu Chen is also idle when he is idle. He communicates with everyone, and he can also increase his gratitude value. Why not do it?


    So, Lu Chen sat at the table in the center of the office.


    Surrounded by a group of chief doctors and deputy chief doctors, as well as a small number of interns.


    "This dynamic electrocardiogram, judged by the VT score, should be a bidirectional ventricular tachycardia. You can take a beta-blocker orally first. If it doesn''t work, or you have frequent syncope, you need to implant an ICD."


    "This ECG should be a ventricular appeal with right bundle branch block."


    ¡°¡­¡±


    Lu Chen didn''t hide anything, he told Wang Zhi all his diagnosis.


    Wang Zhi listened while taking notes with a notebook like a student.


    Seeing this, several other doctors also had the idea of ??"asking for advice", but they were all residents and attending doctors.


    Those deputy chief physicians, out of affection, were too embarrassed to ask a postgraduate question in person.


    "Congratulations, +1 for the thank you from Fu Pengfei!"


    "Congratulations, +1 for receiving thanks from Ye Feinan!"


    ¡°¡­¡±


    Lu Chen got several thanks points in a row, and he couldn''t stop laughing.


    After consulting, Wang Zhi gained a lot, but he couldn''t help but ask, "Doctor Lu, how do you usually study?"


    He couldn''t figure it out, everyone studied medicine, why is there such a big gap?


    Dr. Kobayashi felt the deepest feeling.


    He is also a graduate student of Cardiology, but he graduated this year with a job.


    But compared to Lu Chen, it''s really nothing!


    "Read more books and pictures."


    Lu Chen''s answer was somewhat grand-sounding in the eyes of outsiders.


    This answer has absolutely no nutrition!


    But for Lu Chen, this is his true feeling.


    Because of the help of the system skill card, his reading comprehension is very strong!


    Electrophysiology books that others need to read for a long time to understand, he only needs to read them once to understand them all!


    After this teaching round, everyone has a deeper understanding of Lu Chen, a graduate student!


    ¡­


    After about twenty minutes.


    Li Yao and Yin Chao walked out of the director''s office, and it seemed that they had finished talking.


    "Professor Li, we are the host, would you like to have a meal with Dr. Lu Chen?"


    Li Yao smiled and shook her head and refused: "Thank you Director Yin for your kindness. This time we came with the special car from the hospital. Don''t bother you. Next time you have the opportunity to come to Jinghua, we will have a good chat together."


    Seeing Li Yao''s firm attitude, Yin Chao no longer insisted, "That''s good, anyway, there will be opportunities in the future."


    "Lu Chen, we''re going back to Beijing." Li Yao smiled and said to the crowd.


    "Okay." Lu Chen nodded.


    ¡­


    Just walked out of the gate of the county hospital.


    Watching Director Yin Chao leave, Li Yao suddenly said to Lu Chen, "Lu Chen, how do you feel about coming to Feng M County this time?"


    Lu Chen paused, accompanied Li Yao into the commercial car, and said slowly: "During the free clinic, most of the patients were actually in good condition, and there were no difficult cases. Then they arrived at the ward of the Cardiology Department, and they felt that they were just fine. There is no complete system of ward rounds, no matter in terms of disease diagnosis and treatment, there is a considerable distance from the top three hospitals. In short, the disease diagnosis and treatment capabilities of county hospitals seem to have not kept up.¡±


    "Well, it''s very good that you have these ideas." Li Yao smiled and said, "The development of medical care is very uneven now, and the gap between the provincial tertiary hospitals and the municipal tertiary hospitals is very large, not to mention the county level 2 hospitals. The hospital is over. Besides, we are looking at the cardiology department today, and there are quite a lot of patients, such as other surgeries, such as urology, thoracic surgery, and there are very few patients in these departments.¡±


    Compared with internal medicine, surgery is more subject to various surgical operations.


    County-level hospitals, except for some minor operations and slightly risky operations, cannot perform all of them.


    In this way, what about development?


    "So, many times we have to be more tolerant towards doctors in county-level hospitals. Many times, they are limited by their skills and abilities and need to transfer patients to higher-level hospitals. As the provincial top three, we must be careful not to appear in our peers. The phenomenon of cheating.¡±


    Lu Chen asked in confusion, "A peer deceives each other?"


    "You will understand later." Li Yao smiled.


    Soon, experts from other departments have arrived.


    The commercial vehicle also started slowly, and everyone set foot on the journey back to Jinghua.


    ¡­


    Lu Chen sat in the business car, closing his eyes and resting.


    The system virtual panel appears.


    He happened to have received so many thanks points today, and Lu Chen thought that he hadn''t drawn a lottery for a long time.


    On a whim, I decided to do ten consecutive draws.


    With a thought of ??, 10 points of gratitude are consumed, and the lottery is drawn 10 times.


    The ?? system prompt popped up suddenly, but Lu Chen''s face brightened.


    "Thanks consumption reaches the threshold, open the second-tier mall!


    (end of this chapter)

 Chapter 279： Wang Zihaos self-diagnosis

    Chapter 279 Wang Zihao''s self-diagnosis


    In the ?? system panel, the mall on the second floor really appeared.


    In the second floor mall, various types of skill cards are no longer primary, but become intermediate.


    For example, ECG skill card (intermediate), literature reading (intermediate), clinical research (intermediate)¡­


    What excites Lu Chen the most is that there are surgical skill cards in the mall on the second floor, which are Electrophysiological Intervention Card (Elementary) and Coronary Intervention Card (Elementary).


    This also means that Lu Chen can finally enter the field of interventional cardiology with the help of the system.


    However, when Lu Chen saw the gratitude value required for the interventional surgery card, a drop of cold water was poured into his heart.


    Electrophysiological intervention card (primary), need 1000 points of gratitude!


    Coronary Intervention Card (Elementary), need 2000 points of gratitude!


    For the current Lu Chen, let alone 2,000 points of gratitude, these 1,000 points of gratitude are considered a "huge sum"!


    "It seems that in a short time, don''t want to learn coronary intervention." Lu Chen thought, "But this electrophysiological intervention can be tried."


    In addition, compared with coronary intervention, electrophysiological intervention has less radiation and is almost negligible.


    And coronary intervention, Lu Chen decided to find a wife and make plans after giving birth to a child.


    "Hey, I''m thinking about shit, I don''t even have a girlfriend now!"


    Lu Chen shook his head. The most important thing for him right now is to exchange the ECG Skill Card (Intermediate).


    The third round of the competition will start in four days.


    Lu Chen knew that with his current ability, if he wanted to enter the top three, it would be a night talk.


    Unless before the third round of exams, he can exchange for intermediate skill cards and leave enough time to "digest" the skill cards.


    Then, Lu Chen still has a glimmer of hope to break through to the national competition!


    However, the intermediate ECG skill card requires 300 gratitude points...


    Lu Chen glanced at his system panel. After today''s "free clinic" and "teaching ward rounds", he already had 48 points of gratitude.


    There is a gap of 300 gratitude points and 252 gratitude points.


    In such a short period of time, I want to get 252 gratitude points...


    Lu Chen couldn''t help frowning, it was too difficult!


    According to the regular rate of obtaining gratitude points, it will take at least one or two months for these 252 gratitude points!


    "Although it''s difficult, you have to try it!"


    Lu Chen closed his eyes and continued to doze off, thinking about the fastest way to get 252 points of gratitude.


    ¡­


    Two hours later, the group finally returned to Jinghua.


    The hospital prepared dinner for the experts, and Lu Chen followed Li Yao to a restaurant near the hospital.


    Lu Chen also got to know many professors and directors of the hospital.


    However, Lu Chen has been thinking about how to get more gratitude points, so he has been eating and seldom speaks.


    Dinner is over.


    Lu Chen greeted Li Yao and was about to go back to the bedroom, but Li Yao stopped him.


    "Lu Chen, World Heart Disease Day will be in two days. Our Corey is going to hold a large-scale missionary activity."


    Lu Chen was taken aback for a moment, "Is it in the eight districts in our hearts?"


    Li Yao shook his head and said with a smile: "No, it will be done in front of the outpatient building. When the time comes, free popular science and education will be provided to all patients, as well as blood pressure measurement services. Are you willing to help?"


    Lu Chen''s face was overjoyed, he was worried that he had nowhere to earn thanks points, so this was delivered to the door!


    "Teacher, I will."


    "Okay, in the past two days, you will prepare a popular science PPT about coronary heart disease. The day after tomorrow, we will conduct free clinic activities in the outpatient building at 8:00 in the morning."


    Li Yao explained a few words. For more specific content, she said that she would send an email to Lu Chen.


    ¡­


    Go back to the bedroom. In the bedroom, Wang Zihao was the only one lying on the bed reading a book.


    "The free clinic is over?" Seeing Lu Chen coming back, Wang Zihao said with a smile.


    Lu Chen nodded: "Well, what about the others?"


    "Both of them work night shifts." Wang Zihao said, "One works night shifts in the emergency department, and the other works night shifts in general surgery."


    Lu Chen smiled, put down his backpack, and prepared to start washing.


    At this time, Wang Zihao suddenly asked: "Lu Chen, I recently thought about a topic, and some of the parameters involved cardiology. Can you help?"


    "What parameters?" Lu Chen wondered.


    The prince paused and said, "Uh, for example, the patient''s ejection fraction changes before and after treatment, and other indicators of cardiac ultrasound. I need a small number, only thirty patients."


    "Okay, tell me what patient data you need, and I''ll check it for you." Lu Chen smiled.


    Wang Zihao laughed, "Lu Chen, when the paper is published, I will give you the second author."


    "Congratulations, +1 for the thank you from Wang Zihao!"


    Lu Chen smiled, ignored Wang Zihao, and went to wash up.


    ¡­


    After washing up, Lu Chen lay on the bed and continued to think about ways to earn gratitude points.


    Although there will be a free clinic activity the day after tomorrow, the amount of gratitude he can get is very limited, so he has to think of other ways.


    Lu Chen summed up the previous methods of obtaining thanks.


    First, for the diagnosis and treatment of patients, the gratitude value of the patients and their families can be obtained.


    Second, in clinical work, you can get thank you points for explaining problems to your younger brother and younger sister.


    Thirdly, by conducting publicity and education activities for patients and their families, a large amount of gratitude can be obtained in a short period of time.


    Fourth, in the Jinghua Electrophysiology WeChat group, you can also get a certain amount of thanks for interpreting ECGs for grassroots doctors.


    Fifth, speak at academic conferences. The last time Lu Chen held a case discussion at the electrophysiology conference, he also received a small amount of gratitude after the end.


    Sixth, in life, giving some help to classmates and teachers can get a small amount of gratitude. For example, I just promised Wang Zihao to help him check some data.


    Except for the fifth point, which cannot be done for the time being, Lu Chen can work **** the other points.


    said to do it, Lu Chen immediately took out his mobile phone and opened the message notification of Jinghua Electrophysiology WeChat group.


    He will start working hard to speak in the group and help grassroots doctors interpret electrocardiograms.


    As soon as I thought of this, an electrocardiogram popped up in the Jinghua Electrophysiology Group.


    Below this electrocardiogram is a message from a grass-roots cardiologist: "Teachers, help me to look at this electrocardiogram."


    In a rental house near the Jinghua Second Hospital.


    Fan Zhiping was sitting at the table reading the electrophysiology book.


    Although he failed to enter the third round this time, he was quite satisfied with his results.


    "ding ding..."


    The phone''s WeChat alert sounded, Fan Zhiping picked up the phone and saw that someone in the WeChat group asked for help.


    This is a relatively conventional myocardial infarction electrocardiogram.


    Fan Zhiping just typed a few words when he saw another message pop up in the dialog box.


    "The ST segment is elevated in the AVR lead, and other leads have different degrees of depression. It may be a left main disease."


    Fan Zhiping nodded slightly, the doctor answered very well.


    However, when Fan Zhiping saw the speaker''s nickname, he couldn''t help but be taken aback.


    Lu Chen?


    Why did he suddenly appear?


    Usually, Lu Chen only interprets some difficult ECGs.


    Why are you suddenly interested in such an ordinary ECG today?


    Fan Zhiping thought Lu Chen was just on a whim.


    However, next, Fan Zhiping was taken aback.


    Lu Chen read one after another, four electrocardiograms of medium difficulty!


    This is not like Lu Chen''s usual style!


    The members of Jinghua Electrophysiology WeChat are also a bit strange. Today''s "Professor Lu" seems to be extra leisure and extraordinarily enthusiastic!


    But with Lu Chen''s judgment, the other members who were more active were very quiet today.


    Some doctors, seeing how busy "Professor Lu" was today, sent out some of the more difficult electrocardiograms they had on hand and asked Lu Chen to interpret them.


    Lu Chen is open to anyone who comes.


    Anyway, just lying on the bed and looking at pictures, it doesn''t take much time, it just consumes more brain cells.


    ¡­


    At this time, in the dormitory of the Jinghua Building in the Second Hospital of Jinghua.


    Lu Chen has already gained 8 points of gratitude, and his total gratitude point has reached 57 points.


    "No matter how small a mosquito is, it''s still meat!"


    Although you don¡¯t get many thanks points each time, it¡¯s very convenient to get thanks points in this way.


    In the next two hours, Lu Chen got a total of 23 thanks points, and the total thanks points also reached 72 points!


    This greatly increased Lu Chen''s confidence, and it was not impossible to get 300 gratitude points in the past few days.


    After no one in the group asked, Lu Chen turned off his phone.


    A drowsiness struck, and he slowly fell asleep.


    ¡­


    Midnight.


    Lu Chen was sleeping soundly when he was suddenly awakened by a rustling sound.


    In a daze, he opened his eyes, turned on the flashlight of his mobile phone, and turned his head to see Wang Zihao tossing and turning on the bed, constantly tossing and groaning in pain.


    "Zihao, what''s wrong with you?" Lu Chen''s drowsiness immediately woke up most of the time.


    "Pain!" Wang Zihao forced a word out of his mouth.


    Lu Chen climbed out of bed, turned on the light, and stood on the ladder beside the bed.


    At this time, Wang Zihao closed his eyes, his face was full of pain, and his forehead was sweating.


    "Where does it hurt?" Lu Chen frowned.


    "The right upper quadrant cramps." Wang Zihao gasped, "It feels like acute cholecystitis. I have a history of gallstones in the past."


    Lu Chen climbed into bed and gave Wang Zihao a simple physical examination.


    "Murphy''s sign is suspiciously positive." Lu Chen said solemnly.


    It seems that it may really be acute cholecystitis.


    (end of this chapter)

 Chapter 280： Wang Ruoxi

    Chapter 280 Wang Ruoxi


    The onset of acute cholecystitis is due to the obstruction of the cystic duct by tumors, stones, etc., resulting in the retention of bile in the gallbladder and secondary bacterial infection, which causes acute inflammation.


    Lu Chen immediately contacted his roommate who was working the night shift in the emergency department, and then sent Wang Zihao to the emergency department.


    Came to the emergency department.


    Lu Chen took Wang Zihao to take an abdominal CT scan. Less than ten minutes later, he was diagnosed with acute cholecystitis.


    After the doctor on duty in the emergency department applied painkillers and antispasmodics to Wang Zihao, his pain was relieved a lot.


    At this time, their other roommate was Xing Yu, a graduate student in the nephrology department, who was rotating in the emergency department this month.


    "Pharaoh, you bastard, I''ll let you eat breakfast on a regular basis, look, you know it hurts now!"


    Xing Yu stood beside the bed in the emergency room and scolded with a smile.


    When ?? is not eating, the gallbladder is full of bile, and the gallbladder mucosa absorbs water to thicken the bile. At this time, cholesterol/lecithin bullae are easily formed, and the viscosity of the bile also increases, finally forming bile sludge and gallstones.


    "Hey, I''ve had pain before, but it wasn''t so painful! Who knew it would be so **** painful!" Wang Zihao lay on the bed and shuddered at the thought of the previous pain.


    "Zihao, I just saw your abdominal CT. There are high-density shadows in the gallbladder. There are a lot of stones. You may need surgery as soon as possible." Lu Chen said.


    Wang Zihao nodded.


    Acute cholecystitis is a common and frequently-occurring disease. Females are 2 to 3 times more common than males, especially in middle-aged and obese people. The symptoms improve after more than 12 to 24 hours of treatment, and the symptoms subside within 3 to 7 days. The total mortality rate is 3%. ~5%.


    As a graduate student in surgery, Wang Zihao also understands that the best way for gallstone-type cholecystitis is to cut the gallbladder directly!


    "I''ll go directly to the general surgery department later." Wang Zihao said to Lu Chen, "Lu Chen, thank you tonight! It''s almost one or two o''clock, please take me to the emergency room."


    "It''s all in the same bedroom, what''s there to thank, hurry up and get well." Lu Chen said.


    Xing Yu ordered a few words, and after asking Wang Zihao to temporarily fast from food and water, he left.


    At this moment, a flamboyant girl walked into the emergency observation room.


    She has a melon-seeded face, a small Qiong nose, and light makeup on her face. She looks extremely delicate and tall.


    The most conspicuous thing is that her two long legs are exposed to the air and are particularly dazzling.


    As soon as she entered the room, she walked directly towards Wang Zihao.


    When Lu Chen saw this, he thought that the person who came was Wang Zihao''s girlfriend, so he quickly stepped aside.


    Unexpectedly, Wang Zihao said: "Sister...you, you are here..."


    Lu Chen was taken aback, this beautiful girl was actually Wang Zihao''s sister.


    I saw the woman frowning and muttering: "What''s the matter, stomach pain in the middle of the night?"


    "Sister, this is cholecystitis caused by gallstones..." Wang Zihao seemed to be afraid of his elder sister, and whispered, "This disease happens more often at night."


    Acute cholecystitis usually occurs more at night.


    The reason is that when we stand or sit with the bottom of the gallbladder facing down, the stone sinks at the bottom. When sleeping at night, the patient lies on his back or on the left side, and the bottom of the gallbladder is turned upward.


    Stones can easily roll to the neck of the gallbladder and get stuck due to gravity, so that the bile cannot be discharged and affect the contraction of the gallbladder, which will cause bursts of pain.


    Another reason is that if you eat high-fat food at night, the biliary system itself will be inflamed or stones will cause the bile duct to be blocked. However, in order to digest the high-fat food that enters the body, the gallbladder needs to increase contraction and excrete more bile, and the bile duct is blocked, resulting in nighttime. The pain keeps the patient awake at night.


    "You still have the face to say, a doctor, and you spoil yourself like this?!" The woman frowned.


    Although the woman was not polite, Lu Chen could see that her eyes were full of worry.


    "Sister, I may go to hospital in general surgery later, I have to be accompanied by family members, and I may have to operate on you later, so don''t let my parents know about it for the time being." Wang Zihao said.


    "Don''t worry, I''m not stupid." The woman said slowly, then looked at Lu Chen who was beside her, "This is..."


    Wang Zihao said quickly: "Sister, this is my roommate, his name is Lu Chen."


    "Lu Chen, this is my sister, my sister Wang Ruoxi."


    Lu Chen nodded to Wang Ruoxi, "Hello."


    Wang Ruoxi also nodded in response and smiled, "Thank you, classmate Lu, now that I''m here, I''ll just take care of my brother. Go back and rest, thank you."


    "Okay, Zihao, I''ll go back first." Seeing that Wang Zihao was more than half healed, Lu Chen explained some precautions, then said hello to Xing Yu, and went back to the dormitory.


    After Lu Chen left, Wang Ruoxi stayed with Wang Zihao in the emergency room.


    "Sister, I''m sorry, but you have to take a day off from work tomorrow..." Wang Zihao said.


    "Hey, tell me, you still have to take good care of yourself at ordinary times, and even make yourself into cholecystitis." Wang Ruoxi shook her head and said, "You''d better, find a girlfriend to take good care of you, so as not to be alone , don''t even eat breakfast!"


    Wang Zihao scratched his head, "How can a girlfriend be so easy to find? Besides, we usually don''t have time, and we don''t have time to talk about it. Let''s talk about it."


    Wang Ruoxi thought about it for a while, but that''s true, and then thought: "But your roommate is not bad, even in the middle of the night, you were sent to the emergency room."


    Wang Zihao smiled and said, "That''s for sure. Lu Chen and I are good buddies. He was the one who led our school team to win the championship of the National Skills Competition together."


    "Oh? That''s him?" Wang Ruoxi said in surprise.


    She knew very well that her younger brother''s level was above average among her peers.


    He was able to represent the school team and won the first place in the skill competition?


    Their whole family did not believe the news.


    It was not until they saw the relevant news on the Internet and the trophy brought back by Wang Zihao that they believed the news of Wang Zihao winning the championship.


    I have to say that the rest of the school team are really good, and they can actually bring their younger brother.


    "Sister, didn''t you know that Lu Chen recently entered the third round of the provincial ECG competition!" Wang Zihao said, "This is the top ten in the province!"


    This time, Wang Ruoxi was even more surprised.


    She was also a clinical medical student before. Although she failed to become a doctor for various reasons, she is now engaged in medicine-related occupations.


    She is well aware of the weight of a young graduate student entering the third round in such a large competition.


    My brother''s roommate is really not easy!


    ¡­


    At this time, the protagonist Lu Chen has returned to the bedroom.


    It''s past two in the morning now.


    He has to hurry up and get some sleep, and he has to go to work tomorrow morning.


    (end of this chapter)

 Chapter 281： Search for the value of thanks!

    Chapter 281 Search Thanks!


    the next day.


    As soon as Lu Chen opened his eyes, he received a WeChat message from Wang Zihao.


    He has been admitted to the general surgery ward under the care of her sister Wang Ruoxi.


    Cholecystectomy is not an emergency surgery.


    After completing the preoperative preparations, the surgery for cholecystectomy will be scheduled tomorrow.


    If Wang Zihao did not cut his gallbladder this time, he would definitely have another episode of acute cholecystitis in the future.


    Repeated episodes, more prone to other problems.


    And the technique of taking stone to protect the gallbladder, which can cure the symptoms but not the root cause, has been eliminated in many countries!


    ¡­


    After getting up, Lu Chen finished washing up and was about to go to work, but the bedroom door was slowly opened.


    "The night shift worker came back so early?" Lu Chen thought that the other roommates had come back from the night shift.


    As soon as this thought flashed through my mind, I saw a woman push the door and enter.


    The dormitory of the Jipei Building in the Jinghua Second Hospital is mixed with men and women.


    The first and second floors are the study rooms and the skill test center, and the third to tenth floors are dormitories.


    Lu Chen was about to tell the visitor that he had gone to the wrong dormitory, but he was stunned for a moment.


    The woman who came here was somewhat familiar to Lu Chen. It was Wang Ruoxi, Wang Ruoxi, Wang Zihao''s sister.


    Her hair is a little fluffy, but she is in good spirits.


    "Excuse me, are you still there? I thought you had gone to work."


    Wang Ruoxi stood at the door of the bedroom and said apologetically.


    "I''m going to the department soon, you are..." Lu Chen said in surprise.


    Wang Ruoxi should be around twenty-five or six years old, two or three years older than them.


    "Oh, I''ll help Wang Zihao get some toiletries." Wang Ruoxi said softly, "He may have to stay in the hospital for a few days."


    Late night, Wang Ruoxi didn''t take a close look at this boy who was highly respected by his younger brother.


    Today, Lu Chen doesn''t look like a nerd in the traditional sense.


    He was wearing a white shirt and jeans, and the whole person was a sunny boy.


    "Okay, then come in, I''ll leave right away." Lu Chen smiled and pointed to the bed opposite him, "This bed belongs to Wang Zihao."


    "Yes." Wang Ruoxi nodded.


    Walking into the dormitory, she did not smell the odor of sweat and smoke that she imagined in the boys'' dormitory.


    Wang Ruoxi put down the backpack she was carrying, and put some of Wang Zihao''s daily necessities in it.


    Lu Chen ignored Wang Ruoxi and left the bedroom.


    ¡­


    came to the eight districts of the heart.


    Change the shift as usual, and then follow Sun Guoguo to the ward round.


    The ward rounds in the internal medicine department were more troublesome. Lu Chen didn''t return to the doctor''s office until 9:00 in the morning.


    "Excuse me, is Dr. Lu Chen there?"


    At this moment, at the door of the office, a woman knocked on the door frame.


    Lu Chen looked back and saw that he didn''t know this woman.


    The woman is in her thirties and forties, well-maintained and brightly dressed.


    searched in my mind, but I didn''t have any impression of her.


    However, Lu Chen put down his work and stood up slowly: "I am."


    The woman immediately smiled, "Doctor Lu, I am Cheng Gang''s family."


    "Cheng Gang?" Lu Chen was stunned, his face puzzled.


    At present, none of the patients who have managed the bed have Cheng Gang.


    The woman walked up to Lu Chen and said softly, "Dr. Lu, have you forgotten that you rescued a patient in the CCU catheter room the other day?"


    "It''s him?" Lu Chen was taken aback, "Are you his family member?"


    The woman smiled and nodded: "Yes, we were not there that day, but the day after tomorrow I heard from the doctor in the catheterization room. If Dr. Lu hadn''t discovered it first, my husband doesn''t know what would have happened..."


    Speaking of this, there was a bit of lament on the woman''s face, and a bit of joy.


    "This is what we should do. No matter who sees it, it will be rescued as soon as possible." Lu Chen said.


    "Doctor Lu, no matter what, I want to thank you very much. Cheng Gang asked me to come to you a long time ago, but his condition was unstable a few days ago, and he has improved in the last two days, so I came." The woman said.


    At this time, Lu Chen realized that the woman was carrying a pennant in her bag.


    Before ??, the voice of the two of them talking was not loud, and the people around didn''t pay much attention.


    But after she took out the pennant, she instantly attracted the attention of everyone in the department.


    "Doctor Lu, I bought some fruit, and I''ll ask someone to deliver it later. This pennant is also what we can do at the moment..."


    At this time, Lu Chen also received a prompt from the system.


    "Congratulations, +5 for receiving thanks from Cheng Yinfeng!"


    Lu Chen smiled and said, "Thank you, this is our duty."


    is lacking in gratitude...


    This family member sent it over. It was still 5 points of gratitude after the pennant bonus. It was really a help in the snow.


    "Come, bring in the fruit."


    The woman also instructed two people at this time to bring in the fruit outside the office.


    That''s right, just move!


    Lu Chen was also a little surprised, there were too many fruits, and they were all relatively expensive ones!


    It seems that this family is really not bad for money.


    Seeing this scene, people in the eight districts in their hearts immediately began to gossip.


    Many people are asking Sun Guoguo which bed is this patient.


    Sun Guoguo was also surprised. She looked around the patients in her group and couldn''t find any one named Cheng Gang.


    What is even more strange is that this patient is not in the eight areas of the heart.


    "I don''t know either. The patient''s name is Cheng Gang, but I couldn''t find him in the eighth district in my heart." Sun Guoguo shrugged helplessly.


    When everyone heard this, they were also shocked. There is no such person in the ward?


    At this time, Cheng Peng suddenly said.


    "I know that Lu Chen rescued a patient in the catheterization lab a few days ago. At that time, the patient had a cardiac arrest and later ventricular fibrillation. I encountered it when I sent the patient to the catheterization room."


    "Can you still encounter rescue in the catheterization room?"


    Everyone turned to look at Lu Chen.


    An idea popped up in their hearts now, Lu Chen''s face is too dark!


    recalled the elevator failure that Lu Chen encountered before, blind puncture of the pericardium in the elevator, etc.


    Everyone couldn''t help but think, this Lu Chen is really hot!


    I haven¡¯t come to the department for a few months, and I have encountered a lot!


    Especially Yin Xinhua, she looked at Lu Chen and Fan Zhiping, and finally understood the crux of the difficulty of night shift.


    Fan Zhiping''s face is black or not, she doesn''t know, but this Lu Chen''s face is really dark!


    Yin Xinhua quickly glanced at the shift schedule.


    so far so good¡­¡­


    She was on the next night shift with He Sirong.


    And Lu Chen''s next night shift is with Xia Gang.


    Yin Xinhua looked back at Xia Gang, and mourned for him for a few seconds in his heart, wish him peace!


    ¡­


    Lu Chen is still talking to the family members who sent the pennant.


    What he didn''t know was that his hidden attribute, his dark face, was slowly discovered by the people in the eight districts in his heart...


    After Cheng Gang''s family left, Lu Chen saw that the eyes around him were a little strange.


    "Senior sister, what''s the matter?" Lu Chen whispered to Sun Guoguo who was beside him.


    Sun Guoguo coughed lightly and whispered: "Junior Brother, they think you are too hot at work, and you can get rescue if you go out to send a patient."


    Lu Chen: "..."


    Oops, his dark attributes were discovered...


    Lu Chen scratched his head, smiled at the surrounding attending doctors, and continued to do his work.


    Xia Gang looked at the computer in front of him. For some reason, he suddenly felt a chill down his spine...


    ¡­


    Fortunately, everyone is just chatting, and the black face and the white face are just relativity.


    After the ?? joke, everyone went back to their own business.


    After Lu Chen dealt with the clinical affairs, he thought about how to "scavenge" some gratitude points from this group of junior brothers and sisters.


    (end of this chapter)

 Chapter 282： travel history

    Chapter 282 Travel History


    Just as Lu Chen was thinking about how to collect a wave of gratitude from his junior, junior and senior sisters.


    Sun Guoguo walked into the doctor''s office in the eighth district of the heart with a group of trainees in white coats.


    There are about ten trainees in this group.


    Sun Guoguo walked towards Lu Chen and said with a smile, "Junior Brother, are you busy now?"


    Lu Chen shook his head: "Fortunately, the doctor''s order and the course record have been processed."


    Sun Guoguo smiled, "That''s right. I''ll go to the teaching building to hand in materials later. There are more than ten trainees here. You can take them to the ward to see patients, mainly for heart failure and coronary heart disease. patients.¡±


    "Let me take the trainee?" Lu Chen looked behind Sun Guoguo.


    This is a group of young apprentices with curiosity and thirst for knowledge in their eyes.


    Apprenticeship and internship are not the same.


    Medical students will come to the hospital for clinical study during their senior year. At this time, they only come a few times temporarily, so they are called apprentices.


    When medical students are in their fifth year, they will stay in the hospital and rotate in various clinical departments, which is called internship.


    "Well, you can take them to the hospital bed and talk to them about the diagnosis and treatment of heart failure and coronary heart disease." Sun Guoguo smiled, "They are still apprentices, so don''t make too many demands, mainly Familiarize them with how the hospital works, then teach them to ask about the medical history."


    "In that case, that''s fine." Lu Chen nodded.


    It was the first time for him to lecture in front of so many trainees.


    But if you can teach the class well, you should be able to earn a lot of thanks!


    ¡­


    Sun Guoguo saw that Lu Chen agreed, and after handing over the trainee, he rescued him and left the ward.


    "Do you have a team leader?" Lu Chen stood up and looked at the group of trainees in front of him.


    A thin boy with glasses came out.


    "Teacher, I''m the group leader."


    "My name is Lu Chen, I just started graduate school, you can just call me senior brother." Lu Chen smiled.


    "Okay, brother."


    Lu Chen selected two patients who managed their own beds.


    A patient with heart failure and coronary heart disease.


    Before taking the trainee to the ward round, Lu Chen communicated with the patient and his family.


    After obtaining consent, Lu Chen brought everyone to the ward.


    "This is a patient with heart failure..." After Lu Chen briefly introduced the patient''s situation, "The first step in receiving a patient is a consultation. Who wants to try a consultation?"


    There were more than ten trainees, but none of them made a sound.


    "Then the team leader, come and try." Lu Chen said to the thin boy.


    The team leader dawdled for a while, then stood up, hesitated for a moment, and then began to question the patient.


    Lu Chen was not in a hurry.


    He also came from this time.


    Although the medical certificate says how to consult a doctor, it is the knowledge in the book after all!


    It is a huge leap forward to turn knowledge from books into clinical skills in reality.


    This is a big challenge for the first-time clinical trainee.


    The group leader began to ask: "Auntie, why are you uncomfortable?"


    "Chest tightness." The patient is very cooperative, "In addition to chest tightness, there are dizziness, headache, and loss of appetite recently."


    ¡°¡­¡±


    The group leader''s initial consultation was relatively well-organized.


    But after a few questions, he started to let himself go, asking whatever he caught.


    When Lu Chen saw this, he hurriedly interrupted the group leader''s consultation.


    "The team leader has already asked a good question." Lu Chen smiled, "Is there anyone else who wants to ask?"


    looked around, but no one took the initiative to stand up.


    Lu Chen had to explain it himself.


    "Inquiring about the medical history should be based on the patient''s main symptoms, concomitant symptoms, the cause, location, nature, aggravation or relief of symptoms, and these aspects... You can''t ask whatever you want!"


    ¡­


    In about half an hour, Lu Chen and more than a dozen trainees watched the two patients, and then rescued them to the showroom in the eighth district of his heart.


    Next, he will start explaining the pathophysiology of coronary heart disease and heart failure.


    After talking about ?? for a long time, Lu Chen felt a little dry mouth.


    The trainee sitting below ?? still had a confused look on his face.


    "If you have any questions now, you can ask me." Lu Chen had no choice but to say.


    The students present were silent for a long time.


    Finally a girl said: "Senior brother, can I ask any questions?"


    Lu Chen nodded: "As long as I know about clinical medicine, I will try my best to answer it."


    The girl paused, then said, "Senior brother, I just checked the patient''s medical record. I read the history of travel in the medical record. What is the history of travel? Is it the experience of traveling abroad?"


    Lu Chen was taken aback.


    This problem has nothing to do with heart failure or coronary heart disease!


    "Cough cough." Lu Chen cleared his throat, "It''s just an illicit relationship between a man and a woman."


    The girl''s face turned red, "I see, thank you brother."


    Lu Chen thought that this was the end of the matter, but he didn''t expect that some of the boys in the room shouted.


    "Senior brother, can you be more specific?"


    Lu Chen''s face darkened: "I just slept with other women except my wife."


    The boy here replied again: "Senior brother, you are sleeping with the mistress, does that count as a travel history?"


    "It shouldn''t be counted." Lu Chen paused.


    "How does that count?"


    Lu Chen thought about it and said, "Going to the heaven and earth to sleep is considered a travel history."


    As soon as he finished speaking, the trainees laughed out loud.


    Lu Chen felt that something was not right, he was almost led astray by these guys below!


    He hurriedly said, "Let''s talk about the problems related to coronary heart disease and heart failure!"


    Lu Chen looked around, everyone was quiet, but no one answered.


    "If you don''t ask, then I''ll ask one." Lu Chen smiled.


    His smile was a little creepy in the eyes of all the trainees.


    Everyone lowered their heads slightly, not daring to look at Lu Chen.


    "Just now we saw a patient with right heart failure. What are the more characteristic signs of right heart failure compared with left heart failure?"


    As soon as Lu Chen''s question came out, there were whispers from below.


    After a while, the group leader slowly stood up and said, "Senior brother, is the hepatic jugular vein reflux sign positive?"


    Lu Chen smiled: "Yes, do you know how to do it?"


    The group leader nodded.


    "Instruct the patient to stay in bed, put the head on a pillow, and breathe with the mouth open. The examiner''s right palm is lightly placed on the liver area, and the pressure is gradually applied for 10 seconds. At the same time, the degree of jugular vein distention is observed."


    "What is the rationale for this inspection?"


    "Compression of the congested liver increases the blood return to the heart, the congested right atrium cannot receive the return blood flow, and the jugular venous pressure is forced to rise..."


    Lu Chen nodded slightly, and the group leader answered quite well.


    However, Lu Chen''s next question made everyone look at each other in dismay.


    "Why is the patient in a semi-recumbent position of 30-40¡ã when doing the hepatic jugular venous reflux sign? Can''t it be a 60¡ã or other angle of recumbency?"


    (end of this chapter)

 Chapter 283： smashed wool

    Chapter 283


    Lu Chen stood on the podium in the classroom and looked around at the trainees below.


    Everyone looked at the question on the blackboard and was silent for a long time, but still no one could answer the question.


    This question involves the difference in body position.


    Lu Chen has gone through the National Medical Skills Competition, so he is naturally comfortable with these operations, and he also understands such skills at a deeper level.


    But these students are not the same. Everyone is new to the clinic and is confused about many things.


    It is good to be able to do the hepatic jugular venous return sign.


    "There is still some time to come. You can read the book or go to the clinical practice." Lu Chen smiled, "I''ll ask you this question when we get off work."


    Lu Chen sold out.


    He let all the trainees move around in the department by themselves. They could ask the patient''s medical history or check the medical record in the office.


    ¡­


    The team leader of the trainee first came to the ward and tried to perform a physical examination on the patient, and did a hepatic jugular vein reflux sign.


    And several other apprentices took out their mobile phones and started to Baidu answers to Lu Chen''s questions on the Internet.


    However, after searching for a long time, no one has found the answer to this question.


    In the ward, the team leader could not answer this question even though he had done the hepatic jugular vein reflux sign.


    "Why is the patient in a semi-recumbent position of 30-40¡ã when doing the hepatic jugular venous reflux sign? Can''t it be a 60¡ã or other angle of recumbency?"


    With this question, the team leader found Cheng Peng.


    Of course, they asked in a low voice, so that Lu Chen would not hear it again.


    "Ah? What''s the problem?" Cheng Peng frowned on his fat face. "The patient is in a semi-recumbent position of 30-40¡ã? Can''t it be a 60¡ã or other recumbent position? Is there any difference?"


    Cheng Peng has never heard of such a strange problem.


    The group leader is also quite surprised, even the graduate students don¡¯t know the answer to this question?


    "Would you like to stop asking other teachers?"


    The team leader approached Yin Xinhua again with a question.


    Yin Xinhua just finished his work.


    Seeing a trainee come to ask her a question, she smiled and said she was happy to answer.


    However, when she heard this question, the smile on her face froze.


    The team leader saw Yin Xinhua''s expression and knew that she might not know either.


    "Ah... this question is so difficult?"


    ¡­


    It''s finally time to get off work.


    A group of trainees stood beside Lu Chen, waiting for him to announce the final answer.


    "You haven''t found the final answer yet?" Lu Chen smiled.


    The team leader stood in front of Lu Chen and shook his head quickly: "I checked all the information, but I still can''t find it,"


    At this time, Cheng Peng quietly put his head over.


    He was also curious about this question.


    "As for this question, I''ll draw a picture so you may understand it better." Lu Chen took out a blank A4 piece of paper, "The central venous pressure of a normal person is 5-12cm H2O."


    "When lying supine, the jugular vein is parallel to the right atrium, and the filling of the jugular vein itself occurs, but the level of filling is limited to the lower 2/3 of the distance from the upper clavicle to the mandibular angle."


    "In the semi-recumbent position, the vertical distance between the jugular vein and the upper and lower chambers and the junction area of ??the right atrium is about 15-20 water column. If the right heart is not functioning properly, there will be systemic blood congestion, resulting in increased central venous pressure. If it is greater than 20 cm water column, there will be Jugular vein distention (jugular vein filling more than 2/3 of the distance from the superior clavicle to the mandibular angle."


    "In the 60¡ã supine position, the vertical distance between the jugular vein and the junction of the superior and inferior chambers and the right atrium may be greater than 20 cm water column. At this time, it is not easy to identify cardiac insufficiency."


    So this is ah!


    Lu Chen''s words, if they were just oral, everyone might not understand.


    But Lu Chen also drew the patient''s body position on the paper.


    at a glance!


    Most of the trainees understood the principle.


    This feeling of sudden opening made everyone impressed by the jugular venous return sign.


    "Damn it, so that''s how it is!" Fatty Cheng sighed, "It really deserves to be Lu Chen!"


    At this time, Lu Chen also received a series of system prompts.


    "Congratulations, +1 for receiving thanks from Cheng Peng!"


    "Congratulations, +1 for receiving a thank you from Ye Qian!"


    "Congratulations, +1 for receiving a thank you from Su Cai!"


    ¡°¡­¡±


    Lu Chen''s face was overjoyed, and he received more than ten points of thanks.


    This time with trainees, it can be considered that there is no leucorrhea!


    ¡­


    During today''s work hours, as long as Lu Chen has finished his work, he will try to help the younger brothers and sisters in the department to solve problems.


    While constantly reaping gratitude, Lu Chen also gained a good reputation in the eyes of the interns.


    Back to the bedroom at night, on the system panel, the total gratitude value reached 126!


    When Lu Chen saw the gratitude value clearly, he was also a little surprised.


    This speed is too fast!


    But Lu Chen also knew that a job with apprentices like today could only happen once or twice.


    In addition, when teaching juniors and juniors in the department, it should be done in moderation.


    There are too many slugs, and they may suspect Lu Chen''s attempt.


    Especially those junior sisters, if Lu Chen is too enthusiastic, he is not allowed to make others misunderstand.


    ¡­


    After eating in the cafeteria, Lu Chen thought of Wang Zihao, who was hospitalized in general surgery.


    He bought some fruit at the supermarket inside the hospital, and then went directly to the general surgery ward.


    It was around seven in the evening.


    The entire general surgery ward is still relatively quiet.


    Lu Chen carried the fruit and came to the 12th hospital bed where Wang Zihao was.


    pushed open the door of the ward, and saw that he was half leaning on the bed, holding a laptop in his hand.


    And his sister Wang Ruoxi was not in the ward.


    "Lu Chen, why are you here?" Wang Zihao felt that someone was coming in, looked up and saw that it was Lu Chen, with a happy expression on his face.


    "You are already hospitalized, of course I have to come here." Lu Chen smiled and put the fruit basket on the table, "Do you feel better now?"


    Wang Zihao smiled and nodded: "Much better, surgery tomorrow morning. Lao Gu also came just now."


    Lu Chen sat beside the bed and saw that Wang Zihao was still checking documents on the computer.


    "Reading the paper?" Lu Chen asked.


    "Yeah." Wang Zihao nodded, "It''s about my own subject."


    In his opinion, Lu Chen, who was in the same bedroom, is so powerful, and he must try his best to keep up with Lu Chen''s pace.


    Lu Chen just remembered that he had promised Wang Zihao to help him check the data.


    "Zihao, I''m going to prepare for the ECG contest these days, so it may be some time before I can check the data for you."


    "This is not in a hurry." Wang Zihao smiled, "Just help me when you have time."


    Lu Chen chatted with Wang Zihao for a while.


    Wang Zihao suddenly said: "By the way, Lu Chen, did you know my sister before?"


    Lu Chen was taken aback for a moment, "I didn''t know each other before, I saw it for the first time yesterday, what''s wrong?"


    Wang Zihao is a little strange.


    "After my sister came back from the dormitory this morning, she has been asking about you."


    "Ask me about something?" Lu Chen didn''t know why.


    "Yeah, I thought she knew you before." Wang Zihao said.


    Lu Chen thought of Wang Ruoxi this morning, there was no conflict between the two.


    Maybe it¡¯s just pure curiosity?


    After sitting in the ward for more than ten minutes, Lu Chen returned to the bedroom.


    Although he got a lot of gratitude points today, there is still a certain gap between the 300 mark!


    (end of this chapter)

 Chapter 284： Unsolved ECG

    Chapter 284 Unsolved ECG


    Back in the dormitory, Lu Chen started to make a PPT for tomorrow''s patient education.


    Because it is not a formal lecture, but only for missionary purposes, the style of the PPT does not need to be very gorgeous.


    Lu Chen spent a whole night and completed the PPT smoothly without asking for Gu Xinyue''s help.


    The next day, nine in the morning.


    International Cardiology Day, the publicity and education activities of the eight districts in the heart were officially launched in front of the outpatient building!


    Led by Li Yao, Lu Chen was busy all morning.


    In front of the outpatient building, he helps patients to measure blood pressure, ask for medical history, and provide free consultation for diagnosis and treatment.


    One morning, Lu Chen did not know how many patients he had seen.


    And the system beeps sounded one after another.


    "Congratulations, +1 for receiving thanks from Fan Yujing!"


    "Congratulations, +1 for the thank you from Fu Shuang!"


    ¡°¡­¡±


    The large-scale missionary activity is over.


    Lu Chen''s total gratitude has skyrocketed from 126 points before, and it is fixed at 243 points!


    Seeing the numbers on the system panel, Lu Chen was pleasantly surprised.


    There are still three days left until the third round, so he just needs to earn another 57 thanks points!


    Originally a seemingly impossible task, it has almost been realized.


    ¡­


    Back to the bedroom at noon.


    When Lu Chen was still in the joy of getting the gratitude value, he received a WeChat message from his cousin Li Huiyan.


    "Brother, I really lost weight according to your method!"


    When Lu Chen suddenly saw this message, he didn''t react.


    After searching in my mind for a while, I realized that I told my cousin Li Huiyan earlier that I could use the combination of "liraglutide + dapagliflozin" to lose weight.


    Li Huiyan also sent a full body selfie.


    "Brother, look, I''ve lost weight!"


    Lu Chen hasn''t seen Li Huiyan for more than half a year.


    However, in this photo, the round face of the cousin has become a melon face.


    Unbelievable, unbelievable!


    Lu Chen hesitated for a long time before replying: "Huiyan, it is better to stop in moderation. This method also has side effects. You must take the medicine under the guidance of your doctor! Go to the hospital for re-examination every week."


    "Understood, brother, don''t be long-winded."


    "What about your parents?"


    "I know." Li Huiyan replied, "There are more than 400 pieces of liraglutide, I definitely can''t afford it myself, I need their support."


    "Huiyan, the basis of all weight loss is to control diet and exercise." Lu Chen said, "Medicine is the best choice..."


    "Okay, brother, you are more verbose than my mother!"


    Lu Chen looked at the news sent by his cousin with a helpless expression.


    The children of this generation are so out of character, completely different from before!


    After chatting with his cousin Li Huiyan, Lu Chen went to bed.


    He was a little tired after being busy all day today.


    ¡­


    Jinghua Central Hospital, Department of Cardiology.


    The furnishings in the director''s office are very simple.


    In addition to the cardiology books on the shelf, the rest are pennants presented by some patients.


    Min Xiaobo sat in front of Director Duan Shican and listened carefully to the Director''s instructions.


    "Xiaobo, in this electrocardiogram competition, you were the first in the second round, and you were the only person in our hospital who entered the third round." Duan Shican smiled and said to Min Xiaobo, "You have a lot of burden on your shoulders! "


    "Don''t worry, Director, I will definitely enter the national competition." Min Xiaobo''s tone was unusually firm.


    "Of course I believe in your strength. You have been in the top three in the first two rounds, and you have a high chance of entering the national competition!" Duan Shican smiled first, then said sternly, "However, my expectations for you are not just for entering the national competition. race!"


    Duan Shican stared at Min Xiaobo.


    Min Xiaobo suddenly lowered his head, he understood what the director meant.


    Not only to enter the national competition, it means to go a step further, enter the top ten in the country, and get a training place in the Electrophysiology College!


    But, this is too difficult!


    Provincial and National, which are two levels of competition.


    Even if he goes to the national competition as the first provincial competition, there is not much chance to enter the top ten.


    "Director, I can only do my best." Min Xiaobo said slowly.


    Duan Shican frowned, and Min Xiaobo''s answer obviously did not satisfy him.


    "Xiaobo, next year will be the general election of the Provincial Electrophysiology Conference. Before that, people from the Second Jinghua Hospital have always replaced the chairman. But this year, Li Yao of the Second Jinghua Hospital had an accident, and their talents were also cut off. Our Central Hospital , Jinghua No. 1 and No. 3 hospitals, all have the opportunity..."


    "If you can enter the top ten in the country in this electrocardiogram, and get a training place in the electrophysiology school! Then our hospital will have a much better chance of succeeding the chairman!"


    ¡­


    Min Xiaobo felt a deep sense of powerlessness when he walked out of the director''s office.


    The director put too much pressure on him!


    Although Duan Shican also promised a lot of benefits, he even gave a green light all the way when he was promoted to vice-high.


    But Min Xiaobo is very aware of his own strength and can occupy the top three in the province, but in the whole country, especially in areas such as Kyoto and Modu, his strength is really nothing.


    In the Jinghua area, for a long time, no one has received a training place in an electrophysiology school!


    At the same time, Min Xiaobo thought of Lu Chen.


    As a first-year graduate student, it is quite amazing that he can get the ninth place in the second round!


    The current Lu Chen, although there is little hope of entering the national competition, but in a few years, maybe he will be able to get a training place in the electrophysiology college.


    ¡­


    At this time, Lu Chen had woken up from his sleep.


    With 50 points left, you can reach 300 points!


    Lu Chen decided to go all out.


    Came to the eight districts in the heart in the afternoon.


    While following the information in the Jinghua Electrophysiology WeChat group, he gave small-scale education to patients in the department.


    In addition, there were junior brothers and sisters who came to ask questions, and Lu Chen tried his best to answer them.


    before ending get off work.


    The thank you value on the Lu Chen system panel came to 276 o''clock!


    "Only 24 o''clock left!"


    Lu Chen originally planned to read a few more electrocardiograms at night, so that he should be able to collect 300 points of gratitude.


    But what is disappointing is that not many people sent pictures for help in Jinghua Electrophysiology WeChat tonight.


    At ten o''clock in the evening, Lu Chen only received ten points of gratitude.


    "Forget it, it''s almost the same, let''s do it tomorrow."


    Lu Chen was about to turn off his phone when an unusual electrocardiogram suddenly popped up in Jinghua Electrophysiology WeChat.


    Lu Chen frowned when he saw this electrocardiogram for the first time.


    What a strange electrocardiogram!


    At this time, the doctor who sent the picture also added a medical history: "There is an unresolved electrocardiogram after hyperkalemia bolus atropine, which teacher can help to solve it?"


    Unsolved ECG?


    Lu Chen is interested!


    This also "exploded" all the other cardiologists in the group.


    (end of this chapter)

 Chapter 285： interference

    Chapter 285 Interference


    This patient has a total of three ECGs.


    One is an electrocardiogram with serum potassium 7.25 mmol/L, one is an electrocardiogram after intravenous atropine, and one is a separate lead II electrocardiogram.


    The patient is a 91-year-old female.


    When the serum potassium was 7.25mmol/L, the heart rate was only 37 beats/min on the electrocardiogram, so the doctor on duty directly injected atropine.


    These three pictures are really messy!


    This is the first time that Lu Chen has seen this type of electrocardiogram.


    Especially the so-called "P" in various forms in these three pictures makes people very confused and clueless, no wonder it is an unsolved electrocardiogram.


    "Does this first ECG have P waves?"


    I don''t know who asked in the group, the originally noisy group became a little quiet for a while.


    After a long while, a doctor from the Cardiology Department of the county hospital said weakly: "The first ECG, there is no P, and there is no trace of inverse P. Isn''t this sinus conduction?"


    And what is even more strange is that the T wave in the first picture is indeed very symmetrical, not the typical high point.


    The second picture is after atropine is pushed, and the T wave becomes very high and sharp, typical hyperkalemia ECG: Eiffel Tower T and tent T.


    This picture was made after a short period of time and without any blood potassium-lowering measures.


    "No, I don''t think it''s sinus conduction."


    Comrade Lao Fan was the first to raise an objection.


    It stands to reason that if the above picture is a sinus block, then the second one should also be a sinus conduction!


    But the second picture ran so many positive "P"s, and the inverse "P" came out, which is really strange!


    "Director Fan, I know that you have been studying electrocardiography and electrophysiology recently. Come and tell us about it, and let everyone come to learn."


    A doctor suddenly suggested in the group.


    Most of them know that Fan Zhiping participated in the electrocardiogram competition and entered the second round.


    Many people who are familiar with Fan Zhiping can''t believe this result.


    Originally, everyone''s level was the same, and they were just as unremarkable. Why did Comrade Fan suddenly break out?


    Therefore, when someone asked Fan Zhiping to answer, most of them were joking.


    Especially the doctor who posted this picture, he has already asked many people, even some directors of Jinghua No. 1 Hospital, and they have no definite answer. Can you, Fan Zhiping, be okay?


    But at this moment, Lu Chen was about to speak in the group when he saw Fan Zhiping send a very long message.


    "We know that the level of hyperkalemia in sinus ventricular conduction is more severe."


    "Generally, the widening of the QRS complex will also occur, and the S wave in lead I will be very wide. You can usually pay attention to the S wave in lead I of the ECG of patients with sinus conduction."


    "But this patient''s ECG QRS wave did not widen, it was only 100ms, and there was no S wave in lead I, and the blood potassium was 7.25mmol/L, which was not particularly high, and did not reach more than 8.5mmol/L. Therefore, the first There are many doubts about the diagnosis of sinus block.¡±


    After reading the message sent by Fan Zhiping, Lu Chen was quite surprised.


    Comrade Lao Fan''s judging level has made great progress!


    He was right, this first picture is not sinus conduction.


    At this time, Fan Zhiping continued to speak: "The first picture should be a junctional escape rhythm. Because each QRS complex has a very fixed inverse P."


    "From the macroscopic analysis, the first picture is still very clear that it is a junctional escape rhythm. After multiplying the ECG gain by 2 times, it can be seen that V1 and V2 have obvious inverse P, and the bidirectional first negative and then positive."


    "Then that picture may also be a junctional escape rhythm, not sinus ventricular conduction. As for why the inverse P is missing, is the atrioventricular node function improved after atropine is used, the conduction is accelerated, and the inverse P is buried in the QRS complex. , I can''t think of any other more reasonable explanation at the moment."


    "Hyperkalemia appears to suppress the sinus node, and sinus arrest occurs, thus resulting in the possibility of a junctional escape rhythm."


    Lao Fan¡¯s speech finally ended, but the WeChat group exploded again!


    Everyone saw Fan Zhiping''s explanation.


    For the first time, I didn¡¯t quite understand it.


    After reading it a second time, I got a clue.


    After watching it a third time, I finally understood what he meant.


    At this time, many people were surprised, why did Fan Zhiping''s ECG level suddenly rise so fast?


    The most important thing is that he did not simply "see the picture and talk", but deeply analyzed this electrocardiogram from the principle level of the electrocardiogram.


    "I think Lao Fan is right!"


    "Well, looking at it this way, sinus conduction is ruled out!"


    "I support Director Fan''s diagnosis!"


    After Fan Zhiping gave his reasons, many doctors in the WeChat group supported the junctional escape rhythm.


    Lu Chen thought about it and replied, "I also support Director Fan!"


    Lu Chen''s speech concluded Fan Zhiping''s diagnosis.


    Everyone in the group saw "Professor Lu" and agreed with Lao Fan''s speech, and basically acquiesced to the diagnosis in the first picture.


    At this time, the doctor who sent this picture asked again: "Teachers, the first picture has a clear diagnosis, and in the second picture, after the patient was intravenously pushed atropine, what is this electrocardiogram?"


    As soon as these words came out, everyone was silent for a while.


    In this second electrocardiogram, various positive "P" and inverse "P" are very complicated and confusing.


    In the first place, Lu Chen couldn''t read this picture either.


    If you look at lead II in this way, this one looks like a third degree AV block or interfering AV dissociation.


    Sure enough, a doctor in the group immediately said, "Is the second picture a third-degree atrioventricular block?"


    Lu Chen stared at the second electrocardiogram, then shook his head slightly.


    If it is a third-degree AV block or a high-grade AV block, why is the QRS complex behind the inverse P always conducted?


    Apparently AV block cannot be explained!


    Whether it is AV block or interfering AV dissociation, or AV block combined with interfering AV dissociation, this second ECG cannot be explained!


    Everyone in the group was talking, and everyone said that in addition to their own opinions, they also gave their own reasons.


    But no one can convince anyone!


    Lu Chen looked at the second picture carefully, his head became bigger!


    The "P" and the inverse "P" appear repeatedly in this picture, and we can''t even see any regularity.


    You must know that the first step in interpreting an electrocardiogram is to look at the P wave of the electrocardiogram.


    But now, in the first step of judging the map, there is a problem!


    Lu Chen took a deep breath to calm himself down.


    After this period of high-intensity ECG and electrophysiology training, although Lu Chen has made a lot of progress, the content of his knowledge is very complicated.


    It is quite difficult for Lu Chen to mobilize all the knowledge points at the first time.


    After calming himself down for a few minutes, Lu Chen started thinking about the second ECG again.


    Suddenly, an idea flashed in Lu Chen''s mind.


    "These so-called look like positive "P" and reverse "P", could it be possible interference?"


    (end of this chapter)

 Chapter 286： Redeem the Intermediate Card!

    Chapter 286 Exchange Intermediate Cards!


    So the question is, how to judge whether this P wave is interfering?


    Lu Chen thought of the "Eintophan" triangle.


    The electrocardiogram was invented by Professor "Eintofen". He named the recorded electrocardiogram waves as PQRST waves, and this naming method is still used today.


    Through the principle of "Eintophan" triangle, we can judge whether the P wave is interference or not!


    "It''s time for it to come out and clean up the scene!" Lu Chen thought to himself.


    After going through the "Eintophan" triangle model, Lu Chen came to a conclusion.


    This second picture is really disturbing!


    It is precisely because of the existence of interference that these little ps appear.


    Among them, lead III is absent, indicating that the interference comes from the left upper extremity.


    So, how to troubleshoot interference is also an important part of the ECG!


    Because it is very easy to be disturbed when doing an electrocardiogram, and sometimes the interference is so perfect, then the "Eintophan" triangle will show its importance at this time!


    After Lu Chen used the "Eintophan" triangle to clean up these little p''s, things became very simple!


    The global heart rhythm is also a junctional escape rhythm.


    From the overall macroscopic point of view, the three ECGs are consistent with the diagnosis of junctional escape rhythm.


    When Lu Chen focused his eyes on the individual lead II again, he found that the lead interval was fixed.


    He immediately thought of a diagnosis - complete junctional rhythm!


    Repetitive beat, also known as repetitive heart rhythm, refers to the fact that after the excitation from a certain cardiac chamber depolarizes the cardiac chamber, the excitation is conducted to excite the opposite cardiac chamber.


    At the same time, the conduction direction of the excitation may suddenly turn back and conduct in the opposite direction, and it is an electrocardiographic phenomenon in which the cardiac chamber from which the original excitation originated is re-excited.


    ¡­


    Lu Chen also discovered something more interesting.


    In this electrocardiogram, the combined rhythm interval composed of sinus rhythm and atrial rhythm is exactly the same as the rhythm interval between sinus rhythm and atrial rhythm after serum potassium recovery, both of which are 540ms!


    What does this mean?


    This further shows that the pair of regular pairs with an inverse P in the middle is not a doublet of atrial early, but a junctional repeated beat more reasonable.


    In addition, comparing the electrocardiogram before and after the recovery of serum potassium, the P wave in lead II is consistent with this P wave, both positive and negative, so this electrocardiogram still has escape beats - captured heart rhythm!


    Analysis up to now, this second ECG is about to come out.


    Its final answer is, junctional escape rhythm + complete junctional repeated beat doublet rhythm + escape beat - captured rhythm + atrial premature beat with aberrations.


    ¡­


    When Lu Chen sent the final diagnosis of the second electrocardiogram to the group, everyone in the group was amazed and at the same time admired Lu Chen.


    Who would have thought that some of the P waves and inverse P in this electrocardiogram are interference? !


    This disturbed waveform looks no different from a normal P wave.


    "After applying the "Eintophan" triangle, we can remove these distractions."


    Lu Chen re-edited the ECG in the group, and marked all the interference waveforms, so that everyone could see at a glance.


    After removing the interference wave, this electrocardiogram is still difficult to interpret, but it is not an unsolvable graph!


    Fan Zhiping was in his rental house and was amazed when he saw Lu Chen''s answer.


    Really deserves to be "Professor Lu"!


    The interference waveform that no one thought of, was thought of by Lu Chen!


    After getting the diagnosis, everyone in the group started to have rainbow farts.


    "As soon as Professor Lu made his move, he knew if there was any..."


    "Professor Lu, the director asked me why I was kneeling and looking at my phone."


    "Professor Lu Chen is still awesome!"


    ¡­


    At this time, Lu Chen''s system panel also kept popping up prompts.


    "Congratulations, +1 for the thank you from Fan Zhiping!"


    "Congratulations, +1 for receiving thanks from He Xi!"


    "Congratulations, +1 for the thank you from Li Jiaxin!"


    ¡°¡­¡±


    In just a few minutes, Lu Chen''s thanks value skyrocketed again, directly breaking the 300 mark!


    It was eleven o''clock in the evening, but he didn''t feel sleepy at all.


    With a thought of ??, he summoned the system mall.


    "Exchange for an ECG Advanced Skill Card!"


    Ding!


    "Congratulations, get the ECG Skill Card (Intermediate)."


    The skill card for the advanced level of ECG not only contains higher-level ECG-related knowledge, but also contains electrophysiological knowledge.


    Lu Chen felt his brain heat up, as if countless knowledge poured into his mind.


    However, these knowledge are temporarily closed, and Lu Chen needs to spend time reading books to comprehend.


    "Great!" Lu Chen was overjoyed.


    After ?? exchanged this intermediate skill card, Lu Chen had a little more confidence in the third round of the test the day after tomorrow.


    Otherwise, with his current ability, it is almost impossible to break through the provincial competition and enter the national competition!


    It''s already night, and the rest of the dormitory has already slept.


    Lu Chen resisted the urge to get up and read a book, slowly closed his eyes, and began to fall asleep...


    ¡­


    was speechless all night.


    the next day.


    After Lu Chen got up to wash up, he asked Teacher Li Yao for leave. The reason was naturally to prepare for the third round of the exam.


    Li Yao received a call from Lu Chen.


    "Okay, hand over the patients you take care of to Sun Guoguo. In this electrocardiogram competition, you have already achieved a lot. Next, do your best and don''t force yourself too much."


    "Well, thank you teacher."


    Lu Chen hung up the phone and first went to the eighth district in his heart to hand over his patient to Sun Guoguo.


    Everyone in the eight districts in their hearts also knew that Lu Chen was going to participate in the third round of the competition tomorrow afternoon.


    "Junior Brother, come on!" Sun Guoguo smiled and said to Lu Chen.


    "Lu Chen, when you enter the national competition, then I can brag with my classmates!" Fatty Cheng approached Lu Chen.


    Jiang Qingyan and Ke Yue on the side of ?? also cheered Lu Chen up.


    However, having said that, everyone didn''t have much hope for Lu Chen''s third round result!


    After all, Lu Chen was the ninth place in the second round, and the probability of breaking through to the top three was pitifully small.


    And now the top three people are all well-known doctors in Jinghua''s electrophysiology field, and Lu Chen is just a first-year graduate student.


    ¡­


    After leaving the eight districts in his heart, Lu Chen came to the teaching building, found a free classroom, and started his own way of studying electrophysiology.


    With the super-high comprehension ability endowed by the ECG Advanced Skill Card, Lu Chen found that the electrophysiological knowledge that he had been difficult to understand before has now become easy to understand.


    Many problems that I didn¡¯t understand before are now solved!


    However, the third round of exams will be held at 2pm tomorrow.


    In less than a day and a half, Lu Chen needs to give full play to the advantages of the intermediate skill card to improve his electrophysiology knowledge!


    Lu Chen spent the whole day studying electrophysiology.


    Three o''clock in the afternoon the next day.


    The third round of the provincial competition of the Huaxia ECG Contest has officially started!


    (end of this chapter)

 Chapter 287： Lu Chens rapid progress

    Chapter 287 Lu Chen''s Rapid Progress


    In the third round of the competition in the province, Cheng Guowen, the chairman of the Jinghua Electrophysiology Society, attaches great importance to this.


    A total of two people from Jinghua Second Academy entered the third round.


    One is Lu Chen, and the other is Lei Cui, the attending doctor in the first ward of the Cardiology Department of the Second Jinghua Hospital.


    Cheng Guowen provided two free classrooms in the teaching building for the two of them as exam venues.


    At two thirty in the afternoon, Lu Chen came to room 303 of the teaching building.


    Lei Cui sat in room 304 next to Lu Chen for the exam.


    ¡­


    The classrooms in the teaching building are very empty, and there is a computer in the middle of the venue.


    Two cameras were placed around the classroom in accordance with the requirements of the exam rules.


    At this point, there is still half an hour before the exam starts.


    Lu Chen sat in front of the computer, recalling all the knowledge of electrocardiogram and electrophysiology in his mind.


    After studying all day yesterday and this morning, he relied on the super-high comprehension ability given by the ECG advanced skill card to integrate the deeper electrophysiological knowledge.


    Especially the real questions over the years in the email that Cheng Guowen sent him, including the test scope, format, difficulty, etc., Lu Chen conducted a careful analysis.


    Originally, Lu Chen couldn''t understand many real exam questions.


    For example, in terms of electrophysiological pacing, Lu Chen can only know a little.


    He has never done electrophysiological surgery, and just watched one with Li Yao, and it is difficult to understand the electrophysiological principle.


    However, with the ECG Advanced Skill Card, Lu Chen''s comprehension became stronger.


    For some deeper electrophysiological knowledge, he can understand very thoroughly.


    ¡­


    The conference room on the 3rd floor of the teaching building of Jinghua Second Hospital.


    Cheng Guowen and Li Yao, as well as some electrophysiology members of the Cardiology Department, were all together.


    There is a huge screen before the meeting, through which everyone can monitor the progress and ranking of the exam in real time.


    "Director Shi, Lei Cui should be sure to be in the top three, right?" Cheng Guowen looked at Shi Qinghua beside him.


    Shi Qinghua is the deputy director of the first district in the heart, and knows Lei Cui''s learning state best.


    Shi Qinghua smiled and nodded, "Lei Cui''s main focus has long been electrophysiology. Her master''s and doctoral studies are very thorough in this area. It should be no problem for her to enter the national competition."


    "That''s good." Cheng Guowen said, "If we can enter the national competition this time, we will be able to take the initiative in the general election. If we can enter the top ten in the country, then this chairman has a 99% chance. , will still stay in our Jinghua Second Hospital."


    Although Li Yao is the deputy chairman, she has been silent.


    Lu Chen was his student and also entered the third round of the exam, but few people paid attention.


    Everyone seems to have decided that Lu Chen can''t be in the top three.


    Cheng Guowen glanced at Li Yao, wanted to say something, and swallowed it back.


    ¡­


    At three o''clock in the afternoon, the exam officially begins!


    Lu Chen entered the exam platform.


    In the third round of the test, there are a total of 20 questions and answers, each of which is worth five points. The test time is two hours. After each question is completed, a professional staff will immediately interpret it.


    Twenty questions, giving two hours of test time.


    From this, you can also see the difficulty of this competition!


    Lu Chen opened the first question.


    A 92-year-old male patient, 20 years after single-chamber pacemaker implantation (VVI), underwent pacemaker (VVI) replacement 8 years ago, and suffered from repeated dizziness, which was obvious when changing position, and improved after rest. The dynamic ECG segment is as follows. The patient''s dynamic ECG performance may be caused by the following reasons?


    Sure enough, the difficulty of the third round was more than one grade higher than that of the first two rounds!


    Moreover, the content of this exam is not the diagnosis of ECG, but the reason for the occurrence of this dynamic ECG!


    This is not only a test of diagnosis, but also a deep-seated principle.


    Fortunately, Lu Chen had seen the real exam questions over the years before, otherwise he would have been really confused.


    ¡­


    Conference room in the teaching building.


    "The exam questions this time are more difficult than the previous two years. A lot of cutting-edge electrophysiology knowledge, if there is no training in this area, it is actually difficult to answer."


    Cheng Guowen said solemnly.


    "Yeah, if you haven''t undergone electrophysiological surgery or done a pacemaker implant yourself, it''s difficult to analyze this kind of problem." Shi Qinghua nodded, "Just by imagination, the difficulty is increased several times."


    Li Yao frowned.


    The meaning of what everyone said is very clear.


    As a senior doctor in charge, Lei Cui has done a lot of electrophysiological operations, but Lu Chen is different. A student who doesn''t even have a medical license, can he ask such a question?


    The answer is obviously impossible!


    ¡­


    Room 303.


    Lu Chen began to analyze the clips of the Holter.


    This electrocardiogram is characterized by variable pacing intervals with an unstable baseline.


    But the shortest pacing interval is 1000ms (60 beats/min), which is in line with the default lower limit pacing frequency setting of the pacemaker under normal circumstances, considering that the lower limit of the pacemaker frequency is 60 beats/min.


    "The electrocardiogram showed chaotic EMG signals in the long pacing interval, with no pacing pulses."


    After analyzing for about eight minutes, Lu Chen had the answer in his heart.


    "First of all, it should be considered that the pacemaker inhibits the ventricular pulse emission after sensing the EMG signal. The EMG interference signal causes the pacing rhythm to reset, resulting in a long ventricular interval of up to 2813ms."


    Lu Chen wrote down the answer, and after clicking Confirm, he entered the next question.


    ¡­


    Conference room in the teaching building.


    "Well, Dr. Lei Cui answered the question very quickly, and the first question was completed, and the analysis was correct. This dynamic electrocardiogram was caused by the misperception of the pacemaker." Cheng Guowen was very satisfied with Lei Cui''s performance.


    At present, Lei Cui''s answering speed and accuracy rate are among the best among all ten doctors.


    Shi Qinghua smiled and could not close his mouth.


    If Lei Cui can maintain this state of doing the questions, then there is absolutely no problem in getting the top three!


    Except for Li Yao, few people noticed Lu Chen''s answering status.


    Lei Cui''s first question took five minutes, and Lu Chen''s first question took eight minutes.


    Li Yao was surprised to find that although Lu Chen took a lot more time than Lei Cui, the content of his answer was very detailed.


    Is this really a student new to electrophysiology?


    Li Yao looked a little dazed because she knew Lu Chen''s level too well.


    When Lu Chen first arrived in the eight areas of his heart, he was at most a student with a solid basic knowledge, and he knew nothing about electrophysiology.


    But now, Lu Chen''s knowledge reserve is even more than the average attending doctor!


    It all happened in these three months¡­


    ¡­


    Lu Chen didn''t know what was going on outside the court. He was now concentrating on reading the second question.


    Question 2, female, 84 years old.


    Abdominal discomfort with nausea and vomiting for 4 days, electrocardiogram showed: sinus rhythm, third-degree atrioventricular block, junctional escape rhythm, acute inferior wall myocardial infarction.


    Emergency coronary angiography showed complete occlusion of the proximal segment of the right coronary. A stent was implanted in the right coronary, and a temporary pacemaker was implanted (parameter setting: voltage: 5.0V, sensing sensitivity: 3.0mV).


    The ECG monitoring 3 days after the operation is as follows, what is the diagnosis of the ECG monitor?


    Lu Chen frowned slightly, this was another topic of pacing electrophysiology.


    Fortunately, he was already familiar with the scope of the exam in advance. During this time, he had done intensive training in pacing electrophysiology, and now he can deal with these questions calmly.


    Lu Chen clicked on the big picture of the electrocardiogram.


    "The fifth heartbeat on the monitoring chart was sinus capture, and ventricular pacing pulses were seen after the escape interval."


    "The ventricular pseudo fusion wave and different degrees of true fusion wave can be seen on the monitoring map and conventional ECG, and the pulse signal is located at different positions of the QRS."


    For the second question, Lu Chen spent seven minutes.


    This time, Lei Cui took six minutes.


    ¡­


    After ten questions.


    In the conference room, besides Li Yao, finally someone noticed Lu Chen''s performance.


    "Look at Lu Chen, his answering speed is not slow?"


    Cheng Guowen looked at the live exam on the screen in surprise.


    Shi Qinghua nodded: "It''s quite fast, I just don''t know how he answered the previous questions..."


    Although the real-time ranking will appear on the screen, everyone answers the questions at a different speed and there is a certain lag.


    The current real-time results only count the results of the first six questions.


    (end of this chapter)

 Chapter 288： last question

    Chapter 288 Last Question


    The difficulty of the ?? questions is gradually increasing, especially after half of the questions are passed.


    The content of ECG vector is more and more, and it also involves the subject of ECG vector loop and space ECG vector.


    Lu Chen''s mind was constantly running, and every question consumed a lot of brain cells.


    Those difficult ECGs that are usually encountered in clinical practice are not worth mentioning at this time!


    "Question 11, Edeiken-type ST-segment elevation..."


    "Question 12, Hypoglycemia triggers EKG Niagara Falls-like T wave changes..."


    "Question 13 Mahaim-type bypass..."


    "Question 14 DAVNNT Biatrioventricular Nodal Non-Reentrant Tachycardia..."


    Lu Chen didn''t do the questions fast, he tried to think every question thoroughly.


    The diagnosis of each question has various combinations, and the scores are comprehensively scored according to the content of the answers.


    The later questions are getting more and more difficult, and Lu Chen can''t guarantee the accuracy of the questions, so he will work **** the questions that he is sure of.


    ¡­


    In the conference room of the teaching building.


    As the game heated up, everyone was afraid to let out the air and stared at the screen in front of them.


    Real-time ranking at this time.


    The current number one is Min Xiaobo of the Central Hospital.


    He has completed 18 questions and scored 81 points, ranking first.


    The second place is Lei Cui, who did 18 questions and scored 74 points, ranking second!


    However, at this time, Shi Qinghua couldn''t smile anymore.


    Because Lei Cui ranked second, but that was because she did the questions faster, so the total score was higher.


    She currently has the same 18 questions as Min Xiaobo, who is ranked No. 1, but the difference is 7 points!


    This gap is already very big!


    Wait until everyone''s progress catches up, then Lei Cui''s ranking will definitely continue to drop.


    "Hey, look, Lu Chen''s ranking has risen again!"


    In the conference room, a voice suddenly came out.


    Lu Chen''s ranking has always been around the eighth place, but this is a few problems.


    ¡­


    Cheng Guowen also noticed Lu Chen.


    Although compared to other doctors, Lu Chen didn''t have any advantage in the speed of judging, but his score was able to keep up with the first tier.


    "Director Li, you are quite a student."


    Cheng Guowen smiled and said to Li Yao who was beside him.


    Li Yao pursed his lips and said with a smile: "Director Cheng, the competition is not over yet, there are still two questions for the first place, and Lu Chen still has five questions left!"


    Even though he said that, the smile on Li Yao''s face could not be hidden no matter how.


    ¡­


    At this point, one and a half hours have passed since the exam time.


    "20 questions finally completed."


    Min Xiaobo finally breathed a sigh of relief.


    He was the first doctor to submit the papers.


    From the beginning to the end, Min Xiaobo has always been ranked first.


    After completing the 20 questions, his total score is still the first with 92 points!


    At this time, Lu Chen completed the sixteenth question.


    He moved up one place to reach seventh place.


    "Come on, Lu Chen!"


    Li Yao silently cheered on Lu Chen in the conference room.


    ¡­


    On Lei Cui''s side, she also successfully completed all 20 questions, with a total score of 86 points, temporarily ranking second!


    But in the conference room, Shi Qinghua''s expression was solemn.


    Because next, more doctors will catch up.


    Lei Cui now ranks second because of his fast speed, but he is not safe.


    At this time, the doctor ranked third, completed the nineteenth question, with a score of 83!


    As long as he scores more than 3 points on the last question, Lei Cui will become third.


    "Zhou Junfeng completed 20 questions with a total score of 86! Ranked third!"


    Shi Qinghua and Cheng Guowen both breathed a sigh of relief.


    Lei Cui and Zhou Junfeng have the same results, but because Lei Cui''s time is shorter, all still remain in second place.


    However, just as everyone was rejoicing, they saw a flash of the score panel on the screen, and everyone''s expressions changed immediately.


    "Fang Yi completed 20 questions with a total score of 87! Ranked second!"


    Lei Cui''s ranking naturally dropped to third!


    Cheng Guowen''s face was ashen.


    Now six people have completed all the questions, and Lei Cui ranks third.


    As long as the remaining four people have not completed the problem.


    Lei Cui''s third position is in jeopardy!


    ¡­


    Sure enough, in less than half a minute, the ranking changed again!


    A cardiologist from Jinghua First Hospital surpassed Lei Cui by 2 points.


    There are still two people who have not submitted the papers, but Lei Cui has already ranked fourth!


    "Gone¡­¡­"


    Cheng Guowen sighed deeply.


    Deputy Director Shi Qinghua''s expression was extremely ugly.


    Everyone had high hopes for Lei Cui, but she never expected that she would drop to the fourth place!


    In the conference room, the atmosphere was a little heavy.


    "After all, I lost...it doesn''t matter, let''s continue next year, Lei Cui is still young, there are opportunities..." Cheng Guowen smiled reluctantly.


    However, next year''s general election is hanging!


    But at this moment, Li Yao, who had always been unknown, suddenly said, "Look at Lu Chen..."


    "Lu Chen? What happened to him?"


    Cheng Guowen raised his head in doubt, and then his pupils shrank.


    Lu Chen still has the last two questions left, but his current grade has reached sixth, with a total score of 81 points!


    "This..." Shi Qinghua swallowed, "There are still two questions left unanswered, yet you can get 81 points? Is there something wrong with the system?"


    This is too incredible!


    When did such a character suddenly appear?


    "Lu Chen...he...would he really want to..." In addition to shock, Cheng Guowen''s eyes also had a hint of hope.


    According to Lu Chen''s previous grades, as long as Lu Chen can answer the last two questions smoothly and get 6 points or more, he will be able to squeeze into the third place!


    Third!


    Then their Jinghua Second Hospital has entered the national competition again this year!


    Lu Chen, who was only concerned by Li Yao before, now became the focus of the audience.


    Li Yao''s eyes were full of pride, with a hint of anticipation and nervousness.


    Lu Chen''s performance has exceeded many people''s expectations. Whether we can go a step further depends on the last two questions!


    ¡­


    303 Classroom.


    Lu Chen exhaled a turbid breath and calmly analyzed the nineteenth question.


    For the next two questions, he can''t dawdle as much as before, but he has to concentrate more and make the final sprint.


    Question 19.


    Male, 82 years old, implanted with a single-chamber pacemaker (VVI(R) 2 years ago, model: St. Jude PM1110, programmable pacing mode: VVI), was admitted to the hospital with chest tightness and shortness of breath for 3 days, and the symptoms were relieved after treatment. Routine pacemaker programming, the intracavity diagram is as follows, what is the correct description of the pacemaker parameters of this patient?


    starts with a pacemaker problem, followed by a pacemaker physiology problem.


    Lu Chen''s head is getting bigger!


    This kind of topic is the most difficult to analyze!


    It is the first time for Lu Chen to analyze parameters through graphs.


    "The base frequency is 60bpm, the lag frequency is 50bpm, and the rest frequency is 50bpm."


    After thinking for a moment, although Lu Chen was not too sure, he still wrote the nineteenth answer.


    Now, he only has one last question left.


    (end of this chapter)

 Chapter 289： Advance to the National Championships!

    Chapter 289 Advance to the National Tournament!


    Beijing in November, the temperature dropped sharply.


    The breeze blew through the window, making Lu Chen feel a slight chill in his heart.


    The exam time was over, and he also finished the last electrocardiogram.


    "Phew... I tried my best."


    A smile appeared on the corner of Lu Chen''s mouth.


    The pleasure of taking the test and completing the questions, especially after solving the problem, is hard for ordinary people to feel.


    Although he still didn''t know the final result, Lu Chen tried his best, no matter what the result was, he didn''t have any regrets.


    ¡­


    Room 304 next door.


    The smile on Lei Cui''s face was long gone.


    She knew that she had made two mistakes in the question.


    In the third round of the game, such a mistake is fatal.


    Now, whether she can make it to the top three is up to her fate.


    As the only seedling of the second hospital of Jinghua, Cheng Guowen talked to her many times, and the pressure on her was a little heavy.


    "Alas..." Lei Cui sighed, "Maybe we can only fight again next year..."


    The entire Jinghua has a large number of talented people. Although it is not comparable to the magic capital, Kyoto and the coastal areas, there are still many outstanding talents.


    Only Lei Cui knew about Min Xiaobo of Jinghua Central Hospital and Fang Yi of the First Hospital. The strength of these two people should not be underestimated.


    ¡­


    In the conference room of the teaching building.


    Everyone, including Cheng Guowen and Li Yao, held their breaths.


    Now, except for Lu Chen''s results for the last two questions, everyone else''s results have already come out.


    Lu Chen was the slowest to do the questions.


    Therefore, once he is equal to others, he has no advantage.


    In the case of the same score, whoever has the shortest time to answer the question will be ranked first!


    "Lu Chen, you can definitely do it!"


    In the conference room, Li Yao has never been so nervous as she is today.


    Before today, she never thought that Lu Chen could reach the top three level.


    Before ??, she didn''t have much hope for Lu Chen, otherwise she wouldn''t have asked him to help with patient education activities a few days ago.


    "Hey, I knew that Lu Chen would not be allowed to go to the mission a few days ago, so that he would have more time to review."


    However, now suddenly there is hope again, but Li Yao feels a little uneasy.


    ¡­


    At this time, in addition to the people in the conference room of the teaching building, many people were watching the third round of the game and paying attention to Lu Chen.


    Eight districts in the heart, graduate duty room.


    This afternoon, Cheng Peng brought a tablet today.


    After finishing the clinical work, he "hide" into the duty room.


    "Fat man, look at the rankings!"


    Along with him were Lu Chen''s classmates Ke Yue and Jiang Qingyan.


    "Understood, don''t rush." ??Cheng Peng quickly took out the tablet from his bag, "You can also access the website to see the rankings on your mobile phone, why do you have to watch it with me?"


    "The mobile web page is so cluttered that I can''t scroll the rankings for a long time." Ke Yue frowned, "This competition is almost over, Lu Chen''s ranking is still eighth, and it has not changed."


    In less than two minutes, Fatty Cheng clicked on the webpage.


    "Hey, that''s the last question. Lu Chen is now sixth, so there should be hope!"


    Ke Yue smiled, "I''ll just say, Lu Chen can definitely do it."


    "This is a provincial competition, so you believe in Lu Chen?"


    "That''s for sure, no matter what, Lu Chen is half my master." Ke Yue smiled.


    When she first came to the department, she didn''t understand anything, and thanks to Lu Chen, she often helped her with her electrocardiogram knowledge.


    "Lu Chen is done!"


    At this time, the website shows that all candidates have submitted their exam papers, and the exam is over!


    However, due to the delay of the judgment, the final result has not been announced yet.


    ¡­


    Binh Duong City, thousands of miles away.


    Lu Wenguo is working in the department as usual.


    There is no surgery today, and he is also happy to be at leisure, instructing the new doctor in the department.


    looked at his watch, it was five o''clock soon, and he should get off work.


    As a surgeon, when there is no surgery, it is quite easy.


    "Hey, Xiaochen has to choose a cardiology department. Now stents have become centralized procurement, and many people in our hospital are reluctant to do it." Lu Wenguo thought of his son, "It would be great if I chose a surgery department. !"


    Although Lu Chen is very good, he even won the first place in the national medical skills competition, because he has shown off many times in the department, but surgery does not look down on internal medicine, and internal medicine does not look down on surgery. This kind of "hostile" relationship seems to be innate.


    At this moment, Corey''s resident doctor Wu Yun suddenly shouted to Lu Wenguo


    "Director Lu, come and have a look!"


    Lu Wenguo was chatting with the nurse, when he heard Wu Yun''s voice, he came to a seat in the corner of the office.


    Wu Yun was holding a laptop at this time, his eyes were staring at the computer screen.


    "Xiao Wu, what''s the matter, I was shocked?" Lu Wenguo sat beside Wu Yun and asked in confusion.


    "Director, look at this."


    Wu Yun turned his head and pointed to the laptop screen.


    Lu Wenguo looked in the direction Wu Yun pointed with suspicious eyes.


    "This is the sub-match of the Huaxia Electrocardiogram Contest? Show me this?"


    "Director, look down!"


    Lu Wenguo''s eyes went down, and then his pupils shrank slightly.


    Because he saw a very familiar name!


    "This is... the live broadcast of the electrophysiology competition... Lu Chen of the Second Academy of Jinghua?"


    Wu Yun nodded.


    "Director, haven''t I been studying electrocardiography recently? There is a national electrocardiogram competition, and I am preparing to study hard. I saw that there are many sub-competition venues. I think this Xiaochen is not studying in Jinghua? Just click in and take a look, I just saw his name."


    Lu Wenguo was also a little surprised.


    "This is a competition between students?"


    Wu Yun hurriedly shook his head: "As long as you are a member of the Electrophysiology Society, you can participate in the competition, but now it''s the third round, and if you enter the top three, you can enter the national competition, so the current contestants are generally above the attending doctor, even There are also doctors at the deputy director level."


    "Then, this..." Lu Wenguo swallowed, "This should be the same name, right?"


    The name ??Lu Chen is too common, and it is estimated that there are thousands of people with the same name.


    "I don''t know." Wu Yun shrugged his shoulders, "I can only see the unit and name of the contestants. It shows Lu Chen of the Second Academy of Jinghua, and I can''t see any other information for the time being."


    Lu Wenguo took the mouse and clicked on the website a few times, and found that he really couldn''t see any information.


    "The game is over?"


    "It''s just over, the ranking hasn''t come out yet, it''s estimated to come out in a few minutes." Wu Yun said.


    "What is the ranking of this Lu Chen?"


    "Temporarily fifth, the top three in this competition can enter the national competition."


    Lu Wenguo nodded slightly, thinking of calling Lu Chen.


    But if it is really Lu Chen, the exam just finished over there, it may affect him.


    Lu Wenguo gave up the phone call after thinking about it, and then said to Wu Yun, "Don''t close this interface for now, and wait for the final result."


    "Okay, Director."


    ¡­


    Jinghua Second Hospital, the conference room of the teaching building.


    People feel that time passes so slowly, it is like living like a year.


    Suddenly, on the giant screen at the front desk, the real-time ranking was refreshed!


    "First place, Min Xiaobo, Jinghua Central Hospital, 92 points."


    "Second place, Fang Yi, Jinghua First Hospital, 87 points."


    "The third place, Lu Chen, Jinghua Second Hospital, 87 points."


    (end of this chapter)

 Chapter 290： two months

    Chapter 290 Two Months


    Lu Chen is the third place!


    According to the rules of this competition, he successfully advanced to the national competition!


    Jinghua Second Hospital, in the conference room of the teaching building.


    Everyone''s eyes widened with disbelief in their eyes.


    Lu Chen''s score is the same as Fang Yi''s second place score, both 87 points.


    However, since Lu Chen took the longest exam, he ranked third.


    So, if it wasn''t for the long exam time, Lu Chen would have been able to hit the second place!


    ¡­


    Cheng Guowen was both surprised and delighted.


    Lei Cui, who had high hopes, was named Luo Sun Shan.


    But Lu Chen, who was inconspicuous, suddenly emerged and won the third place!


    A first-year student won the third place in the ECG provincial competition...


    If you say it, who will believe it?


    Anyway, Cheng Guowen doesn''t believe it...


    However, if you don¡¯t believe it now, you have to believe it, because the facts are in front of you!


    The moment Li Yao saw the ranking, her whole person was stunned.


    Entering the national competition is not a big deal.


    She once also represented Jinghua in the national competition.


    However, at that time she was already a senior attending doctor, but now Lu Chen is just a "young".


    "Director Li, you taught an amazing student!"


    Cheng Guowen turned his head to look at Li Yao who was beside him, and couldn''t help but admire.


    Li Yao felt a trance.


    Lu Chen, it is indeed her student, but he has just come to the eighth district in his heart for three months!


    If he is a second or third graduate student, Li Yao can boldly admit that he taught him.


    But for Lu Chen, Li Yao couldn''t recall anything, what he taught him...


    At most, during the morning rounds, he asked a few perverted and rare questions.


    "Director Li, congratulations!"


    "Yeah, our second hospital of Jinghua is also considered to have a unique seedling, it has not been compared by Jinghua Central Hospital and Jinghua First Hospital..."


    "I was worried just now that the people from Jinghua No. 1 Hospital will come to mock us again. Fortunately, Lu Chen took the third place!"


    "Director Li Yao, your student Lu Chen, what year did he get it?"


    At this time, someone came up to ask Lu Chen what year it was.


    Because there are many people, they came to postgraduate entrance examination after working for many years.


    If this is the case with Lu Chen, on the surface he is a student of the first grade, but in fact he is an uncle in his thirties or forties, then there is no need to make a fuss.


    "If I remember correctly, Lu Chen should be 23 years old this year." Li Yao said softly.


    23 years old, which is the normal age for medical students to ¡°develop¡± to the first grade.


    When everyone heard this, they dismissed the idea that Lu Chen was an "older youth".


    He is a serious first grade student!


    In the ?? conference room, the only person who was a little embarrassed was Shi Qinghua, the deputy director of the first district in the heart.


    He looked at everyone''s congratulations to Li Yao, but he could only endure the displeasure in his heart and congratulated Li Yao.


    ¡­


    When Lu Chen walked out of classroom 303, he ran into Lei Cui in room 304.


    They don''t know their grades yet.


    "Hello Mr. Lei." Lu Chen greeted him.


    Lei Cui is the senior attending doctor of the Jinghua Second Hospital, much older than Sun Guoguo.


    As long as Lei Cui has enough scientific research results, she can be promoted to deputy chief physician immediately!


    "Well, hello." Lei Cui nodded in response.


    She had never met Lu Chen before, but she had occasionally heard that Lu Chen represented Jinghua Medical University and won the first place in the national skills competition.


    Although it is only a competition between students, it has expanded the influence of Jinghua Medical University to some extent.


    This made Lei Cui feel a little more favorable towards Lu Chen.


    The conference room of the teaching building is on the fourth floor.


    The two went upstairs together and entered the conference room.


    In the conference room at this time, everyone was quiet from the previous shock, waiting for the arrival of the two.


    ¡­


    Lei Cui just stepped into the conference room, and what he saw was Shi Qinghua''s serious old face.


    At this moment, she knew the result of her competition.


    Gone¡­¡­


    But when Lei Cui looked at Cheng Guowen, he found a slight smile on his face.


    This is...why?


    Lei Cui suddenly thought of something, took a step and looked at Lu Chen beside him.


    Shouldn''t it be him...


    Lu Chen saw Lei Cui stop and looked at her suspiciously.


    "Mr. Lei, what''s wrong?"


    "Nothing." Lei Cui shook his head.


    The one in front of her is a first-year graduate student, how could she have such an idea?


    The two came to the center of the conference room.


    Cheng Guowen''s gaze first swept over Lei Cui, and then stayed on Lu Chen.


    "Both of you have worked hard."


    Lei Cui captured Cheng Guowen''s small movements, did he really guess it?


    At this moment, Cheng Guowen smiled and said, "First of all, congratulations to Lu Chen, who achieved a good third place and successfully entered the national competition."


    As soon as the ?? voice fell, the entire conference room burst into warm applause.


    Except Shi Qinghua and Lei Cui, everyone else had bright smiles on their faces.


    "third?!"


    Lu Chen''s face showed joy.


    In this game, he has tried his best.


    To be honest, no matter what ranking he got, Lu Chen had no regrets.


    This third place result has far exceeded his original expectations.


    "Lu Chen, great work!" Li Yao gave Lu Chen a thumbs up.


    Li Yao, who has always been strict with her student, is not stingy with her praise.


    "The teacher taught well." Lu Chen smiled slightly.


    Flattered Li Yao in front of others.


    Although Li Yao also felt a little fake, it was still very useful.


    "Doctor Lei, you are fifth. Although it is a pity, there is only a few points difference. In fact, you are also fully qualified to participate in the national competition." Cheng Guowen comforted, "There are still many opportunities in the future, after all, the test... There are some uncertainties."


    Lei Cui could only nod silently, but she was actually guessing.


    Sure enough, Lu Chen passed by!


    He grabbed the last spot in the national competition.


    For her, Lu Chen is this uncertainty...


    "Thank you, Director Cheng." Lei Cui nodded, "I will continue to work hard."


    The facts are in sight.


    Lei Cui had no way to question.


    The results of the ?? test platform will be announced tomorrow.


    At that time, everyone''s answers will be published online, and no one can cheat!


    ¡­


    Within five minutes, Lei Cui and Shi Qinghua silently left the conference room, leaving only Lu Chen and other members of the Electrophysiology Society.


    "Director Cheng, when will the national competition start?"


    Lu Chen''s sudden question made others a little confused.


    Thinking of the national competition so quickly?


    National, that''s no joke.


    Compared with the national competition and the provincial competition, it can be said that there is a world of difference.


    Cheng Guowen thought about it and said, "About two months later, the national competition will be an offline event. You will definitely have to ask for leave at that time. This time the organizer is in Bingcheng. You are going to Bingcheng to participate in the competition."


    "Bingcheng in two months..." Lu Chen nodded slightly.


    There are still two months left, just taking advantage of this time, he can continue to improve his electrocardiogram and electrophysiology ability.


    (end of this chapter)

 Chapter 291： simulated surgery

    Chapter 291 Simulated Surgery


    The news of Lu Chen''s entry into the national finals of the ECG competition spread like wildfire.


    At the same time, he is also the only player from the Jinghua Second Academy to enter the final national competition.


    If it is said, the previous National Medical Skills Competition only let a small number of people know about Lu Chen.


    Now, in the entire Jinghua Second Hospital, especially in the ten wards of the Cardiology Department, everyone is talking about this first-year graduate student, Lu Chen.


    As a student, he entered the national finals of the electrocardiogram competition. I don¡¯t know if there are any comers. It is absolutely unprecedented.


    ¡­


    As soon as Lu Chen walked out of the teaching building of Jinghua Second Academy, he received a call from Lu Wenguo.


    "Xiaochen, you... have you entered the national finals of the electrocardiogram competition?"


    Lu Chen was stunned for a moment, then subconsciously said: "Ah, yes."


    But he suddenly remembered that he didn''t seem to have told his parents about this at all, did he?


    How does Dad know his grades?


    On the other end of the phone, Lu Wenguo''s pupils were focused, a little unbelievable.


    This "Lu Chen" is actually his own son!


    He just thought that it must be the same name!


    "Dad, how did you know?" Lu Chen wondered.


    "I saw the live broadcast of the game on the official ECG website..." Lu Wenguo swallowed, "I found someone named Lu Chen inside."


    This is incredible too!


    Xiaochen has just finished his first year of graduate school. In the competition with a group of attending and deputy chief physicians, he actually made it to the final national final!


    And listening to Lu Chen''s tone, he was very calm, not ecstatic as he imagined.


    "Oh." Lu Chen replied, "Dad, are you not going to work today? Are you free to watch the computer?"


    "At work, Wu Yun is watching with the computer." Lu Wenguo and Lu Chen explained a few words.


    However, Lu Wenguo''s mind was still full of shock.


    Lu Chen can calm down, but he can''t.


    "Xiaochen, the scale of your competition this time should be huge, right?"


    "Well, it''s quite big, national in nature, and everyone in the field of electrophysiology will participate. In two months, there will be offline competitions, and then I may go to Bingcheng." Lu Chen explained.


    "Bingcheng?" Lu Wenguo thought for a while, "You have a distant cousin who is in Bingcheng. When the time comes, I will give you his contact information. You can find him when you go to Bingcheng."


    "There are still two months, let''s talk about it then." Lu Chen chatted with his father and hung up the phone.


    ¡­


    hung up the phone.


    Lu Wenguo''s excitement finally couldn''t be suppressed!


    "Director Lu, Xiaochen, what did he say?" Wu Yun hurriedly stepped forward and asked.


    "He said that he was the one who took the test!"


    "Ah! It''s really him!" Wu Yun was astonished, and then he was speechless.


    He is a few years older than Lu Chen.


    After graduating from a bachelor¡¯s degree, he returned to work in Binh Duong Hospital.


    Not to mention this kind of national competition, even that kind of county and city level competition, he is not qualified to participate.


    But now Lu Chen has entered the national finals.


    "Director Lu, I remember you said before that Lu Chen won the first place in the National Medical Skills Competition?" Wu Yun whispered.


    Lu Wenguo nodded, "Yes."


    Wu Yun sighed, it''s really more popular than people!


    She lives in a second-class hospital, and Xiaochen has already set foot on the national stage.


    There was a trace of envy in his heart, and he was very unwilling.


    At this time, Lu Wenguo took out his mobile phone and hurriedly called his wife Luo Meizhen to tell her the great news.


    ¡­


    After ?? hung up his father''s call, Lu Chen''s mobile phone Wechat and phone calls continued.


    All are congratulatory messages from your classmates or teachers.


    After Lu Chen replied uniformly, he ignored it.


    Go back to the bedroom.


    Other people in the dormitory are still working, and Wang Zihao is hospitalized in general surgery.


    Lu Chen put down his backpack.


    His face had long since lost the excitement he had just learned of the results. At this time, Lu Chen was very calm.


    Now, he did make it to the national finals.


    But the process is very difficult!


    Maybe in the eyes of others, Lu Chen is already amazing.


    But in Lu Chen''s opinion, he has system support, and he wants to go further!


    If you lie flat, it is no different from salted fish.


    But when he thought of the national finals in two months, Lu Chen felt a little helpless.


    When the time comes, the contestants will all be the top few in each province, and it will definitely be a scene of fights between gods from all walks of life!


    Lu Chen wants to go further and the difficulty must be higher than the third round of this provincial competition!


    "Ding ding ding..."


    The audio call of the mobile phone WeChat suddenly rang.


    Lu Chen is still wondering, who will make a WeChat audio call for him?


    He picked it up and saw that his name was Min Xiaobo of Jinghua Central Hospital.


    He is also the first place in the third round of the provincial examination this time.


    "Hello, Doctor Min?" Lu Chen asked tentatively.


    "Well, Lu Chen, congratulations, you entered the national finals."


    On the other end of the phone, Min Xiaobo smiled.


    To be honest, he didn''t expect that Lu Chen would actually be able to break through the siege and enter the final national final with him.


    "Congratulations too, you are the first place in this competition." Lu Chen said.


    Min Xiaobo said with a smile: "Happy and happy. It is the first time that a graduate student has entered the national finals in the Huaxia ECG Competition. In addition, I made this WeChat call mainly to tell you that one of the national finals is a simulated surgery of electrophysiology. ."


    "Huh? Want to take an electrophysiological simulation surgery?" Lu Chen was taken aback.


    "Yes." Min Xiaobo said, "Through the third round of the provincial competition, you have also seen that a lot of knowledge is related to electrophysiology, including pacemaker implantation, radiofrequency ablation, etc... So in the national competition, there will be Relevant simulation of electrophysiological surgery.¡±


    Hearing this, Lu Chen''s face sank like water.


    He has only observed one electrophysiological operation so far.


    This national competition actually requires a simulated surgery test?


    Without the help of the system, it would be equivalent to directly sentenced Lu Chen to death!


    In fact, the national competition was originally prepared for doctors who were attending and above, and did not consider doctors who could not operate at all.


    "So let me remind you that if you decide to participate in the national competition, you''d better be mentally prepared." Min Xiaobo said.


    Prepare yourself mentally?


    Lu Chen smiled helplessly.


    He really did not expect that there are so many doorways in this national competition!


    "Doctor Min, thank you." Lu Chen said.


    "Hands up, I won''t tell you, the director on your side will tell you too."


    "Anyway, thank you." Lu Chen said.


    Min Xiaobo said a few words, then hung up the WeChat call.


    Lu Chen sat in the bedroom, and his thoughts entered the system panel.


    In the system mall on the second floor, the primary skill card for electrophysiological intervention only needs 1,000 gratitude points.


    To earn 1,000 gratitude points within two months, although it is not particularly difficult, you must allow enough time to practice.


    This is invisible, increasing the difficulty a lot!


    (end of this chapter)

 Chapter 292： without my name

    Chapter 292 Didn''t Bring My Name


    After staying in the bedroom for a while, Lu Chen went to the general surgery ward.


    Wang Zihao just had surgery today, and he still doesn''t know how he is doing.


    Lu Chen finished dinner in the cafeteria and went to the general surgery ward.


    Came to the general surgery ward.


    In the ward, Wang Zihao was lying on the bed, his face slightly pale.


    Seeing Lu Chen''s arrival, a smile appeared on his pale face.


    "Lu Chen, it''s really yours, so I''ll go straight to the national finals!"


    Wang Zihao also received news of Lu Chen''s promotion in the afternoon.


    "It''s okay." Lu Chen smiled and sat beside the bed, "Looking at your appearance, the surgery should be a success."


    "Well, the surgery area is a little sore."


    Wang Zihao performed laparoscopic minimally invasive surgery. The operation area is small and the recovery is fast. He should be able to be discharged tomorrow and the day after tomorrow.


    "Okay, you can take a good rest, and when you get back to the dormitory, let''s have a good meal." Lu Chen said.


    "Hey, I don''t dare to eat fatty food." Wang Zihao curled his lips, "These past two days, the meals my sister brought me were all bland and tasteless. They really didn''t contain any oil or water."


    ¡­


    While Wang Zihao and Lu Chen were chatting, the door of the ward was pushed open.


    Wang Ruoxi walked in with an insulated lunch box in her hand.


    She is wearing a white sportswear today, her hair is draped over her shoulders, and she is wearing a little makeup, and she looks extraordinarily pure and elegant.


    When Wang Ruoxi approached, Lu Chen could even smell the faint fragrance emanating from her body.


    "Sister, you are here." Wang Zihao whispered.


    "Yeah." Wang Ruoxi nodded, then looked back at Lu Chen, "You''re here again."


    Lu Chen nodded his head.


    "Sister, let me tell you, Lu Chen entered the finals of the National Electrocardiogram Competition!" Wang Zihao smiled.


    "Huh? He made it to the finals!"


    Wang Ruoxi was stunned for a moment, her beautiful eyes were full of stunned expressions.


    She knows the weight of this provincial competition.


    There are three rounds of competition in the province, and the top three players in the province are selected at the end.


    These top three will finally play in the national finals.


    The top ten in the country, and even have the opportunity to enter the electrophysiology training class!


    For Lu Chen''s achievement, Wang Ruoxi was completely unexpected.


    If it is another senior doctor in charge, then it¡¯s okay to say¡­


    However, this is a competition between a group of chief and deputy chief doctors!


    It is not easy for Lu Chen to rank among the top three.


    "Sister, Lu Chen is amazing!" Wang Zihao said with a smile, "He is the man of the year for our students."


    "Well, it''s quite amazing!" Wang Ruoxi nodded slightly, "At such a young age, you can actually enter the finals of the electrocardiogram competition."


    Lu Chen smiled and said nothing.


    He has received a lot of compliments now, and he is almost immune.


    If you are too modest, you will be called conceited by others.


    He could only silently receive praise from everyone.


    "Zihao, if there''s nothing else, I''ll go first." Lu Chen smiled.


    "Aren''t you going to sit for a while?" Wang Zihao said.


    "No." Lu Chen shook his head, "You haven''t had dinner yet, so you should eat it first. Not to mention that your sister is here and someone will take care of you, so I won''t accompany you."


    "Oh, that''s fine."


    Lu Chen smiled at Wang Ruoxi, and then left the ward.


    ¡­


    As soon as he walked out of the ward, Lu Chen felt that someone was following him.


    Looking back, it turned out to be Wang Ruoxi.


    "Is there something wrong?" Lu Chen stopped and asked suspiciously.


    "Hello Doctor Lu, first of all thank you for your help to Zihao." Wang Ruoxi smiled, "It''s only been a few days, you''ve come here several times."


    Lu Chen smiled: "They are all from the same dormitory, and the other two roommates have also been here."


    "Yes." Wang Ruoxi nodded slightly, "The other thing is that my heart is not feeling well recently, and I want to go to the hospital to have a look."


    Lu Chen looked at Wang Ruoxi in surprise.


    Her complexion was delicate and ruddy, and she didn''t look like a sick person at all.


    "Why is your heart uncomfortable?" Lu Chen asked tentatively.


    Wang Ruoxi paused for a while, and said, "Occasionally, I feel chest tightness. After each activity, this symptom becomes more obvious. Sometimes, there is a faint needle-like feeling in the chest."


    "Then you go to register tomorrow and go to the outpatient clinic." Lu Chen thought for a while, "My tutor will visit tomorrow, her name is Li Yao."


    The other party was a girl of the same age as him, so it was difficult for Lu Chen to check carefully.


    "Okay." Wang Ruoxi smiled, "Thank you Doctor Lu."


    She had planned to have a good physical examination, but this time she asked for leave to take care of Wang Zihao, so she happened to drop by for the examination.


    ¡­


    Leave the ward and go back to the bedroom.


    Tonight, Lu Chen did not continue to learn about electrocardiography.


    Several days of high-load operation put his spirit in a state of high tension.


    Lu Chen needs to rest for a few days to adjust his state.


    In the evening, Lu Chen also received a call from his mother Luo Meizhen.


    On the phone, Lu Chen inevitably chatted with his mother for a long time before dismissing her.


    ¡­


    was speechless all night.


    The next day.


    The first ray of sunlight in the morning shone into the bedroom, and Lu Chen finished washing up early in the morning and came to the department.


    He has not come to the department for two or three days, and all his patients have been entrusted to Sun Guoguo.


    Today, he is going to make rounds early to familiarize himself with the patient''s condition in advance.


    "Ke Yue, are you here so early?"


    As soon as he came to the department, Lu Chen saw Ke Yue sitting at the computer.


    "Yeah." Ke Yue waved at Lu Chen and replied listlessly.


    "What''s wrong?" Lu Chen asked in confusion.


    "I''m not in a good mood." Ke Yue pouted, still didn''t say the reason.


    "Your face is too dark? Too many patients?" Lu Chen said.


    "That''s not it, it''s you who has a dark face." Ke Yue frowned, "My face is very white! It''s the matter of Senior Sister Sasha''s paper recently, which made me very irritable."


    "Sister Sasha made you do a lot of work again?"


    "That''s not true." Ke Yue looked around and saw no one, so she said cautiously, "It was Sasha who sent the paper, but without my name, I did so much work for her... "


    Ke Yue''s expression was a little aggrieved.


    Lu Chen sighed, this is really hard to say.


    "Then whose name did she carry?"


    Ke Yue bit her lower lip lightly: "I don''t know, but I heard others say that those are from the laboratory and have a good relationship with Senior Sister Sasha."


    "Are you sure it''s the one you helped her complete?" Lu Chen asked.


    "Sure, I still have the manuscript there."


    "Which journal was it published in?"


    "I don''t know, but I know it''s a 2-point SCI journal." Ke Yue said.


    In an SCI journal, if she can carry Ke Yue''s name and be the second or third author, then she barely meets the graduation requirements.


    (end of this chapter)

 Chapter 293： your girlfriend?

    Chapter 293 Your girlfriend?


    Lu Chen frowned.


    How could Senior Sister Wang Shasha be so short-sighted?


    Ke Yue has done so much work, even if there is no second or third author position, it should be possible to bring a fourth or fifth author position?


    This has no effect on Wang Shasha.


    "Have you asked Senior Sister Sasha?" Lu Chen looked at Ke Yue with a depressed expression.


    "I asked, she said to wait for the next one to bring my name." Ke Yue shook her head slightly, "In this paper, all the work I did was mechanical, with no technical content, so she didn''t bring it with her. put my name on it."


    "Want to wait for the next one?" Lu Chen frowned, "You mean, you still want to continue to help Sister Sasha?"


    "I... I haven''t made up my mind yet." Ke Yue bit her lower lip lightly.


    For a student who has just entered the first year of graduate school, it is undoubtedly a good thing to have senior brothers and sisters leading them to do scientific research.


    But for Ke Yue, Wang Shasha has already "pit" her once.


    "If she continues to say that next time, what will you do?" Lu Chen asked in return, "Stupidly waiting for the next time?"


    "I don''t think so..." Ke Yue paused, "Senior sister has already promised me."


    Lu Chen was quite helpless when he heard this.


    "Are you really willing to be a free labor force?" Lu Chen said helplessly, "You usually spend so much time, are you willing to do this? There is nothing in the signature of the paper?"


    Ke Yue sighed: "What else can be done, we just came here."


    In Jinghua Second Academy, most of them are graduate students and regular trainees.


    Now it is not only free labor for clinical, but also free labor for scientific research!


    For a while, Lu Chen didn''t speak.


    He thought of his previous clinical research skill card.


    If it wasn''t for the electrocardiogram contest, he should have completed most of his project by now.


    After a long while, Lu Chen slowly said, "Ke Yue, if you come and follow me, help me record the data and post the paper, I will definitely give you a name."


    "Huh? You?" Ke Yue looked at Lu Chen in surprise.


    Lu Chen is excellent, there is no doubt about that.


    It has only been a few months since he came to the department, and Lu Chen has already become a well-known presence in the entire cardiology department.


    From the very beginning of the National Medical Skills Competition to the current Electrocardiogram Competition.


    The name ??Lu Chen was already known by most people in the Second Hospital of Jinghua.


    However, medical skill operation and electrocardiogram should be regarded as clinical work.


    Clinical and scientific research cannot be compared!


    Lu Chen''s clinical practice is very good, but scientific research is not necessarily so.


    "Why, don''t you believe me?" Lu Chen smiled.


    Ke Yue hurriedly said, "I don''t believe it, Lu Chen, have you done scientific research before?"


    Lu Chen shook his head: "No."


    "Have you published any papers?"


    "nor."


    "Then you..." Ke Yue paused before continuing.


    But the implication is that he doesn''t trust Lu Chen.


    A person who has never done any scientific research work is really a black eye.


    Perhaps, Lu Chen will be very powerful in the future.


    But with Lu Chen now, that''s definitely not possible!


    Lu Chen smiled and said, "Ke Yue, I am preparing my own scientific research project and will start recording data soon. I sincerely invite you to help me with my work."


    "Are you preparing your own subject?" Ke Yue was taken aback.


    He is so busy every day, where does he have time to prepare for his own projects!


    "Just a question, do you want to follow me?" Lu Chen laughed.


    Ke Yue didn''t reply immediately, he hesitated for a while, then slowly said, "What kind of work are you doing?"


    "Clinical research is not basic research. Regarding heart failure, it is mainly to study the prognosis of patients with heart failure and certain factors."


    "This... well, I''ll do it with you!" Ke Yue hesitated.


    Hearing Ke Yue''s affirmative answer, Lu Chen was also taken aback, "Are you sure?"


    "Sure!" Ke Yue nodded.


    Lu Chen smiled and said: "Well, I will send you my topic tonight, and I will also tell you some things that need to be done in the early stage. When the time comes, we will have the data. The two of us will add up. You can also mention it. Comments."


    "Well, no problem." Ke Yue said.


    Lu Chen didn''t ask Ke Yue why she chose her.


    Ke Yue is a diligent person, maybe not smart enough, but hard enough.


    Lu Chen didn''t want to see her always subject to Senior Sister Wang Shasha and become her free labor force.


    So, Lu Chen just wanted to pull her.


    As for why Ke Yue chose Lu Chen...


    If Lu Chen said that her subject was basic scientific research, she would definitely not agree easily.


    Basic scientific research, without a strong experimental ability and theoretical foundation, no matter how much work is done, it will be useless.


    Clinical research is relatively closely related to clinical work.


    Lu Chen may really be able to make it, and Ke Yue is betting too!


    ¡­


    In the morning, the eight districts in my heart are handed over.


    Lu Chen followed Sun Guoguo to check the room.


    Two of the patients in his bed were discharged, and two new patients came in.


    One of them is going to do electrophysiological surgery and the other is going to do coronary angiography.


    "Ding ding ding..."


    The ?? WeChat alert sounded, and Lu Chen picked up his phone to take a look.


    is a message from Wang Zihao.


    "Lu Chen, my sister said she would come to the Cardiology Department for a check-up. She will add your WeChat later, you agree!"


    Lu Chen remembered what Wang Ruoxi said yesterday, and immediately replied, "No problem."


    As soon as he closed the dialog with Wang Zihao, he received a friend verification message.


    Her avatar is a cartoon character, Lu Chen is somewhat familiar, but he called out his name.


    Her nickname is very straightforward, just called Wang Ruoxi.


    Lu Chen directly clicked pass, and a message popped up on the chat panel.


    "You have added Wang Ruoxi, you can start chatting."


    Within a minute, Wang Ruoxi sent a WeChat message.


    "I have already issued a hospitalization certificate in the outpatient clinic, and I will be hospitalized in the eight districts of my heart immediately."


    Lu Chen immediately replied: "Okay."


    Wang Ruoxi is really a hot girl. Yesterday, she said she came to check, and she came early this morning.


    ¡­


    Eight districts in the heart.


    Wang Ruoxi took the elevator to the eighth district in his heart on the eighth floor.


    The furnishings and decoration of the entire ward are relatively old.


    Each ward has four beds, and even eight beds in large wards.


    Wang Ruoxi frowned.


    The hardware facilities of the eight districts in the heart are completely unable to match its status in the realm of the heart.


    came to the nurse''s desk.


    Wang Ruoxi took out her hospitalization certificate and handed it to the nurse on the nurse''s desk.


    "Are you hospitalized yourself?" The nurse looked at the beautiful girl in front of her in surprise.


    Cardiology departments are generally old men and old ladies, and there are few young girls.


    "Yes." Wang Ruoxi nodded.


    "Oh, wait...you are a patient of the director''s team." The nurse on the main shift quickly arranged a bed for Wang Ruoxi, "Go to bed number 15 first, and I''ll call the doctor to see you right away."


    "That... I already told Dr. Lu Chen, please go and tell him." Wang Ruoxi said.


    "Are you Lu Chen''s friend?" The head nurse looked up at Wang Ruoxi.


    A very beautiful little girl with a good figure. Could it be Lu Chen''s girlfriend?


    "Yes." Wang Ruoxi nodded.


    "Okay, then wait a moment, I''ll call Lu Chen out." The nurse on duty smiled and walked towards the doctor''s office.


    ¡­


    Eight districts in the heart, the doctor''s office.


    Lu Chen was revising his medical records when Nurse Liu, who was in the main class, walked in.


    "Lu Chen, a friend of yours has come to the hospital!" Nurse Liu shouted loudly while standing at the door of the office.


    Lu Chen quickly turned his head and said, "Okay, I''ll be here soon."


    Nurse Liu approached Lu Chen, lowered her voice a little, and handed the hospital certificate to Lu Chen.


    "Lu Chen, she''s a very beautiful girl, is your girlfriend?"


    Although Nurse Liu''s voice was already low, the people around still heard these words and turned to look at Lu Chen.


    This is big news!


    Everyone is worried that there is no gossip in Corey!


    Lu Chen''s expression froze, and he quickly waved his hand: "Mr. Liu, don''t talk nonsense, she is my roommate''s sister."


    "Oh, I understand." Nurse Liu looked like someone who came over.


    Just when Lu Chen wanted to continue his explanation, suddenly, there was the sound of hurried footsteps outside the ward.


    Then, a young nurse ran to the door of the ward.


    "The doctor of the chief team, go and see the 16th bed, she is sick again!"


    I''ve been busy all day, I didn''t go home until 9:30, and it''s an update today. Make it up tomorrow!


    (end of this chapter)

 Chapter 294： mysterious and fascinating

    Chapter 294 Mysterious and fascinating


    When Lu Chen heard the words, his heart tightened and he ran out of the office immediately.


    The condition of the 16-bed patient has been recalled in his mind.


    Bed 16 is a female patient with coronary heart disease and heart failure. She has been in the eighth district of the heart for five days.


    But with repeated heart failure attacks, a lot of diuretics have been used, and the symptoms are still on and off.


    "Junior Brother Wei, hurry up to District 7 and call Senior Sister Guoguo back!" Lu Chen turned his head and said to Wei Zhongwen.


    The chief teaching secretary of the Cardiology Department was in District 7, and Sun Guoguo happened to go to District 7 next door to hand in a document.


    "Okay!" Wei Wenwen nodded, turned his head and ran towards the inner seven districts next door.


    Lu Chen took the lead, Ke Yue and Jiang Qingyan followed behind him.


    ¡­


    Wang Ruoxi found bed number 15, put down her small bag, and began to look at the ward.


    This is a female ward.


    The two beds of the narrator are old ladies in their sixties.


    Wang Ruoxi sat on the edge of the bed and looked around.


    The environment of the ward is a bit bad, far from other hospitals of the same level.


    The decoration and furnishings are too old. If it weren''t for the high level of the Cardiology Department of Jinghua Second Hospital, the number of patients would certainly not be too many.


    At this time, she suddenly found that the 16-bed old lady next to her was restless.


    To make matters worse, she has no family to accompany her.


    Wang Ruoxi frowned and asked softly, "Mother-in-law, what''s wrong with you?"


    The 16-bed old lady turned her head to look at Wang Ruoxi, opened her mouth, and wanted to speak, but she couldn''t say anything.


    Wang Ruoxi found that the old lady was in a strange state.


    She opened her mouth wide to breathe, her breathing was very rapid, and fine sweat broke out on her forehead.


    A pair of wrinkled old hands, waving constantly.


    Wang Ruoxi is also a medical professional.


    She immediately sensed that something was wrong with the patient, hurried to the patient''s bedside, and rang the emergency pager.


    "Mother-in-law, how do you feel?"


    "I... bored..."


    The old lady popped a few words out of her mouth intermittently.


    "Is it an acute heart failure attack?"


    Wang Ruoxi frowned, hurriedly walked to the head of the bed, shook the bed to a 45¡ã angle, and then said to the family members of the patient in the other bed, "Go and call the doctor and nurse."


    Although the emergency pager has been pressed, ordinary patients usually cannot distinguish between ordinary calls and emergency calls, and they are usually mixed up, so even if the nurse hears the alarm sound of the emergency call, they will not rush over.


    The family members who were watching the fun also understood that something was wrong.


    A man immediately ran out of the house, then opened his throat and called for a nurse.


    At this time, the old lady''s breathing rate is getting faster and faster, her lips are cyanotic, and the heart rate on the bedside ECG monitor is 130 beats/min.


    Even after shaking the head of the bed, the patient''s symptoms did not change in the slightest.


    Just after Wang Ruoxi was at a loss, Lu Chen arrived with Ke Yue and Jiang Qingyan.


    The nurse on duty also ran into the ward with the first aid kit.


    ¡­


    "Quickly push 40mg of furosemide! Open another intravenous channel."


    Walking into the ward, seeing the patient''s panting symptoms, Lu Chen immediately judged the patient''s condition.


    Combined with the patient''s condition, nine out of ten patients have acute heart failure.


    Acute heart failure usually comes from the sudden onset of chronic heart failure, and the fatality rate is very high.


    Moreover, the patient''s current HP is only 42, suggesting an extremely dangerous situation.


    "Mr. Liu, urgently check the patient''s blood, including blood routine, biochemistry, blood gas, and myocardial enzymes!"


    While auscultating the patient, Lu Chen gave the order without hesitation: "Junior Brother, take the patient''s blood pressure and do an electrocardiogram."


    "Brother, the patient''s blood pressure is 192/120mmHg, and the blood pressure is symmetrical on both sides."


    The patient immediately said: "Mr. Liu, add another set of Nippon."


    "receive!"


    ¡­


    Lu Chen was orderly directing the rescue, and the patient''s symptoms of breathing difficulties gradually improved.


    Blood pressure dropped to 165/98mmHg, heart rate also dropped to 102 beats/min.


    Wang Ruoxi on the side watched this scene curiously.


    A graduate student presided over the entire rescue, which is really extremely rare.


    Although Sun Guoguo came to the ward soon, most of the first rescue was led by Lu Chen.


    When an ordinary graduate student encounters such a scene, although he will not panic, it is extremely rare to quickly judge the patient''s condition and issue an accurate doctor''s order.


    The strangest thing is that the nurses around are very cooperative.


    The nurses in the provincial tertiary hospitals are slightly older, and generally do not take the newly arrived resident doctors or graduate students seriously.


    When faced with this kind of rescue, he would definitely not easily follow the advice of a first-year graduate student.


    But the group of nurses just now followed Lu Chen''s doctor''s orders very much.


    And looking at it like this, there must be a lot of rescues that Lu Chen participated in in the past.


    Wang Ruoxi was also from the medical system, so she was surprised by this situation.


    There are very few graduate students who can reach the level of Lu Chen.


    ¡­


    After about ten minutes, the patient''s symptoms gradually subsided.


    Symptoms of acute heart failure gradually disappeared.


    "This heart failure has an attack, and it may be that the patient''s blood pressure is not well controlled, or the fluid intake is usually restricted."


    Lu Chen pointed to a large water glass by the patient''s bed.


    In patients with heart failure (heart failure), the function of the heart is no longer good.


    The heart is a function of pumping blood, and now it cannot pump blood.


    If you take in a lot of fluids, the fluid in the blood circulation will increase, the burden on the heart will increase, and chronic heart failure may have an acute attack.


    Therefore, patients with heart failure generally need to strictly control the intake of fluids, and it is best to maintain a negative balance of the body.


    At this time, the patient''s family members also arrived.


    Sun Guoguo immediately communicated with the patient''s family. This kind of seriously ill patient needs 24-hour family care.


    Once the patient''s condition changes, they can be informed at any time.


    ¡­


    "Thank you." Lu Chen stood at the head of the 15th bed, smiled and said to Wang Ruoxi, "If you hadn''t found out in time, we might not have been able to treat it in time."


    Wang Ruoxi nodded slightly, then raised her brows and looked at Lu Chen: "Are you really a researcher?"


    She knew that Wang Zihao and Lu Chen shared a dormitory, and everyone should be freshmen of the first grade.


    But judging from the performance of the rescue today, Lu Chen doesn''t look like a student of the first grade, but like an attending doctor who has been in the clinic for a long time.


    "Yes, what''s wrong?" Lu Chen wondered.


    "Nothing, I''ll just ask."


    Wang Ruoxi smiled, looking at the smile of this sunny boy in front of her, she suddenly moved in her heart.


    Lu Chen''s body seemed to be covered with a thin veil, very mysterious and fascinating.


    "Oh, yes, I''m about to see you." Lu Chen smiled, "I just came to ask about your medical history."


    "Well, okay." Wang Ruoxi nodded slightly, and then lay on the hospital bed calmly.


    Looking at her movements, Lu Chen was slightly taken aback, is this preparing for the physical examination?


    He suddenly remembered that Wang Zihao had said that her sister once also studied medicine, but she did not choose to be a doctor after graduation.


    (end of this chapter)

 Chapter 295： I didnt do anything!

    Chapter 295 I didn''t do anything!


    The condition of the 16-bed patient stabilized, so Lu Chen stayed by the 15-bed and asked about Wang Ruoxi''s medical history.


    Because Wang Ruoxi used to be a medical-related person, the process of Lu Chen asking about his medical history was relatively simple.


    Wang Ruoxi understands very well, as long as Lu Chen mentions it, she can quickly answer the corresponding question.


    But Lu Chen was also very cautious to avoid being led astray by Wang Ruoxi.


    Especially this kind of person who doesn''t understand but can easily bring in his own subjective factors.


    ¡­


    After ?? inquired about the medical history, Lu Chen summarized Wang Ruoxi''s disease process.


    She has been experiencing intermittent pain in the chest area in the past month, which is a tingling sensation in the front chest.


    The back was dull pain for the first two days, and then turned into a tingling pain.


    Each time the pain lasts no more than 1 minute, sometimes the chest and back are painful at the same time, and sometimes only the back is painful.


    The pain is accompanied by nausea and retching. Pain time is irregular.


    The interval between the two pains before and after the pain became shorter, and the shortest was 5 minutes.


    ECG, because the pain time is too short, Wang Ruoxi has only done one ECG during pain.


    The ECG after the pain was consistent with the ECG at the time of pain, and no obvious abnormality was found.


    ¡­


    After taking the medical history, a routine physical examination is performed.


    Lu Chen first sterilized his stethoscope, auscultated Wang Ruoxi''s heart and lungs, and then performed a simple abdominal examination, and found nothing abnormal.


    "This is the blood I went to the emergency department to check when I got sick." Wang Ruoxi took out a stack of medical records in her bag.


    Lu Chen reached out and took it. This was seen in the emergency department of Jinghua Second Hospital.


    When there is chest pain, the emergency blood test results show that blood routine, liver function, renal function, myocardial enzyme spectrum, etc. are all normal.


    After ??, Wang Ruoxi also checked the chest + full abdomen CT, and the results showed no obvious abnormality.


    In addition, the ultrasound of the abdominal great vessels, heart, and neck vessels was perfected, and no obvious abnormality was found in the results.


    Lu Chen frowned slightly after reading all of Wang Ruoxi''s examination results.


    These inspections she has done are already very detailed and comprehensive.


    But all the checks, all are normal!


    "Doctor Lu, to tell you the truth, I saw a doctor in your cardiology outpatient clinic, and most doctors said that I was not sick." Wang Ruoxi smiled bitterly, "But I just felt a pain in my chest, and it didn''t improve much. "


    Lu Chen paused, then looked up at Wang Ruoxi on the bed: "If you just pass these inspection reports in your hand, you are indeed fine."


    "Really?" Wang Ruoxi looked a little lost.


    Not sick, of course a good result.


    But she can really feel her chest pain. This chest pain is physical pain, not caused by mental tension.


    "but¡­¡­"


    Wang Ruoxi heard these two words in Lu Chen''s mouth, a glimmer of hope flashed in his eyes.


    "but what?"


    Lu Chen said sternly: "But it cannot be ruled out that you have other diseases that have not been found in other areas."


    "Doctor Lu, can you tell me more about it?"


    Although Wang Ruoxi has studied medicine, she has never really been a doctor after all.


    When it comes to professional knowledge, she only knows a little bit about it.


    Lu Chen thought about it and said: "We generally need to improve the relevant examinations, such as the examination of the heart, lungs, digestive tract, aorta, etc., consider whether there is herpes zoster, pleurisy, intercostal neuralgia, costochondritis, etc., and exclude the above For organic diseases, considering whether there are mental and psychological factors such as anxiety and mental stress, benign chest pain or cardiac neurosis can be considered. Of course, about 30% of chest pains cannot be found!"


    Hearing Lu Chen''s words, Wang Ruoxi nodded


    Her chest pain lasted for a long time,


    Many doctors saw the report in her hand and said she was not sick.


    How to say, such an answer will make her even more anxious.


    Because she knew that this kind of pain has affected her daily life, it is definitely not such a simple thing.


    But without finding any reason, this kind of unease is very uncomfortable.


    At this time, Lu Chen was holding the inspection report in his hand.


    Looking at the HP on Wang Ruoxi''s head, it shows 75!


    "There shouldn''t be any major problems." Lu Chen thought.


    For such female patients in their twenties and thirties, some patients do experience persistent chest pain.


    Although Lu Chen has little clinical experience, he has seen a few cases.


    This patient, in most cases, is a benign form of chest pain, or cardiac neurosis.


    However, the doctor can''t just kill the patient with a stick, saying that the patient is not sick.


    This can lead to a state of extreme boredom and resistance in the patient.


    "Doctor Lu, do you think it is necessary for me to do a coronary CTA or coronary angiography?" Wang Ruoxi suddenly asked again.


    Lu Chen shook his head: "No need! Although coronary CTA is a non-invasive examination, a small amount of contrast agent must be injected. Coronary angiography is a invasive examination. In your current state, there is absolutely no need to do it. These two kinds of tests, but you can do several electrocardiograms frequently during each attack, which is the most economical, convenient, and can understand the state of the heart."


    With the continuous development of medical technology, coronary angiography interventional procedures are also rapidly improving and innovating.


    Many large hospitals have the conditions for daytime angiography, which means that a coronary angiography can be done directly in the outpatient department, and you can be discharged on the same day.


    More and more people just do coronary intervention for the sake of convenience.


    thereby neglecting coronary intervention, which is an invasive examination.


    Invasive examination, as the name suggests, has certain trauma to the human body.


    Even, there are many complications that are irreversible and permanent damage.


    Unless coronary heart disease is suspected, or coronary heart disease is ruled out, this interventional treatment of coronary angiography is recommended.


    A young woman like Wang Ruoxi does not have any high-risk factors for coronary heart disease, and the chance of a patient having coronary heart disease is very small!


    "Doctor Lu, I''ll listen to you." Wang Ruoxi smiled and looked at Lu Chen.


    Maybe it was because Wang Ruoxi always mentioned Lu Chen''s excellence in front of him these few days, and he witnessed the whole process of Lu Chen''s rescue, and after the first consultation, Wang Ruoxi believed Lu Chen''s judgment very much. .


    "Well, if you are really worried, you can do an exercise treadmill test to rule out coronary heart disease." Lu Chen said.


    Exercise treadmill test is to let patients exercise on a treadmill (similar to treadmill) according to a set plan.


    Increase the burden on the heart, and monitor the ECG and blood pressure changes in real time during exercise.


    It is a simple, non-invasive and inexpensive auxiliary examination method commonly used in cardiovascular medicine.


    However, because the exercise treadmill test has certain risks, many small hospitals do not have this test.


    "Okay, I''ll listen to you." Wang Ruoxi pursed her lips and smiled.


    At this time, Lu Chen noticed that a prompt popped up in the system panel.


    "Congratulations, +1 for receiving a thank you from Wang Ruoxi!"


    After receiving this prompt, Lu Chen suddenly felt a little strange, I haven''t done anything yet!


    Wang Ruoxi just started to thank him?


    I still owe a chapter, I will update it tomorrow


    (end of this chapter)

 Chapter 296： True fragrance warning

    Chapter 296 True Fragrance Warning


    Clinical work is the same, and some are very boring.


    However, in addition to clinical work today, Lu Chen also helped Wang Zihao collect patient data.


    He had promised Wang Zihao before to assist him in preparing for the project.


    There are three requirements for professional graduate students to graduate from Jinghua Second Academy.


    First, publish at least one Chinese core paper. Of course, if you want to publish a SCI paper or a Chinese series of papers, it''s definitely better!


    Second, complete a research project on your own and write a thesis. This paper does not need to be published publicly, it would be better if it could be published.


    Third, complete the training rotation plan and pass the final exam.


    Among them, there is no time limit for papers to be published.


    However, for the project research that is completed alone, the topic will be opened during the first year of research, and the topic will be closed before graduation, and the graduation thesis will be submitted.


    Therefore, many freshmen of the first year of graduate school will start preparing for the project in the first semester of the graduate school.


    ¡­


    morning.


    After Lu Chen finished his work, he began to record some data for Wang Zihao.


    Wang Zihao doesn''t need much data, but it still takes some effort to find it.


    Lu Chen found a quiet corner, turned on the computer, and began to compare the data carefully.


    It took ?? a morning for Lu Chen to be familiar with the entire data collection process.


    By the afternoon, there were no newly admitted patients.


    Lu Chen concentrated on continuing to collect data.


    On the other side, Wang Ruoxi delivered meals to Wang Zihao at noon. In the afternoon, he came to the eighth district of the Cardiology Department, took the checklist, and went to do the exercise treadmill test.


    "The result of the exercise treadmill test is normal."


    After Wang Ruoxi finished the examination, Lu Chen got the results soon.


    shows that everything works!


    "Well, at your age, combined with the treadmill exercise test, coronary heart disease has been ruled out." Lu Chen said.


    Wang Ruoxi looked at the report sheet in her hand and felt a little calm in her heart.


    "Wait until tomorrow to complete some other inspections, and then see what''s going on."


    "OK."


    From a preliminary point of view, Wang Ruoxi''s inspection reports are all normal.


    She is probably just a benign chest pain or cardiac neurosis.


    ¡­


    Back to the bedroom at night.


    Lu Chen sorted out the data he had collected for Wang Zihao.


    "About 3/4 of the data left..."


    After Lu Chen figured out the doorway, the speed of collecting data is very fast. It is estimated that in three or four days, he will be able to help Wang Zihao complete anything.


    thought of what he promised Ke Yue this morning.


    Lu Chen recalled the topic he had done from the computer - Dapagliflozin to prevent the occurrence of early heart failure in patients with acute myocardial infarction.


    That''s right, Dapagliflozin, a hypoglycemic drug!


    Lu Chen previously recommended his cousin Li Huiyan to use this drug to lose weight.


    Dapagliflozin is the world''s first sodium-glucose co-transporter 2 (SGLT2) inhibitor.


    In addition to lowering blood sugar, it has many functions, including protecting kidney function, reducing urinary protein, and even treating heart failure.


    In the latest heart failure guidelines, dapagliflozin has been regarded as a must-have drug for heart failure treatment!


    This also means that whether you have diabetes or not, you can use dapagliflozin to treat heart failure!


    Lu Chen''s topic was also inspired by this recent guide.


    Since dapagliflozin can treat heart failure, can it prevent heart failure caused by myocardial infarction in advance?


    As the saying goes, take precautions before they happen.


    If the disease can be strangled in its cradle, it must be the best choice!


    As a result, Lu Chen thought of his own topic - dapagliflozin to prevent the occurrence of early heart failure in patients with acute myocardial infarction.


    In addition, he also read many domestic and foreign literatures, but did not see any similar research.


    This fills the research gap at home and abroad!


    ¡­


    Although Lu Chen believed in Ke Yue, but in order to prevent the content of the subject from leaking.


    Lu Chen sent a small part of his research to Ke Yue.


    What Ke Yue needs to do for Lu Chen is very simple, that is, collect patient information, and then collect blood!


    First collect the patients with myocardial infarction who have used dapagliflozin, use this as the baseline for blood collection, and then regularly notify the patients to come to the hospital for re-examination.


    The final conclusion is drawn by comparing the conditions of patients who use dapagliflozin and those who do not use dapagliflozin, and follow up the cardiac function status of patients.


    Jinghua Second Hospital, Guiping Building.


    Ke Yue received an email from Lu Chen.


    There is not much collected in it, but the whole process is relatively cumbersome.


    The most important thing is that the whole subject needs a long follow-up period, at least four to six months.


    "Xiao Yue, there are a lot of things you have to help with your classmate!"


    Ke Yue''s roommate Wang Xiaoping is also a graduate student of Cardiology this year, but he is a student in the second district.


    "Your senior sister asked you to help you with so many things, but you didn''t get anything in the end. Now you have changed to this classmate. You have to eat a lot and grow smarter!" Wang Xiaoping sat next to Ke Yue, muttering. a sentence.


    Ke Yue paused and said, "Xiaoping, I know you are doing it for my own good, but this time I took the initiative to agree."


    "Hey, it''s very troublesome to collect so much data." Wang Xiaoping frowned.


    "It''s less than what my senior sister asked me to do before." Ke Yue suddenly said, "Do you know who my classmate is?"


    "Who is it?" Wang Xiaoping asked curiously.


    "Lu Chen..."


    When Ke Yue said the name, Wang Xiaoping was taken aback.


    "Ah? It''s Lu Chen!"


    A look of surprise flashed in her eyes.


    is the man of the Jinghua Cardiology Department!


    Not only won the champion of the National Medical Skills Competition on behalf of Jinghua Medical University, but also entered the national final of electrocardiogram!


    Although Wang Xiaoping had never met Lu Chen, he was tired of hearing his name.


    "This Lu Chen''s topic?" Wang Xiaoping asked again.


    Ke Yue nodded: "Yes."


    "Then...Xiao Yue, or tell Lu Chen, I can also help collect data together!"


    Wang Xiaoping''s sudden words made Ke Yue stunned.


    ah? Isn''t this really fragrant warning?


    "Xiaoping, didn''t you just say that this data is too much..."


    Wang Xiaoping interrupted Ke Yue immediately.


    "Oh, there''s a lot of data, so it would be much more convenient if the two of us collected it together."


    Ke Yue smiled, "You made me reject it just now."


    "Then what... I didn''t know you were talking about Lu Chen!" Wang Xiaoping shrugged, "If I knew it was Lu Chen, I wouldn''t say that."


    "But Lu Chen didn''t do any scientific research before, in case our efforts are useless..." Ke Yue reminded.


    The roles of Ke Yue and Wang Xiaoping seem to have changed suddenly!


    Wang Xiaoping put his right hand on Ke Yue''s shoulder and said with a smile, "Don''t worry, a person as good as Lu Chen would make himself useless?"


    "That makes some sense..." Ke Yue nodded slightly.


    ¡­


    Lu Chen, who was in the bedroom at this time, received a reply from Ke Yue.


    "Hey, Ke Yue wants his roommate to help too?" Lu Chen smiled, "I''m worried about too much data, I can''t finish it all by myself!"


    Clinical research is not as sophisticated as basic research, and requires a large sample size.


    The general clinical project team has a large team.


    This project of Lu Chen, if he wants to complete it alone, it must be hard enough.


    He quickly replied to Ke Yue.


    "You can let your roommates join together, and then you can meet and get to know each other."


    However, the more participants, the better. Lu Chen currently controls the number of people in his research group to less than three.


    (end of this chapter)

 Chapter 297： Emergency department, here I come!

    Chapter 297 Emergency Department, here I come!


    After four days, Lu Chen helped Wang Zihao record all the subject data.


    Wang Zihao was also discharged from the general surgery two days ago, and he has changed back to the lively and vigorous him!


    And Wang Ruoxi also further improved other aspects of the inspection.


    All her test results are basically normal!


    Finally, under the personal diagnosis and treatment of Li Yao, the diagnosis of cardiac neurosis was considered.


    This disease is generally seen in patients around the age of 20-50, and it is more common in women.


    is often caused by work pressure and anxiety.


    It usually gets better after a period of recuperation.


    Li Yao gave Wang Ruoxi a few boxes of drugs for myocardial nutrition and function, and then let her out of the hospital.


    Wang Ruoxi during the entire hospitalization process, Lu Chen received a full 8 points of gratitude.


    This shocked Lu Chen for a long time.


    It was the first time he had received so much gratitude from a patient.


    Before leaving the hospital, Wang Ruoxi said to Lu Chen, "Doctor Lu, next time I encounter any problem, I will ask you on WeChat, please don''t disturb me?"


    Lu Chen nodded quickly: "Don''t disturb."


    She is Wang Zihao''s older sister, and she has given herself so much gratitude, of course Lu Chen will not refuse.


    ¡­


    Near the end of November.


    Lu Chen entered the department in August, almost four months had passed.


    The rotation time of the cardiology department is almost over.


    According to Lu Chen''s rotation schedule, his next department is the legendary emergency department!


    This is the department that everyone hears about.


    Today is the last day for Lu Chen to stay in the eight districts of his heart.


    Lu Chen handed over all his patients to Sun Guoguo.


    Sun Guoguo, as a superior doctor, is of course very reluctant.


    With Lu Chen as a capable assistant, she can save a lot of time and energy.


    Now not only Lu Chen is leaving, but Ke Yue and Jiang Qingyan are leaving.


    A new batch of graduate students will be admitted.


    At that time, Corey will be playing around for another week, and the situation will gradually improve when the new students are familiar with the work process.


    However, the only thing to be thankful for is that Fan Zhiping still stayed in the eight districts of his heart.


    Fan Zhiping is not like other training doctors, he is a capable person!


    Doctors like them who have advanced training are all professional counterparts who will stay in the Cardiology Department for a year.


    Fan Zhiping also had to sigh that time passed quickly.


    Being by Lu Chen''s side, his progress was extremely fast, and the basics could catch up with his learning efficiency in the past few years.


    Now that Lu Chen is going out for a spin, Fan Zhiping is also a little reluctant to part.


    "Junior brother, which teacher group in the emergency department do you want to go to?" Although Sun Guoguo was reluctant, she still had to accept this reality, "If you have any needs, you can tell me, I am quite familiar with the teaching secretary of the emergency department. It''s time to let her help you arrange a good group."


    Newly admitted students are randomly divided into groups.


    Of course, if there is some relationship, you can still enter some easier groups.


    "Thank you, Senior Sister." Lu Chen smiled, "I''ve been to the emergency room, and the teachers there are all ok, so feel free."


    "Well, that''s fine, if you three have anything to do, you can come to me at any time in the eight districts in your heart." Sun Guoguo said to Lu Chen, Ke Yue, and Jiang Qingyan.


    Lu Chen, Ke Yue, and Jiang Qingyan have different rotation plans.


    Lu Chen went to the emergency department, Ke Yue went to the gastroenterology department, and Jiang Qingyan went to the respiratory department.


    The only person who has the same rotation plan as Lu Chen is Fatty Cheng Pengcheng, who is also in the eight districts in his heart.


    Cheng Peng is of course very happy.


    Being able to rotate with Lu Chen is definitely a "reassuring" thing.


    ¡­


    At half past five in the afternoon, I got off work.


    Lu Chen ended Yanyi''s rotation in the Cardiology Department.


    When he came to the cafeteria, Lu Chen saw Zhou Wei with a depressed face.


    Zhou Wei played a lot of hard vegetables today, including fish and meat.


    But he didn''t move his chopsticks much.


    "What''s the matter with you?" Lu Chen sat beside Zhou Wei with a dinner plate.


    "Hey, everyone will be transferred to the next department tomorrow..." Zhou Wei sighed.


    "Yes." Lu Chen nodded.


    "You can go to the rotation, but I still have to stay in the laboratory. I raise mice every day, do experiments, and raise mice after the lab. It''s really crashing!"


    Zhou Wei looked sad and angry.


    "Then what about your rotation plan?" Lu Chen frowned.


    I said before that one of the requirements for graduation is to complete the rotation of all clinical departments according to the rotation plan.


    "I don''t know either. It''s okay for my department to say that my next department is general surgery. If I don''t go, will they sign our training book?" Zhou Wei shook his head slightly, "If you don''t sign, that means I If I fail, I won''t even be eligible to take the training exam!"


    "Your tutor should be able to help you, right?" Lu Chen said.


    "Who knows, postgraduate rotation, this is managed by the postgraduate department." Zhou Wei spread his hands, "I don''t know if my boss greeted me over there..."


    What should I say about what happened to Zhou Wei, Lu Chen could only express sympathy.


    According to relevant regulations, masters and masters do not need to do experiments in the laboratory, but must rotate in clinical departments.


    But the actual situation of each tutor is different, Zhou Wei was directly transferred to the laboratory by the tutor.


    This is definitely not in compliance with the relevant regulations!


    However, during the negotiation between the school and the tutor, only the rights and interests of the students are damaged.


    Do not pass the graduation defense, or simply cancel Zhou Wei¡¯s qualification for the training examination.


    "Don''t think too much, work hard, as long as you can get a high-scoring SCI paper, then you''re worth it." Lu Chen comforted.


    "Hey, that''s all I think about now."


    Zhou Wei thought for a while, but he could only turn his grief and anger into appetite, and began to solve the meal in front of him.


    ¡­


    Go back to the bedroom.


    Lu Chen began to summarize the harvest during this period.


    In the ?? system panel, the system upgrade completion rate is 45%.


    After several months of hard work, the completion of the system upgrade has increased a lot.


    The next department is the emergency department, which will definitely increase.


    Total thanks is 37 points.


    Before, in order to exchange the clinical research card and the ECG advanced card, Lu Chen used up almost all his gratitude points.


    In the mastered skills column, in addition to the previous basic skills, clinical research capabilities and enhanced electrocardiography capabilities are also added.


    For Lu Chen, who has only been in the clinic for four months, this speed is actually very fast.


    However, two months later is the national final of the ECG.


    Instructor Li Yao also talked to Lu Chen alone. The national finals of electrocardiography will take the simulated surgery of electrophysiology.


    Although it won''t be too difficult, but you have to know it!


    But, the current Lu Chen doesn''t know anything...


    Lu Chen felt a sense of urgency in his heart.


    The national finals of the electrocardiogram, although you can lie flat, this is not Lu Chen''s style!


    Fortunately, tutor Li Yao opened the back door for Lu Chen.


    Within the scope of her ability, she can let Lu Chen observe a few more operations, and even take the stage as an assistant.


    In the next days in the emergency department, Lu Chen will spend more time earning gratitude points, and strive to exchange for an electrophysiological intervention card worth 2,000 yuan as soon as possible.


    "Emergency Department, here I am, Lu Chen!"


    (end of this chapter)

 Chapter 298： first day of emergency

    Chapter 298 The first day of the emergency


    The next day.


    Lu Chen got up early, bought fried dough sticks and soy milk in the cafeteria, and went to the emergency department after eating.


    Every time a new department is rotated, he will report to the department''s teaching secretary on the first day.


    After the ?? report, the cleric will divide everyone into different groups.


    Some departments are divided into different areas, for example, the general cardiac ward has eight wards.


    There are some big differences between different groups,


    Generally speaking, the department director group is the busiest group, with many beds and a large number of patients.


    Other groups are determined on a case-by-case basis.


    Some groups are busy, while others are more leisurely.


    Therefore, every time you transfer to a new department, you will ask in advance which group is more relaxed, or which teacher is better.


    When teaching secrets are grouped together, everyone generally wants to go to a more leisurely group.


    ¡­


    Come to the outpatient building.


    The ?? Emergency Department occupies the first and second floors of the outpatient building.


    The first floor is an emergency outpatient clinic, which is divided into internal medicine and surgical clinics.


    The second floor is the emergency observation room and ward.


    The office of the cleric is in the corridor leading to the ward on the second floor.


    When Lu Chen came to the office, there were already many people gathered here.


    At first glance, there are about twenty people.


    Lu Chen also saw several familiar figures.


    "Hey, Lu Chen!"


    Cheng Peng saw Lu Chen from afar, and quickly waved to Lu Chen.


    "Which group do you want to go to? There are six groups in the emergency room."


    Lu Chen walked in front of Cheng Peng, smiled, and said, "This group is to teach secrets, and I can''t decide which group to go to!"


    He has been in the emergency department several times. The doctors he is familiar with are Wang Xiaodong, a resident physician, and Gong Nannan, a nurse.


    In addition, during the rescue process of the gas explosion, Lu Chen spent most of the day in the emergency room and got to know many emergency doctors and nurses.


    "Lu Chen, I heard that the emergency department''s teacher Hu Yu''s team and Yu Zhaoxia''s team are very relaxed. The other director''s teams are busy." Cheng Peng said, "When the group will be divided, I will Go and tell the teacher secret teacher and ask him to assign me to these two departments."


    Lu Chen smiled and said, "Then may your wish come true..."


    After about ten minutes, all the postgraduates and regular trainees who came to the emergency department for rotation had already arrived.


    The teaching secretary of the emergency department is a female teacher of about forty years old named Li Youyan.


    She used to be a nurse, and was later transferred to the emergency department as a teaching secretary.


    In general small departments, the teaching secretaries are all held by clinicians.


    But for larger departments, such as cardiology, emergency department and other departments, the hospital will hire special people to manage the teaching.


    After all, provincial leading hospitals like the Jinghua Second Hospital undertake a large part of the teaching tasks.


    Therefore, clinicians have no energy to manage students and can only hire others to manage them.


    "Register your basic information." Li Youyan handed a form to everyone.


    The ?? form was sent to Lu Chen, and he wrote down his name, major, and tutor information.


    After about ten minutes, everyone has been registered.


    Li Youyan held the watch and began to divide the groups everyone went to.


    "Mr. Li, that...I want to join Mr. Hu Yu''s group, okay? I followed him during my internship before, and I want to continue to follow him."


    Suddenly, a beautiful girl spoke up.


    Interrupted by the students, Li Youyan frowned.


    "What''s your name?"


    "Mr. Li, my name is Xiao Lin." The girl whispered.


    Li Youyan glanced at Xiao Lin, and then started her own grouping.


    "Let''s start grouping now, Gan Shanwen, Cai Bin, Wu Si... you guys go to Director Zhang Peng''s group."


    "Hu Chao, Xiao Kemin...you go to Director Yu Zhaoxia''s team."


    ¡°¡­¡±


    "Lu Chen, Cheng Peng, Xiao Lin, the three of you are going to the director of Bo Xin."


    ¡°¡­¡±


    ¡­


    After Li Youyan finished the grouping, Cheng Peng wailed inwardly, and he whispered to Lu Chen: "Lu Chen, I heard that Director Bai Xin is very busy! Except for Zhang Peng''s group, the director of the department, they are the busiest group! "


    Although it was a good feeling to be in the same group as Lu Chen, Fatty Cheng still wanted to go to a more relaxed department.


    Lu Chen smiled and said, "Director Bai Xin''s people are very good. He is very happy to give lectures to students. I think it''s not bad!"


    "Hey, but their group is busy and they have to work overtime every day. Who can stand it!" Cheng Peng said, "Look at the girl who wanted to join Mr. Hu Yu''s group just now and joined us, you see her reluctance. looks like..."


    Lu Chen looked at Xiao Lin, it really was a bitter face.


    The grouping is complete.


    Under the leadership of Li Youyan, everyone came to the emergency department ward.


    Li Youyan is very responsible, she brought all the students in each group to each group.


    ¡­


    Inside the doctor''s office in the emergency ward.


    "Xiaodong, this is the student who just came to rotate today and was assigned to your group." Li Youyan brought the three of them to Wang Xiaodong, and then said to Lu Chen and others, "If Director Bai Xin is not here, you should follow Mr. Wang, he is with him. Director Bai''s group."


    Lu Chen really didn''t expect that, he went around and finally came to Wang Xiaodong''s group.


    Wang Xiaodong turned around and found Lu Chen right away.


    His eyes lit up at first, and then his brows were slightly wrinkled.


    Lu Chen came to their group, that is definitely a living force!


    But when he thought of Lu Chen''s "black face", Wang Xiaodong was a little terrified.


    He is already "black" enough. In the entire emergency department, except for Director Wang Peng''s team, their team is the busiest.


    Another "little black man" is coming this time!


    Wang Xiaodong''s heart trembled when he thought of his future clinical life!


    "You all follow Teacher Wang today, go to work well, you can''t be late and leave early. If you arrive late and leave early for more than three times, you are not eligible to take the exam."


    Li Youyan left after explaining a few words.


    Wang Xiaodong said to Lu Chen and the three: "You don''t need to call me teacher, I just started work, you can just call me Senior Brother Wang. Everyone add WeChat first, and I will pull you three into our WeChat group."


    In the process of adding WeChat, Wang Xiaodong also met Cheng Peng and Xiao Lin.


    Cheng Peng, like Lu Chen, is a graduate student in the Department of Cardiology.


    Xiao Lin is a graduate student of gastroenterology and a first-year graduate student.


    "Senior brother, it seems that you haven''t added Lu Chen''s WeChat." Cheng Peng said quickly.


    "He, I have his WeChat." Wang Xiaodong smiled.


    Xiao Lin glanced at Lu Chen.


    She felt that the name Lu Chen sounded familiar, but she couldn''t remember where she had heard it for a while.


    But she didn''t care, maybe the name "Lu Chen" was too common, where did she hear the same name.


    Just when Wang Xiaodong was about to introduce the situation in the group to Lu Chen and the others, a nurse suddenly ran into the office with a panicked look.


    "Doctor Wang, here comes the patient! A couple drank dichlorvos!"


    Wang Xiaodong''s heart is tight, what should come is still here!


    I just didn''t expect it to come so quickly...


    (end of this chapter)

 Chapter 299： Broken atropine

    Chapter 299 Breaking Atropine


    Wang Xiaodong stood up immediately and ran out of the office.


    Lu Chen saw this and followed closely.


    Cheng Peng and Xiao Lin came to the emergency department for the first time, when did they see such a battle!


    The two were stunned for a moment, and then ran out with Lu Chen''s footsteps.


    ¡­


    Lu Chen followed Wang Xiaodong to the emergency room of the emergency ward.


    "What is the patient''s condition?"


    As soon as he entered the emergency room, Wang Xiaodong asked aloud.


    The nurse next to the ward immediately said, "A couple each drank a bottle of dichlorvos, transferred from the hospital below!"


    At this time, Lu Chen also came to the hospital bed.


    At the moment, the woman''s health is 36, while the man''s health is 52.


    In addition, there was a medical record of a local hospital by the bedside, and Lu Chen quickly took out the medical record.


    All the information of the two patients also appeared in front of Lu Chen''s eyes.


    About an hour ago, the two patients were found unconscious at home.


    There are two empty dichlorvos bottles beside them.


    Dichlorvos (DDVP) is an organic compound belonging to the class of organophosphorus pesticides.


    The family immediately dialed 120 and went to the local hospital for gastric lavage, tracheal intubation and ventilator-assisted ventilation, and treatment with iodine phosphine 1.5g and atropine.


    The man regained consciousness after intubation, but was still agitated.


    The woman suffered sudden respiratory and cardiac arrest on the way, and she recovered after giving chest compressions for about 10 minutes.


    Because he needed to use blood perfusion and other treatment measures, he was transferred to the emergency department of Jinghua Second Hospital for further treatment.


    ¡­


    Lu Chen immediately told Wang Xiaodong the medical history information he had learned.


    Wang Xiaodong nodded, and immediately stepped forward to conduct a preliminary physical examination for the two in turn.


    Both were intubated.


    The man''s consciousness is awake, but the woman is still in a coma.


    "Nurse, immediately give the patient an emergency blood test, a routine set, in addition to blood gas analysis and cholinesterase!" Wang Xiaodong ordered.


    "Received!" Gong Nannan nodded.


    At this time, the man''s consciousness recovered, but his mood was particularly irritable.


    "Men''s lungs have obvious wet rales!" Wang Xiaodong frowned, "Immediately use a long toning and atropine."


    "Received, one intramuscular injection of longtonin and one intravenous bolus of atropine."


    "Another intravenous access was opened, iodophosphine was hung up, and both medicinal charcoal and mannitol were used."


    ¡­


    On the other hand, the situation of women is much heavier than that of men!


    Not only did she not wake up, but her vital signs were extremely unstable, her heart rate was 60 beats/min, and her blood pressure was 85/54mmHg.


    "Both of them have to prepare for blood perfusion!"


    Although men''s condition is relatively better, it cannot avoid the occurrence of delayed polyneuropathy!


    Wang Xiaodong stared at the two patients with a pair of eyes, daring not to relax in the slightest!


    The rescue is proceeding in an orderly manner.


    ¡­


    With the assistance of Lu Chen, Wang Xiaodong''s rescue process went smoothly.


    This kind of rescue is not the more people the better, but too many people will affect the efficiency.


    So Cheng Peng and Xiao Lin stood aside, staring blankly at Lu Chen and Wang Xiaodong''s rescue.


    Wang Xiaodong was their superior doctor, so he had nothing to say.


    But as a newcomer to the emergency department, how could Lu Chen be so familiar with the rescue procedure?


    Cheng Peng was not surprised, but Xiao Lin was very surprised.


    ¡­


    At this moment, Lu Chen noticed that the female patient''s heart rate was slowing down!


    "Brother Wang, look at this female patient..."


    Wang Xiaodong was startled and looked at the ECG monitor of the female patient.


    Her heart rate went from 60 to 50, and finally to 45.


    In Lu Chen''s eyes, her HP is also slowly decreasing, from 36 before to 32!


    Wang Xiaodong said solemnly: "Immediately give 250ml of sodium bicarbonate intravenously, and atropine 5mg intravenously!"


    The effect of atropine is very fast. Basically, after the static push, the heart rate will rise.


    But this female patient, after the intravenous injection of atropine, the patient''s heart rate did not rise significantly!


    At this time, the blood oxygen saturation of the female patient also continued to drop, only 80%!


    "Ready to board!"


    Wang Xiaodong immediately placed a hemofiltration catheter.


    However, what no one thought was that after the female patient got on the plane, her heart rate continued to drop progressively!


    "Grass, I can''t keep it up!" Wang Xiaodong cursed to himself.


    ¡­


    "Heart stopped!"


    Lu Chen suddenly shouted, he kept paying attention to the ECG monitor by the bedside.


    He was the closest to the hospital bed and immediately stepped forward to perform chest compressions.


    And Wang Xiaodong kept urging the nurse: "Keep pushing atropine, keep pushing!"


    Atropine 5mg, 5mg, 5mg, 5mg IV...


    And Lu Chen pressed on the bedside for about ten minutes, the patient''s heart rate returned to sinus, and the blood pressure rose to 101/90mmHg.


    "Continue to push atropine, and then give 4g of iodophosphine to be given slowly intravenously." Wang Xiaodong instructed.


    Lu Chen also breathed a sigh of relief, but a string was still tight in his heart, and he didn''t dare to relax.


    This female patient is not only poisoned by organophosphorus pesticides, but also has cardiac arrest!


    The treatment is much more complicated than that of the male patient!


    "Adjust the ventilator parameters, the Peep is increased to 7, the frequency is adjusted to 17, and the tidal volume is 550ml." Wang Xiaodong began to adjust the ventilator.


    The purpose of ?? is to increase the minute ventilation and promote the discharge of carbon dioxide, but the dead space will increase, which is not conducive to the discharge of carbon dioxide, because the exhalation time is sacrificed.


    At this time, the laboratory indicators for the patient''s emergency investigation came out.


    Cholinesterase in both men and women was less than the minimum value, women''s liver function was 1010 with astragalus, 999 with glutathione, and 11.1 in lactic acid. Other tests for men and women were normal.


    Wang Xiaodong said: "Let''s do it for now! There is a blood filter **** and it can be stabilized under the condition of high replacement."


    At this time, the patient''s blood oxygen saturation was always 100%.


    Everyone present breathed a sigh of relief.


    ¡­


    3 hours after the female patient was on the machine.


    Blood gas analysis clock, lactate dropped to 5.0, Ph was stable at 7.17, carbon dioxide partial pressure dropped to 56!


    Cholinesterase was retested every hour, all of which were less than the minimum value, and the patient¡¯s heart rate had been stable at around 120.


    A great deal!


    "It feels like the patient is coming back!"


    Lu Chen was standing beside the patient''s bed, happy.


    Suddenly, he saw that the patient''s blood pressure and blood oxygen saturation could not be measured!


    Lu Chen''s complexion changed immediately, and he immediately auscultated the patient''s lungs, and the moist rales increased.


    Does the patient''s heart rate not drop?


    But blood pressure and blood oxygen saturation cannot be measured first?


    Wang Xiaodong has also been paying attention to the changes in the patient''s condition. He noticed the changes in the patient''s condition at the first time, and immediately ordered.


    "Norepinephrine 18mg, micro pump, 5ml first!"


    is invalid!


    Instruct 5mg of atropine to push statically! invalid!


    Instruct 10mg atropine to push! invalid!


    Instruct 5mg of atropine to push statically! invalid!


    All the treatment measures are ineffective!


    Improve blood gas, lactate rises to 11, carbon dioxide partial pressure rises to 90mmhg again, ph7.06!


    with void, void, void.


    Wang Xiaodong continued to issue doctor''s orders, 2mg long-term care for tranquility!


    After about 3 minutes, the patient''s blood pressure can be measured!


    50/30mmHg, blood oxygen saturation 100%.


    Blood oxygen saturation is a normal ripple, proven to be real and effective!


    "Continue the 4mg bolus of Long Tonin!"


    At this time, the patient''s blood pressure rose to 107/90, and the oxygen saturation was 100%!


    "Senior brother, I think atropine is still used less!" Lu Chen frowned.


    Wang Xiaodong also found the problem.


    He immediately instructed the nurse to give 50mg atropine micropump 25ml per hour.


    So there is a classic picture of rescuing organophosphorus pesticides.


    Wang Xiaodong gave the doctor''s order alone, and Lu Chen, Cheng Peng, and Xiao Lin broke atropine!


    Soon the emergency pharmacy, 260 sticks of atropine will be gone!


    (end of this chapter)

 Chapter 300： Fat man, are you blackmailing me again?

    Chapter 300 Fatty, are you hacking me again?


    The hands of the ?? trio were sore, but they still dared not stop.


    However, after high doses of atropine, the patient''s symptoms finally improved.


    Atropine was fixed at 25mg per hour.


    Norepinephrine 18mg25ml/h.


    The patient''s blood pressure has stabilized.


    The nurse will review the blood gas analysis at regular intervals.


    The result of blood gas is that the lactate drops to 5, and the partial pressure of carbon dioxide drops to 50mmhg!


    The state of the female patient is getting better and better!


    "The rescue is still very successful. If you survive today, there will be hope!"


    Wang Xiaodong stood at the head of the bed, his frowning brows slowly relaxed.


    However, Lu Chen was not happy.


    Because he found out that the female patient''s health is not increasing!


    On the contrary, there is a faint downward trend!


    This shows that the patient is not out of danger at all, and may have another cardiac arrest at any time!


    The situation of female patients is different from that of male patients.


    The male patient who drank dichlorvos with her had a relatively simple condition, did not experience cardiac arrest, and was already awake.


    The reason why female patients use so much atropine is because of sudden respiratory and cardiac arrest after taking dichlorvos, which leads to acute liver failure and kidney failure, which increases the difficulty of rescue!


    In addition, 1500ml of blood replacement before and after the female patient, although the blood concentration of dichlorvos can be reduced, but the applied atropine, changtoning and phosphazene will also be diluted and filtered out!


    At the same time, Lu Chen was also very curious.


    Two people are the same, why is the body response so different, is it because of weight or other reasons?


    ¡­


    Emergency rescue outside.


    All the family members of the patient came.


    The parents of the man and the woman were present.


    Everyone''s face is full of sadness.


    The couple drank dichlorvos at the same time. There must be more hidden feelings, but the most important thing now is to save their lives.


    Wang Xiaodong found the parents of the two patients.


    "How is my daughter?" A mother-in-law, about sixty or seventy years old, clutched Wang Xiaodong''s sleeve tightly.


    "Not very good." Wang Xiaodong said solemnly, "Heart arrest has occurred many times, and the situation is very critical. Although our life is saved after blood replacement and medication, the situation is still very unstable. Your family members, ask Be mentally prepared."


    "How much hope is there to be saved?" The old woman''s eyes were already wet.


    "It''s hard to say." Wang Xiaodong hesitated, "We can only do our best and use all the medicines and treatments we can use. Now it depends on the patient''s desire to survive. If we can survive tonight, maybe tomorrow. Slowly getting better."


    "What about him?" The old woman paused.


    "He?" Wang Xiaodong was stunned for a while, but it took him a long time to realize that he should be the male patient in the old woman''s mouth.


    "His condition has stabilized. When he was sent to the hospital, his consciousness was clear. Although he was agitated, he gradually improved after taking atropine."


    The old woman nodded silently, but did not speak, but her eyes kept staring at the emergency ward not far away.


    There are many family members of the two patients, and Wang Xiaodong can only take the trouble to explain the condition to the family members.


    ¡­


    "Hey, the first day I met this kind of patient, I think the emergency department is really scary!"


    Back at the office, Xiao Lin recalled the rescue scene just now, with lingering fears.


    She has been breaking atropine all the time. Although she did not personally participate in any rescue process, she was still shocked by the scene in front of her.


    Her own specialty is gastroenterology. Except for some patients with massive gastrointestinal bleeding, there are few rescue patients of this level.


    On the contrary, Lu Chen and Cheng Peng from the Cardiology Department are different.


    For cardiologists, rescue is commonplace.


    Recalling the joint rescue by Lu Chen and Senior Brother Wang Xiaodong just now, Xiao Lin is still in a very confused state.


    For the patients who were rescued by this dichlorvos (organophosphorus) poisoning, she had studied in the internal medicine book and also knew how to use atropine and phosphazene.


    But it''s another matter if you actually meet it!


    "Hey, Cheng Peng, are you familiar with Lu Chen?" Xiao Lin ran to Cheng Peng''s side and whispered.


    At this time, Lu Chen was rescuing the outdoors, and together with Wang Xiaodong, explained the condition to the patient''s family.


    "Familiar, we both belong to eight districts in our hearts, what''s wrong?" Cheng Peng wondered.


    "Then why is he so powerful?" Xiao Lin''s tone was a little unbelievable, "All kinds of rescue operations, tracheal intubation, urinary intubation, etc., have been used directly!"


    For a freshman in the first year of research, he is actually a rookie who has not graduated from the undergraduate course for a long time, and he does not really have much clinical knowledge.


    If Lu Chen is a senior fellow of the third grade, then Xiao Lin thinks it is reasonable, but like herself, he is just a freshman of the first grade!


    Cheng Peng heard the words, but smiled and said mysteriously: "You should know that our Jinghua Medical University won the championship of the National Medical Skills Exam this year, right?"


    "I know." Xiao Lin nodded, "Who doesn''t know about this kind of big thing? Our school has never even entered the top ten before. I heard that this time there were several very powerful graduate students, so I won the first place. Some time ago The school has been promoting it in various affiliated campuses for a long time!"


    "Oh, since you know this, do you know who are the members representing Jinghua Medical University in the competition?" Cheng Peng laughed.


    "This... I read it on the school''s official website, but I can''t remember it." Xiao Lin frowned.


    This kind of thing is read at most once, and no one will deliberately remember it.


    At this time, an idea suddenly flashed in Xiao Lin''s mind. She looked at Cheng Peng with a smiling face and asked subconsciously, "Could it be that Lu Chen is..."


    "Huh?" Seeing Cheng Peng nodding affirmatively, Xiao Lin''s pupils shrank and her mouth opened wide.


    No wonder she thought the name Lu Chen sounded familiar!


    Lu Chen is actually a team member of Jinghua Medical University who participated in the skill competition!


    Since Jinghua Medical University won the championship, the team led by Lu Chen has been promoted by the school for a long time.


    "Lu Chen and I are in the same department. Usually, Lu Chen can take charge of most of the rescues in the department." Cheng Peng added, "Lu Chen is the most powerful among our freshmen, even among the entire graduate student group in Jinghua. He''s definitely on top."


    But after he finished speaking, he looked around and whispered again: "But there is something very bad about Lu Chen..."


    "What''s wrong?" Xiao Lin suddenly became interested, thinking there was some gossip.


    "I''m in the eight districts in my heart. I heard other doctors and nurses say that Lu Chen''s face is black..."


    "Cough!"


    Before Cheng Peng finished speaking, he heard a familiar coughing sound behind him.


    He looked back, and at some point, Lu Chen came back.


    "Fatty, are you blackmailing me again?"


    "Hehe." Cheng Peng smiled and scratched his head.


    But at this moment, the nurse''s shout came from the emergency room again.


    Lu Chen''s heart tensed, and his heart rate soared directly to one hundred and two.


    He hurried to the emergency room.


    In the emergency room, Wang Xiaodong is performing CPR on the female patient who "drinked dichlorvos"!


    She is now in a sudden stop!


    (end of this chapter)

 Chapter 301： Zero health

    Chapter 301 Health is reset


    "Adrenaline, atropine static push!"


    "Then one to go to a kidney!"


    "Give Nikossami, Lobelin again..."


    Wang Xiaodong performed chest compressions and issued a doctor''s order for rescue.


    Seeing this, Lu Chen immediately stepped forward to take over Wang Xiaodong''s position and continued to perform CPR on the patient.


    "Atropine still available?" Wang Xiaodong frowned and looked at the nurse Gong Nannan beside him.


    "The emergency pharmacy has urgently transferred 20 bottles." Gong Nannan said, "The head nurse has called the pharmacy and is going to borrow it from other hospitals."


    Wang Xiaodong''s heart sank to the extreme.


    This is the third cardiac arrest for the patient, and the previous two have survived.


    Then, what about this time?


    At this time, in Lu Chen''s eyes, the patient''s HP dropped to 24 again!


    On the ECG monitor at the bedside, the patient''s blood oxygen saturation is only about 80%, and it is a progressive decline.


    Blood pressure is only 80/54mmHg!


    "Senior brother, what should I do?" Lu Chen looked at Wang Xiaodong beside him.


    Facing this patient, Lu Chen also felt a deep sense of powerlessness.


    Almost 300 sticks of atropine were used, and all other rescue measures were used.


    However, the patient''s heart rate, blood pressure, and blood oxygen saturation continued to decline.


    "There''s no other way." Wang Xiaodong smiled bitterly, "We''ve done what we should do, we can only see the destiny."


    A doctor said to look at the destiny, there is really no way.


    Toxins have invaded the major organs of the patient, not only causing damage to liver and kidney functions, but also causing multiple cardiac arrests!


    Lu Chen sighed in his heart, the patient''s HP dropped again, only 16!


    "Keep giving epinephrine and atropine!"


    However, it is still invalid!


    The patient''s heart rate has never recovered, and the heart rhythm waveform on the bedside ECG monitor is only the effect of the drug.


    "Various vital signs cannot be maintained..."


    Lu Chen''s CPR lasted fifteen minutes, during which he, Cheng Peng and Xiao Lin took over from each other.


    However, the patient''s heart rate never showed signs of recovery.


    Blood pressure and oxygen saturation are too low to measure.


    Wang Xiaodong turned back to Cheng Peng beside him: "Junior Brother Cheng, go and call two of the patient''s family members in, don''t call too much."


    "Okay, Senior Brother." Cheng Peng nodded quickly and ran towards the rescue room.


    in a minute.


    The old woman and another man in his twenties walked into the emergency room just now.


    Both of their eyes were red.


    The old woman knelt down beside the rescue bed, tears welling up in her eyes instantly.


    "Xiaomei! Wake up!"


    "How can you bear the white-haired person to send the black-haired person!"


    "Xiaomei, I know you''re joking, so just talk!"


    "Didn''t you always miss Junjie? I brought him, Junjie, come and talk to your mother..."


    The man in his twenties, plopped down and knelt beside the bed.


    He stretched out his hands and held the patient''s somewhat icy right hand tightly.


    "Mom, wake up! I''m back to see you!"


    "Mom! I beg you, wake up, look at me!"


    The man shook the hospital bed, his voice miserable and pathetic.


    Seeing this scene, Xiao Lin''s eyes were also red, and she quickly turned her head away.


    Nurse Gong Nannan stepped forward and pulled up the family members of the two patients.


    "Come with me." Wang Xiaodong said to the patient''s son.


    The man blushed, nodded, and followed Wang Xiaodong to the corner of the emergency room.


    "Blood pressure and heart rate can no longer be maintained, people are basically very difficult, your family should prepare for the funeral."


    Wang Xiaodong''s voice was slow, but every word hit the man''s fragile heart.


    "Doctor..." the man pleaded, "Your Second Hospital of Jinghua is the most powerful hospital in the province, you can definitely save my mother, I believe you, you can, please, I kneel down for you. "


    With a plop, the man fell to his knees.


    Wang Xiaodong quickly pulled the man up.


    "We have tried our best, but the toxins have destroyed all her organs. We have used all the medicines, but we still can''t maintain the heart rate and blood pressure."


    "Doctor, I really beg you! Save my mother!"


    The man''s tears had already drowned his face, and his mournful voice penetrated the entire rescue ward.


    Wang Xiaodong looked at the man in front of him and couldn''t bear it.


    "According to relevant regulations, we will continue to rescue for 20 minutes. If it is useless, we will declare clinical death."


    The humanitarian spirit of the hospital, even if the death is confirmed, will continue CPR for at least 30 minutes.


    One is to prevent some patients from being in a state of "suspended death", and the other is to take care of the emotions of the patient''s family members.


    Continued CPR, however, may injure the ribs, leading to fractures of the ribs and even the sternum.


    Some family members will give up this meaningless CPR and rescue.


    However, these family members in front of them obviously will not give up.


    "Although we will continue to rescue, you still have to be mentally prepared."


    Wang Xiaodong is very clear that in the vast majority of cases, it is impossible for patients to be saved, unless the 0.01% medical miracle.


    ¡­


    Go back to the bed in the emergency room.


    Lu Chen is still performing cardiopulmonary resuscitation on the patient.


    There were bursts of soreness in his arms, but Lu Chen didn''t dare to relax.


    "Lu Chen, let me do it." Cheng Peng said aside.


    "Okay." Lu Chen nodded.


    After ?? he was removed, Cheng Peng immediately took his place.


    "Senior brother, should the family continue to rescue them?" Lu Chen whispered.


    "Let''s save another fifteen minutes." Wang Xiaodong sighed and said to Gong Nannan, "Give me another shot of adrenaline."


    "Received!" Gong Nannan nodded and immediately took out the medicine from the ambulance.


    ¡­


    After fifteen minutes.


    No medical miracle happened, the patient''s heart rate, blood pressure and oxygen saturation have been undetectable,


    The patient''s son came to the bedside again.


    Wang Xiaodong explained the patient''s situation to him again.


    The man was still reluctant to believe it. He wanted to put on the ECG monitor beside the bed, and cried and shouted, "Doctor, look at the waveform on the monitor, my mother can still be saved!"


    "That''s the waveform we pressed. As long as we stop pressing, the waveform will be gone." Lu Chen said aside.


    The man''s cry became smaller and smaller.


    He looked up at the white ceiling, then turned back to his mother in the hospital bed, and finally couldn''t help crying again.


    ¡­


    "Junior Brother Lu, don''t press any more, the patient''s family has given up."


    Wang Xiaodong''s voice came from his ears, and Lu Chen''s pressing hands froze slightly.


    In fact, he already knew that the patient was hopeless.


    Ten minutes ago, the patient''s health was reset to zero.


    Looking at the female patient in front of him, Lu Chen didn''t know what it was like.


    Life is so fragile and yet so powerful.


    Cardiac arrest twice, both were rescued.


    It was the third time, but it was a waste of time.


    With the development of medicine to the point where it is today, there are still many diseases that cannot be cured.


    Lu Chen gently arranged the patient''s clothes, removed the endotracheal tube, and left the emergency ward quietly.


    On the first morning in the emergency department, the weather seemed a little gloomy.


    (end of this chapter)

 Chapter 302： You give up!

    Chapter 302 You give up!


    The ?? female patient was quickly dragged away by her family.


    The ?? male patient remained in the emergency department for treatment.


    As for the future development and the reason for the two drinking pesticides together, it is unknown.


    Although the patient is gone, the follow-up work is still very cumbersome.


    The doctor¡¯s order and the course of the illness were too late to write, so they need to be written later.


    "Junior Brother Lu, I''m giving the doctor''s order, you can write the rescue record. The rescue record must match the doctor''s order I gave."


    "OK."


    Compared with other routine disease courses, ?? rescue course records are more complicated and test the level of doctors.


    From the physical examination, rescue medication, and the final description of the patient''s condition, it is very elegant.


    Generally speaking, the course of rescue is written by the superior doctor.


    Many students in the first grade and even the third grade do not know how to write rescue records.


    However, Wang Xiaodong naturally handed over this job to Lu Chen.


    He believed in Lu Chen!


    ¡­


    Before knowing Lu Chen''s identity, Xiao Lin might be surprised, but now that he knows his identity, Xiao Lin thinks it''s a matter of course.


    She and Cheng Peng came to Lu Chen''s side and watched Lu Chen''s record of the course of the rescue.


    In less than five minutes, Lu Chen wrote the general outline of the rescue record.


    "He''s so fast!" Xiao Lin couldn''t help but be a little surprised. Lu Chen wrote the medical records really fast, and the content was rigorous, so basically no mistakes could be seen.


    "Cheng Peng, Xiao Lin, you two help me check the course of the disease and see if there is anything that needs to be corrected." Lu Chen said to the two of them.


    Cheng Peng and Xiao Lin looked at each other.


    Let them revise Lu Chen''s medical record?


    This is also a ghost modification...


    In the end, Cheng Peng and Xiao Lin naturally did not modify Lu Chen''s medical record, so they should come to study.


    ¡­


    The work of the emergency department ward is very busy.


    In general, it¡¯s a bit harder to get busy than the eight districts in my heart.


    There are constantly new patients coming to the emergency observation room and ward.


    Fortunately, there are many medical teams in the entire emergency department, and everyone takes turns to receive them, which is relatively affordable.


    After Lu Chen dealt with the previous female patient, he followed Wang Xiaodong around the emergency ward a few times to get acquainted with the patients in the group.


    "Junior brother, junior sister, our group has more patients than other groups, so it may be busy." Wang Xiaodong smiled and said to Lu Chen and the three, "But our group has an additional subsidy, accepting one patient and handling one. Each discharge medical record will be subsidized by ten yuan."


    Cheng Peng and Xiao Lin''s eyes lit up when they heard it.


    It was the first time they heard that students were rich in accepting patients.


    This is in other groups, but I have never encountered it before.


    Cheng Peng and Xiao Lin were also very happy.


    It is better to earn some food money than to ask for money from home.


    Now 600 yuan per month is not enough for daily expenses.


    ¡­


    "Oh, the rheumatology department is too leisurely, much more relaxed than my heart!"


    In the morning, Gu Xinyue also sent Lu Chen a WeChat message.


    Lu Chen took the time to reply.


    "Don''t be so rude! Be careful to recruit black people!"


    Gu Xinyue replied: "I heard that you are very busy in the emergency room?"


    "You already know this?" Lu Chen asked in surprise.


    "Xiao Lin and I are undergraduate classmates. I saw Xiao Lin''s WeChat message. You met a patient who was drinking dichlorvos. You must have been busy all morning." Gu Xinyue said.


    ¡°¡­¡±


    Lu Chen just closed the dialog with Gu Xinyue when a phone call came in.


    This is the local phone number of Jinghua.


    After thinking about it to avoid missing an important calling card, Lu Chen still connected.


    "Hey."


    "Hello, Lu Chen? I''m Cheng Guowen."


    Lu Chen was taken aback, Director Cheng?


    What is he doing to himself?


    Lu Chen was quite puzzled: "Director Cheng, I''m Lu Chen."


    Cheng Guowen''s laughter came from the other end of the phone, "Oh, that''s right, I have nothing else to do, just let you know that if you have time recently, you can come to Jinghua Electrophysiology Headquarters, and the top three provincial level have corresponding Reward items."


    "Okay, thank you Director Cheng."


    Immediately afterwards, Cheng Guowen chatted with Lu Chen about life and study.


    Suddenly, Cheng Guowen''s words changed and he asked, "Lu Chen, do you want to intervene in the future?"


    Lu Chen paused, wondering why Director Cheng Guowen suddenly mentioned this?


    However, he still replied: "It must be done. It is incomplete without being an interventional cardiologist."


    "If I said, I have a few chances to get started now, would you like to try it?"


    "Director Cheng, you mean the opportunity to start interventional surgery? How is this possible?" Lu Chen was surprised.


    "Yes! Just say if you want to." Cheng Guowen smiled.


    "Of course I want to get started!" Lu Chen replied immediately.


    "There is an opportunity now." Cheng Guowen continued, "There is a simulated interventional operation room in the catheterization room of the Second Jinghua Hospital."


    "I know this too, but most people can''t get in." Lu Chen said.


    The Cardiology Department of Jinghua Second Hospital, as the seventh cardiology department in the country, has reached the leading domestic level in many techniques in interventional surgery.


    And the Cardiology Department of Jinghua Second Hospital also has an operating room that simulates interventional surgery.


    Its full name is, Cardiovascular Minimally Invasive Surgery Interventional Simulation Training Model System, which is a portable high-fidelity cardiac 3D interventional surgery simulator, which trains clinicians and medical professionals on surgical capabilities.


    "Lu Chen, you are right, ordinary people can''t get in." Gu Dao, "Usually, the simulation operation room is only for people above the level of the attending doctor to train, and our students definitely cannot use it. But Lu Chen, you... have a chance. !"


    "Ah? You mean me?" Lu Chen was taken aback


    "Yes!" Cheng Guowen''s laughter continued unabated.


    "Huh?" Lu Chen didn''t quite understand.


    Suddenly told myself that I could go to the simulated operating room training...


    This is so weird too!


    "Lu Chen, this simulated operating room can not only learn electrophysiological surgery, but also perform coronary interventional surgery."


    Lu Chen was overjoyed at first, but then frowned again.


    "What does Director Cheng need me to do?"


    When Lu Chen heard the call, Cheng Guowen obviously paused.


    After a long while, he said, "I mean, if you...you can give up participating in this national ECG competition...you can go into the simulated operating room for training."


    Lu Chen was taken aback for a moment.


    Quit participating in the national EKG competition?


    However, what good is this for the Jinghua Second Hospital?


    "Why?" Lu Chen''s voice became a little colder.


    "Because there will be an exam for simulated surgery in the national competition for electrocardiograms, if you go to the exam now, it''s just running with you!" Cheng Guowen said, "It''s better to practice simulated surgery in the hospital."


    "Even if it''s an escort, why should I give up?" Lu Chen frowned.


    According to the rules, if someone in the top three withdraws unexpectedly, they will be replaced according to the ranking.


    Lu Chen remembered that Lei Cui, another participant of the Jinghua Second Hospital, was the attending doctor. She seemed to be fifth!


    Even if Lu Chen quits, it should be the fourth substitute, not the fifth Lei Cui, right?


    (end of this chapter)

 Chapter 303： reject

    Chapter 303 Rejection


    "Lu Chen, think about it again, this is a once-in-a-lifetime opportunity."


    Cheng Guowen said earnestly.


    After chatting for a while, he hung up the phone without any speculation.


    Lu Chen thought for a while, and clicked on the official website of electrophysiology in his doubts, and then clicked on the third round of the ECG provincial results card.


    He glanced down and saw Lei Cui''s name, his pupils shrank suddenly!


    She is fourth!


    How did she become fourth?


    Lu Chen quickly clicked on the announcement on the official website.


    It turned out that in the subsequent results review, Lei Cui''s final score changed a bit and rose to the fourth place!


    This time, Lu Chen understood Cheng Guowen''s intention.


    As long as he voluntarily gives up this opportunity, the quota will be postponed, and then it will be postponed to Lei Cui who is fourth!


    "After a long time, Director Cheng Guowen asked me to make wedding gowns for others?" Lu Chen couldn''t help but smile.


    This is simply to use Lei Cui''s opportunity in the simulated surgery room to exchange with him for a place to participate in the national electrocardiogram national competition!


    This kind of loss-making business, whoever does it is stupid!


    What''s more, Lu Chen still has a virtual surgery room of the system, and the simulated surgery room in reality is definitely not one percent of the system.


    ¡­


    However, in the eyes of everyone.


    The national finals of electrocardiogram, there is an assessment of simulated surgery.


    As a senior attending physician, Lei Cui has independently completed many electrophysiological surgeries.


    It is definitely better for her to compete than Lu Chen.


    "But, I''m sorry, I can''t give up!" Lu Chen''s eyes flashed brightly.


    This is a chance he won by himself!


    He can''t give up!


    Rejecting Cheng Guowen is likely to offend such a chief physician.


    But Lu Chen doesn''t cause trouble, nor is he afraid of trouble!


    Jinghua Second Hospital is just a transfer station for his career.


    He will definitely not stay here forever, let alone make compromises.


    Just then, Lu Chen''s phone rang again.


    This time, it was Li Yao''s mentor.


    "Hello, Mr. Li."


    "Lu Chen, Director Cheng called you?" Li Yao''s voice was cold.


    Lu Chen seemed to be able to see the cold face of tutor Li Yao on the other end of the phone.


    "Yeah." Lu Chen replied softly.


    "Lu Chen, you are my student, do things according to your own heart, don''t be afraid of anything." Li Yao said, "As long as you don''t give up, no one can take away your chance."


    Lu Chen felt a little warmth in his heart.


    It seems that tutor Li Yao already knows about this.


    "Teacher, don''t worry, I won''t give up." Lu Chen smiled.


    "That''s good." Li Yao''s icy voice finally had a touch of warmth, "Director Cheng Guowen, I will go and say, you can do your own thing well, that''s it! As for the simulated interventional surgery, I will I''ll do it for you!"


    "Okay, thank you teacher." Lu Chen said.


    hung up the phone, a smile appeared on the corner of Lu Chen''s mouth.


    Sometimes, it is a very happy thing to have a strong backing force.


    At least in the face of this kind of thing, Director Li Yao stood firmly behind him.


    ¡­


    Jinghua Second Hospital, Catheterization Laboratory on the fourth floor of the Department of Cardiology.


    in the conference room.


    Cheng Guowen presided over the meeting.


    Beside him, was the attending doctor of Lei Cui.


    "Director Cheng, what did Lu Chen say?" Lei Cui said.


    "He has to think about it." Cheng Guowen smiled, "But, I believe Lu Chen is a smart person."


    As soon as ?? Cheng Guowen finished speaking, whispers rang out in the entire conference hall.


    "The electrophysiological simulation surgery will be tested in this national ECG competition. We can still trust Dr. Lei''s surgical level!"


    "But that student Lu Chen, he also entered the national competition through his own efforts. Wouldn''t that be bad?"


    "Oh, if you think about it this way, with Lu Chen''s level, what if he goes? Why don''t you let Lei Cui go!"


    ¡°¡­¡±


    asked Lu Chen to give up the matter, Cheng Guowen went through the discussion in the conference room.


    Most people agree with this.


    Of course, in order to appease Lu Chen''s dissatisfaction, Cheng Guowen decided to let Lu Chen participate in the training in the simulated operating room.


    So, there is the phone call just now.


    Little did he know that Lu Chen himself had a systematic virtual operating room. This kind of simulated surgery in reality had greatly reduced Lu Chen''s allure.


    At this time, someone in the conference room shouted, "Director Li Yao is here."


    The entire conference room became silent in an instant.


    I saw Li Yao with a cold face, slowly walked into the conference room, and sat down in front of Cheng Guowen.


    "Director Cheng, I''m the vice chairman of the Electrophysiology Society, don''t you call me in meetings?" Li Yao stared at Cheng Guowen next to him.


    Cheng Guowen smiled and said, "What you said, Director Li, your clinical work is quite heavy today, and the matters discussed today are not very important, so I thought about not calling you, so don''t be angry!"


    "Director Cheng, how dare I be mad at you!" Li Yao said, "You continue to discuss, I''m just here to prove the existence of my deputy director."


    Li Yao looked around at the people present, most of them were elite members of the Electrophysiology Society.


    Li Yao also glanced at Lei Cui, but didn''t say much.


    Just like that, Li Yao walked away gently, just as she came gently.


    As soon as Li Yao left, Cheng Guowen received a call from Lu Chen.


    ¡­


    The fourth floor of Jinghua Second Hospital, in the conference room.


    Cheng Guowen hung up the phone, his face was extremely ugly.


    "Director Cheng, what''s wrong?" Lei Cui asked in a low voice.


    "Lu Chen refused." Cheng Guowen sighed, "He wants to participate in the national finals of the electrocardiogram by himself."


    "Ah? This..." Lei Cui was speechless for a moment.


    Originally, she was all ready to replace Lu Chen to participate in the EKG finals in Bingcheng.


    In her opinion, a first-year graduate student, facing the chief physician of the department, is not obedient and obedient?


    However, unexpectedly, Lu Chen refused!


    This is something Lei Cui never expected!


    The others present did not expect that Lu Chen refused so bluntly.


    "Director Cheng, do you want to give Lu Chen any more favors?" Lei Cui pursed her lips and said, "For example, what kind of national scholarship, the highest bursary, or even the qualifications to go out to exchange?"


    Cheng Guowen frowned: "Doctor Lei, do you think we are doing business? Are we still giving in? The pressure is too tight, and our faces are dull. In the end, this matter is according to Lu Chen''s own wishes. Since he If you don''t want to, then forget it."


    "Director Cheng, but..." Lei Cui wanted to say something, but was interrupted by Cheng Guowen.


    "Don''t say anything more, the scholarships, bursaries, and opportunities to go out to communicate that you just mentioned, Lu Chen doesn''t want us to give these things, have you forgotten that he helped Jinghua win the national medical skills competition? But it''s all a champion''s reward."


    (end of this chapter)

 Chapter 304： invitation

    Chapter 304 Invitation


    The matter of transferring the quota for the ECG competition has come to an end.


    Lu Chen''s heart is very firm.


    It is impossible for him to hand over such an opportunity to others, and he will not be afraid of a chief physician of the Second Jinghua Hospital.


    However, there should be a lot of people now, waiting for the two-month national ECG competition to watch Lu Chen''s jokes.


    After all, electrophysiological surgery cannot be accomplished in a day or two!


    "It''s better to earn enough gratitude points as soon as possible to exchange for electrophysiological interventions." Lu Chen thought.


    ¡­


    After a busy morning in the emergency department, I finally got off work.


    Lu Chen hammered his sore shoulder.


    On the first morning, I encountered this level of rescue.


    Lu Chen couldn''t help but think that his life in the emergency department would be busy and exciting.


    The emergency department of the hospital is also the place where you can feel the most human nature.


    "Lu Chen, Cheng Peng, go to the cafeteria to eat together?"


    After work, Xiao Lin invited the two to have dinner together.


    "Okay." Lu Chen nodded with a smile, and Cheng Peng naturally wouldn''t refuse.


    The three of them went to the hospital staff canteen together.


    The food in the cafeteria is a bit more expensive than outside, but you can eat it with confidence.


    Now it''s hard to know how it''s made.


    Most of the takeaway stores are small workshops, and it is difficult to meet the food safety standards.


    Lu Chen eats in the cafeteria most of the time, and rarely order takeout unless he is too late to eat at night.


    ¡­


    Came to the cafeteria.


    Lu Chen also met many familiar Yanyi classmates, as well as He Sirong, who also came from the eighth district in his heart.


    After everyone made the meals, they sat down together and started chatting about the interesting thing about entering the new department today.


    The students in the departments of God, breathing, digestion, etc. are all shouting how to be busy.


    Students in the departments of kidney, infection, rheumatism and immunity, blood and other departments are all happy!


    That''s a relief!


    After chatting, we talked about the female patient in the emergency department who was drinking pesticides.


    Because Xiao Lin posted a circle of friends about atropine madly at the time, many people knew about it.


    Cheng Peng described the scene at that time emotionally, "You didn''t see it, when we broke atropine, our hands were about to break!"


    "Hey, unfortunately, the patient has not been rescued." Xiao Lin sighed.


    Originally, the female patient''s condition had improved, but suddenly the situation took a turn for the worse. No one responded, and the patient died.


    The surrounding classmates comforted each other: "You have done enough, and you are really good. You can cooperate with the teacher''s rescue when you encounter such a serious patient on the first day. If it were me, I might not know what to do. ."


    "Yeah, I still want to go to the emergency room. Now I''m rotating in the hematology department, and the teacher doesn''t let us do anything. He thinks we are slow to work. It''s better for him to write the course of the disease and give the doctor''s order. I am now a Doing errands and running errands in the department."


    "However, Lu Chen was the most powerful. Cheng Peng and I were both frightened." Xiao Lin recalled the scene at that time. It was the first time she encountered a patient with organophosphorus poisoning.


    Cheng Peng also agreed, he was a "little fanboy" of Lu Chen.


    However, He Sirong has been eating silently, without speaking.


    Seeing that Lu Chen has become the leader of the students, she was a little unconvinced.


    However, this dissatisfaction was fleeting.


    Because the ability Lu Chen has shown so far is far beyond his peers!


    "Wait for me to post another SCI!" He Sirong secretly thought.


    Now Lu Chen''s weak point is his scientific research ability.


    In Huaxia, no matter how strong a doctor''s clinical ability is, if he does not engage in scientific research and publish papers, it is all in vain.


    He Sirong wanted to catch up with Lu Chen, he had to work **** the thesis.


    ¡­


    After lunch, we went back to the bedroom.


    Wang Zihao was resting on the bed.


    Although he had a minimally invasive laparoscopic surgery and recovered quickly after surgery, he still took a period of leave to recuperate in the dormitory.


    "Zihao, have you eaten?" Lu Chen asked.


    "Well, I went to the cafeteria to eat by myself." Wang Zihao nodded, holding a laptop in his hand, "Lu Chen, thank you for the data last time. After the data is processed, I''m going to start writing the thesis. "


    "Small thing." Lu Chen smiled, "However, your progress is so fast?"


    "Well, I''m not very good at data statistics. If I were to learn SPSS software by myself, it might be a year of the monkey." Wang Zihao said, "I found a classmate who studied statistics and asked him to help him with the data, giving him a friendship. price."


    Research is inseparable from the statistics and analysis of data.


    An excellent researcher is often an excellent statistician.


    An article, if you can use different statistical methods, the final conclusions will be different.


    For the same content, if statistical analysis can be done well, the quality of the article may be up to the next level.


    However, learning statistics requires a lot of time and effort.


    "Well, it''s easy for you to do this." Lu Chen nodded.


    "Yeah, we are already very busy with our jobs, and we don''t have the time and energy to study statistics." Wang Zihao said, "Lu Chen, if you can''t find people''s statistics, I will take this Your classmates will introduce you."


    "Let''s talk about it." Lu Chen smiled.


    He is not allowed to let others help him analyze the data, so not only will there be a risk of data leakage, but will all the data in the future depend on others?


    This is not Lu Chen''s style.


    He decided to teach himself statistics!


    In the system mall, there are skill books for the most basic statistical analysis, which are not very expensive, only 50 points of gratitude.


    However, the intermediate statistical analysis skill book is expensive, and this requires 300 points of gratitude.


    Lu Chen decided to exchange the skill book for statistical analysis after he had exchanged for electrophysiological interventional surgery.


    At present, he is still collecting relevant data, and temporarily does not need statistical knowledge.


    "By the way, my sister is going to treat you to a meal." Wang Zihao suddenly said.


    "What?" Lu Chen was a little confused, "Your sister invited me to dinner?"


    "Yeah, isn''t she hospitalized in your department with chest pain?" Wang Zihao laughed, "I have seen a few times before, but the chest pain is not good. what."


    Lu Chen smiled, in fact, he didn''t give Wang Ruoxi any special medicine.


    Just perfected some examinations, ruled out coronary heart disease, let her exercise properly, and usually don¡¯t work too tired or too nervous.


    It seems that she is still mostly a cardiac neurosis.


    "As long as she''s all right, you don''t need to be so troublesome to invite dinner." Lu Chen said.


    "Hey, that won''t work, I must treat you to a meal. I had a cholecystitis attack last night, and you also sent me there." Wang Zihao said, "Just this weekend, I''ll let you know when you choose a place."


    "Alright then." Lu Chen nodded.


    Kindness is hard to come by.


    However, Lu Chen also wanted to go out for a walk. He stayed in the hospital every day and had to go out to get some air.


    ¡­


    Came to the emergency department in the afternoon.


    Lu Chen first went to see the male patient who was drinking dichlorvos.


    His condition is relatively stable, and his vital signs can be maintained.


    The mental state that was originally a little irritable can also be gradually stabilized.


    However, he was still intubated and given some sedatives.


    Wang Xiaodong decided to see the situation tomorrow and let him go offline.


    However, wait until you are offline and the sedatives are removed.


    The patient regained consciousness and knew about his wife''s condition. He didn''t know how he would feel.


    (end of this chapter)

 Chapter 305： handsome boy

    Chapter 305 Handsome young man


    Emergency department hours are long.


    This lengthy period is related to a large number of patients coming to see a doctor.


    Director Wang Peng''s team, where Lu Chen belongs, is one of the busiest medical teams in the emergency department.


    Director Wang Peng''s team not only has a lot of beds in the emergency department, but is also in charge of the emergency observation room today.


    The emergency observation room is mainly for those who are not seriously ill, but for the sake of insurance, they are observed in the hospital for one night.


    During this period, improve the relevant inspection, if there are not too many problems, you can leave the next day.


    "Doctor Wang, a patient has come to the observation room." Gong Nannan said from the door of the doctor''s office.


    "Okay, I got it." Wang Xiaodong turned to the three of Lu Chen and said, "Which one of you will go take a look first?"


    Lu Chen stood up first, "Senior brother, let me see it."


    At the same time, Xiao Lin also stood up, "I''ll go too."


    "I''m going too." Cheng Peng immediately wanted to go.


    "It''s just a patient in the observation room. You don''t need so many people to see it, just Lu Chen and Xiao Lin." Wang Xiaodong said, "Junior Brother Cheng Peng, you can go and see the male patient who drinks pesticides later."


    "Okay." Cheng Peng nodded.


    Lu Chen and Xiao Lin walked out of the office together and went to the observation room of the emergency room.


    ¡­


    Emergency observation room.


    Lu Chen and Xiao Lin walked to a hospital bed near the door.


    On the hospital bed, two young people sat.


    Both of them are in their twenties, and they are both big men of about 1.8 meters.


    Lu Chen''s first impression of the two was that they were tall and handsome!


    With a handsome appearance and fair skin, you can definitely find it out in a crowd.


    Those who didn''t know, thought these two were idol stars.


    At this time, Xiao Lin, who was on the side, saw the two of them, and there were stars in her eyes.


    The little nurses in the emergency department are not far away, and their eyes are shining.


    "Who is the patient?" Lu Chen simply asked.


    "Me." said a man in a white sweater on the left.


    Lu Chen was about to ask about his condition, but Xiao Lin tugged at Lu Chen''s sleeve.


    "Lu Chen, let me ask."


    Lu Chen was taken aback for a moment, then smiled, "Okay."


    Xiao Lin showed a smile, then stepped forward, cleared her throat, and said softly, "Are you feeling any discomfort?"


    The man frowned and said, "There has been some mild diarrhea in recent days."


    "How often do you have diarrhea? How many times a day? Have you eaten any unclean food?"


    The man immediately replied: "The frequency of diarrhea is still relatively frequent, about three or four times a day, and the recent diet is the same as before, without any special food."


    "What shape is the stool? What color?"


    "Like water, and sometimes paste."


    "Oh." Xiao Lin took out a small notebook and wrote it down on the paper, "Have you had any gastrointestinal problems before?"


    The ?? man nodded and looked at the other handsome man beside him, "Both of us have a little bit, but it wasn''t too serious before. I''ve had more diarrhea recently."


    While Xiao Lin asked about her medical history, Lu Chen was also observing the two men in front of her.


    The patient''s HP is 66, and the man next to him has a similar HP of 68.


    For young people, this kind of health is definitely a problem.


    "Okay, I''m done asking." Xiao Lin smiled, then took out the stethoscope and gave the patient a simple physical examination.


    At this time, a relatively active nurse in Corey ran to the man who was accompanying him and secretly took away his WeChat.


    ¡­


    After examining the patient, Lu Chen and the two of them completed their first consultation.


    "We may do some examinations later. You guys should wait for a while. It should be acute gastroenteritis, which is not a big problem." Xiao Lin said.


    "Okay, thank you." The patient smiled softly.


    This smile made Xiao Lin blushed.


    Afterwards, Lu Chen and Xiao Lin prepared to return to the doctor''s office.


    Before returning to the doctor''s office, Lu Chen whispered to Xiao Lin, "After the physical examination of the patient, don''t forget to wash your hands and disinfect."


    "Huh? Oh..."


    Xiao Lin nodded, but she felt that Lu Chen was a little long-winded.


    There are strict hand hygiene rules in clinical practice, requiring doctors to disinfect their hands in a timely manner after touching patients.


    One is to protect yourself, and the other is to avoid cross infection.


    But many times, the clinical work is too busy to ignore this.


    After Lu Chen and Xiao Lin washed their hands, they returned to the doctor''s office.


    "What patient came to the observation?" Wang Xiaodong asked.


    Xiao Lin immediately said: "The young man with diarrhea for 3 days has no other symptoms. It may be acute gastroenteritis. Check the blood routine and give him some fluids. If it doesn''t work, do an abdominal ultrasound. It should be fine."


    "What about Junior Brother Lu Chen''s opinion?" Wang Xiaodong looked at Lu Chen beside him.


    Lu Chen paused and said, "Xiao Lin basically said the same thing, but I think that since it is a patient with diarrhea, it is better to check a stool routine and stool culture."


    Wang Xiaodong smiled, "Okay, let''s follow your two opinions, check the patient''s blood routine, stool routine and stool culture, and then give him some fluids."


    After working night shifts together a few times before, Wang Xiaodong still trusts Lu Chen''s diagnosis.


    After Xiao Lin gave the doctor''s order, the nurse quickly collected blood from the handsome patient, and then instructed him to leave the stool.


    "What happened to the patient who drank pesticides?" Lu Chen looked at Cheng Peng beside him.


    "I just took a look. Blood pressure, heart rate, and blood oxygen saturation are all normal." Cheng Peng said, "If I hadn''t taken sedatives now, I would have woken up long ago."


    "That''s good." Lu Chen nodded.


    "Hey, what happened to that patient you just now, I see a lot of little nurses running to the observation room." Cheng Peng wondered.


    Lu Chen smiled, "The patient and his family are two handsome young men, they should all go to see the handsome guy."


    Cheng Peng raised his brows, "Hey, where''s the handsome guy? I''m handsome?"


    Lu Chen looked up and down at Fatty Cheng, who was plump, "Do you have some kind of illusion about yourself?"


    "Haven''t you heard that fat people are potential stocks?" Cheng Peng said stubbornly, "I want to lose weight, and then quietly surprise everyone."


    Lu Chen: "..."


    ¡­


    In the afternoon, there were no major rescue patients from the emergency department.


    Occasionally a patient with stomach pain or fever came to observe, Lu Chen and the three of them could handle it quickly.


    "Hey, there are a few reliable graduate students in the group, it really is a lot easier!" Wang Xiaodong couldn''t help but happily said.


    The postgraduate students or regular trainees from the previous group are too unreliable!


    Even a patient with abdominal pain and fever can''t understand, let alone participate in the rescue.


    It''s almost time to get off work.


    Lu Chen and others packed up and prepared to go back to the bedroom.


    "Xiao Lin, aren''t you off work?" Cheng Peng had already taken off his white coat.


    Xiao Lin was still sitting in front of the computer, without turning her head, "Wait a minute, I''ll see if the patient''s routine results come out."


    "Okay, you really care, let''s see." Cheng Peng pouted.


    At this time, Xiao Lin opened the test sheet and frowned, "How come there are so many red blood cells and a small amount of white blood cells?"


    Lu Chen also heard Xiao Lin''s words, he hurriedly walked to Xiao Lin''s side, and saw the usual result.


    In the routine examination results of the handsome man''s stool, there are indeed a large number of red blood cells and a small amount of white blood cells.


    Lu Chen frowned slightly: "Blood stool? How can this happen?"


    (end of this chapter)

 Chapter 306： God doesnt accept it?

    Chapter 306 God doesn''t accept it?


    There are many common causes of ?? **** stools.


    Such as digestive system diseases, esophagus and gastric varicose veins, hemorrhoids, gastric ulcers, etc., as well as some infectious diseases, poisoning, blood diseases, parasitic diseases.


    Wang Xiaodong also discovered the abnormality of the patient''s stool routine. He frowned and said, "Let''s review the patient''s stool routine and occult blood. Have you done a stool culture?"


    "Well, already done." Xiao Lin nodded.


    "That''s good, let''s wait for the results of the **** culture to come out." Wang Xiaodong said.


    Beside ??, Lu Chen frowned.


    The two young handsome guys are not like brothers, but they are very close.


    This has to be a strange association...


    However, it is only speculation at present, and further diagnosis and treatment can be done after the results of the **** culture come out.


    Xiao Lin went to the emergency observation room, informed the two young handsome guys about the results of the examination, and instructed the patient to stay for another stool routine examination.


    ¡­


    After finishing dinner in the cafeteria, Lu Chen returned to the bedroom.


    Recently, his main job is to collect data on clinical subjects, and also earn gratitude points to exchange for surgical skill cards for electrophysiological intervention.


    With the help of Ke Yue and her roommate, Lu Chen was also a lot easier to collect clinical research data.


    As for earning thanks points, Lu Chen mainly helps everyone to interpret various difficult electrocardiograms through the patients he usually treats in the emergency department and in the Jinghua Electrophysiology WeChat group.


    Since Lu Chen successfully entered the national finals of the electrocardiogram competition, everyone in the Jinghua Electrophysiology Group regards Lu Chen as an authority.


    I usually encounter some controversial electrocardiograms, and in the end, I need Lu Chen to help everyone solve their doubts.


    After going over and over again, Lu Chen was more efficient in earning thanks points, and on average he could earn more than 50 thanks points every day.


    in the system panel.


    Lu Chen''s total thanks is 87 points, which is still a long way from 2,000.


    Although there are still two months left for the ECG finals, which is relatively abundant, Lu Chen still needs to exchange the skill card for electrophysiological intervention as soon as possible, so that he can leave more time for training.


    ¡°ding ding ding¡­¡±


    The alert sound for WeChat messages sounds.


    Lu Chen picked up his phone and saw that it was a transfer message.


    The transferor is Li Yao''s mentor.


    Instructor Li Yao also attached a message below, "This is the department allowance for last month, it will be gone after you leave the department."


    Lu Chen thought about it and accepted the transfer from Li Yao''s mentor.


    This is also what he has worked hard for.


    Although it is only more than 1,000 yuan, it is also the teacher''s heart.


    In other departments, their graduate students do not have this kind of treatment.


    However, the next message from tutor Li Yao made Lu Chen happy.


    "I have applied to the school for the right to use the simulated surgery. Starting from the 1st of next month, you can enter the simulated operating room every day for operation training."


    Lu Chen quickly replied: "Thank you teacher!"


    The operational training in reality is definitely different from the system simulation space.


    Although the simulated surgery of the system is perfect, after all, it is only the stream of consciousness of oneself, and it is still very different without getting started in person.


    In order to get the time for the simulated surgery, tutor Li Yao must have put in a lot of effort.


    Li Yao continued: "So, starting from this week, as long as there is electrophysiological surgery on my side, you can follow me to observe and study, otherwise you will simulate training by yourself after a month, and you will not know what to train at that time."


    "Okay, teacher." Lu Chen smiled.


    Having a reliable mentor is a different feeling!


    After getting along for the past few months, Lu Chen could feel the personality charm of Li Yao''s mentor.


    As for why she was exposed to plagiarize other people''s articles, Lu Chen believes that Li Yao should not be such a person, and there may be other reasons.


    ¡­


    was speechless all night.


    The next day, Lu Chen arrived at the emergency department early in the morning.


    The male patient who drank pesticide yesterday was already offline (removed the ventilator).


    The man''s state is very clear, and he also knows about his wife.


    The expression on his face was very indifferent, and he didn''t seem to care about the safety of his wife.


    He also remained silent about the reason for drinking pesticides yesterday.


    In this regard, Lu Chen and others could not do anything about him.


    After the patient''s condition stabilized for a few more days, the family members requested to be transferred back to the local hospital.


    Finish work in the morning.


    Lu Chen glanced at the results of the routine examination of the handsome guy yesterday.


    The result of **** routine is still a large number of red blood cells and a small number of white blood cells.


    However, the results of the **** culture have not yet come out, and the results of this inspection will take 1-2 days at the earliest.


    Now mainly waiting for the results of the **** culture.


    Xiao Lin was on the side with a very happy smile on her face.


    "Hey, Xiao Lin, what''s wrong with you? The girl is Huaichun?" Cheng Peng asked casually.


    "Hey, I added the handsome guy''s Wechat yesterday." Xiao Lin smiled, "Look at his circle of friends, the photos are really handsome, and I found that all the friends he knows are handsome."


    While talking, Xiao Lin also took out her mobile phone and clicked on the handsome guy''s Moments to let Lu Chen and Cheng Peng check it out.


    "Hey, you handsome guy, how often do you go to bars?" Cheng Peng laughed.


    Lu Chen also glanced at it and found that most of the pictures were in the bar.


    "What age is it now, isn''t it normal to go to a bar?" Xiao Lin raised her eyebrows.


    "It''s normal if you say it''s normal." Cheng Peng spread his hands.


    Lu Chen didn''t continue to listen to the sloppy mouths of these two people, because there was another patient in the emergency observation room.


    Cheng Peng and Xiao Lin stayed in the doctor''s office.


    Lu Chen followed Wang Xiaodong to the emergency observation room.


    ¡­


    This is a male patient in his 40s with chest pain and tightness.


    As a clinician, when hearing the chief complaint of "chest pain and chest tightness", the first reaction is to consider the possibility of acute myocardial infarction.


    Lu Chen completed the ECG examination for the patient in the observation room.


    Before the ECG paper was finished, Lu Chen knew he had "won the lottery" when he saw the graph!


    ST-segment elevation in leads II, III, and AVF of the inferior wall, combined with the symptoms of persistent compressive chest pain, the patient is likely to have myocardial infarction.


    The emergency department immediately opened a green channel for him to notify his family members and conduct relevant inspections.


    The troponin value in fast cardiac enzymes is more than 30!


    Now the diagnosis is basically clear: acute inferior myocardial infarction!


    Patients with acute myocardial infarction require emergency coronary angiography and stent placement if necessary.


    However, what Wang Xiaodong and Lu Chen did not expect was that before the preoperative conversation with the patient, the patient''s reaction surprised everyone: "Why do you say that a myocardial infarction is a myocardial infarction, and when you say a stent is placed, a stent is placed? "


    After saying that, the middle-aged man got up and was about to leave.


    Wang Xiaodong quickly stopped and began to persuade: "Under normal circumstances, the value of troponin is lower than 0.5, or even 0.1, and the value will only increase after myocardial cell necrosis. Moreover, this indicator At least two to three hours after myocardial cell necrosis occurs. Your current value has reached more than 30. Combined with other tests, your situation is very clear. The blood vessels supplying the heart muscle are blocked. Heart attack!"


    The middle-aged man stopped and stared closely at Wang Xiaodong: "I don''t feel any discomfort now! It''s better not to come to the hospital. Originally, I didn''t want to come for an examination. As soon as I came in, he said that he would be hospitalized immediately. I graduated from TMD Xiamen University?"


    "I haven''t spent my money yet! Things haven''t been done yet! My daughter is still young, my wife is still young, and God will not accept it!"


    (end of this chapter)

 Chapter 307： Routes of transmission of amoeba

    Chapter 307 Routes of Amoeba Transmission


    "Don''t make fun of your body, after the death of cardiac muscle cells, there is no way to regenerate, and the necrotic cells are basically completely necrotic after more than 24 hours!" Wang Xiaodong continued to explain.


    "Listen to what you said, the cardiomyocytes have been necrotic a lot? Then I don''t care about letting them die more!"


    The middle-aged man still has to leave the hospital, "If you don''t let me go, then I''ll call the police!"


    Hearing this, everyone was quite helpless.


    Some patients gamble with their lives, preferring to believe that they will win the game rather than a doctor specializing in surgery.


    I don¡¯t believe that it is so unlucky to become famous, and I don¡¯t believe that I am young and sickly.


    "Aren''t you just being alarmist, "slamming" me for treatment, but actually "blackmailing" me!"


    Wang Xiaodong was speechless by the middle-aged man.


    In the eyes of some people who are taboo to practice medicine: the hard work of doctors is just superfluous. The doctor''s exhortations were nothing more than trivial matters.


    As everyone knows, they firmly refuse, and what they refuse may be the hope of life.


    ¡­


    At this time, in Lu Chen''s eyes, the patient''s HP was only 51!


    In other words, the patient is currently in a very critical state.


    As the course of acute myocardial infarction progresses, the condition may worsen at any time!


    For any doctor, it is impossible to watch such a patient leave the hospital.


    But the middle-aged man insisted on doing so, and even called the police.


    Even if Wang Xiaodong and Lu Chen''s medical skills are brilliant, they can only do nothing at this time!


    "Then sign a consent form refusing surgery and hospitalization." Wang Xiaodong did the same.


    He has called the patient''s family to inform him, but he did not expect that the patient''s family had the same virtue as him, and directly refused hospital treatment.


    "Okay, I''ll sign!" The middle-aged man snorted coldly, "You doctors, you really have no seeds!"


    The middle-aged man picked up the pen, and quickly signed his name on the medical record, and then left the hospital very smartly.


    Looking at the back of the middle-aged man leaving, Lu Chen couldn''t help sighing.


    "Senior brother, he..."


    Wang Xiaodong shook his head slightly: "I just hope that God really doesn''t accept him."


    Unfortunately, some people''s wishful thinking is wrong. They think they have the upper hand in this game, but in fact they are already doomed to lose everything.


    ¡­


    An hour later, Wang Xiaodong was still worried and called the middle-aged man.


    "Have you been to any other hospital? Hurry up and have a look!"


    However, the middle-aged man on the other end of the phone hung up immediately when he heard that it was a hospital call.


    Hearing the busy tone on the phone, Wang Xiaodong shook his head helplessly.


    There is no doctor who does not want the patient to survive!


    handled this patient, Wang Xiaodong and Lu Chen sorted out their emotions, because they had to face other emergency patients.


    There is an endless stream of patients in the emergency department.


    Jinghua Second Hospital is also the best leading hospital in the province, where all kinds of emergencies and incurable diseases are sent here.


    In the morning, Lu Chen stayed in the observation room of the emergency department for two hours and had seen about twenty patients.


    Most of the patients with relatively stable conditions were treated by Lu Chen, Cheng Peng and Xiao Lin in turn.


    For those with acute illness, Wang Xiaodong received the treatment himself, and occasionally Lu Chen would help with one or two.


    ¡­


    Eleven in the morning.


    The flow of people in the emergency department has finally decreased.


    "Ah...the result of the training of handsome guys is out!"


    At this time, Xiao Lin suddenly shouted.


    There was a hint of surprise in her voice.


    Is there a problem with **** culture? Lu Chen leaned over to take a look.


    "This is... amoebic dysentery?"


    Cheng Peng also stepped forward. After reading the results, he wondered: "That is to say, this handsome guy has diarrhea recently because he was infected with amoebic dysentery?"


    "Well, I think it''s the cause of this intestinal disease." Xiao Lin nodded, then picked up the phone, "I took this result and asked him to come to the hospital for a follow-up."


    This morning, two handsome young men have left the hospital.


    "Wait a minute." Lu Chen frowned.


    "What''s the matter?" Xiao Lin''s hands stopped for a while, and she looked at Lu Chen strangely.


    "Do you know what type of disease amoebic dysentery is?" Lu Chen asked softly.


    Shaolin paused and said slowly: "Amoebic dysentery, also known as amebic enteropathy, is caused by amoeba histolytica (amoeba dysentery) parasitizing in the colon, causing amebic dysentery or amoebic dysentery. Miba colitis. Under certain conditions, it can extend to the liver, lungs, brain, genitourinary system and other sites, forming ulcers and abscesses.¡±


    As a graduate student of gastroenterology, Xiao Lin quickly answered the definition of amoebic dysentery.


    "Then do you know how amoebic dysentery is spread?"


    Lu Chen''s eyes flashed a gleam of light, and he stared at Xiao Lin closely.


    Xiao Lin thought that Lu Chen was testing herself, she thought about it and said, "First, cysts polluting water sources can cause outbreaks in the area; second, when using feces as fertilizer, unwashed and undercooked vegetables It is also an important transmission factor; secondly, the cysts contaminate fingers, food or utensils and spread; finally, flies and cockroaches can contact feces, carry and vomit feces on the body surface, and contaminate food with cysts and become an important transmission medium."


    Cheng Peng nodded slightly beside him.


    It seems that Xiao Lin is usually a scholar!


    In such a short period of time, he directly stated the transmission route of amoebic dysentery, which is really amazing!


    However, seeing that Lu Chen didn''t speak, Xiao Lin was a little strange.


    If it was someone else in front of her, Xiao Lin would have already begun to question it.


    But the one in front of him is Lu Chen!


    Xiao Lin couldn''t help but doubt herself, did she miss something?


    At this time, Lu Chen said slowly, "What you said, these are only the contents of internal medicine books. In fact, amoebic dysentery has a common transmission route."


    "What is it?" Cheng Peng and Xiao Lin looked at Lu Chen in unison.


    "AIDS."


    When Lu Chen said this term, Cheng Peng and Xiao Lin were startled.


    "AIDS?"


    Lu Chen nodded: "Some diseases are classified differently at home and abroad. For example, amoebic dysentery, in China, the clinical symptoms it causes are considered intestinal diseases, but in European and American countries, it is Considered a sexually transmitted disease, especially among **** men. Because of the amoeba in the large intestine and rectum, it can attack the **** with certain behaviors."


    Cheng Peng and Xiao Lin looked at each other, and both of them couldn''t help swallowing.


    "I remember something. I heard the teacher say it once before, but after a long time, I lost my impression." Xiao Lin looked at Lu Chen weakly.


    Cheng Peng teased Xiao Lin aside, "Xiao Lin, it''s not a matter of discussing whether it is right or not. If Lu Chen is right, then your two handsome little brothers, aren''t they..."


    Xiao Lin''s face turned blue and then white.


    Obviously, she also realized this problem, and immediately turned to look at Lu Chen.


    Lu Chen nodded slightly: "Let them check HIV."


    (end of this chapter)

 Chapter 308： He is back!

    Chapter 308 He is back!


    In this case, the possibility of AIDS must be ruled out.


    From the signs of the two handsome young men, the possibility of AIDS is very high!


    Lu Chen informed Wang Xiaodong of all the situations he considered.


    As a resident physician, Wang Xiaodong is also not very professional in amoebic dysentery.


    But he immediately consulted the Department of Gastroenterology and Infectious Diseases, and he was sure that he really wanted to check the possibility of HIV.


    So, before leaving get off work in the morning.


    Wang Xiaodong called the two handsome guys and asked them to come to the hospital for a follow-up consultation.


    As for privacy matters such as HIV, Wang Xiaodong was not on the phone, but was preparing for an interview.


    "Congratulations, +1 for receiving thanks from Xiao Lin!"


    "Congratulations, +1 for receiving thanks from Cheng Peng!"


    solved this handsome young man, and Lu Chen also successfully gained two points of thanks.


    ¡­


    On the way back to the bedroom.


    Xiao Lin couldn''t help sighing.


    "Who would have thought! Two such handsome boys could be gay!"


    Cheng Peng smiled, "Isn''t the result still uncertain? Wait for them to come to the hospital for follow-up."


    Xiao Lin shook her head: "The two of them must be **** and haven''t run away."


    "Huh? Why are you so sure?" Lu Chen glanced at Xiao Lin strangely.


    At present, he is just guessing, and Xiao Lin has diagnosed him directly?


    Xiao Lin took out her mobile phone, then clicked on this handsome guy''s circle of friends, "You two look at this."


    Cheng Peng frowned and said, "Isn''t this the photo of the two of them in the bar? Lu Chen and I have already seen it."


    Lu Chen looked at the picture and asked tentatively, "You mean there is something wrong with this bar?"


    Xiao Lin nodded immediately.


    "I just heard from the nurse in the emergency department that this bar seems to be a well-known **** bar in Jinghua. Most of the **** men go there."


    Lu Chen was taken aback.


    These little nurses are amazing!


    All of them are Sherlock Holmes, can they find this "gay bar"?


    "It''s not easy!" Cheng Peng exclaimed repeatedly, "Isn''t this a real hammer?"


    "Hey, I''m just a pity, such a good resource is wasted on people of the same sex." Xiao Lin shook her head slightly.


    Lu Chen smiled and said nothing.


    The three of them went back to their bedrooms.


    ¡­


    Go back to the bedroom.


    Wang Zihao is sitting in front of the computer.


    Judging by his appearance, he should be writing something.


    "Lu Chen, you just happened to be back, come and teach me how to write the content here?" Wang Zihao said quickly.


    Lu Chen put down his backpack,


    went to Wang Zihao and saw that he was writing the review part of the paper in word.


    "I found a few English literatures, but I can''t understand them well. I don''t think I can understand the results of the machine translation. Please help me."


    "Well, I''ll take a look." Lu Chen moved closer to the computer.


    Wang Zihao immediately opened the two English documents.


    Lu Chen has a skill card for document reading, so he glanced at it and understood the main content of the document.


    He cleared his throat and explained: "The mechanism mentioned in this document may involve the principles of many ion channels..."


    explained about ten minutes, and Wang Zihao also understood the content of the English literature.


    "Congratulations, +1 for the thank you from Wang Zihao!"


    Seeing the prompt popped up by the system, Lu Chen also smiled.


    He currently has a lot more skills than before. In his usual clinical work and study, the efficiency of obtaining thanks points is much higher than before!


    "Lu Chen, I really envy you!" Wang Zihao couldn''t help sighing, "I''ve read it for a long time, and I don''t really understand what the document is about. Just glance at it and you''ll understand."


    People are more popular than dead people!


    The key is that Lu Chen works harder than the average person!


    This is very scary.


    "The more you read and the more you read, you will naturally be able to master it." Lu Chen lied.


    His previous English literature reading ability, although strong, was not as strong as it is now.


    With the help of the literature reading skill card, Lu Chen is even more powerful!


    "By the way, I found a place to eat on weekends and sent it to your phone."


    "OK, all right."


    ¡­


    After resting in the dormitory for an hour and a half, Lu Chen returned to the emergency department.


    Came to the doctor''s office in the emergency department. Before his **** was hot, he heard a nurse outside the office shouting, "A patient is coming to the emergency room!"


    At this time, Wang Xiaodong had also arrived at the department.


    "Go, Junior Brother, let''s go out and have a look." Wang Xiaodong stood up and said to Lu Chen.


    Lu Chen nodded and followed behind Wang Xiaodong.


    When the two came to the emergency room and saw who was coming, they were all stunned.


    The patient in front of me is the middle-aged man who was diagnosed with acute inferior wall myocardial infarction this morning!


    He is back!


    I saw him lying weakly on the hospital bed.


    His face and lips were pale, his eyelids were closed, and he seemed to be able to fall asleep at any time, without the arrogance and arrogance of the morning.


    There was also a middle-aged woman beside the bed, calling out the man''s name incessantly.


    "Doctor, come quickly! You must save my husband!"


    Lu Chen and Wang Xiaodong hurried forward.


    "What''s the situation?" Wang Xiaodong looked at the ambulance doctor who brought the patient to the side.


    "The patient fainted in the mall half an hour ago, and it took a few minutes to slowly improve." The ambulance emergency doctor said, "Fortunately, a passerby called 120 in time. When we arrived, he was already awake, but his current blood pressure And the heart rate is very low, very unstable, and the whole person is in a very weak state."


    After knowing a little about the patient''s situation, Wang Xiaodong focused his attention on the patient in front of him.


    "Senior brother, the patient''s blood pressure is only 80/50mmHg!" Lu Chen said solemnly after measuring his blood pressure manually.


    "Low blood pressure and slow heart rate are common complications of acute inferior wall." Wang Xiaodong frowned.


    Because the blood vessels in the lower wall of the heart supply the atrioventricular node area, the conduction system of the heart is damaged.


    The reason why middle-aged men will faint is that after the heart conduction system is damaged, the heart rate is too slow, causing syncope.


    Inferior leads are often associated with myocardial infarction in the right ventricle, which primarily controls volume.


    Once right ventricular myocardial infarction occurs, it is easy to be complicated by hypotension and even shock!


    "Combined with his medical history of myocardial infarction, it is very likely that it is cardiogenic shock after myocardial infarction!" Wang Xiaodong quickly judged the patient''s condition.


    At this time, in Lu Chen''s eyes, the HP of a middle-aged man was only 38!


    In this case, the patient may die suddenly at any time!


    Wang Xiaodong frowned, and immediately said to the nurse on the side: "Open two more intravenous channels! Full-speed rehydration! Dopamine and norepinephrine, two boosters are pumped at the same time!"


    "Received!" The nurse in the emergency room was very experienced, and after hearing Wang Xiaodong''s emergency doctor''s order, they immediately began to implement it.


    On the hospital bed, the patient''s mental state has changed.


    He sometimes opened his eyes to look around at everyone, sometimes closed his eyes, and kept mumbling: "I... where am I? You... don''t touch me, I''m fine, I''m not worth 100 million yuan! "


    The middle-aged man seems to have lost recognition of the people around him.


    Upon seeing this, Lu Chen was even more certain that the patient was currently in a state of shock.


    Because of many shock patients, the first sign change is "consciousness change"!


    If you notice that a patient suddenly has a change of mind, starts talking "babble" and becomes irritable, it must be a precursor to shock!


    (end of this chapter)

 Chapter 309： Rescue on the road

    Chapter 309 Rescue on the road


    "Open the green channel, call the CCU in the heart, and let them prepare for the operation in the catheterization lab!" Wang Xiaodong said immediately.


    "Okay, I''ll get in touch!" Lu Chen nodded.


    During this period of time in the Cardiology Department, Lu Chen''s most familiar phone calls, in addition to the eight areas in his heart, were the calls from the CCU in his heart.


    He deals with the CCU in his heart a lot.


    took out his mobile phone, the CCU number of the Cardiology Department was memorized in his heart, and Lu Chen immediately dialed it.


    The phone was connected, and Lu Chen immediately recounted the patient''s situation briefly.


    "Male patient, 43 years old, came to the emergency department in the morning and was diagnosed with acute inferior wall myocardial infarction. He signed a refusal to operate and was hospitalized. He was admitted to the hospital five minutes ago due to syncope. At present, the patient''s expression is unclear and he is in a state of shock..."


    The ??CCU doctors also became alert.


    For such patients, coronary angiography should be performed immediately to open up the blocked blood vessels and restore myocardial blood supply.


    Only then can there be hope of surviving.


    Otherwise, just such simple rehydration and boosting blood pressure will only cure the symptoms but not the root cause!


    "I''ll push the patient over immediately." Lu Chen said immediately.


    The CCU doctor replied: "Okay, we will inform the catheterization laboratory in advance and be ready at any time! You should also prepare with your family members."


    hang up the phone.


    Wang Xiaodong also communicated with the patient''s family.


    In the morning, the female family members refused to be hospitalized.


    Now, she is crying and shouting that she is going to be hospitalized and going to have an operation.


    Lu Chen and Gong Nannan, a nurse in the emergency department, prepared a defibrillator and a first aid kit, pushed the bed, and sent the patient to the CCU.


    Looking at the back of Lu Chen leaving, Cheng Peng and Xiao Lin looked at each other.


    "Look, I''m right." Cheng Peng whispered, "Lu Chen is fine in everything, but his face is black!"


    "Mmmm." Xiao Lin nodded like a chicken pecking rice, "We have only been in the emergency department for two or three days, and we have encountered too many rescues! On the first day, I encountered pesticide poisoning. Yesterday Suspected of HIV, today another myocardial infarction was not hospitalized..."


    Although the emergency department is busy, the director Wang Peng''s group where Lu Chen belongs seems to be even busier!


    Since the three of Lu Chen came, this busy atmosphere has a tendency to surpass the department director group.


    ¡­


    On Lu Chen''s side, on the way to the CCU in his heart, he was cautious, his eyes fixed on the ECG monitor by the bedside, and he didn''t dare to look away for a moment.


    The patient''s blood pressure and heart rate are still unstable, and he is still in a state of shock.


    At such times, sudden death may occur at any time.


    But they still need to take the risk and send the patient to the cath lab of the Cardiology CCU.


    Because the emergency department has no conditions for intervention at the moment!


    Continuing to stay like this is just a simple waste of time.


    "It''s coming soon! Hold on for a while!" Lu Chen whispered to the family members beside him.


    But at this moment, the situation suddenly changed!


    Lu Chen noticed that the middle-aged man who was still talking "nonsense" suddenly became unusually quiet.


    His eyes rolled up, foaming at the corners of his mouth.


    On the bedside ECG monitor, the patient''s heart rate and oxygen saturation suddenly plummeted!


    "Damn, the patient''s heart stopped!" Lu Chen immediately realized that something was wrong, "Stop the bed!"


    He quickly stopped, ran to the bedside, and performed chest compressions on the patient.


    "Sister Nan Nan, give me a shot of adrenaline!" Lu Chen shouted to Gong Nannan who was beside him while performing chest compressions.


    Epinephrine, clinically mainly used in patients with cardiac arrest.


    In Lu Chen''s eyes, the patient''s life dropped a bit.


    Gong Nannan also reacted, she immediately opened the first aid kit beside the bed and started dispensing medicine.


    Rescue work begins on the spot!


    The family members of the two patients on the side of ?? were all startled, and the cry in their throats began to come out again.


    After Gong Nannan finished the adrenaline, Lu Chen knew he couldn''t waste time.


    He stopped pressing, kicked his feet, climbed onto the bed, knelt on the patient''s body, and continued to start pressing.


    At the same time, he shouted to Gong Nannan and the patient''s family, "Continue to push the bed, speed up! Hurry to the CCU!"


    Gong Nannan and his family heard the words and immediately pushed into the bed, speeding up and heading towards the CCU in their hearts.


    ¡­


    At this time, Lu Chen was still doing chest compressions. In his world, no one else existed.


    He knelt on the bed and gave the patient chest compressions while the others pushed the bed.


    This scene was seen by many people in the hospital.


    Some people who like to join in the fun even picked up their mobile phones to take pictures.


    The security guard on the first floor of the eighth inpatient department, with sharp eyes, saw Lu Chen and the crowd pushing the bed from a distance.


    The security guard immediately opened the door of the inpatient department, then ran to the elevator and stopped an elevator that just reached the first floor.


    "thanks!"


    Entering the elevator of the eighth inpatient department, Gong Nannan said to the security guard.


    This way, they can be said to be unobstructed, and they got on the elevator very smoothly.


    "Yes, which floor do you go to?" the security guard asked.


    "CCU on the fourth floor." Gong Nannan said.


    "OK."


    The security guard pressed the elevator button to the fourth floor for everyone and got off the elevator immediately.


    ¡­


    "Ding!"


    The sound of the elevator reaching the fourth floor was so pleasant to Lu Chen''s ears.


    "Get out of the way! Get out of the way!" The family members on the side shouted to the crowd at the elevator.


    When the people outside saw this rescue scene, they immediately stepped aside, and a doctor in a white coat helped push the bed out.


    Came to the gate of CCU in my heart.


    At this time, the CCU doctor was already waiting.


    As soon as they saw the hospital bed, they greeted them.


    Everyone pushed the hospital bed into the CCU together.


    "The patient''s family is waiting at the door!" The CCU doctor stopped the two family members.


    CCU is the same as ICU, family members are not allowed to enter.


    The hospital bed was pushed into the emergency room, and Lu Chen got off the bed.


    Don''t look at the short distance, but Lu Chen''s arms were already sore from the constant chest compressions.


    Anyone who has experience in CPR knows that if a person can hold CPR in the standard mode for five minutes, it is already very powerful!


    What''s more, Lu Chen had performed chest compressions for a long time on the female patient who was drinking pesticides yesterday.


    The soreness on his arm has not fully recovered, and it came again today...


    This sour feeling, Lu Chen really doesn''t want to do it again!


    The next thing is left to the doctor of CCU.


    Lu Chen has tried his best to treat the patient, and the rest can only depend on the good fortune of the CCU doctor and the patient.


    If middle-aged men could be hospitalized in the morning and undergo interventional surgery in time, the current situation may not happen.


    But, it''s too late to say anything now!


    There is no regret medicine in the world.


    followed. Lu Chen and Gong Nannan walked back to the emergency room together.


    ¡­


    Just walked into the ward.


    Lu Chen saw two handsome figures.


    The handsome guy diagnosed with "Amoebic dysentery", and another handsome guy who is suspected of his sexual partner.


    Looking at the expressions of these two people, they seem to be very gloomy, not like the sunny and handsome guy yesterday.


    It seems that Wang Xiaodong should have informed them of his condition.


    Back to the doctor''s office.


    Xiao Lin immediately leaned in front of Lu Chen.


    "They both agreed to take blood."


    Lu Chen said: "Check for HIV?"


    "Yeah." Xiao Lin nodded, "Brother Wang Xiaodong told them all about the situation. It was difficult for them to accept it at first, but now they have calmed down and acquiesced in their relationship. Now they agree to take blood, and confirm whether they have any HIV infection."


    (end of this chapter)

 Chapter 310： Inversion of the burden of proof

    Chapter 310 Inversion of the burden of proof


    "Lu Chen, I remember, you asked me to wash my hands after seeing the patient, did you think of this long ago?" Xiao Lin suddenly asked.


    "I was just suspicious at the time." Lu Chen said, "It''s okay for a handsome young man to appear, but two people appear at the same time and behave intimately, so we still need to be careful. Besides, our working environment is special, and it is required to see patients after seeing them. , wash your hands immediately."


    Xiao Lin nodded slightly.


    Although the HIV test results of the two patients have not come out now, it has given her a wake-up call.


    In this world, **** need to be cautious!


    ¡­


    After the patient with "acute myocardial infarction" was sent to the CCU, Lu Chen still paid attention to the changes in his condition.


    The system of the emergency department cannot read the patient''s medical records, but fortunately, the entire cardiology medical record system is the same.


    Lu Chen got on Sun Guoguo''s account and entered the medical record system of the Cardiology CCU.


    He quickly found the patient''s bed number.


    Check the patient''s doctor''s order, the surgery doctor''s order has been placed.


    "Looks like he''s already in the operating room."


    Lu Chen opened the operation-related records and found that the patient had two more ventricular fibrillations on the operating table.


    "If this can be saved, then his life is really big."


    At this time, there was a sudden loud noise outside the emergency ward.


    Cheng Peng ran into the doctor''s office from outside panting.


    "The family member of the myocardial infarction patient is here to make trouble!"


    Lu Chen frowned, the patient was still being rescued in the CCU, and there was trouble here?


    At this time, Wang Xiaodong was seeing other patients in the emergency room.


    Lu Chen stood up and said, "Fatty, you go to the rescue room to find Senior Brother Wang, I''ll take a look first."


    Walk out of the emergency doctor''s office.


    At the nurse station in front, Lu Chen saw four middle-aged people, male and female.


    The leader was a middle-aged man, with his left hand on his hips, his right hand pointing at the nurse in front of the nurse''s station, and he kept shouting and cursing.


    Lu Chen stepped forward and took a look. His appearance was somewhat similar to that of the patient. He should be the patient''s brother.


    At this time, the head nurse of the emergency department has appeared.


    She stood in front of the nurse''s station, constantly communicating with patients.


    The middle-aged man was very emotional and loud, as if he wanted to attract the attention of everyone around him.


    "What kind of ruined hospital are you? It''s a waste of life, right? My brother came in the morning, and you put him back!"


    "Don''t get excited, we have something to say slowly..." The head nurse tried to appease the middle-aged man in front of him.


    "Don''t get excited! My brother is in the intensive care unit for rescue! Can I still calm down?"


    A few men and women beside him kept echoing, accusing the second hospital of Jinghua for how bad it was.


    When Lu Chen saw this, he stepped forward immediately.


    This patient was admitted by their group, and it is best for them to come forward to solve it.


    Although the head nurse was the head of the department, he didn''t know what happened at that time.


    "Hello, I''m one of Liu Mao''s emergency physicians." Lu Chen said, staring at the people in front of him without hesitation.


    "You?" The middle-aged man turned his head to look at Lu Chen and sneered, "A hairy child, I want to see your director, hand over your director quickly!"


    "If you have any opinion on our diagnosis and treatment process, you can put it up at any time, or you can go directly to the complaint route." Lu Chen said solemnly.


    The middle-aged man snorted coldly: "My brother was diagnosed with a myocardial infarction in your hospital in the morning. You don''t care about anything and let him go back. You are not killing people? Are you not a quack doctor?"


    "We have fully informed the patient and family of the condition, and the patient himself refused hospitalization and surgical treatment." Lu Chen continued.


    "How did you communicate? My brother is a commoner and has no knowledge of medicine. How does he know whether the disease is serious or not?" The middle-aged man asked rhetorically, "It must be that your hospital did not fully inform you about the prognosis of the disease. Inaccurate, let my brother go. This has led to his current rescue, and your Jinghua Second Hospital has an inescapable responsibility!"


    Lu Chen raised his brows, the patient''s family members have something to say, or there is an expert behind him.


    If it is true that the condition is not fully informed and the assessment is not in place, the hospital will definitely bear the main responsibility.


    However, the families clearly got it wrong.


    Before the patient left the hospital in the morning, Lu Chen and Wang Xiaodong had asked him to sign the outpatient medical record, expressing his refusal to be hospitalized and surgically treated.


    Each outpatient or emergency patient will have a medical record book.


    All treatment in the hospital will be written in the medical record by the doctor.


    Lu Chen said sternly: "The patient has signed the outpatient medical record and refuses to be hospitalized!"


    "Oh? Outpatient medical records? We didn''t see this." The middle-aged man raised his brows.


    Cheng Peng, who was beside ??, became a little anxious when he heard this.


    "When the patient left, he still had the medical record in his hand!"


    "But we haven''t seen this medical record now. Just listening to your hospital''s own words is useless!" The middle-aged man stared at Cheng Peng without showing weakness, obviously coming prepared, "What evidence do you have to prove that you Have you communicated with my brother? Don''t forget the inversion of the burden of proof in medical care!"


    In general civil and criminal cases, a clause of "burden of proof" is followed.


    That is, whoever claims, whoever gives evidence.


    In short, I claim that you are guilty, so I have to produce certain evidence so that you can be proven guilty.


    But in medical dispute cases, there is a special clause, which is "inversion of the burden of proof".


    Due to the limitations of the victim''s position, it is impossible or difficult to prove it with evidence.


    Therefore, the law stipulates that patients do not need to provide evidence, but doctors need to produce evidence to prove their innocence.


    When the evidence is not available, the fact will be inferred according to the established results, so that the patient is in a better position.


    A gleam of light flashed in Lu Chen''s eyes.


    This group of family members is really not a simple disturbance!


    The average person must not know the rule of "inversion of the burden of proof" in the law.


    At this moment, Wang Xiaodong finally finished handling the emergency patients and came to the nurse station.


    He stepped forward, stood in front of Lu Chen, and protected him behind him.


    "I''m Liu Mao''s doctor in charge, do you have anything to talk to me about..."


    Wang Xiaodong winked at the three of Lu Chen and told them to leave first.


    The head nurse is also clearing out irrelevant personnel.


    "Let''s go, let''s go back to the office." Lu Chen turned back and said to Cheng Peng and Xiao Lin.


    "But, this..." Cheng Peng hesitated.


    "Don''t worry, Brother Wang Xiaodong has encountered more of this kind of thing in the emergency department than we have, and he can handle it well." Lu Chen said in a deep voice, "We are still in the way here, let''s go back."


    "Okay." Cheng Peng nodded.


    Lu Chen and the three returned to the doctor''s office.


    After about twenty minutes, the noise at the nurse''s station finally subsided.


    This year, the Supreme People''s Court''s newly revised "Several Provisions on Evidence in Civil Litigation", one of which is to delete the "inversion of the burden of proof" in medical litigation. Now the burden of proof for medical malpractice is no longer inverted.


    (end of this chapter)

 Chapter 311： hit

    Chapter 311


    (This chapter was blocked last night and reposted.)


    "Damn, what''s the point of us doing this?" Cheng Peng grimaced, "Lu Chen, just now you were pushing the hospital bed to give the patient CPR, and this time they were pushed all the way into the CCU, why are their family members still doing this? what?"


    "Because the cost of medical trouble is low." Lu Chen said slowly, "Even if we are not at fault, even if they wronged us, they are not at fault. Next time, we should continue to make trouble."


    "Alas, what a jerk." Cheng Peng smiled wryly.


    "Calm down, don''t get discouraged." Lu Chen patted Cheng Peng on the shoulder, "This kind of patient and family members are a minority. Most of the patients are grateful and would not do such a dirty thing."


    Cheng Peng nodded slightly and stopped talking.


    After this incident, the atmosphere in the emergency doctor''s office was a little dull.


    Even if this kind of thing is not rare, everyone is still a little indignant.


    ¡­


    At this time, Wang Xiaodong returned to the doctor''s office.


    The three of Lu Chen immediately approached Wang Xiaodong.


    "Brother, how did you talk to the patient?" Cheng Peng asked immediately.


    Wang Xiaodong shrugged his shoulders and said, "They thought we only had outpatient medical records. In fact, before the patient left, we had other backups. The patient and their family members also signed the notebook in our department. In addition, there is monitoring here. They If you deny it, that''s impossible."


    "But the family of the middle-aged man said that the burden of proof is reversed..." Cheng Peng whispered.


    "Hey, don''t worry about this. In fact, this year, the law has already abolished this provision. The current doctor-patient relationship is somewhat overcorrected... This law should have been abolished long ago. I have already sent my family members away. Go, if they still want to make trouble, let them complain, we are not afraid."


    Wang Xiaodong also gave everyone a little knowledge of the law.


    The three of Lu Chen finally felt relieved.


    "The operation of the myocardial infarction patient is finished!" Xiao Lin pointed to the computer screen.


    Lu Chen stepped forward immediately.


    In the operation record, the patient has completed coronary intervention, and a total of three stents have been placed.


    Although the patient suffered from ventricular fibrillation several times during the operation, they were all rescued.


    In addition, the patient also used IABP, and the current state has stabilized slightly.


    "He really has a great fate!" Wang Xiaodong shook his head slightly, "If you can survive these few days, you should be fine."


    Xiao Lin wrinkled her nose, "I just hope his family will stop making trouble."


    Lu Chen was slightly relieved when he saw the operation record.


    No matter what happens to the patient''s family, their doctors hope that the patient can walk out of the operating room safely.


    ¡­


    The emergency department has resumed its usual busyness.


    Lu Chen, Cheng Peng and Xiao Lin became more and more familiar with the work of the emergency department.


    For Wang Xiaodong, the three reliable graduate students in the group made clinical work a lot easier.


    Although Lu Chen has a "black face", but his flaws do not hide his beauty!


    Cheng Peng is studying the shift schedule.


    "I am the night shift in the observation room tonight. Lu Chen, you are the night shift in the emergency outpatient clinic tonight, don''t forget!"


    "Okay." Lu Chen nodded.


    There are three types of night shifts in the emergency department.


    Emergency clinic, emergency observation room, emergency ward.


    Relatively speaking, the emergency outpatient department is the busiest, and it is basically impossible to sleep all night.


    "Fortunately, Lu Chen is in the outpatient clinic on the first floor, and I''m on the second floor, so we didn''t meet each other." Cheng Peng whispered with some happiness.


    Xiao Lin smiled, "Why are you so lucky? If he sees a critically ill patient in the outpatient clinic, he will send it to you too."


    Cheng Peng was taken aback for a moment, Xiao Lin seemed to make sense...


    damn!


    This is destined to be another sleepless night!


    The morning in the emergency department was spent so unpretentiously.


    ¡­


    Back to the bedroom at noon.


    The bedroom was empty.


    Wang Zihao is also not in the dormitory. It seems that he has recovered and started to "wave" everywhere again.


    Lu Chen took out his laptop and continued to start his own clinical research.


    "Ding ding ding..."


    The mobile phone WeChat alert sounded.


    This time, it was actually another transfer message, and Lu Chen was taken aback.


    Who transferred money to him again?


    What kind of fortune did he have recently?


    Turning on the phone, Lu Chen saw that it was actually Brother Dong Hao''s transfer information.


    The amount of the transfer is one thousand yuan.


    "Junior Brother, this is the surgery fee you lent me last time. I will return the rest to you in batches."


    Lu Chen didn''t receive the transfer. After thinking about it, he said, "Senior brother, I''m not short of money recently. You don''t have to worry about paying it back."


    Dong Hao''s surgery, in fact, has not been done for a month.


    Lu Chen doesn''t lack these thousands of dollars now.


    Dong Hao immediately replied: "It''s okay, junior brother, I recently found a part-time job and made a little money, you should collect the money!"


    Lu Chen knew Brother Dong Hao''s personality.


    I don''t accept the money, I''m afraid Senior Brother Dong Hao will not feel at ease.


    Lu Chen accepted the transfer.


    "Senior brother, don''t worry about the rest of the money, I have a bonus now, so I don''t need money."


    "okay, I get it."


    Seeing Dong Hao''s response, Lu Chen shook his head helplessly.


    Senior brother said so, maybe he will pay another sum of money next month.


    If it wasn''t for the influence of family factors, Lu Chen believed that Brother Dong Hao would definitely become an excellent doctor.


    However, it is not too late.


    Lu Chen thought, in the future, he will try to help Senior Brother Dong Hao as much as possible.


    ¡­


    afternoon.


    Just came to the emergency department.


    Lu Chen saw the little nurses in the emergency department, all of them looked like they were facing a big enemy.


    "What happened to them?" Lu Chen found Gong Nannan at the nurse station,


    Gong Nannan looked around, then lowered his voice and said, "The laboratory called just now and the diagnosis was confirmed!"


    "Diagnosed?" Lu Chen was stunned for a moment, then immediately reacted, "You mean those two handsome guys..."


    "Yes." Gong Nannan nodded, "Both of them are HIV positive..."


    No wonder the people in Corey are a little nervous...


    Although after a lot of popularization and publicity, AIDS has been well known to everyone.


    Normal speaking and communication will not spread AIDS.


    But everyone avoids this disease.


    After all, in the minds of the public, as long as you get contaminated, your life is over...


    ¡­


    After a while, both handsome guys went to the emergency department.


    The two of them were placed in two wards alone.


    The expressions of the two of them were a little low, and whoever learned the news could not face it calmly.


    But since the two of them are gay, they should be aware of this.


    For patients who discover HIV for the first time, according to the National Infectious Disease Prevention and Control Law, they need to report immediately.


    In addition, you also need to ask about the relevant medical history.


    "Lu Chen, why don''t you go ask." Xiao Lin whispered.


    "If you ask for a medical history, it won''t be contagious. I''ll go." Lu Chen nodded.


    ¡­


    The wards of the two handsome guys are separate, because the inquiry of medical history also involves relevant privacy.


    Came to a separate ward, and Lu Chen began to inquire about his medical history.


    After ?? inquiries, Lu Chen learned that the two of them had as many as three partners.


    In other words, at least eight people were recruited by HIV this time.


    Lu Chen couldn''t help but sigh, he still has to keep himself clean!


    Because no one knows what kind of filth is hidden under the beautiful skin.


    After asking about the medical history, Lu Chen returned to the doctor''s office and filled out the infectious disease reporting card.


    (end of this chapter)

 Chapter 312： Broken fifteen thermometers!

    Chapter 312 Broken fifteen thermometers!


    After dealing with the two HIV-positive patients, Lu Chen returned to the intense work of the emergency department.


    However, because Lu Chen is on the night shift in the emergency clinic tonight, he can leave work early to prepare for the night shift at night.


    Before four o''clock in the afternoon, Lu Chen and Cheng Peng got off work together.


    He still has an hour and a half to take a nap, then have dinner, and then prepare to go to the emergency medical clinic at night.


    ¡­


    After finishing dinner in the cafeteria, Lu Chen went back to the bedroom and slept for an hour.


    Although the time is short, for Lu Chen, this hour is already very precious.


    Because of the night shift tonight, he is ready to fight all night!


    Before leaving for work, Wang Zihao returned to his bedroom.


    Knowing that Lu Chen was going to work the night shift, Wang Zihao said with a smile, "Lu Chen, take Ping An Fu with you!"


    "Don''t worry, it''s always in the pocket of my white coat." Lu Chen smiled.


    The last time I went to the temple to pray for blessings, Lu Chen asked for a blessing and kept it in the pocket of his white coat.


    Whether it is useful or not, you can leave a thought.


    ¡­


    Came to the emergency department.


    Lu Chen first went to the second floor of the emergency department ward, put on his white coat, and then went to the internal medicine clinic on the first floor of the emergency department.


    In the evening, the emergency medicine outpatient department and the surgical outpatient department are separated.


    As soon as Lu Chen arrived on the first floor, he saw a stretcher being carried off the 120 ambulance.


    "Car accident injury! Car accident injury!"


    The ambulance doctor shouted.


    The emergency surgery doctor immediately ran out of the consultation room.


    Lu Chen just paused for a moment, then walked into the emergency room.


    There were already seven or eight patients waiting in front of the consultation room.


    As soon as he walked into the consultation room, Lu Chen saw a middle-aged female doctor sitting in front of the computer, auscultating the lungs of a 17- or 18-year-old boy.


    "The auscultation of the lungs is okay. Let''s do a blood test first, and then observe it in the emergency room for one night."


    The middle-aged female doctor wrote the outpatient medical records in a swift manner.


    She handed over the medical records to the girl''s family, and also noticed Lu Chen beside her.


    "Are you the student on duty tonight?" she asked quickly.


    "Yes." Lu Chen nodded.


    "Fortunately, you came early, come and sit next to me and help me write the examination list." The middle-aged female doctor moved her position and motioned Lu Chen to sit directly in front of the computer, "Can you use the outpatient medical record system?"


    Lu Chen nodded: "Yes."


    He had accompanied Li Yao to an outpatient clinic before, and he was familiar with these operating systems.


    "Well, you can prescribe whatever I say, and don''t prescribe it wrongly." The middle-aged female doctor said, "You will also write the outpatient medical records."


    "Okay." Lu Chen nodded.


    In the ?? consultation room, there are already three patients waiting.


    And outside the consultation room, there are still many patients and their families waiting.


    Although there are nurses maintaining order, many patients and their families do not persuade them at all.


    Signed up and rushed directly to the emergency room.


    Some patients are not even registered¡­


    As soon as Lu Chen sat down, the middle-aged female doctor began to "issue orders".


    "Prescribe a blood routine and chest CT for this patient."


    "The patient was prescribed a routine blood test and myocardial enzymes."


    "Another abdominal CT..."


    Lu Chen found himself a "tool man".


    Just keep writing outpatient medical records, and then issue checklists and laboratory tests.


    After reading all these eight patients, I can finally take a breath.


    The middle-aged female doctor picked up the teacup, took a sip, and then looked at Lu Chen aside: "Are you a graduate student or a graduate student?"


    met a good student, so Wang Xueyang asked a few more questions.


    Lu Chen said: "Graduate student."


    "How many?"


    "Kenichi."


    "Are you still studying first?" Wang Xueyang was quite surprised.


    She felt that the student in front of her was very agile and skilled in writing medical records.


    "Lu Chen..." Wang Xueyang picked up Lu Chen''s badge and took a closer look, "Which department are you a graduate student? Who is your supervisor?"


    "Department of Cardiology, the instructor is Li Yao." Lu Chen said.


    "Oh? You are Li Yao''s student!" Wang Xueyang took another look at Lu Chen.


    Mr. Li Yao is not a popular choice among students, why did such an outstanding student suddenly appear?


    "I also graduated from the Cardiology Department of Jinghua Second Hospital before." Wang Xueyang added, "I was transferred to the emergency department later."


    The emergency department, if divided by region, would be equivalent to exile.


    Although the status is very important, few people are willing to come.


    In addition to the high-intensity workload, there are still high risks.


    Lu Chen also saw the badge of the middle-aged female doctor in front of him. Her name was Wang Xueyang.


    Because the outpatient class in the emergency department is rotated every month, Wang Xueyang has been in the outpatient clinic recently, so Lu Chen has not seen her in the emergency ward.


    "Have you eaten tonight?" Wang Xueyang asked, "If you haven''t, I''ll order you a takeaway."


    "I ate." Lu Chen smiled.


    It may be because Wang Xueyang was also a cardiologist before, so Lu Chen felt a bit cordial.


    The two talked for a while, and Lu Chen roughly understood his work flow tonight.


    His main job, like when he first came here, is to issue checklists and write medical records.


    Wait until three in the morning, Lu Chen can go back to the ward to rest for two hours.


    However, at five o''clock in the morning, he will come down to take over Wang Xueyang''s shift, and then stay alone in the emergency internal medicine clinic, dealing with various patients.


    persisted until seven in the morning, when Wang Xueyang would come back to replace Lu Chen.


    At this time, Lu Chen can get off work.


    "So, with two hours in between, I was alone in the outpatient clinic?" Lu Chen asked tentatively.


    Wang Xueyang nodded, "From three to five o''clock, there are not many patients at this time. If it is a critically ill patient, go directly to the second floor for rescue. Your side is mainly for triage, whether it is to be admitted directly to the emergency ward or to the inpatient department. ward, or in the emergency room for observation.¡±


    "If you come across a patient you can''t handle, call me directly."


    Wang Xueyang left his phone number to Lu Chen.


    Considering that Lu Chen is only a freshman in the first grade, although his work is relatively quick, seeing a doctor is another matter.


    Wang Xueyang was ready to receive a call from Lu Chen at night.


    "Understood." Lu Chen didn''t care, he took down Wang Xueyang''s phone number.


    ¡­


    After about five minutes, a new round of patients in the emergency internal medicine clinic came again.


    Lu Chen and Wang Xueyang immediately threw themselves into the intense emergency work.


    After treating two febrile patients.


    A middle-aged man suddenly walked into the consultation room.


    Next to him was a girl about fourteen or fifteen years old.


    The girl''s head bowed, making it difficult to see her appearance.


    It is now November and she is still wearing a single dress.


    "Doctor, look at my daughter!"


    The middle-aged man brought the girl to Wang Xueyang''s eyes.


    The girl raised her head a little, took a step forward, and backed away.


    "What''s the matter?" Wang Xueyang waved to the girl, motioning her to come over.


    "Doctor, she drank the mercury in the thermometer!" The middle-aged man said nervously.


    "What?" Wang Xueyang was stunned, "How much did you drink?"


    The middle-aged man sighed and said slowly: "I did the math, she seems to have broken fifteen thermometers..."


    Lu Chen was also startled, looked up at the little girl in front of him carefully.


    So terrifying!


    He actually drank the mercury in fifteen thermometers? !


    (end of this chapter)

 Chapter 313： prostitution skill card

    Chapter 313 Free Prostitution Skill Card


    However, Lu Chen glanced at the girl standing in the center of the consultation room.


    From the outside, she didn''t look uncomfortable, but her expression was dull and lackluster.


    Lu Chen looked over her head, the girl''s HP was 68.


    This is definitely a problem, but the problem is not life-threatening.


    "Tell me about the specific experience of her drinking mercury." Wang Xueyang asked the middle-aged man.


    "Hey, it''s like this..."


    The middle-aged man paused and briefly explained the whole process.


    This little girl is her daughter.


    When she was a child, she was always brought up by her grandparents. She was withdrawn and had a tendency to depression since she was twelve years old.


    This time, the little girl committed suicide by drinking mercury!


    At around 3 o''clock this afternoon, the girl smashed fifteen thermometers by herself, poured the mercury into a mineral water bottle, and drank them all.


    However, after taking mercury orally, the girl did not experience abdominal pain, diarrhea, nausea, vomiting and other discomforts.


    After the middle-aged man found out, he immediately sent his daughter to the local hospital.


    After completing the laboratory tests of blood routine, liver function, kidney function, coagulation and other signs in the local hospital, no obvious abnormality was found.


    Although no abnormality was found, the parents were still not at ease.


    Now, for further diagnosis and treatment, he was transferred to the emergency department of Jinghua Second Hospital.


    "Are you feeling uncomfortable right now?" Wang Xueyang approached the girl.


    The little girl frowned, looked at Wang Xueyang vigilantly, and then shook her head slightly, but still did not make a sound.


    Wang Xueyang immediately stepped forward, put the **** the medical examination table in the consultation room, and then "driven" other patients and their family members out of the consultation room.


    Lu Chen gently closed the door, and Wang Xueyang began to give the little girl a detailed physical examination and auscultation.


    for a long time.


    After the inspection, Wang Xueyang breathed a sigh of relief. She didn''t find any problems, and then said to Lu Chen: "Mercury is the only liquid metal at room temperature, and the main way of its poison is absorption through the respiratory tract in the form of vapor."


    "The absorption of metallic mercury through the digestive tract is minimal, or even negligible. I have seen a case report of oral administration of hundreds of grams of mercury, and the patient eventually survived. Therefore, oral mercury is generally not life-threatening."


    Lu Chen understood.


    He has less exposure to metal poisoning.


    He has seen more organophosphorus pesticides, rat poisoning, etc. As for metal poisoning, it is rare and relatively difficult.


    "By the way, doctor, this is an X-ray taken at the local health center."


    At this time, the middle-aged man took out the backpack he was carrying and took out an X-ray.


    This is a chest + whole abdomen + pelvic X-ray.


    Wang Xueyang picked up the X-ray and looked at it with a surprised look on his face.


    she muttered softly.


    "This mercury is almost reaching the anus!"


    Lu Chen also looked at the X-ray.


    As Wang Xueyang said, the mercury that the girl took orally went directly to the anus.


    "Did you feel the swelling in your anus?" Wang Xueyang looked at the little girl again.


    Lu Chen knew that Wang Xueyang was asking if he felt **** bulge.


    The little girl still shook her head.


    Wang Xueyang said to the middle-aged man beside him: "The child may need to go to the emergency ward to be hospitalized. Although it is not life-threatening, a large amount of oral metal mercury may be oxidized into mercury ions in the intestine if it cannot be quickly excreted. Blood. Mercury absorbed through the digestive tract mainly causes digestive symptoms and kidney damage.¡±


    "Where do I go to do the formalities?" The middle-aged man immediately agreed to be hospitalized.


    "I''ll give you a hospitalization bill, and then go to the charging window in the lobby on the first floor to pay." Wang Xueyang said, "During the hospitalization, you must accompany you 24 hours a day."


    "Okay, no problem." The middle-aged man got the hospitalization certificate and left with the little girl.


    Watching the backs of the two leaving, Wang Xueyang sighed slightly.


    She slowly said to Lu Chen who was on the side: "Actually, I''m not worried about this little girl''s mercury poisoning, but about her mental state. She was only fifteen years old this year, and she started suicide. This time I was rescued, I can''t keep it. And next time."


    Lu Chen nodded slightly.


    Society is developing rapidly, but many problems have also been exposed.


    For example, the psychological problems of left-behind children.


    Although Lu Chen has not been in the clinic for a long time, he has seen many such patients.


    In the endocrinology department before, he also saw a little girl who was depressed and poisoned by eating "licorice tablets".


    Today, I met another person who was poisoned by mercury.


    "Lu Chen, go and inform the doctor on duty in the emergency ward upstairs, and make sure the family members keep the patient under his watch, so as to avoid any further accidents in the hospital."


    "Okay, Teacher Wang." Lu Chen nodded, "The classmate I know is on duty upstairs tonight. I''ll give him a call."


    "Okay, go and fight."


    Lu Chen immediately called Cheng Peng directly.


    "Fat man, a little girl with oral mercury poisoning will come to the emergency ward later."


    "Ah? Mercury poisoning?" Cheng Peng said in astonishment, "This... this is really a mouthful!"


    Lu Chen briefly described the process, and Cheng Peng was also secretly shocked.


    Lu Chen continued: "Fatty, the patient is a fifteen-year-old girl with depression and suicidal tendencies in the past. You should communicate with the teacher on duty. Please pay more attention to the patient''s family members, and be sure to accompany them 24 hours a day, nurses. It is also necessary to strengthen the ward rounds to avoid the recurrence of suicide.¡±


    "Okay, Brother Wang Xiaodong happens to be on the night shift tonight. I''ll go and tell him." Cheng Peng said, "You are also raising your hand in the emergency room, and accepting fewer patients."


    "Don''t worry, I won''t accept it indiscriminately, nor will I not accept it." Lu Chen smiled.


    hung up the phone, and Lu Chen turned to look at Wang Xueyang beside him.


    "Teacher, I have already explained to the doctor on duty upstairs." Lu Chen said.


    "Okay." Wang Xueyang nodded, "Actually, in our emergency outpatient clinic, the more common patients, in addition to those with fever and abdominal pain, are those who take drugs indiscriminately, are poisoned, and some who have attempted suicide."


    If the suicide is successful, it is directly dragged to the funeral home or crematorium, and there is no chance to come to the hospital at all.


    "Teacher, do patients with mercury poisoning need gastric lavage and catharsis?" Lu Chen suddenly asked.


    Because of common clinical knowledge, as long as the poison enters from the digestive tract, gastric lavage and catharsis need to be carried out in time, which can reduce the absorption of poisonous substances and strengthen the excretion.


    However, mercury is very special and is hardly absorbed in the digestive tract.


    Wang Xueyang paused for a while before saying, "Gastric lavage and catharsis both have certain effects. However, gastric lavage with normal saline should not be used, especially in the case of mercuric poisoning, because it can increase its solubility and increase its absorption. Carbonic acid can be used in the early stage. Sodium hydrogen and activated carbon can be taken orally after gastric lavage with activated carbon. The protein can not only protect the gastric mucosa, but also combine with mercury to prevent the absorption of mercury."


    Lu Chen wondered: "For this little girl, the mercury has already reached her anus. Logically speaking, gastric lavage is almost useless, right?"


    Wang Xueyang cast an admiring look at Lu Chen.


    "I have an idea. For this patient, gastric lavage may not have much effect, but catharsis is very important. We usually use mannitol catharsis and glycerin enema to promote bowel movements, and intravenous infusion of PPI to suppress acid to protect gastric mucosa. , Alanylglutamine protects the intestinal mucosal barrier, edaravone vitamin C antioxidant free radicals, and even some sodium dimercaptopropanesulfonate as a mercury-repellent treatment..."


    Wang Xueyang''s explanation is very clear.


    Lu Chen''s knowledge of emergency poisoning is not perfect.


    Wang Xueyang, as a senior attending physician, has rich experience in emergency department.


    A small number of diseases are rare in Lu Chen''s view, but Wang Xueyang can also say a thing or two.


    At this moment, a prompt popped up in the system panel.


    "Ding, received clinical toxicology knowledge."


    "Congratulations, you got the Emergency Toxicology Skill Card (Elementary)!"


    Lu Chen was still confused when he saw this prompt.


    The last time I got a skill card in this way was when I participated in the discussion of difficult cases with Li Yao.


    At that time, he obtained a primary skill card for clinical thinking.


    This time, unexpectedly, I got a skill card for emergency poisoning!


    Lu Chen was quite surprised.


    During the rotation of the Cardiology Department, Sun Guoguo and Li Yao also taught a lot of Cardiology Department knowledge, but he never got the relevant skill card.


    Lu Chen guessed that it might be related to an unfamiliar field.


    In this unfamiliar field, as long as others teach knowledge, he can get relevant skill cards.


    However, there should be certain restrictions on this method of acquisition.


    Lu Chen still can''t figure out these doorways of the system for the time being, and needs further exploration.


    However, Lu Chen was still very happy to be able to prostitute a primary skill card for free.


    Because in the system mall, this skill card of emergency poisonology also costs 30 gratitude points.


    For Lu Chen now, every point of gratitude is very precious.


    No matter how small a mosquito is, it is also meat!


    ¡­


    After dealing with the mercury poisoning patient, Lu Chen and Wang Xueyang continued to see the remaining patients.


    In just two hours, they had seen about forty patients.


    There are more patients in the emergency outpatient department, but Wang Xueyang still feels that tonight is a little different.


    The number of patients tonight has increased by 20 to 30% than usual.


    Wang Xueyang glanced at Lu Chen next to him.


    Fortunately, there is this more reliable graduate student. If a new hand comes here, so many patients may be in a hurry.


    "Doctor, is this an emergency medicine department?"


    At this time, a fat middle-aged man appeared at the door of the clinic.


    Beside him was an old man of about seventy years old.


    "Yes." Wang Xueyang nodded.


    The middle-aged man hurriedly helped the old man into the consultation room.


    "Doctor, come and see my dad, he''s been hiccupping for four days."


    As soon as the middle-aged man finished speaking, Lu Chen and Wang Xueyang heard an "uh" sound.


    The old man''s chest heaved slightly, and he hiccupped.


    Immediately after, less than three seconds.


    Another uh¡ª


    The man on the side ?? said with a bitter face, "That''s it, I hiccup every few seconds."


    (end of this chapter)

 Chapter 315： Meet the vampire again

    Chapter 315 Meet the Vampire Again


    Emergency room on the second floor, observation room.


    Although the hiccupped uncle was sent to CCU, Cheng Peng still couldn''t understand it.


    Why does myocardial infarction cause intractable hiccups, and the patient has no obvious symptoms of chest pain?


    "I don''t know much either." Although Wang Xiaodong is a doctor at a higher level, in fact, he has just worked for a long time. He has not seen much of this rare case, and naturally he is not very clear about the reason.


    Cheng Peng thought for a while, but still sent a WeChat message to Lu Chen to ask the reason.


    When Lu Chen received the WeChat, he quickly replied.


    "The hiccup caused by myocardial infarction, I guess, this may be because most elderly patients have varying degrees of cerebral arteriosclerosis and autonomic dysfunction (reduced sensitivity to pain)."


    "Especially when the patient has diabetes, both pain and sensory nerves are damaged, causing necrotic myocardium to stimulate the vagus nerve, causing only hiccups without chest pain."


    "That is to say, it is not that there is no chest pain, but that the patient''s pain sensation has subsided and no pain is felt."


    After reading Lu Chen''s explanation, Cheng Peng finally understood.


    "Myocardial infarction manifested as hiccups, this is really rare!" Cheng Peng exclaimed.


    Lu Chen said again: "Actually, apart from hiccups, there are other uncommon symptoms, which may also be manifestations of myocardial infarction. For example, toothache, headache, neck pain, frozen shoulder, and even worse , it was a toe headache, and it was finally found to be a heart attack."


    "Anyway, no matter what the main complaint is, a detailed physical examination and a medical history are very important, as well as the electrocardiogram on admission. When all these things are put together, we can finally make an accurate diagnosis."


    ¡­


    After experiencing this somewhat rare patient, the emergency internal medicine clinic ushered in a short window period.


    It''s ten o''clock in the evening.


    In the night sky, the stars nodded.


    There are fewer and fewer people on the streets.


    Except for the hospital not far away, the lights were still red, and the surrounding row was pitch black.


    Lu Chen was sitting in the emergency room.


    Although the emergency department is very busy, he feels that he is just a tool person.


    As long as you listen to the doctor''s words, you don''t need to use your brain at all.


    This is not in line with Lu Chen''s style at all.


    He came to the emergency department to exercise.


    If you don¡¯t see patients in person, you can¡¯t get thank you points!


    has always been a tool man, but so many resources were wasted in vain.


    "Mr. Wang, why don''t you wait for the patient''s physical examination and consultation, and let me come?"


    Lu Chen volunteered.


    "Huh?" Wang Xueyang raised his brows.


    It was the first time she heard such a request from a student!


    Wang Xueyang wished that the students could help replace her.


    But the reality is that most students are not very reliable!


    Let students have a physical examination, and auscultation of the heart and lungs is a problem.


    This is not as fast as it is!


    You must know that the flow of patients in the emergency department is very large.


    Delay for a few minutes, and patients and their families may start to quarrel!


    However, Wang Xueyang thought about it.


    Lu Chen was able to make this kind of request by himself, and considering his previous performance, he should not be that kind of unreliable student.


    "Well, for the next two patients, ask about the medical history and physical examination." Wang Xueyang said, "I''ll take a look first."


    Students have this kind of thinking, of course they should be encouraged.


    Besides, if Lu Chen can really replace her, then this night, she will be able to relax a lot!


    "Okay." Lu Chen smiled.


    Finally had the opportunity to contact patients.


    It is only ten o''clock in the evening, if the next patients are all admitted by him.


    Then he earns gratitude points and improves the efficiency of system upgrades, and he will definitely reach a higher level!


    ¡­


    As soon as the two of them finished speaking, a patient with abdominal pain walked into the emergency room.


    Abdominal pain, which is also one of the most common types of patients in the emergency department.


    This time, it was Lu Chen''s turn to receive the consultation.


    The patient is a middle-aged man in his thirties.


    His face was flushed, and he smelled of alcohol.


    It''s just that the man is covering his stomach now, and his face is full of pain.


    Lu Chen quickly helped the family to move the patient to the bed.


    "Why are you uncomfortable?"


    The middle-aged man pointed to his stomach, "It hurts... it hurts..."


    Lu Chen started a physical examination while asking about his medical history.


    From the causes, incentives, location, nature of abdominal pain, whether there is metastatic pain, radiation pain, and the way of relief, there are no details.


    At the same time, Lu Chen is also checking the patient''s abdominal signs, whether there is tenderness, rebound tenderness, etc.


    Wang Xueyang on the side looked at Lu Chen''s movements and nodded with a smile.


    This kid is really nice!


    Whether it is a consultation or a physical examination, the performance is extremely perfect.


    This professional skill is not like a graduate student at all.


    For example, consultation, which is one of the simplest clinical skills.


    But many medical students don¡¯t pay much attention to it. They can ask whatever they want, or they don¡¯t have any rules and regulations, so it¡¯s easy to miss a lot of things.


    But Lu Chen was different. From the main symptoms to the accompanying symptoms, as well as the negative signs of differential diagnosis, he was able to ask clearly.


    The most important thing is that there is no unnecessary nonsense.


    In the shortest possible time, he was able to master the first-hand information of the patient.


    "Teacher, the patient has tenderness under the xiphoid process, no rebound tenderness, and the rest of the physical examination is normal."


    "What about auscultation of the heart and lungs?"


    "It''s all normal."


    ¡­


    After seeing two patients in a row, Wang Xueyang was relieved.


    Lu Chen can really take her place in the medical examination.


    This is what Wang Xueyang dreamed of.


    With the help of a student, she was able to relax more than half of the night.


    "Lu Chen, next, you continue to see the patient, I will be by your side, and I will give you a hint when you encounter a place you can''t."


    "Okay, thank you Teacher Wang." Lu Chen smiled.


    Through his own efforts, he can finally see patients in person.


    However, the next patient changed Lu Chen''s expression.


    ¡­


    This is a woman wearing a black hood.


    She was supported by a young man and slowly walked into the consultation room.


    Her face was pale, the expression on her face was extremely painful, and she groaned in pain from time to time.


    "Doctor, my mother has been screaming about stomach pain!" the young man walked into the consultation room and shouted.


    The middle-aged woman beside him covered her stomach.


    "My stomach hurts, give me pain relief!"


    Lu Chen''s pupils shrank slightly.


    If he remembered correctly, this woman wearing a black hood seems to be the "vampire" he met when he went to the temple to pray for blessings!


    Wang Xueyang saw that the female patient was in a hurry, and did not plan to ask Lu Chen to come to see the doctor. She wanted to come to see the doctor in person.


    She hurried to the front of the female patient.


    But the first time she saw the patient, she was frightened.


    The whiteness of this woman is not the whiteness of delicate skin, but a kind of morbid whiteness!


    There are large scars on her ears and nose. These scars look like they have been corroded.


    And her teeth are those kind of fangs!


    (end of this chapter)

 Chapter 316： mouth full of trains

    Chapter 316 Full mouth running the train


    "You...you...this..."


    For a while, Wang Xueyang was a little incoherent.


    This is the first time she has seen a patient like this.


    "Doctor, my mother has always been like this, you can just give her pain relief now!" The young man said immediately, "You don''t need to worry about other things!"


    Wang Xueyang''s brows were deeply twisted together.


    She picked up the stethoscope, auscultated the patient, and then began an abdominal examination.


    "Family, please help open the patient''s clothes and expose the stomach." Wang Xueyang ordered.


    "Hey, just use a painkiller! Why are you making such trouble..." The young man muttered, but he still lifted the woman''s clothes according to Wang Xueyang''s instructions.


    The moment when the clothes are lifted to reveal the skin of the abdomen.


    Wang Xueyang was stunned again.


    The skin of the woman''s abdomen is all dark pigmented and purple, all with scars.


    "You...what''s the matter with your skin?"


    However, the woman seems to have not heard this sentence.


    She shouted again: "My stomach hurts, you give me pain relief! I want painkillers!"


    Accompanied by her scream, Wang Xueyang did not continue to ask the skin question, and began to auscultate her bowel sounds again.


    "The bowel sounds are very active, which may be normal bowel spasms." Wang Xueyang said, "I''ll give you an intramuscular injection to see if it can relieve it."


    Lu Chen was about to speak.


    Her son suddenly said: "Actually, we came to Jinghua No. 2 Hospital in the morning to see a dermatologist, and she had a stomachache just after seeing it. The pain got worse an hour ago, so I came to you."


    "Come to see a dermatologist?" Wang Xueyang frowned.


    "Yes." The young man said.


    "Is it because of the skin on the stomach?" After saying that, Wang Xueyang got up and started to check again.


    She found that, in addition to the obvious deposition of pigment in the abdomen and thighs, the skin was densely packed and full of small rashes.


    Wang Xueyang continued to ask: "What does the dermatologist say?"


    "The dermatologist said it''s allergy, it''s not serious, so let''s go back."


    "When did the stomach hurt?"


    "Out of dermatology, it hurts"


    Wang Xueyang noticed that her son spoke with obvious impatience!


    Actually, Lu Chen wanted to remind Wang Xueyang that he had seen this patient before, and also wanted to express his thoughts on the diagnosis.


    However, Wang Xueyang has been conducting consultations and physical examinations.


    Lu Chen interrupted her like this, which is a very disrespectful behavior.


    He was going to wait for Wang Xueyang to finish his consultation before expressing his thoughts.


    "Then I''ll give you a hormone to see if the rash is gone and the stomach pain can be relieved!" Wang Xueyang frowned.


    She thought to herself, this kind of skin, could it be allergic purpura?


    But at this time, the woman replied directly, "I don''t take hormones! I don''t take hormones!"


    said twice in a row, and she was quite emotional.


    Immediately afterwards, his son suddenly said again: "Actually, my mother had a stomach ache yesterday, so she went to... the hospital to see it."


    Wang Xueyang frowned, the patient and family members in front of him kept running the train, and what they said was always inconsistent.


    "What about the results of your test at the hospital yesterday?"


    "I didn''t bring it, but the results of abdominal CT, liver and kidney function, blood test, etc. are all normal. You gave her 6542, and it will be better after the call yesterday."


    You know so much about the disease and medication?


    Wang Xueyang nodded, "Okay."


    She gave the woman 6542 and they went out.


    ¡­


    After the two of them went out, Lu Chen was planning to inform Wang Xueyang of the related condition, but at this time, three more patients came to the emergency room in a row.


    suddenly became busy, and Lu Chen didn''t find time to communicate with Wang Xueyang.


    After about ten minutes.


    After seeing these three emergency patients, the woman and her son walked into the consultation room again.


    The woman covered her stomach with her hands, lay directly on the examination bed, and shouted, "My stomach hurts, please help me!"


    Wang Xueyang immediately got up and asked, "Not at all okay?"


    "It''s not good at all. It hurts even more. Hurry up and open my stomach. There is something in my stomach. It''s very cold. Hurry up and open my stomach."


    Her son also came in with her.


    Wang Xueyang said solemnly: "No matter what the disease is now, I must have another CT scan and blood test. I''ll give painkillers only after I''m sure it''s all right."


    Whether the patient has allergic purpura or other acute abdomen, the abuse of painkillers is likely to cover up the condition and cause more serious consequences!


    What''s more, Wang Xueyang didn''t see the results of the patient''s examination yesterday, what if the family was deceitful again?


    The patient''s son frowned: "Just finished, still doing it?"


    "No way, she does hurt." Wang Xueyang explained patiently, "If it is really a disease of the abdominal organs, the abuse of painkillers is even more dangerous!"


    The patient''s son became even more impatient when he heard this.


    "Yesterday''s doctor, the previous doctor said she really hurts, why can''t you use painkillers?"


    "CT and blood have already been opened, you should bring them to do it first." Wang Xueyang''s attitude was very firm.


    The woman and her family saw this, turned around and left.


    ¡­


    Seeing the two leave, Lu Chen finally had a chance to speak.


    "Teacher, I have seen this patient before!"


    Wang Xueyang glanced at Lu Chen in surprise, "Where did you see it?"


    "In a temple in Jinghua, this woman suddenly fainted."


    "Oh." Wang Xueyang nodded, "Is there anything else unusual?"


    If you only see her, it will not help the patient''s diagnosis and treatment.


    Lu Chen said in a deep voice, "Actually, at that time, I discovered these abnormal signs of the patient, the morbid paleness, and the scars on the skin."


    "Well, then what?" Wang Xueyang continued, she felt that Lu Chen had more to say.


    "I feel that the patient''s appearance is especially like a foreign image, that is... a vampire!"


    As soon as Lu Chen''s voice fell, Wang Xueyang was stunned for a moment.


    "Vampires?"


    seems to be true!


    Wang Xueyang frowned, recalling all the physical signs of the woman.


    Lu Chen said slowly: "After I went back to the dormitory, I checked the relevant information and found that this is a rare disease - porphyria!"


    "Porphyria?" Wang Xueyang asked in astonishment.


    "Well, it''s due to a lack of enzymatic activity in the heme biosynthesis pathway."


    Then, Lu Chen briefly talked about some characteristics of porphyria.


    "Porphyria, the main symptoms are acute painful photosensitivity skin lesions and acute abdominal pain!"


    All these symptoms correspond to the signs of women!


    The doubts in Wang Xueyang''s eyes were slowly replaced by Qingming.


    She thought that the patient was allergic purpura.


    But judging from Lu Chen''s remarks, the probability of porphyria is not small!


    However, any clinical diagnosis cannot be made only by clinical symptoms, but also by laboratory or imaging examinations.


    Moreover, the diagnosis of porphyria cannot be done in the Jinghua Second Hospital.


    Wang Xueyang said solemnly: "Whether it is allergic purpura, porphyria, or other acute abdomen, this patient is very troublesome. After the abdominal CT scan, we will try our best to transfer her to a higher-level hospital."


    The higher-level hospital of Jinghua Second Hospital, then there is only Kyoto.


    (end of this chapter)

 Chapter 317： Helplessness in the hospital

    Chapter 317 Helplessness in the hospital


    The troublesome patient does not mean that the patient''s condition is complicated, but refers to the attitude of the patient and their family members.


    Lu Chen was still worried about whether the woman would go to check and draw blood.


    Seeing her son''s state, she seemed very impatient.


    But ten minutes later, the woman and her son returned to the consultation room.


    Her son is carrying a CT bag.


    Wang Xueyang felt a little more at ease when he saw this.


    She knew that the patient still had abdominal CT and blood tests after all.


    So, she immediately turned on the computer''s inspection system.


    After the emergency CT examination, the examination results will not be reported immediately.


    The report will only be issued after the doctor in the imaging department has read the images.


    Therefore, generally experienced doctors or doctors who can watch films will read the films in advance so that they have a spectrum in their hearts.


    Wang Xueyang opened the image of the woman''s CT scan.


    As soon as she glanced at it, her brows furrowed even deeper?


    "You, did you have abdominal surgery?" Wang Xueyang looked at the woman suspiciously.


    Women have too many scars on their stomachs and a lot of hyperpigmentation.


    So much so that when Wang Xueyang just had a physical examination, he didn''t find any surgical scars at all.


    The woman just covered her stomach, ignored Wang Xueyang, and didn''t answer.


    aside, her son was taken aback for a moment, then nodded.


    "Then why did your mother have abdominal surgery and colon amputation?"


    "This..." Her son paused, glanced at the woman, and said slowly: "At that time, my mother had a stomachache, and the Jinghua... hospital opened the abdomen and found no problems, but in the end, in order to comfort my mother, I cut it off. A section of the colon."


    "What do you mean?" Wang Xueyang said in a deep voice, "It''s alright not to cut it if you have nothing to do. Why cut it?"


    "The hospital is afraid of a medical dispute!" Her son''s eyes flickered, and he never dared to look at Wang Xueyang.


    "How is this possible?!" Wang Xueyang whispered.


    She didn''t believe the words of the young man in front of her at all.


    However, since the patient and family members did not tell the truth, Wang Xueyang did not continue to ask questions.


    Abdominal CT, except to see a colon after surgery, there are no other problems.


    At this time, the results of the woman''s blood test came out.


    The results of blood routine, liver and kidney function are all normal!


    "This is too weird!"


    The bowel sounds of a woman are so active, but the white blood cells are normal!


    Wang Xueyang thought of what Lu Chen said about porphyria...


    Could it be that Lu Chen was really right?


    ¡­


    At this moment, the woman who had been lying on the examination bed began to shout.


    "Doctor, doctor. Open my stomach, it''s too cold, there''s something in it! Take it out!"


    Wang Xueyang frowned and said, "How many years has your mother had abdominal pain?"


    "Seven years, tormenting me and my dad all these years, it''s already very annoying! It''s really annoying!"


    The young man sighed, looking at his current mother with deep helplessness,


    "Apart from stomach pain, is she mental?"


    Wang Xueyang noticed that the woman''s mental state was not quite right.


    "Schizophrenic, just discharged from a mental hospital for seven days." Her son whispered.


    Wang Xueyang whispered: "Schizophrenia? However, I think her abdominal pain is real, she can''t pretend!"


    Lu Chen whispered to the side.


    "Mr. Wang, patients with porphyria usually have mental symptoms."


    Wang Xueyang nodded without a trace when he heard the words.


    Her son looked extremely impatient: "You don''t need to say that! All the hospitals we''ve seen, even the mental hospital, have told me that she really has stomach pains."


    "So your mother''s stomach pain may be really sick, but the cause has not been found before, and it is not a simple mental symptom." Wang Xueyang said.


    Her son was very annoyed and waved his hand: "You don''t have to ask, we''ve had enough over the years, look around, if my mother''s stomach doesn''t hurt anymore, we''ll go! You give us painkillers!"


    "But, you don''t want to know what''s wrong with your mother?"


    Wang Xueyang''s sudden words stunned the young man in front of him.


    He stared at Wang Xueyang closely, "You... what do you mean by that? Do you know what my mother is sick?"


    This is impossible!


    For more than ten years, he took his mother to see a doctor in large and small hospitals near Jinghua, and even performed an exploratory laparotomy.


    In the end, the cause could not be found.


    I was diagnosed by this female doctor after a few glances tonight?


    However, in his disbelieving eyes, there was a faint anticipation.


    At this time, Wang Xueyang looked at Lu Chen.


    "Lu Chen, tell the patient''s family."


    Wang Xueyang didn''t know much about porphyria, so Lu Chen could only explain it.


    Lu Chen nodded, and after organizing the language a little, he said.


    "From your mother''s current symptoms, I think it''s porphyria..."


    "Porphyrin...disease?" The patient''s son repeated silently in his mouth.


    "Yes, this is an extremely rare disease, at least in Jinghua City, there is no hospital that can diagnose and treat this disease..." Lu Chen said slowly, "The typical manifestation of porphyria is pale skin, even with pigmentation. scars, abdominal pain, mental symptoms¡­¡±


    Hearing Lu Chen''s description, the patient''s son''s heart was a little shaken.


    He thought the young doctor in front of him was talking nonsense.


    But judging from the symptoms he described, his mother really matched!


    "How to treat this disease?" The patient''s son looked at Lu Chen.


    Lu Chen shrugged helplessly: "We can''t treat it here, I suggest you go to the hospital in Kyoto."


    As soon as the ?? voice fell, the atmosphere in the clinic became quiet again.


    Go to Kyoto for treatment...


    undoubtedly means that it will cost a lot of money, and it may not be cured.


    The young man turned to look at his mother on the bed beside him, his expression extremely complicated.


    At this time, Wang Xueyang said: "Well, I will give your mother some painkillers first, and then I will make plans for the future."


    There are more and more patients waiting for treatment, and Wang Xueyang can''t waste his energy on them all the time.


    At present, the patient has completed CT, and abdominal organ lesions have been ruled out, so painkillers can be used.


    "Okay, thank you doctor."


    The patient''s son nodded slightly.


    Compared with his previous impatience, his attitude has become a little milder now.


    Wang Xueyang gave the patient painkillers, and the two left.


    Before leaving, the patient''s son glanced at Lu Chen and said softly, "Thank you doctor!"


    "Congratulations, get +1 thanks from Guan Zhonggang!"


    Looking at the backs of the patient and her son leaving, Lu Chen sighed.


    What the future fate of a woman will be, no one knows.


    In this small place like the hospital, there are too many helpless things.


    ¡­


    Packed up their mood, Lu Chen and Wang Xueyang began to continue to treat patients.


    However, this woman and her son never came back.


    (end of this chapter)

 Chapter 318： Failed to sleep!

    Chapter 318 Failed to sleep!


    Next, most of the patients were treated by Lu Chen himself.


    Except for some particularly urgent patients, Wang Xueyang will handle them personally.


    In the ?? system panel, the reminder to get the thank you value has not stopped.


    "Congratulations, +1 thanks to Ye Jianqiu!"


    "Congratulations, +1 for the thank you from Liu Biao!"


    ¡°¡­¡±


    In just three hours, Lu Chen received more than 50 points of gratitude.


    This is the time when Lu Chen has received the most gratitude, apart from doing patient education.


    What makes Lu Chen even more happy is that the system upgrade completion rate has also increased a lot.


    has now reached 56%!


    Lu Chen is also looking forward to the second upgrade of the system.


    ¡­


    Three in the morning.


    The number of patients coming to the emergency department has gradually decreased.


    "Lu Chen, you should go to the second floor to rest first. When the time comes, come down for me."


    Wang Xueyang smiled at Lu Chen.


    Although there were more patients tonight, because of Lu Chen''s help, Wang Xueyang felt that it was easier than the previous night shift.


    "Okay." Lu Chen twisted his neck and held a posture for a long time, which made his neck very sore.


    Lu Chen picked up his backpack and left the emergency room.


    From three to five o''clock, he will take advantage of these two hours to try his best to recover his energy.


    ¡­


    Come to the second floor of the emergency room.


    The emergency department ward is still brightly lit.


    Lu Chen walked into the doctor''s office.


    At this time, Wang Xiaodong and Cheng Peng were sitting in front of the computer.


    The two are still discussing something, and there are three cups of milk tea on the table.


    "Hey, Lu Chen is here."


    Cheng Peng noticed Lu Chen at once.


    "Come on, this is the milk tea for you." Cheng Peng stood up immediately and handed the milk tea to Lu Chen.


    Lu Chen is also welcome.


    He was a little thirsty after working all night.


    Picking up the red bean milk tea, Lu Chen took a sip.


    "Junior brother, you are really amazing, that uncle who hiccups has a heart attack!" Wang Xiaodong sighed at this time, "I read the record of his medical history in CCU, and after the surgery, his hiccups problem is solved. !"


    Lu Chen smiled and said, "Senior brother, I just like to watch electrocardiograms at ordinary times. I just read more electrocardiograms."


    "Tsk tsk, Junior Brother, don''t be humble!" Wang Xiaodong smiled, "Next time I will teach me to read an electrocardiogram, tell you, this electrocardiogram is really a difficult problem for me..."


    The three chatted for a while, and Lu Chen suddenly thought of the little girl who drank "Mercury" before.


    "What happened to the girl with mercury poisoning?" Lu Chen asked.


    "Fortunately, there is no special discomfort. The liver and kidney function and blood routine of the re-examination are normal." Wang Xiaodong said, "It''s just..."


    "What''s wrong?" Lu Chen was shocked.


    "The little girl''s mental state is not very good." Wang Xiaodong shook his head slightly, "We asked the nurses to strengthen the escort, and also told the family that they must accompany her 24 hours a day."


    "Yeah." Lu Chen nodded, "I think it is still recommended that the patient''s family members take the little girl to the psychiatry department when they have time."


    Cheng Peng, who was on the side, said helplessly: "I talked to the patient''s family about this alone just now. When the little girl''s father heard the word psychiatry, he jumped, saying that there must be no mental problems, and he even called me scolded..."


    Lu Chen: "..."


    This is the status quo of Huaxia.


    Most people don¡¯t pay attention to psychological problems.


    Not to mention such a small child.


    Parents think it''s just a little girl who is ignorant.


    In fact, compared to physical health, mental health is also very important.


    "There are endless cases of minors jumping off buildings and taking drugs to commit suicide. In the past few months, I have seen no less than 20 cases." Wang Xiaodong sighed helplessly.


    "Yeah, most Chinese people are afraid of medical problems when it comes to psychological problems. They think it''s embarrassing." Lu Chen said.


    Would you admit to being mentally ill?


    The average person must not be able to...


    In fact, with the development of society, human beings are paying more and more attention to psychological problems, and their research has become more and more thorough.


    Psychological problems are a very common problem.


    Most people, more or less, have some psychological problems.


    Just look at how everyone sees this mental illness.


    If it can be found in time and viewed correctly, it is not a big deal.


    However, once you can''t solve it yourself, you can''t pass your own psychological level, and you don''t seek outside help.


    is very likely to develop into a serious mental illness, and even have the idea of ??seeking death!


    "I''ll talk to the patient''s family tomorrow. It''s a pity that such a young child is not treated well." Wang Xiaodong said.


    The three chatted for a while, and Lu Chen was about to go to the duty room to sleep.


    At this time, the nurse on duty rushed into the office.


    "Doctor Wang, here comes the patient."


    The nurse''s face was a little strange.


    "What patient?" Wang Xiaodong stood up and said.


    "Uh, what to say, come and see." The nurse hesitated.


    Wang Xiaodong nodded and walked out of the office with Cheng Peng.


    Lu Chen didn''t follow him out. With less than two hours left, he had to hurry up to sleep.


    ¡­


    came to the duty room.


    Lu Chen took off his white coat, took a shower, and then lay down.


    looked at the phone, only an hour and a half left.


    However, as soon as Lu Chen closed his eyes, he heard a rapid noise from outside.


    This sound was particularly harsh on a silent night.


    "Someone came to make trouble?"


    Lu Chen frowned, thought about it, and got up.


    Sleep failed!


    put on his white coat again and walked out of the duty room.


    ¡­


    Came to the emergency ward.


    On the hospital bed, is a young man in his twenties.


    He was half leaning on the hospital bed, his face flushed, but there was no obvious abnormality.


    Around his hospital bed, there were about four or five young people, both male and female.


    I saw that the patient lying on the bed had a quarrel with the men around him!


    The two sides were arguing about something, and they were arguing.


    "Is this the patient and their family quarreling?" Lu Chen wondered.


    Cheng Peng was standing beside the hospital bed, but Wang Xiaodong was not in the ward.


    Lu Chen walked to Cheng Peng''s side.


    "Fatty, what''s going on?" Lu Chen whispered, "Why did the patient quarrel with his family?"


    Cheng Peng looked back and said in a low voice, "These people around are not the family members of the patient."


    "Huh?" Lu Chen was taken aback.


    Cheng Peng pulled Lu Chen to the corner of the ward.


    "This was a traffic accident. The patient was riding an electric car and was hit by a small car while turning. The bearded man beside the hospital bed was the owner of the car at the time, and several people around him were sitting in his car at the time. friend."


    Lu Chen frowned and said, "This matter should be handled by the traffic police, why are they quarreling again?"


    "I heard the bearded man say that it was actually just a rub, and the man who was hit got up at the time. He just said he had a headache and wanted to come to the hospital for a CT scan." Cheng Peng said.


    "Is this a quarrel?" Lu Chen wondered.


    "Of course it''s not that simple." Cheng Peng shook his head, "The most important thing is that the man who was hit has severe depression and mental illness. When he came to the hospital for CT, he just entered the CT room, and he put himself in the whole body. There were about thirty antidepressants in the box, and they swallowed all of them! Moreover, when we just had a physical examination, there were many cuts on his wrists."


    Lu Chen was taken aback for a moment, is it depression again?


    "We judged that this man has serious suicidal tendencies!" Cheng Peng said, "This bearded man becomes anxious when he hears it. If something happens to this depressed patient, he will depend on him, so they quarreled. stand up."


    At this moment, a shout suddenly came from the ward.


    "I told you, I have severe depression, don''t mess with me! If you mess with me again, I''ll jump off the building!"


    (end of this chapter)

 Chapter 319： What kind of depression is this?

    Chapter 319 What kind of depression is this?


    The scene was very chaotic for a time.


    However, fortunately, the two sides just stayed on the lips and did not rise to the hands.


    The hospital security came quickly and separated the patient and the whiskers.


    After the ?? warning, the ward became quiet.


    At this time, Wang Xiaodong came in from outside the ward.


    The bearded man immediately walked to Wang Xiaodong and said, "Doctor, his medicine has nothing to do with me, right?"


    Before Wang Xiaodong could speak, the young man on the hospital bed opened his throat and said, "Why does it have nothing to do with you? It was you who bumped me, and I couldn''t think of it for a while, so I drank so many medicines. If something goes wrong, You must be responsible for me!"


    "I...I..." The bearded beard was furious, "I''ve been a blood mold for eight lifetimes. It''s not good for me to hit anyone, but I hit this kind of person!"


    Wang Xiaodong hurriedly stepped forward and said loudly.


    "Both of you calm down. The most important thing at the moment is to ensure the safety of patients."


    "No matter who is responsible, I will cure the disease first."


    On the hospital bed, the young man said, "I have no money! You have to pay for my medical bills! Otherwise, I will call the police!"


    "You... call the police? I''m going to call the police!" The bearded face was sullen, but he was helpless when he looked at the patient in front of him, "I only have this thousand dollars, and it will be gone when I use it up!"


    After saying that, the bearded man left the emergency ward with a few of his friends angrily.


    On the hospital bed, the young man made an extremely uncomfortable appearance.


    He grinned and called to Wang Xiaodong: "Doctor, I have a headache and a sore throat. Come and show me."


    Wang Xiaodong frowned and said, "Do you have any family members?"


    "I have a girlfriend." The young man said.


    Lu Chen and Cheng Peng were on the side, and they were stunned when they heard the words.


    They are still single...


    This kind of person actually has a girlfriend?


    "Where are your parents? We need immediate family members to come over." Wang Xiaodong said.


    The young man replied lightly, "My mother is gone, and my father is out of town. I have his phone number. He just didn''t answer the call."


    "Why didn''t you pick it up?" Wang Xiaodong wondered.


    "How do I know, he just doesn''t answer, there is no reason." The young man said lightly.


    "This..." Wang Xiaodong was taken aback, "Give me your dad''s phone number and I''ll contact him."


    "Row."


    The young man was also quite cheerful, took out his mobile phone, and directly gave Wang Xiaodong the numbers of his father and his girlfriend.


    If there is no immediate family present, unless it is an emergency, many operations cannot be done, such as gastric lavage.


    The patient took more than 30 antidepressant pills, such as this kind of psychotropic drugs, if overdose, it is likely to cause abnormal mental state.


    The urgent solution is to need immediate gastric lavage treatment!


    The patient has not been taking oral medicine for a long time, and the effect of gastric lavage should be good.


    However, there are no family members present, and Wang Xiaodong is afraid to perform gastric lavage on the patient.


    ¡­


    After Wang Xiaodong got the phone, he went to the nurse station to use the landline to try to contact the patient''s family.


    Lu Chen and Cheng Peng came to the hospital bed.


    There was chaos in the ward just now, and Cheng Peng didn''t have time to ask about his medical history.


    "What kind of medicine are you taking? Is there a medicine box?" Cheng Peng asked.


    "I took it, it''s on my body." The young man nodded, and then found a medicine box from the backpack he carried with him.


    Cheng Peng took the medicine box, and Lu Chen also looked over.


    There are three big characters on the medicine box, Sertraline!


    Clinically, sertraline is used to treat symptoms associated with depression, including depression with anxiety, with or without a history of mania.


    "How much did you eat?" Cheng Peng took a photo of the medicine box.


    "I don''t know, just this one box." The young man said indifferently.


    Seeing the patient''s appearance, Lu Chen and Cheng Peng did the same.


    For these depressed patients, Lu Chen has great sympathy.


    "When were you diagnosed with depression?" Lu Chen suddenly said.


    "It was about three years ago." The young man said nonchalantly, "I am very clear about my illness. I have searched online, searched on Zhihu, and even been to the hospital, but there is nothing I can do."


    "Don''t think too much about yourself, in fact, life is still very beautiful." Lu Chen said sternly.


    I thought that patients with depression would be paranoid or have a bad mental state, but Lu Chen communicated with him and felt that he was a normal person.


    The way of thinking and getting along with normal people.


    did not imagine the abnormal mental state of patients with depression.


    Many depression patients do not know their condition, but the patient in front of them is very clear.


    "Haha." The young man glanced at Lu Chen, "I don''t think it''s so beautiful, my depression is too torturous, look at my wrist."


    The patient stretched out his hand and placed his wrist in front of Lu Chen''s eyes.


    Lu Chen looked over.


    The patient''s wrist is densely packed with wounds from cutting the wrist.


    Immediately afterwards, the young man continued: "I skipped the building a few months ago."


    Lu Chen: "..."


    The scars on the patient''s hands are not fake, nor is it fake that they drank a whole box of antidepressants.


    However, this is the first time that Lu Chen has seen someone who shows scars so calmly, even a bit "showing off".


    You say he is depressed, but he is very excited and talkative, not very indifferent like depression.


    You said he was pretending, but the scars on his hands couldn''t be faked.


    This "depression" patient is so strange!


    "So let me tell you, I have no cure for this disease. After taking so many medicines, it still doesn''t get better." The patient retracted his hand and said lightly, "What, can I not do gastric lavage?"


    Lu Chen was taken aback for a moment, then shook his head: "I''m afraid not."


    "Hey, stomach lavage is too uncomfortable." The young man waved his hand.


    Lu Chen frowned, what does this mean?


    "Have you had your stomach washed before?"


    "Yes, as long as I feel bad before, I will take medicine. If one or two pills are useless, I will take one." The young man waved the medicine box in his hand, "Just this medicine, I used to take it. more."


    Lu Chen: "..."


    This is the first time that Lu Chen was speechless in front of a patient.


    "By the way, does your emergency pharmacy have Danhong injection?" the young man asked suddenly.


    Lu Chen shook his head: "No, this is a proprietary Chinese medicine injection, and there is no such quilt in the emergency department."


    "Ah? Why don''t you even have this kind of medicine in your emergency department?" The young man''s tone was a little disappointed, "What about Salvia?"


    "Neither." Lu Chen still shook his head.


    "Then do you have any similar medicines?"


    "No." Lu Chen spread his hands.


    "Hey, I used to be in a bad mood. When I had a headache, I just took this medicine." The young man continued, "Is there a pharmacy near you that sells it?"


    "We don''t know that." Lu Chen frowned and looked at the young man in front of him.


    I am in a bad mood and have a headache. Is it useful to take a proprietary Chinese medicine injection?


    What kind of depression is this?


    (end of this chapter)

 Chapter 320： the worst malice

    Chapter 320 The Worst Malice


    Cheng Peng finished asking about his medical history, and Wang Xiaodong also walked back to the ward from the nurse station.


    "Your dad doesn''t answer the phone." Wang Xiaodong frowned and looked at the young man on the hospital bed, "But your girlfriend answered the phone, and she said she would be here soon."


    "Oh." The young man nodded, "I see."


    It seemed that he had expected this result.


    "This can''t be done. Without immediate family members, many of our treatment operations cannot be performed!" Wang Xiaodong said solemnly.


    "Senior brother, why don''t you report to the medical department." Lu Chen suggested.


    "Well, that''s the only way to go now." Wang Xiaodong nodded.


    Then, Wang Xiaodong immediately contacted the medical department.


    Informed the medical department that a patient with serious suicidal tendencies came to the emergency ward, and there was no immediate family to accompany him.


    ¡­


    Soon, the reporting measures have been completed.


    At this time, the patient''s cell phone rang.


    "Hello." The young man picked up the phone and said, "I''m in the emergency room on the second floor, you can see me when you come in."


    After saying ??, the patient hung up the phone.


    "Doctor, my girlfriend is coming soon."


    aside, Cheng Peng pouted, he really had a hard time believing that such a person could find a girlfriend?


    After about three minutes.


    A girl about sixteen or seventeen entered the ward.


    She was wearing denim shorts and a white shirt, with a thin build, light makeup on her face, and a black rose-like tattoo on each arm.


    "Xiaoyu, you are here." The young man shouted to the girl.


    The girl came to the hospital bed.


    She sat beside the hospital bed, her expression was very calm, there was no anxious expression at all.


    "Crap." Cheng Peng was shocked when he saw the girl in front of him, and whispered, "Such a small child, really..."


    Lu Chen also frowned.


    At first glance, it is the dress of a social person.


    And must have dropped out of school, because it''s impossible to get into school in this dress.


    ¡­


    Wang Xiaodong was even more speechless at this time.


    I thought the patient''s girlfriend was a normal adult woman.


    Then you can also sign the medical record.


    I didn''t expect it to be a little girl who looked immature.


    "how old are you?"


    Just in case, Wang Xiaodong also confirmed it.


    "I''m 17 years old." The girl whispered.


    Sure enough, he is underage!


    I am a child to be supervised, how can I sign for others...


    Wang Xiaodong had no choice but to ask the patient to sign.


    "What are you signing?"


    The young man took the communication record handed over by Wang Xiaodong and read it carefully.


    "Consent for notification of illness, and then consent for gastric lavage." Wang Xiaodong said.


    The patient sat up from the bed, took two informed consent forms, and read it carefully.


    When he encounters something he doesn¡¯t understand, he will ask two questions.


    In this way, it took ten minutes for a very simple communication and signing.


    Cheng Peng whispered to Lu Chen next to him: "It''s been a waste of time, there is still a wool for gastric lavage!"


    Lu Chen frowned tightly.


    The performance of this young man in front of him is full of doubts.


    He doesn''t seem to be worried about his condition at all, but he sends out a signal everywhere - I want to commit suicide!


    At this time, in Lu Chen''s eyes, the patient''s HP is 68!


    This HP is temporarily not a threat to the patient''s personal safety.


    ¡­


    After the patient signed, with the assistance of Lu Chen, Wang Xiaodong quickly performed gastric lavage for the patient.


    The two cooperated very well, and the gastric lavage ended smoothly.


    The next step is to observe the patient''s vital signs and mental state.


    If there is nothing abnormal tonight, the long-term prognosis is generally not bad.


    As long as there is no abnormality in the patient''s subsequent examinations and tests, as well as mental state, he can be discharged after two days of observation.


    As for traffic accidents, they are handed over to the police.


    Lu Chen, Cheng Peng and Wang Xiaodong returned to the office.


    ¡­


    "Senior brother, do you think this patient seems a little strange!"


    Back at the doctor''s office, Lu Chen spoke his thoughts.


    "Well, I feel it too." Wang Xiaodong nodded, "Most of the depressed patients I met before were too lazy to talk to you, this is too noisy today."


    "In addition, he seems to have been emphasizing that he may commit suicide at any time." Lu Chen said in a deep voice.


    "Yes, yes, yes!" Cheng Peng immediately echoed, "As soon as he entered the ward, he started to keep saying that he jumped off the building two months ago, and tried to cut his wrists a month ago. I was just thinking, if He really wants to commit suicide, is there still a chance to come to the hospital now?"


    "But what''s the point of him emphasizing that he wants to commit suicide?" Wang Xiaodong didn''t understand.


    To gain attention and sympathy from others?


    It doesn''t seem to be there either!


    Lu Chen paused and said slowly, "I think there may be a problem with this car accident."


    "Is there a problem with the car accident?" Wang Xiaodong repeated Lu Chen''s words, and then a trace of surprise flashed in his eyes, "Junior brother, do you mean he touched porcelain?"


    Lu Chen nodded, "Maybe this is the only way to explain it. I found that he was not worried about his physical condition at all during the entire medical treatment process. He just wanted to inject some other proprietary Chinese medicine injections."


    "But, the price is too high." Cheng Peng wondered, "He took a whole box of antidepressants!"


    Wang Xiaodong shook his head: "No one saw what kind of medicine he was taking. What if the medicine box contained vitamin tablets?"


    "This...this..." Cheng Peng was speechless.


    "Senior brother is right, this situation does exist." Lu Chen nodded.


    "If it''s really touching porcelain, then I think it''s like acting in a movie. This patient is too outrageous." Cheng Peng swallowed.


    "Oh, in this world, everyone has it!" Wang Xiaodong sighed, "It''s not that we speculate on others with the worst malice, it''s clinical work, it''s really walking on thin ice, we have to protect ourselves, don''t enter into the pit that the patients buried for us. When you stay in the hospital for a long time, there will be more outrageous things than this."


    Lu Chen nodded slightly.


    "Junior brother, go to sleep quickly." Wang Xiaodong said, "If you don''t sleep, you will go directly downstairs to take over."


    Lu Chen looked up at the time, it was almost four o''clock.


    He only had an hour to rest.


    "Okay, then I''ll go to sleep." Lu Chen smiled.


    "Wait, these earplugs are for you." Wang Xiaodong took out a new pair of earplugs from his drawer, "Sleeping in the emergency department, you can''t sleep without this!"


    Lu Chen took it with a smile: "Thanks, brother."


    This is a pair of green earplugs, which are inserted into the ears, and the sound insulation effect is not bad.


    ¡­


    Lu Chen walked into the duty room, set an alarm for 5 o''clock, and then slowly closed his eyes.


    He was so tired all night.


    This kind of tiredness is physical and mental exhaustion.


    "Ding ding ding..."


    An hour later, Lu Chen was woken up by the sound of the alarm clock.


    In a state of extreme sleepiness, Lu Chen opened his eyes.


    It''s almost five o''clock, he''s going to take over.


    I washed my face with cold water to wake myself up.


    Putting on a white coat, Lu Chen came to the emergency clinic on the first floor.


    "Lu Chen, you''re here." Wang Xueyang yawned, sleepy eyes, "Okay, then I''ll go to bed, I''ll take over at seven o''clock, call me if you have anything."


    "Okay, Teacher Wang." Lu Chen nodded.


    Wang Xueyang yawned and left the emergency room slowly.


    ¡­


    After Wang Xueyang left, Lu Chen was alone in the emergency room.


    He first rubbed his face vigorously to restore his spirit to a normal state.


    Just as Lu Chen woke up a little, at this moment, he suddenly heard a shout from the nurse''s desk outside the door.


    "Someone is going to jump off the building!"


    (end of this chapter)

 Chapter 321： What are you doing?

    Chapter 321 What are you doing?


    Lu Chen was shocked.


    He immediately thought of the patient just now.


    Could it be that he really jumped off the building?


    But the emergency department is on the second floor, so there is no way to jump at this height!


    "Sister Zhou, what happened to the patient jumping off the building?"


    There just happened to be no patients now. Lu Chen walked to the door of the consultation room and called to a nurse surnamed Zhou at the nurse station.


    "I heard that a patient in our emergency department just sneaked up to the eighth floor, ran to the window, and shouted that he wanted to jump off the building!"


    Hearing Nurse Zhou''s explanation, Lu Chen was taken aback, it was really him!


    "Fatty, that depressed patient is going to jump off the building?" Lu Chen hurriedly called Cheng Peng.


    "Oh, yes!" Cheng Peng''s breathless voice came from the phone, "This kid, while the nurse was not paying attention, just ran out of the emergency ward. The nurse just found out that he was gone, and heard someone He shouted to jump off the building, and when he went to the eighth floor, he was really this kid."


    Lu Chen frowned: "The windows of the hospital are all closed, and the windows are designed to prevent jumping from the building. How did he jump?"


    Cheng Peng said: "The window in the ward must have jumped out, but there is a window sill on the eighth floor, and there is a small platform outside the window sill, and he turned to the outside of the platform."


    Lu Chen smiled bitterly, "This person is really tossing, shouldn''t he dare to jump off the building?"


    "Yeah, I''m on the eighth floor, and he''s standing on the platform now, shouting that he wants to jump off the building, but I don''t dare to jump at all from the way he looks." Cheng Peng said, "We have already called the police. Yes, the police will be here soon."


    At this time, a patient came to the emergency room. After Lu Chen said a few words, he hung up the phone.


    ¡­


    Recovering his mind, Lu Chen prepared to start his own independent emergency night shift.


    There is chaos outside, but he cannot leave his post.


    Although it was only two hours, this was the first time he had a night shift by himself, a completely independent night shift.


    The diagnosis and treatment of all patients are all decided by Lu Chen.


    The first patient that Lu Chen independently treated was an old man in a wheelchair.


    There were two family members beside him.


    Lu Chen glanced at the chest CT that the old man brought from the county hospital, and frowned: "You may need to be admitted to the emergency room, your lung infection is very serious, and you have a history of emphysema and bronchiectasis."


    The family members nodded hurriedly.


    "We were transferred to Jinghua Second Hospital overnight, just to be hospitalized."


    Lu Chen immediately issued a hospitalization certificate to the old man.


    "The respiratory department is in Building 1. After entering the door, keep walking forward. If you don''t know the way, ask the security guard."


    "Okay, thank you doctor." The family nodded and left with a wheelchair.


    The first patient, Lu Chen was directly admitted to the hospital.


    Pneumonia in elderly patients like this, if not treated in time, is likely to turn into severe pneumonia, and then it will be troublesome.


    Therefore, Lu Chen admitted the patient to the hospital without hesitation.


    ¡­


    After about five minutes of calm, the second patient came.


    This is a young man and woman in their twenties.


    Men are handsome and women are beautiful and tall.


    The woman walked in front, full of anger.


    And the man followed closely behind the woman.


    The two walked into the clinic without saying a word.


    "Cough, who is the patient and what''s wrong?" Lu Chen coughed lightly.


    "It''s me." The young woman sat in front of Lu Chen, "I feel a pain in my chest."


    "Where exactly and when did the pain start?" Lu Chen began to ask about his medical history, "Are there any other discomforts?"


    "Here." The young woman pointed to the position under her xiphoid process, "It has been in pain for a long time. It used to be a dull pain. Tonight the pain is worse, so I came to the hospital."


    The man on the side ?? quickly added: "Doctor, you quickly give my sister a full body examination."


    Lu Chen frowned and said, "It''s an emergency at night, and many tests can''t be done. I can only do the tests that can be done here."


    "Okay, I have done any inspections." The young man said, "Money is not a problem!"


    "Don''t rush to do the inspection." Lu Chen said, "I''ll listen to it first."


    He picked up the stethoscope and was about to auscultate the young woman, but found that the woman in front of him did not move.


    "That... Doctor, should I take off my clothes?" The woman''s face turned slightly red.


    "Uh... No, I''ll listen to it through my clothes." Lu Chen was taken aback.


    For a young female patient like this, although there are family members on the side, Lu Chen tries to avoid direct physical contact most of the time.


    Lu Chen held a stethoscope and auscultated the patient through his clothes.


    Although the sound of auscultation was a little unclear, Lu Chen listened for a while, and there shouldn''t be much of a problem.


    The patient''s HP is also 76, so this chest pain is definitely not a big problem.


    "It sounds good, let''s do an electrocardiogram." Lu Chen still followed the regular procedure and asked the patient to complete the electrocardiogram examination.


    ECG examination can not be omitted.


    Especially for patients with this kind of chest pain, it is very necessary to check the electrocardiogram no matter what age.


    "Just an electrocardiogram?" The man beside him held the examination sheet opened by Lu Chen and asked, "Is there no other examinations, such as ultrasound, CT or something?"


    "I don''t need it for now." Lu Chen said.


    What else did the man want to ask, the young woman interrupted: "Then listen to the doctor. I''ll do an electrocardiogram first and see the results."


    After saying that, the two left the clinic.


    Lu Chen didn''t take this woman to heart.


    Generally speaking, young people say that chest pain is not likely to be a heart disease, and it is most likely a gastrointestinal disease.


    And the elderly say that the stomach is uncomfortable, and heart disease must be thought of.


    ¡­


    Two patients with fever came to the emergency room one after another, and Lu Chen quickly finished the treatment.


    Thanks are also rising.


    "Doctor, I''m done with my electrocardiogram."


    After a while, the female patient with chest pain just now came back.


    Her boyfriend followed behind him.


    Lu Chen took the electrocardiogram and took a look.


    Sinus rhythm, generally normal ECG.


    There are no exceptions!


    "The electrocardiogram results are normal." Lu Chen looked up at the young woman.


    "Why do you have chest pains?" the man on the side said immediately, "I said you have less tests, check blood, and then do a chest CT."


    Lu Chen was about to explain when the young woman suddenly said, "I said Huang Cong, are you a doctor? I''m here to see a doctor, and you point fingers? You let the doctor say it''s fine!"


    The man was speechless.


    "Go outside and buy me a bottle of water." The young woman said again.


    "it is good."


    The ?? man nodded, then turned his head and walked out of the consultation room.


    "Doctor, he''s gone, tell me." The young woman smiled at Lu Chen.


    Lu Chen nodded: "At your age, heart disease is unlikely, it may be gastrointestinal disease. But I just heard your description, and the possibility of digestive tract disease is not very likely."


    "Then why am I having chest pains?" the woman asked in confusion.


    "First of all, female chest pain is probably related to mental factors, such as cardiac dysfunction, intercostal neuralgia, or costochondritis, etc." Lu Chen explained.


    The woman was stunned for a moment, and suddenly said: "Hey, doctor, you said that, I remembered, it seems that something has grown here, and there is a raised place."


    The woman pointed to the position under her xiphoid process.


    Lu Chen frowned and said, "Have something grown?"


    He did not perform a physical examination on the patient just now.


    "Pull your clothes up a little and let me see what it is." Lu Chen said.


    "Well." The young woman did not refuse this time.


    She lay on the examination table and pulled her clothes up to expose the skin of her abdomen.


    Although the woman in front of him was quite handsome and fair-skinned, Lu Chen didn''t have any distractions at all.


    In Lu Chen''s line of sight, there was indeed a raised mass under the patient''s xiphoid process.


    The ?? mass is not big, but it can still be clearly seen in the supine position.


    "Doctor, did you see it?" the young woman said.


    "I see." Lu Chen nodded, "I want to check this mass, don''t be nervous."


    "Um."


    Lu Chen pressed the block.


    "Does it hurt?"


    "A little bit, but not great."


    "Is there this mass before?"


    The ?? woman nodded, "Well, it''s been many years."


    Just as Lu Chen was checking, the door of the consultation room was suddenly pushed open.


    The patient''s brother walked into the ward with two bottles of water.


    Then his eyes widened, "You...what are you doing?"


    (end of this chapter)

 Chapter 322： New record!

    Chapter 322 Record-breaking!


    The man immediately ran to the examination bed, stood in front of Lu Chen, stretched out his hand to block him, "You...what are you doing?"


    Lu Chen withdrew his hand, frowned and said, "I was doing a physical examination, and there was a lump under your sister''s xiphoid process."


    After ??, Lu Chen turned around and went to wash his hands by the sink in the consultation room.


    At this time, the young woman had already arranged her clothes.


    "Huang Cong, what the **** are you doing?" the young woman scolded, "I told you not to come with me, you insisted on coming, if you don''t help now, are you still making trouble here?!"


    "Sister, I''m also worried about you." The man hurriedly laughed, "There are always news reports saying that male doctors have no medical ethics..."


    Lu Chen was immediately speechless, turned his head and said, "Don''t cover everything with partiality!"


    The young woman also rolled her eyes at the man, then looked at Lu Chen, "Doctor, what is this mass of mine? Is it serious?"


    Lu Chen wiped his hands, went back to the computer seat, paused, and said, "If I''m not mistaken, your previous symptoms of chest pain should have something to do with this mass."


    "Huh?" The woman''s expression was stunned, her eyes showing a confused look.


    "My lump should have been around for a long time, why didn''t it hurt before, but now it suddenly starts to hurt?"


    The man on the side of ?? also looked at Lu Chen suspiciously: "I asked some doctors in the hospital, and they said that this kind of mass is normal!"


    "Actually, your chest pain is not a heart disease, nor is it a gastrointestinal disease, nor is it a neuralgia." Lu Chen smiled and said, "The chest pain is caused by a mass. Your mass is actually the cartilage of your bones. Caused by tissue hyperplasia, there may be no symptoms at first, but as the tissue hyperplasia increases, a dull pain in the chest area begins."


    "Cartilage hyperplasia?" said the young woman.


    "Yes, we clinically call it xiphoid syndrome." Lu Chen said.


    xiphoid process syndrome refers to a series of clinical symptoms caused by hyperplasia of cartilage tissue in the xiphoid process of the sternum or aseptic inflammatory lesions in the surrounding tissue.


    "This is a benign syndrome. Because it is rare in clinical practice, and the clinical manifestations include dull pain in the chest area and episodic pain, this disease is easily misdiagnosed as coronary heart disease and other medical diseases." Lu Chen explained to the two in front of him.


    "Benevolent? That is to say, nothing is wrong, right?" the man said nervously.


    "Well, of course, pay attention to rest and avoid overwork." Lu Chen said, "If the pain occurs frequently, you can choose to do nerve block treatment. The prognosis is good, and there are no serious complications."


    The young woman in front of her nodded her head in confusion.


    Lu Chen didn''t know if she understood it, so she wrote her opinion on the diagnosis and treatment on the medical record: "You can choose to go to the neurology department for treatment. It''s not a big problem, but if the pain is frequent, you need to see a doctor in time.


    "Thank you doctor." The young woman smiled and said to Lu Chen, "To be honest, this mass problem has been bothering me for a while, and some doctors told me that there is no major problem. After hearing you say this today, I understand. ."


    "Well, remember to rest more and don''t get excited. Too" Lu Chen laughed.


    The man beside ?? scratched his head, his face a little embarrassed.


    "Then I don''t need to take any medicine now?" the young woman continued.


    "Not for now." Lu Chen nodded.


    "it is good."


    Before the woman left, she carefully looked at Lu Chen''s badge, and then left the clinic.


    ¡­


    Watching the two leave, Lu Chen breathed a sigh of relief.


    Although the patient''s condition is neither serious nor urgent, the matter is still complicated and consumes a lot of Lu Chen''s energy.


    "Congratulations, +1 for the thank you from Huang Yue!"


    "Congratulations, the completion of the system upgrade has increased!"


    The prompt popped up from the system, which comforted Lu Chen a little.


    But he only got one thanks point, and he didn''t give thanks for pressing a man just now.


    "What a cheapskate!"


    However, Lu Chen had been seeing the patient all night, and he couldn''t bear it anymore.


    glanced at the time, there was still an hour before Wang Xueyang came to take over.


    But at this moment, Lu Chen''s phone rang.


    was called by Cheng Peng.


    As soon as the phone was connected, Fatty Cheng''s cheap laughter came from the other side.


    "Lu Chen, I''m going to tell you a funny thing, you must never have thought of it!"


    Lu Chen smiled, "You haven''t slept yet? What fun things are you talking about here?"


    "It''s the patient who jumped off the building just now." Cheng Peng said.


    After hearing what Cheng Peng said, Lu Chen became interested, "What''s wrong?"


    "Tell you, the police are here, and they have uncovered all the details of the depressed patient." Cheng Peng said.


    "What old man? Isn''t he depressed?"


    Cheng Peng said: "No, he does have depression. We turned to his previous medical records. But ah, his car accident is really a touch of porcelain!"


    Lu Chen was stunned, he really touched porcelain, he guessed it!


    "Guess what, after the police came, they directly found his latest case. This depressed patient has touched porcelain three times in a row! In addition to today''s time, this is the fourth time. The previous times have been in other cases. In the hospital, he corrupted the perpetrator, and then he was admitted to the hospital for free." Cheng Peng said.


    "Today he fell into trouble?" Lu Chen said.


    Cheng Peng sighed, "What do you say... Because his depression has a hospital certificate, even if he touches porcelain, at most he will be educated by the police, and then sent to a mental hospital for treatment, and there will be no coercive measures."


    "Surely poor people must have something to hate." Lu Chen shook his head slightly.


    This is the linear shape of some mentally ill patients


    "Stop talking, there is another patient in the emergency room!"


    Cheng Peng added a sentence before hanging up.


    "Lu Chen, remember to tell me in advance next time you are on the night shift, I don''t want to run into you again."


    Lu Chen: "..."


    Hearing the busy tone on the phone, Lu Chen shrugged his shoulders, what does this have to do with me?


    Fatty is throwing the pot again!


    ¡­


    For the next hour, Lu Chen had a very smooth life.


    Because it was approaching the early morning, many patients came for examinations, and few patients actually came to see the doctor.


    At seven o''clock in the morning, Wang Xueyang walked into the emergency room.


    This also means that Lu Chen''s first night shift in the emergency department is finally over!


    "There''s still an hour to get off work, but I found that the number of patients we saw has broken the record of the night shift in the emergency department." Wang Xueyang called up the data on the computer, "Now the two of us have seen 180 patients. Ten patients..."


    Lu Chen has no idea about this number, because this is his first night shift.


    But Wang Xueyang is very aware of this number, which means that the two of them basically didn''t rest much all night.


    There is still an hour before the end of the night shift, and this record-breaking number will definitely rise a lot!


    Wang Xueyang looked at Lu Chen next to him, and was very fortunate in his heart, Lu Chen is very reliable!


    Not only can he receive patients, but he did not call himself when he was on duty independently.


    It also allowed her to rest comfortably upstairs for two hours.


    As for Lu Chen, although he was tired all night, he had a lot to gain!


    One night, the HP he earned was equal to the past week.


    If there are a few more night shifts, then exchange the electrophysiological intervention card, it will be just around the corner!


    "No, this night shift in the emergency room, let''s forget it..."


    Lu Chen gave a wry smile, it''s still a matter of life!


    This emergency night shift has too much workload.


    If you work a few more night shifts like this, you will have to peel off your skin if you don¡¯t die suddenly!


    No wonder there are so few doctors in emergency department...


    ¡­


    Leave the emergency department.


    After having breakfast in the cafeteria, Lu Chen immediately went back to the bedroom to sleep.


    The consumption of this night is estimated to take half a day to make up.


    (end of this chapter)

 Chapter 323： Lu Chens active choice

    Chapter 323 Lu Chen''s Active Choice


    slept drowsy for most of the day.


    When Lu Chen woke up, it was already the afternoon of the next day.


    When he woke up, he still felt a little dizzy, so he continued to lie on the bed for a while.


    Taking advantage of this time, he just took a look at his system panel.


    in the system panel.


    The total thank you points are 328 points.


    The system upgrade completion rate reached 62%.


    "It''s only been a few days since I came to the emergency department, and the thank you value has risen too fast!" Lu Chen thought, "It really deserves to be an emergency department, so the electrophysiological intervention card can definitely be exchanged within a month."


    Lu Chen''s most urgent wish now is to successfully redeem the electrophysiological intervention card.


    With this card, he can have a certain degree of certainty in the next ECG national finals.


    Otherwise, if you go to the competition with your bare hands like you are now, it will only add to the laughing stock.


    ¡­


    Lu Chen got up, took a shower, checked the time, it was 3:30 in the afternoon.


    At this time, the hospital cafeteria has not yet opened.


    Lu Chen thought about it, and prepared to go to the restaurant in front of the hospital for a meal.


    went downstairs, but he unexpectedly encountered a familiar figure.


    "Sister Sasha?"


    The person in front of him is Lu Chen''s senior sister Wang Shasha.


    "Junior Brother Lu Chen, you just came down, and I''m going to find you." Wang Shasha is a little fat, and her appearance is medium, but she is quite good at dressing up.


    "Senior sister looking for me?" Lu Chen was stunned.


    He doesn''t have any intersection with Senior Sister Wang Shasha.


    However, a few months ago, Senior Sister Wang Shasha asked for help in recording the data, but he refused.


    "Yes, I went to the emergency department to find you. Someone said that you are on night shift, so you should be in the dormitory." Wang Shasha nodded, "So I came to the dormitory to find you."


    "Senior sister, what''s the matter?" Lu Chen asked in confusion.


    "Let''s chat while eating." Wang Shasha smiled, "You should have just woken up after the night shift. I invite you to have a meal."


    Lu Chen couldn''t figure out Wang Shasha''s purpose for a while, but he still said: "Senior sister, I invite you. After I came to the department, you helped me many times, and I just invited you to have a meal."


    "That''s fine too." Wang Shasha nodded slightly.


    ¡­


    Lu Chen and Wang Shasha chatted all the way, and soon came to a restaurant at the gate of the school.


    "Senior sister, you have some."


    Lu Chen handed the menu to Wang Shasha.


    Wang Shasha took over the menu and ordered two home-cooked dishes.


    "Junior Brother, it''s been a few months since you came to the Second Academy, are you still used to it?" Wang Shasha asked with a smile.


    "I feel pretty good. Corey''s brothers and sisters are very enthusiastic. They usually answer questions that they don''t understand." Lu Chen replied perfunctorily.


    To be honest, he and Wang Shasha are not very familiar with each other, and the two have only met a few times, usually at the dinner table.


    Because Wang Shasha is in the third grade this year and is graduating soon, she is almost no longer rotating in the clinical department, but concentrates on preparing her graduation thesis.


    "Junior brother is very good. He has done so many important things in the first year of study." Wang Shasha continued, "In the cardiology department of our Jinghua Second Hospital, there are almost no people who don''t know Junior Brother Lu."


    Lu Chen smiled, "It''s just better luck."


    "Junior brother, don''t be humble." Wang Shasha smiled, "I think junior brother will definitely be amazing in the future."


    Lu Chen chatted with Wang Shasha again, and the waiter served the food.


    Lu Chen started to eat.


    Hungry for most of the day, he was really hungry.


    Wang Shasha never got to the point, and Lu Chen was not in a hurry, so he kept his head down to eat.


    "Oh, by the way, Junior Brother, do you have plans to study for a PhD in the future?" Wang Shasha said suddenly.


    Lu Chen was taken aback for a moment, did he finally get to the point?


    "Should be able to read a blog." He looked up at Wang Shasha.


    Wang Shasha smiled, "Well, studying for a doctorate is the beginning of studying medicine. Now all masters are gone. I''m also going to apply for our teacher''s doctorate."


    Lu Chen smiled and said, "That''s very good, Senior Sister, you should have a great advantage in applying for our teacher''s doctorate."


    Wang Shasha shook her head with a wry smile: "There are definitely advantages, but Ms. Li mainly depends on her dissertation. Last year, a sister from the same class applied for Mr. Li''s Ph.D. just because the dissertation did not meet the standard, Mr. Li confiscated it, but took it from a foreign school. a graduate student."


    "Oh, Mr. Li is quite fair." Lu Chen nodded slightly, like Mr. Li Yao''s style.


    "So, junior brother, if my current thesis is just a graduation, it is standard enough. However, if you want to apply for a doctorate, it is still not enough!" Wang Shasha stared at Lu Chen closely, "Junior brother, you... Can you help me?"


    "Huh?" Lu Chen said in surprise, "Senior sister, you are taking exams, how can I help you?"


    Lu Chen will definitely help if he can.


    But Wang Shasha has foreshadowed so much, and thinking of her previous actions, this is definitely not easy!


    "I have an experimental project, which is just halfway through, but there is a lack of people in the group, and the progress is relatively slow now, so..." Wang Shasha asked tentatively.


    Lu Chen frowned and said, "Senior sister, I don''t know how to do basic research in the laboratory!"


    This is the truth, Lu Chen has never been in a laboratory.


    Wang Shasha smiled and said, "Actually, it''s not difficult. As long as you get started with basic experiments, it''s very simple. I can teach you too. If you do the experiments yourself, it will definitely be much easier!"


    Lu Chen did not refuse.


    He wanted to see, what exactly does Sister Wang Shasha want him to do?


    "But I''m spinning right now, so I don''t have much time." Lu Chen said.


    Wang Shasha doesn''t need to rotate, but he wants to rotate!


    "It''s nothing, I usually get off work, and there are weekends. Just use these free time to come to the laboratory." Wang Shasha smiled.


    However, this smile, in Lu Chen''s view, is a little scary!


    Allow yourself to use your free and rest time to work for free, which is really saying.


    "Junior brother, don''t worry." Wang Shasha continued, "When the time comes, I will send a paper and add your name."


    This sentence is very familiar...


    Lu Chen slandered in his heart and believed you, but he still smiled on the surface: "Senior sister, I may be powerless. There is an electrocardiogram competition recently. I have to hurry up and prepare for this competition."


    "Oh, I heard that this electrocardiogram competition is going to be tested for interventional surgery, you now..." Wang Shasha paused, "Take ten thousand steps back, even if you can get a certain ranking, it will be of no use to your further study in the future. Come on, we still have to rely on papers for medicine!"


    Lu Chen smiled, took a piece of pork belly, and said, "Senior sister, do you know about the National Medical Skills Competition?"


    Wang Shasha nodded: "I know, Junior Brother is the champion team."


    "Cough cough." Lu Chen cleared his throat and continued, "One of the treatments that the school gives champions is the priority to choose a master''s degree and a doctorate, so if I stay in school for a Ph.D., I will choose the mentor, not... the mentor. choose me."


    "Ah, Junior Brother, this..."


    Wang Shasha stared at her eyes and opened her mouth wide, a look of surprise and envy flashed in her eyes.


    (end of this chapter)

 Chapter 324： Fame rises

    Chapter 324 "Fame"


    The gap between people, why is it so big?


    Wang Shasha bit her lower lip lightly, looking at the food in front of her, she lost her appetite.


    "Junior Brother, it''s amazing..." Wang Shasha could only reply softly.


    She doesn''t know whether it''s true or not, but at the moment she has a lot of feelings in her heart.


    She has been studying for the third year, and she has been wandering back and forth between work and doctoral studies.


    After finally deciding to pursue a Ph.D., I realized that applying for a Ph.D. is really not that simple.


    However, Lu Chen had just finished his first year of graduate school, and the road behind him had already been paved.


    If he wants to read a Ph.D., he can go directly.


    "Senior sister, I believe you can do it too." Lu Chen smiled and continued to eat.


    He and Wang Shasha have no deep hatred.


    It''s just that he doesn''t like this senior sister using their young people as gunmen.


    Ke Yue helped her for so long, but it was all in vain.


    At this time, Wang Shasha suddenly said again: "Junior Brother, can you go and talk to Junior Sister Ke Yue and ask her to help?"


    She was still a little reluctant.


    Since Lu Chen could not be found, he could only continue to look for Ke Yue.


    "Oh?" Lu Chen raised his brows, "Senior sister, why don''t you ask her yourself?"


    "Hey, I asked. She said that she was very busy recently and didn''t have time to do these things." Wang Shasha sighed, "I thought, you know her very well, why don''t you ask her for me?"


    "You can ask, but I can''t guarantee that she will agree." Lu Chen shrugged.


    "Okay, junior brother, you can help me ask." Wang Shasha said, "Whether it works or not, let''s talk about it."


    "Okay." Lu Chen smiled and continued to eat.


    In fact, in addition to the fact that Wang Shasha likes to have people help her with voluntary labor, she gets along very well as a whole.


    As for what she showed, she was still very enthusiastic and talkative.


    After dinner.


    Lu Chen wanted to settle the bill, but Wang Shasha did it ahead of time.


    "Junior brother, how can I let you pay the bill, I asked for it for the first time." Wang Shasha smiled.


    "Uh, okay, next time I''ll invite Senior Sister to dinner." Lu Chen said.


    However, it is absolutely impossible to agree to ask Lu Chen to help her work.


    After eating, the two separated.


    Lu Chen was going back to the bedroom, while Wang Shasha went to the laboratory. She still had some experiments to complete.


    ¡­


    Go back to the bedroom.


    Lu Chen glanced at his phone, it was time to get off work.


    "Ke Yue should have gotten off work." Lu Chen thought about it and called Ke Yue.


    I still have to ask, but Ke Yue will probably refuse.


    This month, Ke Yue is working in the endocrinology department.


    As soon as she changed out of her white coat and walked out of the door of the endocrinology department, she received a call from Lu Chen.


    Hearing Lu Chen''s question, she was a little surprised.


    "What? Senior Sister Wang Shasha asked me to help again? I''m not going... Lu Chen, you don''t want me to record data for you, that''s why you said that?"


    Lu Chen didn''t expect Ke Yue to misunderstand what he meant, and quickly said: "No, it''s that Senior Sister Wang Shasha insisted that I ask you. I''m embarrassed to refuse, so I can only ask you symbolically."


    "I''m definitely not going to help Senior Sister Sasha. I feel pretty good about helping you record the data." Ke Yue said.


    "Aren''t you afraid that I will trick you?" Lu Chen asked back with a smile.


    "I''m not afraid, you are not such a person." Ke Yue smiled, "If you lie to me, I will depend on you."


    "You can really do it..." Lu Chen smiled, chatted a few words, and hung up the phone.


    ¡­


    "Ke Yue, who called you?" The girl who got off work at the same time as Ke Yue asked with a smile, "Looking like you, it shouldn''t be your boyfriend, right?"


    Ke Yue quickly waved his hand, "No no, not a boyfriend, a boy from the same school."


    "Why didn''t you turn him into a boyfriend?" The girl teased, "Seeing how happy you are on the phone, you are single anyway."


    Ke Yue smiled and said nothing.


    Lu Chen is handsome and sunny, and so good.


    As soon as I arrived at the school, I have already won the champion of the National Medical Skills Competition, and I will also participate in the electrocardiogram competition.


    The girl Huaichun said she didn''t like it, that was false.


    But she is also very aware of the gap between herself and Lu Chen, and she is still worried about whether she will graduate, but if Lu Chen wants to study for a Ph.D., how many teachers will throw olive branches!


    So, she wouldn''t even think about it at all.


    "Let''s help him record the data."


    Ke Yue''s idea is very simple, work hard and do scientific research, and strive to graduate as a graduate student.


    As for the future road, let¡¯s talk about it.


    ¡­


    hung up the phone, and Lu Chen was ready to continue processing his own clinical research data.


    But before that, he thought of the "Emergency Poisoning Rescue" skill card he got last night.


    Since there is such a skill card, it cannot be wasted.


    Lu Chen found books on emergency toxicology and began to quickly gain relevant knowledge.


    With this skill card, Lu Chen has a deeper understanding and understanding of the diagnosis and treatment of pesticide poisoning, metal poisoning, rat poisoning, etc.


    After reading a book of toxicology, it was already around ten o''clock in the evening.


    Immediately afterwards, Lu Chen processed the clinical research data, and then in the Jinghua Electrophysiology WeChat group, after helping to read two electrocardiograms, he washed and fell asleep.


    Although he had slept for most of the day, Lu Chen still had to force himself to sleep.


    If you can''t guarantee enough sleep, the next day''s work efficiency will not be worth the loss.


    ¡­


    The next day, I came to the emergency department.


    The story of the depressed patient "Pengci" jumping off the building last night has been widely circulated.


    Also, the uncle who hiccupped was finally found to have a heart attack.


    The little girl drank fifteen sticks of mercury poisoning... Although it was finally found out, there was no problem.


    "Lu Chen, you had an amazing night!" Xiao Lin ran in front of Lu Chen and said, "Not only did you see so many patients, which broke the record, but you can encounter any kind of disease! By the way, you''ll be on the night shift next time. when?"


    Lu Chen said: "Ah... what''s wrong?"


    "If I run into you, I have to change shifts early."


    Lu Chen: "..."


    Cheng Peng smiled and said: "Then you can change shifts with others, I won''t change with you anyway."


    Since then, Lu Chen''s reputation as a "black face" has been completely established in the emergency department.


    Of course, there is also Cheng Peng''s help. He described Lu Chen''s "great achievements" in the cardiology department, so that everyone in the emergency department has a better understanding of Lu Chen''s history of black face.


    ¡­


    The life in the emergency department is very busy, but very fulfilling.


    Lu Chen spent more than half a month in the emergency department, and has gradually adapted to this fast-paced clinical life.


    Every day is spent in the reception of patients.


    At the same time, the gratitude value and system upgrade completion rate are also skyrocketing.


    in the system panel.


    The total thank you point has reached more than 1100 points.


    The ?? system completion rate also rose to 72%.


    Lu Chen estimates that in half a month, he will be able to exchange the electrophysiological interventional surgery skill card.


    (end of this chapter)

 Chapter 325： Research that changes clinical guidelines?

    Chapter 325 Research that changes clinical guidelines?


    "Lu Chen, there is a male patient who needs to have a urinary catheter, please help me, in bed number 10."


    Gong Nannan walked into the doctor''s office and said with a smile to Lu Chen.


    "Hey, it''s coming soon."


    Lu Chen was writing the course of his illness when he heard Nurse Gong Nannan''s words, he stood up and walked out of the office.


    Since Lu Chen came to the emergency department, many male patients have been handed over to him for the insertion of urinary catheters.


    Therefore, catheterization became one of the fastest skills for Lu Chen to reach 100% proficiency.


    Bed 10 is a young man in his twenties.


    "Don''t be nervous, I''ll be fine soon." Lu Chen came to the bedside of bed number 10.


    The young man looked green and embarrassed, and whispered, "Oh, be gentle."


    "Don''t worry, take off your trousers first." Lu Chen put the catheter bag on the operating table by the bed.


    "Huh? This..." The young man''s face turned red.


    "What are you afraid of, it''s all big men." Lu Chen said sternly, "It will be over soon."


    "Oh." The young man took off his pants hesitantly.


    about a minute later.


    "Okay." Lu Chen smiled and said to the young man in front of him, "There''s nothing uncomfortable."


    The young man nodded: "Thank you."


    Lu Chen wrapped the rest of the medical waste and threw it into the yellow medical waste bin.


    "Congratulations, +1 for the thank you from Maping!"


    Inserted a urine tube and got a little thank you.


    Lu Chen left the emergency ward satisfied.


    ¡­


    "Hey, Lu Chen, I heard that we start the question earlier this year."


    As soon as he returned to the doctor''s office, Cheng Peng came over.


    "When is it in advance?" Lu Chen was taken aback.


    He has been busy doing clinical research data recently, and he really didn''t notice these things.


    Opening a topic refers to the direction of the subject and determines the research direction of the entire graduate student for three years.


    "Probably after New Year''s Day." Cheng Peng thought about it.


    "After New Year''s Day?" Lu Chen frowned.


    National ECG Contest, almost during New Year''s Day.


    That is to say, when he finishes the competition and returns to school, it is almost time to start the question.


    "It''s not because a certain celebrity has an accident. They have a doctorate, and even CNKI doesn''t know what it is." Cheng Peng pouted, "Now the Ministry of Education has stricter review of papers, before the repetition rate was only 20%. In our current class, it is actually less than 10%, which is too perverted! Therefore, in order to allow us to prepare the thesis earlier, the school has set the time for opening the topic earlier."


    Lu Chen also heard about this star.


    However, the quality of Huaxia''s papers is really poor now, many of them are just one article, or after you have translated them into foreign languages, you can graduate.


    "Time is a little tight." Lu Chen thought to himself.


    The usual start time of the question is the start time of the second semester, but this year it was directly moved to the first semester.


    Lu Chen has some ideas about his clinical subject, but he still needs preliminary data support.


    He is now doing research for this early data.


    If even the data in the early stage is meaningless, then there is no need for him to continue.


    The most important thing now is that before the New Year''s Day, the data in this early stage should be made quickly.


    ¡­


    Eight districts in the heart.


    Office of the Director.


    Lu Chen, Ke Yue, and Jiang Qingyan stood in front of the desk.


    Li Yao looked down at the opening report of the three.


    The corners of his mouth are sometimes raised, and his brows are sometimes wrinkled,


    for a long time.


    Li Yao said slowly: "Well, Jiang Qingyan''s idea is good, the toxic effect of anti-tumor drugs on cardiovascular, this research direction is very interesting. Foreign research in this field is very mature, but domestic research is still in its infancy. ."


    "However, Ke Yue, your opening report..." Li Yao raised her head and glanced at Ke Yue, "How should I put it, the relationship between platelet aggregation and cardiovascular disease does not seem to be a problem, but have you turned to others? research literature?"


    Ke Yue lowered her head, "Look, I''ve seen..."


    "Then you should also know that there are already many mature research and development achievements in your research field. If you do it again, although the entire research topic has no fatal problems, it is difficult to make something relatively new. In a word, it is like a chicken rib. , it is tasteless to eat, and it is a pity to abandon it.¡±


    "Yes." Ke Yue''s voice was weak and flies, "Teacher, I''ll go back and look for the literature."


    Li Yao nodded and said nothing more.


    Only Lu Chen''s opening report was left, and Li Yao did not express any opinion.


    In the office, it is a little quiet.


    Li Yao''s right index finger tapped the table lightly, making a small but regular sound.


    After a long while, Li Yao looked up at Lu Chen.


    "The research on dapagliflozin to prevent early heart failure in patients with acute myocardial infarction, your research topic, did you think of it yourself?"


    Ke Yue and Jiang Qingyan looked at Lu Chen beside him.


    Is there any problem with this subject?


    Lu Chen nodded slightly.


    In fact, with the help of the system, he applied the clinical research skill card, combined with the current popular research field of cardiovascular medicine.


    Finally, I finally came up with this research topic.


    "Very good, very good!" Li Yao said twice in a row, "Dapagliflozin is a relatively hot drug at present, and major laboratories around the world are researching it, and the research and development direction you have chosen is currently at home and abroad. It should be blank! If you can do it well and publish a high-scoring SCI, there is no problem.¡±


    "Even, if the sample size of the study is large, a large-sample, multi-center clinical study can be conducted to obtain the final R&D conclusion, which can even change the clinical treatment guidelines!"


    Change clinical guidelines?


    Everyone present, including Lu Chen, all showed expressions of astonishment.


    Lu Chen originally just wanted to publish an SCI paper, but he did not expect Li Yao to give such a high evaluation.


    Ke Yue and Jiang Qingyan looked at Lu Chen in disbelief.


    No one could have imagined that the opening report made by a graduate student might change the clinical guidelines!


    Li Yao continued: "Don''t be so surprised, you need to know. Dapagliflozin has just been listed as a routine drug for the treatment of heart failure, and the medical field has recognized its status, but in the current clinical practice, it is not in acute Research on myocardial infarction, so it''s not included in it."


    "but¡­"


    Li Yao changed her words and stared at Lu Chen: "Everyone knows that clinical research is not a method! It requires a lot of manpower, material and financial resources! The sample size you wrote in your opening report is only five Ten people, this kind of sample size, at most one low-scoring SCI paper. If you want to change the clinical guidelines, then the amount is at least tens of thousands! Generally, this kind of research on changing the clinical guidelines is based on the leading hospitals in the country. Leading the major tertiary hospitals, the sample size is very large, such research results are suitable for clinical use."


    Lu Chen nodded, he understood what Li Yao meant.


    Clinical research, good ideas are important, but they also require a lot of financial and material resources.


    In a prospective study, only a sample of fifty people is definitely not enough, and it can even be said that there are very few, very few!


    But with a sample size of fifty people, the funds that need to be spent are already tens of thousands, or even more.


    This is also the limit that Lu Chen can bear at present.


    It is not realistic for Lu Chen to spend more money on clinical research!


    "Let''s do it." Li Yao continued, "Lu Chen, you should start with a sample size of 50 people. If the previous experimental research is meaningful, then consider whether there is any further possibility."


    "Good teacher." Lu Chen smiled.


    "Actually, the sample size of these 50 people costs a lot of money." Li Yao said solemnly, "I will give you some subsidies in the name of the laboratory. Secondly, when you collect data, I will let you know The medical staff in the inner eight districts will cooperate with you."


    The so-called prospective study requires patients to return to the hospital for re-examination in a timely manner, which involves examination fees, round-trip travel expenses, etc.


    "Thank you, teacher!" Lu Chen looked overjoyed.


    His biggest resistance now is not actually money, but to do a good job in clinical experiments, the medical and nursing cooperation of the department must be required, otherwise it will be difficult to collect first-hand data.


    Now, with Li Yao''s sword, Lu Chen''s future clinical research should be much easier.


    "By the way, both of you are too." Li Yao said to Ke Yue and Jiang Qingyan, "I will let the nurses in Corey cooperate with you."


    "Thank you teacher." Ke Yue and Jiang Qingyan said in unison.


    When ?? walked out of the director''s office, all three of Lu Chen''s faces showed happy expressions.


    As a mentor, Li Yao is already quite responsible for doing this.


    Many graduate tutors basically let students fend for themselves.


    Some tutors even impose some unreliable research on students.


    ¡­


    Seeing the backs of the three of them leaving the office, Li Yao was very relieved.


    The quality of the students this year is too high.


    The clinical research topics of Lu Chen and Jiang Qingyan are very innovative and should be able to produce good results.


    Ke Yu''s subject was a little worse, but he was good enough for graduation.


    Li Yao, a student of the previous two years, did not offer such a convenient condition.


    It can be seen from the body of Senior Sister Wang Shasha.


    "I hope the three of them don''t let me down."


    Li Yao looked at the three opening reports in front of her with a smile in her mouth.


    ¡­


    Leaving the doctor''s office, the three of Lu Chen walked down the path of the hospital.


    "Lu Chen, you are amazing, the teacher said that your subject can even change the clinical guidelines!" Ke Yue couldn''t help giving Lu Chen a thumbs up.


    "That''s a large sample size. I only have fifty samples now. It''s enough to send an SCI." Lu Chen smiled.


    It¡¯s not that he is humble, it¡¯s the sample size that determines it.


    "Oh, it''s already amazing!" Ke Yue laughed.


    At the same time, she was also happy.


    It seems that helping Lu Chen record data is a very correct choice!


    If Lu Chen posted an SCI and could bring her name, it would make a lot of money.


    "Jiang Qingyan''s topic is also good." Lu Chen smiled, "Ke Yue, you have to revise your topic report properly."


    Jiang Qingyan smiled.


    Ke Yue pouted, "Hey, I see, it seems that I have to stay up late again..."


    The three of them chatted all the way, and separated in front of Guipeikou''s dormitory.


    ¡­


    Back to the bedroom, everyone in the bedroom was discussing the topic.


    "The data for the early stage of my project is almost ready." Wang Zihao patted Lu Chen on the shoulder, "Thank you to Lu Chen! Without you, I wouldn''t have been so fast."


    "Hey, I don''t even have any ideas, I''m about to start the question, it''s really difficult!"


    Another roommate, Xing Yu, frowned.


    "Brother Yu, go ask your boss! Doesn''t he have any subjects?" Wang Zihao wondered, "Just let you do a sub subject, it should be enough for you to graduate, right?"


    "Hey, I asked." Xing Yu gave a wry smile, "My boss asked me to think for myself, and then let him change it. As for his subject, I don''t think he can figure it out himself, he is looking for outsourced experiments. I want him to give me a sub-project, don''t even think about it."


    "Uh... It''s really hard for you to meet an unreliable boss." Wang Zihao shook his head slightly, then looked at Lu Chen who was beside him, "Lu Chen, have you done your clinical project?"


    "The opening report has been written, but the preliminary data has not yet been completed." Lu Chen shook his head.


    "Then hurry up." Wang Zihao said, "I remember you have to go to Bingcheng to participate in the electrocardiogram competition, right? When you come back from Bingcheng, we almost have to start the question."


    "Yeah." Lu Chen nodded, "I asked two classmates for help, and I should be able to complete the preliminary data."


    "That''s good." Wang Zihao said.


    Everyone in the bedroom chatted for a while.


    Wang Zihao suddenly received a WeChat message. After reading it, he said, "Lu Chen, my sister wants to invite you to dinner again."


    Lu Chen was processing the data of clinical research. Hearing this, he was stunned.


    "Didn''t you eat it some time ago? Why did you eat it again?"


    "Last time was a thank you banquet, this time she is going to come to the hospital for a follow-up consultation." Wang Zihao said, "So I want to make an appointment with you in advance to get some information from you."


    "This...isn''t necessary." Lu Chen said, "Your sister will come for a follow-up consultation and send her to the cardiology outpatient clinic. I can''t prescribe medicine or do any tests here."


    "I told her this, but she still wants to come to you." Wang Zihao said, "Lu Chen, you should go and have a free meal. Anyway, it''s only one morning. So that my sister won''t bother me again."


    Lu Chen thought for a while and said, "When?"


    "Tomorrow is the weekend, just tomorrow, at 11:30 noon, at the Shangri-La Hotel."


    "Shangri-La...isn''t it cheap?" Lu Chen laughed.


    "Don''t worry, my sister is a rich woman." Wang Zihao smiled, "If you eat a few more meals, you won''t be able to eat her."


    At this time, Xing Yu whispered from the side: "Zihao, I also want to rub for a meal, I don''t want to work hard..."


    "Go away, go to the side." Wang Zihao scolded with a smile, then looked at Lu Chen, "How is it, go or not?"


    Lu Chen nodded: "You said so, I''m definitely going. However, can we change the place? It''s just at the restaurant in front of our hospital. It tastes good and the price is affordable. I have to process the data tomorrow afternoon. Besides, , going to a high-end western restaurant like Shangri-La is too restrictive, and the appetite is not much better."


    "This should be no problem, I''ll contact my sister." Wang Zihao laughed.


    ¡­


    (end of this chapter)

 Chapter 326： AstraZeneca sponsorship?

    Chapter 326 AstraZeneca''s sponsorship?


    The next day, Little Sun Restaurant.


    The restaurant is adjacent to the Jinghua Second Hospital, and there is a lot of traffic.


    The chef''s craftsmanship is also good. The Sichuan cuisine is extremely authentic and the price is reasonable, so it attracts many customers.


    "Boss, here''s a stir-fried sausage, spicy chicken, spicy shrimp, and a boiled fish."


    "Okay, wait a minute, I''ll be up soon!"


    Lu Chen and Wang Ruoxi sat opposite each other.


    "Sister Wang, you don''t have to be so polite, I''m so embarrassed every time you invite me to dinner." Lu Chen smiled and said to Wang Ruoxi in front of him.


    Wang Ruoxi is dressed up in a fashionable and beautiful fashion today. She is already quite good-looking, so when she dresses up like this, she has a mature charm that young girls don''t have.


    Wang Ruoxi frowned slightly when she heard Lu Chen''s name: "Sister Wang, does your name seem old?"


    Lu Chen was stunned for a moment, then touched the back of his head in embarrassment, "Sister Ruoxi?"


    "Well, this is not bad." Wang Ruoxi smiled.


    "Sister Ruoxi, is your chest pain better now?" Lu Chen asked.


    "It''s much better." Wang Ruoxi nodded slightly, "This is thanks to you, if it weren''t for you, I don''t know how long I would have been troubled by this chest pain."


    Lu Chen smiled, in fact, he did not prescribe any special medicine for Wang Ruoxi.


    "Sister Ruoxi, you should pay more attention to rest."


    "Well, the company was busy some time ago and I didn''t have much rest, so I gave myself a vacation during this time." Wang Ruoxi said.


    Lu Chen knew that Wang Ruoxi used to study medicine, but she did not choose to become a doctor later.


    In recent years, more and more medical students have not engaged in clinical work and have switched careers.


    "Sister Ruoxi is usually very busy?" Lu Chen asked casually.


    "Well, I work in a pharmaceutical company, and I often travel around for business. It''s common to stay up late." Wang Ruoxi said.


    Medical representative?


    Lu Chen was stunned. In this profession, he has come into contact with many people.


    Especially after he came to Jinghua Second Hospital, he saw many medical representatives from all walks of life.


    "Then you often come to the hospital?" Lu Chen paused.


    "No." Wang Ruoxi smiled, "I''m not the kind of salesman who runs business. I''m the regional manager of AstraZeneca, and I''m mainly responsible for contacting various businesses of the company and the hospital."


    AstraZeneca''s regional manager?


    Darling, Wang Ruoxi looks only twenty-seven or eighty-years-old, this is too amazing!


    AstraZeneca is an international pharmaceutical giant, and being able to become a regional manager in Huaxia District, Wang Ruoxi is remarkable both in terms of personal talent and identity background.


    It seems that Wang Ruoxi is really a rich woman!


    The point is, this rich woman is still beautiful.


    correct!


    A thought suddenly flashed in Lu Chen''s mind, AstraZeneca...


    Isn''t this the manufacturer of Dapagliflozin?


    "Sister Ruoxi, Dapagliflozin belongs to your company, right?"


    "Yes!" Wang Ruoxi said with a smile, "This is our company''s flagship drug recently. I''m in charge of the upstream promotion of the entire product. By the way, I''m also going to talk to Director Cao of the Cardiology Department of your Jinghua Second Hospital."


    "Sister Ruoxi, you are really amazing." Lu Chen sighed, "I am about the same age as you, and you are now a regional manager."


    Wang Ruoxi smiled modestly: "Brother Lu Chen is also very good. I heard about you from Zihao. Not only did you win the championship in the National Medical Skills Competition, but you also entered the National Electrocardiogram Competition this time."


    They blew rainbow farts to each other, and the relationship between the two became closer.


    "Hey, you just asked about Dapagliflozin, what''s the matter?" Wang Ruoxi said suddenly.


    "That''s right." Lu Chen cleared his throat and said, "I recently had an idea for a topic about Dapagliflozin. I took it as my opening report, and I asked a few more questions, nothing else."


    "The subject?" Wang Ruoxi''s eyes lit up, "I take the liberty to ask, what kind of subject is this...?"


    "A prospective cohort study." Lu Chen said.


    Clinical studies can be simply divided into prospective studies and retrospective studies.


    Retrospective research is generally a comparative study of existing data, which generally takes less time and money.


    Prospective studies require clinical comparative experiments and continuous follow-up to judge the long-term efficacy of a drug or a certain treatment method, which consumes a lot of money and takes a long time.


    However, the preparation of single-discussion research is definitely better for prospective subjects.


    "A forward-looking topic?" Wang Ruoxi wondered, "How big is your sample size?"


    "About fifty patients." Lu Chen said.


    "Fifty patients... Follow-up requires examinations, blood collection, etc., as well as the cost of experimental drugs." Wang Ruoxi frowned, "Then you should spend a lot of money, you are still a student, doing this This kind of forward-looking research is not worth it, right?"


    Wang Ruoxi is also a medical graduate. As far as she knows, most of the medical masters will choose retrospective research, so that they can produce the thesis as quickly as possible, and they can also graduate.


    "The department will bear part of the cost, and I still have some savings, which should be about the same." Lu Chen smiled.


    "Well, so be it." Wang Ruoxi suddenly said, "Can you show me your clinical subject?"


    "Huh?" Lu Chen was taken aback.


    "Don''t get me wrong, I don''t mean anything else." Wang Ruoxi smiled, "I mean, if your subject is better, I think our AstraZeneca company can give you some sponsorship."


    "Sponsorship?" Lu Chen frowned.


    "Well, we will provide the cost of the drugs used in your experiment." Wang Ruoxi said, "You must know that a box of Dapagliflozin is very expensive now, and ordinary patients can''t afford such high medical costs."


    Lu Chen lowered his head and pondered, the cost of the drug was also the biggest problem he encountered in the whole experiment.


    A box of dapagliflozin is estimated to be 70 yuan, a box can only be eaten for half a month, and the monthly drug cost is about 140 yuan.


    The follow-up time is generally at least half a year, that is, the cost of a patient for half a year is 840.


    The cost of fifty patients is forty-two thousand.


    This is what the current Lu Chen can''t bear.


    He could not have borrowed money from his father to do his own clinical experiments.


    Therefore, in Lu Chen''s vision, he needs to find those patients who voluntarily take dapagliflozin at their own expense.


    In this way, he can reduce the cost of some medicines and mainly bear the cost of blood collection for the examination.


    However, such eligible patients are quite difficult to screen.


    If AstraZeneca pays for this part of the cost, then his experiment solves the biggest problem.


    Wang Ruoxi looked at the young Lu Chen in front of her, and regretted what she just said in her heart.


    Although she is the regional manager, she can''t speak a word.


    The sponsorship of such experiments is to be decided by higher-level leadership.


    And this kind of sponsorship is usually led by the head of the department, but not a student like Lu Chen.


    The most important thing is that the students'' projects should not be in the eyes of her leaders.


    It is cruel to give Lu Chen hope now, and to destroy it with his own hands later!


    (end of this chapter)

 Chapter 327： Red Bull Green Tea Wine, Peanuts…

    Chapter 327 Red Bull Green Tea Wine, Peanuts¡­


    "Sister Ruoxi, that''s it, I can''t explain it for a while now." Lu Chen thought about it and said, "How about I send you a report on my research after I get home?"


    "In that case, that''s fine." Wang Ruoxi nodded slightly.


    She was going to give a random reason afterwards, just reject Lu Chen directly.


    "Thank you, Sister Ruoxi." Lu Chen smiled.


    It seems that a little rich woman also has the benefits of a little rich woman.


    The two continued to eat and chatted.


    Only then did Lu Chen know that Wang Ruoxi was actually a clinical medicine student who was studying for a bachelor''s degree and a master''s degree.


    But after graduation, for some reason, instead of becoming a doctor, I went to a pharmaceutical company.


    After going back and forth, the two were chatting and getting to know each other better.


    ¡­


    Just as the two finished the meal, they were about to go to the restaurant front desk to check out.


    Suddenly, there was an exclamation from the table beside Lu Chen.


    Lu Chen turned his head to look, a middle-aged man suddenly fell to the ground!


    "Come on someone! Come on someone!"


    At this table, another middle-aged man shouted loudly.


    Lu Chen looked at the man who fell to the ground, and suddenly, his pupils shrank suddenly.


    His HP is only 37!


    Food poisoning? Cardiac arrest?


    These thoughts flashed through Lu Chen''s mind.


    At the same time, his steps were not slow at all.


    suddenly jumped to the side of the man who fell to the ground.


    The man was about fifty years old and wore old work clothes.


    It''s okay, breathing and heartbeat are all in!


    is not a cardiac arrest.


    However, his consciousness has been completely lost.


    The residue of vomit can be seen in the corner of the mouth, and there is blue liquid of vomit on the clothes on the chest.


    The top of the man''s head has a broken injury, which should have been caused by the fall.


    "Hurry up and hit 120!"


    The man at the same table yelled at the restaurant owner.


    "Huh? We''re right next to the Jinghua Second Hospital..." The restaurant owner paused.


    "It''s not that you ate your food and broke it! You still haven''t hit 120!" The man at the same table shouted again, "What are you still ink on?"


    Lu Chen frowned, this is near the backyard of the hospital.


    The ambulance couldn''t get in at all.


    Moreover, there is a trail for the emergency room entering the hospital through the back door.


    Crossing this trail should be able to get to the emergency department faster.


    "Come on, help!" Lu Chen said to the man beside him.


    "Huh?" The man paused.


    "His state is not right." Lu Chen frowned, "Now we have to go to the hospital emergency room! The ambulance must be too late, let''s move him there together!"


    The man at the same table frowned, but still picked up the man who fell to the ground.


    At this time, there were two middle-aged people who were onlookers also rushed over and helped lift the man together.


    "Sister Ruoxi, you go back first." Lu Chen said to Wang Ruoxi who was beside him, "I''ll take this person to the hospital."


    "Okay, be careful." Wang Ruoxi nodded.


    Then, four people including Lu Chen moved the patient out of the restaurant together.


    The crowd watching on the side also slowly dispersed.


    But the owner of the restaurant is not in the mood to do business at this time.


    This person had an accident in his shop, and it was very likely that he had food poisoning, and no one dared to continue eating in his shop.


    ¡­


    On the trailhead to the hospital emergency department.


    Four people carried the middle-aged man.


    Although the middle-aged man lost consciousness, he was still vomiting non-stop.


    The vomit is all blue liquid!


    "What did he eat?" Lu Chen frowned, "It''s definitely not from a restaurant."


    There were many tables for what I was eating at the store at that time.


    However, he was the only one who had an accident!


    The patient''s head health is still declining.


    In order to prevent the patient from aspiration, Lu Chen turned the patient''s head to one side.


    ¡­


    Soon, the middle-aged man was carried into the emergency room of the Second Jinghua Hospital.


    "Get out of the way, get out of the way!" Lu Chen pushed aside the crowd on the second floor of the emergency room, "There are patients who are being rescued!"


    Came to the emergency ward.


    Gong Nannan immediately saw Lu Chen who was carrying the patient in.


    "Lu Chen...Aren''t you resting today? Why did you bring the patient in?"


    "The food poisoning I encountered at a restaurant might be food poisoning, but I don''t know what it is." Lu Chen quickly explained his medical history, "The patient is now unconscious and needs immediate first aid!"


    "Quick! Quickly carry him into the emergency room!" Gong Nannan said loudly.


    She also saw the patient''s state and immediately knew something was wrong.


    Several people moved the patient into the emergency room of the emergency ward.


    The man''s colleague stayed where he was, and the other two who came to help left.


    ¡­


    "What patient?" Wang Xiaodong and Xiao Lin walked into the emergency room.


    The two of them looked at Lu Chen beside the bed and were stunned.


    The Black-faced Plague is here...


    Something is wrong today!


    Xiao Lin stared at Lu Chen helplessly.


    She has long been optimistic, there is no Lu Chen in the schedule today.


    I was still secretly happy just now, but I ran into this black-faced demon king in a blink of an eye.


    aside, Lu Chen immediately repeated what he had just said to Gong Nannan.


    "Oral activated charcoal immediately and prepare for gastric lavage!"


    Wang Xiaodong came to the bedside and conducted a physical examination on the patient.


    "Are you a family member?"


    The man beside the hospital bed quickly shook his head: "A colleague from the factory, we ate together at the restaurant after get off work."


    "Have you contacted your family?" Wang Xiaodong asked.


    "I have already told the owner of the factory that he is contacting the family."


    The patient has a mobile phone in his pocket, but since there is no passcode and no fingerprint to unlock it, it becomes a brick.


    "Did you eat anything special before?" Wang Xiaodong continued.


    "Something special... We just ate at that restaurant." The colleague paused and said, "Everyone else seems to be fine."


    Lu Chen nodded aside, "He''s right. I was also in the restaurant at the time, and the rest of us were fine."


    "It seems that the specific medical history, we can only wait for the patient to wake up and ask him himself." Wang Xiaodao said to the man beside him, "You go and give him a number first."


    "Oh, good." The patient''s colleague nodded and left.


    ¡­


    Emergency room.


    After the confusion just now, Wang Xiaodong was giving the patient a gastric lavage.


    Xiao Lin was there to help.


    At this time, Lu Chen walked into the emergency room again.


    "Lu Chen, you...why did you put on a white coat..." Xiao Lin looked at Lu Chen helplessly.


    You said you were resting on weekends, why did you come to the hospital!


    "I''ll see if I need help." Lu Chen smiled, "It might not be good to not wear a white coat."


    Xiao Lin can only cry, Lu Chen, hurry up!


    ¡­


    After three hours of rescue, the patient was treated with oral activated charcoal and gastric lavage (10,000ml). His consciousness gradually improved, he was able to open his eyes, and he could easily answer.


    And his HP finally stabilized at 37 and did not continue to decline!


    "What special food have you eaten these two days? It''s something you haven''t eaten before." Wang Xiaodong said immediately.


    The patient''s voice was a little weak, and he said intermittently: "I drank red bull, green tea, wine, and peanuts yesterday."


    If it''s just these things, but there is no problem!


    "Is there anything else?"


    "This morning, I drank a bottle of Pulse, about 500ml, and the taste is a bit strange."


    As soon as the patient finished speaking these two sentences, his condition suddenly deteriorated!


    "Hu...hu...hu..."


    He was panting heavily, unable to answer, his expression was very painful.


    At this time, the patient''s emergency blood routine results came out!


    The results show that acute liver and kidney failure! Metabolic acidosis!


    (end of this chapter)

 Chapter 328： strange note

    Chapter 328 Strange Notes


    "It is very likely an acute poisoning reaction!" Wang Xiaodong said solemnly, "Prepare for blood perfusion!"


    The patient''s condition is very critical, but the family members have not been present.


    Fortunately, with his colleagues present, after Wang Xiaodong reported the matter to the medical department, he began to prepare for bedside hemofiltration to clear the toxins in the body.


    At this time, Lu Chen also noticed that the health on the patient''s head had dropped again!


    "Has the patient''s vomit sent for testing?" Wang Xiaodong asked Gong Nannan who was beside him.


    "Send it." Gong Nannan nodded quickly, "But when the result comes out, it may take about three hours."


    "So long?" Wang Xiaodong frowned.


    "Doctor Wang, this is already the fastest!" Gong Nannan said helplessly.


    At present, the ingredients of the patient''s poisoning are not known, and symptomatic treatment has not been possible for a long time.


    According to the patient''s current state, he can only stabilize his vital signs temporarily through blood perfusion.


    Lu Chen frowned, the diagnosis of this patient is really difficult to start.


    can only initially suspect that something is poisoned, and then make the next step after the results of the vomit are dealt with.


    ¡­


    "Junior Brother Lu, help me with blood perfusion." Wang Xiaodong said to Lu Chen.


    "it is good."


    Lu Chen helped Wang Xiaodong on the side.


    Blood perfusion needs to be cannulated in a deep vein, usually the femoral vein or the internal jugular vein.


    Hemoperfusion is the introduction of the patient''s blood into a perfusion device with a solid adsorbent, and through adsorption, the exogenous or endogenous toxins, drugs or metabolic wastes that cannot be removed by dialysis in the blood are removed.


    The patient''s blood is then reinfused into the human body.


    The whole process is very long.


    "Junior Brother Lu and Sister Xiao, you two help me take off the patient''s pants." Wang Xiaodong said.


    He was going to opt for femoral vein puncture.


    Because the location of the puncture is easier to find and the blood flow is large, it is more suitable for blood perfusion.


    "Okay, brother."


    Together with Xiao Lin, Lu Chen lifted the patient''s buttocks slightly, and then slowly took off the patient''s work pants.


    In the end, only one pair of underwear was left.


    took off his pants, Lu Chen didn''t immediately put them aside, but carefully rummaged through the patient''s pocket.


    He wanted to find out if there were any valuables in the patient''s pocket.


    If you have valuables, you need to keep them safe with your colleagues.


    If you lose it, you will have to come to the hospital to argue.


    Lu Chen handed the phone and keys to the patient''s colleague.


    Across his trousers pocket, he also found something papery.


    Lu Chen frowned, did the patient still bring banknotes?


    These days, not many people carry banknotes.


    But, something strange happened!


    When Lu Chen put his hand into the patient''s pocket, he didn''t find anything.


    He also touched back and forth, but found no "paper money".


    "There''s a layer of pockets inside?" Lu Chen turned the entire pocket over.


    I was surprised to find that there was a small pocket sewn on the inside of this pocket.


    At the seam, there is twisted wool.


    This should be a lined pocket sewn by the patient himself.


    Did the patient put his own banknotes in the lined pocket?


    This way of hiding money is too old...


    However, in order to prevent the patient''s "paper money" from being lost, Lu Chen still opened the inner lining pocket.


    However, when Lu Chen took out the "paper money"...


    This is not a "paper money", but a note.


    The paper is slightly wrinkled, and it is full of words with a blue ballpoint pen.


    Lu Chen just glanced at it, but he was stunned inside.


    "This...this is..."


    ¡­


    At this time, Wang Xiaodong''s voice came from his ear.


    "Junior Brother Lu, come and help."


    "Come on." Lu Chen turned around and responded, then stuffed the note in his hand into his pocket.


    Came to the bedside, Lu Chen helped Wang Xiaodong to insert the patient''s tubing, and then performed blood perfusion.


    The patient''s condition is still unstable, blood pressure, heart rate and breathing are all in a very dangerous state.


    After about ten minutes of treatment, with the help of Lu Chen, Wang Xiaodong successfully boarded the patient.


    "Senior brother, I have something I want to tell you alone." Lu Chen walked to Wang Xiaodong''s side.


    "What''s the matter?" Wang Xiaodong glanced at Lu Chen and wondered.


    "Senior brother, come here."


    Lu Chen pulled Wang Xiaodong to the corner of the emergency room, and took out the note from his pocket.


    "This is..." Wang Xiaodong took the note from Lu Chen''s hand with some doubts, and just glanced at it, he was shocked, "Junior brother, your note... Yes, where did it come from?"


    "There is a hidden pocket in the patient''s pants." Lu Chen whispered.


    Wang Xiaodong swallowed, then gently wrapped the note.


    "Junior Brother, don''t take this matter for the time being. In addition, this note can''t be lost. I will keep it for now. I will tell the director and the medical department for the rest. Leave it to us to do it. You don''t have to worry about it."


    Lu Chen nodded, this matter is no longer something ordinary people can handle.


    Because next, there may be "a good show" staged!


    ¡­


    Back to the patient''s bed, his health continued to decline.


    But Lu Chen didn''t have the urgency he had at the beginning.


    "The patient''s family is here."


    At this time, nurse Gong Nannan walked into the doctor''s office.


    The patient''s family hurried over, a middle-aged woman.


    She was also accompanied by two boys about ten years old. The two boys may have come to the emergency room of the hospital for the first time. They looked around, curious about everything here.


    Until they saw their father lying on the hospital bed, motionless, there was no response to their cries.


    "My child''s father, wake up!" The middle-aged woman threw herself on the side of the bed with a sad voice.


    When she was on the road, she vaguely knew about her husband''s illness.


    Now seeing her husband on the hospital bed, who did not respond to her cries, her grief filled her entire chest.


    "Doctor! Doctor! What''s wrong with him!" The middle-aged woman grabbed Wang Xiaodong''s sleeve.


    Tears had already covered her face.


    Beside her, the two little boys were also frightened at this time, and cried bitterly with their mother.


    "Don''t get excited, I''ll come out and tell you about the condition." Wang Xiaodong took the patient''s family outside the emergency ward.


    ¡­


    Rescue outdoors.


    The middle-aged woman was covered in tears, but she temporarily stopped crying.


    "Your husband''s current condition is very dangerous. We suspect that something poisoning has caused acute liver and kidney damage. At present, he has lost consciousness and other vital signs are unstable. There is a possibility of sudden death at any time!" Wang Xiaodong said softly. , "But our problem is that we don''t know the drug that the patient is poisoned with, and no matter what the poisoned drug is, the toxin is now deeply penetrated into the patient''s body, and only through blood perfusion and other operations can there be a chance of life!"


    "He, he doesn''t usually eat anything special!" The middle-aged woman said sadly, "It will be poisonous!"


    Wang Xiaodong paused, his eyes flashed with a hint of brilliance.


    This question may be understood by asking the patient lying in bed!


    A case that happened this year, students who have seen the news should know.


    (end of this chapter)

 Chapter 329： Paraquat

    Chapter 329 Paraquat


    Emergency department ward, nurse station.


    "Ding ding ding..."


    The phone rang quickly, and Gong Nannan immediately picked up the phone.


    "Hey, this is the emergency department nurse station...ah! What did you say?!"


    When Gong Nannan hung up the phone, a look of surprise appeared on his face.


    She stood up immediately and ran into the doctor''s office.


    "Dr. Wang, the test results of the patient''s vomit have come out, and it contains paraquat!"


    Gong Nannan''s voice was not loud, but in the doctor''s office, it was like a thunderstorm, which made everyone stunned, except Lu Chen and Wang Xiaodong.


    There are two most terrible poisons in the world.


    One is Tianshan Hedinghong,


    One is human paraquat.


    Paraquat will give you time to regret, but not a chance to live.


    People who have taken paraquat, die more and live less, and live in nine-death, generally watching themselves slowly die with sober remorse.


    After taking 30ml at a time, the survival rate is very low.


    Below 15ml, there is still some hope.


    Paraquat, the most troublesome damage to body organs, especially the lungs, will cause irreversible fibrosis of the lungs.


    "Why, how could it be paraquat!" Xiao Lin''s face turned pale with fright.


    Paraquat, this is almost giving the patient a death notice.


    Lu Chen and Wang Xiaodong looked at each other, and both saw the heavyness in each other''s eyes.


    In fact, through that note, they had predicted the poisoning drug of the patient in advance, which was paraquat.


    But it is useless to know that paraquat has no specific antidote!


    In the ?? office, everyone else exploded.


    In recent years, because everyone knows the harm of paraquat, this pesticide is rarely produced.


    There are very few cases of paraquat poisoning in China, occasionally one or two, but the appearance of each case is basically a near death!


    ¡­


    Wang Xiaodong and Lu Chen came outside the emergency ward.


    "Your husband is drinking paraquat." Wang Xiaodong looked at the middle-aged woman in front of him in a deep voice.


    The middle-aged woman''s expression froze, and then she sat limply on the ground as if she had lost her soul.


    The name of paraquat is known to everyone.


    for a long time.


    Her eyes were bloodshot, and she kept staring at Wang Xiaodong and Lu Chen at all times: "I don''t care what he drinks, you must save him, I beg you, without him, how can our family live? ?!"


    "Hey." Wang Xiaodong shook his head slightly, "If it''s another medicine, it''s probably still saved, but paraquat... Your family should prepare for the funeral as soon as possible..."


    "Doctor, is there really nothing you can do?" The middle-aged woman gritted her teeth and stared at Wang Xiaodong.


    "Whether it''s us here, or the magic capital or Kyoto, there''s nothing we can do." Wang Xiaodong said sternly, "The dose your husband takes is far beyond what people can bear. He is only a matter of time now... "


    The patient''s liver and kidney functions have been completely destroyed.


    woke up once, but soon lost consciousness again.


    In fact, with small doses of paraquat, people die slowly while awake.


    However, the dose this patient is currently taking is too much!


    "But he is still young, his heart is still beating, and he is still breathing." The middle-aged woman muttered.


    Wang Xiaodong paused and said: "Paraquat poisoning, human beings are actually like a piece of raw meat, cooked, can you expect it to change back?"


    "But, I..." The middle-aged woman sobbed, unable to utter a complete sentence.


    The middle-aged woman was led by other family members and placed on a chair.


    She waved her hands desperately, trying to rush into the emergency room.


    The other family members held her tightly...


    For a while, the sound of mournful crying echoed on the ceiling of the emergency room and could not be dissipated for a long time.


    ¡­


    Lu Chen was a little silent. He stood beside Wang Xiaodong and looked at everything in front of him calmly.


    This was the first time he didn''t have any mood swings when he faced this kind of scene.


    He recalled the contents of the note, and his eyes flickered.


    At this moment, in the emergency room, the cry of a nurse came.


    The patient''s vital signs are finally unsustainable!


    Wang Xiaodong and Lu Chen hurried back to the emergency room.


    Gong Nannan is already performing CPR on the patient, but for the paraquat poisoned patient...


    It''s all in vain!


    However, the patient''s family had no intention of giving up, and Wang Xiaodong issued a doctor''s order for rescue in accordance with the routine rescue procedures.


    Ten minutes later, the patient''s vital signs were completely gone.


    Forty minutes later, the patient''s family gave up the rescue.


    Patient was declared clinically dead¡­


    ¡­


    Actually, the death of a patient is not uncommon in the hospital, especially in the emergency room ward.


    But there are really not many patients with paraquat like this.


    Lu Chen returned to the doctor''s office and began to make up the doctor''s order and the course of the disease.


    "Lu Chen, you and Senior Brother Wang, what was written on the note you just read?"


    Suddenly, Xiao Lin approached Lu Chen.


    "Ah...it''s nothing..." Lu Chen was stunned.


    "Hehe, I don''t believe it." Xiao Lin pouted, "I saw that after you and Senior Brother Wang read the note, the whole complexion changed!"


    Lu Chen shook his head slightly and smiled bitterly: "Hey, after a few days, maybe you will know."


    "What, it''s so mysterious..." Xiao Lin frowned and said, "Okay, I told you, there is another patient outside, and I''m going to see the doctor, so you can help me write the rescue record."


    "Okay, let''s go." Lu Chen nodded.


    The emergency ward is not just one patient, but every once in a while, new patients are admitted.


    ¡­


    After working in the emergency department for an hour, Lu Chen went back to the bedroom.


    Although the content of that note was still reappearing in his mind, life still had to go on, and he couldn''t be distracted by these things.


    Lu Chen put the "paraquat" patients aside, continued his own clinical research, and sent Wang Ruoxi a simple research report.


    In fact, generally large-scale research projects will be sponsored by related drugs.


    The most typical example of ?? is those oncology drugs.


    Before listing, many oncology drug companies will send laboratory personnel in the hospital for a long time to compare the efficacy of drugs.


    During the ?? period, Ke Yue also found Lu Chen.


    Ever since, she heard the evaluation of Lu Chen''s clinical experimental research from her tutor Li Yao.


    She became more and more interested in Lu Chen''s experiments, and even took the initiative to ask Lu Chen to send him a task.


    With such a capable assistant, Lu was ecstatic.


    He has too many things going on recently. In addition to clinical topics, he has to further study ECG and electrophysiology knowledge to prepare for the ECG competition.


    Immediately, next month, I will participate in the training of simulated surgery.


    If it wasn''t for Ke Yue''s little helper, he really wouldn''t be able to do it.


    ¡­


    the next day.


    Lu Chen got up early, packed a bowl of beef noodles in the cafeteria, and went to work in the emergency department.


    On the path of the hospital, passersby are in a hurry.


    Before reaching the emergency department, Lu Chen saw a large group of people around the downstairs of the emergency department from a distance.


    Holding the beef noodles, he walked over slowly.


    I saw a circle of people pulling a banner in front of the emergency department building.


    "Return my husband and give justice to the deceased!"


    Adapted from real cases in June


    (end of this chapter)

 Chapter 330： two hundred thousand compensation

    Chapter 330 Two hundred thousand indemnity


    "Lu Chen, someone in the emergency department is making trouble?!"


    A voice came from behind, Lu Chen looked back and saw that it was Fatty Cheng.


    "Mostly yes." Lu Chen nodded, and the contents of the note from last night appeared in front of him, "Let''s go in through the back door."


    The emergency building has been surrounded by this group of people, and there are security guards on the side to negotiate with them.


    In the hall on the first floor, four neat wreaths were arranged.


    There are even people burning paper money¡­


    This has seriously affected the normal work of the hospital.


    ¡­


    Lu Chen and Cheng Peng came to the second floor from the medical staff passage of the emergency building.


    As soon as they entered the emergency ward, they saw a group of security guards surrounding the gate.


    "Who are you?" A young security guard looked at Lu Chen and Cheng Peng with a sullen face.


    Lu Chen took out his badge, "We are rotating graduate students."


    The security guard glanced at the badge, then nodded, and opened a passage, "There is a disturbance in the emergency department today, you guys be careful in Corey."


    "Ah? The group of people downstairs just now came to our emergency department to make trouble?" Fatty Cheng was taken aback.


    "Yes, I heard that a pesticide was poisoned yesterday." The security guard said.


    "Pesticide poisoning?" Cheng Peng did not understand why.


    He rested yesterday and did not go to work.


    "Yesterday Cory had paraquat poisoning." Lu Chen said softly, then turned around and walked into the emergency ward.


    "Hundred...paraquat?"


    Cheng Peng was stunned, and after regaining his senses, he quickly followed Lu Chen''s footsteps.


    ¡­


    Entered the emergency department ward.


    The director of the emergency department and the head nurse have arrived.


    Most of the people were sitting in the medical office, and everyone looked solemn.


    "Director Guo, what do the patient''s family members say?" Lu Jianjun, the director of the emergency department, looked at Guo Jun, the director of the medical department.


    "The family said that the person was not rescued, they would not pay medical expenses, and demanded 200,000 yuan in compensation." Guo Jun said solemnly, "Minus the deposit for admission, his family still owes more than 10,000 yuan for medical expenses."


    It is only a blood perfusion, it will cost a lot of money.


    "The patient disappeared yesterday afternoon, and even the banner was ready this morning, so fast?"


    Lu Jianjun suddenly raised his head and looked around the crowd.


    In the office, there was silence.


    Everyone knows that there is definitely a problem in this,


    "Where''s Xiaodong? Why haven''t you come yet?" Lu Jianjun continued.


    "Director, he was on duty yesterday and can be here later today." Hu Yu, another deputy chief physician of the emergency department, said.


    "Call him to come quickly! Who knows what the patient''s specific situation is?" Lu Jianjun frowned, "I just came back from a business trip last night, Xiaodong called me once, but it was unclear on the phone. "


    At this time, the sharp-eyed Hu Yu saw Lu Chen and said quickly, "Lu Chen, go and change your white coat."


    "Okay, Director Hu." Lu Chen nodded, passed through the doctor''s office, and went to the duty room to change into a white coat.


    "Director Lu, Lu Chen is a rotating graduate student in Wang Xiaodong''s group. He participated in the consultation yesterday, so let him briefly explain what happened yesterday." Hu Yu said.


    Lu Jianjun rarely comes to the ward. At his level, he lectures outside every day, and he is also keen on lecturing.


    In the emergency department, almost all matters are handed over to the deputy director Hu Yu.


    "Okay, let him speak." Lu Jianjun nodded, his face serious.


    Lu Chen changed into his white coat and came to the doctor''s office, followed by Cheng Peng.


    "Director Lu, I met this patient in a restaurant yesterday when I was having lunch..." Lu Chen briefly explained his medical history, "The final test result of the patient''s vomit contained paraquat. About six hours after admission, the patient was breathing The heart stops and the person is gone."


    "Did you explain the medical history to the patient''s family at that time?" Lu Jianjun continued, "Did the patient''s family have any comments yesterday?"


    "This...Yesterday, the patient''s family members had a strong will to rescue, and they never gave up." Lu Chen thought for a while and said, "After many communications with Brother Wang Xiaodong, the patient''s family gave up the rescue, and there was no dissatisfaction at that time."


    Lu Jianjun nodded slightly, then said softly, "Where''s the note you found yesterday?"


    A note?


    Everyone in the office was slightly taken aback, and the others did not know the existence of this article for the time being.


    "Brother Wang Xiaodong has already collected it and backed it up." Lu Chen said, "I also took a photo on my phone."


    "Show me the picture."


    Lu Chen nodded, took out his phone, transferred to the picture of the note, and handed it to Lu Jianjun.


    Lu Jianjun took over the phone, and Guo Jun, who was beside him, immediately put his head close.


    "This is¡­¡­"


    When the two of them saw what was written on the note, they were both shocked.


    Lu Jianjun had heard Wang Xiaodong talk about this yesterday, but when he actually saw this note himself, he still couldn''t believe it.


    It''s hard to believe that there is such a person.


    This is even more absurd than novels and movies!


    Just then, the security guard at the door of the emergency department just walked in.


    "Director Lu, the patient''s wife wants to see you."


    Lu Jianjun raised his head, but the expression on his face was much better than before.


    "Okay, let them in, we''ll talk to her."


    The security guard nodded and left.


    "Director Lu, shall we call the police directly?" Guo Jun suddenly suggested.


    "Wait for now, let''s go and contact the patient''s family." After Lu Jianjun finished speaking, he walked out of the doctor''s office.


    Guo Jun saw this, gritted his teeth, and followed behind him.


    As soon as the two walked out of the doctor''s office, Wang Xiaodong came.


    "Xiaodong, take that note and accompany me to see the patient''s family." Lu Jianjun said.


    "it is good!"


    When Wang Xiaodong was downstairs, he already knew that the patient''s family was making trouble, so he ran all the way into the department.


    He did not take the original copy of the note, but took out the backup copy and went to the doctor-patient communication room with Lu Jianjun.


    ¡­


    The emergency department ward has a separate doctor-patient communication room.


    The room is very small, there is only one computer and two chairs.


    Lu Jianjun sat in front of the computer, while Guo Jun and Wang Xiaodong stood aside.


    And sitting opposite him was the patient''s wife, and beside her stood five or six young men.


    "I want your leaders to speak!" The patient''s wife was wearing a linen and filial piety, her eyes were bloodshot.


    "I am the leader, the director of the emergency department, and this person beside me is the director of the medical department."


    "Okay, I''ll say it directly." The patient''s wife was red-eyed and her voice was a little hoarse, "Why did killing Yudi save him? Can my husband save him?"


    Lu Jianjun looked disapproving, and said sternly: "Paraquat itself is incurable, and your husband took nearly 500ml, which is already a huge lethal dose. If you have any doubts about our medical work, then You can take the legal route, report it to the National Health Commission, or go to a third-party agency for review, that¡¯s all okay.¡±


    "I don''t know medicine, so I don''t listen to your fooling." The patient''s wife snapped, "We can''t pay the medical bills if no one is saved, and your hospital will have to pay at least 200,000 yuan!"


    (end of this chapter)

 Chapter 331： More poisonous than paraquat!

    Chapter 331 More poisonous than paraquat!


    Open your mouth and shut your mouth is 200,000 indemnity.


    At other times, Lu Jianjun might be a little flustered, but at this moment, he is unusually calm.


    "The specific responsibilities are not divided, and we can''t pay compensation." Lu Jianjun said solemnly, "What''s more, you... don''t you know why the patients drink pesticides?"


    Hearing this, the patient''s wife was stunned, her red eyes seemed to flash with panic, and then she recovered.


    "People are gone, how do we know the reason? Your hospital, don''t bully your customers! We ordinary people, although we have no power or power, we are not easy to mess with!"


    "Then we have nothing to talk about." Lu Jianjun glanced at Guo Jun, "Let''s go."


    Guo Jun nodded, and then the three of them left the doctor-patient communication room.


    "Ah...you guys..."


    Looking at the back of Lu Jianjun leaving, the patient''s "family members" seemed a little surprised.


    They didn''t expect that the hospital side would not show their face like this!


    "If you don''t compensate, we will burn paper money at the door of the department!" The patient''s wife shouted fiercely, "Don''t think about it in your department!"


    Lu Jianjun heard this threat, but he didn''t pay much attention to it. He turned to Wang Xiaodong and said, "Xiaodong, call the police."


    "it is good!"


    "Call the police?" the patient''s wife said, "I see what can the police do to us when they come?"


    ¡­


    The three returned to the doctor''s office, and Wang Xiaodong quickly called the police.


    "Lu Chen, what was written on that note?" Cheng Peng asked Lu Chen impatiently.


    Lu Chen didn''t hide it, and directly handed the phone to Cheng Peng''s eyes.


    On this note is a "will".


    The above is full of funeral arrangements, which are reserved for his wife.


    To the effect, he owed 70,000 yuan on gambling, and was forced to pay the debt with a knife.


    To save some living expenses for the two children (aged 9 and 11 respectively), I plan to commit suicide in the factory. After my death, remember to go to the factory to make trouble and claim 500,000.


    At the same time, if you want to go to the hospital to make trouble, if you can¡¯t save people, you have to ask the hospital for at least 200,000.


    700,000 to repay the debt of 70,000, and the remaining 630,000 to be left for the children to eat and go to school.


    At the end of the will, the patient also told his wife not to remarry, and guarded 630,000 to raise two children.


    The rest of Corey saw the note.


    Everyone''s faces were surprisingly the same, full of astonishment and resentment.


    Although paraquat is a terrible poison, there is something more poisonous than paraquat in this fireworks!


    That is, some unscrupulous people have ugly hearts!


    "Lu Chen, did you find this note in the patient''s pants yesterday?" Cheng Peng looked back at Lu Chen and swallowed.


    "Yes." Lu Chen nodded, "The patient has a hidden pocket in his trousers. If you don''t look carefully, you can''t find it."


    "This is really..." Cheng Peng took the note in front of him and said anything.


    carefully planned the death, and then told the family to make a claim.


    This patient has the courage to die, so why is he afraid to face the reality?


    Yesterday, Lu Chen and Wang Xiaodong saw this note, but the patient''s family didn''t do anything, so they didn''t reveal the existence of this note.


    Perhaps, the patient''s family didn''t know about this, so let''s just reveal it?


    But today, things backfired, and the patient''s family should have known about it from other channels.


    ¡­


    The police soon came to the emergency department ward.


    Director Lu Jianjun handed the note to the police.


    The follow-up handling of this matter will be handed over to the police.


    At the same time, the police also brought news that the family went to the factory to make trouble in the morning.


    is exactly the same, wearing linen and filial piety, pulling banners, and burning paper money.


    Unexpectedly, this family is still "committing crimes" on two lines!


    As for the aftermath, Lu Chen didn''t ask too much.


    There is no mistake in the diagnosis and treatment process of the hospital, and there is no such thing as compensation.


    If this had not happened, perhaps humanitarian compensation.


    But now it seems that even humanitarian compensation is gone.


    It didn''t take long for the police to leave, along with the "family members" who were making trouble.


    Many of the family members are still professionals.


    It is estimated that even the family members did not expect that this note would fall into the hands of the doctor.


    ¡­


    in the director''s office.


    Lu Jianjun and Guo Jun sat opposite each other, with Lu Chen and Wang Xiaodong standing in front of them.


    "This incident is really thrilling." Lu Jianjun was a little scared, "If there is no existence of this note, even if we don''t have any problems, if they make trouble, something will go wrong."


    Guo Jun, director of the medical department, nodded in agreement: "Yes, now the media always likes this kind of eye-catching news. If something like this happens, maybe we will add fuel to it, and then we will be in a passive position again."


    "Anyway, classmate Lu Chen really helped a lot this time." Lu Jianjun smiled, "If you hadn''t pulled out this note, we would have had to fight the patient''s family for 300 rounds. With this Note, the rest is much easier."


    Lu Chen smiled and said nothing.


    Wang Xiaodong on the side of ?? said, "Junior Brother Lu, in our group, that is a big help!"


    "Oh?" Lu Jianjun raised his brows, "Didn''t you study first?"


    "Well, Director Lu, I''m going to study first this year." Lu Chen said.


    "That''s right, it''s really good that the first-year graduate student has this kind of performance." Lu Jianjun stood up, walked over to Lu Chen, and patted him on the shoulder.


    "Director, you don''t know that Junior Brother Lu is a celebrity in his heart!" Wang Xiaodong laughed.


    "How do you say this?" Lu Jianjun asked curiously.


    He looked Lu Chen up and down again, except that he was handsome and sunny, there was no other difference!


    "Junior Brother Lu Chen represented Jinghua Medical University this year and participated in the National Medical Skills Competition and won the championship!" Wang Xiaodong spoke of Lu Chen''s glorious history like a salesman.


    "Well, I''ve heard of it." Lu Jianjun nodded slightly.


    The level of Jinghua Medical University, he knows, and has never broken through the top ten in recent years.


    To win the championship in one fell swoop this year, there must be some amazing talents.


    Unexpectedly, Lu Chen in front of him was one of them.


    "That''s not all, Junior Brother Lu participated in this year''s Wenxin Cup ECG Competition, representing Jinghua, and entered the final national final!" Wang Xiaodong said.


    Hearing this, Lu Jianjun was quite surprised, and the look at Lu Chen finally changed.


    The members of this kind of competition are all senior doctors.


    Lu Chen was able to advance to the finals, it was really quite amazing!


    Looking at Lu Chen in front of him, Lu Jianjun couldn''t help but love his talents.


    This kind of talent, why not his own student? !


    "By the way, Director, during the big event this year, Lu Chen came to the emergency department to help all day." Wang Xiaodong added.


    "Really?" Lu Jianjun looked at Lu Chen and laughed loudly, "No wonder I think Lu Chen looks a little familiar... Haha..."


    Lu Chen smiled and scratched his head: "It happened to be next to the emergency department at the time, so I stopped by."


    At this moment, a prompt popped up on the system panel.


    "Congratulations, +5 thanks to Lu Jianjun!"


    "Congratulations, +5 for receiving thanks from Guo Jun!"


    Lu Chen was overjoyed, as expected of the two directors, and gave him more thanks than others.


    After this incident, Lu Chen showed his face in front of the leaders and let the two directors Lu Jianjun and Guo Jun get to know him.


    ¡­


    However, after this incident, it was a wake-up call for Lu Chen.


    Despicable is the passport of the vile.


    Who could have imagined that human nature is so inferior.


    Lu Chen felt more and more that only with conscience can he have the ability to know good and remove evil.


    (end of this chapter)

 Chapter 332： Redeem Electrophysiological Intervention Card!

    Chapter 332 Exchange Electrophysiology Intervention Card!


    After the incident, the family members of the patients with "paraquat" poisoning never came to the emergency department of the Jinghua Second Hospital again.


    Such a ridiculous farce is over.


    ¡­


    In this way, in the busy work life of the emergency department, another half month has passed.


    Lu Chen''s gratitude value rose rapidly, only the last 200 points left before the 2,000 mark.


    Earning 200 gratitude points in a month may only be possible in the emergency department.


    "There is only one month left before the national ECG competition." Lu Chen looked at the calendar in front of him and thought to himself.


    In this month, he not only earned 2,000 gratitude points, but also mastered the advanced electrocardiogram skill card.


    In the field of electrocardiography, Lu Chen has gone a step further than before!


    But if you want to make a difference in the ECG competition, it is not enough.


    "Lu Chen, tomorrow I have a surgery for ablation of atrial fibrillation. Come and watch it when you arrive."


    The sudden message from tutor Li Yao made Lu Chen a little overjoyed.


    He can finally observe electrophysiological surgery again.


    The last time I observed it was Senior Brother Dong Hao¡¯s room-appeal ablation.


    ¡­


    At two o''clock in the afternoon the next day, Lu Chen asked Wang Xiaodong to take a leave.


    Lu Chen usually helped him so much, and Wang Xiaodong readily agreed.


    Came to the cardiac catheterization laboratory.


    This time, Lu Chen was very familiar with it, and went straight to the electrophysiology-exclusive catheterization room.


    Instructor Li Yao has arrived and is giving the patient anesthesia.


    "Go find a qualified lead suit and wear it."


    At the door of the catheterization room was a young nurse who smiled and said to Lu Chen.


    It seems that Li Yao has already greeted her.


    "Thank you." Lu Chen smiled and nodded.


    On the hanger next to the catheterization room, he found a set of lead clothing, and Lu Chen got into the catheterization room.


    Atrial fibrillation ablation, which is a relatively common procedure in the field of electrophysiology.


    There are many hazards of atrial fibrillation, including heart failure, cerebral infarction, etc., and with the increase of age, the incidence of atrial fibrillation is getting higher and higher.


    Ablation surgery can achieve a cure rate of about 80%.


    Walk into the cath lab.


    Li Yao has anesthetized the patient''s operating area.


    "Come." She looked up and saw Lu Chen.


    "Yes." Lu Chen nodded and stood beside Li Yao.


    "Your main task today is to observe, next time you will try anesthesia and intubation yourself."


    "OK."


    Generally speaking, this kind of ordinary operation does not require Li Yao to go out.


    However, the patient was a relative of the city leader, and Li Yao wanted to teach Lu Chen personally, so he took action in person.


    "Do you know the types of atrial fibrillation ablation procedures?" Li Yao suddenly asked.


    Lu Chen nodded slightly and said, "There are several types of commonly used types, mainly progressive ablation, atrial linear ablation, atrial rupture potential, and matrix-modified ablation based on atrial low-voltage areas."


    Li Yao glanced at Lu Chen with admiration, "That''s right. Then tell me, when should you choose what technique?"


    "This...I haven''t really touched it yet." Lu Chen paused, "But I checked the guide before. The choice of surgery depends on the patient''s specific situation, and there is no absolute best surgery."


    "Yes." Li Yao nodded.


    As a student, the most admirable thing is not how talented he is, but his ability to absorb the most cutting-edge knowledge.


    If Lu Chen didn''t understand the surgical procedure of atrial fibrillation ablation in advance, then it would be useless even if he watched more operations.


    "Okay, we will choose the progressive ablation method for this patient." Li Yao said softly, "The catheter is delivered to the right atrium through the femoral vein, and then reaches our left atrium after passing through the atrial septum, and the target of ablation is the pulmonary vein."


    "The vestibule of the pulmonary vein is frozen or scalded to death by different energies, which is in the vestibule of our pulmonary vein, and this sufficient electrical isolation of the pulmonary vein can block the onset of this atrial fibrillation..."


    Every step in the ablation process, Li Yao will explain to Lu Chen.


    This is an expert-level in-person lesson!


    Don''t underestimate these most routine ablation surgeries, countless complicated surgeries have evolved from routine surgeries.


    The operational difficulty of electrophysiological surgery is actually very low, at most it is venipuncture.


    The real difficulty is to find the pacing point of the abnormal ECG.


    Being able to correctly find the location of the abnormal discharge and ablate it, this is the core of electrophysiological surgery!


    However, this is also the most difficult point, requiring the operator to have a solid knowledge of electrophysiology.


    ¡­


    One hour later, the ablation of atrial fibrillation was successfully completed.


    In Lu Chen''s heart, the door to electrophysiological intervention has been slowly opened.


    At this time, Li Yao brought better news to Lu Chen.


    "Lu Chen, next Monday, you can start entering the electrophysiological simulation operating room. At that time, a special teacher will teach and explain the knowledge of electrophysiological surgery."


    "Thank you teacher!" Lu Chen laughed.


    This is the opportunity that Li Yao gave him.


    Originally, Cheng Guowen wanted to use the opportunity of a simulated operation to exchange for a place in the electrocardiogram final.


    However, Lu Chen directly rejected Cheng Guowen.


    He thought that he would never have the chance to enter the real simulated operating room again.


    After all, there will definitely be a big gap between the simulated operating room of the system and the actual simulated operating room.


    I didn''t expect that Li Yao''s tutor was so powerful, so I won him over!


    "Remember, you only have one month." Li Yao looked at Lu Chen, "When you finish participating in the electrocardiogram competition, you will no longer be eligible to enter the simulated operating room. If you want to continue to apply for admission to the simulated operating room, you must see Your performance in the EKG contest."


    For any hospital, building a simulated operating room is expensive.


    requires complete instruments and equipment, as well as supporting simulation tools.


    Generally speaking, those who can enter the simulated operating room for training are all excellent members of the electrophysiology team, and there is not even a graduate student.


    "I see, teacher." Lu Chen nodded.


    Even though he has a systematic simulated operating room, he cherishes this opportunity.


    The simulated surgery of the ?? system, after all, is only an existence in consciousness, and it can only be used for oneself after it is operated in reality.


    ¡­


    Leave the cath lab and go back to the emergency department ward.


    Lu Chen started emergency patients again.


    In the ?? system panel, the total gratitude value is slowly rising.


    Finally, after Lu Chen finished another night shift, his total gratitude exceeded the 2,000 mark.


    Lu Chen dragged his tired body back to the bedroom.


    After a night of "face black" work, he was already lethargic.


    But before falling asleep, Lu Chen thought about it, summoned the system panel, and opened the mall.


    "Exchange Electrophysiology Intervention Skill Card (Elementary)!"


    As the gratitude points were used up, a new skill appeared in Lu Chen''s skill panel - Electrophysiological Intervention Proficiency 0%.


    Looking at the skills in the system panel, Lu Chen smiled and slowly fell asleep.


    ¡­


    (end of this chapter)

 Chapter 333： No sponsorship!

    Chapter 333 Refused to sponsor!


    Jinghua City, AstraZeneca branch.


    Wang Ruoxi finally returned to work after a short vacation.


    "Manager Wang, this is the sales report of Dapagliflozin last month."


    A little secretary in uniform came to Wang Ruoxi''s office.


    "Last month, the main sales were mainly concentrated in several affiliated hospitals of Jinghua Medical University, Jinghua No. 1, No. 2, and No. 4. Because the No. 3 hospital is an oncology hospital, the sales of Dapagliflozin are very small."


    Wang Ruoxi hummed softly, and then opened the sales report.


    After a while, she frowned.


    "How come the sales volume of Jinghua No. 1 and No. 2 are similar?"


    The number of beds in the Cardiology Department of Jinghua Second Hospital is hundreds more than that of Jinghua First Hospital.


    The sales volume of the cardiology departments of the two hospitals is almost the same, which is very strange.


    "This...I don''t know very well." The uniformed secretary whispered, "But from the sales department, it seems that the promotion in the Jinghua Second Hospital is not going well."


    "Why?" Wang Ruoxi said.


    "It''s mainly Director Cao of the Second Hospital. He is very strict in this aspect, and I heard that the Cardiology Department of the Second Hospital is applying for the National Key Laboratory of the Ministry of Education, so Director Cao has been in Kyoto recently, not in Jinghua. We sell The representative has no chance to see him." The uniformed secretary said.


    "Well, let''s do this first." Wang Ruoxi thought about it and said, "After Director Cao returns to Jinghua, make an appointment with me, and I will visit him in person."


    "Okay." The uniformed secretary nodded.


    "Okay, you go out first."


    After Wang Ruoxi sent his subordinates away, he began to process the documents for the week.


    All the company''s schedules and major meetings, she will personally look over, and then hand over to the secretary.


    Turn on the computer and look through the emails during this period.


    She suddenly caught a glimpse of an unread unfamiliar email.


    Wang Ruoxi thought it was spam and was about to delete it, but accidentally saw the subject of the email.


    "On the application of dapagliflozin in patients with acute myocardial infarction..."


    "This topic is quite interesting."


    Wang Ruoxi gave up the thought of deleting it, and opened the email gently.


    Her recent main work is on the drug Dapagliflozin.


    AstraZeneca has regarded Dapagliflozin as an epoch-making drug for the treatment of heart failure, which has been written into clinical guidelines after all.


    The strategic focus of the entire company has been fully inclined to this new star in the field of hypoglycemia.


    Therefore, Wang Ruoxi knows all the experimental projects about Dapagliflozin very well.


    However, this is the first time she has seen relevant research on the use of dapagliflozin in patients with acute myocardial infarction!


    ¡­


    "How did I receive this email?" Wang Ruoxi was only going to take a few glances, just take a look.


    If it weren''t for the attractive topic, she might not even read it.


    However, when she read the entire study, she was a little stunned.


    This study is quite mature, and the content of the study is "Dapagliflozin prevents heart failure in patients with acute myocardial infarction".


    The entire research report has no major flaws.


    "If this can give a positive result, it will definitely push Dapagliflozin to another peak!"


    Wang Ruoxi is very excited, she is very optimistic about this research project.


    The only flaw in this study is that the sample size is really too small!


    "Who would send me this kind of email?"


    This research report is quite amazing!


    Wang Ruoxi turned back to find the sender of the email.


    "luchen0523@163.com..." Wang Ruoxi was stunned when she saw the signature on the email, "Is this Lu Chen?"


    She suddenly recalled that Lu Chen had indeed told him that he would send a copy of his dapagliflozin research report.


    But afterwards, she was going to find any reason to reject Lu Chen, so she didn''t care too much.


    "I almost missed such a good idea!"


    "But... Didn''t he just study one?" Wang Ruoxi couldn''t believe her eyes.


    If the other party is a doctoral student, she will feel a little easier.


    But, Lu Chen is just a first grade student!


    "Forget it, this clinical study is definitely valuable!"


    Wang Ruoxi immediately reported Lu Chen''s research to the company''s top management.


    At the same time, she also sent Lu Chen a WeChat message immediately.


    "Don''t reply to WeChat?"


    Wang Ruoxi called Lu Chen again, but he didn''t answer the phone.


    After she contacted her younger brother Wang Zihao, she found out that Lu Chen was on the night shift last night.


    "It seems that I can only contact him in the afternoon."


    Wang Ruoxi refocused on Lu Chen''s clinical research.


    She believes that AstraZeneca''s executives will definitely value this clinical research report.


    ¡­


    Half an hour later, Wang Ruoxi received a reply from the company''s top management.


    "What? Rejected?"


    She couldn''t believe her eyes. The company actually refused this sponsorship without giving any reason.


    "It doesn''t make sense!" Wang Ruoxi frowned.


    She re-read all the previous clinical studies and did not see any similar studies.


    But after a few years of struggle after graduation, Wang Ruoxi also has a certain network of contacts at the company headquarters.


    She immediately consulted the relevant personnel at the headquarters and finally got an answer.


    CLINICALTRIALS, the largest clinical trial platform abroad, has the recruitment of similar patients.


    This means that there are already foreign institutions that are conducting such research and sponsored by AstraZeneca.


    AstraZeneca will naturally not spend a second share of money on the same research area.


    However, foreign clinical research is also in the initial stage of patient recruitment, and has not officially started, and no papers have been published.


    This is also the reason why Wang Ruoxi did not find any relevant literature.


    "It seems that this sponsorship is out of the question." Wang Ruoxi was a little disappointed.


    Encountering a good clinical study is extremely difficult!


    Wang Ruoxi is really unwilling!


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    When Lu Chen woke up, it was already one o''clock in the afternoon.


    He opened his eyes and was shocked when he saw the time on the phone.


    "Oops, I''m going to be late!"


    Today is the first day of his electrophysiological simulation surgery.


    The specified time starts at half past one in the afternoon.


    Lu Chen set three alarm clocks around twelve o''clock, but it was of no use and didn''t wake him up.


    No way, I was so tired last night that Lu Chen hardly slept all night.


    Lu Chen got up immediately, and didn''t have time to check the missed calls and WeChat messages on his phone.


    After taking a shower, he didn''t even have time to eat lunch, so he ran to the cardiac catheterization room.


    The simulated operating room is also in the catheterization room of the Cardiology Department, but it is in a relatively independent room next to the catheterization room.


    When Lu Chen arrived at the simulated operation room on the fourth floor, it was exactly half past one.


    At this time, there were four people standing at the door of the simulated operating room.


    A person led by ??, Lu Chen knew, he was Cheng Guowen, chairman of the Jinghua Electrophysiology Association, and also the ward director of the Jinghua Second Hospital.


    Of the other three people, Lu Chen only knew one of them, and that was Lei Cui.


    The faces of the other two were very unfamiliar, and Lu Chen did not know each other.


    (end of this chapter)

 Chapter 334： I treat you as a brother, you want to be my brother-in-law?

    Chapter 334 I treat you as a brother, you want to be my brother-in-law?


    "Okay, everyone is here."


    Cheng Guowen glanced at Lu Chen, and then led everyone into the simulated operating room.


    "Everyone is a member of the simulated surgery training in this phase." Cheng Guowen said while leading the way, "The deadline for three people is three months, and the deadline for only one person is one month."


    Lu Chen heard the words and turned to look at the three people beside him.


    Originally, each period of simulated surgery training lasted three months, and only he was one month.


    "No matter how long you spend in the simulated surgery room, this is a rare opportunity, and I hope everyone can seize it."


    The group walked into the simulated operating room, and Cheng Guowen began to show everyone around.


    Although the entire simulated operating room is not large, it has all the internal organs.


    All electrophysiological interventional surgical equipment is available.


    And, on the operating table, there are many simulated patient models.


    Cheng Guowen stood beside the operating table and said with a smile: "We simulated the operating room and used the latest electrophysiological catheter simulation operation device, which includes a pipeline fixed on a bracket, and the pipeline is threaded inside. A catheter that can move freely along the axis of the pipeline... In the practice of chamber catheter operation, the real catheter operation during cardiac electrophysiological surgery in the human body can be visually displayed, and it is suitable for the simulated operation practice of the four chambers of the heart... "


    After ?? Cheng Guowen''s presentation, Lu Chen had a preliminary understanding of the entire operation simulation room.


    It is not easy to be able to achieve this level in a realistic simulated operating room!


    Because it was the first day of the simulation training, Cheng Guowen did not teach specific operation techniques, but focused on explaining the entire simulation operating room and the points that need to be paid attention to in future operations.


    Lu Chen kept the key points of the explanation in mind.


    At the same time, he also knew the identities of the two other people from the same period.


    Both of them are returnees from the United States, and they are both talents cultivated by Jinghua Second Academy.


    Lu Chen was able to squeeze into their circle, what a beautiful "accident"!


    Maybe because of the difference in identities, the other three seldom communicated with Lu Chen.


    was not intentionally isolating Lu Chen, but the two sides didn''t have much to talk about.


    From 1:30 to 5:30 pm, the first day of the course ended successfully.


    Although I didn''t get started with the operation, Lu Chen started to have an official contact with electrophysiological surgery from today!


    ¡­


    Walking out of the cardiology catheterization room, Lu Chen took out his mobile phone and noticed that there was a missed call.


    was called by Wang Ruoxi.


    Sister Ruoxi?


    What does she have to do with herself?


    Lu Chen immediately called back.


    "Hey, Sister Ruoxi, I worked the night shift last night and rested this morning, so I didn''t get a call."


    Wang Ruoxi just got off work and received a call in the parking lot.


    "That''s right, what I want to tell you is that the clinical research report you sent last time... I''m sorry, the headquarters rejected this sponsorship."


    After listening to Wang Ruoxi''s explanation, Lu Chen smiled: "It''s okay, Sister Ruoxi, I didn''t intend to ask for sponsorship."


    "However, although we can''t sponsor, our Dapagliflozin is currently active." Wang Ruoxi said, "Your experimental patients will receive discounts when they buy Dapagliflozin. I will communicate with the sales representatives of Jinghua Second Hospital in advance. of."


    "Okay, thank you Sister Ruoxi."


    Lu Chen hung up the phone.


    From Wang Ruoxi''s phone call, he also learned about the experiments he is currently conducting, and there are already clinical centers abroad that are recruiting patients.


    However, this did not affect the progress of his clinical trials.


    However, without AstraZeneca''s sponsorship, his rate of recruiting patients must be much slower than others.


    The only good news at the moment is that if Lu Chen just wanted to publish an SCI paper, he needed fifty samples, which was barely enough.


    ¡­


    After finishing the clinical trial, Lu Chen can finally study his own electrophysiological intervention card!


    With a thought of ??, the system panel appears.


    Lu Chen''s consciousness entered the system virtual space.


    Like the previous skill card, Lu Chen''s mind entered a high-tech system virtual operating room.


    Electrophysiological intervention skill card, which means that most electrophysiological operations can be simulated in the virtual operating room of the system.


    "Finally you can get started!"


    Today I spent most of the day visiting the simulated operating room in reality, and I could only see but not touch it.


    Lu Chen''s hands are itchy!


    In the virtual space of the ?? system, the first step of electrophysiological interventional surgery is displayed, puncture!


    The common puncture sites for electrophysiological surgery are mainly the groin, arm, shoulder or neck.


    For venipuncture, Lu Chen has already practiced various punctures very well during the National Medical Skills Exam.


    This is the first step of electrophysiological interventional surgery, and Lu Chen became familiar with it smoothly.


    Ten consecutive patients were punctured, and Lu Chen''s completion rate was above 70%.


    It was only for the shoulder and neck puncture, Lu Chen was a little unfamiliar, and he practiced it many times.


    practiced for almost an hour.


    Lu Chen''s puncture proficiency has reached 76%. To further improve his proficiency, he still needs to perform puncture in reality.


    The second step of electrophysiology is the operation of the catheter.


    After anesthesia, the blood vessel is punctured, and the electrophysiological examination catheter is sent into the specific part of the cardiac cavity.


    Then record and analyze the electrical signals in the cardiac chambers, and then deliver weak electrical stimulation through the electrode catheter to pace the heart to induce certain arrhythmias.


    Lu Chen can observe these abnormal heart rhythms under artificially controlled conditions and find the exact part of the abnormal electrical activity of the heart.


    third step.


    Determine the origin and type of arrhythmia in order to choose the best treatment.


    Lu Chen was in full swing in the virtual space of the system. It was the first time he participated in electrophysiological interventional surgery, and everything seemed very novel.


    ¡­


    Wang Zihao recently discovered a very strange place.


    His biological sister, Wang Ruoxi, seems to be paying too much attention to Lu Chen recently.


    Not only invited Lu Chen to dinner twice in a row, but also asked him about Lu Chen''s situation many times.


    Is it¡­


    Wang Zihao was shocked.


    He treats Lu Chen as his brother, but Lu Chen actually wants to be his brother-in-law?


    Wang Zihao returned to the bedroom and saw that Lu Chen was reading a book attentively.


    wanted to have a chat with him, but Wang Zihao couldn''t bear to disturb him because he was so focused.


    Finally, Lu Chen moved.


    The training time in the virtual space of the system is too long, so Lu Chen will solve his physiological needs.


    Lu Chen ran back from the toilet, Wang Zihao looked like he was hesitant to speak.


    "Zihao, what''s wrong?" Lu Chen looked at Wang Zihao suspiciously.


    "Well, what is my sister looking for you?" Wang Zihao paused.


    "It''s nothing, I just asked about some clinical research." Lu Chen explained a little.


    "Oh." Wang Zihao nodded, he looked at Lu Chen, and hesitated for a while, "My sister...you..."


    "What do you want to say, just say it!" Lu Chen glanced at Wang Zihao, he also wanted to hurry up and enter the virtual space to conduct electrophysiological surgery training.


    "You... how do you think my sister...?"


    Lu Chen was taken aback for a moment, then looked back at Wang Zihao: "What?"


    (end of this chapter)

 Chapter 335： intraluminal catheter operation

    Chapter 335 Endoluminal Catheter Procedures


    "No...nothing, I''m just asking you, what do you think of my sister?" Wang Zihao said.


    "It''s pretty good, the person is very beautiful, and the character is also very good." Lu Chen said casually.


    Sure enough, Wang Zihao wailed in his heart.


    Lu Chen wouldn''t really like his sister, would he?


    No way?


    probably not¡­¡­


    However, her sister seemed to have a good impression of Lu Chen.


    "This..." Wang Zihao didn''t know what it was like.


    "What''s wrong?" Lu Chen looked at Wang Zihao suspiciously.


    "Nothing, I''ll just ask." Wang Zihao waved his hand and sighed in his heart.


    This matter, he can''t control it, and what if he thinks too much?


    Lu Chen smiled, ignored Wang Zihao, and continued to train electrophysiological interventional surgery in the system''s virtual operating room.


    In the next month, in addition to his daily work in the emergency department, Lu Chen will spend most of his time on electrophysiological interventions.


    ¡­


    During the day, Lu Chen works by rotation in the emergency department.


    After get off work, he will come to the catheterization room of the Cardiology Department to conduct a realistic surgical simulation.


    Yesterday, Lu Chen didn''t have the opportunity to conduct practical training in the catheterization laboratory of the Second Hospital of Jinghua, but today he finally had the opportunity.


    Today''s lesson is the simulated operation of the catheter in the lumen.


    Cardiology cath lab, simulating an operating room.


    Cheng Guowen taught on stage.


    People watch the images of the catheter inside the heart through the real-time impact of the video.


    Lei Cui glanced at Lu Chen next to him.


    She couldn''t understand these days, how could Lu Chen be qualified to come to the simulated operating room?


    Even if he comes, he really understands the simulated surgery performed by Professor Cheng Guowen?


    Lu Chen nodded while watching Cheng Guowen''s operation.


    However, this action, in Lei Cui''s opinion, is a bit hypocritical.


    She didn''t believe that Lu Chen understood the current director''s lecture, but felt that Lu Chen was nodding perfunctorily.


    "Look, when the actual combat operation starts, it will be revealed." Lei Cui thought for a while.


    Except for Lu Chen, all three of them have some electrophysiological foundation.


    This time I came to participate in the training in the simulated operating room, mainly to strengthen the electrophysiological intervention technology.


    Unlike Lu Chen, who is a complete newcomer.


    "Okay, let''s first train the basic operation of the operation, the operation in the catheter cavity." Cheng Guowen finished his demonstration.


    "Okay, thank you Director Cheng." Everyone replied in unison.


    At this time, Lei Cui suddenly said: "Director, isn''t the first step of our electrophysiology puncture? I want to practice venipuncture first."


    "This..." Cheng Guowen frowned.


    Puncture is the basic skill of their electrophysiological interventional surgery. If you can come here, the basic skill of puncture will definitely pass the test.


    However, Cheng Guowen saw Lu Chen.


    Had this accident this year.


    Lu Chen...will he pierce?


    For them, venipuncture is very simple, but for a newcomer, this is a threshold!


    "Well, let''s practice venipuncture first." Cheng Guowen nodded.


    His purpose was mainly to test Lu Chen''s level.


    Lei Cui smiled when she heard this, and turned to look at Lu Chen.


    If Lu Chen can''t even pierce, then there''s really no need to waste time here!


    The simulated operating room is mainly to train the operation of the endoluminal catheter, and no one will waste time training the venipuncture.


    However, when Lei Cui saw the calm smile on Lu Chen''s face, she frowned.


    Is this pretending to be calm, or is it a broken jar?


    ¡­


    Cardiac catheterization laboratory.


    Lei Cui was the first to start training in the mode of venipuncture.


    Her surgery is very skilled, after all, there are many years of electrophysiological credit.


    Groin, shoulder, neck, hand, all kinds of puncture operations, in Lei Cui''s hands, are very well trained.


    Immediately afterwards, the other two returnee doctors also completed their respective training.


    In the presence, except for Lu Chen, all completed the first step of venipuncture.


    "Student Lu Chen, it''s your turn." Cheng Guowen said to Lu Chen.


    "Okay." Lu Chen nodded, then stood up and walked onto the simulated operating table on the stage.


    Lu Chen stood on the realistic simulated operating table.


    This feels different from the simulated surgery room in his system!


    The simulated operating room of the ?? system, although the equipment is more complete, always gives people an unreal feeling.


    But in this realistic simulated surgery room, everything was clearly displayed on Lu Chen''s five senses.


    Just like that, it made everyone in the audience suspicious.


    Could it be that Lu Chen really can''t pierce?


    However, the next scene made everyone present widen their eyes.


    Lu Chen washed his hands, put on gloves, determined the area of ??anesthesia, and started the groin puncture.


    Puncture the needle and find the blood vessel, all in one go!


    From absorbing the anesthetic to the final successful puncture, Lu Chen''s groin puncture took less than two minutes!


    Then, anesthesia of the shoulder and neck.


    is still very smooth, without any jerky feeling.


    ¡­


    When Lu Chen finished the venipuncture training, Cheng Guowen, Lei Cui and others were all shocked.


    Lei Cui originally wanted Lu Chen to retreat, but his current performance is too surprising.


    Cheng looked at Lu Chen in the national context.


    Although he had met Lu Chen many times, he always felt that this student was covered with a thin film, making it impossible to see through and touch.


    Otherwise, a postgraduate student with normal development can enter the national final of electrocardiogram? !


    "Well, very good!" Cheng Guowen recovered from the shock and said to everyone, "The first step of the venipuncture operation, Lu Chen and Chen Xinghua are the most proficient in the operation! Now the main training content today, the catheter cavity operate!"


    Lei Cui''s eyes became hot again, and she couldn''t believe it.


    Could Lu Chen not only perform venipuncture, but also the intraluminal operation of this catheter?


    Even the attending doctors like them are still just fumbling at the entry level. Could it be that Lu Chen, a graduate student, will surpass them?


    After ??Cheng Guowen demonstrated the most basic intracavity operations, they began to train in sequence.


    "You are now starting to train the simplest posture, the anterior-posterior position, also known as the frontal position. The anatomical information obtained from this perspective position is relatively rich, and the graphics can easily distinguish the superior and inferior vena cava, the atrium and the ventricle."


    Everyone should operate the intraluminal catheter according to the meaning of Cheng Guowen, and successfully obtain the images of the anterior and posterior positions.


    The first trainee was Lei Cui, and it took her eight minutes to get the front and rear images.


    The second training was Chen Xinghua, which took six minutes.


    Lu Chen was the last to appear.


    In Cheng Guowen''s eyes, Lu Chen was not required to complete it, as long as he could successfully operate the intraluminal catheter, it would be a success.


    ¡­


    In the simulated operating room, everyone''s eyes were on Lu Chen.


    They want to see, how far this man of high interest among the students of the Second Academy of Jinghua can achieve in electrophysiological interventional surgery?


    (end of this chapter)

 Chapter 336： Its not the Lu Chen of yesterday!

    Chapter 336 Not the Lu Chen of yesterday!


    Lu Chen stepped onto the simulated operating table.


    He took a deep breath, his eyes burning like a torch.


    recalled yesterday''s training in the virtual space of the system, every step of the intraluminal catheter operation.


    In fact, this kind of intracavitary operation is to operate small catheters and guide wires, which requires the micromanipulation of the operator.


    And how to practice the proficiency of micro-manipulation?


    Then the practitioner needs to do more, see more, and learn more!


    Lu Chen had just been exposed to electrophysiological intervention not long ago, and everyone present did not believe that Lu Chen could have this ability.


    "Maybe I can put a catheter into a vein, which would be nice."


    Lei Cui looked at Lu Chen in front of him and thought to himself.


    At this moment, Lu Chen moved.


    Wearing white gloves, he picked up the electrophysiological catheter and placed the catheter into the patient''s vein at the venipuncture site.


    The first step, incomparably skilled!


    Just this small step, everyone present was a little surprised.


    Cheng Guowen''s eyes showed a look of astonishment, followed by a look of joy that he had discovered a genius.


    If Lu Chen can be trained by him, then his ability in the field of electrophysiology will definitely improve by leaps and bounds!


    Lei Cui bit his lower lip, his eyes full of disbelief.


    ¡­


    Lu Chen didn''t know the reaction of the outsiders. He concentrated his energy and held the regulator of the intraluminal catheter in his hand, and sent the catheter into the heart of the human body step by step.


    The principle of electrophysiological surgery is very simple. The catheter is sent into the designated position, and then the induction experiment is performed. After the patient''s arrhythmia is induced, the fixed-point ablation is performed!


    "Lu Chen, type out the front and back images of the patient." Cheng Guowen said.


    The image that everyone can see is a plane, but the actual human heart is 3D, so at different levels, what you can see is different.


    As the operation progressed, Lu Chen finally felt resistance.


    The catheter in his hand doesn''t seem to obey his commands.


    The part of ?? that has entered the human body can never reach the front-back position.


    Lu Chen tried all the methods he had trained in the system space.


    But because the equipment is different, the venue is different, and the simulation tools are also different, there is still a big gap in the feel.


    More importantly, Lu Chen only trained in the system space for one day.


    In one day, he was able to perform venipuncture and catheter insertion, and he practiced very skillfully, which is already very good.


    It is still very difficult to get the catheter to the designated position smoothly.


    "He finally won''t..."


    Lei Cui breathed a sigh of relief.


    It has been ten minutes, but Lu Chen still hasn''t made the image pattern of the front and rear of the heart.


    If Lu Chen really did it, then Lei Cui really didn''t know how to face him.


    ¡­


    Twelfth minute¡­


    The fifteenth minute¡­


    Lu Chen still couldn''t press the front and back images.


    "Let me do it."


    I don''t know when, Cheng Guowen had put on his gloves and stood beside Lu Chen.


    "Watch my operation and remember the feeling of each step." Cheng Guowen said softly, "You have to make this catheter like your own hand, in the patient''s heart, to be able to reach any position you want."


    Lu Chen nodded lightly, then moved aside.


    Cheng Guowen stepped forward, took the electrophysiological catheter, and started the operation.


    His movements are very gentle, and there are very few effective movements in a single step, but soon, a pattern of front and rear positions immediately appears in the image of the heart.


    Lu Chen was shocked.


    He has seen Li Yao perform electrophysiological surgery.


    Cheng Guowen''s electrophysiological intervention technology is definitely not worse than Li Yao, and even slightly surpassed!


    "Did you see clearly?" Cheng Guowen turned to look at Lu Chen.


    "I see part of it." Lu Chen told the truth.


    Although Cheng Guowen''s operation was displayed in front of his eyes, he was too fast for Lu Chen to check it carefully.


    "There will be more opportunities in the future, so take it slow." Cheng Guowen smiled.


    "Thank you, Director Cheng." Lu Chen nodded slightly.


    Today, Lu Chen is the only student who did not complete the assigned task.


    But the surprise that Lu Chen brought to Cheng Guowen was big enough!


    There was even a love for talent in his heart.


    If Lu Chen wasn''t Li Yao''s student, he really wanted to teach himself.


    "Everyone is free to practice." Cheng Guowen said, "Before class tomorrow, I will review everything today. I hope to see everyone''s progress at that time. Although most of you can make the designated image patterns, it will take a lot of time. It''s all long!"


    After everyone agreed one by one, they began to practice freely.


    After about half an hour.


    Chen Xinghua, who returned from studying abroad, came to Lu Chen''s side.


    "Hello, I''m Chen Xinghua, I''m currently working in the fifth district of my heart." Chen Xinghua looked at the childish boy in front of him curiously.


    At Lu Chen''s age, he was still moving bricks in the laboratory.


    Could it be that Lu Chen is a child of a medical family?


    This year, in addition to the second generation of officials and the second generation of rich, there are also the second generation of learning.


    A researcher from a research institute of his parents gave his children a high-scoring dissertation, then applied for a scholarship to study abroad, and finally, as a returnee, he returned to China and transformed himself into a high-end talent in a certain field.


    In China, this kind of operation emerges one after another.


    Why does Chen Xinghua think so?


    Because, he himself is a second-generation student!


    His father was the vice president of the Second Academy of Jinghua!


    During the postgraduate period, he published several high-scoring SCI papers, which allowed him to get a scholarship and study abroad.


    However, Chen Xinghua is different from the general second generation, he is a powerful second generation!


    is already well-known among the young generation in the field of intracardiac electrophysiology.


    "Hello, Dr. Chen, my name is Lu Chen, I''m currently a graduate student in my heart..." Lu Chen laughed.


    On the very first day, everyone ignored him.


    After showing his hand today, he has already attracted everyone''s attention.


    Chen Xinghua searched in his mind, it seems that there is no senior leader named Lu in the second hospital of Jinghua? !


    Could it be that Lu Chen is the leader of another hospital?


    Well, it''s entirely possible!


    In Chen Xinghua''s heart, Lu Chen has been equated with "learning the second generation"!


    Otherwise, he couldn''t have reached this level at this age.


    The two exchanged ideas, mainly in the exchange of experience in electrophysiological interventional surgery.


    Actually, Lu Chen felt that exchanging surgical experience with Chen Xinghua was even more effective than Cheng Guowen to a certain extent!


    Because of some of Cheng Guowen''s experience, it is not suitable for beginners, but some of Chen Xinghua''s experience really gave Lu Chen a lot of help.


    ¡­


    After class, Lu Chen returned to the dormitory and continued training in the virtual space of the system.


    Combined with the shortcomings shown in the realistic simulated operating room in the morning, Lu Chen conducted more targeted training.


    All night long, the more Lu Chen trained, the more interested he became!


    Every time he overcomes a difficulty, he is ecstatic!


    On the third day, Cheng Guowen''s realistic simulated surgical operation class.


    Before explaining the new content, everyone should review the content they learned yesterday.


    Intraluminal catheter operation to make anterior and posterior images!


    Chen Xinghua, an improvement over yesterday''s speed, only took five and a half minutes!


    And Lei Cui made little progress, only ten seconds ahead.


    When everyone thinks that today''s review content, it just ended in a normal way...


    After spending 14 minutes, Lu Chen successfully made a before and after image!


    Everyone present looked at the image in front of them and looked at each other.


    Is this the same Lu Chen from yesterday?


    (end of this chapter)

 Chapter 337： dig a wall

    Chapter 337 Digging the Wall


    Yesterday, the catheter operated by Lu Chen didn''t stop at all.


    But today, although the time consumption is very long, even twice as long as others, this is a breakthrough from zero to something!


    After Lu Chen finished the operation, sweat broke out on his face.


    To be honest, in the end he felt a little bit about giving up.


    Fortunately, at the most critical moment, it was successful!


    The front and rear images were made by Lu Chen. Although it is not standard, others can already see the prototype!


    "Doctor Lei, do you remember how long ago you learned how to operate intraluminal catheters?" Chen Xinghua whispered to Lei Cui beside him.


    Lei Cui pursed his lips, his eyes suddenly stunned.


    How long did she learn to perform endoluminal catheterization?


    She watched by her tutor for half a year before she started getting started.


    Wait until you really get started and perform puncture and intraluminal catheter operations yourself, that is a year later.


    And what about Lu Chen?


    He has just entered school, if he has no experience, it means that within a few days, he has completely touched the threshold!


    The most terrifying thing is that Lu Chen was a baby yesterday.


    Today, it has been able to do it successfully!


    This progress is so fast that it can be said to be at the level of a monster!


    Cheng Guowen was extremely calm on the surface.


    In fact, in my heart, I was also shocked.


    For the student Lu Chen, he has completely lost sight of it.


    Could it be that he didn''t know anything yesterday, was that pretending?


    But, it''s not like it!


    And there is absolutely no need to install it.


    "Lu Chen, have you really never been exposed to electrophysiological intervention before?" Cheng Guowen asked this question on behalf of everyone present.


    Lu Chen took off his gloves and shook his head gently.


    In fact, he can have the current progress.


    First of all, thanks to his training in various arterial and venous puncture when preparing for the National Medical Skills Competition.


    Cardiology interventional surgery, whether it is coronary intervention or electrophysiological intervention, the threshold is puncture!


    For example, Lei Cui, for the first six months of her study with her teacher, was learning puncture, subclavian vein puncture, radial artery puncture, and femoral vein puncture.


    These piercings are very particular about the proficiency of the practitioner!


    How to correctly find the blood vessel and puncture the correct position is extremely important.


    Moreover, many of the patients in the cardiology department have diabetes.


    In diabetic patients, the blood vessels are very small and twisted.


    If it is difficult to find blood vessels as soon as possible under such poor blood vessel conditions!


    However, for Lu Chen, he did a lot of puncture training in the early stage.


    Even in the cardiology department and emergency department, many patients'' arterial blood gas was collected by him.


    Therefore, the threshold of the interventional department - vascular puncture, for Lu Chen, it is very familiar!


    Therefore, this has greatly shortened the time for Lu Chen to learn electrophysiological interventional surgery.


    Secondly, for the operation of the intraluminal catheter, Lu Chen has an artifact like a system virtual space!


    The time that others can train every day is pitiful.


    There are very few opportunities to get started.


    For this kind of opportunity to simulate an operating room, it is even more necessary to queue up!


    Lu Chen is different, as long as he has free time, he can enter the system space for training.


    Even when he is squatting on a tuba, he can practice it.


    This kind of high-intensity practice, coupled with the system''s automatic error correction function, allowed Lu Chen to directly break through the threshold of electrophysiological surgery in a short period of time.


    All these conditions are essential!


    also created Lu Chen, who made rapid progress in the eyes of outsiders!


    "Then... let''s continue with today''s lesson."


    Cheng Guowen looked at Lu Chen with a strange light in his eyes.


    ¡­


    The third day of the course ends.


    After class, Cheng Guowen changed his white coat and disappeared.


    Eight Divisions of Cardiology.


    Office of the Director.


    "Director Cheng, you are so busy, why do you have time to come to us?" Li Yao sat in the office and looked at Cheng Guowen who made a sudden visit.


    "Director Li, don''t be so sensible." Cheng Guowen sat on the sofa with Erlang''s legs crossed, "We used to have business affairs, I still remember when the Jinghua Second Hospital was first developed, there were not so many wards, no So many doctors."


    The Cardiology Department of Jinghua Second Hospital was not ranked in the country ten years ago!


    Since Director Cao Zhiying took office, he has made drastic reforms to attract outstanding graduates, prevent brain drain, and seize the opportunity to introduce advanced equipment CTOs involved in the Department of Cardiology.


    After ten years of continuous development, it has become one of the top ten cardiology departments in China.


    The first batch of doctors in the Jinghua Second Hospital included Li Yao and Cheng Guowen, in addition to the director Cao Zhiying.


    They are also one of the three doctoral supervisors in the Department of Cardiology!


    Compared with the other two, Li Yao is the youngest and can be said to be the person with the most development potential.


    However, with the development of Jinghua Second Hospital, many things did not develop in the direction of imagination.


    "Director Cheng, if there is anything you want to say, just say it." Li Yao frowned, "I''m still very busy."


    "Haha." Cheng Guowen chuckled and stood up suddenly, "Director Li, your luck has been pretty good in recent years."


    Li Yao raised her brows: "Director Cheng, can I think that you are saying the opposite?"


    "Don''t get me wrong." Cheng Guowen sat back on the sofa again, "I mean you have a good eye for students, and you have accepted a few such excellent students."


    "You said it was Lu Chen?" Li Yao smiled.


    Lu Chen is the only one among their students who can get into the Chinese language.


    Moreover, she knew that Lu Chen was taking lessons under Cheng Guowen''s hands recently.


    "Well." Cheng Guowen didn''t hide it, and directly stated his intention, "I want to let Lu Chen follow me for a while."


    "Huh? Director Cheng, what do you mean?"


    A flash of alertness flashed in Li Yao''s eyes, and she kept leaning against the chair and shifted her position slightly.


    "Lu Chen was with me recently, and I think this kid is quite talented." Cheng Guowen smiled, "He is going to participate in the ECG final in just one month, and I want him to follow me to strengthen training for a while. Of course, if he wants to, he can follow me in the future."


    Li Yao frowned, and the rhythm of breathing suddenly became a little faster, "Director Cheng, may I think that you are digging a wall?"


    "Director Li, don''t get me wrong." Director Cheng waved his hand quickly, "Lu Chen is still your student, just, study with me for a while, what do you think?"


    If it was another Li Yao''s student, Li Yao felt that he would immediately reject it.


    My own people, how can I tolerate others digging their feet?


    is nice to say, but it just followed for a while, but this was a disguised way of giving up to Lu Chen.


    There is such an example in the Cardiology Department of the Second Jinghua Hospital. The students of a certain tutor completely follow another tutor.


    However, this student involves Lu Chen...


    Then Li Yao has to think about it!


    It''s not that she doesn''t want Lu Chen to stay with her, but that Lu Chen''s future is definitely not limited to the Second Beijing Hospital.


    In Li Yao''s heart, she will never hinder Lu Chen''s development.


    At present, Cheng Guowen is a leader in the field of electrophysiology in Jinghua Second Hospital.


    If Lu Chen could follow him, he would definitely get more resources.


    "Director Cheng, I can''t promise you about this." Li Yao thought about it and said, "The students and the tutors choose each other. If Lu Chen wants to choose you, then I have no opinion."


    Director Cheng was overjoyed.


    "Director Li, do you mean that as long as Lu Chen is willing, you will agree?"


    "Well." Li Yao paused, and finally nodded.


    (end of this chapter)

 Chapter 338： Tutor Li Yao

    Chapter 338 Mentor Li Yao


    With the permission of Li Yao, Cheng Guowen was determined.


    In his opinion, as long as Li Yao is over, he will talk to Lu Chen and explain that after he has a great relationship, he can definitely let him follow him.


    After all, in the Jinghua Second Hospital, and even in the entire Jinghua, Cheng Guowen''s identity and status are definitely the top!


    Lu Chen followed him, and in a short period of time, he could definitely get the greatest resource tilt.


    Cheng Guowen believed that Lu Chen was a smart person and must have known this.


    And Li Yao, watching the back of Cheng Guowen leaving, was silent.


    She places great importance on Lu Chen, a student.


    Otherwise, she would not try to secure Lu Chen''s place in the national medical skills competition.


    Although in the end Lu Chen also got a spot through his own efforts.


    She won''t waste a lot of favors to get Lu Chen a place in the simulated surgery room.


    Because of this importance, Li Yao''s suggestion of Cheng Guowen showed signs of loosening.


    According to her previous character, it is absolutely impossible to give up her students.


    However, it''s useless to say anything now, we can only see Lu Chen''s final choice...


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen just returned to the dormitory and was about to enter the virtual space of the system for training, when he unexpectedly received a call from an unfamiliar person in Jinghua City.


    "Hello, hello."


    "Lu Chen, I''m Cheng Guowen..."


    When Lu Chen hung up the phone, his head was still down.


    On the phone just now, Cheng Guowen asked himself to study with him.


    If you want, you can even follow him in the future, and you can get longer training time in the surgery simulation room.


    And, according to Cheng Guowen, Mr. Li Yao has already agreed? !


    This...what''s going on here?


    Lu Chen didn''t agree immediately, he thought it was very strange.


    Although he doesn''t know the struggle relationship within the Cardiology Department of the Second Hospital of Jinghua, but he usually hears and hears that he also knows that Li Yao''s tutor is at odds with the senior management of Cardiology Department.


    This high level is Cheng Guowen and others.


    How could mentor Li Yao allow himself to follow him? !


    "Lu Chen, what''s the matter?" Wang Zihao, who was beside him, had an unusual demeanor when he saw that Lu Chen had answered the phone.


    Lu Chen was stunned for a while, looked back at Wang Zihao, and said softly, "Just now, Director Cheng Guowen of our Cardiology Department called me and asked me to follow him in the future."


    "Ah? Change your mentor?" Wang Zihao was shocked.


    "I don''t know." Lu Chen shook his head, "But listening to Cheng Guowen, I just followed him, but he was still a student of Li Yao''s tutor."


    "This..." Wang Zihao frowned, "Lu Chen, don''t mention it, I have seen such an example, you know that my undergraduate degree is from Jinghua Medical University, and I once saw a senior brother in general surgery, when he was in the second study. Following another teacher, not his mentor, except for the graduation thesis to be signed by the original mentor, all other relationships have changed."


    Lu Chen was silent.


    It was difficult for him to digest this big news for a while, but he knew that it was definitely not that simple.


    And most importantly, what is Li Yao''s true wishes?


    "Lu Chen, how did you reply?" Wang Zihao wondered.


    "I didn''t agree." Lu Chen shook his head, "Director Cheng Guowen asked me to visit him in his office."


    "It''s going to be troublesome." Wang Zihao groaned, "If the two mentors have negotiated, it is the result of friendly negotiation, then you must go to Director Cheng Guowen. But if it is a unilateral will , then it involves a contest between tutors, sandwiching you in the middle, no one inside or outside, none of our students dare to offend."


    "Guessing here, it''s better to ask directly." Lu Chen frowned, "Based on my understanding of Li Yao''s mentor, she is absolutely impossible to do this."


    Thinking of what had happened recently, Lu Chen realized that it was very likely that his performance in the surgery simulation room was too outstanding, which gave Cheng Guowen the idea of ??"poaching the wall".


    Lu Chen thought about it, took out his mobile phone, and immediately called Li Yao.


    The phone was connected immediately.


    "Hey, teacher, I''m Lu Chen."


    "Well, what''s the matter?"


    On the other side of the phone, Li Yao''s voice was as usual.


    "Director Cheng Guowen just..."


    Before Lu Chen could speak, Li Yao interrupted.


    "Lu Chen, I already know about this. The relationship between tutors and students has never been a one-sided relationship, but the result of mutual choice. The choice you make, you just need to follow your heart."


    Li Yao''s voice was not loud, but it was very gentle and seemed to carry some kind of power.


    "However, at the time of the re-examination, you chose me among the three tutors, and I will always be the teacher."


    Lu Chen felt a warm current in his heart.


    Perhaps, Li Yao''s status in the Cardiology Department of Jinghua Second Hospital is not high, and she has even been rejected by senior leaders.


    But for every student, it is a very good choice to be able to work under Li Yao''s tutor.


    "Teacher, I understand." Lu Chen said softly.


    "Okay, I''ll hang up if I''m fine."


    "Dududu..."


    Hearing the busy tone coming from the microphone, Lu Chen smiled relievedly.


    This director Cheng Guowen is not very reliable, and he actually spread the news falsely.


    He knew that it was impossible for Li Yao''s mentor to let himself follow others.


    Well, now he is going to meet Director Cheng Guowen for a while.


    ¡­


    Cardiology Department One District, Director''s Office.


    Cheng Guowen is not only the ward director of the first district of the heart, but also the deputy director of the entire Jinghua Second Hospital.


    In addition to Cao Zhiying, he is the second-in-command of the Cardiology Department.


    Lu Chen came to the first area of ??his heart, and after asking the nurse at the nurse''s desk, he went directly to the office.


    "Boom..."


    lightly knocked on the door, Cheng Guowen''s strong voice came from inside, Lu Chen pushed the door open and entered.


    In the director''s office at this time, Lei Cui was sitting on the sofa, talking with Cheng Guowen about something.


    "Director, what do you mean, let me out of the next stage of the operation simulation room?" Lei Cui''s face turned a pig''s liver, and she looked at Cheng Guowen with a puzzled expression, but she finally waited. opportunity to come.


    Now you have to give it to someone else? !


    What is this!


    "Lei Cui, don''t worry, you will have more opportunities to learn surgery in the future." Cheng Guowen smiled cheerfully, "What''s more, you still have a lot of projects in the laboratory, so you should publish a few papers first. , and then learn electrophysiological intervention, it is also possible."


    "But Director Cheng, I..."


    Lei Cui wanted to say something, but was interrupted by Cheng Guowen, "That''s it, what else do you want, let''s talk about it later."


    Lei Cui lowered his head, helplessness in his eyes.


    Although the paper is important, surgery can increase your income!


    At this time, Lei Cui and Cheng Guowen noticed Lu Chen who came in.


    I got home at 10 o''clock this evening, and started to update after dinner, but it was still late.


    Thank you Han Xiaohe for your reward, and I owe two more chapters.


    (end of this chapter)

 Chapter 339： Lu Chens choice

    Chapter 339 Lu Chen''s Choice


    Cheng Guowen immediately smiled and beckoned: "You''re here, come and sit."


    At the same time, Cheng Guowen looked at Lei Cui beside him.


    Lei Cui immediately understood, "Director, then, then I''ll go first."


    "Yes." Cheng Guowen nodded.


    Lei Cui got up and passed Lu Chen.


    She didn''t understand, what would Director Cheng have to do with Lu Chen at this time?


    Could it have something to do with the fact that he was given up?


    "boom¡­¡­"


    Lei Cui left, the door was gently closed.


    Lu Chen and Cheng Guowen sat opposite each other.


    Cheng Guowen looked at Lu Chen with a smile, and was the first to say, "Lu Chen, are you not a native of Jinghua?"


    "No, I am near Jiangcheng in Huzhong Province." Lu Chen said.


    Cheng Guowen, is this going to play the emotional card?


    "Oh, Jiangcheng, that''s a good place." Cheng Guowen smiled, "When I was young, I went to Jiangcheng to study. The beautiful people and scenery there left a deep impression on me."


    "When Director Cheng has the opportunity to go to Jiangcheng in the future, I will definitely take you as a tour guide and show you a good tour." Lu Chen smiled.


    "That''s great."


    Cheng Guowen was not in a hurry to get to the point, and Lu Chen was even less in a hurry.


    The two chatted and chatted about trivial matters.


    Finally, Cheng Guowen couldn''t take it anymore.


    "I told you on the phone just now, how are you thinking?"


    Lu Chen smiled, "Director Cheng, don''t I just study with you now?"


    "This is different." Cheng Guowen shook his head, "I mean, you can follow me alone in the future. As for the surgery simulation room, you can go whenever you want."


    Lu Chen was taken aback for a moment, Cheng Guowen is a big deal!


    Surgery simulation room is rare for any hospital, and the consumables in it are even more expensive than regular surgery.


    Not to mention that he is a student, even other second-generation students, such as Chen Xinghua, want to get a place in the surgery simulation room, it is not easy, and you need to wait in line.


    Now Cheng Guowen actually promised that he could go to training at any time...


    Although Lu Chen has a virtual operating room, the reality is still different from the simulated one. Being able to enter the operating room in reality is just a process for him to check and fill in the gaps.


    However, the role of the simulated operating room in reality is limited and can only be an icing on the cake.


    Lu Chen''s current progress is largely due to the system''s virtual operating room.


    Cheng Guowen wanted to use this to attract Lu Chen, but I''m afraid he would miscalculate.


    "Director Cheng, I''m still in rotation, and the time to learn electrophysiological intervention is probably very limited." Lu Chen said.


    This is not a perfunctory statement.


    Anyway, in addition to the Cardiology Department, Lu Chen has only had an emergency department.


    Lu Chen only knew a little about diseases in other departments.


    As a cardiologist, electrophysiological intervention is of course important, but Lu Chen''s idea has always been not to be a simple surgeon!


    If even the most common diseases cannot be diagnosed, then no matter how many surgeries are performed, no matter how skilled they are, they are just a highly skilled mechanic.


    "This is easy to say, I can say hello to the teaching and research department." Cheng Guowen smiled, "Let those departments ignore you. If you want to go to the clinical rotation, you can come to the catheterization room for surgery. Then you can come."


    To be honest, Cheng Guowen was able to give such conditions to attract Lu Chen.


    is already extremely rare.


    His good friend Zhou Wei is now in such an awkward situation.


    The tutor asked him to do experiments, and the teaching and research department let him rotate according to the plan. Neither side could offend him, and his mentor did not communicate with the teaching and research department, so Zhou Wei was often criticized.


    But there is no way!


    Zhou Wei can only bite the bullet and work in the laboratory. If he does not listen to the teaching and research department, he may not be able to graduate.


    But if you don¡¯t listen to your tutor, you will definitely not graduate!


    Now, Cheng Guowen can directly help Lu Chen solve these troubles.


    Lu Chen was thinking in his heart, if his mentor was not Li Yao, or if Li Yao''s mentor was an indifferent person, maybe he would consider this matter.


    But now, Lu Chen can only express his regret in his heart.


    In this world, in addition to interests, status and status, there are many things that are more important.


    Perhaps, with Cheng Guowen, Lu Chen''s future will be smoother, but he can''t give up Li Yao''s mentor.


    This matter seems simple, but once he follows Director Cheng Guowen, maybe there will be news the next day.


    For example, the student Lu Chen and the tutor Li Yao were at odds and became the student of Director Cheng Guowen...


    "Director Cheng, thank you for your love." Lu Chen looked at Cheng Guowen quietly.


    From Cheng Guowen''s eyes, he could see the other party''s love for him.


    "However, I still like to stay in the eight areas of my heart."


    Cheng Guowen''s smile froze, and he looked at Lu Chen in disbelief.


    Some students have rejected his conditions.


    "Lu Chen, do you know how rare the seats in the simulated surgery room are?"


    Lu Chen nodded slightly: "Thank you, Director Cheng, I know, but compared to surgery, I think it''s pretty good to be by Li Yao''s side and learn the clinical thinking of diagnosis."


    Cheng Guowen frowned deeply.


    Lu Chen''s two rejections made him impatient.


    Who is he?


    is the deputy director of the Cardiology Department of the Jinghua Second Hospital. Except for Cao Zhiying, he is always the one who speaks the truth.


    When many students see him, they don''t dare to let out the air.


    Today, he was rejected twice by a student.


    This is really a rare thing.


    "Okay, since that''s the case, so be it." Cheng Guowen stood up and began to order the eviction.


    "Thank you Director Cheng for your love." Lu Chen said again.


    "Let''s go."


    Cheng Guowen waved his hand, and there was no more enthusiasm in his words.


    When Lu Chen saw this, he didn''t stay any longer, turned around and left the director''s office.


    He has done what he should have done.


    As for Cheng Guowen''s opinion of himself, whether he will wear small shoes by himself in the future, it is not up to him to decide.


    But Lu Chen didn''t care either, his biggest reliance was his own system.


    If you have a system, you have to look at the face of a deputy director, then he really embarrassed these people with the system.


    ¡­


    On the way back to the bedroom, Lu Chen called Li Yao again.


    "Teacher, Director Cheng asked me to come to his office just now... I still think it''s more interesting to follow you."


    Lu Chen''s words are very direct and don''t beat around the bush.


    However, this kind of straightforwardness is the most effective.


    "Um."


    Although Li Yao only replied one word, Lu Chen could hear the joy in her tone.


    However, when she knew the conditions given by Cheng Guowen, she could not help but sigh, this is really a big deal.


    At least she allowed Lu Chen to enter the simulated operating room to study, but it cost a lot of humanity.


    But after this incident, Li Yao knew that she did not see the wrong person.


    Compared with the level of ability, what is more important is character.


    If Lu Chen really agreed to follow Cheng Guowen, maybe the two would still have a teacher-student relationship, but they would definitely not be able to maintain the current relationship.


    ¡­


    This incident finally came to an end, and at the same time, Lu Chen understood a truth, it is really a big tree to attract wind!


    Your own performance is too outstanding, in addition to winning the praise of the people around you, it may also lead to unnecessary disputes.


    This is the case now, and there will certainly be no less things like this in the future.


    Lu Chen felt that it was necessary to keep a low profile, but when it was time to make a high profile, one should not be afraid.


    Life is back on track.


    During this month, Lu Chen worked in the emergency department during the day, and came to the surgery simulation room for training after get off work.


    In the blink of an eye, a month has passed.


    (end of this chapter)

 Chapter 340： set off

    Chapter 340 Departure


    One month seems to be a short time, but for Lu Chen, he has changed a lot during this time.


    Since he rejected Cheng Guowen, although he can still take classes in the simulated surgery room, Cheng Guowen has stopped paying too much attention to Lu Chen.


    Lu Chen also learned to keep a low profile.


    There are many surgical skills that he has quickly mastered, and he will bring out the results in stages.


    Even in the eyes of outsiders, he is still making rapid progress, but compared to before, it is an acceptable level.


    As for Cheng Guowen''s attitude, it''s up to him!


    Lu Chen put all his thoughts into improving his business level.


    His level of electrophysiological intervention, from the previous ignorance, has also begun to glimpse.


    At the same time, he has been in the emergency department for more than a month, and he has also become very handy in handling emergency patients.


    Especially those patients with drug and food poisoning.


    Lu Chen has grown a lot by following Wang Xiaodong''s systematic study in the emergency department.


    However, with the passage of time, the national ECG finals finally kicked off.


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Lu Chen is packing his luggage to Bingcheng.


    It is already December, and the ice city has already entered the deep winter season.


    Although Jinghua has cooled down, Bingcheng will only get colder, otherwise I will be sorry for her title of Huaxia Bingcheng.


    "Xiaochen, bring a few thick down jackets, as well as sweaters, long pants, etc..."


    In the ?? WeChat video, Luo Meizhen is tirelessly admonishing Lu Chen.


    Although it is not the first time that Lu Chen has traveled far, the weather conditions are indeed a bit harsh at this time.


    "Mom, I see." Lu Chen could only nod his head, and then, under the gaze of his mother, stuffed a few thick down jackets into his suitcase, "Actually, I''ll go there for a few days, so I don''t need so many clothes. ¡­¡±


    "I''m not afraid of 10,000, just in case, I heard that the ice city has minus 20 to 30 degrees in winter." Luo Meizhen said.


    "That''s okay, listen to mom."


    Lu Chen could only pick out a few thicker clothes and stuff them into his not-so-big suitcase.


    hung up the WeChat video call, and Lu Chen packed his luggage.


    "Lu Chen, are you leaving tomorrow?"


    Wang Zihao was lying on the bed and said to Lu Chen.


    "Well, let''s go for a maximum of four days." Lu Chen nodded, "I''ll be back when the game is over."


    "A few days in the ice city?"


    "It depends on the outcome of the game." Lu Chen smiled.


    Wang Zihao and Lu Chen chatted for a while, then took out his mobile phone and sent a WeChat message to Wang Ruoxi.


    "Sister, Lu Chen is leaving tomorrow."


    Soon, Wang Ruoxi replied with a message.


    "Okay, I''ll bring you some specials when I come back."


    ¡­


    The next morning, Lu Chen pushed his suitcase and set off.


    A total of three Jinghua advanced to the national competition this time.


    In addition to Lu Chen, who represented Jinghua Second Hospital, there were also Min Xiaobo of Central Hospital, and Fang Yi of Jinghua Hospital.


    The three are the leaders in the Jinghua area this time.


    However, only Lu Chen is a student, and the other two are senior attending doctors.


    Came to the airport.


    Several others have already arrived.


    Lu Chen also saw an acquaintance, Director Cheng Guowen.


    As the chairman of Jinghua Electrophysiology Association, he is the leader of Jinghua this time.


    "Okay, since everyone is here, I''ll tell you about the rules of the national competition first." Cheng Guowen glanced at Lu Chen, then continued, "The rules of this national ECG competition are very simple. Divided into preliminary rounds, semi-finals and finals, the content of the competition includes the interpretation of electrocardiogram and the assessment of electrophysiological surgery."


    "The contestants are all from various provinces, and the young generation is the leader in the field of electrophysiology. There are more than 80 people participating in the competition. We only have three places for you in our province, but cities like Kyoto and Modu have more than five people. of the competition.¡±


    "As for the reward, as long as you get into the top 20, there will be a bonus. But this is not the most important thing. The most important thing is that the top ten in this competition can enter our electrophysiology training class in Huaxia! I believe that everyone here is present. Everyone, you should all know what this training class means, right?"


    Huaxia Electrophysiology Training Course, held in Huaxia Jingdu, is held every two years, and each period lasts for one month.


    Although the training time is only one month, its teachers are the top group of people in China.


    The big guys in the field of electrophysiology are likely to enter the electrophysiology training class.


    And most of the people who can enter this electrophysiology training class have become authoritative figures in cardiology electrophysiology.


    Therefore, every Huaxia electrophysiology training class is extremely valuable.


    "If one of you can enter the top ten and get a place in the electrophysiology training class, then we have completed the task of participating in this competition." Cheng Guowen looked around the crowd.


    Among the three, at present, only Min Xiaobo has the greatest chance, followed by Fang Yi.


    And Lu Chen is just a student who has just started electrophysiological surgery. Although he has made great progress in this period of time, his chances are slim.


    "Director Cheng, don''t worry, we will work hard." Min Xiaobo smiled.


    For this ECG competition, he is full of confidence.


    During this month, he also spent every day in the catheterization lab for electrophysiological surgery.


    Fang Yi also echoed.


    Lu Chen nodded slightly.


    But he has never participated in this kind of competition. He has no idea about the difficulty of the competition and the level of the participants.


    "Okay, let''s start the ticket check."


    ¡­


    A group of four got on the plane, Lu Chen and Min Xiaobo sat next to each other, Cheng Guowen and Fang Yi sat in the front row of them.


    It takes about two hours to fly from Jinghua to Bingcheng.


    As soon as Lu Chen got in the car, he closed his eyes and fell asleep.


    The outsider seems to be resting, but in fact Lu Chen has entered the system''s virtual space training.


    In the past month, his puncture proficiency has risen to 84%, and his proficiency in endoluminal catheter operations has also reached 72%, but in terms of inducing arrhythmia and ablation techniques, he has only just reached the passing line.


    Moreover, these are all operational training in the system''s virtual operating room, and Lu Chen has never had a single actual combat training.


    Fortunately, the assessment of this competition will definitely not use real patients, but also use models that simulate operating rooms.


    Compared to Lu Chen, the difficulty is much lower.


    "ßÚßÚ..."


    Suddenly the fuselage shook a little, and Lu Chen opened his eyes.


    The radio in the plane sounded.


    "Dear passengers, due to the influence of the air flow, our plane has obvious turbulence. Please sit in your seat and fasten your seat belt. The toilet will be temporarily closed. Thank you for your cooperation."


    After a brief turbulence, the plane continued to fly smoothly.


    Lu Chen is preparing to enter the system virtual space again.


    Suddenly, there was a commotion from the position in front of Lu Chen''s right.


    (end of this chapter)

 Chapter 341： first aid on the plane

    Chapter 341 First Aid on the Plane


    In Lu Chen''s line of sight, an old man raised his head and leaned back on the seat.


    His breathing was a little short, the expression on his face was very painful, and he was still mumbling something.


    Beside him is an old lady, who should be his family, calling the flight attendant.


    At this moment, a flight attendant stepped forward and asked about the condition of the old man.


    Cheng Guowen also stood up and walked towards the front right.


    This is the vigilance of a medical staff!


    Lu Chen frowned, because he noticed that the life value on this old man''s head was a red 46!


    This HP value indicates that the patient''s condition will never get better, and even his life is in danger!


    Now that the plane has been flying for more than 50 minutes, it is impossible to return!


    The old man was quickly supported by everyone and lay on the seat on the spot.


    Lu Chen saw that Cheng Guowen said a few words to the flight attendant, and then the flight attendant left in a hurry.


    Then, Cheng Guowen began to ask the patient a simple medical history.


    Not long after, the flight attendant took out the first aid kit.


    Min Xiaobo also stepped forward at this time, took out the stethoscope in the first aid kit, and began to help the patient with auscultation.


    Because of the announcement of the plane, other passengers are requested not to leave their seats.


    Therefore, Lu Chen just watched the cooperation of the two from a distance, but did not get up.


    Not long after, Cheng Guowen fed the patient a few spare pills from the first aid kit.


    I saw that the patient''s condition seemed to be better, his breathing was smooth, his consciousness was clear, and his vital signs were stable.


    The flight attendant moved the patient to a comfortable position.


    "Doctor, do we need to make an emergency landing to the nearest airport?" said a beautiful flight attendant.


    "This... I don''t have the right to decide. At present, my preliminary judgment is that the patient is suffering from angina pectoris. It is best to rush to the hospital for examination as soon as possible." Cheng Guowen said.


    The patient had a history of diabetes, hypertension, smoking, and drinking. This time, it was mainly chest tightness, and angina pectoris was considered.


    As soon as Cheng Guowen finished speaking, the old man shook his head slightly: "No, there is no need to divert, I feel much better."


    "This..." The stewardess was stunned and turned to look at Cheng Guowen.


    "Chancellor, we recommend diverting and going to the hospital for treatment as soon as possible." Cheng Guowen said solemnly, "But it is up to you to decide whether to divert or not."


    The stewardess nodded, "Thanks to the two doctors."


    Then, the flight attendant called the purser to talk with the old man.


    Cheng Guowen and Min Xiaobo returned to their seats.


    "Doctor Min, what''s the matter with that old man?" Lu Chen immediately asked.


    His health is red.


    You can''t let your guard down!


    "It may be angina pectoris." Min Xiaobo said, "Director Cheng gave him a few quick-acting heart-relief pills from the first aid kit, and he feels better."


    "Angina pectoris?" Lu Chen frowned.


    He didn''t see the patient in person, but taking Suxiao Jiuxin Pills could relieve the condition. It was indeed a bit like angina pectoris.


    But does angina bring health below 60?


    This is obviously impossible!


    Could it be a heart attack? Lu Chen thought to himself.


    However, the difference between angina pectoris and myocardial infarction may require a blood test to distinguish.


    However, the prognosis of myocardial infarction and angina pectoris are very different, and myocardial infarction is very likely to cause malignant arrhythmia, heart failure, and even the risk of cardiac arrest!


    "Director Cheng suggested diverting to the lowest airport." Min Xiaobo said, "But the patient said that he was already well, and he would be there in an hour. He didn''t want to trouble others."


    Diversion midway will delay the time of very empty passengers.


    "This... this is not very good." Lu Chen raised his brows slightly.


    "No way, the purser should be working with patients." Min Xiaobo said.


    For this emergency on the plane, the purser is coordinating with the patient.


    If passengers have an accident on the plane, then they are the first responsible person for the accident, and it will be a problem.


    ¡­


    About five minutes passed.


    Lu Chen saw the flight attendants leave, the old man was already sitting on the chair, and his condition was indeed much better than before.


    But the sparkling health on his head made Lu Chen very uneasy.


    If it¡¯s just angina pectoris, that¡¯s fine.


    But if it is a myocardial infarction and you don''t make an alternate landing, the next one hour will be an extremely dangerous time period.


    Lu Chen didn''t have the mind to enter the system simulation operating room, but focused on the old man''s direction with the corner of his eye.


    "Lu Chen, what''s wrong?" Min Xiaobo looked at Lu Chen beside him in confusion.


    He felt that Lu Chen was a little different from before.


    "I, I feel that the patient''s condition may be unusual." Lu Chen casually said a few words.


    "Ah? You didn''t see the patient just now..." Min Xiaobo was shocked.


    "Intuition." Lu Chen pouted the corners of his mouth.


    Min Xiaobo: "..."


    He didn''t believe Lu Chen''s words.


    Still intuitive?


    Could it be that Lu Chen saw something they didn''t see? !


    Min Xiaobo also recalled what happened just now, thinking about the abnormal performance of the patient.


    But at this moment, there was another exclamation from the position in front of the right.


    Lu Chen raised his head and saw the old man slumped on the ground.


    He was startled, and immediately walked to the right front.


    The old man was already lying on the ground.


    Lu Chen squatted down and checked the patient''s consciousness.


    "Hey, uncle, uncle..."


    Lu Chen shouted twice, but there was no reply.


    Oops!


    Lu Chen immediately felt the carotid pulse and disappeared!


    The patient''s breathing can hardly be felt!


    Lu Chen said nothing, rolled up his sleeves, and started CPR!


    Cheng Guowen, Min Xiaobo, and Fang Yi immediately rushed over.


    They were also startled when they saw Lu Chen''s actions.


    Is this breathing and cardiac arrest?


    All were experienced doctors, and immediately realized that something was not right.


    Min Xiaobo immediately helped Lu Chen with CPR.


    Cheng Guowen also picked up the stethoscope and put down the auscultation site of the old man''s heart and chest.


    "I can barely hear the heart beat!"


    "Who among you can use medicine?" Cheng Guowen asked.


    "I will!" Lu Chen looked back.


    "Alright then, Fang Yi, you are going to replace Lu Chen. Lu Chen, go and give the patient the epinephrine."


    Lu Chen nodded and withdrew sideways, leaving the pressing position.


    Fang Yi immediately took over from Lu Chen.


    And Lu Chen also opened the first aid kit and started looking for adrenaline.


    In the seemingly chaotic scene, the rescue is proceeding in an orderly manner.


    Lu Chen quickly found adrenaline and used it for the old man.


    Epinephrine, an essential drug for rescue cardiac arrest!


    After five minutes of CPR and a dose of epinephrine, Lu Chen saw the old man''s left hand raised.


    (end of this chapter)

 Chapter 342： Lu Chens surprise

    Chapter 342 Lu Chen''s Surprise


    "Consciousness restored!"


    Cheng Guowen said with joy as he looked at the movements of the old man''s hands.


    And Lu Chen, still very nervous at this time, suffered a sudden cardiac arrest on the plane, and the rescue measures at the scene were extremely limited.


    Nothing but the medicine in the first aid kit!


    Lu Chen touched the pulsation of the patient''s carotid artery again.


    One second, two seconds¡­


    Moved!


    Although the pulsation is very weak, there is finally a pulsation!


    At this moment, the old man suddenly let out a painful moan, and Fang Yi and Min Xiaobo looked happy.


    CPR can be stopped as soon as the heartbeat is restored.


    Fang Yi quickly picked up the stethoscope and started auscultation of the heart and lungs.


    Ten seconds, he frowned.


    "People''s consciousness is restored, but why can''t I hear the heartbeat?" Fang Yi frowned.


    "No heartbeat?" Min Xiaobo raised his brows and quickly accepted the auscultation.


    After a long while, he slowly rose and said: "There is a heartbeat, very weak, and it is not easy to hear. It is very likely that it is a myocardial infarction, which causes the contraction of the heart to decrease, and the heart machine is necrotic, so the beating is extremely weak."


    However, the heart is beating, which is a good thing.


    At this point, everyone was really relieved.


    The heart and breathing have all recovered, and the old man''s consciousness is also awake.


    With the concerted efforts of everyone, the old man was brought back from the juncture of life and death.


    But as I said before, the rescue equipment on the plane is extremely rudimentary.


    In this state of the old man, he may have another cardiac arrest at any time.


    When the time comes, I will talk about whether it can be rescued again.


    "Chancellor, it''s better to divert to the nearest airport. The patient''s condition can''t be delayed for another hour." Cheng Guowen said.


    Just now, Lu Chen took the patient''s blood pressure and it was only 84/65mmHg, which was already on the verge of shock.


    "Okay, thank you in advance to the doctors."


    The purser''s face still had the joy of the rest of his life.


    If this person had an accident on their plane, their team would really not be able to escape the responsibility.


    At this time, the patient''s family members did not have any opinion, and she was eager to prepare for the landing as soon as possible.


    ¡­


    On the plane, a scene of the afterlife was staged.


    All the passengers sighed, if it wasn''t for the concerted assistance of Lu Chen and the four of them, the old man might have left.


    Lu Chen looked at the health on the old man''s head. Although it had risen a bit, it was still only 49!


    was out of danger, but could have another cardiac arrest at any time.


    "Thanks...Thanks..." The old man reached out and squeezed Cheng Guowen''s palm, his voice was intermittent.


    Although his consciousness has recovered, he is still in an extremely weak state.


    "Is it still a pain in the chest, is it uncomfortable?" Cheng Guowen asked in a low voice.


    "Yeah." The old man replied softly, then closed his eyes and rested.


    "Let the uncle have a good rest." Cheng Guowen said.


    The steward placed the old man in the rest room, and Lu Chen, as the only medical student present, was sent to **** him.


    Every few minutes, Lu Chen will measure the patient''s blood pressure and auscultate the heart and lungs.


    Time passes in one minute and one second.


    There are still ten minutes before the temporary alternate airport.


    On the plane, the captain has contacted the ground console and informed the air situation.


    Ambulances and rescuers on the ground are all ready.


    Finally, the plane landed at the nearest airport.


    The old man was quickly taken to the nearest hospital for treatment.


    And this flight was at Ping''an Airport. After a short rest, it immediately hit the road.


    ¡­


    Back on the plane, Lu Chen and the four received courtesy from the entire crew and passengers.


    The crew directly upgraded Lu Chen and the four to first class for free.


    "Don''t tell me, it''s my first time to fly in first class." Fang Yi looked at the environment and facilities of the first class and sighed softly, "I usually travel in economy class for business trips. If it wasn''t for this opportunity, I probably didn''t even get a chance to fly first class."


    Cheng Guowen smiled, "Doctor Fang, you should be glad that we rescued the uncle."


    "Oh, that''s true." Fang Yi smiled, "That''s because there are no people, and the few of us can''t get on the plane."


    And Lu Chen and Min Xiaobo sat together again.


    "Lu Chen, how did you know he might have a problem?" Min Xiaobo asked in a low voice.


    Lu Chen didn''t see the patient at that time, he and Director Cheng went to see the patient first.


    "This... intuition." Lu Chen smiled.


    "Haha." Min Xiaobo glanced at Lu Chen, "But your rescue action just now was very neat."


    "That''s right, don''t forget that I am the champion of the National Medical Skills Competition." Lu Chen boasted to himself.


    Min Xiaobo is a good person, so Lu Chen naturally chatted with him.


    At this time, Min Xiaobo suddenly changed the conversation, "I heard Director Cheng say, how about the recent training in the simulated operating room of Jinghua Second Hospital? Are you confident in this competition?"


    Min Xiaobo is also very envious of this simulated operating room. In the entire Jinghua City, only Jinghua Second Hospital has it.


    "It''s so-so." Lu Chen smiled, "It''s also my first experience with electrophysiological interventional surgery.


    "Take your time, you still have a long way to go." Min Xiaobo said, "If you don''t understand anything, you can ask me on WeChat. If I can answer, I will not be stingy."


    "Thank you." Lu Chen nodded slightly, "However, don''t tell me, I really don''t know much about it. That...can I ask now?"


    "Huh?" Min Xiaobo was stunned, "But... you can."


    Lu Chen immediately took out a notebook from the backpack he was carrying.


    Opened the notebook, and there were all red and blue notes on it.


    Lu Chen turned to one of the pages, and began to pour out the following questions he usually accumulated in a single tray.


    Although he has the system by his side and has exchanged the electrophysiological intervention skill card, Lu Chen can''t master many other surgical skills like others, and the system will not help him adjust some details. .


    Therefore, it is necessary to find a good teacher.


    Usually, Lu Chen would ask Li Yao tutor for answers.


    But recently, Li Yao was busy with the declaration of the project, and Lu Chen didn''t want to trouble her anymore.


    There is a free teacher in front of him, and Lu Chen just couldn''t ask for it.


    Min Xiaobo was full of confidence at first, but he could finally pretend to be in front of Lu Chen.


    Such opportunities are very rare!


    However, after Min Xiaobo answered the first three questions, his expression changed.


    Lu Chen had to think about the question for a long time, and he couldn''t even find the right answer.


    This is embarrassing!


    "This... I''m also researching it recently. When I go back and find it, I''ll let you know."


    "Ah... Your electrophysiological positioning involves a lot of content, and I can''t explain it for a while."


    "Are you researching this aspect now?"


    ¡­


    However, this mode of communication is very beneficial for Lu Chen and Min Xiaobo.


    In the collision of their thoughts, they can realize their own shortcomings, so as to find out the omissions and improve their surgical skills.


    And through this simple exchange, Min Xiaobo also confirmed one thing.


    That is Lu Chen''s electrophysiological intervention level, perhaps not as bad as everyone imagined!


    In the ECG contest the day after tomorrow, Lu Chen may be able to give everyone a big surprise!


    (end of this chapter)

 Chapter 343： Cousin Luo Xueya

    Chapter 343 Cousin Luo Xueya


    The plane landed at Taiping Airport in Bingcheng.


    As soon as he got off the plane, Lu Chen felt a biting chill.


    In the winter of this ice city, the coldness of the cold wind seems to have pierced into the bones.


    Lu Chen and others changed into thick down jackets in the airport bathroom, and then walked out of the airport.


    "Lu Chen, are you sure you won''t come with us?" Cheng Guowen looked at Lu Chen.


    Lu Chen shook his head, "No, I have a relative who happens to be in Bingcheng, not far from the competition venue, so I can just go to his house."


    "That''s fine." Cheng Guowen nodded, "After settling down, remember to come to the venue tomorrow to familiarize yourself with it, and don''t forget that the preliminaries will be officially held the day after tomorrow."


    "Um."


    Lu Chen and Cheng Guowen separated.


    Waiting at the airport alone.


    His relatives in Bingcheng happened to be the elder brother of his mother Luo Meizhen, who was also Lu Chen''s uncle.


    He had already told his uncle in advance.


    On the phone, my uncle said that he would come to Taiping Airport to pick him up.


    But Lu Chen had waited for about half an hour and still didn''t see his uncle.


    "Did uncle forget?" Lu Chen thought.


    I was about to call my uncle, but my uncle called me.


    "Hey, Lu Chen, my company has something to do and I can''t come to pick you up. Come on by yourself..."


    "Uh, okay."


    Lu Chen was helpless, he knew this and left with Director Cheng Guowen.


    They happen to be in the same direction.


    Lu Chen didn''t dare to take a taxi. In the wild mountains and mountains of this airport, the taxi fare may be sky-high.


    He came to the airport lobby, bought a ticket for the airport bus, and waited for the bus at the platform outside with his luggage.


    Waiting for the bus at the platform outside, sometimes a cold wind whistled past, freezing Lu Chen to the point of shivering.


    Fortunately, the bus leaves every 20 minutes, so Lu Chen didn''t wait long before getting on the bus.


    The driver of the bus was a middle-aged man, very enthusiastic, and took the initiative to help Lu Chen put his luggage on the bus.


    "Uncle, do you know this place?" Lu Chen took out his phone and found the address sent by his uncle.


    "Of course I know, it''s a very high-end community." The middle-aged man smiled, "But our bus can''t go directly. When you get off at Daoli District, you need to transfer to a bus."


    "Oh." Lu Chen nodded.


    "I''ll call you when you get to where you should go." The middle-aged man''s words made Lu Chen quite relieved.


    "thanks."


    Lu Chen got into the car, almost half of the people in the car were already seated.


    He found an empty seat, put down his backpack, and stretched his limbs.


    Because the bus is air-conditioned, the winter cold is slightly dissipated.


    In less than ten minutes, the bus was full of people, and the driver started the car.


    The bus passed through a desolate field for about half an hour, and finally became an urban area.


    Through the window, Lu Chen saw a lot of pedestrians outside.


    What puzzled Lu Chen was that some women actually wore a pair of jeans with their ankles exposed.


    "This..." Lu Chen''s heart trembled, his imagination felt cold!


    ¡­


    About another twenty minutes passed.


    The bus stopped slowly.


    "The Daoli District is here, don''t forget to pick up your luggage if you want to get off the bus!" The big man shouted.


    Lu Chen got out of the car quickly and took away his luggage.


    "Is there no subway in Ice City?"


    As soon as Lu Chen got out of the car, he quickly wrapped himself up.


    He took out his mobile phone and found that there was no subway station nearby.


    In such a big city, there are only two subway lines...


    Lu Chen had to call a taxi, and then he reached his destination smoothly.


    According to the address sent by his uncle, Lu Chen went to the door.


    "Bang bang... bang bang... bang bang..."


    Lu Chen knocked on the door, but there was no response for a long time.


    "Is nobody home?"


    Lu Chen stood outside the door, shivering a little, the winter in this ice city is really cold!


    Just then, the door was opened a crack.


    A woman in pink pajamas and a mask opened the door.


    Women''s pajamas are short, which seems to be very inconsistent with this cold winter.


    "Who are you looking for?" the woman asked.


    Lu Chen wondered: "Is this Luo Ping''s house?"


    "Yes, you are..." The woman looked Lu Chen up and down, "Are you Lu Chen''s cousin?"


    Lu Chen was taken aback for a moment, the figure in front of him gradually overlapped with his memory.


    Because Bingcheng is far away from Jiangcheng, basically every three or four years, a family will get together.


    "You are Xue... Cousin Xueya?"


    The woman nodded lightly, because she was wearing a mask, she didn''t dare to move too much.


    "Lu Chen, come in quickly, it''s cold outside."


    Lu Chen nodded, hurriedly pushed his luggage, and walked into the house.


    As soon as he walked into the house, he was warmed up.


    The temperature has risen by at least twenty degrees.


    "I almost forgot, when my dad went out this morning, he told me that you want to come over."


    Luo Xueya tore off the mask, revealing a beautiful face.


    "Sister, do you apply a mask at home during the day?" Lu Chen laughed.


    When Lu Chen was a child, the Luo Ping family was still in Jiangcheng.


    Luo Xueya is four years older than Lu Chen, and the relationship between the two is still very good.


    "Who stipulates that masks cannot be applied during the day?" Luo Xueya rolled her eyes at Lu Chen.


    Lu Chen spread his hands, "Just if you like it, you won''t go to work today?"


    "Freelance, work from home." Luo Xueya smiled.


    "Oh." Lu Chen nodded, then he remembered that after Luo Xueya graduated, she had been staying at home, as if she hadn''t gone out to work.


    The two chatted for a while, and Lu Chen felt a little hot.


    The heating in the house is too strong, not suitable for wearing down jackets.


    He quickly took off his down jacket, leaving only a tight sweater.


    At this time, Lu Chen also noticed that Luo Xueya was wearing shorts and short sleeves.


    "Sister, isn''t the temperature difference between the indoor and outdoor areas of your ice city too big." Lu Chen said, "Wear a large padded jacket outside and short sleeves indoors?"


    Luo Xueya smiled, "You''ll get used to it after living for a long time."


    "I''ll be here for a few days." Lu Chen shrugged, "After the game, I''ll go back to Jinghua."


    "Yes, you went to Jinghua for graduate school? Didn''t I hear you before, you want to go to Kyoto?"


    "I didn''t pass the exam, but I was transferred to Jinghua."


    "Well, it''s pretty good too." Luo Xueya smiled, "It''s much better than me. I''m at home every day, and your uncle is going to annoy me to death."


    "Sister, then why don''t you go out to work..." Lu Chen whispered.


    "I said, I work from home..." Luo Xueya looked up at the clock on the wall, "Don''t say it, I''m going to start working soon!"


    "Huh?" Lu Chen was stunned and looked at Luo Xueya in front of him in astonishment.


    "Little cousin, go and rest in the guest room opposite by yourself. If I have something to do, I won''t accompany you for now."


    I saw Luo Xueya quickly returning to her room, closing the door, leaving behind a puzzled Lu Chen.


    Lu Chen had to push his suitcase into the guest room and took out all his clothes and daily necessities.


    They come, the security.


    I haven''t seen my uncle''s family for many years, and Lu Chen misses them more.


    It''s just that my cousin Luo Xueya doesn''t know what to say, it seems a bit strange...


    Not long after, Lu Chen heard a knock on the door.


    "Lu Chen, open the door."


    is the voice of cousin Luo Xueya.


    Lu Chen was training in the system space. Hearing her voice, he quickly launched the system virtual space.


    pushed the door open, Luo Xueya covered her stomach in pain and leaned against the door.


    "Sister, what''s the matter with you?" Lu Chen quickly helped her to the sofa.


    "I...that one is here, it hurts..." Roxuea blushed.


    Lu Chen looked a little embarrassed, "Is there any painkillers at home?"


    "Painkillers?" Luo Xueya wondered, "I heard you can''t take painkillers! Didn''t you study medicine? Don''t you know?"


    Lu Chen: "..."


    Is it passed out, menstruation is coming, can''t take painkillers?


    Lu Chen didn''t withdraw, he could only say: "Sister, you can take painkillers, once or twice, there are no side effects."


    Luo Xueya looked suspicious, still disbelieving.


    Lu Chen said shyly: "Do you want to drink more hot water?"


    "Hmph, you''re a big straight man, you definitely don''t have a girlfriend."


    Lu Chen: "..."


    (end of this chapter)

 Chapter 344： The third floor mall

    Chapter 344 The third floor mall


    As for the question of whether to take painkillers during menstruation, Lu Chen didn''t want to argue with his cousin.


    Now needs to be solved, that is Luo Xueya''s abdominal pain problem.


    Lu Chen rarely had contact with such patients with menstrual disorders and dysmenorrhea, let alone a girlfriend.


    In this respect, he was born with a defect.


    "Hey, little cousin, you really don''t have a girlfriend?"


    Seeing Lu Chen''s figure who was busy pouring hot water for herself, Luo Xueya said in surprise.


    "No."


    "Single for 23 years?"


    Lu Chen was helpless: "Sister, is it necessary for you to keep stressing this matter?"


    "Hehe." Luo Xueya took the hot water that Lu Chen poured and smiled, "You have to hurry up!"


    Lu Chen rolled her eyes and said it as if she had a boyfriend?


    "Sister, are you not going to "work" anymore?" Lu Chen wondered.


    "It''s okay, I''ll take a break." Luo Xueya took a sip of hot water.


    At this time, Lu Chen noticed that Luo Xueya had changed into a set of clothes, and the makeup on her face was much more delicate than when he entered the room.


    "Sister, are you ready to go out?" Lu Chen said, "I cleaned myself up a bit."


    "It''s so cold outside, why am I going out?" Luo Xueya glanced at Lu Chen, "I told you, I''m working."


    Lu Chen was taken aback for a moment, dressed like this at home, still working...


    "Are you doing a live webcast at home?" Lu Chen whispered.


    Hearing this, Luo Xueya was also surprised.


    "Ah... how do you know?"


    Sure enough, I was guessed by myself.


    Lu Chen smiled helplessly: "Sister, I''m too stupid if I can''t guess after hearing you say so much."


    "Actually, I don''t know how to live stream online either. I''m the master of video UP, and I occasionally do live broadcasts." Luo Xueya said, "But your uncle has always disagreed with my job. In fact, I earn a lot from this job. He is too pedantic. "


    "The older generation has a more conservative concept." Lu Chen smiled, "After a long time, my uncle will definitely understand."


    In the era of big information, everyone has their own ability to survive, and it is not limited to traditional types of work.


    "I hope so." Luo Xueya nodded.


    "By the way, sister, where are you on the platform?" Lu Chen was a little interested.


    "Station B." Luo Xueya smiled, "Hey, why don''t you help me record a video, I happen to be doing a video on health and wellness, you are a professional, everyone must trust me."


    Lu Chen complained for a while, who didn''t believe that menstrual cramps could take ibuprofen just now?


    "Sister, I, I''ll let it go... I can''t do this." Lu Chen quickly waved his hand.


    "Oh, just say a few words, show your face, and then give everyone some common medical knowledge..."


    Under Luo Xueya''s soft and hard bubbles, Lu Chen had no choice but to follow her.


    My cousin, she has been very stubborn since she was a child, and she will never give up until she achieves her goals.


    This is why she will be a video UP master against the opposition of the whole family.


    ¡­


    In Luo Xueya''s room, Lu Chen also recorded a video of medical science at her request.


    Lu Chen started from his own professional, and the users of station B are very young. He talked about some popular science knowledge about hypertension and arrhythmia.


    "I''ll show you after I finish editing later and upload it to station B."


    Luo Xueya went to handle the post-production of the video.


    In the evening, my uncle Luo Ping finally returned home.


    Luo Ping couldn''t even look down on his daughter.


    What video UP masters or online live broadcasts do, in his eyes, they can''t be on the table at all.


    And Lu Chen, the nephew, studied medicine and went to graduate school, but Luo Ping liked it very much.


    "Lu Chen, eat more vegetables. I haven''t seen you for a few years, and you''ve become a lot more handsome now!"


    At the dinner table, Luo Ping smiled and served Lu Chen some vegetables.


    "I also heard from your mother that you were studying in Jinghua, and you won the first place in the country?"


    "It''s a national medical student skills competition." Lu Chen laughed.


    "That''s right, that''s it, it''s really amazing." Luo Ping said, "Don''t imitate your cousin, you''re so old, you stay at home every day, and you don''t even have a boyfriend."


    Luo Xueya could only eat with her head down and said nothing.


    His father gave her the words she taught Lu Chen again.


    "Uncle, in fact, it is a relatively normal freelance job to be a video uploader now." Lu Chen said, "There are also a few self-media in this field among my classmates. Now is the information age. Compared with the previous era, it must be There will be different occupations and types of work. And it¡¯s really not easy to work in the self-media industry. It¡¯s not easy for my cousin to achieve this level.¡±


    "Really?" Luo Ping glanced at Luo Xueya and said nothing.


    But Luo Xueya cast a grateful look at Lu Chen.


    Whether it was useful or not, it would be very interesting that Lu Chen could intercede for himself in front of his father.


    "Lu Chen, I haven''t really thought about it, you still won the first place in the country?" Luo Xueya''s mood improved.


    After all, there is someone at home who supports me.


    "The result of working hard with my classmates." Lu Chen smiled.


    "Then what competition are you here for this time?"


    "National Wenxin Cup Electrophysiology Competition." Lu Chen said.


    "The national final again?"


    "Um."


    Luo Xueya glanced at Lu Chen in astonishment.


    She began to re-examine her cousin.


    I heard that Lu Chen''s grades are good, but I didn''t expect it to be so outstanding.


    Won the national championship, which is already a leader in the same age group.


    After the family finished their meal, Luoping Company had something to do, so they left.


    Lu Chen returned to the room and practiced in the virtual space of the system.


    And Luo Xueya continued to do video post-production.


    was speechless all night.


    ¡­


    The next day, Lu Chen went out alone early in the morning.


    Ice City in December, there is light snow in the sky.


    After a night of accumulation, there is a thick layer of snow on the ground.


    For the southerner Lu Chen, snow is really rare.


    However, in less than ten minutes, the severe cold of winter extinguished the surprise of seeing the snow scene.


    The venue for the preliminary round is in the conference hall of Bingcheng Medical University.


    Lu Chen stepped on the spot and became familiar with the playing field.


    On the way, he also met Cheng Guowen and Min Xiaobo.


    After a little greeting, Lu Chen returned to his uncle''s house.


    There is still more than half a day left, and he will continue to train in the system simulation operating room.


    ¡­


    went back to his room, and with a thought, summoned the system panel.


    in the skill bar of the system.


    ECG interpretation (intermediate 95%).


    Electrophysiological intervention (primary 72%).


    The skill of electrocardiogram has been upgraded to the intermediate level, and the proficiency is also close to full value.


    The skills of electrophysiological intervention are only elementary.


    With the current proficiency of these skills to participate in the competition, Lu Chen has no idea at all.


    Also, in the system panel.


    Lu Chen''s thanks points are more than 1,500 points. Since the last time he exchanged the electrophysiological skill intervention card, he has not used the thanks points again.


    At present, the system mall has opened the third floor.


    Many higher-level cards for skills can be exchanged, such as the advanced card for ECG interpretation and the intermediate card for electrophysiological intervention.


    But when he saw the "selling price" of the premium card, Lu Chen could only hold back...


    The premium card for ECG interpretation is priced at 3,000 thanks in the system store.


    The Intermediate Card for Electrophysiological Intervention, the price in the system store is 5,000 points of thanks!


    Not to mention the price of premium cards¡­


    This has to be saved until the year of the monkey and the month of the horse!


    Now Lu Chen can earn more than 1,000 gratitude points a month because he rotates in the emergency department. What about going to other departments later?


    "One step at a time."


    Lu Chen got rid of the distracting thoughts in his heart and started to do the final training for tomorrow''s preliminary competition.


    ¡­


    The third day in Bingcheng.


    Lu Chen gradually got used to the cold climate here, and the ECG competition came as scheduled.


    (end of this chapter)

 Chapter 345： Familiar name

    Chapter 345 Familiar Names


    Ice City Medical University, Conference Hall.


    At this time, it was already crowded.


    A huge poster has been erected at the gate of the hall - Wenxin Cup Electrophysiology Competition.


    Young talents in the field of electrophysiology from all provinces in China gathered together.


    After Lu Chen came to the conference hall, he immediately took off his down jacket.


    It is now minus twelve degrees outside, but it is twenty-five degrees indoors.


    "Lu Chen! We are here!"


    Min Xiaobo and Cheng Guowen also came to the hall.


    The three members of the Jinghua representative team are insignificant in the entire Huaxia representative team.


    This electrophysiology competition is not only a competition for the younger generation, but also a large-scale event in the field of electrophysiology.


    Many authoritative figures in the field of electrophysiology have come to join in the fun, and many have even become judges of the competition.


    "There are so many people!" Min Xiaobo sighed.


    In addition to the 80 participants, there are also entourages, organizers and the media. The conference hall, which could have accommodated 300 or 400 people, was already overcrowded.


    "The last time electrophysiology was so big was the annual electrophysiology meeting." Cheng Guowen smiled.


    As the chairman of Jinghua Electrophysiology Society, Cheng Guowen can be said to be the first person in Jinghua Electrophysiology.


    But in the All China Electrophysiology Association, Cheng Guowen is only a marginal figure.


    In recent years, although Jinghua Second Hospital has suddenly emerged, its background is still incomparable to those of traditional medical universities.


    The opening ceremony of the ?? ECG competition was presided over by the current chairman of the Chinese Society of Electrophysiology.


    After he briefly introduced the history of the ECG competition and the rules of the competition, the opening ceremony was over.


    Lu Chen likes this kind of opening ceremony, simple and clear.


    Unlike some leaders who are stinky and long, it consumes everyone''s patience.


    competition rules.


    The preliminary round of the first day is divided into the first stage in the morning and the second stage in the afternoon.


    The first stage of ?? is the interpretation of electrocardiogram.


    The second stage is the assessment of electrophysiological surgery.


    The organizer of the competition will not ink, and immediately after the announcement of the competition rules, all the contestants will be randomly numbered, and then the first stage of ECG interpretation will be started.


    The entire conference hall is divided into three areas, the competition area, the judges area, and the viewing area.


    More than 80 contestants came to the competition area in front of the conference hall.


    The number Lu Chen drew was 23.


    Min Xiaobo is numbered 31, Fang Yi is numbered 70.


    There are more than 80 laptops neatly placed in the competition area.


    Lu Chen successfully found his seat.


    Judges area, on the podium of the conference hall, there are a total of ten judges.


    Lu Chen glanced at him. Most of the names he had heard of were famous people in the field of cardiology and electrophysiology.


    Suddenly, Lu Chen saw two slightly familiar faces.


    "That''s Professor Ouyang Ming... and Professor Jia Bo?"


    Lu Chen was stunned for a moment. The case competition in Jinghua at that time was exactly the judge of Professor Ouyang Ming.


    And Jia Bo, isn''t that the professor who let him study for a master''s degree during the re-examination of the medical school at Wai Jing University?


    I didn''t expect Professor Jia Bo to come too!


    After being surprised, Lu Chen withdrew his gaze.


    I can''t think of too many things right now.


    There are only five minutes left before the start of the exam, he has to adjust his mentality quickly.


    ¡­


    Judges area.


    "Professor Ouyang, there are also two contestants from your hospital in this competition. Your strength should not be underestimated."


    Professor Jia Bo of Kyoto University School of Medicine smiled and said to Ouyang Ming who was beside him.


    "The two young doctors in our TCM are still inexperienced." Ouyang Ming smiled, "I heard that you have an amazing young man from Kyoto Medical College this year, and just posted an SCI with a score of 25. Thesis, it seems that you have come to the competition today?"


    "Professor Ouyang, you should be talking about a Ph.D. of Academician Yang Feng this year, Yu Weiguang, who just returned to China from Harvard Medical School."


    Jia Bo replied casually, but in fact his words were full of pride.


    "Well, yes, another leader in cardiovascular electrophysiology in the future." Ouyang Ming praised.


    Before graduating, he published an SCI paper with a score of more than 20 points, which has surpassed many doctoral supervisors.


    "However, are his clinical skills as good as his scientific research ability?" Ouyang Ming asked with a smile.


    This competition is not for Bike to develop papers!


    "Don''t worry, Professor Ouyang." Jia Bo was full of confidence, "At least among his peers, he has absolutely no rivals."


    "Then I''ll wait and see." Ou Yangming flipped through the roster of contestants in his hand, and suddenly thought of the student Li Yao had told him about.


    Seems to be Lu Chen, right?


    No. 23, Lu Chen, that''s him.


    Lu Chen''s speech on the case discussion left a good impression on Ou Yangming''s mind.


    It is extremely rare for a graduate student to have such a level.


    Unexpectedly, he actually passed all the way and came to the finals of the All-China Electrophysiology Competition!


    This is something Ouyang Ming never expected!


    No wonder Li Yao is so devoted to this student, it seems reasonable.


    "Professor Ouyang, do you pay special attention to this No. 23?" Jia Bo noticed that Ouyang Ming paid attention to No. 23 for a long time.


    "Hehe, this contestant is not easy." Ou Yangming raised his brows, "He is 23 years old this year, and he has just entered the first year of graduate school. To be more precise, he has just entered school for less than five months."


    "Huh?" Jia Bo was stunned, "Only 23 years old...Yanyi?"


    This is amazing.


    Electrocardiography competition, many students participated in the preliminary competition in various places.


    But when it came to the national finals, no students ever entered!


    Jia Bo was interested, and he also looked at the roster in his hand.


    Lu Chen... Department of Cardiology, Jinghua Second Hospital.


    The name ?? seems familiar...


    Where did you seem to have heard of it?


    Jia Bo frowned, but couldn''t remember for a while.


    ¡­


    Conference hall, viewing area.


    There is a big screen in front of everyone, which is divided into eight small screens, which broadcast the dynamics of each contestant in turn.


    Next to the ?? dynamic, there is also a leaderboard, which will update the current ranking in real time.


    Cheng Guowen sat in a corner with a nervous expression.


    The mission of the Jinghua team this time is to make it to the top ten.


    Then, in the resource allocation of Huaxia Electrophysiology, Jinghua can occupy more.


    Secondly, Cheng Guowen still has some selfishness.


    That is to let the representatives of the Second Academy of Jinghua enter the top ten.


    But Lei Cui failed to advance to the finals, instead Lu Chen entered the finals on behalf of the Jinghua Second Academy.


    Cheng Guowen basically does not have any hope of entering the top ten of Jinghua Second Hospital.


    Counting on Lu Chen, a freshman in the first year of graduate school?


    impossible!


    Cheng Guowen completely abandoned this idea in his mind.


    He now only hopes that Min Xiaobo and Fang Yi can enter the top ten, meet the Jinghua Electrophysiology Association, and strive for some resource shares in the coming year...


    ¡­


    In addition to watching the game live, this game is also live broadcast on the whole network. From the preliminary round to the final, there will be online reports by the official media.


    In the distant Jinghua and Jiangcheng, there are countless pairs of eyes watching this preliminary match.


    Lu Wenguo and Luo Meizhen took special leave today to wait for the start of the game at home.


    The eighth ward of the Cardiology Department of the Second Jinghua Hospital, and even the hospital spontaneously organized to watch the live broadcast in the duty room.


    Instructor Li Yao has already opened the live web page in the director''s office.


    Lu Chen''s roommates, juniors, and juniors were all sitting in front of the computer, watching the preliminary ECG competition.


    In the eager anticipation of everyone, the game has begun!


    On the computer in front of Lu Chen, a prompt to enter the exam popped up.


    Lu Chen click to enter.


    The first ECG interpretation question comes into view!


    (end of this chapter)

 Chapter 346： Sixth man!

    Chapter 346 The sixth person!


    but!


    The first question of this preliminary round stunned everyone!


    When Lu Chen saw the title, he was stunned.


    He had never done this type of question before.


    Pacemaker is one of the most important contents in electrophysiology.


    The usual assessments are related to electrophysiology.


    The title is, identify a pacemaker from a chest radiograph below!


    The first question is not the interpretation of the electrocardiogram, nor the identification of the electrocardiogram of the pacemaker...


    Instead, the manufacturers and types of different pacemakers can be judged by imaging the pacemaker displayed in the chest X-ray.


    In the past, when many patients could not provide the manufacturer and type of pacemaker, clinicians could identify them through chest X-ray.


    This first question is a different approach.


    seems to have nothing to do with electrophysiology, but it is closely related to electrophysiological interventional surgery.


    Having not been involved in electrophysiological intervention for several years, it is simply impossible to judge the model of the pacemaker through the imaging of the chest X-ray.


    ¡­


    Lu Chen was a little stunned for the first time.


    The pacemaker shows an outline under the X-ray.


    It''s just that he didn''t pay attention to such details at all. Lu Chen couldn''t tell which kind of pacemaker would have which characteristic outline.


    Except for Lu Chen, most of the contestants present were stunned.


    This first question directly gave everyone a dismay.


    at the judges table.


    Ou Yangming smiled, "Who asked this first question? With these young doctors, who else would pay attention to these details?"


    Jia Bo echoed.


    "Yeah, back in the day, when we first learned about electrophysiological intervention, we remembered the shape of each pacemaker. But now the information system is relatively complete, and patients can easily adjust to all the previous types of pacemakers. Medical records, including which pacemaker you are using."


    Ou Yangming nodded, "Yes, the times are advancing, and many clinical techniques have long since disappeared. However, I am curious now, what is the correct rate of this question?"


    At the judges'' table, everyone looked at the ranking list in front of them.


    Currently, all 80 contestants have zero points!


    ¡­


    Lu Chen looked at the chest X-ray that appeared in the question several times, but he still couldn''t tell it was a pacemaker of that type.


    There are many types of pacemakers on the Chinese market, including single-chamber pacemakers, dual-chamber pacemakers, and dual-ventricular pacemakers, and the basic settings and functions of pacemakers from different companies or manufacturers are incapable.


    In addition, the market is dominated by pacemaker manufacturers such as Medtronic, St. Jude, Boston, and Biotroy.


    Time passes by every minute and every second.


    Lu Chen was still unable to make a judgment.


    The five-minute time limit for the first question will soon pass.


    Just then, the ranking on the leaderboard finally changed!


    No.8 Yu Weiguang, successfully solved the first question, earning 2 points and ranking first!


    The contestants can''t see the ranking list, but everyone can feel the tense atmosphere.


    Lu Chen thought to himself, "Does the first question have to be guessed?"


    While hesitating, a light flashed in Lu Chen''s mind, how could he forget the system virtual space?


    In the system virtual space, there are various types of pacemakers.


    Every time before starting the virtual training, the system will let Lu Chen choose by himself.


    Because the Jinghua Second Hospital used Medtronic instruments, Lu Chen chose Medtronic.


    Lu Chen''s thoughts moved, and he immediately entered the virtual space.


    The time is less than half, he has to hurry up and quickly write down the characteristics and models of other pacemakers.


    ¡­


    In the ?? system virtual space, rows of common pacemakers appeared in front of Lu Chen''s eyes.


    He immediately discovered that each pacemaker had specific letters and patterns on it.


    For example, St. Jude''s pacemaker, SJM stands for St. Jude, HM stands for pacemaker Fortunately, MRI stands for Magnetic Resonance Compatible.


    Boston Scientific, BSC stands for Boston Scientific, and 011 stands for the model of the product.


    Sorin, the pacemaker X-ray logo is only the product model.


    Secondly, when the X-ray identification of the pacemaker is not clear, the manufacturer and model can be judged according to the characteristic shape of the pacemaker.


    St. Jude''s pacemaker, which looks like a mango.


    Boston Scientific pacemaker, similar in appearance to sunglasses.


    The BIOTRONIC pacemaker looks like a bird¡¯s beak¡­


    ¡­


    In addition, Lu Chen also noticed another point, the wiring methods of various pacemakers are different!


    St. Jude''s pacemaker, a unique rectangular ring.


    Boston Scientific''s pacemaker, part of the wiring is several wires side by side, like a centipede.


    BIOTRONIC pacemaker, the wiring part is similar to the combination of tableware and chopsticks on the dining table.


    ¡­


    Lu Chen quickly summed up these three characteristic points, and memorized the differences of five common manufacturers'' products.


    Now, there is only one minute left until the end of the first question!


    At this time, in addition to Yu Weiguang, four other contestants successfully made the first question on the leaderboard.


    However, their time is longer than Yu Weiguang, so Yu Weiguang is still ranked first.


    "It seems that only these five contestants can complete the first question."


    Jia Bo smiled while looking at the leaderboard.


    In addition to Yu Weiguang, there is another contestant at Kyoto University School of Medicine, who also successfully completed this task.


    Ou Yangming was about to nod his head, but suddenly found that the ranking in front of him had changed again!


    Originally, only five people had grades, but now another one suddenly appeared...


    "Is it Lu Chen?!!!"


    When he saw the name of the sixth contestant, Ou Yangming was startled, could it be him? !


    Ou Yangming never thought that Lu Chen, as a young man in his twenties, could do such a difficult task!


    Jia Bo also saw the name "Lu Chen".


    His brows were slightly wrinkled, and he always felt like a familiar name, but he couldn''t remember it.


    ¡­


    Outside the venue, many people didn''t know Lu Chen''s name, so there wasn''t much response.


    However, those who knew Lu Chen were completely stunned at the moment!


    Cheng Guowen is a little unbelievable.


    The first question, like this kind of off-topic and strange questions, neither Min Xiaobo nor Fang Yi could solve it, but Lu Chen could actually solve it?


    This is not a multiple choice question, but there is no option, there is no way to cover it.


    In front of everyone''s eyes, Lu Chen couldn''t cheat.


    In other words, he made it entirely by his own ability!


    Cheng Guowen took a deep breath.


    During this time, he has been guiding Lu Chen''s study in the simulated operation room.


    Lu Chen''s details, he felt that he was clear.


    However, today, he suddenly felt that the Lu Chen in front of him was a little strange!


    ¡­


    while on the field.


    Lu Chen breathed a sigh of relief.


    Within ten seconds before the end of the game, he quickly typed the answer to the first question on his laptop.


    The successful answer to this question is entirely the credit of the system.


    (end of this chapter)

 v2 Chapter 1：

owes a chapter


    Just one update today, I''m too tired, I can''t stand it anymore, I want to sleep.


    Tomorrow, I can finally take a day off, and I will guarantee four shifts.


    (end of this chapter)

 v2 Chapter 347： Unexpected ranking! (first update)

    Chapter 347 Unexpected ranking! (first update)


    Without the help of the system, even if Lu Chen racked his brains, he couldn''t solve this problem at all.


    "Huh..." Lu Chen focused all his attention.


    Because of the noise on the field, he couldn''t concentrate completely, but now after the first question, Lu Chen realized that the difficulty of this exam is by no means unusual.


    The first question is so difficult, basically equivalent to the level of the provincial finals, let alone other questions.


    Five minutes passed, the time for answering the first question was over, and a total of six contestants answered successfully.


    The screen in front of you is a flower.


    The question is switched, the second question appears, and there is also a five-minute answering time.


    ¡­


    The competition area is in full swing.


    In the judges area and the viewing area, some people have begun to notice Lu Chen.


    "Professor Ouyang, you seem to be more concerned about Lu Chen on the 23rd!" Jia Bo smiled and looked at Ouyang Ming who was on the plate, his eyes flashed with doubts.


    As Professor Ouyang, how could it be possible to meet such a little-known little doctor? !


    "When I was in Jinghua Second Hospital, I had a relationship with him." Ouyang Ming smiled. "Others still praised him in front of me, but I didn''t quite understand it at the time, but now it seems that it has such a meaning."


    "This No. 23 belongs to Jinghua?" Jia Bo said.


    "Yes, Jinghua Second Hospital." Ouyang Ming suddenly smiled, "Also, I heard that he seemed to have applied for the Kyoto University School of Medicine before, but he failed the re-examination and was brushed off!"


    "I didn''t pass the re-examination... Was it brushed out?" Jia Bo said to himself, and suddenly looked startled, he remembered it!


    Could it be... is he?


    This year''s postgraduate re-examination at Kyoto University, the Department of Cardiovascular Medicine was presided over by him.


    He remembered that a student did very well in the re-examination process.


    However, the list of qualified candidates for the re-examination has long been "default" full.


    Jia Bo felt that it was a pity and wanted to give a place for a master''s degree, but was rejected.


    This was one of the few times Jia Bo was rejected.


    Although most of the medical students are studying for a master''s degree, in recent years, the state has supported the master''s degree.


    And this is a master''s degree from Kyoto University School of Medicine, and the number of places is extremely limited!


    Jia Bo thought of this, and immediately turned to Lu Chen''s data sheet.


    In the upper right of the data sheet, paste Lu Chen''s profile picture.


    "Really, it''s really him!"


    Jia Bo showed a look of astonishment on his face.


    He had a deep impression on Lu Chen as a student, because Lu Chen''s re-examination score was close to full marks!


    However, he has only been in school for less than half a year. How did he learn electrophysiological interventional surgery?


    "Wait... let me stroke..." Jia Bo suddenly realized that being able to participate in this final meant that Lu Chen had already passed two or three rounds of the provincial competition!


    To be able to advance among millions of people, this Lu Chen can no longer be viewed from a common sense.


    Jia Bo suddenly realized that he had missed a genius?


    He stared closely at the competition area. In addition to Yu Weiguang, Lu Chen, who was No. 23, was on the list.


    ¡­


    On the field, Lu Chen continued to answer questions.


    The following questions are all very normal, including the interpretation of pacemaker ECG, ablation ECG and electrophysiological ECG.


    However, the overall difficulty of the questions completely surpassed the provincial competition.


    If it wasn''t for the fact that Lu Chen had improved his ECG level skill proficiency to over 80% in the past two months, Lu Chen would have been absolutely helpless in the first stage of today''s preliminary competition.


    However, as the exam continued, Lu Chen felt that the difficulty of the questions was gradually increasing.


    Lu Chen looked at the question in front of him and sighed, "This question seems to be half done and half ignorant."


    By the time he got to the tenth question, he was no longer sure.


    "The preliminary round is so difficult. It seems that the next rounds are only for intermediate skills, which may not be enough." Lu Chen thought to himself.


    Right now, Lu Chen can only do his best to complete every question.


    Of course, apart from Lu Chen, other contestants also felt the increase in the difficulty of the questions.


    Min Xiaobo''s palms were sweating. He had never seen this situation during the provincial competition!


    Fang Yi of Jinghua First Academy was even more so. Since he lost the first question, he was completely out of shape.


    As the difficulty of the questions increased, his head was like a bag of paste, and he couldn''t even maintain his normal thinking mode!


    ¡­


    Question 12.


    Patient male, 65 years old. Clinical diagnosis: fast-slow syndrome, paroxysmal atrial fibrillation, atrial flutter, atrial tachycardia, after CARTO-guided radiofrequency ablation, after DDD pacemaker (St. Jude 5816) implantation.


    Holter ECG examination was performed on the second day after pacemaker operation. The following pictures (A¡«E) are dynamic ECG segments¡­


    When Lu Chen saw the description of this question, his head was big.


    The question stem gives a total of five dynamic ECG fragments, and then the interpretation of the ECG is required.


    One clip is difficult, but now there are five clips at once!


    Lu Chen could only be patient and start the analysis from the first ECG segment.


    In the ??A figure, the P-AP interval at the red single arrow is significantly shorter than the AP-AP interval.


    Lu Chen frowned, this should be a reminder that the pacemaker did not sense the P wave at the arrow, and then the QRS wave was treated as a premature ventricular contraction (PVC) to reshape the VA interval...


    ¡­


    The exam atmosphere in the competition area is getting more and more dignified.


    More than half of the first stage is over!


    There are a total of 20 exam questions, and we have reached the 15th question.


    At this point, the overall ranking of the first stage has begun to take shape.


    In the preliminary round, a total of 30 people will enter the semi-finals.


    So everyone pays special attention to the top 30 contestants.


    on the leaderboard at this time.


    First place, Yu Weiguang, all fifteen questions are correct!


    Second place, Li Wenqian.


    The third place, He Meiling.


    ¡­


    4th place, Min Xiaobo.


    ¡­


    19th place, Lu Chen!


    ¡­


    43rd place, Fang Yi.


    ¡­


    Because it is not a multiple-choice question, it is not a question-and-answer question, so the score of each question is not fixed.


    The grading standard of the judges is based on the completeness of the answers of the contestants.


    Lu Chen tried his best to answer every question, but he still couldn''t compare to those experienced doctors.


    If it wasn''t for the first question, which gave Lu Chen a certain advantage, his nineteenth place would have to drop down.


    However, this is the case, Lu Chen''s performance has already shocked everyone.


    The first to bear the brunt are Jia Bo from the judges area and Cheng Guowen from the viewing area.


    Cheng Guowen is the person who knows Lu Chen best.


    A graduate student who can enter this national competition is already considered a success.


    However, who would have thought that the first stage of the competition was almost over, and Lu Chen actually entered the top 30!


    This is something Cheng Guowen could never believe!


    He stared blankly at the leaderboard on the screen in front of him, then pinched himself hard, the pain let him know that this was not a dream.


    (end of this chapter)

 v2 Chapter 348： Jia Bos Regret (Second)

    Chapter 348 Jia Bo''s Regret (Second)


    In Cheng Guowen''s eyes, it is normal for Min Xiaobo to get the results he is now.


    After all, he is a returnee with a doctor of cardiology, and he specializes in electrophysiology!


    Even, Min Xiaobo can carry out electrophysiological interventional surgery alone.


    But what about Lu Chen, a medical student who just finished his first grade!


    He can squeeze into the top 30 in a game of strong players...


    This is nothing short of a night talk!


    However, now the facts are in front of us, so Cheng Guowen has to accept it!


    "Still... there are still the last five questions left." Cheng Guowen swallowed, "Lu Chen, can you seize this opportunity and enter the top 30?"


    Although this is only the first stage of the competition, there will be a second stage of electrophysiological intervention assessment in the afternoon, but the electrophysiological assessment only accounts for 30% of the score.


    If you can win the first stage, then you will have a great advantage later!


    ¡­


    comes to the sixteenth question.


    This is an electrocardiogram of an acute right ventricular infarction.


    However, the requirement of this question is to analyze the electrocardiogram vector.


    If you use the normal method, it is a good judgment.


    But now it is required to use the ECG vector to analyze, then this difficulty has been raised by two or three grades.


    Fortunately, after more than two months of intensive training, Lu Chen is already familiar with the knowledge of ECG vectors.


    Lu Chen paused and carefully analyzed the topic to avoid any traps.


    "The ST vector of the F plane is located at the lower right +115¡ã, and the amplitude is about 0.34mv. The ST vector of the H plane is located at +150¡ã, and the amplitude is 0.17mv. The ST vector of the SR plane is +74¡ã before the increase, and the amplitude is 0.32mv..."


    After thinking about it, Lu Chen continued to write: "VCG mainly shows that the ST vector is significantly increased, and it is accompanied by an abnormal T ring in the lower right front. There is no typical inferior wall infarction QRS onset and upward increase in time and amplitude, which is an acute right early changes in ventricular infarction."


    Question 16, the clinic was successfully completed!


    Question 17, an electrocardiogram on transesophageal atrial modulation.


    Question 18, on the use of tablet electrocardiogram.


    ¡­


    Question 20 is also the last and first question.


    This question is an ECG scatterplot.


    "Scatter plot? What is this?" When Lu Chen saw the title, his mind went blank.


    For him, the ECG scatter diagram is another brand new concept.


    The question is, it is an electrocardiogram that he has never seen before.


    To be precise, this is not an electrocardiogram, but a statistical scatter plot!


    For this question, Lu Chen exhausted all the time to answer the question, and finally handed in a blank.


    ¡­


    All exam questions are over, and everyone''s eyes are fixed on the leaderboard on the giant screen.


    The last few questions, the situation on the field suddenly changed!


    The only constant is Yu Weiguang, who is the first.


    His ranking has always been stable!


    However, there is a change in the ranking for all of them from 2nd to 20th.


    Min Xiaobo, who had been wandering around a dozen or so, jumped up and broke through and entered the top ten!


    Fang Yi''s ranking has also risen to 30th.


    Only Lu Chen, his ranking dropped suddenly in the last few questions.


    has dropped from the 19th place to the 28th place!


    Although he is still in the top 30, he can already see his decline.


    What hurts the most is the penultimate question. Lu Chen just handed in the blank paper, and he couldn''t even understand the question!


    No way, this is Lu Chen''s fault.


    No matter how smart he is, no matter how he uses the virtual space of the system, there are still many things that cannot be learned in a short period of time, but are obtained through long-term experience and experience.


    ECG scatter diagram, which is a subject combining electrophysiology and modern science and technology.


    If you don¡¯t study this subject, it is difficult to understand the content of the ECG scattergram.


    ¡­


    Judges area.


    "Although he made some mistakes in the last few questions, in general, his performance was pretty good!" Ouyang Ming smiled.


    It is very rare for a first-year graduate student to be able to achieve this level.


    "It''s really good." Jia Bo nodded slightly, but then he sighed, "But it''s still a pity, the second-stage electrophysiological interventional surgery assessment in the afternoon, this young man on the 23rd should not be able to compare with other experienced doctors. already."


    Ouyang Ming nodded and said, "That''s true. Today''s young doctors may ignore the interpretation of electrocardiograms, but they are the most enthusiastic about electrophysiological intervention techniques. Lu Chen is still too young to compare with these attending doctors or Deputy Chief Physician!"


    "It''s already amazing that he can achieve what he is now." Jia Bo''s eyes flickered.


    This Lu Chen is quite talented. The cardiology graduate students he recruited today are still rotating in various departments!


    But there is no one with the ability of Lu Chen, who even came to participate in the national electrocardiogram finals!


    Jia Bo already regretted the decision he made.


    However, it now seems that Lu Chen has no hope of entering tomorrow''s rematch.


    Jia Bo felt a little better in his heart.


    If he really gets into the rematch, then Jia Bo really wants to buy regret medicine.


    Lu Chen is still in the embryonic stage, and he can already compete with cardiologists from all over the country.


    Then wait for him to grow up for a few more years, that''s worth it!


    ¡­


    The viewing area outside the stadium.


    Cheng Guowen is very satisfied with the current results.


    Min Xiaobo broke through the top ten in one fell swoop, and almost announced that he could enter the semi-finals.


    And Fang Yi is able to catch up, and he also retains the hope of promotion.


    Looking at Lu Chen, Cheng Guowen had no demands on him.


    Although Lu Chen''s current ranking has dropped, it has still greatly exceeded Cheng Guowen''s expectations.


    ¡­


    Fill the last question.


    Lu Chen took off his earphones, and the words Waiting for Results appeared on the computer screen.


    The countdown is half a minute.


    Although it wasn''t the final result, Lu Chen was still a little nervous.


    The first stage accounts for 70% of the total score, which can basically determine the general trend of semi-final promotion.


    These thirty seconds were extremely long for all the contestants.


    The last twenty seconds...


    Fifteen seconds, ten seconds, nine seconds...


    When the countdown was cleared, the ranking of the entire game finally popped up on the computer screen.


    Lu Chen saw his results, 28th place!


    "Huh... let''s be so-so." Lu Chen thought to himself.


    This result was within his expectations.


    But with the help of the system, he could only barely squeeze into the top 30, and he was still a little unwilling.


    This intermediate level card for ECG is really not enough!


    It is conceivable that once you enter the semi-finals, the subsequent ECG exam questions will definitely become more and more difficult!


    Min Xiaobo''s eyes filled with joy when he saw his results.


    He also saw Lu Chen''s 28th place.


    Min Xiaobo raised his brows. This ranking, among the 80 contestants, was already at an upper-middle level.


    If Lu Chen can stabilize his position in the second stage this afternoon, he also has a chance to enter the semi-finals!


    There are two more chapters


    (end of this chapter)

 v2 Chapter 349： Ouyang Mings support

    Chapter 349 Ouyang Ming''s Support


    The first stage of the competition is over!


    Yu Weiguang from Kyoto University School of Medicine became the focus of the game.


    As a young generation leader in the field of electrophysiology, Yu Weiguang not only stands out in academics, but also shows his absolute strength in the competition of clinical skills.


    Ou Yangming made a speech as the representative of the judges, emphatically mentioned Yu Weiguang, and introduced Yu Weiguang''s resume to everyone.


    "Dr. Yu Weiguang from Kyoto University School of Medicine, performed extremely well in the first stage of the preliminary round, and only got one question wrong!"


    This terrifying strength made Lu Chen sigh.


    To be honest, before he came to the game, he didn''t have any idea about this game.


    However, among his peers, Lu Chen has few rivals, even more powerful than the ECG level of some attending doctors.


    This inevitably made Lu Chen feel a little conceited.


    But after the first stage of assessment, his mentality has completely disappeared!


    There are still many outstanding talents from all over the country!


    Even with the help of the system, he is still a long way from being a top talent.


    At this moment, Ou Yangming on stage suddenly changed the conversation.


    "Besides Yu Weiguang, I want to talk about another person!"


    When Ou Yangming said these words, Jia Bo, who was beside him, felt that something was wrong.


    He hurriedly whispered: "Professor Ouyang, we have to move on to the next link..."


    "Let me finish!" Ou Yangming glanced at Jia Bo.


    Jiabo closed his mouth immediately.


    Ou Yangming smiled and looked around at the people who sat down: "What I want to say is that Lu Chen is No. 23! Now he is No. 28."


    As soon as the voice fell, everyone followed the number on the seat and found Lu Chen.


    Lu Chen was also quite surprised, he didn''t expect Professor Ouyang to cue him on the spot!


    "Did you see that Dr. Lu Chen is very young?" Ou Yangming continued to laugh, "Tell everyone a secret, Dr. Lu Chen just entered the first grade this year."


    The 28th place is not surprising.


    But when Ouyang Ming said that Lu Chen was a first-year graduate student, the audience suddenly boiled over.


    How come a student came to participate in a conference in the field of electrophysiology, and it is still twenty-eighth!


    Whether it was the contestants on the field, the people in the judges area, the people watching the competition, or the people watching the live broadcast online, they were all looking for Lu Chen.


    At this time, the director was also very powerful, and immediately switched to Lu Chen''s screen.


    "This is too awesome!"


    "The first-year research student, the chief physician and the deputy chief physician of the war, this is outrageous!"


    "It''s that he''s not at the bottom, he''s still the twenty-eighth! This..."


    "The point is, you look at this picture, he is really handsome!"


    Jia Bo never expected that Ouyang Ming would personally "endorsement" to Lu Chen.


    Speaking of Lu Chen''s name in such a large-scale event, although the time is short, it has already let everyone know who is there!


    This is a clear meaning of support!


    Hey, it''s too late to regret it now.


    Jia Bo recited silently in his heart, hoping that the second stage exam in the afternoon would come soon.


    Looking at Lu Chen''s current performance, he definitely couldn''t pass the second-stage electrophysiological assessment in the afternoon.


    ¡­


    Off-site, live broadcast area of ??each website.


    The people in the eighth district of the Jinghua Second Hospital are in the duty room at this moment, and every pair of eyes is only staring at the ranking list.


    "Senior Brother Lu Chen is amazing, the twenty-eighth!"


    "Does this Professor Ouyangming know Senior Brother Lu Chen? Why did everyone introduce Senior Brother Lu Chen?"


    "I don''t know it, I think it''s Brother Lu Chen''s ability to impress the judges!"


    In the duty room, everyone was talking about Lu Chen''s performance in this exam.


    is just the director''s office separated by a wall.


    Li Yao sat at the desk in the office, holding the freshly adjusted coffee in her hand, and a faint smile appeared on the corner of her mouth.


    Lu Chen''s first-stage exam, ranked twenty-eighth, was beyond Li Yao''s imagination.


    At the same time, Professor Ou Yangming''s words made the smile in Professor Li Yao''s eyes even more hidden.


    "It seems that when Uncle Ouyang returns to Jinghua, he will definitely take a walk with him."


    ¡­


    Pingyang People''s Hospital.


    Lu Wenguo excitedly took the computer and ran from the lounge to the doctor''s office.


    "Come and see everyone, this is my son, this is my son!"


    The live broadcast of ?? happened to be when Ou Yangming was introducing Lu Chen to everyone.


    "Director Lu, what kind of competition is this? A provincial competition?"


    Lu Wenguo put the computer in the doctor''s office and shook his head quickly.


    "This is a national competition!"


    "Huh?" Wu Yun raised his brows and pointed to the live broadcast screen, "National finals?"


    "Yes!" Lu Wenguo smiled, "The final held in Bingcheng!"


    After everyone figured out the situation, they exclaimed.


    "Director Lu, your son is amazing!"


    "I remember that I was the champion of some skill competition some time ago. What kind of electrocardiogram finals are you participating in this time?"


    "I remember that Director Lu didn''t let Lu Chen go to graduate school before! How can I be so happy now!"


    Being teased by the people in the department for a while, Lu Wenguo was not angry.


    He watched the live broadcast of the game cheerfully, and the feeling of comfort and pride in his heart came spontaneously.


    ¡­


    Ou Yangming''s review is over.


    This is also the first time that Lu Chen''s name has appeared in the eyes of a bigwig in the field of electrophysiology.


    But now Lu Chen is still too young and too weak!


    All the bigwigs only thought that Lu Chen was a "second-generation student", and didn''t take it seriously.


    "Lu Chen, in the second stage of the afternoon, you have to work hard!"


    Cheng Guowen came to Lu Chen and finally said the most kind words in this month.


    "Okay, thank you Director Cheng."


    Lu Chen said goodbye to Cheng Guowen, Min Xiaobo and others.


    The exam in the afternoon starts at 2:00, and he can go back and rest for a few hours.


    Just walked out of the conference hall.


    Unexpectedly, Lu Chen met Ou Yangming and Jia Bo behind him.


    "Hello Professor Ouyang." Lu Chen greeted respectfully.


    "Hello, little guy, we meet again." Ou Yangming said with a smile, "Although it''s already great, we must continue to work hard and guard against arrogance and impatience."


    "Thank you, Professor Ouyang." Lu Chen nodded slightly.


    Today''s comments from Ou Yangming after the game were obviously meant to support him. Lu Chen was very grateful when he saw it in his heart.


    At this time, he also saw Jia Bo behind Ou Yangming.


    "Professor Jia, hello." Lu Chen said immediately.


    Jia Bo is really reluctant to see Lu Chen, isn''t this a proper slap in the face?


    "Cough, classmate Lu Chen, we meet again." Jia Bo coughed softly.


    "Hey, you guys... know each other?" Ou Yangming glanced at Jia Bo and Lu Chen in surprise.


    Lu Chen said generously: "Professor Ouyang, my first choice for the postgraduate entrance examination this year is the Kyoto University School of Medicine. The re-examination was swiped, so I was transferred to Jinghua. At that time, the re-examination examiners of Kyoto University included Professor Jia."


    "Really?" Ou Yangming raised his brows.


    Jia Bo smiled awkwardly: "Yes...Yes."


    "That little Jia, you really lost a talent!" Ou Yangming glanced at Jia Bo mockingly.


    Jia Bo laughed dryly, his face even more embarrassing.


    Fortunately, Ou Yangming did not continue to talk about this topic. After chatting with Lu Chen for a while, he left.


    One more chapter


    (end of this chapter)

 v2 Chapter 350： Twist, jump, jump (the fourth is more Han Xiaohe plus

    Chapter 350 Twist and jump (the fourth is more Han Xiaohe)


    At eleven o''clock in the morning, Lu Chen returned to his uncle''s house.


    Today Luo Ping does not go to the company, but cooks at home.


    "Xiaochen, how was your test?" Luo Ping walked out of the kitchen with his apron and spatula in hand.


    "It''s so-so." Lu Chen smiled, "There is still the second stage of the exam in the afternoon. Whether we can enter the semi-finals depends on the results in the afternoon."


    "Well, just do your best, don''t force it too hard." Luo Ping smiled, "You rest for a while, the dishes will be ready soon."


    "Okay, uncle."


    Luo Ping''s character is similar to Luo Meizhen.


    Both of them are very Buddhist, and they don''t have high requirements for grades, as long as they are happy and happy.


    Therefore, Luo Xueya is the character she has grown into today.


    ¡­


    Lu Chen returned to his room, and just put down his backpack, Luo Xueya rushed in before his **** was hot.


    "Lu Chen, you''re back!"


    She was still wearing pink shorts and short sleeves, no makeup.


    If it wasn''t for Luo Xueya''s beautiful appearance, it would be hard to imagine a woman who was running fast and wearing pink pajamas.


    "Lu Chen, my video is finished, you can take a look first, and then give your opinion."


    Luo Xueya sat down on Lu Chen''s bed with her laptop.


    "So fast?" Lu Chen asked in astonishment.


    It only took two days from video recording to post-production.


    Luo Xueya''s speed is extremely fast.


    Like many UPs, a video takes at least half a month.


    "Oh, I have nothing to do at home." Luo Xueya smiled, "In the past two days, I have basically been doing post-production, so it is very fast. In addition, the post-production of my popular science video is not very troublesome, two Days are enough."


    "Oh, then let me take a look." Lu Chen sat beside Luo Xueya.


    Luo Xueya clicked the button to play the video.


    At the beginning of the video, Luo Xueya was dressed in the attire of a royal sister, with delicate makeup on her face.


    "hollo, hello everyone, I''m your little Xueya. I haven''t seen you for a few days. Do you miss me?"


    Luo Xueya in the video looks better than the real one.


    It might be because of various beauty treatments and filters, Lu Chen thought.


    "Today, in addition to the daily topics, at the end of the show, I also want to give you a popular science."


    "Recently, my little cousin came to my house as a guest. He is a top student in medical school, and I wanted him to help make a popular science interactive video."


    ¡°¡­¡±


    After about five minutes, Lu Chen appeared on the screen and started his science popularization journey.


    Luo Xueya''s video production is relatively simple, and Lu Chen didn''t see anything outstanding.


    If you have to find out one point, it is that Luo Xueya has a good appearance.


    Moreover, she used to be an UP in the singing area and stage area, so she has been running an account for a long time and accumulated about 300,000 fans.


    "Okay, that''s all for today''s video. Finally, remember to click three times!"


    When the video ended, Luo Xueya looked at Lu Chen, "Lu Chen, what do you think?"


    Lu Chen paused, then hesitated: "Cousin, do you want me to tell the truth?"


    Luo Xueya puffed up her cheeks, "Hmph, tell a lie first!"


    "Cousin is beautiful and very photogenic, um... There should be a lot of audience." Lu Chen smiled.


    "What about the truth?" Luo Xueya frowned.


    "The content is empty and boring, lacking in new ideas, only the appearance can win." Lu Chen said, "There are many people watching, but it may not be popular!"


    However, this also represents the status quo of a certain part of the UP master.


    A girl with a good face and a good figure, just twist and look around, and the fans will rise.


    But those who really make videos will have a harder time doing it.


    Obviously, Luo Xueya wanted her videos to have connotations, not just the appearance and figure that others would appreciate.


    "Cousin, what do you think I should do?" Luo Xueya asked immediately.


    "I think first of all, the content of the video should not be too complicated, but the subject should be clear, and the knowledge of popular science does not need to be particularly difficult. What we need to do is to let everyone understand some medical common sense in life, and it is helpful for daily life. , but how difficult the knowledge is to stumble everyone."


    Luo Xueya nodded in understanding.


    "Secondly, since we let it be mutual popular science, we can add some mutual options, let everyone choose by themselves, and finally rate..."


    "That''s about it." After Lu Chen finished speaking,


    Luo Xueya looked at Lu Chen in surprise, "You are amazing, cousin, have you learned video production before?"


    Lu Chen shook his head, "No, but I will watch some medical science time and summarize their advantages and disadvantages."


    In the current era of big information, various short videos and self-media workers emerge in an endless stream.


    Many medical workers also choose to make popular science videos.


    For example, in the current Jinghua Second Hospital, Lu Chen really watched a few videos.


    However, for this kind of popular science video, a doctor usually sits down and starts talking.


    Many people, click in, and definitely come to see the appearance and figure of the UP master.


    There are very few viewers who actually watch the video content.


    "Then I''ll listen to you." Luo Xueya nodded, "I''ll go back to my room and make changes. Based on this, it should be very simple. I''ll post it after I''m done."


    After ??Luo Xueya finished speaking, she returned to her room.


    Lu Chen finished sending Luo Xueya, and it was time to eat.


    But Lu Chen saw Luo Xueya staying in his room and didn''t come out for a long time.


    "Uncle, aren''t you waiting for Sister Xueya?"


    Luo Ping shook his head slightly: "No wait, every time she wants to work, she really forgets to eat and sleep, so she definitely shouldn''t knock on the door." Luo Ping smiled, "Xiaochen, you eat first, I''ll save one for Xueya later. Just a small portion."


    Lu Chen could only nod helplessly, and had a lunch for two with Luo Ping.


    Lunch is over.


    Lu Chen went back to his room, and took advantage of the two hours at noon to continue training in the system space.


    After the first stage of the assessment this morning, the more he could understand the difficulty of this assessment.


    And the second-stage assessment in the afternoon determined the candidates for the semi-finals.


    As the saying goes, sharpen the gun before the battle, and the unhappiness is also light.


    Lu Chen plunged into the virtual space of the system to train various electrophysiological interventional operations.


    ¡­


    At two o''clock in the afternoon, the second stage of the preliminary competition officially started


    The assessment of electrophysiological interventional surgery was arranged in the simulated operating room of Bingcheng No. 1 Hospital.


    Eighty contestants were drawn again and assessed in groups.


    Lu Chen won the third group!


    Eight people per group.


    Lu Chen didn''t know any of the eight people in his group!


    "Game start!"


    Following the order of a judge of the organizer, the members of the first group began to conduct electrophysiological assessment.


    (end of this chapter)

 v2 Chapter 351： Lu Chens ranking!

    Chapter 351 Lu Chen''s ranking!


    The assessment of electrophysiological interventional surgery is actually similar to Lu Chen''s training in the surgery simulation room.


    It''s just that each type of question is presented in the form of exam questions.


    Electrophysiological interventional surgery is mainly divided into two types, ablation of arrhythmia and implantation of a pacemaker.


    The first question of the second stage is a simulated ablation of ventricular tachycardia!


    The second question is the simulated implantation of a dual-chamber pacemaker.


    Because it is a preliminary round, the two operations are only the most basic assessments, and there are no particularly difficult operations.


    Lu Chen was in the third group.


    In the first two groups, there is an acquaintance, Fang Yi from Jinghua First Hospital.


    At this time, he was crying with a sad face.


    Because he was placed in the first group.


    The eight people in the first group have no music at all.


    After all, it is the first time for everyone to take this kind of test, and no one is sure of winning.


    Lu Chen took advantage of the waiting time and immediately entered the virtual space of the system for the final training before the exam.


    ¡­


    The process of waiting is extremely long.


    After about twenty minutes, it was finally the third group''s turn.


    Because it is just an assessment, many steps in the middle are simplified.


    Real electrophysiological interventional surgery, such as ablation surgery, just takes a lot of effort to induce arrhythmia, at least half an hour.


    It was Lu Chen''s turn to play.


    He walked into the examination room, told the examiner his examination number, put on his gloves, and started his own examination operation.


    Disinfection, drape, puncture, all operations, Lu Chen has trained countless times in the virtual space of the system.


    If we say that the interpretation of ECG requires a lot of accumulation of knowledge.


    The operation of electrophysiological surgery requires years of training.


    But Lu Chen''s system virtual space gave Lu Chen a huge advantage.


    As long as he wants to train, he can come and train before going to the toilet, taking the bus, or even before going to bed.


    And other cardiologists, if they have the opportunity to train once a week, it is very rare!


    In the examination room, the chief examiner stared at Lu Chen''s operations in surprise.


    Because of the operation of this young man, it was amazing.


    There is no pause, no slack!


    Except for the stage of inducing arrhythmia, Lu Chen spent a little thought, and he completed the other steps very smoothly.


    ¡­


    Watch channel.


    Every exam room has many cameras.


    Every action of everyone will be recorded.


    Ou Yangming deliberately glanced at Lu Chen''s operation, but he couldn''t move his eyes just by looking at it.


    This Lu Chen is too fast!


    It doesn''t look like a novice who just entered the first grade, and the proficiency of the general attending doctor is not even as high as that of Lu Chen!


    Jia Bo''s face was extremely solemn.


    This Lu Chen is definitely pretending to be a pig and eating a tiger!


    When you retested, if you said that you would do electrophysiological interventional surgery, would you brush him off?


    No matter what, Jia Bo will find a reason to keep Lu Chen.


    But now, everything is over!


    In his eyes, Lu Chen''s electrophysiological interventional operation must have been learned before a graduate student.


    I never imagined that Lu Chen''s electrophysiological interventional operation was learned in less than three months after being admitted to the hospital!


    In the examination room where the surgery was simulated, Lu Chen''s operation became smoother and smoother.


    After the ablation operation for the first question was completed, he immediately did the second question.


    The implantation of the pacemaker is not difficult, and the assessment is the completion of the contestants.


    ¡­


    Twenty minutes later.


    Lu Chen''s assessment is over.


    The results of the second stage of this preliminary round will not be released immediately, but will be counted together with the total score.


    "How was the test?"


    As soon as Lu Chen came out, Cheng Guowen immediately stepped forward and asked.


    "It''s normal." Lu Chen fell.


    Cheng Guowen frowned fiercely, why is it normal again?


    He didn''t quite understand, is Lu Chen being modest? Or not at all?


    However, based on Lu Chen''s performance in the assessment just now, it''s definitely not the second case!


    Fang Yi greeted Lu Chen, but the expression on his face didn''t seem to be at all serious.


    His results in the first stage were not very good. If he wants to break through the top 30, he needs to exert his strength in the second stage.


    However, the questions in the second stage are not very difficult.


    In this case, everyone''s score will not be very wide, so Fang Yi''s chances of entering the top 30 seem to be a bit difficult.


    Min Xiaobo is in the eighth round of assessment, and it will take at least an hour to complete.


    Lu Chen didn''t wait for Min Xiaobo to examine the technology, but left the simulation examination room of the Bingcheng No. 1 Academy.


    ¡­


    Outside, there was a vast expanse of snow.


    pushed the door open and walked outside the classroom. A biting cold came upon his face, which relieved most of Lu Chen''s nervousness from the assessment just now.


    However, the weather is also cold.


    Lu Chen was not used to it at all, and immediately returned to his uncle''s house.


    In the winter ice city, staying at home is the most comfortable!


    When Lu Chen came home, his uncle Luo Ping was not at home.


    From Luo Xueya, Lu Chen also learned that his uncle Luo Ping was working overtime tonight.


    Dinner was left to Lu Chen and Luo Xueya to solve by themselves.


    "Lu Chen, how many days are you going to take this exam?" Luo Xueya suddenly asked curiously.


    "Then let''s see the result of today''s game." Lu Chen smiled.


    If he has not even passed the preliminary round, then he will pack up and leave tomorrow.


    Luo Xueya nodded slightly: "Lu Chen, I believe you can do it."


    "Thank you, Sister Xueya."


    This afternoon, after Luo Xueya had finished processing the post-processing of the video, she was so bored that she deliberately went to check Lu Chen''s electrocardiogram competition.


    On the official website of the Chinese Society of Electrophysiology, the title of the page is the competition


    I don''t know if I don''t see it, but I''m startled when I see it.


    Such a national competition, how could Lu Chen participate in it?


    After ??, Luo Xueya also went to visit the official website of Jinghua Medical University.


    Only then did I find out that there was a huge banner message on the official website of Jinghua Medical University that two months ago, the Jinghua Medical University team won the National Medical Acoustic Skills Competition Champion!


    This is news from two months ago!


    is still playing on the official website, and a photo of the national team is also posted.


    Lu Chen is in the C position in this photo!


    This is amazing!


    Luo Xueya immediately modified her video again and added Lu Chen''s introduction to the video.


    "Well, this will add some credibility!" Luo Xueya thought.


    Otherwise, just come out and give everyone popular science.


    Don''t buy it!


    The champion of the National Medical Student Skills Competition, this title is very bluffing!


    ¡­


    In the evening, Lu Chen kept following the official website of Huaxia Electrophysiology.


    Before 8:00, the results of the preliminary round will be announced on the official website.


    This waiting process is extremely long.


    Everyone is constantly refreshing the official website page, expecting that the results may be announced in advance.


    "Out!"


    At exactly eight o''clock, a notification of the preliminary results suddenly appeared on the interface of the official website.


    Lu Chen''s hand trembled slightly and swallowed.


    He was still a little nervous.


    Click on the notification.


    The first place, Yu Weiguang, is expected.


    Lu Chen skipped the middle ranking and went straight to his own name.


    21st place, Lu Chen!


    One more chapter


    (end of this chapter)

 v2 Chapter 352： Insanely high thanks!

    Chapter 352 The soaring gratitude value!


    21st place!


    pass!


    Although the ranking is not high, but it is finally promoted!


    Then Lu Chen will continue to stay in Bingcheng for a few days, so he doesn''t need to pack up and leave.


    "Little cousin, have your grades come out yet?"


    I don''t know when, Luo Xueya stuck her head into Lu Chen''s room.


    "It''s over." Lu Chen smiled.


    "That''s great!" Luo Xueya said happily, "I''ll tell you, you can definitely get through!"


    Luo Xueya was very happy about Lu Chen''s arrival.


    I usually stay at home alone and rarely communicate with friends.


    The communication with Lu Chen these days made her feel a different feeling.


    "By the way, I will upload the video tonight and see the effect then." Luo Xueya said.


    "Yeah." Lu Chen nodded to him, he wasn''t very concerned about this matter, after all, he was only making a cameo appearance.


    ¡­


    Lu Chen was chatting with Luo Xueya, but Cheng Guowen''s side had already "troubled" the sky.


    The moment when the results came out.


    Cheng Guowen saw two names, Min Xiaobo''s eleventh, and Lu Chen''s twenty-first!


    "Lu Chen... actually entered!"


    Cheng Guowen swallowed hard, he couldn''t believe it.


    In the second stage of the exam, Lu Chen''s ranking not only did not drop, but instead showed an upward trend!


    You must know that almost everyone acquiesced that Lu Chen was not good at electrophysiological assessment.


    Therefore, Cheng Guowen did not pay attention to Lu Chen''s performance in the second stage.


    In fact, as long as he paid attention to Lu Chen''s performance on the live broadcast interface of the second stage, he would not be so surprised.


    ¡­


    At this time, Ou Yangming was on the phone with Li Yao.


    "Xiaoyao, you are an incredible student!" Ouyang Ming smiled, "This is the first time I have seen such a talented young man."


    Li Yao also responded with a smile.


    "Uncle Ouyang, don''t worry, I won''t bind him here, everything will follow his own ideas."


    "Actually, proper training is also necessary." Ouyang Ming said.


    "Uncle, you don''t know, Lu Chen knew nothing about electrophysiological surgery three months ago." Li Yao said.


    "what?"


    Hearing this, Ou Yangming was shocked and stood up from his seat.


    "He...he only studied electrophysiological intervention for three months?"


    This is too scary!


    Ou Yangming had seen all the strengths Lu Chen showed in the electrophysiological interventional surgery assessment.


    This is definitely a senior attending doctor who can have operational proficiency.


    "Has he been training in your simulated operating room for the past three months?" Ou Yangming asked in confusion.


    "No." Li Yao shook her head, "The simulation of the operation room, in fact, he only went in the last month."


    "One month..." Ou Yangming gave a wry smile.


    One month, what can I learn from this?


    Many people haven''t started for a month!


    But within a month, Lu Chen has indeed changed from a layman to a person with extremely professional skills.


    "Xiaoyao, Lu Chen has only practiced for three months. Don''t publicize it yet." Ouyang Ming said.


    "Well, uncle, don''t worry, I know."


    The wood is beautiful in the forest, and the wind will destroy it.


    This truth, Li Yao still understands very well.


    Before ??, they thought Lu Chen was just an ordinary genius.


    But now it seems that it can no longer be measured by common sense.


    Perhaps, Lu Chen''s comparison objects are no longer his peers, but those doctors who are 10 or 20 years older than him.


    In any case, the fact that Lu Chen entered the rematch is gratifying enough.


    ¡­


    Jinghua Second Hospital, Department of Cardiology.


    Everyone got the news right away.


    It''s Lu Chen again!


    Why is it always him!


    The last National Medical Student Skills Competition, and now the ECG Competition.


    "Miracles" created by Lu Chen, one after another!


    Gu Xinyue looked at the promotion list in front of her in the dormitory of Guipei Building, and a trace of envy and unwillingness flashed in her eyes.


    Originally, the two of them were on the same starting line.


    participated in the National Medical Student Skills Competition together.


    But now, Lu Chen has left him far behind!


    "Gu Xinyue, you have to work hard!" Gu Xinyue reminded herself, "Otherwise, the gap between you and him will only get bigger and bigger!"


    ¡­


    If it was said that few people paid attention to Lu Chen before, then since Ouyang Ming mentioned him in his post-match commentary, more and more people paid attention to Lu Chen.


    The news of ??Lu Chen''s entry into the semi-finals also surprised all the contestants.


    After all, at Lu Chen''s age, many of them don''t even know what electrophysiological interventional surgery is!


    Lu Chen''s WeChat message also kept flashing.


    Wechat messages of encouragement and encouragement from mom and dad, blessings from juniors and seniors from the eight districts in my heart, condolences from my colleagues Ke Yue and Jiang Qingyan, and news from Jinghua Electrophysiology Group.


    Lu Chen didn''t have time to reply to these messages.


    "This is just the semi-finals..." Lu Chenxin, "If I made it to the finals, what would their expressions look like?"


    Now everyone has poured out their praise, as if Lu Chen had stopped there.


    But next, there is a rematch!


    Lu Chen was never reconciled, he just entered a rematch.


    Thirty people participating in the semi-finals, the top ten are eligible to enter the finals.


    Although ?? is difficult, there is a 1% chance that Lu Chen will do his best to prepare.


    Entering the finals, that means getting a place in the all-China electrophysiology training class.


    This kind of temptation is not ordinary!


    ¡­


    After dealing with his relatives and friends, Lu Chen was about to enter the system''s virtual operating room.


    A sudden call interrupted him.


    A very unfamiliar number!


    rang three times, and Lu Chen clicked the answer button.


    "Hello, hello..."


    ¡°¡­¡±


    When Lu Chen hung up, he was still a little stunned.


    The caller was a well-known media, who wanted to report on the rescue incident on the plane.


    So we need to conduct a brief online interview with Lu Chen and Cheng Guowen.


    The agreed time is nine o''clock in the evening.


    After Lu Chen contacted Cheng Guowen, Min Xiaobo and others, he found that they had also received an invitation.


    An online interview, at nine o''clock in the evening, kicked off slightly.


    Lu Chen simply returned to a few questions. The main interviewee was Director Cheng Guowen.


    However, Lu Chen''s excellent reaction ability was also awarded by Cheng Guowen.


    The interview was not long, it was over in about an hour.


    Lu Chen also received a labor fee, which is really a windfall.


    The interview is over, and it''s been a busy day.


    Lu Chen finished washing up, and after training in the virtual operating room of the system for a while, he fell asleep.


    the next morning.


    Lu Chen opened his eyes, just as he was about to get up, he felt something was wrong!


    In the ?? system panel, why did his gratitude value rise by 200 points overnight? !


    (end of this chapter)

 v2 Chapter 353： famous!

    Chapter 353 Famous!


    "Congratulations, +1 for receiving Dunna''s thanks!"


    "Congratulations, +1 for receiving Li Yuexia''s thanks!"


    "Congratulations, +1 for receiving Hu Xixiang''s thanks!"


    ¡°¡­¡±


    In the ?? system panel, Lu Chen didn''t know any of the names suggested.


    "What''s the matter?" Lu Chen was very puzzled.


    He hasn''t done anything recently, has he?


    Is it a system card bug?


    Lu Chen studied for a long time, but still did not understand the source of these gratitude values.


    This is too weird!


    While Lu Chen was thinking about it himself, the system''s "received thank you value" prompt didn''t stop!


    suppressed the doubts in his heart, and after washing up, Lu Chen walked out of his bedroom.


    Uncle Luo Ping prepared breakfast for him and Luo Xueya. After breakfast, Lu Chen began to plan for the day.


    Today and tomorrow are the rest periods, and the day after tomorrow will be the start of the rematch.


    In Lu Chen''s plan, he continued to train in the virtual space of the system for the past two days.


    With the recommendation of the competition process, the proportion of electrophysiological interventional surgery is increasing!


    In the preliminary round, electrophysiological intervention only accounted for 30% of the total.


    But by the time of the rematch, the proportion of electrophysiological interventions has risen to 50%!


    As for the finals, Lu Chen guessed that the proportion of surgery will continue to increase!


    ¡­


    Just finished breakfast, Luo Xueya suddenly came out of the bedroom.


    I saw her look at Lu Chen excitedly.


    "Little cousin, many people are very interested in your popular science in my video!"


    Lu Chen was taken aback for a moment, but he didn''t turn around at first, and then he realized that Luo Xueya was talking about the video she posted at station B.


    Luo Xueya took out a tablet and clicked on her video.


    "Look at it, from last night to now, in half a day, there have been hundreds of thousands of broadcasts."


    Luo Xueya smiled.


    Although she has more than 300,000 fans, it is terrifying to have this kind of playback on the first day of the video!


    Lu Chen took Luo Xueya''s notebook and watched Luo Xueya''s video.


    After his previous suggestion, Luo Xueya directly changed this video to an interactive video.


    In the interaction, popularize medical knowledge.


    Luo Xueya''s popularity is quite good.


    In this way, her video has a huge amount of views and exposure in a short period of time.


    Thinking of the amount of gratitude he suddenly thought of, a thought flashed in Lu Chen''s mind.


    Could it be that he appeared in the video to popularize medical knowledge, and some viewers saw that they found it useful, and then gave themselves a thank you point?


    At present, this is also the most likely explanation!


    Lu Chen still remembered the last medical record competition. He gave a report in the middle of the hall. After the end, he also received some appreciation points from the audience.


    In other words, this form of report can definitely get you thank you!


    However, Luo Xueya''s video now has more than 100,000 views, but Lu Chen''s gratitude is only about 200 points.


    There were even more viewers, and none of them gave Lu Chen corresponding thanks.


    "Senior sister, how many videos do you usually play?" Lu Chen asked suspiciously.


    "I''m not sure about this." Luo Xueya shook her head, "Sometimes people are more interested in topics and the number of views is limited. This time, I estimate that this video should have 400,000 to 500,000 views in the end."


    "Forty-five-sixty-six million views..." Lu Chen calculated in his heart.


    If it is really because of his appearance in the video, then he can at least get thousands of points of thanks!


    ¡­


    Go back to your room.


    Lu Chen did not rush into the virtual space of the system for training.


    Instead, he downloaded a station B app and followed Luo Xueya''s account.


    He noticed that every time the number of views of this video increased a lot, the thank you value he received would also skyrocket.


    "It seems that most of these videos are actually recorded for the sake of popular science for everyone."


    This is really a surprise!


    If he hadn''t come to Bingcheng and met Cousin Luo Xueya, Lu Chen would definitely not have discovered this new way of getting gratitude in a short period of time.


    But, is there any limit to this way of getting thank you value?


    For example, the upper limit of the thank you value...


    Lu Chen thought to himself, if he could become a well-known UP master like Cousin Luo Xueya, if he posted a video, he would get so many likes.


    Isn''t the gratitude value soaring?


    However, it is definitely not easy to become such a video UP with a lot of fans, and you have to let everyone buy their own accounts.


    Thinking of simplicity, but it is not easy to do!


    What''s more, in fact, the completion of the system upgrade is more important than the gratitude value.


    It is impossible to get the system upgrade completion degree simply by doing these popular sciences!


    ¡­


    After Lu Chen figured out the source of his gratitude, he re-invested in the training of the system space.


    Because he can''t come up with anything for a while now.


    While training, Lu Chen also paid attention to his gratitude.


    The ??Thanks value is increasing at a constant rate, and at noon, it has exceeded 2,000 points!


    You must know that Lu Chen only had a total of 1,500 points of gratitude when he first came to the Ice City.


    After a while, it has increased by 500 points!


    The speed of earning gratitude points made Lu Chen jealous.


    And at two o''clock in the afternoon, Lu Chen found his gratitude value and ushered in a blowout explosion!


    If it was said that the gratitude value could increase by more than ten points every hour before, then after 2:00 in the afternoon, it will increase by more than 30 points every hour!


    The speed of growth has increased again!


    This strange change, Lu Chen immediately noticed.


    "This... what''s going on here?"


    Lu Chen withdrew from the system virtual space.


    He clicked into the station B app and found the answer in a bunch of comments on Cousin Luo Xueya''s video.


    It turned out that the report of Lu Chen''s interview last night was published by the media.


    The interested audience suddenly discovered that Lu Chen, who was a guest star in Luo Xueya, was actually one of the members of the medical team who rescued people on the plane!


    "Damn it, this popular science guest from the UP master is so amazing!"


    "Rescue people on the plane. I read this report. It was just a few days ago. Students who don''t know can look here... (media interview link)."


    "You can go to the official website of Jinghua Medical University to find this Lu Chen''s information, it''s a bunker!"


    "The champion of the National Medical Student Skills Competition... Currently entering the finals of the National Electrocardiogram Competition at the youngest age in history..."


    ¡°¡­¡±


    In this era of highly developed information technology, netizens who have nothing to do at their leisure will immediately pick up Lu Chen''s bottom line.


    The resulting impact is that the number of views of Luo Xueya''s videos has soared!


    The gratitude value obtained by Lu Chen increased rapidly in a short period of time!


    in the system panel.


    Thanks increased from 2,000 to 2,500, and from 2,500 to 3,000.


    This terrifying growth rate was completed in just three hours!


    One more chapter


    (end of this chapter)

 v2 Chapter 354： We are so related

    Chapter 354 We Are Really Destined


    Lu Chen''s heart is shaking!


    This is an exciting quiver!


    Originally, he looked at the high-value thank-you cards in the mall, but Lu Chen had no idea about them in a short period of time!


    But now, Lu Chen has reopened the system mall.


    According to the current rate of increase in gratitude value, it is not a dream to exchange those advanced cards in the mall!


    Just when Lu Chen was excited, the system suddenly popped up a prompt.


    "Warning, the thank you value obtained by this method has reached the upper limit!"


    What?


    Lu Chen was a little stunned.


    Thanks value has risen to about 3,500 points, and it will stop rising!


    From 1,500 points to 3,500 points, Lu Chen''s gratitude has increased by a total of 2,000 points!


    "According to the meaning of the system prompt, that is to say, the gratitude value obtained with this video has reached the upper limit?" Lu Chen thought.


    It seems that the system also has a hand.


    It is impossible to let yourself brush your gratitude points like this, otherwise, your gratitude points may be in the tens of thousands today!


    "Bang bang bang!"


    Just then, there was a rapid knock on the door outside the bedroom.


    At the same time, Luo Xueya''s voice also came in.


    "Lu Chen, open the door!"


    There was a hint of surprise in her voice.


    Lu Chen quickly opened the door.


    Luo Xueya grabbed Lu Chen''s arm.


    "Lu Chen, my video is on fire!!!"


    With a smile on her face, she pulled Lu Chen''s arm very excitedly.


    "I know." Lu Chen smiled.


    He has been following this video all the time.


    "The playback volume is almost 200,000!" Luo Xueya said excitedly, "This... this is too fast!"


    Among the videos that Luo Xueya has posted before, there has never been such a high-quality video.


    "Lu Chen, you are too good. You rescued people on the plane a few days ago. You didn''t tell me!" Luo Xueya said.


    "There''s no need to talk about this kind of thing." Lu Chen smiled.


    "That''s true." The more Luo Xueya looked at Lu Chen, the more she liked it. "Little cousin, you''ve always been low-key. I''m going to invite you to have a meal tonight to celebrate. It just so happens that my dad won''t come back for dinner after working overtime at night."


    "Well, that''s great." Lu Chen smiled.


    But Uncle Luo Ping was really busy, Lu Chen rarely met Luo Ping these days in his family.


    When it was time for dinner, Lu Chen and Luo Xueya were fully armed and went out.


    ¡­


    It''s midnight now, but it''s already dark in the ice city.


    "We have to come out to eat early, because many shops close at eight o''clock." Luo Xueya said.


    This is very different from the South.


    In the south, many supermarket stores are open until midnight.


    But in Bingcheng, many supermarkets close at eight or nine o¡¯clock.


    Lu Chen carefully walked on the empty street.


    The sky is really cold, the cold wind here seems to be able to penetrate through the bones of a person, and it is so cold!


    Luo Xueya found a nearby roast lamb chop shop, and the two walked in.


    "The taste here is good. I have come here often with your uncle."


    Entering the store, the temperature gradually rose.


    "But your uncle has been very busy recently, and we rarely go out to eat."


    After Lu Chen and Luo Xueya sat down, Luo Xueya began to order food.


    "What would you like to drink? Do you drink?" Luo Xueya looked at Lu Chen.


    Lu Chen quickly shook his head, "Sister, I don''t know how to drink, and I have to prepare for the game when I go back in the evening. If I drink too much, it will be a waste of time."


    "Okay, then you have a drink, I''ll drink a beer." Luo Xueya smiled, not reluctantly.


    Soon, the shopkeeper finished the dishes and brought two bottles of beer.


    "Come on, Lu Chen, let''s go one." Luo Xueya held a glass of wine and gently touched Lu Chen.


    Lu Chen could not have imagined that under his cousin Luo Xueya''s beautiful appearance, she actually had such a rough heart.


    It''s no wonder that she can be a video UP master, a cowardly person, but she really can''t do this job.


    It could be seen that Luo Xueya was very happy.


    She is usually at home alone and rarely goes out with her peers.


    If it wasn''t for Lu Chen''s visit to Bingcheng this time, she probably wouldn''t have had such a chance.


    "Ding ding ding..."


    Halfway through the meal, Lu Chen received a phone call that surprised him.


    The caller ID is, Wang Ruoxi!


    "Hey, Lu Chen, where are you now?"


    Lu Chen was taken aback, "Sister Ruoxi, I''m not in Jinghua, I''m in Bingcheng."


    "I know." Wang Ruoxi''s voice came from the other end of the phone, "I mean, where are you in Bingcheng?"


    "Ah...where am I...what do you mean?" Lu Chen asked in surprise.


    Wang Ruoxi said angrily: "I came to Bingcheng this afternoon too! Recently, the company has a mission, and I am here on a business trip. I heard Zihao say that you are also in Bingcheng."


    "Huh?!" Lu Chen was stunned, "Yeah, that''s quite a coincidence."


    "Yeah, we are really destined, where are you now? I''ll find you." Wang Ruoxi said.


    "Well, I''m eating at a barbecue restaurant." Lu Chen said.


    "That''s right, I haven''t eaten yet." Wang Ruoxi laughed. "Send a location, I''ll come right away."


    "this¡­¡­"


    "Why... inconvenient?"


    "No, I happened to be having dinner with my sister. Sister Ruoxi, why don''t I invite you again tomorrow..."


    Lu Chen was about to continue to say something when Luo Xueya smiled and said, "Lu Chen, let your friends come over to eat, it''s okay."


    "This... that''s fine." Lu Chen immediately said to Wang Ruoxi on the other end of the phone, "Sister Ruoxi, I''ll send you the location, if you''re too far away, then forget it. It''s getting dark, no too safe."


    "Okay, send it here."


    hung up the phone, and Lu Chen found that Luo Xueya was staring at him with a smile on his face.


    "Sister, I have flowers on my face?" Lu Chen asked suspiciously.


    "No." Luo Xueya smiled, "Who is on the phone? Do you still have friends in Bingcheng?"


    "My roommate''s sister just came to Bingcheng on a business trip." Lu Chen smiled.


    "Little cousin, you''re not bad, I take back what I said the day before yesterday." Luo Xueya teased.


    "Huh?" Lu Chen didn''t know why.


    "I said you''re a single dog, but it doesn''t seem like it..." Luo Xueya covered her mouth and smiled.


    She thought about it too. With such a high-quality resource as Lu Chen, is it not easy to fall in love?


    Lu Chen blushed, "Sister, don''t get me wrong, you''re just an ordinary friend."


    "Ordinary friend, come to see you as soon as you get off the plane?" Luo Xueya asked back.


    "Probably have a better relationship than ordinary friends." Lu Chen himself had no confidence.


    Since Wang Zihao was hospitalized with cholecystitis, his relationship with Wang Ruoxi has become closer and closer.


    Wang Ruoxi will come to him and invite him to dinner.


    Before ??, Lu Chen thought that Wang Ruoxi was looking for him to see a doctor, so it was normal.


    But after Luo Xueya''s reminder, Lu Chen slowly reacted.


    Could it be that Sister Ruoxi really means that?


    ¡­


    Ten minutes later, Wang Ruoxi appeared.


    She was wearing a black padded jacket. After entering the store, she took it off, revealing her exquisite figure.


    The makeup on her face was obviously well groomed.


    Looking around, she immediately found where Lu Chen was.


    (end of this chapter)

 v2 Chapter 355： Redeem your first Premium Skill Card!

    Chapter 355 Redeem the first advanced skill card!


    "Hello, my name is Wang Ruoxi." Wang Ruoxi smiled at Luo Xueya.


    Although Luo Xueya is more housebound, it does not mean that she has social phobia.


    "Hello, I''m Lu Chen''s cousin, Luo Xueya." Luo Xueya responded with a smile.


    Lu Chen ordered a few more dishes, and the three of them chatted happily.


    Emotionally, Lu Chen didn''t want to think too much.


    As for Wang Ruoxi''s intention or not, Lu Chen didn''t care too much.


    Maybe someone else just happened to come to Bingcheng?


    The most important thing for him at the moment is the next rematch.


    ¡­


    Bingcheng''s brief reunion did not make Lu Chen''s heart ripple.


    After all, he and Wang Ruoxi were just ordinary friends, just a little bit.


    After the dinner, Lu Chen and Wang Ruoxi separated.


    When he got home, he immediately entered the "wartime" state again.


    But before that, Lu Chen suddenly had an idea.


    He knocked lightly on Luo Xueya''s door.


    Luo Xueya was wearing pink pajamas and opened the door.


    "What''s wrong?"


    "Sister, I have something I want to discuss with you."


    "Okay, then come in."


    Lu Chen walked into Luo Xueya''s boudoir, and the faint fragrance came to her nostrils.


    Luo Xueya''s computer screen is still the post-production picture of the video.


    "Sister, I also want to open a video account." Lu Chen got straight to the point.


    "What?" Luo Xueya thought she heard it wrong, "You also want to make a video? A video of medical science?"


    "Yes." Lu Chen nodded.


    This is a lot of thanks to earn. If he doesn''t seize this opportunity, he will regret it.


    The speed of obtaining thanks through online video popularization is definitely a huge improvement compared to the previous one!


    Although there is a limit to the amount of gratitude that can be obtained every day, it is still a hundred times faster than he is now.


    "But, do you have time?" Luo Xueya wondered.


    Lu Chen paused, but did not reply for a while.


    This is also the most tangled point for him at the moment.


    If you make your own videos, you will do it as you say it. It takes a lot of work for video recording, post-production, etc.


    In addition to clinical work, he also has scientific research work.


    With another video production, he must be too busy.


    "Why not." Luo Xueya suddenly said, "You can do it with me first, you are responsible for recording the video, and I will do the rest of the post-production stuff."


    Lu Chen raised his brows, this is a good idea!


    Through this first video, I have successfully gained a lot of thanks.


    "At that time, the incentive income from videos and some advertising income will be divided between the two of us." Luo Xueya said.


    Lu Chen''s contribution to the sudden explosion of the video this time cannot be attributed to it.


    "No need." Lu Chen smiled and shook his head, "I just want to make videos. As for making money, I don''t have these ideas for now, it''s just a hobby."


    "Hey, brothers and sisters have to settle accounts." Luo Xueya smiled, "What''s more, after you are familiar with the video, you can set up another portal."


    "That''s good." Lu Chen nodded.


    Luo Xueya''s suggestion is very good.


    He not only saves time, but also reaps gratitude points, serving multiple purposes!


    ¡­


    Back in his room, Lu Chen entered the system virtual space.


    At present, he has a total of 3,500 points of gratitude.


    In the system mall, the exchange price of the advanced card for ECG interpretation is 3,000 points of gratitude!


    Intermediate Card for Electrophysiological Intervention, the exchange price is 5,000 thank you points!


    Lu Chen thought for a while, but still had to exchange the advanced card for ECG interpretation.


    ECG competition, although electrophysiological intervention accounts for a lot of proportion, but the most critical is the interpretation of ECG.


    What''s more, his current gratitude value is not enough to exchange for the intermediate card of electrophysiological intervention.


    With a thought, 3,000 gratitude points are consumed.


    "Congratulations, you have obtained an advanced skill card for ECG interpretation!"


    The first skill card that Lu Chen got was about the electrocardiogram, and now this is the first advanced skill card that Lu Chen redeemed!


    After use.


    Lu Chen''s second pulse of Ren and Du seems to have opened up, and his mind has become much clearer.


    He immediately picked up the electrocardiogram books he had prepared.


    Those jerky and difficult ECG knowledge before, suddenly became simple and clear at this moment.


    Lu Chen was stuck in the ECG level for a long time.


    He was eagerly absorbing the knowledge of electrocardiogram, and he wanted to understand all the things he didn''t understand in the past.


    This kind of reading process seems very boring to outsiders, but to Lu Chen, it is like tasting a delicious meal.


    The proficiency of ECG interpretation has also started to rise slowly from 80%, which has never been touched!


    ¡­


    On the second day, Lu Chen basically read books except during meal time.


    This also shocked Luo Xueya.


    If she is not familiar with Lu Chen, she might really think that Lu Chen is a nerd.


    "Lu Chen, take a break, I think you''ve been reading books in your room all day."


    In the evening, Luo Xueya walked into Lu Chen''s room.


    "Sister, I''m sharpening my gun right now, so I''m not happy!" Lu Chen smiled.


    "Oh, let me tell you, what is your electrocardiogram competition, it''s already very good that you can enter the semi-finals." Luo Xueya said.


    She also went to learn about the National Electrocardiogram Contest today.


    The participating members are all experienced cardiologists.


    And her cousin, Lu Chen, was just in the first year of graduate school!


    "People are always dissatisfied." Lu Chen glanced at Luo Xueya and smiled, "I''m already in the semi-finals now, and I''m only one step away from the finals, how can I not fight?"


    For others, it is already very good to be able to enter the finals.


    But for Lu Chen, he wanted to eat chicken.


    Luo Xueya stared at Lu Chen blankly.


    She suddenly realized that Lu Chen was different from others. This kind of arrogance, which he said with a smile, seemed to be casual, but it was actually hard to remember.


    Perhaps, this is why Lu Chen stands out.


    ¡­


    The rematch came as scheduled.


    Compared with the preliminary round, the audience and discussion are all a whole higher level.


    A total of 30 people will participate in the semi-finals, and only if they enter the top ten can they reach the final.


    Once you enter the finals, it means you have won a place in Huaxia Electrophysiology College.


    This is the ivory tower for all young doctors of cardiology and electrophysiology in China!


    Who can break through depends on the result of today''s game!


    This time, the major media portals have live broadcasts.


    The venue of the competition was arranged in the catheterization laboratory of the First Affiliated Hospital of Bingcheng Medical University.


    The exam is divided into two parts.


    The first part of the morning assessment is the interpretation of the electrocardiogram.


    The second part of the afternoon assessment, electrophysiological simulation surgery.


    "Min Xiaobo, Lu Chen, you two must be calm and calm. It''s time for you. Your business ability may be important, but what''s more important is your mental state..."


    Cheng Guowen stood in front of Lu Chen and Min Xiaobo, constantly instructing some precautions.


    There are two people who can go to the semi-finals, which is what Cheng Guowen did not expect.


    However, it also made him even more nervous!


    Whether this year''s Jinghua can create history depends on today!


    More importantly, Lu Chen has already made the name of the Jinghua Second Hospital.


    As a graduate student, he entered the national finals of electrocardiogram, which is "unprecedented".


    Judges area.


    Jia Bo was still standing beside Ou Yangming.


    He had been looking for Lu Chen''s figure, and finally found it in the corner of the catheterization room.


    Lu Chen can pass the preliminary round, which Jia Bo never expected.


    He couldn''t help but feel a little bit of regret in his heart.


    At nine o''clock in the morning, the rematch officially started.


    This time, there are only ten questions!


    But each question is a question created by more than ten experts in the field of electrophysiology.


    The answering time for each question is 10 minutes, and the score is 10 points.


    The judges will give points based on the completeness of the answers to each question.


    ¡­


    Lu Chen got the question.


    The difficulty of this rematch is already several grades higher than before.


    At first glance, he felt the trap hidden in this topic.


    If he hadn''t exchanged the advanced skill card for ECG interpretation, he might not have been able to tell.


    In the exam room, everyone scratched their heads.


    Even Yu Weiguang began to frown and think.


    (end of this chapter)

 v2 Chapter 356： winner and loser

    Chapter 356 Winner


    The first question, ECG scatter plot!


    The question is very simple. The child is a female child, 6 years and 9 months old, who was admitted to the hospital with "discovery of arrhythmia for 1 week". The dynamic electrocardiogram 24 hours after admission was diagnosed as second-degree type I atrioventricular block.


    The requirement of the ?? problem is to analyze this scatterplot.


    Lu Chen was taken aback, it was this scatter plot again!


    In the preliminary round, he suffered a loss.


    So in the past two days, Lu Chen learned all about the ECG scatter diagram with the blessing of the ECG Advanced Skill Card.


    In addition, this ECG is different.


    That is the age of the patient, only 6 years and 9 months.


    EKGs are different for young children and young adults.


    This is invisible, and it adds a lot of difficulty to the problem.


    Lu Chen didn''t answer the question right away, then picked up the compass and began to draw on the map to find every trap set in the map.


    Confirmed again and again, and after it was correct, he began to answer the question.


    In this figure, the RR interval scatter plot of the whole time is double-layered, and the LorenzGRR scatter plot is a shrimp pincer graph.


    ¡­


    Judges area.


    Ou Yangming has been paying attention to Lu Chen.


    He found that compared to the preliminary round, Lu Chen''s answering speed became faster.


    I still remember Lu Chen''s performance in the first stage of the preliminary round, and his answers were bumpy.


    And the content of the answer, there are still many places that are not fully considered.


    Lu Chen''s results in the first round of the preliminary round were only over 20.


    But when the rematch is over, the questions are more difficult, and Lu Chen seems to be getting more and more courageous.


    is not affected by the difficulty of the question at all!


    "Hmph, so fast, you have to look at the accuracy rate!" Jia Bo stared at Lu Chen and said to himself.


    What you can''t get yourself, naturally you won''t expect him to live well!


    Jia Bo''s regret for Lu Chen slowly turned into disgust.


    ¡­


    Above the examination room.


    Lu Chen''s speed is not too slow. He thought about every detail shown in the picture and wrote down all the analysis results.


    "The P wave is regular, but the PP interval changes slightly. The PP with the R wave sandwiched between the two cleaned PPs is slightly shorter. This phenomenon is consistent with the performance of the hook-cage phenomenon..."


    "Analysis of the scattered points of all shrimp pincers shows that the RR interval of the segment appears single. When the sinus rhythm is fast, the RR interval is quite different from the long RR interval."


    ¡°¡­¡±


    After Lu Chen wrote the first question, he felt refreshed.


    It is indeed a premium card!


    In the past two days, Lu Chen''s ECG interpretation level has improved by another level.


    If his previous ECG interpretation level was equivalent to that of a senior attending doctor, he can now be compared with some deputy director-level doctors.


    Of course, the level of ECG interpretation is not simply divided by job title.


    At the end of ten minutes, the scores for the first question of everyone came out.


    Most of the contestants'' scores are around 5 points.


    Occasionally one or two people can reach 7 points!


    "Yu Weiguang is 9 points!" Jia Bo smiled when he saw the leaderboard.


    However, when he continued to look down, the smile on his face froze.


    "Lu...Chen, he actually got an 8 on the first question!"


    A complex emotion reverberated in Jia Bo''s chest.


    This...impossible!


    Although this result is not as good as Yu Weiguang''s, it has surpassed most people.


    In just two days, how did Lu Chen suddenly change from a person who was bumpy in the preliminary round?


    According to Lu Chen''s performance in the preliminary competition, he should get a maximum of 5 points for this question!


    Why is something wrong now?


    "Maybe he''s seen this question before, he''s really lucky." Jia Bo thought to himself, "Do a few more questions, and it''s estimated that the original form will be revealed."


    Ou Yangming on the side of ??, he doesn''t pay much attention to Yu Weiguang now, but stares at Lu Chen with interest.


    Lu Chen gave him a lot of shock.


    At the beginning, everyone thought that he was here to make up the number of people, but I didn''t expect him to break into the semi-finals.


    Up to now, when almost no one believes in Lu Chen, he has easily completed the second question of the rematch!


    "Lu Chen, I''m here to see how much miracles you can create."


    ¡­


    The second question, the third question, the fourth question...


    As the exam progressed, Lu Chen became more and more fortunate that he exchanged the advanced skill card for ECG interpretation.


    If it wasn''t for this advanced skill card, he would not be able to do at least half of the questions.


    Even with the advanced skill card, the next question-making process is not smooth sailing.


    After all, Lu Chen only had two days to obtain the advanced skill card.


    In the past two days, the effect of this skill card cannot be maximized!


    Questions 5, 6, 7...


    The time passed quietly, and more than half of the exam was over.


    on the leaderboard at this time.


    The first place is still Yu Weiguang, who has been immobile for ten thousand years.


    His total score is 67!


    The previous seven questions only deducted three points in total, occupying the first position with absolute time.


    Min Xiaobo, ranked sixth with a total score of 60.


    Lu Chen''s ranking was stable at ninth place, with a total score of 57 points!


    ¡­


    The players on the field couldn''t see the results, but the people off the field were boiling.


    In the preliminary stage, Lu Chen has already attracted everyone''s attention.


    And now, his ninth place, more people pay attention to him.


    The viewing area on the field.


    Cheng Guowen''s lips trembled, he swallowed, his eyes filled with disbelief.


    Lu Chen actually stabilized at ninth.


    This is something that everyone did not expect before the rematch.


    Just looking at Lu Chen''s results in the first stage of the preliminary round, no one would have too much expectations for him.


    "Could it be that in this year''s Jinghua, two people will enter the finals?" Thinking of this, Cheng Guowen''s mouth was dry.


    In a national competition, it would be amazing to have one person in the top ten.


    If two people enter the top ten, the Jinghua Electrophysiology Association will break through the best record in history.


    The tenth question is over.


    The evaluation of ECG interpretation is over, and the ranking of the leaderboard is fixed.


    First place, Yu Weiguang, 95 points!


    He surpassed the second place by five points and won the first place in the electrocardiogram interpretation test by an absolute advantage.


    As for Lu Chen, his final score was 83 points, and he was still in ninth place!


    However, the gap between the second and the tenth place is not big, and it is basically a gap between one or two points.


    The winner will be given the assessment of electrophysiological intervention in the afternoon.


    ¡­


    And outside the arena, there was an uproar.


    On the online live broadcast platform, in the Cardiology ward of Jinghua Second Hospital, countless eyes were staring at the results of this competition.


    The strong will always be strong, but everyone likes to see the case where the weak wins the strong!


    "Come on, Lu Chen!"


    "Come on, brother!"


    "Come on, Xiaochen!"


    All those who knew Lu Chen were praying in their hearts at this time, hoping that he could create a miracle in the afternoon.


    (end of this chapter)

 v2 Chapter 357： brand new simulation

    Chapter 357 Brand New Simulation Device


    Time passes in one minute and one second.


    The electrophysiological simulation surgery in the afternoon also arrived as scheduled.


    "Lu Chen, I heard that the simulated surgery training device used this time is the latest model in the world." Min Xiaobo said while standing beside Lu Chen.


    Hearing Min Xiaobo''s voice, Lu Chen put his eyes into the catheterization room.


    In the catheterization lab at this time.


    On the operating table, there is an entire row of simulated surgery training devices.


    "This surgical simulation training device can accurately and truly simulate the displacement effect of the patient''s breathing on the atrium during the actual operation, as well as the displacement of the ablation head and pressure changes caused by the displacement." Min Xiaobo explained, "This is comparable to The equipment in the surgery simulation room in your Jinghua Second Hospital is so much better!"


    Ordinary simulation devices cannot simulate the physiological state of patients, so that there will be a big difference between simulation training and real operation.


    Lu Chen looked at the device in front of him with interest.


    The operation simulation room of the Second Hospital of Jinghua is already expensive, and in the entire Jinghua, only the Second Hospital has such one.


    But this national electrocardiogram competition, Bingcheng Medical University is really good.


    Directly use the world''s most advanced simulated surgical device!


    "At present, the only three medical schools I know of that have this kind of simulation trainer are Bingcheng, Kyoto University School of Medicine, and Zhongshan School of Medicine." Min Xiaobo continued, "And Huaxia Electrophysiology College is also equipped with it. One, if you get a place in Huaxia Electrophysiology College, you can use it for a long time, which is really exciting!"


    Although Lu Chen has a virtual operating room, the simulated surgical training device in reality is also very helpful to him.


    Many operations, only by doing it yourself can you know the real difficulty.


    ¡­


    At two o''clock in the afternoon, the electrophysiological simulation surgery officially started.


    The contents of the operation in the assessment are divided into three types of operations.


    The first type, dual-chamber pacemaker implantation.


    The second type, atrial fibrillation ablation.


    The third type, chamber appeal ablation.


    These three surgeries are the most common types of surgeries in the field of electrophysiology in cardiology.


    The type of examination for each person is randomly determined by drawing lots.


    "Number Two!"


    Lu Chen opened the note in his hand, his eyes narrowed.


    No. 2, it''s ablation of atrial fibrillation!


    This is also a technique that Lu Chen has trained the most in the virtual space of the system.


    However, the simpler the operation, the harder it is to do well!


    Lu Chen knew his current shortcomings, and he was fine with the previous steps such as puncturing and entering the catheter.


    Only the two steps of arrhythmia localization and ablation, after one month of training, his proficiency can only reach about 50%.


    "Everyone, pay attention, the standard of scoring, one is to see whether the operation is standard, and the other is to see the completion of the operation."


    After Ou Yangming announced the official start of the competition, all the players in the first group entered their respective catheterization labs.


    The entire simulated operation takes one hour.


    "Come on!" Lu Chen said to Min Xiaobo.


    Min Xiaobo won No. 1 and received a dual-chamber pacemaker.


    "Don''t worry, I''m definitely fine." Min Xiaobo smiled at Lu Chen, "You still worry about yourself."


    After finishing speaking, Min Xiaobo walked into the simulated operating room wearing a white lab coat, mask and hat.


    Outside the catheter, there are a total of four screens, showing the actual operation of each contestant in turn.


    ¡­


    The game has officially started.


    The atmosphere on the field was a little dignified. This time the exam will determine the final quota for Huaxia Electrophysiology College.


    Everyone worked hard and did not dare to relax in the slightest.


    Lu Chen watched the live game for a while, and then his mind entered the system virtual space.


    Now that he knows the topic in advance, he can start targeted training.


    In the virtual space of the system, all the equipments are simulated as related equipment for ablation of atrial fibrillation.


    About an hour later.


    The assessment of the first group of simulated surgery is over.


    Min Xiaobo walked out of the simulated operating room with a slightly gloomy face.


    I used a brand new simulation device, but there was an accident!


    Walking past Lu Chen, he paused for a while and whispered, "Be careful when entering the catheter and sheath."


    Lu Chen didn''t know why, could it be that something went wrong?


    Thinking about it, he still nodded: "Thank you."


    The assessment of the second group begins!


    Lu Chen put on a radiation protection suit, mask and hat.


    Although it is only a simulated operation, the whole set is still enough.


    Walk into the simulated operating room.


    First check all the equipment, catheters, sheaths, catheter-integrated equipment, etc...


    After counting, Lu Chen focused his attention on the atrial simulation device on the operating table.


    This brand new simulation device is not the same as what Lu Chen had trained in the Jinghua Second Academy before.


    The structure of the whole device and the type of normal heart structure, and can simulate the effect of human respiration on atrial displacement.


    Disinfection, drape, puncture, all in one go.


    Lu Chen''s hands were still moving very fast, but when the catheter was inserted into the blood vessel, it seemed a little different!


    The previous simulation device only fixed the atrial model on the stent, and used a flexible tube to simulate the connection between the femoral vein and the atrial model to simulate the surgical environment of atrial fibrillation.


    But now this brand new device is different.


    This extracorporeal ablation device includes a radiofrequency ablation catheter, a simulated heart device, a normal saline perfusion device, a pressure control device, and a radiofrequency instrument, which highly simulates the normal human environment.


    After Lu Chen''s catheter was inserted, he had a brief discomfort.


    "No wonder Min Xiaobo reminded me just now..."


    The previous catheter and sheath, the operation is relatively rough, or does not require too much micro-manipulation.


    But in this highly simulated environment, every action on the hand, as long as there is a mistake, will be infinitely magnified!


    "Professor Ouyang, look, some people are starting to feel uncomfortable."


    Judge area, Jia Bo said to Ouyang Ming with a smile.


    This time, he did not target Lu Chen, but said most of the contestants.


    "Yes, everyone usually uses ordinary equipment for training." Ou Yangming shook his head helplessly, "Suddenly using this advanced equipment for assessment is really uncomfortable."


    Most of the doctors who came to participate in the competition are young doctors. They rarely have the opportunity to operate independently. Most of the time they operate in the simulated operating room.


    However, the simulation devices that everyone uses are the most common ones, but they have never used such advanced things.


    Today''s rematch, the organizers were kind enough to let everyone try the most advanced simulation equipment.


    However, what I didn¡¯t expect was that when such a highly simulated device was suddenly taken out, all the contestants were in disarray.


    Fortunately, everyone has done real electrophysiological surgery, but they are not so skilled.


    Now, it depends on everyone''s ability to adjust and adapt!


    If you can quickly change your strategy and adjust your surgical operation method, then you can have an absolute advantage!


    Simulated inside the operating room.


    Most of the players slowed down.


    Everyone started to find that feeling of operation again.


    How to finely control the catheter and sheath to make their relative movement?


    After a brief period of discomfort, Lu Chen''s movements suddenly accelerated!


    With every move, turn, and twist of his hand, he could easily control the catheter.


    on the screen outside the duct room.


    Lu Chen''s hands are so fast, it''s completely different from the others who are groping forward!


    (end of this chapter)

 v2 Chapter 358： The end of the assessment

    Chapter 358 The end of the assessment


    Soon, someone realized that Lu Chen was different.


    The speed of his manipulations is obviously much faster than the other contestants!


    "This... this kid shouldn''t be messing around, right?"


    Jia Bo frowned, he stared at Lu Chen''s interface.


    doesn''t seem to be messing around...


    This...what''s the matter?


    Jia Bo calmed down and said, "What about fast hands? The final grading standard depends on the completeness of the overall operation."


    Beside ??, Ou Yangming was equally astonished.


    The catheter and sheath in Lu Chen''s hands were very "obedient" and quickly reached the designated heart site.


    On the other hand, other people are still testing.


    But, how did Lu Chen get used to it so quickly?


    According to Ou Yangming, the Second Hospital of Jinghua seems to have only one set of ordinary simulated surgical devices.


    It is impossible for Lu Chen to have used such an advanced device!


    In addition to everyone in the judges area, those who watched the game and watched online also raised doubts in their hearts.


    Cheng Guowen''s face was full of doubts.


    Lu Chen''s electrophysiological level, he is the clearest.


    This month, Lu Chen has been by his side.


    How could he have adapted to the advanced equipment in the first place?


    In the hearts of everyone, a huge question mark has arisen at this time!


    ¡­


    Simulated operating room.


    The reason why Lu Chen was able to adapt and adjust in the first place was entirely thanks to the help of the system.


    No matter how this advanced device simulates reality, can there be a more realistic virtual space of his system?


    However, although he adjusted quickly, he did not dare to relax.


    The operation of the catheter and sheath is just the beginning.


    Next, Lu Chen needs to induce and locate the arrhythmia.


    The first step is to implant electrodes.


    Atrial fibrillation mostly originates from bilateral pulmonary veins.


    Lu Chen placed the electrodes in the pulmonary veins.


    The second part, evoking and recording potentials.


    Arrhythmia is induced by a certain excitation and then recorded.


    If this area can induce atrial fibrillation, that is the origin.


    However, the origin of atrial fibrillation usually has other locations.


    Therefore, if only the pulmonary veins are ablated, the probability of postoperative atrial fibrillation recurrence will be very high!


    Now, what Lu Chen has to do is to locate as many locations as possible.


    Rather than pulmonary vein trigger foci, it is commonly found in special anatomical structures in the atrium such as the superior vena cava, Marshall''s ligament, bordering crest, coronary sinus, left atrial appendage, right atrial appendage, and left superior chamber.


    Lu Chen used the method of one-hop mapping + exciting sequence guessing to try all the positions.


    Among them, the superior vena cava, Marshall''s ligament, left atrial appendage, right atrial appendage and other regions can induce atrial fibrillation.


    The last step, and the most important step, is to dissolve!


    There are many ablation methods at present, such as radiofrequency catheter ablation, cryoablation, thermal balloon ablation, microwave ablation, ultrasound balloon ablation, and laser visualization balloon ablation.


    No matter which method, the most basic principle is that the effect is better, the recurrence rate is low, and the complications are few.


    This is where the surgeon needs to choose the most appropriate ablation method according to each patient''s own conditions.


    However, this is currently a simulation of surgery, and Lu Chen directly chose radiofrequency catheter ablation.


    This is the most common and conventional ablation technique, and it is also the one that Lu Chen is best at.


    As for the other types, Lu Chen has trained, but his proficiency is not as high as catheter ablation!


    He has already entered the top ten in the stage of ECG interpretation, and now he just needs to stabilize.


    If you forcibly choose a highly difficult spell, once you make a mistake, you will fall short.


    "Lu Chen chose the simplest catheter ablation."


    Jia Bo felt better when he saw Lu Chen''s choice.


    He was really afraid that Lu Chen would suddenly show off his difficult manipulations, and he really couldn''t find anyone to express his regrets.


    "It''s simple, but it''s not necessarily bad."


    Ouyang Ming smiled, "Although the other methods are simpler, it is difficult to avoid missing some induced areas. Catheter ablation takes a long time, but it can ablate most areas very cleanly."


    "As long as he can do it well, it may be more useful than those dazzling ablation surgeries."


    Lu Chen has prepared the ablation tool.


    This is not the first time he has performed ablation in a simulated operating room, but it is a very important one.


    He took a deep breath and let it out slowly.


    His eyes became very firm.


    comes to mind, hundreds of training sessions this month.


    is just waiting for this moment today!


    ¡­


    Yu Weiguang, also like Lu Chen, won the second atrial fibrillation ablation.


    He chose cryoablation, which has been very hot in recent years.


    Cryoballoon ablation has the advantages of relatively minor endothelial damage, less activation of platelets, and lower risk of thromboembolism.


    However, its shortcomings are also very obvious. This procedure is mainly used for electrical isolation of pulmonary veins, and linear ablation of special parts such as the top of the left atrium cannot be performed.


    That is to say, the recurrence rate of cryoablation may be higher than that of conventional catheter ablation!


    However, this new type of technology has gradually become popular in China.


    Yu Weiguang has also been in contact with many cases of cryoablation surgery. As a first or second assistant, he participated in the whole operation process.


    So, he also had the guts to take out this new type of ablation surgery today.


    Judges area.


    Jia Bo gave Weiguang admiration.


    "Compared to Lu Chen, I prefer Yu Weiguang''s choice. People, there is always a need to improve, and we must keep pace with the times!"


    Ou Yangming smiled and said nothing.


    The current situation has basically been settled, it depends on the completion of the operation of each participant.


    ¡­


    Time passed slowly.


    Half an hour has passed for the second group of simulated operations.


    Don''t look at just standing still, this electrophysiological surgery is also a physical activity.


    Lu Chen''s forehead was dripping with layers of fine sweat.


    However, with his unremitting efforts to ablate, the entire ablation operation has come to an end.


    "Professor Ouyang, what do you think of this group?" Jia Bo looked at Ouyang Ming who was beside him.


    "Yu Weiguang from your hospital, the first place in the rematch, shouldn''t have any suspense." Ouyang Ming smiled, "This time the simulated surgery, he performed perfectly."


    Hearing this, Jia Bo was very helpful.


    For the past two days, he was almost annoyed by this Lu Chen.


    Every time he sees Lu Chen, it reminds him of the interview scene at that time.


    However, Lu Chen was not eliminated. Instead, he fought more and more bravely and entered the semi-finals.


    Yu Weiguang''s excellent performance made the melancholy in his heart a lot lighter.


    "but¡­¡­"


    But at this moment, Ou Yangming''s words changed.


    "Professor Jia, have you watched Lu Chen''s surgery carefully?"


    "Lu Chen?" Jia Bo was stunned for a moment, then smiled, "He didn''t choose catheter ablation, do we still need to see it?"


    "Then you missed a good show." Ou Yangming said slowly, "There are also many doorways in catheter ablation, and there are many categories, such as matrix ablation, rotor ablation, alcohol ablation, and focal-driven ablation, while Lu Chen The choice is "2C3L" ablation!"


    "2C3L ablation?" Jia Bo felt that this ranking was somewhat familiar.


    "You should have heard that at the Electrophysiology Conference last month, President Liu of Anzhen Hospital Affiliated to Kyoto Medical University proposed the 2C3L ablation strategy for the first time." Ouyang Ming said.


    "He... he actually knew this ablation strategy?" Jia Bo swallowed, his eyes stunned.


    He only had a general impression, Lu Chen actually started the simulated surgery?


    "Although his technique is still a bit rough, the completion of the overall operation is also up to standard." Ou Yangming.


    Jia Bo was silent.


    Ou Yangming means, he knows.


    According to Lu Chen''s results in the morning, the probability of Lu Chen''s promotion is already very high.


    ¡­


    At this point, the second set of assessments is completed!


    Immediately after, is the third group of assessments.


    When Lu Chen walked out of the catheterization room, he was completely relieved.


    This month of training will finally bear fruit today.


    After an hour, the assessment of the third group finally ended.


    (end of this chapter)

 v2 Chapter 359： advance to the final

    Chapter 359 Advance to the finals


    The assessment is over.


    The audience was silent.


    This time, the results of the assessment were announced on the spot.


    The examiners behind the scenes are urgently checking the scores of each candidate.


    Then, pass the test with the result in the morning, and finally get the result of this re-examination.


    "Ten minutes later, we will announce the results of this re-examination. After that, if you disagree with your results, submit a re-examination request before tonight."


    Ou Yangming said standing in front of the judges area.


    His rich voice was transmitted to every corner of the scene through the microphone.


    Everyone, dare not let the air out.


    Although the time to announce the rankings has not yet come, everyone is staring at the screen in front of them, all wanting to get the final ranking information as soon as possible.


    ¡­


    Offstage.


    Lu Chen sat with Cheng Guowen and Min Xiaobo.


    "Xiaobo, how do you feel?" Cheng Guowen turned to look at Min Xiaobo, who was beside him.


    Min Xiaolang breathed a sigh of relief, then shook his head slowly, "The new device is not very easy to use. Whether or not we can make it to the finals may depend on the performance of others."


    Cheng Guowen nodded and looked at Lu Chen again, but didn''t ask any questions.


    Lu Chen''s performance just now, he saw it.


    In addition to arrhythmia localization and ablation, there are still some gaps compared with other doctors with old information.


    But overall, the flaws do not hide the flaws.


    Lu Chen''s overall performance has amazed everyone present.


    However, what surprised Cheng Guowen the most was how could Lu Chen''s progress be so rapid?


    In terms of ECG interpretation, Lu Chen this morning was completely different from the previous days!


    How could his thinking of judging the map be so clear, there was no sign of any pause at all.


    This speed of progress is enough to make him, the chief physician, ashamed.


    ¡­


    In addition to the scene, everyone watching the game online was also very nervous.


    The audience in the online live room is increasing, and everyone is looking forward to the moment when the ranking is finally announced.


    In the eight districts of the Jinghua Second Hospital, Li Yao quietly stayed in her office.


    She followed the game the whole time.


    Today was originally her outpatient class, and she deliberately changed the outpatient class with another professor.


    Because it is a live broadcast, I can''t see the specific operation of the scene clearly.


    Li Yao could only see Lu Chen''s operation screen intermittently, and could not judge the specific details.


    However, Lu Chen''s ability to reach this point has exceeded everyone''s expectations.


    Li Yao was extremely satisfied with Lu Chen''s performance.


    This time, just do your best.


    He is still young, and there are countless possibilities in the future!


    Moreover, under Ou Yangming''s deliberate support, Lu Chen began to emerge in the Huaxia electrophysiology circle.


    However, Li Yao couldn''t help but have another idea in her heart.


    The thought of ?? also startled her.


    What if... Lu Chen can make further breakthroughs?


    Li Yao was staring at the live broadcast. She had always been very calm, but she was actually a little nervous at this moment.


    ¡­


    Binh Duong City.


    Lu Wenguo and Luo Meizhen also stayed in front of the computer, staring at the screen without blinking.


    Luo Meizhen''s hands even ooze layers of fine sweat.


    "Wen Guo, do you think Xiaochen can enter the finals?"


    Lu Wenguo, as a surgeon, usually has a calm personality.


    But now, he pauses a little, or trembles a little.


    "I, I believe in our son. Don''t worry."


    Luo Meizhen rolled her eyes at Lu Wenguo, but she didn''t expect her husband to be more nervous than herself.


    ¡­


    The ten-minute countdown is extraordinarily long.


    In the last minute, everyone tightened the string in their hearts.


    Ten, nine, eight...


    "Ding!"


    When the countdown is over, there is a harsh sound on the screen in front of you, and the leaderboard suddenly appears!


    Lu Chen stared at the leaderboard.


    Huaxia ECG Competition Finalist...


    The first place, Yu Weiguang, Kyoto University School of Medicine.


    The second place, Yuan Nianfang, Sun Yat-Sen University School of Medicine.


    The third place, Liu Sijia, Huachuan Medical College of Northwestern University.


    4th place, Hu Jia, Kyoto Medical University.


    5th place, Lu Chen, Jinghua Medical University.


    ¡­


    Ninth place, Min Xiaobo, Jinghua Central Hospital.


    ¡­


    Once the results were announced, the audience immediately boiled over!


    Yu Weiguang won the first place with an overwhelming advantage!


    Lu Chen is the fifth!


    And while successfully entering the finals, he obtained the qualification to participate in the training course of Huaxia Electrophysiology College!


    Most people are congratulating Yu Weiguang.


    He successfully proved himself in this electrophysiology competition.


    Whether it is clinical ability or scientific research ability, he is worthy of the young generation leader in the field of electrophysiology in China.


    However, quite a few people also noticed Lu Chen.


    The name ?? has attracted the attention of most people since it was proposed by Ou Yangming in the preliminary competition.


    Lu Chen''s name once again appeared in the promotion list!


    Everyone was shocked!


    This competition is basically prepared for those senior chief doctors and deputy chief doctors.


    No one imagined that one day, a student entered the final round!


    "Lu Chen, he...he actually made it to the finals!"


    Cheng Guowen was surprised and delighted, and the expression on his face was unpredictable.


    From the beginning of the preliminary round, Lu Chen created one impossibility after another.


    Up to now, Cheng Guowen is completely convinced.


    Yao remembered that when he was young, he might not even be able to perform electrophysiological puncture. Now Lu Chen has entered the finals.


    The difference between the two is not even a star and a half!


    Looking at the faint smile on Lu Chen''s face next to him, Cheng Guowen suddenly realized that this student had quietly caught up with their older generation...


    Min Xiaobo saw the leaderboard.


    He breathed a sigh of relief and entered the finals, then his mission was accomplished.


    However, when he saw Lu Chen''s results, Min Xiaobo smiled helplessly.


    This is really better than blue!


    A month ago, Lu Chen could only barely break through the provincial competition.


    Up to now, Lu Chen''s ranking in the finals is even higher than that of him.


    has long known that Lu Chen is not simple, he may be the most enchanting genius he has ever seen.


    But after learning the result, Min Xiaobo couldn''t help but sigh.


    "This kid Lu Chen may be more evil than everyone imagined!"


    ¡­


    Judges area.


    Jia Bo was not surprised by this ranking.


    When he saw Lu Chen''s actions clearly, he knew that his ranking was definitely not low.


    Sure enough, Lu Chen advanced!


    He was promoted together with a group of senior attending doctors and deputy chief doctors.


    "Little Jia, you missed the mark this time!" Ouyang Ming smiled and said to Jia Bo who was beside him.


    "Hey." Jia Bo shook his head helplessly, "Who would have thought of this!"


    He was really convinced.


    Who knew that Lu Chen had such a strong ability?


    If he can reveal a little bit in advance, he will definitely think twice.


    Looking at Lu Chen under the stage, compared to the group of middle-aged people in their thirties, his face was still a little green.


    Ou Yangming couldn''t help thinking that the future of Huaxia Electrophysiology was mostly for these young people.


    Li Yao really recommended him a good seedling!


    ¡­


    Online live room.


    At the same time, the score list also appeared on the major live broadcast interfaces.


    Exclamations of exclamations came from the doctor''s duty room in the eight districts in the heart of Jinghua Second Hospital.


    Li Yao sat in the office, looking at the ranking in front of her, her eyes were still filled with incredible color.


    Lu Chen was her student, so she always had an idea in her heart that Lu Chen might make it to the finals.


    But reason told her that this possibility was minimal.


    But when the facts were put in front of her, this feeling was like winning five million in the lottery.


    From the beginning of Lu Chen''s schooling, there were too many surprises for her!


    ¡­


    Jinghua Electrophysiology WeChat group.


    At this moment, everyone already knew Lu Chen''s true identity.


    He is not "Professor Lu", but a graduate student.


    Most of the people in the group made an incredible expression.


    In their eyes, even if Lu Chen is not a professor, he should be a very experienced doctor.


    But now, everyone has been slapped in the face.


    "Professor Lu" is younger than any of them!


    ¡­


    The circle of friends of Jinghua Second Hospital was all overwhelmed by this news.


    Lu Chen''s classmates, junior brother, junior sister, and even senior sister Sun Guoguo, all posted a circle of friends.


    All are congratulating Lu Chen for entering the finals.


    In the small area of ??the Jinghua Second Academy, Lu Chen''s influence in entering the finals is almost the same as EDG''s winning the championship.


    For example, Fatty Cheng Pengcheng, directly in the circle of friends, posted a message "Lu Chen is awesome!".


    After Gu Xinyue liked this WeChat, she also posted one.


    For a while, Lu Chen''s name appeared in every corner of Jinghua Second Hospital.


    ¡­


    Lu Chen, the protagonist at this time, was sitting in the corridor outside the catheter room.


    There are people who come to congratulate you all around, many of them are cardiologists from well-known hospitals.


    Even, many news media wanted to come and interview Lu Chen.


    The ?? scene was a hit!


    Even Yu Weiguang, who ranked first, was not as popular as Lu Chen.


    "I''m sorry, I have other things to do." Lu Chen answered a few questions and told everyone a little apologetically.


    He was not perfunctory, but Ouyang Ming had already asked him out before the game.


    "Director Cheng, I have something to do. Let''s go first."


    Lu Chen and Cheng Guowen said hello and left the lively catheterization room.


    A coffee shop next to the First Affiliated Hospital of Bingcheng Medical University.


    Lu Chen met Professor Ouyang Ming again.


    (end of this chapter)

 v2 Chapter 360： Electrophysiology Training Course

    Chapter 360 Electrophysiology Training Course


    It may be because there is no get off work, there are not many people in the coffee shop.


    Lu Chen and Professor Ouyang Ming sat opposite each other.


    "Lu Chen, first of all, congratulations to you, you entered the finals." Ou Yangming stroked his beard and smiled brightly.


    "Thank you, Professor Ouyang." Lu Chen smiled.


    Ou Yangming''s words in the preliminary round, Lu Chen remembered very clearly.


    It was precisely those words that made everyone know Lu Chen.


    "At your current age, you can have such profound attainments in electrophysiology, which is probably unique in China." Ouyang Ming smiled.


    As an authority in the field of electrophysiology in China, he is qualified to say such things.


    "Professor Ouyang, you won the prize." Lu Chen said.


    "Li Yao has talked about you many times in front of me, and you really didn''t disappoint her."


    "Mr. Li Yao?" Lu Chen was taken aback.


    Could it be that Ou Yangming in front of him is very familiar with his teacher?


    "Yes." Ouyang Ming said, "The last time I went to Jinghua, if it wasn''t for Li Yao''s invitation, do you think I would ignore Director Cao Zhiying and become your judge?"


    Lu Chen really didn''t expect that Teacher Li Yao and Professor Ouyang knew each other.


    In this way, Ou Yangming''s support for him was mostly Li Yao''s request.


    Lu Chen felt more grateful to Teacher Li Yao.


    "Your Director Cao has devoted himself to the selection of academicians. I really don''t like him."


    Lu Chen was quite helpless, so he could only smile.


    He has heard about Director Cao Zhiying since he has been here for so long.


    The rapid development of Jinghua Second Hospital is due to Director Cao''s contribution.


    But in recent years, Director Cao has shifted the focus of his work to the application of academicians.


    "Hey, let''s not talk about this unfortunate thing." Ouyang Ming smiled and looked at Lu Chen, and said slowly, "Do you know about the Huaxia Electrophysiology Institute?"


    When ??Lu Chen entered the finals, he also got a place to participate in the one-month training course of Huaxia Electrophysiology College.


    "I''ve heard of it." Lu Chen nodded, "Huaxia''s most influential electrophysiology training class is held every two years, with only 20 places in each course. I heard that the teachers of the college are all electrophysiology training courses in China. Experts in the field, and even academician-level figures.¡±


    "What else?" Ouyang Ming laughed.


    "Don''t know anymore."


    "That''s right, you are still young, so you may not know much about this." Ouyang Ming smiled, "You have to know the quota for this training class, but it was robbed by countless medical schools."


    Lu Chen was a little surprised.


    Isn''t ?? an academy training class? And only for one short month!


    How can ?? be so attractive?


    "First of all, as you said, there is no doubt about the strength of the teachers and software and hardware of the Huaxia electrophysiology training class." Ouyang Ming said, "Just like the advanced devices you used in today''s assessment, in the electrophysiology training class , you can use it as you like. Here, your interventional surgery ability can definitely have a qualitative leap!"


    Lu Chen heard the words, but nodded calmly.


    Ouyang was quite surprised by Lu Chen''s reaction.


    When I told others about this "Advanced Simulation Operating Room", everyone was very excited.


    Only this Lu Chen had a calm expression on his face.


    Doesn''t he know what this "advanced simulated operating room" means?


    ¡­


    Generally speaking, it takes three to five years to train a qualified electrophysiological surgeon.


    But using a surgical simulation room for training can greatly shorten this process, let alone an "advanced simulated operating room"!


    Ou Yangming patiently continued: "Secondly, you must know that if you can enter this electrophysiology training class, all of them are the leaders of the younger generation, such as your current Yu Weiguang. Most of them will become An authority in the field of electrophysiology, this is a huge invisible resource!"


    Genius gathered together, then this power is extremely terrifying!


    For example, many famous universities have various student organizations.


    These excellent people get together and can make a lot of influence in certain fields.


    Lu Chen nodded slightly, he also knew this.


    What''s more, China is a society of personal feelings.


    To the corresponding position, without these resources, many things are impossible.


    In recent years, Director Cao Zhiying of Jinghua Second Hospital has been running around in major hospitals, just to pave the way for his selection of academicians.


    Without such resources and background, if Cao Zhiying wanted to be an academician, it would be a fantasy.


    Ouyang Ming said, "Although I despise your Director Cao Zhiying, he also attended this electrophysiology training class back then, and his surgical ability is absolutely superb, otherwise he would not have been promoted to Director of the Second Hospital. In the same batch, there are several doctors who are much older than him."


    Lu Chen listened to Ou Yangming''s words and began to have a certain understanding of this electrophysiology training class.


    "Finally, this training class, on the surface, says that there is only one month of training, but this is for those who fail the first month''s assessment." Ouyang Ming said, "As long as you pass the monthly assessment, then you can Continue to stay, up to half a year!"


    Actually this is easy to understand.


    The normal study period is six months to one year.


    This electrophysiology training course is equivalent to a refresher training time.


    "I told you so much today because I want you to take advantage of this training class opportunity." Ouyang Ming said, "Don''t lose this place!"


    Lu Chen was stunned, "Professor Ouyang, can you lose this quota?"


    "Normally, it won''t be lost." Ouyang Ming said, "But the training quota can be transferred within a reasonable range. Many people don''t care about this kind of training class, so they transfer the quota to others."


    "Yes." Lu Chen nodded and said, "Professor Ouyang, don''t worry, I will definitely not transfer this quota."


    "I hope you can remember what you said now." Ouyang Ming smiled, "Your journey has just begun, don''t lose the big because of the small."


    Immediately afterwards, he chatted with Ou Yangming, drank a cup of coffee, and left.


    Before leaving, Lu Chen once again thanked the old professor in front of him.


    To be honest, in other industries, most of them retire at this age.


    But in the medical field, people like Professor Ou Yangming are a treasure!


    A lot of their experience and knowledge can bring many benefits to the younger generation of doctors.


    ¡­


    Out of the coffee shop.


    The oncoming cold wind could not resist Lu Chen''s joy at all.


    has been chatting with Professor Ouyang just now, and Lu Chen hasn''t had time to reminisce about the rematch assessment just now.


    After this month of devil training, today, he finally saw the results - advanced to the finals!


    At the beginning of the competition, Lu Chen never imagined that one day he would stand on the stage of the national finals.


    But Lu Chen also knew that, as Professor Ouyang just said, his journey has just begun.


    In the future, there is still a long way to go, waiting for Lu Chen to explore.


    (end of this chapter)

 v2 Chapter 361： Finals and Return

    Chapter 361 Finals and Return


    After the ?? assessment was over, Lu Chen replied numerous congratulatory calls.


    The focus is on Li Yao''s mentor and his parents.


    Lu Wenguo and Luo Meizhen were so happy that they couldn''t agree more, so they immediately posted the news of Lu Chen''s promotion to the finals to the group.


    This move attracted the admiration of many relatives.


    Instructor Li Yao, of course, congratulated Lu Chen and asked Lu Chen to make persistent efforts.


    Lu Chen was a little stunned.


    And let him make persistent efforts!


    Next is the real finals...


    ¡­


    When Lu Chen returned to his uncle''s house, it was close to eight o''clock in the evening.


    Luo Xueya was lying on the sofa in the living room and jumped up excitedly when she saw Lu Chen open the door and come in.


    "you''re back!"


    Luo Xueya has seen the final result on the live broadcast interface.


    Lu Chen finally ranked fifth and made the cut!


    Lu Chen nodded happily, put down his backpack, took off his down jacket, and sat beside Luo Xueya.


    "Lu Chen, you are too good!" Luo Xueya laughed, "I watched the live broadcast room this afternoon, and someone said that you are the only student in the entire contestants."


    "Well, the others should be the attending doctor or the deputy chief doctor of each doctor." Lu Chen said.


    Luo Xueya''s eyes widened, "Little cousin, you are so amazing! Even someone like me who doesn''t understand medicine knows how difficult it is for you to make it to the finals."


    Lu Chen smiled slightly, he heard too many such compliments today.


    After enjoying this kind of praise, what Lu Chen needs is calm.


    being targeted!


    And his current performance has attracted the attention of some people.


    In the field of electrophysiology, he is no longer that unknown person.


    The more this is the case, the more Lu Chen has to calm down, calm down and do things, not to be deceived by these honors in front of him.


    More importantly, Lu Chen has not made any achievements now, he is just following in the footsteps of his predecessors.


    Consecutive months of high-intensity training put his mind in a constant state of oppression.


    This night, Lu Chen was relieved of the pressure and slept very comfortably.


    ¡­


    The final is also two days later.


    Lu Chen originally planned to come to Bingcheng for two or three days, but now it''s almost a week.


    He is used to staying in Bingcheng, except for the cold, everything else is fine.


    For the past two days, Lu Chen also stayed at home and continued his final sprint training.


    As for the final result, Lu Chen really doesn''t care much now.


    He has done the best he can and tried his best.


    As for the rest, it can only be left to luck and fate.


    Two days later, the final came as scheduled.


    There were only ten participants this time, but it was not as lively as the preliminary round and the retest.


    The ten people on the field did not have that kind of tense atmosphere, but it was like an academic exchange meeting.


    Because everyone present has already won a place in the electrophysiology training class.


    From now on, everyone will be students in the same training class.


    Taking this opportunity, Lu Chen also got to know many excellent electrophysiological talents.


    The most special is Yu Weiguang of Kyoto University School of Medicine.


    Yu Weiguang is quite cold, but when someone asks him to talk, he can still say a word or two.


    He is exactly the kind of academic tyrant that everyone imagines, no, the kind of person who is at the level of academic gods.


    There is not much exclusion from Lu Chen, a graduate student.


    Although Lu Chen is a student, it has been proven by facts that he can get to this point!


    However, everyone is very curious about Lu Chen''s learning energy.


    Lu Chen said haha ??and perfunctory.


    After all, if you tell the system, no one will believe it!


    ¡­


    At nine o''clock in the morning, the finals began.


    The rules of this final round are simpler than the preliminary round and the rematch.


    is only a simple assessment of electrophysiological interventional surgery.


    There are also three surgical options, randomly selected.


    After each person has been assessed, the assessment scores will be announced on the spot.


    Although the atmosphere on the field was not too tense, everyone raised a ten thousand spirit.


    After all, no one wants to give to whom!


    Lu Chen won the implantation of a pacemaker.


    A very unpretentious operation technique.


    Lu Chen finished it within thirty minutes.


    ¡­


    At 11:30 in the morning, the finals ended.


    Lu Chen finally ranked sixth!


    Compared to the rematch, Lu Chen also fell back one place.


    Because there was no core electrogram interpretation in the rematch, Lu Chen''s advantage was relatively reduced.


    However, this ranking is already very good for Lu Chen!


    This is the sixth place in the country!


    Before his ranking, there are top medical talents from Kyoto University School of Medicine, Kyoto Medical University, Magic University School of Medicine, and Zhongshan School of Medicine.


    These people are all leaders of the younger generation in the field of electrophysiology!


    Lu Chen was quite satisfied with his ranking.


    In the preliminary round, I was unwilling to be eliminated, this is hard work and progress.


    In the finals, you must learn to be content.


    Although only ranked sixth, Lu Chen still has a long way to go in the future.


    "Lu Chen, remember what I said to you." Ouyang Ming smiled and came to Lu Chen, patted his shoulder lightly.


    "Yeah." Lu Chen nodded quickly.


    "Okay, we will meet again!" Ouyang Ming smiled and left with the judges.


    Jia Bo stood beside Ou Yangming with complicated eyes.


    The students who were eliminated by his own hands are now able to stand in such a place, and maybe in a few years, they will be able to be on an equal footing with him.


    Jia Bo sighed slightly in his heart.


    I have to say that eliminating Lu Chen was the most regretful decision he ever made, but it made the Second Academy of Jinghua a big bargain!


    After the ?? awards, Lu Chen also received a reward of 2,000 yuan, which was a good extra, and he could improve his meals.


    ¡­


    Huaxia ECG Contest finally came to an end.


    Jinghua has a total of two people in the top ten, Cheng Guowen is naturally happy.


    This is the best time for Jinghua in the past.


    In the next few years, Jinghua Electrophysiology Association will definitely have more resources to tilt.


    The most important thing is that someone from the Second Academy of Jinghua entered the top ten!


    For next year''s general election, the Second House of Jinghua occupies a great deal of initiative.


    If only Min Xiaobo was in the top ten, then the chairman of the Jinghua Electrophysiology Association next year may fall on the head of the central hospital!


    Cheng Guowen slowly forgot about Lu Chen''s rejection of him before.


    After the trip to Bingcheng, he also knew that Lu Chen''s path would not be limited to Jinghua!


    ¡­


    Because of his outstanding performance, Cheng Guowen gave Lu Chen and others two days off, so that everyone could have a good time in Bingcheng.


    These days, I have been busy with competitions, and everyone has no intention of going out to play.


    With this short vacation, accompanied by Luo Xueya, Lu Chen played in the ice city, and even went to the world of ice and snow.


    After two days of rest, Lu Chen and his party returned to Jinghua.


    (end of this chapter)

 v2 Chapter 362： System Upgrade!

    Chapter 362 System Upgrade!


    However, before returning to Beijing, Lu Chen took the time to record a popular science video for Luo Xueya.


    And the two agreed that they would collaborate on a video every once in a while.


    At present, Lu Chen''s popularity on the Internet is not low.


    Luo Xueya can attract more fans and divert the flow by taking advantage of Lu Chen''s popularity.


    And Lu Chen can continue to harvest thanks through the release of popular science videos!


    Cooperation and win-win!


    When Lu Chen left Bingcheng, Luo Xueya was a little reluctant.


    Although the two have not been together for a long time, only about a week, but they are young and similar, have common topics, and can talk more easily.


    "Lu Chen, in a while, I''m going to find you to play with." Luo Xueya said to Lu Chen half-jokingly.


    "Okay, welcome anytime."


    ¡­


    Get on the plane again, this time, the journey of the plane is very smooth.


    Lu Chen, who returned to the Jinghua Second Hospital, received his treatment, which was unprecedented!


    Before the competition, all the rewards promised by the Jinghua Electrophysiology Society were exchanged for Lu Chen.


    He went from an elite member of the Electrophysiology Society to a core member!


    You must know that there are only thirteen core members of the Jinghua Electrophysiology Society.


    All are doctors at the director level of each hospital in Jinghua!


    Lu Chen is the only one below the chief physician level, not even a resident doctor!


    At the same time, the Electrophysiology Society also rewarded him with a sum of money, almost 10,000 yuan.


    Although the money is not much, it is a piece of heart.


    Organizations like the Electrophysiology Society can be described as Qingshui Yamen, and generally do not have any material rewards.


    This time, it is really an exception.


    In fact, the biggest benefit that brought Lu Chen, that is, some invisible things.


    The most intuitive thing is that Lu Chen''s reputation has been widely spread in the Jinghua Second Academy.


    A student won the sixth place in the National Electrocardiogram Contest!


    What an incredible thing this is!


    All of Lu Chen''s experiences have also become the talk of everyone after dinner.


    Recently, as long as you are talking about the Cardiology Department of the Second Hospital, who doesn''t know Lu Chen''s name?


    However, for Lu Chen himself, what he values ??most is the number of places in the electrophysiology school training class!


    But the latest training class will not start in Kyoto until October next year.


    Lu Chen has to wait a year before he can participate in this electrophysiology training class.


    ¡­


    Today is Lu Chen''s first day back to work in the emergency department.


    Lu Chen was walking on the path in the Jinghua Second Hospital.


    I met some interns in white coats and holding internal medicine books.


    "Did you know that there is a super powerful person in the Cardiology Department of the Second Hospital recently!"


    "That''s right! I heard that a classmate who rotates in the eight districts in his heart said that he seems to be a senior fellow of Yanyi, who entered the national finals in a competition with a group of attending and deputy chief physicians!"


    "So powerful? Who is it! I really want to meet!"


    Hearing what everyone was talking about, Lu Chen smiled slightly and walked past them.


    In the past few days, Lu Chen would hear people talking about him whether he was going to the cafeteria, queuing at the elevator door, or picking up a courier.


    He felt a little embarrassed at first, but after listening to it too much, he became numb.


    Everyone likes this kind of "weakness wins over the strong".


    If it is a senior attending doctor who gets the sixth place, although it is not easy, everyone will definitely not have such a strong reaction.


    Lu Chen, as a student, defeated the superior doctors of the "underworld forces", enough to make these interns talk about it for a long time!


    Lu Chen came to the ward of the emergency department.


    At this time, the number of people in the emergency department is still relatively small.


    He went to the duty room to change into a white coat, adjusted his neckline a little, and walked out.


    "Lu Chen, you, you are back!"


    As soon as he walked out of the duty room, Lu Chen saw Cheng Peng standing at the door of the office.


    "Yeah, I''ve been gone for more than a week. If I don''t come back, you will all forget me." Lu Chen smiled.


    "Hey, who can forget you now!" Fatty Cheng said with a smile, "We watched the whole process during the few days of your competition, and the eight districts in our hearts organized everyone to watch the live broadcast together!"


    Cheng Peng walked to Lu Chen''s side and patted him on the shoulder with a sigh.


    "I don''t even know what to say, only two words, too awesome!"


    "Fatty, stop talking..." Lu Chen smiled, "In the past two days, I almost vomited listening to these compliments..."


    "Oh, Lu Chen, you''re a cheap sell!" Cheng Peng said angrily.


    But for Cheng Peng, he could not feel any jealousy in his heart.


    Because there is too much gap between Lu Chen and them!


    This huge gap makes everyone feel no jealousy in their hearts, only envy and admiration!


    ¡­


    Then, people came to the emergency department one after another.


    Seeing Lu Chen''s reaction, he was the same as Cheng Peng.


    Some people even asked about the experience of the game and so on.


    That''s it, Lu Chen spent his first day back in the emergency department in such a "simple and unpretentious" way.


    Over the next few days, things finally got better.


    After the heat was over, Lu Chen could go to work normally.


    Although his popularity in reality is slowly fading, on the Internet, Lu Chen''s popularity has just begun.


    ¡­


    Lu Chen returned to Jinghua on the third day.


    Luo Xueya and his second collaboration video have been released again.


    This video, once released, immediately attracted the attention of most people.


    In the video, Lu Chen has another title, the sixth place in the National Electrocardiogram Contest!


    With the blessing of multiple titles, and Luo Xueya''s more careful production of this issue''s popular science video.


    This video is on fire again!


    in the system panel.


    Lu Chen''s gratitude value kept rising again.


    In one day, through this video, the amount of thanks he got once again reached the limit!


    The total thank you points is more than 2,000 points.


    For Lu Chen, who used to be quite poor, it can be said that he became a "well-off family" overnight.


    Thanks to the source of the value, Lu Chen thought of this way of popular science video, which can be obtained quickly.


    But the degree of system upgrade completion is not easy to obtain!


    The health function of the current system is often tasteless.


    Because many diseases change very quickly, at the beginning, the health value on the patient''s head has not had time to change!


    When the health value changes, it will be too late!


    In the ?? system panel, Lu Chen''s system upgrade completion rate is 81%!


    The next upgrade is not far away.


    Lu Chen wanted to take advantage of the last time in the emergency department to see as many patients as possible to obtain more system upgrade completion.


    ¡­


    finally¡­¡­


    Before Lu Chen left the emergency department, he earned another 2,000 gratitude points. Most importantly, the system upgrade was 100% complete!


    A prompt pops up in the system panel.


    "Congratulations, the system upgrade is 100% complete!"


    (end of this chapter)

 v2 Chapter 363： swallow battery

    Chapter 363 Swallowing the Battery


    Finally, the system has been upgraded again!


    Lu Chen immediately summoned the system panel, but then frowned.


    It doesn''t seem to have changed much!


    The skill bar of the system panel, the system mall, everything is as usual.


    "The system is down?" Lu Chen frowned deeply.


    He has been looking forward to the system upgrade for so long, but there is nothing at all?


    Lu Chen felt that he hadn''t discovered it yet. Why didn''t this system give any hints?


    Thinking again and again, Lu Chen continued to look at his system, trying to find out what was different from before.


    ¡­


    At this time, it happened to be noon, and the other people in the dormitory also came back one after another.


    Wang Zihao opened the door and said to Lu Chen very happily, "My paper has been accepted! It''s great!"


    Lu Chen looked back at Wang Zihao, thinking of congratulating him, when he suddenly noticed a "¡ª" symbol behind the health on his head.


    This, what is this?


    The number of health on Wang Zihao''s head is 82, and then he has a "¡ª".


    Before, all Lu Chen could see was his health.


    However, now there is a strange symbol after the number.


    Lu Chen looked at the other roommates and found that some of them had "-" and some of them had "+".


    Could this be the changing trend of HP?


    Lu Chen''s face brightened, if that''s the case, that would be great!


    Being able to see the trend of life value changes, which is much better than the previous tasteless system!


    "Zihao, have you been feeling unwell recently?"


    Wang Zihao was stunned for a moment, then said in surprise, "Ah? How did you know? I recently changed my thesis and stayed up all night for several consecutive nights. I still have a cold, and I am a little empty."


    Lu Chen smiled: "Seeing how you sleep so late at night, guess what. Now that all the papers have been accepted, take a good rest. If your body breaks down, you will lose more than you gain!"


    Looks like he guessed right!


    The "+" and "-" really reflect the trend of life value changes!


    "Okay, I''ll go to bed early today." Wang Zihao said.


    This paper by Wang Zihao is the one that Lu Chen helped him find the data before.


    To this end, Wang Zihao also added Lu Chen to the ranks of the second author.


    Although it is only a core journal of Huaxia Chinese, not SCI, it is already very good for the students of the first year!


    ¡­


    As there is no other change in the system, Lu Chen will have to go to the clinic to try it out himself.


    It took so much energy to upgrade the system, it should not just add this function.


    In the afternoon, Lu Chen came to the emergency department.


    All patients'' heads have plus and minus symbols behind the number of health points!


    And, for the most patients, there are three minus signs after the health number!


    came to the rescue room.


    He saw a patient who was sent to the hospital for CPR one morning.


    At this point, the HP on his head is 21 (---).


    According to the previous theory, the patient''s condition should be in a state of deterioration.


    And the three minus signs represent that the patient''s condition is rapidly deteriorating!


    Lu Chen looked at a few more patients. Those patients whose clinical manifestations had improved had indeed a "+" symbol behind the number of health points.


    This further confirmed Lu Chen''s guess.


    The ?? system has an additional function of displaying the trend of life value!


    This is a dream function for every clinician, relative to the ability to judge the prognosis of a patient''s disease.


    In the system panel at this time, the system upgrade completion degree returns to "zero" again!


    "It''s important to get thank you points, but the completion of this system is even more important!" Lu Chen thought.


    Just this little extra function in the system has benefited him a lot!


    ¡­


    the whole afternoon.


    While dealing with patients, Lu Chen is also constantly exploring changes in the system.


    He found that after giving a patient treatment, such as certain medications, the trend of the patient''s health numbers changed!


    Some have changed from two minus signs to one minus sign.


    Some have changed from minus to plus!


    It all depends on whether the treatment measures are correct.


    This is another change in Lu Chen''s discovery system, and the development trend of the disease can be judged by "plus and minus".


    Two simple functions, but Lu Chen''s plug-in has been strengthened several times!


    ¡­


    Just then, Nurse Gong Nannan ran into the doctor''s office.


    "The patient is here! Lu Chen, it''s your turn to collect!"


    "Okay, here we come!" Lu Chen nodded, picked up the stethoscope, and walked out of the office quickly.


    Wang Xiaodong was still dealing with other patients, so he had to go and see first.


    Most of the patients hospitalized in the emergency department are poisoned by pesticides and rat poisons.


    Some other diseases will be directly admitted to other departments in the ward.


    Lu Chen and Cheng Peng came to the emergency ward together.


    The patient is a twenty-six-year-old young man.


    Came to the hospital because of abdominal discomfort.


    An electrocardiogram was done at the local clinic, which showed the possibility of myocardial infarction, and the patient was sent here.


    Lu Chen saw his electrocardiogram at first sight.


    ST segment elevation in inferior leads, is it acute inferior myocardial infarction?


    "Why are you uncomfortable?" Lu Chen glanced at the health number on the patient''s head.


    66 (--)!


    "I swallowed a battery by mistake, and now my stomach is a little uncomfortable." The man frowned.


    "What? Swallowed the battery?!"


    Lu Chen was taken aback.


    He has seen a lot of people who swallowed drugs by mistake. Last time there was a little girl who swallowed mercury.


    Today was the first time he swallowed the battery!


    This is really a high game!


    However, now is not the time to delve into the cause.


    After the shock, Lu Chen began to conduct in-depth consultations and physical examinations.


    At the same time, Cheng Peng reviewed an electrocardiogram for the patient again.


    Still ST-segment elevation in inferior leads!


    "Doctor, me, will there be any problem with me?" The man''s expression was very nervous.


    Lu Chen frowned and thought deeply, but did not reply immediately.


    Cheng Peng on the side said: "Lu Chen, could it be an acute stress response? We have seen before, those patients'' myocardial stress response due to emotional stress is similar to broken heart syndrome. Because The patient is so young, the possibility of myocardial infarction is unlikely!"


    Myocardial stress response?


    Lu Chen pondered for a while, then shook his head.


    is read by the health on the patient''s head and two minus signs.


    The patient''s condition is constantly progressing, this is certainly not as simple as a stress response!


    However, Fatty is right about one thing.


    This patient is young and does not have any risk factors for myocardial infarction, so the possibility of myocardial infarction is unlikely.


    Lu Chen returned his attention to the patient''s electrocardiogram, and said to Gong Nannan, "Sister Nan Nan, first urgently check the blood routine, liver and kidney function, and myocardial enzymes, and then take the patient to take a film."


    Whether it is a myocardial infarction or not, the necessary tests and examinations need to be perfected.


    (end of this chapter)

 v2 Chapter 364： Minus change

    Chapter 364 Minus Changes


    Soon, the results of the urgent blood test came out.


    All test results of the patient were normal.


    At this time, Wang Xiaodong also came to the emergency ward.


    "How is the patient?"


    Lu Chen said: "After the patient swallowed the battery, he developed abdominal discomfort and ST segment elevation in the lower leads of the ECG. In addition, the blood test results were normal, and there was no symptoms of chest tightness or chest pain."


    "Please consult with the Department of Cardiology, General Surgery, and Gastroenterology." Wang Xiaodong said.


    "Already invited." Lu Chen replied.


    "Okay." Wang Xiaodong nodded slightly, it''s great to have Lu Chen in the group, it can save a lot of things.


    In another week, Lu Chen will be transferred to other departments, he will really not be used to it by then!


    "Lu Chen, what do you think of this electrocardiogram?" Wang Xiaodong looked at Lu Chen.


    Ever since Lu Chen''s reputation spread, everyone would come to him whenever there was an electrocardiogram they couldn''t read in the department.


    "Inferior leads are indeed elevated, but the reason for the elevation is not yet known." Lu Chen said solemnly, "At present, it can be ruled out that it is caused by myocardial infarction. I think it may be due to the battery."


    "You said it was caused by the battery?" Wang Xiaodong wondered.


    "Well, that''s all I can think about for now." Lu Chen said.


    At this time, the patient''s head health suddenly dropped again!


    becomes 64 (--).


    "Doctor, my stomach is still very uncomfortable!" The patient lay on the bed and covered his stomach.


    "First take some medicine to protect the stomach." When encountering such a patient who swallowed a battery, Wang Xiaodong did not dare to rashly use other medicines.


    At this time, Cheng Peng said, "Brother Wang, the patient''s chest X-ray image is out."


    Everyone immediately came to the computer to view the images and pictures.


    Chest radiograph showed the presence of a radiopaque metal body in the patient''s gastric antrum.


    This should be the battery he swallowed.


    "Looks like I really swallowed the battery." Wang Xiaodong frowned, "Let''s wait for the consultation from the relevant departments."


    About five minutes later, the cardiologist came.


    However, this is the first time everyone has encountered a patient who swallowed a battery, and there was no particularly good way to deal with it for a while.


    "Myocardial infarction is not considered for the time being." The opinion of the cardiologist consultation doctor is very clear.


    Combining the patient''s symptoms and blood test results, the diagnosis of myocardial infarction is definitely not established!


    Lu Chen stood in front of the computer and carefully compared the patient''s chest X-ray.


    "If it is said that the battery affects the changes of the electrocardiogram, then there is only one possibility!" Lu Chen thought to himself.


    Batteries are foreign objects after all.


    When a foreign body enters the human body, the first thing to consider is whether there is a possibility of blocking the airway.


    Judging from the patient''s symptoms, it is definitely not.


    Second, is whether the foreign body is toxic, and how toxic it is!


    Substances such as pesticides, rat poison, metals, etc., can cause damage to the human body.


    And the battery enters the human body, this situation is relatively rare, and most doctors really don¡¯t understand it.


    However, Lu Chen had obtained a skill card for emergency poisonology before, and he also studied it after he went back.


    The hazard of ??batteries is that their surfaces can cause severe burns when they come into contact with the conductive tissue of the esophagus.


    This contact creates an electrical current and breaks down nearby water into a highly corrosive liquid.


    Looking at the chest radiograph in front of him, and thinking of the location of the battery, Lu Chen suddenly froze.


    "Junior Brother Lu, did you find anything?" Wang Xiaodong asked Lu Chen, who had been staring at the chest X-ray.


    Lu Chen nodded slightly: "Senior brother, I think I understand the reason why the patient''s electrocardiogram looks like a myocardial infarction."


    Wang Xiaodong and Cheng Peng immediately got together.


    Lu Chen paused for a while before saying, "Because gastric acid has a corrosive effect on the battery, and the content of the battery is strong acid and strong alkali, once the battery''s skin is corroded and the content leaks, it will corrode the digestive tract, and the stomach just faces the heart. If the inferior wall is too large, it may lead to ST-segment elevation!"


    "Actually, the ECG waveform feels weird, not only the lower wall is elevated, but the chest leads are also elevated!""


    "This picture also needs to rule out the possibility of interference! According to the Eintophan triangle, the waveform of lead I is very good, and the waveform change caused by the interference of the left lower extremity must be ruled out!"


    ¡°¡­¡±


    Lu Chen''s explanation is very simple, that is, the corrosion of the battery by stomach acid, its position is just against the lower wall of the heart, so it leads to the change of the electrocardiogram.


    Cheng Peng suddenly realized: "Lu Chen, after listening to you, I understand. It seems that the electrocardiogram is not only about the heart, as long as we know the principle of the electrocardiogram, we can better understand these things."


    "Yes, that''s right." Lu Chen smiled.


    Wang Xiaodong nodded slightly.


    Lu Chen''s explanation seems very simple, with only a few sentences, but it is not something ordinary people can do to explain the electrocardiogram from this level!


    It''s no wonder that Lu Chennengdao got the sixth place in the electrocardiogram competition. This is all powerful!


    Once the patient''s condition has been initially clarified, the next step is treatment.


    The battery must be taken out!


    But the method of removal is to use a gastroscope or surgical method, which depends on the judgment of general surgery and gastroenterology.


    As for the method of excretion, it is said that once the battery stays in the gastrointestinal tract for too long, it may cause corrosion to many intestinal tracts.


    That''s not worth the loss!


    Therefore, the method of inducing vomiting and excretion is not advisable.


    "Doctor... I can''t do abdominal surgery, right?" The patient lay on the bed with a bitter face.


    Accidentally swallowed a button battery and caused so much trouble.


    "Not necessarily." Lu Chen said, "Looking at the location of this chest X-ray, it may be possible to take it out with a gastroscope, but the specific method should be judged by other professional departments."


    Lu Chen didn''t say anything.


    A gastroscope is just a minimally invasive procedure, but an open abdomen is a major operation.


    "Doctor, you can use a gastroscope if you can." The patient pulled Lu Chen''s sleeve and cried, "I''m still young, I really don''t want to do this kind of surgery!"


    "This is determined by your condition. If the gastroscope cannot be taken out, you must use surgical means." Lu Chen said sternly, "Once the battery stays in your body for a long time, the damage may become more and more serious. It''s not just the ECG that changes!"


    Although the patient seems to be in a stable condition now, the two "--" after the health number on his head made Lu Chen have to carefully explain his condition.


    If this battery is not taken out as soon as possible, there will be a big problem sooner or later!


    Hearing Lu Chen''s explanation, the patient could only sigh slightly and accept his fate.


    About a few minutes later, both gastroenterology and general surgery came.


    After comprehensive consideration, the gastroscope was chosen to take the battery.


    However, if it fails, the endoscopic procedure will turn into a surgical procedure!


    ¡­


    Before approaching the gastroscope room, Lu Chen also gave the patient "honey" treatment.


    This method is not available in textbooks, but Lu Chen found it in a newly published literature.


    After accidentally swallowing a battery, the risk of tissue damage can be reduced by using honey multiple times.


    Whether it was useful or not, after obtaining the patient''s consent, Lu Chen gave the patient honey.


    about ten minutes later.


    Lu Chen saw that the minus sign after the number of health on the patient''s head changed from "--" to "-"!


    Sure enough, honey is effective in the early treatment of such patients!


    At this point, a prompt pops up on the system panel.


    "Congratulations, get 1% completion of system upgrade!"


    (end of this chapter)

 v2 Chapter 365： give up

    Chapter 365 Give up the quota


    The patient who swallowed the battery was soon sent to the gastroscope room for emergency gastroscopy to remove the foreign body.


    Lu Chen safely sent the patient to the gastroscope room, and the rest was beyond his control.


    However, through such a case, Lu Chen was more aware of the changes in his system.


    Not only can prepare to interpret the changing trend of the patient''s condition, but also judge the treatment effect through the change of "symbol".


    Medicine, in many cases, is an empirical discipline.


    Many diseases cannot be detected by existing means.


    At this time, it is necessary to reverse the diagnosis of the patient through some empirical treatment and through the treatment effect.


    Lu Chen''s system has a huge effect at this time!


    ¡­


    About an hour later, a message came back from the endoscopy room.


    The battery was successfully removed!


    After reviewing the ECG for the patient, the elevation of the patient''s inferior wall leads fell back!


    "Alas, the battery really has an effect on the ECG!"


    Fatty Cheng glanced at Lu Chen in admiration.


    As expected of the person who participated in the national electrocardiogram finals!


    Although the difficulty of ECG is not high, it is not easy to be able to peel off the cocoon and find the reason for the change of ECG!


    Wang Xiaodong on the side of ?? also praised: "Junior Brother Lu, your diagnosis process is really like a detective solving a case! Hey, it''s a pity that you will leave next week, and our team will be missing a lot of main force!"


    "Senior brother, other graduate students will come over then." Lu Chen said.


    "How can other graduate students compare with you!" Wang Xiaodong shook his head slightly, "Most of them may not even understand the medical history, and it would be a real talk to ask them to help see patients."


    Asking the medical history is a basic clinical skill.


    However, many graduate students have just entered the school and have no clinical experience at all.


    "Take your time, Senior Brother." Lu Chen smiled, "Everyone doesn''t know how to start."


    Lu Chen chatted with Wang Xiaodong a few more words, and then went back to the dormitory after get off work.


    recalled his days in the emergency room.


    Actually, Lu Chen didn''t stay in the emergency department for a long time, and he often took time off to attend training in simulated surgery classes.


    In addition, the examination time in the middle was delayed by a week, so Lu Chen didn''t really spend a long time rotating in the emergency department!


    However, although the rotation time was short, Lu Chen still learned a lot of clinical knowledge outside of cardiology.


    This is very beneficial for the construction of his entire knowledge system.


    After all, a good clinician must be a great physician, not just cultivating one-third of his own acre.


    ¡­


    Lu Chen had just returned to the dormitory and was about to go to the cafeteria with Wang Zihao to eat when he suddenly received a call from Cheng Guowen.


    "Lu Chen, come to Room 403 on the fourth floor of the office building."


    Cheng Guowen finished saying this, and hung up the phone before Lu Chen could answer.


    Lu Chen was stunned for a moment, not quite understanding what Cheng Guowen meant.


    "Zihao, go eat first, I''ll go to the office building." Lu Chen looked apologetically at Wang Zihao beside him.


    "What are you doing in the office building?" Wang Zihao wondered, "At this point in time, everyone in the office building should be off work!"


    Lu Chen shook his head: "I don''t know either, but Professor Cheng Guowen of Cardiology Department asked me to go to Room 403 on the fourth floor."


    "403?" Wang Zihao frowned, "Isn''t that the dean''s office?"


    "The Dean''s Office?" Lu Chen was taken aback.


    "That''s right!" Wang Zihao nodded, "I went to deliver the materials many times before. Room 403 should be the vice president''s office."


    "Which vice president?"


    "I don''t know." Wang Zihao shrugged, "Will it be a commendation for you?"


    "Never mind, let''s take a look at it first." Lu Chen spread his hands.


    Now guessing is futile.


    ¡­


    The office building is not far from the dormitory of the Guiping Building, only a few hundred meters away.


    Lu Chen soon came to the office building.


    The fourth floor, it has been almost an hour after get off work, and the stairs and corridors are very quiet.


    Generally speaking, administrative staff are quite punctual, and it is absolutely impossible to work overtime.


    Every door was closed, and Lu Chen almost wondered if Cheng Guowen had made a mistake.


    Came to the door of Room 403, and he knocked tentatively on the door.


    "Come in!"


    A thick voice came from inside the house.


    Lu Chen pushed the door and entered.


    In front of him, a middle-aged man in a white shirt sat at the desk.


    Before entering the door, Lu Chen had already asked the security guard on the first floor.


    The person working in Room 403 is the vice president of the hospital, Chen Tairan.


    "Hello Director Chen, I''m Lu Chen." Lu Chen stood at the desk.


    "Oh, are you Lu Chen?"


    Chen Tairan had been looking down at the document, and when he heard Lu Chen''s words, he immediately looked up.


    "Yes." Lu Chen nodded.


    At this time, he was also looking at Dean Chen Tairan in front of him.


    Chen Tairan wears gold-rimmed glasses, with a fat body and a high hairline, which has a faint Mediterranean trend.


    "I''ve heard that Professor Li Yao has a good student, but when I look at it today, it really is a talent."


    Chen Tairan shrugged the glasses on the bridge of his nose and smiled.


    Lu Chen smiled and didn''t say a word, but his heart began to feel a little alert.


    Although he does have some achievements, he is still just a student after all.


    It is unrealistic to make the directors of one of the top three hospitals start to praise people as soon as they come up.


    Lu Chen knew his weight, but he couldn''t shake his body and exude the air of dominance!


    "What do your parents do?" Chen Tairan continued to ask.


    Lu Chen answered truthfully: "My parents are both medical staff."


    "Then you are still a medical family, which hospital are they in?"


    "The small hospital at home..."


    Immediately afterwards, Chen Tairan asked several questions in succession, all about Lu Chen''s family situation.


    This made Lu Chen a little puzzled, and it wasn''t about checking the account book, why did he ask such a detailed question?


    "Not bad, not bad." Chen Tairan said, "It is not easy to achieve today''s results in this environment!"


    Lu Chen frowned slightly.


    Chen Tairan''s words were harsh.


    His parents have tried their best to give him the best living and learning conditions.


    In Chen Tairan''s view, it is not worth mentioning.


    "Lu Chen, your results in the national electrocardiogram competition this time are very good!" Chen Tairan smiled again, "brings a lot of honors to our school, on behalf of the school leaders, thank you again."


    "Thank you, Dean Chen." Lu Chen said.


    said thanks, but Lu Chen didn''t see anything from Dean Chen.


    Chen Tairan raised his head, glanced at Lu Chen, and continued: "I know you are studying electrophysiological interventional surgery. This surgery is not easy to learn. In the absence of a simulated operating room, most people need to study for at least 5 years to achieve entry threshold."


    Lu Chen nodded in agreement. Suddenly, he vaguely understood the purpose of Dean Chen Tairan.


    "President Chen, in this ECG competition, the final exam is interventional surgery. I can already complete routine ablation and pacemaker implantation independently."


    Chen Tairan raised his brows, his expression flashed a hint of surprise, but then returned to normal.


    "Well, that''s right." He replied immediately, and then suddenly changed his words, "I won''t go around in circles with you. You should know that the top ten contestants of yours should have all won the electrophysiology training class."


    "Well, I know." Lu Chen was startled.


    Is this to show your purpose?


    "Since you know, it''s easy to say." Chen Tairan smiled, "The electrophysiology training class lasts at least a month, or even longer. You are only a student now, and you may not have time to participate. Do you have any ideas? , let this place out?"


    coming!


    After some temptation, Chen Tairan finally stated his purpose.


    One more chapter. In addition, we will have a rest tomorrow, and the four will be guaranteed. It depends on the situation.


    (end of this chapter)

 v2 Chapter 366： Victims and punches

    Chapter 366 Obedience and Strike


    The places for this kind of competition are extremely rare, and generally speaking, it is impossible to give up.


    But when power reaches a certain level, nothing is absolute.


    Not to mention the quota of this kind of training class, the quota of many famous universities can also be obtained through various interesting ways.


    "President Chen, I have no such plans."


    Lu Chen''s words blurted out.


    Not to mention that before leaving Bingcheng, Professor Ouyang Ming reminded him many times not to give up his place.


    Just talking about himself, it is impossible to give up this hard-earned place!


    "You don''t think about it anymore?" Chen Tairan raised his eyebrows and glanced at Lu Chen.


    "No need." Lu Chen said firmly,


    "As I said, you are still a student, and all your activities must be approved by the school." Chen Tairan said, "In a month, it has seriously affected your clinical rotation. Do you think the hospital will agree? If the clinical rotation plan is not completed, it may not be possible to graduate!"


    Can¡¯t graduate¡­


    This sentence is very lethal to students.


    Whether it¡¯s an undergraduate, a master¡¯s, or a doctorate, when it comes to ¡°graduation¡±, you may be very nervous.


    Some students have worked hard for several years, maybe just for a diploma.


    Chen Tairan also understands very well, he does not use other things to threaten the clinic.


    Take out the word "graduation" directly!


    If it was someone else, they might be very nervous when they heard Chen Tairan.


    But, the person in front of him was Lu Chen.


    Then he is going to miscalculate after all!


    What''s more, what Chen Tairan said was grand and grand.


    But in fact, in Jinghua Second Hospital, many graduate students were arrested by their tutors to engage in scientific research, and they did not rotate clinically at all.


    This kind of writing is strictly prohibited by the National Health Commission.


    However, the hospital leaders turned a blind eye to this kind of thing.


    It''s fine now, but he''s taking care of his participation in the training class.


    But just as Lu Chen was about to refuse, he stopped.


    If he refused outright, this Vice President Chen would definitely continue to coerce and lure him.


    It''s a hassle to do it all over again!


    I saw that Lu Chen was slightly "nervous", his face was "white", and his voice might even be "shivering".


    "President Chen, I... I participated in this training class, can''t graduate?"


    "That''s right." Chen Tairan nodded slightly, he was very satisfied with Lu Chen''s current attitude, "As long as you give up your quota to those doctors in the second hospital who need it, the hospital will compensate you, the national grants and first-class scholarships are not a problem, even Applying for a Ph.D. can give you priority.¡±


    Lu Chen was dismissive in his heart, but still showed a surprised look.


    "How? Have you changed your mind?" Chen Tairan laughed.


    "Dean, let me think about it." Lu Chen showed a "tangled" look.


    "Okay, go back and think about it, and tell me the result before the day after tomorrow." Chen Tairan said.


    The day after tomorrow is the time to report whether to participate in the training.


    Participation, abandonment, or transfer of places will be known the day after tomorrow.


    "Okay." Lu Chen nodded, "Then Dean Chen, I''ll go first."


    "Go."


    Chen Tairan waved his hand.


    In his opinion, Lu Chen would probably agree with his proposal.


    After all, he is still just a student, and he will obey him with a little trick.


    ¡­


    Lu Chen walked out of the office building and shook his head slightly.


    The expression just now was all faked by him.


    He is not afraid of Dean Chen, but it does not mean that he is going to be tough.


    The other party is the dean after all, and he is still a student.


    If he directly rejected Chen Tairan today, he might make other stumbling blocks behind his back.


    Pretend to compromise, and report your quota directly the day after tomorrow.


    Chen Tairan wants to make any small moves, it will be too late!


    Although Chen Tairan will inevitably wear small shoes afterwards, as long as he successfully participates in this electrophysiology training class, it will be worth it.


    What''s more, he is not afraid of a vice president at all, and he is not alone!


    Lu Chen immediately told Li Yao about this.


    Although he is not afraid of not graduating, but if Chen Tairan deliberately stumbles, it would still be disgusting.


    At these times, Li Yao''s role may have come into play!


    Through this period of time, Lu Chen knew that his mentor''s background was not simple.


    She was able to invite Ouyang Ming, such an authoritative electrophysiology expert!


    If Li Yao did not have any background, after being exposed to "plagiarism", most of them would have been dismissed and refrigerated by the hospital.


    Li Yao is still able to hold the position of director of the ward. First, it is related to her background, and second, it should be related to the final conclusion of this "plagiarism paper".


    Lu Chen doesn''t know what happened to Li Yao''s tutor for the time being, but with his knowledge of Li Yao, it is absolutely impossible for her to plagiarize other people''s papers.


    ¡­


    The eight districts in the heart, the director''s office.


    "I won''t let you graduate?" Li Yao smiled disdainfully after learning about Chen Tairan, "You are my student, who would dare to let you not graduate? Lu Chen, you can take part in the training class with confidence, other things, Don''t worry about it, I''ll fix it!"


    Beep beep¡­


    Hearing the busy tone on the phone, Lu Chen felt that his mentor was so domineering for the first time!


    It feels like a backer, which is really good!


    Lu Chen looked back and thought that he had met a "second-generation doctor" Chen Xinghua when he was in the surgery simulation class in the catheterization room of the Second Hospital.


    I heard that Chen Xinghua''s father was the vice president of the Second Hospital...


    In this way, it is right.


    Chen Tairan wanted to ask for this place, mostly for his son!


    The treatment of the "second generation of doctors" is really different!


    Just lie flat, and someone will bring all kinds of honors to you.


    ¡­


    After Lu Chen compromised with Chen Tairan on the surface, he really didn''t come to Lu Chen again.


    Time flies, and it is the day when the registration amount is up.


    Lu Chen didn''t hesitate. When the staff of the electrophysiology training class contacted Lu Chen, he immediately agreed to participate in the electrophysiology training class.


    The specific time is October 18 next year.


    Students who successfully pass the training course can obtain the advanced certificate of electrophysiological intervention awarded by the China Electrophysiology Association!


    With this certificate in hand, it is a golden sign!


    In the field of electrophysiology in Huaxia, this is more useful than a diploma from any school, and you can go to the cardiology department of almost any hospital!


    When Chen Tairan heard the news, his beard was crooked...


    He really could not have imagined that he would be placed in a row by a student.


    Lu Chen is arrogant on the surface, but he punches hard behind his back!


    "Lu Chen, you are such a good boy!"


    The facts cannot be changed, Chen Tairan can only remember this student named Lu Chen in his heart.


    A deputy dean wants to wear small shoes for a student.


    That''s like a cannon hitting a mosquito.


    However, when he thought of Lu Chen''s mentor, Li Yao, he hesitated.


    From the very beginning, he was coercive and enticing.


    This matter cannot be torn apart, otherwise it will not benefit both parties.


    Chen Tairan sat in the office, his eyes flickering uncertainly.


    (end of this chapter)

 v2 Chapter 367： Open the question (the first update is for subscription and monthly pass)

    Chapter 367 Opening Title (First Update Seeking Wave Subscription and Monthly Pass)


    On the last day of the emergency department, Lu Chen briefly handed over all clinical matters to Wang Xiaodong.


    According to the rotation plan, Lu Chen''s next department, Endocrinology.


    Compared with cardiology and emergency department, endocrinology department is relatively easier.


    There are not so many thrilling rescues, and there are not so many complicated diseases.


    Most girls will choose this kind of leisurely department.


    However, ease is relative.


    For others, it is easy, but for Lu Chen, every department may not be easy.


    There is one more important event before the rotation to endocrinology.


    That is the opening report that every graduate student must make!


    ¡­


    The opening report almost determines the three-year research topic of graduate students.


    Graduation thesis and published articles will be carried out under this framework.


    "The day after tomorrow, the opening report will be conducted." Lu Chen thought.


    The content of his opening topic is almost ready.


    From the idea of ??opening the question, the experiment involved, the expected conclusion, etc., Lu Chen made a relatively complete plan.


    The only flaw at present is the possibility of completing the entire experiment.


    Lu Chen''s entire experiment required a lot of human and material resources.


    In the absence of these conditions, no matter how perfect an experiment is, it is just a show.


    ¡­


    In the past two days, all the first-year graduate students of Jinghua Second Academy have been shrouded in a very serious atmosphere.


    Because this year''s opening time was ahead of schedule, everyone was caught off guard.


    Of course, except those students who joined the school laboratory during their undergraduate years.


    "Zihao, give me a reference to your opening report!"


    In the dormitory of Jipei Building, the roommate is looking for Wang Zihao to borrow a PPT opening report.


    "Okay, I''ll send it to you right away." Wang Zihao smiled.


    For this opening question, he is very confident.


    Because he has published a paper within the scope of his research.


    This is very convincing for the whole experimental study.


    "Hey, Lu Chen, how are you preparing for the opening question?" Wang Zihao looked at Lu Chen who was beside him, "You have been preparing for the ECG competition some time ago, so don''t delay it."


    The opening of the title involves the graduation project, which in turn determines the graduation thesis.


    This is one of the most important things for graduate students.


    "I''ll improve the preliminary experimental design in the past two days. It should be fine." Lu Chen nodded slightly.


    Wang Zihao said: "That''s good, let''s deal with the opening report first, there is nothing wrong, and there is no problem in revising it later."


    ¡­


    In this tense atmosphere.


    No matter whether you have a good topic or not, you can only try to make an opening report.


    He Sirong is sitting in the library, looking at the notebook computer, quite perfect experimental design, the corner of his mouth can not help showing a smile.


    This opening report, she started to prepare it when she first started school.


    During ??, she has published two papers in Chinese core journals in this field of her research.


    Her opening report was highly praised by her tutor Lin Cui.


    For this opening question, she is quite confident in herself!


    "I may not be as good as you in clinical skills, but when it comes to scientific research and papers, it''s different." He Sirong thought of Lu Chen.


    This person who started with him at the beginning has already surpassed himself by too much!


    Lu Chen is good at clinical skills, and He Sirong is ashamed.


    But a doctor who wants to go further, only has clinical skills, which is not enough!


    In China''s top three hospitals, all top doctors and scientific research capabilities are top!


    This is no surprise!


    No matter how well you do the surgery, you can only be an excellent surgeon.


    However, he has strong scientific research ability and can publish articles, but he can apply for a large number of scientific research funds.


    Because so far, the promotion of any title is linked to the thesis.


    Of course, this is a top tertiary hospital.


    Some weak tertiary hospitals do not have a high demand for papers, and still pay more attention to clinical capabilities.


    ¡­


    The date of the opening report of each major is different, and today is the time for the opening of the cardiology department.


    At eight in the morning, everyone came to the cardiology meeting room on the fourth floor of the eighth inpatient department.


    Today, the opening report was held all day.


    The opening report is mainly divided into two stages.


    In the first stage, doctoral students open questions.


    In the second stage, postgraduate students open questions.


    "Hey, Lu Chen, have you heard that the opening report this time is very strict!"


    In the conference room, Ke Yue sat beside Lu Chen.


    "Yeah." Lu Chen nodded slightly.


    "Alas, the previous proposal reports were just a cut-off." Ke Yue continued, "Almost all of them let us pass, but in recent years, the Ministry of Education''s review of our thesis has become more and more strict, and the entire proposal report to the graduation defense, The management and control have become stricter. If the requirements are not met, the opening report will not pass this time, and the qualification for evaluation at the end of the year will be cancelled. If the second time has not passed, it will even affect graduation. "


    The reason why the verification of ?? papers has become more and more strict is related to the large number of plagiarized papers by Chinese authors in recent years.


    In the past, Huaxia lacked scientific research articles, so all researchers were required to publish articles.


    But as the number of papers grows, start chasing quality now!


    "I''m so worried, will my opening report pass..."


    Ke Yue frowned. She opened the notebook she carried with her and kept revising the opening report.


    "Don''t worry, didn''t Mr. Li Yao have seen it? You can definitely get by." Lu Chen smiled and comforted.


    "Hope it." Ke Yue sighed and continued to familiarize himself with his PPT.


    ¡­


    With the end of Cao Zhiying''s speech on the stage, the whole opening report conference officially started!


    First of all, it is the opening of doctoral students.


    The first person to take office was Director Cao Zhiying''s doctorate this year.


    "Hello teachers, my name is Yang Ming, the title of my opening report this year is: PredictorsofDevice-Relatedthrombusfollowingpercutaneousleftatrialappendageocclusion."


    The entire PPT of the opening report is written in English.


    Except for Lu Chen, the surrounding postgraduate students all heard it in a fog.


    "Lu Chen, do you know what he''s talking about?"


    Cheng Peng sat on his right and said quickly.


    "The content of this senior''s research should be about the predictive factors of device-related thrombosis after trans left atrial appendage occlusion. It was mainly through follow-up that 5 risk factors for DRT were identified and converted into risk factor scores. Patients with risk factors were compared to draw a final conclusion."


    "Ah? Lu Chen, you understand?" Cheng Peng blinked.


    "Almost." Lu Chen nodded slightly.


    "It''s amazing, I can''t even recognize the English words on this doctor''s brother''s PPT." Cheng Peng said helplessly.


    "This is a doctor''s question, our question must be much easier." Lu Chen said.


    "Hey, I just hope my own can pass."


    Because the opening report this time is much stricter than before.


    The idea of ??most people is very simple, they can pass it, they don¡¯t need to get a very high score.


    After the first doctorate opened the question, the following five judges started to score.


    The score is divided into three grades, A, B, C.


    To pass the question, you must get at least three A''s.


    If there are less than three A¡¯s, rectification should be carried out, and the second question opening will be carried out on an optional date.


    In addition, as long as you get a C-level evaluation, you will be rejected by one vote, and the scholarship and evaluation at the end of the year will be cancelled directly!


    There are three more


    (end of this chapter)

 v2 Chapter 368： show off

    Chapter 368 Showing off


    There are five judges, three of whom know Lu Chen.


    is divided into Cao Zhiying, Cheng Guowen, and Li Yao.


    The other two judges are veteran-level professors of the Department of Cardiology of the Second Hospital, who have achieved good results in the field of scientific research.


    The opening of the first doctorate was relatively smooth.


    Cao Zhiying, as a mentor, asked a few questions.


    This doctor answered fluently.


    After five people scored, Sun Guoguo counted the results.


    After all the questions are completed, the results will be announced uniformly.


    ¡­


    The second person who opened the question was a Ph.D. brother of Lu Chen.


    He had met several times during dinner parties, but he was not very familiar with it.


    Dr. ??, most of the time he stays in the laboratory and rarely goes to the clinic.


    Dr. ??''s questions are relatively complex. In addition to the need to start the questions in English, the five judges will ask related questions.


    The content of the question, including the idea, feasibility, and expected results of the experiment.


    Lu Chen''s senior brother also performed well.


    Although there are some flaws in the experimental design, on the whole, it has met the requirements of the doctoral project.


    Because the opening questions in the early stage were relatively smooth, everyone was a little relieved.


    But when the third Ph.D. defended, it was full of loopholes and even sophistry on stage.


    This doctoral student is a student of Cheng Guowen''s tutor.


    His face was black the whole time.


    "If you don''t do it well, don''t make excuses when you go to the stage. The more you talk, the more mistakes you make!" Cheng Peng whispered, "It seems that C will appear."


    In Lu Chen''s opinion, the doctoral student on stage didn''t make a big difference, but his sophistry greatly reduced his impression.


    After the third doctor''s question, everyone started to get nervous again.


    The next doctors made more or less mistakes.


    As for whether they can pass the defense this time, they will wait until the defense is over and announce the final results.


    Because there are not many doctors, including in-service doctors, there are only 12 people in total.


    Around ten o''clock in the morning, the opening reports of all doctors are over.


    Next, is the highlight of this proposal report, the proposal for postgraduate students.


    There are 35 masters in Cardiology this year.


    ¡­


    The first person to come on stage was Gu Xinyue!


    He walked up to the podium, looked around, opened his PPT, and started his opening report.


    The opening report of a master''s degree is much simpler than that of a doctoral degree.


    Lu Chen listened carefully to Gu Xinyue''s opening question. It was relatively novel, and the experimental design was also perfect.


    "Director Cao, you are a good student." Cheng Guowen smiled and said to Cao Zhiying, "Although it is not as good as the previous doctoral questions, but for a master''s degree, it is already an excellent presentation report."


    "Director Cheng has won the award, but there are still a lot of problems, and we can still improve." Cao Zhiying nodded slightly.


    As Gu Xinyue, who has the highest professional performance, Cao Zhiying has some impression of him.


    The five judges began to score, and Gu Xinyue stepped down.


    "Hey, I think Gu Xinyue can do it!" Ke Yue whispered, "Director Cao asked some questions just now, and he can answer them all."


    "Well, he should be able to pass." Lu Chen nodded.


    Lao Gu, apart from being a little cold, has nothing to say about his business ability.


    In the ?? clinical skills competition, if it wasn''t for Gu Xinyue and his cooperation, Jinghua Medical University would not have won the championship.


    The second person to appear is a girl.


    Lu Chen had met several times, but he was not very familiar.


    Ten minutes later, the girl finished the question.


    "I want to ask a question." Cao Zhiying frowned, "I see that you only use spss software for statistics, but you didn''t write about the specific statistical method, can you tell me?"


    "Ah...this..." The girl was stunned for a moment, then lowered her head, her voice an octave lower, "Director, I don''t know."


    "Don''t know?" Cao Zhiying raised her brows.


    "You don''t even know what statistical method was used. Did you do this experimental design yourself?" Cao Zhiying continued.


    "Yes, I did it myself, and borrowed some other people''s methods." The girl whispered.


    "For reference? You don''t even understand it yourself. Can your experiment produce real results?" Cao Zhiying''s voice was not loud, but every word spoke to the girl''s heart.


    After Cao Zhiying finished speaking, everyone began to rate.


    The expression on the girl''s face was extremely bitter, and she was even about to cry.


    "Hey." Cheng Peng shook his head slightly, "I heard that every year girls cry on stage, these directors are really cruel!"


    "But Director Cao is right. The choice of statistical methods is one of the most important parts of scientific research." Lu Chen said solemnly, "If you can''t even figure this out, then this experiment has no meaning. That''s it. When you came to the stage in a hurry, with the idea of ????passing the border, you should have expected this result."


    "Oh, I''m still worried about myself." Cheng Peng smiled bitterly.


    For the next few postgraduate students, the process of opening questions went smoothly.


    But when it was the judges¡¯ turn to ask questions, they all started to get stuck.


    "Your two comparison groups have different treatment methods and other baseline conditions. How can you ensure that the experimental results are meaningful?"


    "Retrospective analysis, are you looking for cases? There are too many limitations, and you cannot control various variables. The design of this experiment is problematic."


    "What statistical method is your survival analysis? You can''t just compare data, you must come up with specific statistical methods!"


    ¡­


    The five judges, every time they asked a question, made everyone''s heart tremble.


    The graduate students under ?? are all just a few months into the school.


    Let them go back and forth to these answers, it is a little embarrassing for them.


    The next person to come on stage is He Sirong!


    She was wearing a formal suit, with a faint smile on her face, and walked slowly to the podium.


    "Hello everyone, my name is He Sirong, a research graduate student of Professor Lin Cui in the eight districts of the heart. This time my opening report is CD200LimistMonopoiesisandmonocyterecruitmentinatherosclerosis..."


    is actually an English opening report!


    For a Ph.D., a proposal report in English is quite normal.


    But for or, it''s a bit high-end.


    He Sirong is also the first postgraduate student to write a question in English so far.


    The five judges were all a little surprised, and paid more attention to the girl in front of them.


    And all the graduate students present were even more astonished.


    "I''m going, He Sirong is still working on this thing, using English to start the question, this really gives her a lot of points!" Cheng Peng couldn''t help but admire.


    Lu Chen was also quite surprised. He knew that He Sirong''s scientific research ability was very strong, but to the extent that he could give a proposal report in English, it was quite remarkable.


    ¡°UsinghypercholesterolemicApoe/mice, wedemonstratethatwhole-bodyCD200deficiencyaugmentsatheroscle¡­¡±


    Ten minutes later, the opening question is over.


    Cao Zhiying nodded with satisfaction, "Tell me briefly about the method of the experiment."


    "Okay, Director Cao." He Sirong nodded, "I found that CD200R signaling controls the activation of monocytes and macrophages through the phosphorylation of inhibitory STAT1..."


    The five judges'' questions were answered fluently by He Sirong.


    "Very good, your basic research is relatively novel, and the entire experimental method design is very reasonable." Cao Zhiying commented, "If you can get a positive result in the end, send a SCI paper with a score of 3-5. There is absolutely no problem!"


    Everyone present was surprised when they heard this.


    SCI papers with a score of 3-5, papers with such an impact factor, are enough for a doctor to graduate.


    He Sirong was in the limelight in this opening report.


    She looked around at everyone present, found Lu Chen''s position, and then showed a triumphant smile.


    There are two more chapters


    (end of this chapter)

 v2 Chapter 369： Surprise four seats

    Chapter 369 Surprise Four


    I have to say that He Sirong''s ability stands out among the graduate students.


    Her scientific research ability is even comparable to that of some doctoral students.


    The five judges began to score.


    "Lu Chen, guess how many A''s He Sirong can get?" Cheng Peng whispered.


    "More than four." Lu Chen smiled.


    "Hey, so many?" Cheng Peng was taken aback.


    "This opening report of hers is indeed worthy of so many A''s." Lu Chen said sternly, "Anyway, let me do basic research now, I definitely can''t do it, it''s not as good as hers."


    "I didn''t expect He Sirong to be so powerful here!" Cheng Peng shook his head slightly, "I saw how many papers she had published in the department, and I thought she was going to the laboratory to rub it, but I didn''t expect that she had two brushes."


    "There are many powerful people." Lu Chen smiled, "Fatty, it''s your turn, get ready."


    Cheng Peng saw this, took a few deep breaths in a row, and adjusted his mentality.


    It was Cheng Peng''s turn to play.


    His performance is quite satisfactory, the research topic is not very brilliant, but there is no major flaw.


    Cheng Peng came off the stage and looked at Lu Chen nervously.


    "How about it?"


    "Three A''s, there should be no problem." Lu Chen said.


    "Huh, I''m really nervous." Cheng Peng sighed, "It''s good to live, it''s good to live!"


    Next, Ke Yue, Jiang Qingyan and others appeared.


    Jiang Qingyan''s topic opening went smoothly, which Lu Chen could have expected.


    Unexpectedly, after Ke Yue revised her subject, the whole process of opening the subject went smoothly.


    When the three of them were reading the opening report to tutor Li Yao, Ke Yue''s report was relatively the worst.


    Although she was not able to answer Cao Zhiying''s question this time, her attitude was very sincere, in stark contrast to those sophistry students before.


    ¡­


    At 12 noon, there were still most of the students who did not ask questions.


    "Let''s rest for an hour first, everyone can go to lunch, and continue at one o''clock!"


    Now it is the turn of the students who have not yet started to get nervous.


    In addition, there are some students who did not perform well during the question-making process, and they are also quite nervous!


    Lu Chen, Cheng Peng, Ke Yue and others came to the cafeteria.


    "Ke Yue, I see you''ve been laughing all the time, are you so confident?" Cheng Peng approached Ke Yue immediately after finishing the meal.


    "Yes!" Ke Yue covered her mouth and smiled.


    "But the results haven''t come out yet, I''m so nervous." Cheng Peng sighed, "Are you so sure you can survive?"


    Lu Chen laughed aside, "Fatty, you forgot who counted the results?"


    Cheng Peng was stunned for a moment, then said happily: "Yes! It''s your Senior Sister Sun Guoguo who is counting the results! Ke Yue, did you secretly ask Senior Sister Sun Guoguo?"


    Ke Yue shrugged slightly with a smile on his face.


    Looking at her expression, Cheng Peng knew that he had guessed right.


    He didn''t even have time to eat his own meal, so he immediately took out his mobile phone.


    You don''t need to think about it, you know that he is sending WeChat to Sun Guoguo.


    After a while, Cheng Peng looked suspicious.


    "Senior Sister Guoguo didn''t tell me about her grades, but she replied to a WeChat message like this."


    Lu Chen looked over.


    Senior Sister Sun Guoguo returned three stars.


    "Isn''t this just over?" Lu Chen laughed, "You are three A''s."


    "Really?" Cheng Peng hesitated.


    "Of course it''s true, otherwise why not one star, or two stars?" Ke Yue then echoed.


    Hearing what Ke Yue said, Cheng Peng felt relieved.


    Three A¡¯s means passed, don¡¯t worry about re-opening the question, or cancel the scholarship at the end of the year.


    ¡­


    Everyone was eating when He Sirong came over.


    Cheng Peng quickly touched Lu Chen with his arm.


    Lu Chen looked back, "Is something wrong?"


    "It''s alright, just come and have a look." He Sirong smiled, "We are a department, I hope you will have a good problem opening this afternoon."


    Cheng Peng curled his lips, "We have already started the question, just one step away from Lu Chen, are you talking to Lu Chen specifically?"


    "That''s right." He Sirong said.


    Lu Chen smiled, "Thank you then."


    He Sirong pursed his lips and smiled, then walked away slowly.


    Cheng Peng looked at the back of her leaving, and said in surprise: "It''s really strange, usually ignore us, but take the initiative to strike up a conversation at this time?"


    "Of course we have to accept other people''s congratulations." Lu Chen smiled and didn''t care.


    He Sirong''s outstanding performance is in everyone''s eyes.


    When he came to Lu Chen at this time, although there was no malicious intent, it had a faint meaning of "declaring war".


    is a girl who refuses to admit defeat, Lu Chen couldn''t help thinking.


    ¡­


    At one o''clock in the afternoon, the question will continue.


    The people around ?? took turns taking the stage. After an hour, it was finally Lu Chen''s turn.


    "Next preparation, eight areas in my heart, Lu Chen."


    When Sun Guoguo called out Lu Chen''s name, everyone''s eyes turned to Lu Chen''s direction.


    No way, this is influence!


    Lu Chen recently worked in the Cardiology Department of Jinghua Second Hospital.


    Whether it is the champion of the National Medical Skills Competition or the national sixth place in the electrocardiogram competition, these are honors that are difficult for ordinary people to reach!


    Even the front desk, the four judges except Li Yao, were silently watching Lu Chen.


    Although some of them have never met Lu Chen, they are already familiar with Lu Chen''s name.


    "I heard that this student is not easy! The champion of the national skill competition and the sixth in the national electrocardiogram competition." One of the judges looked at Li Yao, "Is it Director Li''s student?"


    "Yes." Li Yao nodded with a smile.


    "Director Li, you have a good student."


    Li Yao has no modesty at all, "I think so too."


    Cheng Guowen also smiled slightly.


    He and Lu Chen also got along for a while.


    From the very beginning, he had rejected himself, and he was still a little indignant.


    After Lu Chen''s performance in the electrocardiogram competition, Cheng Guowen was completely convinced by Lu Chen.


    A student who can achieve this level can no longer be treated as a regular student.


    Cao Zhiying, the chief director of the Cardiology Department, also stared at Lu Chen curiously.


    "In terms of clinical skills, his ability is beyond doubt. I am a little curious about his scientific research ability now."


    "I don''t think it''s necessary to be too harsh." Cheng Guowen said, "With Lu Chen''s current ability in electrophysiology intervention, even if his scientific research ability is weaker, his subsequent achievements in electrophysiology are definitely not simple. of!"


    "Really?" Cao Zhiying glanced at Cheng Guowen in surprise, "It''s rare for Director Cheng to praise a student so much! Director Li, this is your student, what do you think?"


    "I..." Li Yao laughed, "I still don''t know what the upper limit of my student''s ability is. This time I can only be like everyone else and be a bystander."


    Although she said so on the surface, Li Yao thought in her heart that Lu Chen''s very amazing opening report in her office before.


    She is looking forward to the scene when everyone sees this opening report.


    ¡­


    Just as the five judges were chatting in a low voice, Lu Chen on the stage started his opening report.


    "Good afternoon, teachers and classmates, I''m Lu Chen, a master''s student of Li Yao''s mentor in the eighth district of my heart. Today''s opening report is titled, Preventive effect of dapagliflozinonearlyheartfailureinpatientswithacutemyocardialinfarction..."


    is also an English opening report, the same as He Sirong!


    However, Lu Chen will translate in time after the English is over.


    Speaking English is to demonstrate one''s ability.


    But from the perspective of his heart, Lu Chen still wanted to speak Chinese.


    "Too awesome!"


    "As expected of Lu Chen!"


    "Lu Chen can get a place in the national competition. This skill should be trivial."


    Everyone was still surprised. The only two questions in English are Lu Chen and He Sirong.


    He Sirong sat under the stage, biting his lower lip lightly, his eyes flickered, and he muttered: "English is not the point, the point is to see your research content!"


    Judges area.


    Li Yao didn''t expect Lu Chen to come out like this, but it''s a good thing to be able to show his English level.


    Laymen watch the fun, and experts watch the doorway.


    Under the stage, everyone thought that Lu Chen''s English was very good.


    But the judges area on the stage, after hearing the content of Lu Chen''s opening report, looked at each other and saw the shock in each other''s eyes.


    There is one more. about one o''clock


    (end of this chapter)

 v2 Chapter 370： 5A and 5A (the fourth update of the Star Luan i Wan reward plus update)

    Chapter 370 5A and 5A


    Dapagliflozin, this hypoglycemic drug, is currently one of the most popular drugs in the cardiovascular and endocrine systems worldwide.


    Scientists have found that it can not only lower blood sugar, but also improve heart failure.


    For such heart failure patients, the application of dapagliflozin can prolong the survival period!


    However, in the current research field, there is no application of dapagliflozin in acute myocardial infarction.


    Acute myocardial infarction, which is a very fatal and disabling disease.


    Although emergency intervention can be done to save the patient''s life, a considerable number of patients, even if emergency intervention is performed and a cardiac stent is placed, their cardiac function will still be damaged.


    As time goes on, the final outcome is heart failure!


    Lu Chen''s research is to explore whether dapagliflozin can prevent early heart failure in patients with acute myocardial infarction!


    "If this study is successful, it can definitely change clinical guidelines!"


    All the judges here have this idea in their hearts.


    Cao Zhiying looked at Lu Chen in amazement.


    How did he come up with this subject?


    seems very simple, but why didn''t others think of it?


    Many scientific discoveries that seem to be awesome are derived from very simple ideas.


    "Director Cao, look at this clinical experiment..." Cheng Guowen was shocked when he heard Lu Chen''s opening report.


    Cao Zhiying didn''t reply, he turned to look at Li Yao who was beside him, and found that she was still smiling.


    It seems that Li Yao already knew the content of Lu Chen''s opening report.


    Cheng Guowen saw that Cao Zhiying did not speak, and continued to ask: "Director Cao, I am engaged in electrophysiology, and you are in coronary intervention. Have you seen literature on this before?"


    Cao Zhiying shook his head slightly: "No."


    The look of surprise on Cheng Guowen''s face deepened.


    Although he is engaged in electrophysiology, he has also heard of the drug Dapagliflozin.


    If there is no research at home and abroad that has ever designed this field, then this thesis topic of Lu Chen will fill this gap!


    This is a very creative study!


    Of course, this subject is not perfect.


    Cao Zhiying, as an expert in the field of cardiology, could immediately see the limitations of Lu Chen''s experiment.


    The sample size of Lu Chen''s experiment is too small!


    The sample size of dozens of patients is only enough for him to publish a paper with a high score.


    If you want to have a certain influence, or change the clinical guidelines, at least tens of thousands of samples are required!


    And a multi-center (hospital) joint study is required!


    For the current Lu Chen, this is impossible for him to do!


    "Directors, do you have any questions?" Li Yao asked the other four.


    Cao Zhiying paused, then shook his head slightly.


    After reading Lu Chen''s opening report, there is absolutely no need to ask.


    aside, Cheng Guowen smiled at Lu Chen on the stage, "I don''t have anything to ask."


    The other two judges all praised and did not ask any questions.


    "Then we will rate it directly." Li Yao said.


    ¡­


    The actions of the judges on the stage shocked all the graduate students below.


    Why don''t you ask questions?


    What does it mean?


    All the previous Ph.Ds, or maybe, all five judges asked questions.


    Why did you stop asking questions when you arrived at Lu Chen''s place?


    Is it because the five judges have worked hard all day and are tired, so they don¡¯t ask questions?


    He Sirong frowned and looked at Lu Chen on the stage.


    Lu Chen''s research type is clinical experiment.


    And hers is a basic experiment.


    The types of the two experiments are different, He Sirong can only feel that Lu Chen''s experimental design does not have too many loopholes.


    But the significance of this experiment, the specificity, is impossible to assess with her current ability.


    After all, even Lu Chen himself did not estimate the clinical significance of his subject.


    After being instructed by Li Yao''s mentor, he slowly began to gain some understanding.


    ¡­


    Lu Chen stepped off the stage and took his seat.


    "Lu Chen, you also use English, it''s too awesome!" Cheng Peng said immediately.


    Lu Chen cleared his throat and whispered, "Fatty, you don''t have any other adjectives besides being awesome?"


    "Cough cough..." Cheng Peng touched the back of his head, "However, I have little talent and knowledge, so I can only rely on one word to force the world..."


    Lu Chen: "..."


    He found that what everyone talked about the most was his way of opening questions in English.


    As for the content of the opening report, few students mentioned it.


    It seems that with everyone''s current ability, it is very good to judge the significance of a clinical experiment.


    Just then, Lu Chen suddenly received a WeChat message.


    was sent by Senior Sister Sun Guoguo.


    No text, just five stars.


    "Fuck! Lu Chen, you...you''re five A''s?" Cheng Peng leaned over and arrived at this WeChat, and was surprised.


    "Maybe." Lu Chen smiled, "Fatty, you finally changed your word..."


    It seems that Li Yao''s tutor is right, this thesis topic of my own has a lot to do!


    At least, the five chief-level doctors in front of him all agreed.


    As for Ke Yue and Jiang Qingyan on the side, they had long known about Lu Chen''s opening report, and were once evaluated by Li Yao''s tutor as "can change clinical guidelines", so they were not too surprised.


    ¡­


    At 4:30 p.m., with the end of the last postgraduate student''s question, the freshman''s question for the Department of Cardiology came to an end.


    On the stage, Sun Guoguo was hurrying to count the final results.


    "Everyone will wait in their respective positions for a while, and the results will be announced immediately." Sun Guoguo said to everyone.


    Everyone present began to whisper and discuss their achievements with each other.


    The opening report was so strict this time that everyone was not quite sure about their grades.


    He Sirong sat on his seat calmly.


    The question she is thinking about now is not whether she can pass, but whether she can get five A''s!


    Finally, with Sun Guoguo standing on the rostrum, she said "Quiet".


    Everyone fell silent immediately, and it was time to announce the results.


    Sun Guoguo''s voice sounded again.


    "I announce the results in the order of departments."


    "One area in the heart, Gu Xinyue, 4A, pass!"


    "One area in the heart, Ye Jianqiu, 3A, pass!"


    ¡­


    "Second district in the heart, Li Na, 1C, failed!"


    ¡°¡­¡±


    Some people are happy, some people are sad.


    The overall pass rate is about 70%.


    Compared with the previous pass rate of over 95%, this year¡¯s 70% is already quite low!


    At present, a 5A has not appeared.


    Everyone is also looking forward to when the first 5A will appear!


    "Three districts in the heart...four districts in the heart..."


    ¡­


    Sun Guoguo finally read the eight areas in his heart.


    "Eight districts in the heart, He Sirong, 5A, pass!"


    As soon as the ?? voice fell, there were bursts of admiration in the conference room!


    The first 5A was finally born.


    But this is also expected by everyone. Many people are aware of He Sirong''s scientific research ability.


    After all, she is one of the few students who has published several core papers when she first entered school!


    Offstage.


    He Sirong smiled.


    5A, this is exactly what all the judges gave her.


    Her hard work for a while has finally paid off!


    He Sirong looked at Lu Chen''s position, she could finally win once!


    On the stage, Sun Guoguo''s voice continued to come out.


    "Eight districts in the heart, Cheng Peng, 3A, pass!"


    "Eight districts in the heart, Ke Yue, 4A, pass!"


    "Eight districts in the heart, Jiang Qingyan, 4A, pass!"


    Cheng Peng looked happy, Senior Sister Sun Guoguo''s password was indeed correct!


    At this time, Senior Sister Sun Guoguo''s voice stopped.


    "Eight districts in the heart, Lu Chen, 5A, pass!"


    Another 5A!


    In addition, he is also a figure in the Cardiology Department of Jinghua Second Hospital, Lu Chen!


    In the conference room, everyone was boiling!


    Everyone stared at Lu Chen in amazement, and many people were puzzled.


    Because everyone''s ability to judge is still weak, I simply think that two English speakers got 5A.


    This seems a little unfair.


    There was a lot of discussion.


    "I knew it earlier, I also use English!"


    "Your English level, I think let''s forget it..."


    "However, I can''t understand He Sirong''s basic experiment, maybe it''s very cool, but Lu Chen''s opening question, I think that''s it, is it because Dapagliflozin''s popularity is high, so he can get 5A?"


    ¡­


    He Sirong looked at Sun Guoguo on the stage with a stunned expression.


    If Lu Chen is 4A, she can understand.


    But with 5A at the same time as her, she is a little hard to understand.


    She wanted to ask, why?


    Her experimental research took several months of hard work in the laboratory, and then she picked out a sub-project from Lin Cui''s mentor''s National Nature Project.


    Lu Chen, why did his seemingly ordinary clinical research get 5A just like her?


    "Everyone be quiet!" Sun Guoguo shouted with a frown.


    As soon as the ?? voice fell, everyone slowly became quiet.


    "Director Cao will make the closing remarks for today''s opening report, and will also select the best opening report today!"


    Cao Zhiying walked slowly to the stage and looked around.


    Sun Guoguo handed him the microphone.


    In the conference room, it immediately became silent.


    Cao Zhiying''s eyes were like torches and her voice was strong.


    "My mood today is very complicated. On the one hand, I am very unhappy, and on the other hand, I am very happy."


    "I''m not happy because everyone''s pass rate is only 70%... This is very unsatisfactory! I hope everyone can pay attention to it, and the second review will be conducted in a month. At that time, I hope that the students who are unqualified now , can make good revisions, and strive to pass!¡±


    "In addition, I''m gratified because many outstanding students have appeared in your class this year. This is something that has never been seen in the previous students! Your ideas and scientific research thinking surprised me. You are younger than me. Excellent time."


    Under the stage, He Sirong was a little excited.


    Director Cao, isn''t that just talking about himself?


    "Next, I will announce the two best people in this opening report. In fact, there are more than two people who got 5A, but the reason why the two of them got 5A is because the highest evaluation is only 5A! In the hearts of our five judges, this The opening reports of the two people have already surpassed the others by a grade!"


    "The two of them are divided into Luo Muhui from the doctoral group and Lu Chen from the master''s group!"


    sleep. Continue to work hard tomorrow.


    (end of this chapter)

 v2 Chapter 371： The best reason (the first wave of subscription)

    Chapter 371 The Best Reason


    When Lu Chen''s name came out from Director Cao Zhiying''s mouth, everyone in the audience was stunned.


    The best opening report is not He Sirong?


    In everyone''s eyes, He Sirong has been in the laboratory since his undergraduate days and has published several papers in core journals.


    In addition, she has now joined the National Nature Project Team, and she is the most scientific researcher among the new graduate students.


    Even He Sirong''s level of opening questions can''t get into the eyes of the judges?


    But Lu Chen''s subject can actually surpass He Sirong''s?


    Everyone''s eyes are full of puzzled expressions!


    Could it be that Lu Chen himself has a buff bonus, so the judges looked at him with admiration?


    ¡­


    Offstage.


    He Sirong was shocked.


    Lu Chen was able to get a 5A rating, which surprised her.


    Now, actually, the best opening report!


    "This...it''s impossible!" He Sirong shook her head to herself, thinking about the hard days she spent in the laboratory raising mice and doing experiments, tears were lingering in the corners of her eyes, she couldn''t understand what she was better than Lu Morning difference?


    The clinical skills are not as good as others, she recognized it.


    But now when it comes to scientific research, why is she still inferior to Lu Chen?


    A feeling of grief and anger welled up in his heart, he turned to look at Lu Chen again, He Sirong lowered his head, and a tear slipped quietly.


    But at this moment, no one noticed her.


    on stage.


    Cao Zhiying looked around the crowd, put down the microphone, and pressed her hands down to signal everyone to be quiet.


    "This is the end of today''s project! What I want to tell you is that the project is just the beginning of the project. Even if the project is perfect now, you may encounter many difficulties in the future. If you solve the problem, this is what you will do next. For those topics that are not yet perfect, you can continue to improve in the laboratory process, and finally you can hand in a satisfactory answer!"


    Cao Zhiying''s remarks reminded Lu Chen.


    Although his subject is good, but there are many constraints, it is not easy to do it!


    On the contrary, He Sirong''s entire topic was extracted from the National Nature Project of Lin Cui''s mentor.


    Her project research and the experimental methods designed are all extremely mature!


    In this regard, He Sirong still has many advantages.


    ¡­


    The opening question is over.


    Every graduate student who passed is smiling.


    For those who did not pass, everyone was downcast, and even two girls didn''t care about their face and cried on the spot.


    Lu Chen, Cheng Peng and others went back to the bedroom together.


    He Sirong, however, returned to the eighth district in his heart and came to the office of his mentor, Director Lin Cui.


    He Sirong did not say a word, and there were some tears left in the corners of his eyes.


    Seeing his student''s dejected state, Lin Cui bounced from his seat and quickly asked, "How about opening the question? How many A''s?"


    He Sirong''s voice was low and said, "I, I got 5 A''s."


    Lin Cui looked suspicious, 5 A''s, which is quite an excellent rating.


    Why does He Sirong have such an unhappy expression?


    "Mr. Lin, Lu Chen, he also has 5 A''s, and is the best opening report..." He Sirong''s voice was weak, but Lin Cui still heard it.


    "He almost never prepares the opening report, can he still get 5A?" Lin Cui''s face was full of disbelief, and his voice suddenly rose an octave.


    He Sirong nodded silently.


    In the office, the atmosphere is a little heavy.


    Before today''s question, Lin Cui almost decided that his student He Sirong should be the best winner of this question.


    Unexpectedly, Lu Chen came out to disrupt the situation again.


    "What is his opening report?" Lin Cui asked.


    He Sirong paused and said slowly, "A clinical study."


    "What? A clinical study can surpass your basic research?" Lin Cui suppressed the anger in her heart.


    Clinical research, as the name suggests, is closer to clinical practice, mainly in clinical trials.


    Basic research, mainly experiments done in the laboratory.


    The threshold for clinical research is very low, as long as you have an idea, you can do it.


    But clinical research, to do well, is quite difficult.


    Basic research is different. The threshold is high. Under the same conditions, basic research is absolutely higher than clinical research.


    "Sirong, come with me." Lin Cui thought about it, and immediately led He Sirong out of the eight districts in her heart.


    ¡­


    Heart Second District, Director''s Office.


    Shen Wenbo had just returned to the office and had already asked his students to make him a cup of tea.


    He is one of the five judges for today''s opening report.


    Taking a sip of tea, Shen Wenbo was full of thoughts.


    Just last night, Vice President Chen Tairan contacted him and asked him to "take care" of Lu Chen.


    Shen Wenbo was very familiar with the name Lu Chen.


    Although he has never met him, he has heard the name "ten thousand times".


    I don''t know what kind of grudges Dean Chen has with Lu Chen.


    But Shen Wenbo, as a member of Dean Chen''s faction, naturally agreed.


    However, the development of things exceeded Shen Wenbo''s expectations!


    "Who would have thought that such a student could come up with a topic of this level!" Shen Wenbo shook his head slightly, recalling Lu Chen''s opening report, he couldn''t help but wonder if Li Yao gave his topic to him. he? !


    The moment he saw Lu Chen''s subject, Shen Wenbo''s original intention to evaluate C disappeared instantly.


    If Lu Chen''s subject is in order, then he can still shy, pick out some faults, and give him a C!


    But for this topic, if he gave C, it would not slap Lu Chen in the face, but sell out his old face!


    As a senior professor of Cardiology, he is all too aware of the clinical significance of Lu Chen''s research.


    "It didn''t happen, so I can''t blame me. I''ll explain it to Dean Chen later." But Shen Wenbo still couldn''t figure it out. Did Lu Chen offend Dean Chen?


    ¡­


    Just then, there was a knock on the door.


    Shen Wenbo put down his teacup, cleared his throat, and said, "Please come in."


    The door was pushed open.


    Lin Cui led He Sirong in slowly.


    "Director Lin, why do you have time to come to visit me today?" Shen Wenbo stood up and smiled.


    "Come and see Director Shen!" Lin Cui laughed, and then led He Sirong out behind him, "I am one of my graduate students this year, He Sirong."


    "Hello Director Shen." He Sirong whispered.


    "He Sirong?" Shen Wenbo looked at the girl in front of him, "I remember you, you just finished the question today, your performance is good, it seems that you got 5 A''s?"


    "Yes, Director Shen''s memory is really good." Lin Cui smiled.


    Shen Wenbo smiled slightly, "Director Lin, you don''t have to go to the Three Treasures Hall for anything. Just tell me what you have to do. I''ll go to the office building later."


    "This..." Lin Cui pursed her lips, glanced at He Sirong, stopped beating around the bush, and asked, "Director Shen, I''m here today to ask why Lu Chen is the best problem-opening report. This student is also a 5A..."


    Hearing Lin Cui''s question, Shen Wenbo was stunned for a moment, then shook his head slightly and smiled.


    He stood up, returned to his desk, took out a stack of documents, and put them on the coffee table in front of Lin Cui.


    "Director Lin, you can look at the copy of Lu Chen''s proposal. If you read it, you should know the reason. I think this should be the best reason!"


    "Lu Chen''s copy of the proposal?" Lin Cui slowly opened the copy of Lu Chen''s proposal report in confusion.


    She would like to see, what kind of clinical research can overwhelm He Sirong''s basic research?


    When Lin Cui flipped through the first page and saw the topic in front of her, her pupils shrank slightly.


    The expression on ??''s face only changed from the previous resentment to slowly becoming stunned!


    In less than five minutes, she slowly put down the opening report in her hand, and the stagnation in her heart dissipated a little.


    "Director Shen, I''m sorry, we disturbed you."


    After ?? finished speaking, she took He Sirong, who had no idea why, out of the director''s office.


    One more chapter.


    I got home at 9:30, didn''t sleep at noon, and now I''m drowsy...


    (end of this chapter)

 v2 Chapter 372： Pick someone (the second one is a bit late)

    Chapter 372 Picking up people (the second one is a bit late)


    The opening report has finally come to an end.


    Lu Chen also started his new life cycle.


    In fact, he prefers to be involved in clinical trials rather than scientific research.


    Although it is inevitable to face many contradictions between doctors and patients, when the patient is cured, the sense of relief and satisfaction cannot be replaced by scientific research institutes.


    However, the current situation in China is such that scientific research is a must for any doctor who wants to go further!


    Lu Chen could only accept it silently.


    ¡­


    New department, Endocrinology.


    Early in the morning, Lu Chen took the rotation schedule and came to the teaching and research room of the Endocrinology Department.


    Along with him, is Cheng Peng.


    In addition, Lu Chen also met Gu Xinyue from the first district in his heart!


    "Old Gu, are you here to endocrine too?" Lu Chen smiled.


    "Yeah." Gu Xinyue still nodded coldly.


    Since the clinical medical skills competition, the intersection between the two has been much less.


    I occasionally met in the hospital, and it was just a nod.


    "Your proposal report is very good."


    Gu Xinyue''s sudden words made Lu Chen startled, and he immediately smiled: "Yours is also very good, I remember you are studying platelet aggregation."


    Gu Xinyue did not expect that Lu Chen still remembered his subject, and was slightly surprised.


    At that time, there were more than 30 people asking questions at the same time.


    "Compared to you, it''s still far behind." Gu Xinyue said silently.


    In the beginning, Gu Xinyue would never admit defeat, he was the first in both the preliminary and semi-finals of the graduate examination!


    But since meeting Lu Chen, his self-confidence has become weaker and weaker...


    Compared to Lu Chen, he always had a sense of powerlessness.


    Until a while ago, Lu Chen participated in the electrocardiogram competition and competed on the stage with a group of attending and deputy chief physicians.


    Gu Xinyue suddenly realized that his self-destruction in front of Lu Chen was completely unnecessary!


    Lu Chen''s opponents are no longer their peers...


    After adjusting her mood, Gu Xinyue no longer compares herself to Lu Chen.


    In this way, he was able to view his own abilities more objectively and catch up.


    At this point, he and He Sirong have completely different ideas!


    ¡­


    Eight ten in the morning.


    About twenty students gathered outside the teaching and research room.


    "Hey, Lu Chen, do you know which endocrine zone is the most relaxing?" Cheng Peng looked at Lu Chen beside him.


    The Department of Endocrinology has a total of four areas, and each area has four to five medical groups.


    Lu Chen shook his head, he usually doesn''t pay attention to these.


    For him, which district, or which medical group, makes no difference.


    "I''m sorry, I was on the night shift last night and came late." Min Ling came to the door of the teaching and research room and immediately led all the students into the small conference hall.


    Min Ling, the teaching secretary of the Endocrinology Department, is in charge of the rotation of all students.


    Lu Chen was taken aback for a moment, he really didn''t expect Min Ling to be the teaching secretary.


    He bought a night shift in the endocrinology department before and met Min Ling every time.


    "Fatty, which district did you just say you were going to?" Lu Chen thought about it and turned to Cheng Peng beside him.


    Cheng Peng immediately whispered: "I want to go to the second district, I heard that it is the most leisurely, while the other three districts are very busy!"


    "Maybe you will go to District 2!" Lu Chen smiled.


    "Hope." Cheng Peng pouted.


    After ??Min Ling walked into the room, she asked all the students to write down their department and tutor information.


    "This is... Cardiology Lu Chen?" Min Ling saw Lu Chen''s name at a glance.


    She immediately raised her head and found Lu Chen in the penultimate row of the conference hall.


    At this moment, a middle-aged female doctor in a white coat walked into the conference hall.


    She passed through the front desk and came to Min Ling''s side.


    "Xiaoling, there are no more students in our group, you can assign me some reliable students." Lou Jie said.


    Like Min Ling, Lou Jie is also the attending physician in the first endocrinology area.


    "Okay, I''ll pick one first, you can pick the rest yourself." Min Ling smiled.


    Picking students is also a technical job.


    Because there are almost no resident physicians in the Jinghua Second Hospital, the postgraduates and regular trainees have replaced the resident physicians.


    With two reliable students in the ?? group, the whole month will be much easier.


    For example, Wang Xiaodong, with Lu Chen, his workload has been reduced by as much as half.


    After Lu Chen left, he was not used to it.


    "Really?" Lou Jie was quite surprised, "Xiaoling, when did you become so generous? Take out their information sheet and I''ll take a look."


    If there are two or several freshmen in the group, she will be miserable this month!


    Kenichi''s freshman knows nothing, so he has to be a disservice.


    Min Ling handed Lou Jie the roster registered by everyone.


    "Which student do you want?" Lou Jie looked back at Min Ling.


    "It''s him, other students, you can choose whatever you want." Min Ling pointed to a name on the form.


    "Ah? Did you choose a graduate student?" Lou Jie was very puzzled, "Xiaoling, aren''t you asking for trouble?"


    It''s not that she doesn''t want to take the freshmen of the first grade, but the department has been too busy recently.


    If there are a few new students in the group who know nothing, then she will be crazy!


    In this roster, there are so many students in the second and third grades, why did Min Ling choose a freshman in the first grade?


    However, Lou Jie can''t control that much now.


    She quickly picked two graduate students.


    The freshman of the first grade, she will not pick.


    As for the third-year students, they are about to graduate. I guess they are not focused on clinical practice, and they are too lazy to choose.


    "Next, I will assign you the department and the assigned teacher." After Lou Jie left, Min Ling said to everyone, "Student Lu Chen, follow me, in the endocrine area!"


    "Received!" Lu Chen stood up and replied loudly.


    ¡­


    After five minutes, the distribution is complete.


    Lu Chen and Gu Xinyue came to the endocrine zone 1, while Cheng Peng went to the second zone he was thinking about.


    Endocrine Division I, doctor''s office.


    Lou Jie is extremely satisfied with the two students he has selected. They have rotated through many departments and are very familiar with the process of writing medical records and placing doctor''s orders.


    She looked back at Min Ling, she actually picked the freshman of the first grade?


    Is it a student with some background?


    Lou Jie felt a little sympathy for Min Ling in his heart.


    Just then, the nurse walked into the office.


    "Doctor Min, your group has a patient, and two of them came at once, in beds 8 and 10."


    "Okay, I see." Min Ling nodded, then said to Lu Chen, "Lu Chen, you go to see the 8th bed, I''ll see the 10th bed."


    "Yes." Lu Chen nodded, stood up without any hesitation, and followed Min Ling out of the office.


    Lou Jie also noticed this detail, but she didn''t take it to heart.


    I just felt that Min Ling asked Lu Chen to ask about the medical history first, and the overall treatment principle was still under the control of Min Ling.


    ¡­


    came to the ward.


    This is a little girl of twelve or thirteen years old.


    The nurse is holding a blood pressure monitor and measuring the blood pressure of the little girl.


    As soon as Lu Chen walked to the bedside, he heard the nurse muttering to herself, "Hey, is the blood pressure monitor broken?"


    Lu Chen looked at it intently, then he was stunned. The value on the blood pressure meter was 210/115mmHg.


    It''s a little late, mainly because I''m too sleepy


    (end of this chapter)

 v2 Chapter 373： He is that Lu Chen! (One update today, tomorrow

    Chapter 373 He is that Lu Chen! (One update today, will be added tomorrow)


    Such a small child with such high blood pressure?


    Lu Chen''s first impression was that it wasn''t that the blood pressure monitor was broken.


    Normal mode of thinking, after ruling out the diagnosis of the disease, and after multiple measurements, can consider the damage of the instrument.


    In Lu Chen''s eyes, the little girl''s HP is 63.


    Behind 63, is a "-" symbol.


    He hurriedly asked the little **** the hospital bed.


    "Anything wrong?"


    The little girl did not look back cowardly, and a middle-aged woman in her forties stood beside her, who should have been her mother, and said, "It''s fine now, but in the past week, she has always complained of headaches, nausea, and sometimes And vomiting."


    With such a high blood pressure, of course you will have a headache!


    At this time, the nurse took another blood pressure monitor and measured the blood pressure on both sides of the little girl.


    The results are all above 200/100mmHg!


    The blood pressure meter is not broken, the "bad" is the little girl in front of me.


    The nurse was frightened by her blood pressure. If it is a middle-aged and elderly person with such a high blood pressure, that''s fine.


    But the girl in front of me is only in her teens!


    "At this moment, is there anything uncomfortable?" Lu Chen continued to ask.


    The little girl shook her head slightly and whispered, "No...no."


    Lu Chen felt a little at ease, the reason why he kept asking the little girl if she felt any discomfort.


    This is mainly to judge the treatment of high blood pressure.


    If the blood pressure is high, but there are no related symptoms and target organ damage, oral antihypertensive drugs can be used.


    However, if high blood pressure causes severe headache, vomiting, and damage to target organs, it is necessary to use intravenous antihypertensive drugs to lower blood pressure as soon as possible.


    At present, the little girl has no symptoms for the time being, and can use oral drugs to lower blood pressure first.


    However, there must be an internal reason for such a small girl with such high blood pressure!


    Lu Chen immediately concentrated and began to ask about his medical history.


    Patient female, 13 years old, student.


    Height: 163cm, Weight: 76kg, BMI Index: 28.60.


    A year of weight gain of 30kg, headache and nausea for 1 week.


    The patient developed a headache after catching a cold one week ago, with persistent pain, fever, nausea, and vomiting acid water. No chest pain, palpitation and other symptoms.


    At that time, his body temperature was measured at 38¡ãC and Bp180/85mmhg at school. After symptomatic and supportive treatment, his fever symptoms improved.


    But in the past week, the patient''s symptoms not only did not decrease, but also tended to worsen, so he came to Jinghua Second Hospital.


    The reason ?? came to the Department of Endocrinology was because the outpatient doctor considered that the patient had high blood pressure, obesity, and a series of endocrine system diseases such as metabolic syndrome, so he was admitted to the Department of Endocrinology.


    In addition, the patient''s parents were healthy and denied a family history of hypertension.


    Her menarche was 12 years old and her cycles were irregular, with 2 menses per month or prolonged periods.


    Lu Chen also did an electrocardiogram for the little girl, and the electrocardiogram result was normal.


    After asking the medical history, the most important thing at present is blood pressure!


    ¡­


    Back to the doctor''s office.


    Min Ling has come back after seeing the patient.


    "Lu Chen, what''s the condition of the patient you''re seeing?" Min Ling asked immediately.


    Lu Chen briefly recounted the patient''s medical history.


    "13 years old, high blood pressure, what do you think?" Min Ling heard the words, looked at Lu Chen and asked for his opinion.


    Lu Chen paused, and then slowly said: "The most important thing is to find the cause of the patient''s hypertension, mainly to rule out the secondary hypertension factor, and the second is the patient''s obesity. Is there any possibility of metabolic syndrome?"


    "Well, very good." Min Ling nodded slightly, "You come to write the course of the disease and give the doctor''s order."


    "Okay." Lu Chen said.


    Min Ling''s move shocked Lou Jie next to him.


    Let a freshman write the course of the disease and give the doctor''s order?


    Min Ling was not such an imprecise person before!


    Not to mention a freshman in the first grade, even the second and third grade students, she couldn''t let go like this.


    I saw that Lu Chen didn''t refuse or hesitate.


    He found a free computer and began to make doctor''s orders.


    First and foremost, three antihypertensive drugs.


    Followed by blood draws and some imaging tests.


    Blood is drawn, mainly to check some routine items and secondary hypertension factors.


    Lu Chen quickly finished the whole set of doctor''s orders.


    ¡­


    Lou Jie on the side of ?? was secretly shocked, this freshman looks pretty good!


    He must have relevant clinical work experience before, otherwise it is impossible to be skilled!


    Lou Jie pretended to inadvertently click on the doctor''s order that Lu Chen had just given.


    When she saw the computer screen in front of her, her pupils shrank slightly.


    Lu Chen has given all the doctor''s orders.


    The routine blood draws at the hospital are all done. In addition, there are **** hormones, thyroid function, catecholamines, cortisol, aldosterone, etc. Lu Chen has done it without any leakage!


    The most important thing is that there are no mistakes!


    Doctor''s order is one of the carriers that can best reflect a doctor''s clinical thinking.


    "This first-year graduate student is not easy!" Lou Jie raised his brows, "His name is... Lu Chen..."


    She felt the name was familiar, but she couldn''t remember where she heard it.


    However, she was more careful about Min Ling''s student.


    ¡­


    After making the doctor''s order, Lu Chen began to write his medical history.


    He is also very fast in writing his medical records.


    In less than 20 minutes, the first journey, major medical records, and corresponding communication records were all written.


    Lu Chen''s speed was astonishing Lou Jie again.


    She clicked on the disease course record written by Lu Chen again.


    for a long time.


    "This..." Lou Jie raised his head and said in surprise, "Can''t find the slightest mistake?!"


    Freshmen who have just entered the clinic, the course of the disease written is generally full of loopholes.


    But Lu Chen''s is different.


    From the patient''s chief complaint, current illness history, current history, etc., Lu Chen''s medical history was written in a very standardized and organized manner.


    While Lu Chen went out to sign the documents with the patient, Lou Jie finally couldn''t help but leaned over to Min Ling and asked, "Sister Xiaoling, is your student... Really a freshman in the first grade?"


    "Yes." Min Ling nodded, "What''s wrong?"


    "I don''t think he''s a freshman!" Lou Jie said in surprise, "I''ve read all the doctor''s orders and the course of the disease written by him, and there is almost no need to revise it. I''ve never seen such a powerful freshman."


    Min Ling covered her mouth and smiled, "What''s this, if you knew about Lu Chen''s other things, you wouldn''t be surprised."


    "Other things?" Lou Jie looked at Min Ling suspiciously.


    "Yes, the school issued a notice last week, you should have read it too." Min Ling said, "Everyone should have seen it!"


    Lou Jie was taken aback for a moment, did he make a notice last week?


    She immediately recalled in her mind...


    Lu Chen¡­¡­


    "Could it be him... that Lu Chen?"


    Lou Jie suddenly thought of a person, and immediately looked at Min Ling beside him.


    I saw Min Ling nodded slightly.


    It''s actually him!


    Lu Chen, from the Cardiology Department, won the sixth place in the national electrocardiogram finals!


    No wonder Lou Jie thinks this name sounds familiar, because the Second Hospital kept promoting Lu Chen''s deeds some time ago.


    Although she doesn''t pay much attention to these, she still knows that there is such a number one person.


    Night shift tonight, so I can only make up for one shift tomorrow! Everyone go to bed early.


    (end of this chapter)

 v2 Chapter 374： 369 Lu Chens Teaching (First Update)

    Chapter 374 Chapter 369 Lu Chen''s Teaching (First Update)


    Lu Chen adapted very quickly in the endocrinology department.


    After all, he has already rotated through two departments, not the rookie who just came to the hospital.


    Some interns in ??Min Ling''s group are all under Lu Chen''s subordinates. They help measure blood sugar, blood pressure, and then do an electrocardiogram.


    Lu Chen will also give lectures to the interns in the group, reaping a wave of gratitude.


    Although he can get a lot of thanks intermittently through Luo Xueya''s popular science video at station B.


    However, Lu Chen found that the gratitude value obtained in this way is not only limited to a daily limit, but also a maximum of twice a month!


    Because after the third video of him and Luo Xueya was released, the system popped up a prompt - the maximum amount of thanks you can get through this method this month!


    Therefore, in his daily life and work, Lu Chen would never let go of the opportunity to get gratitude points.


    "Senior brother, the results of that girl''s examination came out yesterday!"


    As soon as he came to the department the next day, an intern in the group handed Lu Chen a checklist.


    This is an examination report of a cardiac ultrasound.


    Echocardiography showed mild prolapse of the anterior mitral valve and mild to moderate regurgitation, and left heart enlargement.


    Lu Chen frowned, this cardiac ultrasound has a big problem!


    Valve prolapse with moderate regurgitation and left heart enlargement.


    Changes in the structure of the heart, which means a long time frame for the patient¡¯s illness!


    It is well understood that the beginning of the disease does not change the size and structure of an organ.


    Only damage over time can make an organ bigger or smaller.


    "Junior sister, have other inspection results come out?" Lu Chen looked back at the intern.


    Liu Binsong nodded slightly: "Well, some blood test results came out."


    Lu Chen immediately turned on the computer and entered the test result query interface.


    In the blood routine of the patient, white blood cells were normal, hemoglobin 107g/L¡ý, platelets 376G/L¡ü; MCV76.1¡ý, MCH22.7¡ý, MCHC: 297¡ý¡­


    Lu Chen looked at the patient''s examinations that had already produced results, and quickly found all the abnormal indicators.


    "Senior brother, what''s wrong with this little girl?" Liu Binsong asked in a low voice.


    Lu Chen shook his head slightly: "I can''t see it for the time being, and there are still many test results that haven''t come out yet."


    Seeing the thirst for knowledge on his younger sister''s face, Lu Chen smiled and said a few more words.


    "However, her high blood pressure must be considered secondary. First of all, we need to differentiate between high blood pressure and obesity. To improve the cortisol rhythm and low-dose dexamethasone experiment, it is best to keep urine cortisol. It is easy to be affected; it is necessary to improve the medullary hormones to rule out pheochromocytoma.¡±


    "Then continue to improve the related examinations of blood vessels and heart, rule out the increase in blood pressure caused by vascular stenosis and malformation, and finally do RASS and adrenal CT enhancement."


    "If you can check the hydroxylase set, it would be better to check whether the individual is masculine."


    ¡°¡­¡±


    Lu Chen''s narration is very detailed, and it doesn''t matter whether the junior sister can understand it or not, anyway, he said it all at once.


    "Congratulations, +1 for receiving thanks from Liu Binsong!"


    Although there is only a little thank you, but no matter how small the mosquito is, it is still meat.


    Liu Binsong blinked at Lu Chen.


    Senior brother seems to be very powerful, but she doesn''t understand most of them.


    It doesn''t matter if you don''t understand, she wrote it all down in her little notebook.


    "Let''s go, let''s see the patient again." Lu Chen said.


    Before the ward round, Lu Chen and Liu Binsong went to see the patient.


    The number of ward rounds is not too busy, as long as the changes in the patient''s condition can be detected in time, it is very necessary.


    "There may be a few more tests to be done today." Lu Chen said to the girl''s mother.


    "Okay, I''ll listen to you." The girl''s mother also understood the truth and cooperated with Lu Chen''s diagnosis and treatment process very well.


    Although the girl''s condition seems to be relatively difficult, as long as the family cooperates, Lu Chen is still very confident that it will be resolved.


    ¡­


    Early shift ends, and it¡¯s time for ward rounds.


    Lu Chen found that both the cardiology department and the endocrinology department have a special feature, that is, the number of patients is very large!


    Not to mention that there are eight areas in the whole cardiology department, and there are many extra beds!


    The number of doctors in each ward, if not including graduate students and regular trainees, is far less than the normal ratio of doctors to patients.


    The number of patients is large and the number of doctors is small.


    The lower-level doctors are exhausted every day, and most of the patients are mild patients, not many difficult and severe ones.


    For example, in the endocrinology department, the entire department is mostly diabetic patients, and they come to the hospital to regulate blood sugar.


    Many of these patients can be dealt with in outpatient clinics.


    "Lu Chen, although the patient''s condition in our endocrinology department is not as urgent as that of the cardiology department, it is not easy." Min Ling said to Lu Chen with a smile.


    "It''s really not easy at all!" Lu Chen smiled bitterly.


    When I didn¡¯t come to the endocrinology department, I thought this was a relaxing place.


    But what I didn¡¯t expect was that there were many beds in charge of each doctor.


    Lu Chen only needs to take care of four beds in the Cardiology Department, but in the Endocrinology Department, he needs to take care of six to eight beds.


    The workload has almost doubled!


    "Being a doctor is not easy for any department!" Min Ling shook her head.


    ¡­


    In the morning, I checked the room and found the little girl who came yesterday.


    Min Ling communicated with the patient''s family at the bedside, and then asked everyone in the group, "Can anyone of you talk about the differential diagnosis of this patient?"


    Min Ling''s question naturally surpassed Lu Chen.


    Because she knew that Lu Chen definitely knew the answer, she was mainly other interns in the inspection team.


    Of the four interns in the ?? group, except for Liu Binsong, three of them immediately lowered their heads.


    Min Ling also came from her student days, she said, "Let''s talk about it, Xiao Liu."


    When Liu Binsong heard the words, he looked down at the small book in his hand.


    Senior Brother Lu Chen told him these little knowledge points in the morning, but she remembered them.


    Liu Binsong paused, glanced at Lu Chen beside him secretly, and then whispered, "The diagnosis of this patient is not yet clear, because there are still many test results that have not yet come out."


    "Then tell me what you know so far." Min Ling smiled.


    "Well." Liu Binsong nodded, "First of all, the patient''s hypertension must be considered secondary. First of all, we need to differentiate between hypertension and obesity, and we must improve the cortisol rhythm and low-dose dexamethasone experiments... "


    Beside Lu Chen, he smiled helplessly as soon as he heard Liu Binsong''s first sentence.


    My dear, this junior sister repeated what she told her in the morning as it is...


    Min Ling looked surprised when she heard Liu Binsong''s answer.


    Liu Binsong has been in the endocrinology department for two weeks. Why didn''t she realize that she could have such clinical thinking?


    "If you can check the hydroxylase set, it would be better to check whether the individual is masculine." Liu Binsong glanced at Lu Chen secretly again, and whispered, "Mr. Min, I''m done."


    "Very good, very good!" Min Ling nodded slightly, "It seems that you did a lot of hard work when you went back! The rest of you must learn from Xiao Liu!"


    The other three interns in the ?? group nodded, but they were all puzzled.


    Everyone''s level has always been the same!


    Why did Liu Binsong suddenly stand out from the crowd? !


    At this time, another prompt popped up on Lu Chen''s system panel.


    "Congratulations, +1 for receiving thanks from Liu Binsong!"


    Lu Chen secretly smiled in his heart, this junior sister is not bad, she is still thinking about herself at this time.


    I just hope she doesn''t become like Junior Sister Yao Jie in the future. After the two of them get to know each other, they don''t give themselves much thanks!


    There are two more


    (end of this chapter)

 v2 Chapter 375： Strange two minus signs (second more)

    Chapter 375 Strange Two Minus Signs (Second)


    After checking the room, Min Ling praised Liu Binsong again.


    This made the junior sister a little embarrassed.


    After everyone dispersed, she hurriedly came to Lu Chen''s side, lowered her head and said softly, "Senior brother, I''m sorry, I... I don''t know, I can only tell you what you told me."


    Lu Chen smiled and shook his head: "It''s fine, as long as you can understand what I mean by these differential diagnoses, that''s fine."


    "Uh... some I don''t quite understand now, but I will definitely understand in the future!" Liu Binsong clenched his fist.


    "Okay, then I will test you tomorrow!" Lu Chen said.


    "Ah? Senior brother, you..." Liu Binsong pouted.


    Senior Brother Lu Chen really asked... She just said it casually!


    ¡­


    After checking the room, Lu Chen began to make doctor''s orders and write today''s medical records.


    There are many patients and the workload is also a lot more.


    However, several interns are currently unable to do these jobs, so Lu Chen can only do it himself and teach them patiently.


    Gu Xinyue is in another group in District 1. There are two graduate students in their group, and the other graduate student is the senior brother of Yansan.


    Senior Brother Yansan asked for a few days off because of looking for a job and writing a dissertation.


    Lu Chen saw that Gu Xinyue was also very busy, walking back and forth between the department and the office.


    Throughout the morning, everyone hardly rested.


    Got off work near noon.


    The nurse hurried in.


    "The doctor from Teacher Cui''s group is not here, your bed 31 is uncomfortable, go and see!"


    Mr. Cui''s group happened to be Gu Xinyue''s group.


    I saw Gu Xinyue stand up immediately, "I''m from Teacher Cui''s group, I''ll go right away!"


    Mr. Cui worked the night shift last night and left early today.


    Only Gu Xinyue and a few other interns were left in the ?? group.


    "Old Gu, then I''ll wait for you." Lu Chen turned around and said to Gu Xinyue.


    The two of them made an appointment to go to the cafeteria for lunch together.


    Gu Xinyue also wanted to ask Lu Chen about clinical research.


    "Okay, I''ll go see the patient first." After that, Gu Xinyue hurried out of the office.


    About five minutes later, Gu Xinyue frowned and returned to the office.


    When passing by Lu Chen, he stopped and said, "Lu Chen, you go to eat first, this patient is more troublesome, and I can''t get off work for a while."


    "What happened to the patient?" Lu Chen asked in confusion.


    Endocrinology patients, most of them have blood sugar.


    Except for a small number of patients with diabetic ketoacidosis, the condition of other patients is relatively less urgent.


    Gu Xinyue walked back to her seat and said: "A patient with diabetic ketoacidosis who was admitted to the hospital yesterday, when he was admitted to the hospital yesterday, his blood sugar was 33.8mol/L. This morning''s blood sugar has dropped during the ward round, and the random blood sugar is only 14mol/L. left and right, but he kept saying bloating, and the symptoms were getting worse, and now it''s getting worse!"


    Lu Chen frowned slightly, is he really a diabetic ketoacidosis? !


    The blood sugar level of more than 30 points has dropped, but the condition is getting worse?


    What''s the point of this...how strange?


    "Does the patient have symptoms such as abdominal pain, nausea, and vomiting?" Lu Chen said casually.


    "No." Gu Xinyue shook her head, "Except for abdominal distension, everything else is fine. I have already told the teacher on duty at noon that she will come over immediately and see how she handles it."


    "Well, then I''ll wait for you, don''t rush to eat." Lu Chen said.


    He mainly wanted to see this "weird" patient.


    Blood sugar dropped, but symptoms got worse!


    Lu Chen opened the patient''s course record.


    Patient male, 59 years old.


    was admitted to the hospital due to "shortness of breath, chest tightness, and upper abdominal discomfort for half a day".


    After drinking 500g of liquor yesterday, the patient developed shortness of breath, was unable to lie on his back, accompanied by symptoms such as nausea and vomiting, and came to the emergency department of Jinghua Second Hospital. The blood sugar was checked at 32.1mol/L. Considering diabetic ketoacidosis, he was admitted. Internal medicine hospitalization.


    Past history: Hypertension and diabetes mellitus for 10 years, irregular treatment, intermittent use of hypoglycemic and antihypertensive drugs.


    Physical examination on admission: body temperature 36.6¡ãC, pulse 142 beats/min, respiration 28 beats/min, blood pressure 140/80 mmHg, and cardiopulmonary auscultation was negative.


    After being admitted to the hospital yesterday, in accordance with the treatment principles of diabetic ketoacidosis, he was given intravenous low-dose insulin, active fluid rehydration, potassium supplementation and other treatments.


    "The patient''s blood sugar is slowly decreasing, and by this morning, it was close to normal." Lu Chen frowned, "Why did the symptoms suddenly worsen?"


    At this time, the doctor on duty at noon came in, it was Lou Jie.


    "Which patient is uncomfortable?" Lou Jie asked while standing at the door of the office.


    "Teacher, it''s the 31st bed in Teacher Cui''s group." Gu Xinyue stood up immediately and walked to Lou Jie''s side.


    "What''s the patient''s disease?" Lou Jie asked.


    "Diabetic ketoacidosis." Gu Xinyue said.


    "Okay, you come with me to see the patient." Lou Jie nodded.


    "Um."


    Then, Gu Xinyue and Lou Jie went to the hospital bed.


    Lu Chen was still in the office, frowning and looking at the patient''s medical records.


    He noticed that the patient also had a CT of the chest and abdomen yesterday.


    Lu Chen immediately clicked on the CT image of the patient.


    Many doctors look at the CT, and the first reaction is to look at the examination report.


    But Lu Chen was different. He first looked at the CT image, and then looked at the report from the radiologist.


    Otherwise, if you read the report with a conclusion, you are likely to be influenced by the judgment of others.


    "This is a small amount of pleural effusion...and a very small amount of ascites."


    Although a normal person also has a very small amount of pleural effusion, this person also has a small amount of pleural effusion and ascites.


    Lu Chen couldn''t help but take it seriously.


    In addition, the patient also has fatty liver.


    The biliary system and the pelvic cavity of both kidneys were normal.


    "The area around the patient''s pancreas...seems to be unclear..." Lu Chen muttered.


    This kind of imaging is unclear, and it is difficult to distinguish whether it is caused by lesions or uneven scanning of the instrument.


    Lu Chen glanced at the CT report.


    only reported a small amount of pleural effusion, a very small amount of ascites and fatty liver, and did not describe the part of the pancreas.


    Is the pancreas okay?


    Without seeing the patient himself, Lu Chen couldn''t make a judgment.


    He stood up and walked to the 31-bed ward.


    ¡­


    At this time, Lou Jie was in front of the hospital bed, performing an abdominal examination on the patient.


    "Does it hurt here?"


    The patient shook his head: "It doesn''t hurt."


    "Then pay attention, I''ll take my hand away later, you can see if it hurts."


    "It''s not painless." The patient still shook his head.


    "The patient''s abdomen is soft, there is no tenderness, and there is no rebound tenderness." Lou Jie said, "If you feel bloated, you should have been lying in bed for a day or two, and your abdomen is a little bloated. No big problem."


    At this time, Lu Chen was staring at the health on the patient''s head.


    52 (--)!


    These are two minus signs!


    If the patient only has diabetic ketoacidosis, hypoglycemia, fluid replacement, and blood sugar drop, the condition tends to be stable, the trend of the change of life value should also be (+)!


    How can ?? be the current two (¡ª)?


    There is one more chapter.


    Around one o''clock, everyone go to bed early!


    (end of this chapter)

 v2 Chapter 376： Liquid dark area (the third update is yesterdays)

    Chapter 376 Liquid Dark Zone


    The patient''s health is very consistent with diabetic ketoacidosis.


    But the changing trend of life value is by no means as simple as diabetic ketoacidosis!


    But Lu Chen didn''t say anything.


    He went back to the office with Gu Xinyue and Lou Jie.


    "Lu Chen, we can go and eat in the cafeteria." Gu Xinyue was about to go to the duty room to change out of her white coat.


    Lu Chen said, "Wait a minute."


    "Huh?" Gu Xinyue looked puzzled when he saw Lu Chen suddenly walking towards Mr. Lou Jie.


    "Mr. Lou, look at this patient''s abdominal CT..." Lu Chen walked in front of Lou Jie and said softly.


    "Which patient?" Lou Jie looked back.


    Hey, isn''t this some genius boy from Min Ling''s group?


    "It''s the bloated patient you just went to the ward to see." Lu Chen explained, "I just saw his abdominal CT, why do I feel that the pancreas is not very clear!"


    "Really?" Lou Jie was shocked, could it be pancreatitis?


    She quickly opened the computer CT image.


    If it is really pancreatitis, then this can be regarded as her work mistake!


    At this time, Gu Xinyue also returned to the office, and when she heard the conversation between the two, she was startled.


    At this moment, Lou Jie opened the CT image and glanced at the CT report.


    It''s okay, just a small amount of pleural effusion and ascites.


    The conclusion of the CT report sheet did not describe the abnormality of the pancreas!


    However, Lou Jie was still not at ease and enlarged the CT image.


    Sure enough!


    If what Lu Chen said, the pancreas of this patient is really unclear!


    This kind of unclear, if you don''t look carefully, you may not be able to see it.


    In addition, this kind of image display is not clear, it is most likely caused by the error of the CT machine, and it may not explain any problems.


    "Mr. Lou, do you think there is a problem?" Lu Chen continued.


    Actually, at the beginning, Lu Chen was not sure.


    But when he saw that the patient''s health was trending with two minus signs, this unease in his heart was aggravated.


    He couldn''t have let go of any suspicious detail!


    "It''s really unclear!" Lou Jie nodded slightly, "Well, let''s check a blood and urine amylase first. After the results come out, if there is any problem, consider a CT scan again."


    The patient just had an abdominal CT yesterday, and now he will do another one, and the patient and his family may not be able to understand.


    Moreover, the patient''s current symptoms are acceptable, and there are no symptoms of abdominal pain, nausea and vomiting.


    Lu Chen frowned, blood and urine amylase must be done!


    But in case the results come out, the patient''s condition may further aggravate.


    Is there any way to judge the patient''s condition in advance?


    Lu Chen thought about it, in addition to amylase and CT examination, another test that can confirm the diagnosis, that is ultrasound!


    "Mr. Lou, do we have an ultrasound machine in our department?" Lu Chen suddenly asked.


    "An ultrasound machine?" Lou Jie was startled, "Why do you want this?"


    "I want to use an ultrasound machine to show the patient''s abdomen first." Lu Chen said, "If it is pancreatitis, then you should be able to see the corresponding changes?"


    "You know how to use an ultrasound machine?" Lou Jie was stunned.


    This talented boy has too many skills!


    Ultrasound technology is actually not difficult, but it does take a lot of time to master it.


    General doctors don¡¯t have so much time to study ultrasound technology, so they set up ultrasound department independently.


    "I learned it when I was in the cardiology department." Lu Chen nodded.


    "But your cardiology department should look at the heart, right? You can also look at the abdominal organs?" Lou Jie wondered.


    The anatomy of each organ is different, so the doctors of the ultrasound department will also divide it into each part.


    Some focus on the heart, some focus on abdominal organs, and some focus on blood vessels!


    "When I was studying cardiac ultrasound, I happened to learn abdominal ultrasound together." Lu Chen said.


    Actually, Lu Chen had never studied abdominal ultrasound.


    However, his current thoughts have entered the system, and he has exchanged for the primary skill card of "abdominal ultrasound technology".


    This skill card only needs 100 thanks.


    Lu Chen now holds the "big money" and exchanges it without hesitation.


    Lou Jie was dubious when he saw this.


    If other students told her this, she would definitely dismiss it.


    But the Lu Chen in front of him is unusual!


    "Actually... our endocrinology department really has an ultrasound machine." Lou Jie said slowly.


    "Really?" Lu Chen looked happy.


    "It''s just upstairs in the second area of ??endocrinology." Lou Jie said, "I can''t leave my post and go upstairs to borrow the machine. Well, I''ll call the nurse station in the second area, and you can pick it up yourself?"


    "Okay!" Lu Chen said immediately.


    "That''s okay." Lou Jie took out his mobile phone and called the nurse station in the second district, "I''ve got in touch, you and Gu Xinyue can go together."


    She really wanted to see if Lu Chen could use this abdominal ultrasound technology?


    If yes, then the patient''s disease can be diagnosed, so why not do it?


    If not, then wait for the results of amylase to come out before making further plans.


    ¡­


    Lu Chen and Gu Xinyue came to the second district together.


    After talking to the nurse for a long time, Lu Chen wrote a loan note, and then went downstairs.


    Before that, Lu Chen took time to enter the virtual space of the system, and seized the time to conduct targeted training on abdominal ultrasound.


    Of course, mainly for the pancreas!


    Because of the foundation of cardiac ultrasound technology, all Lu Chen learned abdominal ultrasound technology very quickly.


    And now, under emergency conditions, it is enough for him to learn how to interpret the pancreas.


    After Lu Chen tried more than a dozen times in the system space, he was almost able to master the technical methods of basic pancreatic ultrasound.


    ¡­


    Back to the endocrine area.


    Lu Chen and Gu Xinyue pushed the ultrasound machine into the No. 31 hospital bed.


    Lou Jie has already discussed with the patient.


    At first, the patient was a little puzzled, but after hearing the possibility of severe pancreatitis, he still underwent blood tests and ultrasound examinations.


    Lu Chen pushed the ultrasound machine to the patient''s bedside.


    He did not immediately perform an ultrasonography and had the patient re-examined the abdomen first.


    Apart from bloating, there are still no other abdominal signs.


    Started to apply the couplant, Lu Chen picked up the ultrasound probe and officially started the abdominal ultrasound operation.


    "Breathe calmly, then raise both hands and place them on either side of your head." Lu Chen reminded the patient.


    This increases the rib spacing and facilitates the inspection of the ultrasound probe.


    Lu Chen continued: "Lie down on the right side."


    Each body position is about what part to check.


    The left lateral position is convenient for examining the liver, gallbladder, right kidney and right adrenal gland, and the structure of the hepatic hilum.


    The right lateral position is convenient for inspection of the spleen, left kidney, left adrenal gland, and tail of the pancreas.


    The patient heard the words and immediately followed suit.


    Lu Chen placed the probe coated with couplant on the patient''s abdomen, and a black and white image immediately appeared in the ultrasound machine.


    Lou Jie looked at it immediately.


    Although she can''t do an ultrasound, she can still see the ultrasound images.


    Lu Chen''s technique is still good, and the images produced are relatively clear.


    "This... the border of the pancreas is not very clear!" Lou Jie murmured.


    The lack of clarity here is not because Lu Chen''s skills are not good.


    means that the pancreas has lesions, so the displayed image has changed.


    Lu Chen nodded: "Yes, the pancreas is slightly larger than normal. In addition, the echoes inside the pancreas are uneven, and there are dark liquid areas around the pancreas... The most important thing is, Mr. Lou, look here."


    Lou Jie''s line of sight followed Lu Chen''s pointing, "This is a dark liquid area, is there ascites? Why so much!"


    Lou Jie looked surprised.


    The volume of ascites shown by this ultrasound is much more than that on the abdominal CT yesterday!


    Yesterday it was a small amount at most, but today it has reached the level of a moderate amount of ascites!


    The three people present were all shocked.


    All the current evidence points to one disease - acute pancreatitis!


    (end of this chapter)

 v2 Chapter 377： Essay writing skills card (first update)

    Chapter 377 Thesis Writing Skills Card (First Update)


    "Congratulations, the system upgrade completion rate has increased by 1%"


    Lu Chen frowned, this acute pancreatitis is really strange!


    Although there is peritoneal effusion, but only the symptoms of abdominal distension, without any symptoms of abdominal tenderness and rebound tenderness.


    However, the appearance of ascites has already indicated that pancreatitis has an erosive effect on the surrounding tissue.


    If it is not handled in time, it is likely to cause severe pancreatitis and peritonitis!


    "Gu Xinyue, go to the gastroenterology emergency consultation!"


    Lou Jie immediately issued a doctor''s order.


    Now, the diagnosis of pancreatitis can almost be confirmed based on this ultrasound image.


    At the same time, Lou Jie couldn''t help giving Lu Chen a thumbs up.


    Not to mention that he knows the technique of abdominal ultrasound, just because he can see the pancreas in the CT image.


    In this regard, Lu Chen has surpassed the absolute majority.


    Many clinicians today rarely see images and trust the judgment of radiologists too much.


    Many times, we ignore our ability to judge!


    Beside ??, Gu Xinyue was also secretly startled.


    is really dangerous!


    If this pancreatitis is discovered later, it may develop into severe pancreatitis, and the treatment will be much more troublesome!


    Lu Chen is really amazing, Gu Xinyue said.


    He glanced at Lu Chen and knew that he was far behind Lu Chen in terms of clinical technology and scientific research.


    ¡­


    Soon, the consulting doctor of the gastroenterology department came.


    "In the initial consideration of pancreatitis, it is recommended to give octreotide to inhibit pancreatic secretion, and ulinastatin to inhibit pancreatic enzyme activity!"


    "And give symptomatic treatment such as anti-infection, gastrointestinal decompression, fasting, and rehydration."


    "Continue to treat diabetic ketoacidosis (DKA) in the meantime!"


    In addition, in order to confirm the diagnosis, it is recommended to improve the contrast-enhanced CT of the upper abdomen.


    The consulting doctor in the gastroenterology department smiled and said to Lou Jie: "This patient is really lucky. It is estimated that it is a mild pancreatitis. You found out in advance. If it progresses to necrotizing pancreatitis later, then the internal medicine is conservative. It is estimated that the treatment will not work, and surgery may be required.¡±


    This is also a good fortune in misfortune!


    After the patient and his family learned the whole story, they thanked Lu Chen very much.


    "Congratulations, +1 for the thank you from Hong Qian!"


    "Congratulations, +1 for Zhang Zhangping''s thank you!"


    Lu Chen and Gu Xinyue changed out of their white coats, and they both walked out of the endocrine ward with a long sigh of relief.


    This time it was really a near miss!


    "Lu Chen, I have to say, you are amazing." Gu Xinyue said, "I really want to know, how do you usually learn these skills?"


    Before it was electrocardiography, electrophysiological intervention, and now it is ultrasound technology!


    Lu Chen smiled, noncommittal, "You are also very good."


    "Don''t blow my rainbow fart, I won''t do this." Gu Xinyue pouted, "Please give me a rub at noon!"


    "Okay, no problem." Lu Chen said.


    Before ??, Gu Xinyue helped Lu Chen make a PPT for the discussion of medical records.


    Lu Chen promised to bring breakfast to Gu Xinyue, but he took it a few times, because he was too busy with work, so he forgot.


    ¡­


    Came to the hospital cafeteria. It was lunch time and there was a lot of people talking.


    Lu Chen and Gu Xinyue ordered a few meat dishes, then sat at the round table beside them and waited.


    "Junior Brother Lu, long time no see!"


    Suddenly, a familiar voice came from behind.


    Lu Chen looked back and saw that it was Senior Sister Wang Shasha.


    "Hello, Senior Sister." Lu Chen smiled.


    Wang Shasha was also welcome, carrying her own food and sitting next to Lu Chen.


    "Junior Brother, I heard that your opening report is very good!"


    In less than a week, Lu Chen''s performance in the opening report has been widely known, but it is only limited to the Cardiology Department of the Jinghua Second Hospital.


    "Senior sister, I''m just a subject, I don''t have any specific details." Lu Chen said modestly.


    The opening of the question is only the first step of the project, and there are specific experimental steps in the follow-up.


    "Yeah." Wang Shasha nodded slightly, and the conversation suddenly changed, "A while ago, I asked you to help me ask about Junior Sister Ke Yue... Is there any room for manoeuvre!"


    Lu Chen just thought that Wang Shasha had asked him to help find Ke Yue and let Ke Yue continue to help her work in the laboratory.


    But Ke Yue refused.


    I didn''t expect that Wang Shasha still didn''t give up and still wanted Ke Yue''s help.


    "Senior sister, Ke Yue has her own scientific research project to do." Lu Chen said, "Maybe there is no way to worry about your side."


    I didn''t expect Wang Shasha to just smile indifferently, "It''s still such a pity, I recently published another SCI. If Junior Sister Ke Yue was there, maybe she could have added her name."


    "Senior sister, congratulations, I posted another SCI." Lu Chen laughed.


    But he always believed only half of what Wang Shasha said.


    She wants to post an SCI independently now, and it''s not that simple!


    As far as Lu Chen knows, Senior Sister Wang Shasha is currently helping in a postdoctoral laboratory under Mr. Li Yao.


    Lu Chen guessed that it was very likely that a certain senior brother or senior sister took the name of Wang Shasha when publishing the thesis.


    Based on Wang Shasha''s current abilities, she is likely to be only the third, fourth, or even fifth author.


    One article, the most important corresponding author and the first author.


    As for the position after the second author, unless it is a high-scoring article, it doesn''t make much sense.


    "Okay, that''s it for today." Wang Shasha stood up and smiled, "Lu Chen, if you encounter any trouble, you can come to me."


    "Thank you, Senior Sister." Lu Chen said.


    ¡­


    Wang Shasha and Lu Chen chatted for less than ten minutes.


    But in Gu Xinyue''s view, this senior sister seems to be showing off directly.


    "Lu Chen, your senior sister is quite interesting."


    "What? If you want to get to know me, can I introduce you?" Lu Chen asked.


    "Then... that''s fine." Gu Xinyue shook her head, "I just think she came here on purpose to tell you about the SCI paper she posted. What''s wrong with you before?"


    "Unpleasant...not at all." Lu Chen said, "It''s just that Senior Sister asked us to help us fill in the experimental data, but the workload was too much. I and another classmate did not agree to her."


    "Hey, you guys really have personalities. Senior sister asked to help you record the data, but you didn''t help?"


    Lu Chen shrugged his shoulders and said, "Everyone is an adult and is very busy, but no one wants to be wronged."


    "Great, great." Gu Xinyue gave a thumbs up.


    At this time, the staff in the cafeteria served several dishes ordered by Lu Chen.


    The two chatted while enjoying their lunch.


    ¡­


    Go back to the bedroom.


    Before the other roommates returned to the dormitory, Lu Chen sat in his seat.


    Wang Shasha''s words reminded him today.


    After all, I still have to publish a paper!


    If he does not publish several influential papers in the early stage, his scientific research experiments will progress very slowly.


    Wang Shasha and He Sirong have their backs to the hospital''s laboratory and have published many papers in a row.


    Only with a high-scoring paper can you gain a foothold in the serious industry of medicine!


    With a thought of ??, Lu Chen entered the system mall.


    After ?? searching, he exchanged the essay writing skill card, the elementary card and the intermediate card.


    This essay writing skill card is not cheap!


    Elementary Card, requires 500 thank you points.


    Intermediate card requires 1500 thanks points.


    Fortunately, Lu Chen still has more than 5,000 points of gratitude, so he spent 2,000 points to exchange.


    This is one of the most important abilities of medicine. It is not a loss at all to exchange 2000 gratitude points!


    One more chapter


    (end of this chapter)

 v2 Chapter 378： Parents are here, not far away (the second is a bit late)

    Chapter 378 Parents are here, not far away (the second one is a bit late)


    You can earn more after the thank you points are gone, but the ability to write this thesis is the ability that all doctors dream of!


    Lu Chen is now full of desire to write.


    The preparatory work for his project design has been completed.


    What we have to do now is to conduct specific experiments!


    Lu Chen knows the limitations of his experiment, the sample size is too small, and at most one SCI paper of good quality will be published.


    If you want to write a paper that has great influence and even changes clinical guidelines, all resources such as manpower, material resources, and money are indispensable.


    In addition, to do multi-center clinical experimental research, other hospitals need to cooperate.


    With the current strength of Lu Chen, he definitely cannot do this!


    "Now you don''t have to think about changing the clinical guidelines, first set a small goal for yourself, use a small sample size, and send a 5-point SCI!"


    Set yourself a small goal first!


    Lu Chen had a plan in his mind and immediately started to act.


    He contacted Ke Yue and her roommate.


    The three of them officially started the first step of the experiment, screening patients for clinical trials!


    Lu Chen estimated some of the resources he currently has, as well as some resources promised by Li Yao''s mentor.


    In addition, Wang Ruoxi had promised to give him a discount on medicines.


    Even so, he could only withstand experimental samples of forty patients at most.


    If the number of experimental patients increases, Lu Chen''s resources will be unbearable.


    "That''s good, you can produce a paper in the shortest time!"


    Lu Chen calculated in his heart that from the beginning to the end of the experiment, the whole process would only take six months.


    Six months, produce a SCI paper.


    In the field of clinical research, the speed is already quite fast.


    Of course, this also excludes those who plagiarize and falsify data.


    At present, Lu Chen is in both clinical and scientific research.


    Only in this way can you fully enrich yourself.


    ¡­


    In the afternoon, Lu Chen came to the endocrine area.


    He looked at a patient with acute pancreatitis.


    After applying the relevant measures to treat acute pancreatitis, his health has become 56 (+)!


    Two minus signs have become a plus sign.


    Because it was only mild acute pancreatitis, the patient''s HP also increased slightly.


    The patient no longer shouted about bloating, and everything was going in a good direction.


    "Lu Chen, I heard that you diagnosed a patient with acute pancreatitis this morning?" Min Ling walked into the office.


    Lu Chen scratched the back of his head, smiled, and said, "Mr. Min, I''m just lucky."


    "It''s not something that can be discovered by luck. I saw that CT image, and most people can''t find the problem of the pancreas." Min Ling said with a smile, she really likes Lu Chen as a student, and she hasn''t encountered it yet. He was a student like Lu Chen who had solid basic clinical knowledge and skilled clinical skills.


    Director Cui of Gu Xinyue''s group also got the news that his patient was diagnosed with acute pancreatitis in the afternoon.


    He made a special trip back to the department.


    "Alas, this patient is taking care of a lot, and the quality of patient management is also much worse!" Director Cui smiled helplessly.


    The patient turnover rate in the endocrinology department is fast.


    Every day, more than ten patients are discharged from the hospital, and more than ten new ones are admitted.


    In such a high-intensity working environment, mistakes will inevitably occur.


    ¡­


    Although he is very busy clinically, Lu Chen enjoys working in the department very much.


    The process of diagnosing a patient is actually a process in which a detective is scrambling to detect a case.


    The disease is finally diagnosed and the patient''s pain is relieved.


    There is also a sense of accomplishment that other occupations cannot give.


    Actually, Lu Chen''s ideal is very simple, just to be a good doctor.


    Now, he is on this road, working hard.


    "Lu Chen, bed 21 always says that your stomach is uncomfortable, go and have a look." The nurse on duty walked into the office and said.


    "Okay, I''ll be right here." Lu Chen nodded.


    Because of the previous experience of the abdominal distension patient in the morning, Lu Chen did not dare to relax in any way.


    ¡­


    Lu Chen came to the bed.


    Patient 21 is a 76-year-old male patient.


    Previous history of diabetes, hypertension, and chronic kidney disease.


    This time, because the blood sugar was not well controlled at home, I was hospitalized to adjust the blood sugar.


    "Master, do you feel sick to your stomach?" Lu Chen smiled and picked up the patient''s insulin injection dose card.


    The patient is currently using a three-short and one-long treatment plan.


    is to use short-acting insulin before three meals and long-acting insulin before bed.


    "Yeah, it''s been a while." The uncle lay on the bed and nodded slightly.


    Beside the hospital bed, an old woman was taking care of him, and he didn''t see the old man''s children.


    "Master, then I''ll check it for you first."


    Lu Chen asked the uncle to lie flat on the bed, lifted the uncle''s clothes, and exposed the skin of his abdomen.


    Just unzipped the patient''s clothes.


    Lu Chen saw that on both sides of the uncle''s abdomen, around the navel, there seemed to be two lumps with pigment deposits.


    Lu Chen put on gloves and pressed the lump lightly.


    "Master, does it hurt?"


    "It doesn''t hurt." The uncle shook his head.


    Lu Chen took a closer look and said with a smile, "Master, it''s nothing, you don''t have to worry."


    In Lu Chen''s eyes, the uncle''s HP is 65, and there is a blank space after the value.


    This also means that the change trend of Uncle''s health value is zero.


    There is currently no serious disease, and the progression of the disease.


    "Doctor...I, is my lump okay?" The uncle asked worriedly, he was afraid it was some kind of tumor.


    If he had a tumor, he would not want to treat it at his age.


    "No problem." Lu Chen will restore the uncle''s clothes and said loudly, "You may have to change the place to take insulin in the future. Don''t always hit the two points around the belly button."


    When he saw the two lumps around the uncle''s navel, Lu Chen''s first reaction was insulin-mediated fat gain.


    He also understood why the uncle''s blood sugar fluctuated so much recently.


    To put it bluntly, it is an insulin needle, which is injected in one place for a long time.


    The skin in this range will be repeatedly traumatized, and insulin will metabolize fat, resulting in fat hyperplasia.


    After fat hyperplasia, the absorption of insulin in this part is affected, which is not conducive to the stability of blood sugar.


    "Master, you can use your arm to inject insulin." Lu Chen said.


    The old man gave a helpless smile: "Oh, I know I need to change places, but hitting on the arm is not very easy for me to handle by myself. My wife has bad eyesight and can''t hit me, and my two children are not at home. No way, I can only hit around the belly button, this place, I have hit for more than ten years."


    No wonder, the two lumps around the belly button of the uncle have grown so big!


    The boss has bad eyesight, the child is not at home, the old man can only inject insulin into his belly.


    Lu Chen sighed slightly in his heart. His parents were here and he didn''t travel far. This sentence is quite reasonable.


    Go to sleep, it''s a little late!


    (end of this chapter)

 v2 Chapter 379： Lu Chens Satisfaction (First Update)

    Chapter 379 Lu Chen''s Satisfaction (First Update)


    When the patient is in the hospital, the nurse can help him with insulin.


    But what about after discharge?


    If you hit back to the position around your belly button, you will go back to the original way...


    Lu Chen was quite helpless about this. He was helpless. After thinking about it, he said, "Master, if you don''t know how to call, see if there is a clinic near your home, or go to the clinic and let someone call you?"


    "Okay, thank you." The old man nodded with a smile, but the helplessness in his eyes was deeply hidden.


    Endocrinology, most of which are chronic diseases, such as diabetes, gout, or hyperthyroidism.


    These diseases, compared with myocardial infarction and heart failure in the Department of Cardiology, although the conditions are not so acute, they are all chronic diseases, and it is almost impossible to cure them.


    These chronic diseases, the only thing we can do is to control the disease!


    But how to control the disease?


    Not only have to come to the hospital for regular check-ups, but more importantly, recuperate at home with family members taking care of them.


    With the aging of society, this problem has become more and more prominent.


    However, Lu Chen is just an ordinary doctor. He can only try to relieve the pain of patients when they come to the hospital when they are sick.


    The longer he stayed in the clinic, the more Lu Chen could feel the helplessness of a doctor.


    Some are because of the limitations of medical technology, and more often, because of human nature.


    ¡­


    Time passed slowly, and in a blink of an eye it was the end of December.


    The annual postgraduate exam is here again!


    Lu Chen sat in the bedroom, thought about it, and sent a WeChat message to Junior Sister Yao Jie.


    "Junior sister, come on, I wish you to be admitted to the ideal college."


    Soon, he received a reply from Junior Sister Yao Jie.


    "Thank you, brother, I will try my best to keep up with you!"


    Yao Jie also posted a cute hard-working emoji.


    After seeing it, Lu Chen couldn''t help but smile.


    He remembered Junior Sister Yao Jie, who once told him that she wanted to be admitted to the Kyoto University School of Medicine.


    This was his original dream.


    Although he failed, he is relieved now, but when Lu Chen went deep into the clinical practice of cardiology, he was more aware of the strength of the cardiology department of Kyoto University School of Medicine.


    It is a great choice to go to Kyoto University School of Medicine!


    "I hope the little sister can get her long-cherished wish!"


    Lu Chen sat in the bedroom, recalling the past year.


    It was in the postgraduate examination that he acquired this system.


    Although I failed the exam, it can also be said to be a blessing in disguise!


    The system has been with him for a year, and Lu Chen''s ability today has far exceeded that of his peers.


    Counting his achievements in the past year, his resume is already extremely dazzling.


    Of course, except for papers.


    Lu Chen has not published any medical papers yet.


    In addition, there is another thing that makes Lu Chen feel very strange.


    That is his headache, it seems to be gone!


    Since the system appeared, this headache seemed to disappear suddenly.


    Lu Chen couldn''t figure out the reason, but anyway, this is a good thing!


    ¡­


    With a thought of ??, Lu Chen entered the system virtual space.


    At present, he has opened the system store on the third floor and can buy most advanced skill cards.


    The skills already possessed are involved in both internal and external women and children.


    Among them, internal medicine has the highest skill proficiency!


    Among the internal technical abilities, the skill proficiency in cardiology is one level higher than other skills.


    Total thanks column.


    After this period of accumulation, Lu Chen has more than 5,000 points of gratitude.


    Because he has mastered the way of video popularization medical knowledge, he now earns thanks points, which is much easier than before!


    "Exchange for an intermediate skill card for electrophysiological intervention." Lu Chen glanced at the system mall.


    The most tempting thing for him at the moment is the intermediate skill card of this electrophysiological intervention.


    After deducting 5,000 thanks points, only the last few dozen points are left.


    All of a sudden, he became a pauper again!


    However, Lu Chen was very excited.


    His electrophysiological intervention skill proficiency has been stuck at around 60% for a long time.


    With this intermediate skill card, he can improve his electrophysiological intervention techniques again and prepare for the electrophysiological intervention training class next year.


    ¡­


    Time flickered, and it was the Spring Festival.


    All students from other provinces have one week to go home for Chinese New Year.


    In addition, because the endocrinology department was not very busy, Min Ling gave Lu Chen a few more days off.


    Lu Chen did a careful calculation, he had about ten days of Spring Festival holiday.


    It was the first time that he was so far away from home, and Lu Chen felt homesick.


    The last time I went home was when I went to participate in the clinical skills competition.


    I don¡¯t know if my parents are doing well at home.


    "Hey, Lu Chen, I **** envy you!"


    In the station, Zhou Wei looked at Lu Chen, shook his head and sighed, "There are actually ten days off! My supervisor is not going to give him any leave, and wants me to stay in the laboratory during the Chinese New Year. It''s a day off... I will go back to Beijing for the Spring Festival this time."


    Lu Chen patted Zhou Wei on the shoulder and said with a smile: "The sky will be entrusted with great responsibility, so people must first work **** their hearts and minds, and work **** their bones and muscles. Your efforts now will also be rewarded!"


    As far as Lu Chen knows, although Zhou Wei is usually very busy and spends his weekends in the lab, he has also managed to get the signatures of several papers.


    Although he is only the second author or the third author, for Zhou Wei, who is new to scientific research, it is already very good.


    Not everyone can publish several high-quality papers in the first year of research like He Sirong.


    "Oh, that''s all I can think about." Zhou Wei smiled wryly, "Actually, I still like clinical practice."


    "Then why didn''t you tell your tutor?" Lu Chen asked in confusion.


    "How should I say it, if it wasn''t for what happened before the school started, I might really disagree with the instructor and come to the lab."


    After saying that, Zhou Wei lifted the hair on his forehead.


    Lu Chen looked intently, there was a small, very shallow scar.


    He remembered the first time he saw Zhou Wei when he came to Jinghua Second Hospital.


    At that time, Zhou Wei seemed to be beaten by the patient''s family.


    It seems that because of this incident, Zhou Wei had the idea to switch to scientific research.


    It happened that his mentor also had this idea, so Zhou Wei stayed in the laboratory.


    "Viagra, I don''t advise you either." Lu Chen said solemnly, "Everyone has their own choices. For you, scientific research may not be the right path."


    Zhou Wei shrugged his shoulders, then glanced at Lu Chen, "Lu Chen, your heart is stronger than mine. I remember that something happened in your cardiology department at the time, it was quite a sensation in the Second Hospital, and you yourself Do you have any ideas? I heard that after that incident, some medical staff in the eight districts even resigned..."


    Lu Chen smiled lightly and said, "It''s impossible not to treat other patients because of this one patient, right? The road ahead is indeed very tortuous, and some people have even paid a heavy price. A sense of satisfaction that no other profession can give.¡±


    The path of clinical medicine, many people join every year, but many people leave.


    The only unremitting persistence may be able to reach the end of victory.


    In the station, the announcement of the arrival of the train suddenly sounded.


    "Viagra, let''s go." Lu Chen smiled lightly.


    The two sorted out their moods and got on the train home.


    We will have a rest tomorrow, and we will guarantee the fourth update.


    There is one more update tonight, around one o''clock


    (end of this chapter)

 v2 Chapter 380： Go home (to make up for yesterday, there are four more today)

    Chapter 380 Going Home


    At five o''clock in the afternoon, the train arrived at Jiangcheng.


    "Lu Chen, I''m going back to Beijing on the first day of the first lunar month, so you don''t have to come with me, just enjoy your rare vacation."


    "alright, bye."


    Zhou Wei''s hometown was in another city next to Jiangcheng, and the two separated at Jiangcheng Railway Station.


    Lu Chen did not go back to his hometown of Pingyang directly, but first came to his uncle Lu Wenjun''s house.


    Every Spring Festival, Lu Wenjun''s family will go back to their hometown to celebrate the New Year.


    Lu Chen just happened to be able to rub against his uncle''s car and return to Pingyang City together tomorrow.


    Lu Chen took out his mobile phone and called Lu Wenjun.


    "Lu Chen, you''re here, I''ll pick you up at the train station."


    "Uncle, I''m already on the subway. I''ll be there soon, so I won''t bother you."


    Lu Chen refused, his habit is to not bother others as much as possible.


    Within twenty minutes, Lu Chen arrived at his uncle''s house.


    Lu Wenjun and his wife obviously welcomed Lu Chen''s arrival.


    They are in the kitchen, preparing dinner for the evening.


    "Xiaochen, sit in the living room and watch TV for a while, and I''ll call you when the meal is ready." Lu Wenjun laughed.


    "Okay, that, cousin Lu Hao isn''t at home?" Lu Chen wondered. He glanced inside the house and didn''t notice any movement.


    "He, he still has class today, and they will not have leave until the day before the New Year''s Eve." Lu Wenjun shook his head slightly, "When he comes back, it is estimated that it will be half past nine."


    "Senior high school students, it''s really hard work." Lu Chen sighed, "But as long as you pass this threshold, you''ll be fine."


    Of course, the premise is not to study medicine.


    ¡­


    Lu Wenjun and his wife made a large table to entertain Lu Chen with meals.


    Lu Chen ate a lot.


    Jinghua is located in the north-central part of China, and its eating habits are somewhat different from Jiangcheng.


    "Xiaochen, thank you again for my dad''s last incident!"


    At the dining table, Lu Wenjun''s wife Liang Hui, who is also Lu Chen''s aunt, smiled and said to Lu Chen.


    Lu Chen was stunned for a moment, thinking of the case of Liang Hui''s father who took the way when he returned to the Jiangcheng competition last time.


    "Auntie, we are all a family, so don''t be so polite." Lu Chen smiled.


    "Okay." Liang Hui smiled, then put a piece of braised pork on Lu Chen, "Eat more meat, it makes you feel thinner."


    Lu Wenjun also echoed and smiled: "The profession of a doctor is still very hard, and it is normal to lose weight."


    Lu Chen: "..."


    Uncle and aunt really know how to make rainbow farts!


    "By the way, Xiaochen, I heard your dad say, what competition did you participate in? You got a very high reputation test." Lu Wenjun said.


    Lu Chen nodded slightly: "Well, in the national electrocardiogram competition, I won the sixth place in the country."


    "National ranking?!" Lu Wenjun was stunned, "Being ranked nationally. This result is quite good!"


    "Xiaochen, keep up the good work!" Liang Hui said aside, "Next time try to be the first to come back!"


    Lu Chen paused, glanced at Liang Hui, and whispered, "Auntie, except for me, all the contestants are above the level of the attending doctor. It may be difficult to take the first place next time."


    "What... isn''t this a competition between students?" Liang Hui was stunned.


    Lu Chen shook his head: "No."


    Hearing this, Liang Hui and Lu Wenjun looked at each other, and they could see the shock in each other''s eyes.


    This result is already quite good.


    But the contestants were all experienced doctors, which made both of them disbelieving.


    In other words, Lu Chen''s electrocardiogram ability is comparable to that of the top doctors in the country?


    ¡­


    Until the end of dinner, both Lu Wenjun and Liang Hui had a hard time digesting the news.


    They knew Lu Chen''s excellence, but they didn''t expect Lu Chen to be so outstanding!


    "Uncle, have you stayed up late recently?" Lu Chen suddenly asked.


    "What... what''s wrong?" Lu Wenjun was slightly taken aback.


    He has been tired recently, but only his wife Liang Hui knows about it, and he didn''t tell anyone else.


    "Look at your uncle, your face is not right, I''m afraid you are too tired." Lu Chen said.


    What kind of expression did he look at? Lu Chen directly saw that Lu Wenjun''s HP was 74 (-)!


    There is actually a minus sign ??, which means that Lu Wenjun''s recent physical condition is not right...


    "Hey, in the last month, there have been a lot of things going on in the company." Lu Wenjun said, "staying up late is a trivial matter."


    "Uncle, then you don''t have any discomfort." Lu Chen said.


    "No." Lu Wenjun shook his head.


    "That''s good," Lu Chen nodded, "Uncle, you should still focus on your health."


    "Well, thank you Xiaochen for your relationship."


    It seems that this minus may be caused by Lu Wenjun¡¯s recent fatigue.


    Lu Chen thought to himself, he still had to remind his uncle to pay more attention to his body.


    aside, Liang Hui''s health and changing trends are normal.


    ¡­


    9:30 pm.


    Lu Hao returned from his evening self-study.


    "Xiaohao, look who is coming?" Liang Hui smiled.


    As soon as Lu Hao walked into the house and put down his bag, he saw Lu Chen sitting in the living room, and his face brightened.


    "Brother, you''re here!" Lu Hao likes Lu Chen very much, "Is your school only now on vacation?"


    "Yes." Lu Chen smiled and nodded, "It''s still early."


    In the evening, Lu Chen and his cousin Lu Hao chatted for a long time.


    They are both only sons and have no playmates in their daily life. Every time they meet, Lu Hao keeps Lu Chen from leaving.


    "Brother, in fact, I also want to study medicine."


    Lu Hao''s words surprised Lu Chen.


    "What''s the matter with you? Suddenly you can''t think about it?"


    Lu Hao said in doubt: "Brother, aren''t you doing well now? Why don''t you want me to learn, I''m very interested."


    Lu Chen: "..."


    Lu Chen didn''t know what to say for a while.


    Persuading people to study medicine, thunder strikes.


    This joke, he has also heard.


    However, Lu Wenjun''s family is well-off, and Lu Hao doesn''t need to share his family''s worries so early.


    In addition to being a little hard to study medicine, it is actually a good choice.


    Lu Chen couldn''t stop a young man from loving medicine!


    If Lu Hao had to go to school the next day, he was ready to talk to Lu Chen all night.


    ¡­


    was speechless all night.


    The next day, Lu Hao went to school.


    Lu Chen took the car of Lu Wenjun and his wife and returned to Pingyang City.


    "Brother, I brought Xiaochen back!" Lu Wenjun parked his car downstairs in the community.


    Lu Wenguo and Luo Meizhen were already waiting at their door.


    Seeing their son, both of them were very happy and immediately stepped forward.


    "Wenjun, you''ve worked hard, hey, why didn''t Xiaohao come with you?" Lu Wenguo asked.


    "He''s in his third year of high school now, and the curriculum is tight, so he hasn''t had a vacation yet." Lu Wenjun smiled.


    Beside, Luo Meizhen has already pulled Lu Chen, looking up and down, as if to see if Lu Chen has lost weight.


    "Mom, let''s go in, it''s very cold standing outside." Lu Chen said helplessly.


    "Okay, okay." When Luo Meizhen saw her son, she couldn''t help but smile.


    When the family meets, it is naturally very lively.


    Brothers Lu Wenguo and Lu Wenjun may not have seen each other for a long time, and they had a good drink at noon.


    Lu Chen''s grandparents also came to the house.


    During the ?? period, he naturally praised Lu Chen again.


    The family is happy and lively.


    The time at home is always short, Lu Chen sleeps until he wakes up naturally every day, and only at this time can he indulge a little.


    During the ?? period, Lu Chen also took a look at the health of his parents and grandparents, as well as the change trend, and they were all pretty good.


    Lu Chen felt a little relieved.


    Lu Wenguo and Luo Meizhen are both deputy senior titles. They hardly have to work night shifts, and their usual work is not too busy.


    Grandpa and grandma live in their hometown. They bask in the sun and play cards. They don¡¯t need to work, but it¡¯s easy.


    ¡­


    It will soon be the 30th day of the Chinese New Year.


    Lu Hao''s cousin finally took a holiday and returned to Pingyang.


    The Lu family''s Spring Festival is when all the family members get together for a New Year''s Eve dinner.


    The Lu family is a big family.


    Lu Chen''s grandfather is the eldest in the family, and he has four brothers.


    Lu Chen''s other four grandfathers each gave birth to another litter.


    Counting it down, Lu Chen has more than ten uncles and aunts.


    "Xiaochen, I wear this dress, it''s not bad." Luo Meizhen is trying on the dress.


    Family party, you have to dress brightly no matter what.


    "Mom, you look good in whatever you wear." Lu Chen smiled.


    "Hey, hey." Luo Meizhen smiled, "The mouth is so sweet, I''ve never seen you fall in love!"


    Lu Chen: "..."


    All of this can cue yourself? Lu Chen is a little helpless!


    The family drove to the location of the New Year''s Eve dinner, the Pingan Hotel, which is also one of the more upscale hotels in Binh Duong.


    At the entrance of the hotel, they also met Lu Wenjun''s family.


    "Brother, when are you going back to Jinghua?" Lu Hao immediately approached Lu Chen.


    Liang Hui smiled upon seeing this, "These two little guys are really in a good relationship."


    Luo Meizhen nodded in agreement.


    Lu Chen heard his cousin''s words and said casually, "The fifth day of the first lunar month."


    "Brother, then you can still play at home for a few days."


    "Well." Lu Chen nodded, and then asked in a low voice, "By the way, you said you want to study medicine, which school do you want to go to?"


    "Brother, what do you think of Jinghua Medical University?" Lu Hao smiled.


    "What?" Lu Chen was stunned, this kid won''t come to Jinghua, will he?


    "Jinghua is a college, but because of its remote location, the score is not high. I think it is very suitable for me." Lu Hao continued, "And you can also defect to brother, this is not killing two birds with one stone..."


    This kid is really good at abacus.


    Lu Chen smiled helplessly: "It''s up to you, as long as your parents agree. But although Jinghua Medical University has a strong medical major, if you want to work from home in the future, it''s better to be in Jiangcheng."


    "Brother, then why are you going to Jinghua?" Lu Hao looked at Lu Chen suspiciously.


    Lu Chen: "..."


    Today''s children are really difficult to deal with.


    Lu Chen didn''t have much to do with his cousin.


    "Go if you want..."


    ¡­


    The group walked into the fourth floor of Ping An Hotel.


    In the private room on the fourth floor, there are three large round tables, which can accommodate fifty or sixty people.


    At this time, there were more than 20 people in the box.


    "Hey, Wen Jun, Wen Guo, you are here."


    Lu Chen''s second grandfather, Lu Chaoming, just happened to reach the door of the box.


    "Hello second uncle." Lu Wenjun and Lu Wenguo said in unison.


    "Lu Chen and Lu Hao are also back." Lu Chaoming smiled.


    Lu Chen was about to say hello to his second grandfather, but suddenly found that the health value on his head was only 64 (---)!


    This¡­¡­


    Three minus signs!


    How is this going?


    "Hello second grandpa." Lu Chen suppressed his own vibrations and said in a low voice.


    From the outside, Lu Chaoming didn''t have any abnormality, and he was chatting and laughing with others.


    is not like a sick person at all.


    However, the health value that appeared in the system, and the trend of health value change, actually showed that there was a problem with the second grandfather Lu Chaoming''s body!


    There are four more updates today


    (end of this chapter)

 v2 Chapter 381： Lu Chens method (first update)

    Chapter 381 Lu Chen''s Method (First Update)


    There are many people in the Lu family, and there are many right and wrong.


    However, the relationship between the second grandfather Lu Chaoming and the Lu Chen family is not bad. They visit each other during festivals.


    Therefore, when Lu Chen saw Lu Chaoming''s life value, his heart sank.


    The trend of life value changes, three minus signs, which means that the disease progresses extremely rapidly.


    This is the last thing he wants to see!


    Moreover, it was impossible for him to run up and say, "Second grandpa, you are sick! Go to the hospital to see a doctor!"


    "Brother, you, what''s wrong with you?"


    After seeing Lu Chen walk into the box, Lu Hao kept silent and asked quickly.


    "nothing."


    Lu Chen glanced at Lu Chaoming, who was chatting with everyone, and silently started planning in his mind, how to properly remind Lu Chaoming.


    But this is appropriate, it is too difficult.


    Say light things, such as telling him to pay attention to his body, Lu Chaoming would take it as a polite remark and would not attract his attention.


    Speaking of the main point, saying that he is seriously ill, then Lu Chen will be beaten today.


    ¡­


    In the box.


    There are too many Lu family members, and they are divided into several circles.


    Formed a circle in other places, formed a circle in Pingyang, and formed a circle near Jiangcheng.


    Lu Chen stayed with a group of juniors.


    In their generation, the eldest is still a grandson of the third grandfather, named Lu Chuan,


    He is 30 years old this year, graduated from Huaxia University of Political Science and Law, and is currently working in a procuratorate.


    Although it is only an inconspicuous profession, in the eyes of the elders, it is already the most promising among the juniors.


    Most of the other people''s juniors have just graduated from college, or, like Lu Hao, are studying in high school.


    And among all the juniors, except for his status as a graduate student, Lu Chen was inconspicuous at all.


    "Brother, did you just see Li Huiyan?" Lu Hao said in surprise, "I haven''t seen her for half a year, I think she has lost a lot of weight!"


    Li Huiyan happens to be Lu Chaoming''s granddaughter.


    "Yeah." Lu Chen nodded slightly, he was now thinking about how to deal with the second grandfather Lu Chaoming''s health.


    The other people in the family, Lu Chen also observed.


    Most of the young people are fine, with more than 70 health points, and occasionally one or two people are minuses.


    And most people in the grandfather generation have a minus sign.


    It seems that older people have a minus sign, which may be a reflection of the normal deterioration of body functions.


    In addition to the second grandfather Lu Chaoming, Lu Chen also saw five people with two minus signs on their heads, and twelve minus signs.


    There were about 40 or 50 people present, and the rate of this kind of illness was slightly higher.


    However, it may also be due to the large number of elderly people. A minus sign may be a normal function degeneration.


    "Cousin Lu Chen!"


    Just when Lu Chen was thinking, Li Huiyan ran up to him.


    "Cousin, how can you stay here alone without coming over to talk to cousin Lu Chuan?" Li Huiyan smiled, "Go to our place, there are so many people."


    "There are too many people, I''ll be there later." Lu Chen pursed his lips and smiled.


    "Brother, look at me..." Li Huiyan wore a very slim fit today.


    "Well, I lost a lot of weight." Lu Chen nodded slightly.


    "That''s right." Li Huiyan smiled and her eyes narrowed, "I listened to your method, I lost twenty or thirty pounds in two months!"


    Lu Chen raised his brows, "Are you still using it?"


    Li Huiyan shook her head, "I''ve used up all my pocket money. I''ll wait for a wave of New Year''s money in the new year. I''ll use it again, hehe."


    Lu Chen frowned. He knew that Li Huiyan used the drug weight loss method she said (dapagliflozin + liraglutide), but he didn''t expect her to use it for so long!


    Girls are really determined to lose weight.


    "Huiyan, I told you that this method is useful for people who are particularly fat." Lu Chen continued, "You have lost weight now, and your weight base has dropped, and the effect will not be so obvious in the future. There are side effects, you are still young, exercise and dieting are the best way to lose weight."


    "But, brother, I want to try again, I think it''s very useful!" Li Huiyan smiled.


    lost so much at once, and Li Huiyan also regained her confidence.


    People are too fat to lift their heads in front of others.


    "Huiyan, you have to listen to me, otherwise, I won''t tell you about other ways to lose weight in the future." Lu Chen said.


    "Then... that''s fine." Li Huiyan nodded silently.


    But she looked down at her already thin belly, and laughed happily again.


    aside, Lu Hao widened his eyes and said, "Brother, what weight loss method are you using? Isn''t this amazing?"


    Lu Hao took a careful look at Li Huiyan. In his eyes, after Li Huiyan lost weight, her appearance has improved several grades!


    "Xiao Hao, you can''t use your figure." Lu Chen said.


    "Maybe it can be used in the future!" Lu Hao tugged at Lu Chen''s sleeve, "Brother, tell me quickly."


    "You really can''t use it. This method is somewhat useful for those who are overweight." Lu Chen smiled, "It is not effective for obese people, and there are a lot of side effects. It''s not worth the loss."


    "That''s it..." Seeing this, Lu Hao temporarily put aside his thoughts of asking about how to lose weight.


    ¡­


    The crowd chatted in the box, and more and more people came.


    So it is inevitable to compare the grades in high school, the salary after work, and the number of children who are married.


    Just then, Lu Chen suddenly heard a voice behind him.


    "Hey, Xiaochuan, I recently encountered a financial dispute. You know the law so well, you can help me analyze it."


    A tall and thin man walked directly in the direction of Lu Chuan.


    This lanky man is a son of the third grandfather, Lu Chuan''s uncle Lu Fan.


    I usually don''t know how to do anything, but because of the care of Lu Chuan''s parents, I also got an errand.


    "Uncle Lu Fan...he, what financial disputes can he have?" Lu Hao muttered nonchalantly.


    Lu Chen lightly patted his shoulder and motioned Lu Hao to be quiet.


    All the relatives and friends present knew that Lu Fan wanted Lu Chuan to show his hand in front of everyone.


    Sure enough, as soon as Lu Fan finished talking about his troubles, Lu Chuan started his "performance".


    Every year, this kind of thing is very common. Everyone wants to see their children and show their good side in front of their relatives.


    Just like that sentence, if you don''t return your clothes to your hometown, it''s like walking in brocade clothes at night!


    No matter how arrogant he was in front of outsiders, he never came back to his own relatives to brag.


    ¡­


    Lu Chuan said cheerfully to Lu Fan: "Uncle, if you can''t handle this matter, I will find some friends and I will definitely solve it for you!"


    "Okay, Lu Chuan is still excellent! I''m just waiting!" Lu Fan laughed.


    Seeing this situation, Lu Chen suddenly had an idea, and he quickly waved to Lu Hao and Li Huiyan.


    "Brother, what''s the matter?" Lu Hao and Li Huiyan said in unison.


    Lu Chen didn''t speak, and took the two to the corner of the box.


    ¡­


    "That''s it..." Lu Chen told Lu Hao and Li Huiyan what he thought.


    "Brother, what''s the benefit for the two of us doing this?" Lu Hao and Li Huiyan both showed sly eyes.


    Lu Chen said angrily, "You two little fellows, how dare you cheat on brother?"


    "Hey, brother, after this is done, tell me how to lose weight." Lu Hao said.


    And Li Huiyan rolled her eyes and said with a smile, "Then... there is a new way to lose weight in the future, tell me."


    Lu Chen: "Deal!"


    Three more


    (end of this chapter)

 v2 Chapter 382： Weird Headache (Second)

    Chapter 382 Weird Headache (Second)


    The ?? New Year''s dinner is for family gatherings, and everyone is not in a hurry to eat.


    There was still some time before dinner. After Lu Hao and Li Huiyan got Lu Chen''s advice, they began to split up.


    "Dad, I''ll go out for a while, I''ll be right back." Lu Hao said to Lu Wenjun.


    "Go and get back, it''s time for dinner."


    "I know Dad, there''s still an hour before dinner, I''ll be back in ten minutes at most." After Lu Hao finished speaking, he ran away without a trace.


    On the other hand, Li Huiyan also started her own mission.


    "Dad, come with me." Li Huiyan pulled her father Li Guozheng.


    "Where are you going? What can''t you say here?" Li Guozheng was chatting with others, and he was stunned when he saw his daughter pulling his sleeves.


    "Dad, come here first." Li Huiyan pulled Li Guozheng aside without a word.


    Li Guozheng had no choice but to follow her out of the crowd.


    "What''s the matter?" Li Guozheng said again, "Huiyan, if there''s nothing wrong, don''t hinder me from chatting with other uncles and aunties."


    "Dad, don''t you keep saying that you have a headache?" Li Huiyan said, "I have a solution!"


    "What?" Li Guozheng didn''t quite understand what his daughter meant, thinking she was joking, "Go and chat with cousin Lu Chuan for a while, I finally got a chance to get together, and there will be less time in the future. Woolen cloth."


    He has a headache, but he has been to many hospitals in Binh Duong.


    Traditional Chinese medicine and Western medicine have been seen, but there is no way!


    "Really, Dad!" Li Huiyan said sternly, "Cousin Lu Chen studied medicine, he said there is a way to treat headaches."


    "Lu Chen?" Li Guozheng frowned, "Isn''t he just a graduate student? He hasn''t graduated yet, so he can heal?"


    A young boy who hasn''t graduated yet. Li Guozheng can''t believe it. The doctors he saw before were all at the director level. Could it be that Lu Chen is more powerful than them?


    "Dad, I got my weight loss method from cousin Lu Chen. He is really good!" Li Huiyan held Li Guozheng''s arm tightly.


    Li Guozhu didn''t seem to be joking when he saw his daughter''s expression. After a pause, he said, "Okay, then, I''ll ask Lu Chen."


    ¡­


    At this time, Lu Chen was sitting on the sofa in the corner, but he didn''t know that Li Huiyan''s cousin brought him a big trouble and came back.


    "Brother, I brought my dad." Li Huiyan smiled.


    "Lu Chen, can you cure headaches?"


    When Li Guozheng opened his mouth, Lu Chen was stunned.


    Didn''t he come here for auscultation and blood pressure measurement?


    Why did ?? suddenly become a headache treatment?


    Lu Chen saw Li Huiyan''s smile and knew that he had been tricked by this little cousin again.


    "Yes..." Seeing this, Lu Chen could only answer through gritted teeth.


    "That''s fine, come and help me take a look." Li Guozheng still didn''t quite believe Lu Chen.


    His headache is really incurable.


    It¡¯s fine if you don¡¯t usually have an attack, but when you do, it¡¯s terribly painful!


    Also, there is no pattern to this headache.


    This is killing him...


    ¡­


    Lu Chen began to learn about Li Guozheng''s headache history.


    He also knows a lot about headaches.


    Before the exam, Lu Chen was also plagued by headaches, and he did a lot of head examinations, but couldn''t find any cause.


    Since the diagnosis is about to begin, Lu Chen is also very energetic.


    Li Guozheng''s HP is 75(-), with a minus sign.


    Even if there are some physical problems, it should not be too serious.


    Having a spectrum in his heart, Lu Chen started his own diagnosis and treatment.


    "Uncle, tell me the symptoms of your headache carefully." Lu Chen said.


    "Okay, this is my first severe headache, after a severe cold. After that, I often have headaches..."


    "I saw Western medicine, the sequelae of a cold, I saw a Chinese medicine, and what is neuralgia..."


    "I have taken a lot of Western and Chinese medicines, but it still doesn''t get better. I have headaches repeatedly for about a year or two."


    After listening to Li Guozheng''s description, he had a general understanding of the condition.


    There are three types of headaches in Western medicine: acute, subacute, and chronic.


    Chronic headache is divided into two types, one is persistent headache and the other is recurrent headache.


    According to Li Guozheng''s description, he should have recurrent chronic headaches.


    "Uncle, lie down on the sofa and I''ll do a physical examination for you."


    Although Li Guozheng was a little reluctant, he still agreed with Li Huiyan''s pull.


    Li Guozheng was lying on the sofa.


    Lu Chen began to examine his nervous system.


    ¡­


    After two minutes, Lu Chen''s inspection was completed.


    Li Guozheng sat up and said quickly, "How is it?"


    No one had done these careful inspections on him before. Although he didn''t quite understand it, he also felt that Lu Chen was very professional, and there was a faint expectation in his heart.


    Lu Chen paused and said, "Uncle, have you ever had a CT or MRI of the head?"


    Li Guozheng nodded: "I did, and the results are normal."


    Lu Chen touched his chin and thought: "So, I didn''t find any abnormal signs of the nervous system. Your examination is also normal. It shouldn''t be a big problem. Most likely it is a migraine or a cluster headache."


    Li Guozheng shook his head helplessly, and after a long fuss, he still didn''t have a prepared answer. Lu Chenhe was similar to other doctors and told him that it was a migraine, and it was not a big problem, just take a good rest.


    "but¡­¡­"


    But what Lu Chen said next made Li Guozheng startled.


    "Uncle, did you have any other diseases before?"


    Li Guozheng shook his head, "I''m fine, what could be wrong."


    Lu Chen frowned, in this case, he really has nothing to do.


    Is Li Guozheng just a migraine?


    However, the system did not pop up any prompts, and the completion of the system upgrade was not obtained, which proved that his diagnosis was wrong!


    At this moment, Li Huiyan whispered: "Dad, I remember a doctor said that you have coronary heart disease..."


    "Coronary heart disease?" Lu Chen raised his brows, then looked at Li Guozheng.


    Li Guozheng shook his head and said, "Last year''s physical examination, the doctor saw something wrong with my electrocardiogram and said that I may have coronary heart disease, but it has not been diagnosed. What''s more, what does this coronary heart disease have to do with headaches?"


    Lu Chen fell into contemplation again, Li Guozheng was right.


    Headache, can it be related to coronary heart disease?


    Suddenly, Lu Chen seemed to think of something, and immediately asked Li Guozheng, "Uncle, have you taken any medicine now?"


    "I ate some Chinese medicine for headache." Li Guozheng said.


    "anything else?"


    "If there is more, it is the medicine to prevent coronary heart disease, which is quite expensive. I have been taking it for more than a year." Li Guozheng said.


    "Uncle, what''s the name of the medicine? Do you remember?"


    "This... seems to be called mononitric acid..."


    Lu Chen was stunned for a moment, then his face became happy, finally solved the case!


    He knew the cause of Li Guozheng''s headache!


    There are two more chapters


    (end of this chapter)

 v2 Chapter 383： Unique "Free Clinic" (Third Update Five Hundred Months)

    Chapter 383 The Unique "Free Clinic" (Third Update Five Hundred Monthly Ticket Plus Update)


    "Lu Chen, if you have nothing else to do, I will chat with your other uncles." Li Guozheng said, "Anyway, thank you today."


    After ??, Li Guozheng was about to stand up and leave.


    "Uncle Guozheng, wait a moment." Lu Chen quickly stopped Li Guozheng, "I think I should know the reason for your headache."


    "What? Didn''t you say it just now? It''s a migraine..." Li Guozheng frowned.


    "No." Lu Chen smiled and shook his head, "Your headache is because of the medicine you took, and its full name should be isosorbide mononitrate!"


    "what?"


    Li Guozheng was stunned, he couldn''t believe it.


    I have been taking the medicine to prevent coronary heart disease for so long, will it be the culprit of the headache? !


    doesn''t make sense...


    "Uncle, think about it for yourself, isn''t the time when you start having headaches the same time you take this medicine?" A smile appeared on the corner of Lu Chen''s mouth.


    Li Guozheng recalled it carefully, and it seemed that it was almost the same.


    "But even so, you can''t conclude that it is because of this medicine that my headache is caused? I see that people around me also take this medicine, why don''t they feel pain?" Li Guozheng expressed his doubts.


    Lu Chen smiled and said, "Uncle, strictly speaking, the medicine you are taking is not for the prevention of coronary heart disease, but for the treatment of coronary heart disease. These two concepts are different, and I don''t know. Why do people let you take this. However, one of the side effects of this drug is headache!"


    "If someone can''t tolerate this drug, it''s probably a severe headache!"


    Li Guozheng couldn''t help nodding in his heart, Lu Chen was right, he was the kind of severe headache that made him unable to sleep at night!


    Beside ??, Li Huiyan said in surprise: "Brother, why does the medicine for coronary heart disease cause headaches? What''s the reason?"


    Li Guozheng also looked at Lu Chen suspiciously, wanting to get a reasonable explanation.


    Lu Chen said sternly: "Actually, the medicine you take, uncle, was originally extracted from explosives. Because there are some workers with angina pectoris who work in the explosives factory, they suddenly found that the angina pectoris would not occur, so they Drugs called nitrates were discovered."


    "Uncle, you should know about coronary heart disease, right?"


    Li Guozheng nodded and said: "After the doctor said that I might have coronary heart disease, I actually went to Baidu online, that is, my heart blood vessel is blocked, and now I have to open the blocked blood vessel, otherwise it will take a long time and my heart will be blocked. Without a blood pressure supply, it''s useless!"


    "Well, yes, coronary heart disease is a blockage of blood vessels." Lu Chen smiled, "According to the degree of blockage, you can know the severity of the disease. The reason why this mononitrate drug can treat coronary heart disease is because He can dilate the blood vessels of the heart, which is equivalent to reducing the blockage area and increasing the blood flow through the heart!"


    "Oh... Lu Chen, I understand what you said." Li Guozheng nodded.


    Science popularization ability, which is also a necessary ability for a doctor.


    Being able to explain the disease in a simple and easy-to-understand way to patients is something not everyone can do.


    "But, why does this medicine cause headaches?" Li Guozheng asked again.


    "Because nitrates are not selective, after they enter the human body, they don''t just dilate the blood vessels of the human heart." Lu Chen explained patiently, "It can also dilate blood vessels in other places, the most common ones, such as the head The blood vessels of the Ministry!"


    "When the blood vessels in the head are dilated and the blood flow increases, some people who cannot tolerate this drug will experience headaches!"


    Li Guozheng''s eyes widened, he can be considered a posture today!


    Although he didn''t know whether what Lu Chen said was true or not, he looked very reliable and professional!


    "Uncle, if you don''t believe it, you can stop mononitrate for a few days. As long as you don''t take this drug, you should have no headaches." Lu Chen said, "If you still have headaches after stopping the drug, you can continue to take it. However, my suggestion is to confirm whether there is coronary heart disease, and then evaluate the medicine. In addition, nitrates have no effect on preventing coronary heart disease! "


    Li Guozheng frowned, this medicine was given to him by the pharmacist, "Well, I''ll listen to you, starting tomorrow, stop the medicine and try it first."


    "Um."


    Lu Chen nodded with a smile, his goal was almost reached.


    At this time, three prompts pop up on the system panel.


    "Congratulations, get 1% completion of system upgrade!"


    "Congratulations, get +1 thanks from Li Guozheng!"


    "Congratulations, +1 thanks to Li Huiyan!"


    Li Guozheng stood up and left.


    "Brother, you are too powerful!" Li Huiyan approached Lu Chen and said excitedly, "I knew you could do it!"


    Lu Chen said helplessly: "I didn''t tell you, I just called them over and said that blood pressure measurement and auscultation are enough. Why do you still have a headache?"


    "This..." Li Huiyan''s eyes showed slyness, "I know you can solve it. I just asked my dad to come over. He has been suffering from headaches for so long, and I feel uncomfortable looking at it."


    Although Lu Chen has not completely solved the problem, he has already found a possible reason for her father.


    And according to Lu Chen''s description, most of the headaches are because of this mononitrate drug.


    After Li Guozheng stopped the nitric acid drugs, we could see the difference.


    ¡­


    The movement on Lu Chen''s side was quickly noticed.


    "Guozheng, what were you doing lying on the sofa just now?" one of the relatives said, "Also let Lu Chen touch it."


    "Nonsense, he''s not touching." Li Guozheng said, "Didn''t I have a headache recently? It hasn''t been resolved. Lu Chen happened to be studying medicine, so I let him take a look."


    "What? Lu Chen? You can let his dad take a look. He hasn''t graduated yet?"


    Li Guozheng smiled and shook his head: "Oh, don''t say it, he really saw some ways."


    "Have you solved your headache? I remember you went to a lot of western medicine and old Chinese medicine, but it seems that you haven''t solved it yet."


    Li Guozheng said: "It''s not resolved, but he said the reason for my headache. If he''s right, I should be fine in a few days."


    "A medical graduate student is so good?"


    Around ??, someone started to notice Lu Chen in the corner.


    ¡­


    At this time, Lu Hao finally came back.


    He was holding a black bag in his hand.


    In the bag, it is a stethoscope and a portable blood pressure monitor.


    "Huiyan, it''s your turn to appear." Lu Chen said to Li Huiyan.


    "Okay, I got it." Li Huiyan pouted and started to act.


    She came to a round table.


    This table is filled with heavyweights.


    Li Huiyan cleared her throat, and then said softly: "Grandpa, Grandpa... Grandpa Four, you are so busy now, cousin Lu Chen said that you can measure your blood pressure and give you a heart and lung auscultation."


    As soon as the voice fell, everyone was stunned, but Lu Wenjun was the first to react.


    "Xiaochen is a filial piety. I''m worried about your grandfather''s health. I think it''s okay." Lu Wenjun smiled, "There are still forty minutes before dinner, so it''s too late."


    Liang Hui echoed: "Xiaochen is really good, I want him to help me see."


    And after the matter of Li Guozheng just now, everyone didn''t say much.


    Several grandfather-level characters will naturally not object. Some grandsons are filial, and they can''t wait.


    So, a unique "free clinic" began.


    There is one more.


    It''s very late, if you fall asleep while writing, I''ll make it up tomorrow morning


    ps: 500 monthly pass plus more


    (end of this chapter)

 v2 Chapter 384： Free medical examination places

    Chapter 384 Free Physical Exam Quota


    There were many people present.


    But not everyone comes to take their blood pressure.


    Lu Wenguo and Luo Meizhen looked at Lu Chen strangely and didn''t quite understand how he suddenly acted like this.


    In their eyes, Lu Chen has a quiet temperament, not the kind who likes to show off, such as Lu Chuan or Lu Fan.


    "Brother, I''ll ask Xiaochen to measure my blood pressure later." Lu Wenjun didn''t think so much. "A few years ago, my blood pressure was high, but I haven''t taken medicine and I haven''t checked frequently."


    "Well, you go, I won''t join in the fun." Lu Wenguo nodded slightly.


    After finishing speaking, Lu Wenjun nodded slightly and walked towards Lu Chen with Liang Hui.


    ¡­


    At this time, there were about seven or eight people in the corner of the box.


    The second grandfather, Lu Chaoming, was among them.


    Lu Chen breathed a sigh of relief, the purpose of his trip was Lu Chaoming!


    The ?? round table was crowded, so Lu Chen let everyone come to the sofa.


    "Xiaochen, you should show the second grandfather first." The second grandfather Lu Chaoming smiled, "I have a strong body, it''s up to you Xiaochen to see what''s wrong."


    "Second grandpa." Lu Chen whispered, "I''ll take your blood pressure first."


    "Well, that''s fine." Lu Chaoming smiled, "I usually pay attention to it. I don''t eat any fat, but there are no three highs."


    Lu Chen smiled and added, "Well, the second grandpa usually exercises a lot, and his body is still strong."


    After ??, Lu Chen put the cuff of the sphygmomanometer on Lu Chaoming.


    When approaching Lu Chaoming, he could clearly smell a smell of tobacco.


    The second grandfather, Lu Chaoming, liked to smoke when he was young. Everyone in the family knew that.


    Although I have drawn less in recent years, I still haven¡¯t quit completely.


    "Second grandpa, your blood pressure is normal, 125/87mmHg." Lu Chen smiled.


    "Hehe, let me just say it, I''m in good health." Lu Chaoming said, "You can measure it for others."


    "Second grandpa, wait a moment." Lu Chen suddenly pulled Lu Chaoming''s sleeve, then took out the stethoscope, "I''ll give you another listen to the heart and lungs."


    The bright three minus signs on his head are particularly dazzling.


    Lu Chen couldn''t easily "let go" of Lu Chaoming.


    Lu Chen''s idea was to give his second grandfather a simple physical examination first.


    If you can find out what''s wrong, that''s the best.


    Even if you can''t find it, you should advise the second grandpa to go to the hospital in time to take a look.


    "Okay, Xiaochen, you really have a heart." The smile on Lu Chaoming''s face was very bright.


    The children and grandchildren are so filial, he is naturally very happy.


    Lu Chen took the stethoscope and began to perform cardiac auscultation on Lu Chaoming.


    The heart beats powerfully and without any murmur.


    "The heart is normal." Lu Chen said.


    "Well." Lu Chaoming smiled, "And then listen to the lungs?"


    Lu Chen nodded, then moved the stethoscope to the lung auscultation area on the chest and back.


    ¡­


    Many pathological changes can be found through auscultation of the lungs.


    The most common are dry and wet rales.


    To the uninitiated, it looks amazing.


    But in fact, these are some symptoms that appear after the lung disease progresses in the human body and damages the lungs.


    Amplify the sound through a stethoscope, and you can determine the diagnosis of the disease.


    does not have a particularly large gold content, but it is very difficult to master it.


    It is necessary to listen more clinically, and after a large number of patients'' training, we can auscultate the changes of each lung auscultation sound acutely.


    There are many auscultation parts in the lungs, and the left and right sides need to be compared.


    "Xiaochen, how are you listening?" Lu Chaoming asked. He found that Lu Chen spent a lot of time on this auscultation.


    Lu Chen frowned, he didn''t answer immediately.


    Because, he auscultated the auscultation area on the back of the second grandfather''s shoulder blade, and there seemed to be some dry rales.


    The rales here are very rare and small and limited in scope.


    If you are not careful, you will definitely not find it.


    Thinking of the second grandpa''s previous history of smoking a lot, his heart tightened slightly.


    But just the dry rales at this point don¡¯t explain much.


    "Second Grandpa, do you usually cough?" Lu Chen put down the stethoscope and looked up at Lu Chaoming.


    "Occasionally I have a cough." Lu Chaoming said, "I smoked when I was young, and I have always had bronchitis. This cough is incurable."


    Lu Chen nodded and continued: "Is there any phlegm when coughing? Is the phlegm colored? Is it easy to cough it out?"


    "White, it''s not easy to cough up." Lu Chaoming said, "It''s like there is something in the throat, it''s very uncomfortable, drink some water, it will be better. What''s the matter, is there a problem with hearing?"


    Lu Chen shook his head slightly and said with a smile, "Second grandpa, it sounds like you have some problems with your lungs, it''s right here."


    He pointed to the location of the dry rales on the back.


    "It may be some minor problems caused by smoking, but you still need to go to the hospital for regular check-ups." Lu Chen said.


    "I had a physical examination last year." Lu Chaoming said, "I took the film, and there is no problem."


    "A chest X-ray? Or a chest CT?" Lu Chen asked in confusion.


    Some people may refer to X-ray and CT as filming.


    But the roles of the two are completely different. X-rays are only used for screening, and many lung diseases cannot be found unless the disease progresses or reaches an advanced stage.


    The chest CT can clearly see the pathological changes of most lung diseases.


    "X-ray." Lu Chaoming thought about it.


    "Second grandpa, it''s better to do a chest CT, and you had a physical examination last year, and it took so long." Lu Chen said.


    "Okay, I''ll do it when I have time." Lu Chaoming smiled.


    Although Lu Chaoming said so, Lu Chen knew that he probably wouldn''t go.


    Lu Chen paused and thought: "Second grandfather, my father''s hospital has a quota for free medical examinations during the Chinese New Year. My grandfather and the others have already undergone physical examinations. If we give you the quota, it will be a waste."


    "This..." Lu Chaoming was stunned, "Is there such a free medical examination service in the hospital during the Chinese New Year?"


    "Yes, but there is only one quota." Lu Chen hurriedly said, he was afraid that the second grandpa would have a whim and ask for more quotas.


    "Your grandparents, your father, and the others have all undergone physical examinations?" Lu Chaoming continued.


    "Yes, second grandpa, don''t worry, they have all undergone medical examinations this year. If this quota is not used recently, it will be a waste!" Lu Chen emphasized again.


    "In that case... that''s fine." Lu Chaoming nodded with a smile. He was very satisfied with the grandson in front of him.


    ¡­


    Looking at the background of Lu Chaoming''s departure, Lu Chen breathed a sigh of relief.


    He just sent a text message to Lu Wenguo, and he was ventilated, so it shouldn''t be revealed.


    At present, the most likely one, he thinks it is a lung problem!


    As long as the second grandfather is taken to the hospital for a comprehensive physical examination, the problem should be found.


    Next, Lu Chen tested all relatives who wanted to measure their blood pressure.


    Several relatives happened to suffer from high blood pressure, and Lu Chen also instructed them how to take antihypertensive drugs.


    "This kid Xiaochen is really good." Lu Chaoming returned to his seat and said to everyone with a smile.


    Lu Wenjun quickly echoed: "That''s for sure, master student, and recently participated in several national competitions and won awards."


    "Well, there is a lot to do in the future." Lu Chaoming smiled, and then said to Lu Wenguo, "Wenguo, when will the free medical examination quota in your hospital be?"


    Lu Wenguo was stunned for a moment, thinking of the text message Lu Chen had just sent him, and said, "If you don''t go in the last week, it will be a waste."


    The older generation cannot tolerate waste.


    "Within a week..." Lu Chaoming thought for a while, "Okay, I''ll contact you when I have time."


    "Okay." Lu Wenguo nodded.


    Actually, there are no free medical examination places, all of them are arranged by Lu Chen.


    However, Lu Wenguo was a little surprised, why did Lu Chen choose his second grandfather?


    His third grandfather? Fourth grandpa?


    Could it be that Lu Chaoming is really sick?


    Lu Wenguo took a careful look at Lu Chaoming and found nothing unusual.


    is really weird!


    However, Lu Wenguo still believed in Lu Chen.


    Especially Lu Chen''s recent series of performances, let him know that his son will not aim at nothing.


    In addition, it was very easy for him to arrange a medical examination for Lu Chaoming.


    ¡­


    Lu Chen''s "free consultation" behavior, after all, some unpleasant voices appeared in the circle of relatives.


    "Lu Chen, you just finished first, did you get a doctor''s license?" Lu Fan said jokingly, "If you don''t have a license, you are practicing medicine illegally!"


    Although it was a joke, there was still a slight discomfort in my ears.


    Lu Chen has no qualifications for the time being.


    One year after graduating from a bachelor''s degree, you are eligible to obtain a practicing doctor''s certificate.


    "Uncle, I''ll help you measure your blood pressure, and listen to your heart and lungs." Lu Chen smiled, "I don''t make a diagnosis and I don''t treat it. What kind of medicine do I think I''m doing?"


    "Haha, that''s true." Lu Fan said with a smile, "It''s just the work done by the people in the pharmacy."


    Lu Chen smiled lightly and ignored Lu Fan.


    Lu Hao, who was standing beside him, couldn''t get used to it, so he whispered, "Hmph, Uncle Lu Fan really doesn''t have back pain while standing and talking. We were kind enough to measure blood pressure, and he was still on the side BB non-stop..."


    Lu Chen lightly patted Lu Hao on the shoulder, "Calm down, so many relatives are watching."


    "Oh..." Lu Hao nodded and stopped talking.


    After measuring the blood pressure of the remaining relatives, Lu Chen put away his sphygmomanometer.


    Today''s goal is achieved, and he is still very comfortable.


    ¡­


    ten minutes later.


    New Year''s Eve dinner finally started.


    Between the ??gong chips, there is a happy atmosphere on the scene.


    Lu Chen sat with a group of juniors, eating and watching the Spring Festival Gala.


    "The Spring Festival Gala is too ugly." Lu Hao couldn''t help but complain, "Brother, you said that the Spring Festival Gala is so ugly every year, why hasn''t it changed at all?"


    "Maybe other people have changed, but you haven''t seen it." Lu Chen smiled, "Everyone is exposed to more and more things, their aesthetics have improved, and their eyes are very picky. It is more difficult to satisfy everyone''s taste. ."


    "That''s true." Lu Hao nodded.


    In this way, while everyone complained about the Spring Festival Gala and continued to watch the Spring Festival Gala, they spent such an ordinary New Year''s Eve party.


    Night shift tonight, barely a shift, make up for it tomorrow.


    (end of this chapter)

 v2 Chapter 385： Lung nodules!

    Chapter 385 Lung nodules!


    New Year''s Day.


    Lu Chen was woken up by a WeChat notification sound.


    The younger brothers and sisters in the eight districts in my heart, as well as the former old classmates, all sent WeChat messages for New Year''s greetings.


    Regardless of whether others copied and pasted the contents of the New Year''s greetings, Lu Chen simply replied.


    Lu Chen also received a New Year''s text message from Wang Ruoxi.


    In the past few months, Wang Ruoxi''s concern for him seemed a little unusual.


    However, as a straight man, Lu Chen directly ignored the other party''s various hints.


    Wang Ruoxi also slowly cooled down, after all, someone else is also the regional manager of AstraZeneca!


    Afterwards, Lu Chen sent a WeChat New Year greeting to several teachers.


    For example, tutor Li Yao, senior sister Zhang Guoguo, and some teachers met by Jinghua Second Academy.


    Lu Chen thought about it, and sent a message of blessing to Professor Ouyang Ming.


    He added Professor Ouyang Ming''s WeChat account, but he didn''t know whether the old professor usually used WeChat or not.


    Unexpectedly, within ten minutes, Ou Yangming returned to WeChat.


    "Lu Chen, Happy New Year. Looking forward to meeting you at the Kyoto Electrophysiology Training Class in half a year!"


    Lu Chen was startled, Professor Ouyang Ming''s WeChat revealed a message that he would also be one of the instructors of the electrophysiology training class.


    Thinking of the electrophysiology training class in half a year, Lu Chen had a vague expectation in his heart.


    At present, he is usually in the catheterization lab, serving as an assistant to Li Yao.


    He is not qualified to perform electrophysiological surgery at all, and can only start from an assistant.


    Only after passing the electrophysiology training course and obtaining the electrophysiological intervention certificate can he truly become an electrophysiological intervention doctor.


    Otherwise, he can only perform surgery in the simulated operating room.


    Lu Chen set another small goal for himself, in the new year, strive to publish an SCI paper, and then successfully graduate from the electrophysiology student and get the electrophysiology intervention certificate!


    ¡­


    In the first few days of the new year, Lu Chen went around with his parents to pay New Year''s greetings.


    There are many relatives, which is not very good at all. It takes several days to pay New Year''s greetings.


    Cousin Lu Hao returned to Jiangcheng early because of the tight schedule.


    During the New Year''s greetings, Lu Chen couldn''t help being asked all kinds of messy things by the seven aunts and eight aunts.


    For example, if you are studying medicine now, can you prescribe medicine for me?


    Do your doctors have to get drug rebates?


    Are you talking about your girlfriend now? There were even relatives who wanted to help Lu Chen introduce his girlfriend.


    However, this time, Lu Chen''s excellence directly turned him into a "child from someone else''s family".


    Every time I go to a family, relatives will compare Lu Chen with their own children and educate their children well.


    On the third day of the Lunar New Year, Lu Chen finally ran all the relatives'' houses and could rest well at home.


    After staying at home for two more days, he will return to Beijing.


    ¡­


    "Xiaochen, your second grandfather went to the hospital for a medical examination today." Lu Wenguo happened to be going to work today and went to the hospital for a medical examination with Lu Chaoming.


    "Okay." Lu Chen nodded.


    As long as you finish the physical examination today and can see the image report of the chest CT, you should be fine!


    "Xiaochen, I''ve been busy these two days, I forgot to ask you." Lu Wenguo suddenly said, "Why do you insist on letting your second grandfather go for a medical examination? Is there any problem?"


    Lu Chen paused, no need to hide this.


    "Dad, didn''t I auscultate my second grandpa''s lungs on the night of my New Year''s Eve?" Lu Chen said slowly, "I found a place on his back where he could hear dry rales!"


    "Dry rales?" Lu Wenguo frowned.


    He is a doctor of hepatobiliary surgery. Although there is no internal medicine specialty in auscultation, he thinks that he should be better than the first-time clinical clinician.


    "If it''s just dry rales, it may not have a particularly great clinical significance. When your second grandfather was young, he was addicted to smoking and had diseases such as bronchitis and chronic obstructive pulmonary disease, which is not surprising." Lu Wenguo said.


    "Dad, I also asked the second grandfather, he has a history of frequent coughing." Lu Chen thought for a moment and said, "It is better to let him have a checkup to be safe. But if I say it directly, the second grandfather will definitely not I will agree, I can only find an excuse to say that there are free places for medical examinations, so that the second grandpa is willing to go."


    "Yeah." Lu Wenguo nodded slightly, "Xiaochen, you are more thoughtful. Don''t look at your second grandfather who is usually not afraid of the sky or the ground. He is very taboo about being hospitalized!"


    Lu Chen knew that his second grandfather was stubborn.


    Telling him directly before he knows the truth of the matter may be counterproductive, so this is the only solution!


    "That''s it, I''m going to work. When your second grandpa finishes his physical examination, I''ll take a look at the results before telling you."


    "OK."


    After ??, Lu Wenguo took his little black bag and went to work.


    ¡­


    Binh Duong Central Hospital.


    Lu Chaoming and his granddaughter Li Huiyan came to the medical examination building of the outpatient clinic early in the morning.


    "Huiyan, you have to thank Xiaochen and his dad for me. There is a lot of content in this medical examination." Lu Chaoming held a medical examination report in his hand.


    It records all the inspection items this time, including routine inspection indicators, as well as electrocardiogram, new chest CT and abdominal ultrasound.


    The usual physical examination, but there are no items such as CT.


    "Grandpa, you can finish the medical examination with peace of mind." Li Huiyan smiled, "As for my cousin, I will talk about it."


    "Yeah." Lu Chaoming nodded with a smile, and then started today''s first medical examination.


    ¡­


    Lu Wenguo has always been concerned about the progress of Lu Chaoming''s inspection.


    He clicked on the inspection and inquiry system inside the hospital to see if Lu Chaoming had undergone a chest CT.


    The results of the physical examination are generally not available immediately.


    Instead, it will take one to two weeks, and the hospital will issue it uniformly.


    What Lu Wenguo can see now is only the imaging pattern of the examination.


    Ten o''clock in the morning.


    When Lu Wenguo refreshed the website interface of the inspection, he suddenly found that there was a newly completed inspection under the name of Lu Chaoming.


    "Finished CT?" Lu Wenguo opened it immediately.


    A chest CT imaging image appeared in Lu Wenguo''s eyes.


    Immediately, he clicked on the image again.


    Now the CT result has not come out, only one image.


    "It shouldn''t be a problem." Lu Wenguo thought of what Lu Chen said this morning, his heart tightened a little, and he was tense.


    Although he is a surgeon, he can still interpret simple CT images, but there is no doctor specializing in imaging.


    Clicked on the CT image, and Lu Wenguo carefully watched every section.


    "This is¡­"


    Suddenly, he caught a glimpse of the back of Lu Chaoming''s back, as if there was a small nodule!


    This nodule is small and mixed with surrounding bronchi and lymph nodes.


    "This position is exactly what Lu Chen said!" Lu Wenguo was shocked.


    He watched it repeatedly and confirmed the existence of lung nodules!


    (end of this chapter)

 v2 Chapter 386： Lu Chens suggestion

    Chapter 386 Lu Chen''s suggestion


    Pulmonary nodule, in simple terms, is something growing in the lung!


    This lung nodule may be caused by many factors such as heredity, acquired environment, and living habits.


    If it is a nodule of conscience, then it doesn¡¯t matter, I am afraid that the malignant nodule will continue to grow and invade the lung tissue, which is what we often call lung cancer!


    When Lu Wenguo saw the CT image in front of him, he couldn''t help thinking of what Lu Chen said to him, the dry rales on his back!


    The size and location of this nodule is exactly what Lu Chen said.


    "Is Xiaochen''s auscultation so powerful? Such small abnormalities can be found!"


    After Lu Wenguo was slightly shocked, he began to turn his attention to this lung nodule.


    In fact, there are lung nodules, which are very common!


    Many people have pulmonary nodules, but most of them are benign and very small. Generally, it is difficult to find them. It only requires regular CT scans every 3-6 months.


    If the size of the pulmonary nodules has not changed, CT scans can even be repeated every 1-2 years.


    Thinking of this, Lu Wenguo was still not at ease.


    His ability to read pictures is limited, and he can only turn to the radiologist in the hospital for help.


    Found a phone number of a well-connected radiologist, and Lu Wenguo called.


    "Hey, old Zhang, please help me to look at a CT film. Yes... I just did it, the hospital number is... The name is Lu Chaoming, a relative of mine."


    After the phone call, Lu Wenguo took a few pictures of the CT scan and sent them to Lu Chen.


    As for Lu Chaoming, before clarifying the matter, Lu Wenguo felt that it was better to keep it a secret for the time being.


    ¡­


    At home, Lu Chen was thinking about taking a good rest when he received a WeChat message from Lu Wenguo.


    "This should be the CT image of the second grandpa."


    Lu Chen immediately clicked on the original image.


    He saw the lung nodule at a glance!


    "It''s really a problem!" Lu Chen frowned, "Bronchiitis does exist, but the most important thing is this lung nodule problem!"


    Lu Chen briefly estimated the size of the lung nodules.


    Good guy, it''s not too small, almost 1cm.


    is less than the size of a fingernail, but in the human body, this size is incredible.


    However, Lu Chen''s own film reading ability is not too strong, so he sent this CT film to a graduate student in the respiratory department he knew in the second hospital of Jinghua.


    In the past six months, Lu Chen has met a lot of people in the Second Hospital of Beijing and Hua, but mainly people majoring in internal medicine.


    But Lu Chen also understands that it is impossible to diagnose benign and malignant through a chest CT!


    Unless the nodule is particularly large and has invaded the surrounding tissue, the diagnosis of the tumor needs to rely on pathological biopsy!


    That is, through the puncture needle, enter the lung, take out a part of the lung tissue, and perform pathological sectioning, this is the "gold standard" for the diagnosis of lung cancer!


    Others, such as chest CT, enhanced CT, or genetic monitoring, are just to aid in the diagnosis.


    ¡­


    After Lu Wenguo and Lu Chen asked their doctor friends, most of the colleagues intruded on the diagnosis of conscience nodules!


    This gave Lu Wenguo a sigh of relief!


    However, Lu Chen did not dare to relax.


    If it is really just a benign nodule, then there will be three minus signs on his head?


    This is unlikely!


    Lu Chen was in his heart, but he couldn''t convince himself that this was his conscience.


    Even, judging by the system''s health value, he is more inclined to be a vicious one!


    ¡­


    Lu Chen immediately communicated his thoughts with Lu Wenguo.


    "Xiaochen, do you think this is vicious?" Lu Wenguo was very surprised.


    "Yes." Lu Chen nodded, "The size of the nodule and the fact that it doesn''t seem to be smooth around it, are malignant!"


    Lu Wenguo frowned, he also knew that viciousness could not be ruled out.


    "Hey, what a bad thing this is!"


    But he thought about it, fortunately he found it early.


    If it is really a tumor, if it is discovered later, the tumor may metastasize, and it will be too late to say anything!


    The most important thing now is how to tell Lu Chaoming about this...


    Lu Wenguo thought about it again and again, and decided to keep the matter a little bit hidden, tell Lu Chaoming''s son first, and then let him choose to tell or not to tell.


    So, Lu Wenguo took out his mobile phone again and called Lu Donghua, the eldest son of Lu Chaoming.


    ¡­


    Although we are relatives, it is impossible to replace the decision.


    Lu Wenguo told Lu Donghua what he thought.


    "The possibility of conscience is high, and malignancy is not excluded..."


    This year''s Spring Festival is not too good.


    Lu Chen can only be thankful now that he found this "lung nodule" ahead of time according to the system''s prompt.


    The next thing depends on how Lu Donghua and Lu Chaoming choose!


    Lu Chaoming''s eldest son, Lu Donghua, was paying New Year''s greetings at a relative''s house. He was stunned when he heard the news.


    He knew that his father went for a medical examination today, but he thought it was going through the motions.


    "Donghua, I haven''t told your dad yet." Lu Wenguo said on the phone.


    "Okay, I understand, I''ll go back and discuss this matter." Lu Donghua rushed home immediately.


    Because Lu Wenguo said, there is a high possibility of benign, but there is also the possibility of malignant!


    Lu Wenguo is an old doctor for many years.


    After about half an hour.


    Lu Wenguo received another call from Lu Donghua.


    "Brother, what''s your suggestion?"


    Lu Wenguo was a little hesitant, because the doctors in the respiratory department, thoracic surgery department, and imaging department of the county hospital agreed, and they all recommended a review in one to two months.


    However, Lu Chen said directly: "Dad, I suggest that the second grandpa go to the hospital in Jiangcheng."


    "Is this necessary?" Lu Wenguo hesitated.


    "Show the chest CT scan to a more professional doctor." Lu Chen said, "Now the transportation is convenient, and Uncle Donghua''s house is not bad for money, so you can rest assured."


    "This..." Lu Wenguo said, "I''ll talk to your Uncle Donghua."


    ¡­


    "What does Xiaochen mean, let my dad go to Jiangcheng University Hospital?" Lu Donghua was slightly taken aback when he heard Lu Wenguo''s words on the phone.


    "Well, he also arranged the physical examination this time." Lu Wenguo told the truth, "He auscultated a chest problem and arranged it specially."


    "It''s actually Xiaochen''s decision?" Lu Donghua hesitated for a while, listening to a student''s opinion, it seems...


    "Xiaochen said that if he wants to go to the hospital in Jiangcheng, he can introduce a respiratory specialist." Lu Wenguo added, "When he was studying in Jiangcheng, he followed a chief specialist in the respiratory department..."


    "Okay, I''ll think about it again." Lu Donghua hung up the phone.


    Lu Chen said everything he had to say, and the rest had a clear conscience.


    ¡­


    In the blink of an eye, it was the day when Lu Chen left Pingyang and returned to Jinghua.


    Make up for yesterday''s


    (end of this chapter)

 v2 Chapter 387： PET-CT

    Chapter 387 PET-CT


    After several days of consideration, Lu Donghua finally brought his father to Jiangcheng.


    During the ?? period, he also visited large and small hospitals in Binh Duong City.


    Almost all doctors say that there is no problem, and regular follow-up is enough.


    However, Lu Donghua still felt inappropriate, after all, the possibility of malignancy was not completely ruled out.


    In addition, he told his father the actual situation.


    Because without the cooperation of Lu Chaoming, some follow-up examinations and treatments could not be completed.


    The First Affiliated Hospital of Jiangcheng University.


    Lu Donghua brought his father, Lu Chaoming, to the outpatient building.


    "Dad, we are looking for Professor Fang Rushui from the Department of Respiratory Medicine."


    Lu Donghua held a note in his hand, on which was written the department where Fang Rushui was.


    "Donghua, are you saying that Xiaochen suggested that I come to Jiangcheng University Hospital for further examination?" Lu Chaoming wondered.


    "Yes." Lu Donghua nodded slightly, "The reason why he asked you to go for a physical examination was because he heard about your lung problems."


    "Hey, I''m getting old, so it doesn''t matter if I have a disease." Although Lu Chaoming said this, he was a little worried in his heart.


    People, the older you get, the more you are afraid of death. This is true.


    Lu Chaoming has been at home these few days, he can''t sleep well and eat badly.


    This is one of the reasons why Lu Donghua came to Jiangcheng.


    "Dad, don''t worry too much." Lu Donghua said, "It is said that the possibility of benign is high. We came to Jiangcheng mainly for peace of mind."


    "Okay, I''ll listen to you." Lu Chaoming nodded.


    ¡­


    The First Affiliated Hospital of Jiangcheng University, Professor Fang Rushui, Department of Respiratory Medicine, is a major expert in the province.


    is almost NO1 in the field of lung tumors in the province.


    His outpatient number, but the big scalpers are fighting for it, and it is hard to get the number one.


    Lu Chen was fortunate to have studied in Professor Fang Rushui''s group.


    Although Professor Fang Rushui forgot about him, Lu Chen still took the name of Professor Fang through his classmates at Jiangcheng University.


    The fourth floor of the outpatient building, the department of respiratory medicine.


    Lu Chaoming and Lu Donghua waited outside for most of the day, and finally entered the consultation room at eleven in the morning.


    "Professor Fang, we were introduced by an acquaintance."


    As soon as he entered the door, Lu Donghua introduced himself.


    Professor Fang Rushui frowned, put on his glasses, and said solemnly, "I don''t have any acquaintances or strangers here."


    Lu Donghua was stunned for a moment, his face a little embarrassed, this old professor really has a personality!


    "Who is the patient? What kind of disease?" Fang Rushui raised his eyebrows.


    Lu Donghua immediately took out the CT film made in Pingyang, "Professor Fang, this is my father''s CT film, please take a look."


    After finishing speaking, the assistant beside Professor Fang took the film and put it aside to put it on the reading machine.


    Fang Rushui took a look at the CT scans of both eyes, his face was as usual, and then he asked, "Is there any discomfort in the patient himself?"


    "I just cough a lot." Lu Chaoming replied.


    "Is there any phlegm? What color is the phlegm?"


    "Do you usually smoke?"


    ¡­


    Lu Chaoming found that the question asked by Professor Fang Rushui seemed to be the same as what Lu Chen asked before.


    "I''ll listen to your lungs." Professor Fang pulled out the stethoscope.


    "Okay, let''s trouble Professor Fang."


    Lu Chaoming nodded and took off his jacket.


    After a while, Professor Fang picked up the stethoscope.


    "There is a problem with this position." Fang Rushui pointed to a position on Lu Chaoming''s back.


    Lu Donghua didn''t react, but Lu Chaoming was stunned. Isn''t this the same as what Xiaochen told him?


    Aware of Lu Chaoming''s abnormality, Lu Donghua hurriedly said, "Dad, what''s the matter?"


    "No, it''s nothing." Lu Chaoming shook his head slightly, "Even Lu Chen told me about it before, and he also said there was a problem here."


    "Really?" Lu Donghua was startled and began to re-examine his nephew.


    Fang Rushui also heard the conversation between the two.


    "Is there a doctor at home?"


    "Well, my brother and his son are both doctors." Lu Donghua said, "but my nephew discovered the problem of my dad''s lungs. He was an undergraduate in clinical medicine at Jiangcheng University, and this year he went to Jinghua for graduate school. ."


    "Well, yes, you can hear it by auscultation, your nephew is not bad." Fang Rushui nodded, then handed Lu Donghua a checklist, "Make an appointment for a chest CT scan."


    Lu Donghua took the checklist and whispered, "Professor Fang, is this my dad''s possibility of being malignant? I was in our local tertiary hospital, and the doctors said it was benign, so regular checkups are enough."


    Fang Rushui said: "A piece of film certainly cannot diagnose benign and malignant, but from the picture you brought, I feel that malignant cannot be completely ruled out, and further examination is necessary. How can I say... some very The professional thing is this film, the location and size of the pulmonary nodule, as well as the relationship with the surrounding tissue, there is a possibility of malignancy."


    "Can''t you check regularly?" Lu Donghua asked.


    "No, if it is malignant, it will delay the treatment time." Fang Rushui shook his head, "In the process of tumor treatment, time is very precious. Unless it is some relatively indolent tumor, it will be delayed for two or three months. If the tumor metastasizes, the treatment effect will be poor at that time.¡±


    Because it is an expert number, Fang Rushui''s explanation is very patient.


    "Then... what should we do next?" Lu Donghua said.


    "Because the location of this pulmonary nodule is relatively deep, it is not easy to puncture, so I do a chest CT enhancement first." Fang Rushui Road, "After the examination, wait for the results to come out, and then make a further diagnosis and treatment plan."


    "Okay, thank you Professor Fang."


    Lu Donghua nodded and left with Lu Chaoming.


    He didn''t immediately go to make an appointment for a chest CT scan, but made a call to Lu Wenguo.


    ¡­


    Today, Lu Chen has left Pingyang by train and returned to the Jinghua Second Hospital.


    As soon as he got off the train, he received a call from his father Lu Wenguo.


    "Xiaochen, your second grandfather went to Wuhan today to find a professor to watch the film. The professor suggested an enhanced chest CT. Your Uncle Donghua asked me to ask you your opinion."


    Actually, when Lu Wenguo received a call from Lu Donghua, he was a little surprised.


    Before ??, Lu Donghua was hesitant, mainly because Lu Chen was just a student.


    Why did you take the initiative to call and ask today?


    Lu Chen didn''t think about it so much, and said directly: "Okay, it''s okay to do chest enhanced CT, but..."


    "But what?" Lu Wenguo said quickly.


    "If Uncle Donghua agrees, you can do a PET-CT directly." Lu Chen said.


    "PET-CT...Okay, I''ll tell him." After Lu Wenguo said a few words, he hung up the phone.


    Lu Wenguo is a senior doctor. Of course, he knows what PET-CT is. By scanning the whole body with PET-CT, it is possible to find the space occupying any position, and it can show whether the tumor is benign or malignant, and whether the tumor has metastasized, and where on the body it has metastasized.


    The only downside is that it is expensive!


    A PET-CT costs about 8,000 to 9,000 yuan, and medical insurance is not reimbursed.


    Ordinary families really can¡¯t afford it.


    The reason why Lu Chen suggested Lu Chaoming to do PET-CT was because he was afraid that if it was lung cancer, it was likely to have metastasized!


    There is no metastasis and surgery can be done.


    But once the tumor metastasizes, it means advanced stage, and basically there is no value for surgery.


    PET-CT is expensive, but it can be done in one step, saving many steps in the middle


    Lu Wenguo told Lu Donghua what Lu Chen said.


    The next thing is not something that Lu Chen can worry about...


    ¡­


    Until the third day after Lu Chen returned to Jinghua, news came back from Jiangcheng.


    Lu Chaoming was diagnosed!


    PET-CT results show that lung cancer!


    Make up for the day before yesterday


    (end of this chapter)

 v2 Chapter 388： Paper again? !

    Chapter 388 Has another paper been published? !


    This news detonated everyone in the Lu family circle in a very short time.


    As soon as we came, everyone was surprised that Mr. Lu Chaoming was diagnosed with lung cancer!


    The old man has always been in good health, but he was suddenly diagnosed with lung cancer, which no one thought of!


    Secondly, I don''t know who spread the news, this time the diagnosis of lung cancer was all because of Lu Chen.


    Even, the more and more rumors it spread, the more evil Lu Chen was diagnosed with lung cancer at the New Year''s Eve...


    However, no matter what the facts were, Lu Donghua''s family was very grateful to Lu Chen, and they even called him a few times.


    The result of ??pet-ct is not bad, but it is only the early stage of lung cancer, so through surgery, the survival period is still very long.


    This is a fortune among misfortunes!


    This time, Lu Wenguo really felt the power of his son.


    Before ??, I just heard that he participated in several competitions and even won the championship.


    But this kind of competition is illusory...


    Nothing happened this time, it was shocking!


    When Lu Wenguo came to Jiangcheng to visit the old man Lu Chaoming, Lu Chaoming sighed: "Wenguo, you really gave birth to a good son. If it wasn''t for him this time, my disease would be delayed until I find out."


    Lu Wenguo nodded in agreement.


    The son is excellent, as a father, his face is naturally bright!


    Beside him, Lu Donghua was also very fortunate.


    Fortunately, I followed Lu Chen''s advice. Otherwise, after three months of re-examination, I would not know how far the lung nodules have developed!


    Next, Lu Chaoming stayed at the First Affiliated Hospital of Jiangcheng, waiting for surgery for lung cancer.


    Lu Chen''s heart was completely let go.


    My ability to help my family is also very gratifying.


    ¡­


    Lu Chen lives as usual in the Second Hospital of Jinghua.


    Departments, dormitories, canteens, three points and one line.


    Lu Chen felt that this kind of life was quite fulfilling.


    You can absorb all kinds of knowledge and nutrients every day, enrich yourself, and have no other pressures.


    On weekends, the roommates stayed in the dormitory, and Lu Chen was also in front of his laptop, perfecting his own clinical research experiments.


    "Oops, this year''s postgraduate entrance exam results are out!"


    Wang Zihao suddenly shouted.


    Lu Chen was taken aback, time flies so fast!


    The scene when he took the postgraduate entrance examination is still vivid in his mind, as if it happened yesterday.


    "I wonder how Junior Sister Yao Jie did in the exam?" A delicate face appeared in Lu Chen''s mind.


    At this moment, the mobile phone WeChat alert sounded.


    Lu Chen picked it up and took a look, saying Cao Cao, Cao Cao is here.


    is really Junior Sister Yao Jie''s WeChat.


    "Senior brother, I got 395 points in the test!"


    395 points, which is already a ceiling score in the medical test!


    Lu Chen only had 360 points that year.


    Not surprisingly, this score is one of the best even in the highly skilled medical school of Kyoto University!


    "Then I will congratulate Junior Sister in advance!" Lu Chen replied.


    "Thank you, Senior Brother." Yao Jie returned a cute expression.


    "Did you apply for the Kyoto University School of Medicine?" Lu Chen asked again.


    "Well, Kyoto University School of Medicine, majoring in Cardiovascular Medicine."


    "The next re-examination, the re-examination of Kyoto University School of Medicine, is different from other schools, you have to prepare well."


    "Well, then if I don''t understand anything, I''ll ask you brother!"


    "no problem."


    Lu Chen replied the last sentence and closed the chat dialog.


    I have to say, Junior Sister Yao Jie is really amazing.


    Within the scope of his ability, Lu Chen will still try to help her.


    Kyoto University School of Medicine, that is the medical palace that I once dreamed of!


    ¡­


    Life is slowly getting back on track, and Lu Chen also graduated from the Department of Endocrinology.


    The senior doctor Min Ling was naturally very reluctant.


    Although Lu Chen''s face is dark, his flaws do not hide his beauty!


    During his time in the group, Min Ling was much more relaxed!


    Now that Lu Chen left, Min Ling, like Wang Xiaodong at the time, had a hard time getting used to it in a short time.


    After leaving the Department of Endocrinology, the third department that Lu Chen rotates is the Department of Nephrology!


    In the blink of an eye, another two months have passed.


    Lu Chen was doing well in the nephrology department, not as busy as the cardiology department and emergency department.


    He has more time for clinical research.


    In addition, Lu Chen''s gratitude value has once again accumulated to more than 3,000.


    Nephrology is not like an emergency department, and the rate of earning thank you points is slower.


    The more than two thousand points of gratitude are mostly obtained through popular science videos published on the Internet.


    Today happens to be the weekend, and Lu Chen is going to go back to the department to collect recent clinical research data.


    ¡­


    When he came to the eighth district in his heart, Lu Chen saw Sun Guoguo, whom he had not seen for a long time.


    "Senior Sister Guoguo!" Lu Chen shouted after walking into the office.


    Sun Guoguo heard the familiar Sheng Ying, looked back at Lu Chen, and immediately smiled: "Junior Brother, are you here to record the data again?"


    "Yes." Lu Chen nodded and sat down beside Sun Guoguo, "Senior sister, are you on duty today?"


    "Yeah, I have a 24-hour shift today." Sun Guoguo said, "I will take a leave tomorrow and the day after tomorrow. I have to prepare the documents for applying for a doctorate."


    Lu Chen heard that Sister Guoguo is going to apply for Li Yao''s tutor doctor this year.


    Huaxia''s current Ph.D. has changed from a national unified examination to an application-based assessment system.


    To put it simply, for Ph.D. students, exams were required in the past, and doctors were recruited based on their grades.


    Now, after submitting your PhD application, as long as the doctoral supervisor you applied for agrees, you can be admitted!


    The intermediate exam is omitted, and there is only one interview.


    But in this part of the interview, the manipulative space is huge!


    So it is actually very easy to do a PhD now.


    However, the current conditions for doctoral graduation are extremely harsh!


    Many people are intimidated. If they can¡¯t graduate, they will fall into it!


    In the past, you only needed to publish a 2-point SCI paper to graduate, but now you really need to publish a 5-point SCI paper to graduate!


    Don''t look at the difference of only 3 points, but the difference is not small!


    The SCI papers published by many postgraduate supervisors have a maximum of 5 points.


    The difficulty of this one can be seen in general!


    "Senior sister, don''t you want to enter the laboratory tomorrow?" Lu Chen said.


    With Sun Guoguo''s ability and relationship, he would definitely be picked by Li Yao''s mentor.


    "Well, the department treats me very well, I have reserved a position, and part of the basic salary will be paid during my Ph.D." Sun Guoguo smiled.


    "That''s not bad." Lu Chen said.


    "However, in our medical profession, if we want to be at the top, we still have to rely on papers. No matter how well we do clinical work, there is no real help." Sun Guoguo shook his head slightly, "Even if I get a doctorate, the pressure is on. It¡¯s also very big, and I need a 5-point SCI paper for graduation, I¡¯m afraid I won¡¯t be able to graduate in two or three years.¡±


    "Senior sister, you have to have confidence, I believe in you." Lu Chen smiled.


    "Well, I will." Sun Guoguo said, "Junior brother, you are the same. Although your clinical ability is so outstanding, you still need to read more papers."


    "Look at Director Lin Cui''s student, He Sirong, who posted another paper two days ago. I heard that this time it is an SCI for one paper. Although the journal impact factor is only 1 point, it''s not bad!"


    Lu Chen was slightly taken aback, He Sirong has published another paper?


    And it is also a first-authored SCI paper, which is not easy!


    In Jinghua Second Academy, this is a rare existence for a master student.


    It seems that He Sirong has really worked hard these past few months!


    "Thank you, Senior Sister, for your reminder." Lu Chen nodded, feeling a sense of urgency in his heart.


    But there is only a trace!


    After he collected today''s data, he also began to write his own thesis.


    These few months of hard work will soon come to fruition.


    (end of this chapter)

 v2 Chapter 389： Top journals (first update)

    Chapter 389 Top Journals (First Update)


    After collecting the final data, Lu Chen returned to the bedroom.


    The procedure of clinical research is simple, collecting data, processing and analyzing data, drawing conclusions, and finally writing a paper.


    At present, Lu Chen has only completed the first step.


    But this first step is also the most important step, accounting for more than 50% of the overall workload.


    "Ke Yue, thank you and your roommate for your help during this time." Lu Chen sent Ke Yue a WeChat message.


    Ke Yue immediately replied: "If there is anything in the paper after that, you have to tell me, I can help."


    "OK."


    However, Ke Yue''s help is not needed for the next thing.


    Data processing and analysis mainly uses SPSS software, which Lu Chen can handle by himself.


    ¡­


    In the next week, Lu Chen focused more on data processing.


    On weekends, Lu Chen stayed in the bedroom as usual,


    "Lu Chen, I heard that there is a very powerful person in your Cardiology Department." Zhou Wei, who was moving bricks in the laboratory, sent him a WeChat message, "As soon as the research was conducted, an SCI of one work was published!"


    "Well, it''s still from the eight districts in our hearts." Lu Chen replied, "What, want to meet? I can introduce you."


    "Hey, forget it." Zhou Wei said, "Let me tell you, my recent paper has also been accepted! Although it''s not the first work, the score is not bad, with 3 points!"


    "You''re not bad boy." Lu Chen praised.


    A paper can have many authors.


    But generally, only the corresponding author and the first author are acknowledged.


    Corresponding author, usually a mentor, is the proposer of the idea of ??the article.


    The first author is the main experimenter, or the author of the paper.


    The remaining second, third, and fourth authors all contributed to the paper, such as Ke Yue, who helped with data processing and so on.


    Generally speaking, any evaluation, advance evaluation, or promotion, only the papers of the corresponding author and the first author will be recognized.


    However, if the score of a SCI paper is very high, such as Nature, Science, etc., the impact factor score is above 100%, as long as you leave your name in the author of the paper, no matter which author, then you can almost be in a third-rate University professor.


    "Oh, I did this experiment with my brother." Zhou Wei said, "So the tutor is the communication, and the brother is the first one, so he gave me a second one. The idea of ??the next experiment is what I thought of myself. If I can make it, it is absolutely It''s all done!"


    "Then I''ll wait for your good news." Lu Chen said.


    "You too, let''s encourage each other." Zhou Wei said.


    Everyone around here is working hard!


    Lu Chen closed WeChat and continued processing the data in hand.


    His data processing, with the support of the clinical research skill card and the statistical skill card, used a number of statistical methods.


    It includes Kaplan-Merier method, Log-rank method, multivariate COX regression analysis and so on.


    Using a variety of statistical methods to repeatedly process the experimental data, the final conclusion can be more convincing!


    When Wang Zihao passed by Lu Chen, he accidentally caught a glimpse of his computer screen and was almost stunned.


    The operator symbols on the screen made him dazzled.


    "Lu Chen, how many statistical methods did you use?" Wang Zihao couldn''t help asking.


    "Not many, just five." Lu Chen said, "First use the chi-square test and Fisher''s exact probability method for comparison, then use the Kaplan-Merier method to analyze, and then use the Log-rank method to calculate whether there is a statistical difference, and finally use the more A variable COX regression analysis confirmed my conclusions."


    Wang Zihao: "..."


    Damn Versailles!


    He only used a chi-square test, Lu Chen actually used so many methods.


    The difference is really quite big...


    "Lu Chen, did you all do statistics by yourself? Didn''t you ask your classmates majoring in statistics to help you do it?" Wang Zihao suddenly thought of this.


    Statistics is a brand new profession!


    Where did Lu Chen get so much energy to learn statistics?


    "Well, it''s better to rely on yourself. It''s impossible to rely on others to help us with statistics every time, right?" Lu Chen smiled.


    "You''re so good!" Wang Zihao gave Lu Chen a thumbs up.


    This requires him to learn. He thinks he has no patience or ability.


    Looking at Lu Chen''s concentration, Wang Zihao sighed slightly.


    Lu Chen''s current achievements are inseparable from his hard work!


    He hadn''t seen it until now. Lu Chen went out to play during the weekend break.


    This can also explain why his sister Wang Ruoxi has a good impression of Lu Chen.


    However, Lu Chen, a straight man, doesn''t understand style.


    Wang Zihao felt a little pity, and heaved a sigh of relief.


    Unfortunately, it''s because Lu Chen''s people are really good. He''s been with him for so long, and he''s definitely a reliable man.


    breathed a sigh of relief, because if the two of them did, wouldn''t Lu Chen become his brother-in-law?


    We meet every day, and we have to call "brother-in-law"?


    ¡­


    Lu Chen didn''t know Wang Zihao behind him, he was thinking about his own affairs in a mess.


    He is still busy with data processing.


    Now comes the final step of data processing!


    is to see if the conclusions drawn are statistically significant!


    "This last step, we can see the difference!"


    Lu Chen was a little nervous in his heart.


    If there is no statistical significance, then his hard work in the past few months will be in vain!


    Therefore, some experimenters often do not obtain satisfactory results in this last step, so they will change the data in order to obtain a positive result.


    This is also a very common phenomenon in China.


    Especially some hospitals in China.


    Blindly pursue papers, ignoring that many doctors have no scientific research ability at all, so what should we do?


    Only buy papers, falsify data, or even plagiarize!


    This is a very realistic and sad thing...


    "Di Di Di..."


    The computer was running, and several unknown characters flashed continuously.


    Finally, after waiting for five minutes, the computer screen outputs the final result


    P<0.05 - statistically significant!


    That is to say, in a small sample pilot study, dapagliflozin can prevent heart failure in the early stage of acute myocardial infarction, and this proposition is established.


    Lu Chen showed joy and sighed: Five months, finally completed! "


    Others have published several core journal papers in five months.


    And he is still a zero!


    ¡­


    The data is processed, and the only thing left is to write the paper.


    Writing of the thesis, step by step.


    With data and conclusions, it is much simpler.


    Lu Chen completed the Chinese paper first, and then translated the Chinese into English.


    If you want to publish high-scoring SCI papers, Huaxia journals do not have such influence for the time being, only foreign journals do.


    Even the most authoritative Chinese journal series in China has limited international influence.


    This is also a very helpless reality!


    The four top journals in the field of medicine are all abroad.


    are NEJM (New England Journal of Medicine), The Lancet (Lancet), JAMA (American Medical Journal), TheBMJ (British Medical Journal).


    Lu Chen definitely doesn''t dare to expect these four top journals now, but for his first paper, he must also find a more influential foreign journal.


    However, Lu Chen didn''t know much about foreign journals, so he asked Senior Sister Sun Guoguo.


    Sister Guoguo Sun has been working hard in scientific research for many years, and she still knows a lot about the journals in the cardiovascular field.


    She immediately gave Lu Chen three suggestions.


    "CardiologyClinics, Cardiology, PediatricCardiology."


    Lu Chen looked up the relevant journal information.


    The impact factor is 1-2 points, no more than 3 points.


    Lu Chen frowned, this did not meet his expectations!


    (end of this chapter)

 v2 Chapter 390： Stone sinks into the sea! (Second more)

    Chapter 390 The stone sinks into the sea! (Second more)


    However, in Sun Guoguo''s idea, it would be very difficult for Lu Chen to publish an SCI paper as a first author!


    Does he still want to send high-scoring papers?


    This is not a clinical skill!


    Clinical skills can be practiced, but there are no shortcuts for scientific research papers.


    Besides, Lu Chen had never published any other papers before.


    Sun Guoguo popularized some low-scoring SCI journals for Lu Chen, which is already considered a high opinion of Lu Chen.


    If other students come to ask, she will only persuade them to read more, first publish a few core Huaxia papers, and then talk about SCI papers.


    SCI papers cannot be written without a few years of study and precipitation.


    However, at this time, Lu Chen, sitting in the dormitory, was really thinking about finding a medical journal with a score of 5-8.


    This is not his wishful thinking.


    Lu Chen read a lot of literature in the process of writing his thesis.


    Which level of his thesis is, although he can''t precisely locate it, he can roughly estimate a range.


    For a blank field like this cutting-edge hot spot, the most appropriate statistical method is used, and it is definitely not less than 5 points!


    Of course, whether a 5-point journal can accept a manuscript depends on the polish, typesetting, etc. of the paper.


    The other most important thing is the reviewer''s opinion.


    Some reviewers with regional biases maintained a skeptical attitude towards Huaxia''s papers.


    This, to a certain extent, caused a lot of trouble for scholars in China.


    ¡­


    Since he was not satisfied with Senior Sister Sun Guoguo''s opinion, Lu Chen looked for it himself.


    Hard work pays off.


    Lu Chen found three pending journals.


    are Molecular Therapy-Nucleic Acids (MTNA for short), CellPhysiolBiochem, CellDeathandDiease.


    The impact factor of ?? is around five points.


    In addition to MTNA, the other two are journals with the highest contribution rate by Chinese people. The proportion of Chinese people publishing papers has reached more than 40% of the total, and the self-citation rate is very high!


    Submission is relatively easy, but it also means that there may be a lot of water.


    Lu Chen hesitated for a while, but finally set his sights on MTNA!


    This is a relatively popular medical journal in recent years. It was included in Cell last year. This year''s impact factor is 5.45 points, and it is expected to break through to 7 points next year!


    "Okay, it''s this magazine!" Lu Chen finally made up his mind.


    After he polished the paper, he casually sent it to his tutor Li Yao.


    Any graduate student who publishes papers during school needs the approval of his supervisor.


    Without the instruction of the tutor, even if it is accepted by the journal, it will be regarded as a violation, and it can even be directly regarded as data fraud!


    ¡­


    Eight districts in the heart.


    Instructor Li Yao immediately downloaded the attachment and opened the document as soon as he received Lu Chen''s email.


    "It was translated into English so quickly?" Li Yao showed a smile on the corner of his mouth, "This little guy has a big heart."


    If ?? is translated into English, it must be a high-quality SCI journal.


    "Let me see how good your article is."


    Li Yao put down other things at hand and began to concentrate on reviewing Lu Chen''s paper.


    As the reading progresses, Li Yao is more and more surprised!


    This doesn''t look like a student paper at all...


    Whether it is from English writing techniques, words and sentences, as well as the experimental methods of the whole paper, the statistical methods involved are all written by a senior scientific researcher for many years.


    Especially the statistical methods used in it, so many methods are not available to ordinary people.


    And the method Lu Chen used was the most appropriate.


    is not to say that the more methods the better, but that they are used in the right way to explain the problem you are asking.


    Lu Chen did an excellent job at this point!


    "The quality of this paper is really high!" As a doctoral supervisor, Li Yao has seen too many good papers and **** graduate papers!


    At the end of the whole document, Li Yao also saw the journal that Lu Chen wanted to contribute to - MTNA!


    "He still wants to vote for MTNA?" Li Yao frowned.


    The impact factor of this journal seems to be only five points, but because the points may be increased next year, during this period, MTNA''s acceptance standards will definitely increase, and it may reach 7 points!


    "Since he wants to vote for this, let him vote for it." Li Yao thought to himself, "Young people, you still have to hit the wall more, keep your feet on the ground, and let him change to a lower score when the manuscript is rejected. Journal."


    In Li Yao''s opinion, Lu Chen''s paper is indeed very good, but the disadvantage is also obvious, that is, the sample size is very small.


    The clinical scientific research papers that generally get high scores are large-scale clinical scientific research projects, often with thousands of samples.


    This will give you the opportunity to publish a high-scoring SCI paper.


    Lu Chen''s article, Li Yao estimates that it can be published in a journal with a score of 3-5.


    For journals that exceed this score, it will be difficult!


    ¡­


    After reading Lu Chen''s paper, Li Yao made a few changes for him, but it did not affect the structure and thinking of the overall paper.


    After receiving the reply from Li Yao''s supervisor, Lu Chen reorganized the paper according to her request.


    The next day, Lu Chen submitted!


    MTNA''s review period is generally 1-2 months.


    During this time, Lu Chen could only wait patiently.


    Clinical work is still business as usual.


    Lu Chen took time to go to the catheterization room, and under the guidance of Li Yao''s tutor, cooperated with her to perform electrophysiological surgery.


    "Well, that''s it, go in some more, and screw it a little more! Good, very good."


    Li Yao stood beside Lu Chen, instructing him to perform the intraductal operation on the patient.


    Before ??, he had been operating in a simulated operating room, and today is Lu Chen''s first time to operate in person.


    It''s fake if you''re not nervous, but Lu Chen is more excited!


    There is still a gap between virtual and real things after all!


    The operation ended successfully.


    "Congratulations, proficiency in electrophysiological interventional surgery +0.5%!"


    Electrophysiological interventional surgery, whose proficiency has remained unchanged, has finally loosened today!


    Sure enough, after training to a certain level in the system simulation operating room, the proficiency is not easy to increase.


    Only through real-life operations can the degree of surgery be gradually improved!


    "Well, Lu Chen, yes, this is the first intra-catheter operation and it was very successful!"


    Li Yao looked at her student with a smile. I have to say that Lu Chen is really a born cardiologist.


    This method of operation can already achieve two to three years of diligent practice for many practitioners.


    "It''s better for the teacher to teach." Lu Chen flattered at the right time.


    Li Yao smiled and suddenly said, "By the way, how''s your paper? I think it''s been about a month and a half."


    Lu Chen took off his gloves, shook his head slightly and said, "No news yet."


    One paper, not more than one submission.


    Once discovered, it will be blocked by major journals directly!


    Therefore, no matter whether it is successful or not, Lu Chen can only wait for the reply from MTNA.


    Li Yao said solemnly: "If it doesn''t work, you can send an email to ask. If the manuscript is rejected, then transfer to CellPhysiolBiochem. I know the deputy editor of this journal..."


    "Okay, teacher." Lu Chen nodded slightly.


    is approaching the two-month review period.


    Did he really overestimate the value of his paper?


    As time went by, Lu Chen''s heart became less and less confident.


    Go back to the bedroom.


    Lu Chen found the mailbox of the MTNA journal, and according to Li Yao''s mentor, published an inquiry email.


    However, it''s still sinking into the sea!


    Thank you all for your donations.


    I have been very sleepy recently, and my spirit is not very good.


    This is the case for the time being today, adjust the state, and add more.


    (end of this chapter)

 v2 Chapter 391： Detonate the heart

    Chapter 391 Detonate the heart


    The review deadline is approaching.


    If the review deadline is exceeded, the author can choose to submit the paper to another journal.


    Lu Chen sighed slightly, really... failed?


    "Wait for the last two days, if there is still no news, then switch to the CellPhysiolBiochem journal."


    Lu Chen gave himself an ultimatum in his heart!


    ¡­


    These two days, Lu Chen was the same as usual.


    During the day, I work on papers in the department, occasionally go to the catheterization room to help, and go back to the dormitory at night to read the cutting-edge papers in the medical field.


    On the surface, Lu Chenfeng was light and cloudless.


    In fact, he was also quite tormented inside.


    These last two days were not so much an ultimatum he gave him, but rather his unwillingness.


    On the evening of the last day, he found the official website of the CellPhysiolBiochem journal, clicked in, edited his paper, and prepared to submit it.


    But at this moment, a prompt popped up in the lower right corner of the computer - please check for new emails!


    Lu Chen was taken aback for a moment, and his hand involuntarily went in.


    Immediately, a look of joy appeared in his eyes!


    is an email from MTNA!


    ¡°yourpaperhasbeenconditionallyaccepted.Pleaserevise¡­¡±


    Lu Chen stared at the description in the email, this is...confirmed receipt!


    His paper was accepted!


    A sense of joy filled his heart, Lu Chen held the right hand of the mouse, trembling slightly.


    He thought he was rejected, but he did not expect to receive a notification of acceptance within the deadline for reviewing the manuscript!


    However, in the email, the reviewer also made several comments, such as the insufficient sample size of the experiment, the need to provide original experimental data, and some English sentences may need to be revised.


    These are all minor bugs.


    As long as the manuscript is confirmed to be accepted, it means that Lu Chen''s paper has been recognized.


    MTNA, the current impact factor is 5.45 points, and it is very likely to increase to 7 points next year!


    ¡­


    At this time, Lu Chen was not alone in the dormitory.


    Wang Zihao noticed Lu Chen''s excitement, he stood behind Lu Chen and caught a glimpse of the word "accepted" in Lu Chen''s email.


    "Lu Chen, your paper... was accepted?" Wang Zihao asked immediately.


    "Well." Lu Chen''s face was filled with joy.


    "What journal did you select for?" Wang Zihao asked.


    He publishes Chinese journals, and the language of communication in all emails is Chinese.


    And this English email from Lu Chen clearly shows that he is submitting to a foreign language journal!


    Lu Chen smiled and said softly, "Molecular Therapy-Nucleic Acids, MTNA for short."


    Wang Zihao said "Oh" lightly, he didn''t know what journal it was, so he quickly took out his mobile phone to inquire.


    "English Journal MTNA..."


    The first few columns of the ?? search are filled with advertisements for published papers.


    Wang Zihao scrolled down a few lines before he saw a serious source of information about MTNA.


    "MTNA''s impact factor was 5.12 points last year, and this year''s impact factor is 5.45 points, and it was included in Cell!"


    "MTNA Impact Factor is expected to exceed 7 points next year!"


    Wang Zihao was stunned, his mouth was so big that he could fit a fist into it.


    Did you make a mistake?


    MTNA is actually a 5-point SCI journal? !


    "Lu Chen, are you the first author?"


    Seeing Lu Chen nodding, Wang Zihao was speechless for a while.


    "This, this... a 5-point SCI paper for one author?"


    Compared with his own Huaxia core paper, it is simply the existence of "sewers"!


    Wang Zihao has been unable to find any adjectives.


    is simply out of line!


    "In the review comments, let me revise it." Lu Chen smiled, "It is estimated that it will take half a year to actually see the publication."


    The speed of publication of papers in SCI journals is relatively slow.


    It takes about half a year to a year at all. Unless it is a high-quality paper, it is possible to publish an emergency supplement.


    "Lu Chen, how did you do it?" Wang Zihao asked from the bottom of his heart.


    "What do you want me to say?" Lu Chen laughed, "It''s not good for me to praise myself?"


    Wang Zihao: "Lu Chen, can I ask you something?"


    "you say."


    Wang Zihao immediately leaned in front of Lu Chen and grabbed his shoulder: "Can you bring me to your clinical experiment next time?"


    Lu Chen was taken aback for a moment, "My cardiology department, your surgery department, can the two of us be together?"


    "You seem to have some truth in what you said." Wang Zihao frowned, "It doesn''t matter, I can also help collect data, draw pictures, etc. You can give me three, four, or even five works, and I don''t care. Opinion."


    "Okay, there is a job that suits you, I''ll take you."


    Got Lu Chen''s promise, Wang Zihao was very happy.


    Lu Chen, this is the big guy hiding in the bedroom!


    If it is a low-scoring SCI paper, such as one or two points, these three and four papers are useless.


    But Lu Chen''s article is worth 5 points...


    Even the three works have a certain amount of gold!


    ¡­


    At the same time that Lu Chen received the MTNA email, as other authors of the paper, Li Yao''s tutor, Ke Yue, and Ke Yue''s roommate, all received this email!


    The eight districts in the heart, the director''s office.


    Li Yao was dealing with the matter about the national nature bid, when suddenly an English email reminder popped up on the computer.


    She thought it was an invitation to a conference in English, or spam.


    was about to close directly, but caught a glimpse of the sender of the email is MTNA.


    She was startled suddenly, and hurriedly opened the email.


    "Could it be that Lu Chen''s email was rejected? Now, he can send it to other journals with peace of mind." Li Yao thought.


    However, when she saw the content of the paper clearly, she was stunned.


    MTNA has actually received the manuscript!


    This is not some other "pheasant" journal.


    Among the SCI journals, there are many pheasant journals that Chinese people like to publish.


    Such as "OncotargetsandTherapy", "PLOSONE", etc., there is a risk of being delisted by SCI at any time.


    But MTNA has just been included in Cell, which is when the limelight is unlimited.


    In order to hit 7 points, MTNA will definitely strictly control the quality of the paper.


    So Li Yao also knows that the approval rate of MTNA''s recent manuscripts is very low.


    Many doctors around, and even graduate tutors who wanted to submit MTNA papers were rejected.


    "I never imagined that Lu Chen''s manuscript was accepted!"


    Instructor Li Yao sighed involuntarily.


    The back waves of the Yangtze River push the front waves.


    Her front wave was slapped on the beach.


    What can I say...


    Lu Chen''s paper is of good quality and fills the gap in this field, but she still underestimates the potential of this paper.


    Dapagliflozin has just started to be announced in China.


    However, dapagliflozin has been highly respected abroad for a long time, and it is one of the most popular cardiovascular drugs.


    The quality of the paper is good enough, and it just stepped on the hot spot, which is one of the reasons why Lu Chen''s paper can be accepted.


    "My student is really incredible!" Li Yao secretly thought.


    ¡­


    Lu Chen originally wanted to keep a low profile, but Ke Yue and her roommate also received this email at the same time.


    He successfully published a 5-point SCI paper, which instantly detonated the Department of Cardiology of the Second Beijing Hospital.


    (end of this chapter)

 v2 Chapter 392： Graduate re-examination

    Chapter 392 Postgraduate re-examination


    "What?" He Sirong jumped up from his seat, "Lu Chen, he, he published a 5-point SCI paper?"


    In the girls'' dormitory, He Sirong heard that his roommate was chatting, and suddenly he talked about Lu Chen.


    The roommate nodded slightly and said, "Yeah, I heard from a girl in the next dormitory that she helped Lu Chen collect data, so she also received an email, and Lu Chen gave her a three-shot... Hey, she''s really too much. Fortunately, the third author of the 5-point SCI, she does not need to publish any more papers after graduation!"


    He Sirong was taken aback for a moment, his eyes full of disbelief.


    SCI papers with 5 points?


    What kind of concept is this...It has reached the level of doctoral graduation!


    "You know... what magazine did he publish?" He Sirong frowned, she still didn''t quite believe it.


    "This...I don''t know either." The roommate shook his head, but then said, "I have a screenshot of the email sent by the girl next door, I''ll send it to you."


    "Thank you." He Sirong nodded.


    The roommate soon sent a screenshot of the email to He Sirong.


    "Ah? This is MTNA?" He Sirong was shocked after seeing the screenshot.


    MTNA, she had heard of the journal.


    Because her mentor Lin Cui wanted to submit a manuscript to MTNA some time ago, but was rejected.


    In the end, Lin Cui had to choose a lower-level journal.


    But, now Lu Chen can actually be accepted by this journal? !


    The most important thing is that Lu Chen is a masterpiece!


    First authorship and second authorship are two completely different concepts.


    He Sirong was not feeling well.


    She worked so hard for a long time to post an SCI with one point.


    For this, she was happy for a long time.


    This is still his work day and night in the laboratory to be able to publish papers of this level.


    At present, more than 95% of graduate students have no experience in publishing SCI papers.


    But if Lu Chen doesn''t post a paper, it''s fine, a 5-point SCI will be awarded!


    It can be said that it is a blockbuster.


    Her most proud scientific research was actually trampled by Lu Chen.


    Originally, this was the area where she was most likely to surpass Lu Chen.


    Now, also lost.


    ¡­


    He Sirong has the same idea, as well as Lu Chen''s senior sister Wang Shasha!


    Lu Chen''s publication of a 5-point SCI paper also spread to her ears.


    This shocked her...


    Freshmen of the first grade, how can there be a teacher to teach? Where is the experience?


    At Lu Chen''s age, he didn''t even know what SCI meant.


    Why can he publish a 5-point SCI paper?


    Thinking that she had asked Lu Chen to help collect data before, Wang Shasha didn''t know what to do, but she felt a little uncomfortable!


    "Lu Chen is just pretending to be a pig to eat a tiger!" Wang Shasha thought, "If I had told me earlier that I had this ability, I would definitely not let him collect data for me..."


    ¡­


    Lu Chen''s 5-point SCI paper again attracted the attention of the Cardiology Department of the Second Beijing Hospital.


    Most teachers and students know that Lu Chen, who was originally an influential figure, made a breakthrough in the stage of clinical research papers.


    Lu Chen''s influence at school has ushered in a small peak after a period of silence!


    According to the school''s incentive measures, SCI papers with an impact factor of more than 1 point will be given a cash reward of 5,000 as long as they appear in the journal.


    Moreover, the higher the impact factor score, the more cash will be rewarded.


    Lu Chen deeply felt that learning can really make money!


    From national scholarships, grants, and cash awards for published papers, enough for a student to be self-sufficient for a year.


    Therefore, since Lu Chen came to Jinghua, he has not asked his family for living expenses!


    ¡­


    The eight districts in the heart, the director''s office.


    Li Yao looked at Lu Chen in front of her with a smile, and she was filled with indescribable joy.


    "Very good, your SCI paper can be regarded as the latest major event in our Cardiology Department!"


    "It hasn''t been fully accepted yet." Lu Chen said modestly.


    "Hey, the next revisions are all small problems, I believe you are fine." Li Yao said, "I came to you today, and I will mainly tell you about the expanded content of your experiment."


    "Extended content?" Lu Chen asked in confusion.


    "You should remember, I told you that if your paper can expand the sample size, it may even change the clinical guidelines!" Li Yao said.


    "Well, teacher, I remember." Lu Chen nodded slightly.


    However, to change the clinical guidelines, at least the paper must be published in one of the four top medical journals.


    And there must be corresponding clinical experimental significance. After the review of foreign medical associations, it is possible to change the clinical guidelines with a very small probability.


    "Your first paper is very successful, you don''t want to continue to strike while the iron is hot and expand the sample size?" Li Yao said.


    Lu Chen gave a wry smile and said, "Teacher, I think so too, but at the moment my conditions are limited and I definitely cannot expand the sample size."


    Li Yao smiled, "I just want to tell you today, if you want to expand the sample size, you don''t have to worry about money, I will arrange it, you can concentrate on doing the experiment. And I will help you contact the multi-center experiment."


    "Teacher, you are..." Lu Chen was slightly taken aback.


    "Since your first paper was so successful, I will definitely support you unconditionally!" Li Yao smiled.


    "Teacher, this is not a small sum, are you so relieved?"


    Since we want to expand the sample size, it is definitely not a star and a half.


    It involves the travel expenses, examination expenses, drug expenses, etc. of patients returning to the hospital...


    "Don''t worry." Li Yao said with a smile, "This is not mine, I will contact the drug supplier and ask them to sponsor it."


    "Is this still possible?" Lu Chen was stunned. "They looked for me before, but they refused to sponsor me."


    "That''s because you''re still a student!" Li Yao pursed her lips and smiled, "Let''s talk to the pharmaceutical company about this issue, and we will definitely not treat you badly."


    Li Yao, these directors, but master the life and death of drugs in every department!


    "Mr. Li, I agree!" Lu Chen said.


    Faced with this kind of opportunity, Lu Chen would definitely seize it.


    "Okay, before the experiment, you can give me an experiment plan and related budget." Li Yao said.


    "Well, I''ll send it to you later."


    Lu Chen frowned. He had an experimental plan, but he had no idea about the relevant budget, so he could only go back and ask for some information slowly.


    After chatting about the experiment, Lu Chen was about to leave, but Li Yao stopped him.


    "In addition to this matter today, there is another matter, that is, this weekend, accompany me to the campus, the postgraduate re-examination starts, you go and help."


    "Well, okay." Lu Chen nodded.


    In the blink of an eye, it was time for the postgraduate re-examination.


    Li Yao always asks a third-year graduate student to accompany her every year. Today, she specially called Lu Chen over there.


    ¡­


    (end of this chapter)

 v2 Chapter 393： Li Yao is a good mentor

    Chapter 393 Li Yao is a good mentor


    April 20th.


    The re-examination time of Jinghua Medical University has come.


    What Lu Chen could not have imagined was that a year ago, he was still sitting across from him.


    A year later, he was sitting next to the interviewer.


    The re-examination of graduate students is a two-way choice.


    The first is a written test, and after the written test, there is an interview with the tutor.


    "Director Li, you have a lot of postgraduate places this year, and you have to accept a few more good students."


    Cheng Guowen came to the lounge and said to Li Yao with a smile.


    Li Yao smiled and said, "I was lucky enough to have passed a few countries, so there are a few more places. It''s not like you, Director Cheng, there are so many places every day."


    Some time ago, Li Yao applied for two national natural projects, including one key project, all of which were awarded.


    The number of ?? graduate students is determined according to the mentor project team.


    Li Yao didn''t have many research projects last year, only three places. This year, there are more projects, but there are five places.


    However, although the overall number of places is large, it is still possible to recruit a few students.


    Li Yao''s influence on students is far less than that of renowned directors such as Cao Zhiying and Cheng Guowen.


    In previous years, the top candidates for the re-examination were all applicants for Cao Zhiying and Cheng Guowen''s tutor.


    Li Yao''s tutor''s students all came from the re-examination adjustment.


    ¡­


    Retest begins.


    Lu Chen followed Li Yao to the retest classroom.


    There are five tutors sitting in the center of the classroom.


    In addition to Li Yao, Lu Chen also knew three of them, all of whom were the chief professors of other wards of the Cardiology Department.


    are old acquaintances Professor Cheng Guowen, Professor Shi Qinghua, and Director Ren Feng.


    Director Cao Zhiying was busy with official business, so he asked another deputy director of Corey, Ren Feng, to take his place in this re-examination interview.


    Ren Feng, the leader of the young generation in the Interventional Department of Cardiology, Jinghua Second Hospital.


    During this time, Lu Chen often went to the catheterization room of the Cardiology Department, and had dealt with him several times.


    Except Li Yao, the other mentors, both in terms of reputation and status in the hospital, are obviously one grade higher than Li Yao.


    "The retest has begun."


    When the time is up, all candidates will enter the examination room in turn.


    Tutors will ask each student questions, which are divided into professional questions and general questions.


    Professional issues, mainly related to the field of cardiology.


    General questions, can be any other aspects, including life, family, etc.


    Tutors choose whether to admit students who have changed their names based on the answers of the students.


    At the same time, after the interview, students will also choose their intended tutors.


    This is similar to some dating shows, where you need to look at each other.


    If you don¡¯t see the right eye in the first round, you will need a second, third, or even fourth retest.


    ¡­


    Lu Chen''s job is very simple. He records the performance of the candidates in the re-examination, and then gives Li Yao''s tutor some advice on selecting students.


    The first candidate was a slightly thin boy with glasses.


    His expression was a little cramped, and his voice seemed to tremble: "I... I''m a student from Anyang Medical College..."


    Nervous emotions left a very bad first impression on the teachers.


    However, the answer of the first examinee is not enough, and the professional knowledge is relatively solid.


    The second candidate is a girl.


    His facial features are upright and his manners are decent, but his answers to questions are somewhat biased.


    Especially in answering professional questions, the girl''s answer was lacking.


    ¡­


    Throughout the morning, the tutor group interviewed more than 30 students.


    Lu Chen numbered all the candidates, recorded their performance, and selected the five most favorite students, including the first and second candidates.


    During the break, Li Yao also asked Lu Chen''s opinion on why he chose these students.


    "The first boy, although he was a little nervous, the questions he answered were more organized and the basic knowledge was solid."


    "The second girl, although she lacks basic knowledge, her mental state is good, and she is considered the best among all the students."


    ¡°¡­¡±


    Li Yao nodded slightly when she heard the words.


    Lu Chen''s observation skills are relatively subtle, and he recorded everyone''s performance in detail.


    At this time, there were also different opinions among the students.


    "Fang Hao, the interview in the morning is over, have you decided which tutor to choose?" Lin Qingping said to the boy beside him.


    They both came from an undergraduate school, and this time they also applied for the Cardiology Department of the Second Hospital of Jinghua.


    "I... I haven''t thought about it yet." Fang Hao smiled and said, "However, I think that Professor Cao Zhiying is the chief director of the Department of Cardiology, and his academic status is the highest in the Jinghua Second Hospital. I may choose him."


    "Oh, it''s a good choice." Lin Qingping nodded slightly, then looked around, and whispered, "Have you heard of Li Yao''s mentor?"


    "Instructor Li Yao?" Fang Hao was stunned and searched in his mind for a long time, "No, there are many tutors in cardiology, I can''t remember so many, tutor Li Yao is very good?"


    Lin Qingping smiled mysteriously, and said slowly: "Didn''t you ask the senior brothers and seniors of the Second Academy about the situation in advance?"


    "No..." Fang Hao said, "I found a few senior brothers, but they don''t know much about it, so forget it."


    "As far as I know, the Department of Cardiology of the Second Jinghua Hospital, Director Cao Zhiying and Director Cheng Guowen, these are good tutors, director-level tutors, with many academic appointments and relatively large influence, and they are usually popular among students." Lin Qingping road.


    "I know all this." Fang Hao frowned slightly, as long as the students who apply for the Jinghua Second Academy should know it.


    "But tutor Li Yao, it''s not ordinary. She is also one of the four doctoral supervisors in the Department of Cardiology, and the director of the eight districts in the heart." Lin Qingping smiled, "The most important thing is that tutor Li Yao recruited a senior brother last year, not only He won the championship of the National Clinical Skills Competition, and also entered the national electrocardiogram finals, and a few months ago, he published an SCI paper with a score of 7!"


    "7 points?!" Fang Hao''s eyes widened.


    "Yes!" Lin Qingping nodded sharply, "a 7-point SCI paper! I heard that it is an excellent journal, and many tutors are not capable of publishing such high-quality papers."


    Actually, Lu Chen posted a 5-point SCI paper.


    However, the more it spreads, the more evil it becomes, it becomes a 7-point SCI!


    "You can get a 7-point SCI in the first year of research... Then you can still get it?" Fang Hao swallowed.


    "Think about it, without the help of your own tutor, could this senior fellow post this high-scoring thesis?" Lin Qingping said again.


    "Probably not." Fang Hao said hesitantly, "The 7-point thesis seems to be some postgraduate tutors, and they haven''t sent it."


    "So, this tutor Li Yao can actually help the students of the first year to issue such a high-scoring paper. He is definitely a good tutor." Lin Qingping analyzed carefully, "There are not so many candidates for Li Yao''s tutor, and she is relatively unpopular. I wanted to choose Cao Zhiying as mentor, but now I have decided to choose Li Yao as mentor!"


    (end of this chapter)

 ~： small summary

    Small summary


    About the update.


    I had something to do yesterday, I got home at 11 o''clock, so I just changed it, and I''ll make it up tomorrow.


    Recent hospital review, very busy, almost every day I get home around 9 o''clock, and it will be posted after the update is completed. It is inevitable that there are some typos.


    At the end of December, when the review is over, it will be easier.


    The updated amount will be mentioned at that time.


    ¡­


    About the content.


    This book is almost 1 million words, and the finished book is expected to be around 3 million words, so the process will be a little faster.


    Here, thank you for your subscription and reward.


    will work hard to update while ensuring quality.


    There are still many stories about doctors in my heart, and I will tell everyone.


    (end of this chapter)

 v2 Chapter 394： Absolute hit!

    Chapter 394 Absolutely popular!


    "Ah? You want to choose Li Yao''s tutor?" Fang Hao was slightly startled.


    Lin Qingping is the third place in the preliminary test!


    With her ability, as long as she can perform stably in the re-examination, she will definitely be admitted to the graduate student of Cao Zhiying or Director Cheng Guowen.


    But now she actually takes the second place and chooses Li Yao tutor?


    This is no longer the next best thing, but the next best thing.


    "Although Li Yao''s mentor''s status and influence are far less than those of Director Cao Zhiying and Director Cheng Guowen, being her student can be valued." Lin Qingping continued, "As long as you can publish two or three SCI papers during graduate school If you want to study for a PhD in the future, you will also have certain advantages.¡±


    Fang Hao frowned slightly and didn''t say much.


    He ranked fifth in the preliminary test. Although Cao Zhiying was a bit risky to apply for the test, he still has a great grasp of becoming a director of Chinese language!


    But after hearing what Lin Qingping said, he hesitated.


    Lin Qingping has a very good relationship with him. They usually go to the study room to study together and help each other occupy seats.


    She certainly wouldn''t lie to herself.


    Is tutor Li Yao really that good?


    Fang Hao was moved again when he thought of Li Yao''s first-year graduate student who published a 7-point SCI paper!


    This is a 7-point SCI paper!


    ¡­


    In the afternoon, the retest continued.


    Lu Chen still helps Li Yao tutor to monitor the performance of each student.


    Seeing them either nervous or talking loudly, Lu Chen thought of himself last year.


    I have also grown from an ignorant student to the current "old fritters".


    The retest is finally over.


    Lu Chen just handed the results of his investigation to tutor Li Yao.


    The final choice of students is still up to Li Yao''s tutor.


    "Okay, all tutors choose their own students." The examiner shouted, "In addition, all candidates should also choose their first-choice tutor and a second-choice tutor!"


    Each examinee must choose two tutors, who will be ranked as the top two.


    "Ren Feng, the number of students applying for Director Cao this year must be the most." Ren Feng, who was beside Cheng Guowenchao, smiled, "You have to take care of Director Cao."


    Ren Feng smiled and said, "Director Cheng, this is not the same. Every year is divided into big and small. Director Cao is absolutely popular. If everyone thinks this way, they will not dare to report, and it will become an unpopular. "


    "Hey, anyway, Director Cao''s influence is here, and there must be a lot of people applying for the exam!" Professor Shi Qinghua, who was on the side, echoed, and after he finished speaking, he glanced at Li Yao.


    Every year before, Cao Zhiying and Cheng Guowen were the absolute favorites, he was the second grade, and Li Yao was the last.


    This year is no accident, it should be the same pattern.


    ¡­


    After ten minutes, all the tutors and students have chosen each other.


    Li Yao sat in the examination room with a calm expression, full of Buddhism.


    Many times, some tutors recruit students based on their economic strength or political background.


    But to be honest, she doesn''t have too many requirements for students'' grades, as long as she is diligent and hardworking, and behaves well, then it will be fine.


    She doesn''t expect anything from these students.


    If there is a student who can achieve something, it will make her feel relieved.


    At present, Lu Chen is the biggest relief in her heart.


    "Next, I will distribute the form for the first round of mutual selection among tutors and students."


    When Li Yao took the thin form from the examiner''s hands, she stared at it, and her expression immediately froze.


    There are a total of 43 candidates in the Cardiology Department, and ten of them chose her!


    Professor Cheng Guowen was the one who chose the second most. Five students chose him.


    There were only four students who chose Director Cao Zhiying!


    There are more than ten other mentors who have divided up the remaining more than 20 places.


    "What''s the situation?" Li Yao''s expression was stunned. "Last year, only one person applied for the exam. Lu Chen and Jiang Qingyan are still here. Why are there ten people this year?"


    Other instructors also saw the form in their hands, and the expressions on their faces were equally wonderful.


    No one would have thought that Li Yao, who had always been at the bottom, jumped up and became an absolute favorite this year!


    "Director Cheng, look at this..." Ren Feng looked at the form in front of him in disbelief. There are only four students applying for Director Cao Zhiying this year? ! Instructor Li Yao here is more than twice as much.


    Director Cheng didn''t speak. He stared at the form in front of him and began to check the scores of the students who applied for Li Yao''s tutor.


    Immediately, his expression became even more strange.


    If it is only a student with lower grades, a student who applied for Li Yao''s tutor, then it can be understood.


    However, among the students who chose Li Yao''s tutor, there are many students in the top three, and most of them are in the forefront.


    Cheng Guowen frowned and began to think about the reason for this change.


    What is the change in Li Yao compared to last year?


    No changes? She was still standing on her one-acre and three-point land, without any movement.


    The only influential person is her student Lu Chen?


    Now Lu Chen is in the Cardiology Department of Jinghua Second Hospital, who wouldn''t know?


    Some of Lu Chen''s past achievements have also become the talk of everyone after dinner.


    In particular, a recent high-quality SCI paper by Lu Chen with a score of 5.


    This shocked the old guys!


    Lu Chen''s opening report, they have all seen it.


    Unexpectedly, Lu Chen was able to complete all the preliminary tasks of this topic in such a short period of time!


    However, all mentors have doubts.


    How important is Li Yao''s role in Lu Chen''s paper?


    Because many tutors, in order to pave the way for students, put a finished paper on the students'' heads.


    After all, the style of Lu Chen''s article really doesn''t look like a novice can do it!


    "Hey, it seems that the students are not stupid!"


    After a while, Cheng Guowen shook his head slightly.


    "What''s wrong?" Ren Feng glanced at Cheng Guowen in surprise.


    "What else? Everyone must have known the current situation of the Second Jinghua Hospital before the re-examination." Cheng Guowen said, "Tell me, who is the most famous in the Cardiology Department of the Second Jinghua Hospital? Not Director Cao. , not me, but Lu Chen!"


    Ren Feng suddenly realized when he heard the words.


    "Everyone knows this, so they''re all coming to mentor Li Yao?"


    "correct!"


    ¡­


    Li Yao also thought of the reason after a brief shock.


    It seems that this student of Lu Chen is really his lucky star.


    Although she doesn''t care much about whether there are students applying for the exam, this is also a time to show face after all.


    There are students who apply for the exam, of course, it is a happy thing!


    She referred to Lu Chen''s opinion, and out of the five students selected, four of them applied for her.


    Including Lin Qingping, Fang Hao and other students.


    Therefore, Li Yao has successfully collected these four candidates, and the remaining candidate will be selected in the second round of selection.


    (end of this chapter)

 v2 Chapter 395： Emergency dialysis!

    Chapter 395 Emergency Dialysis!


    Li Yao has become a popular thing for graduate students to apply for exams, which caused quite a stir in a small area of ??Jinghua Second Academy.


    Of course everyone knows that this is all because of Lu Chen''s sudden emergence.


    Lu Chen also had three more junior sisters and two junior brothers.


    The eight districts in the heart, the director''s office.


    New students, come together.


    "Fang Hao, why are you the same as me, choosing Li Yao as mentor?"


    Before Li Yao''s tutor entered the room, Lin Qingping whispered to the other party.


    "I think you''re right." Fang Hao grinned.


    "Humph." Lin Qingping pouted.


    At this time, Li Yao pushed the door and entered, followed by Lu Chen.


    In the office, it became quiet immediately.


    "Everyone is here, sit down."


    Li Yao sat at the desk and waved everyone on the sofa.


    And Lu Chen was standing beside Li Yao.


    "It is a kind of fate for everyone to choose me and get together." Li Yao looked around at everyone and smiled, "No surprise, in the next three years, everyone will be together, I hope everyone can learn and make progress together. ."


    After ??, Li Yao introduced Lu Chen to everyone.


    "He was your senior brother from the previous session, and some of you may already know him."


    Lu Chen smiled and said to the junior brothers and sisters: "Hello, junior brothers and sisters, one year earlier than you, my name is Lu Chen."


    For a while, the voices of "Hello, Senior Brother" came one after another.


    Lin Qingping was slightly surprised. Wasn''t this the person who was with tutor Li Yao during the interview that day?


    His name is Lu Chen, isn''t he the one who published a 7-point SCI paper?


    I didn''t expect this kind of awesome character to be hiding beside me all the time!


    "In the future, everyone will follow your brother Lu to learn more." Li Yao continued, "Everyone can report to the department one month in advance. Of course, you can come earlier if you want. Later, I will let Lu Chen show you all to familiarize yourself with the department. "


    Lu Chen nodded to Li Yao and said, "Teacher, then I''ll take everyone out."


    "Go."


    Then, Lu Chen walked out of the director''s office with his five junior brothers and sisters.


    The five junior brothers and sisters were all looking at the senior brother in front of him.


    After a few of them passed the qi, they all knew the senior brother in front of him, but he was a famous figure in the Cardiology Department of the Second Hospital of Jinghua!


    out of the office.


    After ?? did not have the serious atmosphere in the office, everyone began to ask Lu Chen some questions.


    "Senior brother, I heard that you won the championship of the National Medical Student Skills Competition last year!"


    "Yes, yes, I also heard that my brother just posted a 7-point SCI paper."


    "Also, did you take part in the electrocardiogram contest?"


    ¡°¡­¡±


    Lu Chen was stunned, these junior brothers and sisters can really do something!


    You can see his details clearly.


    "It''s not a 7-point SCI paper, it''s a 5-point paper." Lu Chen corrected.


    "5 points is also very powerful!" Lin Qingping exclaimed, "Brother, do you usually do experiments in the laboratory with tutor Li Yao? Do we spend more time rotating in the department, or do we spend more time in the laboratory?"


    All the juniors and juniors have little experience. In their eyes, publishing a paper is to do an experiment, and they have to go to the laboratory to complete it.


    "I''ve never been in the laboratory." Lu Chen smiled and shook his head, "I work in the department."


    "Huh?" Lin Qingping was stunned for a moment. After rotating normally, can he still publish high-scoring SCI papers?


    Could it be that, as others have said, the teacher Li Yao gave him the title of his thesis?


    Senior Brother Lu Chen is just showing his appearance, the thesis was actually written by Li Yao''s tutor?


    "Is there any problem?" Lu Chen looked at this cute little junior sister.


    "No..." Lin Qingping whispered, "Senior brother, if you don''t do experiments on your 5-point SCI paper, yes, how did you post it?"


    "You''re asking this." Lu Chen smiled, stopped and faced the crowd, "I''m currently doing clinical research, so I didn''t go to the laboratory. Clinical research is to apply scientific methods to some practical problems in clinical work. method to verify, and then solve.¡±


    "Clinical research?" When everyone heard it, they were a little confused.


    The scientific research Xiaobai is together, this is the effect of listening to the scriptures.


    Lu Chen didn''t explain much, "Everyone will know later."


    However, Lin Qingping still had some doubts in her heart. What does Brother Lu Chen mean, did he rely on him to publish his thesis? Not relying on Li Yao tutor?


    No matter what, they all want to hug Lu Chen''s thigh tightly!


    ¡­


    After Lu Chen and the younger brothers and sisters familiarized themselves with the eight districts in their hearts, everyone proposed to go to Lu Chen for dinner.


    "You invite me to dinner?" Lu Chen shook his head slightly, "Forget it, you don''t have a job, so let''s go, I''ll invite you to eat."


    "Senior brother, don''t you have no salary?" Fang Hao wondered, "We only have 600 yuan from the state subsidy every month."


    Lu Chen smiled and said: "Who said there is no salary? Mentor Li Yao will give some subsidies every month according to everyone''s performance. As far as I know, this is not available in other groups. In addition, there are night shift fees and national scholarships. , stipends, and school-level scholarships, etc., and even for papers, the school will award money!"


    In fact, a true academic leader, as long as he gets various scholarships when he is a graduate student, he will definitely not be short of money.


    The national scholarship alone is a reward of 10,000 yuan.


    When the five junior brothers and sisters heard this, their blood immediately boiled, and their hearts were full of yearning for the life of graduate students.


    However, there are only a few who can win awards. In addition to excellent performance in all aspects, they must also have a good relationship with the leaders.


    Lu Chen won all the scholarships of the year by default because he won the championship of the National Medical Student Skills Competition, and it was the highest level!


    ¡­


    Lu Chen brought a group of people to the "Little Sun" restaurant near the Jinghua Second Hospital.


    ordered a few dishes, and everyone chatted while eating, the atmosphere was very harmonious.


    Lu Chen is also very willing to share his experience.


    Recall that when he first came to the eighth district of the Cardiology Department, it was also because of the help of Senior Sister Sun Guoguo that he was able to quickly adapt to the environment.


    "If you encounter any problems, you can come to me." Lu Chen smiled.


    The five junior brothers and sisters'' goodwill towards Lu Chen suddenly increased a lot.


    "Congratulations, +1 for receiving thanks from Lin Qingping!"


    "Congratulations, +1 for receiving thanks from Fang Hao!"


    Lu Chen didn''t expect that just like this, he could collect a few points of gratitude from his junior brother and junior sister.


    Just then, Lu Chen suddenly received a call.


    He took out his mobile phone and saw that he was a teacher in the Department of Nephrology, Deputy Chief Doctor Wang Jun.


    Lu Chen is currently working in the Department of Nephrology.


    "Mr. Wang, what''s the matter?" Lu Chen answered the phone immediately.


    Wang Jun''s voice came from the phone immediately.


    "Lu Chen, I have several patients here, and there is a patient in his twenties who needs emergency dialysis. He is a little too busy."


    "Do you have time now? Can you go back to the department to help?"


    Lu Chen is on vacation today and happens to be out of the department.


    Hearing Wang Jun''s words, Lu Chen immediately stood up: "I just finished lunch, nothing to do, Mr. Wang, I''ll be right over."


    "Ok, I will wait for you."


    hung up the phone, and Lu Chen said apologetically to everyone: "I''m sorry, junior brothers and sisters, I still have something to do now, you eat first, I have already settled the bill."


    "Senior brother, leave us alone, go get busy." Everyone said in succession.


    Lu Chen smiled, walked out of the restaurant, and immediately walked towards the inpatient department of the Nephrology Department.


    ¡­


    "Did you hear the call from Senior Brother?"


    After Lu Chen left, Lin Qingping said to everyone.


    "It seems to be a dialysis patient, want to help? For dialysis, it should be a nephrology department, right?" Fang Hao hesitated.


    "Well, yes." Lin Qingping nodded and looked at some of her classmates beside her, "Are you guys going to have something to do later? Would you like to go to the Nephrology Department together later?"


    When everyone heard the words, they all nodded.


    Anyway, everyone is fine, and they all want to see Brother Lu Chen''s work in the Nephrology Department.


    (end of this chapter)

 v2 Chapter 396： Bleeding!

    Chapter 396 Bleeding Spot!


    Lu Chen quickly returned to the Nephrology Department.


    ran into the duty room, put on a white coat, took the stethoscope, and came to the doctor''s office.


    "Lu Chen, you''re here." Wang Jun was communicating with a patient''s family about his condition. He seemed to be a patient with a very urgent condition, and his expression was very solemn.


    "Mr. Wang." Lu Chen nodded slightly, walked quickly to his side, and then looked around, the doctors in the nephrology department were very busy, "Where are the patients who need emergency dialysis you said on the phone?"


    Wang Jun immediately took out a medical record, "The patient who needs emergency dialysis is in bed 3, and Noble is communicating with the patient. You go and have a look, I''ll take a look later."


    "Okay." Lu Chen took the medical record and opened it.


    Good guy, creatinine is 1249umol/L!


    This creatinine value has long reached the standard of dialysis.


    "Lu Chen, you and Gao Shang help the patient intubate first. I''ll come over immediately after I''ve dealt with the patient at hand." Wang Jun has a lot of things at hand, and it''s too late to deal with this emergency dialysis patient.


    "Okay, Teacher Wang." Lu Chen nodded.


    Noble is the attending doctor in the group, and his qualifications are relatively old. Lu Chen usually follows him.


    ¡­


    Came to bed 3 with medical records.


    Lu Chen didn''t see the patient. After asking the nurse, he learned that the patient had been pushed to the operating room, ready to be intubated for emergency dialysis.


    Lu Chen hurried to the operating room again, and saw Noble who was playing with an ultrasound machine.


    "Teacher Gao." Lu Chen whispered.


    Noble raised his head slightly and was stunned for a moment, "Lu Chen, aren''t you resting today? Why did you come here?"


    "Mr. Wang called me." Lu Chen said, "He said Corey was busy and asked me to come and help."


    "Hey, I think you were on the night shift last night and wanted you to have a good rest." Noble said, "Okay, since you''re here, please help. This patient will be put on a temporary tube for dialysis."


    Lu Chen nodded and started putting on gloves.


    He had seen the medical records before.


    The patient in front of me is very young, a male, only about thirty years old.


    It is relatively rare for such a young patient to suffer from renal failure and require dialysis treatment.


    Most kidney diseases may eventually lead to kidney failure, advanced kidney failure, which is what we often call uremia.


    When kidney function disappears, normal body functions cannot be maintained, and toxins in the body cannot be eliminated.


    Over time, toxins will accumulate in various organs of the body until systemic organ failure!


    "Teacher Gao, is this acute?" Lu Chen frowned.


    Renal failure can be divided into acute renal failure and chronic renal failure.


    Acute renal failure may be renal failure caused by sudden acute factors, such as drugs and food poisoning.


    Chronic renal failure, a chronic factor that causes persistent damage, or acute renal failure that is not cured and becomes chronic renal failure.


    "Well, at the moment we consider it to be acute renal failure." Noble said, "The blood routine was urgently checked, and there was no anemia."


    Generally, patients with chronic renal failure basically have chronic anemia, which is renal anemia.


    "Then what is the cause of renal failure?" Lu Chen asked again.


    "I haven''t found it yet, the patient has no history of exposure to any nephrotoxic substances." Gao Shang shook his head, "But I asked carefully, and the most likely thing at present is... milk tea."


    "Milk tea?" Lu Chen said in shock, "Acute renal failure caused by milk tea?"


    "Yes." Noble nodded slightly, "All medical history has been asked. The only difference between the patient and before is that he drank a cup of milk tea last night."


    Lu Chen: "..."


    He also drank a cup of milk tea last night...


    Looking at the patient on the operating table, Lu Chen mourned for him for a few seconds.


    No matter what the cause is later found out, at least for now, he can''t get rid of the title of "milk tea causes kidney failure".


    "Lu Chen, start cooperating with my acute dialysis intubation!" Gao Shang has used an ultrasound machine to examine the patient''s neck blood vessels.


    The only cure for uremia is dialysis.


    Dialysis, the principle is very simple!


    In fact, it is to draw the blood from the human body. Since the detoxification function of the kidneys is gone, it will be processed by the machine in the body to artificially filter out the toxins, and then the blood will be returned to the human body.


    If the kidney function of the human body can be restored, after several dialysis sessions, dialysis can be stopped.


    If most of the kidney function has been damaged, dialysis will be required for life, about two to three times a week, depending on the specific condition of the patient.


    Therefore, the first step of dialysis is to draw out the patient''s blood through vascular access.


    Where does ?? come from, the most common ones are the veins in the neck (jugular vein), and the femoral vein.


    The jugular vein is generally used in nephrology.


    So in the hospital, I saw a tube inserted in someone''s neck, which is the access catheter used for hemodialysis.


    After coming to the Nephrology Department, Lu Chen served as an assistant many times, helping Gao Shang or Wang Jun to intubate the jugular vein.


    Because this kind of operation is very risky, so far, Lu Chen has not done it alone.


    However, in the virtual operating room of the system, Lu Chen has already trained the skill of dialysis intubation very proficiently.


    ¡­


    "I started." Noble experience is also very rich, very quickly found the jugular vein!


    After the needle is sucked back, there is dark red blood, which proves that it is venous blood.


    "Don''t be nervous, we have found the blood vessel." Noble reminded the patient.


    This kind of puncture operation is all under local anesthesia, and the patient himself is conscious.


    "If you feel any discomfort, just raise your hand and don''t speak!"


    about five minutes later.


    With the help of Lu Chen, Gao Shang successfully completed the cannulation of the jugular vein.


    A catheter, inserted directly into the patient''s jugular vein!


    Through this catheter, the dialysis machine can draw the patient''s blood.


    "I started sewing." Noble said.


    The catheter needs to be fastened to the neck, so two stitches are required.


    But at this moment, Lu Chen suddenly noticed that the place where the patient inserted the catheter began to seep blood continuously!


    The amount is not much, but after wiping it with the hemostatic step, the bleeding is still there.


    "Teacher Gao, look here!" Lu Chen stopped Gao Shang who was about to sew.


    Gao Shangke was also a senior doctor in charge, he immediately understood and looked in the direction Lu Chen pointed.


    Sure enough, there really is a hidden bleeding spot!


    This bleeding point is oozing blood constantly.


    What nephrologists fear most is mistakes during intubation.


    For example, when puncturing, the vein is pierced into an artery.


    Or it''s bleeding!


    "Oops!"


    Noble frowned, he immediately stopped his stitches and started looking for the location of this bleeding point.


    (end of this chapter)

 v2 Chapter 397： Put on shoes for Lu Chen

    Chapter 397 Putting Lu Chen on Small Shoes


    If the bleeding point is not found, even if the amount of bleeding is small, it will be troublesome!


    The situation that Lu Chen and Gao Shang are facing is that the amount of bleeding is getting bigger and bigger!


    Even more visible to the naked eye!


    Noble is trying hard to find the bleeding point, trying to press in various places, trying to stop the patient''s bleeding!


    Lu Chen frowned.


    Under normal circumstances, this possibility will definitely not occur.


    The only explanation at present is that other small blood vessels are injured.


    But now the blood vessels are too small, and Noble couldn''t find it for a while.


    Hemostatic step dyed one piece and another piece.


    Gao Shang''s expression became more and more nervous, "Lu Chen, hurry up and call Director Wang over here!"


    Lu Chen said solemnly, "I asked the nurse to call."


    Lu Chen kept observing the patient''s neck intubation position while he was talking.


    He cooperated with Noble, trying to hold down the hemostatic point.


    However, still nothing useful!


    ¡­


    For a while, there was even some riots in the operation room.


    Lu Chen tried his best to calm himself down. He had never encountered such bleeding in the system simulation room.


    "That''s right!" Lu Chen''s eyes suddenly lit up, he changed a new glove, and then peeled off the catheter that the patient was puncturing.


    On the back of the catheter, Lu Chen seemed to be able to see a blood oozing spot!


    "Here!" Lu Chen''s face was overjoyed. After pressing down on the bleeding point, the bleeding stopped instantly!


    Noble next to him, saw Lu Chen''s actions, he was stunned for a moment, then he looked happy, and found it!


    At this time, Lu Chen had already found a needle and thread.


    He needs to stitch the bleeding point.


    One stitch, this bleeding point will stop bleeding!


    Immediate effect.


    "Lu Chen, you are amazing!" Gao Shang couldn''t help giving Lu Chen a thumbs up.


    The bleeding spot is not big, but if it continues to develop, it will be bad.


    Lu Chen smiled and said, "Mr. Gao, I sewed a stitch, and I leave the rest to you."


    "Okay." Gao Shang nodded slightly, and then said, "Lu Chen, I think you have the talent to be a good nephrologist, have you considered changing your major?"


    Lu Chen quickly waved his hand and smiled: "Mr. Gao, I want to turn around, but I don''t have a teacher to take it in."


    Noble smiled and said, "How come, as long as you agree, I will ask Director Wang..."


    "Oops, stop."


    After ?? finished speaking, both of them smiled and stopped talking about it.


    ¡­


    After this episode, this patient who "drinked milk tea to cause kidney failure" was successfully placed in a temporary hemodialysis tube.


    Next, the dialysis machine is used by the patient.


    The blood is drawn, the toxins are dialyzed out, and then the blood is put back into the body.


    After several dialysis sessions, as long as the patient''s kidney function has recovered, dialysis is not needed in the future.


    After cleaning up the patient, Lu Chen breathed a sigh of relief.


    "Congratulations, +1 for receiving thanks from Ding Li!"


    "Congratulations, +1 for receiving thanks from Noble!"


    By the way, he took a few points of thanks, and Lu Chen was about to leave the Nephrology Department.


    At the entrance of the Nephrology Department, Lu Chen actually met his five junior brothers and sisters.


    "You are..."


    Lin Qingping smiled: "Senior brother, we just saw that you were in such a hurry, and we didn''t have anything else to do, so we thought about coming to see you."


    Actually, the scene in the operation room just now was seen by several younger brothers and sisters.


    None of them thought of it!


    My brother is not only good at scientific research, but also not weak in clinical skills.


    When the attending doctor was at a loss, Senior Brother Lu Chen took the lead in breaking the situation, and finally successfully completed the catheterization.


    "By the way, why didn''t I think of it!" Lin Qingping thought that Lu Chen was once the champion of the National Medical Skills Competition.


    This clinical skill, Lu Chen must be second to none.


    Inadvertently, he showed a hand in front of his junior brother and junior sister, and Lu Chen indirectly improved his status among junior junior and junior sisters.


    "Brother, do you still have any clinical research projects?"


    Lin Qingping is more likely to come, and directly asked Lu Chen.


    "What''s wrong?" Lu Chen smiled.


    Looking at his younger brother and younger sister, he seemed to think of himself, and he was so passionate about work and study before.


    "Senior brother, I, I want to follow you in advance." Lin Qingping whispered, "So I want to ask if there are any good projects."


    "That''s it, don''t say it, it really exists!" Lu Chen laughed.


    For his opening topic, he simply made dozens of samples and issued a 5-point SCI paper.


    According to Li Yao''s instructor, as long as the sample size of Lu Chen''s open topic is sufficient, he can definitely continue to publish high-quality papers.


    However, as the sample size increases, the manpower required also increases.


    These five junior brothers and sisters in front of you, aren''t they the existing resources?


    "Well, you all go home and have a good rest first." Lu Chen said, "I''ll give you the clinical research after returning to school in August."


    Seeing Lu Chen say this, everyone gave up.


    After ?? greeted Lu Chen, the junior brothers and sisters left.


    ¡­


    Time passed slowly.


    Lu Chen left the Department of Nephrology again and came to the Department of Respiratory Medicine for rotation.


    The time is also August, and the five junior brothers and junior sisters have all come to Jinghua Second Hospital.


    But Lu Chen was not in the eight districts in his heart, so he simply had a meal with everyone.


    When ?? was about to leave, Lin Qingping asked about the clinical experiment again.


    "Senior brother, you can talk about it this time." Lin Qingping asked with a smile. After getting along with Lu Chen for a long time, they also knew that this senior brother was gentle and unassuming.


    Lu Chen smiled and said, "Okay, then I''ll tell you."


    He simply told everyone about the experimental project he was doing in front of him.


    This is different from the previous experiment where Ke Yue helped.


    Although it is the same topic, the sample size is not large, and many things involved are different.


    In the past few months, in addition to practicing electrophysiological interventional surgery, Lu Chen has been studying his own clinical trials more.


    Lu Chen listened to Li Yao''s advice and decided to be a big one!


    Do a multi-center, multi-sample study that can even change clinical guidelines!


    In other words, in addition to the Jinghua Second Hospital, Lu Chen is also planning to conduct the same research in other Jinghua hospitals.


    This requires a lot of manpower and material resources.


    At this time, having these five junior brothers and sisters is also a great help.


    ¡­


    is approaching September.


    The biennial Huaxia Electrophysiology Training Course is about to start.


    As a major event in the field of electrophysiology, it has attracted everyone''s attention.


    This electrophysiology training course has delivered a large number of talents to the electrophysiology field in China.


    As long as you can successfully graduate from the electrophysiology training course, you will be the target of countless top hospitals in China!


    Before setting off, Lu Chen was stumped by something!


    That is, his leave application was not approved!


    This makes Lu Chen disgusting!


    The reason given by the academy is that one month is too much time, and it is recommended that students take a break from school for a period of time!


    Lu Chen thought of the vice president he had rejected earlier.


    Unexpectedly, after being silent for so long, he came out to put on his own shoes again!


    (end of this chapter)

 v2 Chapter 398： Certificate of Completion

    Chapter 398 Certificate of Completion


    "A month off, need to take a break from school?"


    In the office, Li Yao''s face was frosty, this vice president began to use his authority to manipulate these things?


    Lu Chen said nothing.


    To tell the truth, for him now, studying in the Second Academy of Jinghua is just a diploma.


    Even if he dropped out, he believed that he would definitely get into a better school.


    He was not afraid of this threat at all, but was disgusted by Vice President Chen Tairan''s behavior.


    "Lu Chen, you have to go to the training class of Jinghua Electrophysiology College this time!" Li Yao looked up at Lu Chen, "You set off on time the day after tomorrow, and you don''t have to worry about the rest."


    "Teacher, will it embarrass you?" Lu Chen glanced at Li Yao.


    "Don''t worry." Li Yao shook her head slightly, "With me here, no one else can bully you."


    "Thank you, Teacher Li." Lu Chen said gratefully.


    It feels good to have such a teacher.


    Lu Chen also knows that Li Yao''s background is only the tip of the iceberg.


    "Before you leave, assign clinical research tasks to the freshmen of this class." Li Yao said again, "I asked Ke Yue to take them to continue."


    "Well, okay, Ke Yue is basically able to do it now. It''s easier for her to take it with her." Lu Chen nodded.


    The current clinical research projects are actually increasing the sample size.


    Then let all the juniors and juniors contact the researchers of the Jinghua Foreign Academy to complete this multi-center experiment together.


    "This clinical study may last for a long time." Li Yao said, "It will take at least two years."


    From patient enrollment, comparison and follow-up, to final data processing, Li Yao maintains an estimate that it will take two years.


    In fact, this is also the norm in clinical research.


    A convincing clinical study requires a long-term observation of the patient''s state, so that the experiment will be convincing.


    "Teacher, I''m ready to fight a protracted battle." Lu Chen nodded slightly.


    Currently, the most mainstream medical guidelines in the medical field are basically controlled by foreign countries.


    They made so much effort not only to publish a 5 or 10-point SCI paper, but to look forward to Huaxia''s research paper, which can change medical treatment standards and clinical guidelines.


    ¡­


    After coming out of Li Yao''s office, Lu Chen breathed a sigh of relief.


    Although he was not afraid of Vice President Chen Tairan, it would be easier if he could do something less.


    Back in the bedroom, he started packing his luggage for Kyoto.


    This should be his third trip to Kyoto.


    The first time was a re-examination, the second time was a competition, and this time I went to an electrophysiology training class.


    After finishing his luggage, Lu Chen entered the system space with a thought.


    After more than half a year of accumulation, Lu Chen''s system upgrade completion rate has reached 78%.


    In addition, he also spent "a huge amount of money" to exchange for intermediate electrophysiological intervention and advanced electrophysiological intervention skill cards.


    At present, Lu Chen''s total thanks points are still around 1,300 points.


    However, although he trains in the virtual space of the system every day, Lu Chen has never actually performed surgery alone. Usually, he is an assistant.


    First, he does not yet have a certificate in electrophysiological intervention.


    Second, he is currently only a resident physician and is not eligible to perform this level of surgery independently.


    For the next trip to Kyoto Electrophysiology Institute, if he can get the electrophysiology intervention certificate, then Lu Chen can actually start the operation!


    ¡­


    Two days later, Lu Chen said goodbye to his roommate and mentor and set off on a trip to Kyoto.


    Came to Kyoto again, Lu Chen''s whole mentality has changed.


    The first time he came, he was a retest student.


    The second time, he came to take the exam.


    This time, as the winner of the National Electrophysiology Competition, he came to participate in the biennial electrophysiology training course.


    After getting off the plane, Lu Chen drove directly to the vicinity of Kyoto University School of Medicine.


    The organizer will arrange a four-star hotel for everyone, the Ping An Hotel.


    Lu Chen came to Ping''an Hotel.


    The decoration of the hotel is very atmospheric, and all kinds of facilities are complete.


    Lu Chen showed his ID at the front desk.


    "Hello, I''m here to attend the electrophysiology training class."


    The staff at the front desk of the hotel was slightly taken aback.


    so young?


    The people who come today are mostly middle-aged people in their thirties and forties.


    This is the first time she has seen such a young person, she should be less than thirty years old!


    "Oh, wait a moment, I''ll check the information." The staff member took Lu Chen''s certificate, "Lu Chen, Jinghua Second Hospital, 24 years old this year?"


    Lu Chen nodded, "That''s right."


    The staff confirmed several times, and the information on the computer did show "24 years old".


    "Okay, this is your room card 307, turn right after entering the door on the third floor." The staff put away their surprise, "During the training period in Kyoto, you can stay here all the time, and breakfast is served in the restaurant on the first floor every morning. ."


    "Okay, thank you." Lu Chen smiled, this time the organizer still paid for it.


    As far as he knows, there are about twenty people participating in the training class.


    Near Kyoto University, in such a place where every inch of land is so expensive, it is still a four-star hotel for ten days and a half months, so it should cost a lot!


    Came to the room, Lu Chen put down his suitcase and tidied up his room a little.


    After all, he is going to live here for at least a month.


    Toothbrushes, towels, slippers, all bring your own.


    As soon as the room was cleaned up, Lu Chen received a call from Min Xiaobo.


    "Lu Chen, are you here?"


    "Just arrived."


    "which room?"


    "307."


    "it is good."


    After ??, Min Xiaobo hung up the phone.


    A minute later, Lu Chen heard a knock on the door.


    Opening the door, it was Min Xiaobo.


    "Lu Chen, why are you here so late?" Min Xiaobo walked into the room and smiled, "I''ve been here for two days."


    "Hey, Brother Bo, stop talking." Lu Chen shook his head helplessly, "The hospital didn''t approve my leave, so it took a few days."


    Lu Chen originally planned to come to Kyoto with Min Xiaobo, but after Chen Tairan refused to approve the leave, he was delayed.


    "Huh? Your hospital still doesn''t approve leave?" Min Xiaobo was stunned. Don''t they know the importance of this training class?


    If a hospital can have one place to participate, it is all burning incense.


    "Your leader''s brain was kicked by a donkey?"


    Lu Chen smiled helplessly, "I had some festivals with the leaders before. I can''t help it. I''m just a student now. In the eyes of the leaders, isn''t it just a piece of meat to be slaughtered by others?"


    "I still have some connections in the Second Hospital, do you want me to talk to you?" Min Xiaobo said.


    "Forget it." Lu Chen shook his head, "My tutor helped me get it done, let''s not talk about this. By the way, do you know something about this training class?"


    Although Lu Chen has inquired about related things online, they are all ambiguous.


    Those who really know about the training class will not surf the Internet.


    "Hehe, you are asking the right person." Min Xiaobo smiled, "I had a senior brother who attended the training class before."


    "This training class is divided into three stages. The first stage, which lasts for one month, is regarded as a collective training stage. After one month, the assessment will be conducted, and those who pass can participate in the next stage of training. The second stage is two months. Training and assessment for individuals. But as for the third stage, I don¡¯t know much about it.¡±


    "In this training class, as long as you pass the first stage, you can get the intervention certificate issued by Huaxia Electrophysiology."


    Lu Chen was taken aback for a moment, "After passing the first stage, can an intervention certificate be issued?"


    "Yes!" Min Xiaobo nodded, "But the intervention certificate, even if you don''t get it this time, you can go to the provincial training class to get it in the future. The most important certificate this time is the completion certificate! You need to pass the second stage. You can get it only by examining it.¡±


    Lu Chen nodded slightly. He had also heard about the greatness of the certificate of completion of the Jinghua Electrophysiology Training Course.


    With this certificate of completion, you can basically enter the cardiology department of any top tertiary hospital in the country.


    "But after passing the second stage, a certificate of completion will be issued. What about passing the third stage?" Lu Chen suddenly asked a question.


    (end of this chapter)

 v2 Chapter 399： The rapid progress of Lu Chen

    Chapter 399 Lu Chen, who has made rapid progress


    "Pass the third stage?" Min Xiaobo was stunned for a moment, then shook his head with a smile, "I don''t know that, but as far as I know, since the opening of the Kyoto electrophysiology training class, the number of people who have passed the third stage is less than 100. ."


    "Less than a hundred people?" Lu Chen was stunned.


    "Yes!" Min Xiaobo nodded slightly, "Almost all those who can pass the third stage have become well-known figures in the field of electrophysiology in China, such as the familiar Professor Ouyang Ming, Professor Yang Feng of Kyoto University School of Medicine, and so on. So our main goal is to pass the second stage."


    Lu Chen nodded.


    It seems that this Jinghua electrophysiology training class is not only a training class, but also plays a screening role.


    The difficulty is not small, but the more difficult the challenge is, the more passionate and fighting Lu Chen is.


    In the case of strength, it becomes stronger, and it can stimulate people''s potential even more.


    "Anyway, my goal is to pass the second-stage assessment!" Min Xiaobo laughed.


    "Well, let''s work hard together, Brother Bo." Lu Chen smiled.


    ¡­


    On the first day of coming to Kyoto, Lu Chen strolled around and familiarized himself with the environment next to the Kyoto University School of Medicine.


    This Kyoto University training class was set up inside the Kyoto University School of Medicine.


    the next day.


    Lu Chen got up early in the morning and had breakfast at the restaurant on the first floor.


    During ??, he met Min Xiaobo and some other training class personnel.


    "Brother Bo, are all the places for this training class selected from the electrophysiology competition?" Lu Chen was a little puzzled. He didn''t have any impression of some people living in the hotel. seen them.


    Min Xiaobo looked around, and then whispered: "Originally, all the places were selected from the electrophysiology competition, but the training class places involve too many people''s interests, so some places are directly selected by major universities. of."


    "Direct selection?" Lu Chen frowned, "Why doesn''t the Jinghua Second Academy have such a quota?"


    "Hehe, the Second Hospital of Jinghua is not qualified yet." Min Xiaobo smiled and said, "Hospitals whose comprehensive strength is at least in the top 10 in China are eligible to be nominated."


    "In other words, there are more than twenty people in the training class?" Lu Chen was taken aback.


    There are more than 20 people who participated in the electrophysiology conference alone.


    In addition to those directly elected by major hospitals, the total number may be around thirty or forty.


    "Yes." Min Xiaobo nodded, "I heard that there are about forty people in total."


    There are so many people!


    Lu Chen looked around and saw that quite a few of the people eating in the restaurant were also members of the training class.


    After breakfast, Lu Chen and Min Xiaobo came to Kyoto University School of Medicine.


    The address of the ?? training class is in a multimedia classroom in the teaching building of the Faculty of Medicine.


    ¡­


    Come to the downstairs of the teaching building.


    Lu Chen saw a big billboard erected at the door - Huaxia Electrophysiology Training Class.


    There is also a reporting office at the entrance.


    There were already many people around the reporting office, and Lu Chen also saw a few acquaintances.


    The first place in the electrophysiology competition is Yu Hewei, the second place is Yuan Nianfang, and several other people who have met at the electrophysiology conference.


    Lu Chen also came to the reporting office with his credentials.


    After reviewing the information, the staff of the ?? report office gave Lu Chen a badge.


    Lu Chen picked it up and took a look. It said "Members of the 15th Electrophysiology Training Course".


    Counting this year, it should be the 15th electrophysiology training class.


    Then, Lu Chen and Min Xiaobo walked into the teaching building together and came to the multimedia classroom.


    There were about thirty people sitting in the classroom.


    Some people noticed Lu Chen''s arrival, and they all cast suspicious eyes.


    Such a young training class member?


    The eldest of them all were forty-five years old, and most of them were between thirty-five and forty years old.


    This is the most energetic and golden age for a doctor.


    Forward, inexperience; backward, physical strength decline.


    But, Lu Chen in front of him looks like he is only about twenty-five years old, right? !


    The people below ?? were talking a lot.


    However, some of those present have participated in this year''s electrophysiology competition.


    They understood Lu Chen''s details better.


    "Lao Yu, is this the dark horse of your ECG competition?"


    A middle-aged man with gold-rimmed glasses confronts Yu Heweidao beside him.


    "Why, Zhou Zhenglin, you still don''t believe it?" Yu Hewei glanced at the man beside him with a cold face. This man was directly elected through leadership relationships. Although he has some achievements in the field of electrophysiology, if he is invited to participate in the electrophysiology field In the physiology competition, most of them can''t get a place to participate in the training class.


    "Whoops, whoops." Zhou Zhenglin deliberately raised his voice, "It''s not that I don''t believe it, it''s just that this age is... I guess you haven''t graduated yet?"


    Yu Hewei frowned, looked at Zhou Zhenglin, and stopped talking.


    Zhou Zhenglin felt bored, shrugged his shoulders, and closed his mouth.


    ¡­


    Lu Chen and Min Xiaobo found two free spots.


    After sitting down, we waited for about ten minutes, and all the members of the training class arrived.


    Suddenly, four people entered the classroom.


    Lu Chen had met two of them.


    They are Professor Yang Feng from Kyoto University School of Medicine, and Professor Ou Yangming, who is familiar with him.


    The classroom fell silent immediately.


    "Welcome to the 15th Electrophysiology Training Course!" Yang Feng stood on the podium and looked around the crowd.


    He made a brief opening speech and introduced the situation of the training class to everyone.


    There are a total of forty-two members, half of whom were selected through electrophysiology competitions, and the other half were selected by major hospitals.


    "All of you here are those who really study electrophysiological intervention technology. I hope you can learn and make progress together during the training class!"


    After Yang Feng finished speaking, the training class officially started!


    However, what everyone did not expect is that the "first lesson" of the training class is not a training class, but an assessment!


    Everyone was stunned when they heard it.


    "Isn''t the assessment a month later?" Min Xiaobo muttered to himself.


    After ?? Yang Feng explained, everyone knew that the assessment on the first day was a thorough assessment of electrophysiological interventional technology.


    The interventional surgery ability of all people will be comprehensively scored.


    "At the same time, we will adopt the last elimination system, weekly assessment, the last five in the comprehensive score, and those who do not reach the passing line will be eliminated directly!"


    When this rule came out, everyone was shocked.


    The previous monthly assessment has become the current weekly assessment.


    According to the rules, eliminate at least five people every week!


    After the first phase of the first month, a maximum of half of the training class members remain.


    ¡­


    After announcing the assessment rules, everyone came to the simulated operating room of the medical school.


    There are a total of five simulated operating rooms, all of which are equipped with world-class equipment and equipment.


    This is the first time that Lu Chen has seen so many simulated operating rooms.


    This configuration is quite luxurious!


    You must know that there is only one simulated operating room in the entire Jinghua Second Hospital.


    start testing!


    Every five people perform the same surgical operation, and then the examiner will give everyone a score.


    Lu Chen was in the third round of assessment. Looking at the unfamiliar and somewhat familiar operating room, he took a deep breath, concentrated and started the operation.


    Even if it was a simulated surgical operation, Lu Chen was very energetic.


    Only when you are careful in your usual training, you will reduce the number of mistakes in real operations in the future.


    After two hours, everyone''s simulated scores came out.


    "First place, Yu Hewei, 99 points!"


    "Second place, Liu Sijia, 98 points!"


    "Third place, Lu Chen, 97 points!"


    ¡­


    "8th place, Min Xiaobo, 90 points!"


    After the results of the mock assessment came out, the expressions of everyone present were wonderful.


    Lu Chen is actually the third place? !


    Such a result was unexpected for everyone, including Professor Ouyang Ming, Min Xiaobo and others.


    They were really optimistic about Lu Chen, but they didn''t expect Lu Chen to rush to the third place!


    Last year''s Lu Chen, although his intervention operations were also very skilled, he was far from being as easy as he is now!


    In the past six months, why has Lu Chen''s electrophysiological interventional surgery technology improved so quickly?


    (end of this chapter)

 v2 Chapter 400： Yu Heweis win

    Chapter 400 Yu Hewei''s Winning


    A first-year graduate student rotates in the department every day. Where can I find time to practice electrophysiological interventional surgery?


    "Lu Chen, don''t you stay in the operating room all the time?" Min Xiaobo whispered.


    He looked back at Lu Chen with disbelief in his eyes.


    Unless he was in surgery all day, he couldn''t figure out the reason for Lu Chen''s rapid progress.


    Lu Chen smiled, "Well, I''ll go when I have time."


    He did not deny, nor affirm.


    For ordinary people, it takes at least three to five years to become familiar with electrophysiological interventional surgery.


    But for Lu Chen, in just half a year, his proficiency in surgery has risen a notch.


    Min Xiaobo saw this and stopped asking.


    He always thought he was a genius. He went abroad to study at a young age, and he returned from his studies with a hint of arrogance.


    But now, compared to Lu Chen, it''s nothing but nothing.


    ¡­


    on stage.


    Ou Yangming''s expression was also slightly surprised.


    Lu Chen''s electrophysiological intervention ability, he knows.


    In last year''s ECG competition, Lu Chen''s interventional surgery ability amazed everyone.


    But far from the level of proficiency it is today.


    "I still underestimate Lu Chen!" Ouyang thought to himself.


    On the side, Professor Yang Feng was quite astonished. As the director of the Cardiology Department of the First Affiliated Hospital of Kyoto University, he had seen many medical geniuses.


    But most of them are scientific geniuses.


    Many people can write papers and do experiments.


    It was the first time he had encountered someone like Lu Chen, who was so young and had such high surgical proficiency.


    He hadn''t been to the ECG contest a year ago.


    If he knew Lu Chen''s level a year ago and compared it with now, he might be even more surprised!


    However, before he came to the training class, Jia Bo, the hospital in his department, seemed to remind him that this student had applied for his graduate degree.


    "Is that the student who has read a lot of papers?"


    Professor Yang Feng is usually very busy. For his graduate students, Jia Bo takes them with him. Even if they meet them on the road, they may not know them.


    But Lu Chen left a deep impression on him.


    Because Lu Chen once sorted out all his main papers during the interview with his supervisor and retold them to him.


    Although Yang Feng, who was in the mentor interview arena, was already a little moved, he wanted to admit Lu Chen.


    But every one of his places has been pre-determined.


    In addition to the Master''s degree there are places, the others are full.


    Because he asked Jia Bo to take the initiative to talk to Lu Chen, and wanted to accept him as a master student.


    Unexpectedly, Lu Chen rejected it!


    You must know that the Master''s degree from Kyoto University is also very popular.


    "Professor Ouyang, I heard that you are very familiar with this guy named Lu Chendao?" Yang Feng looked back at Ouyang Ming.


    "Haha, I''m not particularly familiar with it." Ou Yangming was taken aback, "I went to Jinghua once, I met you once."


    "That''s good." Yang Feng nodded slightly, "Don''t rob me at that time!"


    ¡­


    When the total score came out, Lu Chen was not satisfied.


    He trains in the virtual space of the system almost every day, and he also redeemed the advanced skill card for electrophysiological interventional surgery.


    After more than half a year of hard work, it is still a bit unfamiliar or unfamiliar.


    In addition, this is just an operation and does not represent all the abilities of the surgeon.


    Electrophysiological interventional surgery, there are many categories.


    Some people are good at ablation, some are good at pacing.


    Everyone is familiar with the field is not the same.


    "Still continue to work hard!" Lu Chen thought.


    With the help of the system, Lu Chen not only compared with the doctors around him, but also wanted to break through his potential.


    In the current system panel, his proficiency in electrophysiological interventional surgery is only 74%!


    If you want to improve further, you may need to conduct actual combat drills.


    ¡­


    After the morning''s thorough examination, the whole training class gradually got to know each other.


    Lu Chen''s excellent performance also won everyone''s appreciation.


    Next, we still have a long time to get along, get to know each other and expand our network.


    "Lu Chen, you are really good!" Yu Hewei took the initiative to find Lu Chen.


    This surprised Lu Chen!


    I remember that during the electrophysiology competition, Yu Hewei was very cold, and it was impossible to imagine that he actually took the initiative to find someone to chat with.


    "By the way, are you interested in coming to Kyoto for development in the future?" Yu Hewei said again, "If you want to come to Kyoto for development, I will help you and recommend it to Professor Jia Bo and Professor Yang Feng."


    "Thank you Brother Yu." Lu Chen smiled, "If I want to come to Kyoto, I will definitely come to you."


    It is foreseeable that Yu Hewei will definitely be a leader in the field of electrophysiology in China in the future.


    Having a good relationship with him will definitely be of great benefit to his own path.


    Not only Lu Chen had this idea, other people also had the same idea when they looked at Lu Chen.


    Lu Chen is so young, he can already complete this level of electrophysiological surgery.


    Is it worth it after that? !


    Everyone also wanted to have a good relationship with Lu Chen, and for a while, except for a few stubborn ones, everyone in the training class "had their own ghosts"!


    ¡­


    Jinghua Second Hospital.


    In the office of the vice president.


    Li Yao met this Vice President Chen Tairan.


    "Dean Chen, my student wants to take a vacation, you won''t approve it?" Li Yao stared at Chen Tairan closely.


    A vice president who doesn''t have much real power, Li Yao really doesn''t take it seriously.


    "Oh, this must be a misunderstanding!" Chen Tairan smiled, "Director Li, you know me too, and usually don''t take such things to heart."


    Li Yao frowned slightly, why did Chen Tairan change his temper all of a sudden.


    She didn''t even start a "fight"?


    The enemy is now starting to disarm?


    "Director Li, this is not just a week''s leave, I will definitely approve."


    After ??, Chen Tairan picked up the pen and began to write his name on the leave slip on the stage.


    "Ah...this?" Li Yao still didn''t understand, and then said, "President Chen, I''m asking for a month''s leave, not a week!"


    Chen Tairan smiled, "Director Li, you may not know about the Kyoto training class, the previous monthly test has been changed to a weekly test!"


    Weekly exam...how did it change to weekly exam?


    Li Yao was slightly taken aback.


    Then Chen Tairan smiled, "A week off, I''m sure!"


    From what he saw, Lu Chen definitely couldn''t break through the weekly exams like clouds of experts.


    This is a training class for a group of senior principals and deputy directors!


    This time is not like the electrophysiology competition, where core electrogram knowledge is also tested. This time it is completely electrophysiological intervention technology.


    In Chen Tairan''s view, Lu Chen''s advantage is no longer what it used to be!


    Li Yao frowned, then smiled and said, "Vice President Chen, what if Lu Chenzhou passed the assessment?"


    "Impossible!" Chen Tairan shook his head.


    "What if?"


    Chen Tairan smiled, "If it''s over, then as long as he wants to take leave, he can take as long as he wants without looking for me!"


    "Okay, then Dean Chen, let''s wait and see."


    Li Yao glanced at Chen Tairan and left the deputy director''s office.


    Chen Tairan at this time had no idea what was going on in Kyoto.


    If he knew that Lu Chen got the third place in the mock test, it would be absolutely impossible to say such a thing.


    ¡­


    (end of this chapter)

 v2 Chapter 401： Lu Chens plan

    Chapter 401 Lu Chen''s plan


    On the second day of the training class, it was a group training in the class and various operations in the surgery simulation room.


    And the teacher who teaches everyone is a big coffee-level figure in the field of electrophysiology in China.


    They come from the top tertiary hospitals in China.


    This way of training and classes has also been extremely effective.


    With the guidance and experience of his predecessors, Lu Chen is also constantly improving himself.


    Everyone has a fixed training time in the surgery simulation room every day, separate rounds and staggered training.


    Although Lu Chen has a system and a virtual surgery simulation room, the experience in reality and in virtual are not the same after all.


    Lu Chen still seized every opportunity.


    As long as it is his turn, he must concentrate on training.


    ¡­


    Because Lu Chen ranked third in the mock exam, he didn''t have any worries about the weekly exam.


    However, for the last few people in the mock assessment, they are worried every day, like sitting on pins and needles.


    The training equipment in the ?? training class is the world''s top!


    The faculty is also top-notch.


    After leaving here, how can I find such a good place?


    No one wants to leave the electrophysiology training class.


    ¡­


    came to the third day of the training class.


    Lu Chen was about to go out to the simulated operating room, but was stopped by someone.


    Looking at his familiar face, he should also be a member of the training class.


    "Who are you?" Lu Chen whispered.


    "Lu Chen, I''m Fang Ruzhang." The man whispered, "I''m also a member of this training class. I don''t know if you don''t have an impression. Last time we were a group and had a mock assessment."


    "Oh!" In order to avoid embarrassment, Lu Chen made a sudden realization, but he only met Fang Ruzhang once or twice, "Brother Fang, what''s the matter with you looking for me?"


    Fang Ruzhang paused and said solemnly, "Lu Chen, are you going to train in a simulated operating room?"


    Lu Chen nodded, "Well, it''s my turn this afternoon."


    "This..." Fang Ruzhang''s voice paused for a while, "That''s it, my performance in the mock assessment last week was the third last. To be honest, I''m a little afraid of being eliminated, so I want to train more time every day. Although training is not necessarily I won''t be eliminated, but I still want to fight for it."


    Having said this, Lu Chen understood Fang Ruzhang''s intention. He wanted to borrow the training time in the simulated surgery room!


    "Lu Chen, that... I can give you some compensation, or pay a sum of money, as long as you can give me your three hours of training time every day!"


    Lu Chen thought to himself, he sure didn''t guess wrong.


    In fact, the current role of the simulated operating room is a icing on the cake for Lu Chen, and it is not necessary.


    What''s more, Lu Chen has a virtual operating room that can simulate any machine or equipment!


    In the simulated operating room in reality, the more function is to keep Lu Chen feeling good.


    "No... can''t you?" Seeing that Lu Chen didn''t say a word, Fang Ruzhang said disappointedly.


    At such a critical time, everyone is eager to extend their training time, who will give up their own?


    Fang Ruzhang has asked more than ten people, and no one is willing to give up his time.


    However, the weekly exam is coming soon.


    Fang Ruzhang doesn''t want to think anymore, then he may be eliminated!


    "Okay, then, I''m sorry..." Fang Ruzhang was about to leave, but was stopped by Lu Chen.


    "and many more."


    Fang Ruzhang looked back at Lu Chen suspiciously, "What''s wrong?"


    "I promise you!"


    As soon as Lu Chen''s words were out of his mouth, Fang Ruzhang immediately widened his glasses, a little unbelievable.


    "You...you...promised?"


    He was afraid that it was Lu Chen''s whim, so he confirmed it again.


    "Yes, yes." Lu Chen nodded, "I can give you all the training time for the past few days."


    "Too, great!" Fang Ruzhang was a little excited.


    "Well, I have a request." Lu Chen smiled.


    "I can give you a sum of cash by the hour." Fang Ruzhang replied quickly, as if he was afraid that Lu Chen would go back on it.


    "I don''t want money!" Lu Chen shook his head slightly.


    "Then what do you want?"


    "That''s it, I have a clinical study..." Lu Chen said slowly.


    In fact, he had this idea a long time ago. Since he has already chosen to expand the sample size of his clinical research, if he wants to make a multi-center project, it is not enough just in Jinghua City!


    Outside the city, or even in other provinces, if we can work together, it is recommended to have a sub-center.


    The feasibility of Lu Chen''s data will rise to a higher level.


    Many foreign scholars do not recognize domestic experimental data.


    Because the races of yellow, black, and white people are different, many domestic experiments are only set at a fixed value in a certain area, so the data of the experiment has a strong regional character.


    In this experiment of Lu Chen, it is extremely difficult to collect foreign data.


    But if he wants to make his experimental data more general, he needs to collect more data from outside the province.


    Just by taking advantage of this training class opportunity, he also had the opportunity to contact the doctors of the top tertiary hospitals in the province.


    No, there is a great opportunity in front of you!


    Fang Ruzhang was even more surprised after hearing Lu Chen''s description, "You mean, let me go back and set up a sub-center to jointly complete a clinical research project?"


    Fang Ruzhang hesitated, this matter is very important.


    The matters involved are not something he can decide by himself.


    "Well, my previous paper has already produced results." Lu Chen said, "Some time ago, I have published a paper on MNTA! If Brother Fang is interested, you can go and have a look. It''s all about my clinical research. of!"


    "MNTA?!" Fang Ruzhang''s eyes widened.


    This journal is known to all colleagues in the field of cardiovascular medicine!


    is currently only a five-point SCI paper journal, and it is hoped that it will rise to seven points next year!


    "You, you posted an article on MNTA?"


    "Um."


    Seeing Lu Chen nodding, Fang Ruzhang was shocked.


    He is currently the attending physician, and according to his years, he can already be promoted to the deputy chief physician.


    But because of insufficient papers, he has not been promoted.


    If he can publish a paper on MNTA, then he will be promoted to deputy chief physician next year, that is a sure thing!


    "Can you show me the paper?" Fang Ruzhang was still a little unconvinced.


    He wouldn''t believe it if he didn''t see the original manuscript of the paper.


    "I happen to have it in my computer." Lu Chen opened his laptop and found this paper in the folder.


    "This¡­¡­"


    When Fang Ruzhang read Lu Chen''s paper, he finally had to admit it.


    However, his heart could not be calm for a long time. As a graduate student, this is the beginning of a 5-point SCI paper?


    This makes them old fritters, how can they live!


    "Brother Fang, what do you think?" Lu Chen hit the railroad while it was hot, "However, whether you agree or not today, I can give you the training time."


    Seeing Lu Chen''s sincerity, Fang Ruzhang thought for a while before slowly saying, "Lu Chen, I can''t answer right now. I''ll go back and ask our director, and I''ll give you an answer."


    "Okay, no problem." Lu Chen nodded.


    This matter, if it is operated, must be approved by the director of the department.


    Once successful, Lu Chen''s clinical research took an unusual path.


    (end of this chapter)

 v2 Chapter 402： actual combat assessment

    Chapter 402 Actual combat assessment


    The weather in Kyoto in September is a little hot, even if you wear short sleeves and work for a long time, you will inevitably get upset.


    The weekly test of the Kyoto Electrophysiology training class is coming as scheduled.


    Before that, Lu Chen also fulfilled his promise and borrowed his simulated surgery time to Fang Ruzhang.


    Today is the day of the weekly test, and all the trainees came to the simulated operating room.


    Min Xiaobo stood beside Lu Chen, his eyes flashed with puzzlement.


    After a long time, he said to Lu Chen who was beside him, "Lu Chen, I heard that you gave all your training time in the simulated operating room to others?"


    Lu Chen was stunned for a moment, then turned back to Min Xiaobo, and nodded slightly: "Yeah."


    "Really?" Min Xiaobo pursed his lips, still in disbelief, "This is the top batch of simulated operating rooms, even the people from Kyoto University School of Medicine, if they want to train for an hour, they have to go through layers of layers. The report is not that simple!"


    The simulated operating room consumes a lot of equipment, and the price of these equipment is not cheap!


    "A week is nothing to me." Lu Chen said indifferently, "But for those who are on the bottom of the bottom line, if they train for an extra hour, it might make a difference."


    Min Xiaobo shook his head, "Hey, even though I said that, I still feel that it''s not right. If you have this time, other people will come to you in the future. Will you borrow it or not?"


    "Let''s talk about it." Lu Chen shrugged.


    Min Xiaobo still doesn''t quite understand it. These people, they take this opportunity tightly.


    Because this is one of the shortcuts for learning electrophysiological interventional surgery, there are usually not so many actual cases for you to operate.


    Lu Chen doesn''t care about other people''s eyes either.


    A few more hours of training time, for him, does not have much impact.


    But he can make full use of his resources and get closer to the doctors in the training class.


    However, clinical research has to be done slowly, and you can''t eat a fat man in one bite.


    Multi-center clinical trials, although they look beautiful, are also very complicated to operate.


    ¡­


    While thinking, a lean old man with a slightly shorter stature walked into the simulated operating room.


    Lu Chen recognized him. The old man was Qin Sifeng, an old professor of cardiology at the First Affiliated Hospital of Kyoto University.


    He has a good influence in the field of electrophysiological intervention, teaching a large number of students in various identities in China.


    The chief examiner of the weekly test of the training class is an old professor of this level.


    This shows the high standard of this training class!


    "Today is the weekly test of the electrophysiology training class." Qin Sifeng looked older, but his voice was rich and full of energy.


    The bottom immediately became colorless, so everyone concentrated.


    Especially those who ranked last, stared at Qin Sifeng closely, not daring to miss a word.


    "The Zhou Kao is different from the previous assessment. The real practitioners grow up in clinical practice." Qin Sifeng looked around the crowd, "The simulated surgery room behind me is just a training ground after all. The content of today''s Zhou Kao is to go to the clinic. Examination!"


    As soon as these words came out, everyone present was stunned.


    When Lu Chen heard this, his heart pounded for no reason.


    Going to clinical assessment? !


    Is it to send all of them to the clinic and let them perform the surgery in person?


    Will the hospital agree to this assessment method?


    Will the patient agree?


    All patients may not allow themselves to be the subject of assessment by others, right?


    Lu Chen frowned, Professor Qin''s words were not realistic, but he was even less likely to speak the vernacular.


    At this time, a trainee in the training class asked: "Professor Qin, there are still some of us who have not obtained the electrophysiological intervention certificate, and seem not qualified to perform independent surgery?"


    As soon as these words came out, someone below agreed.


    "Yeah, I haven''t been the main sword yet."


    "I don''t think the patient or the patient''s family would agree."


    Qin Sifeng smiled, "Of course you won''t be the chief surgeon, but a helper! With your qualifications, there is no problem with your assistants. After each battle, the chief surgeon will give you a training session based on your performance. Score!"


    Another person asked: "Professor Qin, but do we all have the same type of surgery? If not, how should we compare them?"


    "Don''t worry, we have thought of this for a long time." Qin Sifeng paused and said, "We will rate each type according to the type, and then make a comprehensive comparison of the last few of each type."


    When everyone heard the words, they began to discuss.


    This is an actual combat, not the previous simulation training!


    Surgery simulation, you can be more courageous, even if something goes wrong, the model is damaged.


    But real surgery, this is different.


    Once a mistake is made, it is likely to cause extremely serious complications to the patient himself.


    In many medicines, the usual training is very good, but when it comes to actual combat, if the psychological quality is not good, it will be difficult to complete the entire operation.


    For Lu Chen, actual combat training is also a threshold.


    Most of the time, he trained in the system simulation operating room, and occasionally followed Li Yao to the catheterization room as an assistant in surgery.


    But such times are very rare!


    "I really didn''t expect that the training class would have such a large-scale assessment!" Min Xiaobo said in surprise, "The assessment of more than 40 people means that the training class will arrange more than 40 surgeries for us, which are in Kyoto. Do it in multiple hospitals."


    Lu Chen nodded slightly.


    Indeed, it is impossible for a hospital to have more than 40 electrophysiological procedures a day.


    This assessment should be conducted jointly by multiple hospitals.


    ¡­


    After half an hour.


    Everyone followed the special car and was sent to the tertiary hospital near the First Affiliated Hospital of Kyoto University.


    Lu Chen and Min Xiaobo were sent to Kyoto Central Hospital at the same time.


    Walking into the central hospital, the cardiologist was immediately accompanied by the cardiologist, who took Lu Chen and other five people, and forgot the catheterization room.


    In this assessment, there is a special person to accompany the whole process, so there is no need for everyone to worry.


    Came to the catheterization room, and before taking a ten-minute break, Lu Chen was arranged to put on a surgical gown and lead gown and walked into the electrophysiology catheterization room.


    Catheter lab.


    A man in a surgical gown was standing in front of the stage. He was also wearing a mask and hat. Lu Chen couldn''t see his appearance and age.


    But looking at his posture, he should be the chief surgeon this time.


    At this time, Ding Chaobing looked at Lu Chen in doubt, stunned for a few seconds, and then shouted to the outside of the catheter room: "Didn''t you say you want to come for an assessment? Why did you send a student? Did you make a mistake?"


    Before anyone outside the catheter room could speak, Lu Chen said, "Teacher, I''m here to take the assessment."


    "Huh?" Ding Chaobing''s voice stopped abruptly, this training class should be all students who are in their thirties.


    The young man in front of him should be in his early twenties.


    At this time, the **** in the catheter room also shouted: "Director Ding, that''s right, he is the student who participated in the assessment this time."


    After ??Ding Chaobing was stunned, he was dissatisfied and said that the qualifications of the students in this training class are really getting worse and worse!


    Could it be that another leader was directly sent to the training class in order to nurture his own children?


    In previous training courses, there was also such a precedent.


    But it''s not as outrageous as it is now! He actually brought a student baby directly over.


    "Ah, it''s really a generation that''s not as good as a generation." Ding Chaobing secretly said in his heart, but he didn''t show any expression on his face, he just said to Lu Chen lightly, "Let''s start."


    (end of this chapter)

 v2 Chapter 403： Hand speed

    Chapter 403 Hand Speed


    The Central Hospital is also a top tertiary hospital, and the strength of the cardiology department should not be underestimated.


    After all, it is Kyoto, and the threshold education for all doctors is a doctoral degree.


    The duct room at this time.


    Most of the doctors who did not have surgery gathered around.


    They have been informed that there is an assessment of Huaxia electrophysiology training in the catheterization room today.


    They are also very envious of this training class.


    However, the number of places is limited. This year''s Kyoto Central Hospital seems to have only one place.


    "Hey, I think this student is not too old for me." One of the graduate students who rotated in the catheterization room asked in surprise, "How can he be qualified to enter the training class?"


    "Yes, I think it''s about twenty-four or five years old." A fat doctor said, "This is not quite right. This kind of quota is usually reserved for the attending doctor or the deputy senior. I have never heard of students coming to participate. Ah, have you heard of it?"


    The fat doctor looked around the crowd, and everyone shook their heads.


    Just as everyone was in awe, the surgery in the catheterization lab was about to begin.


    Lu Chen has already put on gloves, and the assistant''s first job is to disinfect and spread towels!


    "Teacher, where do you choose the surgery area?" Lu Chen said.


    Ding Chaobing narrowed his eyes slightly and said, "This is a radiofrequency ablation of atrial flutter."


    He didn''t directly mention the surgery area, and Lu Chen also understood that the assessment had already begun!


    "Femoral vein?" Lu Chen glanced at Ding Chaobing.


    Ding Chaobing didn''t speak, Lu Chen understood and immediately disinfected the patient''s femoral vein surgery area.


    Disinfection is also a subject of knowledge, focusing on the sequence, the scope of disinfection, and so on.


    Lu Chen''s technique was very skilled, but Ding Chaobing was not surprised.


    This is a basic skill. If you can''t even disinfect, then there is no need to continue the next assessment.


    Next is the puncture, which is the top priority of this assessment!


    One of the main responsibilities of the assistant is to assist the chief surgeon to puncture the blood vessels.


    Whether it is radial artery, femoral vein, brachial artery, etc., it is a vascular puncture that an interventional cardiologist must learn.


    Ding Chaobing stood beside Lu Chen, staring closely at Lu Chen''s movements.


    The operation of this step begins to be risky.


    Once Lu Chen has any operation behavior that harms the patient, he will immediately stop Lu Chen and terminate the assessment.


    In other words, if the vascular puncture fails, the assessment will be regarded as a failure.


    The puncture point of the femoral vein, first of all to find the femoral artery.


    The place where the femoral artery pulse is measured within 1-2cm is the puncture point of the femoral vein.


    Lu Chen touched the blood vessel with the middle three fingers of his left hand.


    The strongest part of the pulsation was quickly found and moved 2cm to the side quietly, which was the puncture point of the femoral vein.


    Lu Chen took the needle, put in anesthesia, and performed deep anesthesia at the puncture point.


    The anesthesia was soon over, and Lu Chen began to perform femoral vein puncture.


    Just when Ding Chaobing wanted to take a closer look at Lu Chen''s operation, he suddenly found that the puncture needle that had just been inserted into the blood vessel had already sucked out blood.


    "What''s the matter? The puncture was successful so quickly?"


    Ding Chaobing looked at the dark red blood in the puncture needle and was slightly taken aback. The speed of this puncture technique really doesn''t look like a young man!


    From anesthesia to successful puncture, the whole process takes less than two minutes.


    This efficiency is completely comparable to some senior surgeons.


    As soon as an expert makes a move, he will know if there is any.


    Ding Chaobing immediately put away the contempt in his heart. Just this puncture technique can make an electrophysiological intervention doctor eat in a top hospital!


    This student in front of me is not easy!


    Ding Chaobing began to reassess Lu Chen''s level in his heart.


    ¡­


    Immediately afterwards, Lu Chen entered the guide wire unhurriedly, and then placed the catheter.


    The whole process is smooth and smooth, which is pleasing to the eye.


    Outside the catheter room, everyone watched the "live broadcast" of the operation, and they were all shocked by Lu Chen''s puncture skill.


    Suddenly, the fat doctor said, "Xiao Fang, you just said that you are as big as this assessment student, so your puncture technique is compared to his..."


    The little doctor surnamed Fang grimaced and shook his head: "Mr. Song, you look down on me too much. It takes me several minutes to locate the puncture point of the femoral vein. You can compare me with him... "


    "Really?" The fat doctor''s eyes flashed a bit of light. What he said just now was just a joke, and he could naturally see that the level of the two was vastly different.


    It''s just that his inner thoughts at this time were to compare his piercing level with Lu Chen''s.


    He claims to be the "first needle" of the central hospital, but if he wants to surpass the accuracy and speed of the puncture just now, he has to say two things...


    ¡­


    Lu Chen showed his hand a little, which made everyone put away their contempt.


    In his system panel, his proficiency in piercing reached 96%!


    Because of the puncture of blood vessels, it is also one of the operations that Lu Chen has done the most in real clinical practice!


    The risk of puncture is controllable, and there are many patients who need puncture in clinical practice.


    Especially in the emergency department, many critically ill patients require femoral artery puncture (blood gas analysis) and central venous puncture.


    During Lu Chen''s rotation in the emergency department, as long as it was a little difficult to puncture, he let him get started.


    This also made his puncture proficiency rise steadily!


    The puncture was successfully completed, and the following is the entry of the guide wire.


    Lu Chen glanced at Ding Chaobing and said, "Teacher, what are you doing next?"


    Disinfection, drape, anesthesia, and puncture, the work of most assistants is over.


    The rest of the ?? assistant''s work is usually done by hand.


    The operation of the guide wire in the intraluminal catheter is the most risky operation!


    A little carelessness and excessive force will puncture the blood vessels, resulting in iatrogenic vascular dissection.


    These risks are deadly!


    Ding Chaobing did not speak and took over from Lu Chen.


    At present, it is definitely impossible for Lu Chen to perform the operation alone.


    Under the operation of Ding Chaobing, the guide wire quickly entered the predetermined position.


    Lu Chen couldn''t help but admire, it is indeed the top tertiary hospital in Kyoto, Ding Chaobing''s technology can be said to be first-class!


    In the second hospital of Jinghua, there may be only the level of Director Ren Feng, who can compare with Ding Chaobing. (Li Yao is more inclined towards scientific research, Director Cao Zhiying has been out of clinical practice for many years.)


    The guide wire enters the predetermined position, and the risk of the next operation is very small.


    "It''s your turn next." Ding Chaobing said, "What positioning method are you going to use?"


    Arrhythmia ablation, as the name suggests, is to find the origin of arrhythmia in the heart, and then use various methods to ablate it to prevent the occurrence of arrhythmia.


    Location is the step of finding the origin of arrhythmia!


    Lu Chen recalled the few electrocardiograms he had just seen, and said slowly: "Using the Carto three-dimensional system, using Pentaray''s high-precision mapping electrodes, and applying methods such as drag mapping..."


    "Oh?" Ding Chaobing raised his eyebrows, "Are you sure?"


    (end of this chapter)

 v2 Chapter 404： watertight

    Chapter 404 Waterproof


    In the catheter room, the atmosphere became a little subtle.


    Lu Chen paused, his brows wrinkled slightly, he would remember the few electrocardiograms he had seen before, and his heart settled down again, and said, "Teacher, I''m sure."


    "Okay, then you will induce positioning." Ding Chaobing''s expression was still very calm.


    For each patient, there is no fixed ablation method.


    Individual differences are different, and the origin of arrhythmia is also different.


    What clinicians need to do is to find as many origins of arrhythmias as possible, map and process them, and finally perform radiofrequency ablation.


    This step is not very risky, but it is very difficult to do it perfectly.


    If there are few areas for mapping and few ablation parts, it is likely to induce arrhythmia.


    In clinical practice, the probability of such recurrence is not low, most of which are because there are too few ablation sites!


    However, if there are too many places for mapping and ablation, the damage to the heart will also increase!


    Ablation, after all, is an interventional procedure.


    As long as it is an invasive operation, it will inevitably cause certain damage to the organs.


    The bigger the ablated part, the bigger the damage!


    Therefore, if you grasp the correct ablation site, it is one of the most difficult points of ablation surgery!


    Unless you have extensive surgical experience, it is extremely rare to do this.


    Lu Chen took a deep breath and exhaled slowly.


    This is a real clinical case, not his previous training in simulated surgery!


    However, this electrophysiology training class and the central hospital are also relieved that they can actually allow the assistant to do such a difficult operation.


    Actually, what Lu Chen didn''t know was that every operation had a certain procedure.


    The chief surgeon, the examiner, will conduct assessments at any time according to the performance of each student.


    At the same time, the examiner is also responsible for the safety of the patient.


    After all, the most dangerous part of electrophysiological intervention is puncture. After passing the puncture level, other risks are small and controllable.


    Moreover, if Lu Chen did not pass the first few operations, he would not be qualified to conduct the final assessment at all.


    ¡­


    Lu Chen concentrated his mind, prepared all the equipment, and started the calibration and positioning.


    The ?? electrode is placed on the back of the patient, slightly to the left of the spine at the level of the seventh thoracic vertebra, as an anatomical reference.


    The electrode head is located in the center of the heart shadow under X-ray fluoroscopy.


    Lu Chen chose the bipolar electrogram of the coronary sinus electrode as the reference electrogram, and the electrode entered through the left subclavian vein. Recorded in leads IC1-IC2, the amplitude of the A wave is significantly larger than that of the V wave, and the maximum amplitude is taken as the base point.


    During the operation, it is still necessary to maintain a stable intracardiac recording to ensure that the system recognizes continuous A-wave signals.


    "This kid is really good." Ding Chaobing nodded slightly inadvertently. With his high vision, it was not easy to praise a person.


    At this time, Lu Chen was still focused on the patient''s ECG changes.


    "The mapping catheter 7FNavi-Star (Cordis Webster) entered the right atrium through the right femoral vein under the guidance of X-ray. IC3-IC4 were bipolar intracardiac recording electrograms."


    He has previously trained many times in the simulated surgery room, guide wire entry, arrhythmia induction and positioning.


    But this is done under perfect conditions, and real clinical cases are different.


    Lu Chen noticed that this patient was very fat and his breathing rate was more than normal.


    Changes in the amplitude of breathing affect the position of the heart within the chest cavity.


    Don''t look at this shift is not big, but the impact is not small!


    Lu Chen measured the location at the entrance of the superior and inferior vena cava, the ostium of the coronary sinus and the His bundle in the right atrium under fluoroscopy, and mapped 3 to 5 points on the tricuspid valve annulus.


    The mapping catheter is then moved non-fluoroscopy and the point is sampled when it is in stable contact with the endocardium.


    aside, Ding Chaobing also stared at Lu Chen without blinking. The final goal is the stability of the mapping.


    Mapping is done, it doesn¡¯t mean it¡¯s over!


    It is also necessary to stabilize the location of the mapping, and its stability directly affects the quality of the points and the mapping.


    Otherwise, the mapped location is invalid and cannot be ablated.


    The stability of the mapping catheter is determined by the stability of position, local activation time, and cardiac cycle.


    At this time, it is displayed in the three-column box above the relevant window of the screen, and it is dynamically represented by red and green. The more green, the better the stability.


    After Lu Chen finished the mapping, most of the screen window was green!


    "Oh my god, this mapping method is really accurate!"


    Outside the conduit, a group of onlookers looked at the green on the screen and sighed, "This stability is really a lever!"


    Lu Chen couldn''t see it in the catheterization room, regardless of the reactions around him.


    He continued to concentrate and began the last other part of the mapping.


    ¡­


    Thousands of miles away in Jinghua Second Hospital, Li Yao also received the news that today is the weekly test of the training class.


    Don''t look at this training class with less than 40 people, but there are many people all over the country watching.


    However, the assessment process is not broadcast live, and will only be announced one hour after the assessment is over.


    Li Yao was sitting in the office, holding a bid from the country, but her mind had already flown away.


    On the other side of the Kyoto training class, she didn''t know what was going on, and she still couldn''t feel at ease.


    I don''t know when it started, but her expectations for Lu Chen were getting higher and higher.


    In the past, I just hoped that he could enter the semi-finals of the electrophysiology competition.


    Later, it was the final round.


    Now, with the "miracles" created by Lu Chen, Li Yao also values ??her student more and more.


    In the past six months, Lu Chen served as her assistant several times.


    Although Lu Chen''s performance was very good, most of the time he was sterilized and punctured, and occasionally he was asked to perform operations inside the catheter.


    "The training class is a leader in the field of electrophysiology in China!" Li Yao sighed inwardly, "Hey, do you know what happened to Lu Chen?"


    Contrary to Li Yao''s worries, Vice President Chen Tairan smiled happily.


    "It''s better now if you don''t give up your quota." Chen Tairan was half lying on the chair, with his hands crossed, leaning on the back of his head, "I can''t pass the weekly exam this time!"


    Chen Tairan learned from a friend in Kyoto that today''s weekly test is actually a clinical test!


    He knew some of Lu Chen''s achievements so far, and he was considered a good little genius.


    But Lu Chen''s specific electrophysiological intervention strength, he did not know.


    In Chen Tairan''s view, no matter how smart Lu Chen is, it is unlikely that he will break out of the group of attending physicians and deputy chief physicians, right?


    "Hehe, go to Kyoto for a week, and then come back disheartened." Chen Tairan smiled in his heart, "I don''t need to do it myself at all."


    ¡­


    Kyoto Central Hospital.


    Cardiac catheterization laboratory.


    Lu Chen has completed all the mapping, and then said to Ding Chaobing: "The mapping is over. According to the three stability criteria, we can eliminate the points of disagreement, and move the boundary in the relevant window to correct the excitation time and cancel the premature beat. Recording point. Mark where there is a bipotential A wave, and the position where the bipotential A wave appears is the boundary crest or Euclidean crest."


    Ding Chaobing nodded with satisfaction, Lu Chen''s mapping was done flawlessly.


    He wanted to find out some problems, but his eyes were almost sore, and he still couldn''t see anything wrong.


    (end of this chapter)

 v2 Chapter 405： Ding Chaobings choice

    Chapter 405 The choice of Ding Chaobing


    Is this the strength of the trainees?


    Ding Chaobing began to re-examine this training class...


    Even a young man like Lu Chen has such terrifying intervention skills, what about the slightly older students?


    "No wonder everyone sharpened their heads and drilled into the training class." Ding Chaobing shook his head secretly, "If everyone is at this level, it''s really scary."


    "Teacher...Teacher? Teacher!" Lu Chen called three times in a row before Ding Chaobing came back to his senses.


    "What''s wrong?"


    "Teacher, my mapping is over."


    Ding Chaobing said quickly: "Okay, you will continue to do the next ablation."


    Lu Chen was stunned for a moment. He also let him do the ablation himself?


    In this entire operation, only the part of entering the guide wire was performed by Ding Chaobing, and Lu Chen did all the other operations!


    Lu Chen nodded quickly and said, "Okay!"


    As an assistant, this is a great opportunity!


    Not only can you try your hand, but there is also a director-level doctor watching to help you. If there is a fault, you will immediately point it out.


    In fact, there are many levels of assistants, such as I assistant, II assistant and so on.


    In addition, according to the participation of assistants, it can also be divided into beginner, intermediate and advanced.


    The most basic assistant is to pass things.


    A mid-level assistant, assisting the operator to complete some operations, but not very important operations, such as disinfection, spreading towels, and occasional puncture. This is also the work that most assistants do at present.


    The senior assistant is different. He can complete most of the operations under the guidance of the superior physician. That is to say, the main knife is on the side, and all operations are done by the assistant.


    As long as there is any superior doctor standing by, it is not considered an independent operation, but only an assistant.


    The current Lu Chen is not yet qualified to be the chief surgeon, but he has grown into a senior assistant!


    ¡­


    "Start melting!" Lu Chen cheered himself up in his heart.


    This kind of opportunity doesn¡¯t come often, but you have to seize it!


    The tricuspid annulus and the isthmus of the inferior vena cava entrance face Lu Chen, clearly exposed, and ablation road signs are set.


    The mapping catheter was ablated point by point from the tricuspid annulus to the small A wave and the large V wave along the road sign to the inferior vena cava. Each point was ablated for about 30 s. It was observed that the amplitude of the A wave decreased by more than 50% or double potential appeared. And then ablation down a little, the point spacing is about 3 ~ 5mm.


    The temperature was set at 60¡ãC during ablation.


    The end point of ablation is complete linear damage and complete bidirectional conduction block.


    After ablation, pacing was performed on both sides of the ablation line to make an electroanatomical map. According to the conduction sequence on the excitation or conduction map, the amplitude of bipolar recording was less than 0.5mV, and the appearance of a wide atrial bipotential was used to judge whether the linear injury was completely blocked.


    Ding Chaobing was a little puzzled when he saw Lu Chen''s operation.


    The most basic ablation method now is to perform linear ablation on the narrowest part of the atrial flutter reentry ring, that is, the isthmus between the tricuspid annulus and the entrance of the inferior vena cava.


    However, Lu Chen took a different approach and used complete bidirectional conduction block in the isthmus after ablation as the end point of treatment.


    This method made Ding Chaobing a little unclear.


    "Wait a minute." Ding Chaobing stopped Lu Chen. He was not only the examiner this time, but also the chief surgeon. He couldn''t see what he didn''t expect happen, "Why not around the coronary sinus or in the room? Linear ablation of the narrowest part of the reentry ring?"


    After hearing Ding Chaobing''s voice, Lu Chen stopped what he was doing.


    He thought for a while, looked up at Ding Chaobing, who was puzzled, and said, "Through the previous electrocardiogram and the arrhythmia mapping, I think the reentry ring of this typical atrial flutter surrounds the tricuspid valve in the right atrium, and the sequence of excitation is: Counterclockwise, the right atrial septal activation is conducted from the bottom to the top, and the free wall is conducted from the top to the bottom."


    Ding Chaobing nodded slightly, then frowned: "You are right, but what does this have to do with your choice of this method?"


    After a pause, Lu Chen smiled and said, "For this kind of patient, look for the local potentials around the coronary sinus ostium that are ahead of the F waves in leads II, III, and aVF of the inferior wall, and use the concealed entrainment method to establish the potential as slow. The outlet of the conduction area is used as the target, and the ablation success rate is about 80%, and the recurrence rate is high."


    "Linear ablation is performed on the isthmus between the tricuspid annulus and the entrance of the inferior vena cava, the narrowest part of the atrial flutter reentry ring, with a success rate of 80% to 90%. This method has become the basic method of atrial flutter ablation at present. Although there are many High short-term success rate, but high follow-up recurrence rate of 10% to 40%."


    The first two methods have a high success rate, but the recent recurrence rate is also very high!


    Patients are generally very reluctant to undergo secondary surgery.


    The first operation is not completely cured, and many patients will give up the second operation.


    This is very bad for the whole treatment.


    Lu Chen continued, "However, with this method of mine, complete bidirectional conduction block in the isthmus after ablation is used as the end point of treatment, and the recurrence rate of atrial flutter can be reduced to 5%!"


    Ding Chaobing was stunned for a moment, then frowned.


    He is a senior electrophysiological interventional doctor, so he will not be fooled by a student''s words.


    "Where did you get these data? Which literature? Who is the author?"


    In Ding Chaobing''s memory, he had never seen such documents, let alone these data.


    Doctor is an extremely rigorous discipline!


    Any treatment measure requires strict evidence-based medical demonstration.


    Lu Chen paused, he was also a little booed in his heart.


    Where does this data come from?


    It''s not from reading any papers and documents, but he usually learned from countless training sessions in the virtual space of the system.


    He can arrange patients with various arrhythmias in the virtual space of the system, and then perform different mapping methods, different ablation precautions, and finally compare the effects.


    This kind of training efficiency is incomparable in a real simulated surgery room!


    Therefore, Lu Chen slowly figured out that different ablation methods have different prognosis for patients.


    However, facing Ding Chaobing''s question now, Lu Chen can only perfunctory, saying: "I once read a document and read a report. The data I said came from this."


    An ambiguous sentence, as for which journal and which author, Lu Chen stopped.


    Ding Chaobing frowned and continued to ask: "Let''s not say where your data came from. Do as you said, Halo electrode placement requires a certain skill, the distal end cannot cross both sides of the ablation line, and the tricuspid valve annulus must be placed. There are individual differences in the size of the right atrium and the right atrium, so there are limitations in judging whether the two-way block is complete or not.¡±


    However, Lu Chen responded: "If there are advantages, then there will be limitations. In addition, this method of mine avoids unnecessary multiple discharges by marking the original ablation point. It can also be marked along the ablation line, without the need for X-rays. , look for leaks exactly.¡±


    ¡­


    As the chief surgeon, Ding Chaobing decided the ablation method of the patient.


    At present, there are two paths before him.


    First, use conventional, linear ablation at the narrowest part of the atrial flutter reentry ring!


    Second, choose what Lu Chen said, with complete bidirectional conduction block in the isthmus after ablation as the end point of treatment!


    Which method should I use?


    Ding Chaobing hesitated, but after thinking about it, he made a decision.


    Choose the regular first one!


    In the medical field, winning while maintaining stability is the way to go.


    The second method is not yet mature.


    If they fail, they may face questions and complaints from patients.


    (end of this chapter)

 v2 Chapter 406： Weekly exam ends

    Chapter 406 Weekly Exam Ends


    Outside the catheter, everyone heard the conversation between Lu Chen and Ding Chaobing, and couldn''t help but look at Lu Chen a little higher.


    Ding Chaobing can be regarded as a leader in the field of electrophysiology in the Cardiology Department of the Central Hospital.


    It is not easy for Lu Chen to discuss the technique with him!


    Everyone was full of slander, and began to be interested in Lu Chen''s background, "Which school did this kid come from?"


    ¡­


    After Ding Chaobing decided to complete the ablation technique, Lu Chen started the specific operation.


    No way, although Lu Chen had other ideas, the doctor in charge was Ding Chaobing, and he could not decide any treatment strategy.


    The conventional linear ablation method is also simple.


    Lu Chen has trained many times in the virtual space of the system. Although the patient is fat, the whole ablation process is relatively smooth.


    Ding Chaobing looked at him and nodded. He had basically forgotten Lu Chen''s age now.


    After the ablation is over, there is one last step left, which is to induce arrhythmia.


    Through various drug stimulation, if the arrhythmia cannot be induced, this operation is a success.


    Under the guidance of Ding Chaobing, Lu Chen conducted an induction experiment on the patient, and the results were very good. Lu Chen''s atrial flutter had not been corrected at all.


    However, the only disadvantage of the linear ablation strategy is that the recurrence rate is somewhat high.


    "Teacher, I''m done." Lu Chen glanced at Ding Chaobing.


    "Well, the assessment is over!" Ding Chaobing nodded slightly, "I''ll give you a score later."


    While Lu Chen was taking the exam, other students in the training class were also taking the exam.


    This is not the first time that Lu Chen has passed the test. Min Xiaobo, who was in the same group, has already passed the test and is sitting outside the catheter room.


    "How do you feel?" Seeing Lu Chen walking out of the catheterization room, Min Xiaobo hurriedly greeted him.


    Both of them are from Jinghua, and their relationship is naturally closer than others.


    "It''s alright." Lu Chen smiled, "I shouldn''t be on the elimination list."


    "What are you talking about." Min Xiaobo laughed, "Your goal is to compete for the top three, not to be eliminated or something. Those who rank at the top will spend more time in the simulated surgery room!"


    "There''s still such talk." Lu Chen nodded slightly, but didn''t care much, "By the way, Brother Bo, how did you evaluate?"


    Min Xiaobo waved his hand, but the smile on his face continued, "It''s okay, it''s okay."


    Seeing his appearance, Lu Chen knew that his performance was probably very good.


    There are still two people who have not finished the assessment.


    The results of the ?? assessment will not be announced until after all the assessments are completed.


    Lu Chen and Min Xiaobo sat outside the catheter room, chatting while waiting for the end of the exam.


    ¡­


    At this time, in the office next to the catheterization lab.


    Ding Chaobing is looking at the replay of the operation according to the scoring rules to give Lu Chen a detailed score.


    In addition to Ding Chaobing, there were three other examiners from the Cardiology Department who made a comprehensive assessment of Lu Chen''s results.


    Four people conduct assessments and scores at the same time, which also minimizes the influence of individual factors on the results.


    Soon, all the trainees in the training class have finished the assessment.


    "Let''s go back, the results of the assessment will be notified to the training class." The entourage of the training class said to everyone, "At that time, all the examiners should discuss and select the last five."


    It¡¯s okay not to say this, but when I said this, the other students started to get nervous.


    Just when everyone was about to leave, Ding Chaobing appeared in front of everyone.


    "Lu Chen, please wait a moment." Ding Chaobing, still wearing his surgical gown, walked to Lu Chen.


    Seeing this, everyone stopped.


    Lu Chen stepped forward and asked suspiciously, "Mr. Ding, what''s the matter?"


    Ding Chaobing paused for a while, then slowly stepped forward and said, "Lu Chen, I''m sorry, can you send me the paper you just mentioned?"


    "Thesis?" Lu Chen was stunned, puzzled.


    Ding Chaobing explained with a smile: "It''s the source of so much data you just said."


    Although Ding Chaobing did not choose the second ablation method, if the second method can really reduce the recurrence rate as Lu Chen said, it is definitely a good clinical study.


    Even, it is impossible to change some clinical surgical strategies!


    Lu Chen paused and smiled helplessly in his heart. He only said this perfunctorily.


    These data are his actual summary and processing in the system simulation operating room.


    How can there be any papers!


    Lu Chen thought about it and could only accept it first, "Okay, Mr. Ding, I''ll send it to you after I go back and find the paper."


    "thanks."


    To this end, Lu Chen also added Ding Chaobing''s WeChat account.


    Now it seems that as long as a few days later, I will reply to Ding Chaobing again, forget the title of the document, and cannot find the document, and this matter will be over.


    ¡­


    went back to the training class and waited for about half an hour before the results of the assessment came out.


    The first place is still Yu Hewei from Kyoto University School of Medicine!


    Yu Hewei''s performance is obvious to all, and he has been ranked first in all of them.


    Lu Chen also heard that Yu Hewei also recently published a 15-point paper.


    Even Lu Chen''s paper is relatively insignificant.


    The second place this time... is Lu Chen!


    He also jumped from the third place in the survey to the second place.


    Examiner Ding Chaobing gave Lu Chen a score close to full marks, but in the ablation stage, two points were deducted as appropriate.


    "Wow, Lu Chen, you, you''re second!"


    Min Xiaobo stared at Lu Chen in surprise. In less than a week, Lu Chen has improved again!


    Don''t look at the small progress, but it is very rare to make a little progress with such a high ranking!


    "Brother Bo, you''re not too bad." Lu Chen smiled, Min Xiaobo ranked seventh, and among all the people, he also belonged to the upper-middle class.


    "It''s average." He said so, but Min Xiaobo was also very content, everyone was one in ten thousand people, and it was quite gratifying to get such a ranking.


    And the last five in the assessment were naturally eliminated and missed the next training cycle.


    Lu Chen also took a look at the eliminated list, and didn''t see Fang Ruzhang who borrowed the simulated surgery room from him.


    ¡­


    After the first weekly test, the number of students in the training class was reduced to thirty-seven.


    Those who are eliminated are naturally extremely regretful.


    Those who stayed ?? did not have much relief.


    Because what they have to face next, there are still three weekly exams!


    As soon as Lu Chen returned to the hotel where he was staying, Fang Ruzhang immediately came over.


    "Lu Chen, it''s really thanks to you this time!" Fang Ruzhang smiled, but then he thought of something and grimaced again, "But next week is also an assessment, it won''t be easy at all."


    "Brother Fang, you''re here this time..." Lu Chen knew that he would go to the Three Treasures Hall for everything. When Fang Ruzhang came back to him, he mostly wanted to borrow things from the surgery simulation room.


    "Hey, you understand." Fang Ruzhang''s smile hung on his face again.


    (end of this chapter)

 v2 Chapter 407： country of application

    Chapter 407 Applicant Country Nature


    The top three students in the weekly test will be rewarded with additional time in the simulated surgery room.


    This point is known to all students.


    Lu Chen smiled, but did not speak.


    Fang Ruzhang saw Lu Chen''s expression, and did not continue the topic, but said, "Lu Chen, you told me about the clinical study earlier. I went back and told the director, and he agreed."


    "Oh, is that so?" Lu Chen raised his brows, this is the second good news today.


    Fang Ruzhang is a top-three hospital in Kyoto, where the quality of clinical research is quite high.


    "However, we have to negotiate in detail." Fang Ruzhang continued, "After all, the multi-center joint research is not just talking about it, but also involves a lot of things."


    Lu Chen nodded slightly, "This is natural, I will discuss it with the tutor at the Second Academy of Jinghua."


    Multi-center clinical experimental research, involving equipment and equipment, must be of the same model and parameters.


    "Okay, then let''s sit down and have a good chat." Fang Ruzhang said.


    Everything is difficult at the beginning. With the intention to cooperate, the next road is difficult, but there is also a way forward.


    "That...a simulated operating room..." Fang Ruzhang glanced at Lu Chen and whispered.


    "Well, next week, I can give you an extra hour every day." Lu Chen thought.


    "It''s good to be brave." Fang Ruzhang said with a smile, "Then thank you in advance. Although my chances of staying next week are slim, I still have to fight for it."


    Although Fang Ruzhang passed the first week''s weekly test, his ranking was not high, and he was still in a very dangerous position next week.


    ¡­


    After Fang Ruzhang left, there was another knock on Lu Chen''s door.


    open the door.


    Standing at the door was a woman of about thirty-five or sixteen years old.


    "Sister Duan, what kind of wind blows you here today!" Lu Chen smiled.


    The woman in front of her is called Duan Jiufang, from Bingcheng Medical University and also a member of the training class.


    She is usually outspoken and has a hot relationship with everyone.


    "Lu Chen, you''re really good boy, the second place in the weekly exam, I really didn''t see anything wrong!" Duan Jiufang laughed, she was slightly fat, and the flesh on her face shook as she laughed.


    "Sister Duan, you are really exaggerating." Lu Chen poured a glass of water for Duan Jiufang and handed it to her.


    Duan Jiufang took it with a smile, "Lu Chen, I won''t gossip with you. I heard that Fang Ruzhang asked you to borrow a simulated operating room before. Your sister came here, like him, to borrow a simulated operating room."


    Lu Chen smiled without a trace, he had expected this situation before.


    Once the news about his use of the simulated operating room spreads, other people will definitely come to him to borrow it.


    "Sister Duan, this is easy to say." Lu Chen smiled, "I have plenty of time, so it''s okay to lend you a little."


    Duan Jiufang saw that Lu Chen was so refreshing, and couldn''t help but feel a little more favorable towards him, "I can''t borrow it for nothing, and give you a little rental fee?"


    Lu Chen quickly waved his hand and said, "That''s not good, I didn''t want it from Brother Fang. If I accept you again, I''m really sorry."


    Duan Jiufang thought the little boy in front of him was really interesting, "Then do you have any other requirements?"


    Lu Chen smiled, and it was delivered to the door by himself.


    He reiterated what he said to Fang Ruzhang about the "multi-center clinical research".


    "Sister Duan, what do you think? Can you participate in our multi-center clinical research?" Lu Chen asked.


    I didn''t expect Duan Jiufang to be obedient, so he asked a few questions, waved his hand, and said very grandly: "This is a win-win clinical study, and I can''t ask for it."


    Lu Chen did not expect to persuade Duan Jiufang so easily, "You don''t need to go back to discuss it?"


    "No!" Duan Jiufang shook her head, "I just happened to be doing clinical research recently. I''m the director of the hospital in this regard, so I don''t think it''s a problem. The leaders shouldn''t interfere too much."


    "That''s good!" Lu Chen was determined, and he brought another hospital in Bingcheng, which was a great supplement to his clinical research.


    And, as Duan Jiufang said, this is actually a win-win collaborative research.


    Lu Chen was also able to get a wave of favorability among the members of the training class.


    ¡­


    After Duan Jiufang left, Lu Chen immediately called his mentor Li Yao.


    Li Yao received the call and thought that Lu Chen was here to report the results of the weekly test, but he didn''t think that Lu Chen was talking about clinical research.


    "What, you pulled a hospital in Bingcheng, and a hospital in Kyoto?" Li Yao was also a little surprised. In just a few days, Lu Chen got acquainted with the members of the training class.


    "Well, multi-center research, collecting hospitals in different regions, the final results must be more authoritative and accurate." Lu Chen said.


    Li Yao thought for a while and said, "That said, multi-centers need the heads of the cardiology departments of each hospital to take the lead. It is not easy to ensure that the experimental plan, equipment and equipment used are exactly the same."


    The more data ??, the higher the authenticity of the final conclusion.


    However, the data of different centers and different machines will also lead to errors in the results, which cannot be ignored.


    "Teacher, so I want you to be the leader of this project." Lu Chen said sternly.


    The original clinical research was limited to Jinghua, and all the coordination work was relatively simple.


    But if you want to make clinical research, multi-center research in all parts of China, this is complicated.


    Li Yao was silent for a long time, she was thinking about the gain and loss of this matter.


    To be honest, she is very optimistic about Lu Chen''s project.


    And no matter what, she is the corresponding author of Lu Chen''s paper.


    Lu Chen''s paper was outstanding, and she followed suit.


    After Lu Chen published a 5-point SCI paper, she struck while the iron was hot and wanted to help Lu Chen continue her clinical research.


    Enlarge the sample size, or issue an SCI paper with a score of ten or twenty.


    However, Li Yao found out that what Lu Chen wanted was more than that!


    The sample size of multi-center studies across China is definitely in the tens of thousands. Once successful, the clinical research results of this amount are absolutely immeasurable.


    However, the price to pay is not small!


    In this way, the cost of research and the required manpower and material resources have doubled.


    "Teacher, no, can''t you?" Seeing that Li Yao didn''t speak for a long time, Lu Chen asked in a low voice.


    "It''s not impossible." Li Yao frowned, "But with our personal abilities, we can''t afford this level of research."


    "Teacher, what do you mean..." Lu Chen was taken aback.


    "Use your previous experimental results to apply for national natural projects or general projects." Li Yao said sternly, "Only with the help of the state''s funds, it is possible to complete this level of results."


    Lu Chen was stunned, he is not qualified to apply for the National Natural Science Program.


    "Teacher, I should be unqualified now." Lu Chen whispered, a program of this level generally requires a doctorate or above.


    "Of course you are not qualified." Li Yao smiled, "I mean, apply in my name."


    At this time, on Li Yao''s desk, there is a bidding document from the country.


    This is exactly the tender she has been preparing for half a year.


    If she applied in her name, she would have to give up the current project and re-prepare Lu Chen''s bid for this clinical study.


    "Teacher, is this okay?" Lu Chen was a little moved.


    If you can really apply to go to China, the problems of funding and other aspects will be solved easily!


    (end of this chapter)

 v2 Chapter 408： budding

    Chapter 408 First appearance


    In the scientific research community of Huaxia, the National Nature Project is an admission ticket and one of the lifelines of everyone''s career.


    Especially in key colleges and universities, the National Natural Science Project has become one of the necessary conditions for the evaluation of deputy senior titles.


    In short, if you want to evaluate the deputy chief physician and associate professor, you must have national-level scientific research projects.


    The National Natural Science Foundation of China was created in the early 1980s to promote the reform of China''s science and technology system and change the way of scientific research funding. It is mainly divided into general projects, key projects, and talent projects.


    The funding rate of the country has been declining year after year, and this year it was only about 15%, which is the lowest probability ever.


    Although Li Yao is a doctoral tutor and professor, it is not easy for her to apply for a national nature project.


    In addition, those with deputy senior titles or above can participate in a total of three national natural projects.


    Li Yao just won two bids this year, and she still has a project to be applied for.


    If she applied for Lu Chen''s country in her name, she might have to give up the one she had to apply for.


    For Lu Chen himself, he didn''t even have the qualifications to apply.


    The prerequisites for applying for National Nature are to obtain a doctoral degree and to be recommended by two persons with senior professional titles.


    ¡­


    After thinking for a while, Li Yao also made a decision. Her eyes were firm and she said slowly, "We can try."


    Lu Chen showed a happy look.


    But before he was happy, Li Yao said again: "The applicant country is naturally no better than other scientific research projects. Not to mention the winning rate is lower, and it takes a lot of effort."


    Lu Chen nodded, he knew that it was a hassle to write a bid for the country''s nature.


    Many researchers have to work hard for half a year just to write a tender.


    "Teacher, I want to try." Lu Chen''s eyes were shining.


    He will sooner or later go to the step of applying for a national nature project, and currently he is only contacting in advance.


    "Okay, I believe in you!" Li Yao said without any nonsense, "Whether you can apply for it or not, I hope you can learn something from it. There are still four months before the deadline for the national nature project. During these four months, you must write a book. I have two applied templates here, you can take a look first, and when you come back from Kyoto, I will discuss it with you. "


    "Teacher, I understand."


    Li Yao''s suggestion made him a little moved.


    He could vaguely feel that in the name of Li Yao''s mentor, to apply for this national nature project, the price must be paid.


    Still, he had to try hard.


    Once successful, his scientific research experiments can be carried out, and the future can be expected!


    Lu Chen was about to hang up when Li Yao suddenly asked, "By the way, how did you get on the weekly test?"


    "Weekly Exam No. 2."


    Lu Chen''s words blurted out.


    was shocked by Li Yao on the other end of the phone.


    She was stunned for a while, but she didn''t say anything for a while.


    "Teacher?" Lu Chen asked tentatively.


    "You...really good!" Li Yao thought for a long time, but couldn''t come up with any good words.


    I have complimented countless times before, and I have run out of compliments.


    Li Yao never imagined that Lu Chen would still be among the top among a group of top new generation cardiologists in China.


    "Chen Tairan also said that Lu Chen couldn''t pass the first week of the weekly exam, which is really a joke."


    Li Yao laughed, she wanted to call Chen Tairan, but she thought about it.


    Since he has already slapped his face, let him save face.


    As for Lu Chen''s leave, this is already a trivial matter.


    The students who have been trained by my own school can achieve such excellent results in the whole China electrophysiology training class, which is already a high incense.


    Even wearing small shoes for his students, Li Yao felt that Chen Tairan, as the school leader, was not so stupid.


    In fact, Chen Tairan received the news from Kyoto right away.


    "Second?" He suddenly stood up from the sofa, "Are you sure? Did you make a mistake? His name is Lu Chen, a boy in his twenties."


    "President Chen, I can''t get it wrong, it''s him!"


    Chen Tairan hung up the phone and sat back on the sofa in a little astonishment.


    "A student can actually be ranked second?!"


    It was hard for him to believe this fact, but the unquestionable answer from the other party on the phone made him have to accept it.


    "That''s all, that''s all." Chen Tairan shook his head.


    He knew that with Lu Chen''s current achievements, it was impossible for him to easily stumble in secret.


    In the next period of time, the school will definitely vigorously promote Lu Chen''s achievements to increase the school''s influence.


    ¡­


    Kyoto, Electrophysiology Training Course.


    Now that he has the permission of Li Yao''s tutor, Lu Chen is more concerned about his multi-center research.


    Now is a very good opportunity. The training class is full of leaders in cardiology from all over China.


    If he can join them as much as possible to form a multi-center research team in many places, then his clinical research will take shape.


    In the next few days, in addition to receiving training from various professors in the training class, Lu Chen also took time to contact several students who were interested in clinical research.


    Lu Chen also used his other trump card, the training time in the simulated operating room, to win the opportunity for everyone to participate in clinical research.


    This is a win-win cooperation project, and with Lu Chen''s patient promotion and benefits, a total of eight people in the entire training class agreed to participate in this multi-center research project.


    "Enough!" Lu Chen secretly rejoiced, "In addition to several local hospitals in Jinghua, a total of thirteen hospitals are participating in this clinical research project."


    Of course, this is the initial intention to reach cooperation.


    Whether it will join the multi-center clinical research in the end depends on the later negotiation and whether the funds are in place, that is to say, whether the application for the National Natural Science Project can be successful.


    This wave of operations by Lu Chen did not cause much trouble in the training class.


    Everyone just thought that he was working for his own tutor, and the training class was a place to exchange clinical and scientific research.


    In addition to Lu Chen, many other people took this opportunity to seek cooperation.


    ¡­


    The second week of the weekly test came as scheduled, and it was also an assessment of clinical practice.


    This time, Lu Chen still ranked second.


    The first is Yu Hewei from Kyoto University School of Medicine.


    Ranked second for two consecutive times, allowing Lu Chen to show his edge in the training class.


    In addition, it is widely known that Lu Chen lent his time in the simulated operation room to others.


    Everyone was surprised, but also very puzzled.


    The opportunity to use the simulated operating room is a matter of every second count. Lu Chen still lends it to others?


    You must know that this week of training in the simulated surgery room may be worth months of clinical practice!


    Clinically, there are very few opportunities to practice hands!


    Lu Chen actually gave this great opportunity to others, I really don''t know what he thought.


    (end of this chapter)

 v2 Chapter 409： reject

    Chapter 409 Rejection


    Lu Chen didn''t care too much about what people thought.


    In the Kyoto electrophysiology training class, he paid more attention to the teaching of the old professor.


    These are the top electrophysiology experts all over the country.


    For example, the one who taught everyone today is Yang Feng, an electrophysiologist from the Cardiology Department of Kyoto University School of Medicine.


    Yang Feng, he is currently one of the authoritative experts in the field of electrophysiology in China.


    Lu Chen¡¯s Cardiology Instructor who applied for the Kyoto University School of Medicine was Yang Feng.


    Lu Chen vaguely remembered the scene when Professor Yang Feng gave him an interview.


    Professor Jia Bo, who is a judge at the Electrophysiology Society, is only a student of Professor Yang Feng.


    At this moment, Yang Feng stood on the podium with a stern expression, looked around at the people below, and then slowly said, "When the pacemaker is embedded in the subcutaneous tissue in front of the pectoralis major, the prototype of the single-electrode pacemaker is close to the chest. It is in front of the major muscle, so it is easy to be affected by the muscle potential, and there are three kinds of manifestations. Do you know which three?"


    Among the ?? professors, there was no sound.


    Everyone frowned, some people had some thoughts in their hearts, but they were not sure.


    At this moment, Min Xiaobo suddenly raised his hand.


    "You answer." Yang Feng pointed at Min Xiaobo.


    Min Xiaobo immediately stood up and said, "The first is that the pacemaker should be inhibited from sending out pacing pulses, which is relatively common. Second, ventricular pacing is triggered, and the ventricular tracking frequency is less than the programmed high frequency limit. Three...I haven''t thought of it yet."


    Yang Feng''s expression remained the same, still cold, "Okay, sit down, does anyone know the third type?"


    Min Xiaobo touched the back of his head and sat down helplessly.


    There were whispers among the teachers, and everyone had some ideas, but they were still not sure.


    for a long time.


    Seeing that there was no response from everyone, Yang Feng began to actively look for "prey".


    "Fang Ruzhang, you answer."


    Fang Ruzhang sat in the last row with an embarrassed smile on his face.


    "Professor Yang, this, I, I don''t quite understand..."


    Yang Feng frowned and spoke without mercy, "Fang Ruzhang, how did you get into the third week? You can''t even know this question?"


    Fang Ruzhang looked embarrassed and felt a little resentful in his heart, but he did not dare to attack.


    Although he borrowed the time from Lu Chen''s simulated surgery room, he passed the second week''s weekly exam with his own strength!


    However, Fang Ruzhang''s current results ranked last in the promotion list.


    By the third week of the weekly test, with five people still to be eliminated, it was almost impossible for him to pass.


    "Duan Jiufang, do you know?" Yang Feng started to call names again, looking directly at Duan Jiufang who was sitting in the front row, "I think you are usually more active in the class, do you know the answer to this question?"


    With a confident smile on his face, Duan Jiufang stood up and said loudly, "After sensing myoelectric potential by the atrial electrodes of the dual-gun pacemaker, it may trigger cardiac arrest."


    Yang Feng raised his brows, "What''s the reason?"


    "Uh..." Duan Jiufang paused and said, "It may be because the pacemaker inhibits the pacing pulse, and the electrocardiogram shows its own heart rhythm, causing a brief cardiac arrest!"


    After ??, Duan Jiufang looked at Yang Feng expectantly.


    Yang Feng shook his head slightly, "Not very accurate."


    "Huh?" Duan Jiufang looked disappointed. She thought about this answer for a long time, and it was justified, but she was rejected.


    Yang Feng was a little disappointed, he looked at Yu Hewei in front of him.


    wanted to name Yu Hewei, but he felt it was unnecessary, because he must have known.


    Yang Feng continued to look for the next target, and finally settled on one person.


    "Lu Chen, come and answer."


    Lu Chen sat in the first row, directly meeting Yang Feng''s gaze.


    In the training class at this time, everyone''s attention was also focused on this.


    Lu Chen''s name has been revealed in the training.


    Many people have known this little genius who is somewhat enchanting.


    Lu Chen smiled. He already had the answer in his mind, so he stood up and said, "If you use asynchronous pacing, that is, when the muscle potential frequency is very high, the pacemaker will pulse at the interference frequency or the low frequency. Its incidence is related to the quality of the pacemaker, the sensitivity of the set sensor, and the degree of swaying of the patient''s upper limbs!"


    After a pause, Lu Chen continued: "Just like what Teacher Duan just said, it may cause temporary cardiac arrest. Of course, it may also cause other malignant arrhythmias."


    Lu Chen''s words came out, the classroom was so quiet that you could hear needles falling.


    Everyone secretly pondered Lu Chen''s words in their hearts.


    "Okay!" Yang Feng finally showed a smile, he walked up to Lu Chen, patted him on the shoulder, then turned to Duan Jiufang and said, "Xiao Duan, although your answer is correct, it is not comprehensive. Lu Chen''s answer is the most accurate!"


    "Professor Yang has won the award, but you still teach well." Lu Chen smiled.


    Yang Feng smiled, this flattering words are useful, "Then tell me, how to identify the effect of myoelectric waves on the pacemaker?"


    Lu Chen thought for a while and then said: "Sometimes obvious myoelectric waves can be seen on the body surface electrocardiogram, but it does not affect the pacemaker function. Sometimes the pacemaker function is inhibited even though the myoelectric waves are not obvious."


    "The EMG interference mostly occurs when young people and manual workers are engaged in physical activities. In order to identify the effect of EMG on the pacemaker, the patient can use the limb on the side of the implanted pacemaker to do vigorous counter-exercise under ECG monitoring. , observe the functional status of the pacemaker and test the perception threshold of myoelectric waves, and then adjust the pacemaker''s perception sensitivity through process control to eliminate the influence of myoelectric waves."


    Yang Feng smiled, "Well said!"


    Then he waved his hand and motioned Lu Chen to sit down, "The influence of myoelectric potential on the pacemaker is very common in clinic, but it is easy to be ignored. We are doing a history of electrophysiological interventional surgery, once we ignore the influence of this detail , with potentially serious consequences, such as the points we just said, malignant arrhythmias, or even cardiac arrest."


    ¡­


    Yang Feng is indeed an expert professor in the field of intracardiac electrophysiology.


    A class, explained the profound things in simple language, so that everyone will have a lot of aftertastes.


    Although Professor Yang Feng is more administrative and has fewer opportunities for clinical operations, his experience here is unmatched by the group of young and middle-aged doctors in front of him.


    In this lesson, Lu Chen gained a lot.


    He now has an advanced skill card for electrophysiological intervention, and he has a high acceptance ability for those obscure knowledge.


    In the blink of an eye, the third weekly exam was over.


    The first place, Yu Hewei!


    At present, no one can shake his position.


    The second place is still Lu Chen!


    Lu Chen, like Yu Hewei, once again won the second place.


    ¡­


    Returning to the training class from the hospital where he was assessed, Lu Chen met Yang Feng on the way.


    I thought it was just passing by by chance, but Yang Feng took the initiative to come forward and talk to Lu Chen.


    "Lu Chen, are you interested in following me in the next second stage?"


    Yang Feng has a good smile, which is different from his indifferent expression in class all the time.


    The first phase is about to end.


    Yang Feng basically tacitly agreed that Lu Chen could pass the first stage of the assessment.


    The first stage of ?? is one-to-many training.


    And the second stage is one-on-one training. Everyone else has to choose a mentor.


    Lu Chen looked at Yang Feng in front of him with a slightly dazed expression.


    He thought about the interview he sat in front of Professor Yang Feng a year ago.


    Lu Chen wished that Yang Feng could hire him.


    However, things backfired.


    One year later, Professor Yang Feng finally said this.


    However, Lu Chen smiled and shook his head: "Professor Yang, I''m sorry, I already have a favorite tutor."


    You can take a day off at noon tomorrow, 5 more!


    (end of this chapter)

 v2 Chapter 410： The Ruthless Man from Jinghua (First Update)

    Chapter 410 The Ruthless Man from Jinghua (First Update)


    Lu Chen and Yang Feng stood opposite each other.


    Yang Feng''s eyes flashed with a hint of surprise, Lu Chen actually rejected him? !


    As the current director of the Cardiology Department of Kyoto University School of Medicine, his status has a considerable influence in the academic circle, and he has almost mastered most of the resources of the Kyoto Cardiology Department.


    You know, this is Kyoto!


    It¡¯s not a remote province or city like Jinghua, which doesn¡¯t have many resources at all.


    "Can you give me a reason?" Yang Feng said solemnly, his gaze towards Lu Chen was not as kind as before.


    "Professor Yang, thank you very much for your love for me." Lu Chen whispered, "But I already have a choice in my heart."


    "Really?" Yang Feng was slightly startled. There are many professors in the training class, many of whom are well-known in the field of cardiology, such as Qin Sifeng from Kyoto, and Ouyang Ming from Zhongshan Medicine.


    Lu Chen nodded slightly, without explaining too much.


    Yang Feng saw this and stopped asking, "That''s alright, I won''t say anything more."


    turned around and left.


    Kyoto University School of Medicine also has its own pride.


    Although Lu Chen is excellent, it is not easy for Yang Feng to personally come forward to recruit.


    Looking at Yang Feng''s back, Lu Chen smiled slightly.


    Kyoto is indeed good and a good choice, but for him, a good horse does not eat back grass.


    Besides, he had already made an agreement with Professor Ouyang Ming before.


    In addition, Li Yao also has this relationship with Professor Ouyang Ming.


    Therefore, he directly rejected Yang Feng''s request.


    Yang Feng felt a little resentful on the way back.


    Usually he comes to pick students. When was he rejected by students?


    "I don''t know who he will pick?" Yang Feng''s eyes flickered, "Qin Sifeng? Ou Yangming? Or Shi Lijian from Sichuan Medicine?"


    "These old guys, you can start really fast!"


    is that everyone can see the excellent potential of Lu Chen, and he will be recruited in advance and cultivated well. In the future, he will definitely be a rising star in the field of cardiology.


    ¡­


    After the weekly test in the third week.


    Of the forty-two trainees in the ?? training class, only the last twenty were left.


    Fang Ruzhang and others who borrowed the simulated operating room from Lu Chen before have been eliminated.


    Everyone has more time to use the simulated operating room.


    No one borrowed from Lu Chen, and he just went to practice his hands.


    The weekly exam in the next fourth week is also the monthly exam in the first stage.


    According to the final result, at least five players will be eliminated.


    Students who pass the qualification line at the end will be awarded the Huaxia Electrophysiology Intervention Certificate.


    Having this certificate means that you can perform electrophysiological interventions alone.


    Interventional cardiology is different from other disciplines.


    Such as general surgery and cardiothoracic surgery, as long as the professional title arrives, or under the guidance of a superior physician, various surgical operations can be performed.


    However, for interventional surgery in the Department of Cardiology, the surgeon needs to obtain the corresponding qualification certificate in order to be eligible for surgery, otherwise, he can only be an assistant.


    Each province has a corresponding electrophysiological training base. As long as you pass the study, assessment, and obtain a qualification certificate, you can independently perform electrophysiological operations.


    In the last week of sprint training, Lu Chen did not dare to slack off.


    The multi-center research has been dealt with, and he devoted himself to training in the simulated operating room.


    ¡­


    The First Affiliated Hospital of Kyoto University School of Medicine, the third ward of the Department of Cardiology.


    "Yao Jie, a patient is here, go and collect one!"


    Hearing the voice of the superior teacher, Yao Jie hurriedly stopped what she was doing and said, "Okay, I''ll go right away."


    Ever since she went to graduate school, Yao Jie found that the work of this graduate student is really not easy!


    Especially at Kyoto University School of Medicine, in an environment full of academic tyrants and academic gods, Yao Jie was under a lot of pressure.


    But every time she wants to give up, she thinks of someone.


    "If Senior Brother Lu Chen is here, he will definitely not give up."


    Wanting Senior Brother Lu Chen''s greatness, Yao Jie couldn''t help but smile.


    It''s just that since she came to Kyoto, she has less and less contact with Brother Lu Chen.


    "Hey, Junior Sister Yao, I''ll take this patient, you go and rest."


    Yao Jie just walked out of the office when a boy appeared beside him.


    "No, Senior Brother, I can do it myself." Yao Jie glanced at Wu Lang, then shook her head slightly and refused.


    Recently, this senior brother has always been courteous in front of her.


    She is not a little girl, she naturally knows what other people think, and she refuses.


    Wu Lang was slightly embarrassed, "Okay, then if you have any questions, just ask me."


    "Okay, thank you brother." After speaking, Yao Jie left the doctor''s office.


    Wu Lang looked at Yao Jie''s back and shook his head helplessly. He couldn''t figure out what was wrong with him?


    He thinks that he is sunny and handsome, and he is a native of Kyoto. Why is this little junior sister indifferent to him?


    ¡­


    Yao Jie was about to go back to the office to write the course of the disease after seeing the patient. As soon as she walked out the door, she met a middle-aged doctor.


    "Mr. Fang, you''re back!" Yao Jie was surprised, she remembered that Teacher Fang seemed to be attending some training class.


    I heard that it will take more than a month, why did you come back so quickly?


    Fang Ruzhang shook his head with a smile and said, "Oh, yes, the training is over, so I''ll be back. How are the patients in the group?"


    "It''s all fine." Yao Jie smiled.


    "Yes." Fang Ruzhang nodded.


    Then, he and Yao Jie walked into the office together.


    Everyone greeted Fang Ruzhang when they saw him.


    One of the deputy chief doctors in the ?? group said, "Lao Fang, didn''t you say before that the training should be at least a week? Why did you come back so quickly?"


    Fang Ruzhang touched the back of his head embarrassedly, with an embarrassed tone, "Before I went, I felt that no matter what I said, I could pass the first stage. The first stage is only a month."


    "But I didn''t expect it. The people in this training class are really fierce! I was lucky enough to pass the first two weeks of the assessment. In the third week of the assessment, I was eliminated without any accident."


    As the attending physician of the First Affiliated Hospital of Kyoto University School of Medicine, Fang Ruzhang was originally confident and slow, and he also has the capital to be proud of.


    But the cruel reality, still gave him one.


    If he hadn''t borrowed training time in the simulated surgery room from Lu Chen, he might not have passed the second round of the weekly exam.


    "Are the people in this training class so good?" Everyone asked questions one after another.


    "Have you heard of Yu Hewei?" Fang Ruzhang raised his eyebrows, "And Liu Sijia from Zhongshan Medicine and Jiang Hongfa from Sichuan Medicine. These are young doctors who often appear at national electrophysiology conferences."


    "Huh? They all came to this training class?"


    "Yeah, so the whole training class looks friendly on the surface, but behind the scenes everyone is working hard, and no one wants to lose." Fang Ruzhang said, "By the way, there is also a ruthless man from Jinghua, then It''s really... tsk tsk, I''m not young, I should be less than 30 years old, so the operation is not worse than some experts."


    Later, Fang Ruzhang looked back at Yao Jie, "By the way, your undergraduate degree seems to be from Jinghua."


    Yao Jie was startled, then nodded.


    "I didn''t expect that your Jinghua could produce such talents, it''s not easy!" Fang Ruzhang sighed.


    "Under the age of thirty, is it really as powerful as you say?" Some doctors in Corey still didn''t quite believe it.


    "Hehe, don''t believe me, in a few years, you will be able to hear his name." Fang Ruzhang said.


    He is convinced that in a few years, with Lu Chen''s potential, he will definitely show up in the field of electrophysiology in China.


    Fang Ruzhang''s words made Yao Jie suddenly think of Lu Chen again.


    The same young, the same good.


    "I don''t know what happened to Senior Brother Lu Chen in Jinghua?" Yao Jie thought silently in her heart.


    Since she left Jinghua, she had less contact with Lu Chen, so she didn''t know that he was in Jinghua now.


    At this time, Fang Ruzhang sat in the office and smiled at everyone: "It doesn''t seem like you have to wait a few years, this ruthless man, come to our department in two days, and then I will introduce him to everyone."


    "Why did he come to our department?"


    Fang Ruzhang said with a smile: "There is a multi-center clinical study, and our two hospitals are cooperating. He wants to come over to discuss in detail."


    When it comes to scientific research, the doctors and graduate students from the three districts in my heart are also interested.


    A good project can make a lot of money if you can post a few SCI articles.


    Yao Jie is also very envious, but as a freshman in the first year of graduate school, she is not qualified to participate in it for the time being.


    There are four more


    (end of this chapter)

 v2 Chapter 411： Sister Yao Jies Misunderstanding (Second Update)

    Chapter 411 Yao Jie''s Misunderstanding (Second)


    Kyoto training class.


    Today is the last day before the first stage assessment.


    At four o''clock in the afternoon, Lu Chen came out of the simulated operating room.


    After two hours of training, fine sweat was already dripping from his forehead.


    Standing for two hours in a lead coat is not something ordinary people can afford.


    After getting off the operating table, Lu Chen felt that his back was sore.


    Back at the hotel, Lu Chen first took a shower, and then called Min Xiaobo.


    "Brother Po, I still have some personal affairs tonight, so I won''t eat with you."


    "Okay, let''s rest early today, tomorrow''s assessment will be better than before."


    "Well, well, so are you."


    hung up the phone, and Lu Chen walked out of the hotel.


    He made an appointment with Fang Ruzhang today to go to his department to talk in detail about multi-center clinical research.


    The First Affiliated Hospital of Kyoto University is not far away. Lu Chen took seven subway stops before arriving at his destination.


    ¡­


    The First Affiliated Hospital of Kyoto University is one of the earliest national hospitals in China.


    The hospital is located in the Old Imperial City of Beijing, the closest hospital to Zhongnanhai. It is a large-scale comprehensive tertiary-grade A-level hospital integrating medical treatment, teaching, scientific research and prevention. It is also a central health care base hospital.


    In the field of cardiovascular disease, the First Affiliated Hospital of Kyoto University is even more impressive. It is the first in China to carry out coronary interventional surgery and congenital heart surgery.


    Whether it is comprehensive strength or specialized strength in cardiovascular medicine, the First Affiliated Hospital of Kyoto University far exceeds the Second Hospital of Jinghua.


    Don''t look at the second hospital''s cardiology department ranking seventh in the country, the gap between each one is not small!


    Lu Chen walked into the hospital and followed the road signs to the third area of ??the Cardiology Department.


    In fact, the Cardiology Department of the First Affiliated Hospital of Kyoto University does not have the Jinghua Second Hospital.


    This is mainly because the patients in Kyoto mainly suffer from incurable diseases.


    requires quality, not quantity.


    But in Jinghua Second Hospital, there are a large number of ordinary patients.


    "It''s ten past five, they should be getting off work soon." Lu Chen came to the third area of ??his heart and sat on a chair in the corridor of the ward.


    He and Fang Ruzhang agreed to leave work at 5:30.


    Looking at the patients walking back and forth in the corridor, Lu Chen couldn''t help but think that it seemed that he had not been to the clinic for more than a month.


    At this moment, Lu Chen suddenly heard a familiar shout.


    "Lu, Senior Brother Lu?"


    Lu Chen was stunned for a moment, then turned his head to look at the source of the sound, a young girl in a white lab coat was standing in front of him slim.


    "Junior Sister Yao Jie?"


    Yao Jie had a surprised smile on her face. She had just walked out of the ward when she suddenly found a familiar figure on the seat in the corridor.


    She thought for a while that she was confused.


    "I think too much, are you blinding?"


    But Yao Jie took a closer look, it was really Lu Chen!


    In that instant, the joy filled her face without reservation.


    After the surprise, Yao Jie kept thinking, why did Brother Lu Chen come here?


    Did he come to find him?


    Yao Jie blushed, and a flush climbed up her cheeks.


    Then why did Senior Brother Lu Chen travel all the way to find her?


    Does Brother Lu Chen like him?


    Lu Chen looked at Yao Jie who was blushing, and was speechless for a while.


    After a long while, he said, "Junior sister, you..."


    "Senior brother, wait a moment, I''ll finish writing the patient''s disease course first, and come back to accompany you."


    Yao Jie originally wanted to talk to Lu Chen, but when she thought about her work, she wasn''t finished yet.


    If the teacher Fang Ruzhang in the ?? group saw it, he would inevitably be scolded again.


    She hurriedly left, and at the same time motioned Lu Chen to wait there.


    Lu Chen smiled helplessly, it seems that Junior Sister Yao Jie may have misunderstood and thought she came to see her on purpose.


    "Forget it, let''s wait here and explain to Junior Sister Yao Jie later."


    Lu Chen glanced at the time, it was ten minutes before he got off work.


    ¡­


    said that Yao Jie returned to the doctor''s office with a happy expression on her face.


    Lu Chen''s sudden appearance really caught Yao Jie by surprise.


    On the side, Wu Lang saw Yao Jie so happy today, his heart moved slightly, and he quietly came to her side.


    Originally, Yao Jie was beautiful and pure, with big twinkling eyes, but now she has a smile on her face, which exudes a different kind of charm.


    "Junior sister, are you free tonight? Let''s go to dinner together!"


    Wu Lang''s voice suddenly broke Yao Jie''s thoughts, and the smile on her face instantly disappeared, "Senior Brother Wu, I have something to do tonight."


    "What''s the matter?" Wu Lang licked, "Many of us are going today, if you don''t go..."


    Yao Jie frowned and said, "A lot of people go?"


    "Yes, several students in our department have to go." Wu Lang continued to lick, "After dinner, we can go to the movies, you can see what movies you like, I invite you to the movies!"


    Yao Jie didn''t reply immediately. She had just arrived in the department not long ago, and had a dinner together. If she didn''t go, she would be a little out of place.


    But she thought that Lu Chen had just come to the department to find him today, and she was eating with other people, which would be even worse.


    So Yao Jie shook her head and refused, "Senior Brother Wu, I''m sorry, I already have an appointment tonight, I really can''t go, I will definitely next time."


    Have an appointment? Wu Lang was shocked, could it be the boyfriend of the junior sister?


    "Junior sister, if you have an appointment, you can also call your classmates with you." Wu Lang thought for a while, as if he hadn''t heard that Junior Sister Yao Jie had a boyfriend!


    "Senior brother, I really don''t need it anymore." Yao Jie gritted her teeth. She didn''t want to leave the ink with Wu Lang, so she said, "It''s my boyfriend. He came to Kyoto to find me, so it''s inconvenient to be with everyone."


    Hearing this, Wu Lang''s eyes widened and his voice was a little dry, "Boyfriend?"


    "Well." Yao Jie''s face filled with a happy smile again.


    "This, this..." A trace of loneliness flashed in Wu Lang''s eyes, but he was still a little unwilling, "Junior sister, why don''t you introduce your boyfriend to everyone?"


    He wanted to see who Yao Jie''s boyfriend was.


    "This..." Yao Jie shook her lower lip lightly, and introduced it to everyone, it would be revealing, "I have a chance."


    Seeing Yao Jie say this, Wu Lang also left with interest.


    ¡­


    The three areas in the heart, the seats in the corridor.


    Lu Chen was waiting patiently. Fang Ruzhang had called him just now, saying that he would get off work soon.


    "Senior Brother!"


    At this time, Yao Jie jumped up and ran to Lu Chen''s side.


    "You wait."


    Looking at Yao Jie''s happy expression, Lu Chen didn''t know how to explain it, saying that he didn''t come to her, and I''m afraid she would be disappointed.


    "Senior brother, when did you come to the department? You''ve been waiting for a long time?"


    At this moment, Fang Ruzhang came out.


    "Lu Chen, my office is here!"


    There are three more


    (end of this chapter)

 v2 Chapter 412： The original intention of scientific research

    Chapter 412 The original intention of scientific research


    Yao Jie glanced at Fang Ruzhang in surprise, then looked back at Lu Chen.


    "Senior brother, you, do you know Teacher Fang?"


    When Lu Chen saw this, he could only nod his head to admit it.


    At this time, Fang Ruzhang was quite surprised when he saw Lu Chen and Yao Jie standing together. Thinking that they were both from Jinghua, he stepped forward and said, "Lu Chen, do you and Yao Jie know each other?"


    Lu Chen nodded slightly and said with a smile, "Brother Fang, Junior Sister Yao Jie has interned in our department before, follow me."


    "Oh, then you are really destined!" Fang Ruzhang laughed, patted Lu Chen''s shoulder, and then whispered, "Yao Jie is a sweet pastry in our department, as far as I know, several people are chasing after him. What about her?"


    Although the voice was small, Yao Jie still heard it, and immediately lowered her head blushing.


    Lu Chen scratched the back of his head and immediately changed the subject: "That, Brother Fang, shall we go to the office to talk now?"


    "Okay, our director is waiting." Fang Ruzhang nodded.


    Lu Chen turned to Yao Jie and said, "Junior sister, you..."


    "Senior brother, I''ll wait for you." Yao Jie pursed her lips and smiled.


    "That''s good." Lu Chen nodded, then followed Fang Ruzhang into the director''s office.


    ¡­


    Yao Jie frowned and bit her lower lip.


    Seeing the relationship between Lu Chen and Fang Ruzhang, this moment reminded her of what Fang Ruzhang said a few days ago, the ruthless man from Jinghua.


    Could it be that Senior Brother Lu Chen is the ruthless person that Teacher Fang said?


    Yao Jie worries about gains and losses.


    Happily, Brother Lu Chen is really amazing!


    Disappointingly, Senior Brother Lu Chen came here, not because of her!


    The girl Huaichun is always poetry.


    Although it wasn''t because of him, it was always good to see Lu Chen.


    Yao Jie returned to the doctor''s office.


    Wu Lang saw Yao Jie coming back and thought she had changed her mind, "Junior sister, didn''t you leave? Why did you come back?"


    Yao Jie replied lightly and glanced at Wu Lang, "I''m waiting for someone."


    "Waiting for someone?" Wu Lang was stunned for a moment and thought, "Waiting for someone at the hospital, could it be that Junior Sister Yao Jie''s boyfriend is also a medical student?"


    Wu Lang began to ponder in his heart.


    If it is another industry, it is not easy to compare, but in medicine, Wu Lang considers himself to be a top scholar.


    He was admitted to the Kyoto University School of Medicine with the first place in the preliminary and re-examinations.


    As the first author, he has published two SCI papers. Although the impact factor is not high, it is only about one point, but it is relatively rare for a postgraduate student.


    Compared with his peers, he has a huge advantage.


    ¡­


    The three districts in the heart, the director''s office.


    Lu Chen was in front of a middle-aged man of about fifty years old. He wore gold-rimmed glasses and his hair was combed brightly.


    He was not wearing a white coat, but a white shirt on his upper body, and he looked energetic.


    "Director Wan, Lu Chen is here."


    Wan Jingshui raised his head and was quite surprised when he saw Lu Chen''s face clearly.


    "Hello Director, student Lu Chen, I''m sorry to disturb you." Lu Chen said.


    Wan Jingshui helped the glasses on the bridge of his nose with a smile on his face, and said, "I heard that there is an amazing young man in the training class. Although I have been psychologically prepared, but today I see it, I still think I was shocked. Lu Chen, right, you should be still in graduate school this year?"


    Lu Chen nodded: "Director Wan, I''m studying for the second year this year."


    "Grade II... You can get the grades you are now with the second grade, tsk tsk, it''s not easy." Wan Jingshui turned his head and glanced at Fang Ruzhang beside him, "What were you doing when you were studying in the second grade?"


    Fang Ruzhang blushed, "I, I am still accepting patients in clinic."


    "Will there be interventional surgery?"


    "Director, I started to learn electrophysiological intervention slowly after graduation." Fang Ruzhang said.


    "It''s true that the back waves of the Yangtze River push the front waves!" Wan Jingshui laughed, "We are really talented in the field of electrophysiology, with Yu Hewei in the front and Lu Chen in the back."


    "Director, you have won the prize, I just learned ahead of time." Lu Chen said.


    "Hey, to study in advance, to achieve this level, you must have worked hard!" Wan Jingshui stared at Lu Chen, "I heard that you also posted a 5-point SCI? Are you interested? Am I here to study a blog?"


    Hearing this, Lu Chen didn''t have much reaction.


    But Fang Jingshui was stunned, Director Wan started digging the wall?


    But when he thought about it, he didn''t think it was strange. With Lu Chen''s aptitude, a lot of schools would be rushing for him in the future.


    "Thank you Director Wan for your love." Lu Chen smiled apologetically, "I haven''t thought about it so far yet."


    Wan Jingshui smiled and knew what Lu Chen was thinking, "It''s not that you didn''t think about it, it''s because you have too many choices, haven''t you thought about it yet?"


    Lu Chen pursed his lips and smiled, it was a default.


    Fang Ruzhang was on the side, so envious!


    Although the application system for Ph.D. is now much easier than before, but there are only so many Ph.D. advisors. One radish is a pit. If someone wants to read a Ph.D., it will be a broken leg!


    Lu Chen is good, he doesn''t need to worry about anything, the tutors from various schools have come to the door on their own.


    "Okay, don''t talk too much, forget about today''s business." Wanjing Shuidao, "Lu Chen, tell me about your multi-center clinical research topic."


    Lu Chen immediately took out the previous opening report and the sample paper he published from the bag he was carrying.


    "Director Wan, this project is actually an experimental project I started..." Lu Chen began to explain the specific experimental content to Wan Jingshui in detail, "I have already done some research in the early stage, which is the content of this SCI paper. ."


    "Published on MTNA? You''re not bad!" Wan Jingshui glanced at Lu Chen''s paper.


    He values ??the student in front of him more and more. Not only is his clinical ability strong, but his scientific research ability is not weak at all!


    Lu Chen smiled and continued to explain the content of the experiment: "My idea is to do a multi-center clinical study..."


    "Do you have funds?" Wanjingshuidao.


    "Prepare to apply for National Nature." Lu Chen said, "If there is support from the national fund project, I think it can be completed."


    Wan Jingshui did not speak, he was carefully reading through Lu Chen''s project books and papers.


    As a doctoral supervisor in Cardiology, he is very clear about the significance of Lu Chen''s clinical research.


    Otherwise, this clinical trial with only dozens of samples would not be published on MTNA!


    "Your goal this time is not small!" Wan Jingshui put the project book and thesis aside.


    Wanjingshui is keenly aware that completing such a huge multi-center study is not just for publishing a high-scoring SCI paper!


    This kind of large-scale clinical research, the manpower and material resources spent are extremely huge, and it is impossible to complete without two or three years.


    If you just want to publish a high-scoring SCI paper, you might as well concentrate on basic experiments, which cost much less manpower and material resources than clinical research!


    "Director Wan, in fact, I prefer to be a clinician rather than a scientific researcher."


    Lu Chen''s sudden words made Wan Jingshui a little puzzled.


    What is Lu Chen trying to express?


    Just listen to Lu Chen continue: "I like to treat diseases. I am very happy to see the joy of patients after their diseases are cured. So I hope that the clinical experiments I do are not just for graduation, but also for dissertation and promotion."


    "I hope that the research I do can change clinical guidelines and change the prognosis of patients'' diseases. This is the original intention of my clinical research."


    There are two more chapters


    (end of this chapter)

 v2 Chapter 413： Invisible X, the most deadly (Han Xiaohe Wan reward plus

    Chapter 413 Invisible X, the most deadly (Han Xiaohe Wan reward plus more)


    Lu Chen''s voice was not loud, but it made Wan Jingshui and Fang Ruzhang stunned.


    The original intention of scientific research...


    How many people still retain their original intentions?


    Post an article and you can get the fund.


    If you get the fund, you will have money, and if you can post high-scoring articles, you can be promoted.


    As for the authenticity and validity of the paper, how many researchers care?


    Especially in the medical field, most doctors have no time to do scientific research, what can they do?


    What''s the point of buying articles, creating data, and writing the last batch of papers?


    Pointless!


    90%, or even more papers, are meaningless!


    Wanjingshui was both pleased and helpless, "Easy to say, hard to do! It''s better for you young people, energetic, clean, and ideal!"


    For a while, Lu Chen didn''t know whether to praise him or tease him.


    "Director, I know it''s difficult, but if you don''t give it a try, how will you know the result?" Lu Chen paused, "What if, I said, if it succeeds?"


    In the room, the atmosphere is a little subtle.


    Wanjingshui did not speak, so Fang Ruzhang naturally did not dare to say a word.


    After a while.


    Wan Jingshui slowly stood up, walked in front of Lu Chen, and patted his shoulder, "Okay, then let''s try!"


    A smile appeared on the corner of Lu Chen''s mouth, "Thank you, Director."


    Fang Ruzhang also showed a relieved smile.


    "However, we need to see the natural success of your applicant country before we can cooperate with you." Wanjingshuidao.


    Lu Chen nodded: "This is no problem. When the time comes, as PI (one of the project leaders), you will write in the tender."


    "Well, for the next thing, you will contact Fang Ruzhang." Wanjingshuidao.


    "Okay." Lu Chen smiled and looked at Fang Ruzhang, "I will keep in touch with Brother Fang."


    Fang Ruzhang smiled and nodded in response.


    ¡­


    walked out of the director''s office.


    Fang Ruzhang said with a smile: "Director Wan originally meant to invite you to dinner, but he happened to be going to a dinner party, so he asked me to accompany you."


    Lu Chen smiled, "Director Wan invited me to dinner, but I dare not accept it."


    "Hey, don''t be so restrictive, our director is very good." Fang Ruzhang said, "I''ll invite you to a restaurant near the hospital to have a meal. You borrowed me a simulated operating room before, but I didn''t thank you properly."


    Lu Chen didn''t agree immediately, he thought of Yao Jie.


    "Let Yao Jie go together." Fang Ruzhang said again.


    "This...then I''ll ask her." Lu Chen thought about it and decided to ask Junior Sister Yao Jie''s opinion.


    Walk into the doctor''s office.


    Most of the doctors in the office have not left.


    "Everyone, be quiet." Fang Ruzhang knocked on the door with a smile, "I brought the ruthless man from the training class to everyone, Lu Chen from the Second Affiliated Hospital of Jinghua Medical University, he only studied second year this year."


    "Ruthless?" Lu Chen looked at Fang Ruzhang suspiciously.


    Fang Ruzhang explained with a smile, "I introduced you to everyone before, and I gave you a nickname by the way."


    Lu Chen smiled helplessly.


    In the ?? office, everyone turned to look at Lu Chen.


    One of the deputy chief doctors frowned and said, "Are the students of the second grade, qualified to enter the electrophysiology training class?"


    Lu Chen didn''t speak yet, Fang Ruzhang on the side helped explain: "Director Zhang, Lu Chen participated in the Huaxia Electrocardiography Contest and won the top ten in the country, so he won the spot."


    As soon as these words came out, everyone in the classroom was stunned.


    The top ten of the ECG contest?


    Most of the people in the department participated, so they all know how difficult the ECG competition is!


    "Also, as far as I know, Lu Chen won last year''s National Medical Student Skills Competition!" Fang Ruzhang added.


    Lu Chen glanced at Fang Ruzhang in surprise. Does he even know this?


    "I heard Professor Ouyang say it once." Fang Ruzhang whispered.


    Lu Chen really didn''t know that Professor Ouyang Ming was still promoting himself everywhere...


    "The champion of the clinical skills competition?"


    This time, the people in the department were a little excited.


    Why, because every previous session, Kyoto Medical College basically won the championship.


    Didn''t win the championship last year, but it was won by the Jinghua representative team!


    Those who didn''t care about Lu Chen also stopped their work and looked at Lu Chen one after another.


    "It''s nothing." Fang Ruzhang continued to add fuel to the fire, "Lu Chen also published a 5-point SCI paper as the first author!"


    As soon as these words came out, the whole department became quiet.


    What is this?


    Is dimensionality reduction a blow?


    Many of them have never even touched SCI!


    After a brief silence, the sound of everyone''s discussion resounded in the department.


    Everyone sees Lu Chen differently!


    Regardless of electrophysiological interventional surgery, clinical skills competition, in the final analysis, these are clinical skills, and practice makes perfect.


    But scientific research is different.


    This is the field that requires the most talent. Effort is useful, but it cannot play an absolute role.


    Many people have been in the laboratory for ten years without any results.


    But some people, after only a few years of scientific research, publish several papers in a row.


    In terms of clinical skills, no matter how difficult an operation is, after ten years of training, practice makes perfect.


    "Brother Fang, what are you doing..." Lu Chen looked at Fang Ruzhang helplessly.


    He was not such a high-profile person.


    This is already a show off!


    Although it didn''t come from his mouth, it was still a bit of a taste for those who wanted to hear it.


    As the saying goes, the invisible X is the most deadly!


    "Hey, I also have good intentions." Fang Ruzhang whispered, "These boys in the department think they are the top in the country every day, and they are all very arrogant. How can you grow up?"


    Don''t talk about others, just take Fang Ruzhang himself.


    He also went to the electrophysiology training class, only then did he know that there are people outside people, and there are days outside the world.


    ¡­


    Wu Lang kept staring at Lu Chen.


    Not only because of Fang Ruzhang''s introduction, but because he felt that Lu Chen was a little familiar!


    I always feel like I''ve seen it somewhere, but for a while, I just can''t remember it.


    Until Fang Ruzhang mentioned the National Medical Clinical Skills Competition, Wu Lang suddenly recalled that he seemed to have heard someone say that the person who won the championship last year seemed to be the person who had never applied for the Kyoto exam before!


    "Lu Chen...is that him?"


    Wu Lang is a second-year graduate student this year. In the same year as Lu Chen, he also participated in the postgraduate re-examination of Kyoto University School of Medicine last year!


    He vaguely remembered the student who got full marks at the reexamination site.


    This is the first time he has lost an exam to someone else.


    Although he was finally accepted with a high score in the initial test, Lu Chen''s performance was deeply imprinted in his mind.


    At this moment, Wu Lang''s eyelids twitched, because he saw Yao Jie, who he had been pursuing, had walked to Lu Chen''s side.


    The two of them were very close and were chatting with a smile.


    Sister Yao Jie''s boyfriend, is he?


    Wu Lang felt a lot of cold in his heart in an instant.


    This is a fart!


    ¡­


    There is one last update.


    I will go to work tomorrow, so I can only add as much as possible.


    (end of this chapter)

 v2 Chapter 415： Ablation failed? (first update)

    Chapter 415 Ablation failed? (first update)


    The next day.


    The first stage assessment of Huaxia Electrophysiology Training Course has begun.


    All the students were very energetic.


    Because as long as you pass this assessment, you can get the electrophysiological intervention certificate awarded by the Chinese Electrophysiological Society.


    If you fail this time, you can only participate in provincial training courses.


    The certificates awarded by the National Electrophysiology Society and the Provincial Electrophysiology Society are quite different!


    The intervention certificate for this training class is universal throughout the country.


    No one wants to give up this rare opportunity.


    "Lu Chen, have you decided who to choose?"


    Min Xiaobo smiled and leaned in front of Lu Chen, placing a hand on Lu Chen''s shoulder.


    The two get along day and night, and they are both students from Jinghua, and they have gotten to know each other a lot.


    Lu Chen smiled. What Min Xiaobo asked was to choose a one-on-one mentor after passing the first-stage assessment.


    "After thinking about it, what about you?" Lu Chen glanced at Min Xiaobo, this guy looks very low-key, but he knows that he doesn''t have a strong relationship in the academic circle, and it''s not easy to get along.


    "Hey, my previous boss contacted me a professor, Qin Sifeng." Min Xiaobo grinned.


    "Qin Sifeng?" Lu Chen raised his eyebrows and smiled, "Brother Bo, you are not easy, Professor Qin should be one of the best professors in the training class!"


    Min Xiaobo smiled and patted Lu Chen''s shoulder, "I am also lucky."


    The two chatted for a few minutes before Qin Sifeng walked into the classroom.


    He looked around the crowd and announced, "The first stage of the assessment has officially started!"


    This assessment is also a clinical practice!


    All people will be drawn by group first. There are three types of surgeries, namely pacemaker implantation, arrhythmia radiofrequency ablation, and ICD implantation.


    Among them, radiofrequency ablation is subdivided into several categories.


    Lu Chen''s draw was radiofrequency ablation of arrhythmia!


    This time, Lu Chen was assigned to the First Affiliated Hospital of Kyoto University.


    There are four other people in the same group with him, including Yu Hewei, who has been ranked first!


    ¡­


    Everyone came to the catheterization laboratory of the First Affiliated Hospital of Kyoto University.


    This time, not only did the training course attach great importance to the assessment, but Kyoto University also organized students from the Department of Cardiology to watch it.


    In the classroom outside the catheterization room of the Cardiology Department, a large screen broadcasts the entire assessment process.


    Fang Ruzhang also organized graduate students and regular trainees from the department to watch the game.


    "Yao Jie, go to the cath lab later to watch the game." Fang Ruzhang said with a smile to Yao Jie, who was writing the course of his illness.


    "Mr. Fang, I haven''t finished writing the course of my illness." Yao Jie said, in the department, she is still used to calling Ms. Fang.


    "Aren''t you going to watch your brother''s game?" Fang Ruzhang asked with a smile.


    Yao Jie was stunned for a moment, then reacted and said in surprise, "Senior Brother Lu Chen is coming to us to compete?"


    "Yes." Fang Ruzhang nodded slightly, "It will start in about half an hour."


    "Then I''ll write the course of the disease quickly." Yao Jie was startled, and the speed of typing on the keyboard was a little faster.


    ¡­


    Enter the catheterization lab.


    All pre-operative preparations are ready.


    The trainees of the ?? training class are still the first assistants, and are led by a chief surgeon to perform the operation.


    Lu Chen received radiofrequency ablation of premature ventricular contractions, while the others were radiofrequency ablation of atrial fibrillation, radiofrequency ablation of ventricular appeal, radiofrequency ablation of atrial flutter, and radiofrequency ablation of premature atrial contractions.


    Although they are all radiofrequency ablation operations, the difficulty of the operation varies with the patient¡¯s physical condition and electrophysiological state.


    Before the assessment.


    Everyone got all the information of the patient, including electrocardiogram and medical records.


    Lu Chen glanced at the electrocardiogram and knew that it was a premature ventricular contraction originating from the right ventricular outflow tract.


    A very conventional arrhythmia, and the method of ablation is also very simple.


    Suddenly, Lu Chen was confident.


    This kind of ablation surgery, he has trained hundreds of times in the simulated surgery room!


    Following the examiner''s order, all the students, including Lu Chen, entered their catheterization labs at the same time.


    This time the operation was performed by five people at the same time.


    ¡­


    In the classroom where he was watching the battle, Fang Ruzhang arrived with a group of students.


    "The assessment has begun!"


    Yao Jie stared nervously at one of the small screens, with the operating room No. 3 marked in the upper right corner.


    Although it was not her who performed the operation, she seemed more nervous than the person who performed the operation.


    "Mr. Fang, is Brother Lu Chen''s surgery difficult?" Yao Jie whispered.


    "This..." Fang Ruzhang took a closer look at Lu Chen''s operation interface, "It looks like it should be a routine arrhythmia radiofrequency ablation. The premature arrhythmia originates from the right ventricle, so it''s not too difficult."


    "Yes." Yao Jie''s nervousness eased a bit. With Brother Lu Chen''s ability, there must be no problem. She also prayed silently for Lu Chen in her heart.


    Catheter room.


    Lu Chen put on gloves and a hat, and began the interventional operation under the instruction of the chief surgeon.


    At the same time, the chief surgeon also acted as the chief examiner, reminding: "If there is any problem in the operation, please report it to me at any time, and if I find anything wrong, the operation will be stopped immediately."


    Lu Chen nodded, indicating he knew.


    Then, he slowly walked to the patient on his head and began to disinfect and spread towels.


    The first step is still the puncture of the blood vessel.


    Lu Chen''s actions were very fast. The speed and success rate of his blood vessel puncture far exceeded the other students present, including Yu Hewei, who had been in the first place!


    in the classroom.


    All the audience stared at the big screen with some surprise.


    "This young man in operating room No. 3 has such a powerful puncture?!"


    "Yeah, it really hit the nail on the head. This speed is faster than our director, right?"


    "Maybe it''s luck, I can also hit the nail on the head sometimes!"


    ¡­


    Hearing everyone''s discussion, Fang Ruzhang smiled.


    The first time he saw Lu Chen''s puncture, he was also shocked.


    This technique and speed are like an imaging machine installed on the eye, and it is punctured into the blood vessel in an instant.


    One or two times may be lucky, but almost every time it is successful, it is not a matter of luck!


    At this point, in the catheter room.


    Lu Chen was also very satisfied with his puncture.


    As one of the first clinical skills he trained, his proficiency in vascular puncture has been infinitely close to 100%.


    This is also thanks to his countless trainings, performing various difficult blood vessel puncture training in the simulated operation room!


    Whether it is a narrow blood vessel or a deformed blood vessel, Lu Chen''s puncture can be done in one step!


    After the successful puncture, Lu Chen put the catheter into the part of the right ventricular outflow tract on the side of the free wall.


    The arrhythmia in this patient originated in the outflow tract of the right ventricle.


    Therefore, the most basic ablation method is to place the catheter after the right ventricle and perform discharge ablation, which can permanently ablate premature ventricular contractions!


    After mapping the location, Lu Chen started the ablation operation.


    "Ablation Discharge!"


    After the ablation of the discharge begins, the ventricular ablation disappears quickly during the continuous discharge.


    On the ECG monitoring, the patient''s premature ventricular contractions have disappeared, replaced by sinus rhythm (normal heart rhythm).


    In the classroom, the audience was amazed that the operation in the No. 3 operating room was so smooth!


    It takes less than half an hour from the start of surgical disinfection to the end of discharge ablation.


    "Success!" Yao Jie showed a bright smile.


    However, Lu Chen on the stage suddenly felt that something was wrong.


    Less than a minute after he stopped the discharge, the patient''s ECG monitoring showed that the room had recovered again!


    A series of wide and deformed QRS waveforms made Lu Chen stunned. (Graphic of premature ventricular contractions, QRS waveform wide and deformed.)


    Ablation of premature ventricular contractions, failed? !


    (end of this chapter)

 v2 Chapter 416： weird origin

    Chapter 416 Weird Origin Point


    "What''s the matter? The patient in operating room No. 3 seems to have recovered from premature ventricular contractions?"


    Lu Chen''s accident here was immediately known to the audience.


    Rao is a student who doesn''t know much about electrophysiological surgery. He also saw Lu Chen''s ablation. It seems that he failed? !


    At the same time, the operation speed of the other students in the operating room also caught up with Lu Chen.


    After performing puncture and mapping, they are all ready to start discharge ablation.


    Among them, Yu Hewei''s operation progressed the fastest.


    He has already completed a third of the ablation procedure.


    In the classroom, the whispers of everyone resounded again.


    "It seems that the fastest is not necessarily the best! In this competition, we are not using the shortest time!"


    "Hey, young man, you still don''t have enough experience!"


    "However, have you noticed that this patient''s arrhythmia doesn''t seem to be the same!"


    ¡­


    Catheter room.


    Lu Chen stared at the patient''s ECG monitor, his hands were constantly moving.


    "Continue the ablation discharge!"


    Since one discharge ablation failed, Lu Chen performed a continuous discharge operation again.


    But what Lu Chen didn''t expect was that after several attempts, the patient''s sinus rhythm could only be maintained for a short time.


    After the ablation discharge was withdrawn, the patient''s premature ventricular contractions quickly recovered!


    At this point, Lu Chen fell into an endless loop.


    He flipped through the patient''s case data.


    "That''s right, it''s the right ventricle!" Lu Chen frowned.


    The patient''s electrocardiogram clearly showed that the premature ventricular contractions originated in the right ventricle.


    He is now ablating the right ventricular outflow tract, which has a certain therapeutic effect, but the effect of the ablation cannot be maintained!


    "Why the **** is this?" Lu Chen stopped the movements in his hands, his eyes flickered, and he began to recall countless simulation trainings in his mind, trying to find out the reason.


    ¡­


    The classroom outside the venue.


    "Yo, I didn''t expect it, there''s a tricky case!"


    Director Wan Jingshui of the third ward in his heart smiled and looked at the big screen. He touched his chin and was extremely interested in Lu Chen in the third operating room.


    "Director, you see Lu Chen''s ablation operation, I don''t think there is any problem!" Fang Ruzhang sat beside Wanjingshui with a puzzled look in his eyes, "But why did it fail in the end?"


    Wan Jingshui grinned, "So, you young people, you are very skilled in surgical operation, but you still have too little clinical experience!"


    "Director, do you see the reason for the failure?" Fang Ruzhang was slightly startled.


    Wan Jingshui smiled and nodded, "Lu Chen''s melting position is right and wrong again."


    "Right, wrong again?" Fang Ruzhang scratched the back of his head, looked at the big screen again, and said suspiciously, "I also looked at the patient''s electrocardiogram, and the ventricle originated from the right ventricle, that''s right!"


    The origin of premature ventricular early can be easily judged by electrocardiogram.


    Originated from right ventricular premature beat, the chest leads are consistent with the left bundle branch block pattern, the main wave direction of the QRS waveform is upward in leads V5 and I, and the main wave in lead V1 is downward or has an obvious RS pattern. Fat, the time limit is greater than 30ms.


    originates from left ventricular premature beats, just the opposite.


    Hearing Fang Ruzhang''s words, Wanjingshui shook his head slightly and smiled, "You are right, the ventricle originates from the right ventricular outflow tract, but have you forgotten that the heart is a three-dimensional structure? In the ablation of the right ventricle of the endocardium After that, Shizao still exists, should we consider other possibilities?"


    "Three-dimensional structure?" Fang Ruzhang frowned and muttered, "Director, do you mean that the origin of premature ventricular arrhythmia is inside the heart? That is, the middle part of the intima and the adventitia?"


    The heart is divided into the endocardium and the epicardium.


    In the vast majority of surgeries, doctors put the catheterization lab into the blood vessel and ablate the intima of the heart.


    "Ruzi can be taught." Wan Jingshui nodded with a smile, "This kind of early origin is relatively rare!"


    However, hearing this, Fang Ruzhang''s brows furrowed even deeper, "Director, how can the origin of this heart be melted away?"


    "Hehe, difficult! This case of Lu Chen seems to be about to fail. The chief surgeon is ready to take over." Wan Jingshui turned his head to stare at the big screen and shook his head slightly, "This can only be said to be bad luck. Now, just change to the other four cases, and Lu Chen may have completed the operation."


    Yao Jie on the side also heard the conversation between the two. She stared at the big screen, bit her lip with her teeth, and folded her hands together, praying to Lu Chen constantly in her heart.


    "Senior brother, you can definitely do it!"


    ¡­


    Catheter room.


    After calming down, Lu Chen gradually realized the problem.


    After all, he has tried most surgical operations in the system''s surgical simulation room.


    "First of all, I want to make it clear that my ablation is effective, which proves that the ablation part is generally correct, at least there is not much deviation!"


    "However, the effect of ablation could not be maintained, which can only mean that the origin of ventricular angioplasty is deeper and farther from the ablation point of the endocardium!"


    Lu Chen looked down at the patient on the operating table, without the slightest joy in thinking about the crux of the problem.


    Because he realized a problem, the origin of Shizao is deep, so how can he "reach" this lesion?


    The lesion is between the intima and the adventitia, or closer to the adventitia!


    "Perhaps, only by ablation of the epicardium, it is possible to completely solve this patient''s premature ablation!" Lu Chen thought to himself, "However, my catheter is in the blood vessel, how can I reach the epicardium and perform epicardial ablation? Woolen cloth?"


    Time passes in a minute and a second.


    Lu Chen seemed to give up, just stared at the ECG monitor, without any other action.


    In the other four operating rooms, everyone''s operation is coming to an end.


    "Student No. 3, do you end the assessment?"


    In operating room No. 3, the chief surgeon stood beside Lu Chen for the first time.


    As long as he sees Lu Chen nodding, he will immediately take over the operation.


    However, the chief surgeon was also sighing for Lu Chen.


    This is really bad luck!


    Two words, face black!


    Whoever chooses this patient will end up with a "failure".


    "Classmate, you don''t have to worry about it." The chief surgeon reminded, "This operation is more difficult than expected. Even me, I have to report it to the director of the department now to decide the next treatment plan."


    Lu Chen paused, then shook his head slightly, "I, I don''t want to give up yet."


    "Okay, then I''ll give you the last five minutes to think about it. If there is no next step, the assessment will be considered over!" The chief surgeon sighed. Although it was a pity, he could not delay the patient''s treatment.


    ¡­


    In the catheter room, all the students from the other four operating rooms came out.


    When they saw that Lu Chen was still in the operating room, they couldn''t help being surprised and puzzled, and some people even gloated.


    "Xiao Fang, it looks like that kid Lu Chen gave up!" Looking at Lu Chen who had not acted in the catheterization room for a long time, Wan Jingshui shook his head regretfully.


    "Oh, what a pity!" Fang Ruzhang said regretfully, "Lu Chen has always been ranked second. Without this accident, he will definitely pass this assessment!"


    On the big screen in the classroom, everyone saw that the chief surgeon in the No. 3 operating room had come out.


    "Okay, the assessment is over, let''s go back too!"


    Wan Jingshui stood up and prepared to return to the department.


    But just when everyone was about to leave the classroom, someone shouted loudly, "Fuck, look at the operating room No. 3, why is it operating again?!"


    Try to write another chapter.


    (end of this chapter)

 v2 Chapter 417： let me try

    Chapter 417 Let me try


    "What?! He''s operating again?"


    Wan Jingshui turned his head and looked at the No. 3 operating room.


    Sure enough, Lu Chen moved again!


    The chief surgeon also came back and pushed in the cardiac ultrasound machine.


    When Wan Jingshui saw the echocardiograph, he was shocked, "Is this meant to..."


    In the classroom, everyone who saw the accident here did not leave, and sat back to their original positions.


    From beginning to end, only one person remained unmoved, and that was Yao Jie.


    She stared at Senior Brother Lu Chen on the screen, her eyes couldn''t hide the joy.


    ¡­


    Catheter lab, operating room No. 3.


    "Classmate, are you sure you want to do this?" The chief surgeon looked at Lu Chen with a very solemn expression on his face.


    "Yeah." Lu Chen nodded, "I did this not all because of my assessment, but mainly because of this patient. If it is not resolved at one time this time, the next time I have to perform puncture and intubation, as well as anesthesia. Why should I suffer this second sin?"


    The chief surgeon was uncertain, "Well, you can use cardiac ultrasound to locate first. I have already contacted Professor Qin, and he will come right away."


    "Okay." Lu Chen nodded slightly, then took the cardiac ultrasound probe and positioned it on the patient.


    Why use cardiac ultrasound?


    Because Lu Chen came up with a feasible solution, that is, to perform ablation from the opposite side of the endocardium, that is, on the side of the epicardium, so as to achieve the effect of "internal and external pinching".


    However, this solution requires transpericardial puncture to insert a catheter to the lateral side of the heart, which is extremely difficult and risky.


    This is also the only way Lu Chen can think of at the moment.


    Usually pericardiocentesis, patients usually have moderate to large pericardial effusion.


    Although there are certain risks, as long as the positioning is good, the needle is inserted into the pericardium to drain the effusion.


    In the current puncture, the patient does not have any pericardial effusion. After the needle is inserted into the pericardium, it is easy to damage the myocardial tissue.


    Its difficulty and risk are several times higher than those with pericardial effusion!


    And there is another point, is the current Lu Chen capable and qualified to perform this kind of puncture operation?


    So that the chief surgeon needs to contact the chief examiner, Professor Qin Sifeng, to make the next diagnosis and treatment plan.


    ¡­


    Soon, Lu Chen performed a cardiac ultrasound to mark the body surface, and Qin Sifeng also rushed to the catheterization room.


    "What''s the matter? Call me over in such a hurry?" Qin Sifeng walked in front of the crowd with his hands behind his back.


    The chief surgeon in the No. 1 operating room followed Qin Sifeng and whispered: "The patient in the No. 3 operating room is a bit special. I thought it was a routine premature ablation, but just found out that the origin seems to be in the epicardium."


    "Epicardium?" Qin Sifeng paused slightly, "We haven''t encountered many here! Which dark-faced student picked this case?"


    "It seems to be called Lu Chen." The chief surgeon in the No. 1 operating room said.


    "It''s him?" Qin Sifeng was stunned and listened to his footsteps.


    In the eyes of all the instructors in the training class, Lu Chen''s advancement to the next stage is a sure thing. I didn''t expect to kill Cheng Yaojin halfway through!


    After all, he won the second place three times in a row. Whether it was the trainees or the instructors in the training class, everyone was very optimistic about Lu Chen.


    "Did he give up?" Qin Sifeng asked.


    The chief surgeon in the No. 1 operating room continued: "Professor Qin, he didn''t give up, but came up with a way to insert a catheter from the epicardium through pericardiocentesis."


    Qin Sifeng heard the words, frowned at first, then smiled, "This kid, he really knows how to toss, it''s not easy!"


    "That''s why we called you here," said the chief surgeon in the No. 1 operating room.


    "Okay, let''s go have a look." Qin Sifeng nodded slightly and continued to walk towards the No. 3 operating room.


    ¡­


    In Operating Room 3.


    Lu Chen has used a cardiac ultrasound machine to mark the place close to the right ventricle.


    The epicardium can be ablated by simply puncturing from here and inserting the catheter.


    However, this was the first time that Lu Chen had encountered such ablation without effusion.


    Taking advantage of Qin Sifeng''s passing, he was already training in the system simulation surgery room.


    Pericardiocentesis is one of the clinical skills that Lu Chen is more familiar with, with a proficiency of about 90%.


    Now he will deliberately remove the pericardial effusion and simply practice puncture without pericardial effusion.


    Because of the foundation, Lu Chen''s training process was relatively smooth.


    At this time, Qin Sifeng also arrived.


    Wearing a surgical gown and a lead gown, he slowly walked into the No. 3 operating room.


    "Professor Qin!" Lu Chen stepped forward immediately.


    "Well, the origin of your patient room is in the epicardium?" Qin Sifeng said straight to the point.


    "Yes." Lu Chen nodded helplessly, "I have ablated the inner lining many times, and it has a certain effect, but after removing the discharge, the chamber has long since recovered."


    "So you''re thinking that the origin of ventricular early is in the epicardium?" Qin Sifeng glanced at Lu Chen.


    "Well, to be more precise, the origin of premature ventricular contraction is between the endocardium and the epicardium, but it is closer to the epicardium, so it has a certain effect on the endocardium, but it cannot be maintained." Lu Chen said slowly.


    Qin Sifeng nodded slightly when he heard the words, "It makes sense. This kind of ventricle originating from the epicardium is very rare. This should be the first case that our hospital has encountered this year!"


    showed the auditorium of the classroom, and everyone was talking.


    On the big screen at this time, there was only operating room No. 3, and the conversation between Lu Chen and Qin Sifeng was also spread.


    "A room in the epicardium?" Fang Ruzhang was stunned, "Director, it seems that we haven''t met the three areas in our hearts for several years."


    Wan Jingshui nodded: "The last time, it was two years ago, when I encountered a case of premature epicardial chamber."


    "Director, how did you deal with it at that time?" Fang Ruzhang said again.


    "Did a second operation." Wan Jingshui thought about it.


    ¡­


    Catheter lab.


    Qin Sifeng looked at Lu Chen with a smile on his face, "You can see these things, it''s not easy anymore, the next operation is completely beyond the outline, you don''t have to do it. As the chief examiner of this assessment, I will apply for you additionally. a test."


    Everyone was stunned when they heard this.


    Reapply for an assessment?


    "Professor Qin, is this not in line with the rules?" said the chief surgeon in operating room No. 1, "Although none of us expected this situation, it is an assessment after all, and we need to bear these uncertainties."


    "Really?" Qin Sifeng''s eyes were burning, "Then what is the significance of our assessment?"


    "The purpose of this assessment is to select a group of outstanding students." The chief surgeon in the No. 1 operating room paused.


    "You said it yourself, pick out a group of outstanding students, instead of stumbling them!" Qin Sifeng snorted coldly, "Take this epicardial room as an example, if it were you, you could diagnose it and do Is there any appropriate treatment?"


    The chief surgeon was stunned for a while, but did not reply for a while. He glanced at Lu Chen, thinking in his heart that if he encountered the epicardial compartment, he could be as calm as Lu Chen and successfully judge that the ablation failed. the reason?


    The answer is uncertain.


    The chief surgeon in the operating room No. 1, he himself can''t guarantee that he will be able to diagnose and treat!


    At this moment, Lu Chen suddenly said, "Professor Qin, let me try it."


    This voice was a bit abrupt in the eyes of everyone.


    But Lu Chen''s eyes were firm, he looked back at Qin Sifeng, and said solemnly, "I''m sure about pericardiocentesis, and under the positioning of the cardiac ultrasound machine, the risk will be minimized!"


    9:30 After drinking with the leader, go home


    (end of this chapter)

 v2 Chapter 418： Exam passed!

    Chapter 418 Passed the assessment!


    Everyone turned their attention to Lu Chen.


    A question arose in everyone''s heart, who gave him the courage to this young man in front of him?


    "You don''t want the chance for a second assessment?" Qin Sifeng asked rhetorically.


    "Yes, of course it is the best." Lu Chen smiled, "If not, then I have to win this patient for myself!"


    "Good boy!" Qin Sifeng smiled and patted Lu Chen''s shoulder, "Are you so sure?"


    Lu Chen nodded slightly, but his eyes were unquestionable.


    Pericardiocentesis, which is also one of his most assured operations!


    ¡­


    Outside the classroom.


    "Director, what do you mean, Lu Chen wants to have a pericardiocentesis?" Fang Ruzhang was a little surprised.


    To be honest, the current specialties are becoming more and more refined.


    Operations such as pericardiocentesis and thoracic puncture are all performed in specialized ultrasound intervention rooms.


    The Cardiology Department performs pericardiocentesis in the ward itself. This opportunity is getting less and less, because the current doctor-patient relationship cannot tolerate any risk.


    Fang Ruzhang has not done a pericardiocentesis himself for a long time, let alone this kind of puncture without effusion, the difficulty will only be higher!


    "Yeah, didn''t you see that he has been positioned with cardiac ultrasound?" Wanjingshuidao, "He wants to pass the pericardiocentesis, put the catheter into the epicardium, and then perform ablation."


    "But our assessment this time is about electrophysiological interventional surgery, not puncture?" Fang Ruzhang was stunned, "Is this a problem?"


    At this time, Yao Jie on the side made a sound.


    Although she knew that it was not suitable to speak out in this situation, she still kept saying it.


    "Senior Brother Lu Chen, he, he passed through blindly before!"


    "Huh?" Fang Ruzhang looked back at Yao Jie, "What did you say? Blind penetration? Blind penetration of pericardiocentesis?"


    "Yes." Yao Jie nodded, "It was in the elevator..."


    Yao Jie briefly explained the situation at that time, Fang Ruzhang and Wan Jingshui looked at each other, and both could see the shock in the other''s eyes.


    It is one thing to be able to pierce, but it is another to dare to wear it!


    And it¡¯s still blind wear!


    It takes a lot of courage for Lu Chen to be able to blindly wear in that situation.


    "Everyone in the Cardiology Department knew about this..." Yao Jie emphasized in a low voice.


    "Yeah, how could I forget that he is the champion of the National Medical Skills Competition..." Fang Ruzhang shook his head slightly.


    "It seems that I still underestimate him!"


    Wan Jingshui focused his attention on the big screen again. Now he is more and more interested in this student named Lu Chen!


    Perhaps, he can really succeed...


    ¡­


    Catheter room.


    After informing the patients and their families of the related risks and obtaining the consent of the operation, Lu Chen began to perform pericardiocentesis under the guidance of Qin Sifeng.


    Others came to the conduit room and watched the situation inside through the glass windows.


    "This kid is really tough!" The chief surgeon in the No. 1 operating room shook his head helplessly, "Actually, if Professor Qin insists on giving him a second chance to be assessed, then I can''t object!"


    "Don''t say it, I look at this student''s eyes, his calmness is really not pretending." Another doctor said, "Besides, it''s not that you didn''t see the speed of his blood vessel puncture before. This kind of technical level, to pericardiocentesis, is it still easy to grasp?"


    The doctor in operating room No. 3 thought for a second, and this is not rude.


    Everyone was thinking about the difficulty of pericardiocentesis, but they had forgotten the speed and accuracy of Lu Chen''s vascular puncture!


    "Yu Hewei, do you think Lu Chen can do it?"


    The other assessment students gathered around Yu Hewei. Now Lu Chen''s grades determine their ranking.


    From the heart, most of them didn''t want Lu Chen to pass the assessment.


    Yu Hewei narrowed his eyes, he stared at Lu Chen in the catheterization room, "I hope Lu Chen can pass."


    Only in this way will he have a sense of urgency.


    Otherwise, he has been leading by a large margin in the training class, and he is a little slack.


    ¡­


    At this point, Lu Chen had washed his hands again and put on gloves.


    "Have you chosen the puncture point?" Qin Sifeng stood beside him and said softly.


    "Well, I marked it." Lu Chen marked the right atrium of the patient''s heart.


    "Then let''s get started."


    Qin Sifeng is like a door god, standing beside Lu Chen, ready to take over his job at any time.


    Lu Chen took a breath and adjusted his state.


    In my mind, the process of piercing continued to appear.


    Anesthesia, puncture, needle insertion, and catheterization.


    Every step of ?? appears so clearly in my mind.


    After the anesthesia, Lu Chen began to puncture.


    This puncture is different from conventional pericardiocentesis.


    When pericardiocentesis is performed with effusion, the puncture needle is a little deeper, and there is no big problem.


    But Lu Chen, once the puncture site is a few tenths of a millimeter deep, it may damage the myocardial tissue!


    At this moment, Lu Chen moved.


    He is holding a puncture needle in his right hand, at the place marked on the body surface, the needle is inserted!


    Lu Chen stared at the operating needle in his hand and pushed it slowly.


    Qin Sifeng was not idle by the side, he held the heart ultrasound probe to "guide the way" for Lu Chen''s puncture.


    This is also a double-layer insurance!


    Lu Chen can understand the dynamics of the puncture needle through the real-time image of the ultrasound.


    "It''s in position!" Lu Chen felt some resistance and immediately stopped the needle injection.


    On the screen of the ultrasound machine, the puncture needle also successfully reached the predetermined position.


    "Huh..." Lu Chen breathed a sigh of relief in his heart.


    It seemed like a simple operation, but Lu Chen''s palms were sweating.


    The remaining step is to enter the catheter.


    Lu Chen didn''t dare to relax at all, he took the catheter handed over by the nurse and slowly inserted it into the puncture needle.


    Under the guidance of the CARTO cardiac three-dimensional electrophysiological navigation system, he sent the catheter to the opposite side of the previous ablation site on the endocardial surface.


    After the catheter was in, the puncture needle was withdrawn.


    "Okay!" Lu Chen whispered, "The puncture was successful!"


    Qin Sifeng nodded slightly and cast an admiring look at Lu Chen.


    Don¡¯t look at these few steps, but the operations involved are not simple.


    Technique, force direction, position, there can be no error in every point!


    Outside the conduit, everyone was silent.


    No one expected that Lu Chen''s puncture would be so easy.


    Yu Hewei looked at Lu Chen in the catheterization room with a smile on his lips, "Lu Chen, you really didn''t disappoint me! The second stage will be interesting!"


    in the classroom shown.


    Fang Ruzhang also realized that Yao Jie''s blind pericardial piercing is somewhat credible!


    Lu Chen''s skilled operation skills are no longer comparable to those of ordinary attending physicians or deputy chief physicians.


    Without years of clinical practice, it is absolutely impossible to have such proficiency!


    Wan Jingshui also shook his head slightly and sighed, "I really don''t know how Lu Chen trained?! Can the Second Academy of Jinghua cultivate such outstanding talents?"


    ¡­


    Catheterization lab, in operating room No. 3.


    When the ?? catheter reached the designated position, Lu Chen started the discharge operation.


    This time, after the discharge ablation, the ventricle disappeared immediately!


    In order to avoid the previous situation, Lu Chen consolidated and ablated several times, and the effect was significantly better than before.


    A small amount of premature beats still appeared during the extended observation time of several minutes, which was consistent with the preoperative appearance.


    Lu Chen calmly adjusted the position of the catheter, and the fragmentation late potential was mapped at a position slightly outside and below, which indicated that the place was closer to the origin!


    Continue the discharge ablation, and after consolidation again, the room has finally completely disappeared!


    However, the operation is not over yet.


    After ablation, induction experiments must be performed to ensure that the arrhythmia does not easily recur.


    Lu Chen stopped the discharge, and asked the patient to hold his breath while injecting isoproterenol to try to induce ventricular early.


    After observing again for more than 20 minutes, on the ECG monitor, I didn''t see a morning!


    Lu Chen walked off the operating table only when he was in normal sinus rhythm.


    The ablation of the "internal and external" pincer attack was successful!


    The duct room at this time.


    "Lu Chen, congratulations, you passed the test!"


    Everyone was stunned for a few seconds. With Qin Sifeng taking the lead, the entire catheterization room burst into prolonged applause!


    After get off work, I have to drink with the boss, no way!


    I have gained weight recently...


    Today is only two shifts, everyone go to bed earlier.


    (end of this chapter)

 v2 Chapter 419： Great Doctor of the Country

    Chapter 419 The Great Doctor of the Country


    Kyoto, Electrophysiology Training Course.


    In a conference room, all the students of the training class are sitting at risk.


    The first stage of the assessment is over, and everyone is waiting for the final result.


    However, according to the performance in the assessment process, everyone knows what the grades are.


    Suddenly, on the screen of the conference room, the list of passing the assessment jumped out.


    In this stage assessment, there are no grades, only the words passed or eliminated.


    There are only thirteen people in the ?? list.


    Lu Chen saw his own name and also came across several familiar names, such as Min Xiaobo and Yu Hewei.


    And those whose names did not appear on the list also knew their ending at this time and were eliminated.


    The training class started with 42 people, and now the first stage is over, the number of people has dropped sharply to 13 people!


    "Lu Chen, do you know why only thirteen people made the cut?" Min Xiaobo whispered beside him.


    Lu Chen frowned, "Why?"


    "Because there are only thirteen instructors in the training class!" Min Xiaobo smiled, "The second stage is one-on-one training, and each instructor leads a student."


    As soon as Min Xiaobo finished speaking, Professor Qin Sifeng on the stage said, "First of all, congratulations to the thirteen students who passed the first stage assessment, you will be awarded the intervention certificate of the Chinese Electrophysiology Society. Don''t be discouraged by the other students, you are all us. The best electrophysiological talent in China!"


    After a simple certificate awarding ceremony, Lu Chen finally got the coveted electrophysiological intervention certificate.


    "Unfortunately, I don''t have a doctor''s license yet." Lu Chen smiled helplessly, "Even if I have this intervention certificate, I can''t operate alone for the time being."


    "Hey, isn''t it easy for you to get a license?" Min Xiaobo laughed, "When you go back to Jinghua this time, it''s just time for your exam. Besides, who will stop you from going now? Do electrophysiological surgery?"


    Having said that, Lu Chen certainly cannot perform the operation independently at present. Before he obtains the doctor''s license, he can only act as an assistant in the operation.


    The granting ceremony of the electrophysiological intervention certificate is over, and the next step is the choice of the instructor.


    In fact, the choice of this kind of mentor is discussed in private.


    Now making a choice is just a cutscene.


    Lu Chen directly chose Professor Ou Yangming, Yu Hewei chose Professor Yang Feng, and Min Xiaobo chose Professor Qin Sifeng.


    Next, everyone has a short rest period for two days.


    As for the content of the second stage, the official training class has not disclosed it yet, but everyone knows that the assessment of the second stage is definitely more stringent than the first stage!


    During the two-day break, Lu Chen played in Kyoto.


    During the ?? period, Yao Jie also looked for Lu Chen several times, the two had a meal, and took time to watch a movie.


    But, that''s all.


    Lu Chen could vaguely feel Yao Jie''s thoughts towards him, but he also knew that it was impossible for the two of them to be so far apart.


    Moreover, he has a lot of things to do next, and he has no time to care about emotional matters.


    ¡­


    After a two-day break, the second stage of the assessment has finally begun!


    At eight in the morning, in the conference room of the training class, all thirteen trainees had arrived.


    At the same time, thirteen mentors also arrived.


    "Students, hello everyone!"


    On the rostrum, a white-haired old man smiled and looked around the crowd.


    When everyone saw the old man, everyone showed a look of astonishment, followed by a burst of joy.


    The old man''s voice was not loud, but it was very penetrating.


    Lu Chen knew the old man on the podium. He was the founder of Huaxia Electrophysiological Interventional Surgery, Jiang Qilu!


    It can be said that he is the first person in electrophysiological interventional surgery in Huaxia, and it is not an exaggeration.


    Mr. Jiang is now retired, but he is still active in the medical field. He occasionally participates in some conferences, and what he does is to support the younger generation.


    "I came to visit the simulated operating room of your training class today." Jiang Qilu smiled, "We can''t compare at all then and now."


    As Jiang Lao said, his eyes seemed to show the look of memories: "In China, there were so many simulated operating rooms back then. We all returned from studying abroad, and then performed on patients. It is better to say that instead of performing surgery It''s an experiment. In the past, doctors'' skills were built on one patient after another. Accidents and deaths are inevitable, but there is no way!"


    "We have limited conditions, but there is no place for us to train, let alone a simulated operating room like yours now."


    After speaking, Jiang Qilu paused, the smile on his face converged, and he said solemnly: "Compared to us, you are lucky, with so many high-tech equipment, your technology will definitely improve to a higher level. But You are unfortunate again, no matter what our doctors did in the past, patients could understand or cooperate very well, but now, I know that you are walking on thin ice clinically."


    Jiang Qilu''s words seemed to knock on everyone''s heart.


    Everyone was carefully figuring out what Jiang Qilu said.


    Lu Chen looked up at the old man on the podium. Today was the first time he saw Jiang Qilu.


    But somehow, through Jiang Lao''s words, he seems to have returned to the era when everything was abandoned decades ago.


    At this time, Jiang Qilu continued: "It''s not easy for us doctors, but it''s even more difficult for patients. They are a vulnerable group in front of us. You are all elites selected from across the country. A role model for doctors. In my lifetime, I can see you grow into a great doctor in the country!"


    "The Great Doctor of the Country..."


    Everyone muttered these four words silently. Lu Chen''s eyes were extremely firm. He knew how to bear the weight of these words.


    The great doctor of the country!


    What kind of doctor can match these four characters?


    ¡­


    After Professor Jiang Qilu finished his speech, Qin Sifeng explained the assessment method of the second stage in detail.


    The second stage of the assessment is no longer training in the surgical simulation room, but in-depth clinical practice.


    Thirteen students will be dispatched to the cardiac catheterization laboratories of various hospitals in Kyoto.


    Over the next month, all will be clinically trained to complete set tasks every day.


    At the end of the assessment period, the chief examiner will judge whether the second stage of the assessment is passed based on the performance of the month.


    The criteria for judging are mainly based on three aspects: the number and quality of electrophysiological surgeries completed, the number of difficult surgeries involved, and the evaluation of teachers.


    And the role of each mentor is to provide one-on-one teaching to the students every weekend during this month.


    After passing the second stage of the assessment, you can get the completion certificate of the electrophysiology training course.


    This certificate of completion is a "golden signboard" that allows you to enter the Cardiology Department of any of China''s top tertiary hospitals.


    (end of this chapter)

 v2 Chapter 420： Missing Check Items

    Chapter 420 Missing Inspection Items


    The First Affiliated Hospital of Kyoto University, Cardiology Catheterization Laboratory.


    This is Lu Chen''s second time here.


    He will be in the cath lab for the next month.


    As long as Lu Chen has participated in electrophysiological operations, all of them will be recorded in detail, including the degree of completion, difficulty and number of operations.


    "Lu Chen, you were actually sent to our catheterization lab?!"


    There happened to be a coronary intervention today. After Fang Ruzhang came to the catheterization room, he happened to see Lu Chen.


    "Yes." Lu Chen just changed into his surgical gown and was following his teacher, Xiao Shikang, the chief surgeon during the first stage of the assessment.


    "That''s great. If you have any questions after that, I''ll ask you." Fang Ruzhang had seen Lu Chen''s level and admired it very much.


    The premature ablation of the epicardium in that hand is something that most people really can¡¯t learn.


    "Are you here for coronary intervention?" Lu Chen watched Fang Ruzhang push the patient to the opposite coronary catheterization lab.


    "Yes, a patient in my hospital bed." Fang Ruzhang smiled, "But it wasn''t me who did it, it was Director Wan who did it. This is a leader in the city, so Director Wan started it himself."


    "Director Wan does it himself?" Lu Chen smiled, "I guess Director Wan rarely has surgery now."


    Fang Ruzhang spread his hands, "There is no way, the leader asks, we can''t do anything about it."


    Actually, professors at the level of Director Wan rarely perform surgery in person, and most of their energy is devoted to scientific research or administration.


    It is better to let some deputy directors of the department or senior attending doctors do it, and the effect of the operation may be better.


    After all, these doctors have been working in the front line for a long time and have developed their skills.


    Lu Chen and Fang Ruzhang chatted for a while, saw Director Wan Jingshui coming to the catheterization room, said hello and left.


    ¡­


    At present, there are eight operating rooms in the catheterization laboratory, including six coronary intervention rooms and two electrophysiological intervention rooms.


    This is after the price reduction of cardiac stents, and an electrophysiological intervention room was temporarily added (the price of electrophysiological equipment has not been reduced yet).


    With the price reduction of domestic stents, the popularity of coronary intervention is also gradually waning.


    Many new scholars of cardiology intervention are between coronary artery and electrophysiology from time to time, and most of them chose coronary intervention in the past.


    But now, more and more people are learning about electrophysiological intervention.


    This is also the result of profit-driven.


    The doctor is also a normal person, and he must be going to places with more money.


    Therefore, high-risk departments, such as emergency department, pediatrics, have a large number of gaps every year.


    ¡­


    Lu Chen''s current job is very simple, waiting for electrophysiological surgery.


    As long as there is an electrophysiological operation, he will have the opportunity to take the stage as an assistant.


    When there is no surgery, he studies in the catheterization lab.


    Electrophysiological surgeries are mostly routine surgeries, except for a few surgeries that require the installation of a temporary pacemaker.


    "Lu Chen, there is no surgery today, but two are scheduled for tomorrow. One is for a patient in the third area of ??the heart, and one of them seems to have a pacemaker. , you can evaluate it later." Xiao Shikang came to Lu Chen''s side and brought him a medical record folder.


    Any patient undergoing surgery needs to be well prepared before surgery.


    The most important point is to determine whether there is an indication for surgery. In short, it depends on whether the patient needs surgery.


    "Oh, good." Lu Chen nodded, took the medical record folder and read it carefully.


    A pacemaker, as the name suggests, is a machine that helps the heart beat.


    When the heart is diseased and beating slowly, there is a problem with the heart pumping blood, and the blood cannot enter other organs in the body, such as the liver, kidney, brain, etc., ischemia and hypoxia in various organs, resulting in multiple organs failure, and even lead to sudden death.


    At this time, you need the help of the outside world. A device is placed in the heart to help it beat and maintain the normal blood supply of various organs. This is called a pacemaker.


    There are many reasons for bradycardia, the common ones are coronary heart disease, electrical conduction system disorder, endocrine disease, intracranial hypertension, in addition, there are some drug-induced bradycardia.


    "Mr. Xiao, I''ll go to the third district in my heart to see this patient." Lu Chen looked through the medical records, but there was not much useful information.


    "Okay, let''s go, you need to see the patient in person." Xiao Shikang nodded slightly.


    Lu Chen changed out of his surgical gown, put on a brand new white coat, and put a shoe cover on his sneakers, so he took the elevator to the third area in his heart.


    ¡­


    Three areas in the heart.


    Yao Jie is sitting in the office, writing down the course records for the patients she manages.


    "Junior sister, I have already taken the patient for you just now, you don''t have to go." Wu Lang smiled and walked to Yao Jie''s side, "This is a patient with bradycardia, it seems that he is here for a permanent pacemaker. I have contacted the teacher in the cath lab. You will talk to the patient and family about the risks of surgery."


    "Okay, thank you Brother Wu." Yao Jie said.


    Ever since Wu Lang knew that Yao Jie had a boyfriend, he was depressed for a few days, but then he thought about it, her boyfriend is from Beijing, and the long-distance relationship will not last long.


    He is now by Yao Jie''s side every day, and there will be a chance one day.


    After all, the moon is the first to get a building near the water.


    At this time, Lu Chen came to the doctor''s office in the third district of the heart.


    "Excuse me, for the patients with twenty-three beds, who is the doctor in charge of the beds?"


    Yao Jie heard this familiar voice and looked back in surprise. It was Lu Chen.


    "Senior brother, you...why are you here?"


    Wu Lang was stunned for a moment, then looked back, Nima, what happened to Lu Chen?


    He quickly moved away from Yao Jie.


    Lu Chen smiled and said, "I''ve been in the catheterization room of your hospital recently, the twenty-three beds..."


    "Oh, the twenty-three beds are new patients, and I am in charge of the beds." Yao Jie hurriedly glanced at the inpatient interface.


    "Well, this seems to be a permanent pacemaker. I''ll go see him." Lu Chen said.


    "I''ll go with you." Yao Jie stood up immediately.


    ¡­


    Come to bed number 23.


    Lu Chen glanced at the patient, who was a 65-year-old mother-in-law.


    Her electrocardiogram was a sinus bradycardia, and when she was inactive, her heart rate was only 30-40 beats per minute.


    "Do you usually feel dizzy or faint?" Lu Chen asked.


    The old woman paused and said, "I didn''t faint, but I often get dizzy, and sometimes my eyes get dark, and it''s fine in a few seconds."


    Lu Chen nodded slightly. This symptom of dizziness was caused by the slow heartbeat, low blood pumping and insufficient blood supply to the brain.


    "There are obvious symptoms. At first glance, a pacemaker is needed." Lu Chen said to Yao Jie.


    "Well, brother, I will talk to the patient about the risks of surgery." Yao Jie nodded slightly.


    "Don''t worry." Lu Chen waved his hand, "We need to complete the preoperative examination first..."


    Before Lu Chen finished speaking, the mother-in-law on the hospital bed said, "Doctor, I have already done it in the hospital below, so there is no need to check the blood again."


    "Did it in a tertiary hospital?" Lu Chen wondered.


    "Well, it''s a tertiary hospital." The mother-in-law nodded, then took out a stack of test sheets from the bag she was carrying.


    Lu Chen took the test sheet, and the name of the hospital on it was indeed a tertiary hospital.


    At this time, Yao Jie also said: "Senior brother, the superior teacher said that he has been checked in other hospitals, and we don''t need to check it here."


    Lu Chen nodded and didn''t answer, but carefully read the patient''s test sheet.


    for a long time.


    Lu Chen still shook his head and said to his mother-in-law on the hospital bed, "No, we still need to check blood! These laboratory tests are not perfect, we need to check a few more tubes of blood."


    Hearing this, my mother-in-law immediately became unhappy, "I''m here for surgery, why are you checking my blood? Wait, my son has gone out to park, and I''ll call him to come over."


    Lu Chen smiled helplessly, it was useless to ask someone to come over!


    "Okay, your son is here, let him go to the office to find me." Lu Chen said, and then left the ward with Yao Jie.


    "Senior brother, didn''t you say that this patient has proof of surgery?" Yao Jie asked in a low voice, "She has already done all these tests, why do you still need to do it?"


    Lu Chen paused and frowned, "What I said is, at first glance, a pacemaker is needed, but we need to rule out some other diseases. Didn''t you read the test sheet that the patient brought?"


    "No..." Yao Jie whispered.


    "Let''s not say anything else, there is one very important test missing." Lu Chen handed Yao Jie the test sheet that the patient brought, "Do you know what it is?"


    Yao Jie took the laboratory test sheet, flipped through a few sheets, and asked, "What''s missing?"


    Lu Chen''s eyes narrowed and he said, "thyroid function."


    (end of this chapter)

 v2 Chapter 421： business and healing

    Chapter 421 Doing Business and Healing


    "Thyroid function?" Yao Wei was startled, and hurriedly flipped through the test sheet, "It doesn''t seem like..."


    "Yes, so this patient definitely needs to check the thyroid function again." Lu Chen said, "If the heart rate slows down due to hypothyroidism, then there is no need to install a pacemaker."


    Hyperthyroidism, the metabolic rate of the human body increases, which can cause palpitation and rapid heartbeat.


    On the contrary, hypothyroidism, the decrease of the body''s basal metabolic rate, will cause the heart to slow down.


    At this time, after the treatment of hypothyroidism, the patient''s heart rate will naturally rise, and it is absolutely unnecessary to install a pacemaker!


    Yao Jie, as a graduate student of Cardiology, must know this. Hypothyroidism leads to a slow heart rate.


    However, in the treatment of clinical patients, it is not like giving a few options like doing a problem, but it requires the use of clinical diagnostic thinking in order to find the final symptoms of the patient.


    "Sister, this patient needs to check more than thyroid function." Lu Chen continued, "In addition, it is necessary to check the coronary artery to determine whether the patient''s heart rate is slow due to coronary heart disease. If so, treatment for coronary heart disease must be added. In addition, it is necessary to inquire in detail about the patient''s medication, whether he is taking drugs that lower the heart rate, such as our common beta-blockers."


    "Well." Yao Jie had already picked up the small notebook and followed behind Lu Chen, listening to him while recording.


    This kind of scene seems to go back to the time when I practiced in the eight districts in the heart of the Jinghua Second Hospital.


    She was the same, following behind Senior Brother Lu Chen, listening to him explain various diseases.


    Unconsciously, the two walked back to the doctor''s office.


    "So, this patient, whether to have surgery or not, is a matter of two things." Lu Chen said, "Don''t rush to talk about surgery, follow the diagnosis and treatment guidelines, and complete the preoperative examination first."


    "Okay, Senior Brother." Yao Jie nodded with a smile.


    The words of the two were heard by Wu Lang.


    He turned his head in surprise. If he heard correctly, Lu Chen said he might not have surgery?


    Wu Lang frowned. He had seen this patient, and he had already told Yao Jie to have an operation tomorrow.


    Isn''t Lu Chen a face slap?


    Although Lu Chen''s surgical ability amazed everyone, as a graduate student of Kyoto University School of Medicine, Wu Lang also has his own little pride.


    He hurriedly said: "Lu, Lu Chen, the 23-bed patient just now, Mr. Fang has already explained that he will have surgery tomorrow morning."


    Lu Chen frowned, turned around, and saw a somewhat feminine-looking boy.


    "Are you sure Teacher Fang said this?" Lu Chen confirmed again, he didn''t believe Fang Ruzhang would do such a hasty thing.


    "Fang, Mr. Fang said, we are going to have surgery..." Wu Lang''s voice became weaker and his breath was insufficient.


    Lu Chen chuckled, "Then tell me, did Teacher Fang see this patient in person?"


    "Senior brother, Mr. Fang is still in the catheterization room, so I didn''t have time to see this patient." Yao Jie whispered from the side.


    Lu Chen nodded. He had already guessed that Fang Ruzhang had never seen this patient in person, and most of the time he just said that he might have a pacemaker operation, and then the students below executed it as a "decree". .


    "I will communicate with Teacher Fang Ruzhang personally about this patient." Lu Chen said.


    "Ah? This..." Wu Lang froze in place, Lu Chen was equivalent to rejecting everything he had done before.


    ¡­


    At this moment, a middle-aged man with a pot belly walked into the doctor''s office with a briefcase under his arm.


    "Who is the doctor in charge of the twenty-three beds?"


    As soon as he walked into the doctor''s office, the middle-aged man shouted with a loud voice.


    The people in the doctor''s office all looked towards the door.


    The middle-aged man didn''t feel any embarrassment, but instead repeated: "Who is the doctor in charge of the twenty-three beds?"


    Yao Jie only stood up at this time, "Hello, I''m a bed doctor."


    "What did you do?" The middle-aged man frowned when he saw Yao Jie, why is he such a young doctor, "The first doctor said that he was going to have an operation, and it will be arranged immediately tomorrow. But another doctor just passed by. , Saying that it is not necessary to do surgery?!"


    The middle-aged man''s voice was so loud that he wished everyone in the department could hear it.


    Yao Jie bit her lip, not knowing what to say for a while.


    Wu Lang shrank his head even more, completely silent, feeling a little gloomy in his heart, "Look, they''ve all come over to ask for guilt!"


    "Hello, are you the patient''s son?" Lu Chen stood up and said.


    The middle-aged man didn''t want to pay attention, but seeing Lu Chen''s attitude and momentum, he was slightly startled, and then nodded, "Who are you?"


    "I''m a surgeon." Lu Chen said, "If your mother can perform surgery tomorrow, I''ll do it."


    Hearing this, the middle-aged man, who was a little arrogant at first, immediately put on a smile on his face, and walked up to Lu Chen, took out a pack of cigarettes, and handed one to Lu Chen, "Hello doctor, may I ask you? Your name?"


    The difference between internal medicine and surgery can be seen from here in general.


    Many patients are polite to surgeons, but they are not so good-natured to physicians.


    Lu Chen frowned slightly and didn''t answer the middle-aged man''s question, "Sorry, smoking is prohibited in the hospital."


    The middle-aged man smiled awkwardly, then put the cigarette back.


    "Doctor, it''s like this, when will you be able to schedule my mother''s surgery?!"


    "Didn''t I tell you, I can''t do it for now." Lu Chen frowned, "I told your mother just now that the operation is pending!"


    "Huh?" The middle-aged man was taken aback, how could a surgeon push the operation outside without thinking about it?


    "We need to improve the preoperative preparations..." Before Lu Chen could finish speaking, he was interrupted by a middle-aged man.


    "We have already checked in the hospital below. We came to you because we thought you were skilled enough to perform surgery!" The middle-aged man said quickly, "Why do you want to check it again? Isn''t this a waste of time?"


    Lu Chen smiled and did not refute immediately, but pulled over a chair, "Uncle, sit down, we will tell you slowly."


    The middle-aged man sat down when he saw this.


    "First of all, I''m a surgeon, do you think I''ll delay the operation on purpose?" Lu Chen smiled.


    The middle-aged man nodded slightly, "That is to say, it''s the same as doing business, just do it when it comes to your door."


    "Uncle, don''t make a mistake." Lu Chen said, "We are completely different from doing business. We are asking you to do business. But we, I wish you didn''t come to the hospital."


    The middle-aged man smiled, and there seemed to be some disbelief in his eyes.


    Lu Chen didn''t care what the middle-aged man thought, and continued: "Uncle, have you ever thought that your mother doesn''t need a pacemaker?"


    "However, we have checked at the hospital below and said that a pacemaker will be installed!" The middle-aged man still held his own opinion.


    "I didn''t say that the inspections you did before don''t count." Lu Chen said, "It''s just that some necessary inspections are lacking, and we need to further improve. If there is no problem with the inspections, then we will go for surgery."


    The middle-aged man paused, then hesitantly said, "Then, when is the earliest time to have surgery?"


    "If you cooperate, we will start pre-surgery preparations today. We only have two days at most." Lu Chen said.


    "Okay, I''ll listen to you." The middle-aged man finally let go.


    Hearing this, Lu Chen breathed a sigh of relief and smiled at Yao Jie who was beside him.


    (end of this chapter)

 v2 Chapter 422： intraoperative accident

    Chapter 422 Accidents in Surgery


    This type of patient is definitely at risk of potential doctor-patient conflict.


    Then, Lu Chen couldn''t let go of every doubt easily.


    Because once something goes wrong, there will be endless trouble.


    Don''t look at the respectful appearance of the middle-aged man, but no one knows what he does behind his back.


    "Junior sister, our clinical thinking must not be disturbed by the outside world." Lu Chen said to Yao Jie, who was beside him. "Especially for this kind of patient who is said to be undergoing surgery, it is even more important to have a good examination."


    "Yeah, I see." Yao Jie nodded. She wrote down exactly what Lu Chen said to her today.


    in the doctor''s office.


    Wu Lang''s expression was a little ugly.


    After all, Lu Chen was the same age as him, the comparison between his peers. After the first round, he suffered a disastrous defeat.


    Actually, he also agreed with what Lu Chen said in his heart.


    But at that time, he was influenced by the patients and their family members, and he had tacitly agreed to do the surgery, and did not read the patient checklist carefully.


    ¡­


    Lu Chen stayed in the third area of ??the heart for a while, and then went to see the patient who was going to have atrial fibrillation ablation in the fifth area of ??the heart.


    This second patient is nothing special.


    Lu Chen simply explained that "the recurrence rate may be relatively high", which is a topic that all ablation surgeries cannot avoid.


    In surgery, it is possible to ablate the origin of the arrhythmia as much as possible, but it is impossible to achieve 100%!


    Patients already have a basis for these arrhythmias, which may recur in the future.


    After seeing the two surgical patients, Lu Chen returned to the catheterization room.


    At this moment, Fang Ruzhang just came out of the coronary intervention catheterization room.


    "Brother Fang, there is a patient in your group who needs a pacemaker..." Lu Chen immediately gave a brief description of the patient''s situation, "I think there is no thyroid function in the blood, it is best to check."


    Fang Ruzhang heard the words and said in astonishment: "This patient''s family is an acquaintance of one of my classmates. Before I could see the patient, I said that surgery might be necessary. I really did not expect that the patient did not even have thyroid function in the county hospital below. Check?"


    "I didn''t check." Lu Chen shook his head.


    The level of diagnosis and treatment in primary hospitals is really uneven.


    A patient with a slow heart rate like this must actually have a thyroid function check.


    "Oh, thank you so much." Fang Ruzhang smiled helplessly, "I''ll go to the ward in a moment, and I''ll explain it to these students. If the operation is performed without checking the thyroid function, it will be a big deal!"


    Whether or not the patient has a problem with thyroid function, this is a violation of medical principles.


    Once the patient has any problems during hospitalization, the hospital will not be able to escape the blame.


    ¡­


    Lu Chen spent the morning in the catheterization lab.


    Without surgery, he followed Xiao Shikang to study.


    Xiao Shikang is a senior deputy chief physician. Whether it is basic knowledge or interventional technology, he is a first-class existence.


    During the ?? period, there was also a small episode.


    The coronary intervention patient that Director Wanjingshui personally performed had his hands swollen after surgery!


    Although this is a common complication of coronary intervention, it also makes Wanjingshui look a little bad.


    After finally doing an interventional operation, something went wrong.


    Fortunately, the stent surgery went relatively smoothly, and the patient didn¡¯t say much.


    the next day.


    Before ten o''clock in the morning, Lu Chen saw Fang Ruzhang running to the catheterization room out of breath.


    "Brother Fang, what''s wrong with you?" Lu Chen wondered, even if there was an emergency coronary intervention, Fang Ruzhang would not be able to get it for the time being.


    "I came down to tell you..." Fang Ruzhang paused, "You saw that bradycardia patient yesterday, and the thyroid function result came out!"


    Lu Chen was slightly startled. Brother Fang was really serious. Halfway through the conversation, he could only ask one more question: "Is there any problem with thyroid function?"


    "You''re right, hypothyroidism! The surgery is canceled!" Fang Ruzhang grinned, then shook his head helplessly, "Fortunately, it was found out, if such a confused permanent pacemaker is installed, it is likely to be another medical dispute. ."


    The heart rate slows down due to hypothyroidism. As long as the hypothyroidism is cured, the heart rate will become faster, and there is no need to install a pacemaker.


    "Just check it out." Lu Chen said.


    "Yeah, his family is very happy, and the problem can be solved without surgery." Fang Ruzhang smiled, "He also said that he would come down to give you a pennant."


    "I don''t want his pennant, just get cured." Lu Chen shook his head slightly.


    This kind of patient is two-faced, and Lu Chen''s previous attitude towards Yao Jie is vivid in his mind, so he can''t have anything to do with the family members of these patients.


    Fang Ruzhang said: "The next thing is the endocrinology department."


    ¡­


    This patient is a very lucky case.


    The cause of the bradycardia was found in time, and a pacemaker was finally avoided.


    However, there are more patients who just went to the operating table in such a confused way.


    Yao Jie also sent Lu Chen a WeChat message, naturally a compliment to him.


    After such an incident, Lu Chen''s reputation in the three districts in his heart is not small.


    Especially in Wu Lang''s heart, Lu Chen seemed to be on the same level as Fang Ruzhang.


    You know, Fang Ruzhang is about to be promoted to Deputy Chief Physician!


    Wu Lang doesn''t have any thoughts about Yao Jie now, so he should stay far away when he meets her.


    ¡­


    Afternoon, two o''clock.


    Lu Chen ushered in his first operation in the catheterization lab, radiofrequency ablation of atrial fibrillation.


    This is also a relatively routine operation in ablation surgery.


    Lu Chen followed Xiao Shikang into the electrophysiology catheterization room.


    This time is not an assessment, but a real clinical treatment.


    First of all, Lu Chen told the patient about the risks of surgery again. (The consent form was signed before the operation, and we communicated again before the operation)


    After the patient expressed his understanding, Lu Chen started routine disinfection, drape, anesthesia and puncture.


    The surgery went well.


    Xiao Shikang looked on and nodded slightly.


    In fact, with Lu Chen''s current interventional technology, he can operate independently.


    However, Xiao Shikang suddenly found that Lu Chen''s movements were stagnant.


    When the guide wire was about to enter the blood vessel, Lu Chen didn''t move.


    "Why don''t you continue?" Xiao Shikang wondered.


    At this time, Lu Chen stared at the screen in front of him, his eyes full of doubts and confusion.


    The ?? screen shows where the guidewire enters the vessel.


    "Mr. Xiao, look at the image in the upper right corner!" Lu Chen whispered to Xiao Shikang.


    Xiao Shikang looked suspiciously at the place Lu Chen pointed, and after two seconds, his expression changed.


    On the image, there is a black area around the heart.


    "Is this pericardial effusion?!" Xiao Shikang frowned deeply.


    The amount is not much, but it is real!


    In normal people, it is absolutely impossible to have so much pericardial effusion.


    Lu Chen''s heart sank to the bottom. The complication of electrophysiological intervention happened to be pericardial effusion.


    Could it be that the guide wire he used during the operation pierced the heart and caused pericardial effusion?


    (end of this chapter)

 v2 Chapter 423： confusing

    Chapter 423 Confused


    The guide wire poked the heart, causing the heart to accumulate fluid?


    Lu Chen''s expression froze, and he immediately rejected his idea.


    The entire guide wire entered the heart vessel without any accident, and his movements were very gentle, and he would not poke the heart at all, causing such a serious complication.


    On the other hand, Lu Chen is very confident in his intervention skills.


    In the system to simulate the operation of the guide wire in the blood vessel, he has tried hundreds of thousands of times, and this serious complication has never occurred.


    However, the health value on the patient''s head is 68 (--), and there are two minus signs, indicating that the patient''s state is developing further and may become worse and worse!


    Xiao Shikang frowned deeply. He also felt that this kind of pericardial effusion did not seem to be caused by surgery.


    "Lu Chen, stop the operation first." Xiao Shikang said.


    "it is good."


    After saying this, Xiao Shikang immediately walked out of the catheterization room, took off the lead coat, and immediately contacted the ward doctor.


    Lu Chen first pulled out the guide wire, then sterilized the patient''s operating area, and after a little bandage, went to the catheter room.


    "I asked the ward doctor to bring his medical records." Xiao Shikang frowned, "By the way, when you visited the patient yesterday, did he have any abnormality?"


    Lu Chen shook his head, "No."


    When Lu Chen went to the fifth district in his heart yesterday, the patient was in the ward, talking and laughing with others.


    "That''s weird." Xiao Shikang wondered, "Is there a heart ultrasound examination before surgery?"


    "I had a heart ultrasound done a month ago in our hospital." Lu Chen said, "So I didn''t do it again before the operation this time."


    Heart ultrasound, under normal circumstances, there will not be much change within a month,


    "Why did you suddenly have pericardial effusion?" Xiao Shikang muttered to himself.


    At this moment, the doctor from the ward of the fifth district in the heart came down, and he brought all the examination materials of the patient.


    Lu Chen and Xiao Shikang immediately started to read.


    The two immediately noticed a strange place. In the past week, the patient suddenly felt tired of oil and stomach discomfort.


    "Mr. Xiao, I''ll go get the ultrasound." Lu Chen immediately said, "I''ll do a heart and abdominal ultrasound for the patient."


    "Okay!" Xiao Shikang nodded, he almost forgot that Lu Chen had this skill.


    ¡­


    Lu Chen came to the CCU next to the catheterization lab. After borrowing the ultrasound machine, he returned to the catheterization lab.


    "Uncle, don''t be nervous, I''ll give you a check."


    Lu Chen put on the gloves again and comforted the patient: "It will be fine soon."


    On the operating table, the patient was a little nervous. The sudden termination of the operation made him feel quite overwhelmed, "Doctor, doctor, what''s wrong with me? Why didn''t the operation happen?"


    "No big problem." Xiao Shikang said on the side, "I read the medical record and it says, have you suddenly felt anorexia in the last week?"


    The patient was stunned for a moment, then nodded, "Yes."


    "Has this been the case before?"


    "No."


    The patient shook his head.


    At this time, Lu Chen had already held the ultrasound probe and placed it on the patient''s heart.


    "Minor-moderate pericardial effusion."


    The ?? probe is placed on the heart, and the image is immediately displayed on the ultrasound machine''s screen.


    Normal people have a small amount of pericardial effusion, but this patient''s pericardial effusion is obviously much more.


    Lu Chen immediately looked at the patient, "Uncle, do you feel chest tightness and shortness of breath?"


    "No." The patient shook his head in denial.


    Lu Chen frowned deeply. If the pericardial effusion appeared suddenly, or appeared during the operation, and a small to moderate amount of pericardial effusion appeared in such a short period of time, there would definitely be symptoms of chest tightness and shortness of breath.


    But the patient does not have any abnormality now.


    "That explains a point!" Lu Chen''s eyes were burning, "These pericardial effusions did not appear suddenly. However, the patient''s echocardiography a month ago was normal, so these pericardial effusions appeared slowly within a month. "


    "Well, it makes sense." Xiao Shikang nodded in agreement.


    "I''ll continue to see his abdominal ultrasound." Lu Chen said.


    "Can you do abdominal ultrasound?" Xiao Shikang asked in surprise.


    As a cardiologist, he is good at heart ultrasound, but when it comes to abdominal ultrasound, he is blind in both eyes.


    "I will make a million points." Lu Chen smiled.


    There is a cheating device such as a systematic simulation space. In addition to cardiac ultrasound, Lu Chen naturally also trained other parts of the ultrasound.


    Among them, the abdomen, chest, etc., which are closest to the heart, are his key training parts.


    Lu Chen changed the ultrasound probe and reapplied the couplant (the medium for ultrasound imaging).


    The probes for a cardiac ultrasound and an abdominal ultrasound are different.


    The probe of cardiac ultrasound is small and narrow, but the probe of abdominal ultrasound is much wider than that of cardiac ultrasound.


    "Professional!" Xiao Shikang''s eyes lit up, seeing Lu Chen''s actions, he had to sigh.


    Soon, an image of the abdomen appeared on the ultrasound machine.


    However, the video image displayed next to them made both of them a little confused.


    "This is... peritoneal effusion?!" Lu Chen asked in surprise.


    Things became more and more confusing.


    In addition to pericardial effusion, the patient also has ascites!


    "How come there is peritoneal effusion again?" Xiao Shikang was also confused at this time. He remembered that the patient had an abdominal CT before the operation.


    Abdominal CT is normal!


    The abdominal CT was done two days before the operation, that is to say, the patient''s ascites appeared suddenly within one or two days!


    "Besides the ascites, the patient''s liver occupies a large space!" Lu Chen pointed to the image on the screen.


    "Cyst?" Xiao Shikang said, "Could it be that the liver cyst ruptured and bleeds, causing ascites?"


    Lu Chen shook his head, "I don''t know the nature of the hepatic mass, but if the rupture of the liver capsule is used to explain the ascites, how should the pericardial effusion be explained?"


    Medicine emphasizes "monism", and finally uses one disease to explain multiple symptoms.


    If the patient''s ascites is caused by ruptured liver cyst, what about pericardial effusion?


    Even if the liver cyst splits and bleeds, it is unlikely to cause pericardial effusion!


    At this time, Lu Chen took off the ultrasound machine and began to examine the patient''s abdomen.


    There was so much peritoneal effusion suddenly. Although the patient did not have any symptoms, he could not have no abdominal signs.


    The patient''s abdominal skin was exposed, and Lu Chen began to perform an abdominal examination.


    Physical examination is divided into sight, touch, percussion, and hearing.


    Lu Chen now mainly performs palpation.


    "Does it hurt?" Lu Chen carried out a palpation from shallow to deep.


    The patient did not have any symptoms at first, but as he progressed from the shallower to the deeper, he began to feel it.


    "It hurts, it hurts a little!"


    Lu Chen stopped immediately and could no longer carry out the inspection.


    If the liver mass ruptures and hemorrhages, then the trouble will be big!


    "Mr. Xiao, contact the CT room immediately." Lu Chen said quickly.


    The patient is currently in this condition, and the most important thing is to determine the diagnosis.


    Just relying on the ultrasound image at the bedside is not enough!


    (end of this chapter)

 v2 Chapter 424： Lu Chen, dont be left behind!

    Chapter 424 Lu Chen, don''t be left behind!


    Xiao Shikang also understood the seriousness of the matter, and immediately contacted the CT room, and then communicated with the patient''s family about the condition.


    "Our family is here to perform atrial fibrillation ablation surgery. Why did so many problems suddenly disappear?"


    The patient''s family is a middle-aged woman. She listened to Xiao Shikang''s words in a foggy manner.


    "It doesn''t mean that there are so many problems after the operation." Xiao Shikang explained patiently, "We considered that the patient had so many problems before the operation, but during the operation, we happened to find it!"


    "Then what to do next?" The middle-aged woman frowned.


    "Go out for an examination immediately. Only after the diagnosis can be made, the next step of diagnosis and treatment can be done." Xiao Shikang said.


    "Do you have no suspected diagnosis now?"


    "Considering the rupture and hemorrhage of liver mass, we still don''t know the cause of pericardial effusion." Xiao Shikang paused.


    "Liver occupying space, liver cancer?" The middle-aged woman was stunned. She knew some medicine, but it was only a little bit of skin.


    "Not sure yet." Xiao Shikang shook his head.


    "Well, then, let''s go out for an examination." The middle-aged woman compromised.


    ¡­


    With the consent of the patient''s family, Xiao Shikang immediately sent a doctor out to accompany the examination.


    While Lu Chen stayed in the catheterization room, he continued to read the patient''s medical records.


    The patient''s current information is not perfect, only the recent medical history, as for the past history, it is very vague.


    "That''s right! The patient should have been taking anticoagulant drugs!" A light flashed in Lu Chen''s mind.


    The patient is now undergoing ablation of atrial fibrillation.


    Patients with atrial fibrillation need long-term anticoagulants, warfarin or Xarelto.


    The side effect of anticoagulants is bleeding!


    Is it because of long-term anticoagulation that the patient has bleeding in each serous cavity?


    Just after Lu Chen thought about it, the CT room sent back news that the patient''s abdominal CT was done.


    Xiao Shikang immediately found an idle computer, turned on the computer imaging system, and called up the abdominal CT image.


    CT results showed that the patient had two cystic low-density shadows in the left lobe of the liver, small foci of hemorrhage, and thin-wall enhancement. In the arterial phase, there was obvious intramural enhancement of small nodules, and in the portal venous phase and delayed phase, support enhancement was equal to that of the liver parenchyma. There was no enhancement of the cyst contents, and the adjacent gastric cavity was compressed.


    The diagnosis given by the doctor in the CT room showed that the liver cyst was complicated with hemorrhage, but tumor metastasis was not excluded!


    Seeing this, Lu Chen already had an idea in his heart.


    The diagnosis made by the doctor in the CT room is simply by looking at the abdominal CT.


    But the real clinical diagnosis is not just relying on a CT film.


    Xiao Shikang frowned after reading the patient''s image: "It seems that a liver cyst ruptures and bleeds!"


    However, Lu Chen shook his head, "I think it looks like a tumor metastasized liver cancer splitting and bleeding. The tumor not only metastasized to the liver, but also metastasized to the pericardium, otherwise the source of the pericardial effusion cannot be explained. In addition, the patient''s oral anticoagulant, may also be involved in the development of the disease."


    After listening to Lu Chen''s explanation, Xiao Shikang was also stunned.


    Such an explanation is not unreasonable!


    However, what surprised Xiao Shikang most was Lu Chen''s clinical thinking mode.


    In addition to his excellent interventional surgery ability, I did not expect his clinical diagnosis and treatment ability to be equally excellent!


    "Well, it also makes sense. However, the first task at present is to stop the bleeding!" Xiao Shikang said.


    Lu Chen nodded slightly.


    Now it doesn''t matter what causes the liver rupture and hemorrhage.


    Although the patient''s current symptoms are not severe, they may develop further at any time.


    The trend of the two minus signs on his head just confirms this state.


    ¡­


    The patient did not return to the cath lab of the Cardiology Department, but was directly sent to the surgical operating room.


    In the developing stage of liver rupture and bleeding, stop it in time!


    Otherwise, once the bleeding is severe and shock is caused, the operation will be too late.


    This little episode in the catheterization lab did not affect the normal operation of other operations.


    However, Lu Chen did not have a single operation all day.


    Today is the second day he came to the catheterization lab.


    The number of surgeries is still zero!


    Although there are many electrophysiological surgeries, these are the only surgeries arranged for Lu Chen.


    In the next time, Lu Chen followed Xiao Shikang and observed several other surgeries.


    "Don''t worry, there will be another operation tomorrow." Xiao Shikang smiled, "You can start tomorrow."


    "Yeah." Lu Chen nodded, but he was not in a hurry. For things like surgery, high quality is the main thing.


    Otherwise, even ten ordinary operations may not be worth one difficult operation.


    ¡­


    Four p.m.


    News came from the operating room.


    The patient''s bleeding has stopped, and the initial diagnosis is tumor metastasis!


    This result makes Xiao Shikang a little scared!


    Preoperative abdominal CT examination only reported a suspicious liver cyst.


    Liver cysts are benign, as long as the size does not compress the surrounding tissue and the location is not dangerous, they can generally be left untreated.


    Even the abdominal CT of the intraoperative abdominal examination was considered to be a benign liver cyst rupture and hemorrhage.


    However, what surprised everyone was that a quick pathological section turned out to be a malignant tumor!


    "Lu Chen, thanks to you for discovering the abnormality." Xiao Shikang said with lingering fears, "If the patient underwent an ablation operation in such a confused manner, the follow-up would be even more troublesome."


    Atrial fibrillation does not affect the patient''s lifespan.


    But after surgery, the risk of bleeding is increased, and the patient''s rupture may progress faster!


    Lu Chen was also a little fortunate. Fortunately, when he was looking at the angiography image, he saw this small-medium amount of pericardial effusion.


    If we just let it go in such a confused way, then the current situation will be different!


    ¡­


    At half past five in the afternoon, I finally got off work.


    Lu Chen rejected Yao Jie''s request to share a meal and returned to his hotel.


    It''s been a long time since he went to the clinic, and suddenly he came to the catheterization room. Lu Chen was really not used to it.


    But after today''s somewhat thrilling diagnosis and treatment process, Lu Chen felt a surge of excitement.


    This kind of long-lost enthusiasm is incomparable to simple surgery!


    Surgery, of course, depends on the technical ability of the doctor.


    However, in the process of diagnosing and treating patients, it emphasizes the rigorous thinking of "detective style", inferring from every suspicious point in the medical record, and finally discovering the final diagnosis of the patient, and treating the patient in time to cure the patient.


    Just as Lu Chen was thinking about it, Min Xiaobo called.


    "Hey, Lu Chen, how many surgeries have you had in the past two days?"


    Min Xiaobo is straight to the point.


    "Cough cough." Lu Chen coughed slightly embarrassedly, "Not one."


    "Ah?" Min Xiaobo was surprised, "Why don''t you have one? We are in the second stage of the assessment. The number of operations is also an important indicator. I asked others, and it seems that they have done at least two. Surgery."


    Lu Chen smiled helplessly, he didn''t explain too much.


    Originally, he also had two surgeries, but due to his own reasons, both surgeries were cancelled.


    "I''ve already made four, you have to hurry up!"


    "No rush, no rush, there will be opportunities later." Lu Chen said.


    "Hey, there are thirteen of us. If half of them pass the second-stage assessment and get a certificate of completion, that''s not bad." Min Xiaobo said, "Everyone is working hard, Lu Chen, don''t be left behind. what!"


    "Well, thank you Bo Ge for reminding me." Lu Chen smiled.


    "Then let''s do this first, hang up."


    hung up the phone, Lu Chen breathed a sigh of relief.


    In less than a month, he really has to work hard.


    Then, with a thought, he entered the virtual space of the system again to perform a simulated operation of electrophysiological intervention.


    (end of this chapter)

 v2 Chapter 425： strange case

    Chapter 425 Strange Cases


    In the next few days, under the guidance of Xiao Shikang, Lu Chen completed the first operation¡ªthe implantation of a dual-chamber pacemaker.


    The procedure went very smoothly, which was a good start.


    However, Lu Chen performed significantly less operations than others.


    "Mr. Xiao, is there surgery tomorrow?" Lu Chen found Xiao Shikang.


    He can''t just sit still!


    Xiao Shikang was in the office. When he looked up and saw Lu Chen, he smiled, "Tomorrow, there is an operation, but you may not have time."


    "Huh? I don''t have time?" Lu Chen wondered.


    "Tomorrow there will be a discussion of a difficult electrophysiological case, which is jointly organized by several hospitals in Kyoto." Xiao Shikang said, "At that time, all the trainees of your training class must attend."


    "Discussion of difficult cases?" Lu Chen raised his brows.


    "Well, it''s a very complicated patient." Xiao Shikang smiled, "The main reason for you to participate is to improve your knowledge and provide some ideas. This is also one of the important indicators of the assessment!"


    Lu Chen nodded and put down the idea of ??surgery.


    The next day, three o''clock in the afternoon.


    The conference hall next to the catheterization laboratory of the Cardiology Department.


    Most of the electrophysiological doctors in the cardiology department came to the meeting.


    Lu Chen also saw Fang Ruzhang who came to attend the conference. He took several of Corey''s students into the conference hall.


    However, the distance between the two was relatively far, so Lu Chen didn''t say hello.


    At a quarter past three, the Conference on Difficult Cases officially started.


    On the big screen of the ?? conference hall, the pictures of cardiology departments of more than ten hospitals in Kyoto are displayed.


    Among them are the Kyoto Central Hospital, the Second Affiliated Hospital of Kyoto University, and the Kyoto People''s Hospital.


    In short, all the hospitals with good reputation participated, and some small hospitals also came to join in the fun.


    The difficult case this time came from the Kyoto Central Hospital.


    On the ?? screen, the host of the Cardiology Department of Kyoto Central Hospital began to introduce the patient''s condition.


    "The patient is a sixty-year-old male."


    "Recurrent ventricular tachycardia due to ischemic cardiomyopathy, received radiofrequency ablation, ICD implantation (implantable cardioverter-defibrillator, a pacemaker that can monitor malignant arrhythmias and defibrillate in time) ."


    "ICD can save a patient''s life through electrical defibrillation in a critical moment."


    But because of the patient''s repeated ventricular tachycardia and ventricular fibrillation, the patient was repeatedly shocked by electric shocks, which made him extremely fearful!


    Even saw the medical staff, the electrocardiograph and the pacemaker programmer saying not to "shock" him.


    However, after the staff adjusted the defibrillation parameters, the patient would be in repeated low-frequency ventricular tachycardia, resulting in a decrease in blood pressure, palpitation and fatigue.


    So repeatedly, the patient and his family are on the verge of collapse.


    This time, the patient came to Kyoto Central Hospital in order to solve the problem completely.


    On the ?? screen, the host on stage began to ask questions.


    "How to completely solve the problem of repeated ventricular tachycardia in patients?"


    As soon as the question came out, the doctor at Kyoto City People''s Hospital immediately spoke up.


    "Hello everyone, I''m a cardiologist studying at Kyoto City People''s Hospital."


    Lu Chen felt that the voice was a little familiar, and when he looked up, it was Min Xiaobo who spoke!


    "Bo Ge is really positive..."


    This is all because this case discussion will be included in the second-stage assessment.


    Therefore, the trainees from the training class are all geared up and ready to express themselves.


    On the screen, Min Xiaobo talked eloquently: "I think, if this patient wants to completely repeat the problem of ventricular tachycardia, he can only do radiofrequency ablation again! Drugs or ICDs are not good."


    With the advent of the implantable cardioverter-defibrillator (ICD), the incidence of sudden cardiac death has been greatly reduced.


    But problems also follow, frequent ventricular tachycardia episodes can cause "ICD electrical storms", which not only shorten the lifespan of ICDs, but also increase mortality in such patients.


    Although antiarrhythmic drugs can reduce the incidence of ventricular tachycardia, the effect is not ideal.


    With the continuous development of catheter ablation, it has become a treatment method that can effectively control VT.


    Min Xiaobo''s words were also approved by everyone.


    "Well, I feel pretty good, but I still have to dissolve!"


    "ICD is a good thing, but this patient can''t bear it."


    "However, it is very difficult to ablate a patient with ventricular tachycardia alone!"


    ICD can solve the problem of ventricular tachycardia, but patients cannot bear the pain of continuous "discharge".


    Offstage, Lu Chen also agreed with Min Xiaobo''s view that only by removing the origin of VT through radiofrequency ablation can it be possible once and for all.


    Next, doctors from several hospitals spoke.


    Their conclusions are similar to Lu Chen''s, they all advocate continuing to do radiofrequency ablation!


    "ding ding..."


    Lu Chen suddenly felt his phone vibrate, and the WeChat alert sounded.


    I didn''t intend to read it, but seeing the message from Min Xiaobo on the screen, Lu Chen turned on his phone anyway.


    "Lu Chen, you have to speak too! Your performance this time will be recorded in the assessment results."


    Lu Chen smiled and replied immediately: "Don''t worry, Brother Bo, there is still a chance, I will speak later."


    "That''s good!"


    This patient cannot be so simple, otherwise there is no need to focus on the discussion.


    Lu Chen is waiting for the most opportune moment.


    ¡­


    For the treatment method of the patient, everyone discussed for more than ten minutes, and finally unanimously chose to ablate again!


    At this time, the host from Kyoto Central Hospital started to speak again: "The result of our department''s discussion at that time, as everyone said, was to do ablation. On the fourth day after the patient was admitted to the hospital, we performed surgery on him. "


    "In a sedated state, after the patient underwent routine electrophysiological examination, ventricular tachycardia was easily induced, the heartbeat suddenly "rushed" to 230-240 beats/min, and the blood pressure dropped to 50/40 mmHg, and the termination Continue to check later.¡±


    After ??, the host took out an electrophysiological examination report.


    "You can take a look and analyze the origin of the patient''s ventricular tachycardia."


    After the ?? examination report came out, everyone quieted down and watched the electrophysiological report.


    The host did not sell off, and continued: "After careful inspection by our professional electrophysiology team in the catheterization laboratory, we considered the source of ventricular tachycardia, carefully searched, mapped, ablated, and re-examined to induce another form of ventricular tachycardia. After the team The analysis considers the epicardial source!"


    Epicardial origin?


    Hearing the host''s words, Lu Chen had a weird expression on his face.


    During the examination, the atrial fibrillation he encountered originated from the epicardium.


    It didn''t take long before I encountered another ventricular tachycardia of epicardial origin!


    I really met myself!


    ¡­


    As soon as the host''s voice fell, everyone whispered in the conference room.


    Ventricular tachycardia of epicardial origin is uncommon!


    While everyone was surprised at the rarity of the origin of ventricular tachycardia, some doctors who had watched the electrophysiological examination all thought of Lu Chen''s examination!


    are also arrhythmias originating from the epicardium!


    On the screen, the host said again: "Do you have any good surgical advice for arrhythmia originating from the epicardium?"


    This is the focus of this case discussion.


    How to perform radiofrequency ablation for ventricular tachycardia originating from the epicardium?


    Except for the First Affiliated Hospital of Kyoto University, all other hospitals started a very lively discussion.


    And the atmosphere of the First Affiliated Hospital of Kyoto University is terrifyingly quiet!


    Everyone seemed to be sitting in their seats with confidence and not having much communication with the people around them.


    (end of this chapter)

 v2 Chapter 426： Let Lu Chen guide the work!

    Chapter 426 Let Lu Chen guide the work!


    On the screen, the host from Kyoto Central Hospital was also a little confused.


    These doctors from the First Affiliated Hospital of Kyoto University, why are they so calm?


    The host cleared his throat and continued: "As we all know, ventricular tachycardia from epicardial origin is difficult to operate on the one hand, and high risk on the other hand. According to literature reports, 5-30% of VT patients have lesions, which may Originated in the epicardium. Traditional endocardial mapping and radiofrequency ablation have not been successful, so we need to find another way."


    "Let''s let the Cardiology Department of the First Affiliated Hospital of Kyoto University speak!"


    This time, the host played a trick and called the name directly.


    Lu Chen wanted to stand up and answer, but it wasn''t his turn.


    A doctor in the front row responded directly.


    Lu Chen knew him, and he was also a training doctor in the catheterization lab.


    Dr. Guipei said: "We can puncture the pericardium to reach the epicardium, and then perform epicardial ablation!"


    The host nodded slightly.


    "Then do you know the difficulty of this kind of pericardiocentesis?"


    Doctor Guipei scratched his head, "It''s very difficult, I can''t do it anyway."


    "Haha" the host smiled, "This kind of pericardiocentesis has no effusion, and the professional term is called dry pericardiocentesis."


    "Dry pericardiocentesis has very high requirements on the operator, and must be cautious before the guide wire and catheter can be sent into the middle of the two layers of pericardium that are close to each other."


    "The operation space of the radiofrequency ablation catheter after puncture is limited, and coronary vessels must be avoided to avoid coronary perforation. Every step of the operation needs to be extra careful. A little careless operation of key parts will lead to coronary rupture and myocardial Piercing etc."


    "Unfortunately, the doctors in our hospital''s cath lab have not done this kind of surgery yet."


    ¡­


    After everyone''s discussion, the patient''s condition, diagnosis and treatment methods are very clear.


    The last step is the actual clinical operation.


    This is also the hardest step!


    "I wonder if your colleagues in the hospital have any relevant experience?" The host continued to ask questions. Their original intention was to learn from other hospitals through this discussion meeting.


    Arrhythmia originating from the epicardium may not have been done by ordinary hospitals!


    At this time, a thick voice sounded in the conference hall.


    Lu Chen followed the voice to see that it was Professor Qin Sifeng!


    On the other end of the ?? remote screen, all the doctors fell silent, all with a listening attitude.


    I saw Qin Sifeng sitting in the first row, holding the microphone, and said with a hearty smile: "Actually, our hospital hasn''t spoken much, it''s not that we don''t know it, but it''s just a coincidence that I just encountered a similar one recently. patient!"


    The host raised his brows and continued, "Professor Qin, are you talking about ventricular tachycardia originating from the epicardium?"


    Qin Sifeng shook his head, "Ours is atrial fibrillation originating from the epicardium, but it is similar to ventricular tachycardia, and the principle of ablation is the same. The final operation went well."


    "Then I take the liberty to ask, dare to ask the surgery teacher, are you here today?"


    The host''s sudden remark made everyone in the First Affiliated Hospital of Kyoto University stunned.


    Qin Sifeng paused for a while, but said slowly: "I really came to the scene."


    "Then I''m going to find this teacher to share my surgical heart!" The host said immediately.


    After ?? finished speaking, everyone looked at Lu Chen in unison.


    Lu Chen looked a little embarrassed, cleared his throat a little, and then stood up.


    "I¡­"


    "Classmate, if you want to speak, please wait a moment." The host interrupted Lu Chen''s speech with a smile.


    "I did the last surgery." Lu Chen took the microphone.


    As soon as Lu Chen finished saying this, the host on the screen was immediately dumbfounded.


    How could this person who looks like a student become a surgeon?


    This...this is impossible...


    Something must have gone wrong!


    However, when the host saw Qin Si''s smiling face, he immediately denied the idea.


    followed by Lu Chen''s speech.


    Regardless of whether everyone believed it or not, he began to slowly talk about the surgical patient he encountered during the assessment.


    Including the introduction of the patient''s condition, the specific process of the operation, and the difficulties that need to be paid attention to, all of which are explained in great detail.


    This time, the host couldn''t believe it.


    If you can tell it in such detail, you are definitely a surgeon!


    However, the host still finds it hard to believe that this too young doctor can actually perform such a difficult operation? !


    The strength of the First Affiliated Institute of Kyoto University has reached such a terrifying level?


    After a long silence, the host said, "Professor Qin, I have an unkind request."


    "you say."


    "I would like to invite this young interventional doctor to come to our central hospital to guide ... to guide the work." The host said, "We do not have any experience in this kind of epicardial surgery."


    Qin Sifeng did not answer immediately, but glanced at Lu Chen.


    Lu Chen nodded, of course, this kind of opportunity is very rare!


    Qin Sifeng saw this and replied, "That''s ok, you both inform me on the day of the surgery, and I''ll send our doctor over there."


    "Thank you, Professor Qin!"


    ¡­


    The whole discussion meeting is coming to an end.


    Although Lu Chen didn''t say much, and his speech was not particularly impressive, the focus of this conference was all on him.


    This is what Lu Chen didn''t expect!


    I simply came to a conference, and I really encountered an epicardial arrhythmia!


    But Lu Chen didn''t wait long.


    The next day, in the morning.


    Kyoto Central Hospital immediately sent someone to pick up Lu Chen.


    Patient and his family, agree to undergo radiofrequency ablation today.


    Came to the Cardiology Department of Kyoto Central Hospital, Lu Chen also met an old acquaintance, Yu Hewei!


    "Brother Yu, are you here too?" Lu Chen smiled and greeted Yu Hewei.


    Yu Hewei, known as the leader of the younger generation in the field of electrophysiology in China!


    It¡¯s definitely not wrong to have a good relationship with him.


    "Yeah. I watched your first-stage assessment video." Yu Hewei smiled, "The entire epicardial surgery was done very well! Have you encountered this situation before?"


    "No, it''s my first time." Lu Chen smiled.


    "It''s the first time to do dry pericardiocentesis, and it''s not easy!" Yu Hewei was also there at the time, but he could only see through the glass window.


    After a few words of greeting, today''s surgery began.


    The chief surgeon was the host of yesterday''s meeting, Lu Chen was the first assistant, and Yu Hewei was the second assistant.


    As soon as he walked into the catheterization room, Lu Chen was taken aback.


    The patient lies on the operating table.


    And on his head, the health value is only 54, and its changing trend is (¡ª)!


    (end of this chapter)

 v2 Chapter 427： Thrilling

    Chapter 427 Thrilling


    On the hospital bed, the patient''s face was full of pain.


    Lu Chen stepped forward immediately and walked to the operating table.


    At this point, the patient was already lying on the operating table, and the surgeon who performed the puncture had already completed the puncture.


    "What''s going on?" Lu Chen frowned tightly.


    A little nurse next to the hospital bed said, "The patient had another episode of ventricular tachycardia just now, and his blood pressure dropped to 60/40mmHg!"


    Ventricular tachycardia, a highly malignant arrhythmia with a very high mortality rate!


    If an ordinary person has a continuous burst of ventricular tachycardia, it is very dangerous.


    Not to mention, this kind of continuous ventricular tachycardia, the patient may go into shock at any time, or even die suddenly!


    "The patient''s ventricular tachycardia has been terminated, but the blood pressure has not come up, and he is still in a state of shock."


    Only then did Lu Chen understand the reason for the three minus signs of the patient''s life value.


    If the ventricular tachycardia is allowed to occur and the blood pressure collapses, the patient''s life value will definitely continue to decline.


    "Time is running out. When blood pressure rises to normal, start dry pericardiocentesis immediately!" Lu Chen said solemnly.


    "Okay." Yu Hewei nodded solemnly and brought the pericardiocentesis kit.


    This time, although Lu Chen was only an assistant, he was actually the real chief surgeon, and Yu Hewei was his assistant.


    Since the last time he encountered this "epicardial" ventricular tachycardia, Lu Chen went back and conducted targeted simulation training.


    Dry pericardiocentesis is very difficult because there is no effusion.


    The direction of the guide wire must be very precise. If you are not careful, you may poke the heart or coronary vessels!


    After several more training sessions, Lu Chen finally mastered this skill.


    ¡­


    After the ventricular tachycardia was terminated, the patient''s blood pressure gradually recovered, and the ablation operation officially began.


    With Yu Hewei as an assistant, Lu Chen did not need to do the disinfection and drape before the operation.


    Until the puncture step, Yu Hewei gave way.


    "Lu Chen, please be steady, if there is any abnormality, we will withdraw the guide wire!"


    Outside the catheter room, Qin Sifeng said into the room through the microphone.


    Lu Chen didn''t look back, just nodded slightly in response.


    Recalling the training process in the simulated surgery room, Lu Chen took a deep breath and his eyes were unusually firm.


    Beside, Yu Hewei even sensed that Lu Chen''s aura had changed.


    This kind of self-confidence, he thought he was inferior to Lu Chen.


    Holding the puncture needle in his right hand, under the guidance of the ultrasound probe, Lu Chen began to perform pericardiocentesis.


    The ?? needle penetrates the skin and enters the pericardium layer by layer.


    Lu Chen''s movements were very gentle, not at all sloppy.


    Everything seems to be going in a good direction.


    But at this moment, the ECG monitor next to the patient heard another "didi" alarm!


    "Oops, room speed again!" Yu Hewei screamed secretly.


    Outside the catheter room, everyone saw the changes on the ECG monitor.


    On the ECG monitor, everything turned into a ventricular tachycardia waveform!


    What worries everyone is that the patient''s blood pressure has collapsed again!


    From 100/60mmHg just now, it has dropped directly to 50/30mmHg.


    On the operating table, the patient made a groaning sound of "woo woo".


    There was ventricular tachycardia during the operation, which is really terrible!


    "What should I do? Pull out the guide wire?" Yu Hewei turned to look at Lu Chen.


    Forcibly puncture, this risk is not ordinary.


    If the patient has a large movement, it is very likely that the guide wire will penetrate into the pericardium, and the gods will be hard to save!


    However, if the guidewire is withdrawn, the next puncture may be more difficult.


    Moreover, there is no guarantee that the patient''s arrhythmia will not recur during the next operation!


    Lu Chen also noticed the sudden change, he didn''t hesitate, and the movement of his hand was not slow at all.


    "Brother Yu, look at my operation. Once I find the origin of VT, you will cooperate with me and perform the ablation immediately!"


    "Huh?" Before Yu Hewei could react, Lu Chen completely penetrated the guide wire into the pericardium.


    The ECG map next to the operating table has begun to show the origin of the arrhythmia.


    "Quick, discharge ablation!" Lu Chen said quickly.


    Yu Hewei''s brain was a little empty at this time, but he still followed Lu Chen''s words and mechanically performed the discharge ablation operation.


    "Nurse, open another venous channel!" Lu Chen said, "Then use a set of dopamine to stabilize blood pressure!"


    "receive!"


    ¡­


    Conduit outdoor.


    Everyone''s mood was even more nervous than Lu Chen and Yu Hewei in the catheterization room.


    But in addition to being nervous, everyone also started talking.


    "Lu Chen really dared!"


    "Perhaps few people dare to perform radiofrequency ablation during ventricular tachycardia, right?"


    "Which hospital did Lu Chen come from?"


    "I remember it seems to be from Jinghua. He is still in graduate school. This kind of talent, I want our director to poach it!"


    Qin Sifeng looked at the calm and calm Lu Chen, and his heart was very hot. At this moment, he especially wanted to dig Lu Chen to their First Affiliated Hospital of Kyoto University.


    "Ou Yangming, what an old guy, he really had **** luck!" Qin Sifeng shook his head helplessly.


    The ability that Lu Chen showed was not only his skillful operation technique, but also his adaptable, calm and calm mentality!


    Technology is important, but as an interventional surgeon, what is more important is this kind of mentality.


    ¡­


    Catheter room.


    Lu Chen''s forehead was oozing with sweat. In such a high-risk situation, it would be a lie to say that he was not nervous at all.


    The good thing is that He Wei cooperated very well. Halfway through the ablation, the patient''s ventricular tachycardia finally stopped!


    Following this, blood pressure also rose to 90/60mmHg.


    Lu Chen breathed a sigh of relief.


    "Brother Yu, let''s ablate." Lu Chen said, "I just detected that there are many origins in the epicardium, and there are also in the endocardium. It may be necessary to perform bilateral ablation!"


    "Okay!" Yu Hewei nodded, and his face finally returned to normal.


    Just now, he was frightened by Lu Chen''s actions.


    He asked himself, if this happened to him, he would definitely stop the operation and not take such a risk!


    But risk and outcome are proportional.


    Almost all origins of ?? patients in the epicardium have been found.


    On the operating table, the patient''s condition has calmed down.


    His HP also increased gradually from the previous 54.


    The three minus signs after the health value have also become one!


    "Let''s induce again!" Lu Chen ordered.


    How to determine successful ablation?


    At this time, artificial induction is required. If arrhythmia cannot be induced, it will prove initial success.


    "Received." Yu Hewei nodded and began to inject drugs into the patient for induction experiments.


    One minute¡­¡­


    Two minutes¡­


    five minutes¡­¡­


    ten minutes¡­¡­


    On the ECG monitor next to the operating table, the patient''s heart rhythm is always in sinus rhythm, and no string of ventricular tachycardia can be seen!


    "Congratulations, the completion of the system upgrade has increased!"


    "Congratulations, +1 for receiving Yu Hewei''s thanks!"


    "Congratulations, +5 for receiving Qin Sifeng''s thanks!"


    ¡°¡­¡±


    A series of system prompts sounded, and Lu Chen''s face also showed a sense of relief.


    Epicardial ventricular tachycardia ablation, successful!


    At the same time, outside the catheter room, there were bursts of exclamations from the crowd.


    I don''t know when, all the other interventional doctors in the catheter room came to watch.


    "Fuck! It''s really amazing, which master brought out this little doctor?!"


    "At his age, I don''t even know what radiofrequency ablation is!"


    "This doctor is young, so he probably doesn''t have a girlfriend yet. I beg for his contact information!"


    ¡­


    (end of this chapter)

 v2 Chapter 428： The third phase

    Chapter 428 The third stage


    Lu Chen walked off the operating table and took off his gloves, hat, and lead coat.


    The smile on his face could not be concealed.


    There is still a big gap between the training in the simulated operating room and the actual operation.


    Although Lu Chen is training in a simulated space every day, his heart is still hanging.


    After this hearty operation, Lu Chen became more and more confident in his interventional technique.


    Yu Hewei on the side, his mood is also difficult to calm down for a long time.


    Lu Chen''s decisive operation and calm attitude left a deep impression on him.


    "If this kid continues to develop normally, he will definitely be the backbone of the Chinese electrophysiology field that cannot be obtained!"


    Get out of the cath lab.


    The crowd greeted him.


    "Good boy!" Qin Sifeng patted Lu Chen''s shoulder, the admiration in his eyes was beyond words, "I really envy this old guy Ou Yangming, for choosing such a good student! If I knew it, I would have robbed him. Grab it!"


    Lu Chen smiled, this can''t be heard by Brother Bo, it makes me sad to hear it.


    "Hey, Lu Chen, do you have a girlfriend now?" A voice suddenly interrupted Lu Chen.


    Lu Chen followed the sound to see that this was a coronary intervention teacher in the catheterization lab. The two had met several times before.


    "Not yet." Lu Chen blushed.


    "What, I have a big niece who just graduated from college this year..."


    Hearing that someone was a matchmaker, the older generation of doctors began to introduce girls in their families.


    Lu Chen could only respond with an embarrassed smile.


    The profession of a doctor is rather tiring, but it is still very popular in the marriage and love market.


    Especially in the top three hospitals, half of the young doctors who have just entered the department will be introduced by the head nurse or director to their blind date.


    I finally got out of the catheterization room, it was almost 6 o''clock in the afternoon.


    "Phew..." Lu Chen breathed a sigh of relief.


    Dealing with these people is no easier than having an operation!


    On the way back to the hotel, Lu Chen was full of thoughts.


    During this period of study in Kyoto, he has benefited a lot, and the level of electrophysiological intervention has advanced by leaps and bounds.


    In addition, he also successfully passed the first stage of the assessment and obtained the electrophysiological intervention certificate.


    But his heart was always empty, and he always felt like something had fallen.


    During the operation today, Lu Chen finally realized the source of this feeling.


    For more than a month, he spent most of his time in the simulated operating room.


    Even the patients who have undergone actual clinical operations are prepared in advance in the training class.


    All patients are relatively easy to handle, and everyone only needs to complete the operation mechanically.


    Everything is like a programmed mechanical operation.


    But after today, this somewhat thrilling operation.


    Lu Chen''s previous enthusiasm is back!


    He felt that the blood in his veins was boiling, especially the heartfelt smiles of the patients and their families after the patients were cured.


    Lu Chen felt very satisfied!


    "Hey, this person is a jerk!" Lu Chen couldn''t help but sigh, "I finally took a month off, away from the clinic, and now I want to go back to the clinic..."


    However, Lu Chen is also very clear that the current training is also to better treat patients clinically.


    ¡­


    Lu Chen ate dinner at the restaurant next to the hotel and went back to his room.


    With a thought, he entered the virtual space of the system.


    Currently, his system upgrade completion rate is 14%.


    The ?? system has been upgraded twice, and now the upgrade speed is getting slower and slower.


    There are still 421 points in total thanks.


    Lu Chen currently has many clinical skills, including electrophysiological interventional surgery (advanced), with a proficiency of 84%.


    ECG interpretation (advanced), proficiency 92%.


    Literature reading (advanced), proficiency 84%.


    Thesis writing (intermediate), proficiency 77%...


    These four skills are Lu Chen''s most valued and most needed skills.


    Electrophysiological intervention and electrocardiogram are used in clinic.


    The literature reading and thesis writing are used for scientific research.


    "There is a long way to go!" Lu Chen smiled, then entered the virtual space of the system and continued the training of electrophysiological surgery.


    Don''t look at him being able to perform such a difficult operation now, but there are more operations waiting for him to overcome.


    Cardiac electrophysiology is not just as simple as radiofrequency ablation and pacemaker implantation.


    is one of the most important organs of the human body, and people still have a long way to go to study the heart!


    ¡­


    Next day, weekend.


    Lu Chen did not go to the catheterization room, but came to the training room assigned by the training class.


    Today, all the students will be taught by their respective instructors.


    When Lu Chen came to the training room, Ou Yangming had already arrived.


    "Professor Ouyang, you came so early!" Lu Chen stepped forward immediately.


    Ou Yangming was reading a book on electrophysiology, when he heard the question, he closed the book, raised his head with a smile, waved his hand, and motioned for Lu Chen to sit down: "I''m old and can''t sleep, it''s better to get up early. ."


    "Professor Ouyang, you are old and strong, you don''t need to be inferior to our young people." Lu Chen flattered.


    Ou Yangming stroked his beard and said with a smile, "You kid, don''t call me Professor Ouyang. Now that you have chosen me, I am your teacher."


    Lu Chen smiled and blurted out, "Hello, teacher."


    With Ou Yangming''s background and status, there are countless people who want to be his students.


    Even Director Cao Zhiying of the Second Academy of Jinghua found him to lobby for promotion to an academician.


    This shows Ou Yangming''s status in the field of cardiology.


    Although ?? is not an academician, his influence cannot be underestimated.


    For Lu Chen, his abilities have gradually been known to everyone.


    As long as Lu Chen doesn''t go astray, the future is definitely bright.


    Whoever is his teacher is a good student for nothing.


    Therefore, in this teacher-student relationship, the two can be described as a win-win situation.


    At this time, Ou Yangming put away the smile on his face and said sternly, "I''m here today. In addition to telling you about electrophysiology, there is one more important thing to tell you."


    Seeing this, Lu Chen nodded slightly and sat upright.


    "You should know that this electrophysiological examination is divided into three stages. You have passed the first stage and are currently in the second stage."


    Lu Chen nodded slightly, everyone knows this.


    I saw Ouyang Ming paused and said slowly: "There are still four or five people who pass the second-stage assessment every year, but there are very few students who pass the third-stage assessment. It takes about two to three years. If one person passes, that''s not bad."


    "The third stage, is it really that difficult?" Lu Chen wondered. With his unbeatable personality, the more difficult the test he encountered, the more he dared to be interested and wanted to go for it.


    "Difficult!" Ou Yangming narrowed his eyes, as if recalling the contents of the third stage, then looked at Lu Chen and smiled slightly, "However, this year may be different. Because of you and Yu Hewei."


    "Teacher, what is the content of the third-stage assessment?" Lu Chen asked tentatively.


    The content of the first and second stages, we all know.


    Only the content of the third stage of the assessment has never been revealed, not even some news.


    Ou Yangming said sternly: "This is what I want to tell you today, please listen carefully and don''t leak it."


    Seeing Ou Yangming being so serious, Lu Chen also became serious and nodded slightly.


    (end of this chapter)

 v2 Chapter 429： take the initiative to ask

    Chapter 429 Volunteering


    Two days on weekends.


    Lu Chen continued to learn about interventional knowledge of cardiac electrophysiology under the guidance of Ouyang Ming.


    Although Lu Chen has a system for virtual surgery, there is a lot of clinical experience that the system cannot give.


    And Ouyang Ming has more than 50 years of experience in the field of electrophysiology. His clinical experience is definitely a valuable asset.


    And since he learned the content of the third stage of the assessment, Lu Chen has also become more diligent.


    In addition to being in the catheterization room every day, it is in the training room of the training class.


    As Lu Chen''s teacher, Xiao Shikang was also a little surprised.


    No one can succeed casually. At such a young age, Lu Chen can achieve the results he is today, and he will only pay more than others.


    ¡­


    The First Affiliated Hospital of Kyoto University, Cardiology Catheterization Laboratory.


    "Lu Chen, I''ll give you a day off tomorrow. You can have a good rest." Xiao Shikang walked to Lu Chen''s side.


    Lu Chen was stunned for a moment, then smiled, "Mr. Xiao, no, we sit most of the time in our work, unless there are patients or operations. Compared with other physical activity occupations, it is much easier."


    "That''s right, but I think you''ve been too tired recently." Xiao Shikang said.


    Just when Xiao Shikang wanted to continue to say something, a doctor suddenly ran in outside the catheter room.


    Everyone was stunned.


    A doctor running in the hospital means something happened!


    "Xiao Fang, what''s the matter? Why are you panicking?" Xiao Shikang knew this young man. He was a CCU doctor in the Department of Cardiology.


    Xiao Fang saw Xiao Shikang, the nervous expression on his face eased a little, and walked towards Xiao Shikang quickly.


    "Mr. Xiao, help me see Zhang''s electrocardiogram." Xiao Fang stepped forward, holding an electrocardiogram in his hand.


    Although Xiaofang is also a cardiologist, he is the most professional electrophysiologist in terms of his ability to judge images.


    Xiao Shikang frowned and gently picked up this electrocardiogram.


    "Mr. Xiao, this is my dad''s electrocardiogram." Xiao Fang said while breathing heavily.


    Lu Chen also came over. He was most interested in looking at the pictures.


    Now, he still occasionally judges pictures in the Jinghua Electrophysiology WeChat group.


    "Is he feeling unwell?" Xiao Shikang glanced at him and handed the electrocardiogram to Lu Chen.


    Xiao Fang thought for a while and said, "In the past year, he has been suffering from palpitation and chest tightness repeatedly. He used to do manual labor and had long-term bradycardia, with a heartbeat of about 40-50 beats per minute. Oh, yes, one of my uncles also has it. History of this slow heart rate."


    The normal heart rate is 60-100 beats per minute.


    However, it is normal for physically active people and athletes to have a slower heart rate than normal.


    "But in the past week, my dad has often felt tachycardia. The symptoms of palpitations are more obvious each time, and he is weak and unable to stand. He had another attack an hour ago, so I sent him to the emergency department of the hospital, and now he is lying down. In the observation room of the emergency department."


    After learning about the condition, Xiao Shikang nodded slightly and said: "From the picture, it is obvious that the J wave is elevated in leads II, III, and AVF. Have you checked the myocardial enzymes?"


    "I checked, it''s negative." Xiao Fang said.


    "That shouldn''t be a myocardial infarction, so check again in three hours." Xiao Shikang said.


    In the case of a cardiac infarction, cardiac enzymes increase four hours after the onset of the disease.


    "Mr. Xiao, this J wave is raised, I remember early repolarization syndrome, right?" Xiao Fang whispered.


    "Well, not bad." Xiao Shikang nodded slightly, "Just from the ECG you gave, the heart rate is not particularly slow, 54 beats/min, and there is no ST-segment elevation, only J waves in the inferior leads. Elevation. Because I haven''t done a dynamic electrocardiogram, I don''t know other conditions for the time being. But combined with the family history, it is very clear that it is early repolarization syndrome."


    "Early repolarization syndrome is a benign disease, and you don''t have to worry too much. However, you still need to improve the relevant examinations, such as dynamic electrocardiography and cardiac ultrasound."


    Hearing Xiao Shikang''s words, Xiao Fang was slightly relieved.


    He just graduated and stayed at the First Affiliated Hospital of Kyoto University. The future is bright.


    I live a prosperous life, but I am afraid that my parents will get sick.


    "Thank you Mr. Xiao, I am relieved to hear what you said."


    Xiao Shikang smiled and said, "Let''s do a dynamic electrocardiogram and an echocardiogram first."


    "it is good."


    This is also because he met his colleague, so Xiao Shikang dared to say so bluntly.


    If he was facing a patient, he would not dare to say that if Xiao Shikang borrowed a few more courage.


    Lu Chen had been listening to the conversation between the two of them. He held Xiao Fang''s electrocardiogram in his hand and read it carefully.


    Just when Xiaofang took the electrocardiogram and wanted to leave, Lu Chen made a sound.


    "Mr. Xiao, look at this picture again, there seems to be a J wave on the front wall?" Lu Chen said slowly.


    Xiao Shikang smiled, "I also noticed that there are J waves on the front wall, but it''s not a big problem. Many young people have this phenomenon."


    Lu Chen frowned deeply and said solemnly, "Mr. Xiao, I don''t think it''s that simple."


    Xiao Shikang was slightly taken aback when he saw Lu Chen''s expression, did he see something unusual?


    "Lu Chen, do you have any other opinions? You can directly say that this is Fang Ming, a resident physician in the CCU ward of our Cardiology Department." Xiao Shikang said.


    Xiaofang doesn''t come to the catheterization room very often and doesn''t know Lu Chen, so he quickly said, "Mr. Xiao, this is your advanced student? He looks so young!"


    "He''s not an advanced student." Xiao Shikang smiled and said, "If it''s my advanced student, it''s really burning incense. His name is Lu Chen, a student of the electrophysiology training class. This month, he will be assessed in our catheterization laboratory. ."


    "Oh. I see!" Xiao Fang suddenly realized, "Is that the epicardial ablation of the dry pericardiocentesis some time ago?"


    "Yes." Xiao Shikang smiled.


    "It''s amazing!" Xiaofang gave Lu Chen a thumbs up, and his impression of him changed a bit. He thought he was a doctor in training, so he didn''t need to pay too much attention to his opinion.


    But after finding out Lu Chen''s identity, Xiao Fang became a little nervous again, "Doctor Lu, if you have any other diagnostic opinions, you can tell me."


    "Let''s take a look at the patient first." Lu Chen looked up at Xiaofang. .


    It is very one-sided if it is separated from the clinic and judged by itself.


    Although Xiaofang described the medical history in great detail, Lu Chen still wanted to see the patient in person.


    Xiao Fang was naturally very happy, but he didn''t expect Lu Chen to be so enthusiastic, he actually took the initiative to invite Ying to see his father.


    He hurriedly said, "That won''t disturb your work, will it?"


    Then Xiao Fang glanced at Xiao Shikang.


    "It''s okay, there is no operation this morning, so there will be an operation this afternoon." Xiao Shikang said, "Lu Chen, if you want to go see it, then you can go."


    "Um."


    Lu Chen nodded, then left the catheterization room with Xiaofang and went to the emergency department.


    (end of this chapter)

 v2 Chapter 430： disagreement

    Chapter 430 Divergent Opinions


    The First Affiliated Hospital of Kyoto University.


    Lu Chen and Xiaofang soon came to the emergency department.


    Because Xiaofang is an employee of this hospital, he first found the doctor who was in the emergency department.


    "Doctor Fang, your dad is fine now, blood routine, liver and kidney function, myocardial enzymes, and coagulation are all normal." The emergency admission doctor said, "We also invited an emergency cardiology consultation, considering it was early repolarization syndrome. , conscience, it shouldn''t be a big problem."


    "Okay, thank you." Xiao Fang forced a smile.


    If he heard the news before, he was very happy.


    But now, he is really not happy.


    "Let''s go see the patient first." Lu Chen flipped through the patient''s test sheet, but did not notice any abnormal results.


    "Okay, come with me." Xiao Fang nodded and brought Lu Chen to his father.


    Emergency Department observation room.


    A man of about fifty years old was lying on the hospital bed, his face was a little pale, and he looked weak.


    "Dad, are you alright now?" Xiao Fang sat by the bed, handed his father a glass of water, and asked with concern.


    "It''s much better." A smile appeared on the man''s pale face. "I''m just a little weak now, but everything else is fine. Don''t worry, go to work."


    "Dad, I''ve already asked for leave, don''t worry about it, take care of your illness first." Hearing this, Xiao Fang calmed down and looked at Lu Chen beside him.


    But when Lu Chen saw the patient for the first time, his heart sank to the bottom.


    The health value on the patient''s head shows 58 (--).


    Health is already below the critical 60, and there are still two minus signs.


    This is not a value that a benign disease should have!


    "Dad, this is a cardiologist. He has a lot of experience and came to see you." Xiaofang didn''t care about his father''s strange vision, and got straight to the point.


    But in the eyes of his father, the young man in front of him seems to be younger than his own son, how can he be experienced?


    But since his son said so, he didn''t ask any more.


    Immediately afterwards, Lu Chen asked a few related questions.


    "Uncle, every time you have an attack, tell me what the specific situation is like."


    "Is there an electrocardiogram when I had the disease before? Let me compare it."


    "Uncle, you used to have a slow heart rate, but you feel your heart rate has become faster recently?"


    ¡­


    Actually, Lu Chen didn''t need to ask too much. The moment he saw the patient''s life value, he already had a judgment in his heart.


    The reason why I asked a few more questions was just to make it less obtrusive.


    After asking the question, Lu Chen gave the patient a simple heart auscultation and physical examination.


    Put down the stethoscope, Lu Chen didn''t speak, his face was slightly serious.


    "Doctor Lu, how are you?" Xiao Fang said immediately.


    Lu Chen winked and motioned Xiaofang to go outside the ward.


    Xiaofang understood, talked to his father, and walked out of the ward with Lu Chen.


    ¡­


    Outside the corridor of the emergency department, there are many family members of patients.


    Some people were very distressed and even wept softly.


    Some people have happy faces, it is the joy of the rest of their lives.


    "Doctor Lu..." Xiao Fang stared at Lu Chen, for fear of hearing bad news from his mouth.


    Lu Chen paused and said slowly: "Definitely, the diagnosis is clear, early repolarization syndrome."


    "Huh? Is this the diagnosis?" Xiao Fang was a little stunned.


    "Isn''t there a big problem with my dad?"


    Lu Chen shook his head and said, "The diagnosis is correct, but not all early repolarization syndromes are benign!"


    "How do you say this?" Xiao Fang asked in confusion.


    Lu Chen said: "In the past, the academic circles regarded early repolarization syndrome as benign, but in recent years, with the deepening of ion channel research, many studies have shown that there are more and more malignant early repolarization syndromes. "


    Xiaofang frowned, full of puzzlement: "Doctor Lu, you are right, I have read a similar document before, but this is only a few cases, and it does not prove my father''s early repolarization syndrome. Signs are vicious!"


    Early repolarization syndrome, more common in young people.


    used to be considered a benign disease, but now it is found that more and more young people die suddenly and this disease is related.


    Lu Chen took out the patient''s ECG again: "Of course there is evidence. First of all, you need to know that the higher the degree of J wave elevation, the higher the degree of malignancy. Your father''s ECG is >0.2mv, which is considered high. vicious."


    "Secondly, the more leads that J waves appear in, the higher the degree of malignancy. The common ones are the inferior and anterior leads. Look at your dad''s picture, not only the inferior and anterior walls, but even the inferior and anterior leads. There are J waves in the high lateral wall! This is also called type 3 repolarization syndrome, and the degree of malignancy is extremely high!"


    "In addition, the more obvious and exaggerated the J-wave shear and setback are, it also indicates a high degree of malignancy!"


    Lu Chen''s words reverberated in Xiaofang''s heart, and he believed most of them.


    If Lu Chen simply said that the degree of malignancy is high, he would still have doubts.


    However, in the face of such a well-founded explanation, Xiao Fang had to believe it!


    After a long while, Xiao Fangcai said slowly: "Doctor Lu, if according to what you said, it is suspected to be malignant early repolarization syndrome, what should be the next examination?"


    "Mr. Xiao also said it just now." Lu Chen said, "Heart ultrasound must be checked. In addition, you can check for genes. I remember that Jiangcheng University School of Medicine has done a lot of research in this area. For patients with high risk of sudden death, we advocate early implantation of ICD for prevention.¡±


    "ICD implantation, have you reached this stage?" Xiao Fang was shocked.


    He never thought that his father''s condition would be so serious.


    Lu Chen nodded resolutely, "This is my opinion. You can also ask a few more professors of cardiology to get a comprehensive opinion."


    The Cardiology Department of the First Affiliated Hospital of Kyoto University, which is the top discipline in the country.


    Although Xiaofang is only a resident physician, the relationship here is complicated, and he will definitely be able to find several specialists in the Department of Cardiology.


    "Okay, anyway, thank you Dr. Lu today." Xiao Fang nodded slightly.


    As for the next step, he has to inquire again.


    "Okay, it''s nothing, I''ll go first." Lu Chen smiled, and before leaving, he said, "If you decide to install an ICD, you should do it as soon as possible. This kind of sudden death from arrhythmia is very sudden."


    "Um."


    Looking at the back of Lu Chen leaving, Xiao Fang felt a little tangled in his heart.


    Xiao Shikang, as a qualified physician in the Department of Cardiology, his opinion is benign.


    And Lu Chen, as a graduate student who has not yet graduated, but also has a good reputation, he said that he might have an ICD implanted!


    The two have different opinions, who will they listen to?


    Originally, there were a few more chapters, but I was temporarily called by the director to work overtime.


    The overtime life is coming to an end this month.


    (end of this chapter)

 v2 Chapter 431： on point

    Chapter 431 is right


    Lu Chen returned to the cardiac catheterization room.


    Xiao Shikang asked two questions. At this time, he also learned from Xiao Fang that Lu Chen asked his father to implant an ICD.


    "Lu Chen, what did you think about it?"


    A benign early repolarization syndrome, but someone else has to do surgery to implant an ICD.


    In Xiao Shikang''s view, isn''t this pure nonsense?


    Could it be that just because he is a surgeon, he encourages others to perform surgery?


    Xiao Shikang was a little puzzled, after so many days of understanding, Lu Chen should not be such a person!


    "Mr. Xiao, I''m not aiming for nothing." Lu Chen patiently repeated what Xiao Shikang had just said to Xiao Shikang.


    Xiao Shikang frowned deeply.


    He knew that early repolarization syndrome had the possibility of being malignant, but he had never paid attention to which form of early repolarization syndrome would be malignant.


    "Lu Chen, is the document you read about early repolarization syndrome still available?" Xiao Shikang said, "Can you send me a copy?"


    "I''ll go back and look for it at night. It should still be saved in the computer." Lu Chen nodded slightly, "I''ll send you a copy then."


    Because Lu Chen has a "literature reading" skill card, he has dabbled in all kinds of cutting-edge cardiology knowledge.


    ¡­


    The First Affiliated Hospital of Kyoto University, special outpatient clinic for cardiologists.


    Xiaofang took his father, and took the electrocardiogram and other medical records to Qin Sifeng''s outpatient clinic.


    Although he is an employee of the same hospital, Xiaofang went to hang up an expert account.


    Professor Qin is a leader in the field of electrophysiology in the hospital, but some experts have a weird temper.


    Qin Sifeng only sees 20 patients a day, and he doesn''t add numbers, nor does he cut the queue for acquaintances.


    Xiaofang also got Qin Sifeng''s expert number several days in advance.


    Qin Sifeng was very slow to see patients. Xiao Fang waited outside the clinic for a long time before finally getting his father''s number.


    "Patient 12, please go to the second consultation room of the specialist outpatient clinic."


    Xiaofang immediately stood up and helped his father up, "Dad, the professor we will see later is one of the most powerful professors in our cardiology department. After letting him see it, I can rest assured."


    Father Fang shook his head helplessly: "Son, I think I''m recovering very well, I''ve done all the examinations, and there''s nothing wrong. I really don''t need to see a doctor anymore."


    Xiaofang was unmoved, and continued: "Dad, let''s take a look. If there is no problem, then I will be at ease."


    "Hey, that''s fine." Fang''s father couldn''t resist his son, but at the same time he was a little relieved that his son is filial!


    What the old man looks forward to is not a filial piety from his own children?


    ¡­


    Xiaofang supported his father and walked into the consultation room.


    "Professor Qin." Xiaofang called softly.


    Qin Sifeng was lowering his head to sort out the medical records, when he heard the shout, and looked up, he only felt that the young man in front of him looked familiar.


    Xiaofang didn''t wear a white coat today, so Qin Sifeng didn''t recognize him.


    "Professor Qin, I''m a CCU doctor in the Cardiology Department of our hospital." Xiao Fang introduced himself, "I used to be in your hands for a while."


    Qin Sifeng raised his brows and smiled, "It''s you, I said why you look so familiar. What''s the matter, who are you taking to see a doctor?"


    "Professor Qin, this is my father." Xiao Fang took out his father''s medical records and handed it to Qin Sifeng.


    Qin Sifeng took the medical record with a smile, "You, when I have free time, just go to the department to find me directly, you don''t need to bother to come to the outpatient clinic to find me."


    Xiaofang smiled and said, "Professor Qin, I can''t break your rules."


    "Rules are dead, people are alive." After speaking, Qin Sifeng opened the medical record book, took out the medical records such as electrocardiogram and cardiac ultrasound, and began to read it carefully.


    After a long while, Qin Sifeng put down the medical record book in his hand.


    He took out a stethoscope, warmed his palms, and then began to perform cardiac auscultation and physical examination on Father Fang.


    The physical examination took about ten minutes before Qin Sifeng said, "The electrocardiogram is an early repolarization syndrome."


    Xiaofang nodded quickly: "Yes."


    "Do you have frequent heart palpitations and chest tightness?" Qin Sifeng looked at Fang''s father beside him.


    Father Fang paused and said, "In the past few years, it was fine. I had one or two attacks every year. But recently, the attacks have become more frequent, about once a month."


    "Yes." Qin Sifeng nodded, "I know almost everything about the specifics."


    After ?? finished speaking, Qin Sifeng looked at Xiaofang, "Xiaofang, you are also a cardiologist, so tell me about this early repolarization syndrome."


    "Huh?" Xiao Fang was stunned, but he didn''t expect to see a doctor and have to be tested!


    At this moment, Xiaofang seems to have returned to the time of the big rounds of the department.


    "Why, I don''t know?" Qin Sifeng glanced at Xiao Fang.


    Xiao Fang was stunned for a few seconds, scratched the back of his head, and then said, "Early repolarization syndrome is relatively common in young people, and it is usually benign."


    "That''s all?" Qin Sifeng''s expression was a little disappointed, "If you think it''s benign, why did you come to see me?"


    "This..." Xiao Fang hesitated for a moment, recalling what Lu Chen said to him a few days ago, and slowly said: "However, with the in-depth study of electrophysiological ion channels, many studies have found that malignant The early repolarization syndrome is increasing and is associated with sudden death in young adults."


    Qin Sifeng nodded slightly, "Well, yes, continue."


    Xiaofang paused and continued: "The degree of malignancy may be related to the elevation and shape of the J wave. In addition, if J waves appear in multiple leads, the higher the degree of malignancy..."


    Qin Sifeng nodded while listening, and said to himself, "This young man is quite good."


    When Xiao Fang finished speaking, he said, "You''re right, but since you already know all this, you should have something to say about your father''s illness in your heart, right?"


    Xiaofang can only nod helplessly.


    He already believed Lu Chen''s words in his heart, and he came to Qin Sifeng today just to verify.


    Now that he saw Qin Sifeng''s attitude, he basically knew it, and most of what Lu Chen said was right.


    At this time, Qin Sifeng glanced at Fang''s father beside him, and then said to Xiao Fang, "If you have the conditions, it is best to make an ICD."


    Hearing this result, Xiao Fang felt bitter in his heart.


    After all, Lu Chenyan was caught!


    "Okay, thank you Professor Qin." Xiao Fang whispered


    "Then I''ll give your father a hospital certificate?" Qin Sifeng said.


    "Yeah." Xiao Fang nodded, Professor Qin said so, it must be done.


    Fang''s father was still a little overwhelmed. The content of the conversation between the two was all technical terms, and he couldn''t understand it at all.


    But when he heard that he was hospitalized, he was a little anxious.


    "Son, do I need to be hospitalized?"


    Xiaofang smiled reluctantly and comforted his father: "Dad, don''t worry, it''s no big problem, I''ll tell you in detail later."


    Fang''s father saw this, he could only hold back his temper and wait for Qin Sifeng to finish his hospitalization certificate.


    "That''s right." Qin Sifeng handed the hospital certificate to Xiaofang, "If you decide to do it, you can go to the catheterization room doctor Lu Chen, he is not bad."


    Xiao Fang was taken aback, "Professor Qin, do you also know Dr. Lu?"


    "That''s right, I''m the teacher of the electrophysiology training class." Qin Sifeng laughed.


    Xiaofang nodded slightly, "Professor Qin, to tell you the truth, Dr. Lu has seen my dad before."


    "Oh, is that so?" Qin Sifeng became interested, "What did he say?"


    "He agrees with you." Xiao Fang said, "What I said just now is actually what he said."


    Qin Sifeng was a little surprised. He didn''t expect that in addition to his excellent surgical ability, Lu Chen''s basic clinical ability was also so strong, which was really unexpected.


    Most cardiologists are aware of benign early repolarization syndrome.


    As for the malignant ones, I have only heard of them, and I can''t say anything at all.


    Xiao Fang secretly sighed in his heart, this Lu Chen is a few years younger than him, but his clinical experience and intervention ability may have left him several blocks away.


    ¡­


    At this time, Lu Chen, who was preparing for surgery, suddenly received a system prompt.


    "Congratulations, +1 for receiving a thank you from Fang Yuan!"


    Lu Chen was taken aback for a moment, he was a little puzzled at first, then relieved.


    It seems that Dr. Xiaofang probably believed what he said and was going to do ICD.


    (end of this chapter)

 v2 Chapter 432： Failed Electrophysiological Surgery (Second)

    Chapter 432 Failed Electrophysiological Surgery (Second)


    walked out of the outpatient building.


    Xiaofang holds a hospitalization certificate in his hand and is about to take his father to the inpatient department.


    But Father Fang took a few steps and suddenly stopped.


    "Dad, what''s wrong?" Xiao Fang looked back at his father in confusion.


    "Didn''t you say you wanted to explain it to me in the consultation room?" Fang''s father said slowly, "I need to go to the hospital for my illness?"


    Xiao Fang was a little silent.


    He hasn''t figured out how to explain to his father.


    According to Professor Lu Chen and Qin Sifeng, his father''s early repolarization syndrome was malignant, with a high risk of sudden death.


    At this time, CID implantation in the heart is needed to prevent sudden death.


    "Dad, a minor operation may be required." Xiao Fang looked up at his father, "It''s a very common interventional operation. You don''t have to worry about minor problems."


    Father Fang frowned and looked at his son, "Fang Yuan, your father, I''m not stupid, I''m going to be hospitalized for surgery, is it a small problem?"


    Xiaofang''s tone was stagnant, and he faltered and couldn''t speak.


    "If you don''t tell me, then I''ll go back and find that Professor Qin." After Fang''s words, he turned around and went back.


    Xiaofang quickly grabbed his father''s sleeve with a bitter tone, "Dad, if you don''t go, I say."


    Father Fang turned around and looked at his son.


    The white hair on his temples made Xiao Fang a little stunned.


    He graduated with a doctoral degree, and before he knew it, his father was getting old too.


    I thought that after I graduated and worked, my parents would be able to live a good life, but I didn¡¯t expect that there would always be many unpleasant things in life.


    Many of his classmates, at his age, had already started a family and started a career.


    "Son, just say it directly, no matter how big the problem is, I can bear it." Father Fang smiled calmly.


    Xiaofang organized the language and said slowly: "Dad, there is actually a problem with the electrophysiological conduction system of your heart, which means that the circuit system of a room is faulty."


    "Very serious?" Fang Fu said.


    Xiaofang nodded, shook his head again, and said, "There is a certain risk, but it''s not exact. A small device needs to be installed at the location of the heart. The next time you get sick again, this device can automatically identify the ECG. abnormal."


    "Well." Fang''s father was silent for a few seconds, then glanced at his son, "The surgery fee..."


    "Dad, you don''t need to worry about these things." Xiaofang interrupted his father immediately, "Leave the rest to me."


    "But you''ve only been working for a while..."


    "Dad." Xiaofang said again, "I don''t have much savings at home for me to study, and I still owe a lot of money. Now that I''m working, it''s time to take on my own responsibilities. You, you can listen to me. ."


    Father Fang was startled, then a smile appeared on his wrinkled face.


    Yes, the son has grown up, and he is no longer the boy who grew up under their wings.


    "Dad, let''s go, I''ll take you to the inpatient department."


    "it is good!"


    In the corridor of the hospital, a father and son walked side by side towards the inpatient department.


    ¡­


    Cardiac catheterization room.


    Lu Chen is performing a routine electrophysiological operation - replacing the pacemaker and implanting an ICD.


    Patient is a patient in his seventies.


    Nine years ago, a pacemaker was implanted because the heartbeat was too slow, leading to heart failure.


    Recently, because the battery was exhausted, the pacemaker often stopped working, so there were symptoms of heart failure, such as chest tightness and shortness of breath.


    This time, in addition to replacing the pacemaker for the patient, Lu Chen also needs to implant an ICD to defibrillate.


    "Master, the operation will be over soon, don''t be too nervous." Lu Chen smiled and said to the patient, "If there is any discomfort in the middle, you must remind me in time."


    "it is good."


    Lu Chen has a lot of experience in this operation.


    Pacemaker implantation is also one of the items that cardiac electrophysiology interventionists must master.


    Disinfection, drape, puncture...


    Everything went so smoothly.


    "Lu Chen, after this operation is over, let''s go out to have a meal with me." Xiao Shikang laughed at the side, "I''ll take you to meet a few people."


    "Okay, thank you Mr. Xiao." Lu Chen smiled.


    Xiao Shikang is the Deputy Chief Physician of a top-level tertiary hospital. The people he knows are definitely not low in status.


    In the medical circle, it is always good to know a few more people.


    After chatting with Xiao Shikang, Lu Chen and Xiao Shikang continued to gather to focus on this electrophysiological operation.


    The end of the puncture is the entry of the guide wire.


    Lu Chen holds the guide wire and enters from the patient''s puncture point.


    On the display screen in front of the operating table, the guide wire has successfully passed through the subclavian vein.


    Next is the superior vena cava.


    Lu Chen''s hand gently pulled the guide wire and put it into the blood vessel.


    As long as the guide wire enters the superior vena cava, it can go directly into the heart.


    Suddenly, Lu Chen felt a slight resistance coming from the guide wire in his hand.


    The guide wire passed under the subclavian vein, but could no longer get in!


    "What''s wrong?" Lu Chen frowned.


    The subclavian vein, to the superior vena cava, the guide wire should pass very well!


    Lu Chen has never encountered such a situation.


    He turned the direction of the guide wire slightly, and with a little force, wanted to continue feeding the guide wire into it.


    At this time, don¡¯t push too hard.


    Once the force is too strong, the guide wire is likely to injure the blood vessels and even the myocardial tissue.


    However, Lu Chen tried four or five more times.


    The guide wire is still in place and cannot enter the superior vena cava.


    "What''s wrong?" Xiao Shikang also noticed the abnormality during the operation.


    "The guide wire seems to be stuck." Lu Chen frowned.


    "Huh?" Xiao Shikang looked at the screen of the operating table, and sure enough, the guide wire could not be advanced forward at the position of the subclavian vein.


    "You can increase the power in your hands a little bit." Xiao Shikang was afraid that Lu Chen was too cautious, so he reminded.


    Lu Chen shook his head slightly and said, "Mr. Xiao, I''ve already exerted my strength, but I haven''t used it yet. The guide wire doesn''t even move at all."


    Xiao Shikang was also quite puzzled.


    If a novice in electrophysiological intervention performs this operation and the guide wire cannot pass through, he will definitely think that the surgeon is not skilled enough.


    But the magician in front of him is Lu Chen!


    He can even perform dry pericardiocentesis. Could he be stumped by this small guide wire operation?


    "Let me do it." Xiao Shikang put on his gloves and took over from Lu Chen.


    He held the guide wire tightly, and also slowly pushed the guide wire in.


    A resistance came from his hand immediately, and no matter the direction or angle of the guide wire he adjusted, the guide wire remained motionless.


    At this time, Lu Chen frowned and said, "Mr. Xiao, could it be that the patient''s superior vena cava is blocked?"


    Xiao Shikang was shocked when he heard the words, if the patient''s superior vena cava is blocked, then the trouble will be big!


    He immediately adjusted the position of the X-ray vascular machine.


    At this time, the patient''s superior vena cava was immediately displayed on the screen of the operating table.


    This superior vena cava has become abnormally narrowed compared to normal blood vessels!


    "I''m going, it''s really blocked!"


    The two looked at each other, and both saw the helplessness in each other''s eyes.


    The superior vena cava is blocked, which means that the surgical channel is blocked!


    "Want to try again?" Lu Chen said slowly.


    He doesn''t have any certainty now that this chronic vascular blockage cannot be solved by manpower.


    Xiao Shikang''s expression was very helpless, and now he can only do his best.


    Even if the guide wire can pass by luck, can the electrodes after that pass?


    Lu Chen saw that Xiao Shikang had no objection, so he continued to try to push the guide wire in.


    ¡­


    Ten minutes later.


    Lu Chen''s right hand was trembling slightly, and there was even sweat oozing from his forehead and the bridge of his nose.


    However, on the screen of the operating table, the guide wire was still in the position of the subclavian vein, and the wire did not move.


    "Exit the guide wire. Come on."


    Following Xiao Shikang''s words, this operation was declared a failure!


    (end of this chapter)

 v2 Chapter 433： Another way

    Chapter 433 Take a Different Path


    Lu Chen withdrew the guide wire, his mood was quite complicated.


    In desperation, there was a trace of unwillingness to admit defeat.


    He has tried his best and tried many times, but he still can''t get the guide wire through the superior vena cava.


    This is his first failed surgical experience since he set foot in the field of electrophysiology!


    Xiao Shikang patted Lu Chen on the shoulder and seemed to see what he was thinking, "Lu Chen, it''s okay, it''s not your problem. No one would have thought that the patient''s superior vena cava would be blocked."


    Lu Chen took off his gloves and stared at the screen of the operating table, "Mr. Xiao, I''m fine."


    "Well, I will apply for the General Cardiology Consultation for this medical record." Xiao Shikang continued, "I will see other cardiologists at that time. Is there any good way?"


    Lu Chen nodded slightly, looked away, and silently sorted out the equipment on the operating table.


    ¡­


    "Doctor, my surgery is done?"


    At this time, the old man on the hospital bed suddenly said.


    Lu Chen moved his lips and wanted to say something, but he didn''t say it.


    Xiao Shikang walked slowly to the patient''s side and said softly: "Master, not yet. If you encounter a little problem, don''t worry, we will handle it."


    In this case, in order to avoid the patient''s mood swings, Xiao Shikang decided to communicate with the patient''s family first, and then slowly explain to the patient himself.


    "Lu Chen, arrange the equipment, I will communicate with the patient''s family about the patient''s condition."


    "it is good."


    Xiao Shikang left the catheterization room after saying a word.


    ¡­


    Conduit outdoor.


    Lu Chen had packed up the surgical equipment and asked Dr. Gui Pei to push the patient back to the ward.


    He sat on the instrument outside the catheter room and repeatedly watched the patient''s X-ray angiography on the computer screen.


    Before today, he was very confident, even a little conceited.


    Although Lu Chen has only been exposed to electrophysiological surgery for a short period of one year, with the help of the system surgery simulation room and the realistic simulation surgery room, the level of electrophysiological interventional surgery is rapidly improving.


    Whether it is pacemaker implantation or arrhythmia ablation, he can do it with ease.


    Even the difficult dry pericardiocentesis is not a problem.


    His electrophysiological intervention level has surpassed the absolute part of the attending physician and the deputy chief physician.


    But today''s failure made Lu Chen wake up suddenly.


    His efforts are far from enough!


    There are still many diseases that have not been completely overcome, and there are still many things he has to do!


    Thinking of this, the arrogant conceit in Lu Chen''s heart is slowly disappearing.


    was replaced by an indomitable momentum!


    ¡­


    After the afternoon, Lu Chen ate dinner and returned to the hotel.


    Tonight, instead of continuing to train in the system to simulate surgical space, he began to read relevant literature.


    The superior vena cava is blocked, this patient is definitely not the first case.


    He was going to look at the case reports from various countries and wanted to see what other people''s measures were.


    Doctor, and only through this kind of learning, can we continue to improve.


    There is no doctor who can survive by chewing on the old books.


    After looking through the domestic and foreign literature for the past five years, it is already ten o''clock in the evening.


    "ding ding..."


    The familiar WeChat alert sounded, Lu Chen took out his phone, and it was another message from Min Xiaobo.


    "Lu Chen, it''s been half a month, how many surgeries have you completed?"


    The second stage of the assessment has passed for two weeks.


    Lu Chen recalled the surgeries he had completed. There are only six cases so far.


    This is considered to be lower than average among all the students.


    "Ah? You only have six?" Min Xiaobo said in surprise, "I feel like I''m already very few, but I have already made eleven."


    In two weeks, six operations were completed. This amount of operations may be at the bottom.


    Although the assessment index is not entirely based on the amount of surgery, it is also an important index.


    "No way." Lu Chen said helplessly.


    In fact, there are not too many surgeries here, but three of them were cancelled after Lu Chen''s re-evaluation and they didn''t need to be done.


    Then today the operation failed, and another one was reduced.


    "There are still two weeks left for the assessment, come on!" Min Xiaobo said.


    Both of them came from Jinghua, and their relationship is much better than others.


    Min Xiaobo was very optimistic about Lu Chen in his heart.


    "Well, thank you for your concern." Lu Chen replied.


    Turned off the phone, Lu Chen continued to read the literature.


    From this look, it is a whole night.


    ¡­


    The next day.


    In response to this failed case, Xiao Shikang quickly organized a general meeting of the Department of Cardiology.


    Kyoto University First Affiliated Hospital, Cardiology Department Showroom.


    The small classroom was full of people.


    Each ward of the Cardiology Department has at least one doctor with a deputy senior title.


    A team of doctors of this level, even if viewed nationwide, is a top-level "luxury group".


    Xiao Shikang is standing on the podium, introducing the patient''s condition to everyone.


    "The battery of the patient''s pacemaker is exhausted, and the battery needs to be replaced. At the same time, the patient has severe symptoms of heart failure and malignant arrhythmia. We are going to implant an ICD."


    "But during the operation, we found that the patient''s superior vena cava was blocked."


    While Xiao Shikang was talking, the projector screen on the podium also played the live broadcast of yesterday''s surgery.


    "I tried many times with the surgical assistant, but the guide wire still couldn''t pass, and finally we had to give up the operation."


    After introducing the condition, everyone in the audience began to discuss with each other.


    Qin Sifeng took the lead in saying: "The patient''s current diagnosis is severe and refractory heart failure. If a pacemaker and ICD are not implanted, the symptoms of heart failure will become more and more severe, which not only affects the quality of life, but also affects life safety."


    After the heavyweight Qin Sifeng spoke, everyone agreed.


    "Professor Qin is right." Fang Ruzhang said, "This patient belongs to our ward. I went to see him in person as soon as possible. The symptoms of heart failure were obvious. He was tired from walking and eating. He was completely lying in bed, moving. I can''t move at all. At night, I basically can''t sleep on my back. At present, we can use drugs to maintain it, but if it goes on like this, the effect will definitely not be good, and it is still necessary to implant a pacemaker and ICD as soon as possible."


    After some discussion, everyone''s opinions are very unified. Pacemakers and ICDs must be done.


    Now the question is how to do it?


    The superior vena cava is blocked, and the guide wire cannot pass through, and the superior vena cava is the only route for conventional pacemaker lead implantation.


    On the podium, Xiao Shikang continued: "I wonder if you teachers have any good opinions on the next diagnosis and treatment plan?"


    As soon as the ?? voice fell, everyone began to discuss again.


    Fang Ruzhang took the lead: "The superior vena cava is blocked, we may choose other venous access, how about entering from the jugular vein?"


    Early installation of cardiac pacemakers was done by opening the chest, which caused great trauma.


    Since the invention of the endocardial electrode in 1965, the pacemaker has been installed by transvenous endocardial cannula.


    There are 4 conventional access veins for the insertion of electrode leads, 2 on the left and right sides, followed by the cephalic vein and subclavian vein, 6 unconventional access veins, 3 on the left and right sides, respectively, the external jugular vein , internal jugular and axillary veins.


    The most common is of course the subclavian vein - the implantation route of the superior vena cava.


    This is the shortest and most mature path.


    Qin Sifeng shook his head and rejected the idea: "The patient is old, thin, has few muscles, and thin skin. If the electrode is implanted through the jugular vein, the skin may be damaged and the electrode may be damaged in the future."


    "Professor Qin, what if you use a leadless pacemaker?" Another deputy chief physician suggested.


    Qin Sifeng was stunned for a moment, pondered for a moment, and then looked at Xiao Shikang on the stage.


    When Xiao Shikang heard the words, he said helplessly: "In addition to the slow heart rate, the patient also has third-degree atrioventricular block and junctional escape rhythm, which requires the use of a dual-chamber pacemaker, and a leadless pacemaker is not suitable for this name. patient."


    For a time, most of the ideas did not hold.


    This is not good, that is not good, everyone is a little discouraged.


    Does it mean that he has been treated with drugs?


    The patient''s survival will be drastically reduced, and may even require long-term hospitalization.


    Just like this, Lu Chen, who had been sitting in the corner, suddenly stood up.


    He looked around the crowd and said slowly: "Teachers, if percutaneous hepatic vein puncture is implanted, what is the path like?"


    When Lu Chen''s words came out, everyone present was stunned.


    (end of this chapter)

 v2 Chapter 434： Deans Order

    Chapter 434 The Dean''s Order


    "Percutaneous hepatic vein puncture implantation?" Everyone was shocked.


    Compared with other paths, this should be the most partial implantation path.


    On the podium, Xiao Shikang said, "Dr. Lu is the surgeon for this patient. We both performed the operation together for the first time."


    Everyone''s attention shifted to Lu Chen.


    Most of the doctors present knew him.


    Although Lu Chen is just an outside doctor, his performance in the catheterization lab during this period is obvious to all.


    He not only successfully completed dry pericardiocentesis, but also went to Kyoto Central Hospital to assist in the operation as a representative of the hospital.


    This is talked about by many people as a talk after dinner.


    Qin Sifeng frowned after hearing Lu Chen''s speech.


    "Percutaneous hepatic vein puncture implantation, we rarely choose this route." Qin Sifeng glanced at Lu Chen, "I remember that Western Sichuan Medical College used this puncture route, and they were the first in the world at that time."


    "Well." Lu Chen nodded, "After I went back, I looked through the literature and found a case report published by Western Sichuan Hospital two years ago. They used this percutaneous hepatic vein puncture implantation to treat a patient with upper respiratory tract. patients with vena cava obstruction."


    "I know the case you mentioned. Western Sichuan asked me for a remote consultation at that time." Qin Sifeng frowned, "But Lu Chen, do you know that the method you mentioned is theoretically feasible, but practically it is difficult to operate. Very high!"


    After hearing Qin Sifeng''s words, everyone began to discuss.


    Fang Ruzhang frowned deeply: "Subclavian and superior vena cava puncture, this path is short and only needs to go through one curved arc, but implanted through the hepatic vein, not only the path is longer, but three consecutive arcs are required!"


    Three-turn arc, the difficulty of this operation is multiplied compared to one arc!


    Another doctor said: "I think it''s better to have more arcs. Try a few more times, and you should be able to pass. But the most difficult operation in the operation through the hepatic vein is that the entire path requires backhand operation. This kind of backhand operation Skills, everyone should have no experience, right?"


    There are few opportunities for surgical training in ordinary times, and this situation is almost never encountered. Who would deliberately train the backhand operation?


    At this time, Qin Sifeng added fuel to the fire, "Actually, there is another problem. You may not have noticed that this operation involves not only the implantation of a pacemaker, but also the implantation of an ICD. The implantation is carried out through the hepatic vein. ICD? I haven''t seen a case like this..."


    Everyone talked a lot, and Lu Chen''s proposal of "implantation through hepatic vein puncture" was quickly rejected.


    It is theoretically feasible, but the actual operation is extremely difficult!


    Lu Chen moved his lips and wanted to say something, but gave up.


    He really wanted to shout, "I want to try transhepatic venipuncture."


    But the doctors present are much richer than him in terms of clinical diagnosis and treatment experience or interventional surgery experience.


    When he shouted out like this, he was a little over his head.


    ¡­


    After half an hour, the General Cardiology Consultation is over.


    The crowd did not discuss a very good conclusion, so they could only temporarily postpone the operation and carry out conservative drug treatment.


    Lu Chen also had no choice. He read through the literature for a night and finally came up with a solution, but it was not recognized by everyone.


    However, Lu Chen was not discouraged.


    Since it is possible to use this "percutaneous hepatic vein puncture implantation" skill, he can just train in the virtual space of the system.


    In the virtual space of the system, Lu Chen set the surgical simulator to be similar to reality.


    The superior vena cava was blocked, and transhepatic puncture was performed instead.


    ¡­


    In the blink of an eye, two days have passed.


    Three areas in the heart.


    Fang Ruzhang looked at the patient in front of him, feeling anxious.


    This old man''s heart failure just committed again!


    This is also his fourth episode of acute heart failure in three days.


    "Doctor, how is my father?" The patient''s family member, a middle-aged man, came to the office and asked actively.


    Fang Ruzhang shook his head slightly: "The old man''s condition is not very good, as you can see, just came to the hospital a few days ago, at least once a day for small rescue."


    "Why is this so?" The middle-aged man''s face was full of worry and confusion.


    "If the heartbeat is slower than 40 beats per minute, there is a risk of sudden death." Fang Ruzhang explained, "Your dad''s heartbeat has stopped beating for a long time because of his pacing dependence. At the same time, his heart still has potential cardiac arrhythmias. In the case of fast speed, the cardiac ejection function of a normal person is more than 50%, and he is already lower than 25%."


    The middle-aged man sighed deeply, then raised his head and stared at Fang Ruzhang, and said, "You are one of the top cardiology departments in the country. After so many days of discussion, can''t you come up with a feasible plan?"


    Fang Ruzhang heard the words, and his heart was also bitter: "Don''t worry, our Cardiology Department has a general consultation."


    "What''s the use of just a general consultation?" The middle-aged man frowned, "What we need is a treatment plan!"


    "Don''t worry, we will do it as soon as possible." Fang Ruzhang talked to the patient''s family, and managed to calm him down.


    Fang Ruzhang also understands very well that whoever''s father lies in bed sickly will only be in a worse mood than him!


    "Hey, the operation can''t be delayed any longer!" Fang Ruzhang thought.


    Thinking of this, he immediately started calling Qin Sifeng.


    "Professor Qin, about the patient with blocked superior vena cava..."


    Before Fang Ruzhang could finish his words, Qin Sifeng said, "I know, the dean called me just now. It should be the patient''s family who found a relationship and talked to him. The dean asked us to come up with a solution as soon as possible."


    "Hey, the leaders above are the real ones." Fang Ruzhang felt helpless, "If they move their lips, we will suffer. This plan is not so easy to come up with!"


    On the other end of the phone, Qin Sifeng was a little silent.


    Fang Ruzhang thought he had hung up, and was about to hang up when Qin Sifeng''s voice came again: "Xiao Fang, go and apply for a remote joint consultation of Western Sichuan Medical College, Zhongshan Medical College, and Modu Medical College for the patient."


    Fang Ruzhang was taken aback, "Professor Qin, joint consultation? Are you preparing for surgery?"


    Qin Sifeng sighed, "Whether the dean says it or not, I have already thought about it. We can''t just sit still and drag on because of the risk. We must put the safety of patients'' lives as the first principle! After the consultation, come up with a specific surgical plan, and we will start implementing it!"


    "Good!" Fang Ruzhang said.


    hung up the phone, and he immediately started contacting the medical department of the hospital.


    Let the medical department come forward, notify other hospitals, and conduct a multi-hospital remote joint consultation.


    ¡­


    Because of the director''s order, this joint consultation will soon end.


    In the afternoon of the same day, the joint diagnosis and treatment plan of major hospitals was introduced.


    After intense discussions, major hospitals headed by Western Sichuan Medical College unanimously recommended the use of the "transhepatic vein puncture and implantation" plan!


    This is exactly the plan proposed by Lu Chen, and it is also the most compromised surgical plan at present.


    Since no other route can be used, only "hepatic vein puncture" is available.


    The only disadvantage of this surgery is that it is difficult!


    Therefore, Qin Sifeng came up with an idea.


    Before the formal operation, a small-scale simulated operation evaluation will be held in the catheterization room.


    The person with the highest surgical proficiency will have the opportunity to become the first assistant of the operation and participate in this operation.


    As soon as this notice came out, all the electrophysiological intervention doctors in the Cardiology Department began to gear up.


    This kind of difficult surgery, it may not be feasible for them to be the main surgeon.


    But if they were an assistant, then they could.


    If you can succeed, you can also get a name.


    This may be the world''s first implantation of an ICD and a pacemaker through the hepatic vein at the same time!


    (end of this chapter)

 v2 Chapter 435： Lu Chens surprise

    Chapter 435 The surprise brought by Lu Chen


    "Mr. Xiao, can I participate in the competition?"


    In the catheter room, Lu Chen stared blankly at Xiao Shikang beside him.


    Xiao Shikang nodded slightly and said with a smile: "Of course you can, you are now a part of our catheterization laboratory, and this can also be regarded as an important indicator of your second-stage assessment."


    Lu Chen was worried that because of his status, he would not have the opportunity to participate in this competition.


    After all, he is an outsider.


    got Xiao Shikang''s affirmative answer, and Lu Chen breathed a sigh of relief.


    This opportunity for surgery is inevitable for him.


    Get up from where you fall!


    However, it is not easy to "snatch" this opportunity from the hands of a top electrophysiological interventional doctor.


    Lu Chen''s biggest advantage is his own system virtual space.


    Because of the critical condition of the patient, the evaluation will be carried out the day after tomorrow.


    In just two days, Lu Chen needs to practice targeted practice for this operation!


    "Mr. Xiao, I''ll take two days off." Lu Chen said.


    "Okay, no problem!" Xiao Shikang said, he had seen Lu Chen tired from surgery every day and wanted him to rest and adjust.


    In an event like work, you still have to be relaxed in order to ensure efficiency.


    ¡­


    Back at the hotel, Lu Chen put aside his distractions and immediately started virtual training in the system space.


    Percutaneous hepatic vein puncture implantation, which is something Lu Chen has rarely dealt with before.


    Not only Lu Chen, but other cardiologists are also very unfamiliar with this technology.


    However, this has also become a small advantage for Lu Chen.


    This time, it was the training of "real guns and live ammunition", and the opponent was an experienced surgeon.


    After all, facing the top interventional surgeons in Kyoto, Lu Chen has no absolute certainty of winning, and he must firmly control any advantage.


    Entering the virtual space of the system, Lu Chen set up a surgical channel for "transhepatic venipuncture".


    From the hepatic vein puncture to the pericardium, this path is much longer than from the subclavian vein to the pericardium!


    The subclavian vein route only needs to go through a curved arc.


    The path through the hepatic vein is to go through three bends.


    The difficulty of this is not a star and a half.


    As soon as Lu Chen started, he noticed the difficulty of the three corners.


    Every step of his is more precise, and the guide wire is implanted in the corresponding position.


    Once there is an error, it is a miss, a thousand miles!


    After two hours of training in the system simulation space, he initially mastered the entire process of hepatic vein puncture.


    "Congratulations, the proficiency in percutaneous hepatic vein puncture has reached 30%."


    However, this 30% proficiency is still not enough!


    In order to stand out from the crowd of doctors, Lu Chen felt that at least 60% proficiency was needed!


    Fortunately, in the next two days, he has enough time to improve his skill proficiency.


    ¡­


    In the blink of an eye, two days have passed.


    The evaluation of "percutaneous hepatic vein puncture implantation" has finally begun.


    At nine o''clock in the morning, all the participating doctors came to the electrophysiological surgery simulation room of Kyoto University.


    This time, including Lu Chen, a total of eight people participated.


    These people are all the backbones of the Cardiology Department of the First Affiliated Hospital of Kyoto University.


    These doctors, if they were placed in a lower-level hospital, would all be at the level of department directors!


    "Surgery competition begins!"


    As Qin Sifeng''s voice came from the simulated operating room, the competition officially began.


    Eight people, divided into two groups of four.


    Lu Chen was placed in the second group.


    He sat in the catheter room, quietly watching the operation in the catheter room.


    Fang Ruzhang sat beside him.


    Fang Ruzhang did not participate in this competition. He believes that the time for interventional surgery has not yet arrived. After all, he did not even pass the first stage of the electrophysiology training course!


    "Lu Chen, have you done this kind of surgery before?" Fang Ruzhang asked in a low voice.


    In his current surgical career, he has never done such an unconventional puncture implantation path.


    "I''ve seen it a few times." Lu Chen paused.


    "Huh?" Fang Ruzhang was taken aback, "I''ve only seen it a few times, you dare to go?"


    Fang Ruzhang couldn''t help but gave Lu Chen a thumbs up, "You''re really awesome!"


    Lu Chen smiled slightly and didn''t explain much.


    Taking advantage of this time, he continued to train in the virtual space of the system.


    After two days and nights of simulation training, Lu Chen''s proficiency in "transhepatic vein puncture and implantation" has been improved to 67%!


    This kind of proficiency improvement speed is already extremely terrifying!


    However, Lu Chen tried to increase his proficiency to over 70% in order to ensure that he was foolproof.


    The proficiency of ??70% is almost the same as the proficiency of a deputy master-level doctor.


    ¡­


    In the catheterization room, the first group of doctors have already started.


    The difficulty of this operation is mainly four points:


    First, the implantation path through hepatic vein puncture is long.


    Second, the path of transhepatic venipuncture implantation has three curved arcs.


    Third, the entire operation is a backhand operation.


    Fourth, the implanted pacemaker not only has a pacing function, but also needs to have ICD (defibrillation) and other functions!


    Qin Sifeng''s eyes went back and forth to watch the progress of the four simulated operating rooms.


    He was also unsure in his heart.


    Everyone has done this kind of surgery very few times. It can be said that there are only a few cases in all over the years.


    Now we can only say yes, come out of the dwarfs.


    An hour later, the simulated surgery of the first group was completed!


    It''s the second group''s turn.


    Lu Chen took two deep breaths and walked into the simulated operating room.


    Wear a lead coat, then a surgical gown, followed by disinfection and puncture.


    Although it is a simulated surgery, none of these necessary steps can be missed!


    Lu Chen stood in front of the stage. After anesthesia, he picked up the puncture needle and began to perform puncture under the guidance of the ultrasound machine.


    On the screen of the ultrasound machine, the hepatic veins have been displayed.


    Lu Chen gently inserted the puncture needle in his hand and entered the right hepatic vein.


    The first step, under the guidance of ultrasound, was successfully completed.


    Immediately afterwards, Lu Chen placed the guide wire.


    This step is the difficulty of the operation!


    Lu Chen stared at the screen tightly, his hands moved slowly, flicking, twisting, and picking.


    The guide wire is slowly advanced forward from the right hepatic vein.


    Whenever he encountered resistance, Lu Chen adjusted the angle of the puncture and tried to enter from another direction.


    Lu Chen''s puncture procedure this time was completely different from other electrophysiological procedures.


    There are three bends in it, he didn''t dare to speed up easily, he could only **** forward a little bit.


    Fortunately, the training results of these two days are remarkable.


    Proficiency reached about 70%. Although the speed was slow, Lu Chen still completed the puncture process.


    He will pass the guide wire through the hepatic vein and inferior vena cava into the right atrium with great success.


    ¡­


    Conduit outdoor.


    Qin Sifeng watched the performance of the doctors, and finally his eyes were fixed on Lu Chen.


    "He... he''s done?"


    When Lu Chen successfully implanted electrodes, it meant that he broke through the first three difficulties of the operation!


    "This..." Qin Sifeng glanced at the other surgery simulation rooms. Many doctors were still operating the guide wire, but Lu Chen had already started the pacemaker threshold mapping.


    This really stunned Qin Sifeng.


    Then, Qin Sifeng shook his head slightly: "It seems that there is no need to compare again."


    Looking at Lu Chen''s performance, Qin Sifeng almost recognized him in his heart.


    He never imagined that there was a doctor present who could complete all the puncture and implantation steps.


    After all, it is a selection surgery assistant, as long as it can complete most of it.


    Unexpectedly, Lu Chen gave him a big surprise!


    (end of this chapter)

 v2 Chapter 436： Surgery live room

    Chapter 436 Surgery Live Room


    "Professor Qin, why did you choose Lu Chen?"


    In Professor ??''s office, He Shengsheng, the deputy chief doctor from the first district of the heart, looked at Qin Sifeng with confusion and unwillingness.


    "He''s just an outsider, why leave this opportunity to him?"


    Qin Sifeng sat silently at his desk, flipping through the latest international journal in his hand.


    "Professor, say something!"


    Hearing this, Qin Sifeng raised his head and looked at He Shengsheng in front of him, his eyes a little indifferent.


    "What do you want me to say? Remove Lu Chen and let you go?"


    "I..." He Shengsheng was at a loss for words, of course he thought so in his heart, but he didn''t dare to say it face to face.


    "You said so much, why don''t you think about it, why should I choose an outsider instead of you?"


    He Shengsheng was a little silent.


    To be honest, he really couldn''t figure it out.


    As the Deputy Chief Physician of the First Affiliated Hospital of Kyoto University, he believes that no one of his age can match his electrophysiological intervention ability.


    This time the evaluation of "percutaneous hepatic vein puncture implantation".


    Although he is not very good at it, but everyone is at the same level, he absolutely does not need to be inferior to others.


    "Okay, since you want to ask clearly, then I''ll tell you."


    Qin Sifeng didn''t say much, and took out a USB flash drive from the drawer.


    "Take this back and see, and you''ll know the reason after reading it."


    He Shengsheng was a little puzzled, but seeing Qin Sifeng say this, he could only leave with the USB flash drive.


    He returned to the duty room, took out his computer, and plugged in the USB flash drive.


    There is only one folder in the U disk.


    "Is it the video data from yesterday''s competition?"


    He Shengsheng opened the USB flash drive and found eight videos in it.


    Each video corresponds to the person who participated in the evaluation yesterday.


    He first clicked on his own video and re-watched his surgical procedure.


    "Very good, I didn''t find any loopholes in the surgery." He Shengsheng''s self-evaluation was quite high.


    Thinking about it, he clicked on Lu Chen''s operation video.


    In the ?? video, Lu Chen performed every operation step by step.


    "I want to see if Professor Qin''s reasons are sufficient!"


    At the beginning, He Shengsheng watched the entire operation video with a playful gaze.


    However, as Lu Chen''s operations progressed, his vision changed!


    saw that Lu Chen completed the puncture in one go, and then implanted the guiding wire.


    He Shengsheng''s mouth was so open that he could squeeze a fist.


    "Isn''t he a sophomore student?"


    "How did he get such skilled surgical skills?"


    He Shengsheng was a little unacceptable for a while.


    Lu Chen''s surgical proficiency has surpassed him!


    It can even be said that Lu Chen has been able to operate proficiently, but they can only barely complete it.


    He Shengsheng silently shut down the computer, but he still couldn''t help but think of Lu Chen''s operation scene.


    He could finally understand why Qin Sifeng chose such an outsider!


    ¡­


    Three areas in the heart.


    The condition of the old man is getting worse and worse. If he doesn''t have surgery, his life may be in danger.


    Even with surgery, there are many risks.


    In the doctor''s office, Fang Ruzhang informed the uncle''s son of all the patient''s conditions.


    "This is the current situation, we are going to have surgery today."


    The patient''s son looked solemn and said, "The success rate of the operation..."


    "Our doctors never talk about the success rate." Fang Ruzhang said lightly, "Even if the risk of surgery is small, once it happens to you, it has a 100% chance!"


    "Then you have to give us the bottom line." The patient''s son''s voice was a little pleading.


    Facing the person closest to him, his previous calmness and composure have long been forgotten.


    Fang Ruzhang paused for a while before saying, "The chief surgeon for this operation is Qin Sifeng, the most authoritative professor of our cardiology department."


    "That''s great." The patient''s son''s expression softened slightly.


    "Don''t be in a hurry to be happy." Fang Ruzhang said, "The difficulty of this operation is very high. In the whole of China, the number of teams that can complete this operation is no more than five fingers!"


    "Isn''t that Professor Qin here?" said the patient''s son.


    Fang Ruzhang shook his head, "Even with Professor Qin, the difficulty and risks of the operation still exist, and you need to sign the informed consent for the operation."


    The patient''s son was silent for a while, then nodded slowly: "Okay."


    Then, he picked up the pen and signed his name on the informed consent form and authorization for the operation.


    ¡­


    At one o''clock in the afternoon, the surgery officially started.


    Qin Sifeng is the chief surgeon, and Lu Chen is the first assistant.


    This operation will also be broadcast live in Kyoto as a teaching operation.


    Many electrophysiological interventional doctors learned of this news.


    The first time, I turned on the computer and entered the live broadcast interface.


    This is "percutaneous hepatic vein puncture implantation". If successful, it will be the world''s first implantation of a pacemaker device with defibrillation function under this route!


    In fact, in addition to Kyoto, some electrophysiological intervention doctors from other provinces also entered the live broadcast room!


    Among them, some teachers and students of Jinghua Second Academy are included.


    Li Yao received news from Ouyang Ming right away.


    "Uncle Ouyang, can Lu Chen perform such a difficult operation?"


    When Li Yao heard the news, her first reaction was that it was unlikely.


    Lu Chen has only been out for more than a month, yet he can actually do "percutaneous hepatic vein puncture and implantation"?


    This level of surgery, even she can''t!


    "Hehe, Xiaoyao, you don''t know there''s more." Ou Yangming smiled, "You student, you are amazing! You have turned our Kyoto electrophysiology circle upside down!"


    Hearing this, Li Yao was both astonished and proud.


    Lu Chen is her student!


    "Okay, uncle, I won''t talk to you anymore, I''ll watch the live broadcast of the surgery."


    After ??, Li Yao hung up the phone, turned on the computer, and entered the live broadcast room.


    At the same time, she also sent the live broadcast interface to Sun Guoguo.


    Once this is issued, it will be out of control.


    Sun Guoguo thought it was just an ordinary surgery live link.


    But after opening it, she saw a familiar figure.


    "That''s... Lu Chen?"


    Sun Guoguo and Li Yao''s shocked expressions were the same.


    "Percutaneous hepatic venipuncture implantation?"


    This operation, she has never seen it!


    In addition to being shocked, Sun Guoguo also sent this live broadcast room to the WeChat group in the eight districts in his heart.


    Lu Chen already had a good reputation in the Jinghua Second Hospital.


    One pass ten, ten pass one hundred, one stone startled a thousand waves!


    Lu Chen, who was far away in Kyoto, thought it was just an ordinary operation.


    There are countless pairs of eyes staring at him in places he doesn''t know!


    A live broadcast of surgery has come to an end.


    (end of this chapter)

 v2 Chapter 437： tough second arc

    Chapter 437 The difficult second arc


    The First Affiliated Hospital of Kyoto University, Cardiology Catheterization Laboratory.


    Qin Sifeng had put on the surgical gown and radiation-proof lead suit and walked into the catheterization room.


    Lu Chen followed closely.


    In this surgical configuration, Qin Sifeng was the chief surgeon, Lu Chen was the first assistant in the operation, and there was a deputy chief physician of the Cardiology Department as the second assistant.


    "let''s start."


    With Qin Sifeng''s order, the door of the catheterization lab was closed, and the operation officially began.


    Lu Chen took the lead in disinfecting and laying towels.


    On the live broadcast interface of the surgery, everyone was staring at Lu Chen''s actions.


    Lu Chen was wearing a mask and hat, so everyone could not see his expression, but everyone could feel the importance of this operation.


    Lu Chen sighed in his heart.


    Although he has trained many times in the virtual space of the system, his proficiency in this surgical skill has also reached 72%, but this time is an actual battle after all!


    He raised the spirit of 120% and did not dare to slack off.


    The speed of sterilization and towel laying is not as fast as the previous operation, and even the puncture, Lu Chen was very careful and did not dare to overstep his expectations.


    Surgery live room.


    Li Yao nodded slightly when she saw Lu Chen''s surgical technique.


    Although his speed is not as fast as before, he is more and more calm!


    Surgery, that is the word of stability.


    Lu Chen''s hand speed was very fast, but he couldn''t help but make everyone worried.


    After ?? Lu Chen slowed down, Li Yao felt at ease.


    Except Li Yao, most of the audience were students from Kyoto and Jinghua.


    Many of them can''t see any tricks.


    I just felt that Lu Chen was prudent, there was no mistake, but there was no bright spot either.


    "Lao Yu, what do you think of Lu Chen this time?"


    In the cardiology meeting room of a hospital in Kyoto, Yu Hewei was also watching the live broadcast with everyone.


    "He is no worse than me!" Yu Hewei said lightly.


    "What?" The fellow doctors were all stunned.


    To allow Yu Hewei to praise people like this, Lu Chen is still the first!


    "Old Yu, but I watched it for a long time, and I didn''t think there was anything outstanding!"


    "A disinfection, puncture, what can you see?" Yu Hewei said lightly, "However, I think his speed is slower than before."


    "Nervous?" said the fellow doctor.


    "No." Yu Hewei shook his head, "This is prudence!"


    "But I still think he is not as good as you. If this surgery case is in our hospital, you must have done it."


    Yu Hewei narrowed his eyes slightly, but did not reply.


    If this operation is really in their hospital, can he really get this opportunity from the hands of a group of top doctors?


    ¡­


    Catheter room.


    Lu Chen let go of the distracting thoughts and focused on the operation in his hand wholeheartedly.


    The end of the puncture, the next step is the entry of the guide wire.


    "I''ll come." Qin Sifeng took Lu Chen''s place, "Lu Chen, you are here to help."


    "Okay." As an assistant for the operation, Lu Chen obeyed Qin Sifeng''s arrangements throughout.


    "Give me the guide wire."


    "receive."


    Qin Sifeng took over the guide wire and started the operation.


    His every step was very steady, his hands were steady, and there was no trembling at all.


    This is really not easy for someone who is nearly 60 years old.


    "Lu Chen, take a good look." Qin Sifeng said, "This backhand operation..."


    Qin Sifeng was teaching Lu Chen some skills while doing it.


    Faced with this once-in-a-lifetime opportunity, Lu Chen naturally had to seize it.


    about ten minutes later.


    The first bend, Qin Sifeng passed smoothly.


    Outside the catheter room, and in the surgery live room, the audience was a little bored.


    Qin Sifeng''s ability to intervene is first-class.


    Many teaching videos of electrophysiological surgery are also based on Qin Sifeng.


    But at this moment, Qin Sifeng frowned, and the movement of his hand stopped.


    "There is resistance." Qin Sifeng said softly.


    As soon as these words came out, Lu Chen''s heart tightened.


    Could it be that the patient''s hepatic vein is also blocked?


    Since the patient''s superior vena cava is blocked, it can prove that he has the basis of this disease, and other blood vessels are not allowed to be blocked too!


    "Lu Chen, try it."


    Qin Sifeng''s voice brought Lu Chen''s thoughts back to reality.


    Lu Chen nodded slightly, did not speak, and took over Qin Sifeng''s position.


    "Substitution!" Everyone outside the stadium came to the spirit.


    Li Yao directly adjusted the interface of the surgery live room to the maximum, and stared at Lu Chen on the screen with a pair of eyes.


    ¡­


    "Phew..." Lu Chen adjusted his state, and gently pushed and pulled the guide wire with his right hand.


    Sure enough, a faint resistance was uploaded from the guide wire to the hand.


    Adjust the direction of the guide wire, the guide wire can enter a little slowly, but it will soon be unable to enter!


    "What should I do?" Lu Chen was a little nervous in his heart. If he couldn''t even pass the first stage of such a big operation, wouldn''t he be laughed at by others?


    And for the patient, this is also a death sentence!


    "Take your time." Qin Sifeng''s voice came from his ear.


    Lu Chen nodded and continued to try.


    Pick, slam, pick... to change the direction of entry of the guide wire, and he tried every option.


    Forehead, fine sweat began to ooze.


    Saying not to be nervous is a lie.


    in the live room.


    Everyone''s heart also mentioned the throat, and they also saw the resistance encountered during the operation.


    If you can''t even get past the first level of puncture, let alone the subsequent surgery.


    However, there are also a small number of people who rejoice in misfortune.


    After about ten minutes, Lu Chen''s right hand felt a little sore because he held one position for a long time.


    "No, let me try again." Qin Sifeng said aside.


    At this moment, after trying a special angle, the guiding wire can finally pass!


    Lu Chen gently, not daring to use too much force, slowly pushed the guide wire in.


    The second curved arc, passed!


    In the live room.


    Everyone breathed a sigh of relief.


    Qin Sifeng smiled and nodded, "Good job."


    At a time like this, it all depends on the breath of my heart.


    Lu Chen didn''t relax, he decided to go ahead and enter the third curved arc.


    Fortunately, the third arc went through smoothly without the slightest hindrance.


    It has been half an hour since the operation started.


    For electrophysiological surgery, the time for this guide wire to pass through is already very long!


    "Lao Yu, I don''t think this Lu Chen is very good! One guiding thread, it took so long."


    said the fellow doctor beside Hewei.


    "Don''t talk about it." Yu Hewei frowned, "Go ahead, don''t stop BB in front of me."


    The blood vessels that even Elder Qin can''t pass through, the difficulty can be imagined!


    Although the two are opponents, they are under the premise of respect, not such a mindless devaluation.


    Seeing that Yu Hewei said this, the fellow doctor also closed his mouth and stopped talking.


    (end of this chapter)

 v2 Chapter 438： make history

    Chapter 438 Making History


    means that after the guide wire goes in, the next step is the entry of the electrode.


    In addition to the conventional guidance under X-ray fluoroscopy, Lu Chen pasted several electrode pads on the patient''s body, established a three-dimensional electric field, and guided the electrode lead by scanning the movement trajectory.


    This is also one of the difficulties of surgery.


    In addition, electrodes implanted in the patient''s left ventricle can defibrillate and improve cardiac function. The lead is thicker and more difficult than a simple pacemaker lead!


    In the next step, Lu Chen and Qin Sifeng cooperated with each other.


    This is not an operation in a surgical simulation room, it is all a standard technique.


    Real clinical surgery is completely different from simulated surgery!


    Lu Chen is always paying attention to various sudden changes, such as the impact of the patient''s breathing on the blood vessels, the displacement of the heart, and even the malformation of the patient''s own blood vessels.


    Each of the above points may affect the operation of the operator.


    ¡­


    Time is passing slowly.


    The surgery has been going on for two hours.


    Ordinary electrophysiological surgery, up to an hour, and this surgery has more than doubled the normal time.


    At this point, the guide wire electrode has been successfully placed in the correct position, and the pacemaker has also been placed.


    However, this is just the beginning.


    "How is the pacemaker function?" Qin Sifeng asked.


    In this operation, the electrodes are retrograde from bottom to top to the heart chamber, and the operation is much more difficult than the usual top-to-bottom operation.


    It is difficult to place the electrodes in place, especially the left ventricular electrode is extremely difficult, and due to the effect of gravity after surgery, the risk of pacing disorders caused by electrode displacement is high.


    Lu Chen shook his head slightly, "The position is not quite right and needs to be adjusted. If this is the case all the time, the pacemaker will be easily displaced, resulting in pacing obstacles in the future!"


    Patients now rely on pacemakers to survive, once the pacemaker is blocked, it will be a huge blow to him!


    "Then continue to adjust the position." Qin Sifeng said, "Be sure to choose the best position."


    Lu Chen nodded, and with Qin Sifeng''s cooperation, he constantly adjusted the positions of the electrodes and pacemaker.


    ¡­


    In the live broadcast room of the surgery.


    The expressions of everyone are not very relaxed.


    But Li Yao, as Lu Chen''s mentor, had a very bright smile at this time.


    He and Qin Sifeng were together, and they cooperated very skillfully.


    So much so that Li Yao almost forgot that the surgeon in front of him on the screen was his own graduate student.


    If he is a senior doctor in charge, or deputy chief doctor, there may not be too much surprise.


    Everyone praises two words, it may be over.


    However, the identity of the artist is an unknown second-year graduate student!


    This is big news!


    Li Yao knew that no matter whether today''s surgery was successful or not, Lu Chen had already made his mark in the electrophysiological surgery circle.


    In the electrophysiology circle in Kyoto, when you mention Lu Chen''s name, everyone knows that there is such a person.


    ¡­


    The doctor next to Yu Hewei saw Lu Chen''s performance at this time, and the expression on his face was also very exciting.


    From the arrhythmia mapping, threshold location, and Lu Chen''s operations, there are no flaws, so that even he can''t pick out any faults.


    In the surgery live room.


    When someone reminded that Lu Chen was only a student of the second grade, the barrage exploded.


    "I''m going, this person who is undergoing surgery is a second-year graduate student? This technique must at least be a deputy director."


    "When I was in the second grade, I was still playing with mud."


    "I''m still in love."


    "His name is Lu Chen, he is in the same school as me, a postgraduate student in the Department of Cardiology of Jinghua Second Hospital, an influential figure in our college, and the champion of the National Clinical Skills Competition..."


    In the ?? barrage, there has been a falling out.


    At first, they were discussing surgery, but now, they are discussing Lu Chen.


    ¡­


    "The position is good!" Qin Sifeng looked at the debugging results with satisfaction. The pacemaker was running normally and its defibrillation function was not bad.


    Lu Chen still did not relax, his eyes were fixed on the screen of the operating table, the changes of the patient''s heartbeat pacing.


    Pacemaker is very interesting, if a person''s heartbeat is fast enough, it will automatically recognize it and won''t work.


    It only starts working when the human heartbeat is too slow.


    At this time, the graphs on the ECG monitor are pacing heartbeats for several consecutive times.


    "Professor Qin, please observe for a while." Lu Chen said, "I''m afraid that the pacing function is not good. I will induce arrhythmia again later, and I will also evaluate the defibrillation function."


    "That''s fine." Qin Sifeng nodded.


    The operation has been going on for four hours and is coming to an end.


    At this time, the closer you are to success, the more you can¡¯t relax.


    Until the end of the surgery.


    After Lu Chen implanted the pacemaker under the skin, he was truly relieved when he put down the scalpel.


    "The surgery is over!" Qin Sifeng smiled and looked at the live camera.


    Lu Chen thought to himself, Qin Lao is really good at facing the camera.


    So, he also stretched out his right hand and made a "yeah" gesture towards the live camera.


    "Crack..."


    This picture of Lu Chen was captured by many viewers in the live broadcast room.


    The protagonist of today''s operation is not Qin Sifeng, but the young student beside him.


    When the operation was over, everyone suddenly woke up. This made history!


    This operation is the world''s first percutaneous hepatic vein implantation of a pacemaker with ICD defibrillation function!


    The whole process seemed calm on the surface, but Lu Chen, Qin Sifeng and the others were already sweating on their backs.


    "Congratulations, percutaneous hepatic vein puncture implantation, proficiency reached 76%!"


    A highly difficult operation raised Lu Chen''s proficiency by several percentage points!


    "Congratulations, you received a +5 thanks from Fang Ruzhang!"


    "Congratulations, you received +10 thanks from Qin Sifeng!"


    "Congratulations, received +10 thanks from Li Yao!"


    ¡­


    Suddenly, a series of beeps from the system made Lu Chen slightly confused.


    There are hundreds of reminders, and Lu Chen saw many familiar names, including his mentor Li Yao, Qin Sifeng who was present, and Fang Ruzhang himself.


    Some other unknown names should be the audience in the live broadcast room of the surgery.


    "They all gave me thanks?"


    Qin Sifeng''s understanding is very good. As his assistant, Lu Chen''s role is beyond doubt.


    But how to explain Li Yao''s gratitude value?


    Lu Chen was taken aback for a moment. Could it be that Teacher Li Yao is also watching the live broadcast?


    Moreover, she also learned something from her live surgery?


    Lu Chen coughed lightly and immediately cleared this thought from his mind.


    No matter what the reason, the operation was successfully completed and a large number of thanks points were obtained, Lu Chen was overjoyed.


    ¡­


    Get out of the cath lab.


    Lu Chen, Qin Sifeng and the others were greeted by countless applause.


    This operation was a huge breakthrough for Lu Chen.


    For the Department of Cardiology, The First Affiliated Hospital of Kyoto University, it is also a historic moment!


    (end of this chapter)

 v2 Chapter 439： The olive branch of the top hospital (please subscribe monthly pass)

    Chapter 439 Olive Branch of the Top Hospital (Please subscribe monthly ticket)


    "Alert!"


    "The Qin Sifeng team from the First Affiliated Hospital of Kyoto University completed the world''s first percutaneous hepatic vein implantation of a defibrillating pacemaker!"


    This news quickly swept the entire Chinese electrophysiology community in a very short period of time.


    Of course, Qin Sifeng is the leader of the team, and he enjoys the most praise.


    Secondly, as the first assistant, Lu Chen has also received extensive attention.


    Many people also noticed that Lu Chen was only a second-year graduate student.


    Careful people dig up some information about Lu Chen and find that he has published the first SCI paper as the first author.


    and winning the National Medical Skills Competition...


    All kinds of achievements show Lu Chen''s evil spirit.


    It happened that Lu Chen was in the electrophysiology training class, and the instructors here came from all over China!


    Many tutors were entrusted by the school and threw olive branches to Lu Chen.


    ¡­


    Kyoto Electrophysiology Training Course.


    In an empty classroom, in front of Lu Chen stood three instructors from the training class.


    There is also an old acquaintance, the director of the Department of Cardiology of the First Affiliated Hospital of Kyoto University, Yang Feng!


    "Lu Chen, congratulations." Yang Feng looked at Lu Chen with complicated eyes.


    This student who was infinitely close to him, never thought that he would give up on him.


    "Thank you, Director Yang." Lu Chen smiled neither humble nor arrogant.


    "Lu Chen, let''s get straight to the point." Yang Feng said, "As long as you come to our Kyoto University after graduating from graduate school, you can choose all the doctoral supervisors in the Department of Cardiology. We will also send you to your second doctorate. Study abroad..."


    Yang Feng was interrupted by a voice on the side before he finished speaking.


    Lu Chen turned his head to look, and the person who interrupted him was Fan Wuzhong, a doctoral supervisor and professor of Western Sichuan Medical College.


    Fan Wuzhong glanced at Yang Feng and said disdainfully, "Yang Feng, you guys in Kyoto are too stingy."


    Afterwards, he smiled at Lu Chen and said, "Lu Chen, you come to our western Sichuan, in addition to Director Yang Feng''s conditions, we will help you free all tuition fees, and have a full scholarship every year!"


    Yang Feng frowned deeply, he glanced at Fan Wuzhong, but did not speak.


    At this time, Deng Shaoqiu, a professor from the medical school of Modu University who had been silent for a long time, suddenly said: "Lu Chen, you come to our Modu University, as long as you are willing to stay in the school after graduation, you will be given the title of associate professor directly!"


    As soon as these words came out, Yang Feng and Fan Wuzhong were stunned.


    This is a big deal!


    Although they were optimistic about Lu Chen, they didn''t expect to use the title of associate professor as a price.


    This kind of professorship in a top tertiary hospital is a pit for every radish!


    Countless people are watching.


    Although Lu Chen has great potential, but they have no right, then this kind of professor title is a quid pro quo.


    ¡­


    Beside him, Lu Chen was also stunned!


    The title of associate professor is given after graduation. This is the top hospital in the country!


    It takes a normal person more than ten years of procedures, and now he can do it in one step.


    If outsiders know about it, they will really be envious and jealous.


    "Professor Deng, can your words represent the hospital?" Fan Wuzhong wondered.


    "Hehe, in the field of cardiology, I have no choice." Deng Shaoqiu snorted coldly, then he looked at Lu Chen, "Don''t think about it?"


    Lu Chen really hesitated for a while.


    He is currently a graduate student, and he will definitely continue to study for a PhD in the future.


    Everyone is contacting the school to see which school has important people.


    But now, he has a worry, which college to choose?


    ¡­


    When Lu Chen hesitated and didn''t know how to answer, Ou Yangming''s voice suddenly sounded.


    Lu Chen followed the voice and saw that Ouyang Ming had already entered the classroom.


    He happily walked up to Lu Chende and said to the other three professors in front of him: "You people, it''s true, on the surface, you are throwing an olive branch. "


    Then, Ouyang Ming gave Lu Chen a wink.


    Lu Chen nodded, and his heart suddenly settled a lot.


    He really hasn''t made up his mind about which college he wants to go to in the future, he still needs more time to consider the gains and losses.


    "Oh, Mr. Ouyang, you see what you said, we are cherishing talents!" Fan Wuzhong hurriedly laughed.


    Don''t look at him as a professor-level figure now, but in the face of an academic leader like Ou Yangming, he still has to be called a teacher respectfully.


    "Yes, Mr. Ouyang, where are we forcing the palace." Deng Shaoqiu also immediately showed a smile, "talents like Lu Chen are very rare in our Modu University!"


    At the scene, Yang Feng''s current academic status is the highest, a glint of light flashed in his eyes, but he didn''t speak.


    "Then you have to give the young man time to think." Ou Yangming said lightly, "He has only just graduated from the second grade, and there are still two years left. What are you guys in such a hurry?"


    When several people heard this, they immediately slandered, but they did not dare to make a sound.


    They are so anxious, aren''t they afraid that Lu Chen will be taken away!


    Seeing that everyone stopped talking, Ouyang Yang waved his hand, "If you have nothing to do, let''s go first. This weekend, I have to give a lecture to my students."


    This is an "expulsion order"!


    Fan Wuzhong and Deng Shaoqiu looked at each other, said hello to Lu Chen, and left.


    Yang Feng glanced at Lu Chen meaningfully, and then walked out of the classroom.


    ¡­


    With Ou Yangming''s help, Lu Chen also had time to buffer, and he was relieved.


    "Thank you, Teacher Ouyang." Lu Chen said.


    Ouyang Yang smiled and waved his hand, sitting beside Lu Chen: "Sit down."


    Lu Chen nodded and sat down.


    "Tell me what you think."


    Lu Chen paused, thought for a moment, and then slowly said: "My idea is very simple, I want to go to the most powerful hospital, so that I can learn the top technology, see the medical records that I have never seen before, help me The patient is relieved of the pain.¡±


    "Yes." Ou Yangming nodded slightly, "What about clinical and scientific research? How do you want to choose?"


    At present, Lu Chen''s clinical ability (electrophysiological interventional surgery) has already shined brightly in front of everyone.


    As for scientific research ability, Ouyang Ming only knows that he has published one SCI paper, and he doesn''t know anything else.


    "Mr. Ouyang, I like clinical practice very much, but do I have to choose one?" Lu Chen wondered.


    "Why, do you want to do clinical research and scientific research together?" Ouyang Ming smiled.


    "Can''t you?"


    "Of course you can." Ou Yangming nodded, "but if you choose both, it is possible that neither will go far. You can see that the top and most authoritative people in the medical field are almost all famous for their scientific research. As for the two They are all powerful, but they are very few!"


    Lu Chen thought for a while, then said, "If I had to choose one, I would prefer clinical practice."


    Hearing this, Ou Yangming was slightly disappointed.


    In Huaxia, if you want to go far in medicine, you have to do scientific research.


    No matter how powerful the clinical ability is, if there is no scientific research and no papers, it will not be able to be promoted.


    "Lu Chen, have you ever thought about it, even if you are a great doctor, the number of patients you can save in your life is very limited. But as a scientific research doctor, you have developed a new technology and invented a new drug, explain If the mechanism of a disease is discovered, how many people will it benefit!"


    How could Lu Chen not understand this truth?


    But having him stay in the lab every day would be too suffocating.


    What''s more, who said that if you stay in the clinic, you can''t do scientific research?


    The next multi-center clinical research is the best proof!


    "Think about it, after all, you still have two years." Ouyang Ming patted Lu Chen''s shoulder earnestly.


    "Thank you, Teacher Ouyang, for your reminder." Lu Chen nodded slightly, but he already had a decision in his heart.


    Tomorrow I will take a day off and update it at home.


    Ask for a wave of subscriptions and monthly passes.


    (end of this chapter)

 v2 Chapter 440： the way home

    Chapter 440 Homecoming


    weekend.


    Lu Chen continued to learn about electrophysiology under the guidance of Professor Ouyang Ming.


    Actually, what Ouyang Ming can teach Lu Chen at the moment is extremely limited, most of which are experiences related to electrophysiological interventional surgery.


    However, with the support of the system simulation operating room and Ouyang Ming''s experience, Lu Chen''s progress was extremely fast.


    In the blink of an eye, the month-long second-stage assessment was over.


    For one month, the instructors of the electrophysiology training class will evaluate all the trainees according to the comprehensive level of the number and quality of operations.


    ¡­


    In the conference room.


    All the students and mentors gathered together, and everyone looked forward to it and waited for the final result.


    At this time, Yang Feng slowly stepped onto the stage.


    He held a list in his hand, and all eyes followed him.


    "Hello everyone."


    As soon as ?? Yang Feng''s voice came out, there was silence in the conference room.


    "I am Yang Feng from Kyoto University. On behalf of this Huaxia electrophysiology training class, I will announce the results of the second-stage assessment."


    After ?? finished speaking, Yang Feng raised his head and looked around at the people sitting.


    The hearts of everyone present were raised in their throats.


    There are thirteen of them, how many can pass the assessment?


    Just listen to Yang Feng continue: "Today is the year with the highest pass rate, a total of five people passed the second stage of the assessment!"


    As soon as he finished speaking, there were whispers in the conference room.


    Everyone was a little excited.


    The pass rate is high, so everyone has a chance.


    Min Xiaobo was apprehensive. His biggest goal for the training class this time was to pass the second-stage assessment.


    As for the third stage, he didn¡¯t even dare to think about it.


    He turned his head slightly and glanced at Lu Chen beside him.


    At this moment, Lu Chen looked calm, completely different from the nervousness of the people around him.


    At this moment, Yang Feng''s voice continued to sound.


    "The list of those who passed the second stage is as follows."


    "Kyoto University School of Medicine, Yu Hewei."


    "Jinghua Medical University, Lu Chen."


    "West Sichuan Medical College, Liu Sijia."


    "Jinghua Central Hospital, Min Xiaobo."


    "Magic Capital University School of Medicine, Xiao Haoran."


    ¡­


    Hearing this result, Lu Chen''s face was still dull, but Min Xiaobo on the side was ecstatic.


    He passed!


    "Lu Chen!" Min Xiaobo grabbed Lu Chen''s hand and said excitedly, "I, I, I passed!"


    His voice is somewhat unparalleled.


    "Hey, Brother Bo, calm down." Lu Chen calmly waved Min Xiaobo''s hand away.


    Two big men, don''t pull and pull like this, the impact is not very good.


    At this time, on the screen of the conference room.


    shows the specific details of each person''s rating.


    This includes the number and difficulty of electrophysiological procedures performed by each individual.


    Lu Chen saw the content of his rating.


    The number of operations he has completed can only be ranked in the middle, but one dry pericardiocentesis and one percutaneous hepatic vein puncture implantation are directly full of difficulty!


    Therefore, in his final total score, Lu Chen surpassed Yu Hewei and reached the first place!


    ¡­


    This result finally made Lu Chen smile happily.


    I have always been the second child, and finally got the first taste!


    "Wow, your rating is really high!" Min Xiaobo also saw Lu Chen''s rating, "The overall rating is ten points higher than mine!"


    "Good luck." Lu Chen smiled, if it wasn''t for a dry pericardiocentesis and a percutaneous hepatic vein puncture, his score would really hang!


    "That''s not true, it''s useless for me to give me such a chance!" Min Xiaobo smiled and shook his head.


    These two operations are extremely difficult!


    It¡¯s not always possible to just change the electrophysiological intervention doctor.


    ¡­


    After the detailed rules of the assessment were released, everyone had no doubts about this ranking.


    Yu Hewei looked at the assessment results, but there was no smile on his face.


    Although he passed it smoothly, he had expected this result.


    Lu Chen''s performance is really too eye-catching.


    However, when the result was really in front of him, Yu Hewei was still a little unwilling to be surpassed by a second-graduate student.


    Just as everyone was discussing, Yang Feng on the stage spoke again.


    "I will announce the candidates who are eligible to enter the third assessment."


    All the students were stunned when they heard it.


    Passing the second stage does not mean that you are eligible to participate in the third stage?


    "Those who can enter the third stage are... Lu Chen, Yu Hewei!"


    Everyone was waiting for the third name, but Yang Feng had already put down the list in his hand.


    Is it just the two of them? !


    As if he knew the doubts in everyone''s heart, Yang Feng said: "This result is obtained by all the tutors after a comprehensive evaluation. If anyone has any questions, they can ask their tutors."


    Seeing Yang Feng say this, everyone remained silent and acquiesced to the result this time.


    The five people who passed the assessment were awarded the certificate of completion of the Huaxia Electrophysiology Training Course.


    ¡­


    Min Xiaobo held this certificate and couldn''t put it down.


    With this certificate, he really can go wherever he wants!


    All the top hospitals in the country, let him choose.


    However, for Lu Chen, this certificate is the icing on the cake.


    Because he has already made his debut in the Chinese electrophysiology field, as long as it is the hospital he wants to go to, there should be no rejection.


    In the hotel next to Kyoto University.


    "Lu Chen, I''m leaving tomorrow." Min Xiaobo came to Lu Chen''s room with a bright smile on his face.


    Although he has not entered the third stage of the assessment, this result is already very good for him!


    "I''ll go with you tomorrow."


    Lu Chen''s words made Min Xiaobo startled.


    "Lu Chen, you, are you not participating in the third stage?"


    Lu Chen smiled and said, "The third stage of the assessment has not started yet."


    "It hasn''t started yet?" Min Xiaobo frowned, "Lu Chen, what is the content of the third stage?"


    Lu Chen shook his head slightly, "I don''t know the specifics, I only know the start time, this time next year."


    Professor Ouyang told him something, but for some reason, Lu Chen couldn''t leak it.


    "It will take another year, it''s so mysterious." Min Xiaobo spread his hands helplessly, "But that''s fine, we can go back to Jinghua together."


    "Um."


    Originally, Lu Chen could stay in Kyoto for a few more days.


    But he went wherever he should go.


    Sister Yao Jie invited him to go shopping and watch movies, but Lu Chen also refused.


    ¡­


    The next day.


    Lu Chen and Min Xiaobo boarded the plane together and flew back to Jinghua.


    "Kyoto, goodbye!"


    The plane slowly flew out of the runway, and Lu Chen looked at the slowly blurred ground, filled with emotion.


    When ?? left Jinghua, Lu Chen was just a well-known student in Jinghua Second Academy.


    But after two months of electrophysiology training, Lu Chen''s electrophysiological interventional surgery skills have already undergone a transformation, and he has begun to emerge in the field of electrophysiology in China.


    Back in Jinghua, Lu Chen''s clinical life continued.


    And his career in electrophysiological interventional surgery has just begun!


    (end of this chapter)

 v2 Chapter 441： Luck and blessings (first update)

    Chapter 441 Luck and Blessings (First Update)


    The plane landed in Jinghua.


    Looking at the familiar city, Lu Chen had a long-lost intimacy.


    Although he has only been away for less than three months, so many things have happened during this period, which makes Lu Chen feel like he has passed away.


    Halfway through, Lu Chen and Min Xiaobo separated.


    Lu Chen returned to Jinghua Second Hospital and put his luggage in the bedroom.


    Wang Zihao and the others are not in the dormitory, they should be still at work.


    My bed and table top are very clean, there is not even a speck of dust, and someone should clean it every other day.


    After resting for a while in the bedroom, Lu Chen headed to the eighth district in his heart.


    The first thing I did when I returned to Jinghua was to go to the eight districts in my heart to meet my mentor, Li Yao.


    ¡­


    It is winter, and the entire ward in the eight districts of the heart is full of patients inside and out, and the flow of people is particularly large.


    Lu Chen was going to the office to say hello to Senior Sister Sun Guoguo, but there were many people in the office, so Lu Chen went directly to the director''s office.


    "Boom..."


    Lu Chen lightly knocked on the door, but no one responded.


    He waited for a while and knocked on the door again.


    "Please come in."


    Li Yao''s voice came out slowly.


    Lu Chen gently pushed the door and entered.


    In the room.


    Li Yao was sitting on an office chair, and in front of her stood two young doctors in white coats.


    Lu Chen knew both of them.


    is his junior brother and junior sister this year. The girl seems to be called Lin Qingping and the boy is Fang Hao.


    "Lu Chen, you''re back."


    Seeing Lu Chen walk in, a smile appeared on Li Yao''s originally unhappy face.


    "Teacher, I''m back." Lu Chen nodded slightly.


    "Come on, sit down!"


    Li Yao stood up with a smile and motioned Lu Chen to sit on the sofa beside her, then she looked at Lin Qingping and Fang Hao in front of her, "You can sit too."


    Lu Chen and Li Yao sat opposite each other.


    And his two younger brothers and sisters were sitting in a corner beside him with some restraint.


    "How do you feel in Kyoto after being away for so long?" Li Yao said with a smile.


    She looked at Lu Chen, and the joy in her eyes was self-evident.


    "The overall medical treatment in Kyoto is much better than ours. I have learned a lot and gained a lot." Lu Chen smiled.


    Li Yao nodded slightly and said, "I got the second-stage graduation certificate, it should be a worthwhile trip. I watched the live broadcast of your surgery, not bad! Very good!"


    Li Yao''s praise is unpretentious.


    She really didn''t expect Lu Chen''s electrophysiological intervention level to grow to such a level!


    Dry pericardiocentesis, percutaneous hepatic vein puncture and implantation, those who can operate these two techniques in Jinghua Second Hospital may become Chinese!


    "Teacher, over there in Kyoto, I have contacted several hospitals regarding multi-center clinical research." Lu Chen said, "You may need to communicate with the director over there at that time."


    "Okay, no problem." Li Yao nodded, "I just want to tell you about the application of the National Natural Science Foundation."


    According to what they had communicated before, Li Yao applied for National Nature in her own name.


    Lu Chen needs to complete the writing of the national nature bid within the next month.


    The quality of the ?? tender directly determines whether the country can apply for it.


    "Teacher, is there a similar template?"


    For Lu Chen, he is a brand new layman in the application of these scientific research projects.


    "I have a few books here (national nature tenders), you can take them back and study them carefully." Li Yao said, "At the end of this month, at the latest, a first draft will be completed. After I revise it, I will take it for review."


    "Okay, thank you teacher." Lu Chen said.


    The two talked about electrophysiology in Kyoto.


    Li Yao couldn''t help but sigh: "Lu Chen, I know that Jinghua can''t keep you, and I won''t force you to do anything. You are in Jinghua, and you have two years left. What do you want to do during this period? I will do my best to cooperate with you.¡±


    Li Yao''s voice was not loud, but in Lu Chen''s view, it was a heavy weight.


    "Thank you teacher." Lu Chen said gratefully.


    Li Yao was doing her best to pave the way for Lu Chen.


    It is his luck to meet a mentor like Li Yao.


    And it is a blessing for Li Yao to meet a student like Lu Chen.


    "By the way, the two of them, I''ll follow you in the future." Li Yao suddenly pointed to Lin Qingping and Fang Hao beside him, "You can let them do some small things."


    Lu Chen nodded, "Okay."


    In the usual clinical research, there are really a lot of miscellaneous things.


    Afterwards, Li Yao solemnly said to the two of them, "The two of you will follow Lu Chen in the future. If you feel that you don''t want to do it, then let me know at any time."


    "Understood, teacher." Both of them nodded.


    Lin Qingping and Fang Hao listened to the conversation between Lu Chen and Li Yao, their mentor, and couldn''t help but sigh, they really deserve to be Senior Brother Lu Chen!


    Talking with the tutor, without any stage fright!


    The attitude of tutor Li Yao towards Lu Chen was something they had never felt before.


    Perhaps, with Brother Lu Chen, they will learn more!


    This is also an opportunity for them.


    ¡­


    left the director''s office.


    Lu Chen came to the doctor''s office in the eight districts of his heart.


    In the office, most of the people are unfamiliar.


    In the eight districts in the heart at this time, apart from a few doctors in the department, Lu Chen did not know the other rotating graduate students and regular training students.


    Sun Guoguo is sitting at the computer desk, teaching an intern to write the disease course.


    "Look at the history of present illness you wrote. These negative signs are what you want to write! Negative signs are not scribbled. The signs we write can be used as the basis for differential diagnosis..."


    Lu Chen smiled, Sun Guoguo was still so strict.


    In fact, it is a blessing for students to meet such a teacher clinically.


    "Senior Sister Guoguo." Lu Chen walked behind Sun Guoguo and called out softly.


    Sun Guoguo was stunned when she heard this familiar voice, then turned her head immediately.


    When she saw Lu Chen, she stood up suddenly, a look of surprise on her face.


    "Junior Brother, you''re back!"


    This action shocked the little intern next to him, and he didn''t know which leader he thought was coming.


    "Well, Senior Sister, I just arrived in Jinghua this afternoon." Lu Chen smiled.


    "The teacher is in the director''s office." Sun Guoguo smiled.


    "I''ve already been there, Senior Sister, you''re busy, I''ll go back to the dormitory now."


    Having said that, Lu Chen held the two tenders given by Li Yao''s tutor and was about to leave.


    "Junior Brother, wait a minute!"


    At this moment, Sun Guoguo grabbed Lu Chen and took out an electrocardiogram from the medical record beside him.


    "It happens that I have an electrocardiogram here, and the teachers in Corey have seen them, but they are still uncertain." Sun Guoguo said, "I was going to ask Mr. Li, since you are here, I will show you first. ."


    In the ?? office, some graduate students and interns were a little surprised when they heard what Sun Guoguo said.


    This electrocardiogram was seen by Corey''s senior doctors, and couldn''t say anything.


    Teacher Sun Guoguo, actually showed it to her junior brother?


    (end of this chapter)

 v2 Chapter 442： Trap (Second)

    Chapter 442 Trap (Second)


    Lu Chen took the electrocardiogram.


    There are five electrocardiograms, which were completed before and after the patient''s onset.


    At this moment, Sun Guoguo''s voice came from his ear.


    "Junior Brother, this is the patient who came yesterday."


    "Young female, 22 years old, was admitted to hospital with repeated palpitations for 1 month, which worsened for 2 days."


    "She gave birth to a boy 1 month ago and denied family history of hereditary disease."


    ¡­


    The patient''s medical history is simple, with only a few simple sentences.


    Lu Chen stared at this electrocardiogram intently.


    "At present, the patient has recurrent ventricular tachycardia and ventricular fibrillation, and he has been given amiodarone, lidocaine, and electrical cardioversion and other rescue treatments, but his condition has not improved significantly."


    said, Sun Guoguo sighed and said, "She just gave birth, I don''t know if she can survive, it''s too pitiful."


    Lu Chen sighed slightly in his heart, but didn''t say anything, and continued to study the electrocardiogram in front of him.


    The electrocardiogram of the patient before the onset was normal sinus rhythm with occasional a few premature ventricular contractions.


    But the electrocardiogram at the time of onset is all ventricular fibrillation or ventricular tachycardia.


    "Senior sister, what did you think about this electrocardiogram?" Lu Chen put down the electrocardiogram and looked up at Sun Guoguo.


    "Well, the electrolyte of the patient''s admission showed a low potassium level of 3.02umol/L, and it may be caused by ventricular tachycardia and ventricular fibrillation caused by low potassium." Sun Guoguo said, "But the strange thing is that we actively supplemented potassium, and after the potassium ion returned to normal, , the patient''s symptoms did not improve significantly, and ventricular fibrillation and ventricular tachycardia still occurred frequently."


    VF is an extremely malignant arrhythmia, and sustained attacks are likely to lead to human hemodynamics and even sudden death.


    "Senior sister, what medicine did you use?" Lu Chen paused.


    "Amiodarone, lidocaine, these antiarrhythmic drugs have been used." Sun Guoguo said, "Besides, electrical defibrillation has been used many times."


    Amiodarone, an extremely common broad-spectrum antiarrhythmic drug in cardiology.


    In other words, more than 95% of clinical arrhythmias, whether ventricular or atrial arrhythmias, can be treated with amiodarone.


    The drug has a wide range of indications and the effect is not bad, so amiodarone is a panacea drug clinically.


    So that in the medical examination questions, there is the option of amiodarone, which can basically be selected, and the correct rate is also very high.


    However, Lu Chen pondered for a moment, frowned and said, "Senior sister, your medicine may be wrong!"


    "Ah?" Sun Guoguo was slightly startled, "What medicine is wrong?"


    "Amiodarone!" Lu Chen''s words surprised Sun Guoguo for a moment.


    Amiodarone is wrong?


    Patients with ventricular fibrillation and ventricular tachycardia, is it wrong to use amiodarone?


    Sun Guoguo picked up the electrocardiogram and carefully compared the front and back, but still found nothing abnormal.


    At this time, Lu Chen''s voice came again: "Senior sister, look at this electrocardiogram, is the patient''s QT interval abnormal?"


    "QT interval..." Sun Guoguo recited a sentence, and shifted his gaze to the QT interval of the electrocardiogram, "This QT interval seems to be a bit long?"


    Seeing this, Sun Guoguo was suddenly stunned.


    Could it be caused by prolongation of the QT interval and ventricular tachycardia?


    is TDP (torsade de pointes)!


    Lu Chen saw Sun Guoguo''s expression and knew that she had thought of this.


    "Sister, this electrocardiogram, I think it is probably TDP caused by a long QT interval!"


    There are many types of VT.


    Most ventricular tachycardia and ventricular fibrillation can be treated with amiodarone.


    And only the ventricular tachycardia caused by the long QT interval is a contraindication to the use of amiodarone!


    Amiodarone cannot be used in this case.


    Amiodarone can further prolong the QT interval and aggravate the patient''s condition.


    Thinking of this, a cold sweat broke out on Sun Guoguo''s forehead.


    She didn''t think about this first, but after Lu Chen mentioned it, she figured it out immediately.


    They all defaulted to conventional ventricular tachycardia and ventricular fibrillation, but ignored the situation of long QT interval causing ventricular tachycardia!


    I used the medicine for a day, but it was the wrong one!


    not only has no therapeutic effect, but may worsen the condition.


    "Xiaofang, go and ask the nurse to stop the amiodarone pumped in the 31 beds! Then use the magnesium sulfate!" Sun Guoguo quickly said to the intern beside him, "Forget it, I''ll go in person!"


    TDP requires not only potassium supplementation, but also a polarized solution of magnesium sulfate to combat arrhythmia!


    After ??, Sun Guoguo left the office in a hurry.


    Lu Chen put down the electrocardiogram in his hand and followed closely.


    ¡­


    in the ward.


    Sun Guoguo is instructing the nurses in the ward to stop amiodarone and use magnesium sulfate while supplementing potassium.


    "Doctor, why did you stop this drug?" the patient''s husband asked nervously.


    "Because of my illness, I''ll explain to you later." Sun Guoguo said.


    At the same time, Lu Chen also came to the ward.


    In his eyes, the health value on the patient''s head is 38 (---)!


    has been continuously treated with drugs, but the trend of changes in the patient''s health is still three minus signs.


    This means that the currently used drugs may not have any effect.


    After the nurse changed the medicine for the patient, the patient''s husband left the ward with Sun Guoguo.


    ¡­


    in the corridor of the ward.


    Sun Guoguo patiently explained the condition to the patient''s husband.


    "Doctor, are you saying that my wife''s arrhythmia is relatively rare?" the man said.


    Sun Guoguo nodded and said, "Well, amiodarone can be used for routine ventricular tachycardia and ventricular fibrillation, but your wife''s arrhythmia is relatively rare, so amiodarone cannot be used, and the risk of sudden death is extremely high!"


    As soon as he finished speaking, the patient''s husband "thumped" and knelt down.


    His eyes were already red, and he tightly pulled on the cuffs of Sun Guoguo''s white coat, his hoarse voice had a hint of crying: "Doctor, please, save my wife! I will repay you as a cow and a horse. "


    Sun Guoguo hurried forward and grabbed the patient, "Don''t do this, we will do our best!"


    Lu Chen also turned his face away, feeling a little uncomfortable in his heart.


    Rao is because he was used to seeing life and death in the hospital, but seeing this scene made him feel a little uncomfortable.


    "It''s my fault!" The patient''s husband was still unable to kneel, holding his hair tightly with one hand, "It''s my fault! She is usually not in good health, and I have to let her have children, yes I''m not good!"


    The man''s emotions seemed to explode like a flood, and a feeling of regret and grief spread in his heart.


    Sun Guoguo was at a loss for a while.


    Seeing this, Lu Chen stepped forward, grabbed the man''s arms, forcibly pulled him up, and said sternly: "Now is not the time for you to be sad! You need to be by the patient''s side 24 hours a day, if there is any illness Changes, you must inform the medical staff at any time."


    Although nurses will often make rounds, it is impossible to accompany them at the bedside 24 hours a day.


    The man silently wiped away a tear, and finally stopped kneeling.


    He nodded fiercely, looked at Lu Chen and Sun Guoguo, "Thank you doctor!"


    Then with heavy steps, he turned and walked towards the ward.


    ¡­


    Back to the doctor''s office.


    Sun Guoguo breathed a sigh of relief and looked at Lu Chen with grateful eyes, "Junior Brother, thank you."


    At the same time, her eyes were a little sad.


    Lu Chen said: "Senior sister, don''t think too much. This patient is young, I think there should be hope."


    "I hope." Sun Guoguo said softly.


    The QT interval of this electrocardiogram is prolonged, which is very hidden.


    Many doctors in the department have seen it, but no one has found it.


    According to conventional treatment methods, there is nothing wrong.


    But no one could have imagined that behind the ventricular tachycardia, there was a bigger trap hidden.


    (end of this chapter)

 v2 Chapter 443： Re-entry into the clinic (the third update)

    Chapter 443 Re-entry into the clinic (the third update)


    doctor''s office.


    Sun Guoguo was still a little scared.


    If it wasn''t for Lu Chen''s reminder, her mistakes might have continued.


    "Junior Brother, you have to come back often in the future!" Sun Guoguo said to Lu Chen earnestly.


    "As long as Senior Sister doesn''t find me annoying, I''ll come back." Lu Chen smiled.


    Most cardiologists know about TDP (torsades de pointes).


    But being able to discriminate clinically and preparedly is another matter.


    Lu Chen reminded again: "Senior sister, although the diagnosis has been made now, we still need to think about the cause of the patient''s TDP. If necessary, this patient may need to have an ICD and a pacemaker implanted (overspeed suppression)."


    The most common causes of ??TDP are drug-related, congenital, etc.


    "Okay, we will notice." Sun Guoguo nodded.


    At this time, other doctors in the department also knew about it.


    Some graduate students, regular trainees, and interns in Corey''s eyes changed when they looked at Lu Chen!


    None of them could have imagined that the junior and junior of Teacher Sun Guoguo actually read this electrocardiogram.


    However, when people reminded that the person in front of him was Lu Chenzhi, everyone was relieved.


    It turned out to be Lu Chen, the man of the Cardiology Department of the Second Jinghua Hospital!


    Lu Chen''s reputation in the Second Academy of Jinghua is better known than that of ordinary tutors.


    This is mainly due to Lu Chen''s achievements in the past year. Whether he is the champion of the National Medical Clinical Skills Competition or the fifth place in the National Electrocardiography Competition, Lu Chen''s reputation has become famous.


    And the recent Huaxia electrophysiology training class, Lu Chen''s live broadcast of surgery, even pushed his popularity to a peak!


    Until Lu Chen left the eighth district in his heart, the graduate students in the department were still excitedly discussing Lu Chen''s "brilliant achievements" in the past.


    ¡­


    Go back to the bedroom.


    Lu Chen took out all the things in the suitcase, and after tidying up a little, he took out the two national nature tenders that Li Yao gave her.


    National Nature Project, this is the first step for countless young researchers!


    The qualification of the applicant must be a doctoral degree.


    Lu Chen is not eligible to apply, this time he also applied for National Nature in the name of Li Yao''s mentor.


    Tender, that is, the application form of the country.


    It determines whether the fund project can be passed, and determines the flow of hundreds of thousands of funds, or even millions of funds. .


    sounds simple, just an application.


    But the simpler it is, it is extremely difficult to do it well and let the judges like it!


    Even people like Li Yao, Cheng Guowen, and Cao Zhiying need to spend a lot of energy if they want to apply for a national natural project.


    Not to mention, for young scientific researchers, this is like crossing a single-plank bridge with thousands of troops!


    It takes at least three months to half a year for a normal person to complete a tender.


    However, the next national nature review is coming soon.


    There is only one month left for Lu Chen!


    "Complete a bidding document within a month..." Lu Chen shook his head with a wry smile, "Mr. Li Yao also looks down on me too much."


    Thinking of this, Lu Chen''s thoughts moved and he entered the mall in the system space.


    He wanted to find out if there was any skill card about the national nature tender.


    After looking for it, Lu Chen really found it.


    In the currently highest-level mall, Lu Chen saw the skill card of this "Scientific Research Tender".


    Elementary Skill Card, priced at 2,000 points!


    Lu Chen was stunned for a moment. He didn''t expect such an inconspicuous primary skill card to be so expensive!


    His current total thanks point is only over 300 points.


    In the first two months, Lu Chen did not publish any new videos because he participated in the electrophysiology training class.


    In addition, through his scientific research videos, the speed of obtaining gratitude points has leveled off.


    "It seems that this month, I have to work hard to earn thanks again!"


    ¡­


    In the evening, the roommates returned to the bedroom one after another.


    They were naturally quite happy when they saw Lu Chen coming back.


    There are roommates like Lu Chen, and they have a lot of face when they say it out!


    "Lu Chen, my sister was looking for you a few days ago and said why you haven''t returned." Wang Zihao hugged Lu Chen''s shoulder and said.


    Lu Chen was a little helpless. In Kyoto, he had already rejected Yao Jie''s frequent offers.


    Unexpectedly, when he returned to Jinghua, there was another Wang Ruoxi.


    "Could it be that you have a peach blossom luck recently?" Lu Chen couldn''t help but wonder.


    But after a second thought, he threw away the distracting thoughts, and now he has no mind on these feelings.


    "Cough cough." Lu Chen coughed lightly and changed the subject, "I haven''t seen you for a few months, I''ll invite everyone out for a meal!"


    "That''s good to dare!"


    Hearing this, everyone in the dormitory came to the spirit.


    "Lu Chen, you are an invisible rich man!" Wang Zihao shouted.


    Lu Chen pursed his lips and smiled, without objection.


    During the year he was studying in the Jinghua Second Hospital, although he did not have a job, the hospital did not get paid.


    But with national scholarships, school scholarships, and many scholarships for participating in the competition, Lu Chen didn''t even have tuition fees from his parents, and his life was very nourishing.


    "Let''s go, eat out today, and have a good meal!"


    Lu Chen waved his hand, and a few people in the dormitory followed him and went out.


    This night, everyone talked very happily.


    This kind of friendship in school is extremely rare.


    People come from five lakes and four lakes, and it is fate to gather together.


    Lu Chen also made an exception to drank some wine with everyone.


    It was not until ten o''clock in the evening that everyone supported each other back to the bedroom.


    This meal washed away the fatigue of the past two months.


    This night, Lu Chen slept soundly.


    ¡­


    The next day, when Lu Chen opened his eyes, it was seven in the morning.


    He sat up from the bed, and the dormitories were still slumbering.


    Last night, everyone was too indulgent.


    After washing up, Lu Chen went to the hospital cafeteria to buy four breakfasts.


    went back to the dormitory, ate one for himself, and one for each of the other roommates.


    When Lu Chen was about to leave for work, Wang Zihao and the others covered their heads and got up.


    "Breakfast is on your table, I''ll go to work first."


    Lu Chen smiled and left the dormitory without waiting for everyone to react.


    "This month, it should be the respiratory department..."


    Leaving the clinic for too long, Lu Chen flipped through the rotation table, only to know which department he rotated.


    Office of the Respiratory Science Secretary.


    "You are Lu Chen?" A middle-aged female doctor wearing red-rimmed glasses looked up and down at Lu Chen.


    "Yeah." Lu Chen nodded slightly, "I competed in Kyoto last month, and I took a leave of absence, so I didn''t come to rotate."


    "I know this, your tutor Li Yao greeted me. Otherwise, for a student like you who takes leave for a month, we usually have to make up for a month''s rotation." The female doctor smiled, "You, That''s fine, just take a good rotation for the rest of the month."


    "Thank you teacher." Lu Chen smiled.


    But he also knew that if it wasn''t for Li Yao''s mentor, he might have to make up a month''s rotation in the future, which might affect his graduation.


    The female doctor turned over the form in her hand and said, "Go to the breathing ward, Teacher Fan''s team."


    "Okay." Lu Chen took the rotation notice from the female doctor.


    Seeing the teacher''s name on the notice, Lu Chen frowned, Fan Yujing?


    He has heard and heard that he is a teacher who is extremely difficult to get along with and has a strange personality.


    It seems that the next month will be interesting.


    There is one more


    (end of this chapter)

 v2 Chapter 444： Weird bronchial asthma (fourth more)

    Chapter 444 Weird Bronchial Asthma (Fourth)


    Respiratory department 1 ward, doctor''s office.


    Lu Chen had changed into his white coat and stood in front of a middle-aged female doctor.


    "How many months have you been in the respiratory department?" Fan Yujing''s voice was cold and her eyes were cold.


    "Two months." Lu Chen said lightly.


    "Then what did you do last month?" His voice was still cold, without any emotional fluctuations.


    "Go to Kyoto to attend a training class and ask for a month''s leave."


    "It takes a month to participate in the training?" Fan Yujing gave Lu Chen a cold look, "I hope you won''t have to deal with me in this way in the next month."


    Lu Chen frowned, this female doctor is so angry, could it be menopause?


    No wonder everyone said that Fan Yujing was not easy to get along with and had a weird temper.


    This initial first impression, Lu Chen dare not compliment.


    There are only two interns in Fan Yujing''s group, and there are no other graduate students and regular trainees.


    It seems that everyone does not want to join this group.


    The two interns also didn''t know the market situation, so they came to this group.


    At this time, Fan Yujing said again: "The beds managed by our group range from 21 to 36 beds."


    "Okay." Lu Chen nodded.


    "You can find out about the patient''s condition now, and in ten minutes, we will go to the ward round." Fan Yujing said lightly.


    "All patients, ten minutes?" Lu Chen was startled.


    "What, is there a problem?" Fan Yujing said coldly, "If you think you can''t do it, then just say it."


    "Okay, I see." Lu Chen nodded slightly.


    It seems that this tutor is not only cold, but also too strict.


    Ten minutes, it is impossible to fully understand the condition of all patients.


    Lu Chen can only pick the most important items to view.


    He found a free computer, and after sitting down, he began to look through the patient''s medical records and examination reports.


    At this time, another intern in the group sneaked up to Lu Chen''s side and whispered, "Hey, brother, you don''t have to take it seriously, just take a look at it. When I first came to the group, Fan Demon He told me the same."


    Fan Demon?


    Lu Chen couldn''t help laughing, these people were quick to get nicknames.


    "Mr. Fan didn''t ask any questions during his rounds?"


    "Ask!" The intern smiled, "I said I didn''t know, and she never asked again."


    "Oh." Lu Chen nodded and looked at the boy, "What''s your name?"


    "Wang Defa." The boy grinned.


    ¡­


    Ten minutes later, Fan Yujing really returned to the doctor''s office.


    "Let''s go, start rounds."


    After ??, she left the office first.


    Lu Chen saw this, and followed her with the two interns.


    Fan Yujing''s footsteps were very fast, and Lu Chen and others couldn''t help but speed up a bit.


    came to bed 21.


    Fan Yujing did not directly ask the patient''s condition, but looked at Lu Chen and said, "Report the medical history first."


    Lu Chen nodded slightly, this was an expected question.


    "A 64-year-old male patient was admitted to the hospital with cough and sputum for half a month..."


    Lu Chen explained the patient''s important medical history and physical examination.


    Fan Yujing just nodded, the expression on her face was still cold.


    "What about the laboratory tests of the patient after admission?"


    Lu Chen thought for a while and said, "The blood count is high in white blood cells, the liver and kidney functions are normal, and the potassium ions in the electrolyte are low..."


    Lu Chen was about to continue, but Fan Yujing interrupted.


    "Have you reported the patient''s laboratory tests like this?"


    Lu Chen was startled, "Teacher, did I say something wrong?"


    Fan Yujing said coldly: "The white blood cells are high, how much is it high? The potassium ion is low, how much is it low? What is the specific value?"


    Lu Chen paused, frowned and said slowly: "The number of white blood cells is about 12,000, and the potassium ion is 3.1mmol/L."


    Wang Defa thought Lu Chen was lying, and he couldn''t help giving Lu Chen a thumbs up.


    Fan Yujing glanced at Lu Chen, then opened the test list in the patient''s medical record.


    "Oops, it''s going to be revealed now." Wang De said to himself.


    However, what he didn''t expect was that Fan Yujing did not deny after reading the medical record, but continued to ask: "Apart from these abnormal indicators, what about the patient''s renal function?"


    "The kidney function is normal." Lu Chen said softly.


    "I''m talking about specific values!" Fan Yujing frowned, "Is it normal values?"


    Lu Chen was stunned when he heard the words. A normal indicator should also be recorded as a value?


    Isn''t this embarrassing?


    There are so many blood test indexes for each patient. It is understandable to write down abnormal indexes, which will help clinical diagnosis and treatment.


    Do you still need to write down normal indicators, ten brains are not enough!


    "Don''t know?" Fan Yujing raised her eyebrows.


    "I don''t know." Lu Chen nodded.


    "You don''t even remember such an important indicator?" Fan Yujing said coldly.


    Lu Chen didn''t refute, this kind of tempered teacher, the more you argue with her, the more vigorous she may be, she just replied lightly: "Teacher, I will pay attention next time."


    Fan Yujing took a deep look at Lu Chen, no longer asked questions, but performed a lung auscultation examination for the patient.


    ¡­


    Wang Defa is right, as long as he answers the question incorrectly or does not answer the question, then Fan Yujing will not ask any more questions.


    During the next rounds.


    Fan Yujing did not ask a single question, but simply checked the patient.


    Lu Chen followed behind Fan Yujing and found that she was not only indifferent to the students, but also had a similar attitude towards each patient, with an inhumane taste.


    "Okay, today''s rounds are over, everyone will go back and write down the course of the disease." Fan Yujing glanced at Lu Chen before leaving.


    This was the first time that Lu Chen had met such a personal teacher, and returned to the ward in desperation.


    But he just sat down and turned on the computer medical record system.


    Fan Yujing''s voice came over again, "Come on the patient, in bed 30, you go to see first, I''ll come over later."


    Lu Chen looked around, there was no one around, Fan Motou should be talking to him, right?


    "Don''t look, it''s you, go!"


    Hearing Fan Yujing''s words, Lu Chen reluctantly stood up and walked outside the doctor''s office.


    ¡­


    Came to bed number 30.


    A middle-aged couple in plain clothes sat on the hospital bed.


    "Excuse me, who is the patient?" Lu Chen whispered.


    "I am." The middle-aged woman, about forty years old, said slightly cautiously.


    "Auntie, I''m your doctor." Lu Chen introduced himself, "I''ll ask you about your specific condition first."


    At this time, the health value on the patient''s head is displayed as 68 (-).


    "Okay, you can ask, I''ll tell you everything I know." The middle-aged woman spoke Mandarin with her feet curled.


    Then, Lu Chen started collecting medical history.


    Female patient, 43 years old, surnamed Wang, occupational cleaner.


    He visited a doctor because of ¡°cough and expectoration, accompanied by wheezing for 5 days¡±. He had a history of bronchial asthma with intermittent attacks and no regular treatment.


    After asking about his medical history, Lu Chen started a physical examination.


    Cardiology is mainly heart auscultation, and the most important thing in respiratory department is the lungs. (All need to be checked, with different emphases.)


    Lu Chen found that before his stethoscope was close to his lungs, he could hear the patient''s obvious wheezing.


    When auscultation is placed in the lung auscultation area, a typical wheezing sound can be heard.


    "Is this a bronchial asthma attack?" Lu Chen frowned.


    At this time, Aunt Wang took out her medical records in the outer hospital.


    "Doctor, I have been treated at the Central Hospital for a week, but the cough and phlegm have not been cured. I heard that you have a good respiratory department here, so I came here."


    Auntie Wang lives in Jinghua Central Hospital, the same hospital where Min Xiaobo lives.


    Lu Chen was quite puzzled. The Central Hospital is also the top tertiary hospital in the province. Could it be that it can''t cure a bronchial asthma?


    Then, he opened the medical record with doubts.


    On the medical record, it was recorded that the diagnosis was "acute exacerbation of bronchial asthma, complicated by pulmonary infection".


    After giving anti-infection, antispasmodic and antiasthmatic symptomatic and supportive treatment, but the treatment effect was not very good, the patient requested to be discharged.


    Lu Chen noticed that the patient''s doctor''s order was indeed a drug for the treatment of bronchial asthma and lung infection.


    If he was asked to come for treatment, it would be nothing more than these drugs.


    But why would it not work?


    (end of this chapter)

 v2 Chapter 445： You dont watch movies at all!

    Chapter 445 You can''t watch movies at all!


    "Auntie, I saw that you had a chest CT scan in the central hospital. Did you bring the film?" Lu Chen asked.


    "Bring it."


    Auntie Wang squatted down and took a white bag from the drawer under the bedside table.


    Lu Chen smiled, took the bag, and took out a brand new chest CT scan.


    Compared the date, it happened to be a film taken a week ago.


    Lu Chen carefully read the chest CT and found that the patient''s lungs did not have any abnormality except for a little infection.


    "This case is really not that simple." Lu Chen thought.


    Seemingly simple bronchial asthma, but why is it not effective?


    Because the other hospital has already given patients a full range of bronchial asthma treatment, the first thing Lu Chen thought about was whether the cough and asthma could be caused by other diseases?


    "Doctor, you, do you have anything else?"


    Aunt Wang said.


    Lu Chen shook his head, "Thank you auntie for your cooperation, I''m done asking."


    He returned the chest CT scan to Aunt Wang.


    "Then I''m sick..."


    Lu Chen paused, "I don''t know yet, I need further examination. My superior doctor will come to see you later."


    For this case, Lu Chen really didn''t have any ideas for a while.


    "Okay, then thank you doctor."


    Lu Chen nodded slightly, then left the ward.


    ¡­


    When I first entered the Department of Respiratory Medicine, the first patient I encountered was a bit tricky.


    Lu Chen was also interested.


    For the first two months, he stayed in the operating room every day, which was too boring.


    Back to the doctor''s office.


    Fan Yujing was already sitting in front of the computer, looking at her appearance, she should be waiting for Lu Chen.


    "What is the patient''s condition?"


    As soon as Lu Chen sat down, Fan Yujing asked.


    "Consider an acute exacerbation of bronchial asthma..."


    Lu Chen''s words were not finished when Fan Yujing interrupted: "I didn''t ask you to talk about the diagnosis, but the condition!"


    Lu Chen frowned deeply and glanced at Fan Yujing, this teacher''s temper is really weird.


    However, he continued: "The patient is a 43-year-old woman who was admitted to the hospital with cough, sputum, and wheezing for 5 days..."


    Lu Chen briefly introduced the medical history.


    "Where was bronchial asthma diagnosed and what treatment was used?" Fan Yujing said.


    "I stayed in the central hospital for a month, and I was given hormones, antispasmodics, and anti-infection treatments, but the results were not very good."


    After Lu Chen finished speaking, Fan Yujing didn''t speak. She took her stethoscope and left the doctor''s office.


    Lu Chen saw this and followed behind her.


    ¡­


    came to the ward again.


    The patient is already in bed.


    Walking into the ward, only half a meter away from the bed, I could vaguely hear the patient''s wheezing.


    Fan Yujing came to the hospital bed and asked about his medical history again.


    This time, she also asked about some occupational disease history, dust exposure history, etc.


    All patients answered one by one, and she did not have any other occupational diseases and exposure history.


    "Have you seen the doctor''s order form for the patient''s treatment in the city hospital of traditional Chinese medicine?" Fan Yujing asked suddenly.


    "I have seen it." Lu Chen nodded.


    "What''s your opinion?"


    Lu Chen frowned slightly, "Based on the current diagnosis of bronchial asthma, the treatment at the Central Hospital is basically in place."


    "Then why the previous treatment was not good?" Fan Yujing said again, "What is the reason for this?"


    Lu Chen shook his head and whispered: "I don''t know for now, but at first glance, the first is that the dose of the drug and the course of treatment are not enough; the second is that the previous diagnosis of bronchial asthma was wrong!"


    The diagnosis is wrong, and it''s just his current guess.


    Do not take lightly of each other, all Lu Chen''s voice is very low, so as not to be heard by the patient''s family.


    Fan Yujing raised her brows slightly when she heard Lu Chen''s words, slightly surprised in her heart.


    I didn''t expect this student to have two brushes.


    "Based on the patient''s current examination results, besides bronchial asthma, what other diagnosis would you consider?" Fan Yujing said.


    Lu Chen shook his head slightly, "I don''t know yet."


    Respiratory department is not the department he majored in, so naturally it is not as good as in cardiology department.


    Fan Yujing didn''t say much, turned to the patient and said, "Take out all the examinations done in the central hospital."


    "Okay." The patient heard the words, took out the chest CT film again, and handed it to Fan Yujing.


    Fan Yujing took it lightly, held it in front of him, and looked at it carefully.


    CT images are divided into 16 rows and 64 rows, mainly due to the difference in resolution.


    It can be easily understood that a 16-slice CT is to transect the lungs with 16 cuts.


    The 64-row CT is cross-cut by 64 knives.


    The larger the number of ?? rows and the more cross-sections, the more clearly the chest CT can be seen.


    After a long while, Fan Yujing slowly put down the chest CT film in her hand.


    "Have you seen the CT film?"


    Lu Chen nodded slightly: "I have seen it."


    "Can you read?" Lu Chen was taken aback by Fan Yujing''s words.


    "I haven''t studied it systematically, but I will read a little bit." Lu Chen said.


    "Haha, I don''t think you are at all!" Fan Yujing unceremoniously put the CT film on the table aside, and said coldly, "Looking at this CT film, you still don''t know the cause of the patient? "


    Fan Yujing''s attitude is really bad.


    But Lu Chen was stunned when he heard Fan Yujing''s words.


    This patient''s chest CT film, he just looked at it carefully.


    Except for signs of lung infection, he didn''t find any other problems!


    Fan Yujing can actually see the cause of the patient from this chest CT film?


    Lu Chen immediately took the CT film.


    He carefully studied the comparison in every aspect.


    Lung window, mediastinal window, lung markings, bronchial shadows, all of which he spared.


    "It''s a bit of self-knowledge, you should take a good look."


    Fan Yujing snorted coldly, and then left the ward.


    Lu Chen ignored her and continued to study with the chest CT film.


    ¡­


    There is a lot of content about CT in the image, otherwise it would not be a separate subject.


    However, with the development of modern medicine, the division of labor among doctors has become more and more detailed.


    Doctors in many departments are not good at image reading, such as X-ray, CT and MRI.


    Most doctors rely on the results of the imaging department.


    However, in clinical practice, it is often the doctor in charge of the bed who knows the patient''s condition best.


    Relying on the readings of the imaging department not only delays the best treatment results, but also may cause errors in interpretation.


    ¡­


    "Call..."


    After a while, Lu Chen shook his head helplessly.


    Except for the images of lung infection, he still didn''t see anything unusual.


    The ability to read films, Lu Chen knew, was very lacking.


    "Auntie, take the film back for me to take a look first." Lu Chen had no choice but to say to the patient, "I will return it to you when I see it."


    "Okay, no problem." The patient grinned, "Just don''t get rid of it for me, I''ll use it later."


    "Well, don''t worry."


    Having said that, Lu Chen took the patient''s chest CT film back to the doctor''s office.


    in the doctor''s office.


    Fan Yujing was giving the patient a doctor''s order. At the same time, when she saw Lu Chen coming back, she said, "Write down the patient''s course record."


    "it is good."


    Lu Chen put the patient''s chest CT film aside and began to write the patient''s first disease course record.


    The course of the disease was recorded by Lu Chen, and he finished writing it quickly.


    However, he really didn''t know how to fill in the line of diagnosis in the course record.


    Lu Chen ordered the doctor''s order and frowned.


    Fan Yujing''s doctor''s orders are very routine, only a few simple doctor''s orders for blood tests.


    Any anti-infection and bronchial asthma medicines are not available!


    Seeing the doctor''s order, Lu Chen glanced back at Fan Yujing, and then fell into deep thought.


    (end of this chapter)

 v2 Chapter 446： Reading ability

    Chapter 446 Reading Ability


    Lu Chen refocused on the chest CT scan at the table.


    With a thought, he entered the mall in the system panel.


    Since he can''t understand it after racking his brains, he needs the help of the system.


    In the system store at the first level, Lu Chen found the skill card of "CT Reader".


    The primary skill book, only 100 points of gratitude.


    However, Lu Chen had obtained this primary skill card before.


    He flipped through the mall at the next level.


    In the second-level mall, the "CT Reader" intermediate skill card appeared, which required 300 points of gratitude.


    Lu Chen''s current total thank you value is just right to redeem this one.


    With a thought, you can exchange for the "CT Reader" intermediate skill card!


    And Lu Chen''s remaining thanks points were less than 100 points.


    ¡­


    At this moment, when Lu Chen looked at the chest CT image again, his mind became nameless and clear.


    He immediately raised the chest CT film and carefully compared the layer by layer images of the chest CT through the sunlight from the window.


    Originally was a bit ambiguous and could not tell the difference, this time, Lu Chen slowly recognized it.


    This feeling is like opening up the two veins of Ren and Du.


    Lu Chen''s whole body was stunned.


    At this time, when Lu Chen continued to look, he suddenly found that the patient''s left lung had slightly higher transparency.


    This point, because it is not very clear to see, so Lu Chen has not discovered it before.


    Why, is the left lung clear?


    He frowned and continued to dig deeper.


    "This is..." Lu Chen was suddenly stunned. He saw that the position of the left main bronchus seemed to be a little narrow.


    This position is exactly at the opening of the trachea, and it is not very recognizable!


    The ?? is just a stenosis, but it seems that the lumen is normal again.


    Because it was the first time to use the intermediate skill card, Lu Chen''s reading ability was not fully integrated.


    "What can I do?" Lu Chen frowned.


    Suddenly, he thought of a way, that is to change the aspect,


    Chest CT, in addition to the lung window and mediastinal window, there is also a coronal view.


    That is, from the top of the head, cut a knife horizontally.


    This coronal section is often overlooked.


    So many doctors, even when they see the coronal position, they don''t pay much attention.


    The same is true for Lu Chen. When he read the film for the first time, he ignored the coronal position.


    Now, all his attention is focused on this coronal film.


    After a while, he finally made a big discovery!


    At the opening of the left bronchus, the tracheal wall was thickened.


    There seems to be a small stenosis, and the lumen is not smooth!


    Slowly, Lu Chen''s eyes revealed a trace of clarity.


    To clarify the diagnosis of a patient, we must look for clues like solving a case and catching a murderer.


    And this narrowness is the clue!


    ¡­


    I don''t know when, Fan Yujing stood behind Lu Chen.


    "Did you find anything?"


    Lu Chen nodded slightly and pointed with his right hand to the position of the opening of the left main trachea on the CT scan.


    "Mr. Fan, is there any narrowness here!"


    Fan Yujing heard the words, a trace of surprise flashed in her eyes, looked at Lu Chen and said seriously: ""I take back what I said before, you will watch CT films. "


    Lu Chen smiled. Although this Demon Fan has a temper, he can admit his mistakes.


    "Assuming you''re right, what are you going to do next?" Fan Yujing continued.


    Lu Chen paused, thinking of the doctor''s order just given by Fan Yujing, and said, "The trachea is definitely caused by a certain reason. It may be something growing, or there may be a foreign body! In either case, I advise the patient to Do a bronchoscopy!"


    This time, Fan Yujing''s look at Lu Chen was finally different.


    "Okay, then follow your request and communicate with the patient about bronchoscopy." Fan Yujing said.


    Lu Chen nodded.


    Actually, Fan Yujing had given a doctor''s order before, and no medicine was of any use. He just checked a few tubes of blood and was preparing for the bronchoscopy!


    ¡­


    Fan Yujing watched Lu Chen leave the doctor''s office, a smile inadvertently appeared on the corner of his mouth, but then disappeared.


    At this time, another attending doctor in the respiratory department came to Fan Yujing''s side and said, "Sister Fan, do you know the origin of the boy in your group?"


    "What''s the matter? Could it be a relative of the leader?" Fan Yujing said lightly.


    "Hehe, if it''s a relative of the leader, then I wouldn''t come here to tell you." The attending doctor smiled, "He is a treasure of the cardiology department of our Jinghua Second Hospital! You should have heard of him!"


    Although Fan Yujing didn''t pay much attention to the gossip happening in the hospital, she frowned slightly when she heard her colleague say this, and then she was a little surprised: "Graduate student in the Department of Cardiology... Could it be that..."


    "Yes!" the attending doctor whispered, "I also found Sun Guoguo, an alumnus who stayed in the same group as me, and it was confirmed that it was him!"


    Around is Fan Yujing''s somewhat cold temperament, and she was also a little stunned at this time.


    Of course, she knew that the Department of Cardiology of Jinghua Second Hospital had an amazing graduate student, not only won the national electrocardiogram competition and won the ranking.


    Could he be the student in his group?


    ¡­


    said that Lu Chen came to the ward again.


    "What? I want minimally invasive interventional surgery?"


    On the hospital bed, the patient''s eyes were full of puzzled expressions.


    "I''m just here to treat a cough, do you want me to have an operation?"


    "This is the first time I''ve heard that surgery is required to treat a cough!"


    The patient''s voice was not loud, but she was quite contradictory when she was in her current mood.


    "Auntie, because after we went back, we re-studied the chest CT you took in the central hospital." Lu Chen hurriedly said, "We found that there is a small problem that needs further examination."


    "Doctor, first of all, I don''t object to further examination." The patient said, "But why do you need surgery?"


    The patient who originally seemed to be honest, now looks a little aggressive.


    "Auntie, you misunderstood that, this is a minimally invasive technique." Lu Chen explained patiently, "To put it simply, put a mirror on your throat, and through inspection, you can find your Why is the trachea narrow..."


    "This..." The patient understood somewhat, "Doctor, do you mean, there''s something growing in my throat?"


    Lu Chen shook his head, "It''s better to be sure, that''s why we need further inspection."


    "I, could this be cancer?" The patient looked nervous and said something for no reason.


    Lu Chen was a little helpless.


    These patients really like to scare themselves!


    It¡¯s okay if you don¡¯t believe it, but if you believe it, think about the worst.


    "Auntie, don''t be nervous." Lu Chen said, "Except your bronchial lumen is a little narrow, everything else is fine for the time being."


    "You really didn''t lie to me?" The patient paused.


    Lu Chen: "..."


    Fortunately, after Lu Chen''s communication and persuasion, the patient agreed to the interventional surgery.


    (end of this chapter)

 v2 Chapter 447： You do it!

    Chapter 447 You do it!


    Doctor-patient communication is often more troublesome than clinically treating patients.


    The doctor needs to let the patient know you and trust you before clinical treatment can be performed.


    However, such a process is often complicated and lengthy, and some patients cannot wait, which can easily lead to conflicts between doctors and patients.


    Some people ridiculed that clinical ability, three points test skills, seven points depend on communication, but there is also some truth.


    ¡­


    Back to the doctor''s office.


    "Lu Chen, what are the opinions of the patients and their families?" Fan Yujing came to Lu Chen''s side at some point, "Agree to the surgery?"


    "Agreed." Lu Chen smiled, "That aunt didn''t quite believe it at first, but I explained it for a long time."


    "Well, that''s fine." Fan Yujing nodded, "Remember to sign the informed consent form with the patient, and the patient''s family to sign a power of attorney."


    Although electronic bronchoscopy is only a minimally invasive interventional procedure, there are risks, such as rupture of blood vessels, anaphylactic shock, etc.


    A set of informed consent is required to be signed before surgery.


    "Well, I''ll take it to the patient to sign it right away." Lu Chen said.


    After signing the informed consent for the operation, the bronchoscopy operation of this patient was scheduled for the afternoon of the day after tomorrow.


    During this period, Fan Yujing will arrange some preoperative examinations for the patient.


    Such as routine electrocardiogram, blood routine, liver and kidney function, etc.


    As long as there is no problem with the preoperative examination, the surgical examination will be carried out as scheduled.


    "Mr. Fan, do you have anything else to do?" Lu Chen asked when he saw Fan Yujing''s expression on the side.


    "No, no, you are busy." Fan Yujing was startled, then shook her head and walked away.


    Demon Fan seems to have a different attitude towards himself!


    However, Lu Chen didn''t care too much and continued to do the work at hand.


    ¡­


    It''s almost time to get off work.


    Lu Chen received a WeChat message from Senior Sister Sun Guoguo.


    "Lu Chen, after get off work in the morning, if you''re not busy, go back to the department."


    Lu Chen glanced at him and replied "Okay".


    After leaving get off work in the first ward of the respiratory department, he rushed back to the eighth district in his heart.


    I just walked into the doctor''s office in the eight districts of my heart.


    Lu Chen saw a group of people surrounded the office.


    Among them, tutor Li Yao and sister Sun Guoguo were surrounded by them.


    They both held a pennant in their hands.


    On the pennant, there are four big characters "Rejuvenating Hands".


    Sun Guoguo''s eyes were sharp, she still saw Lu Chen because of the chaos in the office.


    "Junior Brother, come here!" Sun Guoguo waved at Lu Chen.


    Seeing this, Lu Chen quickly squeezed in.


    As soon as ?? walked in, Sun Guoguo handed the pennant to Lu Chen.


    "Junior Brother, this is for you!"


    Lu Chen was stunned for a moment, but he didn''t react too much.


    At this moment, in front of him, a man with a familiar face appeared in front of him.


    Without warning, he knelt down like this!


    "Huh? This..."


    Lu Chen was stunned for a moment, then recalled.


    Isn''t this man the family member of the "TDP" patient yesterday?


    Thinking of this, Lu Chen also understood the reason.


    "Hey, stop kneeling, get up quickly!" Lu Chen said quickly.


    But, how could the man in front of him listen to his words...


    As the saying goes, men have gold under their knees.


    But this man has been kneeling for two consecutive days for his wife.


    Lu Chen could feel the true feelings of a man.


    In this era of high divorce rates, it is a blessing for them to have such a persistent partner.


    "Doctor Lu, thank you!" The man''s eyes seemed to turn red again, "Thank you!"


    "I see, get up quickly." Lu Chen said, "If you don''t get up, then I''ll leave!"


    After ??, Lu Chen made a gesture of leaving.


    Hearing what Lu Chen said, the man wiped his eyes and stood up immediately.


    "Dr. Lu, Dr. Sun told me, if it weren''t for you, my wife really doesn''t know when she''ll wake up!"


    The man''s emotions are still a little excited.


    The person beside him should also be the family member of the patient, so he immediately supported him.


    At this time, Sun Guoguo on the side whispered: "Yesterday, the patient was much better, and the condition became stable. There was no recurrence of ventricular tachycardia or ventricular fibrillation, and he could communicate with the people around him normally."


    "Well, this is the best." Lu Chen nodded, "I''ll see the patient later."


    "Okay." Sun Guoguo nodded.


    Immediately afterwards, the man in front of him took out a white snakeskin bag from somewhere, and walked to Lu Chen.


    "Doctor Lu, this is a little bit of our family''s intentions." The man said, he also knew that the current doctors did not dare to accept red envelopes, but he was not at ease if they didn''t give anything.


    Lu Chen quickly waved his hand and said, "This is what our doctors should do. I don''t accept this, you can take it back quickly."


    There is also surveillance in this room!


    "Doctor Lu, it''s nothing, it''s all something raised in the countryside." The man smiled honestly.


    When Lu Chen saw this, it was not easy to refuse.


    He suddenly caught a glimpse of Li Yao, who was chatting with a certain family member.


    "Okay, then you can put this in the duty room later."


    Lu Chen thought that it would be better to borrow flowers to offer Buddha. He has been here at Jinghua Second Hospital for so long, it seems that he has never given anything to tutor Li Yao.


    "it is good."


    After Lu Chen agreed, the patient''s family members slowly left.


    In the doctor''s office, the usual calm was restored again.


    In a blink of an eye, Li Yao didn''t know what to do, and Lu Chen didn''t see her.


    "Senior sister, this pennant should be placed in the department." Lu Chen said.


    "Okay." Sun Guoguo smiled and nodded, "By the way, Mr. Li Yao also visited this patient this morning, and she said that the patient might need an ICD."


    "Yeah." Lu Chen nodded slightly, as expected!


    This kind of patient, temporarily controlled with drugs, will definitely relapse in the future.


    At this time, an ICD needs to be implanted.


    The function of ??ICD is to identify arrhythmia in time, and give click defibrillation treatment, which can significantly reduce the risk of sudden death.


    Sun Guoguo said again: "Lu Chen, what our teacher means, this patient''s ICD surgery, you do it!"


    "Huh?" Hearing this, Lu Chen was a little surprised, "Let me do it?"


    Let him do it as a student?


    "Well, the chief surgeon is Mr. Li Yao, and you are the first assistant." Sun Guoguo said, "Mr. Li Yao means that you have passed the test now, and the only thing missing is some clinical experience, so I want you to go more. The operating room, and the patient''s family agreed that you would do it."


    Although he is only the first assistant, most of the entire operation will definitely be done by him.


    Knowing that it was the good intentions of Li Yao''s mentor, Lu Chen no longer refused.


    As instructor Li Yao said, Lu Chen''s technique has passed the test, and now the only thing that is lacking is the experience of surgery.


    A mature interventional doctor has to experience hundreds of surgeries, large and small!


    (end of this chapter)

 v2 Chapter 448： Changes (thanks to the leader who rewarded Mr. Xuantengluo)

    Chapter 448 Changes


    Leave the eight areas of the heart.


    Lu Chen bought a box lunch in the cafeteria and went back to the bedroom.


    Back in the dormitory, he ate while combing through the contents of the national nature tender.


    He envisages that the premise of multi-center clinical research is to pass the national natural project!


    Once you fail, all your current efforts will be in vain.


    "The recent meal in the cafeteria was too oily and watery, and there was no meat at all." Lu Chen took a bite and put the boxed lunch aside.


    At noon, Lu Chen rested for half an hour before going to work.


    ¡­


    It is winter now, when respiratory diseases and cardiovascular diseases are high.


    In the afternoon, Lu Chen received three more patients one after another.


    Just as he finished writing the third patient''s course record, the fourth patient arrived again!


    Respiratory Medicine Ward 1, doctor''s office.


    Wang Defa, an intern in the ?? group, was following behind Lu Chen.


    "Junior Brother, let''s take the fourth patient."


    "Huh? Well..."


    Wang Defa is quite clever, but he is not very reliable at ordinary times, and he is not very willing to take the initiative to accept patients.


    During this time, Lu Chen also wanted to pull him and teach him well.


    Otherwise, after this internship period is over, nothing will happen, and there is no way to justify it.


    ¡­


    The two came to the ward.


    This is a female patient of about 60 years old, dressed in plain clothes and has gray hair.


    Next to her was a middle-aged woman in her thirties.


    However, when Lu Chen walked into the ward and saw this patient, he was stunned.


    The health value on the patient''s head, showing 49 (---).


    The changing trend of the three minus signs!


    This is amazing!


    Health is already below the 60 limit, and looking at this trend, it is very likely that it will continue to decline!


    Lu Chen was shocked, and immediately stepped forward to check the patient''s condition.


    Wang Defa on the side was a little strange, why did Brother Lu Chen suddenly get nervous?


    When ?? came to the patient, Lu Chen noticed that the patient''s mental state didn''t seem right.


    She was half lying on the bed, her eyes narrowed slightly.


    The complexion and lips are slightly pale, and the asthma is more obvious.


    "Auntie!" Lu Chen lightly patted the patient''s shoulder.


    The patient slowly opened his eyes, saw the doctor in front of him, let out a weak "um", and then closed his eyes again.


    "Auntie, what''s wrong with you? Do you want to sleep?" Lu Chen felt the patient''s pulse, and then motioned to Wang Defa to take his blood pressure.


    "Hmm." The patient didn''t open his eyes, he murmured,


    Lu Chen frowned immediately and said to the middle-aged woman beside him, "Who are you the patient?"


    "I, I am her daughter-in-law." The middle-aged woman was a little reserved, and her Mandarin still carried local dialects.


    "Auntie''s mental state has always been like this?" Lu Chen asked.


    "No, my mother, she was fine at home before, and she can still work at home." The middle-aged woman said, "In the last half month, for some reason, she often coughs and expects phlegm, and keeps saying that she is very tired. ,Want sleep."


    Cough, expectoration, want to sleep?


    Lu Chen felt that things were not so simple.


    At this time, Wang Defa also finished measuring his blood pressure, "Brother, the blood pressure is around 100/60mmHg."


    "Yes." Lu Chen nodded, "I''ll do another electrocardiogram."


    ECG, blood pressure, these are all routine needs to be done on admission.


    "Uh, okay." Wang Defa was a little reluctant, but he still went to push the electrocardiograph.


    Taking advantage of this time, Lu Chen began to ask about the patient''s family''s condition.


    For an emergency patient like this, don¡¯t mess around.


    Inquiring about the condition is a very important part, which can understand the condition of the patient and make an impression diagnosis.


    "Doctor, my mother lived in your department because of pneumonia two months ago, and she was discharged after a week of stay."


    "This time, about half a month ago, my mother had intermittent coughing and phlegm again. When she saw it at the clinic, she thought it might be pneumonia recurring. She took medicine and injected injections. But the effect has not been good, so I will come here today. already."


    Hearing the woman''s answer, Lu Chen frowned deeply, "It was just pneumonia in the past? No other disease?"


    "This..." The woman looked back at the patient, and hesitantly said, "I don''t live with my mother. She used to be in good health, so... there should be nothing wrong with her."


    The woman''s answer was hesitant. Lu Chen heard the words and asked in confusion, "Where''s your husband?"


    "He works in the magic capital, and he comes back twice a year, and he is not at home now." The woman said.


    At this time, Wang Defa pushed the electrocardiograph over.


    He performed an electrocardiogram on the patient, and Lu Chen picked up the stethoscope and examined the patient.


    "We could hear moist rales in both lungs, and heart auscultation was normal."


    At this point, the electrocardiogram was also done.


    Lu Chen glanced at the electrocardiogram, which was also normal.


    "Junior brother, go and call Mr. Fan over." Lu Chen whispered beside Wang Defa''s ear, "This patient may be a little serious, so he needs to check."


    Wang De was stunned for a while, but he could not see any abnormality. After nodding, he walked out of the ward.


    ¡­


    in a minute.


    Fan Yujing frowned and came to the ward.


    "What patient?" Fan Yujing picked up the patient''s electrocardiogram.


    She was a little curious, Lu Chen had accepted so many patients.


    Why is this one the only one that needs her to check it out in person?


    "The family said that the patient was hospitalized in our department two months ago because of pneumonia, and this time he came again because of cough and sputum." Lu Chen said, "But I think the patient''s mental state is not very good, so I asked my junior brother to call you. coming."


    Hearing Lu Chen''s words, Fan Yujing walked to the hospital bed in doubt.


    The patient lies on the bed with his eyes closed and appears to be asleep.


    "Auntie, can you hear me?" Fan Yujing said softly.


    The patient slowly opened his eyes, then closed them again.


    "The patient is lethargic!" Fan Yujing was shocked,


    This mental state is not caused by ordinary pneumonia!


    Once a disease causes a change in mental state, that''s a big deal.


    "Call the nurse to get the ECG monitor." Fan Yujing quickly said to Lu Chen.


    Lu Chen understood and walked out of the ward immediately.


    Although the patient''s current vital signs are stable, it is not allowed to change at any time!


    The nurse quickly brought the ECG monitor and connected the patient''s whole body.


    The patient''s daughter-in-law on the side of ?? was a little confused.


    "Doctor, doctor, you are..." The woman said in amazement, it should cost a lot of money to use this kind of equipment!


    Fan Yujing had already done the physical examination for the patient, and turned back to the woman and said, "Come out, I''ll talk to you about the condition."


    ¡­


    At this time, Lu Chen returned to the ward.


    "The patient''s family said that they were hospitalized two months ago, and they should be able to call up the medical record!"


    He immediately entered the medical record borrowing system, and quickly found the patient''s medical records two months ago.


    In the course record, the patient did not have any history of other diseases except pneumonia.


    However, when Lu Chen saw the patient''s chest CT two months ago, his expression suddenly froze!


    The patient¡¯s chest CT showed a 1cm mass in the left lung!


    On the ??CT report sheet, it is recommended to review the chest CT after one month, and further examination if necessary.


    Lu Chen continued to look at the patient''s medical records, but did not see the chest CT for reexamination.


    In other words, the patient did not come for a follow-up consultation.


    "If the patient really has no other diseases, the only problem is this lung space occupying!"


    Lu Chen frowned deeply.


    "But, in just two months, will there be such a big change?"


    Thanks to the leader for the reward, I owe 10 more updates.


    (end of this chapter)

 v2 Chapter 449： not mother

    Chapter 449 Not Mother


    Just exchanged for the intermediate skill book of "CT image reading", Lu Chen''s reading ability has been greatly improved.


    After carefully studying the whole film, he felt that a malignant situation could not be ruled out.


    Therefore, on the CT report, there will be opinions on regular review and further inspection.


    After about ten minutes, Fan Yujing returned to the doctor''s office.


    Lu Chen immediately transferred the chest CT of the patient two months ago.


    "Mr. Fan, look at this patient''s previous CT."


    Fan Yujing''s face turned ugly as soon as he glanced at it.


    "Lu Chen, please check, which doctor in our department was in charge of this patient before?"


    She has also seen that the lungs on the patient''s CT are occupying space, which is not a good thing!


    Lu Chen found the doctor''s signature in the medical record, "The signature is Dr. Wang Renyong, he just got off the night shift today..."


    Fan Yujing immediately took out her mobile phone and made a call.


    "Hey, Doctor Wang, I''m Fan Yujing..."


    After some conversation, Fan Yujing frowned and hung up the phone: "Before the patient was discharged from the hospital, Dr. Wang had suggested that the patient undergo further examinations, but the patient and his family refused. In the end, she had to come to the outpatient clinic for regular chest CT examinations, but it seemed that did not come."


    Lu Chen felt a little helpless, the doctor really had nothing to do with such a patient who did not follow the doctor''s orders.


    "Lu Chen, what kind of disease do you think the patient has?" Fan Yujing said suddenly.


    Lu Chen paused before slowly saying: "It''s not clear yet, but the patient''s mental state is abnormal. First of all, cerebrovascular accidents are not excluded, but according to the patient''s current CT condition, tumor-related brain diseases are not excluded."


    "Then how do you judge the patient''s condition?" Fan Yujing was a little puzzled, "It''s just because the patient''s mental state has changed, what if she is really just tired and wants to sleep?"


    "No!" Lu Chen resolutely said, "I asked the patient''s family, and she has never done this before. Moreover, I called the patient several times. Through her reaction and physical examination, I basically determined her drowsy mental state. ."


    Fan Yujing raised her brows and looked at Lu Chen in front of her, thinking, this student is interesting!


    is completely different from those students before, who only know the typical signs of the disease.


    In the face of clinical changes in the condition, there is no coping strategy.


    "Okay, when the patient''s condition is a little better, you can take her to the outpatient clinic to review the chest CT." Fan Yujing said.


    "Ok, no problem."


    ¡­


    In the ?? office, Lu Chen taught Wang Defa to write a medical record.


    He didn''t expect that this junior and brother had been in the clinic for so long, and he didn''t even know how to record the medical records.


    "Junior brother, the chief complaint and the history of the current illness need to correspond! The number of the chief complaint needs to be in Arabic numerals, not in Chinese!"


    "The past history must be detailed. What disease you have suffered, how to treat it, and what the prognosis is, you must write it down!"


    After teaching Wang Defa painstakingly, Lu Chen also gained a little gratitude.


    After ??, when the patient''s condition improved a little, Lu Chen took him to the CT room.


    CT last night, the results came out soon.


    When Lu Chen opened the CT image, his pupils shrank slightly.


    Sure enough, the space occupied by the previous lung CT has become larger!


    And the size is not a star and a half, but has doubled, reaching about 2CM!


    More importantly, there are many "spur signs" around the lung mass.


    This is a typical change of lung cancer!


    "This space-occupying, burr-like edge is probably a malignant tumor in the chest!"


    In addition to the chest CT, Lu Chen also scanned the head and abdomen.


    I don''t know if I don''t check it, I''m shocked when I check it!


    A new mass-occupying nodule appeared on the patient''s head and liver.


    Lu Chen was shocked, he immediately took out the patient''s previous CT report for comparison.


    "That''s true!" Lu Chen thought, "It seems that the tumor has metastasized to the head and liver! This is why the patient has symptoms of drowsiness!"


    However, Lu Chen had 10,000 reasons in his heart.


    In just two months, why did the patient''s chest CT change so much?


    ¡­


    Back to the first ward of the Department of Respiratory Medicine.


    Fan Yujing also learned the news at the first time.


    "I think 80% of it is a tumor." Fan Yujing saw the chest CT film for the review, "I have to communicate with the patient''s family about the condition again!"


    Outside the ward.


    Fan Yujing had called the patient''s daughter-in-law, and Lu Chen followed behind her.


    "What!" The voice of the patient''s daughter-in-law finally became louder, "You said...it might be lung cancer? How could it be possible? Didn''t my mother have a CT scan two months ago! At that time, the doctor said it was only pneumonia..."


    "You said it yourself, that was two months ago! At that time there was not only pneumonia, but nodules. In addition, we are just guessing at the moment, and there is a high probability that it is a bad thing." Fan Yujing said, "If you agree to the diagnosis, then I need a bronchoscopy!"


    "Yes, but..." At this time, the patient''s daughter-in-law hesitated again.


    She rubbed the corners of her clothes with her hands and looked in a trance.


    "Aren''t the immediate family members here yet?" Fan Yujing frowned and looked at Lu Chen beside him.


    "Already notified." Lu Chen shook his head, "Come over tomorrow at the earliest."


    Daughter-in-law, after all, is not an immediate family member, so she can''t make up her mind.


    On the phone, she communicated with her son, but she couldn''t say why she came out.


    "Why didn''t you come for a review a month ago?"


    At this time, Fan Yujing asked suddenly.


    "On the CT report, it clearly states that the patient should be re-examined in one month!"


    The patient''s daughter-in-law first opened her mouth and wanted to say something, then swallowed it back, and then hesitantly said, "My mother said she''s healed, so she doesn''t need to come over for a re-examination."


    "Your mother said..." Fan Yujing frowned, "she doesn''t understand the old man, don''t you understand? The doctor must have communicated with you before he was discharged from the hospital. I also called Dr. Wang just now. It was suggested that you do further examinations, but you refused..."


    Fan Yujing was interrupted by the patient''s daughter-in-law before she could finish her sentence, "Doctor, I didn''t reject it! It''s my mother herself. She doesn''t want to come for a review. Can I still tie her up?"


    Fan Yujing sighed slightly in her heart, after all, she was not her own mother.


    "Okay, then wait for your husband to come over tomorrow, and I''ll talk to him later."


    "Okay." The patient''s daughter-in-law nodded and left.


    ¡­


    Back to the doctor''s office.


    Lu Chen and Fan Yujing were both silent.


    Even Wang Defa, who was usually active, was silent at this moment.


    The patient''s chest CT progressed so rapidly in two months that it even shifted.


    This is something no one could have imagined!


    The most distressing thing is that the doctor has warned in advance, but it is still useless after all.


    Plus will start tomorrow


    (end of this chapter)

 v2 Chapter 450： Calm heart, hard blood

    Chapter 450 Calm heart, hard blood


    To be on the safe side, Lu Chen communicated with the patient''s family again and signed the informed consent again.


    When ?? was signed, the patient''s daughter-in-law was hesitant.


    But after some communication with Lu Chen, she finally signed her name on the medical record.


    However, the next step of the diagnosis and treatment plan will have to wait for the patient¡¯s son to come back tomorrow before deciding.


    Before leaving get off work, Lu Chen explained the patient''s specific matters to the night shift doctor.


    "Junior brother, go, get off work." Lu Chen changed his white coat and said to Wang De, who was still sitting in the office.


    Wang Defa shook his head and said, "Senior brother, you should get off work first. I, I''ll leave later."


    "What''s wrong?" Lu Chen walked up to Wang Defa curiously.


    This kid is the most active after get off work, why did he suddenly change his temper today?


    "Senior brother." Wang Defa whispered, "Actually, this patient is the first patient I have accepted today. Seeing that my aunt is in such pain, I want to see her later. In addition, I have to record her disease course again. have a look."


    For the first clinical interns, the first time they meet a critically ill patient, or the first time they see a dead patient, their hearts are quite shaken.


    Exposure to death, the first step in transitioning from intern to doctor.


    Lu Chen understood this feeling very well. He patted Wang Defa on the shoulder, "Okay, call me if you have something to do. I''ll get off work first, so you can leave early."


    "Well, bye bye brother."


    Lu Chen nodded slightly, he didn''t see the wrong person, this kid is really a talent.


    ¡­


    After dinner, go back to the bedroom.


    Lu Chen continued to read the template of the national nature tender.


    After a while, Wang Zihao and other roommates also returned to the bedroom one after another.


    "Lu Chen, you are about to take the examination for practicing medicine. How are you doing?" Wang Zihao suddenly approached Lu Chen.


    Lu Chen was stunned for a moment, he almost forgot about being admitted to practicing medicine.


    It''s not his fault, things have been too complicated recently.


    After returning from Kyoto, I was busy with the national nature tender.


    Looking at the calendar, next week seems to be the skill test for practicing doctors.


    "I haven''t had time to review it yet." Lu Chen shook his head helplessly.


    "Huh?" Wang Zihao was stunned, "Lu Chen, you are really fierce, haven''t you started to review yet?"


    "I just came back from Kyoto, so I don''t have time to review this." Lu Chen said helplessly.


    "That''s true!" Wang Zihao said, "However, you have to hurry up. Although this skill test is much simpler than the National Clinical Skills Competition, some things are different."


    "Yes." Lu Chen nodded.


    It seems that he has another task recently!


    ¡­


    eight pm.


    Lu Chen was looking at the national nature tender in his bedroom.


    Suddenly, the phone rang.


    He picked up his phone and saw that it was from Wang Defa.


    "Hey, Junior Brother."


    As soon as he finished speaking, Wang Defa''s hurried voice came from the other end of the phone.


    "Senior brother, that patient is going to die this afternoon!"


    Lu Chen was taken aback for a moment, but he didn''t respond, "Which patient?"


    "It''s the patient we received in the afternoon, suspected of brain metastases from lung cancer." Wang De spoke very fast.


    "What''s the matter? Speak slowly."


    "Is such that¡­¡­"


    After Wang Defa''s brief description, Lu Chen also figured out the whole story.


    It turns out that Wang Defa went to the bedside to take a look at the patient before he was about to leave the department.


    At a glance, the problem was found. Although the patient was not drowsy, he was half lying on the bed, only panting heavily.


    At that time, her daughter-in-law was not in the ward.


    Wang Defa hurriedly called the doctor on duty.


    "Then the patient''s breathing suddenly stopped, and the teacher on duty sent him to the ICU after a while." Wang Defa said with lingering fear, "I don''t know how the patient''s condition is now."


    "Alas." Lu Chen sighed slightly, "For patients with advanced tumors, the whole body organ failure, most likely, it is very difficult."


    On the other end of the phone, Wang Defa was a little silent.


    For medical students who are just entering the clinic, it is very sad to see their patients have an accident.


    Seeing that there are so many things like this, Lu Chen was still a little unbearable.


    However, he is also more rational, reflecting on whether there are any imperfections in his handling of patients.


    For this patient, Lu Chen communicated very well and signed two informed consent forms with the patient''s family.


    "By the way, Junior Brother, have you eaten yet?" Lu Chen asked.


    "Not yet." Wang Defa whispered.


    "Well, go back to the dormitory, now there is no food in the cafeteria, I''ll invite you to dinner." Lu Chen said.


    "No need, brother, I''ll just order takeout." Wang Defa quickly refused.


    "We have to wait for takeout." Lu Chen smiled, "We''ll go to the hospital to eat soon."


    Wang Defa wanted to refuse, but Lu Chen hung up the phone.


    ¡­


    In the small restaurant next to the hospital.


    Lu Chen ordered three dishes, and Wang Defa sat across from him embarrassedly.


    "Senior Brother, I''ve cost you money."


    "Hey, this is such a big deal!" Lu Chen smiled, "And the food in the hospital cafeteria is too oily and watery recently, so I also want to improve the food."


    The two chatted, and the waiter brought the food.


    Seeing that Wang Defa was still a little gloomy, Lu Chen said with relief: "Junior Brother, this is the first patient you accepted, and there will be more of this kind of thing in the future."


    "Senior brother, how did you adjust to the dead patient before?" Wang Defa said slowly.


    Lu Chen smiled, his eyes seemed to flash past events.


    That should be when he was practicing in the Cardiology Department, a patient with pulmonary heart disease declared clinical death in front of him.


    Ten minutes ago it was still alive, but in the blink of an eye, people are gone.


    "Junior Brother, I might not have been as good as you at the time." Lu Chen took a piece of meat and stuffed it into his mouth, "In the first month of my clinical practice, the patient I took care of myself left. Come out of that uncomfortable feeling.¡±


    Lu Chen paused, put down his chopsticks, looked up at Wang Defa, and said, "But after encountering more, I understand the truth. Many times, clinicians simply don''t have time to grieve for patients. Because next, you need to Continue to treat other patients."


    "Faced with death, you can only be a good clinician if you maintain a calm heart."


    Every word in Lu Chen''s words slowly echoed in Wang Defa''s mind.


    "You don''t have to think so much now. With the growth of clinical experience, you will understand this matter eventually."


    "Well, thank you brother." Wang Defa said solemnly, "Thank you for telling me these things today."


    Lu Chen nodded slightly, took another piece of meat in his mouth, chewed it a few times, and swallowed it.


    "But, Junior Brother, don''t forget that although our hearts are peaceful, the blood flowing inside is hot!"


    (end of this chapter)

 v2 Chapter 451： sensible choice

    Chapter 451 Rational Choice


    For Lu Chen, this is just a small episode of his clinical career.


    But for Wang Defa, this may be a turning point in his clinical career.


    Every doctor grows up slowly from the choice between life and death.


    ¡­


    After eating, the two of them went back to their bedrooms.


    Lu Chen temporarily put down the task of bidding for the national nature and picked up the tutoring book for the practicing physician skills examination.


    Obtaining a medical license is the first step to becoming a real doctor.


    Although Lu Chen is full of confidence, he still needs to be fully prepared.


    was speechless all night.


    ¡­


    The next day.


    Early in the morning, Lu Chen arrived at the patient''s daughter-in-law as soon as he arrived at the first ward of the Department of Respiratory Medicine.


    She was standing in the corner of the corridor, leaning against the wall.


    In front of her stood a dusty middle-aged man with red eyes and fluffy hair.


    Lu Chen passed by the two of them and heard the quarrel between them.


    "My mother was hospitalized before, and the doctor suggested a checkup, why didn''t you bring it to do it!" The man''s voice was extremely angry.


    The woman was not to be outdone. She stared at her husband and said, "Why don''t I take her there? She refused to go, saying she was cured and determined not to go!"


    "What does she know as an old man, haven''t the doctor communicated with you?" The man suppressed his anger, "I read the medical records of the previous hospitalization, and the doctor clearly wrote a recommendation for endoscopic surgery! Can''t you see it? what?!"


    The woman was suddenly at a loss for words, and after averting her eyes, she stopped talking.


    "You talk!" The man blushed and stared at his wife.


    At this time, the woman finally moved her mouth, "I remember, I told you about your mother''s illness. You didn''t go for a re-examination, and you didn''t say anything..."


    "How did I know it was such a serious illness!" The blue veins on the man''s forehead were exposed, "If I read this medical record..."


    Before he could finish speaking, the woman interrupted him.


    "Don''t talk about whether these are useful or not, let''s talk about what to do next. Your mother lives in the ICU, and she needs at least seven or eight thousand, or even tens of thousands a day... In our family, in addition to the mortgage, our two children have to go to school. "


    Hearing the woman say this, the man has no voice. He lowered his head, his face full of pain and sadness.


    ¡­


    "Alas." Lu Chen sighed and quietly walked past the two of them.


    Often, a sudden illness can destroy a family.


    As a doctor, Lu Chen sees such scenes a lot.


    There is nothing he can do about this, he can only do his best to treat every patient.


    Came to the doctor''s office, Fan Yujing had already arrived.


    "The patient was transferred to the ICU yesterday."


    Lu Chen nodded: "I see."


    "However, it may be transferred back to the ward today." Fan Yujing said again.


    Lu Chen was stunned for a moment, and asked, "So soon?"


    "The patient''s family just came to find me, saying that the ICU fee is too expensive and they can''t hold on anymore." Fan Yujing shook her head slightly.


    "But transferred back to the general ward, isn''t this..."


    Lu Chen didn''t finish the next two words, that is waiting to die.


    In other words, it may not be possible to wait for the transfer back to the general ward. As long as the ventilator is removed, the person may be gone.


    "We can''t control this." Fan Yujing said, "But as long as the patient breathes, we have to cure it."


    Lu Chen nodded slightly, but he knew that this was basically a sentence of death.


    Wang Defa soon came to the department.


    His condition is obviously much better than last night.


    "Morning, let''s go to the room together." Lu Chen said to Wang De.


    "OK."


    Time for ward rounds.


    Lu Chen and Wang Defa followed behind Fan Yujing.


    After the ward round yesterday morning, Lu Chen came to the department ahead of schedule today to familiarize himself with the auxiliary examination materials of all the patients.


    "How is the chest CT result of this patient?"


    "Double pneumonia."


    "What about the white blood cell results?"


    "Fifteen thousand."


    "What medicines were used in front of you?"


    "Antibiotic piperacillin and sulbactam sodium, as well as mucosolvan, an expectorant, and doxofylline for asthma."


    ¡­


    No matter what you ask, Lu Chen can answer them fluently.


    Fan Yujing raised her brows, this student is really interesting!


    worthy of being the cardiologist evildoer in everyone''s mouth.


    Lu Chen could also clearly feel that Fan Yujing''s attitude towards him was slightly softened.


    Find the room.


    Lu Chen said to Fan Yujing, "Mr. Fan, I may have to take a leave tomorrow."


    "About the day after coming to the department?" Fan Yujing frowned.


    "It''s the Cardiology Department, there''s an interventional surgery..."


    "Interventional surgery, why are you going to join in the fun?" Fan Yujing said, "Isn''t there a patient for bronchoscopy tomorrow? Follow me and learn."


    Lu Chen smiled helplessly. To be honest, he still really wanted to learn bronchoscopy.


    However, tomorrow he has to complete the ICD operation for that cardiology patient.


    "Teacher, tomorrow... I will be the first assistant in cardiac surgery."


    As soon as the voice fell, Fan Yujing was stunned.


    "What, are you the first assistant?"


    "Yeah." Lu Chen smiled and nodded.


    Seeing Lu Chen''s answer, Fan Yujing was still in shock.


    She is also very familiar with the operation of the Cardiology Department. Is a student to be the first assistant?


    Is Lu Chen lying?


    Or is Cardiology too hasty?


    She knew Lu Chen''s identity, but she had never heard of Lu Chen''s intervention in the operation.


    However, Fan Yujing had no objection. "You should tell the secretary of respiratory science and education about asking for leave. If she agrees, I have no objection."


    "Okay, thank you Teacher Fan."


    After work at noon, Lu Chen found the teaching secretary of the Department of Respiratory Medicine.


    She and Li Yao knew each other. After Lu Chen explained his reasons, he passed the leave without a hitch.


    ¡­


    afternoon.


    Lu Chen has been waiting for the ICU patient to be transferred back to the ward.


    But after waiting for a long time, there was no news and no patient was seen.


    "Lu Chen, don''t wait."


    I don''t know when, Fan Yujing came to the doctor''s office.


    "The ICU doctor has called me, and the patient was taken home by his family."


    was pulled home, which meant giving up treatment.


    Lu Chen nodded slightly and remained silent.


    For a patient with advanced tumor and metastases, even if they are rescued, the survival period is not long.


    This choice may be the most rational choice.


    However, it also contains extreme helplessness and despair.


    Wang Defa also knew the news at the first time.


    His expression was a little lonely. Seeing this, Lu Chen patted his shoulder comfortingly.


    "Junior brother, cheer up, there are several patients waiting for us to see." Lu Chen said.


    "Yes." Wang Defa replied softly, showing a very reluctant smile, and then went to the ward with Lu Chen to treat the patient.


    ¡­


    The third day of returning to the clinic.


    Lu Chen did not go to the department of respiratory medicine, but came to the intervention room of the department of cardiology.


    Today, he is going to complete his first ICD implantation operation at the Second Hospital of Jinghua.


    The monthly pass owes three shifts, and the reward owes ten shifts.


    13 more owed.


    (end of this chapter)

 v2 Chapter 452： Lu Zhengrong

    Chapter 452 Lu Zhengrong


    Cardiac catheterization laboratory.


    Lu Chen got special lead and surgical gowns.


    Look at the back of the clothes, which has your name printed on it.


    This was specially prepared by Li Yao for the catheterization lab, and Lu Chen felt a hint of warmth in his heart.


    In the catheterization room, you can have a special lead coat, which is at least the level of the main surgeon.


    Others are basically mixed.


    ¡­


    Cheng Guowen also went to the catheterization lab today.


    He usually reads the literature in his office. Except for some difficult operations, he seldom comes to the catheterization room.


    Today''s ICD implantation surgery is a very common electrophysiological surgery, but the surgeon is not an ordinary person.


    is a sophomore student.


    This has never happened to the entire Jinghua Second Hospital.


    They have heard that Lu Chen''s electrophysiological surgery is very skilled, but they only stop at "heard".


    The last live broadcast of the surgery was not watched by many people, so everyone''s understanding of Lu Chen''s surgical ability was still at the level of "anecdote".


    In addition to Cheng Guowen, another doctor also arrived, that is Lei Cui from the first ward of the Cardiology Department.


    She once participated in the electrophysiology competition with Lu Chen, but was eliminated in the end.


    ¡­


    nine in the morning.


    Sun Guoguo and the nurse in the ward pushed the bed and came to the catheterization room.


    and Sun Guoguo came down together with other doctors from the Cardiology Department.


    They all came to observe Lu Chen''s operation.


    "The operation has begun." Li Yao said softly.


    Then, Lu Chen followed Li Yao into the operating room.


    ¡­


    At this time, the catheter room was crowded with people.


    As long as there is no surgery doctor, they all come to watch.


    "He is Lu Chen? He looks so young!"


    "I heard that he participated in the electrophysiology surgery class and got a certificate of completion, is it true?"


    "You haven''t been paying attention to the news in the field of electrophysiology recently? There was the world''s first percutaneous hepatic vein puncture implantation in Kyoto, and Lu Chen was the first assistant!"


    There was a lot of discussion, and those doctors who didn''t know Lu Chen very well were also quite surprised at this time.


    It is the first time they have seen such a young interventional doctor.


    In the end, whether it is to gain fame and reputation, or to have real talent and real learning, we will find out today.


    "Don''t be nervous, the surgery will be fine soon." Lu Chen whispered to the patient on the hospital bed.


    The patient is a young woman who just gave birth to a child and walked around the gate of hell.


    At this time, she also had to take a closer look.


    "Doctor Lu, don''t worry, I believe in you." The patient smiled.


    "Well."


    Lu Chen nodded slightly, and then began to carry out routine operations such as disinfection and towels.


    ¡­


    Conduit outdoor.


    "Well, the basic skills of Lu Chen''s surgery are still relatively solid."


    "This operation of disinfection and draping is very standard. I can''t pick out any mistakes anyway."


    "It''s all a small case, the next thing is the main event!"


    Everyone''s eyes were the same, staring at the movements in Lu Chen''s hands.


    ¡­


    "Teacher, I started to puncture." After the anesthesia, Lu Chen said to Li Yao who was beside him.


    "Yes." Li Yao nodded slightly.


    Lu Chen held his breath, concentrated his attention, held the puncture needle, and began to pierce the skin.


    The puncture needle in his hand, as if the locator was turned on, directly found the blood vessel.


    The ?? needle is inserted into the blood vessel, the catheter is replaced, and the guide wire is inserted.


    This series of actions flows smoothly.


    Conduit outdoor.


    Everyone was stunned, this speed, this technique, doesn''t look like a novice at all, but a seasoned practitioner!


    In the field, more than half of the people asked themselves that there is no such method as Lu Chen.


    Next, ICD localization, threshold determination and localization.


    Lu Chen didn''t hesitate or stop at all.


    Li Yao, who was standing beside him, looked at it from such a close distance, and couldn''t find any faults at all.


    In just 20 minutes, Lu Chen completed the operation.


    "Teacher, it''s over."


    As Lu Chen took off his gloves, everyone outside the catheter room was shocked, this is the end?


    From the beginning to the end of the operation, it only takes twenty minutes.


    This student is amazing!


    In the catheter room, Li Yao showed a relieved smile on her face.


    When everyone saw Li Yao, their hearts were full of envy.


    It is a blessing to be a teacher to have such students!


    "The operation is over?"


    On the operating table, the patient asked in surprise.


    "Yes." Lu Chen smiled, "The position of the ICD is very good, and the operation was quite successful."


    "Thank you, Dr. Lu." The patient finally breathed a sigh of relief.


    This is too fast. She originally thought it would take two or three hours, but she did not expect that the operation would be over in just half an hour.


    ¡­


    Cheng Guowen stood outside the catheter room and watched Lu Chen''s entire operation.


    From the calm at the beginning to the consternation at the end, the expression on Cheng Guowen''s face was very wonderful.


    Lu Chen once studied in his simulated surgery room.


    He knew Lu Chen''s background.


    A year ago, Lu Chen couldn''t even get the guide wire into the blood vessel.


    One year later, he has been able to complete electrophysiological surgery independently!


    At present, although Lu Chen is already very skilled in surgery, Cheng Guowen values ??his potential more.


    If there are no accidents, Lu Chen''s future will definitely surpass them.


    And Lei Cui, who had been standing beside Cheng Guowen, watched Lu Chen''s entire operation, her face was blue and she was silent.


    She asked herself, can she reach Lu Chen''s level?


    The answer is no!


    She couldn''t help but feel a sense of powerlessness in her heart, he was still just a student!


    Lu Chen is also the first time he has made a big appearance in front of everyone in the Jinghua Second Hospital.


    ¡­


    Patient access in the operating room.


    Lu Chen and the nurse pushed the hospital bed here.


    "Is Li Lanfang''s family here?"


    As soon as the voice fell, four or five middle-aged men and women poured in at the door of the surgery.


    was headed by the patient''s husband, who said loudly, "Doctor Lu, I''m here!"


    Lu Chen smiled and said, "The operation is over. It was a success. I will observe it for a while and then push it back to the ward."


    A smile finally appeared on the man''s face, "Thank you, thank you! Thank you Dr. Lu!"


    Thank you three times in a row, showing the ecstasy in his heart.


    At this time, Lu Chen also received a system prompt.


    "Congratulations, +1 for the thank you from Li Lanfang!"


    "Congratulations, +1 for the thank you from Lei Ming!"


    ¡°¡­¡±


    Although the value of gratitude is not much, it is better than nothing.


    Then, Lu Chen and the nurse pushed the hospital bed to the observation room.


    ¡­


    "Teacher, then I''ll go back to the respiratory department first." Lu Chen took off his surgical gown and put on a white coat.


    "In such a hurry? Don''t wait any longer?" Li Yao smiled.


    "Teacher, the Respiratory Department is also busy." Lu Chen smiled, "It''s been cold recently. There are more patients in the Respiratory Department than in our Cardiology Department. I''m afraid there won''t be enough time there."


    Li Yao nodded and said, "Okay, then you can go. After that, there is a suitable patient in the department, and I will let Guoguo inform you."


    "Well, thank you teacher."


    Lu Chen greeted Sun Guoguo, Cheng Guowen and others, and then left the Cardiology Catheterization Room.


    (end of this chapter)

 v2 Chapter 453： intraoperative accident

    Chapter 453 Accidents in Surgery


    When Lu Chen returned to the first ward of the Department of Respiratory Medicine, it was not yet ten o''clock in the morning.


    Seeing Lu Chen coming back, Fan Yujing was also slightly taken aback.


    "Lu Chen, didn''t you go to the Cardiology Department''s catheterization room for surgery today? Didn''t you do it?"


    "Mr. Fan, I''m done." Lu Chen smiled.


    Fan Yujing looked up at the clock on the wall, it was only ten o''clock, "Are you so fast? What kind of surgery?"


    "Electrophysiological surgery, ICD puncture implantation." Lu Chen said softly.


    Fan Yujing heard the words, and her eyes showed a hint of doubt.


    She is also very knowledgeable about cardiology surgery. Can ICD surgery be done so quickly?


    impossible!


    She glanced at Lu Chen suspiciously again, could he be lying?


    Lu Chen naturally didn''t know what Fan Yujing was thinking. He asked, "Teacher, when will your bronchoscopy begin?"


    "About half past ten." Fan Yujing said, "There is still half an hour."


    "Can I go take a look?" Lu Chen asked.


    "You can go as long as you have written all the illnesses for today." Fan Yujing frowned.


    "Okay!" Lu Chen immediately turned on the computer and started writing the course of the disease.


    Fan Yujing glanced at Lu Chen and ignored it.


    She was still suspicious that Lu Chen went to the cardiologist for surgery, just under the guise of asking for leave.


    ¡­


    10:30.


    Lu Chen typed the last word on the computer.


    "Phew! I''ve finally finished writing!" A smile appeared at the corner of Lu Chen''s mouth, and he was ready to observe the interventional bronchoscopy.


    The endobronchial operating room at this time.


    Fan Yujing is communicating the risk of interventional surgery to the patient again.


    "Auntie, are you aware of these risks? It may lead to bleeding, infection, and even shock."


    "Don''t worry, I get it." The patient nodded slightly, "Your Doctor Lu, has told me many times, and I have listened to it four or five times, and my ears are all cocooned!"


    "That''s fine." Fan Yujing said.


    Doctors should not be afraid of trouble, especially when communicating with patients.


    More communication is an important way to guarantee yourself.


    At this time, Lu Chen quietly pushed the door and entered.


    Fan Yujing looked back.


    "Did you finish writing the course record?"


    "Well, I''m done." Lu Chen nodded and walked to Fan Yujing''s side.


    During his internship, Lu Chen had seen fiberoptic bronchoscopy.


    But at the time, he was just ignorant. No matter how many operations he watched, he couldn¡¯t see why.


    However, Lu Chen has always been interested in this kind of interventional surgery.


    Taking advantage of today''s opportunity, he has to observe and learn.


    "Lu Chen, you''re going to fight by the side, get me a bottle of anesthesia first."


    "it is good."


    This fiberoptic bronchoscope is different from the electrophysiological interventional surgery just now.


    Lu Chen was the first assistant in the operation just now, and he almost completed the entire operation alone.


    And now, he has become a little valet handing things.


    The role has changed so much that Lu Chen couldn''t help shaking his head slightly.


    ¡­


    At this time, Fan Yujing had finished the preoperative anesthesia preparation and started the operation.


    The patient lies supine, Fan Yujing stands on the patient''s head, holds the control part of the mirror body with his left hand, and controls the adjustment button with his thumb.


    With the right hand, the lens is sent into the nasal cavity to the larynx or through the perforated tooth pad of the oral cavity, along the posterior pharyngeal wall to the larynx.


    "Generally, when the depth of the lens is about 15cm, the epiglottis can be seen. If the epiglottis cannot be seen, do not blindly insert it forward, otherwise it will be easily inserted into the esophagus by mistake."


    Fan Yujing said to Lu Chen while doing it.


    "Yes." Lu Chen nodded, watching Fan Yujing''s operations carefully.


    At this time, Fan Yujing said to the patient again: "Take a calm breath."


    The patient obeyed Fan Yujing''s words and took a calm breath.


    And while the glottis opened, Fan Yujing quickly inserted the mirror end into the trachea from the back of the glottis.


    "Add a small amount of anesthetic!" Fan Yujing said solemnly


    "Received." Lu Chen immediately understood and added a small amount of medicine into his trachea.


    Fan Yujing adjusted the distal end of the scope to the natural beauty, aiming at the tube, and checked the shape of the trachea, mucosal color, activity, etc. from top to bottom.


    Of course, the most important thing is to pay attention to the "stenosis" of the patient!


    On the chest CT, Lu Chen and Fan Yujing both saw a very small stenosis at the opening of the bronchus.


    As Fan Yujing continued to go deeper, Lu Chen stood aside, looking at the operation screen, staring at it without blinking, for fear of missing any screen.


    At this moment, Fan Yujing made a sound.


    "found it!"


    Lu Chen hurriedly looked at it, and sure enough, there was an oval-shaped foreign object within his field of vision!


    Its color and size are completely inconsistent with the surrounding bronchial tissue.


    Is this "foreign body" that causes the patient to keep coughing and expectorating sputum?


    Airway foreign bodies, common in the elderly and children.


    Loose teeth in elderly patients may fall into the airway during sleep at night, eating too fast or laughing while eating can also cause food to choke into the airway.


    Children are highly curious and inhale foreign objects into the airway... This is related to the insufficiency of laryngeal protection and weak cough reflex in the elderly and children.


    At this point, Fan Yujing began to try to take it out.


    Immediately, she frowned: "It''s not easy to take it out, the foreign body and bronchial tissue are wrapped in granulation tissue!"


    A large foreign body in the airway can cause acute airway obstruction, which is life-threatening. In children, foreign bodies in the airway are the leading cause of death from asphyxiation in children.


    Small airway foreign bodies can irritate the tracheal wall and cause coughing, wheezing discomfort, and secondary infection can lead to fever and difficulty breathing.


    The edges of the airway are not only neat, but sharp foreign bodies in the airway can also lead to the puncture of the capillaries of the tracheal mucosa or the surrounding large blood vessels, causing hemoptysis!


    Fan Yujing was quite nervous.


    I thought it was just a small foreign object, just take it out.


    I didn''t expect the foreign body to stay in the bronchus for a long time, and granulation tissue has grown. It is not easy to remove it smoothly.


    "I will use electrodes to cauterize this piece of tissue before the foreign body can be removed!" Fan Yujing said.


    Lu Chen understood, put on gloves, and helped Fan Yujing get the electrodes.


    ¡­


    on the surgery screen.


    Lu Chen saw Fan Yujing''s electrodes deep inside.


    After the electrode is energized, it is in close contact with the bronchial tissue, and the tissue is cauterized.


    As the electrocautery continued, the "foreign body" was obviously loosened.


    Fan Yujing''s face was overjoyed, it worked!


    As long as the foreign body in the patient''s bronchi is removed, her persistent coughing and coughing symptoms should be resolved.


    "Lu Chen, look good." Fan Yujing slowly took out the "foreign object" and prepared to remove the electrode.


    But at this moment, Lu Chen felt a bright red blood appear in the field of vision of the surgery screen!


    In an instant, this smear of blood infected the entire surgical area.


    "Bleeding!" Lu Chen was shocked, "And it''s bleeding!"


    The smile on Fan Yujing''s face has disappeared.


    (end of this chapter)

 ~： happy New Year!

    happy New Year!


    Brothers and sisters, happy new year!


    Wishing everyone a healthy new year!


    Health +100!


    Thanks +100!


    ¡­


    This week''s review is over, and updates and supplements will begin.


    Try to go to bed early, and now sleep after 12 o''clock every day.


    Goodnight everybody!


    (end of this chapter)

 v2 Chapter 454： unexpected thank you

    Chapter 454 Unexpected gratitude


    In the operating room, Fan Yujing''s hands trembled slightly.


    Hemorrhage in endoscopic interventional surgery is one of the most serious complications!


    Rao is Fan Yujing with rich surgical and clinical experience, and has rarely encountered such cases before!


    However, she immediately stabilized her mind and tried to keep the bronchoscope as fast as possible at the bleeding site to keep the airway open.


    Smooth.


    At this time, the bronchoscope should never be pulled out.


    Because of heavy bleeding, it is not the most deadly!


    Bleeding leads to blockage of the airway, causing suffocation, which is the most deadly!


    ¡­


    In Lu Chen''s eyes, the patient''s life value continued to decline, and it was a trend of three minus signs!


    He has already started to move the patient from supine to side.


    This position can ensure ventilation of the unaffected lung and avoid suffocation.


    Fan Yujing''s face was full of dignified colors. She held the bronchoscope in both hands, constantly attracting blood, trying to keep the airway open.


    However, it is not enough to just **** out the blood without solving the underlying problem!


    Excessive bleeding can lead to body shock and life-threatening!


    "Lu Chen, ask the nurse to get vasopressin, and then notify Director Wu! Please consult the Department of Thoracic Surgery and ICU again!" Fan Yujing immediately issued a doctor''s order.


    At this moment, Lu Chen moved!


    He first ran out of the operating room, notified the nurse, and immediately returned to the operating room.


    At this moment, Fan Yujing was sweating profusely.


    She concentrated, holding the bronchoscope while aspirating blood, while trying to stop the bleeding.


    But, no matter how she tried, it all seemed to be in vain.


    The blood oozing out of the surgery area seems to have never been reduced.


    ¡­


    At this time, Lu Chen''s expression froze, and he looked around the operation room.


    Beside the operating table, there is a first aid kit.


    He immediately opened the rescue kit and took out a norepinephrine from it.


    In addition, Lu Chen also saw a medical refrigerator in the operating room.


    stepped forward, opened the refrigerator, and took out ice brine (-2¡æ~-4¡æ brine).


    Fan Yujing also noticed Lu Chen''s movements, and a hint of surprise and surprise flashed in her eyes.


    "Lu Chen, will you mix ice water and norepinephrine?"


    Lu Chen nodded slightly, his hands were not slow at all.


    He got the ice brine, about 100ml, and added 4g of norepinephrine to it.


    Ice saline reduces the temperature of the gastric mucosa, and norepinephrine has a strong vasoconstrictive effect.


    The combination of the two makes the gastric mucosa vasoconstriction and reduces blood flow to achieve the purpose of hemostasis.


    Soon, Lu Chen prepared the liquid.


    He took the syringe and came to Fan Yujing.


    Fan Yujing immediately understood, took the syringe, and injected the mixture of ice saline and norepinephrine through the hole of the bronchoscope!


    "Let the patient change the lateral position!" Fan Yujing reminded.


    By changing the position, the fluid and the mucosa of the bronchial bleeding can be mixed well.


    Lu Chen nodded slightly and helped the patient to change the side lying position.


    ¡­


    At this time, a nurse rushed in with an ECG monitor in his hand.


    Walking into the house, she immediately connected the ECG monitor to the patient, measured the patient''s blood pressure, and opened the venous channel.


    Lu Chen didn''t sit still.


    He closely monitored the changes of the patient''s consciousness, respiration, heart rate and blood pressure, and paid attention to whether the patient had suffocation symptoms such as cyanosis, restlessness, and profuse sweating.


    Once these situations occur, Lu Chen is ready to intubate the trachea immediately.


    ¡­


    Time passed by minute by minute.


    Lu Chen and Fan Yujing stared at the console screen.


    Once the medical treatment of ice saline is ineffective, then surgery may be necessary!


    This is a great trauma to the patient!


    The bronchial mucosa was continuously flushed with ice saline, and then Fan Yujing pulled it out and injected fresh ice saline.


    Repeatedly, the blood in the operation area was reduced visible to the naked eye.


    "Observe for another half an hour!"


    Although the bleeding stopped, Fan Yujing didn''t dare to be careless at this time.


    Once the bleeding operation area does not completely stop the bleeding, the previous situation may have to be repeated.


    At this time, Lu Chen looked at the health on the patient''s head.


    The trend of three minus signs has slowly turned into a minus sign at some point.


    The constantly declining health value finally stopped the downward trend.


    Lu Chen breathed a sigh of relief.


    ¡­


    After half an hour.


    After close observation, the patient''s condition became stable.


    There is no more bleeding in the operation area, blood pressure is stable, and the foreign body in the bronchus has been removed.


    Iced saline and norepinephrine have also been discontinued.


    This medicine should not be used too much, otherwise it will backfire, causing damage to the bronchial mucosa and gastric mucosa, resulting in bleeding.


    ¡­


    For Fan Yujing, this accident is one of the few bleeding complications she has encountered since she was an interventional doctor for bronchoscopy.


    Before the operation, Fan Yujing never thought that this patient would have such a serious complication.


    In general, intratracheal tumors, metal foreign bodies, etc., cause massive hemorrhages are more common.


    Like this patient''s case, the risk of bleeding is extremely low!


    is basically negligible!


    "Too dangerous!" Fan Yujing glanced at Lu Chen with lingering fears.


    After this accident, she began to re-examine the student in her group.


    It turned out that the "anecdote" was true, and Lu Chen''s fearlessness in the face of danger left a deep impression on her.


    Calm, calm, the key is his solid basic skills.


    If it wasn''t for Lu Chen''s cooperation, this accident might not have been so easy to survive!


    ¡­


    After dealing with the patient, the next step is how to communicate with the patient''s family.


    Surgical accidents are sometimes unavoidable.


    No matter how skilled the artist is, unexpected things will always happen.


    What doctors can do is to fully explain the risks to patients and their families before surgery.


    Do everything possible to avoid risks during the operation.


    Strict monitoring after surgery to avoid complications!


    ¡­


    Fortunately, Lu Chen had communicated with patients and their families many times before surgery.


    The risk of surgical bleeding was also recorded in the medical record.


    Fan Yujing also communicated again before the operation, and the patient and family members can understand this.


    However, Fan Yujing knew very well that this time it was because she and Lu Chen dealt with it in time.


    Once, the bronchial bleeding does not stop, or it is converted to surgery.


    At that time, it is unknown what the attitude of the patients and their families will be.


    "Congratulations, get +5 thanks from Fan Yujing!"


    surprises Lu Chen, but it seems reasonable that the patient and family members did not give him any gratitude.


    On the contrary, Fan Yujing, the teacher who has always been indifferent to him, gave him 5 points of thanks!


    (end of this chapter)

 v2 Chapter 455： Willing to be ordinary

    Chapter 455 Willing to be ordinary


    A ward of the Department of Respiratory Medicine.


    When Lu Chen looked at Fan Yujing, the latter''s attitude was still a little cold.


    But compared to the first day we met, it was much better.


    At this time, Fan Yujing thought of the interventional cardiology surgery that Lu Chen mentioned in the morning.


    Didn''t he lie, in just one hour, he really completed an electrophysiological operation?


    ¡­


    This accident changed Lu Chen''s image in Fan Yujing''s heart a lot.


    Fan Yujing also reported the incident to the director of the Department of Respiratory Medicine, so the rest of the department also knew about the "accident".


    While they were still terrified, they all sighed at Lu Chen''s calmness.


    In the Department of Respiratory Medicine, many interns and trainees knew Lu Chen''s identity.


    So, in private, everyone began to discuss Lu Chen.


    Wang Defa, an intern in Lu Chen''s group, also heard the discussion, and he was shocked.


    "Ah? It turns out that Senior Brother Lu is so powerful? He actually won the championship of the clinical skills competition?"


    I didn''t expect that Lu Chen, who was so low-key on weekdays, would actually be a man of influence in the Jinghua Second Hospital...


    Wang Defa was a little fortunate in his heart that he had embraced such a "thigh" unknowingly!


    ¡­


    And Lu Chen also found that the people in the department recently looked at him a little strangely.


    In particular, Junior Brother Wang Defa is always beside him.


    This is not very good!


    Two big men stay together every day, it''s bad for the reputation to spread out!


    Lu Chen thought about it, could it be that he was too good to Junior Brother Wang Defa before?


    Invited him to dinner in the middle of the night, made him misunderstand?


    "Brother, can you tell me more about the pathophysiology of this COPD?"


    No, Wang Defa came over again.


    Lu Chen was a little overwhelmed, he said a few words, and then immediately said: "Junior brother, these contents are all in the book. You can familiarize yourself with the internal medicine book a few times..."


    "Oh, good." Wang Defa nodded.


    "Congratulations, +1 for the thank you from Wang Defa!"


    The only thing that Lu Chen is happy about is that Wang Defa will give him a few points of thanks every day.


    At this point, Lu Chen was quite pleased.


    ¡­


    After get off work, Lu Chen went back to his dormitory to review the skills exam for practicing physicians.


    In the blink of an eye, it was time for the practical skills exam.


    Early in the morning, Lu Chen and Wang Zihao went out together.


    In fact, the four people in their dormitory are all in the same exam room, but the exam time is different.


    Lu Chen and Wang Zihao have the same exam time, and the other two roommates have the same exam time.


    On the way to the examination room.


    "Lu Chen, how is your review?" Wang Zihao asked.


    "It''s okay." Lu Chen smiled.


    He is the truth.


    The ?? skill test is nothing more than some basic operations of internal medicine and surgery and the collection of medical history.


    For these exams, Lu Chen came at his fingertips.


    Although he only reviewed for less than a week, it was enough.


    came to the examination room.


    Lu Chen was a little surprised.


    Because among the candidates, he met many uncles and aunts who looked at their forties and fifties.


    Among them was a gray-haired old man and a pregnant woman with a big belly.


    There is even a foreign friend.


    The white-haired old man seemed to know the examiner, and the two even chatted a few times.


    Then, Lu Chen watched the old man sit among the candidates.


    Actually, the examination for practicing physicians, for graduate students such as Lu Chen, was just a passing scene!


    But there are many grassroots hospitals, community hospitals, and even health clinics in Huaxia. Many doctors are monks.


    For many of them, it is not so easy to pass the medical practitioner examination!


    Many people have taken the exam for decades and may not have been admitted to practicing doctors.


    ¡­


    As the bell rang, Lu Chen began to answer the question.


    The first stop is the collection of medical history and the written test!


    When ?? got the question, Lu Chen was a little stunned.


    It¡¯s not that the topic is so difficult or biased, but that the topic is too easy!


    After more than a year of clinical work and study, Lu Chen''s clinical skills improved rapidly.


    At a glance, the answers to all the questions appear on the paper.


    "It can be considered relaxing." Lu Chen thought.


    After all, the assessments he had gone through before were all elite assessments!


    Whether it is a national medical skills competition or an electrocardiogram competition, it is all about him and a group of top Chinese talents competing.


    Suddenly, Lu Chen felt an indescribable ease and comfort when he came into contact with a medical examination within the normal range.


    ¡­


    After answering the questions, Lu Chen handed in the exam papers ahead of time and walked out of the exam room.


    He should have been the first to turn in the test paper, and most of the others continued to answer.


    The security uncle outside the examination room was a little stunned when he saw Lu Chen leaving.


    It''s less than half an hour before the start of the test, so you''re done?


    "Should I give up?" The security guard looked at Lu Chen with a little regret, "Why don''t you study hard at such a young age, what a pity, what a pity!"


    ¡­


    Lu Chen walked out of the examination room and walked around.


    About half an hour later, Wang Zihao also handed in the scroll.


    The two settled for lunch near the examination room, and then waited for the skill operation assessment in the afternoon.


    "Lu Chen, do you know that the candidate in his 60s cried in the examination room."


    While eating, the prince said with a sigh.


    "What''s going on?" Lu Chen wondered.


    "I don''t know how to do questions." Wang Zihao shook his head slightly, "I''ve been a doctor for most of my life, but I didn''t get a medical license in the end. Maybe I felt sad and cried."


    Hearing this, Lu Chen didn''t know how he felt.


    Many barefoot doctors have contributed to China''s grassroots health care for decades.


    In the past when hygiene and transportation were underdeveloped, many barefoot doctors were the only doctor in a village.


    They do most of the sanitation.


    But it is undeniable that most of them are not medically literate, or they rely on "earth methods" or their own experience to practice medicine.


    "Lu Chen, to tell you the truth, sometimes I don''t want to stay in a big hospital." Wang Zihao suddenly said, "I think going to a primary hospital is actually pretty good."


    Lu Chen raised his eyebrows, "Why did you say that all of a sudden?"


    "A big hospital has a lot of responsibilities and busy business. A small hospital has a small burden and is leisurely." Wang Zihao paused and said, "I don''t have any big goals."


    Lu Chen smiled, isn''t what Wang Zihao said about the lives of most ordinary people?


    Not only for doctors, but for most professions.


    Knowing the ordinary and being willing to be ordinary may be much better than struggling to the death in an environment that is not suitable for you.


    Lu Chen suddenly thought that if there was no system, he might also go to a small hospital and become a competent doctor as Wang Zihao said, and just live his ordinary life like this.


    But no if!


    His goal now is to become the best doctor to cure more patients.


    Lu Chen sat in the restaurant, looking at the vast sky outside the window, with infinite pride in his heart.


    (end of this chapter)

 v2 Chapter 456： Accidental ingestion? !

    Chapter 456 Accidental ingestion? !


    The skills exam for a licensed physician, Lu Chen easily completed.


    For him, this exam is just a small episode of clinical work life.


    The next day, Lu Chen returned to clinical work.


    After staying in the first ward of the Department of Respiratory Medicine for a week, he has gradually become familiar with the workflow of the Department of Respiratory Medicine, as well as the diagnosis and treatment of common diseases.


    Fan Yujing''s impression of this student in her group has changed greatly, and her cold temper has gradually changed.


    Moreover, since Lu Chen came, the other interns in the group also started to work hard.


    For example, Wang Defa, who used to clock in every day and mess around, is now actively participating in all clinical work. "Senior brother, do you think it''s better for me to study for a master''s degree or a master''s degree?" Wang Defa moved a chair and sat beside Lu Chen.


    For current medical students, a postgraduate degree is just a stepping stone.


    The tertiary hospitals with slightly higher grades all require a postgraduate degree.


    And medical graduate students are different from other majors.


    Lu Chen finished writing the disease course record at hand, and smiled: "It depends on your personal interests. If you like clinical practice, then choose a master''s degree; if you like scientific research and experiments, then choose a master''s degree."


    "In addition, it is easier to study for a Ph.D. than a master''s degree."


    "Finally, the master''s degree and the master''s degree should be divided into regions. The more economically developed and medically developed provinces are, the more important they are to the master''s degree. For example, in Modu, more than half of the medical students chose the master''s degree."


    As a "come here", Lu Chen imparted all his experience.


    In fact, both the master''s degree and the master''s degree are all aimed at solving the suffering of human diseases, and achieve the same goal in different ways.


    Which path to choose depends on the individual''s choice.


    "Thank you, Senior Brother." Wang De heard the words, looking like he was thinking.


    For most graduates, they may not know the difference between a master''s degree and a master''s degree.


    Many people choose to study for a master¡¯s degree or a post-graduate degree because they follow the trend and are influenced by their senior brothers and sisters.


    However, now that Wang Defa has Lu Chen''s help, he can follow his heart and choose the future path.


    ¡­


    Ten o''clock in the morning.


    The nurse walked to the doctor''s office, and finally a new patient came to the group.


    Intern Wang De found that he was very proactive, so he didn''t need Lu Chen to remind him.


    As long as there is a new patient, he will go directly behind Lu Chen and go to the ward to help Lu Chen treat the patient.


    ¡­


    Lu Chen walked into the ward, followed by Wang Defa.


    This is a young woman of about thirty years old. She has a beautiful face, but her expression is melancholy, and there seems to be an indescribable pain between her brows.


    Next to her was a man in his thirties who seemed to be her husband.


    "Are you a patient?" Lu Chen took out the hospitalization certificate, which recorded the patient''s brief information. Yuan Wenya, female, 29 years old.


    "Yes." Yuan Wenya nodded slightly.


    "Is there any discomfort in this hospitalization?" Lu Chen asked aloud.


    On the surface, the female patient has no external abnormalities.


    The health value on her head is 68, and the change trend is a minus sign.


    "I have been coughing and expectorating phlegm recently." Yuan Wenya said softly.


    "Cough, expectoration?" Lu Chen frowned, "Are you catching a cold?"


    "No." Yuan Wenya shook her head slightly, "It just appeared suddenly, without any signs, by the way, sometimes there is a fever and even coughing up sticky phlegm."


    "Fever?" Lu Chen raised his brows, the patient said so many symptoms, it sounded like an ordinary pneumonia.


    The only suspicious thing is that there are no signs!


    A person, so short, how could he get "pneumonia"?


    "Actually, I went to several hospitals to see and filmed." Yuan Wenya sighed.


    As soon as she finished speaking, the man on the side took out the medical records of the other hospital, including two chest CT images.


    "What did the doctor in the outer hospital say?" Lu Chen took the medical record in one hand and started to check it.


    "Oh, all the doctors said it was pneumonia." Yuan Wenya said softly, "But after half a month of antibiotics, there was no effect! Later, it was suspected to be tuberculosis, and I took anti-tuberculosis drugs for a long time, but it was useless!"


    Lu Chen''s heart tensed, this kind of patient is here again!


    The old lady before was suspected of bronchial asthma, and there was no effect after symptomatic treatment.


    Lu Chen looked at the patient''s examination results in the other hospital, and there were no abnormalities in hematology, biochemistry, and radiology.


    In addition, several tests related to tuberculosis were done, and the results were all negative.


    However, because of the scan skill card, when Lu Chen picked up the chest CT scan, he saw the problem at a glance.


    "Have you eaten anything by mistake recently?" Lu Chen glanced at Yuan Wenya.


    "It''s nothing..." Yuan Wenya thought for a while, then shook her head.


    "This is weird." Lu Chen muttered.


    "Doctor, yes, is there any problem?" Yuan Wenya said quickly.


    Lu Chen picked up this chest CT film and pointed to the position of the upper right lung.


    "See here, there is a shadow."


    "Here, I know." Yuan Wenya nodded slightly, "A doctor from the respiratory department told me before, isn''t it lung inflammation?"


    Lu Chen frowned, put the chest CT film behind the window glass, and continued to check this "negative" film through the sunlight.


    Yuan Wenya was a little surprised when she saw this: "Doctor, this... isn''t this lung inflammation?"


    Lu Chen turned his head and immediately shook his head: "No! I just asked you if you ingested anything by mistake, but I actually wanted to tell you that this shadow area should be a foreign object."


    Upon further inspection, this "shadow" appears to be a rewind-like structure within the bronchus.


    "Yes, but I really didn''t eat anything by mistake!" Yuan Wenya still shook her head.


    Lu Chen was also full of doubts in his heart.


    The patient is not a child and generally does not ingest it by mistake.


    Take a step back, even if you eat by mistake, you will definitely tell the truth.


    "Isn''t this a foreign object?" Lu Chen frowned.


    For a while, he didn''t have the slightest clue.


    ¡­


    About ten minutes passed.


    Lu Chen asked about his medical history in detail again before returning to the doctor''s office.


    "What patient?" Fan Yujing immediately stepped forward and asked.


    "The patient is a twenty-nine-year-old woman. She has been coughing and expectorating sputum. I have been to four hospitals, but I can''t find the cause." Lu Chen took out the CT image of the patient''s chest. Plaque, I think there is something wrong."


    "Really?" Fan Yujing took the chest CT scan from Lu Chen''s hand in confusion and put it on the reader.


    After a while.


    Fan Yujing came back to her senses and looked at Lu Chen aside, "Lu Chen, are you talking about foreign objects?"


    Lu Chen nodded, "This object with a rewinding structure is already a foreign body, but the patient denied the history of accidental ingestion."


    Fan Yujing frowned when she heard the words.


    The diagnosis of both of them contradicted the patient''s medical history.


    (end of this chapter)

 v2 Chapter 457： swallowed TT

    Chapter 457 Swallowed TT


    At this time, Lu Chen suddenly said, "Mr. Fan, is this an indication for bronchoscopy intervention?"


    Whether it is a foreign object or something that the patient "carries" himself.


    Through bronchoscopy, all can be identified one by one.


    More importantly, in addition to diagnosis, bronchoscopy can also be used for treatment.


    For example, foreign bodies can be removed through a bronchoscope.


    "It is true that a bronchoscope can be done." Fan Yujing nodded slightly, and then cast an admiring look at Lu Chen, but this look was fleeting.


    "Teacher, shall I communicate with the patient?" Lu Chen said.


    "No, I''ll go." Fan Yujing shook her head slightly.


    Fan Yujing has attached great importance to this accident since the last "hemorrhage".


    Although there was no flaw in Lu Chen''s communication at that time, Fan Yujing decided to go in person.


    This is also to prevent Lu Chen from being affected by medical entanglements.


    ¡­


    In the ward.


    Yuan Wenya''s face was a little surprised. She came to see a cough, but the hospital doctor actually suggested her to have an interventional bronchoscopy.


    "You, are you right?" Yuan Wenya confirmed again.


    "That''s right!" Fan Yujing said, "If you want to continue the treatment in our hospital, you may need to improve the bronchoscopy operation. If you don''t do this, then our Jinghua Second Hospital will have nothing to do with your disease. ."


    Yuan Wenya immediately lowered her head, the expression on her face was unpredictable.


    She hesitated.


    These days, she is going crazy with the symptoms of coughing and expectoration!


    Symptoms occur intermittently, and thick phlegm is coughed up from time to time, which has seriously affected her daily life.


    "Is the surgery risky?" Yuan Wenya asked again.


    "Yes! As long as it is an operation, there are risks!" Fan Yujing said decisively, "The most common complication of this operation is that it may cause massive bleeding, tracheal perforation, etc..."


    Fan Yujing informed Yuan Wenya of all possible complications.


    "Do? Or not?" Yuan Wenya''s heart was quite tangled.


    But at this moment, Yuan Wenya suddenly felt something strange in her throat!


    "Cough! Cough! Cough!"


    Three consecutive coughs made Yuan Wenya recall the uncomfortable feeling again.


    "Doctor, I will do it! I will do this bronchoscope!"


    ¡­


    Because Yuan Wenya has done a lot of examinations in the outside hospital, all the preoperative examinations are unnecessary.


    That afternoon, Fan Yujing brought Lu Chen to the endoscopy room.


    At this time, the patient Yuan Wenya was already waiting in the operating room accompanied by her husband.


    "Don''t be nervous, the operation will be over soon." Fan Yujing said, "The patient''s family, you go and wait outside."


    The patient''s family nodded and left.


    "Don''t be nervous, the operation will be over in the blink of an eye." Fan Yujing comforted.


    "Okay, okay..." Yuan Wenya was a little nervous, stuffing such a long tube into her mouth...


    People face the unknown, always with a trace of fear.


    ¡­


    After the preparations for the operation were completed and anesthesia was used, Fan Yujing started the operation of the bronchoscope.


    Because of the massive bleeding case last week, Fan Yujing''s operation this time was very gentle and careful.


    When the front end of the bronchus came to the "shadow plate" position, Fan Yujing concentrated all his energy.


    Lu Chen was on the side, staring at the screen of the console.


    Once there is any abnormality, he will remind you at any time!


    ¡­


    Fan Yujing operated the front end of the bronchoscope, approaching the "inverted bag-like item" little by little.


    Each operation is gentle with a hint of courage.


    Finally, the bronchoscope touched the "inverted bag-like structure"!


    The image that appeared on the screen of the console made the expressions on Lu Chen and Fan Yujing a little weird.


    "This...this thing..."


    Lu Chen turned his head slightly and coughed softly to hide his embarrassment.


    Although most of the "inverted bag-like structure" is destroyed, it can still be identified as - Y-sleeve.


    How can this thing be eaten by mistake? !


    Lu Chen made up his mind.


    ¡­


    Fortunately, the patient cannot see the screen, otherwise this embarrassing scene may last for a long time.


    Fan Yujing stabilized his mind and continued the operation.


    found the culprit, the next step is to take this thing out!


    Because of the material, once the Y-shroud is touched with the biopsy forceps, it will be easily torn into pieces during the process.


    However, Fan Yujing has to bite the bullet and take it now!


    If these foreign bodies are not taken out, the symptoms of cough and phlegm of the patient cannot be cured at all!


    The Y-shock itself is unlikely to cause direct lung damage because of its softness, elasticity, and rubber-like stickiness,¡± but blockages can lead to accumulation of secretions and infection.


    However, when the patient is breathing and coughing, some secretions may be removed by slapping the lungs, and the symptoms may be relieved, thus affecting the judgment of medical staff in other hospitals!


    ¡­


    Under Fan Yujing''s methodical operation, most of the foreign bodies were removed, but a small amount of "debris" remained in the patient''s lungs.


    "Okay, it''s done!" Fan Yujing withdrew the bronchoscope, she patted Yuan Wenya''s shoulder, signaling the end of the operation.


    Yuan Wenya sat up slowly, she couldn''t speak yet, but she was gesturing something in her hand.


    Fan Yujing knew what she meant and was probably asking what was in the bronchus.


    So, Fan Yujing pouted towards the treatment panel on the console.


    Most of the "foreign objects" just now were packed into them.


    At the beginning, Yuan Wenya hadn''t seen it clearly, but when she got a closer look and saw the "foreign object", her whole face turned red.


    Then, she seemed a little afraid to look at Lu Chen and Fan Yujing.


    ¡­


    Lu Chen took Yuan Wenya out of the console.


    Her husband immediately greeted her, "How is it? Did the operation go well? What was taken out?"


    Yuan Wenya looked at her husband with resentful eyes, and she felt that her entire face was flushed.


    Lu Chen and Fan Yujing also knew that this was a secret affair between the husband and wife, explained some precautions after the operation, and then left.


    ¡­


    "Wife, why don''t you speak... What exactly did you take out?"


    Yuan Wenya gritted her teeth and looked at the man in front of her, "Avoid the Y!"


    ¡­


    After returning to the office.


    Lu Chen came to the ward again to check Yuan Wenya''s postoperative condition.


    This time, she faltered and said, "I''m sorry, Dr. Lu, I have always felt that avoiding the Y condom has nothing to do with the subsequent cough."


    Lu Chen coughed lightly and said, "Well, it''s good to take it out. There is still a small amount left in the lungs, but it shouldn''t affect it. You can check it regularly afterwards."


    "Well, thank you Dr. Lu."


    Lu Chen glanced at Yuan Wenya, he wanted to ask how this thing was swallowed, but he still held back.


    I might be beaten for asking!


    Cough, real cases can be found.


    All cases are real.


    (end of this chapter)

 v2 Chapter 458： flying knife

    Chapter 458 Flying Knife


    After the bronchoscopy intervention was completed, Yuan Wenya''s symptoms of coughing and expectoration improved significantly.


    Generally, in the case of a foreign body entering by mistake, the symptoms will be relieved quickly when the foreign body is removed.


    However, Fan Yujing also reminded Yuan Wenya again that she needs to come to the hospital to review the chest CT regularly.


    If there are too many residual TT impurities, a second bronchial intervention may be required.


    Lu Chen was quite sighed after treating this patient.


    The longer you stay in the clinic, the more weird things may happen.


    "It''s not the most outrageous." Fan Yujing glanced at Lu Chen, "Have you ever met in the emergency department?"


    Lu Chen was taken aback, "I really didn''t..."


    "Oh." Fan Yujing said, "Then I won''t say it, it''s not suitable for children."


    ¡­


    On Saturday, Li Yao called Lu Chen to the office.


    "Lu Chen, take me to Fengm County tomorrow."


    Lu Chen was slightly taken aback, then went to Feng M again?


    The last time I went to Fengm County was a year ago, when he accompanied Li Yao to a free clinic.


    "Okay." Lu Chen didn''t care, thinking that this time he was still going to the hospital for a free consultation.


    "By the way, how have you prepared the national nature bid?" Li Yao asked again.


    Lu Chen paused and said, "Teacher, I have finished studying the two templates you gave me, and now I am preparing to write it myself, but it is just the beginning, it is not easy."


    "Well, you have to hurry up." Li Yao said, "There are still twenty days before the review."


    Actually, Li Yao didn''t have much confidence in Lu Chen, after all, the time was too short.


    However, if Lu Chen had the chance this year, he would be graduating from the third grade next year, and it would be too late.


    So, now you can only give it a try!


    Lu Chen also knew that the time was short, and it was impossible to finish the bidding document for the country in a short period of time without the help of the system.


    So during this time, he has to work harder to earn gratitude points.


    ¡­


    the next day.


    As soon as it was dawn, Lu Chen got up.


    Today, he and Li Yao are going to the free clinic in Fengm County by car.


    As soon as Lu Chen walked to the gate of the hospital, he saw a commercial vehicle parked next to the outpatient clinic.


    glanced at the license plate, it was the car agreed with Li Yao''s tutor.


    Before getting into the commercial car, the car was pushed away and a young man walked off.


    "Brother Lu! I''m here!"


    From a distance, the man called Lu Chen.


    Lu Chen fixed his eyes and saw that he was an electrophysiological equipment dealer in the Department of Cardiology. His name was Wu Cong, and I heard that he seemed to be a fresh graduate of a medical university.


    During this time, Lu Chen often went to the Cardiology Catheterization Laboratory to study.


    After going back and forth, he and these equipment dealers are all familiar with each other.


    Lu Chen frowned, how could it be him?


    Didn''t you go to the free clinic?


    "You took my teacher to Feng M today?" Lu Chen wondered.


    "That''s right!" Wu Cong smiled, "I took it all before, is there anyone else?"


    Lu Chen was quite puzzled, didn''t he go to the free clinic this time?


    But he didn''t say anything. After getting in the car, he waited for the arrival of Li Yao''s mentor.


    ¡­


    About ten minutes later, Li Yao arrived.


    "Xiao Wu, let''s go." Li Yao said after getting in the car.


    "Okay, Professor Li."


    Wu Cong nodded and started the car immediately.


    "Teacher, are we going to Feng M free clinic this time?" Lu Chen asked tentatively.


    Li Yao shook his head and said with a smile, "No, we''ll go to Fengm County Cardiology Department for surgery."


    Lu Chen was startled, went to the county hospital for surgery?


    Could it be... a flying knife?


    "This time, Fengm County Cardiology Department has three electrophysiological surgeries." Li Yao continued: "The patient asked for a professor to do it, and I brought you with me thinking about it."


    What Lu Chen didn''t expect was that he would have the opportunity to "fly the knife" so soon.


    Listen to what Li Yao''s tutor means, he has a chance to get started!


    No wonder the driver this time is a weapon merchant!


    Some equipments involved in electrophysiology are not available in the Cardiology Department of the county-level hospital.


    So equipment dealers can take this opportunity to make a small profit.


    Throwing knives, this is a behavior allowed at the national level.


    In some lower-level hospitals, for some difficult or unimplemented operations, they will invite professors from higher-level hospitals to come to the local hospital to perform them.


    In this way, high-quality medical resources can be fully utilized, and at the same time, the development of primary medical care can be promoted.


    However, the patient also needs to pay the professor a consultation fee accordingly.


    The entire operation will be reviewed by the Health Bureau and the medical department of the hospital.


    Whether it is surgery or medical intervention, there are many doctors across the country who are flying knives and acupoints.


    ¡­


    The commercial vehicle drove for about an hour and a half, and everyone finally arrived at Fengm County People''s Hospital.


    Yin Chao, director of the Cardiology Department of Feng M County People''s Hospital, came to the gate of the hospital''s inpatient department early to greet him.


    "Professor Li, welcome!"


    Director Yin Chao took Fan Zhiping and walked in front of everyone.


    "Director Yin, you''re welcome." Li Yao smiled, "You don''t have to come out every time."


    "Professor Li, you are an honored guest. I will come to pick you up. That''s right." Yin Chao smiled and greeted the three of them to the intervention room of the hospital.


    A county-level hospital like this does not have a special catheterization room for the Department of Cardiology, and can only use a public intervention room for operations.


    Lu Chen saw Fan Zhiping, and there was a hint of surprise in his eyes.


    It seems that Fan Zhiping has come back from the Jinghua Second Academy.


    "Lu Chen, this time it''s you and Professor Li coming here!" Fan Zhiping walked over to Lu Chen and said softly.


    Lu Chen nodded, "Brother Fan, are you back from your studies?"


    "I came back early." Fan Zhiping smiled, "I have only been studying for half a year, and I went back to the hospital in May in the first half of this year."


    "Yeah." Lu Chen nodded slightly.


    When he and Fan Zhiping were in the eight districts in their hearts, they got along very happily.


    Fan Zhiping would come to accompany him every night shift.


    Letting a deputy chief physician accompany him on the night shift, Lu Chen, as a graduate student, can be regarded as the only one.


    ¡­


    Everyone came to the intervention room and went straight to the topic.


    "Professor Li, there is a tricky operation today." Yin Chao frowned.


    "Show me the patient''s medical records first." Li Yao came to the intervention room and put on lead and surgical gowns.


    "Okay, Professor Li."


    Fan Zhiping took out the patient''s medical record and handed it to Li Yao.


    Li Yao flipped through it, then handed it to Lu Chen, who was beside him, and said to Yin Chao, "Director Yin, prepare a surgical gown and lead gown for this student."


    Yin Chao was stunned for a moment, and then instructed the nurse beside him, "Bring another set of clothes here."


    But he was a little puzzled.


    Could it be that Professor Li Yao wants his students to be her assistants?


    This kind of opportunity for a professor to perform an operation is usually followed by a doctor in Corey as the first assistant in the operation.


    This is a great opportunity to improve your surgical skills!


    However, how does Professor Li Yao let his students be assistants today?


    Then this is a big loss for their Fengm County Cardiology Department!


    Yin Chao planned in his mind that if he would apply to the hospital leader next time, he would ask another professor to come over for surgery.


    (end of this chapter)

 v2 Chapter 459： He is the master knife!

    Chapter 459 He is the main sword!


    Lu Chen got the patient''s medical records, this is a 24-year-old female patient.


    "Lu Chen, this patient is a nurse in our hospital''s orthopaedic department." Fan Zhiping said.


    Lu Chen nodded and continued to read.


    The patient has repeatedly experienced heart palpitations in the past month.


    Especially at night, it was the most serious. After admission, an electrocardiogram was performed, which showed frequent early morning sickness.


    "We did a 24-hour dynamic electrocardiogram for the patient." Fan Zhiping, "it shows that her ventricular tachycardia, in 24 hours, has a total of more than 30,000! And it is a multi-source ventricular tachycardia, occasionally with short burst ventricular tachycardia. attack."


    Lu Chen raised his brows slightly, "So you did radiofrequency ablation for the patient?"


    "Yeah." Fan Zhiping nodded, then sighed, "Our department performed radiofrequency ablation on her, but during the operation, we found that the origin of her abscess was very strange. I ablated her for three hours, and still The origin of VT has not been found..."


    After hearing Fan Zhiping''s description, Lu Chen almost understood the patient''s medical history.


    For patients with such a large number of premature ventricular contractions, which also affects their daily life, they must have attempted ablation surgery.


    What''s more, the patient is not very old, and if he continues to have ventricular tachycardia, in the long run, it may lead to heart failure or even cardiomyopathy.


    And the difficulty of this patient''s operation is to find the "origin point" of VT!


    Lu Chen looked at the patient''s electrocardiogram.


    After studying it carefully for a while, I found out that this electrocardiogram is different.


    "Brother Fan, how did you diagnose this electrocardiogram?" Lu Chen asked.


    Fan Zhiping wondered: "Isn''t this ventricular tachycardia originating from the left ventricular outflow tract?"


    "Nothing else?"


    Fan Zhiping frowned, "It''s gone."


    Lu Chen didn''t say much after hearing this.


    This electrocardiogram is extremely complicated. On the surface, it is indeed just a multi-source frequent ventricular tachycardia, but as long as you look deeper, more origins are still to come!


    ¡­


    At this moment, Li Yao made a sound.


    "Director Yin, prepare for surgery!"


    "Okay." Yin Chao''s face was quite solemn.


    They have done three or four hours of surgery, but they haven''t been able to find the origin.


    Although Professor Li Yao''s electrophysiological skills are superb, Yin Chao still feels that he needs to plan for at least two hours.


    Soon, the patient was pushed into the operating room.


    Li Yao took Lu Chen into the operating room.


    Beside, Yin Chao sighed slightly, Professor Li Yao still let his students be assistants!


    ¡­


    Intervenes indoors.


    Wash hands, disinfection, anesthesia...


    These routine operations are all done by Lu Chen.


    Yin Chao couldn''t help thinking, maybe Lu Chen just performed these ordinary operations, and when it was time for puncture and ablation, he would leave the intervention room.


    But as the operation continued, Yin Chao knew he was wrong.


    After anesthesia, Lu Chen started electrophysiological examinations, including mapping and ablation.


    "This... ah..." Yin Chao is now completely giving up.


    ¡­


    At this time, Lu Chen held the electrophysiological examination catheter in his hand and slowly entered the punctured catheter.


    The 20-year-old young woman had a good vascular condition, so Lu Chen''s puncture operation went very smoothly.


    This stunned everyone involved in the outside.


    This technique and speed should definitely not come from a student!


    This technology, in Fengm County, absolutely cannot find a second person!


    "Fan Zhiping, haven''t you stayed in the eighth district of the Cardiology Department of the Second Jinghua Hospital?" Yin Chao asked subconsciously, "This Doctor Lu Chen, is his electrophysiological intervention ability so strong?"


    Unexpectedly, Fan Zhiping also had a surprised look on his face at this time. He slowly shook his head: "Director, when I was in the eighth area of ??my heart, Dr. Lu Chen hadn''t started to learn electrophysiological intervention..."


    "Ah?" Yin Chao was stunned for a moment, then turned to look at Fan Zhiping, "He, he didn''t know anything before? In this year''s time, his surgical ability has become so strong?"


    "Yes." Fan Zhiping nodded slightly.


    But Yin Chao still thinks it''s a bit incredible. Fan Zhiping must have misremembered. He doesn''t think that someone can improve the ability of interventional surgery to this level within a year!


    ¡­


    At this moment, Li Yao came out of the intervention room.


    "Li Yao, you are..." Yin Chao was stunned, the operation is still going on, why did the chief surgeon come out?


    "I''ll make room for you!" Li Yao glanced at Yin Chao, "If you don''t make room, how will the doctors in your department study?"


    "This..." Yin Chao was stunned for a moment, and then said, "Professor Li, aren''t you the chief knife?"


    "I didn''t say I was!" Li Yao pointed to Lu Chen who was intervening in the room, "He is."


    "But..." Yin Chaochao intervened in the room and looked at it, "Your student hasn''t graduated yet... This is a bit out of line, isn''t it? The most important thing is that he doesn''t have a certificate or an intervention certificate, so he can''t take the lead!"


    Hearing this, Li Yao smiled.


    Perhaps, Lu Chen lacks other things, but the certificate is the thing he lacks the most!


    "He has the certificate!" Li Yao smiled, "The intervention certificate issued by the Chinese Society of Electrophysiology."


    "Huh?" Yin Chao swallowed and glanced at Lu Chen who was intervening in the room.


    Does this student have a certificate?


    And it was issued by the Chinese Society of Electrophysiology. This is the most valuable electrophysiological intervention certificate!


    If the person in front of him is not Professor Li Yao, Yin Chao really doubts that others are entertaining him.


    ¡­


    But that''s all for now, Yin Chao stopped grumbling, and gave Fan Zhiping a wink.


    Fan Zhiping understood, immediately put on the surgical gown and lead gown, and walked into the intervention room.


    Intervenes indoors.


    Lu Chen is in the process of ECG mapping and ablation.


    This is also the most difficult and most important part of the entire electrophysiological surgery!


    Fan Zhiping came to Lu Chen''s side.


    Lu Chen also noticed him.


    "Lu Chen, come here to be your assistant." Fan Zhiping said slowly, and there was still disbelief in his voice.


    He watched Lu Chen''s operations up close, and he could see that kind of skilled skills.


    However, skill is secondary now.


    Being able to find the origin of VT is the most important thing!


    Otherwise, no matter how skillful you are, it will be futile.


    ¡­


    Right at this moment, Fan Zhiping noticed that there seemed to be something wrong with the place where Lu Chen had melted!


    "Lu Chen, why are you melting here?" Fan Zhiping said slowly.


    Lu Chen glanced at Fan Zhiping, then withdrew his gaze. As he spoke, the movements of his hands did not stop at all.


    "Brother Fan, look carefully at the patient''s electrocardiogram. The chest lead in the picture shows the transition of the chest lead in sinus rhythm above the transition of the chest lead in sinus rhythm, indicating that the premature ventricle may come from the left ventricular outflow tract."


    "Another point, the R wave duration/QRS wave duration of V1 is greater than 50%, and the R wave amplitude/S wave amplitude of V1 is greater than 30%, which is a coincidence, and it also suggests that it may come from the left ventricular outflow tract; I lead is a negative wave, It shows that the starting vector of the frontal vector starts from the left to the right, and it may come from the left coronary sinus ostium."


    "Of course, it may also be at the junction of the left ventricular outflow tract or the left and right sinus orifices or at the AMC or the epicardial epicardium of the great cardiac vein at the top of the ventricle, and the inferior wall is also high R, but the shape of the chest conduction does not conform to the transition."


    ¡­


    Fan Zhiping didn''t realize it.


    Lu Chen can see so many things from an electrocardiogram!


    Lu Chen''s current state made Fan Zhiping think of the scene where he used to interpret ECGs in the WeChat group.


    Really deserves to be "Professor Lu"!


    Lu Chen finally said: "Individual consideration, the origin of this patient''s ventricular tachycardia, left ventricular outflow tract (left coronary sinus ostium) ventricular premature > right ventricular outflow tract partial anterior septum > pulmonary artery trunk premature, left ventricular outflow Ventricular anemia at the junction of the left and right sinuses or at the AMC or the great cardiac vein."


    "I wonder if you included these parts in the three hours of your surgery?"


    Fan Zhiping touched the back of his head a little embarrassedly, "I really don''t..."


    ¡­


    Intervenes outdoors.


    Lu Chen''s words clearly reached everyone''s ears.


    Yin Chao had a shocked expression on his face.


    Lu Chen''s analysis can be said to explain the profound things in simple language, and even surpassed his understanding.


    Is this an electrophysiological intervention ability that a student can have?


    (end of this chapter)

 v2 Chapter 460： thick envelope

    Chapter 460 Thick Envelope


    Time passes in one minute and one second.


    Lu Chen is steadily performing mapping ablation.


    For such a difficult premature ablation, if all the "origin points" are not found, it may recur in the future.


    However, ablation cannot be performed on a large scale, otherwise it will damage cardiomyocytes, which will outweigh the gains.


    is too much. The balance point is when testing the level of electrophysiological intervention doctors.


    ¡­


    Beside Lu Chen, Fan Zhiping stared at him without blinking, for fear of missing every operation screen.


    For him, it was a very rare opportunity to witness a surgeon of this level perform an operation.


    "Brother Fan, look at this place, we have to carefully ablate it, and we must not let it go." Lu Chen gave instructions while performing the operation.


    "Yes." Fan Zhiping nodded.


    After Lu Chen''s guidance, he gradually came to know the inadequacies of his surgery.


    At this point, an hour has passed since the entire operation.


    Lu Chen almost melted away all the "origin points" of Shi Zao.


    On the ECG monitor next to the operating table, the patient''s ECG has no premature beats.


    "No rush, we''ll do another electrophysiological test to see if it can induce a morning out of the room." Lu Chen said solemnly.


    Most of the previous work has been completed, and no arrhythmia can be seen from the current ECG monitoring.


    However, Lu Chen still seeks stability and continues to use drugs, seeing that it cannot be induced.


    After another half hour of induction experiment, there was never any morning sickness on the ECG monitor again.


    aside, a surprise flashed across Fan Zhiping''s face, "The operation was a success!"


    But when he turned to look at Lu Chen, he found that his face was calm, as if he had completed a minor operation.


    Actually, this operation was really just a minor operation for Lu Chen.


    Although ?? is difficult, it is not comparable to the operations he has performed in the past, such as dry pericardiocentesis, percutaneous hepatic vein puncture and implantation.


    Fan Zhiping also suppressed his inner joy, and said softly to the patient: "The operation is completed, it is very successful, and there is basically no room to see on the monitor."


    The patient is a nurse in the Department of Orthopedics. Hearing this, his face was full of joy, and he quickly said: "Thank you, thank you, Director Fan, thank you for this professor."


    Lu Chen wore a mask, hat, and lead coat, so that the little nurse could not see his face.


    But she still vaguely felt that the surgeon in front of her was young.


    However, in any case, it must be right to call "Professor".


    ¡­


    When Lu Chen heard the "professor", it reminded him of a beautiful misunderstanding when Fan Zhiping called him "professor" a year ago.


    "Remember to regularly review the 24-hour dynamic electrocardiogram." Lu Chen did not explain too much, "try to stay up late and pay more attention."


    "Hey." The little nurse sighed, "How can we pay more attention to the night shift, if we can sleep for an hour or two, that''s not bad!"


    "At least for the past two months, don''t get tired." Lu Chen instructed, "Although the operation was successful, it still depends on the usual maintenance."


    "Well, thank you."


    ¡­


    The operation was successfully completed and the patient was sent back to the department.


    Lu Chen walked out of the intervention room and found that a group of doctors in front of him were looking at him with shocked eyes.


    "Teacher, what''s wrong?" Lu Chen asked in confusion.


    Li Yao smiled, "Show Director Yin your intervention certificate and graduation certificate."


    "Oh." Lu Chen nodded. Although he didn''t bring the certificate with him, he had saved the photo in the album on his phone.


    When he opened the photo album on his mobile phone, all the doctors around him gathered.


    Yin Chao watched intently.


    The issuing unit of the electrophysiological intervention certificate is indeed the Chinese Electrophysiological Society!


    He was shocked, this is the most valuable intervention certificate in China.


    No matter which province or hospital it is, it is recognized!


    With this electrophysiological intervention card, it can be said to be a "golden signboard", and you can go to the cardiology department of any tertiary hospital in China.


    ¡­


    Yin Chao was shocked and looked at the other certificate.


    "Certificate of Completion from Huaxia Electrophysiology College."


    A line of small characters comes into view.


    Yin Chao was stunned, "This is the certificate of Huaxia Electrophysiology Training Institute?!"


    If the intervention certificate issued by the Huaxia Electrophysiology Association is a "golden signboard", then the completion certificate of the Huaxia Electrophysiology College is a stepping stone to the top academic circle of Huaxia Electrophysiology!


    This certificate of completion means contacts, resources and background.


    Without the above conditions, it is impossible to obtain the completion certificate of the School of Electrophysiology.


    All in all, this certificate of completion is more valuable than the intervention certificate!


    At the same time, Yin Chao was also very puzzled. Isn''t this academy the top young doctor in the country, so he has the opportunity to participate?


    And they are usually the chief doctor or the deputy chief doctor, but Lu Chen, he is a student right?


    ¡­


    "Director Yin, do you think my students are qualified to be the chief surgeon?" A smile appeared on Li Yao''s face.


    Yin Chao blushed and said, "Yes! Quite a must!"


    If Lu Chen is not qualified, then no one in the Cardiology Department of Fengm County People''s Hospital has this qualification!


    "Dr. Lu, it''s really the back wave of the Yangtze River, and the front waves of us are all shot on the beach!" Yin Chao sighed, "At Dr. Lu''s age, I have never even been on the operating table!"


    Lu Chen once came to Fengm County, and his clinical thinking ability left a deep impression on Yin Chao.


    What he didn''t expect was that Lu Chen''s electrophysiological intervention ability has also reached such a level!


    Lu Chen smiled modestly, "The director has won the prize."


    Fan Zhiping beside him, his admiration for Lu Chen added another point.


    Really deserves to be "Professor Lu"!


    ¡­


    The first operation was over, followed by the remaining two.


    Compared with the first one, the difficulty of these two operations dropped by a whole notch.


    Therefore, Lu Chen completed it smoothly.


    Fan Zhiping, as the first assistant, was always beside Lu Chen.


    Lu Chen will take the initiative to explain to Fan Zhiping whenever he encounters a rare place.


    Fan Zhiping also asked some technical questions, and Lu Chen answered them one by one, even more detailed than other professors.


    Intervenes outdoors.


    Yin Chao also discovered this, Fan Zhiping seems to have learned more than when those professors came!


    Fan Zhiping is the candidate for the next department director, and Yin Chao has high hopes for him.


    Seeing that he has such a good opportunity for promotion, Yin Chao is determined to let Lu Chen do the surgery, it seems that it is not a loss!


    ¡­


    In less than two and a half hours, all three operations were completed.


    Lu Chen took off his gloves, took off his surgical gown, shook his sore arm, and showed a smile on his face.


    Three electrophysiological surgeries in a row, although Lu Chen was a little tired, his own improvement was huge!


    This is his first electrophysiological surgery performed by an independent individual.


    As soon as Lu Chen walked out of the intervention room, Fan Zhiping walked up to him and reached out and handed an envelope.


    "Lu Chen, this is the consultation fee." Fan Zhiping said.


    Lu Chen frowned and said softly, "This should be given to my teacher."


    Fan Zhiping smiled, "Professor Li asked us to give it to you."


    "This..." Lu Chen glanced at Li Yao and found that Li Yao''s tutor nodded lightly at him, "Okay then."


    took the envelope, and the touch on his hand made Lu Chen startled.


    Good guy, this must be at least six or seven thousand!


    (end of this chapter)

 v2 Chapter 461： Guess the diagnosis?

    Chapter 461 Guess the diagnosis?


    Three electrophysiological surgeries in the morning cost a total of 6,000 yuan for consultation.


    Lu Chen put the envelope away for now, and prepared to communicate with Li Yao later.


    "Congratulations, +1 for the thank you from Fan Zhiping!"


    "Congratulations, +5 for receiving thanks from Yin Chao!"


    "Congratulations, +1 for receiving thanks from Lin Xin!"


    ¡°¡­¡±


    After completing these three operations, Lu Chen also received dozens of points of gratitude.


    The ?? system upgrade completion degree has also been improved accordingly.


    "Director Li, I booked a hotel for noon." Yin Chao said with a smile, "You and Dr. Lu can have lunch first and then rest for a while."


    "Okay." Li Yao nodded in agreement.


    Lu Chen was slightly taken aback.


    He thought Li Yao would go straight back to the hospital, but he didn''t expect to stay for an afternoon.


    "Lu Chen, we also went to the Cardiology ward this afternoon." Li Yao explained.


    "Um."


    Lu Chen took the envelope in his arms, got into the business van, and arrived at the reserved hotel with Li Yao.


    After eating a sumptuous lunch, after Yin Chao and the others left, Lu Chen said, "Teacher, about the consultation fee..."


    Li Yao smiled and waved his hand, "You take it, the operation is all done by you, and the consultation fee is what you deserve."


    "Teacher, but this is too much." Lu Chen paused.


    If you work two and a half hours in the morning, you can get 6,000 yuan.


    This is a lot of money for most people.


    "Regular income, after the approval of the medical department and the health bureau, you can take it." Li Yao said sternly, "What''s more, our electrophysiology is small, and we have more coronary interventions than us. You young people, spend money There are many places to talk about love and so on, and the usual living expenses are definitely not enough."


    Seeing Li Yao say this, Lu Chen couldn''t refuse the mentor''s kindness, he nodded and agreed.


    "I''ll take you out for a walk when there is a chance in the future." Li Yao added.


    "Thank you, teacher."


    Lu Chen knew that this was Li Yao creating another chance for herself.


    What he lacks now is the opportunity to experience.


    In addition, flying knives can also earn some extra money, which is something others can¡¯t ask for!


    ¡­


    After lunch break, two o''clock in the afternoon.


    Lu Chen and Li Yao came to the Cardiology ward of Fengm County People''s Hospital.


    Lu Chen also learned that this time he came to the ward mainly for a patient.


    This patient is not only a relative of the dean, but also an acquaintance of the school leader.


    The patient is currently hospitalized in the Department of Cardiology, but it has been almost a month of treatment and still no improvement.


    Originally, he was transferred to Jinghua University Hospital for treatment, but the patient was old and unstable, and could not afford the long journey, so he could only receive conservative treatment in the county hospital.


    ¡­


    This time, taking advantage of Li Yao''s opportunity to come to Feng M County People''s Hospital, the dean personally invited her to see people.


    "Professor Li, this patient''s family is not very good at communicating!" Fan Zhiping quietly said to Li Yao, "The attitude is not very good, we usually let the director communicate in person."


    He happens to be the patient''s doctor.


    For such "related" patients, they really have a headache.


    Don¡¯t think that you are acquaintances who are easy to communicate with. A considerable number of ¡°related¡± patients, relying on this relationship, ignore the rules of the department and even interfere with the process of treatment and medication.


    For example, this medicine is domestically produced and cannot be used.


    The other medicine has any side effects and cannot be used.


    But thinking about this kind of patient, Li Yao has seen a lot.


    If it wasn''t for the dean''s personal invitation, she would definitely not come.


    Li Yao looked indifferent and said softly, "I''m here to see the doctor, not to please the patient and the patient''s family."


    Fan Zhiping sneered, a professor has such courage, these little doctors dare not do this.


    "Professor Li, should you first see the patient or the medical record?"


    "Let''s see the patient first." Li Yao said.


    Then, Fan Zhiping brought the two to the ward.


    ¡­


    This is a VIP single ward.


    The patient was half lying on the bed, the head of the bed was shaken up.


    His eyes were dull and his lips were blue and purple, but he was conscious and his vital signs were stable.


    Beside the hospital bed, there was also a middle-aged woman, who was wearing a big red wave, and she was dressed in bright and beautiful clothes.


    Walking to the bedside, Fan Zhiping began to introduce, "This is Professor Li Yao from the Department of Cardiology of the Second Jinghua Hospital, who came to see the patient on purpose."


    The big wave woman stood up immediately, a smile on her face.


    "Professor Li, please sit down."


    said, she really took out a chair and put it in front of Li Yao.


    Li Yao frowned, "I don''t need to sit when I see patients. And our doctors never sit in the ward."


    "Uh." The big wavy woman''s smile stagnated for a while, and then she smiled contemptuously.


    At this time, Fan Zhiping began to report his medical history.


    "The patient is an 80-year-old male who complained of chest tightness, shortness of breath, and edema of both lower extremities and was admitted to the hospital for 1 month."


    "One month ago, the patient had exertional chest tightness, shortness of breath, edema of both lower extremities, loss of appetite, cough and expectoration. He was diagnosed with pulmonary heart disease and chronic obstructive pulmonary disease at the local health center, and the treatment effect was poor. "


    "Historical hypertension and chronic bronchitis."


    After listening to the introduction of the medical history, Li Yao nodded and started a simple consultation.


    Lu Chen followed behind Li Yao and performed a physical examination on the patient.


    "Clearness, distended jugular veins, clear breath sounds in both lungs, no dry or wet rales. Both lower extremities edema. Abdominal and nervous system examinations were negative."


    After the consultation and physical examination, everyone is ready to return to the doctor''s office.


    However, just as he was about to leave, he was stopped by a middle-aged woman.


    "Professor Li, how is my dad''s illness?"


    In front of the patient, Li Yao didn''t say much, "Don''t worry, I will communicate with your doctor in charge after I read the medical records, and then your doctor in charge will communicate with you."


    Li Yao was about to leave, but the middle-aged woman was still a little reluctant, "Professor Li, the dean is a relative of my family, and he came here today..."


    Li Yao paused slightly, then left the ward without stopping.


    ¡­


    out of the ward.


    Fan Zhiping shook his head helplessly and said softly, "Professor Li, don''t worry about it, she''s pretty good today, but her usual attitude is much worse than this."


    Li Yao shook his head slightly: "I''ve seen a lot of patients like this, so go back and look at the medical records."


    "it is good."


    Back at the doctor''s office, Fan Zhiping frowned and said, "Professor Li, the main problem of this patient is that the treatment effect is not very good."


    Li Yao replied unhurriedly: "The treatment effect is not good, do you have any ideas?"


    Fan Zhiping stayed in the eight districts in his heart for half a year, and Li Yao also knew him.


    Fan Zhiping paused and replied, "Professor Li, the first thing I thought about was, is the drug treatment not in place? Second, is our diagnosis wrong?"


    While talking, Fan Zhiping took out the patient''s medical records.


    He printed two copies of all the medical records and handed them to Lu Chen and Li Yao respectively.


    ¡­


    After reading all the medical records, Li Yao asked, "What is your current diagnosis?"


    Fan Zhiping organized the language and said: "The patient was diagnosed with pulmonary heart disease in the health center. I think the possibility is relatively small. According to cardiac ultrasound and other examinations, we consider hypertensive heart disease, heart failure, chronic obstructive heart disease. Lung disease."


    After hearing Fan Zhiping''s description, Lu Chen looked at the patient''s heart ultrasound report.


    The echocardiographic report showed that the left ventricular end-diastolic diameter was 40mm, the right ventricular end-diastolic diameter was 16mm, the left atrium was 46mm, and the right atrium was 59x44mm. Consistent with ultrasonographic changes in hypertensive heart disease, bi-atrial enlargement, and left ventricular systolic function were normal.


    Lu Chen knew in his heart that Fan Zhiping''s diagnosis should be based on the echocardiography report.


    "But we gave antihypertensive and anti-heart failure treatment, and the symptoms of the patient''s heart failure are still obvious." Fan Zhiping said.


    was diagnosed, but the treatment effect was not satisfactory, or did not have much effect.


    ¡­


    Beside, Lu Chen continued to look at all the examinations of the patient.


    pro-BNP: 8141.02 pg/ml.


    Blood routine, liver and kidney function, QR-CRP, coagulation function, D-dimer, blood lipids, blood sugar, nail function, urine protein, and stool routine showed no obvious abnormality.


    Chest CT showed: bilateral lower lobe infection, a small amount of bilateral pleural effusion, multiple small nodules in the upper middle lobe of the right lung.


    "Professor Li, your opinion..." Fan Zhiping said slowly.


    Li Yao did not answer directly, but instead said: "What about the patient''s electrocardiogram?"


    "Oh, here it is." Fan Zhiping took out the electrocardiogram from the medical record folder.


    Li Yao glanced at it, then handed it to Lu Chen, and smiled and said, "Lu Chen, what do you think?"


    Lu Chen heard the words and gave a slight pause, "According to all the symptoms and examination results of the patient, the heart failure is certain. Now it''s time to see the cause of the heart failure."


    Heart failure is just the end of the disease.


    Many diseases can lead to heart failure, such as coronary heart disease, hypertensive heart disease, valvular disease, pulmonary heart disease, fatty heart disease, etc...


    "I don''t think this patient has pulmonary heart disease or hypertensive heart disease."


    Lu Chen''s words left everyone present stunned.


    Cardiac ultrasound report, all have written hypertensive heart disease.


    Why is it not right?


    Fan Zhiping wondered, "Coronary heart disease?"


    "No." Lu Chen shook his head.


    "Fat heart disease?" A doctor said.


    "no¡­¡­"


    "Valve disease?" Another doctor said.


    Lu Chen is quite helpless, who is this, want to guess all the diagnoses?


    (end of this chapter)

 v2 Chapter 462： starch man

    Chapter 462 Starch Man


    In the ward, everyone stared at Lu Chen closely, as if to see the answer from Lu Chen''s face.


    Fan Zhiping frowned deeply, guessing that the diagnosis must be wrong.


    However, from another angle, everyone guessed the diagnosis almost, why is it not right?


    At this moment, Lu Chen smiled slightly and extracted the patient''s electrocardiogram from the medical records.


    "Brother Fan, what''s so special about this electrocardiogram?" Lu Chen smiled.


    Fan Zhiping frowned and took the electrocardiogram.


    This ECG of the patient has been read and studied many times.


    "Severe R wave progression in V1-V3 in front of the chest leads." Fan Zhiping glanced at Lu Chen.


    Lu Chen nodded slightly, "Yes, what about other characteristics?"


    "Other features..." Fan Zhiping paused, "Severe low voltage of the QRS complex in the electrocardiogram."


    He studied it carefully and could not see any other problems.


    Is there anything else hidden in this electrocardiogram?


    Unexpectedly, Lu Chen smiled, "Yes, it is these two characteristic expressions."


    Fan Zhiping was stunned, and so were the others in the department.


    Everyone can see these two characteristic performances, but...then what?


    No one can see a different diagnosis!


    Lu Chen also noticed everyone''s suspicious eyes, thought for a while, and said solemnly: "And the patient''s cardiac ultrasound, you ignore the report written by the sonographer for the time being, and then look at the cardiac ultrasound to see if there is anything found."


    Fan Zhiping was stunned and asked them to ignore the report written by the ultrasound doctor?


    The diagnosis written by the sonographer was hypertensive heart disease.


    As the name suggests, long-term high blood pressure and poor control of blood pressure can lead to heart disease.


    Lu Chen asked everyone to ignore this diagnosis?


    To be honest, most clinicians believe in the diagnosis of sonographers.


    Especially this kind of ultrasound images, CT and MRI images.


    Suddenly, everyone was a little uncomfortable with the ultrasound doctor''s report being ignored.


    ¡­


    Looking at the ultrasound report in front of him, Fan Zhiping began to read it word by word.


    The doctors around me don''t quite understand it.


    Lu Chen is very powerful, but after all, he is just a student!


    However, Director Fan seems to believe Dr. Lu Chen''s words very much!


    Fan Zhiping at this time, looking at Lu Chen''s eyes, has long lost the concept that he is still a student.


    In a vague sense, he seemed to really regard Lu Chen as a professor, as his "mentor".


    So, he was very natural and obeyed Lu Chen''s words.


    ¡­


    Fan Zhiping continued to review the patient''s ultrasound report, in which the left ventricular end-diastolic diameter was 40mm, the right ventricular end-diastolic diameter was 16mm, the left atrium was 46mm, and the right atrium was 59x44mm.


    "The left room and the right room are getting bigger!" Fan Zhiping muttered to himself.


    The enlarged heart is due to the deterioration of cardiac function and the compensatory increase in order to maintain the work of the heart.


    "Besides the double room getting bigger...what else..."


    Fan Zhiping was stunned for a moment, "This patient''s left ventricle and right ventricle seem to be smaller than normal!"


    This is abnormal!


    In general, both the atria and ventricles grow in size simultaneously.


    But in this patient, only the double atrium was enlarged, but the two ventricles became smaller!


    Fan Zhiping said to Lu Chen: "Doctor Lu, is this patient''s double room enlarged, and the double room is not too small?!"


    As soon as he finished speaking, everyone in the department was stunned.


    Many people gathered around, holding the ultrasound report sheet for comparison.


    "Director Fan is right! This patient is really strange!"


    "The double room has increased, and the double room has decreased. It''s the first time I''ve seen it!"


    "Do you think the ultrasound doctor''s map is inaccurate?"


    ¡­


    Lu Chen showed a smile and nodded slowly: "That''s right, huge double atrium, but the double ventricle is not big but small, plus the characteristics of the patient''s electrocardiogram, what disease do you think of, Brother Fan?"


    The diagnosis at this time is actually ready to come out.


    Fan Zhiping flashed a gleam in his mind, and then said: "senile amyloidosis heart disease?"


    Amyloid heart disease, also known as amyloid heart disease, is a very rare restrictive cardiomyopathy.


    People with this disease, also known as starch people.


    "Yes, amyloidosis heart disease!"


    Hearing Lu Chen''s affirmative answer, whispers immediately rang out in the department.


    Because the disease is relatively rare, most people have never seen it or even understand its diagnostic criteria.


    Fan Zhiping also had the opportunity to see such a patient after he went to Jinghua Second Hospital for further study.


    ¡­


    At this moment, a doctor in the department asked a question.


    "Dr. Lu, you can diagnose amyloidosis heart disease with just an electrocardiogram and echocardiogram?"


    The criteria for diagnosing cardiomyopathy are very strict, and the most accurate method is "myocardial biopsy".


    This is to take a small piece of myocardial tissue and then test it; the second is cardiac magnetic resonance, and other imaging tests, but the accuracy is much lower than that of myocardial biopsy.


    However, myocardial biopsy is a traumatic operation after all, and few people do this kind of examination.


    Therefore, it is relatively difficult to diagnose "cardiomyopathy".


    Lu Chen, what is his reason to be so sure that the patient is amyloidosis heart disease?


    ¡­


    Everyone saw Lu Chen stand up, looked around, and said slowly, "There are 4 key points to kill this case in seconds."


    Everyone in the department held their breath and listened carefully to Lu Chen''s words.


    "The mismatch between electricity and structure, poor R wave progression in V1-V3, huge left and right chambers, and double chambers are not big but small!"


    When everyone in the Cardiology Department of Feng M County heard the words, they all bowed their heads and thought hard.


    The only Fan Zhiping, there was a flash of light in his eyes, he seemed to have caught something.


    Lu Chen continued: "Amyloid deposits between the cardiomyocytes, surrounds the myocardium, and separates the myocardium one by one. Like an insulator, it affects the electrical conduction between the cardiomyocytes, so we have amyloid myocardium. An important feature of the patient''s ECG is the severe low voltage of the QRS complex, and it is the amyloid that is causing the trouble!"


    "The severe R-wave progression in the ECG V1-V3 representing the septal vector is also due to the massive precipitation of amyloid that thickens the ventricular wall."


    As soon as the voice fell, everyone suddenly realized.


    The seemingly inconspicuous electrocardiogram performance has a deeper meaning in Lu Chen''s place!


    At this time, a young doctor in the department asked suspiciously: "Dr. Lu, then you just said that the double room is large and the double room is small. What is the reason?"


    Lu Chen smiled and said, "Actually, this is easy to understand. The amyloid deposits between the cardiomyocytes, the ventricle becomes very stiff, the filling is restricted, and the diastolic function is severely damaged. Blood cannot flow back to the ventricle, and the left and right atria are slowly stretched over time!"


    "Actually, this case perfectly matches all the electrocardiogram, echocardiography, and clinical manifestations of amyloid cardiomyopathy."


    "Perfect match, so you have no reason to reject the diagnosis of amyloid cardiomyopathy!"


    Easy-to-understand explanation, everyone present understood what Lu Chen meant.


    "Amyloid cardiomyopathy", a rare diagnosis, immediately became popular.


    While lamenting the rarity of this disease, an idea popped into everyone''s mind.


    How powerful is Lu Chen, a young doctor who can diagnose this disease?


    How much shock did he bring to everyone?


    If there is no solid basic skills, rich clinical thinking, and no superstition in auxiliary examination reports, it is absolutely impossible to diagnose this disease!


    (end of this chapter)

 v2 Chapter 463： Lu Chens future (first update)

    Chapter 463 Lu Chen''s Future (First Update)


    Li Yao looked at Lu Chen who was chatting beside her, the smile on her face could not be hidden at all.


    This is my own student!


    Seeing that his students are so excellent, Li Yao, as a tutor, has long been happy in his heart.


    Actually, she had seen the diagnosis of this case, but left the opportunity to young people.


    is to let Lu Chen shine and let him express himself.


    ¡­


    "Doctor Lu, how did you diagnose it?"


    A young doctor from the Cardiology Department of Feng M County People''s Hospital said.


    The young doctor''s words expressed everyone''s heart.


    In fact, all the medical records of the patient, whether it is electrocardiogram, cardiac ultrasound, clinical manifestations, are all in front of everyone.


    But there is just not a single doctor who ties everything together and thinks of this rare "amyloid heart disease"!


    Lu Chen smiled when he heard the words.


    What do you say about this?


    In addition to systematic help, he is also inseparable from his usual clinical accumulation.


    "Actually, this rare disease should be taken into consideration for all patients with large double chambers and small double chambers indicated by cardiac ultrasound!" Lu Chen smiled, "As long as you have encountered it once, you will have experience in the future."


    Although Lu Chen said so, everyone present knew that seeing a doctor can be diagnosed without knowing it.


    Otherwise, go to memorize the internal medicine book, can you see a doctor?


    Definitely impossible.


    Lu Chen''s diagnosis and treatment ability, not to mention his peers, was several times higher than those of the attending physicians and deputy chief physicians in the department.


    ¡­


    At this time, Fan Zhiping said, "Doctor Lu, the prognosis of this disease is not good?"


    As long as amyloidosis invades the heart, the prognosis is not good.


    Lu Chen nodded slightly and said, "Ordinary medicines are useless for patients, so you basically have no good therapeutic effect during this time."


    "Is there any other medicine?" Fan Zhiping asked.


    "There is indeed a special drug." Lu Chen said, "It is produced abroad, and the Chinese name is chlorfenazac acid soft capsule. This drug can significantly reduce the death risk and hospitalization rate of patients, and it has been used clinically."


    When everyone heard the words, they shook their heads, indicating that they had not heard of it.


    "Because this disease is relatively rare, and the special medicine is specifically aimed at starchy people, the price is very expensive." Lu Chen said.


    "How expensive is it?" Fan Zhiping wondered.


    Lu Chen stretched out four fingers, paused, and said, "About 40,000 Huaxia coins in a box!"


    As soon as he finished speaking, there were exclamations from everyone in the department.


    "A box costs 40,000 yuan? After the entire course of treatment, wouldn''t it start at 100,000 yuan?"


    "Hundreds of thousands? I''m afraid it will cost hundreds of thousands!"


    "This kind of disease, the average person really can''t afford it?!"


    In fact, most of the special medicines for rare diseases are very expensive.


    Due to the small number of patients with rare diseases and the high cost of research and development, the price of drugs is high.


    In a sense, at this time, money is equal to life!


    Money can really buy life!


    ¡­


    At this moment, Li Yao stood up and attracted everyone''s attention.


    She looked around the crowd and said slowly: "Last month, the soft capsules of chlorfenazac acid have been included in the latest national medical insurance list, and the plight of starch people is expected to be broken! Rare disease patients are a special group, and the country is also beginning to It gives some help."


    Rare disease patients are only a small group and are destined to be ignored by the mainstream.


    Even if a specific drug is developed, the price is very expensive.


    Lu Chen is also the first time I heard about this drug, so expensive, how can it be covered by medical insurance? !


    It is a blessing for the people that the country can keep its eyes on it.


    Just like the inclusion of cardiac stents in the medical insurance catalog, there are pros and cons, but it does benefit one side of the people.


    ¡­


    Afterwards, Fan Zhiping communicated the matter with the patient''s family in person.


    "Director Fan, what did you say, starch... people?" The big wave woman said in shock.


    "Yes, an extremely rare disease." Fan Zhiping said, "This was diagnosed by our students of Professor Li Yao."


    "Professor Li Yao''s student?" The big wave woman paused, and she must be a very good doctor, "Then how should I treat it now?"


    "There is a special medicine, 40,000 boxes." Fan Zhiping said.


    "What did you say, 40,000...a box?" Da Wave opened his mouth, shocked.


    Although her family is not short of money, this kind of expensive price also makes him and her flesh aches.


    What''s more, the patient is so old, even if the special medicine is used, so what?


    Fan Zhiping explained: "At present, it has entered the medical insurance list, but when it will be lowered, we still have to wait for the medical insurance bureau to notify. In addition, our hospital does not have this kind of medicine. If you want treatment, you still need to go to major hospitals such as Jinghua."


    Da Wave didn''t say anything for a while after listening to Fan Zhiping''s remarks.


    The price really frightened her. For a box of 40,000, the entire course of treatment would cost hundreds of thousands!


    "Director Fan, what about Professor Li Yao? I want to ask her again." Da Lang hesitated.


    "Professor Li has returned to Jinghua after seeing the patient." Fan Zhiping said, "If you want to find her, you can go to Jinghua No. 2 and call her outpatient number."


    Da Wave frowned and became angry, but thinking that the other party was a famous professor, he swallowed it again.


    ¡­


    At this time, Lu Chen and Li Yao were already on their way back to Jinghua.


    on the commercial vehicle.


    Li Yao smiled and said to Lu Chen, "How are you feeling today?"


    "It feels good!" Lu Chen said, "Whether it''s the three electrophysiological surgeries or the last difficult medical record, I have gained a lot."


    These operations and medical records were basically completed by Lu Chen independently.


    As a student, this opportunity is rare.


    Li Yao hadn''t spoken yet, but Wu Cong, the driver, smiled and said, "Brother Lu, your surgery is so well done! I have also worked with many interventional cardiology doctors. To be honest, you really can be ranked first!"


    Although Wu Cong is young, as an electrophysiological equipment dealer, he has been to the catheterization laboratory and followed many doctors!


    Li Yao also smiled faintly when she heard the words.


    "Lu Chen, as long as there are gains, it''s a good thing. Don''t look at the fact that there are not many patients in primary hospitals, but some of them are of high quality, such as today''s starchy person. Even in our Jinghua Second Hospital, we haven''t met one for several years."


    Lu Chen nodded.


    "Actually, what you lack now is experience." Li Yao added, "Theoretical knowledge is very rich, but clinical practice is what you lack. After these few years, it will be different!"


    Most doctors have survived.


    Burning through experience and qualifications until the previous generation of doctors retired.


    But in Lu Chen, Li Yao saw infinite hope.


    She felt that in the near future, Lu Chen would definitely create his own space.


    This day will come soon!


    Make up for yesterday''s, just update it yesterday


    (end of this chapter)

 v2 Chapter 464： Suspicious Medical Student (Second)

    Chapter 464 Suspicious Medical Students (Second)


    Back at the Jinghua Second Hospital, Lu Chen went back to the bedroom non-stop.


    He never forgot his most important thing, which is to write the national nature tender!


    Although Lu Chen has already started to try to write by himself, many of the words and sentences in them have rules.


    The doorway, Lu Chen still needs to keep exploring.


    How to get the approval of the National Nature Review, in addition to the research itself, also depends on the content of the tender!


    ¡­


    In the evening, Lu Chen still found time to record a popular science video, and then sent it to his cousin Luo Xueya.


    "Posting this video should earn enough thanks."


    Just relying on your own efforts should not be enough.


    Some things cannot be achieved by hard work alone, and Lu Chen also understands this very well.


    ¡­


    The next day.


    Lu Chen came to the respiratory ward as usual.


    The female patient who swallowed TT will be discharged today.


    "Remember to come and review." Lu Chen instructed, "And... be careful in the future!"


    Yuan Wenya blushed and took the discharge summary from Lu Chen.


    "Congratulations, +1 for the thank you from Yuan Wenya!"


    Lu Chen was taken aback for a moment, he didn''t expect it, how could he still receive thanks?


    ¡­


    in the doctor''s office.


    Intern Wang Defa''s enthusiasm for learning is very high. Whenever he encounters something he doesn''t understand, he will come to ask Lu Chen.


    Lu Chen naturally helped him to interpret it patiently.


    As students, everyone has come here.


    Having a senior brother or sister to answer your doubts can save you a lot of detours.


    Fan Yujing, the teacher in the ?? group, also changed a lot in his attitude towards Lu Chen.


    The originally cold attitude has become gentle.


    But to other students and patients, she still looked cold.


    As patients are discharged and beds become vacant, new patients are naturally admitted.


    When winter comes, the beds in the respiratory department of the Second Hospital of Jinghua are a scarce resource and a hard currency with leverage.


    As long as the bed is vacant, it may be gone in minutes, and it cannot even be calculated in minutes, but in seconds.


    No, Lu Chen just sent the patient who swallowed TT out of the hospital, and immediately admitted a patient.


    "Junior brother, work has started!" Lu Chen and Wang Defa immediately came to the ward to treat the patient.


    ¡­


    came to the ward.


    This is a male patient in his fifties.


    Beside the hospital bed, there was a young girl with short hair and a handsome appearance.


    Seeing Lu Chen and Wang Defa coming, the girl quickly stood up, "Dad, the doctor is here."


    Then, the girl smiled and looked at Lu Chen and Wang Defa, "Two teachers, are they my dad''s bed doctor?"


    Lu Chen nodded slightly, "Let''s see the patient first, the superior doctor will come later."


    "Oh." The girl smiled, "That''s the two brothers. I''m also a student of Jinghua Medical University, and I haven''t started my internship yet. This time my dad is sick, so I brought him to the hospital."


    The girl introduced herself to me, her name is Mei Yejun, her family lives in Jinghua, she also studies clinical and is currently in her third year.


    Since the family members are medical students, it is much more convenient to inquire about the condition.


    Lu Chen asked Wang Defa to try to conduct a consultation.


    Wang Defa was a little nervous, but he was still able to inquire about his condition step by step, including the patient''s symptoms when he came to the hospital, as well as his past medical history.


    ¡­


    The patient is 53 years old and has a history of diabetes, hypertension and pulmonary tuberculosis.


    This time, he was admitted to the hospital "with blood in sputum for 2 days".


    When he was admitted to the hospital, he no longer coughed up blood.


    In the outpatient clinic, the patient had undergone chest CT, which showed a little exudation in the anterior segment of the right upper lobe.


    The outpatient doctor considered the source of the bleeding, so he was admitted to the hospital.


    ¡­


    However, Lu Chen frowned, because the health value on the patient''s head at this time was 52 (--)!


    The trend of health value changes is two minus signs!


    This is definitely not bleeding caused by simple bronchiectasis, or bleeding caused by pneumonia or tuberculosis!


    After Wang Defa asked about his medical history, Lu Chen said again, "Uncle, besides coughing and coughing up blood, do you have any other discomforts?"


    The patient pondered for a moment and said, "It really does... I have some pain here!"


    The patient pointed to the position of his left chest, and Lu Chen followed the direction he pointed.


    This position should be from the anterior axillary line to the posterior axillary line of the left costal arch.


    "What is the nature of pain?"


    "It seems like...a dull pain," the patient thought.


    Lu Chen nodded, the patient''s vital signs are relatively stable at present.


    He gave the patient a detailed physical examination.


    Strangely, the physical examination did not show any positive signs!


    It seems that the patient''s diagnosis is not yet certain.


    ¡­


    "Uncle, we''re done asking. You rest first, the nurse will come to check your blood later."


    Lu Chen explained a few words to the patient and left the ward with Wang Defa.


    And Mei Yejun followed the two out of the ward.


    "Junior sister, what''s the matter?" Lu Chen stopped and looked back at this handsome girl with short hair.


    Mei Yejun restrained the smile on his face, looked at Lu Chen with a heavy expression, and whispered, "Senior brother, my dad, he... What''s wrong with him?"


    Lu Chen paused and said: "The current test results are very limited, and the diagnosis cannot be confirmed for the time being."


    Mei Yejun looked hesitant and hesitantly said: "Senior brother, I have also studied internal medicine. The book says that coughing up blood, chest pain, and shadows in the lungs, could this be a tumor?!"


    Seeing her nervous look, Lu Chen quickly shook his head and comforted: "Junior sister, didn''t it say in the book that pneumonia may also cause coughing up blood and chest pain? Tuberculosis and bronchiectasis can also be!"


    Some medical students have a problem. When they start to learn about a disease, they will put the symptoms and signs of a certain disease on themselves, and then be suspicious all day long.


    "But..." Mei Yejun bit his lower lip, "I''m still very worried."


    "It''s human nature to worry," Lu Chen said, "but you can''t worry too much. You are so nervous and worried. If it shows on your face, wouldn''t your dad be more worried? It won''t do any good to his disease, you say yes. Bar?"


    "Well, thanks for the reminder, Senior Brother." Mei Yejun nodded, her expression softened a little.


    However, Lu Chen already knew from the patient''s health that his condition was not simple, and he had to prepare his family members psychologically.


    "However, Junior Sister, before we make a diagnosis, your father''s condition still has some unknown risks. Including the sudden increase in the amount of coughing up blood, causing airway suffocation, etc., are very dangerous, and some are not even in advance. Warning."


    As a medical student, Mei Yejun certainly understands this, "Senior brother, don''t worry, I understand."


    "That''s fine." Lu Chen nodded slightly, "Go back to the ward first, the superior teacher will come to see your dad later."


    "Okay." Mei Yejun glanced at Lu Chen''s badge, "Thank you, Brother Lu Chen."


    ¡­


    (end of this chapter)

 v2 Chapter 465： overlooked question

    Chapter 465 Ignored Issues


    For any patient whose HP is lower than 60, there is also a trend of more than two minus signs.


    Lu Chen will not take it lightly.


    This type of patient is at risk of exacerbation at any time.


    Back to the doctor''s office.


    Lu Chen reported the patient''s brief situation to Fan Yujing.


    "Lu Chen, what disease do you think about first?" Fan Yujing raised her eyebrows.


    Lu Chen was startled, then shook his head, "It''s hard to say, cough, hemoptysis, and chest pain. These symptoms are not specific, and the patient''s current auxiliary examinations are too few."


    "What about the next diagnosis and treatment plan?" Fan Yujing continued to ask.


    "Regular blood, biochemistry, tumor markers, inflammation and other indicators must be checked early." Lu Chen thought for a while, "Besides, it is best to do a bronchoscopy to rule out tuberculosis and tumors."


    Fan Yujing nodded slightly and cast an admiring look at Lu Chen.


    His clinical thinking is clearer!


    For such patients, it is not easy to determine the final cause by chest CT and laboratory tests alone.


    And invasive tests such as bronchoscopy are a good choice.


    "Okay, I''ll go see this new patient first." Fan Yujing smiled and then went to the ward alone.


    ¡­


    Lu Chen was busy all morning.


    The beds in the departments are also full, and there are even many patients queuing for beds.


    After finally getting off work, he came to the cafeteria at noon, and Lu Chen met Zhou Wei, who had not seen him for a long time.


    Zhou Wei stared at the two thick dark circles under his eyes, looking very tired.


    But when he saw Lu Chen, he still smiled.


    "Damn, you kid, don''t look for me when you go back to Beijing!"


    Zhou Wei sat beside Lu Chen with a dinner plate.


    "I remember that after I returned to Jinghua, I sent you a WeChat message, you didn''t reply to me..." Lu Chen said.


    Zhou Wei smiled awkwardly, jumped out a piece of lean meat from Lu Chen''s plate, and stuffed it into his mouth.


    "I was too busy a few days ago, and the experiment reached the most critical step, so I didn''t pay much attention to WeChat."


    "A new experiment recently?" Lu Chen asked.


    "Yes, my teacher''s national nature sub-project has almost exhausted my brain cells!" Zhou Wei shook his head and sighed.


    Nature?


    Lu Chen''s eyes lit up when he heard this.


    He has been naturally tortured by this country recently.


    "Viagra, what is your country''s project?" Lu Chen asked.


    "About genetic diagnosis." Zhou Wei said, "You know, this genetic diagnosis has been very popular recently, and it is easy to win the bid of GuoNature. My teacher took this opportunity to apply for one."


    "Then this is too lucky!"


    Zhou Wei nodded and said, "What about you, after returning to Beijing, what are you busy with?"


    "Recently, I''ve been working on the nature of the country." Lu Chen said.


    "Oh, you are also helping your teacher with the national nature project?" Zhou Wei smiled, "Then we are really a pair of brothers and sisters!"


    Lu Chen shook his head and whispered, "I''m applying for the National Natural Science Foundation of China."


    "What?" Zhou Wei was stunned for a moment, before swallowing a piece of meat in his mouth, "You... apply?"


    He thought he had heard it wrong.


    "Well." Lu Chen nodded, "Yes, I''m writing a tender recently."


    Zhou Wei was shocked when he heard the words.


    Lu Chen''s stride is too big!


    Others are still struggling in the tutor''s sub-projects, so Lu Chen has started to apply for National Nature alone?


    Originally thought that the gap between him and Lu Chen in scientific research would be relatively small.


    But now it seems that there are some big gaps!


    "I don''t know the result yet. Next month, this year''s National Natural Science Application will be closed." Lu Chen said helplessly, "I don''t have a clue now."


    "Come on, you can do it." Zhou Wei smiled.


    In his eyes, Lu Chen has created many miracles.


    What seemed impossible to outsiders was done by him.


    This time, no exception!


    ¡­


    After eating, he returned to the bedroom, and Lu Chen continued to improve the national nature bid.


    He now has nothing else to do, and concentrates on the national nature tender.


    Right here, the system panel pops up a prompt.


    "Congratulations, get Li Wanwan''s thanks value +1!"


    "Congratulations, get Lin Wei''s thanks value +1!"


    ¡°¡­¡±


    After receiving a series of gratitude points from strangers, Lu Chen was stunned for a moment, and then he understood that this should be Luo Xueya''s popular science video taking effect!


    Thanks soaring...


    At this speed, Lu Chen will be able to exchange the skill card for the "Natural Bidding Book" tonight!


    ¡­


    afternoon.


    Lu Chen came to the respiratory department, and just put on a white coat and walked into the doctor''s office.


    He saw Mei Yejun came in with two fruit baskets.


    "Senior brother, I bought some fruit for Corey''s teacher." Mei Yejun smiled and put the fruit basket on the table.


    "Don''t be so polite." Lu Chen smiled.


    These two exquisite fruit baskets seem to have a small amount of fruit, but the actual price is quite expensive.


    "Aiya, brothers, how busy you are at ordinary times, it''s also right to bring you some food." Mei Yejun pursed his lips and smiled.


    Lu Chen smiled and did not refuse.


    "By the way, Teacher Fan, the superior doctor in our group, suggested that it would be better for your family to have a bronchoscope."


    "Yeah." Mei Yejun nodded, "Mr. Fan told me this morning. I agree to do bronchoscopy, when can I do it?"


    Lu Chen paused and looked at the department''s recent bronchoscopy appointment record. It was already full tomorrow.


    "Junior sister, it will be the day after tomorrow as soon as possible." Lu Chen said, "Well, your dad will do other examinations first, and bronchoscopy will be done last."


    "Yes." Mei Yejun nodded slightly, "I will listen to you, brother."


    Then, Mei Yejun left the doctor''s office.


    ¡­


    Lu Chen distributed the fruits brought by Mei Yejun to everyone in the office, and also to the nurses outside.


    Of course, Lu Chen will, intentionally or unintentionally, reveal to everyone that this fruit was sent by 21-bed Mei Yejun.


    It didn''t take long before Mei Yejun returned to the doctor''s office.


    "Senior brother, my dad said that the left side of the chest still hurts a bit!"


    Mei Yejun looked a little nervous, "You go see him? He has been in pain for several days, and there is no obvious improvement."


    "Okay." Lu Chen nodded, grabbed the stethoscope and came to the ward.


    in the ward.


    The patient was lying on the bed with a painful expression on his face.


    "Uncle, are you still in pain here?" Lu Chen confirmed the patient''s symptoms and pointed to his left chest.


    "Hmm." The patient nodded, "The pain hasn''t gotten worse, but it''s always there."


    "That''s it." Lu Chen paused and said, "First take some painkillers, and when the cause is found, it''s enough to treat the symptoms."


    After he finished speaking, he glanced at Mei Yejun beside him.


    Mei Yejun bit his lower lip lightly and nodded slowly.


    ¡­


    Later, Lu Chen returned to the office and gave the patient a doctor''s order - diclofenac sodium.


    After the nurse gave the patient painkillers, the pain in his left chest really eased.


    But Lu Chen''s brows were still furrowed, because he just saw that the patient''s HP dropped again!


    "At present, the corresponding treatment measures for anti-inflammatory and pain relief are on, but the health value is still decreasing!"


    "There must be some underlying problem with this patient that I haven''t discovered yet!"


    Lu Chen returned to the doctor''s office, took out the patient''s medical records, and reorganized his thinking.


    Just got home, an update today.


    The good news is that the judging is finally over today!


    We will have a rest tomorrow and start at the fifth watch.


    (end of this chapter)

 v2 Chapter 466： Unexpected high blood pressure (first update)

    Chapter 466 Unexpected Hypertension (First Update)


    Cough, hemoptysis and chest pain, and there is a shadow on the chest CT.


    The patient has a history of pulmonary tuberculosis.


    In addition, the results of the patient''s morning blood test have all come out.


    The white blood cells were high in the blood routine, and other biochemical, liver and kidney functions were normal.


    And the results of tuberculin and T-SPOT will be out tomorrow.


    And these two tests, even if they are negative, can only indicate that the patient has been infected with tuberculosis in the past, and cannot be currently infected.


    This kind of patient, the impression diagnosis is nothing more than pneumonia, tuberculosis and lung tumors.


    "I still need to do a bronchoscopy as soon as possible!" Lu Chen thought.


    Clinically, many diseases cannot be diagnosed only by superficial evidence.


    However, with modern technology, the correct diagnosis can often be made.


    For example, in the age of no imaging technology, neurologists could not tell whether a patient was suffering from cerebral hemorrhage or cerebral infarction.


    The symptoms of these two diseases are very similar from the outside and cannot be distinguished at all.


    The most important thing is that the treatment of hemorrhage and cerebral infarction is completely opposite!


    One needs to be thrombolytic, and the other needs to be anti-thrombotic!


    What should we do at this time?


    can only rely on empirical diagnosis and treatment, rely on feeling.


    If the treatment is correct, then the patient''s condition improves and he can survive.


    But there are also many patients, the more they are treated, the more severe they are, and eventually they disappear.


    ¡­


    "Senior brother, I see that there is a patient in Teacher Fang''s group. It seems that he will not have a bronchoscopy tomorrow." Wang Defa ran over and said to Lu Chen, "Just in time for Mei Yejun''s father to insert it."


    Lu Chen smiled and glanced at Wang Defa, "Why are you so active in helping Junior Sister these days?"


    "Ah..." Wang De blushed, "No, no, it''s all from the same school, I just wanted to see if I could help."


    "Okay, I''ll ask Teacher Fang later."


    After Lu Chen was busy with the task at hand, he negotiated with Teacher Fang from the next group.


    Mr. Fang also heard about Lu Chen''s name in the hospital and was very interested in him.


    Hearing that a patient in their group wanted to join in, he agreed.


    ¡­


    Mei Yejun was also very happy to hear the news.


    Having a bronchoscopy one day earlier, she felt at ease.


    However, Lu Chen had a bad premonition in his heart.


    The health value on the patient''s head slowly decreased. Although the decrease did not reach three minus signs, it was also a very terrifying thing.


    Early the next morning, when Lu Chen saw the patient, his health dropped by two points.


    Check the room in the morning.


    Fan Yujing took Lu Chen and Wang Defa to the endoscopy room of the Respiratory Department.


    "Dad, don''t be nervous, these doctors are all my teachers and senior brothers." Mei Yejun stood at the door of the endoscopy room and said to his father, "Their techniques are all the best, and they will be finished soon. "


    "Don''t worry, Xiaojun, you still don''t know your father and me!" The patient smiled, "Isn''t it just an examination, I''m not nervous at all."


    Although he said so, Lu Chen still saw his hands trembling slightly.


    "Junior sister, just wait outside." Lu Chen whispered, "I''ll come out and let you know if anything happens."


    "Yes." Mei Yejun nodded lightly, "Trouble teacher Fan, there are two more senior brothers."


    ¡­


    Then, Wang Defa pushed the patient into the endoscopy room.


    "Come, lie down here." Fan Yujing beckoned and let the patient lie down on the operating table.


    The patient was lying on the operating table, looking like he was hesitant to speak.


    "Uncle, what''s the matter? Is there any discomfort?" Lu Chen asked quickly.


    "That..." The patient said hesitantly, "If there is any problem, don''t tell my daughter first!"


    Lu Chen was stunned.


    "Just tell me first, okay?" the patient repeated.


    Lu Chen said helplessly: "Uncle, your illness is your privacy, and we have no right to interfere. It is your choice whether to inform your family. However, your daughter is also a medical student. Do you think you can hide it from her?"


    Even if you can hide it now, as long as the follow-up diagnosis and treatment are available, Mei Yejun will definitely know.


    "Alas." The patient sighed.


    Lu Chen comforted: "Uncle, don''t be so discouraged, we haven''t started the examination yet."


    The patient nodded, barely showing a smile.


    ¡­


    All the equipment and equipment of the bronchoscope are ready.


    Fan Yujing said to Lu Chen, "Get ready to start."


    Lu Chen nodded and discussed the risk communication with the patient again.


    "Uncle, do you know all the risks I mentioned?" Lu Chen said.


    "Well, I know, Xiaojun told me too."


    "Okay, I''ll take your blood pressure, it''s normal, let''s start."


    Before surgery and invasive procedures, blood pressure should be measured routinely.


    Lu Chen took out the automatic blood pressure monitor and put it on the patient''s arm.


    "Blood pressure 184/107mmHg."


    As the reading on the sphygmomanometer appeared, Lu Chen was stunned.


    "Why is the blood pressure so high?"


    The current Huaxia standard exceeds 140/80mmHg, even if it is high blood pressure.


    Systolic blood pressure is 140-160mmHg, which is the first level of hypertension.


    The systolic blood pressure is 160-180mmhg, which is the second grade of hypertension.


    The systolic blood pressure is more than 180mmHg, that is the third level of hypertension.


    In order to prevent the sphygmomanometer from malfunctioning, Lu Chen measured it again, and the results were almost the same.


    The patient has a history of hypertension, which Lu Chen knew.


    "Uncle, didn''t you take blood pressure medicine this morning?"


    "Eat it!" The patient frowned, "Is the blood pressure very high?"


    "Yes." Lu Chen nodded, then looked at Wang Defa, "The blood pressure in the past two days doesn''t seem to be that high, right?"


    Wang Defa scratched his head and said, "The patient was about 150/80mmHg on the day of admission, and the measurement yesterday morning was 154/85mmHg. When I measured my blood pressure, the patient had just taken antihypertensive drugs, so I didn''t care."


    At this time, Fan Yujing came to the console, "What''s wrong?"


    Lu Chen explained: "The patient''s blood pressure is too high, just measured twice, and the blood pressure is above 180/100mmHg!"


    Fan Yujing frowned, "That can''t be done for the time being."


    Lu Chen was also quite helpless.


    High blood pressure increases the risk of surgery several times before any operation and surgery.


    Patients are very likely to have bleeding, heart failure, and these unpredictable malignant events.


    "Uncle, you may not be able to do it this morning. Your blood pressure is too high. You can do it after your blood pressure drops steadily." Lu Chen said, "At least it must be lower than 160/80mmHg before we can do it with you."


    Although the patient was a little confused, he nodded and walked out of the endoscopy room without saying anything.


    Lu Chen had no choice but to pack up the endoscope equipment and put it back in its original place.


    Wait for when the patient''s blood pressure is stable before performing bronchoscopy.


    However, when Lu Chen looked at the patient''s back, he suddenly seemed to think of something, and he was shocked.


    "After staying in other departments for so long, I almost forgot which department I came from!"


    (end of this chapter)

 v2 Chapter 467： This is intuition, do you believe it? (Second update)

    Chapter 467 This is intuition, do you believe it? (Second update)


    With all the clinical manifestations of the patient, he only thought of diseases of the respiratory system.


    But it ignores a very important point, that is, diseases of other systems, such as the cardiovascular system!


    Persistent chest pain, combined with high blood pressure, the most important thing is that the life value is so low!


    It is easy to think of an extremely dangerous disease - aortic dissection!


    ¡­


    Back to the doctor''s office.


    While instructing Wang Defa to review the patient''s blood pressure again, Lu Chen expressed his thoughts to Fan Yujing.


    "Aortic dissection?" Fan Yujing frowned.


    This disease is relatively common in cardiology and cardiac surgery, but it is still rare in respiratory department.


    "Well." Lu Chen said in a deep voice, "The patient has chest pain and no abnormality in the electrocardiogram. Although the pain can be relieved after using the painkiller, but after the effect of the medicine wears off, the pain reappears!"


    In fact, based on the clinical symptoms and auxiliary examinations of this patient alone, the possibility of aortic dissection is unlikely.


    However, when Lu Chen looked at the red health on his head, he felt very uneasy.


    If it''s just pneumonia, tuberculosis, or even a tumor, his HP can''t be so low, and the rate of decline is so fast!


    Just in case, Lu Chen still felt that it was better to be cautious.


    "Mr. Fan, I think it''s better for the patient to complete the aortic CTA." Lu Chen said.


    Fan Yujing frowned slightly. According to the current situation of this patient, aortic CTA cannot be ruled out, but it is not very likely.


    Because the high blood pressure may be just not well controlled by the patient, chest pain may also be caused by pneumonia or lung tumor.


    "Well, you can communicate with the patient''s family." Fan Yujing said, "If the family agrees to complete the examination, then take it to the CT room for a test. If not, then control the blood pressure for the time being."


    "Okay!" Lu Chen nodded.


    He also understands that if he can''t see the life value, judging from the patient''s current situation, the possibility of diagnosing active layer dissection is indeed very unlikely!


    ¡­


    A ward of the Department of Respiratory Medicine.


    Outside the ward corridor.


    "Senior brother, what did you say? Is there a possibility of... aortic dissection?"


    Mei Yejun''s little face turned pale with fright.


    As a medical student, she knows too much what "aortic dissection" means!


    This disease is almost as famous as the **** of death.


    Without surgery, it is almost impossible to save!


    Even if it is an operation, it is a near-death experience!


    People suffer from tumors if treated in time. Survival may be years away.


    But this aortic dissection, that''s a ticking time bomb, you don''t know when the bomb will explode.


    This means that the patient has the possibility of sudden death at any time!


    "Junior sister, don''t worry." Lu Chen quickly comforted, "I just suspect this possibility now, not 100% confirmed."


    Mei Yejun has lost his mind at this time.


    "Senior brother, what should we do next?"


    "I suggest still doing an aortic CTA!" Lu Chen said sternly, "In any case, it is still necessary to diagnose and rule out aortic dissection!"


    Jun Mei Ye hesitated when he heard the words: "Senior brother, don''t tell my dad first. I''ll inform my mother first, she is out of town."


    "Okay." Lu Chen nodded, "Let''s decide as soon as possible."


    "Um."


    ¡­


    Back to the doctor''s office.


    Lu Chen immediately issued a doctor''s order to lower blood pressure.


    The patient''s current blood pressure is 180/100mmHg. If it is really aortic dissection, this blood pressure is very dangerous.


    According to clinical guidelines, the blood pressure of patients with aortic dissection is best controlled below 120/80mmHg.


    Excessive blood pressure is likely to cause the dissection rupture to become larger and directly lead to shock.


    This kind of shock is extremely difficult to rescue.


    "Lu Chen, what did the patient''s family say?" Fan Yujing said.


    "She has to contact other family members."


    "Well." Fan Yujing said, "Go and ask for an emergency cardiology consultation first."


    Lu Chen was taken aback for a moment, would you like an emergency consultation with the Cardiology Department?


    Mr. Fan doesn''t quite trust his own judgment.


    But Lu Chen also understands it very well. To judge dissection only by high blood pressure and chest pain, no one will believe it!


    "Okay, I''ll call the Cardiology Department." Lu Chen said.


    ¡­


    ten minutes later.


    The hospitalization of the Cardiology Department always came. This time, it was not Li Qinghua, but another acquaintance of Lu Chen, Senior Sister Sun Guoguo.


    When Sun Guoguo appeared in the respiratory department, Lu Chen was stunned for a moment.


    "Senior Sister Guoguo, why are you here?"


    Sun Guoguo was also quite surprised, smiled and said, "Didn''t your respiratory department ask for an emergency consultation?"


    "Ah? Isn''t Mr. Li Qinghua here for the consultation?" Lu Chen said.


    "Senior brother Li has been the hospital chief for a year, so he has to rest." Sun Guoguo smiled, "Senior brother, do you know which group of teachers should ask for emergency consultation?"


    Lu Chen touched his nose and said slowly, "Senior sister, it''s our group..."


    "What?" Sun Guoguo was stunned, "Do you still need an emergency consultation?"


    Lu Chen''s clinical ability is obvious to all, and he is not inferior to some senior attending physicians and even deputy chief physicians.


    Lu Chen explained: "I suspect that a patient has aortic dissection, but Mr. Fan thinks it is safer to ask the cardiologist to see it."


    "Mr. Fan... Fan Yujing?" Sun Guoguo asked suspiciously.


    "Yes." Lu Chen nodded.


    A sympathetic look appeared on Sun Guoguo''s face.


    Fan Yujing''s name, she has also heard of it.


    "Where is Teacher Fan?"


    Lu Chen said: "In her office, should I call her?"


    "Then go see the patient first." Sun Guoguo said.


    "Okay." Lu Chen said, "Senior sister, the patient doesn''t know his condition yet."


    "Don''t worry, I understand."


    ¡­


    came to the ward.


    Mei Yejun was not by the bed, only the patient was lying on the bed alone.


    Lu Chen immediately stepped forward and smiled: "Uncle, your blood pressure is a little high, so I invited a cardiologist to take a look. Although we used antihypertensive drugs, this cardiologist is an expert in blood pressure reduction. Woolen cloth."


    The patient immediately got up from the hospital bed and said with a smile, "Thank you, Dr. Lu. Xiaojun, she went out for some business, and will be back in a while."


    "Okay, I will communicate with her if there is anything."


    After the introduction, Sun Guoguo started the consultation and physical examination.


    After some inquiries, Sun Guoguo basically understood the patient''s condition.


    "Uncle, you have a good rest first." Lu Chen said to the patient, and then followed Sun Guoguo out of the ward.


    Outside the ward.


    Sun Guoguo said to Lu Chen quite strangely: "The patient does have a history of hypertension, and there is persistent chest pain in the left chest, but the blood pressure on both sides is equal. Although the possibility of aortic dissection cannot be ruled out, it is unlikely!"


    The implication of ?? is why did Lu Chen consider the diagnosis of dissection?


    Normal clinical thinking may be the diagnosis of pneumonia, tuberculosis, and lung tumors.


    Lu Chen smiled and said, "Senior sister, I said this is intuition, do you believe it?"


    I can''t say, I can see the life value...


    There are three more updates. After writing, please revise it and send it out.


    (end of this chapter)

 v2 Chapter 468： Refuse to check! (third more)

    Chapter 468 Refused to check! (third more)


    "Intuition?" Sun Guoguo shook his head helplessly.


    This kind of thing is metaphysics.


    You can''t believe it, but you can''t completely reject it either.


    "Junior brother, intuition is sometimes very prepared, but we clinicians can''t rely on this!" Sun Guoguo said earnestly.


    "Don''t worry, Senior Sister, I have my senses." Lu Chen nodded slightly.


    This time, if it wasn''t for the reminder of his health, he probably wouldn''t think about it this way.


    At this moment, Fan Yujing also came out of the office.


    Sun Guoguo''s eyes were sharp, and he saw her at once.


    She hurriedly stepped forward and said, "Mr. Fan, I have seen the patient you asked for consultation."


    "How is it?" Fan Yujing said indifferently, "Is there a high possibility of aortic dissection?"


    Sun Guoguo paused and said slowly: "From the existing examination and clinical evidence, the possibility of dissection is not high, but it cannot be completely ruled out. If necessary, aortic CTA can be done to rule it out."


    Sun Guoguo, many possibilities remain.


    Fan Yujing frowned. She didn''t like this "Tai Chi-style" opinion, so she continued: "Then do you think this aortic CTA is necessary? Lu Chen said, it is best to improve the aortic CTA. ."


    In clinical practice, it is not to suspect a certain disease, but to do the corresponding examination.


    Otherwise, every patient who comes to the hospital will have to do all the examinations on the whole body.


    Sun Guoguo didn''t answer immediately. After thinking for a while, he said, "I think it is necessary to make one."


    When Sun Guoguo''s words came out, not only Fan Yujing was stunned, but even Lu Chen was absent-minded for such a moment.


    He didn''t expect that Senior Sister would actually trust his own intuition so much.


    Fan Yujing also said solemnly: "That''s okay, Dr. Sun, please write down your consultation opinion."


    "Okay, I''ll go back to the medical records later." Sun Guoguo glanced at Lu Chen, "Junior brother, then I''ll go back first."


    Then, Sun Guoguo greeted Fan Yujing and left.


    ¡­


    Fan Yujing frowned, she didn''t expect Sun Guoguo to care so much about Lu Chen''s opinion.


    It seems that Lu Chen''s influence in the Cardiology Department is far beyond her imagination.


    At this time, Sun Guoguo, who had left the respiratory department, was also surprised.


    Fan Yujing is notoriously difficult to get along with, but judging from her attitude towards Lu Chen, she doesn''t seem to be as cold as rumored!


    ¡­


    Go back to the respiratory doctor''s office.


    At this time, Mei Yejun was guarding the door, and when he saw Lu Chen and Fan Yujing coming back, he immediately went up to them.


    "Mr. Fan, Brother Lu, this is one of my uncles."


    Beside Mei Yejun, stood a middle-aged uncle who was about forty years old.


    "He is also a doctor and wants to know about my dad."


    "Lu Chen, please communicate with him." After speaking, Fan Yujing walked back to the office.


    The middle-aged uncle frowned and asked the students to communicate with him about his condition. This attitude...


    "Hello." Lu Chen said, "What do you want to know?"


    The middle-aged uncle held his temper and said solemnly, "I''m a doctor in the Cardiology Department of the Central Hospital, Mei Youjun."


    "The Cardiology Department of the Central Hospital?" Lu Chen thought, "This seems to be the hospital in Bogota."


    But Mei Yejun has relatives in the central hospital, why did he go to the Jinghua Second Hospital to be hospitalized?


    Just listen to Mei Youjun continue: "I want to know, why did you diagnose my brother with the possibility of aortic dissection? Do you know what it is?"


    Lu Chen frowned, the visitor is not good!


    However, he knew that his diagnosis this time was not particularly tenable.


    Lu Chen patiently said: "Dr. Mei, we said before that aortic dissection cannot be completely ruled out, so it is recommended to improve aortic CTA."


    Mei Youjun laughed and said, "The pulmonary embolism will also cause chest pain and hemoptysis. Why don''t you suggest a pulmonary artery CTA?"


    Lu Chen said seriously: "Because the patient''s D-dimer is negative, pulmonary embolism can basically be ruled out."


    Mei Youjun raised his brows.


    "Not bad, I know this."


    At this time, Mei Yejun pulled Lamei Youjun''s sleeve, "Uncle, Senior Brother Lu said before, he just suggested a test, he didn''t say it was 100% confirmed."


    Mei Youjun turned his head and said: "Xiaojun, you haven''t entered the clinic yet, and you have little experience. It is unlikely that your father has aortic dissection. I don''t think aortic CTA is necessary now. Lower the blood pressure first, after the blood pressure stabilizes. , do a bronchoscopy first."


    Mei Yejun frowned and did not speak.


    Outside the office, the atmosphere was eerily quiet.


    Lu Chen was the first to break the silence, "Sister, it''s up to you to choose whether or not to do aortic CTA. As your father''s doctor in charge of the bed, I just give my advice. If you refuse to do aortic CTA, just sign the letter. ."


    After ??, Lu Chen walked into the doctor''s office without looking back.


    Outside the office.


    Mei Youjun looked at Lu Chen''s retreating back, but his brows were furrowed, and he turned to Mei Yejun and said, "Xiaojun, don''t do the check first, lower your blood pressure, and then do a bronchoscopy."


    Mei Yejun contacted her mother who was out of town before, and her mother asked her to obey her uncle''s arrangement.


    Seeing her uncle''s unquestionable eyes, she could only nod her head in agreement.


    ¡­


    Back to the doctor''s office.


    Lu Chen could only sigh helplessly.


    After Mei Yejun refused to go out for aortic CTA, Lu Chen asked her to sign the informed consent.


    This diagnosis is not understood, but it is normal.


    "Junior brother, go and measure the patient''s blood pressure again." Lu Chen turned around and said to Wang De.


    Wang Defa immediately picked up the automatic blood pressure monitor and went to the ward.


    Within two minutes, Wang Defa walked back quickly.


    "Brother, the patient''s right blood pressure is 175/98mmHg, and the left blood pressure is 170/90mmHg."


    "The blood pressure hasn''t dropped yet!" Lu Chen looked at the doctor''s order on the computer.


    At present, three antihypertensive drugs have been used, but the magnitude of blood pressure drop is still not obvious.


    "Let''s observe again." Lu Chen thought.


    ¡­


    The morning time passed quickly.


    But Mei Yejun''s father''s blood pressure still did not drop to 160/80mmHg.


    This made Mei Youjun a little anxious.


    He went directly to the doctor''s office, found Lu Chen, and said, "Why don''t you just use an intravenous pump. The antihypertensive drugs you are using now are not very useful!"


    Lu Chen frowned, "Have you been using intravenous antihypertensive drugs?"


    The antihypertensive effect of the intravenous pump is very fast, but the duration is very short. After the antihypertensive drugs are withdrawn, the blood pressure will rise!


    And oral drugs to lower blood pressure, although the onset is slow, but the duration of blood pressure is long.


    "Aren''t we going to do a bronchoscopy soon?" Mei Youjun snorted coldly, "You don''t know how to work around?"


    Lu Chen shook his head, "If aortic dissection is diagnosed, then there is an indication to use an intravenous pump. But not yet."


    Even though Lu Chen has used an intravenous pump to lower his blood pressure now, after the drug is withdrawn, his blood pressure will rise again without incident.


    At this moment, Mei Yejun suddenly hurried into the office.


    "Brother, my dad''s chest hurts again!"


    Make up for yesterday, there are two more chapters


    (end of this chapter)

 v2 Chapter 469： Diagnosed with dissection! (The leader of Xuantengluo plus 1)

    Chapter 469 Diagnosed with dissection! (The leader of Xuantengluo plus 1)


    Lu Chen heard the words and rushed to the ward immediately.


    Mei Youjun followed closely.


    Repeated chest pain is not a good sign!


    ¡­


    rushed to the ward, where the patient was lying on the bed with his eyes tightly closed.


    Lu Chen looked at his health, which dropped by two points!


    This is really hard to do!


    "Give me some more painkillers!" Lu Chen said solemnly.


    If the pain is severe, it is likely to stimulate the body''s stress response and cause adverse effects.


    Pain relief can minimize this risk.


    However, not all pains can be treated with painkillers!


    For example, some unexplained abdominal pain cannot be relieved, otherwise it may mask the symptoms and cause more serious consequences.


    "You can''t just blindly relieve the pain." Mei Youjun said, "Hurry up and lower your blood pressure, and then go for a bronchoscopy!"


    Lu Chen frowned deeply and did not speak.


    The patient''s chest pain is currently unclear.


    It may be the inflammatory exudation of pneumonia, leading to pleurisy, causing chest pain.


    There is also a possibility of cancer pain caused by lung cancer.


    is more likely to be chest pain caused by other fatal diseases.


    ¡­


    After taking painkillers, the pain in the left chest gradually eased.


    After careful inquiries, Lu Chen found that the patient''s pain has persisted in the past few days, but it has not been aggravated, so he did not particularly care.


    Back to the doctor''s office.


    Lu Chen handed over the patient''s condition to the doctor on duty at noon.


    changed his white coat, he was about to leave, but Mei Yejun suddenly appeared.


    "Junior sister, what''s wrong? Your dad won''t be in pain again, will he?"


    Mei Yejun shook his head and stared at Lu Chen, "Senior brother, do you really think it''s necessary for my dad to do aortic CTA?"


    Lu Chen looked into Mei Yejun''s eyes, his eyes were unusually firm.


    "Do it!"


    He has already thought about it, if the final result is not aortic dissection, then he will bear the notoriety of a quack doctor at most.


    But if it is really aortic dissection... that is a living life!


    Mei Yejun bit his lip lightly, the hesitation and helplessness in his eyes suddenly disappeared.


    "Senior brother, then take my dad down for an examination!"


    Lu Chen was startled, thinking he heard it wrong.


    "You don''t listen to your uncle?"


    This girl is really sentimental, instead of listening to her relatives, she came to listen to herself instead?


    Mei Yejun shook his head: "Senior brother, I don''t care what my relatives say, what I care about is my dad. As you said before, after the inspection, everyone is happy if there is no problem. If there is a problem, it must be dealt with as soon as possible!"


    Lu Chen nodded, "Okay, then I''ll change into a white coat now and take your dad for an examination!"


    "Yeah." Mei Yejun nodded, "By the way, brother, there is actually another reason, I''ve heard of you before."


    "Huh?" Lu Chen was taken aback, "When?"


    "Senior Sister Yao Jie and I are very familiar. We were assigned the same dormitory before." Mei Yejun said softly, "Before she went to Kyoto, she kept mentioning you in front of me."


    ¡­


    got an affirmative reply from Mei Yejun.


    Lu Chen immediately put on a white coat, and with Wang Defa, who had not left, pushed the hospital bed to the CT room.


    Mei Youjun also followed everyone.


    On the way, his face was not very good.


    My niece doesn''t listen to me, but listens to an outsider!


    And he is also a cardiologist, it is really shameless to say this.


    "Xiaojun, why don''t you listen to me?"


    Mei Youjun asked in a low voice.


    Mei Yejun shook his head and said, "Uncle, if there is nothing wrong with the examination, then it can be considered that a disease has been ruled out, and the examination cost has been spent, I agree! But if the examination shows that there is really a problem?"


    Hearing what Mei Yejun said, Mei Youjun shook his head helplessly and didn''t say anything more.


    Everyone came to the CT room, and the nurse who gave the injection was ready.


    CTA is different from normal CT.


    CTA requires the injection of a contrast agent, which is then imaged in the blood vessels.


    So you need to inject a needle in the patient''s artery and then inject the contrast agent.


    After Lu Chen and Wang Defa pushed the patient into the CT examination room, they came to the operating room.


    "What is the patient''s condition?"


    "High blood pressure, chest pain, suspected dissection." Lu Chen said.


    "Huh, there have been so many dissections in recent years!" The technician in the operating room shook his head and said, "I can diagnose one every few days."


    "Is this disease rare in the past?" Wang Defa whispered.


    "It used to be very rare!" the technician said.


    However, Lu Chen said, "Now everyone''s living environment has changed, and many types of diseases have also changed. In addition, there was no such examination equipment as CTA before, and many aortic dissections were treated as acute myocardial infarction. ."


    You must know that aortic dissection and acute myocardial infarction are also two diseases with completely different treatment methods!


    Myocardial infarction is a blockage of a blood vessel and requires anticoagulation.


    Dissection is a rupture of a blood vessel, which requires hemostasis.


    Treating aortic dissection as acute myocardial infarction, the outcome can be imagined!


    ¡­


    After the nurse gave Mei Yejun''s father an injection, the technician started his own operation.


    On the screen in the operating room, a cross-sectional image of the patient begins to appear.


    Lu Chen stared at the screen, afraid of missing any aspect.


    "Almost to the position of the aortic arch!"


    Lu Chen''s heart came to his throat.


    I saw that the patient''s aortic arch was intact, and there was no sign of dissection!


    But dissection is not only the location of the aortic arch, but also the location of the thoracic aorta, abdominal aorta, etc.!


    As the image moved down, suddenly, at the junction of the aortic arch and the thoracic aorta, Lu Chen saw a torn blood vessel shadow!


    "This is... the mezzanine!" The technician also said.


    Although the technician is not qualified to issue reports, he has been working in the front line of CT all the year round, and naturally he has seen many similar films.


    Lu Chen doesn''t have the joy of having a correct diagnosis now.


    Thinking of Mei Yejun outside the operating room, his heart is still a little heavy!


    "Okay, when you''re done, go to the examination room and help the patient down." The technician whispered, "Patients with dissection, be careful!"


    "Okay, thank you teacher."


    Lu Chen came out of the operating room, and Mei Yejun immediately greeted him and said anxiously, "Senior brother, what happened?"


    "Let''s go back and talk about it." Lu Chen shook his head slightly, "Send your dad back first."


    Seeing Lu Chen''s expression, Mei Yejun''s heart sank.


    And Mei Youjun on the side was also stunned. Could it be that this kid was really hit by a dead mouse?


    ¡­


    Everyone carefully pushed the patient back to the ward.


    Along the way, no one spoke much, as if they understood something in their hearts.


    After placing the patient in the ward, Mei Youjun and Mei Yejun came to the doctor''s office.


    Lu Chen turned on the computer''s examination system and called up the patient''s aortic CTA image.


    When the image of the patient''s thoracic aorta appeared, Mei Youjun''s face became extremely ugly.


    Mei Yejun couldn''t understand this kind of video, but when he saw his uncle''s expression, he understood everything.


    "Senior brother, is it really a mezzanine?"


    Lu Chen nodded slowly.


    At the same time, a prompt popped out from the Lu Chen system panel.


    "Congratulations, the completion of the system upgrade has increased!"


    However, Lu Chen did not feel the slightest joy.


    On the contrary, when everyone learned of the diagnosis of dissection, Lu Chen could clearly feel the sadness in Mei Yejun''s heart.


    There is one more


    (end of this chapter)

 v2 Chapter 470： Fan Demon has changed (first update)

    Chapter 470 Fan Demon Changed (First Update)


    Without any hesitation, Lu Chen immediately informed the doctor on duty in the respiratory department, and then contacted Fan Yujing.


    When such a high-risk patient appears, the first thing to do is to inform the superior doctor.


    Fan Yujing was shocked when she learned the news on the phone.


    It is actually aortic dissection!


    This kid Lu Chen, just guessed the diagnosis?


    Fan Yujing immediately rushed to the hospital from home. Facing such a high-risk patient, she could not stay at home any longer.


    ¡­


    On the other hand, after the on-duty doctor in the respiratory department learned that the patient was diagnosed with aortic dissection, he immediately called the cardiologist and cardiac surgeon for emergency consultation.


    Soon, Sun Guoguo is here again!


    With her came a heart surgeon.


    Because different types of dissection have different treatment methods, internal medicine can implant stents, and surgery can open the chest to replace the whole blood vessel.


    But no matter the method, the risk of surgery is extremely high!


    And the operation is not done once and for all, and the patient still has a high risk of sudden death!


    "I''m planning to do a bronchoscopy tomorrow, but luckily I didn''t do it!" Lu Chen had lingering fears.


    Sun Guoguo looked at the patient''s CTA images, and sighed in her heart.


    is really a mezzanine!


    Actually, like Fan Yujing, she doesn''t really believe in the diagnosis of dissection.


    It''s just that she was more familiar with Lu Chen, and knew that his diagnosis was definitely not aimless, there was definitely a reason!


    "Lu Chen, this patient may need to be transferred to the thoracic surgery department." Sun Guoguo said, "In the location of the dissection, our cardiology department is not very good at placing stents."


    Lu Chen nodded slightly. He had less experience in stent placement, so he still had to follow the arrangements of Sun Guoguo and the cardiac surgeon.


    At this time, the cardiac surgeon asked, "How is the patient''s family condition?"


    Lu Chen knew what the heart surgeon meant.


    Dissection surgery starts at least 200,000.


    And it is very likely to be a situation where people and money are empty!


    Those with poor family conditions, smashing pots and selling iron, and collecting medical expenses, may end up with no money!


    Not only are people gone, but the rest of the family is also living in dire straits.


    Lu Chen said: "I''ll call the patient''s family in a while. One of the patient''s relatives is a doctor in the Cardiology Department of the Central Hospital."


    "Okay." Sun Guoguo nodded.


    ¡­


    Lu Chen quickly went to the ward and called Mei Yejun and Mei Youjun to the doctor''s office.


    Mei Yejun''s eyes were red, as if he had cried.


    Mei Youjun didn''t say anything at this time, after all, he was not a direct family member.


    "Junior sister, have you told your mother about this?" Lu Chen asked.


    "Said." Mei Yejun''s voice was a little hoarse, "My mother said that surgery must be done!"


    "Okay." Lu Chen nodded, "This is a cardiac surgeon, I will let him talk to you."


    "Well, thank you, thank you Brother Lu."


    ¡­


    Then, the cardiac surgeon began to discuss with Mei Yejun in detail.


    Because of the critical condition, the cardiac surgery department will accept patients only after the risks of the operation need to be fully explained and the family members agree to the operation.


    Surgery generally does not accept patients who do not undergo surgery.


    Lu Chen was not idle at this time.


    Since aortic dissection has been diagnosed, the patient''s blood pressure is 150/90mmHg, which is still considered high.


    He immediately instructed the nurse to use an intravenous blood pressure pump.


    At this time, the blood pressure must be controlled below 120/80mmHg.


    Ten minutes later, Fan Yujing also arrived.


    As the senior doctor in the group, Fan Yujing immediately communicated with Mei Yejun after seeing the aortic CTA results.


    Such patients cannot stay in the respiratory department no matter where they go.


    Otherwise, when the interlayer is broken, it will be bad, and their respiratory department can''t solve it.


    Fortunately, the family members were more active in treatment. At the request of Mei Yejun, the patient was quickly transferred to the Cardiac Surgery Department.


    Lu Chen and Wang Defa didn''t have time to eat at noon, so they helped the patient go through the transfer procedures together.


    ¡­


    "Senior brother, how did you tell it was a mezzanine?" Wang Defa looked at Lu Chen in admiration.


    He witnessed the entire diagnosis and treatment process with his own eyes.


    Many senior teachers said that the mezzanine was impossible.


    Luckily, Brother Lu Chen insisted on letting the patient do aortic CTA.


    This kind of courage is not something that ordinary people can have!


    "Didn''t I say it, intuition..." Lu Chen could only say haha ??and perfunctory.


    After all, he can see the life value, and no one will believe it if he speaks out!


    At this time, a prompt popped up in the system panel.


    "Congratulations, +1 for the thank you from Mei Yejun!"


    "Congratulations, +1 for the thank you from Mei Youjun!"


    Lu Chen smiled. I didn''t expect that the doctor in the central hospital gave him a thank you point?


    ¡­


    At this time, in cardiac surgery.


    Mei Yejun has already settled his father.


    "Xiaojun, don''t I have a lung disease? Why did I transfer to this department?"


    Mei Yejun said immediately, "Dad, isn''t your blood pressure high? Dr. Lu asked you to lower your blood pressure here first, and then do a bronchoscopy."


    She hasn''t figured out how to explain this to her father.


    However, Mei Yejun also underestimated his father.


    Why would someone go to cardiac surgery to lower blood pressure?


    "Dad, you have a good rest first. Uncle is going back to work, I''ll send him off."


    "Okay, you go."


    After ??, Mei Yejun closed the door of the ward.


    In the corridor outside the ward.


    Mei Youjun had an apologetic expression on his face, "Xiaojun, it''s my fault for thinking and I almost delayed."


    As a cardiologist, he knows very well how dangerous a bronchoscopy is for a patient with aortic dissection.


    After all, bronchoscopy is a minimally invasive operation, which is likely to increase blood pressure and aggravate the dissection rupture. The consequences are unimaginable!


    Mei Yejun shook his head slightly, "Uncle, you don''t have to blame yourself. I know you are also doing it for my dad''s sake."


    "Hey." Mei Youjun sighed in his heart, "Now we have to hurry up with the surgery! Every day this is delayed, the risk increases! I''ll come back and take a look when your mother comes back tomorrow."


    "Yeah." Jun Mei Ye said, "Uncle, if you''re busy, hurry back to the hospital. I''ll take care of you here. I''ve already asked for leave."


    "Okay, call me if you have anything."


    Said, Mei Youjun left the Jinghua Second Hospital.


    Walking out of Jinghua Second Hospital and looking at the signboard of "Jinghua Second Hospital" at the entrance of the hospital behind him, Mei Youjun really did not expect that a graduate student can have this kind of clinical thinking?


    It was an eye-opener for him to be able to diagnose this kind of dissection patient!


    Mei Youjun said in his heart, "This kind of patient, even if Min Xiaobo is brought here, may not be able to tell that it is a mezzanine."


    ¡­


    At this time, the respiratory medicine ward.


    When Lu Chen and Wang Defa finished their work, the lunch break had passed, and the two of them hadn''t had time to eat.


    "Cuckoo..."


    The protest from his stomach made Wang Defa blushed.


    Fan Yujing sat aside, heard it, and said, "Lu Chen, you two have been busy for most of the day at noon today, so let''s rest in the afternoon."


    Lu Chen didn''t refuse. Now Corey''s beds are full, and he can''t accept new patients.


    "Okay, Teacher Fan." Lu Chen said, "My junior brother and I will go back first. If you have anything, you can call me and I will come right over."


    Wang Defa also immediately said, "I''ll come too!"


    Fan Yujing nodded slightly: "Okay, let''s go eat."


    Then, Lu Chen took Wang Defa out of the respiratory ward.


    Walk out of the respiratory ward.


    Wang Defa looked at Lu Chen with a surprised expression, "Senior brother, do you know? Teacher Fan, this is the first time for students to be on vacation!"


    "Really? You didn''t fake it before?"


    "Yeah." Wang Defa nodded, "Let''s not take a rest for an afternoon, even if you leave for a while, you have to report to her!"


    "Mr. Fan has changed, he is no longer the Demon Fan before!"


    (end of this chapter)

 v2 Chapter 471： National Nature Project Team (Second Update)

    Chapter 471 National Nature Project Team (Second Update)


    When the patient with aortic dissection was transferred to cardiac surgery, Fan Yujing breathed a sigh of relief and finally got the time bomb away.


    At the same time, she was also a little scared.


    If a bronchoscopy was really performed on the patient this morning, if something went wrong, it would be really unclear.


    "Lu Chen, this student is really good." Fan Yujing thought, "It seems that his reputation in the Department of Cardiology is not fake."


    Others in the respiratory department also knew about this case, and they all admired Lu Chen''s judgment.


    If someone were to manage the bed, 80% of them would not have thought of the disease of dissection.


    ¡­


    Lu Chen''s clinical work in the Department of Respiratory Medicine continued.


    He also learned from Wang Defa that Mei Yejun''s father was soon scheduled for surgery.


    On the second day after the operation, Mei Yejun brought his mother to the first ward of the Department of Respiratory Medicine, and made a special trip to thank Lu Chen and others.


    "Senior brother, thank you so much!" Mei Yejun brought another basket of fruits and some souvenirs, "My dad is currently undergoing cardiac surgery. After the surgery, he is recovering well."


    Lu Chen smiled, "You have to thank yourself too! If you hadn''t made the decision to do CTA at that time, I''m afraid things would have gone differently."


    Mei Yejun nodded slightly.


    These days, every time she thinks of the previous scene, she is always grateful for her decision at that time.


    "Senior Brother, Sister Yao Jie is right."


    "Ah? What did she say?" Lu Chen was taken aback, why did he get involved with Yao Jie again.


    "Senior sister said that you are very powerful and that is the goal of her efforts." Mei Yejun smiled, "I hope to be as powerful as senior brother in the future."


    "Then, then you have to work hard!" Lu Chen smiled.


    Seeing the smile returning to Mei Yejun''s face, Lu Chen also smiled happily.


    ¡­


    Clinical life has to go on.


    However, recently, Lu Chen has devoted most of his energy to the application of National Nature.


    In the evening, Lu Chen still stayed in the hospital library in order to complete the national nature bid.


    Originally planned to go back to the dormitory to continue working, but in order to avoid disturbing his roommate''s sleep, Lu Chen decided to stay in the library.


    "In three days, it will be the last date to hand in the national nature bid!"


    Lu Chen can only seize every moment of the present moment and work hard to improve his bid.


    Fortunately, with the help of the "National Nature Bidding Document" skill card, Lu Chen corrected all the unreasonable things before.


    As night fell, only Lu Chen was left in the library.


    The security uncle at the door is about to chase people away.


    "Classmates, go back quickly, come back tomorrow!"


    Uncle Security also got to know Lu Chen. He was the first time he had met such a serious student, and he couldn''t drive him away!


    "Uncle, let''s do this, give me the key and I''ll lock the door later." Lu Chen smiled.


    The uncle ?? was taken aback for a moment, then smiled, "Alright, show me your student ID."


    Lu Chen took out his student ID card from his backpack and handed it to the security guard.


    "Graduate student in Cardiology, Lu Chen." The uncle of the security took a look and returned it, "Okay, then the key will be given to you, you go back to rest early, young people should still focus on their bodies!"


    "Thank you, Uncle!" Lu Chen smiled.


    The security uncle nagged a few words and left.


    As a doctor, Lu Chen also knows the importance of the body.


    But this country''s natural bid is too important to him!


    Putting aside his distractions, Lu Chen continued to revise the bidding document on his laptop.


    ¡­


    In the blink of an eye, three days passed.


    Lu Chen handed over the tender to Li Yao before the deadline.


    Director''s Office of the Cardiac Ward.


    When Li Yao received this tender, she was a little surprised.


    No matter from the format or content of the tender, it is impossible to tell that it was written by a newcomer.


    Instead, it seems to be written by a veteran who has already applied for the National Natural Science Program!


    For a moment, Li Yao even thought that Lu Chen asked someone else to write it for him.


    But on second thought, this is impossible.


    This highly confidential content cannot be shown to an outsider.


    Afterwards, Li Yao carefully revised Lu Chen''s bid, and then sent a message to Lu Chen.


    "The book is well written. You fill out the project application form. After filling it out, I will submit it for review."


    ¡­


    Today happens to be the weekend, and Lu Chen is in the bedroom.


    He sighed in relief after he had completely completed the national nature bid.


    During this period of time, Lu Chen was also tortured enough by this bidding document, and he hadn''t slept well at all.


    "Mr. Li has returned the message!"


    It seems that Li Yao replied with the word "not bad", Lu Chen made up his mind, and then opened this project application form.


    In the ?? table, mainly the application project information, the main person in charge and the information of the project team.


    Lu Chen quickly completed the project information.


    "The person in charge must be Li Yao''s mentor." Lu Chen said, "If the project team..."


    Lu Chen thought of his little friends.


    He quickly forwarded the project application form to Ke Yue, Ke Yue''s roommate, and his two junior brothers and sisters.


    Lu Chen also added a sentence by the way.


    "Put your information on the project team."


    ¡­


    Ke Yue and others received the form from Lu Chen immediately.


    Everyone was shocked when they saw the contents of the form.


    "Ke Yue, look at the form sent by the Great God Lu!" Ke Yue''s roommate''s eyes widened, his eyes filled with disbelief.


    "What''s the matter." Ke Yue was still reviewing the content of the written exam for practicing physicians.


    "Turn on your phone and take a look!"


    Ke Yue smiled helplessly, and could only take out her phone.


    "National Nature Project Team..."


    Seeing this, Ke Yue immediately became energetic, "Lu Chen is this an application for us to fill in the national nature project?"


    "Yeah!" Ke Yue''s roommate said excitedly, "If I''m not mistaken, for this project we''re doing now, your teacher is ready to apply to China!"


    "If we pass, we are the National Nature Project Team?" Ke Yue hesitated.


    "Yeah!" Ke Yue''s roommate said excitedly, "The National Nature Project! I never thought that one day I would be able to join the team of the National Nature Project!"


    ¡­


    At this time, Lu Chen''s junior brother and junior sister also received the message.


    "Lin Qingping, did you receive the WeChat message from Brother Lu Chen?" Fang Hao didn''t quite understand what Lu Chen meant for a while.


    "Received!" Lin Qingping replied quickly.


    "What does this national nature project team mean?" Fang Hao asked again.


    Lin Qingping, who was in the bedroom, was a little speechless, this second-hand!


    "You don''t even know what the kingdom is?"


    Fang Hao was taken aback, "I''ve heard of it, but I''m really not sure about the details."


    "I''ll tell you, if you can join this national nature team, you can hurry up and have fun!"


    Seeing the message sent by Lin Qingping, Fang Hao gradually realized that things were unusual.


    He quickly checked the Internet.


    I don''t know if I don''t check it, I''m shocked when I check it!


    Fang Hao stared blankly at the information found on the Internet.


    "Damn, I can actually join such a team?"


    At this time, Lin Qingping and Fang Hao were very lucky.


    Fortunately, when they chose their mentor, they chose Li Yao!


    Otherwise, if they change to other tutors, they may not have this opportunity for three years as a graduate student!


    (end of this chapter)

 v2 Chapter 472： Pickled Cabbage Fish

    Chapter 472 Pickled Fish


    After Lu Chen collected everyone''s information, he handed over the application form for the National Nature Project to Li Yao.


    Li Yao uploaded the project application form on the official website of National Nature as soon as she received the application form.


    Looking at the words that the delivery was successful, Li Yao had some expectations in her heart.


    Actually, given Lu Chen''s current ability, it is normal that he is not rated.


    But when Li Yao saw Lu Chen''s bid, she couldn''t help but look forward to it.


    What if it was rated?


    ¡­


    Nature¡¯s review is divided into three rounds.


    The first round, qualification review.


    The second round, online review.


    The third round, meeting review.


    The first round of ?? is very simple, that is, the staff of the National Natural Genetics Committee will conduct a preliminary review of all the bidding documents, including the format of the project document, the qualifications of the project applicant, etc.


    Most people can pass the first round.


    But this second round of online judging is extremely critical.


    Each person''s project book will be assigned to five experts in the same field for "blind evaluation".


    The evaluation level is divided into A, B, C, D.


    In the second round of review, only those who have obtained more than 3 A¡¯s will have the opportunity to enter the third round of conference review.


    The third round, the meeting review, is the offline PPT report.


    Generally, high-quality projects that get 5A or 4A1B in the second round will basically be passed in the third round.


    The third round, the main discussion is those projects that got 3A.


    These projects are quite controversial, and they can be funded or not, which is the focus of the third round of discussions!


    So, in fact, the results of the second round are the most important.


    ¡­


    "Lu Chen, the bidding document for the National Nature Project has been delivered. The results of the first round of review will be released in seven days, and the results of the second round of review will be released at the end of next month."


    Soon, Lu Chen received a WeChat message from Li Yao''s mentor.


    For this national nature review, Lu Chen felt that he had done his best.


    The rest is up to God.


    ¡­


    Back to the respiratory ward.


    This is Lu Chen''s last day in the respiratory department.


    In the morning, the ward rounds will be carried out as usual.


    After checking the room, Lu Chen admitted two more patients with pneumonia.


    Fan Yujing is the same as usual.


    It was only when Lu Chen said to her, "Mr. Fan, I will leave tomorrow."


    Hearing this, Fan Yujing was stunned for a moment, then lowered his eyebrows, "Well, remember to hand over the patient who is in charge of the bed."


    "Don''t worry, Teacher Fan." Lu Chen smiled.


    After getting along for the past month, Lu Chen also knew that although Motou Fan was usually a little indifferent, she had nothing to say to her patients. She was definitely a good and responsible doctor.


    The usual indifference may also be a disguise to protect yourself.


    Lu Chen and Wang Defa soon finished their shift.


    Because Wang Defa is an intern, he still has one month left.


    "Senior brother, I, I will miss you." Wang Defa was a little reluctant.


    In the short time together, he learned a lot from Lu Chen.


    "Hey, it''s not like we can''t see you anymore." Lu Chen smiled and patted Wang Defa''s shoulder, "Don''t you have my WeChat? If you have any problems, you can come to me at any time."


    "Yes." Wang Defa nodded slightly.


    ¡­


    At the end of the day, there was no accident in the ward.


    Lu Chen ended the rotation of the respiratory department smoothly.


    He was about to change out of his white coat and leave the Department of Respiratory Medicine.


    Wang Defa ran over, "Senior brother, let''s go together. Teacher Fan said we''ll have a meal together."


    "Huh?" Lu Chen was stunned, "Mr. Fan invited us to dinner?"


    "Yes." Wang Defa nodded, "Let''s go together, brother."


    Lu Chen thought that he had just finished the national nature tender and had nothing else to do, so he nodded and agreed.


    "Okay, let''s go together."


    "Mr. Fan is waiting for us downstairs."


    The two came downstairs together, and Fan Yujing had already driven his car to the downstairs of the inpatient department.


    got into the car.


    Fan Yujing said, "What do you two want to eat?"


    "I can do it." Lu Chen said, "Let''s see Junior Brother."


    "Me too." Wang De smiled.


    "Okay, sit down, let''s go."


    Then, Fan Yujing drove to the downstairs of a square.


    "There is a good pickled fish restaurant here."


    The crowd came to the pickled fish restaurant on the third floor of the square, and there were still many people queuing here.


    "We made an appointment." Fan Yujing took Lu Chen and the two in directly.


    ¡­


    During the meal, the atmosphere at the dinner table was a bit dull.


    It''s not that Lu Chen didn''t take the initiative, but that Fan Yujing was usually too cold.


    "Do you always call me the big devil?" Fan Yujing said suddenly.


    "Uh..." Lu Chen and Wang Defa looked at each other with embarrassed expressions on their faces.


    "Don''t deny it, I know it all." Fan Yujing half-smiled, "Actually, I wasn''t like this before..."


    Lu Chen and Wang Defa pricked up their ears, ready to listen to gossip.


    But at this moment, a man suddenly stood up at a table beside them.


    "Waiter, do you have any vinegar, please bring the vinegar!"


    The man''s voice was loud and immediately attracted the attention of the audience.


    A waitress stepped forward quickly.


    "Handsome guy, what''s wrong?"


    The man said loudly: "My son is stuck by a fishbone! Bring the vinegar here!"


    When the waitress heard this, she was shocked and ran to the back kitchen immediately.


    This table is very close to Lu Chen and others.


    Lu Chen turned his head to look and saw a little boy who was coughing non-stop, and his fingers were still clasping his throat.


    The little boy was only about three years old, and there was a young woman sitting beside him. She looked anxious and looked at the little boy at a loss.


    Lu Chen looked at the little boy''s health, which showed 86.


    Health is good and doesn''t show any downward trend.


    It seems that it was just stuck by the fishbone, and there were no other complications.


    At this moment, the waitress had brought a bottle of vinegar and quickly handed it to the man.


    The man unscrewed the vinegar bottle, put half a bowl in the bowl, and then went to feed it to the little boy.


    "Wait a moment!"


    At this moment, Fan Yujing suddenly stood up.


    "Drinking vinegar is useless!"


    "You, who are you?" The movement in the man''s hand paused, and he looked at Fan Yujing suspiciously.


    "I am a doctor."


    When he heard it was a doctor, the man''s eyes suddenly lit up, "Doctor, show my son quickly, he is stuck by a fishbone."


    Fan Yujing walked over to the little boy, picked up a spoon, then squatted down, put the spoon against the little boy''s tongue, and began to examine him.


    When Lu Chen saw this, he stepped forward immediately, turned on the flashlight of his mobile phone, and illuminated Fan Yujing.


    "Why can''t you use vinegar?" the man said, "We were stuck with a fishbone when we were young, just take a sip of vinegar."


    Fan Yujing was looking at the little boy and ignored the man.


    Lu Chen said: "Drinking this vinegar will only stay at the fishbone for a short time, it will not soften it, and it may irritate the stomach."


    The man glanced at Lu Chen dubiously, and stopped talking.


    At this time, Fan Yujing frowned, "The fishbone is not too long, but it seems to be a little deep."


    "Why don''t I let my son eat a bite of the dish and swallow the fishbone!" the man said anxiously.


    Fan Yujing hurriedly shook his head, "It would be fine if the fishbone reached the stomach smoothly. Once it scratches the esophagus, or gets stuck in the esophagus and punctures the blood vessels, it will be very dangerous!"


    "This doesn''t work either, that doesn''t work either, then what should I do?" the man asked in confusion.


    "Go to the hospital." Fan Yujing took the small spoon out of the little boy''s mouth.


    "This..." The man was puzzled, isn''t it just a small fishbone? How could it be so complicated?


    Fan Yujing and Lu Chen returned to their seats.


    But at this moment, Lu Chen vaguely heard the man say, "Son, take a bite of rice and you''ll be fine in no time."


    (end of this chapter)

 v2 Chapter 473： Hope from the Nail Shop

    Chapter 473 Hope from the Nail Shop


    Lu Chen looked back and was stunned.


    The health value on the little boy''s head is still 83, but the health value change trend has changed from a blank at the beginning to two minus signs!


    "This... what''s going on here?"


    Before Lu Chen could react, a little boy whimpered in pain in the restaurant.


    His limbs were swaying involuntarily, and he fell backwards.


    The woman beside ?? immediately hugged the little boy.


    "Xiaobao! What''s wrong with you! Don''t scare mom! Mommy will buy you cakes and ice cream later!"


    The man panicked, and he hurried forward to check his son''s condition.


    The little boy''s sudden and unusual appearance can frighten the people around him.


    Even the restaurant manager had come out. When he saw this, he called 120 without hesitation.


    Fan Yujing had a sullen face, and immediately walked up to the little boy, and said in a low voice, "Let me see!"


    When the man heard the words, he immediately let go of the child.


    Fan Yujing squatted down, picked up the spoon, put it against the little boy''s tongue, and then shook his head: "Alas, the fishbone entered a little bit into the trachea, it may have touched the trachea! Didn''t I tell you not to feed the child? Do you have something to eat?"


    "This..." The man was at a loss, his face flushed red, and the expression on his face suddenly became even more panicked.


    The woman on the side of ?? was also beating the man on the shoulder hard, tears were already falling out, and she shouted, "I''ll let you go to the hospital, you have to mess around! Look, what should I do now!"


    At this time, Lu Chen also understood the reason for the trend of the patient''s life value. It is very likely that the fishbone went deep and accidentally pressed against the trachea.


    Once the fishbone completely blocks the trachea, there is always a risk of suffocation!


    No wonder the system directly gave the trend of two minus signs, only a few!


    "Now is not the time to shirk." Fan Yujing said solemnly, "We are waiting for the ambulance while trying to find a solution! We must not let the fishbone go further."


    Having said that, but Fan Yujing doesn''t have any tools now, the only thing she can do is to maintain the status quo and avoid the deep penetration of the fishbone.


    At the same time, try not to move small children.


    Once the body position changes, the position of the fishbone is likely to change.


    And Lu Chen stood beside Fan Yujing and could see the fishbone in the little boy''s mouth.


    Although the fishbone is a little deep, it can still be seen.


    ¡­


    At this moment, a middle-aged uncle suddenly walked out of the crowd.


    "Doctor, I know Heimlich maneuver, maybe I can get the kid''s fishbone out! Would you like me to try it?"


    When the man heard this, he seemed to have caught a life-saving straw.


    He had also heard of this rescue technique.


    "Then, come and try it!" the man roared immediately.


    The middle-aged uncle just wanted to approach, but was rejected by Fan Yujing.


    "The child is too young. Your Heimlich maneuver is suitable for children under the age of 3!" Fan Yujing said solemnly, "Unless the airway is completely blocked, it cannot be used under normal circumstances!"


    Hearing Fan Yujing''s rebuttal, the man didn''t dare to disobey casually.


    Just now, he didn''t listen to Fan Yujing''s words, which led to the current situation.


    ¡­


    Time passes in one minute and one second.


    While everyone was waiting for the ambulance to arrive, Lu Chen noticed that the little boy''s health was slowly decreasing!


    There was a glint of light in his eyes, and he couldn''t just sit still.


    Once the fishbone accidentally blocks the trachea, what should I do for such a small child? At this time, the Mlich maneuver is not necessarily useful.


    However, now they are not in the hospital, they don¡¯t have any tools, what should I do?


    Lu Chen looked around, his eyes suddenly fixed on a store outside the restaurant.


    "Junior brother, you go to that nail shop to borrow something for me."


    Wang Defa was taken aback, "Senior brother, nail salon?"


    "Yes!" Lu Chen nodded.


    Hearing Lu Chen''s request, Wang Defa was stunned, "Senior brother, don''t you think..."


    "Come on, I''ll give it a try!" Lu Chen said.


    "Okay, I''ll be right back."


    Wang Defa ran out of the restaurant immediately.


    ¡­


    Just when Wang Defa walked out of the pickled fish restaurant, there was another accident at the scene.


    The little boy whimpered suddenly, unable to speak, his face seemed a little pale.


    "The fishbone went in again?"


    Everyone present felt tight.


    Fan Yujing was the most nervous at this time, and she was also thinking about whether she really needed to use the Heimlich maneuver.


    However, using the Heimlich maneuver on a child can easily cause physical injury.


    At this moment, the man yelled, "His ambulance! Why hasn''t it come yet!"


    The little boy''s mother was also crying, and she sat limply on the table.


    Lu Chen stared at the little boy''s HP, which had dropped from 83 to 78!


    At this moment, Wang Defa returned to the Pickled Fish Restaurant.


    He also had a pair of tweezers in his hand.


    "Senior brother, I''m back!" Wang Defa handed the tweezers to Lu Chen, "I''ve already washed them."


    "Okay, hard work." Lu Chen nodded, then walked to Fan Yujing''s side.


    Everyone saw the tweezers in Lu Chen''s hand.


    Fan Yujing wondered: "Lu Chen, do you want to..."


    Lu Chen nodded slightly and handed the tweezers to Fan Yujing, "Mr. Fan, try using this to get the fishbone out."


    Fan Yujing glanced at the tweezers.


    This length seems to be just right for children, and it is not as thick as chopsticks, so it is easy to stuff it in.


    "Okay, then I''ll try."


    Fan Yujing immediately took the tweezers.


    Lu Chen turned on the flashlight of his mobile phone to help Fan Yujing illuminate.


    ¡­


    The onlookers were all staring at Fan Yujing''s movements.


    I saw Fan Yujing holding a small spoon in one hand, pressing against the little boy''s tongue, and holding a pair of tweezers in the other hand, slowly sticking it into the patient''s throat.


    Through the light of the mobile phone flashlight, the fishbone can still be seen.


    However, at this time, the position of the fishbone was much deeper than before.


    "Little boy, you''ll be fine soon, just hold on." Wang Defa cheered the little boy on the side.


    Lu Chen hit the flashlight and adjusted the position following Fan Yujing''s movements.


    He was also a little nervous in his heart.


    "I found it!" Fan Yujing said suddenly.


    As a respiratory endoscopist, Fan Yujing is very clear about the structure of the larynx.


    I saw Fan Yujing slowly operating the tweezers in his hands, fiddling with care.


    ¡­


    Time passed slowly, and the siren of 120 ambulances sounded outside the restaurant.


    The ambulance has finally arrived!


    At this moment, Fan Yujing said in surprise.


    "Clamped the fishbone!"


    Hearing Fan Yujing''s words, everyone looked happy.


    For the parents of the little boy, this sentence is tantamount to the sound of heaven!


    Fan Yujing didn''t dare to relax at all, she tightly clamped the fishbone with tweezers and slowly pulled it out.


    A fishbone about 1cm long comes into view.


    Although it is not long, it is fatal to children!


    At the moment when the fishbone was taken out, Lu Chen clearly saw that the two minus signs on the little boy''s head disappeared instantly!


    (end of this chapter)

 v2 Chapter 474： Feel it with your heart (the first one)

    Chapter 474 Feel it with your heart (first more)


    In the ?? Pickled Cabbage Fish Restaurant, there was a moment of silence, followed by bursts of applause.


    When the onlookers watched Fan Yujing take tweezers and pick out the fishbone from the little boy''s throat, they all looked excited.


    Isn¡¯t this a true portrayal of the healer¡¯s fearlessness in the face of danger? !


    "Which hospital doctor is this? Why is he so powerful?"


    "It''s so close to Jinghua Second Hospital, I think it might be from Jinghua Second Hospital."


    The parents of the little boy wanted to go forward to check, but Fan Yujing stopped him: "Wait a minute, I''ll see if there is any bleeding first."


    She put the small spoon against the boy''s tongue, and asked Lu Chen to adjust the position of the flashlight on the mobile phone, and continue to check the situation of the boy''s throat.


    After a while, she sighed in relief.


    "Fortunately, no bleeding."


    Hearing Fan Yujing say this, the boy''s parents immediately stepped forward to check his condition.


    There were still tears in the corners of the woman''s eyes, "Xiaobao, are you alright!"


    "Mom..." The little boy whimpered, his eyes were already full of tears.


    The man also looked at the boy with lingering fears at this time, "It''s my father''s fault, I shouldn''t let you eat this meal."


    At this time, the accompanying doctors and nurses of the 120 ambulance had come to the Pickled Fish Restaurant.


    "Who is the patient?" said the doctor.


    The manager of Pickled Cabbage Fish Restaurant immediately stepped forward, "Here!"


    The doctor ?? also noticed the situation on the little boy''s side and rushed over with a nurse.


    "Mr. Fan, you, why are you here?"


    120''s accompanying doctor saw Fan Yujing and showed a look of astonishment.


    Fan Yujing was also stunned for a moment, and then said: "I ran into a little boy and got stuck by a fishbone. I picked it out with tweezers. You should check him."


    "Okay." The doctor was slightly surprised, and quickly stepped forward to check the boy''s condition, then said, "Who are the family members?"


    "I, we are." The boy''s parents said quickly.


    "It is recommended to go to the hospital for a check up." The doctor said, "You can go with you."


    "Ah, have to go to the hospital?" The man wondered, "Didn''t the fishbone be taken out?"


    Before the doctor spoke, Fan Yujing said, "Of course I''m going! If I don''t know the damage to his mucous membrane, I''d better check it with a mirror dedicated to the hospital, so that I can rest assured."


    The man wanted to say something, but when he saw Fan Yujing say that, he could only nod his head, "I''ll listen to you."


    Then, 120 accompanying doctors took the little boy into the ambulance.


    "Thank you, doctor." Before leaving, the woman bowed deeply to Fan Yujing.


    Fan Yujing smiled indifferently, waved her hand, and sat back to her seat.


    ¡­


    The sauerkraut fish restaurant, which used to be noisy, became quiet in an instant.


    However, most of the audience who ate at Pickled Cabbage Fish were looking at Lu Chen''s table.


    "Junior Brother, return the tweezers." Lu Chen said to Wang De who was beside him.


    "Yeah." Wang Defa nodded, took some tweezers, and walked out of the pickled fish restaurant.


    "Mr. Fan, you''re amazing!" Lu Chen gave Fan Yujing a thumbs up. The ability to find fishbone in such a short period of time is not something ordinary doctors can possess.


    "Fortunately, you were clever and asked Wang Defa to find tweezers." Fan Yujing said, "Otherwise, it would be of no avail. However, these young parents have not grown up themselves, and they have to take care of the next generation."


    The business exchange ended, and both of them laughed.


    At this time, the manager of Pickled Cabbage Fish Restaurant walked over quickly.


    "Hello, I''m the manager of this store." The manager smiled and handed a business card to Fan Yujing and Lu Chen.


    "Is something wrong?" Fan Yujing said lightly.


    "Thank you very much for your help just now!" The manager smiled, "In order to express my gratitude, this meal is free of charge!"


    In the situation just now, once the little boy made any mistakes, their sauerkraut fish restaurant was basically over.


    "Thank you." Fan Yujing said, "But the money we should pay will be paid by ourselves."


    When the manager heard the words, he was stunned, there is still such a person, don''t you want to be free?


    Is it too little?


    The manager ?? immediately said: "We have a heart for this, you must accept it. In addition, I have a membership card here, and you can enjoy a 30% discount in the future!"


    Fan Yujing frowned slightly, glanced at the manager, then at Lu Chen, "Give it to my students, I don''t want this."


    Seeing that Fan Yujing did not refuse, the manager also smiled, "This handsome guy, we are also prepared."


    He took out three cards from his pocket and put them on the table.


    Fan Yujing saw this and knew that he could not refuse, so he nodded and agreed.


    "Thank you manager."


    "No no, it''s me who should thank you."


    The manager thanked Fan Yujing again and then left.


    Lu Chen thought, "This manager really knows how to do business."


    He not only freed his own table, but also gave a free dish to all the tables present.


    At this time, Wang Defa also came back.


    Fan Yujing handed him the discount card.


    "Thank you, Teacher Fan." Wang De smiled and narrowed his eyes.


    At the dinner table, the dinner for the three continued.


    However, Fan Yujing also continued her previous topic.


    Lu Chen and Wang Defa didn''t ask any further questions.


    Perhaps, from the rescue of the little boy just now, we can see that Teacher Fan Yujing has a sense of responsibility as a doctor.


    This is enough to prove what kind of person Fan Yujing is!


    ¡­


    After eating, Fan Yujing sent Lu Chen and Wang De back to the hospital.


    At the gate of the hospital, Lu Chen and the two got out of the car.


    "I won''t send you in." Fan Yujing said.


    "Thank you, Teacher Fan." Lu Chen smiled.


    He and Wang Defa stood side by side outside the car and waved to Fan Yujing.


    "Okay, then I''ll go too." Fan Yujing rolled up the window and drove away.


    "Mr. Fan." Lu Chen suddenly said.


    Fan Yujing was stunned for a moment. The car window was half closed when she turned to look at Lu Chen.


    A faint smile appeared on Lu Chen''s face, "It''s a pleasure to work with you for a month."


    Fan Yujing nodded slightly after hearing the words, and then the window slowly closed.


    She didn''t speak, but Lu Chen read a response in her eyes, which was encouragement, relief, or expectation.


    ¡­


    On the way back to the bedroom.


    Lu Chen and Wang Defa were on the same road, chatting while walking.


    Suddenly, Wang Defa said, "Senior brother, I heard from others in the respiratory department that Teacher Fan used to be very good. It seems that she was indifferent because of a patient''s complaint."


    "It shouldn''t be a rare thing to be complained by a patient, right?" Lu Chen wondered.


    Looking at Fan Yujing''s character, she will not become so indifferent because of complaints from patients.


    "I heard that the patient''s condition is more responsible, and other doctors are reluctant to perform bronchoscopy on him." Wang Defa said slowly, "At that time, Mr. Fan was very kind, so he performed bronchoscopy on the patient, but there was an accident during the operation. Finally, the patient''s family complained to Mr. Fan..."


    Although Wang Defa''s speech was vague, Lu Chen almost understood what happened.


    In his mind, he seemed to see that Fan Yujing, who was warm and kind.


    saw the now indifferent Fan Demon again.


    After a long while, Lu Chen smiled slowly: "We shouldn''t judge only from surface feelings. Perhaps, we can see the truest side by feeling with our hearts."


    Fan Yujing''s real side is like thousands of doctors who are indifferent on the surface.


    Perhaps, the calm on the surface is like water, and the heart can carry the responsibility of a healer.


    (end of this chapter)

 v2 Chapter 475： Lu Chen who will not be lonely (Second)

    Chapter 475 Lu Chen who won''t be lonely (second more)


    Respiratory rotation is over.


    "The next department is..." Lu Chen opened his rotation schedule.


    He was stunned when he saw the name of the department.


    "It''s actually... CCU?"


    CCU, the full name of Cardiovascular Intensive Care Unit.


    As the name suggests, the CCU is filled with critically ill patients in the Department of Cardiology.


    Each trainee or graduate student, in addition to the general ward of the Department of Cardiology, also has to rotate the CCU of the Department of Cardiology for a period ranging from two months to three months.


    Perhaps, CCU is not as busy as the emergency department, but the severity of the disease here is not lower than the emergency department at all!


    Because once it involves heart disease, it is very dangerous.


    And the onset of heart disease is rapid, the development is rapid, and sometimes life and death are just a matter of minutes or even tens of seconds.


    Lu Chen was still imagining going to the CCU ward.


    Now that he is really going, he is a little nervous and excited for no reason!


    ¡­


    The next day.


    Lu Chen ate breakfast in the cafeteria and went directly to the CCU ward.


    On the way, he also met Cheng Peng and Xiao Lin, who also reported to CCU.


    The three of them are in the same rotation group, that is, the rotation schedule is exactly the same.


    Before ??, Cheng Peng and Xiao Ling were both in the second ward of the Department of Respiratory Medicine, so they did not meet.


    Cheng Peng saw Lu Chen from afar, and trotted all the way to his side, followed by Xiao Lin.


    "Lu Chen, when did you go back to the Second Hospital?" Cheng Peng grabbed Lu Chen''s shoulder directly.


    Fatty Cheng''s shape made Lu Chen a little unbearable, so he hurriedly turned sideways and gave up a position.


    "Fatty, it''s been almost a month since I came back!" Lu Chen raised his brows and glanced at Xiao Lin who was beside him, "What''s in your head? I remember meeting you in the cafeteria a few days ago?"


    Cheng Peng touched the back of his head and smiled awkwardly, "Oh, is it?"


    At this time, Xiao Lin leaned beside Fatty Cheng and smiled sweetly, "Lord Lu, long time no see!"


    Lu Chen smiled and glanced at Cheng Peng, "Don''t call me a god, be careful others are jealous."


    These days, Fatty has a partner, and he is still single!


    "Hehe, he doesn''t dare." Xiao Lin smiled, "Lu Chen, you are not a god, then in our Jinghua Second Hospital, no one is a god! You were not in the hospital some time ago, but your name can be heard everywhere in the hospital! "


    "Isn''t that exaggerated?" Lu Chen smiled lightly.


    "I''m really not exaggerating." Xiao Lin said, "I''m not a cardiologist, I''ve heard your name. Every time my instructor holds a meeting, he will bring you out to talk about how good you are. , what paper did you post, and what award did you win, my ears are going to grow calluses!"


    Lu Chen really didn''t expect that his influence in the Second Academy would be so great?


    In fact, after he returned to Jinghua Second Hospital from Kyoto, if he hadn''t followed Fan Yujing, other teachers would have regarded Lu Chen as a treasure!


    The three walked to the CCU ward while chatting.


    ¡­


    The CCU ward is on the 3rd floor of the inpatient department.


    is divided into Area A and Area B.


    Area A, which mainly treats most critically ill patients.


    B area, mainly treats patients after cardiac intervention.


    In short, area A is the real CCU, and area B is more like a post-operative transfer station.


    Three people came outside the CCU ward.


    "Cheng Peng, I want to go to Area B." Xiao Lin whispered, "I heard that Area A is scary, there are rescues every day, and I have to work overtime until late every day."


    It¡¯s okay to be a little tired in the department, but in Area A of the CCU, this is a high-intensity clinical work, and you are facing rescue at any time.


    Not only physically tired, but also mentally tired!


    So the people working in the CCU ward are all young doctors.


    For example, in the CCU ward of Jinghua No. 2 Hospital, except for the director of the department, who has the title of deputy senior or above, there are only residents and attending doctors!


    Cheng Peng looked at Xiao Lin and comforted: "It doesn''t matter, if you are in area A and I am in area B, then I will change with you!"


    "chubby, you are so nice..."


    The two were so affectionate that Lu Chen couldn''t stand it any longer.


    "Cough, why didn''t you think of another possibility."


    "What?" Cheng Peng glanced at Lu Chen.


    Lu Chen said softly, "You two are in Area A."


    Suddenly, two sharp eyes shot directly at Lu Chen.


    ¡­


    Under everyone''s eager anticipation, the teaching secret of the CCU ward finally arrived.


    "Everyone is in a hurry." The teaching secretary smiled and looked around the crowd, "You are a group of regular trainees and graduate students, there are 20 people in total, five of them are in area B, and 15 people are in area A. Specifically, How to divide, for fairness, I divided it randomly."


    When everyone heard this, their hearts tightened.


    There are only five people in Zone B, so the probability is too small!


    "Next, I will announce the candidates in Area B. Those whose names are not called will be in Area A by default! Students whose names are called, raise their hands."


    The cleric took out his small notebook and began to read: "Lu Rushui."


    "Arrived!" This classmate named Lu Rushui had a hint of joy in his voice.


    "Take your rotation sheet and go to Mr. Dong Gang in Area B."


    "Thank you, teacher."


    Lu Rushui took the rotation notice and left, so there was one less place.


    Just listen to the teaching secret continue: "Gu Xinyue!"


    Hearing this name, Lu Chen was also startled, Laogu?


    Why did he also rotate to CCU?


    Sure enough, Gu Xinyue stood up from the corner of the classroom and took the rotation notice from the teaching secret.


    Lu Chen was about to say hello to Gu Xinyue when he heard the teaching secret calling his name.


    "Lu Chen, Area B!"


    As soon as the ?? voice fell, whispers rang out throughout the classroom.


    Gu Xinyue, who was walking to the door of the classroom, also stopped and looked back.


    "Wow, it''s Lu Chen! It''s God Lu!"


    "I actually had a round with Lu Dashen, it''s simple!"


    "No matter, I must go to Area B to see Lu Dashen."


    "Wait, who is the Great God Lu you''re talking about?"


    ¡­


    Everyone''s eyes followed Lu Chen closely.


    Even the teaching secretary''s tone softened a lot. She smiled and whispered to Lu Chen, "Lu Chen, Professor Li Yao greeted me."


    Lu Chen was stunned, then nodded with a smile, "Thank you, teacher."


    It seems that if he can come to Area B, it should be Mr. Li Yao who greeted him.


    Otherwise, this probability would not fall on his own head.


    Instructor Li Yao was really heartbroken for the sake of being a little more relaxed.


    However, he is not the kind of person who likes to be calm and laid back.


    ¡­


    Lu Chen walked out of the classroom with the rotation notice and found Gu Xinyue standing at the door.


    "Why don''t you go to Area B to find a teacher?" Lu Chen smiled.


    "Waiting for you." Gu Xinyue said, "I''m also waiting for the people here."


    Gu Xinyue glanced at the classroom.


    "Wait for the people inside?" Lu Chen wondered, "Your girlfriend is also inside?"


    Gu Xinyue was stunned, then frowned, "I don''t have a girlfriend."


    "Then who are you waiting for?"


    "Wait for someone who wants to go to District B, I''ll exchange with him." Gu Xinyue replied lightly, then glanced at Lu Chen, "Do you really want to go to District B?"


    Lu Chen smiled, it seemed that he was a fellow man.


    In the next three months of rotation in CCU, he will not be lonely anymore.


    (end of this chapter)

 v2 Chapter 476： Luxury lineup

    Chapter 476 Luxurious lineup


    CCU Ward.


    Lu Chen and Gu Xinyue walked into the doctor''s office in Area A side by side.


    The two of them exchanged their places in District B with their classmates in District A.


    Lu Chen and Xiao Lin exchanged.


    Gu Xinyue exchanged with a fellow student.


    "Old Gu, why don''t you change with me?" Cheng Peng followed behind the two with a face full of sorrow.


    "I''m sorry, a fellow student made an appointment with me in advance." Gu Xinyue said lightly.


    "Alas." Cheng Peng reluctantly looked up at the doctor''s office in District A, "Then I can only accept my fate!"


    ¡­


    The three of them walked into the doctor''s office and happened to be assigned to the same teacher.


    There are five medical teams in the CCU ward.


    Each group consists of two doctors.


    The general combination of ?? is that the attending doctor leads a resident doctor, or a senior attending doctor leads a junior attending doctor.


    The teacher of Lu Chen and Gu Xinyue was named Zhou Bin.


    A very masculine name, but a female teacher.


    She sat in the doctor''s office, wearing thick glasses, looking up at the three of them.


    "Are you the students of this report?"


    Lu Chen nodded and said, "Yes."


    "Graduate student or regular trainee?"


    "postgraduate."


    "What professional?"


    Lu Chen and the three introduced their majors respectively.


    "That''s a coincidence, the three of you are all majoring in Cardiology." Zhou Bin smiled, "You''re still in the second grade, then the three months after me will be a lot easier!"


    The rotation plan of the students is random, so the rotation in the CCU ward is distributed at various age levels.


    Among them, many of the freshmen of the first grade do not even know a computer system, let alone treat patients.


    And the third-graduate students often take leave to find a job or write a thesis, which is also quite unreliable!


    Therefore, in the eyes of various teachers, the students of the second grade are the most reliable.


    The three of Lu Chen became a veritable dessert.


    "The three of you join the WeChat group first." Zhou Bin, "There are two people in our group, one is a superior doctor Li Hui, and the other is a third researcher."


    Lu Chen and others took out their mobile phones and added Zhou Bin''s WeChat.


    was waiting for Zhou Bin to pull the three into the group, but Lu Chen found that Zhou Bin was slow to move.


    looked up and found that Zhou Bin was staring at him, "You, are you that Lu Chen?"


    Lu Chen was taken aback, "If there is no other person named Lu Chen in the Cardiology Department, it should be me."


    Zhou Bin widened his glasses, a little surprised.


    During this year, who does not know Lu Chen from the Cardiology Department of Jinghua Second Hospital? !


    Won the champion of the National Medical Skills Competition and the fifth place in the National Electrocardiography Competition. He also published a 5-point SCI paper.


    Even recently, I heard that Lu Chen also obtained a certificate of completion from Huaxia Electrophysiology College!


    All of these honors, if you can get one, it would be very good.


    However, now these honors are all concentrated in one person!


    However, after a little surprise, Zhou Bin calmed down.


    After all, she had only heard of Lu Chen''s deeds and had never seen it with her own eyes.


    How many real talents does Lu Chen really have?


    Will there be a packaged "second generation of learning"?


    The second generation of the second generation of Jinghua Second Academy has such a precedent.


    The children of the dean are directly packaged as outstanding talents in the top fields of the industry. They not only publish high-scoring papers, but are also sent abroad to pan for gold. After returning to China, they can even inherit their father''s business!


    ¡­


    Zhou Bin''s voice was not loud, but the doctors in the office basically heard it.


    The name Lu Chen is both unfamiliar and familiar to everyone.


    Only heard, never seen.


    Now, everyone''s eyes are on Lu Chen.


    This made Lu Chen slightly surprised.


    But he did not show any timidity, and smiled slightly in front of everyone''s eyes.


    Zhou Bin retracted his thoughts at this time, and said slowly: "The three of you first familiarize yourself with the working environment. Today I am on the day shift, and when the patient arrives later, you will follow me to receive the patient. Another student in our group, he today I just got off the night shift, so I''m not in CCU for the time being."


    "Okay, Teacher Zhou." All three Lu Chen nodded and left the doctor''s office.


    ¡­


    After the three of Lu Chen left, in the doctor''s office, the doctors started a private discussion.


    The content of the discussion was of course about Lu Chen.


    "Binbin, do you think this kid wrote his thesis himself?"


    The doctor from another medical group whispered.


    Zhou Bin shook his head: "I just came to the group today, and everyone doesn''t know his situation. It''s really impossible to say."


    "I heard that the impact factor of the paper published by Lu Chen is more than 5 points, it seems to be 7 points!"


    When the doctors heard this, they were instantly stunned.


    A SCI paper with a score of 7 points, no one here can write such an article!


    In other words, if you can write such a high-scoring paper, you will not come to a hard position like CCU.


    "If he really wrote it himself, it would be terrifying!" Zhou Bin exclaimed, "I haven''t touched the threshold of such a high-scoring paper yet!"


    ¡­


    The three of Lu Chen walked out of the doctor''s office and began to look at the structure of the CCU ward.


    CCU ward is divided into four areas.


    Three general areas, from bed 1 all the way to bed 50.


    A rescue area with a total of 8 rescue rooms.


    The nurse station is located in the central area of ??the CCU ward.


    Lu Chen looked around and was instantly stunned when he saw the patient in the rescue room.


    Rows of patients looked over, all of them had red health points!


    Moreover, the trend of each person''s life value change is two minus signs, or even three minus signs.


    "Good guy, as expected of a CCU!"


    This is the first time that Lu Chen has encountered such a "luxury lineup".


    Just after Lu Chen was surprised, the door of CCU was suddenly opened.


    A hospital bed was suddenly pushed in.


    On the hospital bed, a doctor is sitting on his knees and performing chest compressions on the patient.


    Beside the bed, there are four or five doctors helping to push the bed.


    "Rescue! Breathing and heartbeat stopped!"


    Zhou Bin and other CCU doctors immediately rushed out of the office when they heard the words.


    "Quick, push to the No. 2 rescue room, it just happens to be empty!"


    The three of Lu Chen stood in the central passage of the CCU ward, and immediately moved away when they saw this.


    Everyone worked together and pushed the hospital bed to the No. 2 emergency room.


    During this period, the doctor on the bed was still giving the patient chest compressions.


    ¡­


    "Get on the Sabo (automatic chest compression machine)!" Zhou Bin looked serious, and immediately started the rescue command.


    "Open the vein!"


    "Prepare for endotracheal intubation!"


    "Blood gas collection, catheter intubation, brain protection with ice packs!"


    "You three, come and help!" Zhou Bin glanced at Lu Chen and the others.


    Lu Chen was afraid of disturbing the rescue, so he didn''t step forward immediately. Now, when he heard Zhou Bin''s words, he immediately ran forward.


    Gu Xinyue followed closely.


    Fatty Cheng grimaced, "I just arrived at CCU for ten minutes!"


    I posted a big push today, but I can''t add more.


    (end of this chapter)

 v2 Chapter 477： home

    Chapter 477 Homecoming


    Zhou Bin''s movements were extremely fast, and he had already started to intubate the patient''s trachea.


    At this time, two doctors in the CCU ward brought the Saab machine.


    Lu Chen and others lifted the patient''s body slightly, and then stuffed the Saab machine into it.


    After installation, the machine starts to run automatically, replacing manual chest compressions.


    "Damn it, this machine is advanced, it''s the first time I''ve seen it." Fatty Cheng looked at the Sabo machine and was amazed.


    Gu Xinyue glanced at him and said lightly: "Then there are many machines you haven''t seen before, and it will be an eye-opener in CCU in the future."


    "Hey, Laogu, you really don''t give face!" Cheng Peng pouted.


    ¡­


    At this time, Lu Chen finally saw the patient on the hospital bed.


    She is a woman of about thirty years old.


    Her lips and face were all deeply cyanotic.


    This is the manifestation of extremely severe hypoxia.


    Moreover, it is not possible to reach this level in a day or two, it is definitely caused by years of hypoxia.


    In Lu Chen''s eyes, the patient''s HP is only 24, and the change trend is three minus signs.


    Also, the patient''s health is decreasing at a rate visible to the naked eye.


    It was just 24 health points, and in a blink of an eye, it became 22 again!


    "With this rate of decline, within a few minutes, the patient''s life value will probably be reset to zero." Lu Chen thought.


    But now, the endotracheal tube and ventilator are all on.


    Rescue drugs, such as respiratory stimulants, cardiac and other drugs, are also used.


    Whether the patient can be rescued can only depend on her desire to survive and the will of God!


    ¡­


    "The three of you don''t stand still." Zhou Bin looked at the three and said, "Xiao Lu, ask the patient''s family''s medical history. Xiao Gu, go to the teacher in Area B to borrow an ultrasound machine."


    "Received." Lu Chen and Gu Xinyue said in unison.


    Cheng Peng was stunned for a while, and said, "Teacher, what about me?"


    "You?" Zhou Bin glanced at Cheng Peng, "Don''t worry, you''ll be busy later."


    Cheng Peng: "..."


    ¡­


    Family members of patients cannot enter the CCU ward.


    All doctor-patient communication is in the communication room next to the CCU ward.


    Lu Chen came to the communication room and called in the patient''s family through the microphone in the room.


    The family member of the patient is a man in his thirties, with a two- or three-year-old boy beside him.


    "Hello doctor, I''m the husband who just brought this patient to rescue."


    The man looked anxious.


    "How is my wife?"


    Lu Chen''s face was very serious, "The situation is not very good, we are doing our best to rescue."


    "Doctor, you must save my wife!" The man''s voice trembled together.


    The little boy on the side of ?? is not very old, and he is calling for his mother, but his face is always smiling.


    Lu Chen said sternly: "Now the situation is urgent, I will ask you about the specific process of the patient''s onset..."


    "Okay, you ask, as long as I know I will tell you." The man was very cooperative.


    ¡­


    After asking around, Lu Chen knew the patient''s medical history and the condition of the disease.


    The patient had congenital heart disease since childhood and had pulmonary hypertension, which became more and more serious with age.


    The patient herself has been in a state of hypoxia for a long time, but fortunately she has gradually tolerated it.


    But since getting married and having a child, the patient''s condition is getting worse day by day.


    When he woke up this morning, the patient said that he was a little short of breath. He had just asked for leave, and on the way to the hospital, the patient became more and more breathless.


    As soon as he arrived at the emergency department, he suffered sudden breathing and cardiac arrest, so he was rescued all the way and was directly pushed to the CCU.


    "In this situation, do you still want to have a child?" Lu Chen frowned.


    "Hey..." The man shook his head and glanced at the child beside him with a sad face, "Doctor, I just hope you can save my wife."


    "We will try our best, but your family also needs to be mentally prepared."


    After communicating with the patient, Lu Chen returned to the No. 2 rescue room.


    ¡­


    Just walked into the No. 2 rescue room.


    Lu Chen was suddenly startled.


    The patient''s HP is only 8 points!


    The change trend of ?? is still three minus signs.


    Judging from past experience, Lu Chen has never seen a patient with a single-digit life value be rescued.


    This woman is probably gone.


    Sure enough, Lu Chen just finished reporting his medical history to Zhou Bin.


    I saw the life value on the patient''s head, and it was cleared!


    However, due to the use of ventilators and drugs, the heart rate and breathing are still being maintained on the bedside ECG monitor. In fact, the patient has no spontaneous heartbeat and breathing.


    "Mr. Zhou, the patient..."


    Before Lu Chen''s words could be said, Zhou Bin slowly shook his head and said, "I''m tired of returning to the sky. After a few more minutes of rescue, I''ll go to communicate with the patient''s family."


    At the same time, Zhou Bin said to the nurse on the side: "Sab, stop, it''s pointless, and it''s easy to break bones. Next, switch to manual compression, Cheng Peng, come on!"


    "Huh?" Cheng Peng was a little puzzled about his sudden CUE.


    Manual chest compressions?


    This is so tiring!


    "Get ready, the Saab will stop soon."


    Fatty Cheng could only bite the bullet when he saw this.


    Lu Chen whispered from the side: "Fatty, you go first, we''ll take turns in a while."


    There is an unwritten rule in the hospital that until the end of the rescue, no matter whether the patient lives or dies, the rescue must continue for 30 minutes.


    These 30 minutes of chest compressions are absolutely impossible for one person to do.


    ¡­


    At this time, Zhou Bin has already gone to communicate with the patient about his condition, which is actually an announcement of his death!


    Within two minutes, there was a mournful cry from the gate of the CCU.


    Lu Chen knew that this was the man''s cry.


    Then, Zhou Bin walked into the ward with a man with red eyes. The little boy beside him looked around and looked very curious, "Dad, where did Mommy go?"


    The man stopped immediately and saw Lu Chen at the door of No. 2 rescue room.


    "Doctor, can you help me take care of the child first?"


    Lu Chen was taken aback for a moment, then nodded.


    Mostly, he didn''t want the child to see his mother''s miserable condition. He was alone and couldn''t let the child take care of others.


    ¡­


    The man walked into the No. 2 rescue room.


    Lu Chen crouched down and touched the little boy''s head.


    The little boy looked at Lu Chen''s white coat, his face turned pale, "Uncle, I don''t want to have an injection."


    Lu Chen smiled, "I don''t give injections."


    "Really?" The little boy glanced at Lu Chen, then smiled, "Then uncle, did you see my mother?"


    Lu Chen sighed slightly in his heart, still smiling: "Your mother, she may have gone home."


    "Go home?" The little boy blinked, "Can I see my mother when I get home?"


    Lu Chen nodded.


    At this time, the man has come out of the rescue room.


    Tears were streaming down his face.


    "Little Treasure, we''re going back." The man said, he picked up the little boy and turned his face away to prevent the child from seeing his expression.


    "Great." The little boy smiled happily, "I can go home and see my mother!"


    The man''s expression was obviously stagnant, he glanced at Lu Chen gratefully, and then left the CCU ward under the leadership of Zhou Bin.


    (end of this chapter)

 v2 Chapter 478： The suffocated Gu Pearson

    Chapter 478


    Congenital heart disease, severe pulmonary hypertension, can be called a tumor of the heart.


    Currently, the only drug that can effectively reduce pulmonary hypertension is "Viagra" for treating impotence.


    However, this medicine is also very expensive, and the average family can¡¯t afford it.


    Therefore, for most patients with congenital heart disease, it is very difficult to live beyond adulthood except for early surgery at the early stage.


    ¡­


    CCU ward, No. 2 rescue room.


    Cheng Peng leaned on the side panting, he looked up at Lu Chen, "I wipe, my hands are really sore!"


    aside, Gu Xinyue also shook her hand, "Lu Chen, I found your face is really dark."


    Lu Chen: "..."


    These two are really good at throwing the pot!


    There are three of them together, so why is it only him!


    At this time, Zhou Bin was also helping with the patient''s clothes.


    In order to make the patient look decent, she put on the patient''s clothes.


    The rest of the matter is left to the next family members to handle.


    "You three are not bad!" Zhou Bin returned to the doctor''s office and said to the three with a smile, "Your hands and feet are quite quick."


    Ordinary students, when encountering such a level of rescue, have long been hiding, or panicked and overwhelmed.


    Then, Zhou Bin glanced at Lu Chen, "Since it''s the medical history you asked about, then you can write down the patient''s course record and rescue record."


    "Okay." Lu Chen nodded slightly.


    He found an idle computer, opened the medical record system, created a blank template, and started writing the medical record.


    Writing such rescue records and death records is the most difficult!


    What the main rescue doctor does at every step needs to be recorded in detail, and the patient''s vital signs also need to be recorded.


    It can be said that the rescue record is the most important consideration for the writing of the doctor''s medical record.


    ¡­


    On the other side, Gu Xinyue and Cheng Peng were sent by Zhou Bin to do an electrocardiogram and send test sheets.


    Don''t think that a graduate student in a hospital can do high-level jobs.


    Running errands, posting test sheets, and even taking express delivery, these are the norm!


    "I''m going, Lao Gu, how come there are so many patients in our group!" Cheng Peng looked at the list of patients in his hand and said in surprise.


    In the list, there are a total of twelve patients!


    You must know that this is a CCU ward, and every one is critically ill.


    It will definitely take a lot of energy to manage twelve patients at once.


    "Don''t sigh, let''s do the electrocardiogram." Gu Xinyue said lightly, "Before the ward round, we have to complete the electrocardiogram of the twelve patients."


    Cheng Peng shouted: "Hey, my hands were sore just now, and now I have to do an electrocardiogram, who will help me?!"


    Gu Xinyue glanced at Fatty Cheng, "You can exchange with Lu Chen, you can write a rescue record and let him do an electrocardiogram."


    "I don''t!" Cheng Peng grinned, "You think I''m stupid, the rescue records are not easy to write, I''d rather do a few electrocardiograms."


    Gu Xinyue laughed and stopped talking.


    ¡­


    doctor''s office.


    Lu Chen was also recalling the entire rescue process just now.


    How did Zhou Bin operate each step, and what operations did the nurses do.


    According to the chronological order of rescue, he needs to record everything.


    After a long while, Lu Chen finally typed the last word.


    "Huh, it should be right."


    Lu Chen said to Zhou Bin next to him, "Teacher, I have finished writing the rescue records, you can take a look."


    Zhou Bin was still making up the doctor''s order for rescue, and when she heard Lu Chen''s words, she was slightly taken aback.


    In ten minutes, Lu Chen finished writing the rescue records?


    This is too fast!


    After all, she hasn''t even finished the supplementary medical order for rescue.


    The routine operation of the rescue record should be to wait for the superior to complete the doctor''s order, and then write the course record to the doctor''s order.


    "This kid, it won''t be a broken jar!"


    The rescue record is the most test of a person''s level. She is also planning to pass the medical record writing this time to test Lu Chen well.


    ¡­


    However, when he clicked on Lu Chen''s rescue record and saw what was written, Zhou Bin was stunned.


    The format and content of the rescue record, and the rescue steps involved are almost all correct!


    From the first aid when the patient entered the gate, to the final announcement of clinical death.


    The entire rescue record is perfect!


    There are even some medicines, which Zhou Bin forgot to record in the doctor''s order.


    "Mr. Zhou, are there any mistakes that need to be corrected?" Lu Chen asked.


    "Uh..." Zhou Bin looked at it two or three times, but didn''t find anything wrong, "It''s okay to write."


    Really couldn''t find the wrong place, Zhou Bin signed his name at the end of the medical record.


    She looked at Lu Chen who was sitting on the side with an indifferent face, and she was full of scorn in her heart.


    "Lu Chen, this student, really has the capital to be proud of! Perhaps, his thesis was really written by himself!"


    ¡­


    Gu Xinyue and Cheng Peng also returned from the ECG, each of them holding five or six copies of the ECG.


    "Mr. Zhou, we''re done."


    "Well, yes." Zhou Bin nodded. She checked all the electrocardiograms and found that the waveform of one electrocardiogram was a bit strange, so she said, "Who made this electrocardiogram?"


    Cheng Peng whispered: "Mr. Zhou, I did it."


    "There is interference in this picture, and there are two leads that are completely unclear, so make another copy!" Zhou Bin said lightly.


    "Teacher, it''s not that I don''t want to do it." Cheng Peng said, "These patients are too old, their skin is very dry, and the electrodes of the electrocardiogram cannot be attached at all!"


    "If you can''t stick it, you can''t think of a solution?" Zhou Bin raised his brows.


    Cheng Peng opened his mouth, wanted to say something, and swallowed it back.


    After painstakingly finishing the electrocardiogram, and being criticized, no one felt bad.


    Lu Chen whispered: "There is alcohol on the ECG machine, spray it with alcohol, and then do it."


    Cheng Peng could only nod his head, and then went out again.


    Lu Chen saw this and said, "Teacher, I''ll do it with him."


    "Well, let''s go."


    ¡­


    CCU bedside.


    Lu Chen helped Cheng Peng to re-do the electrocardiogram together.


    "Fatty, Teacher Zhou is also kind, don''t worry too much." Lu Chen whispered.


    Cheng Peng pouted, "Our students are coolies, and they are all here to do hard labor."


    Lu Chen was slightly silent.


    Cheng Peng''s mentor is not like Li Yao, who will give a little living allowance every month.


    His mentors were almost bare-bones.


    Cheng Peng receives 600 yuan of state subsidies every month. Now that he has a girlfriend, his living expenses are even more insufficient.


    There is this kind of anger, and Lu Chen can understand it.


    Graduate students and regular trainees are almost all of the lowest-level existences in the hospital.


    Take the least money and do the most tiring work!


    "Oh, I really want to work quickly." Cheng Peng suddenly said, "It''s really hard to get 600 yuan a month now!"


    However, after jumping out of the pit of regulation and training, I¡¯m not sure that you will enter another pit!


    (end of this chapter)

 v2 Chapter 479： bitch stand

    Chapter 479


    Tucao returns to Tucao, work is still to be done!


    Lu Chen accompanied Cheng Peng to complete the ECG, and then returned to the doctor''s office.


    Before going back, from a distance, Lu Chen saw that the door of CCU was opened again.


    Every time the door is opened, that means a new patient comes.


    "I''m going, is there a new patient?" Cheng Peng saw that Zhou Bin and Gu Xinyue were already at the door.


    Lu Chen and Cheng Peng hurried forward.


    ¡­


    "In your mother''s situation, it is best to be hospitalized!"


    There is a wheelchair at the gate.


    In the wheelchair, is a woman of about fifty years old.


    Her hair was fluffy and her expression was a little sluggish.


    "But I don''t have time to take care of her now!" The family member of the patient is a young woman, who is stylishly dressed and wears heavy make-up. "And she is better now and no longer has chest pains. Is it that serious?"


    Beside, Lu Chen has already stepped forward.


    He has seen the patient''s health at 46 (---).


    The trend of life value changes is three minus signs!


    Three minus signs basically means death is knocking on the door.


    "No! Chest pain is a relatively dangerous disease. If the cause is not identified and some key diagnoses are missed, there is a risk of sudden death!" Zhou Bin said to the patient''s daughter.


    The patient''s daughter didn''t say anything, and the patient himself said, "Doctor, I''m really healed, and I don''t need to be hospitalized."


    Her voice was extremely weak, her head was tilted, leaning on the wheelchair, she didn''t look like a normal person at all.


    Lu Chen and the others would naturally not believe it when they heard this.


    He has already judged the patient''s condition through the patient''s HP.


    "Auntie, your chest pain is really getting better?" Lu Chen emphasized again.


    "Really." The patient nodded and stopped talking.


    "Okay, then the family members of the patient come to sign." Zhou Bin immediately said, "Write a refusal to be hospitalized, expressing that you are willing to take all risks. Then you can go."


    Hearing this, the patient''s daughter hesitated again.


    "Well, I''m going to live in a general ward! Can''t I?"


    Zhou Bin shook his head, "Your mother''s condition is critically ill, and she definitely cannot go to the general ward,"


    "I take these risks and go to the outpatient clinic for observation instead of being hospitalized, is that okay?"


    "No! The outpatient clinic will not accept you, and you will come back when the time comes!"


    Such high-risk patients cannot be kept as time bombs in outpatient clinics.


    ¡­


    Next, the patient''s daughter refused to be hospitalized this time under various excuses.


    Lu Chen could see that the patient''s daughter did not want her mother to be hospitalized at all.


    However, she became a bitch, and she had to go to the torii.


    I don¡¯t want to have my mother hospitalized, but I pretend to be entangled here, and keep saying that I don¡¯t have time, and my mother is no longer uncomfortable.


    "Doctor, I''m making a phone call outside." The patient''s daughter said suddenly, "I''ll be back soon."


    "Where are you going to call?" Zhou Bin frowned.


    "Right at the gate."


    The patient''s daughter pointed to the gate, and Zhou Bin nodded and let her go out.


    The ?? patient was left in the CCU ward by her.


    ¡­


    "Lu Chen, the three of you first measure the patient''s blood pressure." Zhou Bin said, "Cheng Peng, go and get the ultrasound machine."


    "it is good!"


    Although the patient is placed at the door by his family, the doctor cannot ignore it.


    CCU ward is responsible for anything that happens during the stay.


    Lu Chen measured the patient''s blood pressure. "Bilateral blood pressure is normal, all around 180/70mmHg."


    "Okay, thank you." Zhou Bin said, she was holding a portable ultrasound at this time, and asked, "This patient is a patient with chest pain. Does anyone know the common differential diagnosis of chest pain?"


    Gu Xinyue immediately said: "The most common diseases in the Department of Cardiology are myocardial infarction, pulmonary embolism, and aortic dissection. In addition to the first time, diseases in other departments include hiatal hernia, pneumothorax, fracture, herpes zoster, etc."


    Zhou Bin nodded with satisfaction, "That''s a good answer!"


    Then, she glanced at Cheng Peng, "Cheng Peng, tell me, what is the most likely diagnosis of this patient?"


    "Teacher, I haven''t seen any tests of the patient." Cheng Peng said helplessly.


    "I''m talking about diagnosis based on clinical manifestations, not laboratory values." Zhou Bindao.


    "Huh? This..."


    Cheng Peng was taken aback, this difficulty is a bit high.


    "Myocardial infarction?" He directly guessed a diagnosis.


    "How did you judge the myocardial infarction?" Zhou Bin wondered.


    "Feel." Cheng Peng said slowly.


    Zhou Bin was speechless immediately, glanced at Fatty Cheng, took the ultrasound machine, and began to perform cardiac ultrasound examinations on the patient.


    Lu Chen stood aside, watching Zhou Bin''s operations carefully.


    ¡­


    After half an hour.


    Zhou Bin put down the ultrasound machine and said, "Heart ultrasound does not seem to be a big problem, the contractility of the heart muscle is OK, and the possibility of myocardial infarction is not very high."


    Lu Chen frowned and said, just now he looked at Zhou Bin''s operation, but found something unusual.


    "Mr. Zhou, can I use this ultrasound?" Lu Chen said.


    "You? Of course you can." Zhou Bin handed the portable echocardiograph to Lu Chen and moved aside.


    She was very curious, Lu Chen, a student, can even know ultrasound?


    Ultrasound is actually not very technical.


    But it takes a long time to practice.


    The average person does not have such ultrasound training conditions, even if they have a little fur, they will forget it after a long time.


    ¡­


    At this time, Lu Chen took over the cardiac ultrasound machine and applied some couplant.


    Place the ultrasound probe on the heart.


    On the short-axis window of the left ventricle, as soon as Lu Chen got started, the cardiac ultrasound image was immediately displayed on the ultrasound screen.


    "This technique is really fast!" Zhou Bin was shocked.


    There is no doubt that Lu Chen is not only good at ultrasound, but also very skilled!


    This is really not easy.


    Lu Chen is not only good at clinical and scientific research, but also in the operation of such auxiliary departments!


    All these talents are concentrated in one body, which really makes the people around him envious.


    ¡­


    I saw Lu Chen staring at the ultrasound screen.


    On the short-axis view of the left ventricle, the image of the root of the aortic arch is very clear.


    "Lu Chen, is there anything wrong with this picture?" Zhou Bin asked suddenly.


    She found that Lu Chen had only seen this aspect so far.


    Is it only this aspect?


    Before Zhou Bin finished speaking, he heard Lu Chen say, "Mr. Zhou, look carefully at the patient''s aortic root."


    "The root of the aorta?" Zhou Bin was stunned for a moment and looked intently.


    First impression, nothing!


    But staring closely at the root position, Zhou Bin suddenly felt something move in it...


    "This is... a floating inner diaphragm?" Zhou Bin asked in astonishment.


    Lu Chen nodded slowly: "Mr. Zhou, you are really amazing, I also think this is the floating inner membrane."


    The ultrasound of a normal person, the aortic root, is unlikely to show this floating intimal sheet.


    There is only one case where this phenomenon can be seen on ultrasound, and that is aortic dissection!


    Zhou Bin''s heart tightened.


    She swallowed her saliva and did not move her new field of vision immediately, but continued to look at the root of the aorta, trying to ensure the existence of the "floating intima sheet".


    (end of this chapter)

 v2 Chapter 480： reject

    Chapter 480 Rejection


    for a long time.


    Zhou Bin raised his head, and the ultrasound probe in his hand slowly moved away.


    At this time, she was shocked.


    This is really the intimal sheet of aortic dissection tear!


    Without Lu Chen''s reminder, she wouldn''t have noticed this at all.


    Ultrasound sees the floating torn intimal patch, which can confirm the diagnosis of dissection.


    ¡­


    "Congratulations, the completion of the system upgrade has increased!"


    The diagnosis was successful, and a prompt popped up on Lu Chen''s system panel, and he successfully gained a little upgrade.


    However, he was not happy at all at this time.


    Diagnosed with aortic dissection, which is a disaster for many poor families.


    In the wheelchair, the patient still has his eyes closed.


    Everything around ?? seems to have no interest in her at all.


    "Auntie, how are you now?" Lu Chen said quickly, "Does your chest hurt? Does your back hurt?"


    The patient slowly opened his eyes and his voice was a little weak: "Doctor, I''m fine, I''m fine, you don''t need to worry about me."


    Then, she closed her eyes again.


    Lu Chen''s face was full of disbelief, this kind of aortic dissection would have no symptoms at all?


    At this time, Zhou Bin also realized the seriousness of the problem.


    If this patient is not hospitalized quickly, he is at risk of sudden death at any time!


    She said to Lu Chen: "Lu Chen, take good care of the patient, I will go outside to find her family."


    "Yes." Lu Chen nodded.


    ¡­


    Then, Zhou Bin hurriedly walked outside the ward to look for the patient''s daughter.


    After a while, she finally found her family members in the stair corridor outside the CCU ward.


    "According to your mother''s current condition, she must be hospitalized!" Zhou Bin looked serious.


    "What''s the matter? It was just a suggestion just now. Is it necessary to live now?" the patient''s family members wondered.


    Zhou Bin said solemnly, "We suspect that your mother has a very dangerous disease called aortic dissection."


    "Aortic dissection?" The patient''s family was taken aback, she had never heard of this disease.


    Zhou Bin immediately explained it again.


    "Doctor Zhou, do you mean that the operation cost is at least 200,000 yuan? The success rate is only 50%?"


    "That''s right."


    Hearing this, the expression on the patient''s family immediately became ugly, and immediately said: "Dr. Zhou, I will not live anymore, I will not be hospitalized, I want to go home."


    "Ah? No longer?" Zhou Bin was taken aback.


    "No longer." The patient''s family nodded, "I''ll drag my mother home."


    Zhou Bin was silent immediately, she knew that the patient''s family was about to give up.


    As a patient receiving doctor, she has no choice.


    ¡­


    The family members of the patients are really "actionists"!


    After Zhou Bin finished talking with her, the family immediately returned to the CCU ward, and the mother who was pushing the wheelchair was ready to leave.


    "Wait a minute, sign first."


    Zhou Bin took out the informed consent form for refusing to be hospitalized.


    The patient''s family didn''t even look at it, they signed their name and left.


    Seeing the back of the family members leaving without hesitation, several people present sighed.


    Gu Xinyue suddenly said: "I think the patient must know that he is seriously ill."


    "Old Gu, how did you know?" Cheng Peng said.


    Gu Xinyue said, "I see that the patient''s fingers are shaking slightly. She must be holding back the discomfort. She may have known her condition in her heart. It''s just that she is just acting stupid."


    Lu Chen was a little silent.


    Hearing what Gu Xinyue said, the patient did seem to be pretending just now.


    After all, many patients with aortic dissection suffer from severe pain that cannot be relieved even by some pain relievers.


    "Hey." Zhou Bin sighed, she silently retracted the ultrasound machine, looked back at everyone, "Let''s go, go back to the office."


    After this episode, the three also returned to the ward.


    At this time, without knowing it, the morning time passed quietly.


    "This is the CCU Ward A!"


    Changed into a white coat after get off work, Fatty Cheng couldn''t help sighing: "Xiao Lin told me that she spent most of the morning playing with her phone! Look at me, we..."


    The gap between Area A and Area B is evident.


    Lu Chen and Gu Xinyueren left the ward, and Fatty Cheng also went to Area B to wait for Xiao Lin to get off work.


    ¡­


    walked out of the inpatient building.


    "How do you feel?" Lu Chen smiled and said to Gu Xinyue who was beside him.


    "It''s okay." Gu Xinyue glanced at Lu Chen, "When did you learn cardiac ultrasound?"


    "Last year." Lu Chen said perfunctorily with a smile.


    "I don''t even know how you have time." Gu Xinyue shook her head gently, "I don''t have time to read papers every day."


    Counting Lu Chen''s achievements today, there are many clinical and scientific researches, and it is still early to add some unknown skills, such as the current cardiac ultrasound technology.


    "Stop talking about this." Lu Chen immediately changed the subject, "How is your paper?"


    They have now completed the second study. According to the usual progress, many people have completed the writing of the thesis.


    Gu Xinyue shook her head slightly, "It''s alright. But I can''t compare to you. You get a 5-point SCI when you shoot."


    When Lu Chen heard this, why did he feel a sour taste?


    "Cough cough." He then coughed lightly, "You can too."


    "Hope." Gu Xinyue said softly with a volume that only she could reach, "Lu Chen, I will catch up with you."


    ¡­


    Back to the bedroom at noon.


    Lu Chen saw that Wang Zihao had returned.


    "Hey, Lu Chen, how are you in CCU today?" Wang Zihao leaned over and asked.


    "Busy." Lu Chen shook his head.


    CCU''s busy, really busy.


    "Hey, I heard some brothers and sisters say that the CCU ward is the busiest department in the hospital." Wang Zihao smiled, "By the way, are you free this weekend?"


    "What''s wrong?" Lu Chen was taken aback.


    "That''s right, didn''t you just come back from Kyoto? My sister wants to invite you out for a meal." Wang Zihao said.


    Lu Chen smiled helplessly in his heart, is he eating again?


    "Zihao, forget it. I''ve been busy with the natural application in China recently. Next time, definitely next time!"


    Wang Zihao frowned and said, it would be miserable if the things that the old lady explained were not done beautifully!


    "Lu Chen, how about this, how about next week?"


    Lu Chen was stunned, "Next week?"


    This Wang Zihao really insisted, but Lu Chen vaguely knew what Wang Ruoxi meant.


    Since you don''t have feelings for others, then cut through the mess quickly and insist that you can''t let go!


    "Zihao, I really don''t have time, you know that." Lu Chen said.


    "This..." Wang Zihao didn''t expect Lu Chen to be so decisive, but looking at Lu Chen''s firm eyes, he could only nod his head.


    (end of this chapter)

 v2 Chapter 481： sell night shift

    Chapter 481 Selling Night Shifts


    In the afternoon, go back to Area A of the CCU ward.


    The busy clinical life begins again.


    Fortunately, there was no rescue incident this afternoon.


    Lu Chen was familiar with the operation process of the department and spent it very safely.


    However, just as he was about to get off work, Lu Chen got a "bad news" from Zhou Bin.


    That is the CCU ward, the schedule for all their students is out.


    "I''m going! Am I that bad?"


    Not far away, Fatty Cheng''s cry came.


    "I''m actually on the night shift today? Nima, those close to Zhu are red, those close to Mo are black, why am I so dark!"


    As we all know, the night shift in the CCU ward is almost impossible to sleep with eyes closed all night.


    First of all, because the general ward of the cardiology department does not admit patients at night, the CCU ward will admit all new patients in the cardiology department at night.


    At present, the CCU of the Cardiology Department of Jinghua Second Hospital has the largest number of patients, and it has treated 30 patients in one night! Patients were admitted almost continuously, without stopping.


    This record is currently maintained by Mr. Zhou Bin.


    Secondly, most of the patients with heart disease develop at night.


    Because the sympathetic nerves are excited at night and increase the burden on the heart, most of the general myocardial infarction and heart failure occur at night.


    In the end, all the critically ill patients live in the CCU, and when they get sick, it''s all a series!


    Therefore, as long as it is the night shift in the CCU ward, it is almost impossible to sleep all night!


    "I want to sell the night shift!" Fatty Cheng was a little confused, so he found Lu Chen, "How much would you like to sell my shift in CCU Ward A?"


    Jinghua Second Hospital has a WeChat group for "Learning and Guiding Trading Night Shifts".


    Graduate students and regular trainees can buy and sell their own night shifts through this group chat.


    However, Lu Chen hadn''t read this group chat message for a long time.


    Before ??, he often went to buy night shifts because of lack of gratitude.


    But now, he doesn''t really lack the gratitude value, so he hasn''t bought night shifts for a long time.


    "Fatty, wait a moment, I''ll ask a classmate." Lu Chen thought of Zhou Wei, as a veteran of night shift business, he should know the market.


    Lu Chen called Zhou Wei directly.


    "Hey, Lu Chen, why do you have time to call me when you are so busy?"


    "That''s right." Lu Chen said straight to the point, "Do you know what the night shift price in CCU Ward A is?"


    "Ah? You want to buy it for the night shift?" Zhou Wei said in surprise, "You have so many scholarships now, so you shouldn''t be short of money, right?"


    "Stop talking nonsense, one of my classmates is selling night shifts." Lu Chen smiled, "Tell me about the price."


    "Oh." Zhou Wei thought for a moment and said, "CCU ward night shift, few people sell it, because no one dares to ask for it! This CCU night shift is suffering!"


    "Just say it directly, how much?"


    "One night shift, the price is more than six hundred!"


    Lu Chen was a little surprised, "So tall?"


    You must know that ordinary night shifts only need two or three hundred!


    For example, the busy departments such as respiratory department and gastroenterology department, the night shift is about 300 yuan; the leisure departments such as endocrinology and infectious diseases are about 200 yuan.


    CCU ward night shift, directly doubled.


    "Six hundred yuan, it''s still a little! At this price, no one may buy it!" Zhou Wei added, "At least eight hundred yuan! Maybe someone will buy it."


    Lu Chen: "..."


    This price, this market, is too scary!


    "Last time, I heard that during the Spring Festival, one person bought a 24-hour shift in CCU Ward A, and made about 1,000 yuan!"


    Lu Chen was a little dumbfounded!


    A 24-hour shift, priced at 1,000 yuan?


    These graduate students and graduate students all have mines at home, right? !


    There are mines at home, what kind of doctor do you want to be?


    Wouldn¡¯t it be nice to do other professions?


    ¡­


    Lu Chen informed Fatty Cheng about the CCU night shift price.


    "What? Six hundred?!" Fatty Cheng''s face turned the color of pig liver, "Why don''t you go grab it?"


    His own monthly living expenses are only 600 yuan!


    I''m still in love now, and my living expenses are not much...


    "Then there is no way, think about it yourself!" Lu Chen said helplessly.


    "However, since I can''t sell the night shift, then I can buy someone else''s!"


    Suddenly, Fatty Cheng felt like he had found a way to get rich!


    Lu Chen was speechless and could only wish Fatty a safe night in his heart.


    ¡­


    night.


    Lu Chen returned to the dormitory and received an email from the National Natural Science Foundation of China.


    "Congratulations, the first round of qualification review passed!"


    Lu Chen relaxed a little.


    But this qualification review is the easiest, and passing it is also a matter of cleaning up.


    "Next, we have to watch the second round of online review!"


    Lu Chen was also a little apprehensive, this second round of online review basically decided the final success or failure!


    was speechless all night.


    ¡­


    The next day.


    Lu Chen just woke up, clicked on WeChat Moments, the first message was from Fatty Cheng.


    "At half past three in the middle of the night, eight patients have been admitted. Is there anyone worse than me?"


    The attached picture is a clock on the wall of the CCU ward.


    Lu Chen smiled immorally.


    It seems that the nickname of the black-faced **** can be replaced soon!


    Came to the CCU ward.


    Lu Chen saw Fatty Cheng. He had two huge dark circles under his eyes and was still doing an electrocardiogram for the patient.


    I haven''t seen him overnight, he seems to have lost some weight!


    "Fatty, are you going to buy a CCU for the night shift?" Lu Chen quietly came to Fatty Cheng.


    Cheng Peng''s head was like a rattle, and he shook his head frantically, "Absolutely don''t buy it! Don''t buy it if you kill it!"


    "Haha." Lu Chen smiled.


    At this time, Cheng Peng suddenly glanced at Lu Chen, "Lu Chen, don''t be too happy, I remember you seem to be on the night shift today?"


    Lu Chen was stunned, he had been making fun of Fatty Cheng before.


    Looking at the night shift schedule, the night shift tonight is really him.


    "Fatty, six hundred yuan, I''ll sell it to you for the night shift, would you like it?" Lu Chen glanced at Cheng Peng with a half-smile.


    Fatty Cheng shook his head quickly, "Don''t mess with me, I won''t buy it, this night, I''m on duty with my life!"


    ¡­


    Lu Chen smiled, and he also said something on his lips.


    He will definitely not sell this night shift!


    However, let¡¯s talk about the whole day of the day first.


    Today, the senior brothers in their group came.


    He is a third-year student in the Department of Respiratory Medicine, his name is Cheng Dongbo.


    Because I am looking for a job recently, I often take leave from the department.


    Early work overtime rounds, a group of three people followed behind Zhou Bin.


    Zhou Bin also pushed an ultrasound, while explaining the heart ultrasound to the patient, while asking the patient''s medical history.


    Lu Chen found that this teaching method is really good.


    (end of this chapter)

 v2 Chapter 482： I actually pretended to be in front of him?

    Chapter 482 I actually pretended to be in front of him?


    Through the imaging examination of cardiac ultrasound, students can keenly observe the structural and functional status of the patient''s heart.


    For example, in some patients with myocardial infarction, wall motion is weakened and myocardial contractility is reduced.


    In patients with aortic dissection, the aorta is widened, and a floating intimal sheet can be seen in the aortic intima.


    Even some patients with pulmonary embolism can see signs of pulmonary hypertension and pulmonary artery dilation.


    As a quick and non-invasive imaging method, ultrasound can provide a lot of diagnostic information.


    More importantly, this way of ward rounds allows every student to move, participate in the clinical diagnosis and treatment process, and increase interaction with patients.


    However, the proficient use of ultrasound is not an overnight thing and requires long-term training.


    "This also depends on the feel." Zhou Bin took the ultrasound probe and operated it on a patient with myocardial infarction. "Do you think the cardiac contractility of this patient is significantly weaker than that of normal people?"


    Cheng Peng nodded, "Yeah, his cardiac muscle contraction ability is half a beat slower than normal people."


    "That''s right, this is heart failure after myocardial infarction. The heart has no strength to beat, so it seems that the myocardial contractility is reduced." Zhou Bin turned to the four students and said, "Who among you wants to try it yourself?"


    Cheng Peng and Gu Xinyue are both eager to try.


    Cheng Dongbo, the senior fellow of the third grader, was displeased, "Three juniors, try it, I have used it before."


    However, Lu Chen just smiled.


    When he wants to use ultrasound in the virtual space of the system, he can train.


    Now this opportunity is left to Cheng Peng and Gu Xinyue.


    Zhou Bin saw this and handed the ultrasound probe to Gu Xinyue, "Then Xiaogu will come first."


    Gu Xinyue nodded slightly, took the probe, put on the couplant, and began to scratch on the patient''s heart.


    However, the ultrasound screen was blurry, and nothing could be seen.


    "When doing a cardiac ultrasound, the patient must be turned slightly to the left." Zhou Bin explained, "Because there is a lot of gas in the lungs, if the patient is lying down for the ultrasound, the whole image will be blurred because of the lung gas image. Yes, it''s hard to see, especially for some obese people."


    Hearing Zhou Bin''s teaching, Gu Xinyue nodded slightly, and then instructed the patient to turn slightly sideways.


    However, after the patient turned sideways, the image on the ultrasound screen was still blurry!


    "You need to practice more for the rest." Zhou Bin said, "As long as you find the feel, you will be able to do it later."


    Ultrasound might really require some talent.


    Gu Xinyue fiddled with it for a long time, but still couldn''t show the image of the heart, but Fatty Cheng just got started, and an image of the four-chambered heart appeared on the ultrasound screen. Although it was not very clear, it was already recognizable.


    "Haha, Lao Gu, look at it!" Fatty Cheng was a little confused, and raised his eyebrows towards Gu Xinyue, "I made it!"


    Gu Xinyue reluctantly spread her hands, this fat man''s luck is really good.


    At this time, Zhou Bin had already left, and there were only a few students left.


    Senior brother Cheng Dongbo smiled and said: "Senior brother, what you do is not very standard, you must aim at the place."


    Said, Cheng Dongbo lightly connected the probe in Fatty Cheng''s hand, and then began to operate.


    I have to say that Cheng Dongbo stayed in the CCU ward for a month, and his ultrasound operation is indeed more skilled than Gu Xinyue and others.


    However, in Lu Chen''s view, they are all just getting started.


    "Look, junior brother, this is the face of the four-chambered heart." A confident smile appeared on Cheng Dongbo''s face, "Do it a few times like me, and you should be able to do it!


    On the screen of the ultrasound machine, the four chambers of the heart are displayed.


    "Senior brother, you are amazing!" Fatty Cheng stretched out his thumb, "What about this four-chambered heart and the five-chambered heart?"


    "Five-chambered heart" does not mean that the heart has five chambers, but from an imaging point of view, during ultrasound, in addition to the four chambers of the heart, the aortic root can be seen. This image is called five-chambered heart. cavity heart.


    "This..." Cheng Dongbo was stunned, "I, I don''t know this yet. Let Teacher Zhou help us demonstrate."


    As soon as he finished speaking, Cheng Dongbo saw that Gu Xinyue and Fatty Cheng were not paying attention to themselves, but looked at Lu Chen beside him.


    "This is... what''s wrong?" Cheng Dongbo was a little puzzled.


    At this time, seeing this, Lu Chen smiled and said, "The five-chambered heart is very simple. In fact, at the interface of the four-chambered heart, if you slightly increase the angle of the probe, you should be able to see the five-chambered heart."


    "What about the second-chambered heart?" Fatty Cheng asked again.


    Lu Chen said: "Rotate the probe 90 degrees to get the image of the second-chambered heart."


    "Don''t change the position of the probe?" Fatty Cheng frowned.


    "No." Lu Chen shook his head slightly, "You haven''t understood the specific anatomical structure of the heart. The ultrasound probe can see most of the heart at the apex of the heart. At this time, you only need to adjust the angle to get a different view. interface."


    Hearing Lu Chen''s words, Cheng Dongbo was dubious.


    Didn''t this junior brother just arrive at the CCU ward? Why does it sound so awesome?


    However, he still tried to do as Lu Chen just said.


    "Hey, really!" Cheng Dongbo was stunned for a moment. When he manipulated according to Lu Chen''s instructions, a picture of a five-chambered heart really appeared on the ultrasound screen.


    Immediately afterwards, he adjusted the probe position again.


    This time, a two-chambered heart actually appeared successfully!


    This junior and senior brother is right!


    ¡­


    Several people were very surprised, but Lu Chen just smiled lightly, "Basic operation."


    These operations are the most basic entry-level operations in the system space!


    "The three of you should practice ultrasound first. I''m going to help Teacher Zhou write a medical record."


    After ??, Lu Chen left.


    Cheng Dongbo was shocked. "I''m going, who is this junior brother? So powerful?"


    It was the first time that he had met such an awesome junior brother.


    Fatty Cheng explained with a smile, "Department of Cardiology, Lu Chen."


    Hearing the word "Lu Chen", Cheng Dongbo widened his eyes and murmured, "Ah? Is he Lu Chen?"


    This is the legendary figure of Jinghua Second Hospital!


    Just the 5-point SCI paper published by Lu Chen is something that Cheng Dongbo cannot envy now.


    He is now facing graduation. If there is such an article, he will be admitted to many hospitals!


    "Damn, I was just pretending to be in front of Junior Brother Lu Chen?" Cheng Dongbo murmured in his heart. He secretly glanced at the two Junior Brothers beside him and found that they were not abnormal, so he was relieved.


    ¡­


    At this time, Lu Chen had come to the doctor''s office.


    As soon as he walked in, Zhou Bin was about to go out, "Just now, the patient has been transferred upstairs, let''s go see it together."


    (end of this chapter)

 v2 Chapter 483： fulminant myocarditis

    Chapter 483 Explosive Myocarditis


    The upstairs that Zhou Bin mentioned is the general ward of the Cardiology Department, from the first ward to the eighth ward.


    Once a patient in the general ward is in a critical condition or suddenly deteriorates, he or she is usually transferred to the CCU ward for more detailed and specialized rescue.


    Because many rescue equipment is not equipped in ordinary wards, such as invasive ventilator, IABP machine, ECMO machine, etc.


    "I just received a call from District 2 in my heart. There is a little girl who has just been admitted to the hospital today and suddenly has difficulty breathing..."


    Zhou Bin explained the cause to Lu Chen and walked quickly to the gate of CCU.


    "The little girl with breathing difficulties? Come to the Cardiology Department?" Lu Chen followed closely.


    The two of them opened the door of the CCU ahead of time and waited for the arrival of the patient.


    ¡­


    The two didn''t wait too long. About half a minute later, a hurried voice caught Lu Chen''s attention.


    In his sight, four doctors pushed the ward and rushed towards the gate of the CCU ward.


    This scene, Lu Chen is somewhat familiar, is very similar to the rescue of the patient with pulmonary arterial hypertension yesterday.


    Yes, there was no doctor in the hospital bed doing CPR today.


    Lu Chen looked at the patient on the hospital bed.


    This is a very young girl, about eighteen years old.


    The head of the bed has been shaken high.


    The girl was leaning on the bed, gasping for breath, her lips were cyanotic, and her eyes were very blurred.


    And her HP is only 32 (---)!


    The changing trend of life value is three minus signs!


    "Quick, push it to the rescue room!" Zhou Bin shouted to the crowd, "Grab 8!"


    (Rush 8: The 8th Rescue Room)


    CCU Ward A, only the last rescue room No. 8 is left.


    The doctor accompanying the ward heard Zhou Bin''s words and immediately pushed the hospital bed into the emergency room No. 8.


    "Brother Hua, what''s the specific condition of the patient?" Zhou Bin asked immediately.


    The accompanying doctor in charge is an old acquaintance of Lu Chen, Li Qinghua.


    He said solemnly: "The patient was originally admitted to the Department of Respiratory Medicine with pneumonia, but an electrocardiogram was routinely performed on admission, which showed frequent premature ventricular tachycardia and short bursts of ventricular tachycardia. The patient had symptoms of chest pain, and her kinase indexes increased. High, considering the possibility of myocarditis, it was transferred to zone 2 in our heart."


    "In less than half an hour after the transfer, the patient suddenly had difficulty breathing, which gradually worsened, the blood pressure dropped to only 80/50mmHg, and the blood oxygen dropped to about 90%..."


    When Lu Chen heard all the descriptions, five big words popped out in his mind: "Explosive myocarditis!"


    Explosive myocarditis, rapid onset, high fatality rate!


    ¡­


    However, at this time, it was simply too late for everyone to think about it.


    All the free medical staff in the CCU came to the rescue room.


    Zhou Bin is still the commander-in-chief of the rescue.


    "Push over the ventilator and open three venous channels first!"


    "Full speed rehydration!"


    "Brother Hui, you help to do a central venous catheter!"


    "The nurse checks a set of blood, collects blood gas, and then inserts a urinary catheter."


    Lu Chen is already familiar with the rescue rhythm of the CCU at this time. As a student, what he can do at present, or what Zhou Bin asked him to do, is extremely limited, that is, doing an electrocardiogram and measuring blood pressure.


    His movements were very quick, and he immediately pushed the electrocardiograph over.


    "Mr. Zhou, the patient''s blood pressure is 75/62mmHg, both sides are similar. The electrocardiogram shows short burst ventricular tachycardia, and there are ST-T changes."


    Zhou Bin briefly glanced at the electrocardiogram, then nodded and continued to direct the operations on the field.


    Suddenly, an alarm sounded from the ECG monitor in the rescue room.


    "The patient has ventricular fibrillation!" Li Qinghua exclaimed.


    At this time, the patient''s eyes were staring right and forward, foaming at the corners of the mouth, and the whole person completely lost consciousness.


    Li Qinghua rushed to the front, immediately jumped on the bed, and performed chest compressions on the patient.


    "Quick, endotracheal intubation!" Zhou Bin quickly got all the tools for endotracheal intubation.


    Lu Chen cooperated with Zhou Bin.


    What tools Zhou Bin wanted, Lu Chen could quickly hand them over.


    In less than thirty seconds, the patient has been successfully inserted into the tube.


    "Mr. Li, the defibrillator is here!"


    After inserting the tube, Lu Chen pushed the defibrillator over and adjusted it to the defibrillation mode.


    Li Qinghua nodded slightly when he saw this, "Look at my actions, after I withdraw, you will go up immediately!"


    "Received!" Lu Chen said.


    ¡­


    Li Qinghua stepped back a little, Lu Chen took the defibrillator and stepped forward immediately.


    Charge!


    Discharge!


    Beep beep...


    On the ECG monitor, it is still ventricular fibrillation!


    Lu Chen stepped aside and Li Qinghua continued to perform chest compressions.


    "Wait for the second defibrillation!"


    Li Qinghua pressed a few more cycles, and Lu Chen performed the defibrillation again!


    Second defibrillation.


    When charging and discharging are over, the patient''s ventricular fibrillation waveform has not disappeared for a second, but it reappears!


    Lu Chen''s heart had already reached his throat.


    Everyone is also staring at the ECG monitor, eager to get started and destroy the ventricular fibrillation waveform.


    ¡­


    On the ECG monitor by the bedside, the sound of Didi struck everyone''s heart.


    The third defibrillation!


    Charge!


    Discharge!


    Lu Chen stared at the monitor, when the chaotic ventricular fibrillation waveform suddenly disappeared and became normal sinus heart rate, the big stone in his heart finally fell.


    "The defibrillation was successful!"


    On the ?? monitor, the patient''s ventricular fibrillation waveform finally disappeared completely, and turned into sinus rhythm representing "hope".


    This also means that the patient''s heart is beating again.


    However, the trend of the health value on the patient''s head is still three minus signs!


    ¡­


    At this time, Zhou Bin asked the nurse to bring the ultrasound machine, and she quickly performed an emergency bedside ultrasound for the patient.


    Through the screen of the ultrasound machine, Lu Chen saw the patient''s entire heart, almost "squirming"!


    The normal heart is a strong contraction, but hers is like an old man, unable to move.


    "The left ventricular end-diastolic diameter is 40mm, the left atrium, right ventricle, and right atrium are not large, the left ventricular wall motion is weakened, the segmental motion is abnormal, the EF value is about 30%, the left ventricle posterior wall is 12mm, and the pulmonary artery pressure is normal!"


    There is no doubt that the patient''s echocardiography was printed with the diagnosis of "explosive myocarditis".


    Although the rescue is over, for patients with fulminant myocarditis, the danger is just the beginning!


    In the outbreak of new myocarditis, there will be bursts of "storms" of inflammatory factors.


    During this period, it will cause fatal blows to the fragile heart of the human body again and again.


    As long as they cannot resist any blow, the patient will not survive!


    ¡­


    In the rescue room, there was no joy on the faces of the doctors after the successful rescue.


    This rescue also alarmed Director Cao Zhiying.


    He has rushed to the rescue room.


    Cao Zhiying looked around the crowd and said solemnly, "Prepare to communicate with the patient''s family and go to ECMO."


    Li Qinghua and Zhou Bin both nodded and said, "It is possible to get ECMO. If this patient does not get ECMO, the chance of survival is not high."


    (end of this chapter)

 v2 Chapter 484： ECMO

    Chapter 484 ECMO


    CCU ward, doctor-patient communication room.


    A middle-aged woman in her forties stood in front of Zhou Bin.


    Her eyes were already very red and swollen from crying, and her eyes were bloodshot, and even her voice was hoarse.


    She gently pulled on the cuff of Zhou Bin''s white coat, as if pulling the last glimmer of hope.


    "Doctor, how is my daughter?"


    Zhou Bin said softly: "Temporarily out of danger, but the situation is still very critical."


    Hearing the first sentence, the middle-aged woman breathed a sigh of relief, but when she heard the word "critical" again, her heart raised in her throat again, "Doctor, you must save my daughter! I beg you. !"


    "Auntie, don''t get excited yet." Zhou Bin comforted, "We are doing our best to treat now, and we may need to use a machine next. I don''t know if you have heard of it, it is ECMO."


    The ?? middle-aged woman shook her head, "I''m not literate, I don''t understand anything, doctor, just tell me how much it will cost next!"


    Lu Chen stood behind Zhou Bin, and when he heard the words of the middle-aged woman, his heart was not very good.


    "Auntie, so, let me briefly tell you about the patient''s condition first." Zhou Bin said, "Our current diagnosis is fulminant myocarditis, which may be caused by your occasional cold some time ago, causing persistent damage to the myocardium."


    "Cold?" The middle-aged woman asked suspiciously.


    "Yes!" Zhou Bin nodded, "It''s just a common viral cold, which persists for a long time. It is very likely to cause damage to the myocardial tissue and cause critical diseases such as malignant arrhythmia and acute heart failure."


    "It''s all my fault. I thought the cold was just a minor illness, and I didn''t care much." The middle-aged woman looked down, her eyes filled with remorse, "Today she said she had chest tightness, so I sent her to the hospital, it''s all my fault, it''s all me wrong."


    "Don''t talk about it yet." Zhou Bin stopped the middle-aged woman from complaining, "Because your daughter has severe heart failure, that is, the heart has almost no function. So the next treatment needs to use ECMO, this machine put it plainly, It is an artificial heart that replaces the heart and maintains the functioning of the body.¡±


    The middle-aged woman''s face darkened, "How much does it cost?"


    "As long as the ECMO machine is used, it will cost at least 20,000 yuan." Zhou Bin said, "This is not the most important thing. As long as the machine starts running, the daily cost is tens of thousands of yuan, and this does not include other treatment costs in the CCU."


    "How many days will this machine take?" the middle-aged woman asked.


    "This depends on the patient''s condition. When the condition improves, we can try to remove the machine."


    "If it''s not good all the time, don''t you want to use it all the time?"


    "Well." Zhou Bin nodded.


    In the doctor-patient communication room, the atmosphere was a little heavy.


    For an ordinary family, this is undoubtedly a huge sum of money.


    However, children represent the hope of a family.


    People, it is impossible to give up hope.


    After a long while, the middle-aged woman slowly raised her head.


    "Doctor, I agree to use the machine, and you will be treated first. I will pay part of the money immediately. I will also pay the rest in batches."


    Lu Chen knew that her silence and hesitation were not thinking about whether to cure or not, but thinking about how to raise funds.


    "Okay, then you sign the informed consent form and the operation consent form." Zhou Bin said, "Then we will start ECMO."


    The middle-aged woman picked up the pen and signed her name on the consent form without hesitation.


    ¡­


    CCU Ward A Ward, the 8th rescue room.


    ECMO implantation team is in place.


    The leader of the ?? team is the deputy chief physician Ren Feng, one of the young representatives of interventional therapy in the Second Beijing Hospital.


    Zhou Bin is also a member of the team, as well as doctors such as Li Qinghua and Li Hui.


    "The family agreed?" Ren Feng was already fully armed.


    "Well, I agree to get on the plane." Zhou Bin nodded.


    "Okay, then let''s start." Ren Feng gave an order, and all the doctors in the group were ready to go.


    The ECMO machine has also been pushed over.


    "The patient has been sedated and can start the operation." said the nurse tube bed.


    ECMO treatment, the patient''s blood is drawn from the femoral vein, after membrane oxygenation, and then infused through another tube through the internal jugular vein and returned to the human body.


    The heart has no power to pump blood, and ECMO takes its place, pumping blood to the whole body.


    After the damage to the heart from fulminant myocarditis has recovered, ECMO can be withdrawn step by step.


    In short, ECMO is a chance for the heart to breathe together.


    This time does not need to be long, but it is often very important!


    ¡­


    Due to the complicated process of getting on the ECMO machine, medical staff must prepare carefully for medicines, machinery and equipment, and surgical equipment.


    After more than an hour, these preparations were completed.


    "Start the puncture of the passage." Ren Feng''s eyes narrowed.


    This is the most important part of the entire ECMO implantation.


    "Brother Feng, the patient''s blood pressure is not high, and blood vessels may be difficult to find." Zhou Bin said.


    "I''ll try it first." Ren Feng said solemnly.


    The blood pressure is not high, just like there is no water in the water pipe. At this time, the blood vessels will become deflated, and it is difficult to have a successful puncture.


    Ren Feng put on gloves, held a puncture needle, and started looking for the girl''s femoral vein.


    The femoral vein in the thigh, along with the femoral artery.


    When normal, arterial pulses are easily palpated.


    But for the girl at this time, her arterial pulsation was too weak.


    "It''s really hard to find blood vessels." Ren Feng frowned, "Let the ultrasound department take a look."


    He searched for five minutes, but he couldn''t find the pulsation.


    Vascular ultrasound and cardiac ultrasound are different.


    CCU doctors may do cardiac ultrasounds, but may not be very good at ultrasounds involving blood vessels.


    "I have informed the sonographer." Zhou Bin said, "They are positioning a pericardial effusion upstairs, and it may take ten minutes to come down."


    "Okay, then wait ten minutes." Ren Feng said.


    Zhou Bin looked like he was hesitant to say anything.


    "Is there any problem?" Ren Feng asked in confusion.


    "Lu Chen seems to be able to do vascular ultrasound. Would you like him to try it?"


    Zhou Bin''s words made everyone stunned.


    "Lu Chen?" Ren Feng raised his brows, "Is that Lu Chen from the eighth district in his heart?"


    "Well." Zhou Bin nodded, "He just happened to be transferred to our CCU."


    If it is other students, people may ignore it, or laugh it off.


    But, this person is Lu Chen!


    "Are you sure he can have an ultrasound?" Ren Feng glanced at Zhou Bin beside him.


    "Brother Feng, I only found out yesterday." Zhou Bin said, "He used ultrasound to successfully diagnose a case of aortic dissection."


    Ren Feng was stunned. Ultrasound diagnosis of aortic dissection?


    The doctor of the ultrasound department may be able to, but after all, the doctor of the cardiologist is not a professional, it is really not easy to be able to achieve this level of cardiac ultrasound.


    "Okay, let him start, shall we."


    ¡­


    CCU ward, doctor''s office.


    Lu Chen really wanted to see the ECMO implantation process.


    But the entire rescue room No. 8 was surrounded by doctors, and it was rare for him to see the puncture process, so he could only give up.


    "Lu Chen, Teacher Zhou called you to grab 8!"


    Suddenly, Fatty Cheng walked into the office quickly.


    (end of this chapter)

 v2 Chapter 485： Lu Chens little test

    Chapter 485 Lu Chen''s Little Trial


    "Mr. Zhou is looking for me?" Lu Chen was taken aback.


    Aren''t they implanting ECMO? Why do you still have time to find him?


    "That''s right, come here, you seem to be in a hurry." Fatty Cheng said in a hurry.


    "Oh, I''ll go now."


    Hearing this, Lu Chen quickly got up and walked quickly towards the 8th rescue room.


    ¡­


    No. 8 rescue room.


    Everyone stopped what they were doing, waiting for Lu Chen to arrive.


    "Mr. Zhou, are you looking for me?"


    Lu Chen walked into the 8th rescue room and found that all the elite talents from the Cardiology Department of Jinghua Second Hospital were here.


    "Lu Chen, can you do lower extremity vascular ultrasound?" Zhou Bin asked quickly.


    "Yes." Lu Chen nodded.


    "Great, come over here."


    Lu Chen didn''t understand what was going on before he was pulled by Zhou Bin to the patient.


    "The blood pressure is low, the blood vessels are deflated, and it is not easy to find a place." Zhou Bin explained, "Now it can only be located by ultrasound."


    After hearing Zhou Bin''s explanation, Lu Chen immediately understood.


    It turned out to be a free drudge to help with ultrasound.


    "If you can do it, try it." Ren Feng said, "If you can''t do it, it doesn''t matter, we will wait for the ultrasound doctor to come."


    Ren Feng was afraid that Lu Chen was talking big and gave him a step down.


    "Okay, I''ll try!"


    As soon as the ?? voice fell, Lu Chen adjusted the ultrasound machine.


    Adjusted the probe mode to vascular ultrasound mode. Lu Chen put on the gloves and placed the probe directly on the bottom of the girl''s thigh.


    The operation of vascular ultrasound is actually not difficult. The key is to align the position, find the anatomical position, and then read the image.


    The image of a vascular ultrasound is different from a cardiac ultrasound.


    The images of the echocardiography are clearly marked with chambers.


    But vascular ultrasound is only a few simple strip images.


    ¡­


    The doctors present were at least senior attending physicians, while Lu Chen was only a graduate student.


    And now, everyone is staring at Lu Chen''s movements.


    His every step, every operation, everyone''s attention will move with it.


    "The pulse of the femoral artery is not very obvious, and it is really difficult to find the femoral vein."


    Lu Chen knew the difficulty of this puncture as soon as he got started.


    If it is a normal patient, most of the people present may have puncture, even blind puncture.


    But when encountering such hypotensive patients, the difficulty of puncture increases exponentially!


    "How? Can you find the blood vessels?" Zhou Bin whispered aside.


    Lu Chen frowned deeply and did not reply immediately.


    She moved the probe back and forth at the base of her thigh, trying to reach the pulsation in one position.


    "Yes!" Lu Chen suddenly looked happy.


    On the screen of the ultrasound machine, a blood vessel shadow appeared.


    This is the femoral vein!


    Lu Chen said to Zhou Bin next to him: "Mr. Zhou, give me a puncture needle."


    "Uh..." Zhou Bin was stunned, and handed over a puncture needle.


    was in the eyes of everyone''s astonishment.


    Lu Chen held the puncture needle in his hand, and gently stabbed it downward at the position where the ultrasound probe was.


    "The puncture of the femoral vein was successful!"


    A smile appeared on Lu Chen''s face.


    Everyone present was stunned.


    Is this the end?


    It''s that simple?


    From start to finish, it seems like only two minutes...


    I thought it would be difficult to puncture the femoral vein, but in Lu Chen''s hands, it turned out to be so easy.


    "Mr. Ren Feng?" Lu Chen frowned.


    What are the people around you doing?


    Successful puncture, don''t you have to put a tube?


    Why is everyone still quiet?


    "Mr. Zhou?" Lu Chen turned back and said to Zhou Bin.


    "Oh..." Zhou Bin came back to his senses, his eyes full of surprise, "Brother Feng, the puncture was successful, you should put the tube in!"


    "it is good!"


    Ren Feng also took a deep look at Lu Chen.


    Before ??, they had only heard of Lu Chen''s name.


    However, they are not in the eight areas in their hearts, and they have never worked with Lu Chen, so they may not understand Lu Chen''s abilities.


    Many people think that Lu Chen is just a "second-generation learner" introduced by Li Yao.


    But today, his puncture and ultrasound operation amazed all the elite staff of the Cardiology Department of the Second Jinghua Hospital.


    "Lu Chen, let''s do an ultrasound of the blood vessels in the neck again."


    In the same way, the blood vessels in the neck are also deflated.


    In this case, the risk of blind puncture is very high, and you may even injure the aorta!


    Once this complication occurs, it is fatal!


    Lu Chen quickly completed the ultrasound of the neck blood vessels, along with the puncture...


    Everyone in the 8th rescue room is not surprised at this time!


    ¡­


    The puncture of the two passages is completed, as long as the two pipes are connected to the pipes of the ECMO machine, the machine can be turned on.


    Once again, Lu Chen''s ultrasound examination showed that the upper and lower pipelines were positioned properly, and the catheter placement was successful.


    After the ECMO machine started running, the girl''s oxygen saturation improved immediately.


    Ren Feng used an ultrasound machine to check the patient''s heart movement status. The heart that was originally wriggling seemed to be slowly waking up from the "sleep".


    "Vital signs are relatively stable, everyone persevere, stabilize the patient, and there is hope!"


    Only when all vital signs are completely stable, then the girl can get rid of the danger of life, and the rest is waiting for the recovery of heart function.


    ¡­


    After Lu Chen finished all the operations, fine sweat oozes from his forehead.


    He was probably the most tiring person in the entire operation.


    The femoral vein and jugular vein puncture were all done by him.


    At the moment when Lu Chen completed all the operations.


    The ?? system panel immediately popped up a prompt.


    "Congratulations, the proficiency of ultrasound skills has improved!"


    "Congratulations, the system upgrade completion has improved!"


    "Congratulations, you received a +5 thanks from Ren Feng!"


    "Congratulations, you received a +5 thanks from Zhou Bin!"


    ¡­


    A series of reminders made Lu Chen both surprised and delighted.


    He originally thought he was here to be a free laborer, but he didn¡¯t expect such a rich harvest this time!


    All were mid-level titles, so Lu Chen''s gratitude points all had a certain "bonus" effect.


    ¡­


    After ECMO started successfully, about ten minutes passed.


    At this time, the ultrasound doctor was long overdue.


    "Doctor Zhou, where is the patient?" The sonographer pushed the ultrasound machine.


    "I''m sorry." Zhou Bin looked a little embarrassed, "I forgot to tell you, you don''t need to ask for a bedside ultrasound."


    "Huh?" The ultrasound doctor was taken aback, "Have you given up implanting ECMO?"


    "Of course not." Zhou Bin shook his head, "Some of us know how to perform vascular ultrasound."


    "Dr. Zhou, have you learned vascular ultrasound recently?" the sonographer wondered.


    "not me."


    "Is that Li Qinghua, or Ren Feng?"


    "Neither." Zhou Bin pouted at Lu Chen, "It''s him."


    The sonographer looked intently.


    This unfamiliar face, the name on the badge reads¡ªGraduate student of Cardiology.


    "What? When did the postgraduates of cardiology start to grab the business of the ultrasound department?"


    ¡­


    (end of this chapter)

 v2 Chapter 486： Surgery without family members

    Chapter 486 Surgery without family members


    In many cases, an ECMO means a life.


    In the 8th rescue room, everyone has a kind of joy for the rest of their lives.


    The machine is running normally and the girl''s vital signs are stable.


    Lu Chen was also in the rescue room, constantly watching the value changes of the instrument.


    For him, ECMO is also a new thing.


    This kind of high-end medical equipment, it is extremely difficult to play.


    In the system mall, machines such as IABP and ECMO also have corresponding skill cards.


    However, the price is extremely expensive, and it is worth tens of thousands of thanks.


    With Lu Chen''s "financial resources", he can''t redeem them for the time being, and these skill cards are not what he needs urgently right now.


    "Want to learn this machine?" Zhou Bin smiled and came to Lu Chen''s side.


    "Yeah." Lu Chen nodded, since he couldn''t exchange skill cards for the time being, it would be a good idea to learn directly from reality.


    "Then it''s up to Ren Feng to teach you." Zhou Bin said, "ECMO has just started in our hospital. Brother Feng first learned it and then handed it over to us. Brother Feng came to CCU to debug the machine, you just follow and have a good time with him. study."


    "Okay." Lu Chen smiled.


    The teaching of the system is different from the teaching of real doctors.


    Although the ?? system is strict and meticulous, it lacks a touch of fireworks in reality.


    ¡­


    CCU ward, nurse station.


    "Hey, look at that graduate student just now, he''s so amazing."


    A group of little nurses were chatting.


    "Yeah, even the doctor failed to puncture successfully, he actually went in with one needle."


    "I heard that he has already won a lot of honors. This little graduate student is not easy."


    ¡­


    Where there are women, there is gossip.


    Lu Chen''s outstanding performance also aroused everyone''s performance.


    In many clinical departments, the head nurse is like a "matchmaker".


    She controls a lot of social resources. Whenever she encounters a new doctor or a graduate student, she always thinks of matching a marriage.


    "Hey, Lu Chen, do you have a girlfriend yet?" The head nurse approached Lu Chen.


    "Huh?" Lu Chen blushed, "Head Nurse, I, that, haven''t..."


    "That''s great!" The head nurse squinted and smiled, "Where is your hometown?"


    "Not in Jinghua, my hometown is near Jiangcheng."


    "Jiangcheng?" The head nurse was stunned, "That''s a bit far, but it doesn''t matter, Jiangcheng is better developed than ours, and there must be a lot of people willing to go."


    "Lu Chen, I have a relative''s girl here. They are all very beautiful. Let''s add a WeChat and get to know them."


    Lu Chen: "..."


    "Oh, yes, she is not a doctor, she is a teacher, so you will not be very busy in the future, and it will be good for your child''s growth."


    Lu Chen was stunned inwardly, is he thinking about his future life?


    "Head Nurse, don''t do this..."


    Lu Chen hurriedly said haha, trying to perfunctory.


    But the head nurse asked for his WeChat ID.


    ¡­


    "The patient is here!"


    The security guard at the gate of CCU shouted, and everyone was nervous.


    Lu Chen glanced at the medical team on the wall of the doctor''s office, "It''s our team''s turn."


    As soon as he finished speaking, Zhou Bin immediately stood up.


    Lu Chen, Gu Xinyue and Fatty Han followed closely behind.


    The lineup of patients in the CCU ward is so strong, because every patient may be in acute and critical condition and need rescue.


    CCU gate.


    Emergency doctor pushing a flat cart.


    On the flat car, an aunt in a red coat was lying on it.


    "The patient had chest pain for 2 hours, and ST-segment elevation in the precordial leads of the electrocardiogram. Acute myocardial infarction was considered."


    The accompanying doctor in the emergency department said.


    "Does the patient have no family?" Zhou Bin frowned.


    Beside the flat car, there was only a doctor and a nurse, and no other entourage was seen.


    "The patient''s family members are all out of town, and I helped her handle the hospitalization procedures," the nurse said.


    "This... let''s push the patient in first."


    ¡­


    Auntie is in good condition, the pain in her chest has been relieved, and she is now like a normal person.


    Fatty Cheng began to ask about his medical history. The patient had diabetes, hypertension, and hyperlipidemia in the past.


    In addition to these basic diseases, there is no history of any other diseases, and suddenly there is a myocardial infarction, which no one expected.


    "Hypertension, diabetes, and hyperlipidemia are all high-risk factors for myocardial infarction." Lu Chen said, "Patients with these underlying diseases may suffer from myocardial infarction one day, which is not surprising at all."


    "But the patient has no family members in Jinghua, so this is troublesome." Fatty Cheng frowned.


    Patients with acute myocardial infarction require interventional surgery.


    As long as the operation is involved, family members or guardians must be present and signed informed consent.


    If you don¡¯t have family members, once anything happens, you can¡¯t tell.


    "Auntie, when is the fastest time for your family to come over?" Lu Chen asked.


    "Tomorrow afternoon."


    Lu Chen: "..."


    Come over tomorrow, the day lilies are cold!


    For patients with myocardial infarction, the priority is to perform interventional surgery as soon as possible to open coronary vessels.


    The earlier the blood vessels are opened, the more myocardial tissue can be saved.


    "Isn''t there a family member in Jinghua?"


    The aunt thought for a while and said, "My husband''s sister''s nephew''s uncle''s son seems to be in Jinghua, can he?"


    Lu Chen: "..."


    Family members, preferably immediate family members, who can sign the informed consent form.


    "If he can''t do it, then there''s no more." Auntie shook her head.


    Seeing this, Lu Chen could only reply to Zhou Bin: "Mr. Zhou, the patient''s family can arrive tomorrow."


    "Tomorrow?" Teacher Zhou frowned and said, "Intervention can be done within 12 hours of the onset of acute myocardial infarction, otherwise, we have to wait for the intervention to be performed at an alternative date. If you come tomorrow, it will be too late!"


    ¡­


    Beside the hospital bed, the aunt heard Zhou Bin''s words and quickly said: "Doctor, I agree to the operation! Since the sooner the better, let''s start now. Even if something happens, I definitely don''t blame you!"


    Zhou Bin hesitated.


    This is not to say that the aunt does not blame them.


    But in the event of an accident, there are no family members present, which is against the rules.


    If the patient wants to sue the hospital, this is one by one.


    However, for the safety of the patient''s life, this matter can''t sit still!


    "Mr. Zhou, report to the medical department?" Lu Chen suggested.


    "Well." Zhou Bin nodded, "Report to the medical department first, and then you help me record a video."


    "Record video?" Lu Chen was taken aback.


    "Yes, you should call the medical department first."


    ¡­


    Lu Chen called the medical department and reported the patient''s condition.


    Back in the CCU ward, Zhou Bin has come to the patient''s bed.


    "Lu Chen, record all the communication between me and the patient."


    Zhou Bin handed his mobile phone to Lu Chen.


    He has turned on the camera and switched to video recording mode.


    "it is good."


    Next, Zhou Bin communicated with the patient normally before the operation.


    includes the necessity of surgery, as well as the risks.


    The most common complications of interventional surgery for myocardial infarction are blood vessel rupture, blockage, contrast agent allergy, and catheter poking into myocardial tissue.


    Zhou Bin''s communication this time was very careful, and he explained all possible situations in detail.


    Auntie is also a sensible person.


    "Doctor, don''t worry, there is no risk for surgery. But you are the second hospital of Jinghua, and the Cardiology Department is so famous! I trust you, and I agree to the surgery!"


    After finishing speaking, the aunt signed her name directly on the informed consent form for the operation.


    After signing, the aunt was quickly pushed to the interventional operating room.


    (end of this chapter)

 v2 Chapter 487： busy little doctor

    Chapter 487 The Busy Little Doctor


    To be honest, although Zhou Bin had made all the preparations for the surgery, everyone was a little nervous.


    This kind of patient without family members, if something really happens, it¡¯s hard to say.


    Lu Chen is writing the patient''s course record while refreshing the interventional surgery record, wanting to know the real-time dynamics of the surgery.


    At this moment, the WeChat alert tone of his mobile phone suddenly rang.


    Lu Chen picked it up and looked at it, it was a message to add a friend.


    The other party''s nickname is Xiaohan, and the image is a very cute cartoon cat.


    The ?? remarks were introduced by Auntie Li Xuan.


    Lu Chen thought it was a little girl selling tea, and was about to close WeChat when he suddenly thought, isn''t "Li Xuan" the name of the CCU head nurse?


    Could it be that this little Han is really a blind date?


    So, he clicked "Pass".


    Add friends successfully, the other party will send a WeChat message immediately.


    "Hello, I was introduced by Auntie Li."


    It was really introduced by the head nurse. Lu Chen was thinking of replying when suddenly there was a shout from the nurse from the rescue room.


    "Grab 8, rescue! Rescue!"


    Lu Chen was startled and ran out of the office.


    The patient who grabbed 8 was the girl who was on ECMO.


    Everyone spent so much energy to save him, but they didn''t want to see her just gone.


    As soon as the nurse''s voice came out, all the doctors who were idle ran towards the 8th rescue room.


    ¡­


    Zhou Bin took the lead and ran at the forefront.


    "What happened to the patient?!"


    The nurse in the rescue room immediately stepped forward and said quickly: "Blood oxygen has suddenly dropped! It has always been at 95% in the morning, and it just dropped to 85%."


    Zhou Bin frowned and stepped forward to check the pipes and parameters of the ECMO machine.


    Lu Chen nervously followed behind Zhou Bin and watched.


    Because of ECMO, patients need long-term heparinization to prevent coagulation in the pipeline access.


    At this time, it is easy to produce various complications, the most common is bleeding, such as skin and mucous membrane bleeding, intracranial bleeding, visceral bleeding.


    Hemorrhage of the skin and mucous membranes, which is easy to see.


    However, the patient was in a sedative state, with intracranial hemorrhage, visceral hemorrhage, etc., and no external symptoms appeared.


    In addition, the joints and side branches of the pipeline may fall off, leak blood or enter the air.


    "Check the blood coagulation items urgently first!" Zhou Bin said immediately.


    By monitoring the activated partial thromboplastin time, the blood coagulation in the patient can be known to prevent the occurrence of cerebral hemorrhage.


    "In addition, some channels should be closely monitored! Note that the patient''s body temperature is not easy to be too high or too low, and the ear temperature is generally kept at 36-37 ¡ãC. If the body temperature drops, a heating blanket or a constant temperature water tank can be used."


    "Okay, received!" The nurse said immediately.


    After issuing these medical orders, Zhou Bin still frowned.


    The problems she thought of were not enough to cause the patient''s blood oxygen to drop!


    At this time, Zhou Bin saw that Lu Chen was lying in front of the ECMO machine, and seemed to be hesitant to speak.


    "Lu Chen, what''s wrong with you?"


    Lu Chen pointed to the liquid infused on the pipeline, "Mr. Zhou, can I give fat emulsion on the extracorporeal circulation pipeline? I remember it was reminded in the book that the fat emulsion may affect the oxygenation effect of ECMO patients!"


    Zhou Bin looked down.


    Indeed, in the extracorporeal circulation pipeline, it seems that fat emulsion is really infused.


    However, will this nutrient solution affect the oxygenation of the patient?


    There are not many patients who need ECMO, and CCU doctors are not very experienced in this regard.


    Zhou Bin is also a little unsure.


    "Wait a minute, I''ll call Brother Feng to check with him."


    Zhou Bin quickly took out his mobile phone and called Ren Feng.


    ¡­


    Interventional operating room.


    Ren Feng was performing an interventional operation on the aunt just now, and the assistant in the catheter room handed the mobile phone to his ear.


    "Zhou Bin, what''s the matter?"


    "Brother Feng, the patient on ECMO just now has a sudden drop in blood oxygen. I would like to ask her if she can use fat emulsion for cardiopulmonary bypass?"


    "Fat milk? Of course this drug can''t be used!" Ren Feng said solemnly, "Besides, I remember that I didn''t allow fat milk to be used, right?"


    "This...it seems to be a doctor''s order from Brother Hui." Zhou Bin said, "He may not have paid much attention to this."


    "Hurry up and stop, and then observe the patient''s blood oxygen condition. There shouldn''t be a big problem." Ren Feng said, "When I finish this intervention, come over immediately."


    "Okay." Zhou Bin hung up the phone.


    ¡­


    CCU Ward, No. 8 Emergency Room.


    Zhou Bin immediately instructed the nurse, "Stop the fat milk immediately!"


    She also glanced at Lu Chen, who was beside him. It was the first time this kid came into contact with ECMO. How did he find so many?


    Back to the doctor''s office.


    Lu Chen thought of the friend he just added, and it seems like he hasn''t replied to her yet!


    So he quickly took out his mobile phone and edited the message: "I''m sorry, I was rescuing a patient just now."


    Zhou Xiaohan was holding the phone, frowning slightly.


    She added this person as a friend, in fact, to complete the task.


    Auntie Li is so enthusiastic, she is too embarrassed to take other people''s face.


    I just didn¡¯t expect that the other party¡¯s exit was rescuing the patient!


    Listening to Aunt Li, the other party is only in graduate school, so he can lead the rescue work?


    Is this pretending to be cold and attracting your attention? Or is it a polite refusal?


    "However, this is fine, so as not to embarrass both parties." Zhou Xiaohan thought for a while.


    So, she also replied: "Oh, let''s get straight to the point, don''t be so verbose, and just go through the procedure."


    ¡­


    Lu Chen was stunned, go through the program?


    What does it mean?


    He was about to reply when the nurse ran into the doctor''s office again.


    "Lu Chen, the family member of the patient who had an interventional operation just now called. Dr. Zhou was seeing other patients. She asked you to pick it up and communicate with the patient''s family."


    "Oh, good." Lu Chen put away his phone and came to the nurse station.


    On the other end of the phone is the patient''s son.


    He was out of town. After finding out about his mother''s situation, he immediately made a job handover and rushed back.


    However, tomorrow morning at the earliest.


    Lu Chen explained the patient''s situation to the family members in detail.


    "The patient is undergoing surgery and the surgery is over. We will communicate with you as soon as possible!"


    "Trouble the doctor, I will come back as soon as possible, if there is anything, please contact us in time!"


    ¡­


    Lu Chen also understood the feelings of the patient''s family, so he took the trouble to explain it many times.


    It took more than ten minutes before he returned to the doctor''s office.


    "I don''t seem to have replied to her again?"


    Lu Chen thought about it, he was going to work, he should wait until after get off work.


    So, he replied directly: "I''m very busy right now, what procedure did you talk about, let''s talk about it when I get off work."


    At this time, Zhou Xiaohan on the other end of the phone was speechless.


    "Why is this little doctor busier than the boss of other companies?"


    (end of this chapter)

 v2 Chapter 488： fundraising

    Chapter 488 Fundraising


    CCU ward, doctors and nurses come and go.


    Every so often, patients are transferred to the general ward, and new patients are admitted.


    The turnover rate of patients is extremely fast. As long as they are out of danger and their condition is stable, they will be transferred to the general ward upstairs.


    "Lu Chen, the operation of the patient who just arrived is finished!" Zhou Bin said to Lu Chen aside, "The cath lab called, let us pick him up."


    "Okay." Lu Chen nodded, and then went to the catheterization room with Fatty Cheng.


    ¡­


    Catheter lab.


    Auntie was lying on the hospital bed, her face was slightly pale, but there was still a hint of joy in her expression.


    "The operation was very successful, and we have also contacted your family." Lu Chen said.


    "Thank you." The aunt smiled, "You two are not very old, right? You should be about the same age as my son, you are really young and promising!"


    "Auntie, we are all too young!" Fatty Cheng smiled.


    "Hey, you should all be locals, it''s better to be around your parents!"


    When Auntie said this, Lu Chen didn''t know how to answer, so he could only smile.


    However, Auntie is also an optimistic person.


    Although a myocardial infarction was diagnosed and a stent was placed, the mental state of the whole person is very good, and there is no depression caused by the illness at all.


    "Do you both have girlfriends?" the aunt asked again.


    Fatty Cheng said quickly, "Auntie, I have it."


    Lu Chen was startled and smiled helplessly.


    Older women have the potential to be "matchmakers"!


    The head nurse just came to introduce the subject, and now even the patient''s aunt wants to intervene.


    "Then you shouldn''t have one, right? Would you like auntie to introduce one to you?" The aunt smiled at Lu Chen, "I have a few girls here, with good stature, good looks, and a big **** to give birth to a son!"


    Lu Chen quickly waved his hand to refuse, "Thank you auntie for your kindness, I don''t have any ideas for now."


    "That''s such a pity!" The aunt saw that Lu Chen was so handsome and had such a good career. In the blind date market, it was a sweet treat!


    Lu Chen: "..."


    He should hurry up and push Auntie back to the CCU ward...


    ¡­


    Throughout the morning, Lu Chen received a total of three patients with chest pain.


    One of them was a myocardial infarction patient in his twenties.


    The age of onset of myocardial infarction is getting younger and younger.


    Previously, myocardial infarction was a high incidence in people over the age of 50.


    Now, myocardial infarction patients in their twenties are not uncommon.


    When Lu Chen asked about his medical history in the past, he was as expected.


    The patient stayed up late for a long time, and smoked and drank alcohol.


    After playing games all night for three consecutive days, the young man suffered a sudden chest pain.


    Myocardial enzymes and electrocardiogram were checked in the emergency department. After the diagnosis of myocardial infarction, I was sent to the CCU ward.


    When Lu Chen saw the patient, he was not fat, but when he got closer, he could smell a faint smell of smoke.


    This is usually the smoke that never leaves the body.


    "Hey, you can''t stay up late at night!" Fatty Cheng sighed, "Otherwise, you won''t know when you have a heart attack!"


    Lu Chen glanced at Fatty. The health value on his head was 84, and there was no change.


    This fat man is usually well maintained!


    Looking at Gu Xinyue again, this guy probably stayed up a lot late, and his health was 78 in yellow.


    "Lao Gu, stay up a little less often!"


    Gu Xinyue looked at Lu Chen strangely, "Don''t talk about me!"


    ¡­


    At twelve noon, I finally got off work.


    Lu Chen dragged his tired body, ate in the cafeteria, and then returned to the bedroom.


    Back in the bedroom, he lay on the bed.


    Closed his eyes, all the rescues he had experienced throughout the day made Lu Chen feel as if he had passed away.


    All the rescues on this day have exceeded the one-month rescue in the respiratory department.


    However, the pain in his arm made him very satisfied.


    Slowly, Lu Chen fell asleep.


    ¡­


    It was 1:40 when he woke up, and Lu Chen started the afternoon journey again.


    Fatty Cheng was off the night shift, so only Lu Chen and Gu Xinyue were left in the afternoon group.


    "Lu Chen, how is your thesis?" Gu Xinyue asked casually.


    "Graduate thesis?"


    "Um."


    "It hasn''t started yet."


    The subject of National Nature was unsuccessful, and his thesis was difficult to complete without financial support.


    Gu Xinyue glanced at Lu Chen in disbelief.


    "Really!" Lu Chen said again, "My teacher is applying for the National Natural Science Foundation of China. I will wait for her project application to be successful before I can continue my thesis project."


    "Oh, then you have to hurry up." Gu Xinyue said.


    "What? It''s still a year and a half before graduation, right?" Lu Chen was stunned.


    Gu Xinyue raised her eyebrows, "Did you just post this paper?"


    "Didn''t I already publish one before?"


    "Just two?" Gu Xinyue said, "As far as I know, many top medical students have at least three SCI papers in their hands when they graduate."


    "There are so many?" Lu Chen frowned. The difficulty of SCI papers is self-evident. It is extremely difficult to write three SCI papers.


    "Yes, so I said you have to hurry up." Gu Xinyue said.


    "Then, how many articles have you written?"


    Gu Xinyue: "An article is being written..."


    Lu Chen: "..."


    ¡­


    In the afternoon, Lu Chen''s main focus was on implanting ECMO patients.


    Because the girl''s oxygen saturation fluctuated in the morning, Lu Chen entered the 8th rescue room from time to time to check.


    "Hey, Dr. Xiao Lu, go and inform the family that her family is already in arrears." The little nurse in the 8th rescue room said, "If you don''t pay the fee, the pharmacy will not be able to deliver the medicine!"


    The current pharmacy system is fully networked.


    The arrears are too much, and the medicine cannot be taken out.


    "Okay." Lu Chen nodded.


    This kind of thing is usually done by nurses.


    However, for the existence at the bottom of the department, graduate students often cameo in this role.


    ¡­


    CCU ward, in the doctor-patient communication room.


    The middle-aged woman in front of her eyes reddened.


    "I have already paid part of the money, is it not enough?"


    "Auntie, the cost of getting on the plane is relatively high on the first day, and the cost after that may be relatively less." Lu Chen said.


    "Well, then I''ll think of a way to borrow it." The middle-aged woman gritted her teeth.


    Lu Chen also knew that ordinary families were quite helpless. He was not rich and could not afford this kind of treatment.


    "Auntie, you can try Shuidichou." Lu Chen said, "I can help you get some proof materials in the CCU ward for you."


    "Water drop chips?" The middle-aged aunt raised her head, a glimmer of hope flashed in her eyes, "I, I haven''t used it before, no way."


    "You''re like this..." Lu Chen told the middle-aged woman all the operation methods of Shuidichou.


    Although there are many fundraising platforms and they will charge a lot of fees, it can be regarded as one of the good methods at present.


    (end of this chapter)

 v2 Chapter 489： grandpa of shock

    Chapter 489 The Shocked Grandpa


    The middle-aged women are very fast, and the application for water drop chips is completed quickly.


    Lu Chen took care of all the remaining places that needed to be signed and certified.


    The fundraising project of ??Waterdrop Fundraising was launched immediately.


    Lu Chen, as a medical staff, can prove the condition of the patient.


    He immediately forwarded it to his circle of friends.


    At the same time, Lu Chen also donated 200 yuan at the donation entrance.


    He is only a graduate student now, so he should not donate too much, just two hundred yuan to show his affection.


    After doing this, Lu Chen could only pray silently in his heart that the girl''s condition would improve soon.


    Otherwise, it would cost tens of thousands of dollars to spend a day in CCU.


    ¡­


    Back to the doctor''s office.


    Lu Chen hadn''t sat in the heat when the security guard at the entrance of CCU started shouting.


    "The patient is here!"


    Lu Chen was shocked when he heard the words, and his heartbeat jumped directly to 120 beats per minute.


    "coming."


    Lu Chen and Gu Xinyue followed Zhou Bin to the door of CCU.


    An old man in his seventies was lying on the hospital bed.


    Uncle was lying on the bed, thin and gasping for breath. The ECG monitor beside the bed was beeping an alarm.


    Beside the bed, there is another accompanying doctor, who is Director Lin Cui of the eight districts in the heart.


    "Director Lin, what''s the condition of the patient?" Zhou Bin said immediately.


    Lin Cui nodded slightly, she also saw Lu Chen beside her, her expression was stunned, and then she returned to her natural state.


    "The patient with heart failure has renal failure and oliguria. The serum potassium just checked upstairs is more than 7 mmol/L."


    Zhou Bin frowned, this kind of patient should have reached the level of dialysis, "Director Lin, the patient was transferred for CRRT?"


    Lin Cui quickly shook her head: "That''s not it. The patient had long-term atrial fibrillation and chronic heart failure, and the family did not consider invasive rescue and continuous renal replacement therapy (CRRT), but just wanted to come to the CCU for a transition, and when the condition improved, they were transferred to the general ward. "


    In fact, in the intensive care unit, they have become accustomed to such patients.


    However, once CRRT is given up, there is very little that doctors can do!


    Most of the time, the doctor just acts as a bystander to the patient''s progress.


    ¡­


    The patient was pushed in quickly.


    His condition was even worse than Lu Chen imagined.


    The uncle was lying on the hospital bed, wearing an oxygen storage mask, rolling his eyes, and snoring in rough clothes.


    Lu Chen looked at his health, the value was 47 in red, and the trend was three minus signs!


    ¡­


    Three minus signs!


    After two days of treatment in the general ward upstairs, there are still three minus signs.


    This means that the previous treatments were basically useless!


    Zhou Bin patted the patient on the shoulder and shouted a few times, but there was no response.


    Lin Cui immediately said: "The family members said that when I woke up two days ago, my left limb suddenly became weak, and I couldn''t speak well.


    "There was basically no urine in the first two days, but yesterday I urinated 1000ML."


    At this time, in Lu Chen''s mind, a chain of diseases had already appeared, the basis of chronic heart failure, acute cerebral infarction led to acute exacerbation of heart failure, resulting in renal failure and oliguria.


    "The blood sugar between the fingertips is high."


    As soon as he entered the ward, the nurse routinely tested the patient''s blood sugar.


    Zhou Bin frowned deeply, "With such a high blood sugar, what hypoglycemic drugs do you usually use?"


    "I didn''t know about diabetes before, and I didn''t use anything." Lin Cui said, "But after coming to the ward, I took some insulin and took a diuretic for a day. It''s just that we are a little strange. This patient, in the ward, the more the treatment heavier."


    "Today, the patient''s condition is even worse. There is really no way. After communicating with the family, I can only push it to the CCU."


    Lin Cui''s expression was very helpless.


    This is a very typical heart failure patient in the Department of Cardiology.


    But after diuresis, the effect is very poor!


    "Okay, I basically understand, thank you Director Lin." Zhou Bin nodded.


    Lin Cui left the CCU ward after briefly explaining the patient''s condition.


    Lu Chen and Zhou Bin gave the patient a detailed physical examination.


    The patient''s current heart rate is 90-110 beats/min, blood pressure is 80-90/50-60mmHg, respiration is 37 times/min, and oxygen saturation is 95% (oxygen storage mask).


    There is no obvious edema in the whole body, low skin temperature, no obvious wet rales on lung auscultation, and the heart sounds are ok.


    ¡­


    Back to the doctor''s office in the CCU ward.


    Lu Chen looked at the patient''s examination and laboratory tests.


    On the day of entering the ward, the blood routine was normal.


    Brain natriuretic peptide (BNP) 2855pg/mL, blood glucose 43mmol/L, serum potassium 7.36mmol/L.


    Creatinine 255¦Ìmol/L, urea 47mmol/L, urine glucose 4+, occult blood 3+.


    ECG showed atrial fibrillation rhythm, heart rate 96 beats/min, extensive ST-segment depression in leads II, III, aVF and chest leads, and mild ST-segment elevation in lead aVR.


    Chest CT showed patchy shadows in the left lower lung, and head CT showed deepening of the sulcus gyrus, but no high-density shadows were seen.


    "In the past two days, a lot of diuretics have been used in the ward!" Lu Chen frowned.


    ¡­


    Continue to look at the test sheet.


    After 1 day of rehydration and diuresis, the next day serum potassium has dropped to 5.08mmol/L, blood sodium has risen to 145mmol/L, blood sugar has dropped to 16mmol/L, but renal function has continued to deteriorate, and creatinine has risen to 405¦Ìmol/L. Urea also rose to 51.57mmol/L.


    It seems that blood sugar has been basically controlled and urine has come out, but what caused the sharp deterioration of renal function?


    "This patient is tricky!"


    In the office, Zhou Bin sighed slightly after browsing all the examinations and tests.


    "It''s no wonder that Director Lin will take the initiative to send patients down. Director Yilin''s character, unless absolutely necessary, will not necessarily send patients to CCU."


    Director Lin Cui has a very strong reputation in the eight districts in his heart and is a strong person. Li Yao, the director of the eight districts, can''t hold her down at all!


    Another attending doctor in the ?? group, Li Hui, also came over and said, "At present, it is best for the patient to go directly to CRRT, but the patient''s family refused. It''s really not easy to handle!"


    ¡­


    Back to the patient''s condition.


    "I have carefully analyzed the patient''s current state, and now I mainly judge the cause of the patient''s shock." As soon as Zhou Bin spoke, a group of graduate students in the office immediately gathered around, "Is it cardiogenic shock, septic shock, or low blood pressure? Volume shock?"


    Yansan''s senior brother Cheng Dongbo was the first to speak: "The low blood pressure and shock caused by heart failure, Mr. Zhou, I think it should be cardiogenic shock."


    Zhou Bin shook his head, "It''s not that simple. If it''s just heart failure, after improving heart function and diuresis, the patient''s condition is not relieved in time?"


    The people around were a little silent.


    At this time, Gu Xinyue said, "Mr. Zhou, this is what I think about it. Acute cerebrovascular disease leads to eating disorders, serious insufficient intake, resulting in hypovolemic shock and acute kidney injury."


    "The increase of inflammatory markers and pulmonary patch shadows do not rule out the possibility of aspiration pneumonia caused by coughing, and the recent poor blood sugar control has led to aggravation of infection."


    "Could there be a dual factor of cardiogenic and infectious?"


    Zhou Bin nodded slightly, "It makes sense."


    aside, Lu Chen never said a word.


    He has been reading all the examination reports of the patients.


    He felt that this patient was a little strange. Gu Xinyue made sense, but it was not enough to explain the continued deterioration of the patient''s condition.


    (end of this chapter)

 v2 Chapter 490： stubborn three minuses

    Chapter 490 Stubborn Three Minus


    "Lu Chen, what do you think is the main cause of the patient?"


    Lu Chen didn''t speak for a while, so Zhou Bin took the initiative to ask.


    "Mr. Zhou, I don''t have a clue yet." Lu Chen shook his head.


    There are many clues, but they are very confusing, and he can''t figure it out for a while.


    But one thing is for sure, the "three minus signs" on the patient''s head indicate that his condition is getting worse!


    If you don''t find the reason quickly, you will be in trouble!


    The patient''s life is in danger at any time!


    "Even if you can''t say the exact cause, you can always say something." Zhou Bin continued, "Just say it boldly, it doesn''t matter if you say it wrong, let''s discuss it together."


    She now sees Lu Chen in a completely different way.


    I had heard of Lu Chen before, and I thought most of him was a young man with a "fake name".


    Now that I have personally contacted Lu Chen, although it has only been a few days, Zhou Bin has already seen that Lu Chen is different from other students.


    His clinical thinking and operational skills have far surpassed those of his peers.


    Lu Chen frowned, looked up at everyone, and said slowly: "My thoughts, the patient''s procalcitonin and CRP are significantly elevated, and the chest CT for admission screening can see patchy shadows in the left lower lung. The possibility of acute septic shock is ruled out. However, there has been no fever in recent days, no abnormal blood routine, and the lung infection does not seem to be that severe."


    "In addition, although the ECG showed extensive ST-segment depression and ST-segment elevation in aVR, the increase in TnI in the past 2 days was not too high, from 0.022ng/mL to 0.42ng/mL, and it was not obvious. Worsening arrhythmia."


    "Further ultrasonography showed that the inferior vena cava was 0.9 cm, the left heart was significantly enlarged, the left ventricular end-diastolic diameter was 63 mm, the left atrium was 50 mm, the ejection fraction was 40%, the cardiac output was 6 L/min, and the ventricular wall motion was low."


    "So, I think, the diagnosis of sepsis is still lacking in the patient, there is no sudden deterioration of cardiac function, the cardiac output is OK, and the diagnosis of cardiogenic shock is not very established."


    The voice of ?? just fell.


    Everyone in the office was silent.


    Gu Xinyue stared blankly at Lu Chen''s side face, a feeling of powerlessness suddenly appeared in her heart.


    Lu Chen''s explanation is coherent and well-documented. It is far more tenable than the simple words "cardiogenic shock" and "septic shock" that they say.


    Zhou Bin stared at the report sheet in his hand.


    Lu Chen''s words had been lingering in her mind.


    At this time, Lu Chen continued.


    "The patient''s inferior vena cava is only 0.9cm, suggesting severe volume depletion. It seems that the possibility of hypovolemic shock is the greatest, but the patient currently has no evidence of massive fluid loss and blood loss."


    "Hypovolemic shock?"


    Zhou Bin was taken aback, this idea was completely different from what they thought before!


    Not cardiogenic shock, nor septic shock, but hypovolemic shock!


    "I''m going to ask the patient''s family about their recent diet." Zhou Bin said immediately.


    If the patient has a bad diet recently, it will also cause this kind of malnutrition and hypovolemic shock.


    ¡­


    CCU ward, doctor-patient communication room.


    Zhou Bin called the patient''s family in.


    "How is the patient eating and drinking these days?"


    The family member is the son of the patient. He quickly said: "My dad has always felt a fever in his stomach for the past two weeks. He doesn''t eat much, so he drinks soda."


    "Only drink soda?" Zhou Bin frowned, "Don''t you eat other foods?"


    "I ate very little." The family members sighed, "We don''t dare to disobey him. If he wants to drink soda, we can only give it to him."


    "Okay, I understand, I''ll come to you again if there is any situation."


    After ?? Zhou Bin asked a few questions, he returned to the doctor''s office.


    "It seems that the intake is really not enough, no matter what, first add fluids to improve hemodynamics." Zhou Bin said to Lu Chen.


    Lu Chen nodded.


    For the time being, we can only treat symptomatically. As for the cause of the disease, we can only explore it step by step in the treatment.


    ¡­


    Zhou Bin came to the old man''s bed, ready to perform a subclavian central venous puncture for him.


    Central venous catheter can quickly rehydrate patients, especially for some critically ill patients.


    "Teacher, let me go with you." Gu Xinyue said.


    "Okay, I just need a helper." Zhou Bin nodded slightly.


    Central venous catheterization is a routine operation in ICU and CCU wards, but it is almost non-existent in ordinary wards.


    Gu Xinyue and Lu Chen came to the ward together.


    "Lao Gu, what are you doing with me?" Lu Chen was also going to continue to study the patient''s test sheet to see if he could find some clues.


    "Let''s take a look at the central venous puncture and catheterization." Gu Xinyue said, "It''s too much skill to press yourself!"


    Lu Chen nodded helplessly. In fact, he had trained many times in the system space for this kind of puncture operation, and his proficiency in central venous puncture and cannulation was about 75%.


    However, because there is no real-life drill, after the proficiency rises to 75%, it will no longer rise.


    Gu Xinyue was given the opportunity to be an assistant this time.


    ¡­


    Gu Xinyue took the gloves and followed behind Zhou Bin.


    "The most important thing for puncture is positioning." Zhou Bin said, "Our central venous catheter can be placed in the neck or under the clavicle, but the intubation in the neck is less comfortable for the patient, so we generally place the catheter under the clavicle."


    Zhou Bin''s puncture technique is very skilled.


    After finding the puncture anchor point, the puncture needle goes down, and the puncture is successful immediately.


    Gu Xinyue''s job is to help implant guide wires.


    After the ?? guide wire is passed, the catheter is placed.


    The most difficult step in the whole process is the puncture.


    The entry of other guide wires and catheters is secondary.


    Lu Chen watched from the side, but he couldn''t gain too much experience, so he should be with Gu Xinyue.


    Gu Xinyue''s experience as an assistant several times will be of great help for him to pierce independently in the future.


    The central venous catheter was successfully placed, and the nurse immediately connected several sets of fluids to the central venous channel.


    The rest is to observe the response of the patient after rehydration.


    ¡­


    This old man in critical condition is insignificant to the entire CCU ward.


    Even Lu Chen''s attention was diverted by the next patient.


    In the afternoon, Lu Chen received another old lady with severe heart failure.


    This old lady was sick at home for a week, and she was unable to lie down and sleep, so she was willing to come to the hospital.


    After dealing with the old lady, Lu Chen took the time to take a look at the old man who had been treated before.


    After rapid rehydration, the inferior vena cava quickly rose to 1.3cm, and the blood pressure also recovered from before. The systolic blood pressure can reach 90-100mmHg, which seems to be progressing in a positive direction.


    It''s just that when Lu Chen came to the ward and saw the health of the old man, it was still a trend of three minus signs!


    what happened?


    (end of this chapter)

 v2 Chapter 491： Boost again!

    Chapter 491 Boosts again!


    At this moment, the nurse hurried over again.


    "Lu Chen, the old man your group just received, the blood sugar at his fingertips is high again!"


    "High again?" Lu Chen frowned, the patient''s fingertip blood sugar exceeded the upper limit of the measurement again.


    "Didn''t you already fill up so much fluid?"


    After all, even if you don''t use insulin, your blood will be diluted and your blood sugar will drop!


    "okay, I get it."


    Lu Chen immediately opened the patient''s laboratory inquiry column.


    At this time, the biochemical results of the patient''s emergency examination in the CCU were also reported, creatinine 459¦Ìmol/L, urea 55.41mmol/L, glucose 25.17mmol/L, blood potassium 4.35mmol/L, blood sodium 154mmol/L!


    When Lu Chen saw the result, he was taken aback.


    "Lu Chen, what''s wrong?"


    Gu Xinyue saw that Lu Chen''s expression was abnormal, so he hurriedly came over, and he also saw the test results on the computer.


    "The patient''s blood sugar and creatinine are so high?!" Gu Xinyue said, "Although the results are abnormal, there is no need to be so surprised, right?"


    In the CCU ward, there are many patients whose creatinine and blood sugar exceed this old man.


    Lu Chen said solemnly: "The result is just an appearance. From this biochemical list, we can see more things."


    Gu Xinyue frowned, what else could be seen from an ordinary biochemical list.


    He was just thinking about it when he heard Lu Chen continue: "At this time, the patient''s effective plasma osmotic pressure is (154+4.35)*2+25.17=342mOSM/L, which has clearly exceeded the threshold of 290-310mOSM/L."


    "If the influence of BUN is added, the plasma osmotic pressure has reached 397mOSM/L at this time!"


    "397?" Gu Xinyue was shocked, "Is this... such a high osmotic pressure?"


    Lu Chen nodded slowly and continued: "I just looked at the patient''s test results two days ago, and the plasma osmotic pressure at that time also reached 336mOSM/L. It was not much high at that time, so it was not taken seriously."


    Having said that, as a scholar-level figure of the Second Academy of Jinghua, Gu Xinyue immediately understood!


    Gu Xinyue glanced at Lu Chen and said, "So, the rapid increase in osmotic pressure is the root cause of all the clinical manifestations of the patient: altered consciousness, oliguria, hypovolemic shock, and acute kidney injury."


    "That''s right!" Lu Chen nodded slightly, "What is this patient with cerebrovascular disease, heart failure and renal failure, but a typical type 2 diabetes hyperglycemia and hyperosmolar state!"


    This also makes sense, why the trend of the patient''s life value has always been three minus signs!


    The diagnosis is wrong, and the corresponding treatment varies greatly.


    At this moment, Gu Xinyue suddenly realized.


    "I need to inform Teacher Zhou Bin immediately, I''ll find her." Lu Chen said.


    "Okay, I''ll go with you." Gu Xinyue followed closely.


    ¡­


    Zhou Bin is helping other groups of patients with heart ultrasound.


    In the entire CCU ward of Jinghua Second Hospital, Zhou Bin''s echocardiography technique is considered to be first-class.


    "The probe needs to be adjusted to an angle here, don''t you see it clearly?"


    "Mr. Zhou''s technique is really good. I just watched it for a long time, and I could only make a blurry image."


    "There are no special skills for ultrasound, practice makes perfect."


    Zhou Bin smiled, but at this moment she thought of Lu Chen.


    This is just a second grade student, and her ultrasound attainments have already surpassed her!


    ¡­


    At this time, Lu Chen and Gu Xinyue rushed to Zhou Bin''s side.


    "Mr. Zhou, the biochemical results of the 6-bed uncle have come out!" Lu Chen said quickly.


    Looking at Lu Chen''s anxious look, Zhou Bin also felt that the patient''s condition may have exceeded everyone''s development.


    She put down the heart ultrasound probe and said quickly, "What''s wrong?"


    Lu Chen directly handed over a test sheet, "I just calculated the osmotic pressure, at least 397!"


    "Is the osmotic pressure so high?" Zhou Bin took the test sheet, got up immediately, and walked towards the doctor''s office, "Is it a diabetic hyperosmolar state?"


    Zhou Bin is worthy of being a senior attending doctor, he reacted immediately and directly hit the key point-diabetic hyperosmolar state.


    "I think so!" Lu Chen nodded.


    Diabetic hyperosmolar state, common in elderly people with type 2 diabetes over the age of 60.


    Most of the triggers are infection, acute gastroenteritis, pancreatitis, cerebrovascular accident, insufficient water intake, and large intake of sugary drinks.


    This patient has exactly one point, that is, a large amount of sugar-sweetened beverages.


    Due to the gradual increase in osmotic pressure, symptoms of the central nervous system appear, manifested as limb weakness, convulsions, and then develop into coma, and hypovolemic shock.


    ¡­


    Back to the doctor''s office.


    Zhou Bin took out all the examinations and tests of the patient.


    The doctors from the other groups, as long as they were free, came over.


    Zhou Bin said slowly: "Actually, we went back and analyzed this patient. From the incentives to clinical manifestations to laboratory tests, they all conform to a very typical hyperglycemic hyperosmolar state."


    Lu Chen nodded and echoed: "However, due to the fixed clinical thinking, we preconceived the patient as acute exacerbation of chronic heart failure and cardiorenal syndrome from the beginning."


    "Early markedly elevated blood glucose and mildly elevated plasma osmolality were ignored."


    "Supplementing a large amount of hypertonic fluid and using a large amount of diuretics for the patient during initial treatment not only missed the best time for correction of hyperglycemia and hyperosmolarity, but also contributed to the disease."


    The stubborn "three minuses" on the old man''s health is the best proof.


    Preconceived ideas often lead to extremes in the treatment of patients.


    This old man first went to the eight districts of the heart.


    Cardiology department, naturally think of the diseases of its own department, such as heart failure, cardiogenic shock and so on.


    However, the real cause of the patient is often hidden deep.


    Without broad clinical thinking ability, it is impossible to get the final correct answer.


    On the contrary, patients will delay the opportunity of treatment because of narrow diagnosis.


    ¡­


    When Lu Chen finished saying these words, a prompt popped up on the system panel.


    "Congratulations, clinical thinking ability has improved!"


    A simple reminder without any remarks.


    Lu Chen also received this prompt after participating in a discussion of a difficult case in his heart.


    However, there is no detailed explanation of what it does and how much the ability has been improved.


    However, Lu Chen also relaxed, something is better than nothing!


    ¡­


    At present, the diagnosis is clear.


    The next step is to adjust the treatment measures.


    Diabetes with hyperglycemia and hyperosmolar state, the key to treatment is to quickly replenish body fluids and electrolytes lost due to osmotic diuresis and reduce osmotic pressure.


    "Continue to add fluids." Zhou Bin said.


    The word rehydration is easy to say.


    But how to make up and what to make up is a big problem.


    What''s more, the patient has a long history of chronic heart failure, and high-dose fluid replacement is likely to cause the onset of acute heart failure.


    No fluid replacement, and no way to reduce osmotic pressure, can''t solve the cause.


    This big problem is straddled in front of everyone.


    (end of this chapter)

 v2 Chapter 492： Extubation!

    Chapter 492 Extubation!


    "Let''s add normal saline first." Zhou Bin said, "As for the amount of rehydration, try to balance at least 5000mL within 12 hours and 10000mL within 24 hours."


    After ??, Zhou Bin quickly gave the patient a doctor''s order.


    At times like this, time is life.


    The response from the ?? nurse was also very quick, and the patient was given fluids immediately.


    ¡­


    Gu Xinyue kept looking at Zhou Bin''s doctor''s order, frowned, and said, "Lu Chen, why do you need to rehydrate with normal saline? Why don''t you use hypotonic fluid?"


    Liquids are divided into isotonic, hypertonic, and hypotonic.


    Normal saline is isotonic saline.


    At this time, the osmotic pressure of the patient should be reduced. In theory, hypotonic fluids can be used.


    Lu Chen smiled and said: "The osmotic pressure of hypotonic saline (0.45%-0.6%) is too low, and a large amount of infusion in the early stage may cause the blood osmotic pressure to drop too quickly and cause cerebral edema, so it is not the first choice. Use with caution if serum sodium and osmolarity remain elevated after rehydration."


    "Oh." Gu Xinyue nodded, "What about lactated Ringer''s solution?"


    Lu Chen went on to explain: "The osmotic pressure of lactated Ringer''s solution is 273mOsm/L. After entering the body, with the decomposition of lactate, the osmotic pressure will further decrease. It is suitable for patients with acidosis tendencies."


    "It is theoretically feasible, but it has not been widely clinically validated in HHS, so it has not been adopted for the time being."


    "There is such a saying?" Gu Xinyue was taken aback.


    He had never seen these views in textbooks.


    Lu Chen nodded slightly and said, "The osmotic pressure of normal saline is 308mOsm/L, which is a hypotonic liquid compared to diabetic hyperglycemic hypertonic patients, which can effectively reduce osmotic pressure, replenish body fluids, and improve renal function, so it should be the first choice. ."


    As for other hypertonic liquids, it is definitely not applicable.


    "Congratulations, +1 for the thank you from Gu Xinyue!"


    Lu Chen smiled slightly, Lao Gu was good, and gave himself a little thank you.


    "What about the amount of rehydration?" At this time, Gu Xinyue asked again, "I think it''s a bit too much to refill so much in one day."


    Lu Chen paused and said, "The patient''s weight is 70kg, and his cumulative body fluid loss is 7000-15400mL."


    "According to the principle of fluid replacement, 1000-2000 mL of fluid should be administered within the first 2 hours, 50% of the total amount of fluid infusion within the first 12 hours + the daily urine volume, and the accumulated loss should be made up within 24 hours."


    "So taking the middle value, theoretically, the patient should be at least 5000mL positive balance within 12 hours, and 10000mL positive balance within 24 hours."


    Gu Xinyue stared at Lu Chen in surprise.


    This guy is really amazing!


    With so much theoretical knowledge, you can get it at your fingertips.


    He has also learned this knowledge, but it is quite difficult to apply it in clinical practice.


    Whether it is to calculate the osmotic pressure directly from the biochemical chart, or calculate the amount of fluid replacement, Lu Chen responded very quickly.


    "Congratulations, +1 for the thank you from Gu Xinyue!"


    Received a little more thanks, Lu Chen smiled, this Laogu is really not bad!


    On the surface, it is cold and indifferent, but on the inside it is really interesting.


    "What''s the matter, why are you looking at me like that?" Gu Xinyue glanced at Lu Chen.


    Lu Chen patted Gu Xinyue on the shoulder, "Let''s go and see the patient."


    ¡­


    While actively rehydrating the old man, Lu Chen reviewed the patient''s heart ultrasound again.


    Echocardiography: left ventricular end-diastolic diameter 63mm, left atrium 50mm, left ventricular ejection fraction 43%.


    "With such a low ejection fraction, we have replenished so much fluid, and heart failure is likely to come soon." Lu Chen said.


    "Yeah." Zhou Bin nodded, "This is something that can''t be helped. Now, fluid replacement is the most critical part. When heart failure comes, we will treat it."


    ¡­


    Back to the doctor''s office.


    The CCU ward had a brief period of tranquility, and there were no new emergency patients in this period of time.


    Lu Chen and Gu Xinyue are both making up the course records.


    "It''s half an hour before get off work." Zhou Bin smiled, "You guys stick with it for a while."


    Lu Chen glanced at the time, it was exactly five o''clock.


    "Mr. Zhou, I''m working night shift tonight."


    "Oh, then you have to hold on for another night."


    Lu Chen shrugged.


    is the night shift in the CCU ward, he is ready!


    "By the way, bed 1 is going to be transferred to the general ward tomorrow morning." Zhou Bin suddenly said, "Which of you two help to pull out the central venous catheter?"


    "I''ll come." Gu Xinyue said immediately, "I''ve pulled it out a few times before."


    "Okay, let''s go." Zhou Bin said.


    Gu Xinyue stood up, then winked at Lu Chen.


    Lu Chen had to put down his work and walked out of the doctor''s office with Gu Xinyue.


    "What are you doing? Pull out the tube and let me go?" Lu Chen said angrily.


    Gu Xinyue said lightly: "It''s always good to have a helper. Next time, I''ll give it to you."


    Lu Chen shrugged.


    ¡­


    The two came to the side of the No. 1 hospital bed together.


    The patient in bed 1 is an elderly male patient. The cause of this hospitalization was due to severe heart failure.


    After a week of treatment, the patient''s condition has improved and he is ready to be transferred to the general ward tomorrow morning.


    Although the patient''s HP is only 65, the trend of change is a plus.


    "Doctor, when will I be transferred out?" The patient was very anxious, and he looked at Gu Xinyue nervously.


    Family members are not allowed to accompany you in the CCU ward.


    The patient''s daily food, drink and laxation are all handled by nurses.


    General patients are unbearable in this ward environment.


    Especially when the patient¡¯s condition improves, they can¡¯t wait to be transferred back to the general ward.


    "Master, you can transfer out tomorrow morning." Gu Xinyue said.


    "That''s great!" A smile appeared on the patient''s face.


    "Master, I will help you unplug this tube now." Gu Xinyue pointed to the hose on the patient''s neck, "It may be a little uncomfortable, you don''t need to be too nervous."


    "Okay, you can pull it out."


    Gu Xinyue put on gloves, took iodophor disinfectant and cotton swabs, and disinfected the place where the neck tube was placed several times.


    "Master, you take a breath, then hold your breath."


    The patient did as Gu Xinyue said.


    Gu Xinyue connected the catheter with a sterile syringe, and extubated while suctioning.


    He quickly pulled out all the catheters.


    The process of ?? extubation was very smooth, less than a minute before and after.


    During the whole procedure, the patient did not have any discomfort.


    "Master, I will help you press here for a while." Lu Chen said.


    "Well." The patient nodded with a smile, "Thank you doctor, the doctor is really young now!"


    Gu Xinyue smiled, brought a piece of gauze and pressed the patient''s puncture point.


    "Old Gu, since you''re done, I''ll go back to the office first." After Lu Chen finished speaking, he was about to leave.


    However, his eyes accidentally caught a glimpse of the trend of the health value on the patient''s head.


    From one plus sign, suddenly, to two minus signs!


    (end of this chapter)

 v2 Chapter 493： Laogus self-blame

    Chapter 493 Laogu''s Self-Reproach


    its not right!


    Lu Chen was startled. When he first came to bed number 1, he clearly saw that the trend of the patient''s health was a plus.


    Why did it turn into two minus signs in a blink of an eye?


    One plus sign turns into two minus signs, which is a world of difference!


    This shows that the patient''s condition at this time has suddenly changed sharply!


    Just when Lu Chen was thinking about it, he suddenly noticed the patient on the hospital bed.


    At the same time, the bedside ECG monitor sounded a harsh "beep beep" alarm.


    Lu Chen felt something was wrong, he reacted immediately and immediately stepped forward to check.


    He patted the patient on the shoulder, "Master, Master! Can you hear me?"


    The patient did not respond at all!


    Lu Chen quickly touched the pulsation of the carotid artery on the other side, and placed the stethoscope at the apex of the heart.


    No heart beats at all!


    "Oops, my heart stopped!"


    When Lu Chen saw this, he rolled up his sleeves and immediately started chest compressions.


    aside, Gu Xinyue was also quite nervous.


    He placed the applicator on the patient''s puncture point while assisting Lu Chen with CPR.


    Fortunately, in the CCU ward, the nurse in charge of the bed immediately responded and called other nurses to push an ambulance from the nurse station.


    And Zhou Bin happened to be in the ward at this time. When he encountered such a scene, he immediately ran to the hospital bed.


    "Quick, adrenaline!"


    "Prepare the defibrillator!"


    Zhou Bin immediately judged the patient''s condition and began to issue medical orders for rescue.


    "What happened to the patient? Didn''t you pull out a tube?"


    Gu Xinyue paused and said, "Mr. Zhou, I just pulled out the tube and pressed the patient''s puncture point for two minutes, but his heart suddenly stopped!"


    "Heart stopped?" Zhou Bin frowned.


    At the time of the most critical condition of the patient, he did not suffer from cardiac arrest.


    Why is my condition getting better now, but my heart suddenly stopped?


    But now is not the time to think about these things, Zhou Bin calmly issued various emergency medical orders.


    "Daily pump, another bottle of sodium bicarbonate!"


    "Ventricular fibrillation! Prepare for defibrillation!"


    ¡­


    Hard work pays off.


    After Zhou Bin and Lu Chen''s alternating chest compressions, the patient''s heartbeat finally recovered.


    When the faint heartbeat came from the stethoscope, Lu Chen finally breathed a sigh of relief.


    However, the patient''s consciousness has not recovered, and it is still in a state of unexpectedness.


    "Phew... It''s good to be able to rescue him." Zhou Bin sighed slightly.


    For a patient in cardiac arrest, the chance of being able to press back is not high.


    Lu Chen shook his aching hand, "CPR is really a physical job!"


    He came to the CCU ward just a few days ago, but he performed more chest compressions than in the past few months combined.


    In the CCU ward, rescuing patients is commonplace!


    aside, Gu Xinyue''s expression was a little dazed.


    "Old Gu, what happened to you?"


    Gu Xinyue was stunned, lowered her head, her expression was a little unnatural, and she said hesitantly, "Lu Chen, you said that the patient''s heart stopped, could it be because of me..."


    Lu Chen was taken aback, "Why do you think so?"


    Patients with heart disease, even if their condition is slowly recovering, may still experience malignant arrhythmias, acute heart failure, and even sudden cardiac arrest, sudden death and other unpredictable malignant events.


    "I..." Gu Xinyue lowered her eyebrows, "He was still fine just now, but after I was extubated, his heart suddenly stopped."


    "Maybe you go to extubate, it might just happen by chance." Lu Chen said, "If you don''t extubate, his heart will stop at this time. We were by his side, just in time to rescue him, didn''t we help him?"


    Gu Xinyue was a little silent. He glanced at Lu Chen and said slowly, "I have my own reasons."


    "What''s the reason? Make you doubt yourself?" Lu Chen wondered.


    "Lu Chen, I was thinking, did I just... did I press on his carotid sinus?"


    The puncture point of this patient is not the subclavian vein, but the internal jugular vein.


    Lu Chen recalled Gu Xinyue''s actions just now. After removing the catheter, he did press on the carotid sinus on one side.


    There are abundant sensory nerve endings in the adventitia of the carotid sinus vessel wall, called carotid sinus baroreceptors


    The position here is superficial. When stimulated, it will lead to the occurrence of carotid sinus syndrome symptoms, which can be manifested as decreased heart rate, decreased myocardial contractility, decreased cardiac output, and decreased blood pressure.


    Pressing both carotid sinuses at the same time can indeed make the vagus reflex hyperactive and even cause syncope.


    "Lao Gu, let''s not talk about whether you pressed the carotid sinus or not." Lu Chen said, "Even if you press, gently pressing the carotid sinus on one side, do you think it will cause cardiac arrest?"


    Gu Xinyue heard the words, lowered her head and remained silent.


    Lu Chen knew that Lao Gu''s mentality at this time was extremely self-blame.


    I was still communicating with the patient about the transfer back to the general ward tomorrow morning. In a blink of an eye, the person was lying on the bed, unable to wake up.


    Lu Chen patted Gu Xinyue on the shoulder, "Old Gu, let''s do our own thing well, as for the rest, don''t think too much and don''t worry about it."


    Gu Xinyue nodded, looked up at Lu Chen, "Thank you."


    Lu Chen responded with a smile, "You can open up if you want."


    ¡­


    Back to the doctor''s office.


    Zhou Bin also knew Gu Xinyue''s thoughts, so he said with relief: "Xiaogu, you said that the possibility of cardiac arrest caused by pressing the carotid sinus by yourself cannot be completely ruled out, but the possibility is very small."


    "Teacher Zhou, then, why did the patient suffer from cardiac arrest?"


    Gu Xinyue stared closely at Zhou Bin, trying to find some answers from her.


    Zhou Bin asked back with a smile: "Xiaogu, then let me ask you, a nurse can complete such a simple operation as extubation, so why do you need a doctor?"


    Gu Xinyue frowned and didn''t answer for a while.


    In fact, his entire extubation operation just now took less than a minute.


    If it is just a simple extubation operation, the nurse must have it!


    Seeing this, Lu Chen paused and said, "I remember a literature report that central venous catheter removal can cause accidental central venous catheter removal syndrome, manifested as tachycardia, syncope, hypoxemia, hypoesthesia, and even heartbeat and breathing. Stop, shock coma, etc., the mortality rate is 57%."


    Zhou Bin nodded with satisfaction: "Lu Chen is right, even if it''s just a simple extubation, in fact, there is still a certain risk, so when extubating, the doctor must be present!"


    In addition to massaging the carotid sinus, there is also the possibility of intravascular thrombosis and gas embolism!


    However, after Lu Chen and Zhou Bin''s turn of enlightenment, Gu Xinyue''s mood was obviously much better.


    "Lu Chen, thank you." Gu Xinyue said softly.


    "No thanks, just bring me a bowl of beef noodles tomorrow morning." Lu Chen smiled.


    "Okay." Gu Xinyue nodded.


    ¡­


    After half an hour, I finally got off work.


    Lu Chen''s night shift also started.


    (end of this chapter)

 v2 Chapter 494： Unreliable duo

    Chapter 494 Unreliable duo


    CCU''s night shift is equipped with two senior doctors, three graduate students or regular trainees.


    A superior doctor is responsible for communicating with patients, and another superior doctor is responsible for issuing medical orders.


    The main job of the three students is to help their superiors do electrocardiograms, measure blood pressure, and write the course of the disease.


    At 5:30, most of the doctors in the CCU ward left, leaving only a few people on duty.


    ¡­


    Lu Chen looked outside the office.


    The two superior doctors on duty are familiar to him, both of whom are attending doctors of another medical group.


    One is Cheng Liangli and the other is Huang Hanlin.


    They are all senior physicians in the CCU ward in the heart.


    Among them, Cheng Liangli is responsible for communicating with the patient''s family about the condition, and Huang Hanlin is also responsible for checking the patient and issuing medical orders for rescue.


    As for the three students on the night shift, except for Lu Chen, the other two were girls.


    Lu Chen was not familiar with either of them.


    Lu Chen was a little surprised. It stands to reason that the students on night shift in the CCU ward should all rotate in the CCU.


    Why hasn''t he met these two girls?


    ¡­


    At this time, Huang Hanlin walked into the doctor''s office.


    He saw the three people present and said to one of the tall girls, "Liu Han, order dinner and ask me to reimburse you later."


    "Okay." The tall girl smiled and said, "Mr. Huang, what would you like to eat?"


    "Mr. Cheng and I are fine, just ask them." Huang Hanlin pouted at Lu Chen and the two, and then left.


    CCU night shift tradition, the superior doctor will take care of everyone''s meal and dinner, and most of them let the students order some takeaways.


    ¡­


    "What do you two want to eat?" Liu Han asked to Lu Chen.


    Lu Chen didn''t particularly like it, he said casually, "I don''t eat coriander, everything else is fine."


    Another girl with a chubby face and thick glasses whispered, "I can do it too."


    Liu Han smiled, "Alright then, I''ll order some home-cooked dishes."


    After she said that, she took out her mobile phone, opened the food delivery app, and said again: "By the way, how many do you both study? Which department? Why haven''t I seen you in the CCU ward?"


    Liu Han glanced at Lu Chen and another girl.


    The whole night shift requires the cooperation of three people.


    If there is one person who is unreliable and unfamiliar with the working process of the CCU ward, it will be a miserable night!


    Lu Chen said: "I am studying the second, and I am currently rotating in the CCU."


    After ?? finished speaking, Lu Chen paused and glanced at Liu Han. I didn''t seem to have seen you in the CCU ward. "


    Liu Han smiled, "Junior brother, you only recently came to CCU to transfer departments, right? I''ve been here for the last month, but I have something to do recently, so I''m not in the ward."


    Lu Chen nodded slightly.


    She called her junior brother?


    In other words, the girl in front of you is a third grader?


    Seemed to see Lu Chen''s doubts, Liu Han smiled, "I am studying for the third year this year, and I have been looking for a job recently and interviewing everywhere."


    "Oh." Lu Chen understood.


    At this time, another girl looked a little unnatural, and she whispered: "I am a respiratory medicine student. This year, I am a second-year graduate student, helping my classmates to come to the top class."


    Help your classmates to top CCU''s class?


    Lu Chen glanced at her and felt that most of them were not top performers, maybe he bought this night shift in the "study guide group".


    But this is everyone''s freedom, and he once bought a few.


    "Then have you been to the CCU ward for rotation?" Liu Han asked.


    "No, no."


    Lu Chen was taken aback, this girl really dared? !


    Did not rotate at CCU, but came to work the night shift?


    aside, Liu Han was also helpless in his heart, this is another "little pit".


    It seems that the night shift can only count on this junior.


    Liu Han glanced at Lu Chen, hoping that he would be more reliable.


    But she suddenly remembered one thing, the younger brother has just arrived at CCU, it should be the first night shift, right?


    Then tonight, didn''t she... meet an unreliable duo?


    ¡­


    After half an hour.


    After a brief run-in, Lu Chen knew that Liu Han was a graduate student in the Department of Nephrology, and another girl named Gao Rui was a second-year graduate student this year.


    "Okay, I ordered seven dishes and one soup." Liu Han said, "It should be enough for the five of us."


    Lu Chen didn''t have any special requirements. After looking at the menu, he nodded in agreement.


    "Let''s write down the course of the disease." Liu Han said.


    The patients in the CCU ward are all critically ill patients, so they need to write down the course records every night when they take over the shift.


    "Then the three of us will be divided equally." Lu Chen said.


    "it is good."


    Succession records are not difficult to write.


    Rare is the large number of patients, and each of them has to write at least 20 course records.


    Although Lu Chen was on the night shift at CCU for the first time, he had already understood this style, and he quickly became familiar with it.


    But for Gao Rui, she had never rotated in CCU, nor had she experienced such high-intensity writing on the course of the disease, so she was a little confused for a while.


    "Junior sister, don''t worry." Liu Han said, "It''s easy to make mistakes when you are anxious. Look at this atrial fibrillation patient, the heart rhythm should be irregular, and what you wrote in the course of the disease is neat."


    "Oh, I''ll change it right away." Gao Rui hurriedly changed it.


    Liu Han could only sigh slightly, she turned to look at Lu Chen.


    Fortunately, the younger brother is relatively reliable, and there is nothing wrong for the time being.


    At this moment, the nurse trotted all the way into the office: "Doctor, bed 32 is not comfortable, please go and see."


    Lu Chen was startled.


    32 beds, that is the old lady with heart failure that they set up during the day.


    He stood up quickly, "Okay, I''ll go now."


    Liu Han was a little surprised, it was the first time he met such a proactive student!


    Usually encountered such a situation, it is usually handled by the third grade students.


    "Junior Brother, if you can''t handle it, go to Teacher Huang." Liu Han ordered.


    "Yes." Lu Chen nodded and left the office.


    The superior doctor is not in the same office as them.


    There is a nurse station between the two offices.


    In general, when a patient has a change in their condition, they first go to the student on duty. If there is no solution, they will inform the doctor on duty at the higher level.


    ¡­


    Lu Chen came to bed 32.


    The old lady has already made it out of bed.


    When she saw Lu Chen''s arrival, her face immediately brightened, and she hurriedly said, "Doctor Lu, when can I be transferred to the general ward?"


    Lu Chen said: "Mother-in-law, it depends on your condition."


    "I feel like I''m getting better!"


    "What?" Lu Chen was taken aback, "Didn''t the nurse just say that you are not feeling well?"


    "There''s nothing uncomfortable, I just sleep here, I can''t see my son, I feel uncomfortable."


    Lu Chen was a little helpless when he heard the words.


    "Mother-in-law, then you have to listen to our words, get well soon and transfer out early!"


    After chatting a few words with her mother-in-law, Lu Chen knew that the unfamiliar environment made her a little uneasy.


    Especially the whole room is either a patient or a doctor and nurse in a white coat.


    Even if a normal person comes here, after a long time, his heart can¡¯t help but panic!


    (end of this chapter)

 v2 Chapter 495： Li Yaos Ph.D.

    Chapter 495 Li Yao''s in-service doctor


    Back to the doctor''s office.


    "Junior brother, what''s the condition of the patient?" Liu Han took the initiative.


    As the senior sister of Yansan, with two junior brothers and sisters, she felt that she had to take the overall situation and avoid any mistakes.


    "Fortunately, the 32-bed patient just doesn''t want to stay in the CCU anymore. She wants to be transferred out. She is in a bad mood." Lu Chen said, "I communicated with the patient, and her mood is more stable."


    "Junior Brother, you are quite amazing." Liu Han said.


    Lu Chen smiled and continued to write his own medical record, not taking Liu Han''s words to heart.


    Before writing two words about the course of his illness, the uncle of the security guard at the door pushed open the door of the CCU ward.


    "The patient is here!"


    Hearing this voice, Lu Chen and Liu Han stood up at the same time.


    And Gao Rui was also half a beat slower, and then he also stood up.


    Liu Han glanced at it and took the initiative to say, "Junior brother, I will accept the first patient first, and let junior sister follow me first to see the process of accepting patients, okay?"


    "Okay." Lu Chen naturally had no opinion.


    All the patients tonight are taken by the three of them in turn. If Gao Rui''s movements were slow, they could only charge a few more.


    Then, Lu Chen sat down again.


    Liu Han and Gao Rui went to receive patients together.


    Lu Chen was happy and relaxed, but he also knew that he was still growing this night!


    Yesterday, Fatty Cheng¡¯s night shift seemed to admit more than 20 patients in one night.


    The real test of the night shift is still in the middle of the night!


    ¡­


    Lu Chen continued to write the disease course record.


    At this time, the mobile phone WeChat alert sounded.


    He picked it up and saw that it was the girl introduced by the head nurse who had been added in the morning.


    "Lu Chen, didn''t you mean to talk at night? I''ve already finished dinner, why are you not moving at all?"


    Lu Chen patted his head when he saw the WeChat message, he forgot about it, and then replied: "I''m sorry, I''m on night shift tonight, why don''t we talk tomorrow?"


    Zhou Xiaohan on the other side of the phone was speechless.


    This little doctor, why is he busy all day long?


    "Forget it, I''ll pick it up." Zhou Xiaohan said, "I want to complete the task and not let Auntie Li lose face. After two days, we will find a reason, say we can''t talk, and reject Auntie Li."


    Lu Chen has no opinion.


    He himself was in a daze and was asked to leave WeChat by the head nurse, so he said, "Okay, let''s settle it like that."


    Zhou Xiaohan was stunned for a moment, thinking that this doctor Lu Chen is really a straight man, why don''t you fight for it?


    Lu Chen closed the dialog when he saw that the other party hadn''t sent a WeChat message.


    Among them, if the other party is not a person in the industry, it is difficult to understand the busyness of the medical industry.


    However, if both partners are in the medical profession, then the whole family has no one to take care of.


    ¡­


    After about ten minutes.


    Liu Han and Gao Rui went back to the doctor''s office after seeing the patient.


    "This is a patient who is considering myocardial infarction and has been sent to the catheterization room." Liu Han said, "Junior sister, you should have seen the process of accepting patients just now, right?"


    "Hmm." Gao Rui nodded, "I have a general understanding."


    "Alright, wait for the next patient, you can take it yourself." Liu Han said.


    "no problem."


    Lu Chen glanced at the patient''s case data. It was a 60-year-old patient with chest pain.


    The patient''s ECG had ST-segment elevations in the anterior chest leads, but because of the short duration of chest pain, troponin was not elevated.


    However, this situation cannot wait for the increase of troponin before surgery, but requires emergency surgery.


    Otherwise, the best time for treatment may be delayed.


    ¡­


    Lu Chen finished writing the medical records of all the patients, and took time to take a look at the patients in his group.


    Among them, the patient who suffered cardiac arrest after extubation by Gu Xinyue had stable vital signs, but was still not awake.


    What caused the cardiac arrest is still unclear.


    In addition, the patient with "diabetic hyperosmolarity" pushed by Director Lin Cui''s condition is significantly relieved than before, and it seems that he may wake up at any time.


    Except for these two patients, the other patients all suffered from myocardial infarction and heart failure, and their condition was considered stable.


    "Junior brother, the takeaway is here, go to the doctor-patient communication room to get it." Liu Han shouted to Lu Chen.


    "it is good."


    Lu Chen came to the doctor-patient communication room, and the deliveryman had already put the lunch box on the table.


    "The portion is not too small." Lu Chen came to the lounge with the food in both hands.


    At this time, in the lounge, two superior doctors, Huang Hanlin and Cheng Liangli, were sitting and chatting together.


    "Old Huang, are you an in-service doctor preparing to take the Boss Cao exam?" Cheng Liangli leaned on the back of the seat.


    "Hey, there''s no other way!" Huang Hanlin shook his head slightly, "Nowadays, the qualifications for many fund projects require a doctoral degree. How can we be promoted to deputy director without a fund project? You want to wear the hat of an attending doctor all the time. ?"


    Cheng Liangli also looked a little helpless.


    "The current policy is really **** up. I have worked hard in clinical practice for so many years, but I can''t get promoted. On the contrary, those who have written two articles and are ineffective in seeing a doctor have already been promoted successfully."


    Huang Hanlin shook his head slightly, "If we can''t change the policy, then we can only adapt to it."


    "Adapt?" Cheng Liangli said with a wry smile, "Boss Cao''s on-the-job doctorate is not so good. The competition every year is too fierce! You have to be prepared!"


    Huang Hanlin also thought of this situation.


    But there is no way, if you want to go further, you have to endure these things.


    "That''s right!" Cheng Liangli suddenly said, "Why do you have to take the Boss Cao exam? We have three PhD supervisors in our hearts, can you choose the other two?"


    "You mean Li Yao and Cheng Guowen?" Huang Hanlin wondered.


    "That''s right." Cheng Liangli nodded, "The two of them have in-service Ph.D.s, it should be quite simple, and relatively few people apply for the exam."


    Huang Hanlin frowned.


    What Cheng Liangli said is true. His current goal is to graduate and get a degree, and then he is eligible to apply for the fund.


    As for who is the student, that''s the next thing.


    "However, Cheng Guowen specializes in electrophysiology." Huang Hanlin said, "I want to do coronary arteries and apply for his on-the-job doctorate, but I always feel that something is not right!"


    Each mentor is assigned a specific research direction.


    For example, Cao Zhiying''s main research direction is mainly coronary intervention, while Cheng Guowen is electrophysiology.


    "Then Li Yao?" Cheng Liangli said tentatively, "I heard that Director Li Yao has an amazing student. If you apply for her on-the-job doctorate, you might have a chance!"


    "Let me think."


    Huang Hanlin had always wanted to apply for Cao Zhiying''s on-the-job Ph.D., but now he is a little hesitant to hear what Cheng Liangli said.


    Perhaps, Li Yao is a good choice? !


    (end of this chapter)

 v2 Chapter 496： weird doctor

    Chapter 496 Weird Doctor


    Seven dishes and one soup are all home-cooked dishes.


    The five people on duty have dinner, which is also very suitable.


    Lu Chen came to the lounge, Cheng Liangli and Huang Hanlin stopped chatting about these things.


    "Come and eat, it''s good work."


    Huang Hanlin waved to Lu Chen.


    Lu Chen smiled and sat aside.


    "By the way, your name is Lu Chen, right?" Huang Hanlin said suddenly.


    "Yes, Mr. Huang."


    Huang Hanlin and Cheng Liangli looked at Lu Chen up and down.


    They also heard about this student.


    In addition, when the patient was on ECMO, they were also there.


    "Lu Chen, your tutor seems to be Professor Li Yao, right?" Huang Hanlin said.


    "Yes." Lu Chen nodded.


    "How many doctors did she hire this year?" Huang Hanlin raised a piece of meat and asked.


    Lu Chen thought about it and said, "There are two doctors who are recruited by the general recruit. If they are on the job, there seem to be two, but I rarely go to the laboratory, so the actual situation is not very clear."


    Li Yao was able to recruit so many PhDs this year, all because there are so many projects.


    Otherwise, ordinary tutors can recruit one or two PhDs a year at most.


    "There are quite a few people recruited." Huang Hanlin stopped the chopsticks in his hand and became interested.


    Lu Chen knew what he was thinking, smiled, but did not speak.


    ¡­


    After five minutes, Liu Han and Gao Rui also came in after they wrote the course of the disease.


    "Mr. Huang, is the food I ordered still in line with my appetite?" Liu Han said.


    "Very good." Huang Hanlin nodded slightly, "How much is it, send me the order later."


    "OK."


    The five chatted while eating.


    The atmosphere in the lounge is relatively quiet.


    Suddenly, a rapid bell rang.


    Everyone was startled.


    This is the sound of the CCU door, as long as it rings, it means the door is open and a patient is coming!


    Sure enough, as soon as the voice sounded, the voice of the security uncle came over.


    "Dr. Huang, Dr. Cheng, here comes the patient!"


    Everyone''s faces were all helpless, just before taking two bites of rice, the patient came again!


    "Who''s your turn to accept the patient? Come with me, the other two eat first." Huang Hanlin said.


    At present, everyone can only take time to eat in batches. If you all go to see patients, then in the end, no one will be able to eat.


    "Mr. Huang, it''s my turn!" Lu Chen stood up, "I''ll go with you."


    "Okay, you come with me first." Huang Hanlin nodded slightly.


    Then he took Lu Chen out of the lounge.


    ¡­


    CCU gate.


    A middle-aged man of about forty years old was lying on the hospital bed, his lips were pale and his expression was a little sluggish.


    Next to him was a doctor in a white coat.


    "Hello, I''m an ENT doctor in our hospital. This is a relative of my family. Please take care of me."


    As soon as Huang Hanlin arrived at the door, he heard the doctor in the white coat say.


    "Otolaryngology?" Huang Hanlin wondered, "I basically know all ENTs, you are..."


    The otolaryngologist hurriedly smiled and said: "Well, I just came this year, you may not know about it, teacher."


    Huang Hanlin didn''t reply to the doctor''s words, he turned to look at the patient beside him, and said, "Are there any family members who can sign?"


    "This..." The patient glanced at the doctor beside him, "Families who can sign... They may have to come over later and go to the first floor to pay."


    "Then who is he from you?" Huang Hanlin whispered.


    "Distant relative." The patient said.


    Huang Hanlin frowned and didn''t say much.


    Lu Chen also discovered the abnormality of this "otolaryngology doctor".


    The white coat he wears is indeed the style of the Jinghua Second Hospital, and the white coat has the same logo.


    However, the "Doctor"''s shirt does not have a badge.


    And when he was close to this "otolaryngologist", Lu Chen could smell the smell of tobacco.


    Do doctors smoke during work hours?


    Lu Chen began to doubt the identity of this "doctor".


    ¡­


    "What''s wrong with you?" Huang Hanlin asked.


    "Stomach pain." The patient whispered, and after speaking, he rubbed his stomach.


    "Show me where it hurts." Huang Hanlin said.


    Many patients cannot tell the difference between abdominal pain and chest pain.


    Especially some elderly patients often say that they have abdominal pain, but in fact it is likely to be chest pain caused by heart disease.


    Therefore, there is a saying in medicine that young people with chest pain should think of gastritis; middle-aged and elderly people with abdominal pain should think of heart disease.


    The patient scratched his head and said slowly, "It''s probably here."


    He pointed to the position of his upper abdomen.


    Lu Chen immediately stepped forward for a physical examination. He gently pressed the patient''s abdomen and asked, "Does it hurt?"


    The patient frowned first, then nodded, "It seems to be a little painful, it''s a dull pain, it''s not a severe pain."


    Huang Hanlin picked up the electrocardiogram taken by the patient in the emergency department. "The ST segment of the chest leads is widely depressed. No wonder the patient was admitted to our department."


    In fact, through the previous physical examination and medical history, the most likely diagnosis of the patient is gastrointestinal disease or acute abdomen.


    However, the emergency department always adheres to the principle of accepting patients and brings digestive tract diseases to the CCU ward.


    However, if a patient with myocardial infarction is admitted to the gastroenterology ward, it will be miserable, and it is very likely to delay the patient''s best time for treatment!


    ¡­


    At this time, Lu Chen was also checking the patient''s information.


    The health value on his head is 53, and the change trend is three minus signs.


    "This kind of health value and change trend... is definitely not a simple gastrointestinal disease." Lu Chen thought, "It seems that most of it is a heart problem!"


    Lu Chen now also has a better understanding of the urinary system.


    Diseases of the digestive tract will probably not reduce the health value so much!


    "Have the family members come yet?" Huang Hanlin frowned.


    Before entering the CCU ward, a series of informed consent forms need to be signed. Without the presence of family members, Huang Hanlin could not admit the patient to the hospital.


    "It''s coming soon!" said the otolaryngologist on the side, "I just contacted them, and I''ll be there soon!"


    Huang Hanlin looked at the ENT doctor, and he was a little indifferent to the patient''s attitude.


    He became more and more suspicious of the identity of the "otolaryngologist".


    "Where''s your badge?" Huang Hanlin asked suddenly.


    "I didn''t take this." The otolaryngologist said nonchalantly, "I''ll get it back to the department later."


    "What about your name and job number?" Huang Hanlin took out his mobile phone, "Our hospital''s OA system has information on all the doctors in the hospital."


    The ENT doctor frowned, "You have to ask my job number? This doesn''t seem to have anything to do with medical treatment, right?"


    Huang Hanlin lowered his face and shouted at the gate of the CCU: "Uncle Fang, I suspect that there is someone here who pretends to be a doctor in our hospital. Do you want to call someone from the security department!"


    Fang Wensong is the security guard at the entrance of CCU.


    Hearing what Huang Hanlin said, he immediately accepted it, walked over quickly, and at the same time contacted the security department on the walkie-talkie.


    The ENT doctor immediately panicked!


    (end of this chapter)

 v2 Chapter 497： medical care

    Chapter 497 Medical Care


    "Well, I, I have something to do..." The otolaryngologist said in a panic, "I won''t talk to you anymore."


    After ??, the "otolaryngologist" ran away in a panic.


    His physique is extremely athletic.


    For a while, even Uncle Fang, the security guard, did not respond, and he disappeared into the crowd outside the CCU ward.


    "Hehe, it looks like it''s probably a doctor." Huang Hanlin looked at the direction where the "otolaryngologist" disappeared.


    Medical care, this is an illegitimate profession spawned by the hospital system, which belongs to the nature of two-sided deception.


    In the top provincial hospitals, it is difficult to register and see a doctor.


    Some swindlers use the slogan of the hospital''s internal staff to cheat among the patients, saying that they are doctors, and they can directly bring patients to the doctor or to the ward, and they will also charge a certain fee.


    On the other hand, when they bring the patient to the doctor, they lied that they were a doctor in a certain department and let the doctor make it easier.


    The tertiary hospital is so big, the doctors don¡¯t know all the colleagues, and generally they don¡¯t take it so seriously.


    However, today this "medical care" has been kicked on the iron plate.


    Huang Hanlin is not only a little serious, but also claims to know all the doctors in the ENT department.


    "Mr. Huang, do you really know all the doctors in the ENT department?" Lu Chen whispered.


    "Yeah, I didn''t lie to him." Huang Hanlin smiled, "My wife is a nurse in the ENT department. I always go to dinner parties. If this person talks about other small departments, I may not care, but he said It''s the otolaryngology department that I''ve been serious about, but they haven''t had any new doctors this year."


    Lu Chen secretly laughed, this medical care was really unlucky.


    Otolaryngology is a small department, and not many people know about it.


    However, he accidentally hit the muzzle today!


    ¡­


    After waiting for about two minutes, the patient''s family finally arrived. The family member was a very young woman who seemed to be the patient''s daughter.


    "Don''t look for these doctors." Huang Hanlin instructed, "Don''t say anything else, if they collect the money and run away, where are you going to find him?"


    This medical care just now has a bit of "professional ethics". He brought n to the door of the CCU and tried to seek special care as an "otolaryngologist".


    The family members gave a wry smile: "Doctor, there is nothing I can do about it. It''s hard to hang up the number of your hospital, and it''s hard to see a doctor! There is no other way, so this is the only solution."


    Huang Hanlin sighed slightly in his heart, "Not much to say, you have seen the patient''s condition, and they need to be hospitalized immediately. We are a CCU ward, and the cost is higher than that of a normal ward. It costs at least seven or eight thousand yuan on the first day, and every day after that. The cost depends on the condition. However, if the condition improves, we will transfer the patient to the general ward immediately.¡±


    "If you agree to be hospitalized, sign it!"


    The patient did not hesitate, and directly signed his name on the informed consent form, Zhou Xiaoping.


    ¡­


    The patient was immediately admitted to the CCU ward.


    Lu Chen took the blood pressure monitor, pushed the electrocardiograph machine, and reviewed the electrocardiogram for the patient.


    The electrocardiogram this time is almost the same as before.


    ST-segment depression in the prethoracic leads is a sign of myocardial ischemia.


    "Uncle, when did you start to hurt?"


    "This morning, when I was just about to go to work, but the pain was not as severe as it is now, so I didn''t pay much attention to it. In the afternoon, it became more and more painful, so after get off work, I came to the hospital."


    "Uncle, can you describe the nature of the pain?"


    "Uh, it''s like a stone is pressing on my chest, how can I put it, it''s a bit like colic!"


    "Paroxysmal pain?"


    "Well, on and off."


    ¡­


    Before Lu Chen finished asking the patient''s medical history.


    His initial diagnosis was acute coronary syndrome, which did not rule out the possibility of myocardial infarction.


    be careful and live long!


    The only thing that is a little strange is that the patient did not smoke or drink before, had no history of staying up late due to exertion, and had no family history of heart disease.


    How can you suddenly have a heart attack?


    However, nothing is absolute.


    A small number of patients may have no risk factors at all, but they have acute myocardial infarction!


    This thing is very metaphysical...


    ¡­


    Back to the doctor''s office.


    Lu Chen began to write the course record.


    From the patient''s onset, main symptoms, accompanying symptoms, and out-of-hospital treatment, Lu Chen recorded all of them in detail and truthfully.


    Just then, the nurse ran in.


    "Lu Chen, the patient''s pain just got worse!"


    Lu Chen was startled. Is his chest pain serious?


    Should not!


    Once the patient was admitted to the hospital, he was already on all coronary heart disease treatments, including nitroglycerin for chest pain relief.


    Is it really a heart attack?


    Only in the case of myocardial infarction, the patient will use nitroglycerin for pain relief, and it will be ineffective.


    "Has the patient''s initial screening of myocardial enzymes yielded results?"


    "One more minute." The nurse said.


    "Then you go and report to Dr. Huang, and I''ll check the myocardial enzyme results."


    Lu Chen hurriedly came to the first screening machine and quietly waited for the results.


    ¡­


    It was just a minute, but it seemed a little long at the moment.


    Finally, the primary screening machine made a "ding" sound, and the result came out!


    Lu Chen leaned over to take a look, all the cardiac enzymes were normal!


    "This... myocardium enzyme is negative, so it''s not a myocardial infarction?!"


    Lu Chen groaned in his heart.


    If it is a myocardial infarction, the patient started to suffer from this morning, and the pain lasted for more than four hours, and the myocardial enzymes would definitely be elevated.


    There is no acute onset and no increase in troponin.


    At this time, Huang Hanlin also came over.


    "How was the patient''s outcome?"


    Lu Chen said solemnly, "Myocardial enzymes are all negative."


    "What?" Huang Hanlin was also a little surprised, "Negative? Isn''t it a myocardial infarction?"


    Then, the two came to the bedside again.


    The patient was lying on the bed, his face extremely painful.


    "Doctor, why do I feel more pain?"


    Lu Chen did not hesitate and immediately performed a physical examination on the patient.


    ¡­


    five minutes later.


    Lu Chen raised his head and looked at Huang Hanlin beside him: "Mr. Huang, the patient''s chest pain and epigastric pain have intensified, and the pressure pain is more obvious than before!"


    Huang Hanlin frowned when he heard this.


    "You didn''t do abdominal ultrasound or abdominal CT in the outpatient building?"


    "No." The patient''s voice was a little weak.


    "This is more troublesome." Huang Hanlin said, "You may need an emergency abdominal ultrasound."


    Lu Chen nodded slightly.


    If it is not a myocardial infarction, it may be an acute abdomen!


    Chest pain, abdominal pain, pain in these two positions, sometimes the location and boundaries are not very obvious!


    "Dr. Huang, the patient''s blood pressure is low!"


    At this moment, the nurse in charge of the bed suddenly shouted.


    "Blood pressure is only about 80/50mmHg!"


    (end of this chapter)

 v2 Chapter 498： The furious Huang Hanlin

    Chapter 498 Huang Hanlin who went crazy


    Lu Chen was startled, he quickly walked to the patient''s bed and touched the pulse of the patient''s radial artery with the tip of his right finger.


    Sometimes, the blood pressure measurement of the ECG monitor is not accurate, and there are some discrepancies with the real blood pressure.


    However, the patient''s blood pressure can be estimated by palpating the pulse strength of the radial artery.


    This is also a small skill that Lu Chen learned in clinical practice.


    "The pulse is very weak!" Lu Chen''s heart sank to the bottom.


    It seems that the blood pressure measurement of the monitor is mostly correct.


    "The patient has been without urine since admission, and the extremities of the limbs are very cold." The nurse said again.


    At present, there are various indications that the patient''s blood pressure is already in a state of shock.


    "Open two more venous channels for quick rehydration!" Huang Hanlin said immediately, "Notify the ultrasound department and apply for a bedside abdominal ultrasound!"


    "Received!" The two nurses cooperated with each other, one punctured the patient, and the other went to call the ultrasound department.


    Lu Chen was not idle either, he was reviewing the patient''s blood pressure.


    "Mr. Huang, blood pressure review, only about 82/50 with the cover, bilaterally symmetrical!"


    Huang Hanlin''s face was frosty, "TMD, **** emergency department, don''t do any examinations, just push the patient to us!"


    According to the current state of the patient, it is best to do a full abdominal CT.


    The emergency CT clinic is right next to the emergency department, and the inpatient department is still some distance away from the emergency department.


    Now asking the patient to go to the emergency CT is equivalent to letting the patient go back.


    "This group of doctors in the emergency department really eats dry food!" Huang Hanlin scolded again, "Every patient is pushed into our CCU, from head to toe, as long as it hurts, he can receive us here!"


    It seems that the relationship between the CCU and the emergency department is not very friendly.


    Lu Chen listened to Huang Hanlin complaining about the emergency department.


    He can''t handle so much now. The emergency department may have made a mistake, but the patient''s current state of shock, in addition to fluid replacement and anti-shock, the most important thing is to find the cause of the shock.


    Lu Chen saw the ultrasound machine beside him.


    Before the sonographer arrives, he may be able to take a look at the patient''s abdominal ultrasound.


    "Mr. Huang, should I do an ultrasound on the patient first?" Lu Chen asked.


    He is only a graduate student after all, and all diagnosis and treatment needs to be approved by the superior doctor.


    Huang Hanlin was still complaining about the emergency doctor, when he heard Lu Chen''s words suddenly, he was stunned.


    He thought of the scene when Lu Chen performed an ultrasound on the patient who was on the ECMO machine before, and nodded subconsciously.


    When Lu Chen saw Huang Hanlin''s agreement, he immediately pushed the ultrasound machine.


    ¡­


    At this time, Liu Han and Gao Rui also came to Lu Chen''s side after dealing with the patients they had just received.


    Seeing Lu Chen pushing the ultrasound machine, Liu Han was startled at first, thinking that it was Mr. Huang Hanlin who wanted to perform an ultrasound on the patient.


    "But I remember that Mr. Huang Hanlin can''t do ultrasound?" Liu Han thought.


    Just when she was wondering, she suddenly saw Lu Chen''s ultrasound probes, which were at the patient''s bedside.


    And Huang Hanlin also stood by and watched.


    "Junior Brother Lu, he, he came for an ultrasound?" Liu Han was shocked.


    This is to use the patient to practice ultrasound?


    Isn''t this patient very critical?


    After thinking about it, she walked behind Lu Chen.


    ¡­


    Lu Chen got the ultrasound probe, applied couplant, and gently placed the probe on the patient''s abdomen.


    When the probe touches the patient''s skin, an image appears on the ultrasound screen.


    Huang Hanlin, Liu Han and Gao Rui did not react at the moment when they saw the image, but Lu Chen''s pupils shrank slightly, and he lost his voice: "Liver rupture!"


    I met a patient with liver rupture and bleeding again!


    As soon as he finished speaking, Huang Hanlin''s face immediately became tense.


    "you sure?"


    Lu Chen held the ultrasound probe in his hand and said solemnly: "" The continuity of the liver capsule disappeared, and the echo of the rupture increased. Second, there are hypoechoic areas under the liver capsule. These all point to a diagnosis, which is liver rupture! "


    "Please call for an emergency consultation of general surgery! Hurry up! Immediately!" Huang Hanlin shouted to Liu Han who was beside him.


    Liu Han was stunned for a moment, then ran to the nurse''s station and called the front desk to find the number of the general surgery department.


    Gao Rui was taken aback by Huang Hanlin''s sudden roar behind Liu Han.


    At the same time, she was also a little surprised that this student in the same class as her could actually do an ultrasound?


    She was born in gastroenterology, and she doesn''t know how to do abdominal ultrasound!


    This cardiology student, how can he do abdominal ultrasound?


    Gao Rui looked back at Lu Chen, his eyes full of confusion.


    ¡­


    Huang Hanlin was extremely anxious at this time.


    Liver rupture!


    If it is not handled in time, it will kill people!


    After Lu Chen''s vascular ultrasound in front of everyone, he believed in Lu Chen''s judgment.


    Most of this person is hemorrhagic shock caused by liver rupture and hemorrhage!


    "This TM''s emergency department really kills people!" Huang Hanlin clenched his fist in his sleeve, "If an abdominal ultrasound or abdominal CT can be done in the emergency department, the patient''s condition can be clearly judged at the first time."


    He now greets the emergency doctor dozens of times in his mind.


    At this time, Liu Han had finished the consultation call and returned to the bedside.


    "Mr. Huang, I have called the general surgery department, and the emergency consultation doctor will be here soon."


    "Okay!" Huang Hanlin nodded, then said to Liu Han, "I''m going to communicate with the patient''s family about the condition. You wait here for the ultrasound doctor."


    "Hmm." Liu Han responded.


    Then, Huang Hanlin took Lu Chen to the doctor-patient communication room.


    ¡­


    Doctor-patient communication room.


    "Family, think about it again, has the patient suffered any injuries before?" Huang Hanlin stared closely at the patient''s family in front of him.


    The most common cause of liver rupture is a bicycle crash, and some occult bleeding is difficult to see from the appearance.


    Zhou Xiaoping looked dazed, "Probably not."


    "What is supposed to be?" Huang Hanlin frowned, "Does the patient usually live with you?"


    The patient has always denied any history of falls, so Huang Hanlin had to ask his family.


    "I was on a business trip recently, and I just came home this morning, so I may not be quite sure." Zhou Xiaoping said after a pause.


    "Are there any other family members?" Huang Hanlin asked again.


    "My sister usually lives at home, she should know." Zhou Xiaoping said, "I''ll call and ask her later."


    "Okay, you can ask later." Huang Hanlin said, "Now we are basically diagnosed with liver rupture, and surgery may be required. Your family members should be psychologically prepared!"


    "Liver rupture?" Zhou Xiaoping was stunned.


    She thought that her father was suffering from a heart disease, but she did not expect to have a ruptured liver.


    The name ?? sounds like that kind of bad disease.


    "Doctor, is it serious? How is my dad now?" Zhou Xiaoping asked nervously.


    "It is currently in a state of hemorrhagic shock." Huang Hanlin said solemnly, "We have invited a general consultation and may push the patient to the operating room at any time."


    ¡­


    At this moment, the CCU gate was pushed open.


    The sonographer and the general surgeon came at the same time.


    (end of this chapter)

 v2 Chapter 499： My brother taught me to do ultrasound

    Chapter 499 Junior Brother Teach Me to Do Ultrasound


    The sonographer is here.


    "What? You''ve seen it, it''s a ruptured liver?"


    Huang Hanlin said with a smile: "Mr. Wu, just take a look again, we took a look in advance and need you to check."


    "Did you see it yourself?" Ultrasound teacher Wu frowned.


    There is indeed an ultrasound machine in the ?? hospital bed.


    Recently, this Cardiology CCU has been robbing the "business" of their ultrasound department!


    However, this Huang Hanlin doesn''t look like such a diligent person!


    Will he take the initiative to learn ultrasound?


    But the sun came out from the west.


    "Mr. Wu, I didn''t do it, it''s a student of our department." Huang Hanlin said.


    Lu Chen was not in the ward at this time and had already returned to the doctor''s office.


    "Students did it?" Ultrasound teacher Wu frowned, then said with relief, "Could it be the one who did ECMO vascular ultrasound?"


    "Yes, that''s him." Huang Hanlin nodded quickly.


    Mr. Wu from the Ultrasound Department smiled and shook his head: "It''s not easy for today''s young people to be not an ultrasound professional, yet they can actually do ultrasound."


    At this time, while Mr. Wu of the Ultrasound Department was talking, he had prepared the probe and began to examine the patient.


    aside, the general surgeon is also waiting for the diagnosis result of the sonographer.


    Once a liver rupture is diagnosed, the patient should be transferred to surgery immediately.


    ¡­


    Lu Chen returned to the doctor''s office.


    At this time, he was preparing for the patient''s transfer.


    Next, the patient is likely to be transferred to general surgery.


    In order not to affect the following diagnosis and treatment, he should write all the medical records as soon as possible and organize the medical records.


    "Junior brother, when did you learn ultrasound?" Liu Han suddenly asked with a smile.


    Lu Chen wrote the course record and said, "I usually learn from the teacher in the department, and I''m just getting started."


    "Junior brother, don''t be humble. But then again, your teacher is really good." Liu Han said, "By the way, I heard that the patient who was on the ECMO machine was also yours?"


    Liu Han secretly glanced at Lu Chen.


    She found out that this little junior brother looks really good.


    Although he is not as handsome as those little white faces outside, he is more masculine than others.


    If you can communicate in depth, that''s a good thing.


    Lu Chen smiled, "Yes, Senior Sister. I happened to be there at the time, and I did it without any technical content."


    "Junior Brother, if you have time, teach me." Liu Han pursed his lips and smiled, "I wanted to learn ultrasound a long time ago."


    "Okay." Lu Chen had no reason to refuse a free thank you point.


    "That''s great, then thank you junior brother first." Liu Han took out a bottle of coffee from his bag and stuffed it into Lu Chen''s arms, "Nuo, junior brother, this is for you to drink."


    At this time, Gao Rui happened to go out and was not in the office.


    Lu Chen didn''t care, took the coffee and smiled, "Thank you, Senior Sister."


    ¡­


    In the CCU ward.


    The atmosphere suddenly became a little heavy.


    "That''s right, it''s a ruptured liver!"


    Ultrasound teacher Wu frowned deeply.


    "It needs to be dealt with as soon as possible, otherwise the blood loss will increase."


    When the general surgeon saw this, he immediately said: "Dr. Huang, since the diagnosis has been confirmed, if the family members agree to the operation, then transfer to our general surgery department."


    "Well, I have talked to the patient''s family, and the family agreed to the operation." Huang Hanlin said, "You can transfer to a department at any time!"


    The surgeon was startled.


    This CCU doctor is really daring!


    Just believe in a student''s ultrasound diagnosis?


    just in case¡­¡­


    The diagnosis was wrong.


    If you communicate the condition with the patient''s family in advance, isn''t that a medical malpractice?


    However, Dr. Wu of the Ultrasound Department has no such idea.


    Because abdominal ultrasound, especially liver ultrasound, is a well-recognized ultrasound.


    This student, since he said that the liver ruptured, he must have observed the corresponding ultrasound images.


    I can only say that Huang Hanlin is really a daring artist!


    He communicated with the patient''s family in advance, saving a lot of time.


    "Then I will notify the nurse to transfer to the department now." Huang Hanlin said.


    This patient, if he stays in the CCU for one second, it will be more dangerous.


    "Okay, I''ll go back and have a handover with the doctor in the ward first, and you can transfer over as soon as possible." The general surgeon said, and then he and the sonographer left the CCU ward.


    ¡­


    Cardiology CCU ward.


    "Head Nurse, it''s so late, why are you here?" Huang Hanlin was going to notify the nurse that the patient was transferred.


    Head nurse Li Xuan suddenly appeared at the nurse station.


    "I''m here to visit an acquaintance." The head nurse said, "By the way, did you accept a patient named Zhou Li just now?"


    "Zhou Li?" Huang Hanlin was taken aback, isn''t this a patient with liver rupture?


    "do not have it?"


    "Yes! Considering liver rupture, I am going to transfer to general surgery!" Huang Hanlin said, "Head nurse, is he your acquaintance?"


    The head nurse nodded, "Yes. I''ll take a look at the patient."


    "OK."


    This patient named Zhou Li has been pushed out of the ward.


    Lu Chen stood beside the bed.


    Huang Hanlin gave him the task of escorting patients to the general surgery ward.


    Such critically ill patients generally require a nurse and a doctor to accompany them throughout the process.


    "Lu Chen, are you working the night shift tonight?"


    Hearing some familiar voices, Lu Chen looked back, "Head nurse? Why are you here?"


    At the level of head nurse and director, there is no need to work night shifts.


    "Come and see this patient."


    The head nurse said to Lu Chen and pointed at Zhou Li at any time.


    "He?" Lu Chen paused.


    "Well, one I know very well." The head nurse nodded, "How is the current situation?"


    "Currently, my blood pressure is low and I am in a state of shock." Lu Chen said, "Now I am going to be transferred to general surgery."


    "Let''s do it. I''ll call the head nurse in the operating room, and you will push the patient directly to the operating room." The head nurse said suddenly, "If you push it to the ward first and then go to the operating room, it may be delayed again."


    "This is the best." Lu Chen nodded slightly.


    ¡­


    About two minutes passed.


    Lu Chen followed another CCU nurse and pushed Zhou Li to the general surgery ward.


    As soon as the CCU ward was launched, Zhou Xiaoping, the family member of the patient, welcomed it.


    Lu Chen immediately said: "The patient is now transferred to the general surgery department, and the family members should follow."


    Zhou Xiaoping nodded, helped push the bed together, and sent the patient to the operating room.


    ¡­


    On the hospital bed, the patient''s lips turned blue and purple.


    And his face was even more morbidly pale.


    On the bedside monitor, various alarms are beeping.


    Lu Chen and the CCU nurse trotted all the way, pushing the hospital bed to the operating room.


    The ?? operating room is another surgical inpatient department of the Jinghua Second Hospital.


    The distance from the intracardiac CCU ward is not too short.


    Lu Chen''s heart was always in his throat, until he pushed the hospital bed to the outside of the operating room, he breathed a sigh of relief.


    (end of this chapter)

 v2 Chapter 500： fairy life

    Chapter 500 Immortal Life


    Lu Chen and the nurse safely pushed the bed into the operating room, and their task was successfully completed.


    It''s just that Lu Chen''s night shift journey officially started when he returned to the CCU ward.


    ¡­


    "Junior brother, the patient is here, and it''s your turn to accept again."


    As soon as he returned to the CCU ward, Liu Han said to Lu Chen.


    Lu Chen was also about to take a break. Hearing this, he had no choice but to take a stethoscope and prepare to go to the doctor.


    "Junior Brother, do you want me to help you?" Liu Han smiled, "You just pushed the patient to the operating room, are you tired?"


    "No, thank you, Senior Sister." Lu Chen refused with a smile, "You have all accepted the patient, so don''t bother you anymore."


    "Well, if you want to help, just call me."


    "it is good."


    Lu Chen came to the gate of CCU.


    An old man in his seventies was lying on the bed. He was thin, with deep wrinkles crawling on his forehead, and his feet were slightly bent on the bed.


    The slightly painful look on his face shows that the old man''s current state is not very good.


    "The patient had chest pain for a month, which worsened for a day." Huang Hanlin had already asked about his medical history, "Since there was a history of acute myocardial infarction and two stents were placed, this time, angina pectoris was considered, and the possibility of another myocardial infarction was not ruled out."


    Lu Chen checked the patient''s body while recording the patient''s past medical history information.


    The patient suffered from acute myocardial infarction three years ago. Due to the timely delivery to the hospital, he recovered and was discharged from the hospital soon.


    However, Lu Chen noticed a very strange point. After the patient was placed on a stent for myocardial infarction three years ago, he stopped all medicines one month after he was discharged from the hospital.


    Patients with coronary heart disease, especially patients with myocardial infarction who have been placed with stents, need to take antiplatelet, lipid-lowering, and ventricular remodeling drugs for life.


    includes aspirin, clopidogrel, or ticagrelor, etc.


    However, Lu Chen opened the medicine bag that the patient''s family was holding. In addition to the three or seven tablets, there were Danshen tablets.


    "Hey, it''s really a big trouble to stop the medicine without permission." Huang Hanlin shook his head slightly.


    "Doctor, I can''t control my dad at home at all." The patient''s family is the daughter of the old man, and she looked helpless, "The doctor in the hospital explained many times before that the drug must not be stopped. After discharge, the drug must be taken for life. He told him countless times that he should take medicine, and he took it for a month, then stopped, no matter what, he just didn''t take it!"


    At this time, the old man was lying on the bed, still looking like he didn''t care.


    Stopping the drug without authorization is extremely unfavorable for the prognosis of patients with myocardial infarction stents. On the other hand, it also shows that such patients have poor compliance and are extremely difficult to manage.


    In the hospital, it is not scary to be in a critical condition, but the most scary thing is poor compliance. It is difficult for such patients to communicate and treat.


    "Let''s go ahead first, and we''ll talk about it after the examination." Huang Hanlin could only admit the patient to the hospital first. "The family members are waiting outside. If there is any problem, I will communicate with you in time."


    ¡­


    Lu Chen pushed the hospital bed into the CCU.


    Just now Huang Hanlin simply asked about his medical history, but now Lu Chen needs to ask more carefully.


    "Master, is your chest pain the same as the last time you had a myocardial infarction?" Lu Chen said, "For example, the severity of the chest pain, and the duration of the chest pain, is there any difference?"


    Asking about the degree and nature of chest pain is mainly to preliminarily determine whether the patient has the possibility of another myocardial infarction.


    If the symptoms of chest pain are similar or worse, there is a high chance of another myocardial infarction.


    If the chest pain is less severe than before, it may just be an angina attack, and it has not reached the level of myocardial infarction.


    "This, it''s different!" The old man thought about it and shook his head slightly, "The myocardial infarction three years ago was a heart-wrenching pain, I felt like I was about to die, but this time it''s okay, I am I feel a little pain. If it wasn''t for my daughter who insisted that I come to the hospital, I would not have come."


    Three years ago, the then 67-year-old grandpa was hospitalized for sudden acute inferior myocardial infarction.


    At that time, he was sent to Jinghua Second Hospital for treatment. Emergency coronary angiography found that the middle and distal segments of the right coronary artery were blocked. After balloon expansion, two drug stents were placed, while the rest of the arteries in the heart still had 30-50% stenosis.


    "Master, you should have taken aspirin before, right?" Lu Chen wondered.


    "I have eaten." The old man sat up, and it seemed that after a short rest and medication, his chest pain had been relieved for the most part.


    "Then why don''t you eat it now?"


    "That medicine, I won''t take it for a month." The old man said nonchalantly, "What aspirin, it''s all Western medicine, and Western medicine can''t be taken for a long time!"


    "The side effects are very serious. There is an old lady in the yard of our community who also has a heart attack. After taking these medicines for a long time, they all end up with massive stomach bleeding!"


    "Doctor, you said you can still take Western medicine?"


    Lu Chen was quite helpless when he heard this.


    Antiplatelet drugs do have side effects, the most common of which is bleeding, such as stomach bleeding and gum bleeding.


    However, the pros far outweigh the cons!


    Not taking medicine because of side effects is tantamount to giving up food because of the throat.


    Looking at the health value of 62(-) on the old man''s head, Lu Chen wanted to continue his advice, but he didn''t listen at all, and didn''t even give Lu Chen a chance to speak, he just said it himself.


    "Doctor, let me tell you, some old friends around me are sitting and chatting, and they all feel that it is best not to take western medicine for coronary heart disease, because the side effects are too great, and the medicine is easy to accumulate toxicity. I have a comrade in arms who recommended a lot of energy The secret to curing coronary heart disease. I''m taking these medicines now!"


    Lu Chen shook his head helplessly.


    My dear, such stubborn little old men still get together!


    Maybe it''s because of the hard-to-find bosom friend, the old man who didn''t want to take medicine, thought they were too right.


    From then on, he simply took Panax notoginseng and Salvia miltiorrhiza, etc., still a pack of cigarettes a day, and lived a comfortable life without taking drugs...


    Maybe this is what the old man thought, the life of a fairy?


    Lu Chen sighed in his heart, what can we do?


    The family members can''t persuade him, how can he, a little doctor, persuade him?


    ¡­


    Back to the doctor''s office.


    Liu Han saw Lu Chen''s helpless expression and asked, "Junior Brother, what''s wrong with you?"


    Lu Chen briefly explained the matter of the old man.


    "Hey, there are too many patients like this." Liu Han said, "When I was young, I was stubborn, but when I get old, I think I can do it. In fact, I should say something, this is still not serious enough. The last time I had a heart attack, I didn''t let it He''s afraid. If he realizes the seriousness of his condition, he''ll probably be finished."


    Lu Chen doesn''t think so.


    The old man said it himself, the last time I had a heart attack, I had a sense of near-death.


    Lu Chen didn''t know what ??''s sense of near-death was like, but it was definitely a feeling of despair.


    In this way, the old man cannot be allowed to take medicine, let alone other situations.


    (end of this chapter)

 v2 Chapter 501： i want to pull shi

    Chapter 501 I want to pull shi


    "Lu Chen, the myocardial enzyme results from the emergency screening have come out!"


    The nurse ran to the doctor''s office and handed the myocardial enzyme report sheet to Lu Chen.


    Lu Chen glanced at it.


    I go!


    Troponin, myoglobin, creatine kinase, all elevated!


    "This is still a joke!"


    Chest pain and elevated myocardial enzymes can already be diagnosed with myocardial infarction.


    Although the patient''s symptoms were not as severe as before, the fact is in everyone''s eyes and it is impossible to fool people.


    ¡­


    CCU ward, doctor-patient communication room.


    Lu Chen followed behind Huang Hanlin, the patient''s daughter sat opposite.


    "The results of the emergency screening came out, and a diagnosis of myocardial infarction was made," Huang Hanlin said slowly, "but now it''s timed out. Within 12 hours of the onset of chest pain, emergency interventional surgery can be performed. After this time, we can only wait. A week later, the patient''s condition was stable and surgery was scheduled."


    The heart after myocardial infarction is as fragile as tofu dregs.


    If surgery is to be done at this time, it is very likely that the heart will be punctured, so it is necessary to wait for the myocardial edema to subside, and elective surgery will be performed one week later.


    "However, if within this week, if the patient has chest pain again, or is at risk of cardiogenic shock, emergency surgery is also indicated."


    "Doctor, then, does my father''s myocardial infarction have something to do with the withdrawal of the drug?" said the patient''s daughter.


    "How can I say it, it must be related." Huang Hanlin said slowly, "In fact, whether the stent is placed or not, this antiplatelet drug needs to be taken for life. For patients after stenting, if the drug is stopped, the It can lead to stent thrombosis, which is more complicated!"


    "Besides, the patient has a foundation of coronary heart disease and has not quit smoking, so he is at risk of secondary myocardial infarction."


    Hearing Huang Hanlin''s words, the patient''s daughter burst into tears: "My dad is more domineering at home, he often loses his temper, and often scolds others. The family has persuaded many times about taking medicine, but in the end, he dared not scolded him. Make your voice heard, and you spend a lot of money on health care products."


    The old man refused to insist on taking medicine, stubbornly believed that taking medicine would affect his health


    The most frequently attended activities are various health promotion courses, such as magnetic therapy beds, antithrombotic watches, and isoelectric therapy for coronary heart disease, etc.


    Lu Chen and Huang Hanlin were quite helpless when they learned about these situations.


    "Our doctor will advise the patient, but your family members should also remind." Huang Hanlin said, "If there is no way to continue taking the medicine, then this operation is unnecessary."


    The patient''s daughter nodded and said in a low voice, "Okay, I will persuade him again."


    After ?? Huang Hanlin asked a few more questions, he left with Lu Chen.


    ¡­


    In the CCU ward.


    "I''m having a heart attack again? Did you read that right? I don''t feel anything at all now!" The old man was just a little surprised, but he didn''t look nervous at all.


    "Master, we won''t get it wrong, you have a heart attack!" Looking at the calm old man, Lu Chen sighed slightly in his heart.


    It''s no wonder that the change in his health is a trend of two minus signs. It turned out to be a heart attack.


    "Master, during your stay in the CCU ward, you can''t get out of bed even if you eat, drink, or lax. If you have any questions, you can ask a doctor or nurse." Lu Chen said, "Within our ability, we will definitely help you deal with it."


    "It''s all on the bed? Do you have to take care of your bowel movements on the bed?" The old man''s face was extremely ugly.


    When he was sick, his face was not so ugly.


    "Yes." Lu Chen nodded, "Your family has already bought the urinals and bedpans."


    In the corner beside the bed, the urinal and bedpan are neatly placed.


    The old man had a gloomy face, "Then can I transfer to the general ward now?"


    "Master, your current condition is not suitable for transfer to the general ward, not to mention that the general ward does not accept patients at night." Lu Chen said.


    The old man glanced at Lu Chen, then fell silent.


    ¡­


    Back to the doctor''s office.


    Lu Chen finished writing the patient''s course record.


    "Huh, I''m really tired this night!"


    The most terrifying thing is that it is only eight o''clock!


    Lu Chen feels that in the CCU ward, the whole person must be highly concentrated, otherwise, if he is not careful, he will miss important changes in the patient''s condition.


    "dudu..."


    The phone''s WeChat alert sounded, and Lu Chen picked it up and took a look.


    is a WeChat message from the "blind date girl" introduced by the head nurse in the morning.


    "Are you in the CCU ward of the Cardiology Department of Jinghua Second Hospital?"


    Lu Chen frowned. Why did she suddenly ask this? Isn''t she not interested in her career?


    "Yes."


    After Lu Chen returned, he didn''t reply to the convenience. He felt a little strange, but he didn''t pay attention to it again.


    ¡­


    Just then, a nurse shouted from outside the doctor''s office.


    "Master, you can''t get up!"


    "Master, hurry up and go back!"


    ¡°¡­¡±


    In an instant, a murmur came, and the originally quiet CCU ward immediately became noisy.


    Lu Chen quickly stood up, came to the door of the office, and looked at the door.


    I saw the old man just now, who climbed off the bed at some point, stood barefoot in the ward, and walked towards the exit on the other side.


    He still had electrodes from the ECG monitor remaining on his body.


    The nurse is changing the medicine for another patient, and it is too late to see the situation here.


    Lu Chen was shocked when he saw this, and ran forward quickly.


    Huang Hanlin and others also heard the movement, and also ran forward immediately.


    "Master, what are you doing when you get up? Hurry back to the hospital bed!" Lu Chen stepped forward to help him.


    The old man wanted to break free, but Lu Chen''s hands were too strong, so he held him tightly and prevented him from going out.


    "Master, you can''t get out of bed now!"


    Huang Hanlin came to the other side of the old man and "controlled" him.


    "I want to go to the toilet!" Seeing that he couldn''t break free, the old man could only say angrily, "What kind of hospital are you, you won''t even be allowed to go to the toilet!"


    Huang Hanlin said helplessly: "Master, I have told you many times that it is best not to go to the ground with your current condition."


    "What happened when I went to the ground?" The old man''s stubborn temper came again, "I went to the ground just now, and I didn''t see what happened?!"


    "Master, don''t get excited." Lu Chen said quickly.


    Heart disease, which is also closely related to human emotions.


    Especially when you are nervous and excited, your blood pressure will rise and your heart will be overloaded, which may induce or aggravate heart disease.


    "I''m not excited now, I just want to poop, don''t you even let me go?"


    "I want to shit!"


    The old man''s voice was so loud that all the patients in the ward looked over.


    At this moment, Lu Chen''s right eyelid twitched.


    Because he suddenly saw that the trend of the patient''s life value changed from two minus signs to three minus signs at once!


    (end of this chapter)

 v2 Chapter 502： This night shift is so evil!

    Chapter 502 This night shift is so evil!


    Lu Chen didn''t have time to react when he saw the patient suddenly stand unsteadily, his eyes stared upwards, and a trace of foam came out of the corner of his mouth.


    I go!


    Lu Chen was shocked, this is really, want to shit, something happened!


    Huang Hanlin also felt the abnormality of the patient, he quickly said: "Lu Chen, quickly help the patient to the bed!"


    Lu Chen understood, the two cooperated, and quickly moved the old man to the bed.


    "Patient has ventricular tachycardia!"


    The nurse connected the patient''s electrode pads, and the "ventricular tachycardia waveform" was immediately displayed on the ECG monitor beside the bed.


    "Electrical cardioversion now!"


    "Use lidocaine!"


    Lu Chen had already run to the central nurse platform and pushed the defibrillator over.


    Liu Han and Gao Rui also noticed the situation here and hurried over to help.


    ¡­


    Lu Chen was very fast. He pushed the defibrillator to the side of the hospital bed, picked up two electrodes and handed them to Huang Hanlin.


    "Everyone stay away from the hospital bed!"


    "Charge, Discharge!"


    The real electric defibrillation is not like in the TV series, the patient''s body will be violently bounced, and at most there will be only slight shaking.


    One defibrillation ends.


    Lu Chen quickly looked at the ECG monitor, still a series of ventricular tachycardia!


    "Press first, then defibrillate again!"


    "Nurse on the catheter, ice pack for brain protection!"


    "Bring a set of intubation tools and push the invasive ventilator!"


    Huang Hanlin, as a senior cardiologist attending physician, was very calm when faced with this kind of rescue, and issued various medical orders in an orderly manner.


    Beside, Liu Han and Gao Rui watched the rescue nervously.


    For ordinary graduate students, it is impossible to rescue them.


    However, Lu Chen is an exception!


    At this time, Lu Chen was cooperating with Huang Hanlin in various operations.


    "Lu Chen, prepare for the second cardioversion!"


    "receive!"


    Lu Chen looked solemn, always paying attention to the changes in the ECG monitoring beside the bed.


    "Charge, Discharge!"


    "Dududu..."


    After the second defibrillation, the monitor still showed ventricular tachycardia, and even a little trend toward ventricular fibrillation.


    "Blood oxygen can''t be maintained anymore!" Huang Hanlin''s face was a little ugly, he turned to look at Liu Han, "Go and call the hospital manager to help!"


    There are only two doctors in the CCU ward at night.


    Cheng Liangli is dealing with other critically ill patients, and now he can only call the inpatient general of the Cardiology Department for help.


    "Okay!" Liu Han nodded and immediately ran outside the ward.


    There is always a lounge next to the CCU for the inpatient cardiology department, which is only separated by a wall.


    ¡­


    Lu Chen is giving the patient chest compressions, while Huang Hanlin is giving the patient mask oxygen.


    Before intubation, the only way to give oxygen is artificial.


    "Mr. Huang, I can intubate, do you want me to try it?" Lu Chen took the initiative to ask.


    Although the hospital is always separated from the CCU ward by a wall, it still takes a few minutes to come here.


    Huang Hanlin was stunned at first, thinking of Lu Chen''s series of performances in the CCU ward, and then nodded in agreement: "Okay, you will intubate."


    Change to another student...


    No other student would have such a request for active intubation!


    In fact, except for the intensive care unit, emergency ward, and anesthesia operating room, there are few opportunities for medical staff to be intubated in other general departments.


    Even if you know the theoretical basics of intubation, but you lack training, you can¡¯t guarantee your intubation will be successful.


    ¡­


    Lu Chen raised the patient''s neck and tilted his head back.


    Then insert the laryngoscope with the left hand along the dorsal curvature of the tongue to the base of the tongue, gently lift the epiglottis cartilage, and open the glottis.


    Lu Chen''s face condensed, and he quickly inserted the tracheal tube into the trachea with his right hand, pulled out the tube core, placed a tooth pad, and exited the laryngoscope.


    aside, Huang Hanlin was shocked.


    I go, this hand speed!


    So fast!


    Could it be that Lu Chen was often intubated before?


    is also not right, he is just a student, he has no venue, and there is no such opportunity!


    At this point, Lu Chen began to check whether there was gas discharged from the outer port of the tracheal tube with breathing, and then auscultated whether the breath sounds at the apex of the two lungs were consistent, and then fixed the tooth pad and the tube together after confirming that the intubation was correct.


    The nurse had already pushed the ventilator over.


    Connect the catheter to the ventilator, adjust all the parameters, and the ventilator starts to run.


    At this time, Sun Guoguo, the chief inpatient of the Cardiology Department, rushed over.


    "Brother Huang, what''s the situation on your side?"


    Sun Guoguo walked into the ward and saw everyone who was being rescued.


    "The patient had sudden ventricular tachycardia and was unconscious. Lao Cheng was dealing with the patient in another ward, so I asked the students to call you over." Huang Hanlin said.


    Sun Guoguo looked around and saw Lu Chen who was debugging the ventilator.


    "Junior Brother, you are on the night shift tonight!"


    Lu Chen heard the familiar voice, turned around and saw that it was Sun Guoguo, then smiled, "Senior sister, you are here."


    "With you here, I probably don''t need me for intubation and rescue." Sun Guoguo laughed softly.


    As Lu Chen''s own senior sister, she was very happy when she saw that junior and senior brothers were so powerful!


    But Huang Hanlin was standing by and was surprised when he heard Sun Guoguo''s words.


    As an attending doctor, Sun Guoguo actually thinks so highly of Lu Chen!


    What else is there for Lu Chen to show?


    Sun Guoguo seemed to see Huang Hanlin''s doubts and said, "Junior Brother Lu Chen, he is the champion of the national clinical skills competition. He is very familiar with this kind of intubation work!"


    Huang Hanlin felt relieved when he heard this.


    The champions of the National Clinical Skills Competition are all medical students in school, but their clinical skills can definitely reach a very high level after standardized training.


    ¡­


    The end of the intubation is the third cardioversion.


    Everyone breathed a sigh of relief. If this cardioversion has not been successful, then it will be difficult!


    "Charge, Discharge!"


    When the defibrillation was over, everyone''s eyes were fixed on the ECG monitor.


    The waveform of ventricular tachycardia suddenly became sinus rhythm at the moment when the electrodes were discharged!


    "It''s done!"


    Lu Chen''s face showed joy.


    is so hard!


    He looked at the old man with a tube on the hospital bed and couldn''t help sighing in his heart.


    "I don''t know if the old man will be so stubborn when he wakes up this time!"


    ¡­


    Liu Han and Gao Rui have been silently watching everyone''s rescue.


    The two of them are completely out of touch!


    Looking at Lu Chen''s busy back, the two looked at each other, they hugged a thigh tonight!


    but¡­¡­


    Seems to be surprisingly busy tonight!


    I haven''t had a break since I took over.


    I used to say that I was busy, but it wasn¡¯t so evil!


    ¡­


    After cardioversion of ventricular tachycardia, all the vital signs of the old man became stable.


    "Push the patient to the rescue room." Huang Hanlin said.


    Everyone pushed the hospital bed into the emergency room together.


    "Cuckoo..."


    Lu Chen''s stomach started to growl.


    He just remembered that he didn''t seem to have finished his meal yet!


    "Lu Chen, you go to eat first, I''ll take care of the rest." Huang Hanlin, "After you finish eating, come take over for me."


    "it is good."


    Lu Chen has no ink, no food, no physical strength, this night will be difficult!


    (end of this chapter)

 v2 Chapter 503： sisters neck

    Chapter 503 Senior Sister''s Neck


    Lu Chen came to the lounge.


    The food was a little cold, so he warmed it up in the microwave.


    After chewing a few bites of the dish, it didn''t have the same taste as before, but it was enough to satisfy his stomach, and his requirements were not too high.


    After a quick dinner, Lu Chen returned to the doctor''s office.


    After each rescue, it is necessary to write a course record.


    In the next time, Lu Chen began to complete the record of the disease course.


    This is a very important part of clinical work.


    If there is an error in the course record, once there is a medical dispute and a lawsuit is filed, even if the rescue is correct, you will still lose money!


    ¡­


    Time ticks by in seconds.


    Gao Rui went to accept the newly hospitalized patient.


    Although Gao Rui is not a graduate student in Cardiology and has never been to the CCU ward for rotation, she is relatively familiar with some routine clinical skills.


    Although she can''t do rescue work, she is good at doing electrocardiograms, measuring blood pressure, and writing disease course records.


    And Liu Han has been rotating in the CCU ward for a month and is very familiar with the workflow.


    "Junior Brother, I''ve been feeling a little tight in my chest recently, I don''t know what''s going on!" Liu Han suddenly said a word.


    Lu Chen glanced at Liu Han.


    The health on her head is 76(-).


    The trend of a minus sign usually doesn''t explain much.


    "Have you not had a good rest recently?" Lu Chen asked.


    "No." Liu Han shook his head, "I''ve been resting and sleeping pretty well recently. Today is my first night shift during this time."


    Some obese people may feel chest tightness due to decreased cardiopulmonary capacity and decreased activity endurance.


    Or because of increased intra-abdominal pressure, gastroesophageal reflux, and chest tightness after eating.


    Lu Chen glanced at Liu Han, she was not fat, she could even be said to be very slim.


    Although he is wearing a white coat, the curves of his body can be seen.


    Therefore, obesity can also be excluded.


    "Senior sister, do you have a bad stomach?" Lu Chen said again, "Do you have any sourness or belching after eating?"


    Generally speaking, young people like to think of stomach problems as heart and lung diseases.


    The elderly like to regard heart and lung diseases as stomach problems.


    Therefore, in clinical practice, careful screening is required.


    "None." Liu Han still shook his head.


    When Lu Chen saw this, he didn''t know what to ask, so he could only comfort him a few words.


    "It shouldn''t be a big problem. Maybe it''s because you''re approaching graduation, you have to write a thesis, and you''re looking for a job. You''re nervous, too nervous?"


    Liu Han frowned and said, "No, I don''t think this chest tightness is psychological. I can really feel that it is physical chest tightness."


    After hearing this, Lu Chen glanced at Liu Han again.


    The value of health has not changed, and the trend of change is still a minus sign.


    should be no big problem!


    Liu Han saw Lu Chen looking at him, and immediately said: "Really, the symptoms have been there for two or three days. I feel that my chest is very tight, and it has nothing to do with activities."


    "When Gao Rui comes back, let her do an electrocardiogram for you?" Lu Chen said.


    "Well, that''s fine too."


    The two said, Gao Rui came back.


    Liu Han took her to a single room, and soon had an electrocardiogram.


    "Sinus rhythm, generally normal ECG."


    Lu Chen took the electrocardiogram and found no problems.


    "Why don''t I have a gastroscope tomorrow." Liu Han suddenly said, "Maybe I really have a stomach problem?"


    Lu Chen nodded slightly, "If you don''t find other problems, you can do a gastroscope to rule them out."


    If Liu Han is a boy, he can also help with a free heart ultrasound, but now there are differences between men and women, and the two are of the same age, so this kind of thing is not suitable for doing.


    "That, Junior Brother, how is your cardiopulmonary auscultation skills?"


    Liu Han suddenly said.


    Some of the more powerful clinicians can diagnose diseases such as valve disease, congenital heart disease, lung disease, etc. through the simplest heart and lung auscultation.


    Lu Chen was taken aback, "Uh, it''s alright."


    Cardiopulmonary auscultation technique is also an item in the national skill competition.


    Lu Chen had honed his auscultation ability for a long time in the system.


    And auscultation is also very well trained in reality, so his clinical skills can be said to be quite excellent!


    "Would you like to hear the lungs for me?" Liu Han also knew that Lu Chen was the champion of the national clinical skills competition.


    Especially after the rescue just now, she has raised Lu Chen''s status to the same level as all the superior doctors!


    "Row!"


    Lung auscultation is different from heart auscultation and will not involve some private parts.


    After sterilizing his stethoscope, Lu Chen began to auscultate Liu Han.


    "Wait a minute, Junior Brother." Liu Han said, "I''ll take off my white coat."


    Auscultation through clothes, there will be a lot of noise.


    "Okay." Lu Chen nodded.


    Liu Han took off her white coat, she was wearing a long-sleeved shirt.


    The collar of the ?? shirt was slightly unbuttoned, revealing the white neck.


    Liu Han''s figure is really good!


    Lu Chen coughed lightly and quickly looked away.


    "Senior sister, I''ll start."


    Lu Chen held his mind and performed auscultation in the auscultation areas such as the midaxillary line and the midclavicular line on both sides.


    "Sister, take a deep breath."


    Effective deep breathing can help doctors better auscultate the lungs.


    "Senior sister, it''s pretty good!" Lu Chen said, "I listened to most of the auscultation areas and didn''t hear any problems."


    "Okay, thank you, Junior Brother."


    After ??, Liu Han was about to put on a white coat.


    "Wait a moment!"


    Lu Chen suddenly stopped Liu Han.


    Liu Han turned his head to look at Lu Chen, and suddenly found that his younger brother was staring at his neck.


    Liu Han immediately fluttered her cheeks, she hurriedly looked down, and she didn''t disappear...


    "Master, Junior Brother, what''s the matter?" Liu Han felt Lu Chen''s eyes were burning.


    Lu Chen frowned and said, "Senior sister, there seems to be a gust of wind growing around your neck."


    Liu Han was stunned for a moment, and immediately reached out and touched it, and indeed felt a slight bulge of the skin.


    "I mean why it''s itchy." Liu Han reached out and scratched, then took out his phone and turned on the front camera.


    Lu Chen''s gaze turned to the other side again. On the other side of Liu Han''s neck and fair skin, there were also several wind-like erythema.


    This type of erythema is characteristic, with a red circle around it and a white inside, slightly raised on the skin surface.


    "I felt an itchy neck at around 4 o''clock this afternoon. When I looked in the mirror, I didn''t have any of these things!" Liu Han frowned.


    Girls love beauty, and no one is too happy when something like this suddenly grows on their necks.


    Especially, this kind of thing is also exposed to a boy who has a good impression on him.


    More importantly, she always felt a little itchy in her neck and couldn''t help scratching, which had affected her usual work.


    At this time, Lu Chen laughed.


    "Senior sister, I know the reason for your chest tightness!"


    (end of this chapter)

 v2 Chapter 504： shock

    Chapter 504 Shock


    Liu Han was stunned for a moment, then looked at Lu Chen suspiciously.


    She didn''t know why Lu Chen said that suddenly.


    I just analyzed the cause of chest tightness for most of the day, didn''t I come to any conclusion?


    "Senior sister, I used to be a dermatologist." Lu Chen said slowly, "Your skin is a very characteristic expression."


    Liu Han blinked, looking at Lu Chen nervously.


    Just listening to Lu Chen said: "Itchy skin, red or pale white wheals of different sizes appear at the itching site, round, oval or irregular, which can be isolated or expanded into pieces, the skin surface is uneven, similar to Orange peel-like appearance, often accompanied by flushing around."


    Liu Han was stunned for a moment, the characteristics of the wind on his neck were exactly the same as what Lu Chen said.


    "This, what is this?"


    "Hives!" Lu Chen looked at Liu Han''s neck and said every word.


    Liu Han was a little surprised when he heard the words, but he still asked, "Will urticaria also cause chest tightness?"


    "Yes!" Lu Chen nodded affirmatively.


    In the acute phase of urticaria, many inflammatory mediators will be released, causing vasodilation and increased vascular permeability, smooth muscle contraction and increased glandular secretion, resulting in a series of local or systemic allergic symptoms such as skin, mucous membranes, respiratory tract and digestive tract.


    "In simple terms, it may cause laryngeal edema, and in severe allergic reactions, it may even lead to airway obstruction and the risk of suffocation."


    The reason why Lu Chen''s symptoms of urticaria were so impressive was that he encountered a similar case when he was in the emergency department.


    At that time, a middle-aged male patient had urticaria. Because he happened to be away on a business trip and his medical insurance was also out of town, he had to wait for a break and see a doctor after returning home.


    Unexpectedly, the patient suddenly fell ill in the car on the way home, with laryngeal edema, airway obstruction, and suffocation.


    "Then I have to take anti-allergy medicine?" Liu Han said.


    She glanced at Lu Chen, and had a little more affection for Lu Chen.


    This Junior Brother is really amazing!


    After a simple physical examination, the cause of his symptoms was immediately diagnosed.


    "Yeah." Lu Chen nodded slightly, "Tomorrow, I will go to the dermatology department for the last time, and ask the dermatology teacher to confirm it again."


    "it is good."


    "Senior sister, wait a while." Lu Chen suddenly said, and then walked out of the doctor''s office.


    Liu Han was stunned for a while, and looked at Lu Chen strangely.


    Why did ?? Junior Brother suddenly run out again?


    She looked out the clear glass window of the doctor''s office.


    Lu Chen ran to the nurse station and was talking to a night shift nurse.


    After a while, Lu Chen walked back with a smile on his face.


    He was also holding a box in his hand, which seemed to be medicine.


    "Senior sister, this is the medicine that is always available at the CCU ward nurse station." Lu Chen handed a loratadine tablet to Liu Han.


    "This... this is not good." Liu Han hesitated, although she felt that her neck was getting more and more itchy, but this medicine is from the CCU ward after all.


    "It''s okay, Senior Sister, this is the medicine prepared by CCU." Lu Chen smiled, "You can return a box tomorrow."


    "That line."


    Liu Han took the medicine box with a smile, and scratched his neck as he spoke, "It''s really itchy."


    "Senior sister, try not to scratch." Lu Chen said, "The more you scratch, the more itchy."


    "Oh, good."


    Liu Han narrowed his eyes and smiled.


    She gave a glass of water and took a tablet of loratadine.


    Although the body was "injured", it was not a particularly bad thing to receive the comfort of his junior and junior brothers in time.


    "Congratulations, +5 for the thank you from Liu Han!"


    Lu Chen was also a little surprised. He received 5 points of gratitude at one time. This senior sister is really unusual!


    ¡­


    After the ?? episode, the night continues.


    It''s just nine o''clock in the evening, and Lu Chen has already treated two patients and dealt with the changes in the condition of many patients in the ward.


    "Doctor, 46 beds have solved the black stool!"


    The nurse trotted over again.


    Seeing Lu Chen in the doctor''s office, the little nurse repeated: "Doctor Lu, go and see the 46 beds."


    "Okay!" Lu Chen nodded immediately, grabbed the stethoscope, and walked towards the ward at the back.


    CCU ward is divided into three areas.


    The front twenty wards are in the first area, while the back twenty wards are near the CCU cath lab.


    Before reaching bed 46, Lu Chen smelled an odor.


    To be more precise, it should be the smell!


    Lu Chen frowned and squeezed the mask tightly, but without any pause in his footsteps, he continued to walk towards the 46th hospital bed.


    Just walked to bed 46.


    Lu Chen saw that the nurse was cleaning up the patient''s stool.


    "Doctor, come and help!"


    Seeing Lu Chen''s arrival, the nurse waved quickly.


    Lu Chen looked intently.


    The patient is an old woman in her 70s or 80s, lying on her side on the bed.


    The life value on the old woman''s head is only 46(¡ª¡ª).


    Suddenly, Lu Chen saw that the old woman had relieved a large pool of stool again!


    The color of this stool is no longer black, but with bright red blood!


    This is not to relieve stool, but to relieve blood again!


    The nurse wore gloves and held the patient''s **** with her bare hands.


    When Lu Chen saw this, he immediately put on gloves, found a diaper, placed it on the patient''s buttocks, and helped the nurse to press together.


    But just pressing can''t solve any problems.


    Lu Chen hurriedly said: "I''ll press, you go to inform Mr. Huang, maybe you need to ask for a consultation from the gastroenterology department!"


    "it is good!"


    The ?? nurse also knew that the situation was urgent. After she let go, Lu Chen took her place.


    Lu Chen pressed his left hand against one side of the patient''s buttocks, and his right hand against the anus, holding the gate tightly, trying to compress the bleeding area.


    But this is only a drop in the bucket!


    At this moment, all of Lu Chen''s senses were activated.


    Although a foul stench came from his nostrils, Lu Chen resisted the physical discomfort.


    "Dududu..."


    The ECG monitor at the head of the bed is "shouting" frantically.


    The old woman groaned in pain, and the health on her head was also dropping rapidly.


    Huang Hanlin rushed over with Cheng Liangli, Liu Han and others as soon as he heard the news.


    "Quick, notify the gastroenterology and general surgery emergency consultation!"


    "Balanced saline, rehydration at full speed!"


    Lu Chen''s forehead was covered in fine sweat, and because his hands were in the air, it took more effort!


    "Thanks for your hard work."


    Huang Hanlin patted his shoulder lightly.


    "Leave the rest to us."


    "Hmm." Lu Chen wasn''t stubborn, he should have done everything he could.


    Huang Hanlin looked at Lu Chen in front of him and sighed in his heart.


    It is not easy to be able to persevere in such harsh conditions!


    This odor is unbearable for most people.


    Not to mention, such a close contact.


    Lu Chen was able to persist for so long, and he was not afraid of getting dirty at all. With this, he had surpassed the vast majority of people.


    If it was said that Lu Chen''s previous performance had surprised him, then what he did now made him feel a little bit shocked!


    The most important thing for a doctor is to maintain a benevolent heart, followed by medical skills.


    (end of this chapter)

 v2 Chapter 505： understand deeper

    Chapter 505 Deep Understanding


    Lu Chen got out of bed 46.


    Huang Hanlin and others took over the rescue work, and doctors from gastroenterology and general surgery quickly rushed over.


    After some joint rescue, the patient''s gastrointestinal bleeding was finally stopped.


    Subsequently, the patient was pushed to the ICU ward.


    CCU ward is to deal with cardiovascular emergencies. Once multi-system emergencies are involved, it needs to be transferred to ICU for more professional joint diagnosis and treatment.


    ¡­


    Doctor''s Lounge.


    Lu Chen took off his white coat and cleaned the dirt on his body.


    "Change to a white coat, I still have a new one." Huang Hanlin walked in suddenly, "The two of us should be about the same size, you can wear it."


    "Okay, thank you Mr. Huang." Lu Chen said.


    He does have a strange smell on him, it is best to change it.


    "Tomorrow I''ll bring you a new one." Lu Chen thought about it.


    Huang Hanlin waved his hand, "No, our employees issue new ones every year. You are a student, and you have no salary. You have to buy it yourself, no need."


    Lu Chen smiled and nodded, but he still has to buy one tomorrow.


    "You rest first, I''ll go see the patient."


    Huang Hanlin went back to the doctor''s office.


    At this time, Liu Han walked in with a smile.


    "Junior Brother, you can really do it!"


    Liu Han gave Lu Chen a thumbs up.


    Lu Chen was a little strange, "Senior sister, you are..."


    "Because of your rescue just now!" Liu Han smiled, "Although the patient is in critical condition, she is conscious and knows what happened. After her condition is stable, she will keep thanking you! "


    "Instinctive reaction." Lu Chen scratched the back of his head, "If it was another doctor, he would have done that too."


    "That''s not necessarily true." Liu Han made no secret of it, "If it''s me, then I have to think about it."


    Lu Chen smiled, this senior sister really has a real temperament!


    Others are pretending on the surface, but Senior Sister Liu Han doesn''t care.


    "Senior sister, I think you will be the same as me." Lu Chen said.


    Hearing Lu Chen''s words, Liu Han was stunned for a moment, then suddenly laughed.


    She didn''t even know what she would do, how could Lu Chen, the younger junior brother, be so sure?


    "Stop talking about this." Liu Han said, "By the way, Junior Brother, you, do you have a girlfriend?"


    Liu Han stared at Lu Chen closely.


    Lu Chen was stopped by Liu Han''s question.


    Why did you change the conversation and ask such a private question?


    Lu Chen shook his head slightly, "Not yet."


    "Oh." Liu Han beamed with joy.


    ¡­


    The two returned to the doctor''s office.


    I saw Gao Rui sitting in front of the computer with a sad face.


    "Junior sister, what''s wrong?" Liu Han asked.


    Gao Rui looked hesitant, glanced at Lu Chen and Liu Han, and said hesitantly, "I really regret it."


    "What do you regret?" Liu Han wondered.


    Lu Chen also looked at Gao Rui.


    "I regret buying this night shift!" Gao Rui sighed, "I bought the night shift from my roommate, who knew I was so busy!"


    Gao Rui snapped his fingers, and then said: "The number of rescues I encountered tonight is equivalent to what I have encountered in the past six months. My heart has been pounding, I am really scared!"


    Liu Han comforted: "As a doctor, you have to meet these critical moments. If you don''t experience it when you are young, do you still expect to experience it when you are older?"


    The profession of doctor, if the foundation is not laid firmly, the older you are, the more confused it may be!


    You may be lucky enough to cure a few patients with experience, but when you encounter difficult and critical cases, you will be helpless.


    Gao Rui thought for a while, and then said, "Senior sister, you are right, but I still think that a place like the Cardiology CCU is really difficult for ordinary people to stay in."


    "Well, I agree with what you said." Liu Han nodded slightly, "It''s better for girls to go to a leisurely department, as for a place like CCU..."


    Liu Han glanced at Lu Chen again, "It''s better to be a scholar like Junior Brother Lu Chen..."


    Lu Chen smiled and shook his head.


    The work of the Cardiology Department is, of course, dangerous.


    But this sense of achievement after the rescue is rare in other departments!


    The gains and losses during this period depend on how you look at it.


    ¡­


    Next, there was a brief peace in the CCU ward.


    "Lu Chen, a female family member is looking for you outside!" Huang Hanlin suddenly walked into the doctor''s office.


    "Family, looking for me?" Lu Chen was a little strange.


    He never communicated directly with the family members of these patients. The family members of the patients generally sought Huang Hanlin and Cheng Liangli.


    Why did you find him all of a sudden?


    ¡­


    Lu Chen came to the doctor-patient communication room.


    Standing opposite is a woman with a beautiful face, about 24 years old.


    "Excuse me, are you Lu Chen?"


    The strange woman said.


    Lu Chen nodded, "Well, that''s me. May I ask who you are..."


    "I am the family member of the patient with liver rupture just now, and that family member was my sister before." The woman said, "My name is Zhou Xiaohan."


    "Zhou Xiaohan?" Lu Chen was stunned for a moment, why did the name sound familiar.


    Suddenly, he saw the woman take out her mobile phone and press it a few times.


    "Dududu..."


    The ?? WeChat alert sounded, and Lu Chen took out his mobile phone.


    He received a WeChat message.


    was sent by Zhou Xiaohan.


    "Ah? Are you the girl introduced by the head nurse?" Lu Chen responded this time.


    If Lu Chen can remember the patient, he can remember it clearly.


    But to memorize the information of these girls, his brain is still a little short-circuited.


    "Yeah." Zhou Xiaohan nodded, "I heard from my sister, thank you for your timely rescue, so that my dad can get out of danger."


    "This is what our doctor should do, no thanks." Lu Chen smiled.


    "I''m sorry, I had a bad attitude in chatting on WeChat before." Zhou Xiaohan said a little embarrassedly, "I apologize to you."


    "It''s okay." Lu Chen waved his hand, "You explained it to me, and it''s also to complete the task. Everyone has difficulties, so you don''t need to apologize to me."


    Zhou Xiaohan suddenly said, "Well, we think we might be able to get to know each other..."


    "Huh?" Lu Chen blinked.


    "I mean in-depth understanding." Zhou Xiaohan, "I thought you were busy when you said that you were shirking, but now it seems that you are really busy. Let''s have a good chat when you have time."


    "No, no need." Lu Chen waved his hand, "I, that..."


    Lu Chen didn''t finish his words, but Zhou Xiaohan already understood what he meant.


    "Well, that''s fine."


    This is the first time that Zhou Xiaohan has been rejected by others.


    "Anyway, thank you."


    ¡­


    Lu Chen returned to the doctor''s office with a sigh of relief.


    Chatting with these girls is tantamount to a rescue!


    Compared to this, he still prefers to deal with the rescue of critically ill patients...


    This is true, beware of orphans!


    (end of this chapter)

 v2 Chapter 506： The ceiling of Jinghua Second Hospital

    Chapter 506 Ceiling of the Second Courtyard of Jinghua


    Back to the doctor''s office.


    Before Lu Chen''s buttocks were getting hot, Senior Sister Sun Guoguo came in suddenly.


    "Senior sister, why are you here?" Lu Chen immediately stood up.


    Sun Guoguo said solemnly: "A heavyweight patient will come later, Director Cao, Director Cheng, and even the Dean will come over."


    Lu Chen was taken aback, what kind of patient is this?


    Even the leaders of the hospital rushed over.


    "I heard that he is the leader of the hall, but I don''t know the specifics." Sun Guoguo said, "I only know that an emergency coronary angiography may be required."


    There is such a rule in the hospital''s regulation system.


    Surgery involving important foreign guests or important leaders, no matter the size of the operation, is a major-level operation!


    "Is the patient seriously ill?" Lu Chen asked.


    Sun Guoguo nodded slightly, "Anyway, it''s not too bad. I have a history of coronary heart disease in the past, but this time I have chest pain again."


    Hearing that the provincial and ministerial leaders were coming to the hospital made everyone nervous.


    ¡­


    Lu Chen writes medical records and sees patients as usual.


    Less than ten minutes.


    CCU''s door was opened again.


    Lu Chen saw a group of people crowded around a hospital bed and entered the CCU ward.


    CCU''s doctors and nurses have long been prepared.


    Graduate students and regular trainees simply can¡¯t get involved.


    Lu Chen couldn''t even squeeze in, and he couldn''t even see the front of the patient.


    The hospital bed stayed at the gate of the CCU for a few minutes, and was quickly pushed to the catheterization room next door.


    It''s come and gone!


    ¡­


    Liu Han glanced at the place where the hospital bed left.


    "Junior Brother, what kind of big man do you think he is?"


    "Who knows..." Lu Chen smiled, "No matter how old he is, it has nothing to do with us."


    "That''s true." Liu Han curled his lips, "But the leaders of this kind of hospital are really active. Whenever there is trouble, they all come over. I just heard that Director Cao is going to perform surgery in person."


    Cao Zhiying, as the director of the Cardiology Department of Jinghua Second Hospital, under his leadership, Jinghua Second Cardiology Department has developed rapidly and has become the top ten cardiology specialists in the country.


    However, due to factors such as the geographical environment, the development of Jinghua Second Hospital has reached a bottleneck.


    Cao Zhiying also moved from the academic field to the official field early.


    Nowadays, Cao Zhiying is rarely seen in Jinghua Second Hospital.


    All his energy is now running for the election of an academician.


    "I remember Director Cao, it seems that he hasn''t had surgery for many years." Lu Chen wondered.


    "That''s right!" Liu Han nodded, "Most of the operations are now done by Mr. Ren Feng, and Director Cao mostly guides him, and rarely does it himself."


    But this time, in order to show the importance of leadership, Cao Zhiying had to do it herself!


    ¡­


    Jinghua Second Hospital, Cardiology Catheterization Laboratory.


    Cao Zhiying had already put on all the surgical gowns and lead gowns, and Ren Feng served as an assistant.


    As the leader of the younger generation of the Cardiology Department of the Second Hospital of Jinghua, Ren Feng''s interventional surgery ability is within the scope of the Second Hospital, and almost no one can surpass him.


    "Director, I''ll finish the puncture first, then you go?" Ren Feng said.


    "No, I''ll start from scratch." Cao Zhiying shook her head slightly, "Give me the puncture needle."


    "This... okay." Ren Feng had no choice but to hand the puncture needle to Cao Zhiying.


    He also had some drumming in his heart. In his memory, Director Cao Zhiying hadn''t done it himself for a long time.


    "Hey, maybe I''m overthinking, Director Cao''s ability to intervene is beyond words!" Ren Feng thought.


    He can be regarded as Cao Zhiying''s apprentice.


    The former Jinghua Second Hospital was developed under the intervention of Director Cao Zhiying.


    Cao Zhiying washed her hands and put on surgical gloves, and the operation officially started!


    Disinfection, anesthesia, puncture, the whole process, Cao Zhiying still did it in one go, and she didn''t look a little strange.


    He really deserves to be an interventionist of the older generation. The entire operation process is extremely stable, so that Ren Feng on the side can''t pick out any problems.


    "I started the operation inside the catheter." Cao Zhiying said solemnly.


    Ren Feng nodded and began to help Cao Zhiying prepare the catheter and guide wire.


    The guide wire passed through the lesion smoothly.


    However, when the coronary angiography was seen, the medical staff of the entire treatment group were frowning.


    encountered difficulties!


    Angiography showed that the patient had complete right coronary artery occlusion with severe calcification, 50% left main stenosis with severe calcification, 90% stenosis at the root of the anterior descending branch with severe calcification, and 95% stenosis at the root of the circumflex artery with severe calcification.


    The patient''s coronary artery is very blocked, and the blood supply to the entire heart is insufficient or interrupted.


    Whether it is a complete occlusion lesion, a left main bifurcation lesion or a severe calcified lesion, whichever one is taken out alone is a difficult and high-risk operation!


    "ECMO Ready!"


    "Please consult the anesthesiology department for emergency consultation, and be ready to switch to general anesthesia at any time!"


    On the scene, only Cao Zhiying was calm and composed, and he issued various medical orders in an unstable manner.


    This high-risk patient may develop cardiogenic shock at any time. IABP alone is not enough, ECMO must be used!


    "Received!" Ren Feng immediately forwarded Cao Zhiying''s doctor''s order to the catheter room.


    Then, Cheng Guowen, who had been waiting outside, began to arrange these things.


    "Director, what should I do?" Ren Feng returned to Cao Zhiying''s side.


    "Only wait for general anesthesia to go on ECMO." Cao Zhiying said, "The patient''s current state, it is impossible to persist until all operations are completed."


    Ordinary coronary angiography may only take about half an hour, but such a difficult operation is different.


    The patient''s own cardiac function is not very good, and long-term supine lying is more likely to induce the occurrence of heart failure.


    ¡­


    CCU Ward.


    Lu Chen was a little surprised when he saw the doctors who came in and out.


    Doctors from the Department of Anesthesiology and Ultrasound have all come, and even the IABP and ECMO machines have been moved to the catheterization room.


    "It seems that this is a major operation!" Liu Han exclaimed.


    Lu Chen is also a little itchy in his heart. If he can participate in this level of surgery, he will definitely gain a lot of experience!


    However, he is only a graduate student now, and he is not even qualified to visit!


    ¡­


    CCU Catheterization Lab.


    After the anesthesiologist arrived, he quickly gave the patient general anesthesia.


    Ren Feng put the ECMO machine on the patient directly.


    This time the ECMO machine debugging went very smoothly.


    "Continue the operation!" Cao Zhiying gave an order, and Ren Feng quickly cooperated and began to deal with the vascular disease of the coronary artery.


    Time passes in one minute and one second.


    Cao Zhiying''s spirit is highly concentrated, and in such a difficult operation, there is simply no room for relaxation.


    "Director, the patient''s heart rate is slow, I think it should be a third-degree atrioventricular block!"


    Cao Zhiying frowned, "This is not easy to handle. It may be necessary to put a pacemaker. Go and call Director Cheng in."


    "it is good."


    ¡­


    Cao Zhiying, Cheng Guowen and Ren Feng are already the top intervention team in the heart of Jinghua Second Hospital.


    "Director Cheng, your opinion..." Cao Zhiying looked at Cheng Guowen on the side.


    "The pacemaker must be put on, but it depends on what type it is." Cheng Guowen said sternly.


    "Tell me about it."


    Cheng Guowen continued: "The patient''s left and right ventricular systolic asynchrony also aggravates heart failure. Drugs alone cannot solve the problem, and surgery must be combined with an anti-heart failure pacemaker."


    The implantation of anti-heart failure pacemakers is different from ordinary pacemakers. In addition to implanting leads outside the right atrium and right ventricle, there is also a lead that needs to be connected to the left ventricle.


    Cheng Guowen looked back at Cao Zhiying and said slowly: "The patient is old, if the blood vessels are alienated during the operation, the consequences will be unimaginable."


    In the catheter room, the atmosphere was quiet for a moment.


    for a long time.


    Cao Zhiying said slowly, "Old Cheng, how sure are you?"


    Cheng Guowen looked solemn and shook his head slightly: "I haven''t treated such an old patient yet, and this technology is still a new technology in our province."


    Cao Zhiying heard the words, her brows deepened, "Is it possible to give up the implantation of the pacemaker for the time being?"


    If the patient¡¯s heart rate and heart failure problems are not solved this time, even if coronary intervention is done beautifully, it will not help!


    At this moment, Cheng Guowen suddenly said: "Director Cao, although I''m not skilled, there should be someone in our hospital who can."


    Cao Zhiying was taken aback for a moment, "Who?"


    He was surprised and delighted.


    However, Cheng Guowen''s electrophysiological technology is already the ceiling of the Jinghua Second Hospital, and he has never heard of anyone surpassing him!


    I saw Cheng Guowen raised his head, his eyes flickered, his voice was low, and he said the name.


    "Lu Chen!"


    (end of this chapter)

 v2 Chapter 507： Rescue soldiers

    Chapter 507 Rescue Soldiers


    "Lu, Lu Chen?"


    The name flashed in Cao Zhiying''s mind, and at that moment, she didn''t know who it was.


    "Director, he is a graduate student of Li Yao''s tutor." Cheng Guowen reminded.


    "It''s him?!"


    After Cheng Guowen''s reminder, the figure of a boy slowly appeared in his mind.


    As the chief director of a top tertiary hospital, it is difficult for Cao Zhiying to remember the name of a student.


    For example, Cao Zhiying''s current master''s student, even if he met him in the hospital, just felt his eyes and couldn''t even call his student''s name.


    However, Cao Zhiying was very impressed with Lu Chen as a student.


    Just because Lu Chen has done so many incredible things!


    "Is he participating in the training class of Huaxia Electrophysiology Institute?" Cao Zhiying asked rhetorically.


    "Yeah." Cheng Guowen nodded slightly, "Also, he got the second-stage graduation certificate!"


    "What?" Cao Zhiying''s eyes showed deep surprise, "He actually got a certificate of completion from Huaxia Electrophysiology College?!"


    At this age, it is already a great thing to be able to participate in the training courses of the Electrophysiology Academy, and he can still pass the second-stage assessment!


    Cao Zhiying is very clear about the difficulty of this second stage assessment.


    Cao Zhiying knew why Cheng Guowen recommended Lu Chen.


    This certificate of completion is the "golden signboard" in the Chinese electrophysiology field!


    Obtaining this certificate of completion means that Lu Chen has been affirmed by most experts in the industry.


    In the past training courses of Electrophysiology College, two certificates of completion could not be issued in one year.


    This is nationwide!


    Therefore, the difficulty of obtaining it can be imagined!


    "Where is he now?" Cao Zhiying looked back at Ren Feng, "Ren Feng, go and call him over."


    Ren Feng nodded slightly, then walked towards the catheter room.


    ¡­


    CCU conduit room.


    The onlookers also knew the changes in the patient''s condition.


    "I''m going, this is going to be troublesome, three times!"


    "I''m afraid I''m going to have a temporary pacemaker."


    "All the patients have been on ECMO. It must be done at one time. It is best to have a permanent pacemaker! Otherwise, a second operation will be required, which will cause great harm to the patient!"


    "Lei Cui, you are doing electrophysiology, what do you think about this?"


    Lei Cui stood outside the catheter room, frowning deeply.


    "It''s not very easy to handle. The patient has severe heart failure, and there is still a third degree. The conventional pacemaker may not be useful, and a pacemaker against heart failure needs to be implanted."


    When everyone heard the words, they were all shocked and talked about it.


    "Can our hospital do this kind of surgery?"


    "I don''t remember what I did?"


    "There is almost no such spell in our entire province."


    ¡­


    At this moment, everyone saw Ren Feng walking out.


    "Where is Sun Guoguo?" Ren Feng shouted to the crowd.


    Sun Guoguo was in an inconspicuous corner when he heard Ren Feng''s shout and came out in surprise.


    "Senior Brother Ren, are you looking for me?"


    "Well." Ren Feng nodded, walked over to Sun Guoguo, and whispered, "Well, Lu Chen seems to be your junior brother?"


    "Yes." Sun Guoguo nodded, "Senior brother, what happened to Junior Brother Lu Chen?"


    "That''s right." Ren Feng paused, "I want to trouble you to find Lu Chen, the sooner the better!"


    Sun Guoguo was taken aback for a moment, "Junior Brother Lu Chen? He''s working the night shift at CCU tonight, call, he should be here soon."


    "That''s great!" Ren Feng looked happy, "Go and call him over... Forget it, I''ll go with you, let''s go!"


    Sun Guoguo was still in a dazed state, and was pulled out of the catheterization room by Ren Feng.


    All the people onlookers looked at each other in dismay.


    Why did Ren Feng just run away?


    No surgery?


    Only those who had just approached them could faintly hear what Ren Feng said, "Find Lu Chen over here!"


    ¡­


    Cardiology CCU ward.


    Lu Chen is checking the status of each patient in the emergency ward.


    The old man who "was about to poop" just now caused ventricular tachycardia, all vital signs have stabilized, but the whole person is still not awake.


    I don¡¯t know how long this state will last.


    And the young girl who was on ECMO because of "explosive myocarditis" has faint signs of waking up.


    This made Lu Chen very happy!


    If you can wake up one day earlier, you will be able to get out of ECMO one day earlier, and the chance of surviving will be better.


    Lu Chen is also going to see the old man with "diabetic hyperosmolar state".


    Unconsciously, he has taken over so many critically ill patients in the CCU ward...


    ¡­


    As soon as he walked out of the emergency ward of the girl with "explosive myocarditis", Lu Chen ran into Ren Feng and Sun Guoguo.


    "Senior sister, you are..." Lu Chen suddenly stopped.


    "Junior Brother, if you have something to trouble you, come with me! Explain to you on the way!"


    Sun Guoguo looked happy when she saw Lu Chen.


    Although Lu Chen was surprised, he nodded and followed behind Sun Guoguo.


    He also turned to look at Ren Feng.


    Why did he run over too?


    "Senior Sister Guoguo, aren''t you watching Director Cao''s surgery?" Lu Chen wondered.


    Before Sun Guoguo spoke, Ren Feng said.


    "It''s like this, I have a little trouble with the operation and may need your help!"


    "You want me to help?" Lu Chen asked in surprise.


    He is a student. Even if it is errands, he should not be able to do it?


    "It''s about the pacemaker surgery." Ren Feng said, "Director Cheng recommended you to Director Cao."


    "Why did Director Cheng recommend me?"


    Lu Chen was a little dazed, why didn''t Cheng Guowen recommend his direct disciple Lei Cui? !


    There are not many opportunities to show your face in front of the leaders...


    "That... Because the operation is very difficult, Director Cheng doesn''t have much confidence."


    Hearing this, Lu Chen understood.


    It seems that there is some kind of trouble, come and help us!


    ¡­


    Lu Chen followed Ren Feng and Sun Guoguo to the catheterization room.


    At this moment, everyone in the conduit room was stunned.


    Why did Ren Feng pull a student in when he went out?


    On the field, only Lei Cui stared closely at Lu Chen.


    For this student, she already has some shadows in her heart!


    Others don''t know how powerful Lu Chen is, but she knows it very well!


    "Lu Chen, wear my lead coat, then wash your hands before going in." Ren Feng said.


    Lu Chen nodded, "Okay."


    Everyone saw that Lu Chen walked into the catheterization room, and the pot exploded immediately.


    "Look! This student is in!"


    "Does he need surgery?"


    "Impossible, what level of surgery is this? How can a student participate?"


    Lei Cui suddenly said in a deep voice, "Don''t be arguing, don''t everyone know this student?"


    "Could it be... he is Lu Chen?"


    Suddenly someone spoke out.


    Everyone else was startled.


    Lu Chen''s name is known to most people in the Cardiology Department.


    The name ?? has been in the limelight these days!


    (end of this chapter)

 v2 Chapter 508： Transposed deformed heart!

    Chapter 508 Transposed Deformed Heart!


    CCU Catheterization Lab.


    Cao Zhiying saw Lu Chen in front of him.


    He looked up and down, the boy in front of him had a youthful appearance, still with a bit of a student''s bookish air.


    It''s hard to believe that such a young man could actually get the "Certificate of Completion" from the Kyoto Institute of Electrophysiology? !


    "Director, Lu Chen is here." Ren Feng stepped forward.


    "Okay." Cao Zhiying nodded slightly, then looked at Cheng Guowen and Lu Chen on the side, "The patient''s pacemaker will be handed over to the two of you."


    "No problem..." Cheng Guowen nodded slightly.


    At this moment, Lu Chen was taken aback for a moment, is this asking him to help make a pacemaker?


    But a simple pacemaker implantation, most people in Jinghua Second Hospital can do it!


    Why do you want him to come?


    At this time, Cheng Guowen walked up to Lu Chen.


    Lu Chen said softly, "Hello, Director Cheng."


    "Well, Lu Chen, long time no see." Cheng Guowen nodded slightly, "I asked you for help this time, mainly because this patient is too difficult, with severe heart failure, and the heart rhythm is still a third-degree atrioventricular block..."


    Cheng Guowen briefly introduced the patient''s condition.


    "Simply put, the function of placing this pacemaker is not only to increase the heart rate, but also to fight heart failure. But the patient is older, has many underlying diseases, and the surgery is difficult, so I''m not sure."


    Lu Chen immediately understood the meaning of Cheng Guowen.


    This is for him to come to the rescue!


    These director-level figures look down on him. It is really not easy for him to be recognized by so many professors and directors as a graduate student who has not graduated!


    "Lu Chen, did you encounter this operation when you were in the Kyoto Institute of Electrophysiology?" Cheng Guowen looked at Lu Chen slightly nervously.


    Lu Chen nodded slowly: "I did it independently."


    "That''s really great!" Cheng Guowen''s face brightened.


    Actually, the most important point, Cheng Guowen did not say.


    That is the identity of this patient is too special!


    is said to be an important member of the provincial health department and their immediate boss!


    "Then let''s put a pacemaker on the patient first." Cheng Guowen said, "After we have raised the patient''s heart rate, Director Cao will perform coronary surgery. It may be simpler in this way."


    "Okay." Lu Chen nodded.


    Cheng Guowen, as the first person in the field of electrophysiology of Jinghua, can treat a young man like this, it is the first time!


    ¡­


    CCU conduit room.


    Everyone looked at Lu Chen who was talking to Cheng Guowen in amazement.


    "Lu Chen is too good. Director Cheng is almost always asking Lu Chen''s opinion."


    "Although this Lu Chen has won some awards, this is not necessary for Director Cheng."


    "Yes, I feel a little too much! Why should a student be involved in such an important operation?"


    On the scene, only Lei Cui remained silent.


    She stared at Lu Chen in the catheterization room with a gloomy face.


    In the assessment that year, it was only one difference, and she lost the qualification to go to the national assessment.


    If she has the opportunity to enter the Kyoto electrophysiology training class, the person standing in it now might be her!


    is really hateful!


    ¡­


    Sun Guoguo looked at Lu Chen in the catheterization room in amazement.


    Junior Brother is very powerful, she knows it.


    But what I didn''t expect was that the junior and junior brothers could actually discuss the illness with these director-level figures!


    This is something she never imagined.


    It seems that Junior Brother Lu Chen''s development has far exceeded most people''s imaginations!


    ¡­


    Lu Chen put on surgical gloves, and Cheng Guowen stood aside as an assistant.


    "Director, then I''ll start!"


    "it is good!"


    Cheng Guowen nodded slightly, Lu Chen immediately started!


    In his mind, scenes of previous electrophysiological surgeries immediately appeared.


    Whether in real surgery or in system training, the implantation process of the anti-heart failure pacemaker was quickly projected in his mind.


    The piercing begins!


    The first step in all interventional procedures is puncture.


    Lu Chen''s puncture process was extremely silky.


    From the selected puncture point to the insertion of the puncture needle, it is as if the locator is installed.


    Cheng Guowen on the side of ?? was also amazed.


    This kind of skillful technique can be seen in a student, as expected of a person who has obtained the "Certificate of Completion" of Kyoto Electrophysiology Training!


    Cao Xinxin and Ren Feng glanced at each other and could see the surprise in each other''s eyes.


    However, this is just the beginning!


    The technical difficulty of implanting an anti-heart failure pacemaker lies in overcoming the anatomical variation and the risk of heart failure caused by a large heart.


    Complete the implantation of 3 pacing electrodes, especially the special site implantation of left ventricular electrodes through the coronary vein, which has extremely high quality requirements for the surgeon!


    The end of the puncture is the entry of the guide wire and electrode.


    Implantation can only be done by placing the electrodes in the designated positions.


    However, the position of this electrode will change due to the size of the heart and the shape of the blood vessels.


    As the electrodes entered, Lu Chen began to run into trouble.


    "Not very good, the patient''s heart is too big." Lu Chen frowned.


    A normal human heart is the size of a pear.


    But if heart failure occurs, the heart will slowly expand in order to compensate, and finally decompensate changes, and it will even become the size of two fists.


    The heart becomes larger, the transposition deformation is obvious, and the implantation of ventricular electrodes is particularly difficult!


    Cheng Guowen on the side of ?? also looked very serious.


    Although he had already thought that the patient''s heart was large and the electrode implantation was difficult, he still underestimated the difficulty!


    CCU conduit room.


    Some of the doctors engaged in electrophysiology immediately saw Lu Chen''s current predicament.


    "Let me tell you, this patient''s heart is so big! It''s hard to place electrodes in the right place!"


    "Aren''t you talking nonsense? If this pacemaker is easy to release, then Director Cheng Guowen won''t let others release it!"


    "Hey, guess what, can Lu Chen put it in?"


    "I bet on breakfast tomorrow, no!"


    "I bet dinner for a week, yes!"


    ¡­


    "What should I do?" Cheng Guowen frowned deeply and glanced at Lu Chen.


    "Director Cheng, I''ll try my best."


    "Do what you can, if it doesn''t work, quit, and we''ll think of other ways."


    Lu Chen began to slowly probe the electrodes in.


    Each entry step requires continuous imaging of the blood vessels to avoid the electrode deviating from the track.


    "Take a picture!"


    "Take another picture!"


    "Take a picture at the back..."


    Lu Chen controlled the entry of the electrode throughout the entire process, and was extremely cautious in every step.


    Whether it was Cheng Guowen and Cao Zhiying on the field, or everyone on the outside of the field, they all breathed a sigh of relief.


    The ?? electrode pads slowly probed towards the left ventricle, and the dawn of victory seemed to be in sight.


    Finally, after receiving a lot of X-rays, the electrode position of the left ventricular electrode is finally perfect!


    However, this step alone took nearly an hour.


    (end of this chapter)

 v2 Chapter 509： Stunning!

    Chapter 509 Amazing!


    CCU conduit room.


    Originally everyone was about to fall asleep!


    If not all the leaders were inside, everyone would probably have gone to bed.


    When Lu Chen successfully implanted the left ventricular electrode, everyone suddenly woke up.


    "I''ll go, Lu Chen, he succeeded?!"


    "He, how did he do it? This is too awesome!"


    "I admit, I''m not as good as this second-year graduate student..."


    Lei Cui''s face was ashen, she was still laughing at Lu Chen in her heart just now.


    But in the blink of an eye, Lu Chen succeeded!


    She is so angry!


    "Hey, he just implanted the electrodes in the left ventricle and the electrodes in the atrium, which is more difficult than the electrodes in the left ventricle!"


    Lei Cui was right.


    The difficulty of implantation of atrial electrodes is also surprisingly increased, because the diameter of the patient''s right atrium is already 5.2 cm!


    The difficulty of implanting such a huge atrium has increased exponentially!


    Lu Chen just finished solving a problem, and suddenly encountered a new problem!


    ¡­


    This time, Lu Chen not only needed to keep taking X-rays, but also kept changing the shape of the guide wire so that the length, shape, and position of the guide wire completely matched the electrodes.


    Lu Chen''s forehead sweated more and more, and even slowly seeped out onto the mask.


    The little nurse on the side saw this and gently wiped the sweat from Lu Chen''s forehead. . .


    "Lu Chen, do you want to take a break?" Cheng Guowen asked.


    Standing for a long time and wearing heavy lead clothing is a serious consumption of physical strength.


    Lu Chen felt that his lower back was already sore, and it was not even his own waist.


    I really lack exercise, Lu Chen thought.


    "No need, Director." Lu Chen shook his head slightly.


    Do it all at once, second time tired, third time exhausted!


    This truth, he still understands.


    What''s more, if the operation time is prolonged, the degree of the patient''s heart will be aggravated!


    Taking advantage of the current momentum, Lu Chen completed it in one go.


    "Director, this place is a little hard to get to, I think it will be better if I twist it?"


    Lu Chen also asked Cheng Guowen''s opinion from time to time.


    He is the first person in the field of electrophysiology at Jinghua, and he has an extremely rich experience in electrophysiology surgery!


    Lu Chen''s advantage is that he has a lot of knowledge. No matter how difficult the operation is, he can train in the system space.


    But the surgery in reality is not the same as in the system after all!


    The anatomy of each person''s heart is not exactly the same, and some people even have vascular malformations. A slight change may make the operation more difficult!


    "You can''t screw this place, you need to back it up a bit, then pick it inside, and screw it again at the end!"


    Cheng Guowen did not hesitate to teach Lu Chen his own experience.


    ¡­


    After another hour, the electrode in the left atrium finally reached a perfect position.


    At the moment when the three-chamber pacemaker was successfully implanted, the QRS wave width of the electrocardiogram was optimized from 190ms before surgery to 142ms.


    This also indicates that the patient''s heart function has been greatly improved!


    Cao Zhiying, as the audience with the best perspective, watched all Lu Chen''s operations throughout the entire process, without even blinking, for fear of missing any scene.


    Seeing that Lu Chen implanted a complete three-chamber pacemaker, the patient''s heart function immediately improved a lot, Cao Zhiying suddenly thought of a sentence - this may be the gold content of the "Certificate of Completion" of the Kyoto Institute of Electrophysiology!


    ¡­


    CCU conduit room.


    When the postoperative electrocardiogram was displayed in front of everyone, the scene was silent.


    Anyone with discernment can see that in this electrophysiological operation, the main surgeon is Lu Chen, and Cheng Guowen is the assistant!


    "Gollum..."


    It wasn''t just someone who swallowed and spit, there were bursts of exclamations at noon!


    "I''ll go, who said Lu Chen couldn''t succeed?"


    "Who was betting just now? Find out!"


    "It''s incredible, it''s really incredible, Lu Chen is only studying for the second, right?"


    Everyone thought of Lu Chen''s age and identity, and they felt a sense of powerlessness in their hearts.


    Stunning everyone!


    This is true, people are more popular than dead people!


    When I was studying for the second year, I was still busy writing medical records in clinical practice, right?


    Or, help the superior teacher to post the test sheet?


    In short, there is no chance to appear in the operating room at all!


    Lei Cui''s expression had long since been in a trance.


    She looked at Lu Chen in the catheterization room, and at the people around her, she was already at a loss.


    She felt that her worldview had collapsed!


    What if she goes to Kyoto Electrophysiology Institute?


    After returning from her studies, can she be more powerful than Director Cheng Guowen, can she complete such a difficult operation?


    ¡­


    Sun Guoguo couldn''t close her mouth in surprise when she saw that Lu Chen successfully implanted a three-chamber pacemaker.


    This junior brother is really beyond the expectations of others!


    She quickly took out her mobile phone and told Teacher Li Yao what happened in the catheterization room just now.


    And Lu Chen also noticed that the health value on the patient''s head suddenly changed from the previous three minus signs to two!


    Everything is going in a good direction.


    But, this is far from enough!


    Because of the patient''s cardiovascular disease, it is also very serious!


    "Next, let me do it." Cao Xinxin slowly exhaled a turbid breath, his eyes became unusually firm.


    "it is good."


    Lu Chen and Cheng Guowen both stepped back and gave way to Cao Zhiying.


    ¡­


    With the help of the pacemaker, Cao Zhiying''s coronary intervention has become much smoother, and some complications have not occurred again.


    However, the patient had too many occluded blood vessels, so Cao Zhiying could only open the blood vessels one by one.


    This process is very long, and even some instruments of intravascular ultrasound are used.


    Before ??, Lu Chen implanted a three-chamber pacemaker, and the whole process took two hours.


    The next coronary intervention is definitely not less than this time.


    Lu Chen glanced at the time on the wall and was shocked, he couldn''t stay any longer.


    He has to go back to the night shift!


    "Oh, why did I forget the night shift..."


    It was half past eleven in the evening.


    "Director Cheng, I have to go back to CCU to work the night shift, should I go first?" Lu Chen whispered to Cheng Guowen next to him.


    Cheng Guowen was stunned, "If you don''t tell me, I almost forgot about your night shift. Well, let me tell the doctor tonight that you should go back to rest tonight and not work the night shift."


    Lu Chen thought about it, but shook his head.


    It''s easy to not work night shifts.


    But there is one less graduate student in the CCU ward, so it may be even busier!


    He can''t go to pit Liu Han and Gao Rui.


    What''s more, Gao Rui is still a novice, so busy, the two of them are really boring!


    "Director Cheng, I''d better go back, there''s nothing else to do standing here." Lu Chen said, "Let''s go back and help."


    "That''s fine too!" Cheng Guowen nodded, "You go first, if there is anything, I will let Ren Feng contact you."


    Lu Chen got Cheng Guowen''s approval, and immediately walked out of the catheterization room and took off the lead coat outside.


    Take off the lead coat, it''s really easy!


    ¡­


    (end of this chapter)

 v2 Chapter 510： Alert Liu Han

    Chapter 510 Alert Liu Han


    CCU conduit room.


    Lu Chen put the lead coat on the shelf, took off his gloves and hat, and wiped the sweat from his forehead.


    Everyone stared at Lu Chen tightly without blinking.


    The performance of this graduate student is really beyond everyone''s expectations!


    "Junior Brother, you are amazing!"


    I don''t know when, Sun Guoguo had already walked beside Lu Chen.


    Lu Chen scratched the back of his head, smiled and said, "Do your best."


    "Mr. Li Yao already knows, and praises you." Sun Guoguo said again, she smiled and looked at Lu Chen. In just one and a half years, he has grown from a rookie entering the clinic to a clinical rookie. Terrible level.


    Lu Chen smiled, this time electrophysiological surgery, he also spent a lot of effort. . .


    This patient''s heart is too big, with severe transposition and deformation.


    If he didn''t train many times in the system space, just relying on his experience in the Kyoto Institute of Electrophysiology would not be enough.


    "Junior Brother, you have to find a girlfriend earlier."


    Sun Guoguo said suddenly.


    Hearing this, Lu Chen was taken aback, "Senior sister, what''s the matter?"


    "Look at how many times you were irradiated during the operation just now?" Sun Guoguo shook her head slightly.


    In order to adjust the angle of the electrodes, the radiation dose of this operation just now exceeds that of the normal operation by many times.


    "There''s no way out." Lu Chen smiled, "I don''t take pictures a few times, so I can''t see clearly."


    "Although the radiation dose of electrophysiological surgery is less than that of coronary artery, you are still young, and the harm to the body is not small!" Sun Guoguo said earnestly, "The most important thing is to have an impact on the next generation, you don''t know. Ah, there is an intervention doctor in Jinghua First Hospital, and the two children he gave birth to are congenitally deaf, so in this regard, you still have to pay attention."


    "Find a girlfriend early, you say yes."


    Lu Chen smiled helplessly, "Senior sister, even if you find a girlfriend, you can''t just give birth to a child!"


    "Then you have to have a girlfriend first!" Sun Guoguo said, "If you don''t have a girlfriend, where will you get a wife, and if you don''t have a wife, where will you have children?"


    Lu Chen: "..."


    ¡­


    Back to the CCU doctor''s office.


    Huang Hanlin didn''t know that Lu Chen went to the operation, only that Ren Feng called Lu Chen over to help.


    Seeing Lu Chen coming back, he asked, "How is the patient?"


    Lu Chen said: "The operation is going well at present. ECMO and a permanent pacemaker have been installed. Director Cao is doing coronary arteries for the patient."


    "Oh, that''s lucky." Huang Hanlin said, "When the patient first entered the CCU, I took a look at him and felt that his condition was not very good. If the operation was completed, it was considered a success for the most part. "


    "Yes." Lu Chen nodded.


    However, hanging your life with ECMO is not something that ordinary families can bear.


    Lu Chen looked at a rescue room beside him.


    The girl with "explosive myocarditis" lives there.


    After using the ECMO machine, the daily cost is at least tens of thousands of yuan. How can an ordinary family hold on to it? !


    "I hope she wakes up sooner and her heart function recovers sooner."


    ¡­


    "Junior Brother Lu Chen, what did you do in the catheterization lab just now?" Liu Han suddenly came over.


    Teacher Ren Feng personally came over and called Lu Chen over.


    Ordinary people don''t have this kind of treatment.


    "Let''s fight." Lu Chen smiled.


    "You entered the catheterization lab?"


    "Um."


    Liu Han was quite surprised, it was unusual for a student to go into the catheterization room to start a fight!


    "Senior sister, how many patients have you received? Are you busy?" Lu Chen asked.


    He was in the cath lab for two hours.


    During these two hours, the CCU ward can definitely admit a lot of patients.


    "It''s okay, my junior sister and I only took one." Liu Han said.


    is also strange to say.


    In the two hours when Lu Chen was away, the CCU ward took a break. It was not as busy as before, and there were not many patients.


    "Oh, that''s good." Lu Chen didn''t feel guilty at all.


    However, as soon as the voice fell, the door of the CCU was opened again.


    The security guard shouted, "The patient is here!"


    The voice of ?? made everyone''s heart tremble.


    And Liu Han immediately became alert, something was wrong!


    Junior Brother Lu Chen is a little wrong!


    She has worked several CCU night shifts, and she is not as busy as tonight.


    It''s only the first half of the night, the night shift has only passed five hours, and the night is long!


    The most important thing is that after Junior Brother Lu Chen left, the CCU seemed to be quiet, and when he came back, the patient came again in a blink of an eye.


    "Senior sister, I''m going to accept this patient." After Lu Chen finished speaking, he walked out.


    Liu Han looked at the back of Lu Chen''s departure, and muttered in his heart, "Junior brother''s face is so dark?"


    ¡­


    came to the door of the CCU ward.


    Huang Hanlin is already seeing patients.


    This is a 17-year-old girl. She was supposed to be studying at night when she suddenly felt palpitation and chest tightness. She had a myocardial enzyme collected in the emergency department and found that creatine kinase was elevated, so she was admitted to the CCU ward.


    Although the patient''s condition is not serious, the general ward does not accept patients, and they can only be sent to the CCU ward.


    "The emergency department suspected the possibility of myocarditis, so it was sent here." Huang Hanlin frowned slightly, "Can''t this kind of patient be observed in the emergency department? Does it have to be admitted to the hospital?"


    "Teacher, we are also afraid of myocarditis." The accompanying doctor in the emergency department said with a smile, "and the patient''s family strongly requested to be hospitalized, so we can only send it to you."


    "Okay, don''t say more, let''s push the hospital bed." Huang Hanlin said.


    Subsequently, the emergency department nurse and the CCU ward nurse made a handover.


    Lu Chen pushed the hospital bed in.


    ¡­


    The girl was lying sickly on the bed, her hair was fluffy, and she was wearing the uniform of a nearby high school.


    Lu Chen took a look at her electrocardiogram in the emergency department and found nothing wrong.


    "What''s wrong now?" Lu Chen asked.


    "I just feel a little flustered and can''t breathe." The girl''s voice was small.


    "Apart from palpitation? Do you have chest pains? Do you have nausea or vomiting?"


    The girl shook her head.


    Lu Chen took the stethoscope and began to auscultate the girl.


    "Bang bang bang..."


    Normal heart rate is 60-100 beats per minute.


    Lu Chen estimated that the girl''s heart rate was too fast, about 110 beats/min.


    "Are you nervous?" Lu Chen asked


    "No, no." The girl shook her head.


    "I need to review an electrocardiogram for you." After Lu Chen finished speaking, he saw the girl pinching her quilt nervously, and then said, "I''ll call a female doctor here, don''t be nervous."


    Then, Lu Chen left the ward.


    Back to the doctor''s office.


    "Senior sister, help me do an electrocardiogram. The patient is a young girl, so I''m not very good at doing it." Lu Chen said to Liu Han who was beside him.


    "Okay, no problem." Liu Han nodded slightly.


    Five minutes later, Liu Han came back with an electrocardiogram.


    Lu Chen compared the two electrocardiograms and did not find too many abnormal changes.


    (end of this chapter)

 v2 Chapter 511： Shock!

    Chapter 511 Shocked!


    "What disease are you considering?" Liu Han said, "Is it myocarditis?"


    Lu Chen shook his head slightly, "I don''t know yet. However, the patient''s myocardial enzymes are not much high, and the electrocardiogram is normal. It can only be said that myocarditis is not excluded, but other factors must be considered."


    The diagnosis of myocarditis is complicated.


    The ??gold standard requires myocardial biopsy to confirm the diagnosis.


    Biopsy, that is, taking a small piece of tissue from the heart muscle for related pathological examinations.


    However, this kind of biopsy is also relatively traumatic to the heart, and has certain risks, so it is generally rarely performed.


    Most myocarditis is diagnosed by symptoms, electrocardiogram, and changes in cardiac enzymes.


    The fulminant myocarditis in the emergency room next to ?? was diagnosed only by relying on symptoms and laboratory tests. . .


    Liu Han was stunned for a while, "What other factors have to be ruled out?"


    Lu Chen explained: "Of course it is the factors that cause the increase of the kinase, such as strenuous exercise, taking lipid-lowering drugs, etc. These factors will lead to the increase of the kinase."


    Liu Han nodded slowly and said, "Junior Brother, you have learned the basics really well. Look at me. These knowledges sound simple, but I can''t remember them."


    These basic medical knowledge are very common in textbooks.


    But it is not easy to master it well and apply it clinically.


    This is also a process of transforming a medical student into a doctor.


    "Senior sister, I use this a lot, so I know." Lu Chen said.


    "Don''t be modest, Junior Brother." Liu Han smiled, "I''m optimistic about you!"


    ¡­


    After receiving the patient, Lu Chen had just finished writing the medical record when he heard a loud noise from outside the doctor''s office.


    Looking out, Lu Chen saw a group of people pushing a hospital bed in the direction of the CCU catheterization room.


    "Director Cao''s surgery is over?" Lu Chen was taken aback, "So fast!"


    It was less than an hour before he returned to the CCU ward, and Cao Zhiying had completed the coronary intervention?


    This efficiency is really fast!


    The difficulty of this patient''s operation is not unusually high. It is really not something that ordinary doctors can do that Cao Zhiying can complete it in such a short period of time.


    worthy of being the chief director of Jinghua Second Hospital!


    Cao Zhiying was able to develop the Cardiology Department of Jinghua Second Hospital to the point where it is today, it is true that there are two brushes.


    Beside the hospital bed, there was a group of people.


    Some Lu Chen knew, and some he didn''t.


    Director Cao Zhiying was at the forefront, Sun Guoguo, Ren Feng and Cheng Guowen were among them.


    ¡­


    Everyone worked together, and the ward was quickly pushed to the last emergency ward.


    "A set of blood is urgently checked, and the patient is on ECMO and pacemaker, so care needs to be paid more attention."


    Ren Feng and Huang Hanlin had a simple handover.


    The nurse in the CCU ward quickly took over the operation of the instrument.


    "Hanlin, this patient is a VIP, if there is any situation, you can contact me, or even tell Director Cao directly." Ren Feng instructed.


    "Don''t worry, Brother Feng, I know it." Huang Hanlin nodded slightly, "This time your surgery is not easy, right? If you finish it so quickly, it can be considered to create the history of our capital, right?"


    "Yes, coronary intervention + anti-heart failure pacemaker + ECMO, this is the first time for Jinghua!" Ren Feng smiled.


    The smile on his face was very bright.


    As a member of the coronary intervention team, it is not a small honor to be able to participate in it.


    "By the way, what about Lu Chen?" Ren Feng asked suddenly.


    He looked around and saw no sign of Lu Chen.


    "Lu Chen? He, he should be in the doctor''s office." Huang Hanlin was stunned.


    The rescue room is full of people, and ordinary people really can¡¯t squeeze in.


    "Hanlin, go find him." Ren Feng smiled.


    "Ah? Why did you call Lu Chen here?" Huang Hanlin asked in confusion.


    With so many people present, even a student can¡¯t do it


    "Didn''t he tell you?" Ren Feng was also quite puzzled.


    "What?" Huang Hanlin became more and more puzzled.


    "He made this anti-heart failure pacemaker."


    Hearing Ren Feng''s words, Huang Hanlin''s eyes showed deep shock.


    "Brother Feng, you, are you right? Lu Chen did this operation?"


    "There are so many people watching, how could this be wrong!" Ren Feng smiled slightly, "It was Lu Chen who did it. Director Cheng is still Lu Chen''s assistant."


    Hearing Ren Feng''s affirmative answer, Huang Hanlin''s heart set off a storm.


    This kind of difficult electrophysiological surgery, the general attending physician, or even the deputy chief physician, is not qualified to participate.


    Lu Chen, as a student, actually became the chief knife!


    If you say this, who will believe it?


    But now the facts are in sight.


    "This, this, I..." Huang Hanlin was incoherent. When Lu Chen came back, he was still calm. Who knew he had just finished electrophysiological surgery!


    Ren Feng tapped Huang Hanlin on the shoulder.


    "Hanlin, don''t be so surprised. Lu Chen, he has obtained a certificate of completion from the Kyoto Institute of Electrophysiology!"


    This time, Huang Hanlin was really stunned!


    Certificate of Completion from Kyoto Institute of Electrophysiology?


    This is the dream certificate of many electrophysiologists!


    No wonder Director Cheng Guowen is willing to be an assistant, no wonder everyone trusts so much...


    ¡­


    Huang Hanlin came to the doctor''s office.


    Seeing that Lu Chen was still burying himself in writing the medical records, his expression was rather complicated.


    Such a powerful electrophysiological intervention doctor actually wrote the course record in a small room.


    Judging from the operation of this anti-heart failure pacemaker, Lu Chen''s electrophysiological intervention ability has reached the level of Cheng Guowen, or even surpassed!


    "Lu Chen, that, Mr. Ren Feng asked you to come over." Huang Hanlin said slowly.


    "Oh." Lu Chen nodded, "Go to the emergency room to see that leader?"


    "Well, you really did the surgery?"


    Lu Chen was walking to the door of the doctor''s office. Hearing this, he stopped, then looked back at Huang Hanlin and nodded slowly, "Yes."


    Huang Hanlin swallowed his saliva and could only silently extend a thumb.


    The way he sees Lu Chen is different now!


    Lu Chen is so young now, he can have such superb interventional surgery ability, the future is absolutely limitless!


    Then, Lu Chen walked out of the doctor''s office.


    In the ?? office, Liu Han and Gao Rui got the news right away.


    The expressions of the two of them are even more wonderful, and Liu Han''s surprise and joy.


    Although they have never had surgery, they also know the difficulty of this level of surgery!


    Lu Chen was able to perform surgery, which was unexpected to Liu Han.


    After Lu Chen came back, he was still so calm.


    ¡­


    came to the rescue room.


    Cao Zhiying and Ren Feng are nervously checking the patient''s condition.


    Whether the function of pacemaker and ECMO is normal, and whether the patient''s vital signs are stable, all need to be carefully checked one by one.


    (end of this chapter)

 v2 Chapter 512： New record

    Chapter 512 Record-breaking


    "The pacemaker is in a good position." Cao Zhiying smiled, "The patient''s heart rate has risen and his heart function has recovered."


    Immediate postoperative bedside ultrasound showed that the patient''s ejection fraction was higher than before.


    "Director, don''t you look at how long this pacemaker has been in place?" Cheng Guowen laughed aside, "The radiation dose is several times that of ordinary pacemaker surgery."


    "Well, well done!"


    Cao Zhiying stood by the bed with her hands behind her back, with a constant smile on her face.


    Being able to bring such a heavyweight back to life will be very helpful to his future career.


    He is committed to running for "academician"!


    At this time, Ren Feng stepped forward.


    "Director, Lu Chen is here..."


    Cao Zhiying looked back and saw that Lu Chen was standing beside Ren Feng.


    Lu Chen''s expression was flat, and he didn''t have the kind of restraint he had when he saw the leader.


    "How old are you this year?"


    Cao Zhiying''s question made Lu Chen stunned for a moment.


    "Director, I''m 22 this year."


    "It''s really a hero." Cao Zhiying smiled and looked at Lu Chen, "You are the only one of the younger generation in the field of electrophysiology in China to get a certificate of completion from the Kyoto Institute of Electrophysiology."


    "Director, I won the prize." Lu Chen smiled slightly.


    "Don''t be humble, we all saw your performance just now." Cao Zhiying said, "Listening to your accent, you don''t seem to be from Jinghua, right?"


    "No." Lu Chen shook his head, "I''m from the lake near Jiangcheng."


    "Oh, that''s still a little far." Cao Zhiying smiled, "But I also know several deans and directors in Jiangcheng. If you have anything in the future, you can come to me."


    "Thank you, Director." Lu Chen''s face was still as light as water.


    After two months of study at the Kyoto Institute of Electrophysiology, he met the top professors in the field of electrophysiology in China and the geniuses of the younger generation.


    This potential resource is much harder than Cao Zhiying''s relationship.


    "Oh, by the way, Lu Chen, you have to pay more attention to this patient. You are fully prepared for the later care and adjustment of the pacemaker." Cao Zhiying patted Lu Chen''s shoulder, "Don''t worry, I won''t let it go. what you did."


    Lu Chen said: "Director, since I put the pacemaker, I will definitely be responsible."


    "Okay." Cao Zhiying smiled.


    Then, Lu Chen left the emergency ward.


    Looking at the back of Lu Chen leaving, Cao Zhiying smiled softly, "Li Yao really met a good student!"


    ¡­


    Lu Chen returned to the doctor''s office and found Liu Han and Gao Rui with a strange look.


    "Cough, what''s wrong?" Lu Chen coughed softly.


    "You still ask what''s wrong..." Liu Han said, "This, the operation of this pacemaker was really done by you?"


    "Yes." Lu Chen nodded, "Everyone has seen it, it should be true."


    "Junior Brother, you..." Liu Han paused.


    I thought that everyone was under the same roof, even if Lu Chen was a little more powerful than them, it would definitely not be too much.


    but¡­¡­


    Now it seems that Lu Chen has far surpassed them by a few notches!


    This made Liu Han a little bit filthy.


    If she had a good impression of Lu Chen before, she now only has pure admiration.


    A talent of Lu Chen''s level must have a very high vision.


    ¡­


    When everyone in the CCU ward learned that Lu Chen had completed the pacemaker operation, their attitude towards him was completely different.


    Especially some chores and errands, Lu Chen will not be allowed to do it.


    This made Lu Chen a little uncomfortable!


    People, such a cheap bone...


    Lu Chen glanced at his phone, it was one o''clock in the morning.


    The leader''s condition stabilized, and everyone dispersed.


    Lu Chen was sitting alone in the office, Liu Han and Gao Rui had already gone to sleep in the duty room.


    In the second half of the night, Lu Chen was alone to watch the night.


    CCU night shift, usually by one person to watch the night, if you are too busy, you will call another person for help.


    ¡­


    To be honest, Lu Chen was also a little frightened in his heart.


    This is his first CCU night shift.


    There have been too many rescues in the first half of the night, and now there are still seven hours before the end of the night shift.


    Seven full hours!


    With the urine quality of the emergency department of the Second Jinghua Hospital, how many patients must be admitted?


    Sure enough!


    Before the CCU ward was quiet for half an hour, patients were sent from the emergency department one after another.


    The reason why there are so many patients is mainly because the Second Hospital of Jinghua, as one of the top medical institutions in Jinghua, undertakes most of the patient triage.


    In addition, the emergency department of Jinghua Second Hospital also has certain "credits".


    Except for patients with chest pain, all headaches, abdominal pains, and low back pains are admitted to the CCU ward.


    This made Lu Chen speechless.


    In the first half of the night, a patient with "liver rupture" has been admitted. The triage function of the emergency department is almost a decoration!


    Lu Chen began to doubt the level of the night shift doctor in the emergency department, and he almost regarded the CCU as a transfer station.


    Huang Hanlin is a violent temper.


    Seeing the emergency department accepting patients in such a random manner, I began to call the medical department to complain, and in the WeChat group, I bluntly opened up to the emergency doctor.


    "Hanlin, don''t get too excited." Cheng Liangli comforted, "This emergency department can''t retain any talents, except for some doctors who really have nowhere to go and who have a little ability. Just a few."


    In the current environment of Huaxia Medical, the emergency department and pediatrics have the biggest gaps.


    The large provincial-level tertiary hospitals are not bad. In some county and city-level hospitals, there are not enough emergency doctors, so doctors in various departments are used to rotate.


    Not to mention pediatrics, there are only three doctors in the pediatric ward of Jinghua Second Hospital...


    "I can forgive the poor level." Huang Hanlin was still indignant, "But they have absolutely no medical ethics. They were sent to us without examination for liver rupture, and those with brain hemorrhage and headache were sent to us."


    "It''s okay for us to be busy, but what if the patient''s condition is delayed?"


    Huang Hanlin did not listen to the advice at all, and had to go to the medical department to complain to the emergency department.


    Lu Chen thinks Huang Hanlin is cute, he dares to love and hate.


    This emergency department is a bit too much.


    I can''t even watch him anymore...


    This night.


    CCU ward and emergency department spent a battle of wits and courage.


    Lu Chen treats a new patient every half hour.


    The patient''s arrival was very rhythmic, so that Lu Chen never stopped.


    ¡­


    Six thirty in the morning.


    When the sun shone into the CCU ward, Lu Chen looked a little dazed.


    I couldn''t help it, I didn''t sleep all night, and the whole person was stunned.


    By his hand, all the medical records of each patient are placed.


    Lu Chen didn''t even count them. He should have admitted more than fifteen patients this night.


    In addition to the patients received by Liu Han and Gao Rui in the first half of the night, a total of more than 30 patients were received in one night!


    "Junior Brother, you broke the record!"


    Liu Han got up and saw Lu Chen''s first glance, and congratulated him with a smile.


    (end of this chapter)

 v2 Chapter 513： National Nature Project passed!

    Chapter 513 National Nature Project passed!


    This record, Lu Chen really didn''t want to break it.


    is really destructive!


    Staying awake all night is a great loss to the human body.


    Lu Chen felt that he was not young anymore.


    In the past, I was on duty all night and slept all night, and I was refreshed the next day.


    It''s not working anymore, it will take several days to regain my energy.


    Lu Chen came to the bathroom and looked in the mirror.


    His own health is 85(-) reflected in the mirror.


    "Am I actually a minus trend?"


    This shocked Lu Chen, staying up late really put his body in a sub-healthy state!


    "I hope I won''t be so dark in the future!"


    Lu Chen could only pray in his heart. . .


    After all, as a cardiologist, staying up late on duty is inevitable!


    ¡­


    At eight in the morning, I finally got off work!


    Lu Chen sat limply on the office chair and breathed a sigh of relief.


    This night was so torturous!


    "Lu Chen, congratulations on breaking the record." Gu Xinyue whispered aside.


    After receiving the "taunt" from Lao Gu, Lu Chen could only weakly counterattack: "I hope you can break my record tonight."


    "Don''t worry, it''s not realistic." Gu Xinyue pouted, "My face is very white, but I''m not as dark as you."


    Lu Chen: "..."


    He just wants a good rest now, but he doesn''t have the energy to "fight each other" with Gu Xinyue.


    "Go back quickly." Gu Xinyue said, "I''ll help you with the rest."


    Lu Chen was delighted, "Old Gu, you''re still funny! You see Fatty came and ran to his girlfriend. Then I''m leaving now?"


    "Well, let''s go." Gu Xinyue nodded slightly.


    Then, Lu Chen left the CCU ward with lightning speed.


    ¡­


    As soon as Lu Chen left the ward, a nurse walked into the ward, "Who was the night shift doctor last night?"


    Gu Xinyue turned to look, "Is something wrong?"


    "You still have eight patients whose ECGs have not been done." The nurse said.


    The night shift doctor is responsible for reviewing the ECG for patients who come at night.


    "What did you say? The electrocardiograms of the eight patients?" Gu Xinyue hurriedly looked out, trying to find Lu Chen''s figure.


    However, Lu Chen ran away in a hurry.


    "This..." Gu Xinyue wanted to cry without tears!


    It takes at least three minutes to do an electrocardiogram. For these eight patients, it would take half an hour!


    was tricked by this kid Lu Chen again!


    ¡­


    Lu Chen''s eyes were a little sore as he walked back to the dormitory.


    Fortunately, Lao Gu is strong, otherwise he would have to ink for half an hour, which is really a torment for the current Lu Chen!


    Lu Chen didn''t eat breakfast, so he went back to the bedroom to take a shower, and then went to bed.


    This was the busiest night shift in Lu Chen''s history.


    He was lying on the bed, almost falling asleep.


    This sleep, Lu Chen slept in a dark and dark place.


    He even had a dream.


    In the dream, he is now on the operating table for cardiac intervention, performing a difficult operation...


    ¡­


    When Lu Chen woke up, it was dark outside.


    looked at the phone, it was already seven o''clock in the evening.


    Everyone in the dormitory has returned, but everyone is cautious, afraid of disturbing Lu Chen''s rest.


    Seeing Lu Chen getting up, Wang Zihao immediately noticed.


    "Lu Chen, how many patients did you take on the night shift last night, you have slept for most of the day."


    "I just broke a record." Lu Chen was half leaning on the bed.


    Looking back on the night shift last night, I still have some lingering fears!


    "Breaking record... is it twenty?" Wang Zihao asked.


    Lu Chen shook his head.


    "Twenty-five?" Wang Zihao frowned.


    In their department, one or two patients come in a night, that''s a lot.


    Lu Chen shook his head slightly, "Thirty-two!"


    "What? Thirty-two patients in one night?"


    Everyone in the bedroom was stunned.


    There is only a CCU ward, can we have the opportunity to treat so many patients? !


    "Patient, your face is really black!" Wang Zihao looked at Lu Chen who was beside him, "Then do you want to sleep for a while?"


    "Forget it, enough sleep." Lu Chen shook his head slightly.


    The most important thing is that he has to go foraging.


    I haven''t eaten much all day, and my stomach is already growling.


    After ??, Lu Chen was ready to get up.


    At this moment, he suddenly saw the notification bar of the mobile phone, which was an unread email.


    At the beginning, Lu Chen thought it was some kind of advertisement email, but he didn''t want to pay attention to it.


    But I saw the subject of the email - the review results of the National Natural Project.


    The name ?? surprised Lu Chen.


    He held the phone in his right hand, his fingers even trembled slightly, took a deep breath, looked at the white ceiling, then slowly lowered his head and opened the email gently.


    "Congratulations, your national natural project - the application of dapagliflozin in the early stage of acute myocardial infarction, has successfully entered the next round of offline competition!"


    Online review, passed!


    Lu Chen''s face showed ecstasy.


    The hard work pays off, he really passed the online peer review!


    Lu Chen suppressed his inner joy and continued to read the entire email.


    His national nature project got 3A1B1C grades!


    The fly in the ointment is that he did not get 4 A grades.


    If you can get 4A, then the offline PPT report review is just a cutscene, and almost 100% pass the final review.


    Next¡­


    The most important part of ?? is the offline PPT report review one month later.


    If it passes the offline review, the state will officially fund Lu Chen''s project!


    ¡­


    "Lu Chen, what''s wrong with you?" Wang Zihao looked at the ecstatic Lu Chen strangely, "You didn''t take patients last night, you took too many patients, are you stupid?"


    "It''s okay." Lu Chen was still smiling, "It''s okay, I''m just happy."


    Wang Zihao looked at Lu Chen worriedly.


    This kid, can''t be really stupid, right?


    To tell the truth, Lu Chen was not at all sure about this national nature review.


    Because of the review of this kind of national nature project, this is the first time he has met, and he is completely a rookie.


    Lu Chen didn''t understand where his strength was at all!


    Although tutor Li Yao can help him revise the bidding document, his role is very limited. Only Lu Chen knows the content of his project best.


    Fortunately, I can get a 3A rating!


    but¡­¡­


    At present, this is only the online review, and there will be the last round of offline review.


    ¡­


    Eight districts in the heart.


    Director''s Office, Li Yao is still working overtime.


    As the project leader, at the same time, she also received this "project approved" email.


    "The 3A rating is already very good!"


    Li Yao is already very satisfied with this result.


    In fact, most of the projects that passed were rated at 3A.


    There are very few projects that can get 4A and 5A!


    Only one or two items can get a grade of 4A or above each year.


    "Next, let''s compete with the offline report review!"


    Li Yao was suddenly a little nervous.


    As an applicant, she must go to report and review in person.


    Before, she used to declare her own projects and just do her best.


    Now, this is my own student''s project.


    If you don''t pass, then I''m really sorry for Lu Chen!


    (end of this chapter)

 v2 Chapter 514： offline review

    Chapter 514 Offline Review


    After receiving the email, Lu Chen immediately communicated with his tutor Li Yao.


    The review time of the offline PPT meeting will be at Kyoto University one month later.


    At that time, Li Yao will go to Kyoto in person.


    Participate in the audit on the one hand, and contact the project leaders of other hospitals in Kyoto on the other hand.


    And Lu Chen stayed in Jinghua, waiting for the final result.


    The rest is up to Li Yao.


    ¡­


    On the other hand, the news that Lu Chen performed electrophysiological surgery on the provincial leaders spread like wildfire.


    The most important thing is that this electrophysiological operation is extremely difficult, and even Director Cheng Guowen can only be an assistant. . .


    For a time, Lu Chen''s influence in the Jinghua Second Academy reached a peak.


    Everyone was talking about Lu Chen after tea and dinner.


    "Have you heard that there is an amazing student from the Cardiology Department of the Second Hospital! It''s a rare one in a century!"


    "Of course I''ve heard of it. As soon as I entered the second year of graduate school, I performed a difficult electrophysiological operation. Professor Cheng Guowen of the Department of Cardiology was only his deputy!"


    "You don''t know now. As a person in the Department of Cardiology, I know more about it than you. Lu Chen has done more than that!"


    "Really? Come and listen!"


    "Then it started from a year ago, when Lu Chen first came to the Jinghua Second Hospital. At that time, Lu Chen was unremarkable. Fortunately, Professor Li Yao, who has a keen eye and a good eye, gave Lu Chen a chance to show..."


    And the vice president who made trouble with Lu Chen before, also had lingering fears at this time.


    He didn''t expect Lu Chen to grow up so fast. Fortunately, he didn''t do anything too out of the ordinary.


    ¡­


    However, Lu Chen, who was the party involved, was extraordinarily low-key at this time.


    He knew he was fledgling.


    Although there is systematic help, his progress in electrophysiological surgery is much higher than others, but he is only a student after all.


    The ability and power status do not match, and it is very likely to be envied by others.


    Keeping a low profile at the right time is also a good way to protect yourself.


    Besides, his most important task now is to enrich himself as soon as possible and improve his level of interventional surgery and knowledge structure.


    He still has a long way to go on his way to becoming one of the best doctors.


    ¡­


    In the blink of an eye, a month has passed.


    Lu Chen has been in the CCU for so long, he is already familiar with the work flow of the intensive care unit, and he is fully integrated into it.


    The superior doctors in the ?? group, Zhou Bin and Li Hui, have already acknowledged and accepted Lu Chen''s existence.


    "Lu Chen, I think you''re a natural cardiologist!" Zhou Bin said to Lu Chen, "Really, I''ve never seen such a talented doctor as you. If you want to stay in the CCU of Jinghua Second Hospital, I''ll talk to the director. Look, you can definitely stay!"


    But Zhou Bin thought about it, now it''s not the hospital that chooses Lu Chen, but which hospital Lu Chen chooses to go to.


    Zhou Bin even heard the gossip that there was a hospital for an associate professor, so that Lu Chen could go to their hospital after graduation.


    This is something that many people cannot envy!


    They have worked hard for so many years, not to mention associate professors, the hospital will not give even a deputy senior title.


    Lu Chen smiled and said, "Thank you, Teacher Zhou, I will consider it."


    During these days in the CCU ward, Lu Chen also learned a lot from Zhou Bin.


    A lot of medical experience cannot be learned in textbooks.


    Some regional diseases have different symptoms in different populations and regions.


    and so on, all need Lu Chen to learn slowly in the process of practice.


    ¡­


    For Lu Chen, the more important thing is the offline review of the National Nature Project.


    Li Yao has left for Kyoto to prepare for the final offline meeting review.


    Kyoto, a luxury hotel.


    Li Yao sat in a corner of the hall.


    Sitting in front of her is Ouyang Ming, an expert in the electrophysiology field of Huaxia Cardiology Department.


    "Uncle, you came to Kyoto this time because of the national nature project?"


    "Yes." Ou Yangming nodded slowly, "I am the first batch of national nature judges."


    Ou Yangming did not come to apply for the project, but to be a national nature judge.


    "Xiaoyao, how many projects do you have this time?"


    "Uncle, I only have one project." Li Yao said, "Actually, my students are solely responsible for this project, and they only apply in my name."


    "Lu Chen?"


    "Um."


    Ou Yangming nodded slightly, only Lu Chen had this kind of treatment.


    "Which aspect?"


    "Dapagliflozin and heart failure." Li Yao said.


    Ou Yangming nodded slowly, "I wrote it down."


    "Uncle, when I come to Kyoto this time, I also want to visit the directors of several hospitals." Li Yao continued, "Please help me introduce me."


    Ou Yangming smiled, and naturally understood what Li Yao meant.


    Li Yao himself can go to meet.


    Pulling him up is nothing more than pulling on his tiger skin.


    "Okay, just call me when you go!"


    After Li Yao and Ou Yangming separated, they returned to the hotel room.


    This time she and Ou Yangming were ventilated just for psychological comfort.


    Although Ou Yangming is a national nature judge, all projects will be randomly divided into several groups, and Ou Yangming will not necessarily be assigned to their group.


    However, in case they are grouped together, there is some confidence.


    ¡­


    Soon it will be the day of offline review.


    This day is a very important day for all scientific researchers.


    Whether ?? can go further on the road of scientific research and professional titles depends on the results of today''s review.


    Eight in the morning.


    Li Yao came to the place of the National Nature Review, located in a conference hall of Kyoto University.


    There are many small rooms in the entire hall, and projectors for PPT projections are set up in the rooms.


    The review experts all turned their backs to the applicant and conducted a double-blind review.


    All programs are divided into various disciplines such as medicine, biology, science and technology.


    The process of random grouping is managed by the National Natural Science Project Team.


    Applicants have no right to intervene.


    Until the grouping results come out, Li Yao will be taken to the corresponding conference hall by the staff.


    Project groups in the same field will be grouped together.


    The whole process of participating in the evaluation, the project applicant, the experts of the jury, and the staff, is carried out blindly, in order to ensure the absolute "fairness" of the national nature evaluation.


    "There are five people in this group." Li Yao looked at the applicant beside him.


    The other four all look relatively young, all of the younger generation in the medical field.


    But Li Yao didn''t know them and didn''t communicate with each other.


    "Number three, get ready."


    Li Yao is the third applicant.


    After the second session was over, she sorted out her clothes and walked to the front desk of the meeting.


    On the front screen, the PPT was switched, and it became "Study on the preventive effect of dapagliflozin on heart failure caused by early acute myocardial infarction."


    Li Yao cleared her throat and started to give a speech on the project PPT.


    (end of this chapter)

 ~： Happy New Year, New Years Eve...

    Happy New Year, New Year''s Hardship...


    First of all, brothers and sisters, happy new year.


    The new year is coming, wish everyone good health.


    Second, share a real case.


    can be regarded as a happy new year, and the new year suffers.


    The patient is my wife.


    In the past two weeks, she suddenly felt chest tightness...


    That¡¯s right, that¡¯s what I wrote about earlier.


    Suspected reflux esophagitis, cardiac neurosis, etc.


    CT, ultrasound, gastroscope were all done, and there was no problem. . .


    Finally, the neck begins to gushes.


    ¡­


    Only then did I know that it was chest tightness caused by urticaria!


    But, these are not the point.


    The point is, a week ago.


    She began to have abdominal pain, intermittent abdominal pain during the day, and abdominal pain on time around three or four in the evening.


    My first diagnosis at the time was, Irritable Bowel Syndrome.


    Because my wife and her sister went shopping for a day, the abdominal pain never occurred. After going home to work, the abdominal pain started again...


    This is really evil...


    So, I thought it was related to her mood, thinking about irritable bowel, or abdominal pain-type urticaria.


    Let her take stomach-protecting, anti-allergic, and anti-histamine drugs.


    However, the abdominal pain has been going on for almost a week, and there is no relief at all!


    This type of cramping abdominal pain is especially painful!


    is torture!


    So, I don''t feel like irritable bowel syndrome, or abdominal pain-type urticaria.


    The specific etiology of the disease is very simple, that is, urticaria releases a lot of inflammatory factors and accumulates in the gastrointestinal tract.


    I was seen by a dermatologist in a certain hospital today and was diagnosed with abdominal pain-type urticaria...


    However, the medication has not changed, it is still the same as before.


    Tonight, she had another episode of abdominal pain, cramping abdominal pain...


    is so torturous.


    After get off work, I have been busy taking care of her.


    However, the abdominal pain has not been relieved.


    So I really had no choice, I went to ask a graduate student in the Department of Traditional Chinese Medicine, got an online diagnosis, and prescribed some medicine.


    Just now, the abdominal pain eased a little.


    However, I take too much medicine, and I don¡¯t know which one plays the role.


    So, today''s update...


    Let¡¯s make it up tomorrow depending on the situation.


    (end of this chapter)

 v2 Chapter 515： Li Yaos Unpredictable Disaster

    Chapter 515 Li Yao''s Unpredictable Disaster


    "Dapagliflozin has been listed as the fourth drug routinely used for heart failure, and its anti-heart failure effect has been proven."


    "However, in the heart failure caused by early acute myocardial infarction, whether dapagliflozin has the effect of preventing heart failure, there are still many doubts."


    "If the protective effect of dapagliflozin on heart failure in the early stage of myocardial infarction can be clarified through clinical experiments, and the clinical application of dapagliflozin will greatly improve the prognosis of patients with myocardial infarction!"


    ¡­


    Although the entire project is under the control of Lu Chen, Li Yao is still very aware of Lu Chen''s clinical trial process and ideas.


    Now, she is giving a PPT speech on stage in an orderly manner.


    Whether you can get the judges to recognize your project book depends on this last PPT speech.


    It took ten minutes before Li Yao''s speech came to an end.


    She showed the entire clinical trial process and expected results to the judges.


    The first judge, commented as follows. . .


    "It is very creative and keeps up with practical and hot issues. The problems solved are of great clinical significance. However, the projects and programs involved in clinical trials are still somewhat immature, and I hope to further improve. The final result: it is recommended to fund!"


    The second judge.


    "The whole project design and ideas are good. But Dapagliflozin is an imported drug and is expensive. Even if the experiment is successful, it will be difficult to promote clinically. Final result: to be determined!"


    3rd reviewer, "...final result: Suggested funding!"


    The fourth reviewer¡­


    The fifth reviewer¡­


    Unfortunately, Ou Yangming was not assigned to this group.


    ¡­


    walked out of the conference hall of Kyoto University.


    Li Yao looked up at the sky.


    The sky is azure blue, with occasional birds passing by.


    "Huh, I tried my best, but it''s a worthwhile trip." Li Yao smiled.


    Looking back at the past few years.


    As the youngest doctoral supervisor of the Second Academy of Beijing-Huawei, Li Yao''s future is optimistic by everyone.


    She is expected to follow Cao Zhiying and carry the banner of the Cardiology Department of Jinghua Second Hospital.


    However, the sky is not as good as man wishes.


    Three years ago, Li Yao was involved in an "academic fraud" case.


    This is a complete disaster.


    The reason is that the academic fraud of Piero Anvisa, a professor at Harvard University in the United States, was exposed, and his main research field "cardiac stem cells" was confirmed to be completely non-existent.


    For this reason, more than 30 papers of PieroAnvisa were withdrawn by top journals and removed from Harvard University.


    This is also known as one of the most notorious scientific fraud cases of the century.


    Li Yao, as a scientific researcher in the cardiovascular field, once also wanted to enter the field of cardiac stem cells.


    Therefore, she applied for many scientific research projects with "cardiac stem cells" as the research object.


    But before the scientific research project started, this kind of "academic fraud" broke out.


    Li Yao''s reputation also plummeted in this incident.


    Before this incident, Li Yao was able to take over the Cardiology Department of Jinghua Second Hospital and the Jinghua Electrophysiology Association steadily.


    But now it seems, hanging!


    Cao Zhiying, who is heading towards "academician", can''t allow such a tainted doctor to appear in his team.


    In short, Li Yao is now almost completely away from the leadership of the Cardiology Department of the Second Hospital of Jinghua.


    Originally, Li Yao also thought about it.


    Being the director of the ward, the upper limit in this lifetime is so high, which is not bad.


    Who knows, Lu Chen was killed halfway!


    This talented student has attracted the attention of everyone in the cardiovascular field in China in a very short time.


    As Lu Chen''s mentor, Li Yao was also mentioned indirectly.


    And Li Yao also wanted to create better conditions for her students.


    It can be said that, in a sense, Lu Chen also promoted Li Yao''s academic progress.


    "Passive" progress!


    Take this "National Nature" project as an example, if it can be funded by the project team and successfully concluded.


    Li Yao, who is the main person in charge of the project, has not risen by a single star in his academic position!


    After all, Lu Chen''s project is expected to change the clinical treatment guidelines.


    ¡­


    On the day, all the meeting reviews are over.


    Results are not announced immediately.


    The final review experts will conduct multi-level comparisons based on the opinions of all experts, and finally come to a conclusion whether to fund the project.


    This process usually lasts for half a month.


    However, Ouyang Ming, who is a review expert, will receive the review results one week in advance.


    For the next week, Li Yao stayed in Kyoto.


    Next, she will visit partner hospitals of the "National Nature Project", including Kyoto Central Hospital, the First Affiliated Hospital of Kyoto University, etc.


    "Xiaoyao, don''t be too nervous." Ouyang Ming said to Li Yao on the phone, "I have inquired a little, this time there are not many project books in the cardiovascular field, and you have a high chance of winning the bid."


    "Thank you uncle." Li Yao said.


    These days, Ou Yangming is also asking around for Li Yao.


    National Nature Project, this is something that is stared at by countless pairs of eyes.


    "Uncle, when will the final result come out?"


    "Just one or two days." Ouyang Ming said.


    "uncle¡­¡­"


    Just when Li Yao continued to ask questions, Ou Yangming suddenly interrupted: "Wait a minute, there is news from the National Nature Jury team just now, let me go to the National Nature Project Team of Kyoto University immediately. I will follow up when I have news. contact you."


    "it is good."


    hung up the phone, a heart in Li Yao''s throat.


    Is the result finally coming out? !


    ¡­


    Jinghua Second Hospital.


    Lu Chen is still in the CCU ward.


    The girl who got on the ECMO machine and was diagnosed with fulminant myocarditis is finally going to be transferred to the general ward.


    The time spent in hospitalization has cost more than 300,000 yuan.


    Her mother is also scraping together, borrowing money from everywhere, coupled with the charity fundraising on the Internet, this is barely enough to pay for the hospitalization expenses.


    If she doesn''t go back to the general ward, her family really won''t be able to last.


    "Doctor Lu, can I add you a WeChat?" The girl asked timidly.


    She is 17 years old and will take the college entrance examination soon.


    Lu Chen was a little hesitant, he usually doesn''t add the patient''s WeChat.


    "Well, I want to ask you some questions about my recovery in the future. Also, I also want to study medicine, and I want to consult you when the time comes."


    This reason is still very sufficient, so that Lu Chen has no reason to refuse.


    Lu Chen thought to himself, she definitely didn''t add her because of her good looks!


    "You scan me, or I scan you?" Lu Chen took out his phone.


    "That, let me scan you." The girl said.


    Because she was going to be transferred to the general ward today, her mother gave her the phone.


    "Already added Chen Weiting as a friend."


    "Doctor Lu, let me go first." Chen Weiting waved at Lu Chen, and was pushed out of the CCU ward by the nurse.


    Lu Chen watched the hospital bed being pushed out slowly, a smile appeared at the corner of his mouth.


    This patient, from front to back, took full care of him.


    Now that he can be safely transferred to the general ward, the sense of relief that he felt after the patient was cured came spontaneously.


    This may be the happiest moment as a doctor.


    ¡­


    "ding ding."


    The phone rang, Lu Chen picked up the phone and saw that the caller ID was Li Yao, the tutor.


    (end of this chapter)

 v2 Chapter 516： Lu Chens original intention

    Chapter 516 Lu Chen''s original intention


    The sudden call from Li Yao''s mentor, could it be...


    Lu Chen calculated the day in his heart, and today happened to be the end of the review.


    picked up the phone and heard Li Yao''s voice coming from the phone.


    "Hello, Lu Chen."


    "Hello, Mr. Li."


    "The National Nature Project... passed!"


    The simple words made Lu Chen''s heart tremble, and then his face showed ecstasy.


    "teacher¡­¡­"


    He was too excited to speak.


    This result is the biggest reward for his hard work in the past few months.


    The application for the entire national nature project and the writing of the tender were all handled by him. . .


    With the qualifications of a second-year graduate student, he successfully applied for the National Nature Program. If you say this, others will definitely not believe it!


    "Lu Chen, the official result has not come out yet." Li Yao couldn''t hide her joy in her voice, "I heard this from Professor Ouyang, but it''s almost the final result."


    "Yes." Lu Chen knew Ou Yangming''s energy, and the news he got from him was basically not false.


    "I''ll be waiting for the final result in Kyoto for the time being, and drop by to visit those partner hospitals you invited." Li Yao said, "You should prepare yourself in the department."


    Once the ¡°Natural Nature¡± application is approved, the project must be carried out in each hospital immediately.


    This kind of multi-center clinical research is not a simple experiment. It needs to coordinate the experimental indicators, laboratory indicators, cardiac ultrasound indicators, etc. of all hospitals.


    All indicators are integrated into a unified standard.


    In this way, the final experimental data is meaningful.


    Otherwise, different hospitals use different project indicators, and the results of this kind of experiment will definitely be meaningless!


    "Trouble teacher." Lu Chen said.


    "Speaking like this, it''s a matter of life." Li Yao smiled, "Okay, that''s it for now."


    Then, Li Yao hung up the phone.


    Lu Chen''s right hand holding the phone trembled slightly, he tried his best to calm himself down.


    But, he really can''t do it!


    Lu Chen thought that sooner or later he would come into contact with various "national natural projects".


    But certainly not now.


    He is only in the second grade now!


    However, because of Li Yao''s mentor, he had this opportunity.


    Kung fu pays off, he also seized this opportunity!


    The next step is to devote himself to clinical research experiments.


    ¡­


    A week later.


    The final result of the ?? National Nature Review has come out.


    Li Yao''s national nature project is on the list.


    However, this time, it did not attract too many people''s attention.


    Because the project leader wrote Li Yao, not Lu Chen.


    Lu Chen, as a second-year graduate student, is not qualified to appear on the stage.


    However, within the small scope of the Cardiology Department of the Second Hospital of Jinghua, everyone knows that Director Li Yao''s "National Natural Project", the concept and experimental plan, all originated from Lu Chen.


    This is the content of Lu Chenyan''s opening report.


    Ke Yue, who had experimented with Lu Chen from the very beginning, had an unparalleled level of inner joy at this time.


    There are also two junior brothers and sisters in Lu Chende. As soon as they arrived in the first year of graduate school, they could join the national nature project, which is something that many doctoral students cannot do.


    They are all very fortunate that they chose Li Yao''s tutor during the postgraduate re-examination.


    ¡­


    After negotiating with some hospitals in Kyoto, Li Yao returned to the Jinghua Second Hospital.


    In order to celebrate the successful application of this national nature project, Li Yao also called out all her students in the Second Academy for a dinner party.


    The doctoral students of Li Yao''s supervisor are very strange.


    Although the National Natural Science Project is hard to come by, there are many projects approved by Mr. Li Yao in recent years. Why did he single out this one?


    "Senior Sister Guoguo, do you know what''s going on? Why do I feel that our boss is very interested in this national nature project?"


    Sun Guoguo, as Li Yao''s oldest student in the hospital, everyone came to her for information.


    Sun Guoguo pursed her lips and smiled, she was always beside Li Yao.


    is the one who knows the best of this.


    "You don''t know that." Sun Guoguo smiled, "Of course it''s because of Junior Brother Lu Chen!"


    "Because of Lu Chen?"


    Everyone cast a suspicious look at Lu Chen.


    "Your doctors are all in the lab, so you may not know much about the application for this project, from start to finish, Lu Chen basically completed it alone."


    "what?"


    Everyone was shocked when they heard this.


    Lu Chen completed the application for the "National Nature Project" by himself.


    "Senior Sister Guoguo, I want to ask, did he also write the national nature bidding document himself?"


    "Um."


    Seeing Sun Guoguo nodding, everyone was still in disbelief.


    This is a bid from China, not an ordinary paper or an ordinary SCI article.


    Writing a ?? tender is more than several times more difficult than this ordinary paper!


    Lu Chen, a student who has just entered the second year of graduate school, although he has many honorary titles, it is impossible to write such a tender!


    They are a bunch of doctors who can really write tenders, maybe no more than three people!


    However, now the reality is in front of everyone, and everyone has to be convinced.


    "Senior Sister Guoguo, we..."


    Everyone looked at each other, all speechless.


    This is true, people are more popular than dead people!


    "Hey, I figured it out a long time ago." Sun Guoguo smiled, "You can compare yourself with anyone, but don''t compare yourself with this kid Lu Chen. He might not be at the same latitude as us."


    Everyone and Lu Chen didn''t get along for a long time.


    Although I have heard how powerful Lu Chen is, but I haven''t gotten along with each other, so I can''t feel the oppression brought by Lu Chen at all.


    This "sense of oppression" is omnidirectional.


    From clinical to scientific research, Lu Chen surpassed his peers in a way of crushing.


    ¡­


    The dinner is over.


    Everyone''s understanding of Lu Chen increased by another point.


    Today Lu Chen was happy and drank some wine.


    He was incapable of drinking, so he drank two cups and returned to the bedroom, already in a state of drunkenness.


    "Damn it, Lu Chen, why did you drink today?"


    Wang Zihao hurriedly helped Lu Chen to wash, and then put him on the bed.


    "I''m happy today." Lu Chen smiled.


    Although he has not been here for a long time, only a year and a half, Lu Chen has successfully integrated into the big family of Li Yao.


    Although he has systematic help, if there is no mentor Li Yao, his journey will not be so smooth!


    Lying on the bed, Lu Chen squinted his eyes, he thought of a lot of things.


    In this world, fame and fortune are pursued by secular people.


    He is no exception and pursues.


    But in the process of pursuit, I hope that I will follow my original intention, the original intention of being a doctor.


    I also hope to meet many lovely people in this process, including mentors, classmates, and those patients.


    Happy New Year!


    (end of this chapter)

 v2 Chapter 517： turn on

    Chapter 517 Open


    One month later, the National Natural Science Foundation of China officially wrote the following.


    The "National Nature Project Team" with Li Yao as the main leader was officially launched.


    The other project team leaders are the directors of the Cardiology Department of each sub-center, and the project team members are mainly Lu Chen, Ke Yuefen, and members of the sub-centers.


    Yao Jie, a junior sister who is studying in a graduate school in Kyoto, is also fortunate to participate.


    In the preliminary work of the ?? project, Lu Chen, Ke Yue and others have completed part of it, including the complete test method for small samples.


    The next most important task is to expand the sample size, recruit experimental patients in each sub-center, and unify the data standards of each center.


    Clinical experiments are different from basic scientific research, and patients need to be followed up repeatedly to record changes in various indicators of patients.


    The whole research process lasted for one and a half years, and it was concluded just before Lu Chen graduated. . .


    The National Nature Project Team has some requirements for the conclusion, including how many SCI papers and Huaxia core papers have been published, how many provincial and national conferences have been held nationwide, or whether any guidelines have been promulgated.


    For this project, Lu Chen¡¯s successful conclusion requires the publication of two previous papers with a score of 5 or above and five Huaxia core papers.


    However, for Lu Chen, his pursuit is far more than that.


    After all, a SCI paper with more than 5 points has been issued in the preliminary work of the project.


    Next, Lu Chen''s goal is to move towards journals with an SCI score of 8 or higher!


    If possible, Lu Chen also wants to hit SCI journals with a score of 10 or more.


    ¡­


    Jinghua Second Hospital.


    While conducting clinical research experiments, Lu Chen continued to rotate in the CCU ward.


    Compared with basic scientific research, the advantage of clinical research is here, you do not need to stay in the laboratory every day, and you can also take care of clinical work.


    For the operation of the entire project team, Li Yao also deliberately vacated a small room in the eight districts in his heart, dedicated to the project participants such as Lu Chen and Ke Yue, to collect and organize the usual data.


    "Lu Chen, I''m working in the Department of Hematology right now. I''m not busy with my usual clinical work. I''ll come to the office to sort out the data when I have time."


    Lu Chen received a WeChat message from Ke Yue.


    Ke Yue now trusts Lu Chen extremely.


    With such a thick thigh, Ke Yue really wanted to do her best to complete the "National Nature Project".


    After passing this village, there is no such shop!


    "Okay." Lu Chen replied, "But don''t delay your usual department work, and focus on your own work first."


    They are all postgraduates, and their main task is to conduct clinical training and study.


    As for other scientific research work, after completing the clinical work, it is the icing on the cake.


    Because if you do not complete the rotation work of regulation and training, no matter how good you are in scientific research, you will not be able to get a graduate diploma in the end.


    "Don''t worry, I will be measured." Ke Yue replied.


    ¡­


    Lu Chen continued to rotate in the CCU ward.


    I don''t know if it''s because of Lu Chen''s influence, Gu Xinyue, Fatty Cheng and others have also made rapid progress.


    Now, Lu Chen, Gu Xinyue, and Fatty Cheng have become the three "generals" in Zhou Bin''s group, and everyone can play a role on their own.


    The most powerful is Lu Chen, who can basically be used as a senior attending doctor.


    The senior doctors in other groups in the CCU ward are very envious of Zhou Bin. With these three students, the usual work is not a little bit easy!


    Usually in the CCU ward, Zhou Bin will also exercise Lu Chen consciously or unintentionally, and let him start to take charge of the patients independently.


    The independent tube bed is performed in the CCU, which is different from the general ward.


    The patients here are in critical condition, and there is even a risk of sudden death at any time. If one is not careful, the patient''s condition may be delayed.


    Gu Xinyue and Fatty Cheng both envied Lu Chen''s independence, but they only stayed at the level of "envy".


    If they were left to manage patients independently, they would not dare to take over.


    There is no other reason, the main reason is that I am not capable enough to manage such critically ill patients. Once errors occur, it means great risks.


    ¡­


    "Lu Chen, a patient with severe heart failure will be transferred from the general ward later, you can take it in later." Zhou Bin walked into the doctor''s office, smiled and said to Lu Chen, "You place the doctor''s order first, and I will review it. once."


    "Okay." Lu Chen nodded slightly.


    Now basically Lu Chen issues the doctor''s order, Zhou Bin reviews it, and then the nurse executes it.


    The rest of the doctor''s office is not surprised by this situation.


    But five minutes.


    The door of the CCU ward was pushed open.


    The doctors and nurses on duty in the three districts in my heart pushed a hospital bed.


    On the hospital bed, lay a seventy-year-old old man.


    His mind was a little blurry, his eyes were hazy, and he was half leaning on the hospital bed.


    His health is 42(¡ª¡ª).


    The trend of ?? three minus signs was not expected by Lu Chen.


    The life value of patients who can be transferred from the general ward to the intensive care unit is basically a trend of three minus signs.


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


    The doctor in charge of the bed in the third district of the heart continued: "When the patient was admitted to the hospital, he mainly suffered from chest tightness and difficulty breathing. We considered it to be heart failure. After three days of diuresis, the patient''s consciousness was not too vague. Can''t answer. I just checked the ion urgently, showing hyponatremia and hypochloremia."


    Lu Chen was stunned when he heard this.


    Hyponatremia is the most common clinical disease of water-salt imbalance in the body, which refers to the sodium in serum.


    A pathological state when the ion concentration is lower than the normal level and the blood sodium concentration is less than 135mmol/L.


    When hyponatremia occurs, a series of manifestations such as headache, nausea, vomiting, drowsiness and fatigue, restlessness, muscle weakness or spasm, seizures and even coma are often present.


    Patients with heart failure usually require diuretic therapy.


    Especially some patients with severe heart failure may need to use high-dose diuretics.


    Patients with heart failure, gastrointestinal edema, and generally poor appetite.


    Diuresis is given to the patient while eating not much food. The internal environment of the patient is easily disturbed.


    "How much can the patient eat every day now?" Lu Chen asked.


    "Very few." The doctor in the third district in the heart frowned, "The patient''s immediate family is not around, and his nephew hired a nurse to take care of the patient every day."


    Lu Chen frowned deeply.


    Once the patient can''t eat and the ventilator is fatigued, the respiratory function will be worse, coupled with diuresis, which will lead to the syndrome of hyponatremia and hypochloremia.


    The person is in a coma!


    "Don''t have any family members?" Lu Chen looked behind the hospital bed.


    "No." Dr. Mo in the third district in his heart shook his head slightly, "His son is out of town and will come back in the afternoon. Usually he is his nephew."


    "Okay." Lu Chen nodded, "Then let''s push the patient''s bed into it first."


    (end of this chapter)

 v2 Chapter 518： strange family

    Chapter 518 Strange Family


    The ?? hospital bed was quickly pushed into the CCU ward.


    The nurse immediately installed a monitor on the patient, and Lu Chen began to perform a physical examination on the patient.


    "The patient''s general state was poor, with confusion, blood pressure 110/50mmHg, jugular vein filling, weak breath sounds in both lungs, moist rales, no murmurs in the auscultation areas of the heart valves, and moderate edema in both lower extremities."


    At the same time, Fatty Cheng brought an ultrasound instrument.


    "Lu Chen, let me give the patient a cardiopulmonary ultrasound?"


    "Okay, thank you." Lu Chen nodded slightly.


    His ultrasound technology has been honed to perfection. Usually, he will give the opportunity to do ultrasound to Fatty Cheng or Gu Xinyue.


    Fatty Cheng pushed the cardiac ultrasound machine to the bedside. . .


    Coupling was applied to the probe and examination of the patient''s heart and lungs began.


    "The ventricular wall motion is weakened, the cardiac function is reduced, and the ejection fraction is only about 45%."


    "The various chambers of the heart are enlarged, and the left heart is the main one."


    "There is a small amount of fluid in the pericardium, and there is a large amount of pleural effusion in both lungs."


    Fatty Cheng''s ultrasound technique has made great progress.


    He is able to make some routine slices of cardiac ultrasound.


    Beside, Gu Xinyue stood watching, eyes full of envy.


    Although Gu Xinyue is proficient in basic knowledge and clinical skills, it is strange that when he encounters cardiac ultrasound, his abilities seem to be insufficient.


    As long as he gets an ultrasound for the patient to do, it always takes a lot of effort to make the correct slice.


    "Lao Gu, you can see that the A and B lines of the lungs are vertical. We can make them all by adjusting the angle a little."


    "In addition, when making a two-chambered heart, you only need to twist the probe a little in the case of a three-chambered heart, and you can see it."


    "If you look at valve regurgitation, it''s actually very beautiful. Aortic valve regurgitation is best identified at the aortic root..."


    Fatty Cheng speaks righteously, while Gu Xinyue also learns humbly.


    After Fatty Cheng was finished, Lu Chen performed an ultrasound examination on the patient again.


    Only by doing it yourself can you have a clearer understanding of the patient''s heart condition.


    ¡­


    Once Lu Chen got started, he would know if he had any!


    In addition to the conventional views, it includes some uncommon cardiac views, such as checking the width of the pulmonary artery and so on.


    Lu Chen finished it proficiently.


    Although Fatty Cheng''s ultrasound technology is very skilled now, compared with Lu Chen, there is still a big gap.


    "What I said, just now I couldn''t see the three-chamber section of the heart clearly." Gu Xinyue curled her lips and said, "It turned out to be a level problem, I thought it was a malfunction of the instrument."


    Fatty Cheng touched the back of his head embarrassedly, "Lao Gu, don''t bury me! Then I definitely can''t compare with Lu Chen!"


    Lu Chen smiled, not paying attention to the discussion between the two.


    At this time, he devoted himself to the diagnosis and treatment of patients.


    "No wonder the breath sounds in both lungs are so weak, it turns out that there is fluid accumulation!"


    Normal lungs, breath sounds can be heard during auscultation.


    If there is pleural effusion, it will reduce breath sounds.


    When there is a lot of pleural effusion, the breath sounds may disappear!


    At this time, a large amount of pleural effusion had completely compressed the lung tissue.


    At this time, only puncture can be performed!


    If the pressure of the effusion is not released in time, the lung tissue will not recover, the blood oxygen saturation will not be maintained, and the patient will be at risk of sudden death at any time!


    After reading all the examinations of the patient, Lu Chen already had a preliminary decision in his heart.


    Patients with heart failure must strengthen diuresis!


    However, along with diuretics, fluids should also be given, especially sodium ions, chloride ions, and potassium ions in the human body.


    In addition, Lu Chen is also preparing to perform puncture and drainage of pleural effusion for the patient.


    "Aren''t the family members here yet?" Lu Chen looked at the nurse in charge of the bed.


    "Not yet." The nurse shook her head slightly, "I just called the family again, and the patient''s son said he would come in the afternoon."


    "Okay." Lu Chen nodded slightly.


    "But..." The nurse seemed to be hesitant to speak.


    "What''s wrong?" Lu Chen asked in confusion.


    The nurse thought for a while and then said, "The family said on the phone that we should treat as much as possible so that we don''t have to worry about the cost. In short, we will try our best to treat his father."


    Lu Chen was a little puzzled, this is normal, why does the nurse look like this?


    But Lu Chen didn''t think much, nodded, and started to prepare the puncture tool.


    Thoracentesis, which is one of the four most common punctures.


    Lu Chen''s puncture proficiency naturally goes without saying.


    Less than ten minutes.


    Bilateral pleural effusions were successfully placed and immediately drained a large amount of yellow fluid.


    "Continue rehydration, especially ion supplementation. On the basis of rehydration, strengthen diuresis!"


    This healing principle sounds easy.


    However, how to maintain the balance of fluid rehydration and diuresis is beyond the reach of ordinary people.


    This is also the most essential part of medical treatment.


    Unlike surgical treatment, you can see immediate results.


    Internal medicine is more often drug treatment.


    Through disease analysis, combined with various drugs, the most accurate diagnosis and treatment for patients.


    ¡­


    In the afternoon, the patient¡¯s son finally came back from the field.


    CCU, doctor-patient communication room, Jinghua Second Hospital.


    "Doctor, no matter what problem my dad has, he can''t give up treatment!"


    "Be sure to use a good treatment method to maintain my dad''s life."


    "Don''t worry, money is not a problem. But I hope there must be an effect, otherwise I will immediately transfer to the hospital in Kyoto."


    In front of Lu Chen, a middle-aged man stood.


    He hurried back with a tired look on his face.


    The first few sentences, Lu Chen can still understand.


    After all, he is his own relative, and he must hope that his father can live.


    But listening to it, Lu Chen felt that something was not quite right!


    After thinking about it, Lu Chen asked: "The patient is currently older and has many underlying diseases. Some invasive procedures may cause a lot of damage to him, such as endotracheal intubation in the emergency room, continuous cardiopulmonary resuscitation, etc. Do you agree? Use the above-mentioned treatments?"


    "Agree!" The middle-aged man signed his name on the informed consent form without hesitation, "I said, at all costs, I must maintain my dad''s life, as long as he has a breath, he can''t give up!"


    Lu Chen frowned, "You can rest assured, we will try our best to treat it. However, the patient is old and the course of the disease is very long, and the effect of the treatment may not be very good. You need to be mentally prepared."


    "In other words, even if it gets better this time, the heart failure will recur, and you may come to the hospital more often in the future."


    Hearing Lu Chen''s words, the middle-aged man was obviously a little anxious.


    "Isn''t your Jinghua Second Hospital the best hospital in Jinghua?"


    "Why can''t you even cure a heart failure?"


    "Where is your director? I want to see him! I want to file a complaint against your hospital!"


    (end of this chapter)

 v2 Chapter 519： dutiful son

    Chapter 519 Dutiful Son


    The loud voice of the patient''s family alarmed others in the CCU ward.


    The nurse immediately notified Dr. Zhou Bin.


    Lu Chen was still trying to explain to the middle-aged man.


    "Uncle, don''t worry, I''m talking to you based on the actual situation of the patient." Lu Chen said, "Severe heart failure is a disease with a very high mortality rate. Even if the symptoms can be alleviated this time, the quality of life in the future will definitely be It won''t be too high."


    The main symptoms of heart failure are chest tightness and difficulty breathing.


    Once the activity increases and the cardiorespiratory tolerance is insufficient, the patient may walk two steps, change clothes, and feel chest tightness.


    Basically lost the ability to take care of yourself!


    "I won''t listen to you, let you lead!"


    The middle-aged man didn''t want to continue talking to him when he saw that Lu Chen was young. . .


    Just then, Zhou Bin rushed over.


    "Hello, I''m the patient''s attending doctor. You can tell me anything."


    Zhou Bin gave Lu Chen a wink, Lu Chen nodded slightly and backed away.


    "The attending doctor?" The middle-aged man glanced at Zhou Bin''s badge, "I said it all, I want to find your director, how can you decide?"


    The middle-aged man''s arrogance was very arrogant. He stared at Zhou Bin closely and did not give in at all!


    Zhou Bin looked calm and said with a serious face: "In terms of your father''s diagnosis and treatment, it is my fault, and I can be responsible. And take a step back, our director is not in the department now, so if you want to see him, I am afraid it will not be easy."


    The middle-aged man frowned when he heard this, thought for a while, and after a deep sigh, he said, "Well, I''ll tell you first."


    Next, the middle-aged man told Zhou Bin what he had said to Lu Chen before.


    When Lu Chen saw this, he silently retreated.


    ¡­


    Back to the doctor''s office.


    Fatty Cheng immediately greeted him.


    "Lu Chen, what''s the matter? I heard it was so noisy in the communication room just now."


    "It''s the family member of the patient in the morning." Lu Chen shook his head slightly, "As soon as he said he wanted us to do our best to treat him, he would complain to us if something went wrong."


    aside, Gu Xinyue frowned and said, "No, it''s definitely not a matter of a day or two for a patient with such severe heart failure."


    The course of heart failure is long.


    Especially this severe heart failure is likely to develop slowly from the usual mild heart failure.


    definitely didn¡¯t develop to such a serious level in a day or two.


    "Yes, I think so too." Fatty Cheng also nodded and said, "The doctor in the past must have talked to the family about the condition, and he should know the patient''s condition."


    "Then why is he still holding such an unrealistic idea?" Gu Xinyuexin frowned.


    Everyone thinks that this family member is very strange and has very unrealistic hopes for the patient''s condition, which is indeed a bit unreasonable!


    Not to mention how critically ill the patient is, just at his age, it is already a risk factor!


    Suddenly, Lu Chen smiled.


    "Because this patient''s family is also sick!"


    "What?"


    Fatty Cheng and Gu Xinyue were stunned for a while, then looked at Lu Chen suspiciously.


    "He...what''s wrong?"


    Lu Chen''s eyes narrowed, and he said slowly, "Tianbian Filial Piety Syndrome."


    "What kind of syndrome is this?" Fatty Cheng was stunned, "I''ve heard that there is no dutiful son in front of the bed for a long time. What is the meaning of this dutiful son?"


    Lu Chen said sternly: "There is no filial son before the bed for a long time. This kind of human tragedy often makes people feel sad. But the parents are seriously ill, and the children who have been away from home for many years come to the hospital bed to take care of them, it must be a warm heart and harmony. picture?"


    As soon as these words came out, Fatty Cheng and Gu Xinyue looked at each other and both remained silent.


    They recalled the images of what Lu Chen said in their minds.


    Just listen to Lu Chen continue: "The real situation, on the contrary, these children who have returned from afar may be another kind of patient, they suffer from Tianbian Filial Piety Syndrome."


    "Lu Chen, after hearing what you said, I remembered it." Gu Xinyue nodded slightly, "This is not an officially recorded disease, it''s just a joke spread among medical staff."


    "Old Gu is right."


    Next, Lu Chen briefly explained the source of the disease.


    California, USA, thirty years ago.


    A seriously ill patient with Alzheimer''s was admitted to the hospital. Her daughter, whom she hadn''t seen for five years, came to the hospital from afar to take care of her immediately after learning the news.


    After five years, mother and daughter finally reunited after a long absence. When she saw that her formerly healthy mother was so sick that she didn''t even recognize her, her daughter suddenly realized that she had missed too much.


    So remorseful, she took a series of remedial measures: in the course of treatment, although other family members had decided to adopt the treatment method that made the patient comfortable.


    She demanded that she do everything possible to maintain the patient''s life, revoke the consent form signed by other family members for refusing CPR, and threatened the doctor, demanding that the patient be transferred to the ICU immediately, or sue the hospital.


    ¡­


    In the beginning, this disease was called "California Daughter Syndrome". Later, in order to avoid regional discrimination, doctors in Taiwan Province changed it to "Tianbian Filial Piety Syndrome".


    "Don''t say it, I have actually met such a patient''s family member in clinical practice!" After hearing Lu Chen''s words, Fatty Cheng nodded, "So, this patient''s family member is this kind of dutiful son?"


    "I guess 80% yes." Lu Chen said. "Tianbian dutiful sons often show up in the fields of intensive care, palliative care or geriatrics."


    "The common symptom of this disease is that the patient is not with the patient all the year round, and suddenly appears when the patient is receiving treatment (especially severe treatment)."


    "Desperately showing concern for the patient."


    "Critical about the treatment of the medical team, requiring aggressive and inappropriate treatment of the patient."


    "Blame the relatives who take care of the patient on weekdays and complain about their poor care."


    "Hey, this kind of family is too scary!" Fatty Cheng shook his head slightly, "I can''t take care of it normally, so I put the blame on the medical staff or relatives."


    As soon as Fatty Cheng finished speaking, everyone heard the direction of the doctor-patient communication room, and there was another burst of roars.


    After listening carefully, it was the voice of that "middle-aged man".


    Lu Chen, Gu Xinyue, and Fatty Cheng quickly stood up and ran towards the doctor-patient communication room.


    ¡­


    Doctor-patient communication room.


    Zhou Bin''s eyes were red, his mouth was panting heavily, and his chest kept heaving up and down.


    Lu Chen came to the communication room and heard the explanation from the nurse in the communication room. Only then did he realize that the middle-aged man had just scolded Zhou Bin and his words were extremely ugly.


    "Lao Gu, Fatty, you two are watching here. I''ll go and call the hospital police department and 110." Lu Chen''s face sank, "Someone is making trouble in the CCU ward."


    When the middle-aged man heard this, he felt a little cowardly, and immediately waved his hand hesitantly: "I didn''t make trouble, I just said a few words."


    "There is surveillance here." Lu Chen said in a deep voice, "Whether you beat or curse, you can''t escape!"


    (end of this chapter)

 v2 Chapter 520： Filial piety is true! (Thank you for the reward of Cai Dabao)

    Chapter 520 Filial piety is true! (Thank you for the reward of Cai Dabao)


    The middle-aged man opened his mouth and wanted to say something, but swallowed it again.


    "Lu Chen, hurry up and call!" Fatty Cheng urged.


    Lu Chen gave him a wink and held his troops for a while.


    If this incident becomes a big one, it will have a very bad impact on both parties.


    Judging from the urine quality of the hospital, even if the patient is at fault and the doctor is not at fault, there is still a high possibility of punishing the doctor in the end!


    Lu Chen said this before, just to warn the patient''s family.


    "Uncle, if you really said something unpleasant, I hope you apologize to our Doctor Zhou Bin." Lu Chen said sternly, "Otherwise, we will never tolerate it."


    However, if the patient''s family really came to trouble, Lu Chen would not be so humiliated. . .


    They are all doctors who need to be respected!


    The middle-aged man looked a little ugly.


    There was a young man beside him, probably his nephew, "Uncle, forget it, we have to be hospitalized in their hospital."


    The middle-aged man gritted his teeth, looked up at Zhou Bin, and spat out a few words, "I''m sorry."


    His voice was low, but Lu Chen could still hear it clearly.


    Beside, Zhou Bin''s face looks better.


    "Mr. Zhou, leave it to me here, you go back to rest first." Lu Chen said.


    Zhou Bin''s mouth wriggled a few times, he wanted to say something, but he didn''t say anything, he could only nod his head, and then left.


    If it was another student, Zhou Bin would definitely not leave so easily.


    But facing Lu Chen, Zhou Bin felt a sense of trust for no reason.


    ¡­


    After Zhou Bin left, there were only three people left in the doctor-patient communication room.


    "Uncle, we know your situation very well." Lu Chen said softly, "Your family''s condition has deteriorated. In the face of this situation, no one can accept it for a while. We are also children, and there are relatives in the family who are well-connected who have fallen ill. , understand the feeling."


    Hearing Lu Chen''s words, the middle-aged man''s complexion looked a little better.


    Actually, the filial piety of the "filial son in the sky" is true!


    Although this kind of family is really a headache, it disrupts the rhythm of doctors, affects the treatment of patients, and wastes critical medical resources.


    But if you think about it from another perspective, it is not difficult to understand that this phenomenon is actually a normal human relationship.


    The "filial sons of the horizon" are away from home all the year round and cannot accompany their relatives, and they are likely to bear enormous pressure.


    When they suddenly see their former healthy relatives seriously ill, this contrast makes them unacceptable for a while, resulting in unrealistic expectations for treatment.


    At the same time, because I don¡¯t want to leave the regret of ¡°the tree wants to be quiet but the wind doesn¡¯t stop, the child wants to support but the parent is not there¡±, so I hope to be able to participate in the next treatment, and even seize the time to do my best to filial piety.


    In fact, if doctors can think in a different position, it is not difficult to realize the urgent sorrow of the patients'' children who "reluctant to let the old man die like this and want to keep the last time".


    "Thank you for your understanding." The middle-aged man whispered.


    His words surprised Gu Xinyue and Fatty Cheng on the side.


    The patient''s family members, who were still arrogant and domineering just now, suddenly became quiet.


    Lu Chen continued: "Uncle, how about this, although the visit time is over today, I still let you come in to see the patient and tell you about the patient''s condition in person. What do you think?"


    In any intensive care unit, family members are not allowed to accompany you.


    There is a fixed visit time every day, and only a few minutes to dozens of minutes are allowed to visit.


    "Okay!" The middle-aged man nodded quickly when he heard that he could enter the CCU ward.


    ¡­


    Instead of labeling the "filial sons in the sky" as being vexatious, it is better to say that they are just a group of people who are temporarily "demented" because of their filial piety.


    In fact, you might as well treat them as "patients".


    Of course, this is not to look down on them on purpose, but to say that doctors can try to get along and communicate with them with the same patience and empathy as patients.


    "Then get ready, I''ll let the security let you in right away." Lu Chen said.


    "Thank you, thank you Dr. Lu!" The middle-aged man looked quite excited.


    In the CCU ward, patients with special and critical conditions are generally allowed to visit temporarily with the permission of the doctor in charge of the bed.


    Lu Chen came to the doctor''s office and first told Zhou Bin about the family members coming in to visit.


    "Okay, let the family come in and have a look, and I''ll communicate with him." Zhou Bin''s mood calmed down a little.


    Lu Chen smiled, "Mr. Zhou, you rest first, let me come."


    Seeing that Lu Chen''s eyes were firm, Zhou Bin didn''t refuse. Perhaps at this time, Lu Chen could play a bigger role!


    "Okay, then you can go."


    In fact, it is hard to believe that a second-year graduate student can treat the patient''s family members so calmly and communicate with them without barriers.


    Compared with Lu Chen''s clinical skills, his excellent doctor-patient communication skills are what medical students lack today.


    Now, Zhou Bin appreciates Lu Chen more and more.


    She also didn''t quite understand, how did Lu Chen achieve that while exercising his clinical skills, he was able to have excellent doctor-patient communication skills?


    ¡­


    After receiving Zhou Bin''s permission, Lu Chen immediately came to the gate of CCU, greeted the security uncle, and let the middle-aged man in.


    "Please put on a gown, shoe covers, and a hat."


    CCU wards need to be kept as dust-free as possible.


    The middle-aged man put on his "equipment" and followed Lu Chen into the CCU ward.


    The patient was in critical condition and was placed in the separate No. 5 rescue room.


    ¡­


    In the fifth rescue room.


    The moment the middle-aged man saw the patient, he couldn''t help but quicken his steps.


    He leaned over the bed and whispered to the patient.


    "Dad, I''m back to see you."


    "Dad, can you hear me?"


    "Dad, you answer me..."


    Lu Chen quickly explained: "When he came to the ward, the patient''s consciousness was already blurred. Now that he has been intubated and ventilated, the patient is in a state of continuous sedation, so he will not wake up for the time being."


    "Dad..." The middle-aged man''s eyes were red, and there seemed to be tears in his eyes.


    "At present, the patient has severe heart failure, hyponatremia and hypochloremia, and has a very serious infection in the lungs and a large amount of pleural effusion. We have performed puncture and drainage in time."


    While explaining, Lu Chen pointed to the two drainage bags beside the bed.


    "These are fluids that drain from the lungs."


    "Why, how come there is so much water?" The middle-aged man wondered.


    Lu Chen explained patiently: "Actually, you can simply think of the heart as a pump. It needs to pump the blood from both lower limbs and shoot it out."


    "But now the heart has no strength, the pump is failing, and the blood in the body is stagnating. The clinical manifestations are edema of both lower extremities and pulmonary edema, so there will be a lot of pleural effusion."


    Hope both doctors and patients understand and respect each other!


    (end of this chapter)

 v2 Chapter 521： It feels so good!

    Chapter 521 This feels so good!


    "Congratulations, +1 for receiving thanks from Hu Shengtao!"


    When Lu Chen was communicating with the patient''s family, he suddenly received a system prompt.


    The patient''s surname is Hu and his name is Hu Lei.


    That Hu Shengtao should be the name of the middle-aged man in front of him.


    Did he actually thank himself?


    Lu Chen glanced at him in surprise.


    "Doctor Lu, can these pleural effusions be eliminated?" The middle-aged man asked again eagerly.


    Lu Chen paused and said: "Usually, we will use diuretics to eliminate excess water in the patient''s body. In this process, we will not only eliminate water, but also some useful components in the body. elimination, such as sodium ions, chloride ions, potassium ions, etc."


    "If these ions are not replenished in time, the body is deficient, and it is very likely to cause a coma or even cardiac arrest."


    "On the other hand, if there is a lot of pleural effusion and there are symptoms of severe breathing difficulties, we need to perform puncture and drainage in time, place a tube in the chest cavity to drain the fluid..."


    The middle-aged man nodded.


    He probably understood what Lu Chen meant.


    The first choice for pleural effusion must be diuretics and other drugs. The second option, and the most direct way, is drainage through catheter puncture.


    "Doctor, when will my dad wake up?"


    "It''s hard to say." Lu Chen shook his head slightly, "When the patient''s vital signs are stable, we will try to release the sedation, and then try to go offline (ventilator). If we can get off the ventilator, it will prove that we can transfer out of the CCU. ward."


    "Okay, thank you Dr. Lu." The middle-aged man said, "Can I stay in the ward for a while?"


    After the medical treatment is over, the normal procedure is that the family members need to leave.


    "No more than ten minutes." Lu Chen said, "After ten minutes, you must leave!"


    "Okay." The middle-aged man nodded slightly.


    After ??, Lu Chen walked out of the ward.


    In front of the ward, a little nurse was at the door.


    Lu Chen said softly, "Change the patient''s urine bag and drainage tube later, and turn over by the way to prevent bedsores."


    "Doctor Lu, I changed it an hour ago." The little nurse, "Do you still need to change it?"


    "It''s changed..." Lu Chen said, "Then assist the patient to turn over. The most important thing is to involve the family members."


    "Oh, okay."


    ¡­


    Back to the doctor''s office.


    "Lu Chen, how is that family member?" Fatty Cheng immediately stepped forward and said, "Are there any other unreasonable demands?"


    "It''s okay." Lu Chen smiled, "I brought him to the patient and communicated with him personally about his condition. His mood has calmed down a lot."


    "You are too good!" Fatty Cheng patted Lu Chen


    ''s shoulders, "You actually managed to handle such a difficult family member!"


    Although Gu Xinyue pretended to be cold and didn''t speak, judging from his expression, he also agreed with Fatty Cheng''s words.


    Lu Chen smiled, "I said that this is Tianbian Filial Piety Syndrome. Since it is a disease, there must be a cure."


    Hearing this, everyone in the doctor''s office became interested and hurriedly came up. .


    When Lu Chen was away just now, Fatty Cheng had already told everyone about the "filial son in the sky" syndrome.


    "What''s the treatment?" Fatty Cheng seemed to be praising him now.


    Lu Chen said slowly: "They may feel guilty because they didn''t have time to visit patients and take care of them before. Therefore, the best way is to affirm their previous efforts and talk about what they did well."


    "Even if necessary, it can be pointed out that their accusations of doctors and nurses show the level of concern they have for patient care."


    Everyone nodded when they heard the words.


    Lu Chen continued: "Secondly, the family members of the patients may want to gain the dominance over the patient''s medical care, and keep saying that they will use the best medicine and treatment."


    "Don''t confront them face to face at this time, but try to cooperate as much as possible, and at the same time encourage them to visit patients more and help take care of them, such as helping with bathing, beating their backs, and pinching their feet."


    The superb clinical surgical skills are of course admirable.


    But in real clinical practice, there are not so many incurable diseases, not so much thrilling, and more communication with patients and their families.


    Empathy and rational communication occupy a large proportion of clinical work.


    "Congratulations, +1 for the thank you from Gu Xinyue!"


    "Congratulations, +1 for receiving thanks from Cheng Peng!"


    ¡°¡­¡±


    Looking at the prompt popped up by the system, Lu Chen smiled slightly, pretending to be forceful... It feels so good to discuss with everyone!


    ¡­


    Each patient is only a small part of the work and life for the doctor.


    After dealing with this patient, Lu Chen started the consultation work this afternoon.


    Less than half an hour later, Zhou Bin walked into the doctor''s office.


    "Wait for a chest pain patient who was transferred from the county hospital. Who''s the turn of the three of you?"


    "Me." Fatty Cheng raised his hand.


    "Okay, you can come with me later."


    "Okay, Teacher Zhou."


    After Fatty Cheng finished sorting out the records of the other patients, the patient was just pushed to the door of the CCU ward.


    So Fatty Cheng went to treat the patient with Zhou Bin.


    In the doctor''s office, Lu Chen and Gu Xinyue sat side by side.


    "Well, where did you learn these things?" Gu Xinyue suddenly said.


    "What are you talking about?" Lu Chen looked at Gu Xinyue in confusion.


    "That''s all this weird knowledge, and cardiac ultrasound, where did you learn it?"


    Gu Xinyue feels that everyone''s usual clinical practice is already tiring enough.


    Lu Chen is so introverted!


    The skill points of cardiac ultrasound technology are almost full...


    Everyone is also a student, why is Lu Chen so different?


    Lu Chen smiled and patted Gu Xinyue on the shoulder, "Old Gu, do you want to learn?"


    Gu Xinyue was stunned for a while, then nodded slightly, "Of course I want to learn, but... I don''t have as much time as you."


    Whether it is clinical skills or cardiac ultrasound techniques, these are all time-honored.


    Gu Xinyue is interested in cardiac ultrasound, but if she spends too much time, it will put the cart before the horse.


    ¡­


    At this time, Lu Chen looked in the direction of the CCU gate.


    Teacher Zhou Bin and Fatty Cheng went to see patients, why haven''t they come back for a long time?


    After seeing this, he realized that they had been staying at the gate of CCU.


    "I''ll go see what''s going on." Lu Chen frowned, then stood up and walked towards the CCU gate.


    Gu Xinyue saw this and followed closely.


    As soon as he approached, Lu Chen heard a young man standing next to the hospital bed. He was facing Zhou Bin and said, "Doctor, we were transferred from the county hospital. The doctor at the county hospital said that their enhanced CT machine was broken, so Let''s go directly to the city, but we didn''t say we''d be in the intensive care unit!"


    (end of this chapter)

 v2 Chapter 522： white calcified plaque

    Chapter 522 White Calcified Plaques


    Beside him, Fatty Cheng quickly explained to Lu Chen, "This is a patient with chest pains for a day. He has a history of high blood pressure and diabetes. The county hospital does not have imaging conditions. It happened that the CTA machine was broken, so the patient was transferred."


    Lu Chen nodded slightly and took the patient''s medical records in the county hospital from Fatty Cheng.


    The patient is a 60-year-old male with coronary heart disease, chronic hypertension and diabetes, and a BMI of around 30.


    The reason why the ?? county hospital encouraged the patient to come forward was mainly because they considered the cause of this chest pain to be unusual.


    Lu Chen looked at the case book, there were a few large characters written on it - aortic dissection possible!


    To diagnose aortic dissection, you need a CTA machine, but the hospital machine just happened to be broken!


    Step back 10,000 steps, even if aortic dissection is diagnosed, county hospitals generally have cardiac surgery, and there is no condition to treat patients with "aortic dissection".


    "Lu Chen, now the patient''s family is struggling. If it is a dissection, they only know that there is no way to cure it, so they drag it home. If it is not a dissection, they want to go to the general ward." Fatty Cheng explained in a low voice, "CCU ward The first day''s fee is seven or eight thousand yuan, and the patient''s family may not be able to bear it..."


    "Why don''t you just do an aortic CTA in the outpatient clinic?" Lu Chen wondered.


    "It''s not too expensive!" Fatty Cheng said helplessly, "The outpatient clinic is not reimbursed, and this examination will cost thousands of dollars!"


    This is hard to do!


    Lu Chen looked at the patient in the hospital bed. He was in a very sluggish state. He lay limp on the bed, eyes half-open, and a few painful groans came out of his mouth from time to time.


    The most important thing is that the health value on the patient''s head is 35(¡ª¡ª)!


    This level of HP has reached the edge of sudden death at any time.


    At this time, Zhou Bin on the side continued to persuade: "The patient''s situation is too dangerous. Even in an ordinary ward, all your expenses on the first day will cost three or four thousand yuan!"


    The family member of the patient is a man in a black trench coat. Judging from his clothes, he doesn''t look like someone who can''t afford the thousands of dollars.


    "Hey, what can I do!" The patient''s family sighed, "My uncle has no children and no daughters. He is usually alone at home and has no relatives. Even if he is hospitalized, no one will take care of him."


    It turned out not to be an immediate family member...


    This problem is getting more and more complicated.


    But Lu Chen is even more anxious now, because he can clearly see the life value on the patient''s head. If he doesn''t get hospitalized quickly, it might be dangerous in the next second!


    Lu Chen looked at the patient''s only medical records, and suddenly saw a sentence. The patient had undergone a chest CT scan at the county hospital, and the results showed localized emphysema and widened aorta.


    Lu Chen hurriedly said to the patient''s family: "Did you have a chest CT when you were in the county hospital?"


    The patient''s family members saw a young doctor appearing beside them. Although they were a little puzzled, they nodded slightly, "Yes, but it''s just plain CT scan. Didn''t you say enhanced CT?"


    Aortic dissection, which is a disease of the blood vessels.


    In clinical practice, as long as it is a disease involving blood vessels, it is necessary to use enhanced CT or angiography to see vascular lesions.


    Ordinary plain CT scan is difficult to see clearly the lesions of blood vessels.


    "Where is the film?" Lu Chen asked. He glanced at the things that the patient''s family brought with him, but he didn''t see the video film.


    "In my car, my car is in the hospital." The patient''s family said, "If you want to see it, I can go and get it."


    The doctor from the county hospital said that there was nothing wrong with ordinary CT scans, so he did not take ordinary plain CT scans to heart at all.


    "You can''t go!" Lu Chen shook his head.


    The patient''s condition is so serious that he must not be separated from his family before he is diagnosed and admitted to the CCU.


    "A friend of mine is in the car, let him bring it up." The patient''s family said.


    Lu Chen nodded slightly, "Okay!"


    ¡­


    Currently, the patient is stuck at the door of the CCU.


    The family members have been unable to make a decision for a long time, and they are still contacting other family members.


    "Lu Chen, what are you doing with a plain CT scan? It''s useless!" Fatty Cheng whispered aside.


    "There is no other good way now." Lu Chen frowned deeply, "The only way is to take out the existing inspection results and study it."


    Lu Chen is also scurrying around like a headless fly.


    Even if he could see the patient''s health, there was nothing he could do.


    Less than ten minutes.


    A young man with a video bag rushed to the gate of CCU in a hurry.


    Zhou Bin was still communicating with the patient''s family about the condition, so Lu Chen took the imaging bag and took out the CT film.


    Fatty Cheng and Gu Xinyue immediately put their heads together.


    The chest CT scan is actually very simple. It is equivalent to taking a person as a cross-section and cutting it into many parts, and you can see the image of each cross-section.


    "Lu Chen, what are you looking at?" Fatty Cheng glanced at the CT scans and found nothing unusual.


    "Look at the blood vessels." Lu Chen frowned. He was staring at the patient''s ascending aorta, thoracic aorta, and abdominal aorta, looking at each level in turn.


    "You use an ordinary chest CT to see blood vessels?" Gu Xinyue was also stunned, and looked at Lu Chen in surprise.


    How does ordinary CT look at vascular imaging?


    As we all know, the imaging of blood vessels needs to be injected into the contrast agent before it can be displayed.


    Ordinary CT, at most, depends on the diameter of the blood vessel and whether there is vascular calcification. As for the changes in the lumen, it is basically invisible!


    "Yeah." Lu Chen nodded slightly, completely ignoring the shock of the two beside him.


    At this point, Lu Chen has devoted himself to the identification of CT images.


    Since he exchanged the "CT Interpretation" skill book, his ability to judge the map has also been greatly improved.


    But usually there is no chance to display it.


    At this time, Gu Xinyue frowned and said, "Lu Chen, I saw some calcified plaques in the patient''s thoracic aorta, and the diameter was a little larger than normal, and the rest is fine!"


    On normal CT, the vascular shadows are generally black.


    If there is a white plaque on the blood vessel wall, it means that the blood vessel is calcified.


    Calcified plaques are related to basic diseases such as hyperlipidemia and hypertension.


    "Yes, I also saw these calcified plaques." Fatty Cheng also nodded, "The patient has always had high blood pressure, which should be related to this."


    Gu Xinyue glanced at Fatty Cheng, and continued: "This is only so much you can see on an ordinary CT, right?"


    At this time, Lu Chen''s eyes were like torches, but he didn''t speak.


    He stared closely at the chest CT, carefully checked every slice, and kept comparing the front and back.


    Gu Xinyue is right. What can be seen on this plain CT scan is calcified plaques, except for the larger diameter of the blood vessels.


    But do calcified plaques really only represent high blood pressure or high blood lipids?


    Suddenly, Lu Chen was stunned. He looked at the calcified spots on the blood vessels of the chest CT, showing a sudden realization.


    (end of this chapter)

 ~： take a day off

    A day off


    Today, I¡¯m doing New Year¡¯s greetings everywhere. I¡¯m too tired to come back and have no time to update.


    Take a day off.


    My wife''s urticaria has gotten better recently, the pain is gone, and the rash is gone, which is good news.


    The next update speed will be improved! ! !


    (end of this chapter)

 v2 Chapter 523： Internally displaced calcified plaque (first update)

    Chapter 523 Calcified Plaque Shifted Inward (First Update)


    CCU entrance.


    Lu Chen, Zhou Bin, Gu Xinyue and others surrounded the bed.


    The patient''s family was quite nervous. He kept looking around, looking at the CCU ward, and then lowered his head and brushed his mobile phone.


    On the hospital bed, the patient''s condition is still very bad.


    "Dissection! This should be aortic dissection!" Lu Chen suddenly said in a deep voice.


    The sudden sentence made Gu Xinyue and Fatty Cheng stunned.


    Fatty Cheng approached Lu Chen again, blinked his eyes, and asked in confusion, "Lu Chen, did you see the interlayer from this ordinary CT scan?"


    Gu Xinyue looked at Lu Chen suspiciously.


    This CT film, he has looked carefully, there is no sign that there is a possibility of aortic dissection. . .


    "Yes!" Lu Chen nodded slightly.


    asked Lu Chen to answer in the affirmative, Gu Xinyue and Fatty Cheng were even more confused.


    At this time, Lu Chen smiled, picked up the CT image in his hand, and placed it in front of the two of them.


    "Actually, Lao Gu is right. On this film, only white calcified plaques can be seen, but have you found the characteristics of the plaques?"


    "Characteristics..." Gu Xinyue frowned, and he carefully looked at the location and features of the plaques, "Except for the plaques on every piece, I didn''t see any other differences..."


    Fatty Cheng also nodded and spread his hands, "I can''t see any difference."


    Lu Chen heard the words and smiled, "Look at the location of the plaque, especially the location on each level, is there any difference?"


    Gu Xinyue and Fatty Cheng were both stunned when they heard the words, and then turned their attention to the CT image in Lu Chen''s hand.


    for a long time.


    Gu Xinyue took the lead: "I feel that the position of the white patch is not fixed on every level."


    "Yes, it seems to be moving down." Fatty Cheng nodded slightly.


    A smile appeared on Lu Chen''s face, "You read that right, the white calcified plaques on the CT are constantly moving towards the intima."


    Simply put, the plaque location on each level is different, and it is getting closer and closer to the intima of the blood vessel.


    Gu Xinyue frowned deeply and said, "According to common sense, blood vessels should be flat, so the location of calcified plaques is fixed at each level, why does it move inward?"


    Fatty Cheng scratched the back of his head with a puzzled look on his face.


    Lu Chen smiled lightly, "Because the blood vessel is dissected and divided into two layers, the calcified plaque will always move inward!"


    "Is this caused by the mezzanine?!" Gu Xinyue and Fatty Cheng were slightly taken aback.


    "Yes! It''s caused by the dissection!" Lu Chen nodded affirmatively, "In the CT image, the calcification points move inward, the inner diameter of the aorta widens, or there are independent calcification points. Once these symptoms appear, you can be highly suspicious. The possibility of a mezzanine..."


    Hearing Lu Chen''s explanation, Gu Xinyue and Fatty Cheng suddenly realized.


    Zhou Bin also noticed the abnormality of the three.


    Lu Chen handed the CT film to Zhou Bin.


    "Mr. Zhou, take a look at this CT film."


    Zhou Bin took a look, then suddenly stunned and looked at Lu Chen.


    "The calcification point moves inward, aortic dissection!"


    Lu Chen nodded slowly.


    After hearing Zhou Bin''s words, Gu Xinyue and Fatty Cheng confirmed Lu Chen''s judgment.


    This is indeed the CT sign of aortic dissection!


    The two looked at each other and couldn''t help but feel a little admiration in their hearts.


    The longer they spend with Lu Chen, the more they can feel the "terrifying" aspect of Lu Chen.


    "Doctor, what were you talking about just now?"


    On the side, the family members of the patient saw several doctors chatting enthusiastically, and asked quickly.


    Zhou Bin held the CT film and said sternly: "We just re-looked at the CT film you took in the county hospital, and we consider that there is a high probability of an aortic dissection!"


    "What?" The patient''s family was stunned. "You, didn''t you just say that you need an enhanced CT to make a diagnosis? Why can you just do a plain CT now?"


    "Furthermore, the plain CT scan I want from the county hospital didn''t report the possibility of aortic dissection?!"


    Zhou Bin paused and explained patiently.


    "Aortic dissection cannot be seen on ordinary plain CT scans, but some special CT signs can still diagnose aortic dissection!"


    The patient''s family showed bitterness. He looked at the patient on the eye bed and frowned, "Doctor, how confident are you that this is aortic dissection?"


    "With the patient''s symptoms and this chest CT appearance, the probability is more than 80%!" Zhou Bin said.


    This probability is still conservatively estimated by Zhou Bin!


    Chest pain, high blood pressure, widened aortic diameter, and inward displacement of calcification points. Combining all the clues, the probability of diagnosing aortic dissection can be at least 90%!


    At this time, the patient''s family members were completely stunned when they heard the probability of what Zhou Bin said.


    The probability of more than 80%, then this can basically diagnose aortic dissection!


    "Doctor, if it is really aortic dissection, what should I do next?" said the patient''s family.


    "Regardless of the type of dissection, surgery is generally required." Zhou Bin said, "Open the chest for vascular catheterization."


    "What about the fee?"


    "A conservative estimate is about 200,000." Zhou Bin paused and said, "This does not include the cost of post-care."


    "What... two hundred thousand?"


    The patient''s family was stunned when they heard this.


    Zhou Bin continued: "And as far as I know, the success rate of the current operation is only 50%, that is to say, there is a half chance that the patient cannot get off the operating table."


    The patient''s family did not speak. His eyes were erratic, he looked at the patient on the bed, and pursed his lips again.


    Lu Chen also knew the dilemma of his family.


    200,000 is not a small amount for any family!


    What''s more, this patient does not have any medical insurance.


    200,000 yuan at his own expense, which is a bit scary.


    And the patient is not his immediate family.


    "Doctor, if you don''t have surgery and conservative treatment, how long will it take?" the patient''s family whispered again.


    "Conservative..." Zhou Bin frowned, "I told you before, aortic dissection is an extremely dangerous disease, if the tear in the intima becomes larger, a person may die at any time due to massive hemorrhagic shock. . It''s like a ticking time bomb that could detonate at any time, and none of us know when it will explode. It could be the next second we speak."


    "Time bomb..." The patient''s family murmured bitterly, then looked up at Zhou Bin, "Okay, I see, thank you doctor, then we won''t be hospitalized, we''ll go back to our hometown."


    "What?" Hearing this, Lu Chen was stunned.


    He diagnosed aortic dissection through ordinary CT, but made the patient''s family give up treatment ahead of schedule?


    This is something Lu Chen never expected!


    "Doctor, these you, you are all high-level doctors, and the doctors in the county hospital didn''t notice it, otherwise I wouldn''t have to go." The patient''s family sighed softly, "I''ve done my best now, I''ve done my best. I really don''t have money to treat my uncle, he is alone and an old man, and he can''t possibly have money, let''s forget it, let''s go home."


    Zhou Bin saw this and did not continue to discourage him.


    Lu Chen watched the family members put the patient in the rented wheelchair and slowly walked out of the CCU ward. He also sighed in his heart, "The doctor can only control the diagnosis and treatment of the disease, and nothing else can be done!"


    (end of this chapter)

 v2 Chapter 524： General election!

    Chapter 524 General Election!


    The good and evil of human nature are probably like this.


    The family took the patient away without any hesitation.


    Lu Chen and others also returned to the doctor''s office.


    "Congratulations, +1 for the thank you from Gu Xinyue!"


    "Congratulations, +1 for receiving thanks from Cheng Peng!"


    After receiving the prompt from the system, Lu Chen smiled slightly.


    Recently, he is frantically harvesting the gratitude value of these two.


    ¡­


    Tomorrow is the weekend again. Lu Chen received a message from his mentor, Li Yao, that he was going to fly knife in Fengm County tomorrow.


    Lu Chen took the opportunity to fly the knife tightly.


    There are not many such practical exercises now. . .


    Lu Chen needs to seize every opportunity, try his best to improve his actual combat ability, and fill in the gaps.


    the next day.


    Early in the morning, the equipment dealer took Lu Chen and Li Yao to Fengm County.


    This time, Lu Chen was familiar with the road.


    There are not many surgeries, only three.


    is a difficult pacemaker implantation and atrial fibrillation ablation.


    Lu Chenjun completed the operation very smoothly, and also received a wave of consultation fees by the way.


    The consultation fee is a total of 6,000 yuan.


    This time, Lu Chen did not refuse.


    Li Yao is right, the money is nothing to her.


    But for Lu Chen, this was a "huge sum" of money.


    After completing the task well, Lu Chen and Li Yao returned to the Jinghua Second Hospital by car.


    ¡­


    On the way back to the hospital.


    "Lu Chen, are you free next Saturday?"


    Li Yao''s sudden concern and question made Lu Chen stunned.


    "Mr. Li, I may go to the project team. I need to proofread some experimental data with Ke Yue."


    "Next week, don''t go to the project team yet." Li Yao added, "Ke Yue has done a good job recently, let her proofread first, and you can review it at the end. Don''t do everything yourself, that''s too much work. You can''t do it, you know?"


    "It''s okay, teacher, I''m not tired." Lu Chen smiled, "It''s okay anyway, just come to the project team for a stroll."


    "Who said it''s okay, next Saturday will be the general election meeting of the Jinghua Electrophysiology Association." Li Yao said, "Lu Chen, you should be a core member of the Jinghua Electrophysiology Conference, right?"


    "Yeah." Lu Chen nodded slightly.


    Since he won the fifth place in the Huaxia Electrophysiology Competition, Lu Chen has been directly promoted from an elite member to a core member!


    The entire Jinghua Electrophysiology Association is composed of personnel, including the chairman and deputy chairman, core members, elite members, and ordinary members.


    "Core members, I remember that they are eligible to participate in the general election meeting of the Jinghua Electrophysiology Society." Li Yao said, "Lu Chen, you will come to the meeting with me next Saturday."


    "OK."


    Lu Chen nodded.


    Actually, he had heard some wind noises before.


    The current chairman of the Jinghua Electrophysiology Association is Professor Cheng Guowen from the Second Academy of Jinghua.


    For this reason, Jinghua Second Hospital is a thriving in the field of cardiac electrophysiology, occupying most of Jinghua''s resources, all because of the existence of the "chairman".


    Jinghua Second Hospital naturally wants to keep this "chairman" position.


    However, the competition in the field of electrophysiology is very fierce now, and the other five deputy directors of the Jinghua Electrophysiology Association are all eligible to participate in the election.


    Among them, Li Yao is also included!


    She is also the deputy director of Jinghua Electrophysiology Association.


    "Teacher, then you should also participate in the election, right?" Lu Chen wondered.


    "I...let''s make up the number of people." Li Yao laughed at himself.


    If it was two years ago, she still had a chance to give it a shot.


    But now, the possibility is almost!


    "The main thing this time is to show you." Li Yao said, "Maybe you will have the opportunity to run for election in the future!"


    Lu Chen is only in the second grade, and he is still far from participating in the competition!


    He was quite puzzled, "Teacher, with your qualifications, are you not qualified now?"


    Li Yao smiled helplessly, and patted Lu Chen on the shoulder: "This matter is more complicated, you''ll find out later."


    Li Yao didn''t say anything, and Lu Chen wasn''t going to keep asking.


    ¡­


    Back to Jinghua Second Hospital.


    Lu Chen entered the official website of the Jinghua Electrophysiology Association, which contained the information about the general election meeting a week later.


    The five deputy directors of the Jinghua Electrophysiology Association have the opportunity to participate in the election.


    Including Li Yao from Jinghua Second Hospital, and the other four from Jinghua First Hospital, Jinghua Central Hospital, Jinghua First People''s Hospital, etc...


    In addition, the core members of the Jinghua Electrophysiology Association, a total of 16 people, have the opportunity to vote.


    "Why did Mr. Li Yao say that he was going to make up the number of people?" Lu Chen was quite puzzled, "Is it because of the plagiarism of the paper before?"


    Among the candidates this time, they are also from Jinghua Second Hospital, and there is another person, Yu Shanlu from the first ward of the Cardiology Department of Jinghua Second Hospital!


    But in terms of qualifications, personal status, and influence, Li Yao basically crushed Yu Shanlu in all directions!


    If the Jinghua Second Hospital wants the position of "Chairman" to stay in its own hospital, then launching Li Yao is definitely a wise choice!


    ¡­


    Jinghua Second Hospital.


    The director''s office next to the CCU ward.


    Cao Zhiying and Cheng Guowen sat opposite each other.


    The two of them looked quite solemn.


    "Guowen, how confident are you in the general election next week?" Cao Zhiying looked up at Cheng Guowen.


    This certainty is the probability of keeping the "Chairman" in the Jinghua Second Academy.


    "Director, if we really push Yu Shanlu, then we really don''t have any confidence." Cheng Guowen shook his head helplessly, "She has no major research achievements in recent years, and her influence in the circle is not large, and many people also Don''t buy her account!"


    "But there''s nothing you can do about it!" Cao Zhiying said, "The person who is eligible for election is her."


    "No!" Cheng Guowen immediately shook his head, "Director, there is actually another person!"


    Cao Zhiying was stunned for a moment, and murmured, "There is another person... You mean, Li Yao?"


    "Yes." Cheng Guowen nodded slightly.


    "No!" Cao Zhiying immediately shook her head, "Li Yao''s influence over the years may not be very good! Let her participate in the competition and be exposed to everyone''s eyes, it may not be a good choice for our Second Academy and her! "


    Actually, Cao Zhiying still has one most important reason not to say.


    Now, he is just in the cycle of participating in the selection of academicians. During this time, it is best for him to stay away from such people with "black history".


    Otherwise, this will most likely affect his academician selection!


    Cheng Guowen sighed.


    "This won''t work, that won''t work. Let Yu Shanlu try it!"


    "Okay, let''s decide first, you can contact her." Cao Zhiying said, "Be sure to let the chairman stay in our Jinghua Second Hospital."


    Cheng Guowen sighed in his heart, on the surface he could only nod his head in agreement.


    The general election meeting this time is difficult!


    (end of this chapter)

 v2 Chapter 525： persuade

    Chapter 525 Persuasion


    Cardiology Division III.


    deputy chief''s office.


    Yu Shanlu is checking the latest electrophysiology paper, and also saw the SCI paper published by Lu Chen.


    She is also very interested in Lu Chen, who was born in the second hospital of Jinghua.


    She is also in the field of cardiac electrophysiology. As the deputy director of the three areas of the heart, she has made great achievements in ablation and pacemaker implantation.


    However, it is equivalent to Li Yao''s influence, whether she is in Jinghua City or in the whole of China, she is slightly inferior.


    "Huh, Li Yao''s student is really amazing!" Yu Shanlu looked at the difficult pacemaker implantation operation performed by Lu Chen some time ago, and even Director Cheng Guowen was just his assistant.


    If this student is allowed to grow up, the future is definitely quite scary!


    Just then, there was a knock on the door. . .


    Yu Shanlu sat up straight and said, "Please come in!"


    "Xiaoyu, what are you busy with?"


    Hearing the voice of the person coming, Yu Shanlu looked up, then froze for a while, and quickly stood up.


    "Director Cheng, why are you free to come to me today?"


    Usually Cheng Guowen does not go out of the gate, and there is no second door.


    Unless it is a consultation with some difficult patients.


    "I can''t come if I''m okay?" Cheng Guowen smiled and sat on the sofa opposite Yu Shanlu.


    "I''m not afraid that you are busy?" Yu Shanlu smiled, got up and poured a cup of hot tea for Cheng Guowen, "You can come anytime you want!"


    Cheng Guowen smiled, and then started chatting with Yu Shanlu.


    Although Yu Shanlu finds it strange, the person in front of her is her immediate boss, so she can only chat with patience.


    "Xiaoyu, how is your work at the Electrophysiology Association?" Cheng Guowen asked.


    Yu Shanlu thought for a while, then said, "It''s alright, apart from holding some meetings at ordinary times, there are no other things to do, let''s just have an idle job."


    Cheng Guowen said: "Although Jinghua Electrophysiology Society is only an academic conference, it still has a lot of right to speak in Jinghua''s cardiovascular understanding. On the other hand, provincial associations are also a bridge to communicate with national associations."


    Yu Shanlu nodded while listening.


    However, she still didn''t quite understand what Director Cheng Guowen meant.


    At this time, Cheng Guowen said: "Xiaoyu, you are now the vice chairman of the Electrophysiology Society. Have you ever thought about changing your position?"


    "Director, what do you mean..." Yu Shanlu was stunned for a moment, she suddenly thought that Cheng Guowen was about to retire, and the chairman was changed.


    Does Director Cheng Guowen mean here today...


    Yu Shanlu also felt that it was a little unlikely. With her qualifications and abilities, she was not the best candidate for the next director!


    "Xiaoyu, you also know that the position of the chairman should not be left aside." Cheng Guowen continued, "If we can stay in the Jinghua Second Hospital, it will be much more convenient for us to do things in the future!"


    Yu Shanlu certainly knows the stakes in this layer.


    She frowned, "Director, I''m going to run for the chairman, won''t it be a waste of time?"


    After all, in her opinion, this is the road to escort!


    "Don''t worry, since you are invited to participate in the competition, it will definitely not be so simple!" Cheng Guowen said sternly, "Xiaoyu, after negotiation with Cao Zhiying, I decided to help you with all my strength and run for the next chairman."


    Although she was mentally prepared, Yu Shanlu was still stunned when she heard Cheng Guowen, "Director, you are..."


    "Don''t want to?" Cheng Guowen said cheerfully.


    "Yes, of course." Yu Shanlu said quickly.


    It is a great opportunity for everyone to come across this opportunity!


    Once she can be rated as the chairman of the Jinghua Electrophysiology Society, then her own status will naturally rise!


    "However, Director Cheng, I may not have much advantage over other candidates." Yu Shanlu told the truth, this matter can be revealed by a discerning person.


    Compare Li Yao, who is also the vice chairman of the Electrophysiology Association. She has won several national natural projects this year, and she has also published several high-scoring papers.


    With Li Yao''s qualifications, he is definitely the first choice of the Second Academy of Jinghua.


    However, Yu Shanlu also knew about Li Yao.


    Since Cao Zhiying and Cheng Guowen did not choose Li Yao, they should have their own considerations and reasons.


    "Xiaoyu, don''t worry, you can do your own thing." Cheng Guowen smiled, "The rest will be handled by me and Director Cao."


    "Okay, then thank you two directors."


    Yu Shanlu smiled.


    Then, after she chatted with Cheng Guowen a few times, Cheng Guowen left.


    ¡­


    The general election of the Jinghua Electrophysiology Association was also known to the cardiology departments of major hospitals in a very short time.


    The most promising hospitals to win the "Chairman" from this general election meeting are Jinghua Second Hospital, Jinghua First Hospital, and Jinghua Central Hospital.


    These three hospitals began to gear up and operate everywhere, starting a new round of competition.


    The most Buddhist ones are Li Yao and Lu Chen.


    Li Yao had no preparation at all, and seemed to be the one who was abandoned.


    Lu Chen didn''t quite know what was going on. Even if he wanted to help Li Yao, he couldn''t do it!


    However, Lu Chen will definitely attend next week''s meeting to exercise his rights.


    Just as Lu Chen was thinking about it, he remembered the ringtone of his cell phone.


    "It''s Director Cheng Guowen? What does he have to do with me?"


    In doubt, Lu Chen picked up the phone.


    "Hello, Director Cheng."


    "Hello, Lu Chen, are you in the hospital?"


    Cheng Guowen''s voice rang on the other end of the phone.


    "Yes." Lu Chen replied.


    "It is like this, if you are in the department, I will come to you." Cheng Guowen added.


    "Director, I am the project team in the eight districts in my heart."


    "Okay, I''ll come right over."


    ¡­


    Within five minutes, Cheng Guowen rushed to the eight districts in his heart.


    In the office dedicated to the project team.


    Cheng Guowen walked in slowly, with a smile on the corner of his mouth.


    "Director Cheng, sit down quickly." Lu Chen immediately greeted him.


    "You guys are not bad here." Cheng Guowen sat down and looked around.


    "This is the strength of Li Yao''s tutor." Lu Chen smiled, "Granted us so many classrooms."


    "In the end, it''s you who are excellent and have won so many resources." Cheng Guowen said straight to the point, "Actually, I came to you today for the general election meeting of the Jinghua Electrophysiology Association next week."


    "Huh?" Lu Chen raised his brows.


    "Core members have one vote." Cheng Guowen said, "You should know that."


    "Well, I know this." Lu Chen nodded slightly.


    "So... I hope next week, you can vote for Yu Shanlu in our third district..."


    (end of this chapter)

 v2 Chapter 526： reject

    Chapter 526 Rejection


    Lu Chen frowned deeply.


    Cheng Guowen asked him to vote for Yu Shanlu in the three districts in his heart?


    What does this mean?


    Doesn''t Cheng Guowen know that his mentor Li Yao is also one of the candidates?


    "How is it? Is there any difficulty?" Cheng Guowen asked suspiciously.


    Lu Chen paused and said, "Director Cheng, you also know that my tutor, Li Yao, is also the vice chairman of Jinghua School of Electrophysiology. She should be one of the candidates this time, right?"


    Cheng Guowen was stunned for a moment, he didn''t expect Lu Chen to bring this up on his own initiative.


    "Yes, Li Yao, as the deputy chairman, should also be qualified." Cheng Guowen nodded.


    "Then why do you want me to vote for Teacher Yu Shanlu?" Lu Chen raised his head and looked at Cheng Guowen who was beside him, his eyes were extremely sharp.


    Other students may be afraid of Cheng Guowen, but he is not!


    Moreover, he also knew Yu Shanlu, a deputy chief physician, in the third district of his heart.


    Compared with his mentor Li Yao, his influence is slightly less. . .


    Why not directly choose Li Yao tutor?


    But this sentence, Lu Chen did not ask directly.


    "Lu Chen, this matter was decided by the leaders of the hospital." Cheng Guowen hesitated, "It''s not you or me who can make the decision."


    At this time, Lu Chen also understood.


    Jinghua Second Hospital is clearly trying to hold Yu Shanlu up!


    Cheng Guowen should contact all the core members in the Jinghua Second Academy and vote for Yu Shanlu.


    After a long while, Lu Chen said slowly.


    "Director Cheng, what if I refuse?"


    Cheng Guowen gave a wry smile, and he guessed it.


    Lu Chen and Li Yao have an unusual relationship.


    With his knowledge of Lu Chen and Lu Chen''s character, it is unlikely that he would be so obedient to vote for a stranger.


    "Lu Chen, this is actually the case." Cheng Guowen thought about it and said, "In the beginning, your mentor, Li Yao, was indeed our first choice!"


    "Because of discussing qualifications and abilities, Li Yao is indeed better!"


    "However, this matter needs to be considered comprehensively. Your teacher has experienced certain things and may not be suitable for the position of chairman."


    Lu Chen laughed when he heard the words.


    "A mistake, will it be remembered for a lifetime?"


    "What''s more, the origin of this matter has nothing to do with my teacher. Why are you so nervous?"


    "Director Cheng, I think that the position of chairman must be earned by the best. As for what you said, I may be reluctant to vote for Yu Shanlu."


    After listening to Lu Chen''s words, Cheng Guowen was both angry and funny.


    This is really a student with character!


    Li Yao is such a good student!


    After thinking for a while, Cheng Guowen shook his head helplessly.


    "Hey, then it''s up to you."


    For Lu Chen, he really had no choice.


    Others have performed surgeries that they cannot do!


    Lu Chen is now in the Cardiology Department of Jinghua Second Hospital, so that''s a living sign!


    However, in this way, after the votes are dispersed, Yu Shanlu has fewer votes, and the risk of her being able to ascend to the top is also great!


    "Forget it, take one step, take one step." Cheng Guowen sighed slightly in his heart.


    There are a few core members in the Jinghua Second Hospital, try to get their help.


    Then, Cheng Guowen left the project team office in the eight districts of his heart.


    ¡­


    The eight districts of the Department of Cardiology, Director''s Office.


    When Li Yao listened to Cheng Guowen''s narration and heard Lu Chen reject his request, his heart warmed.


    "Li Yao, you student, you really have a personality, you are really blessed!" Cheng Guowen was a little envious.


    He has been a tutor for so many years, and he has never met such an excellent and "cute" student!


    "Director Cheng, are you trying to persuade me now?" Li Yao pursed her lips and smiled.


    "Oh, I''m not such a scumbag!" Cheng Guowen shook his head and said, "I mean, it''s better for you to keep a low profile recently. Director Cao is working hard for his academician. What happened to you a few years ago, in The influence of the above is not good..."


    Cheng Guowen was interrupted by Li Yao before he could finish speaking.


    "Director Cheng, what you said, Director Cao''s academician review, will it be brushed down because of me, a commoner? Otherwise, this academician review is too much!"


    Cheng Guowen was at a loss for words, these two teachers and students... Really one is better than the other!


    are all ruthless characters!


    "Forget it, I won''t go on, I''ll go..."


    After finishing speaking, Cheng Guowen sighed slightly and then left the Cardiology Office.


    Watching Cheng Guowen leave, Li Yao couldn''t help showing a gratified smile.


    Although Lu Chen''s behavior may not have any effect, she has seen a lot of different things from it.


    Compared with fame and fortune, this kind of thing may be more precious!


    ¡­


    Today happened to be the weekend, Lu Chen stayed in the project team office for half a day, mainly to review various experimental data.


    Today, Ke Yue and his two junior brothers and sisters have become the absolute main force of clinical experiments.


    They collect patient data from different hospitals separately, and then compare and classify them.


    Seeing that everyone was so busy, Lu Chen couldn''t bear it.


    It was originally a weekend, it should be a day to rest in the dormitory or go shopping outside, but everyone still came to the project team to help.


    "Just got some consultation fees for Feidao." Lu Chen suddenly thought that he had some money, "Then let''s improve some meals for everyone."


    Lu Chen walked into the project team office.


    "After a while, I''ll invite everyone out for dinner! You can choose whatever you want to eat!"


    As soon as the ?? voice fell, everyone in the project team office cheered.


    Everyone is young, and they are all at the age of fun.


    "Senior brother, then I want to eat something delicious, it will cost you money." A junior sister laughed.


    "No problem." Lu Chen smiled like a local tyrant, "As you order, you can get together often when you have time in the future. Being together is fate."


    All the people here are from all over China. It is also a kind of fate to work and study together.


    Everyone looked at Lu Chen and showed a relieved smile.


    Although we are busy now, everyone believes that there will be rewards in the future!


    Especially behind Lu Chen, everyone felt a sense of solidity.


    Ke Yue also discovered that, already in the same class, he has slowly grown to a level that is difficult for them to touch.


    How long will they have to work and study together?


    ¡­


    In the evening, everyone gathers together for dinner.


    After eating, Lu Chen went back to the bedroom.


    There are a lot of things going on recently. In addition to rotating in the department, we also need to conduct clinical research.


    In addition, he will also participate in the general election meeting of the Jinghua Electrophysiology Association next week.


    All these things weighed on him, and Lu Chen felt a little tired.


    However, this feeling of exhaustion and pressure was also invisible, and slowly let Lu Chen grow up.


    (end of this chapter)

 v2 Chapter 527： Boss to review!

    Chapter 527 The boss comes to review!


    Another new week.


    Lu Chen came to the CCU ward as usual.


    However, today he has another task.


    "Lu Chen, you won''t have to do room rounds later. Go to Director Cheng''s office. He has something to do with you." Zhou Bin said to Lu Chen.


    Lu Chen frowned. Could it be about the general election of the Jinghua Electrophysiology Association?


    "Okay, I''ll go right away."


    Lu Chen nodded, then put down the stethoscope and walked towards Cheng Guowen''s office.


    "No matter what conditions Director Cheng Guowen puts forward, it is impossible for me to agree..." Lu Chen thought.


    ¡­


    Came to Cheng Guowen''s office.


    As soon as he walked in, Lu Chen saw an old man in his sixties or seventies sitting in the office.


    He was full of silver hair, sitting on the sofa with a tawny cane in his hand.


    Cheng Guowen sat opposite him, smiled and said, "Uncle Fang, I have called Lu Chen, he will come right away."


    The person who was called Uncle Fang smiled and said, "It doesn''t matter, I don''t have anything to do anyway, but you clinicians, who are usually busy, have to come and see me."


    "It should be." Cheng Guowen laughed.


    "I heard that Director Cao is busy recently." Uncle Fang asked suddenly.


    "Well, in a few days, he may go to Kyoto." Cheng Guowen nodded, "It''s still for the selection of academicians, so Director Cao has to go out."


    "Understandable, this is a big deal." Uncle Fang nodded.


    ¡­


    Just then, Lu Chen knocked on the door and walked into the office.


    "Director Cheng, are you looking for me?"


    Cheng Guowen quickly stood up with a smile on his face, "Lu Chen, I''m not looking for you, who do you think is here?"


    Lu Chen heard the words and looked towards the sofa.


    This old man seems familiar.


    "Isn''t this the leader of the health department that I used to be a pacemaker?" Lu Chen was shocked.


    That night, as the chief surgeon and Cheng Guowen as the first assistant, the two completed the difficult pacemaker implantation together.


    After the operation, the patient''s condition recovered very well, and he was transferred out of the CCU ward and discharged.


    "Dr. Lu, hello." Fang Yi stretched out his hand and looked at Lu Chen with a smile.


    Lu Chen was startled for a moment, then he also stretched out his right hand and shook it lightly with Fang Yi, then separated.


    "Hello." Lu Chen couldn''t find a suitable title for a while.


    "Lu Chen, Uncle Fang is here this time mainly for the review." Cheng Guowen said, "Because you are his surgeon and the doctor who manages the bed, he wants you to be responsible for the review this time."


    After hearing Cheng Guowen''s words, Lu Chen had a general understanding.


    After the pacemaker operation, timely and regular review is required to understand the working status of the pacemaker.


    Including regular review of dynamic electrocardiogram and regular pacemaker program control.


    "Actually, the content of the re-examination is similar." Lu Chen said, "Director Cheng, after the inspection is completed, just show me the results."


    "Okay." Cheng Guowen nodded, he also meant it, Fang Yi specially came to make Lu Chen responsible for so many doctors in the Cardiology Department of Jinghua Second Hospital, and to some extent let outsiders gossip.


    The most important thing is Lu Chen''s identity, after all, he is still just a student.


    "Then I will trouble Dr. Lu." Fang Yi also understood Cheng Guowen''s scruples, "If there is any problem, I will communicate with you in time."


    "No problem." Lu Chen nodded.


    These were originally his professional titles as a doctor, and the other party seemed to be the retired head of the provincial health department.


    Although Fang Yi has retired, the connections and resources he possesses are unimaginable to ordinary people.


    "Lu Chen, then you sit in the office for a while, and I''ll take Uncle Fang out for inspection." Cheng Guowen said, "After the inspection, we will return to the office immediately, and you will check the results later."


    "Okay." Lu Chen didn''t refuse and waited in the office.


    Then Cheng Guowen left with Fang Yi.


    With the director leading the way, the inspection on this road is naturally a green light.


    ¡­


    Lu Chen sat in Cheng Guowen''s office, drinking tea, waiting for the two to return.


    During the ?? period, he also checked his system panel properties.


    Currently, his system upgrade completion has reached 45%.


    Because the system has been upgraded once, Lu Chen temporarily named it the second stage.


    Secondly, it is the gratitude value. After so long accumulation, the gratitude value has more than 500 points.


    Lu Chen has many skills, which are very complicated.


    He didn''t take a closer look himself, and mainly focused on interventional procedures, including electrophysiology and coronary arteries.


    Among them, the proficiency of electrophysiological surgery reached 91%.


    The proficiency of coronary intervention is only 15% temporarily.


    This poor 15% is also composed of radial artery puncture and femoral artery puncture.


    As for the catheter operation part of coronary intervention, Lu Chen really knows nothing.


    "Hey, take it one step at a time."


    Now he is mainly focusing on electrophysiological interventional surgery, and he will only proceed to coronary intervention when the time is ripe.


    However, there are many similarities between coronary artery and electrophysiology. If you are proficient in electrophysiological surgery, and then learn coronary interventional surgery, it will definitely not be too bad!


    ¡­


    Waited in the office for over an hour.


    Cheng Guowen and Fang Yi came back.


    Lu Chen had to marvel at the speed of the inspection!


    Ordinary people are basically unable to get the test and examination after the pacemaker operation without a day.


    Fang Yi only took one hour!


    "Lu Chen, we''re back." Cheng Guowen held a stack of reports in his hand, all of which were the inspections he just finished.


    "Is this the result of the inspection?" Lu Chen was very surprised.


    Usually, the results of these CT reports will not come out without most of the day.


    Today is good, it should be the result as soon as it is finished...


    Lu Chen took all the inspection reports and looked at the ultrasound, CT and pacemaker programmed records.


    for a long time,


    Lu Chen read all the reports.


    "The EF value in your echocardiography has been greatly improved compared to the previous one." Lu Chen said sternly, "The pacemaker''s program control results are also very good. The pacemaker''s sensing and pacing functions are both good. is normal."


    "That''s great!" Fang Yi smiled and nodded.


    The older a person is, the more afraid of death, especially those with high positions and who have enjoyed social welfare, are even more afraid of getting sick and dying.


    "However, in the future, you still have to review regularly, drink alcohol regularly, and avoid fatigue." Lu Chen said, "Whether it is a pacemaker or coronary intervention, all problems cannot be solved, and it still depends on the patient''s usual maintenance and regular medication. "


    "Okay, I will listen to you." Fang Yi said.


    Fang Yi doesn''t care about Lu Chen''s identity, as long as he can cure his illness, that''s fine!


    ¡­


    Fang Yi stayed at the Jinghua Second Hospital all morning, and Lu Chen also entertained him all morning.


    At noon, Lu Chen accompanied Fang Yi for a meal before returning to the CCU ward.


    (end of this chapter)

 v2 Chapter 528： The conference begins!

    Chapter 528 The conference begins!


    In the blink of an eye, a week has passed.


    Today is the day when the Jinghua Electrophysiology Association will hold a general election.


    Early in the morning, Lu Chen got up and dressed up "carefully".


    found the white shirt that he had never worn before, and a pair of black leather shoes that he bought with a huge sum of 300 yuan.


    After ?? fully armed, Lu Chen went out.


    As soon as he walked out of the Guipei Building, Lu Chen met Gu Xinyue head-on.


    "Lao Gu, where are you going?"


    Seeing Gu Xinyue wearing a formal suit, this guy started to look handsome again.


    Shameful!


    "Wherever you go, I will go..." Gu Xinyue said lightly.


    "What? Are you also going to the general election?" Lu Chen asked in surprise.


    "Yes, you are not only a member, but I am also a member of Jinghua Electrophysiology Association."


    However, ordinary members and elite members are not eligible to vote, and can only sit in the audience without any sense of participation.


    "Okay, let''s go, let''s go together."


    The two walked together and came to the hotel where this electrophysiology conference was held.


    ¡­


    Hotel entrance.


    The staff lady in the red uniform immediately stopped Lu Chen and Gu Xinyue.


    "Two teachers, please register your identity information, and also take out the membership badge. I want to check it."


    Gu Xinyue was obviously ready, and when she took it out of her bag, it was a brand new badge.


    "Gu Xinyue, Jinghua Second Hospital, an ordinary member."


    The staff took Gu Xinyue''s badge and started registration.


    And here, Lu Chen also took out his badge.


    The staff was preparing to register, and when they saw the words on Lu Chen''s badge, they were stunned.


    "Core member?"


    This kid can''t be a fake certificate, right?


    The staff looked up and glanced at Lu Chen, this kid is not professional in handling fake certificates!


    A common member or an elite member badge will do.


    Actually came a "core member" badge!


    There are only a few core members in total!


    Everyone is a celebrity in Jinghua Electrophysiology. How could Lu Chen, a student as big as her, get the badge of "core member"?


    Lu Chen also saw that the staff''s eyes didn''t seem right.


    "what is wrong?"


    "Student Lu, where did you get this fake certificate?"


    The staff lady looked down on Lu Chen.


    Such a young, fair-looking boy, why does he always do such sneaky things?


    Because this meeting is full of catering, and there are gifts to take after the meeting, some people try to sneak in.


    "I''m just a fake!" Lu Chen felt helpless, "You can compare the badges of my classmates, the stamps are all the same, how could it be a fake certificate?"


    The staff is holding two badges, are they really the same?


    What''s going on here?


    Just when Lu Chen was trying to explain, Cheng Guowen and Yu Shanlu also arrived at the hotel.


    These two are really Lu Chen''s saviours.


    "Lu Chen, what are you doing standing at the door? Why didn''t you go?" Cheng Guowen stepped forward and said strangely.


    "Director, I was stopped by this staff member." Lu Chen smiled bitterly, "She said I was a false certificate..."


    The staff are actually ordinary members of the Electrophysiology Association. They were temporarily assigned to the front desk and naturally knew the chairman Cheng Guowen.


    On the side, the staff quickly explained: "Director Cheng, I took a look. This badge doesn''t look fake, but the title on it is a core member. I have never seen such a young core member!"


    Cheng Guowen understood, he laughed and said: "Then you are really mistaken! His core members are real, if they are fake, let them both go in!"


    "Huh?" The staff was startled, "This, this..."


    The staff still didn''t quite understand it, but since the leaders had spoken, after registering with Lu Chen, she let go.


    The staff looked at the back of Lu Chen leaving, and their eyes were still full of doubts.


    A "core member" of this age is really not a fake certificate?


    ¡­


    After this episode, the serious atmosphere of the scene was diluted a lot.


    About ten minutes later, tutor Li Yao also came.


    The seats of everyone are divided according to their titles.


    The chairman, and the five vice-chairmen, all sat in the first row.


    Core members followed closely behind, taking seats in the second and third rows.


    The remaining positions are elite members and ordinary members.


    "Old Gu, I won''t sit with you!" Lu Chen smiled and walked to the front row to take a seat.


    How can you look handsome?


    Don''t you have to sit at the back?


    Lu Chen sat down contentedly.


    ¡­


    "Lu Chen!"


    As soon as he sat down, Lu Chen heard a familiar voice.


    He turned his head and saw that sitting next to him was Min Xiaobo, whom he hadn''t seen for a long time.


    Both of them participated in the China Electrophysiology Society and got good rankings, so they were both directly promoted to core members.


    "Brother Bo, have you been busy recently?" Lu Chen began to greet each other.


    "I''m so busy!" Min Xiaobo laughed, "Since we came back from Kyoto, I''ve had to perform many surgeries in our department. I''m so busy that I came back to invite you to dinner. I forgot. It¡¯s better to hit the sun if you choose another day, it will be finished today, brother, I invite you to have a meal.¡±


    "Bo Ge, then I''m not humble, but I have to exploit you."


    Having done so many surgeries, it must have made a lot of money!


    Lu Chen is also very envious.


    It doesn''t matter if you have money or not, the key is to practice your hands!


    Any big coffee has to undergo countless surgeries before they can exercise.


    "Haha, no problem!"


    Seeing Lu Chen again, Min Xiaobo was also very happy.


    As a young generation in the field of electrophysiology, Lu Chen is one of the few people who convinces Min Xiaobo.


    The two chatted for a while, but the topic didn''t touch on the content of today''s conference.


    Maybe he knew that the two had different positions and didn¡¯t talk about these embarrassing contents.


    Among the candidates for the chairman of the committee today, there are not only two people from Jinghua Second Hospital, but also a Jinghua Central Hospital from Min Xiaobo.


    ¡­


    At nine o''clock in the morning, the general election of the Jinghua Electrophysiology Conference officially started!


    The opening of the ?? meeting, like all other meetings, is the leader''s speech.


    As the chairman, Cheng Guowen made a brief summary of his work in the past few years.


    "With everyone''s help, the Jinghua Electrophysiology Association is booming! This year, two colleagues have the honor to study at the Kyoto Institute of Electrophysiology, so that the name of the Jinghua Electrophysiology Association can be known to everyone."


    The stinky and long speech ended with speeches from five candidates.


    Apart from Li Yao''s calmness, the other four were a little bit nervous.


    All the superficial work is over, and the voting for the general election is finally about to begin!


    (end of this chapter)

 v2 Chapter 529： Six votes!

    Chapter 529 Six votes!


    This election vote is a show of hands voting.


    Everyone sits together, and core members have the right to vote.


    "Next, is the theme of our conference, voting for the next chairman."


    Cheng Guowen looked around with a determined expression, and paused deliberately when he saw Li Yao and Yu Shanlu.


    "All core members can vote or abstain, and everyone has the right to one vote."


    As soon as the voice fell, everyone''s expressions were very solemn.


    The core members of the Electrophysiology Association come from different hospitals in Beijing.


    There are several affiliated hospitals of Jinghua Medical University, as well as Jinghua Central Hospital and Jinghua People''s Hospital. . .


    The candidates for the chairman this time came from three hospitals.


    Li Yao and Yu Shanlu from Jinghua Second Hospital, Xu Zeguo from Jinghua First Hospital, and Jiao Shuyuan from Jinghua Central Hospital.


    In an election meeting like this, the comparison is who has more influence and who has a better relationship.


    Each core member does not represent an individual, but the overall interests of the hospital where he or she belongs.


    For example, Lu Chen, Cheng Guowen asked him many times before to vote for Yu Shanlu in the third ward of the Cardiology Department of the Second Hospital.


    If it were anyone else, it would be impossible to refuse.


    In addition to the core members, elite members and ordinary members are starting to discuss, and everyone is trying to figure out who the final winner will be!


    "I think Professor Jiao Shuyuan has the best hope! A doctor from their Jinghua Central Hospital entered the final national finals of the Electrophysiology Association this year, and the ranking is quite good."


    "Yes, I''ve heard of it too. The development of Jinghua Central Hospital has been very rapid in recent years! Although it is not as good as the Second Hospital of Jinghua, the future is promising!"


    "Professor Jiao Shuyuan is amazing, but I think Professor Li Yao is the best! She has won a few natural studies this year. In the field of electrophysiology, she is among the best in Beijing!"


    "Li Yao is amazing, but she has a black history. I don''t think her chances are really big. I heard that the Second Academy of Jinghua is going to push Yu Shanlu!"


    ¡°¡­¡±


    ¡­


    Off the field, Lu Chen looked at But Li Yao in front of him, his eyes extremely firm.


    However, Lu Chen also understood that this was actually a game between hospitals.


    No matter how he persists, he cannot change the final outcome.


    There are fourteen core members and fourteen votes.


    In addition to Cheng Guowen''s three votes, a total of seventeen votes.


    Whoever gets the most votes can become the new chairman of the Electrophysiology Association!


    "Next, voting begins!"


    Everyone held their breath and stared at the screen in the conference hall.


    On the ?? screen, the names of four candidates appeared.


    Lu Chen took a deep breath, then slowly exhaled.


    This is the first time he touches the change of rights.


    "First of all, the one who voted was Professor Xu Zeguo from the First Academy of Jinghua."


    "I count down three times, and everyone will raise their hands to vote."


    "three¡­¡­"


    "two¡­¡­"


    "one!"


    As soon as he finished speaking, Lu Chen looked at the person beside him.


    No one raised their hand!


    Lu Chen was a little surprised.


    Among the ?? core members, there should be several people from Jinghua First Hospital.


    It¡¯s okay to say that others don¡¯t raise their hands, but they don¡¯t raise their hands for the same hospital, which is simply unreasonable!


    On the stage, Professor Xu Zeguo from Jinghua First Academy looked embarrassed, but it was fleeting.


    Under the stage, everyone was whispering.


    Xu Zeguo is also a well-known figure in the field of Jinghua electrophysiology!


    did not get any votes.


    When there are zero votes like this, it is rare!


    Just listen to Cheng Guowen and say slowly: "Jinghua First Hospital, Xu Zeguo, zero votes!"


    Cheng Guowen just frowned slightly, then continued.


    "Next, Jinghua Central Hospital, Jiao Shuyuan."


    "Everyone raise their hands to vote!"


    After Cheng Guowen counted down, Lu Chen looked at Min Xiaobo beside him.


    Professor Jiao Shuyuan is a popular candidate for this general election.


    He has made great achievements both in the field of electrophysiological research and in the field of intervention.


    Among the other three, only Li Yao can compete with one or two.


    On the scene, Min Xiaobo, as a core member of the Jinghua First Academy, naturally raised his hands to vote.


    In addition, there are also two people sporadically.


    Lu Chen frowned slightly, why didn''t everyone react?


    Up to now, the popular candidate Jiao Shuyuan has only received three votes!


    Do you want to squeeze all the votes in your hands to the end and vote for Yu Shanlu?


    On the stage, Cheng Guowen continued: "Jinghua Central Hospital, Jiao Shuyuan, three votes!"


    There are fourteen votes left!


    Under the venue, there were endless discussions.


    Jiao Shuyuan''s three votes were actually similar to Xu Zeguo''s zero votes, and they were far beyond everyone''s expectations.


    "I''m going, Professor Jiao Shuyuan, I only got three votes! This is too outrageous!"


    "Yes, Professor Xu Zeguo is really pitiful. The core members of his hospital do not vote for him."


    "There are only two people left in the Jinghua Second Hospital, and there are still fourteen votes!"


    "The final winner is the Second Hospital of Jinghua!"


    "Whether Li Yao or Yu Shanlu, the chairman, finally fell on the head of the Jinghua Second Academy!"


    "No way, the Cardiology Department of Jinghua Second Hospital is too strong, and now it is firmly in the top ten in the country! And there are also doctors who have entered the national finals of electrophysiology, which is no worse than Jinghua Central Hospital!"


    ¡­


    As long as there are no scenes of a large number of abstentions, the final winner will be Li Yao and Yu Shanlu of the Jinghua Second Academy.


    "Next, it''s Li Yao from Jinghua Second Hospital!"


    "Raise of hands to vote!"


    Hearing Cheng Guowen''s voice, Lu Chen immediately raised his hand.


    At the same time, he is also observing several people around him, so there are core members who have not yet voted.


    In Lu Chen''s line of sight, another person raised his hand, two votes!


    Lu Chen thought to himself, not bad, besides himself, at least one more vote!


    Unexpectedly, another person raised his hand right after.


    Three votes!


    Then the fourth, four votes.


    Fifth, five votes!


    Sixth, sixth vote!


    Lu Chen glanced at the crowd, and including himself, Li Yao''s tutor actually won a full six votes!


    This is something he never thought of...


    The other five people who raised their hands to vote, Lu Chen didn''t know at all, they should not be doctors of the Jinghua Second Hospital system.


    Voting time ended and no one raised their hands anymore.


    "Jinghua Second Hospital, Li Yao, six votes!"


    On the stage, Cheng Guowen showed a look of astonishment.


    Li Yao actually got six votes, which was beyond his imagination.


    Suddenly, Cheng Guowen seemed to have thought of something, his face froze, and then he sighed slightly.


    Li Yao was also stunned when she heard the number of her votes.


    She knows a few of these core members of the vote.


    But there are not many interactions in normal times. The most important thing is that she has not been lobbying recently, so why did she suddenly vote for herself?


    And Yu Shanlu, who is also the second hospital of Jinghua, looked a little ugly.


    Out of fourteen votes, six more votes went!


    Eight votes left!


    Among the ?? candidates, she is the only one left!


    (end of this chapter)

 v2 Chapter 530： new chairman

    Chapter 530 New Chairman


    I have eight votes left, and she is the only one left.


    It seems that she will win Li Yao''s six by eight votes.


    "I''ll go, isn''t that Yu Shanlu winning? She became the new chairman of the Electrophysiology Association?"


    "I''m not convinced! Yu Shanlu, why is she? The other professors are better than her, aren''t they?"


    "You fools, the final result is uncertain! What if someone abstains?"


    Yu Shanlu can become the vice chairman of the Jinghua Electrophysiology Association, and he also has two brushes, but his influence in the country is still not comparable to that of Li Yao and Jiao Shuyuan.


    ¡­


    Everyone stared closely at Cheng Guowen on the stage, watching him announce the beginning of the final voting.


    Cheng Guowen calmed down, looked up at the crowd, and said slowly: "This conference, the last vote, the Second Court of Beijing, Yu Shanlu!"


    As soon as the ?? voice fell, there was a moment of silence in the scene.


    Then, two people immediately extended their hands.


    Two votes!


    Yu Shanlu received two votes in an instant.


    However, minutes passed by, but no one raised their hands again. . .


    Not even Cheng Guowen on stage raised his hand.


    On the stage, Yu Shanlu''s face was ashen.


    "Are they going to give up?" Lu Chen wondered, "This is not scientific..."


    Cheng Guowen reminded him many times before, asking him to vote for Yu Shanlu of the second hospital.


    Unexpectedly, at the last critical moment, Cheng Guowen actually abstained himself!


    What happened here is too dramatic...


    There are eight votes left, with a total of six abstentions.


    In other words, Yu Shanlu only got two votes!


    is even one vote lower than Jiao Shuyuan''s three votes.


    Now, even Cheng Guowen did not abstain and cast his three votes.


    However, she had three more votes, reaching five votes, still not as good as Li Yao''s six votes.


    "Voting is over, Yu Shanlu, two votes!"


    The voice of Cheng Guowen fell at will, and the final result appeared in front of everyone''s eyes.


    "Jinghua Second Hospital, Li Yao, six votes!"


    "Jinghua Central Hospital, Jiao Shuyuan, three votes!"


    "Jinghua Second Hospital, Yu Shanlu, two votes!"


    "Jinghua First Hospital, Xu Zeguo, zero votes!"


    There were only eleven valid votes, and all the rest abstained.


    The result of the ?? election is obvious.


    Lu Chen and Li Yao were a little stunned for the first time.


    The two of them Buddhists actually had a big advantage over the others at the last moment.


    Six to three to two is a big advantage!


    Lu Chen swallowed softly. Could it be that Li Yao''s usual calmness is just a pretense?


    In fact, she has done everything behind the scenes?


    This is really the big guy behind the scenes!


    In addition to those who abstained from voting, everyone other than the Jinghua Second Academy directly voted for her!


    And Li Yao''s idea is similar to Lu Chen.


    She has never lobbied anyone at all, and she has only met others a few times and is not familiar with them at all.


    Logically speaking, no one knows who to choose her.


    However, this final result had to make Li Yao suspect, could it be that Lu Chen secretly lobbied for her?


    At the last moment of voting, Professor Cheng Guowen even abstained from voting!


    Lu Chen went through a trip to Kyoto, and his network resources must be very broad.


    Li Yao turned her head to look in Lu Chen''s direction and saw that Lu Chen was smiling at her, so she smiled too.


    Is this implying yourself?


    Is it really his student Lu Chen?


    At this time, Lu Chen also looked at Li Yao in doubt.


    found that Li Yao has been pursing his lips and smiling, is it really the teacher''s own behavior?


    ¡­


    Except for this teacher and student, everyone else was even more shocked.


    Yu Shanlu looked at Cheng Guowen on the stage with a puzzled look.


    It is clearly stated, push yourself to the stage!


    Temporarily changed again!


    Not only Cheng Guowen, but Yu Shanlu has lobbied others, almost five.


    Now of the five, only two have raised their hands to vote.


    Yu Shan''s face was ashen, she felt like she was being tricked!


    ¡­


    Outside the venue, the melon eaters were talking a lot.


    "I''m going, it really is Professor Li Yao, I''ll just say, Professor Li Yao has this article and project in the past year, and he is definitely the best candidate!"


    "You shouldn''t have said that you were choosing Professor Jiao Shuyuan just now?"


    "Ahem, it''s still Professor Li Yao. As a woman, it''s a great thing to be able to serve as the chairman."


    "But, I heard about Li Yao''s dark history. Wouldn''t it be great to be the chairman of such an association?"


    Some people are happy, some people are sad.


    Li Yao is not a particularly high-profile person in Jinghua''s electrophysiology circle, but he is very powerful and gives everyone the impression that he is a hard power.


    Apart from the unexplained "black history" in the past, everyone didn''t have much opinion on her coming to be the chairman.


    However, the current Cheng Guowen is quite tangled!


    Chairman of Jinghua Electrophysiology Association, staying in Jinghua Second Hospital, this is a good thing.


    However, Director Cao specially emphasized that Li Yao is not suitable to be the chairman of such an important association now.


    It is now during the academician review period. Director Cao Zhiying is afraid that someone will find the attack point, so that it will hinder the academician review.


    In addition, Cheng Guowen has one more thing he wants to figure out.


    That is, why did those core members who he had already lobbied suddenly turned against each other?


    He himself abstained mainly because he saw that the situation was settled.


    Even if he voted his three votes for Yu Shanlu, it would not change the final situation.


    But what about those who promised Yu Shanlu originally?


    Why did you change your mind all of a sudden?


    ¡­


    Conference Hall.


    Cheng Guowen stood up, looked around, his voice was low.


    "The results of the vote have come out. Professor Li Yao from the Second Academy of Jinghua, with six votes, became the final winner and will serve as the chairman of the next Electrophysiology Association!"


    When Professor Cheng Guowen announced the result, everyone cheered.


    Someone started to come to Li Yao and congratulate her.


    Min Xiaobo also knew the relationship between Lu Chen and Li Yao, and patted Lu Chen''s shoulder with a smile: "Lu Chen, congratulations, your boss has become the chairman of the next term, you can take care of him in the future!"


    Hearing everyone''s congratulations, Li Yao slowly came to her senses, everything just happened just now.


    She actually became the chairman of Jinghua Electrophysiology Association!


    This was something she would not have dared to think about a year ago.


    Even before today''s meeting, Li Yao didn''t have any expectations at all.


    ¡­


    Conference is over.


    Cheng Guowen saw that there were a lot of people around, and it was not easy to ask the reason for the time being, so he temporarily suppressed his doubts, and after chatting with Li Yao for a few words, he left.


    At this time, Li Yao and Lu Chen finally met.


    "Lu Chen, it''s not your fault?"


    "It''s not me, I thought it was you just now..." Lu Chen looked surprised, he thought it was Li Yao who was controlling the entire election meeting behind his back.


    I didn¡¯t expect that there was someone else? !


    (end of this chapter)

 v2 Chapter 531： How to train a tutor to become an academician?

    Chapter 531 on how to train a mentor to become an academician?


    in the conference hall.


    The crowd slowly dispersed, and Li Yao found Xiao Mei, a core member of the Jinghua Electrophysiology Association who voted for her.


    "Professor Li, congratulations!"


    Xiao Mei smiled and said to Li Yao, at the same time she also noticed Lu Chen beside Li Yao. .


    This student is the one who, according to rumors, made Professor Cheng Guowen willing to be the surgical assistant.


    "Director Xiao, I haven''t seen you for many years, you are still so young." Li Yao smiled slightly.


    The two met a few times when they first started working, and then they only communicated at the annual meeting, and they rarely interacted with each other.


    "Professor Li, we don''t have to do this business nonsense." Xiao Mei smiled, "If you have time, you have to go to our place to give a lecture! Our People''s Hospital expects a professor like you to give a lecture!"


    "It''s my honor, just listen to Director Xiao''s arrangement." Li Yao''s words suddenly changed, "By the way, please ask Director Xiao to explain to me about the matter of voting today."


    In the conference hall, most of the people left.


    Only Li Yao, Lu Chen, and Xiao Mei were left.


    Li Yao stared at Xiao Mei in front of her.


    She really can''t figure it out, why would Xiao Mei vote for her on such an occasion when they obviously don''t have a lot of intersections?


    There must be something tricky in this, otherwise it makes no sense!


    Li Yao doesn''t think that he has the aura of dominance and the aura of the protagonist, and can make someone who is not familiar with him vote for him...


    Xiao Mei''s brows and eyes showed a smile.


    However, she did not answer this question directly, instead she glanced at Lu Chen beside him.


    "Professor Li, this must be your student Lu Chen, right?"


    Li Yao was stunned for a moment, but still nodded: "Yes."


    Then she introduced to Lu Chen: "Lu Chen, this is the director of the Cardiology Department of Jinghua People''s Hospital, Xiao Mei."


    "Hello Director Xiao." Lu Chen smiled.


    "Student Lu, hello, although we are not in the same hospital, but my name for you is like thunder." Xiao Mei said.


    "Director Xiao has won the prize."


    Lu Chen was also a little strange, why did the topic suddenly come to him?


    Wasn''t Mr. Li Yao just asking about voting?


    "It''s not an award." Xiao Mei shook her head, "I heard that some time ago, you asked Professor Cheng Guowen to be an assistant once to complete a difficult electrophysiological operation?"


    Lu Chen was stunned, the news spread so fast!


    Jinghua Second Hospital and Jinghua First People''s Hospital, these are completely two hospitals with different systems.


    Moreover, the two hospitals are geographically far apart!


    "Director Xiao, your news is really well-informed." Li Yao showed a faint smile on the corner of his mouth, "It''s true that there is such a thing."


    Her own students are so promising, and as a tutor, she also has a light on her face!


    Although she didn''t teach Lu Chen too much...


    "I''m fortunate enough to know this patient Lu Chen''s surgery." Xiao Mei paused before saying this.


    Li Yao didn''t have much reaction when he said this, but Lu Chen was stunned.


    The patient in that operation was Fang Yi who came to the department for review some time ago, a retired provincial health department leader.


    Xiao Mei deliberately brought up "Fang Yi" on this occasion, she must have her intentions.


    Could it be because of this health department leader?


    Lu Chen was startled, thinking that this possibility is very big!


    Fang Yi''s identity in the Jinghua health system is definitely at the level of a boss.


    Although he has retired, his influence should not be underestimated!


    ¡­


    aside, Xiao Mei smiled and nodded. She saw Lu Chen''s reaction, and it seemed that she had already made the point.


    As for Li Yao, although she was at a loss at this time, she could probably guess from Xiao Mei and Lu Chen''s expressions that it was related to the patient Lu Chen had operated on.


    "Professor Li, I still have something to do. Let''s talk later!" Xiao Mei was ready to leave when she saw that the matter was resolved.


    "Okay." Li Yao nodded slightly, "Director Xiao, you can arrange the lectures, just let me know when the time comes."


    Xiao Mei''s face brightened, Li Yao became the chairman of the Electrophysiology Association, and it was extremely rare to give lectures in their department in this capacity.


    I just thought Li Yao was just talking casually, but I didn''t expect it to really take it to heart.


    "Alright, thank you Director Li Yao!"


    "Director Xiao, goodbye."


    Lu Chen also said hello to Xiao Mei, and after she left, looked back at Li Yao.


    Li Yao''s eyes were full of urgency, "Lu Chen, I only heard that the patient you operated on last time was a leader. What is his identity?"


    Li Yao usually has a lot of affairs and doesn''t pay much attention to this kind of gossip.


    Lu Chen paused and said slowly, "The patient''s name is Fang Yi, the retired second-in-command of the provincial health department."


    "It''s him?!" Li Yao was shocked.


    This health system official has a lot of influence in Jinghua.


    Once Fang Yi was also a voice in the clinical health system, and later he stepped into an official career and has a good reputation in the health system.


    After all, there are not many health system officials who really speak out!


    "Mr. Li, do you know him?" Lu Chen was surprised.


    "Of course!" Li Yao nodded slowly, "Speaking of which, he used to go out of Jinghua Medical University, and then he entered the official career and became the second-in-command of the Provincial Health Department. This person is extremely difficult!"


    "So powerful..." Lu Chen recalled the amiable little old man in his mind, and he was completely different from what Li Yao described.


    "If it is said that Mr. Fang Yi took action in this election, it can be explained." Li Yao said softly, "With his influence, he only needs to reveal a little information in various hospitals. Good impression, then the doctor below will definitely choose me."


    After Li Yao finished speaking, she glanced at Lu Chen.


    This time, she was in Lu Chen''s light again!


    The identities of mentors and students seem to be reversed.


    This reminded Li Yao of an interesting thing she accidentally heard some time ago.


    said that a student asked, how to train a tutor into an academician?


    At that time, Li Yao saw the news and thought it was a joke, and turned it off after seeing it.


    However, thinking of this news now, Li Yao thinks of herself.


    From the application of the National Natural Science Program to the successful application for the "Chairman" of the Electrophysiology Association, she seems to be "pushed" by Lu Chen step by step and cultivated...


    Once such an idea arises, it can¡¯t be restrained and grow wildly.


    "Teacher, what''s the matter with you?" Seeing Li Yao''s face turning blue and white, Lu Chen thought she was uncomfortable.


    "No, nothing..."


    Li Yao glanced at Lu Chen, thinking that he might accomplish this "feat" in the future, she didn''t know what it was like.


    However, being able to be "trained" to become an academician is also a very good event!


    (end of this chapter)

 v2 Chapter 532： Cao Zhiyings plan

    Chapter 532 Cao Zhiying''s Plan


    The general election of Jinghua Electrophysiology Association is finally over.


    Li Yao''s successful election as the new chairman is also known by people in the cardiovascular field of Jinghua Health System.


    Electrophysiology Association and Interventional Association, as the two most influential associations in the cardiovascular field, it is a great thing to be one of them. .


    Today''s Li Yao will officially become the leader of Jinghua''s "electrophysiology field" after Cheng Guowen relegates to the second line!


    Li Yao will control most of Jinghua''s electrophysiological resources.


    Her status and status will rise immediately from now on.


    ¡­


    Once, the name Li Yao was well known by everyone in the cardiovascular field of Jinghua.


    Together with Cao Zhiying, she is regarded as two rising "stars" in the Second Academy of Jinghua.


    Everyone is looking forward to the two of them taking the Cardiology Department of the Second Hospital of Jinghua to a new level!


    Today, Cao Zhiying has been called a famous figure in the cardiovascular field of China, and is heading towards the direction of academician!


    However, because of the "paper plagiarism" scandal, Li Yao is still only a ward director of the eight districts in the heart of Jinghua Second Hospital.


    Now, Li Yao reappeared in everyone''s sight.


    And appeared as an absolute dark horse!


    In addition to this, people with a heart have also heard that the person standing behind Li Yao is a certain boss from the provincial health department...


    In short, the fact that Li Yao became the "chairman" of the new Jinghua Electrophysiology Association has been passed down by everyone.


    From now on, everyone will start to pay attention slowly, what kind of achievements will this former "new star" in the cardiovascular field make?


    ¡­


    Jinghua Second Hospital, the director''s office of the CCU ward in the heart.


    Cao Zhiying has returned from Kyoto. He is sitting in the office, looking at Cheng Guowen with a bad face.


    "Don''t you mean pushing Yu Shanlu? Can you explain the result to me now?" Cao Zhiying gritted her teeth and stared at Cheng Guowen in front of her.


    Before he left, he had already written Guowen many times in advance, so he couldn''t let Li Yao take the position!


    However, the worst thing happened.


    Cheng Guowen looked helpless, "Director, you don''t know, even with my three votes, Yu Shanlu can''t compare to Li Yao!"


    "Then explain why the core members of other hospitals will vote for Li Yao?" Cao Zhiying frowned deeply, "Didn''t you communicate with them before the meeting? How could these core members turn their backs? "


    Cheng Guowen just stepped down from the position of "Chairman" of the Electrophysiology Association, but he is still in the field of Jinghua Electrophysiology.


    These people, as long as they are not stupid, it is absolutely impossible for them to defect!


    Unless, there is a person far bigger than Cheng Guowen who is behind this vote.


    "Director Cao, I heard this is the case..."


    Cheng Guowen would definitely not take the initiative to take the blame. He told Lu Chen about the operation he completed some time ago.


    Cao Zhiying was also there at the time, so after hearing what Cheng Guowen said, he remembered.


    "You mean, Mr. Fang is on the platform for Li Yao?" Cao Zhiying wondered.


    "Yeah." Cheng Guowen nodded slightly, "At present, this is the most likely possibility, otherwise other core members would not be able to suddenly turn to support Li Yao."


    Cao Zhiying heard the words, bowed her head and remained silent.


    Cheng Guowen whispered: "Director, in fact, whether it''s Yu Shanlu or Li Yao, it''s people from our second hospital of Jinghua who got the position of chairman, it should be about the same."


    As long as the "Chairman" is in the second hospital of Jinghua, it can guarantee that the leading position of electrophysiology in the cardiology department of the second hospital of Jinghua will not be shaken in the next four years!


    Cao Zhiying frowned: "I remember I told you before that the most important thing now is the review of academicians. Once others find out about Li Yao''s dark history, my situation will be worrying!"


    Hearing this, Cheng Guowen couldn''t refute it.


    But he also had a question in his mind, what does Li Yao''s dark history have to do with the jury member Cao Zhiying?


    The review experts should value Cao Zhiying''s resume, not Li Yao''s, right?


    "Why, don''t you believe it?" Cao Zhiying saw Cheng Guowen''s expression.


    "No, Director." Cheng Guowen shook his head immediately, even if there was, he wouldn''t dare to say it!


    "But now that the matter is a foregone conclusion, there is no other way." Cao Zhiying sighed slightly, "Next, let Li Yao cooperate with our work well, and we must do a good job of electrophysiology, not Get caught by someone else!"


    "Well, don''t worry, Director, I will contact her." Cheng Guowen nodded, "Li Yao''s ability is very strong, which is definitely more reliable than Yu Shanlu."


    "By the way, there is also a student Lu Chen..." Cao Zhiying paused, "You should also have more contact with him, and see if you can stay in the Cardiology Department of our Jinghua Second Hospital. Which ward he wants to go to, you should try your best to satisfy him. a bit."


    Lu Chen''s performance has long amazed everyone.


    If he can stay in the Cardiology Department of the Second Hospital of Jinghua, the Cardiology Department of the Second Hospital will definitely be able to reach a new level in the next few years!


    Cheng Guowen was quite surprised when he heard the words.


    It is very rare to be able to say such conditions from Director Cao Zhiying''s mouth.


    "Director, don''t worry, I will personally deal with Lu Chen''s affairs." Cheng Guowen said, "However, it is unlikely that he will stay in the Jinghua Second Hospital... I heard that there are other hospitals that invite them with the title of associate professor. Lu Chen will go."


    Can Jinghua Second Hospital have such courage?


    Obviously not...


    "This...you follow up and report to me at any time."


    After ?? ordered these things, Cheng Guowen left, leaving Cao Zhiying alone in the office.


    For the sudden appearance of "Li Yao", taking over as the chairman of Jinghua Electrophysiology Association with the help of a dark horse is really beyond Cao Zhiying''s expectations.


    Actually, no matter what kind of black history Li Yao has, it will not affect his academician review.


    The reason why he cares about Li Yao so much is entirely because of the existence of "Ou Yangming".


    Ou Yangming, Li Yao''s uncle, is also a famous electrophysiological expert in China.


    Although he is not an academician, he has a great influence in Kyoto and knows many academician-level figures.


    If there is his recommendation, Cao Zhiying''s academician journey may be smoother.


    However, Ou Yangming will not help him for no reason!


    Therefore, Cao Zhiying wanted to start with "Li Yao".


    In the back, he silently suppressed Li Yao, so as to attract Ou Yangming''s "help".


    And his purpose can be achieved logically.


    But what Cao Zhiying did not expect was that Li Yao became the "chairman" of the Jinghua Electrophysiology Association!


    Then Ou Yangming would not come for help, let alone agree to his requests.


    Li Yao''s road is broken!


    (end of this chapter)

 v2 Chapter 533： Subtle influence

    Chapter 533 Subtle influence


    The National Nature Project was approved, and Li Yao was elected as the chairman of the Jinghua Electrophysiology Association.


    Everything is going in the right direction.


    In the blink of an eye, it was time for the postgraduate re-examination.


    Lu Chen came to Jinghua for nearly two years.


    From an ignorant first-year graduate student to now a mature and stable clinical medical student, Lu Chen has experienced a lot, and his clinical skills and scientific research strength have also greatly improved.


    In addition, Lu Chen also saw a lot of "warmth and coldness" in the hospital.


    "Lu Chen, accompany me to the postgraduate retest tomorrow."


    Lu Chen received another message from Li Yao''s mentor.


    Thinking of this moment last year, tutor Li Yao went with him to the scene of the re-examination, and the students recruited were all second-round transfer students.


    This year, this awkward scene may be improved.


    ¡­


    On the day of the postgraduate re-examination, Lu Chen and Li Yao came to the interview site.


    Because Li Yao has a lot of scientific research projects this year, the number of graduate students who can be recruited has increased. This year, a total of 4 clinical masters and 2 professional masters can be recruited, and a total of 6 students can be recruited!


    When it came time to fill in the application form, Lu Chen found that a total of 12 people had filled in the application form of Li Yao''s tutor''s postgraduate student!


    These 12 people have successfully passed the first postgraduate examination, and now come to the scene of the second examination to compete for 4 postgraduate places.


    12 into 4, this scene is extremely "tragic"!


    "Let''s go, Li Yao is so popular? I heard from last year''s brothers and sisters that no one reported it at the beginning?"


    "You said it yourself, that was last year! This year, Li Yao''s tutor has several very powerful projects, and many people want to apply for her graduate school."


    "That''s right, that''s why I applied for the exam. I didn''t expect so many people this year!"


    "I think the first-place students in the preliminary examination of Jinghua Second Academy this year have all signed up for Li Yao''s tutor! 12 to 4, the competition is too fierce."


    ¡­


    Lu Chen thought that Li Yao''s tutor would become hot, but he didn''t expect that so many students would flock to him.


    This may be the unpopularity of last year, which gave everyone this illusion.


    "Teacher, you can choose carefully this year." Lu Chen smiled and said to Li Yao.


    In the past, Li Yao was pulling generals from dwarfs, but now the resources are so good that he can add more fresh blood to the team.


    "You also help me with advice, I trust your vision." Li Yao smiled.


    Now, Li Yao regards Lu Chen as a direct disciple. As long as it is any important occasion or meeting, she will take Lu Chen by her side.


    One is to give Lu Chen some insight, and the other is to help Lu Chen brush his face.


    Let those professors and experts know Lu Chen, which will be of great benefit to Lu Chen''s future development.


    Li Yao''s other students saw this extreme "favorite" situation. Although they were a little envious, they did not feel jealous at all.


    Because everyone understands that the gap with Lu Chen is really too big!


    There is no possibility of catching up at all!


    ¡­


    After the re-examination, Li Yao selected 4 students with the strongest comprehensive strength from among the many students.


    These 4 students will be added to Lu Chen''s scientific research project team.


    "I really envy these juniors and juniors!" Ke Yue also sighed in her heart after knowing that these new students entered the project team directly.


    Back then, she racked her brains for an opening report.


    In order to rub a paper, he also helped Sister Wang Shasha to record experimental data, but in the end, nothing was obtained.


    These students can enter Lu Chen''s project as soon as they enter the first year of graduate school. Such opportunities are rare!


    You must know that Lu Chen''s project team will definitely produce a large number of papers in the future.


    The participants in this kind of project group can definitely be named in some articles.


    For a graduate student, being able to be listed in a high-quality dissertation is the advantage of pursuing a Ph.D. or finding a job in the future!


    However, now Ke Yue has rapidly grown from a scientific researcher to a trainee researcher who can independently complete various clinical research tasks.


    Lu Chen usually has some data that is difficult to handle, and will always give it to Ke Yue.


    Unconsciously, Ke Yue also gained a lot of prestige among the graduate students.


    ¡­


    On the weekend, Lu Chen came to the project office in the eight districts of his heart.


    I thought everyone must have rested, but Ke Yue was still debugging data in the office.


    "Aren''t you going to take a break today?"


    Hearing the voice coming from behind, Ke Yue was stunned, turned his head and saw Lu Chen, then pursed his lips and smiled.


    "There''s nothing to do anyway. I''m bored, so I''ll come to the office to have a look."


    Lu Chen nodded slightly: "Ke Yue, in the next week, we have to synthesize the previous data."


    "So you came to see the experimental data today?" Ke Yue said.


    "Well, I''m going to publish a paper first."


    Some scientific research experiments are conducted while publishing papers.


    In this way, the phased experimental data can be transformed into the paper results as soon as possible.


    Otherwise, there will be no results for a long time, and some project participants may have the idea of ??slack.


    "That''s great!" Ke Yue smiled.


    She is currently undertaking some experimental tasks in the project team. As long as there are papers published, she can definitely occupy a good author order.


    But Ke Yue was actually a little worried, because Lu Chen''s projects lasted a long time.


    In case the experiment is not finished by the time she graduates, the paper may not carry her name.


    Then she lost a lot!


    Now, Lu Chen is going to publish a preliminary paper.


    This is really in line with Ke Yue''s demands. She wants to publish a few more papers as soon as possible while she is still in school.


    After ??Lu Chen reviewed the data, he left the project team.


    ¡­


    The next experimental data will be mainly handed over to Ke Yue for analysis, and Lu Chen will conduct the final review.


    As for the writing of the thesis, this time Ke Yue took the initiative to ask Ying, and Lu Chen also gave her full authority.


    As soon as he returned to the bedroom, Lu Chen''s phone rang.


    This is a phone number from Modu.


    Lu Chen frowned, he doesn''t seem to have any friends in the magic capital?


    Is it a sales call?


    After the phone rang four or five times, Lu Chen picked it up.


    "Hello, Lu Chen?"


    Hearing the familiar voice over the phone, Lu Chen was a little stunned.


    "Yes, who are you?"


    "Lu Chen, I''m Dong Hao."


    Brother Dong Hao?


    Hearing the hearty laughter coming from the other side, Lu Chen then matched the voice with the character.


    When Lu Chen first came to the eighth district in his heart, it was Senior Brother Dong Hao who took him.


    Although the two did not rotate in the same department, they usually have some contact.


    After all, Brother Dong Hao should have finished his training this year.


    "Senior brother, how come you are the phone number of the magic capital?" Lu Chen wondered.


    "I graduated from regular training this year and was admitted to a postgraduate student in Cardiology at a school in Modu."


    "Congratulations, congratulations!" Lu Chen smiled, "I didn''t expect my brother to choose Cardiology too!"


    Lu Chen found that many people around him, such as Junior Sister Yao Jie and Senior Brother Dong Hao, seemed to have chosen Cardiology.


    "Isn''t this a deep impression of the eight areas in the heart?" Dong Hao smiled, "After thinking about it, I still applied for the cardiology department. Although I was a little tired, I felt that the cardiology department was the most interesting."


    Actually, what Dong Hao didn''t say is that the more reason may be because of Lu Chen.


    The existence of ??Lu Chen made Dong Hao discover the charm of cardiology.


    For example, from a small electrocardiogram, various diseases can be accurately diagnosed.


    Unconsciously, Lu Chen was subtly influencing the people around him, such as Ke Yue, Dong Hao, Yao Jie and others.


    Yesterday, my relatives got married, and I was forced to drink. I poured two drinks, and it was too late to ask for leave.


    (end of this chapter)

 v2 Chapter 534： Weird Hematology

    Chapter 534 Strange Blood Medicine


    CCU rotation time is over, and it¡¯s time to change departments.


    Lu Chen, Gu Xinyue and Cheng Peng left the CCU ward, Zhou Bin was extremely reluctant.


    In the past few months, Zhou Bin can be said to be the easiest day ever.


    With the help of Lu Chen and the three of them, Zhou Bin is much more relaxed, and only needs to coordinate the patient''s treatment plan.


    Other small matters can be left to Lu Chen and others with confidence.


    "If the three of you want to go back to our CCU ward after graduation, let me know at any time." Zhou Bin assured the three of Lu Chen, "I will do my best to help you, Barbapapa Barbapapa."


    Lu Chen didn''t say anything, if he wanted to stay, then Cao Zhiying and Cheng Guowen would wake up laughing from their dreams!


    Zhou Bin''s words were mainly for Cheng Peng and Gu Xinyue.


    "Mr. Zhou, thank you so much." Fatty Cheng smiled happily.


    As the leading hospital of Jinghua, the second hospital of Jinghua is extremely rare to have the qualification to stay in school after graduation.


    According to Cheng Peng''s previous achievements and performance, let alone staying in the Cardiology Department of Jinghua Second Hospital, it is impossible to stay in the emergency department!


    Cheng Peng''s performance in CCU in the past few months has completely conquered Zhou Bin and other superior doctors.


    In some respects, Fatty Cheng''s performance even surpassed Gu Xinyue''s outstanding performance. .


    "Come on in the future, I''m optimistic about you!"


    Zhou Bin reluctantly sent the three of Lu Chen away.


    ¡­


    The three walked out of the eighth inpatient department where the Cardiology Department was located.


    "The next department, Lu Chen and I are going to the Department of Hematology, where are you going, Lao Gu?" Cheng Peng smiled and said to Gu Xinyue who was beside him.


    "Rheumatology and Immunology Department." Gu Xinyue thought about it and said.


    "That''s not far!" Fatty Cheng smiled and his eyes narrowed, "I remember that the rheumatology department and the hematology department are in the same inpatient department. Then we can go to get off work together again!"


    Gu Xinyue glanced at Fatty Cheng, but there was no response.


    "Don''t talk about it, Lao Gu, you used to be so cold, I thought it was difficult for you to get along." Fatty Cheng said, "But in the past few months in the CCU ward, I found that you are quite interesting. "


    "I don''t mean anything to you." Gu Xinyue''s luck was still cold, but the looming curvature of the corners of her mouth betrayed his mood at this time.


    "Hey, Lao Gu, next time I teach you to do a cardiac ultrasound, I will teach you hands-on!" Cheng Peng laughed.


    "Why should I ask you to teach? Isn''t there someone next to me who is many times more powerful than you?"


    "Then you also want Lu Chen to have time..."


    Lu Chen couldn''t help but smile when he looked at the two people who were bickering all the way.


    With Fatty Cheng around, this life will definitely not be boring.


    He also somewhat understood why, on Fatty Cheng''s condition, he would have a girlfriend.


    Look at him and Lao Gu, what two handsome guys, they don''t even have a girlfriend yet!


    It seems that interesting souls are rarer than good-looking skins! Lu Chen thought so.


    ¡­


    Fourth Inpatient Department.


    The first and second floors are the hematology ward.


    The third and fourth floors are the wards of the Department of Rheumatology and Immunology.


    Lu Chen and Fatty Cheng came to the hematology ward, while Gu Xinyue went upstairs.


    This time, Lu Chen and Fatty Cheng were assigned to different floors.


    Lu Chen is in the ward on the second floor, Fatty Cheng is in the ward on the first floor.


    The Department of Hematology of the Second Jinghua Hospital is not so outstanding compared to the Department of Cardiology.


    The Department of Cardiology has eight wards, and the Department of Hematology has only two wards.


    The teaching secretary of the Department of Hematology is also very Buddhist.


    There are only two wards anyway, try to meet the needs of each student, go to which ward you want to go to.


    Lu Chen was assigned to the medical team of a female doctor named Yu Liqian.


    Hematology is the same as other departments.


    In each group, there is a fixed senior doctor and an attending doctor, and then the resident doctors are held by the regular trainees.


    In the same group as Lu Chen, there are two other students, one is a graduate student, and the other is a second-year graduate student from the Department of Respiratory Medicine.


    The three came to the front of Teacher Yu Liqian.


    Yu Liqian''s first sentence made the three of Lu Chen stunned.


    "You three don''t need to be there at the same time, just make sure one person is there every day."


    "Teacher Yu, do you mean that the three of us take turns to work?" The Gui Pearson asked directly.


    "Yes, that''s what it means." Yu Liqian was still typing the medical records in front of the computer, and said without looking back, "But who will come and which days, you can discuss it yourself, I don''t ask."


    Hearing Yu Liqian''s words, the graduate student and graduate student in the group were immediately ecstatic.


    You can actually take a long vacation!


    They have a two-month rotation in the hematology department, and three people come in turn, which means that each person only needs to come for 20 days, and they can rest for more than 40 days!


    Lu Chen was not too excited.


    It¡¯s good to have a holiday, but I don¡¯t have to go to work for more than 40 days, so I think the feeling of seeing a doctor is gone.


    "Two classmates, let''s divide the time for work." The grading student said to Lu Chen and another graduate student, "When do you two want to rest?"


    "I want to rest next month." said a graduate student from the Department of Respiratory Medicine.


    "I''m free, the two of you will share first, and the rest will be left to me." Lu Chen smiled and said.


    "Okay, then thank you classmates."


    The two soon finished their vacation, and Lu Chen was scheduled to take a 40-day vacation the day after tomorrow.


    The one who needs to stay in the department today is Lu Chen.


    The other two left soon after their vacation.


    ¡­


    This is the first time that Lu Chen has encountered such a situation.


    The superior teacher took the initiative to let the students leave...


    In other departments, the higher-level doctors are eager to have a few more students in the group.


    For example, in the Cardiology Department, the superior doctors in each group could not wait for seven or eight students in the group to help with the work.


    Now the situation in the hematology department is just the opposite.


    "Teacher, what can I do?" Lu Chen came to Yu Liqian''s side.


    "You can just sit at the back of the office." Yu Liqian said lightly, "I will find you when I have something to do. When I have nothing to do, just read."


    "Okay, teacher."


    Lu Chen wanted to take the initiative to do some work, but there was no work...


    This hematology department is really strange!


    In other departments, maybe he is already busy.


    But in this department of hematology, you can still sit in your seat calmly and read a book...


    ¡­


    Lu Chen stayed in the hematology department all morning, but nothing happened.


    Yu Liqian didn''t even ask Lu Chen to write any patient''s course records!


    During the ?? period, Lu Chen wanted to find a free computer to write the medical record, but Yu Liqian refused.


    "I''ve said it all, you don''t need to write the course of the disease, I''ll write it myself!" Yu Liqian frowned slightly.


    Lu Chen had no choice but to give up.


    He returned to his seat and waited for Yu Liqian''s call.


    What Lu Chen didn''t expect was that he was sitting all morning!


    Simple words to describe the Department of Hematology are doing nothing.


    (end of this chapter)

 v2 Chapter 535： Lu Chens compassion

    Chapter 535 Lu Chen''s Compassion


    Although Lu Chen has a thirst for knowledge and wants to participate in clinical work, as a graduate student, he cannot surpass the superior doctor and manage patients alone.


    On the first day of the Department of Hematology, Lu Chen was completely outside the clinic.


    The most he does in the Department of Hematology is helping to run errands.


    Yu Liqian would not let Lu Chen participate in all clinical matters.


    5:30 PM.


    Lu Chen walked out of the hematology ward, still a little dazed.


    No wonder hematology department doesn''t need so many students, Lu Chen felt that he was superfluous in hematology department.


    "Lu Chen, it''s the same with me, I have nothing to do at all." Fatty Cheng walked beside Lu Chen, "I heard that this is the tradition of the hematology department. First, there are not many patients in their department, and second, the condition is not very good. Urgent, the superior doctors in the group can handle it by themselves."


    Lu Chen nodded slightly, what Fatty Cheng said made sense.


    There are many patients in the Cardiology Department and the condition is urgent. If there is only one superior doctor to manage the patients, it will definitely be too busy.


    "That''s fine, we can have a good rest." Fatty Cheng said again, "I''ve been really tired in the past few months in CCU!"


    The rhythm of the CCU ward and the hematology ward is completely different!


    In the CCU ward, everyone is worried every day, ready for emergency rescue at any time. .


    In the hematology ward, doctors can stay in the office all morning without leaving their seats at all.


    Lu Chen also felt the same way. Although he had systematic help, he did not strengthen his physique or give him any energy potion.


    It is also very good to relax in the Department of Hematology and combine work and rest.


    ¡­


    During the next time in the Department of Hematology, Lu Chen, like everyone else, read books in the office.


    Yu Liqian occasionally let Lu Chen run errands, but there was no time when she was particularly busy.


    Lu Chen''s tense spirit was completely relaxed in the Department of Hematology.


    He thought that his days in the hematology department would be spent like this, until a month later, other friends in the group came to replace him.


    However, the sudden arrival of a patient interrupted Lu Chen''s ordinary life in the hematology department.


    "Lu Chen, there is a patient in bed 3. His hospitalization certificate is in the hands of his family members, you can get it." Yu Liqian shouted to Lu Chen who was reading in the office.


    "Okay." Lu Chen immediately stood up and walked out of the hospital bed.


    Running errands to get things, these are Lu Chen''s main "jobs" right now.


    In addition to getting the hospitalization certificate, Lu Chen occasionally went to the medical record room to send medical records, and went to the guard room on the first floor to get express delivery...


    Came to bed number 3.


    Lu Chen found out that this was a four or five year old boy.


    But the strange thing is that the little boy could not stand, and the muscles in his legs were greatly atrophied.


    The parents of the little boy sat beside the bed, their eyes filled with infinite pity and helplessness.


    Seeing Lu Chen coming, the boy''s parents were very polite and handed the hospital certificate to Lu Chen.


    Lu Chen glanced at the diagnosis on the hospital certificate, pure red blood cell aplastic anemia.


    "Brother, are you new here?"


    Lu Chen was about to leave, but the little boy suddenly grinned and smiled at Lu Chen.


    "Yeah." Lu Chen was slightly surprised and nodded slowly.


    The parents on the side of ?? said quickly: "Little doctor, we come to the doctor for hospitalization every month. It''s the first time I saw you today, so the child feels a little strange."


    "That''s it." Lu Chen pressed lightly and touched the little boy''s head.


    The little boy smiled at Lu Chen again, "Brother, you look so handsome."


    His face was morbidly pale, and his spirit was lethargic, but the moment he laughed, Lu Chen''s heart moved.


    The heart of sympathy arises spontaneously.


    This is definitely not because he says he is handsome, that''s what he feels.


    "You''re a handsome guy too!" Lu Chen squatted down and looked at the little boy with a smile.


    The little boy seemed to smile shyly, and quickly buried his head in his mother''s arms.


    ¡­


    Back to the doctor''s office.


    Lu Chen handed the "Hospitalization Certificate" to Yu Liqian.


    "Okay, thank you, go ahead and read." Yu Liqian still had no intention of letting Lu Chen participate in clinical diagnosis and treatment.


    Lu Chen returned to his seat, just opened his book, and suddenly remembered the smiling face of the little boy just now.


    "Pure red blood cell aplastic anemia?"


    Lu Chen has some understanding of this blood disease, which refers to an anemia caused by a significant reduction or absence of red blood cells in the bone marrow.


    Seeing that there were still extra computers in the office, Lu Chen moved in his heart and sat down in front of the computer.


    He opened the medical record system and flipped through the little boy''s medical record.


    This is a four-year-old boy who suffered from severe anemia before he was a month old and needed regular blood transfusions. After one and a half years, the muscles in his legs atrophied and he could not stand. He sought medical treatment everywhere.


    His parents took him to major hospitals in Jinghua successively for diagnosis and treatment, went around and spent about 200,000 w, and finally came to Jinghua Second Hospital and was diagnosed with "pure red blood cell aplastic anemia".


    However, the patient took hormones and chemotherapy drugs for two years, and the treatment was ineffective.


    Yu Liqian suggested bone marrow transplantation for radical treatment.


    However, the parents of the little boy had already emptied their family assets during the early treatment.


    Now he can only come to the Department of Hematology every month for blood transfusion and drug treatment.


    ¡­


    After reading the description of the patient''s entire medical record, Lu Chen sighed softly.


    This congenital blood disease is really difficult to treat.


    At present, it seems that the only way is bone marrow transplantation.


    However, Lu Chen also had some doubts in his heart.


    Why does this little boy have myasthenia gravis and myasthenia gravis?


    Pure red blood cell aplastic anemia, the first manifestation is anemia, are muscle weakness and muscle atrophy all complications of anemia?


    Lu Chen frowned, unable to find the connection between the two for a while.


    He looked through the entire medical record, but also found no answer.


    ¡­


    "Lu Chen, go to the first floor and help me with the courier."


    Yu Liqian''s voice suddenly came from his ear, waking Lu Chen up from his thoughts.


    "it is good."


    Lu Chen replied, then stood up and walked towards the first floor of the inpatient department.


    "Mr. Yu, this is your courier." Lu Chen retrieved the courier and placed the package in front of Yu Liqian.


    "Okay, just leave it here, thank you." Yu Liqian nodded, but found that Lu Chen was still standing in front of her, "What''s the matter? Is there anything else?"


    Lu Chen paused, looked up at Yu Liqian, and said slowly, "Mr. Yu, why does that little boy with three beds have muscle weakness and atrophy?"


    Yu Liqian was taken aback for a moment, she did not expect Lu Chen to take the initiative to mention the patients in the group.


    She had never asked Lu Chen to manage patients before.


    "This myasthenia gravis should be caused by perennial anemia."


    Lu Chen frowned deeply, muscle weakness or even muscle atrophy caused by severe anemia?


    (end of this chapter)

 v2 Chapter 536： trembling eyeball

    Chapter 536 Trembling Eyeballs


    Perhaps, severe anemia can lead to muscle weakness and even muscle atrophy.


    However, in this situation, Lu Chen felt that the first diagnosis that flashed in his mind should not be pure red blood cell aplastic anemia.


    Perhaps there may be other diseases that are closer?


    "What''s the matter, do you have any questions?" Yu Liqian looked at Lu Chen.


    Lu Chen shook his head gently, "No, thank you teacher."


    Although he has some doubts, it is not true at present, and Lu Chen can''t produce any actual evidence.


    Lu Chen returned to his seat and continued to flip through the book.


    After more than 20 minutes, Yu Liqian said to Lu Chen again: "Lu Chen, I have finished writing the course of the 3-bed disease. You take the medical record and go to the patient''s family to sign it. Remember to sign a power of attorney."


    "OK."


    In the Department of Hematology, Lu Chen has not written a course record.


    Usually, after Ms. Liqian Yu has written the course record, she will send it to Lu Chen for the patient''s family to sign.


    ¡­


    Came to bed number 3 again.


    Lu Chen saw this boy named Xiaotong again.


    He was still lying on the bed, his face was extremely pale, but his eyes were very bright and blinked, which did not match the pale complexion. .


    "Hello, this is the informed consent form that needs to be signed in the hospital routine." Lu Chen took the medical record folder and explained to the family members one by one, "This is the medical condition notice, the signature of the medical history statement, and no red envelopes will be given. agreement..."


    Children''s parents are very happy, they have been hospitalized many times, they didn''t read the text on the consent form, they just signed their name.


    "Doctor, I would like to ask, how much does a bone marrow transplant in our hospital cost?"


    After signing the informed consent form, the child''s mother asked again.


    Lu Chen was also a little hesitant. Although he has been in the Department of Hematology for a week, he has hardly been involved in clinical practice.


    "I don''t know the specifics. I''ll ask you later. But according to my previous understanding, the cost of a bone marrow transplant is about 10w to 20w." Lu Chen explained.


    Bone marrow transplantation is hematopoietic stem cell transplantation. It is a treatment method for a series of diseases through intravenous infusion of hematopoietic stem and progenitor cells to rebuild the patient''s normal hematopoietic and immune systems.


    Some clinical diseases can be cured by bone marrow transplantation.


    aside, the child''s mother sighed deeply.


    "Oh, I knew it was still so expensive!"


    In order to treat their children, they have spent nearly 200,000 yuan in recent years. The working family, which was originally not rich, has already emptied its family and is heavily in debt.


    It is almost impossible to spend another 200,000 yuan for a bone marrow transplant.


    For a while, Lu Chen was also a little silent.


    When he was signing again, he saw a thick stack of more than 200 blood test reports in the luggage of the children''s parents.


    This seems to have recorded the difficult journey of their family looking for a doctor!


    And Xiaotong''s father has always been silent, and the medical expenses before and after the bone marrow transplant are like a mountain pressing on his shoulders.


    pressed them out of breath.


    However, Lu Chen could clearly feel the unwillingness in the eyes of Xiaotong''s father.


    At this moment, Xiaotong''s father suddenly said: "After this hospitalization, we are going to go back to our hometown and find some relatives and friends to raise money to prepare for the bone marrow transplant."


    Having said that, Lu Chen knew the hardships of this journey.


    If relatives and friends could borrow money, they wouldn¡¯t have to wait until now, I¡¯m afraid they would have already borrowed money.


    Little Tong''s mother can only shake her head helplessly, in her eyes, this seems to be a dead end.


    Where to go in the future is still unknown.


    The voices of the three of them were so low that the child could hardly hear what they were talking about.


    Or maybe, even if you hear it, you don¡¯t understand it at all.


    However, it seems that children can also feel the sadness in their parents¡¯ hearts on the surface.


    "Dad, Mom..." Little Tong called softly, but still kept a faint smile on his face.


    Rao has seen many life and death Lu Chen, and at this moment, some Bengbu live.


    Lu Chen silently put away his medical record folder and was about to leave the ward and return to the lounge.


    However, out of the corner of his eye, suddenly and inadvertently, he looked into the child''s eyes.


    He found that the child''s eyes seemed to tremble.


    As a long-term clinical doctor, Lu Chen can be sure that this is definitely not an illusion!


    He quickly stopped, turned his head, and stared at the little boy in front of him.


    ¡­


    in the hospital bed.


    The atmosphere is a bit too quiet.


    Xiaotong''s parents were also very surprised. Why did the new doctor in front of him suddenly stare at Xiaotong like this?


    "That... Doctor Lu, what''s wrong with you?" Xiaotong''s father said.


    Lu Chen didn''t look away, still staring at the child carefully, and said, "Look carefully, does the child''s eyes tremble?"


    As soon as these words came out, the children''s parents immediately said in unison, "Yes!"


    "It happens occasionally." The child''s mother added.


    Lu Chen frowned, and then said to the boy, "Listen to your brother, stick out your tongue and show me."


    The child is very obedient, not as naughty as the other four or five-year-olds, and immediately sticks out his tongue.


    for a long time.


    Lu Chen said slowly: "Okay, kid, you did a good job, you don''t need to stick your tongue out."


    The boy was very well-behaved and put his tongue in.


    "Doctor, is there anything wrong?" Seeing this, Xiaotong''s father immediately asked.


    Lu Chen nodded slightly and said, "There may be some problems with the nervous system. To put it simply, his tongue muscles and eyeballs are trembling."


    "This, this should have been a while..." Xiaotong''s father paused.


    it''s been a while?


    These words aroused Lu Chen''s alarm.


    Then, apart from these two positive neurological signs, will there be anything else?


    Lu Chen lowered his head in thought, and after a long while, he raised his head and said to Xiaotong''s father, "Next, I''m going to give Xiaotong a simple neurological examination to see if there are no other problems."


    "Okay!" Xiaotong''s father did not refuse, and immediately nodded in agreement.


    In the current situation, he wants to seize every possibility, and has no scruples about Lu Chen being just a rotating graduate student, not a formal doctor.


    Lu Chen did not hesitate, he immediately walked to the bedside and began to perform a series of neurological examinations on the child.


    About five minutes, the inspection is over.


    Sure enough, this allowed Lu Chen to find something abnormal.


    He found that the child''s tendon reflexes were weak, or could not be elicited at all!


    Lu Chen''s brows immediately wrinkled into the word "Chuan".


    This is so abnormal!


    Central brain injury will not make the child''s long-lasting tendon reflexes weaken or disappear, and peripheral brain injury should not make his eyeballs and tongue muscles tremble.


    So many strange neurological signs, plus the child has muscle weakness, muscle atrophy, and aplastic anemia.


    Is this caused by the same disease?


    Or, two diseases at all?


    (end of this chapter)

 v2 Chapter 537： Favorite segment!

    Chapter 537 Favorite link!


    Industry specializing in surgery.


    After all, Lu Chen only majored in Cardiology, and he only knew a little about Hematology.


    But his advantage lies in the super-high reading comprehension ability given by the system.


    Lu Chen returned to the doctor''s office and continued to bury his head in reading.


    But this time, he was reading in a targeted manner.


    Including pure red blood cell aplastic anemia, muscle weakness, and the nervous system.


    Since it was all new knowledge, Lu Chen felt that he was absorbing new knowledge every second.


    Today is another whole day of reading in the office.


    However, it is possible that Lu Chen paid more attention to the little boy in hospital bed 3 because he felt sorry for such a small child.


    Back in the bedroom at night, Lu Chen was still reading books related to blood diseases.


    The more difficult cases he encounters, the more he can inspire Lu Chen''s competitive spirit.


    Finally, hard work pays off!


    As he was about to go to sleep, a light finally flashed in Lu Chen''s mind.


    "Is it the absence or accumulation of a certain substance in the body that causes both the hematopoietic system, the nervous system (peripheral and central), and the muscular system, all of which are symptoms of a disease?"


    After this bold idea popped out of my head, it went out of control. .


    Lu Chen''s intuition told him that all the symptoms in the child may have originated from a disease.


    "If you want to find out what disease it is, you may need to do genetic testing!"


    Through genetic testing, some congenital gene defects and diseases in the human body can be found.


    Children have done genetic testing for anemia, but did not do genetic testing for the nervous system at that time.


    The price of genetic testing is very expensive. Ordinary genetic sequence monitoring may cost thousands of dollars.


    However, in order to diagnose the final disease, Lu Chen decided to communicate with the patient''s family.


    ¡­


    However, Lu Chen''s thoughts were just conjectures.


    If she told her superior doctor Yu Liqian directly, she would probably not believe it and would not let the patient complete the genetic test.


    And now Lu Chen can''t bypass the superior doctor Yu Liqian and communicate directly with the patient''s family.


    Once doing this, it is very likely to cause Yu Liqian''s dissatisfaction.


    The next day.


    Lu Chen came to the Department of Hematology and asked Yu Liqian whether the diagnosis of pure red aplastic anemia was accurate.


    "Of course this diagnosis is correct!" Yu Liqian affirmed, "Pure red aplastic anemia was diagnosed in our hospital, and the patient''s family members went to the big hospital in Modu at that time, and they were also diagnosed with pure red aplastic anemia."


    "Teacher Yu, why does the patient have symptoms of the nervous system?" Lu Chen wondered.


    Yu Liqian glanced at Lu Chen impatiently, "Don''t worry about the patient''s diagnosis, just stay in the office and read, I don''t need you to do anything."


    Lu Chen was quite helpless when he saw this.


    Yu Liqian''s words prove that it is impossible for Lu Chen to let the patient''s family members conduct genetic monitoring of the nervous system through her.


    "What can I do?" Lu Chen looked around the blood office, he didn''t know anyone else at all.


    This matter can only be brought up by a higher-level doctor, otherwise Yu Liqian will simply ignore it.


    Lu Chen suddenly thought of the chief physician in the group, Feng Huiquan.


    He is the team leader of Lu Chen''s group. Except for returning to the ward for rounds on Thursday, he usually goes out to the outpatient clinic.


    And every Thursday, Yu Liqian is arranged to have a bone marrow biopsy and is not in the ward.


    So on Thursday, only Feng Huiquan and Lu Chen were left in the group.


    "Thursday, this should be an opportunity." Lu Chen thought.


    Only by taking advantage of Yu Liqian''s absence and Lu Chen''s trust in Feng Huiquan''s presence, may he be able to conduct genetic monitoring of the patient''s nervous system.


    Today is Monday and there are three days until Thursday.


    Taking advantage of this time, Lu Chen now tries his best to get to know Xiaotong and his parents.


    In this way, the suggestions that I put forward later will not be rejected by the family members.


    Otherwise, even if Feng Huiquan passed the test, but the child''s parents did not agree to the monitoring, it would be useless.


    These days, whenever Lu Chen has time, he will come to bed number 3.


    He not only keeps an eye on the child''s condition, but also gets to know each other well in front of the child''s parents.


    ¡­


    In a blink of an eye, Thursday is here.


    Feng Huiquan, as one of the chief physicians of the Department of Hematology, has an untimely influence in the Department of Hematology.


    But Director Feng will retire in a few years, and now he is out of the clinic every day.


    "Director Feng, I followed you around the room today. Teacher Yu was arranged to do bone piercing." Lu Chen came to Feng Huiquan.


    "Okay." Feng Huiquan nodded slightly, "Go and get the medical records of our bed management team. I''ll check the patient''s condition first."


    "Received." Lu Chen had prepared his medical records long ago.


    He took out the medical records of more than ten patients in the group.


    Feng Huiquan focused on the new patients. He didn''t pay much attention to the old patients who were there last week.


    Lu Chen stood quietly beside him, silent.


    ¡­


    After half an hour.


    Feng Huiquan checked the medical records of all the patients, "Let''s go, let''s go to the ward round."


    Lu Chen gave a soft "um" and followed behind him.


    Medical students may either love or hate the job of following the higher-level physicians for ward rounds!


    Follow the teacher to round the house. This is the time when you can increase your knowledge the most, and it is also the time when you are most likely to ¡°die¡±. Once the higher-level teacher asks a question and you can¡¯t answer it, it will be a little embarrassing.


    Feng Huiquan, like other chief physicians, would keep asking questions during ward rounds.


    However, the questions in the Department of Hematology are a bit biased. Generally, students can''t answer them, so Feng Huiquan will not ask them again.


    Came to the first ward.


    After checking the patient''s condition, Feng Huiquan glanced at Lu Chen beside him.


    "Student, let me ask you a question, do you know what ferritin is? What is the significance of the increase and decrease of ferritin?"


    Lu Chen was taken aback for a moment, Director Feng was really straight to the point.


    After seeing the patient for a few minutes, he started his own questioning session.


    However, this part is one of Lu Chen''s favorite parts!


    Lu Chen didn''t hesitate and blurted out: "Ferritin is a soluble tissue protein that stores iron in the body, and it is the most abundant protein complex in the human body..."


    "Elevated ferritin may indicate primary hemochromatosis, secondary iron overload, and some pernicious anemias such as hemolytic flat blood and aplastic anemia... Decreased ferritin is common in iron-deficiency anemia, a large number of Blood loss, chronic diarrhea, malnutrition, etc¡­¡±


    After Lu Chen finished speaking, Feng Huiquan gave him a rather surprised look.


    This knowledge point is one of the most basic knowledge points of hematology.


    Many students ignored this point. Even if they knew a little, they were not as careful as Lu Chen.


    "That''s right, it seems that your basic skills are solid!" Feng Huiquan nodded slightly and cast an admiring look at Lu Chen.


    But what Feng Huiquan didn''t expect was that this was just the beginning...


    Next, Lu Chen could answer every question he asked accurately, quickly and perfectly.


    (end of this chapter)

 v2 Chapter 538： breakthrough

    Chapter 538 Breakthrough


    "What is the grading standard of anemia?"


    "What are the FAB types of acute myeloid leukemia AML?"


    "What is the definition of refractory leukemia?"


    ¡­


    Feng Huiquan found that no matter how many questions he had today, no matter how easy or difficult, the student in front of him could answer them fluently.


    The most important thing is that some of the clinical questions he asked are knowledge points that are not in the textbook!


    It''s not surprising to know one or two of them, but Lu Chen answered every question so perfectly, which is really rare!


    "You, are you a graduate student in the Department of Hematology?" Feng Huiquan looked at Lu Chen suspiciously.


    "Director Feng, I''m a graduate student of Cardiology, and I''m a second-year graduate student this year." Lu Chen smiled.


    Feng Huiquan was startled, he was actually a graduate student of Cardiology?


    He felt that Lu Chen''s knowledge reserve had surpassed all the hematology graduate students he had seen before.


    "That''s such a pity!" Feng Huiquan shook his head slightly and sighed, "You are a good seedling of blood diseases! It''s a pity to go to a cardiology department! What a pity!"


    Feng Huiquan even had the thought of digging in his heart...


    Lu Chen smiled. He did not hold back in this round of wards, and completely showed his strength.


    His main purpose was to win the trust of Director Feng Huiquan.


    Only in this way will he have the opportunity to advance the "nervous system gene monitoring" in front of Feng Huiquan.


    Otherwise, without any foundation, Feng Huiquan would not betray you at all.


    "By the way, what''s your name?" Feng Huiquan asked again.


    "Lu Chen."


    Feng Huiquan frowned, "Lu Chen? Why does this name sound familiar? Well, who is your mentor?"


    "Eight districts in my heart, Li Yao." Lu Chen said slowly. .


    "Li Yao from the eighth district in my heart... That''s right! I remembered it!" Feng Huiquan looked at Lu Chen in amazement.


    Lu Chen, isn''t this the one who was mentioned many times after dinner by everyone, the genius young man in the Department of Cardiology?


    As a student, Cheng Guowen, the director of the Cardiology Ward, was willing to be a deputy, and he successfully performed a difficult electrophysiological operation.


    Thinking of this, Feng Huiquan was a little embarrassed. Just now he actually said that it was a pity that he went to the Cardiology Department...


    At present, Lu Chen''s achievements in the Department of Cardiology have surpassed many doctors of the older generation.


    "Director Feng, do you know me?" Lu Chen asked.


    Feng Huiquan smiled.


    Now in the Cardiology Department of Jinghua Second Hospital, when it comes to Lu Chen, it can be said that no one knows, no one knows!


    "Of course I''ve heard of it. Your tutor Li Yao and I are old classmates." Feng Huiquan said, "She always mentions you in front of me and praises you for your excellence."


    When the students are together, they talk to the teacher, and when the teacher is together, they must also talk to the students.


    Instructor Li Yao is definitely not exempt!


    With an excellent student like Lu Chen, when all the tutors get together, of course they want to show off properly!


    Feng Huiquan looked at Lu Chen carefully, "I didn''t think it was anything special before, but after the ward round just now, I really saw it. Lu Chen, if you don''t do cardiology, go to any other department, you can do the same. Get results."


    "Director Feng, you have won the prize." Lu Chen smiled.


    "Okay, since you are in our group, if you have any questions, please contact me in time." Feng Huiquan smiled, "I will try my best to make it easier for you in work and life."


    "Okay, then thank Director Feng first." Lu Chen looked happy.


    After the hard work just now, he has basically gained Feng Huiquan''s trust.


    The child who is about to be rounded up on the No. 3 hospital bed, Lu Chen is ready to present his own diagnostic insights at the right time.


    The current Feng Huiquan is his breakthrough!


    ¡­


    After about twenty minutes,


    Feng Huiquan finally brought Lu Chen to bed number 3.


    "Don''t look at the patient''s age, he is an old patient." Feng Huiquan said, "The patient was diagnosed with severe anemia before he was a month old. The anemia worsened when he was 1 year old, and he needed regular blood transfusions. At 1 year and 3 months old, he could walk for two hours. Three steps, after 1 month and 6 months, the muscles of both legs atrophy in a large area, the development stops, and I can''t even stand."


    Feng Huiquan was very familiar with Xiaotong, so he directly told his medical history.


    "Both us and the Magic Capital Hospital were diagnosed with pure red blood cell aplastic anemia. However, the patient had to undergo blood transfusion after taking hormones and chemotherapy drugs for two years. The effect of the drug treatment was getting worse and worse, and the next step was a bone marrow transplant. ."


    The child''s parents were standing by the hospital bed, and they were a little excited when they saw Feng Huiquan coming to round the room.


    "Director Feng, we''re going to go back and collect money to see if we can perform a bone marrow transplant." Xiaotong''s father said.


    But he said this in a low voice, as if he didn''t even believe it.


    "It''s one thing to raise money, you have to pay it back to match!" Feng Huiquan said, "If the match is unsuccessful, even if you take the most money, it won''t help."


    "I know." Xiaotong''s father lowered his head and looked rather lonely.


    "Okay, this patient doesn''t need to be checked, Lu Chen, let''s see the next patient."


    Because Xiaotong is an old patient, and the "diagnosis" is very clear, Feng Huiquan is not ready to conduct ward rounds.


    This time, Lu Chen was a little anxious.


    What''s going on?


    Why Feng Huiquan just glanced at him and was about to leave?


    "Director Feng." Lu Chen quickly stopped Feng Huiquan.


    Hearing Lu Chen''s voice, Feng Huiquan frowned and looked back at Lu Chen, "What''s the matter? You''re not going to the room?"


    "No..." Lu Chen shook his head slightly, "Director Feng, it''s like this, I accidentally discovered nystagmus in the 3-bed patient some time ago, so I gave the patient a physical examination of the nervous system."


    "Nervous system...Tell me about it carefully." Feng Huiquan looked at Lu Chen curiously.


    For this patient, the diagnosis and treatment are relatively ¡°clear¡±.


    What else can Lu Chen see?


    If it was another student, Feng Huiquan might ignore it.


    But Lu Chen had already revealed his identity, Feng Huiquan had to take it seriously.


    ¡­


    At this time, Lu Chen was a little fortunate that Feng Huiquan was not as stubborn as Yu Liqian.


    So, Lu Chen told Feng Huiquan one by one of his findings in the past few days, including the weakening or disappearance of tendon reflexes, and the tremor of the eyeball and tongue muscle.


    "Director Feng, it seems that these symptoms of the patient cannot be explained by pure red blood cell aplastic anemia, right?"


    Feng Huiquan didn''t just listen to what Lu Chen said, but started it himself and performed a physical examination on the child''s nervous system.


    After checking, Feng Huiquan nodded immediately.


    "Yes! There are indeed these neurological signs."


    Before ??, everyone only focused on the diseases of the patient''s blood system, and had ignored the symptoms of other systems.


    (end of this chapter)

 v2 Chapter 539： Genetic monitoring of the nervous system

    Chapter 539 Genetic Surveillance of the Nervous System


    Lu Chen knew that Director Feng Huiquan had begun to notice the symptoms of the patient''s nervous system.


    This is the best news!


    In fact, with the development of medicine, various disciplines are developing in a more refined direction, and doctors have become more specialized.


    Even, various sub-specialties have been derived!


    The hospital has changed from the former major internal medicine and major surgery to the current specialties at all levels.


    The advantage of ?? such a subdivision is that a certain disease can be treated more professionally, but the disadvantage is that many doctors only know their own professional diseases.


    The human body is a complex whole, and diseases often do not involve only one system.


    If you only focus on your own profession, many complex diseases cannot be treated in time.


    "This neurological symptom is very strange..." Feng Huiquan pondered for a long time, but he didn''t see why it came out.


    "Director Feng, so I''m wondering, could the diagnosis of the patient not be pure red blood cell aplastic anemia?"


    "Pure red aplastic anemia is just the appearance of other diseases?"


    Lu Chen''s words shocked everyone present.


    Feng Huiquan was also shocked by this bold idea.


    Modu Hospital, it has been diagnosed!


    Lu Chen even dared to doubt this kind of diagnosis?


    And the child''s parents were even more surprised.


    For so many years, they have been treated according to "pure red blood cell aplastic anemia".


    Suddenly someone said that the previous diagnosis was wrong.


    Who can accept this?


    Children''s parents are completely unacceptable patients!


    Feng Huiquan frowned. He looked into Lu Chen''s eyes and seemed to see a hint of firmness. .


    "Lu Chen, express your thoughts. Medicine is a very magical discipline. The appearance and nature of diseases are often inconsistent. Perhaps, your thoughts will give us another way of thinking."


    Feng Huiquan pondered for a while in his heart, but did not think of any other diseases.


    With just a few neurological symptoms, he really had no clue for a while.


    Lu Chen paused and said slowly: "I suspect that there is a lack or accumulation of a certain substance in the patient''s body, which causes both hematopoietic system and nervous system problems. All these symptoms are a variety of diseases. Performance."


    This is just a conjecture of Lu Chen!


    A reasonable diagnosis conjecture based on the symptoms, signs and auxiliary examinations that the patient already has.


    "This..." Feng Huiquan was slightly taken aback after hearing Lu Chen''s words.


    Lu Chen just suspected a certain substance deficiency, but there was no substantial evidence.


    However, Lu Chen''s thoughts sounded reasonable!


    "By monitoring the relevant genes of the nervous system, I can diagnose whether my thinking is wrong." Lu Chen continued, "The defect of this substance must be the influence of a congenital disease. Screening genes can be diagnosed!"


    After ??, Lu Chen glanced at the patient''s family.


    In fact, he foreshadowed so much, just to convince the child''s parents to believe his words and agree to try to conduct genetic monitoring of the nervous system.


    "Lu Chen, maybe you''re right, but genetic monitoring is more expensive, and it can''t be..." Feng Huiquan frowned. In fact, he knew that Lu Chen''s conjecture had some truth, and the diagnosis of "pure red aplastic anemia" could not explain it. All current symptoms and signs of the patient.


    At this time, the child''s parents probably understood the conversation between the two.


    "Director Feng, I listened to Dr. Lu. It seems that the child has another diagnosis?" The child''s parents spoke up.


    The child''s parents looked at Lu Chen nervously.


    When Lu Chen spoke, they didn''t even dare to blink, for fear of missing something.


    aside, Feng Huiquan nodded and said, "It''s just suspicion now, we don''t have any definite evidence yet..."


    "How can I be diagnosed?" Xiaotong''s father said quickly.


    "Gene monitoring may be a little expensive..." Lu Chen said.


    Lu Chen''s words were not finished when Xiaotong''s father immediately replied, "We will do it!"


    Lu Chen still underestimated the love that parents have for their children. Now there is only a slight chance that parents of children will try to diagnose, treat, and use all means to cure their children.


    "Well, if you agree to further screening, we will arrange for neurological genetic monitoring." Feng Huiquan said, "Lu Chen, you will arrange this matter."


    Since there is a possibility of another diagnosis, and the family has agreed to do genetic monitoring, Feng Huiquan will naturally not stop it.


    "Okay, no problem!" Lu Chen laughed.


    He really did not expect this to be done so smoothly.


    Feng Huiquan had no doubts, and his family was very cooperative.


    Actually, this is because Lu Chen has not yet recognized his current status.


    How can a person who can make Director Cheng Guowen his assistant be an ordinary person?


    Feng Huiquan didn''t treat Lu Chen as a student after he knew his identity, and he attached great importance to Lu Chen''s opinion.


    When Lu Chen said that there was a possibility of such a nervous system, Feng Huiquan automatically acquiesced, and he would not stop it at all.


    ¡­


    Soon, Lu Chen and Feng Huiquan had checked all the patients in the group.


    Lu Chen contacted the child''s parents with an out-of-hospital inspection company.


    It only involves genetic monitoring, which is not available in general public hospitals, and all require testing companies outside the hospital.


    "What? Do genetic monitoring?"


    In the afternoon, Yu Liqian returned to the ward.


    She saw that Lu Chen gave the patient a doctor''s order for "neural system gene monitoring".


    "This is not a mess!"


    Yu Liqian was very angry. For such a diagnosed patient, she took her to do genetic monitoring of the nervous system?


    Besides, how could Director Feng Huiquan, like Lu Chen, actually agree with Lu Chen''s opinion!


    However, the patient''s blood has been collected, and there is no way to change it.


    ¡­


    In the haematologist''s office.


    Yu Liqian''s face has always been black, so it is correct not to let these medical students participate in the clinic.


    Today, she left such a big basket without a day''s time!


    Lu Chen didn''t explain too much.


    The final result is the strongest evidence.


    Now waiting for the final result!


    ¡­


    Gene monitoring of the nervous system, the results come out slowly, usually 5-7 working days.


    During this week, Lu Chen still stayed in the doctor''s office of the Department of Hematology and read books every day.


    Now, Yu Liqian doesn''t pay much attention to Lu Chen, and she rarely bothers Lu Chen even when she runs errands.


    Today is Lu Chen''s fourth week in the Department of Hematology.


    After today, the friends in the group will take turns with Lu Chen.


    "Can you get results today?"


    Lu Chen glanced at the drawer where the out-of-hospital test results were kept, but it was still blank.


    (end of this chapter)

 v2 Chapter 540： 0.39 yuan per piece

    Chapter 540 0.39 yuan per piece


    At this moment, the nurse from the hematology ward came in from outside.


    She holds a stack of laboratory and inspection reports in her hand.


    "These are the test results that were recently sent to the out-of-hospital for examination. All the doctors in charge of the bed should look it up to avoid omissions!"


    In the hematology ward, not only genetic monitoring, but also pathological results such as bone puncture are sent to the out-of-hospital examination.


    Lu Chen looked at the nurse, and she delivered the stack of test sheets to a doctor in the office.


    The doctor immediately picked it up and read it, and took away the test sheet of the patient under his control.


    After ?? took away his own test sheet, the doctor handed the remaining test sheet to other doctors.


    "I didn''t deliver the test last week, please give it to someone else." Yu Liqian glanced at the test sheet and shook her head.


    Lu Chen was taken aback for a moment, she had forgotten that the child had done genetic monitoring of the nervous system!


    The test sheet was skipped over to Yu Liqian and sent to other doctors.


    "Wait for others to read it, and I''ll go look for it." Lu Chen thought to himself, he didn''t remind Yu Liqian, so he didn''t take the initiative to get in trouble.


    The results of genetic monitoring are generally very slow.


    Today, I really might not be able to come out. .


    ¡­


    This stack of test sheets is circulated in the hands of each doctor, and the number of test sheets is getting smaller and smaller.


    Lu Chen looked in the direction of the test sheet from time to time, feeling a little nervous in his heart.


    "The last doctor left..."


    The test sheet was circulated to the last doctor in the office, and he doubled it over, took out a test sheet, and then said to everyone, "Which doctor belongs to this test sheet called Tong''s Desk? ?"


    His voice resounded throughout the doctor''s office, and Lu Chen was stunned. There really is a child''s laboratory test sheet!


    Yu Liqian was quite surprised at this moment, and paused for a while. In retrospect, she seemed to have been sent for an external examination, "Oh, it''s my patient, I forgot, I had a useless examination last week..."


    Yu Liqian took this test sheet from someone else before she could finish her words.


    However, when she reached her lips, it suddenly stopped abruptly!


    She looked at the result of this genetic monitoring sheet in disbelief - the SLC52A2 mutation is possible!


    There is really a mutation in the nervous system gene!


    Yu Liqian swallowed her saliva. Although she had never heard of this kind of gene, this situation was really "accidentally hit" by Lu Chen...


    "This must be Lu Chen''s random guess." Yu Liqian thought.


    From a simple physical examination of the nervous system, and the appearance of a blood disease, Lu Chen actually directly concluded the genetic defect.


    If you say this, others don¡¯t really believe it!


    Lu Chen also noticed Yu Liqian''s abnormal expression at this time, he quickly stood up and came behind Yu Liqian.


    glanced over this test sheet.


    Lu Chen also saw these big characters clearly, the SLC52A2 gene mutation is possible!


    "It''s actually this genetic defect!" Lu Chen''s eyes widened and he blurted out.


    "You still know this gene?" Yu Liqian frowned, staring at Lu Chen with an unpleasant expression.


    Such an inconspicuous medical student actually slapped her in the face!


    What kind of thing is this? !


    She had never heard of this gene that suddenly appeared, how could Lu Chen know about it?


    ¡­


    At this time, Lu Chen nodded and said in a structured language: "The mutation of this gene may lead to progressive bridging palsy syndrome."


    "Bondroit Palsy Syndrome?"


    This time, Yu Liqian''s face was extremely ugly!


    SLC52A2 gene mutation, she has never heard of it, but she has heard of this bridge-prolonged palsy syndrome!


    This is an autosomal recessive progressive neurological disorder.


    The main clinical manifestations are sensorineural deafness, bulbar dysfunction, and severe generalized muscle weakness and muscle atrophy, which can lead to respiratory insufficiency and loss of independent walking ability.


    In addition, because the disease is caused by the metabolism of riboflavin, it also leads to a series of anemias.


    At this time, Lu Chen continued: "The child''s symptoms are nearly 50% similar to those of progressive pontine palsy syndrome, nystagmus, tongue fasciculation, generalized muscular atrophy, generalized hypotonia, swallowing Difficulty, insufficiency of breathing, weakness of the muscles in the limbs, these children have it, and riboflavin is vitamin B2 deficiency, which can lead to anemia and neurological problems in severe cases.¡±


    Lu Chen looked at Yu Liqian, not the joy of victory, but the satisfaction of having a correct diagnosis.


    This neurological treatment method is much simpler than "pure red blood cell aplastic anemia"!


    It seems that there are many serious symptoms, but it is actually due to the lack of vitamin B2!


    Yu Liqian lowered her head and held this test sheet in her hand, no one could see her expression clearly.


    However, that doesn''t matter now.


    Lu Chen picked up his mobile phone and called Director Feng Huiquan immediately.


    "Director Feng, the patient''s results came out. The SLC52A2 gene mutation caused progressive pontine palsy syndrome."


    At the other end of the conversation, Feng Huiquan was a little surprised, and quickly said: "Okay, I''m in the outpatient clinic, I''ll go back to the ward right away."


    hung up the phone, and the laboratory test sheet was immediately sent to the WeChat.


    "Is it really a genetic defect?!"


    Feng Huiquan read this test sheet and recalled that a week ago, he felt a little fortunate that he was fortunate to have the patient undergo this genetic screening.


    Otherwise, a disease of the nervous system will be treated as a disease of the hematology department, and it will continue to be treated like this.


    The other party is just a 5-year-old boy!


    ¡­


    Feng Huiquan returned to the hematologist''s office.


    He saw this test sheet from Xiaotong.


    "I really didn''t expect that, you really got the diagnosis right!" Feng Huiquan patted Lu Chen on the shoulder, his appreciation was beyond words, "Lu Chen, why don''t you think about it again and study for a doctor in the Department of Hematology? , if you don''t come to the hematology department, that''s really our loss!"


    Lu Chen smiled, "Director, it''s an award, but if you come to the hematology department, I''m afraid Teacher Li Yao will beat me."


    "Haha, you''re right!" Feng Huiquan laughed.


    Then, the two came to the door of the No. 3 hospital bed.


    "Xiaotong, he, is he really not a blood disease? Is it a nervous system disease?" Xiaotong''s parents were both surprised and delighted at this time.


    is not a blood disease, which means there is no need for a bone marrow transplant.


    "Dr. Lu, since the diagnosis has been made, how can this neurological disease be treated?" Xiaotong''s father looked at Lu Chen nervously.


    The name of this disease sounds weird. If the cost of treatment is still so high, it is almost not much different from a blood disease!


    Lu Chen smiled, "There is a special medicine for this neurological disease, 0.39 yuan per tablet!"


    (end of this chapter)

 v2 Chapter 541： new plan

    Chapter 541 New Plan


    "0.39 yuan per piece?"


    A look of surprise appeared on the faces of the children''s parents.


    "Then, how many tablets do you need to eat that day?"


    "3 pieces!" Lu Chen said.


    Children''s parents looked at each other and could see the shock in their eyes.


    You must know that since the diagnosis of pure red blood cell aplastic anemia, the cost of chemotherapy alone has been in the tens of thousands of yuan.


    "This...is this medicine useful?" Xiaotong''s father whispered.


    is really cheap!


    It¡¯s like buying something, it¡¯s too cheap, it always feels like it¡¯s not good¡­


    Lu Chen smiled, "According to the results of genetic monitoring, the neurological disease of the child is due to the lack of vitamin B, so if the lack of substances is supplemented accordingly, his condition should improve."


    The anemia of blood disease is only the symptom of the disease.


    If you want to truly cure the disease, you need to fundamentally treat the cause of the child.


    Feng Huiquan nodded in agreement: "If we just suspected the possibility of neurological diseases before, but the genetic diagnosis results come out, the diagnosis is basically confirmed!"


    I don''t know when, Yu Liqian also came to the ward, but she didn''t come forward.


    Hearing Feng Huiquan''s words, her expression was very unnatural.


    The possibility that ?? had been rejected by her before has now been confirmed to be correct.


    And the diagnosis of patients is a completely subversive change!


    Looking at Lu Chen''s immature face, Yu Liqian''s expression was still a little dazed.


    She sighed softly, and then walked out of the ward a little dejected. .


    ¡­


    After communicating with the child''s parents many times, Lu Chen officially stopped all drugs for "pure red blood cell aplastic anemia" and switched to vitamin B for treatment.


    However, the time required for treatment of this chronic disease is also very long.


    Lu Chen initially estimated that it would take at least two months for the patient''s condition to recover.


    But for children, this should be the best result.


    "Xiaotong, say thank you to my brother."


    When Lu Chen came to the bed again, the child''s parents touched the child''s head and smiled softly.


    Xiaotong was also very obedient, raised his head and looked at Lu Chen with a smile, his eyes narrowed, "Brother, thank you."


    He didn''t know what Lu Chen had done around him these days, nor how serious his condition was.


    It''s just that every time Lu Chen came to the hospital bed, he would talk to him, and other children would run away when they saw him.


    In the child''s subconscious, the big brother in front of him is his good friend.


    "Brother, thank you." The boy''s voice was tender and his eyes were shining.


    In Lu Chen''s opinion, seeing Xiaotong''s smile was the most meaningful thing he had done in the hematology department for so long.


    What a small child, he should play carefree with his companions, but now he is in the hospital every day, smelling the pungent smell of disinfectant...


    As a doctor, the happiest and most satisfying time should be now!


    ¡­


    Hematology.


    Office of the Director.


    Feng Huiquan and Yu Liqian sat opposite each other.


    "Doctor Yu, I heard from Lu Chen that he reported to you the condition of the patient in bed 3 before." Feng Huiquan frowned and looked at Yu Liqian.


    Yu Liqian was shocked, she was really afraid that Lu Chen would complain.


    She knew that her previous actions were indeed deliberately ignoring Lu Chen''s advice.


    "It seems... it seems to have been said." Yu Liqian whispered.


    Feng Huiquan said: "Then why didn''t the patient have their genes checked at that time? Lu Chen didn''t bring this up until my rounds?"


    Anyone who can be a director is a human being.


    Feng Huiquan immediately thought of the crux of the matter.


    He only checked the room one day a week, but the patient in bed number 3 stayed for many days.


    And looking at the way Lu Chen talked about his illness, he should have had this idea long ago.


    Then why didn''t he tell the superior doctor Yu Liqian, but instead told himself that he went over the top?


    Obviously, this is all because of Yu Liqian!


    Yu Liqian lowered her head and did not speak.


    Feng Huiquan sighed softly, looked at Yu Liqian and said, "Don''t think that Lu Chen is just a student, you should take his opinion seriously. If there are three people, there must be my teacher. Many times, I have some unexpected things. You must ask for advice with humility. Medicine, although experience is important, but relying on experience alone, sticking to stereotypes and daring to challenge authority, you will not be a good doctor!"


    The reason why Yu Liqian didn''t follow Lu Chen''s advice was, to a large extent, because "Pure Red Blood Cell Aplastic Anemia" was diagnosed in the Modu University Hospital!


    Doubt this kind of diagnosis, isn''t that looking for trouble for yourself?


    "I, I understand, Director." Yu Liqian paused, then replied softly.


    "Don''t think it''s too difficult for you." Feng Huiquan naturally saw that Yu Liqian was insincere, "I know that you old chiefs now have no intention of being promoted to deputy director, and usually don''t pay much attention to the major events in the hospital. Lu Chen is no ordinary student."


    Yu Liqian is a doctor who stayed in the Jinghua Second Hospital a long time ago. Her current job title is attending physician, but because she can''t write articles, she wants to be promoted to deputy chief physician in her career, which is basically hopeless!


    Therefore, she takes care of a few of her patients every day, and doesn''t pay attention to scientific research or other things in the hospital at all.


    "Director, isn''t Lu Chen a graduate student of Cardiology?" Yu Liqian wondered.


    "Oh, you can go to our school''s official website if you have time." Feng Huiquan glanced at Yu Liqian, and then issued an order to evict him, "Anyway, Lu Chen, this student, don''t mess with him!"


    Hearing Feng Huiquan''s words, Yu Liqian was extremely surprised.


    It was the first time she heard Feng Huiquan say such a thing.


    Leaving the director''s office, Yu Liqian immediately took out her mobile phone and waited for the official website of the Jinghua Second Hospital to check Lu Chen''s information.


    However, as soon as she clicked on the hospital''s official website, Yu Liqian was stunned.


    Because, in the title of the official website, the name of Lu Chen was included - Lu Chen of Cardiology Department completed a difficult electrophysiological operation.


    Yu Liqian swallowed her saliva, her right hand holding the phone trembled slightly, and it took a long time to click on the webpage.


    The web page jumped, and a detailed news report appeared immediately, as well as Lu Chen''s detailed introduction.


    After reading the entire report, Yu Liqian was stunned...


    ¡­


    After solving the child''s case, Lu Chen successfully gained a few points of gratitude and a little bit of system upgrade completion.


    Next, we need to dynamically observe the child''s condition, which is left to Yu Liqian and the other students in the group to do.


    The 20-day rotation in the hematology department has passed. After Lu Chen handed over to the other students in the group, he left the department of hematology.


    Lu Chen thought it would be easy for a month and a half, but Li Yao''s sudden phone call made his plan to rest in vain.


    (end of this chapter)

 v2 Chapter 542： Participate in college entrance examination

    Chapter 542 Participating in the examination for the college entrance examination


    "Lu Chen, you are going to help with the college entrance examination tomorrow."


    Hearing the news, Lu Chen was slightly taken aback.


    "Teacher, the college entrance examination physical examination?"


    "Yes, before the college entrance examination, the city will organize a physical examination for high school students." Li Yao said, "Our Jinghua No. 2 Hospital has undertaken some of the tasks of colleges and universities. Originally, Guoguo went, but she has been a little busy recently, so I will let you go. "


    "Okay, no problem." Lu Chen agreed immediately.


    He also participated in the physical examination for the college entrance examination, which is not too troublesome.


    "I will send you the specific content in word in the future, pay attention to check it." Li Yao said.


    "receive."


    Within five minutes, Lu Chen, who was sitting in the bedroom, received a word document from Li Yao.


    This document was released by the Physical Examination Department of the Second Hospital of Jinghua.


    This time, it is the Physical Examination Department of Jinghua Second Hospital that undertakes the physical examination for the college entrance examination. .


    Lu Chen found his task in the document, mainly responsible for the auscultation of the heart and abdomen.


    The physical examination time lasts for half a month.


    Lu Chen wants to give five colleges and universities a medical examination.


    "Wow, Lu Chen, you actually went to help with the college entrance examination physical examination?"


    In the bedroom, Wang Zihao was a little surprised.


    "What''s so strange about this?" Lu Chen wondered, "Isn''t it just to help?"


    "Hey, Lu Chen, this isn''t free labor, it''s paid!" Wang Zihao said, "This kind of work, people in the department are all rushing to do it! It''s easy, and you can earn some money. Extra money, why not do it!"


    "Remunerated?" Lu Chen was taken aback for a moment. He clicked on the word document that Li Yao sent him. In the bottom line, he did find the word "subsidy".


    "During the physical examination for the college entrance examination, a daily meal supplement of 200 yuan..."


    Two hundred a day is really rich!


    However, during this half month, Lu Chen didn''t go every day, he would probably go there for about ten days, which is 2,000 yuan.


    This money is quite attractive to doctors below the attending doctor!


    In fact, the most important point is that this job is easy, much easier than clinical work.


    High school students, most of them are in good health, just listen to it symbolically, that''s all.


    "Lu Chen, I want to go too..." Wang Zihao envied, "You can measure your weight at the door!"


    Lu Chen smiled and couldn''t help but sigh in his heart, it''s great to have a good mentor!


    ¡­


    Before the work of the college entrance examination physical examination, the physical examination department convened all the work involved in the physical examination and held a meeting.


    Those who can participate in this college entrance examination physical examination will definitely not have the opportunity for young residents, and the directors of the older generation will not like it, so most of them are some old qualifications in the department.


    ''s attending physician.


    Lu Chen, is a wonderful existence!


    When ?? attended the meeting, Lu Chen really met a few acquaintances.


    For example, Mr. Min Ling from Endocrinology and Mr. Fan Yujing from Gastroenterology are all acquaintances!


    Actually, when they saw Lu Chen, they were extremely surprised.


    Among the many attending doctors, a student suddenly appeared...


    "Lu Chen, you, are you also participating in this physical examination?" Min Ling approached Lu Chen and asked in confusion.


    "That''s right." Lu Chen smiled, "It was originally from my senior sister, but she had something to do temporarily, so I came for her..."


    "Lu Chen, your tutor is really partial." Min Ling and Lu Chen were also familiar with each other, and joked with a smile, "This kind of thing, you actually brought a student here."


    Lu Chen also scratched the back of his head, this kind of preference from a mentor is beyond the reach of ordinary people!


    Ordinary students are not so strong in auscultation. Even if they want to participate in this activity, they may not be able to go!


    ¡­


    The next day.


    It is the day of the college entrance examination physical examination.


    Jinghua Second Hospital sent a bus to pull all the doctors to the gate of the university.


    The first stop is Jinghua No. 1 Experimental Middle School!


    The school has arranged a room on the first floor for the physical examination, which includes the measurement of basic information such as height and weight. In addition, it is the examination of the ear, nose and throat, auscultation of the heart and lungs, and the examination of the exercise system.


    Lu Chen''s main work these days is mostly auscultation of the heart and lungs.


    "Teachers, everyone should find their place first. We have half an hour before the physical examination will officially end!" said a doctor accompanying him.


    "Attention everyone, be bold and careful!"


    "General small questions, forget it, leave it to the college entrance examination students. After all, they have studied for so many years for this exam."


    Lu Chen touched the expensive stethoscope on his neck, "Today, you are going to show your power!"


    After half an hour.


    The college entrance examination physical examination has officially started!


    The senior three students of Jinghua No. 1 Experimental Middle School walked into the entrance of this examination room one after another.


    At the entrance on the first floor, fill in the height, weight, and basic forms.


    The cardiopulmonary function examination room where Lu Chen is located is the innermost room, and it is also the last item of all examinations.


    About seven or eight minutes later, the examination room where Lu Chen was in began to have students slowly coming.


    A chubby boy came to Lu Chen and handed him the form in his hand.


    The health value on his head is green 89, and the change trend is blank, which means that it has not decreased.


    "Doctor, I''m here to check this item," said the little fat man.


    Lu Chen nodded slightly, took his form, and put on his stethoscope.


    "What do I say, what do you do." Lu Chen said.


    "it is good."


    Lu Chen placed the stethoscope probe on the auscultation area of ??the little fat man''s lungs, and said softly: "Inhale... exhale, and then do the same movement on the other side, inhale... exhale..."


    Little Fatty cooperated very well and completed the inspection.


    After auscultation of the lungs, Lu Chen checked again in each auscultation area of ??the heart valve.


    "Very good, no problem." Lu Chen put two slashes on the little fat man''s form, which means everything is normal.


    In fact, as soon as the little fat man came in, Lu Chen basically judged that he didn''t have a big problem, because his life was 89, and there was no trend to decrease.


    It seems that this little fat man usually eats well, drinks well, and rarely stays up late.


    After the little fat man left, Min Ling suddenly said: "Lu Chen, your inspection is too slow, speed up the speed appropriately, there are still hundreds of people today, you can''t finish it at your speed! "


    Min Ling has participated in several examinations for the college entrance examination, and she is very familiar with these procedures. If you follow Lu Chen''s slow pace, she will not be able to finish it in the dark!


    "They are all young people, and there is almost no problem. You don''t need to listen to all the auscultation areas." Min Ling instructed again.


    "Okay, Mr. Min, don''t worry." Lu Chen smiled.


    He has a system in hand, and it is absolutely impossible to miss any student with problems!


    As soon as Lu Chen finished speaking, a second student entered the room.


    Seeing the student at this moment, Lu Chen was slightly startled.


    Because of the health on his head, it is a yellow 75(-)!


    (end of this chapter)

 v2 Chapter 543： sharp contrast

    Chapter 543 Bright Contrast


    Could it be that the second student I watched today "won the lottery"?


    Lu Chen sat upright and asked the student to sit in front of him. He picked up the stethoscope and began to conduct a careful heart and lung examination for the boy.


    The college entrance examination physical examination, which is related to the college entrance examination of students.


    As long as the college entrance examination is involved, it is no trivial matter!


    It is very likely that these high school seniors will lose their qualifications for the exam.


    On the other hand, if the abnormality of the student''s body can be detected early and dealt with as soon as possible, the prognosis of the disease can be improved. +


    "Do you feel any discomfort at ordinary times?" Lu Chen looked at the boy in front of him, "For example, palpitation, chest tightness, chest pain, etc..."


    "No, no..." The student glanced at Lu Chen strangely, why didn''t the doctor ask this question when that classmate came to check?


    When it was his turn, he asked these questions.


    "Think about it again, do you feel flustered when you usually participate in physical exercise or running?" Lu Chen said again, "I just feel that my heart is beating faster."


    This time, he meant to guide the student, because through listening just now, he heard the student''s arrhythmia!


    In normal people, the heart beats regularly, that is, at regular intervals, it will beat once.


    In some physiological or pathological conditions, the human heart rhythm will be disturbed. In short, the time between heart beats is different.


    The more tired people are, or the more they participate in physical exercise, the more the heart is overloaded. This situation may become more and more obvious.


    Hearing Lu Chen''s words, the students lowered their heads and pondered for a while, before saying, "If you say that, I''ve had this situation before, so in physical education class, I feel like my heart is pounding all the time, but I''m resting. It''ll be fine in a while. I didn''t mind it."


    "Do you usually stay up late?" Lu Chen asked again. .


    "Definitely stay up all night." The student scratched his head, "Our senior year students, how can we not stay up late, even if there is no homework, we still have to review it ourselves."


    "In your situation, try to go to bed as early as possible." Lu Chen retracted his stethoscope.


    "Doctor, what''s wrong with me? Is it serious?" the student asked in surprise.


    Although these students do not understand medicine, they also know that the heart is one of the most important organs in the human body.


    When it comes to heart problems, it may not be a small problem!


    "After what I just listened to, you should have arrhythmia." Lu Chen said softly, "However, the specific severity cannot be seen just by auscultation. You need further examinations, such as doing a dynamic electrocardiogram. , assess the nature and frequency of the arrhythmia, and knowing these conditions, we can judge the severity."


    Says too many technical terms, and this student doesn''t understand.


    Lu Chen directly wrote his opinion on his form: the cause of the arrhythmia is to be investigated, and it is recommended to improve the 24-hour dynamic electrocardiogram and cardiac ultrasound.


    "Don''t be stressed." Seeing the student''s frown, Lu Chen patted him on the shoulder comfortingly, "Most people are physiological, don''t like me, this may happen after I''m tired. These tests are done now, just to rule out some malignant arrhythmias, and to find them early and solve them early."


    "Then do I need surgery or medicine?"


    "Under normal circumstances, you don''t need surgery or medicine." Lu Chen said, "But if you have a lot of arrhythmia, or you have more obvious symptoms of palpitation, then you may need to take medicine."


    "I only felt uncomfortable a few times, but other times it was fine." Hearing Lu Chen''s words, the expression on the student''s face softened a little, "Thank you doctor."


    "No thanks, remember to do the check up and stay up late!"


    Then, the student left with the form.


    ¡­


    "Lu Chen, you are really popular! I looked at one or two hundred students before and couldn''t see a single problem. Now you look at two people and you find one problem."


    Min Ling joked beside Lu Chen.


    This man''s face is black, he really can''t help it!


    In the hospital, the face is dark, and if you come to other places, you still can''t get rid of the fate of being dark...


    Lu Chen smiled helplessly, the system gave him this ability, and he naturally couldn''t live up to it.


    It is also a good thing to be able to help these students see the problem.


    At this moment, a prompt pops up in the system panel.


    "Congratulations, +1 for the thank you from Fang Yu!"


    Lu Chen was slightly taken aback, this should be the student just now.


    Efforts were not in vain, anyway, I gave a little thank you.


    ¡­


    Because of the appearance of the second student, Lu Chen''s work was slightly interrupted.


    After the ?? treatment, he continued to perform cardiopulmonary auscultation work.


    Most of the students have more than 80 HP.


    A small part is between 70-80, especially some girls, who have weak bones and bones, and now stay up late for a long time, some small problems will inevitably occur in the body.


    Lu Chen tried his best to find out problems for these students.


    However, it is impossible to find all the faults just by auscultation of the heart and lungs.


    Lu Chen can only give a preliminary warning to these students with yellow health.


    "Classmates, you should pay more attention to rest in the future, your body is the main line of revolution!"


    "The combination of work and rest can maximize efficiency!"


    "If you are not feeling well, you should come to the hospital in time to see a doctor."


    ¡­


    The medical examination in the morning is over.


    The third-year students of Jinghua No. 1 Experimental Middle School know that there is a very interesting young doctor in the medical examination building.


    The other doctors listened a few times with a stethoscope on the chest, and then let everyone leave.


    But this doctor, it is very likely that he will pull you, say a few words, and ask if there is any discomfort.


    "But this young doctor is amazing. I can tell at a glance that I have stayed up too late recently, and I am very tired. Please let me rest more."


    "That''s right, me too. I usually catch a cold easily. This doctor also reminded me."


    "Yeah, I heard that there seems to be something wrong with a student''s heart, and he saw it too."


    "It''s really amazing, I want to study medicine in the future, I want to apply for medicine major!"


    Lu Chen''s consultations were very specific, and they were all aimed at those students whose lives were yellow.


    In this way, when everyone got together, they discovered Lu Chen''s greatness with just a few words.


    As long as it is a student who is questioned, there are basically some minor physical problems, or some hidden diseases.


    ¡­


    The whole morning.


    Lu Chen checked the least number of students, but he also found the most problematic students!


    Lu Chen diagnosed three "arrhythmias" in the morning.


    On Min Ling''s side, although there are a lot of students, all of them are normal, and there are no students with problems at all.


    She and Lu Chen formed a very sharp contrast.


    (end of this chapter)

 v2 Chapter 544： A murmur from the left border of the sternum!

    Chapter 544 Murmur from the left edge of the sternum!


    Lu Chen''s strangeness here has attracted the attention of the leaders of the medical examination department.


    However, the few people Lu Chen diagnosed were just ordinary "arrhythmia", and they didn''t care too much.


    Ordinary arrhythmias will not affect students¡¯ further education.


    ¡­


    At noon, Lu Chen had a meal in the cafeteria of Jinghua Experimental Middle School.


    This meal reminded Lu Chen of his time in high school.


    Although I was busy with my studies at that time, my life was very fulfilling. It was an extremely rare experience to strive for a goal without distraction.


    Watching the young students walking by, Lu Chen could also feel their vigor, and his tired mood suddenly relaxed a little.


    ¡­


    After eating, we rested for a while in the medical examination building.


    Go to work in the afternoon and work continues.


    But this time, many students came here "admiringly" and took the initiative to come to Lu Chen''s side to line up.


    Even some girls were eager to try, and wanted Lu Chen to perform auscultation.


    However, because of their gender, they were all arranged to have a physical examination on Min Ling''s side.


    You must know that there are a total of four auscultation units in this classroom. .


    In addition to Lu Chen, there are also three other doctors from Jinghua Second Hospital!


    The number of people in the queue behind the other doctors is visibly reduced.


    "Everyone, go to the next team!" The director of the medical examination department said immediately, "All four teams can be checked."


    The leader roared twice, but found it useless.


    Everyone didn''t move their positions, they all wanted Lu Chen to perform auscultation of the heart and lungs.


    After all, Lu Chen has been rumored to be "magic", and everyone wanted to come and experience it for themselves.


    ¡­


    Lu Chen soon discovered something was wrong.


    The people lining up on his side are really endless.


    On the side of Teacher Min Ling, only girls were lining up.


    At the beginning, he also thought that the students might have made a mistake, so he quickly said: "The boys in my team can come to the opposite team, don''t always line up with me, there are too many people to finish reading!"


    After Lu Chen''s shouting, everyone in the line became a little loose, and a few boys sporadically ran to Min Ling''s team.


    "It''s 5 o''clock this afternoon, and students who don''t have a physical examination will have to go to another school tomorrow and the day after tomorrow to have a physical examination for the college entrance examination with students from other schools!"


    When Lu Chen said this, the people in the long queue behind him realized that they couldn''t wait any longer.


    Lu Chen''s team was slow to perform cardiopulmonary examinations.


    If you wait like this, you really won''t be able to complete the college entrance examination today.


    The flow of people in the queue finally began to slowly disperse to other teams.


    However, Lu Chen''s team was still the largest among the four teams.


    ¡­


    "Call..."


    After watching dozens of students in a row, Lu Chen was also a little tired, and he lightly shook his arm.


    Fortunately, these students have green and healthy life points, and there is no hidden disease. Lu Chen simply performed auscultation of the heart and lungs, and then let them leave.


    "Okay, next!"


    Lu Chen just finished his words when he saw a thin boy appeared in front of him.


    He wears glasses, has fluffy hair, and has a few patches on his school uniform trousers. The whole person looks timid, and he looks like the kind of honest student.


    However, the first time Lu Chen saw him, his pupils shrank slightly.


    Because, the HP on his head is 71(-)!


    This HP is the lowest HP he has ever seen today.


    "Come, sit in front of me." Lu Chen said softly.


    The thin boy nodded slightly, then sat gently on the chair in front of Lu Chen.


    "Pull the clothes apart to expose the boobs."


    The thin boy unzipped his school uniform. Lu Chen picked up the stethoscope and placed it on the apex of his heart.


    This is the first position for cardiac auscultation!


    The stethoscope is attached to the skin and auscultation is performed in each valve area.


    When the stethoscope was placed on the left edge of the sternum, Lu Chen heard a very obvious noise through the speaker of the stethoscope.


    "The left sternal border, rough systolic mid-late ejection murmur, may be accompanied by tremor!"


    And this should be the intensity of the noise, great!


    Lu Chen immediately judged the nature of the noise in his heart.


    Next, several other valve areas are normal. Lu Chen didn''t hear any noise.


    The auscultation of the lungs was also normal.


    Lu Chen frowned. After the whole inspection, although there was only a murmur on the left edge of the sternum, it already explained the problem, and the problem was not small!


    There is a heart murmur, which means that the patient''s heart structure may have changed.


    "Classmate, do you usually have any symptoms of heart palpitations, chest pain, or chest tightness?" Lu Chen asked straight to the point, his expression extremely solemn.


    The thin boy nodded immediately without any hesitation.


    "Every time I exercise a little more, I feel a little flustered, and sometimes my chest hurts a little."


    "How long have you had these symptoms?"


    "When I was in junior high school, it seemed to be a little bit, and in high school, the symptoms were a little worse." The thin boy whispered.


    "Have you been to the doctor?"


    "I saw it when I was in the country." The thin boy said, "The doctor said that I was malnourished and that it was no big deal to eat more food, so I didn''t take it to heart."


    "Malnutrition?" Lu Chen shook his head helplessly, "This is definitely not the case."


    Most doctors in the countryside did not auscultate him, let alone discover his heart problems.


    "Then your symptoms got worse when you were in high school, why didn''t you go to see a doctor?" Lu Chen said again.


    "This..." The thin boy was stunned, "Because every time I feel uncomfortable, I just take a rest, especially when I squat down, the discomfort is much better, so I reduce the amount of activity and squat more times. "


    "Squat down, the symptoms will be relieved?" Lu Chen was stunned, and then a light flashed in his heart, he quickly said, "You squat down now!"


    "Huh?" The thin boy was a little confused, "I, I squat down?"


    "Yes." Lu Chen nodded immediately, "Squat down now."


    Seeing Lu Chen''s persistence, the thin boy stood up and squatted down in front of Lu Chen.


    "Okay, I''ll give you another auscultation now."


    Lu Chen took out his stethoscope again.


    Let the thin boy expose his chest and start the second auscultation.


    The stethoscope is again placed on the left border of the sternum.


    "There are still noises!" Lu Chen thought.


    The nature of this noise is exactly the same as when standing up.


    "Wait..." Lu Chen suddenly felt that the voice was a little different.


    "By the way, the sound intensity of the noise seems to have weakened!"


    When the thin boy''s posture changed from sitting to squatting, the intensity of his heart murmur became weaker!


    Changes in the posture of the human body, the intensity of the noise changes, and the symptoms are relieved!


    Lu Chen''s heart was suddenly enlightened.


    In his mind, a diagnosis had already appeared on the paper.


    (end of this chapter)

 v2 Chapter 545： Would rather miss, can not let go!

    Chapter 545 I''d rather miss it than let it go!


    Hypertrophic cardiomyopathy? !


    This hereditary heart disease immediately popped up in Lu Chen''s mind.


    Hypertrophic cardiomyopathy, simply put, is the hypertrophy of the heart muscle tissue in a certain part of the heart.


    Hypertrophic heart muscle blocks blood flow through the heart when it contracts, causing a range of symptoms such as dizziness, palpitations and even chest pain.


    Hypertrophic cardiomyopathy, the most typical symptom is that the heart murmur will be weakened when you change your position and squat.


    This is also well understood. When a person is squatting, the distance between the lower limbs and the heart is shortened, thus increasing the blood flow back to the heart.


    Increase in return cardiac blood volume, expand the ventricular cavity, and increase the distance between the mitral valve leaflet and the interventricular septum, thereby reducing the stenosis of the outflow tract and weakening the murmur.


    However, no matter how obvious the symptoms are, in order to diagnose hypertrophic cardiomyopathy, it is still necessary to complete the cardiac ultrasound examination.


    "Classmate, do your parents have any history of heart disease?" Lu Chen asked.


    Hypertrophic cardiomyopathy is a hereditary disease. Generally speaking, most patients have a family history of the disease.


    "No, probably not." The thin boy paused.


    "No?" Lu Chen was taken aback.


    Just when Lu Chen was about to write his inspection opinion on the form, the boy suddenly said: "But my grandma seems to have a heart attack, I don''t know what kind of heart disease, but I heard from my dad that this heart disease is in my heart. Grandma had it when she was young."


    Lu Chen nodded slightly, it seemed that he still had a genetic predisposition.


    The grandmother of the student probably also has hypertrophic cardiomyopathy.


    This disease mostly occurs in middle age, and it is also the cause of sudden and sudden death in some young people.


    Why sudden death?


    In fact, it is also very easy to explain, myocardial hypertrophy, blocked blood flow channels, once the blood flow is completely blocked, the human brain and other parts will lack blood supply, leading to the possibility of sudden death.


    "Doctor, what did you mean just now, is there something wrong with my heart?" the thin boy asked in a low voice.


    Lu Chen wrote down his opinion and said, "Actually, you should have some feelings yourself, right?"


    As long as the activity increases a little, he will feel chest tightness and shortness of breath. He should have a deep understanding of this uncomfortable symptom.


    The thin boy nodded slightly. He always thought that he was malnourished and his body was weaker than others, so his activity tolerance was not as good as others.


    However, in any case, the discomfort in his heart, which he knew personally, could not be concealed.


    "Be sure to ask your parents to take you to the hospital for a check-up." Lu Chen said, "You don''t need to have psychological pressure. If you solve your problem, you can participate in physical exercise normally in the future."


    "Okay, thank you doctor."


    The form for this physical examination is directly submitted to the school, and the school will contact the parents at that time to solve each student''s problems according to the opinions of the medical examination doctor.


    After the thin boy left, Lu Chen submitted the form to the director of the medical examination department.


    "Director Song, I''m here to check on a student suspected of hypertrophic cardiomyopathy." Lu Chen said.


    "Huh?" Director Song shrugged the glasses on the tip of his nose and stared at Lu Chen in surprise, "You, are you right?"


    The previous physical examinations were basically going through the motions. To be able to find a student with arrhythmia would be considered extraordinary!


    How can we still find students with hypertrophic cardiomyopathy this year?


    This seems a bit outrageous, right? !


    "There should be no mistake." Lu Chen said.


    Director Song looked at Lu Chen suspiciously, "How did you diagnose it?"


    Without any pause, Lu Chen said, "The part I am in charge of is mainly auscultation. The patient usually has chest pain and palpitations after exercising. At the same time, a clear systolic murmur can be heard on the left edge of the sternum. weakened, symptoms lessened¡­¡±


    Listening to the series of symptoms and physical examination mentioned by Lu Chen, Director Song of the Physical Examination Department was a little silent.


    He himself came to be the director of the medical examination department after he retired from the Cardiology Department.


    He is no stranger to hypertrophic cardiomyopathy.


    But it is really not easy to diagnose this disease just through physical examination and consultation!


    Director Song knows that Lu Chen is only a graduate student now. Although he has obtained a medical practitioner certificate, he is considered a real doctor, but he is still a student after all!


    "Okay, I trust your judgment." Director Song was silent for a while, then said slowly, "I will communicate with the parents of the students and ask them to improve their cardiac ultrasound as much as possible to facilitate the diagnosis."


    Lu Chen felt at ease when he saw this.


    Hypertrophic cardiomyopathy, although most of the prognosis is relatively good, but very few have the risk of sudden death, so it is best to find out what type of cardiomyopathy as soon as possible, in order to prescribe the right medicine.


    On the other hand, Lu Chen returned to the medical examination room and continued to conduct medical examinations for the students.


    ¡­


    On the other side, Director Song immediately contacted the parents of the students by phone.


    "Hello, are you Jin Miao''s parent?"


    "Yes, who are you?"


    "I''m a doctor from the Physical Examination Department of Jinghua No. 2 Hospital. This time I undertake the college entrance examination for Jinghua Experimental Middle School, and I found that your son Jin Miao may have some problems..."


    Director Song''s efficiency in handling things was relatively high, and the parents came to the school immediately.


    When it comes to their own children, parents can''t delay that moment.


    Originally, the school said it was better, but the school was not a professional, so the doctor of Jinghua Second Hospital came forward.


    "Doctor, do you think my son may have a heart attack?" Jin Huafang looked at Director Song in surprise.


    Director Song nodded and said, "Through our examination this time, it is initially judged that there may be a heart disease, but if the diagnosis is confirmed, it may be necessary to go to the hospital for further examination."


    Jin Hua Fang said suspiciously: "I used to go to your hospital, and I had to do so many tests at the first stage to be able to confirm the diagnosis. Why do I take a stethoscope at school today and tell us that the child has a heart disease?"


    Jin Huafang was quite excited. Anyone who knew that his child had a heart attack would be unacceptable.


    "Parents, don''t get excited yet." Director Song said calmly and comforted: "We are only initially suspecting and have not confirmed the diagnosis. The reason why we called you here is to be responsible for your child and you. In this regard, since we have undertaken the task of physical examination, we will definitely be responsible. Especially for heart disease, we would rather make a mistake, but we can''t let it go, don''t you think?"


    Jin Huafang''s heart please gradually calm down, he is also worried about his own children.


    "This child, who is usually uncomfortable, doesn''t tell us why!"


    "It may be said, but your parents don''t care about it?" Director Song said, "Now is not the time to talk about these things, let''s take the child to check as soon as possible."


    Holding the form written by Lu Chen in his hand, Jin Huafang said, "It is recommended to improve echocardiography and electrocardiogram to rule out hypertrophic cardiomyopathy." "


    (end of this chapter)

 v2 Chapter 546： Diagnosed

    Chapter 546 Diagnosed


    Jinghua Second Hospital, Cardiology Clinic.


    Today''s cardiology outpatient clinic is very special.


    Many students came to the outpatient clinic to see a doctor because they were found to have problems due to the physical examination for the college entrance examination.


    Among them, Jinghua Experimental Middle School has the most students!


    Li Qinghua is sitting in the consultation room of the general outpatient department of Cardiology and has received four senior high school students.


    All of them had problems with the physical examination for the college entrance examination, so the parents took the physical examination form and found the outpatient department of the Cardiology Department of the Jinghua Second Hospital.


    And the name of the signer on the form is "Lu Chen"!


    Li Qinghua put down the form in his hand and said to the parent in front of him: "Well, I heard that the child''s heart beat is indeed irregular. It is most likely a kind of arrhythmia, premature beat."


    "Premature beats?" the parent asked suspiciously.


    Li Qinghua nodded and explained patiently: "A normal person''s heart beats at the same time interval, but your child''s heart beats earlier than expected. This is premature beats."


    "Is it serious?" the parent asked again.


    "It depends on the number of premature beats and what kind of premature beats it is, so the doctor who examines your child will recommend a dynamic electrocardiogram and echocardiography." Li Qinghua said.


    "Then, why don''t you just do an ordinary electrocardiogram?" The parent wondered, "Why do you have to carry this electrocardiogram on your body for 24 hours? Now that the child is a critical time for review, you can''t waste a day!"


    Li Qinghua was a little tired, his mouth was dry.


    However, the relationship between doctor and patient itself is a very unequal information. He still explained patiently: "Ordinary electrocardiogram, you can only see the heart beating situation at this moment."


    "And the Holter monitor is to look at the heart condition throughout the day, so we can find out how many premature beats there are in a day, so that we can prescribe the right medicine.


    "Secondly, wearing this dynamic electrocardiogram on your back will not affect your daily study and life."


    "Is it necessary?" The parents of the students frowned.


    "Must do it!" Li Qinghua nodded slightly.


    "Since you said so, then do it!" Kazuya nodded.


    Afterwards, Li Qinghua gave the parents a checklist of cardiac ultrasound and dynamic electrocardiogram.


    The parents left with their children.


    ¡­


    In the outpatient room, Li Qinghua felt a little strange.


    A few parents and students who came today seem to have forms signed by Lu Chen!


    This means that they are all students who Lu Chen found in the physical examination of the experimental middle school.


    "Why did the students with arrhythmia come to Lu Chen''s place?" Li Qinghua was quite surprised, he had seen the form signed by other doctors.


    Just then, there was another knock at the door.


    "Please come in." Li Qinghua recalled his thoughts and cleared his throat.


    The door of the outpatient room was pushed open, and a father and son walked towards them.


    Looking at this lineup, Li Qinghua wondered in his heart, "Is it another student who took the college entrance examination physical examination?"


    Looking at the form in the man''s hand, Li Qinghua knew that he had guessed correctly.


    "Doctor, my child has a problem with the physical examination for the college entrance examination, so the school asked me to come to the Cardiology Clinic of Jinghua Second Hospital." As soon as Jin Huafang entered the door, he said straight to the point, "Hurry up and find out what the problem is."


    Li Qinghua took the form that was handed over, and the signature on it was still Lu Chen!


    However, this time the form, the above diagnosis has changed!


    is no longer the previous "arrhythmia", but has become "hypertrophic cardiomyopathy!"


    Li Qinghua was shocked, how amazing is Lu Chen?


    Inquiry plus physical examination, such a simple two steps, to find out the patient''s "Hypertrophic Cardiomyopathy"?


    "A murmur can be heard on the left edge of the sternum. The symptoms are relieved when squatting, and the murmur is also reduced!"


    After seeing what Lu Chen wrote, Li Qinghua immediately picked up the stethoscope in his hand and said to Jin Hua Fang, "I need to listen to the students now."


    "Okay." Jin Huafang nodded, then let his son Jin Miao expose his chest.


    Li Qinghua frowned deeply and asked Jin Miao to come to him, and he began to check.


    ¡­


    After half an hour.


    Li Qinghua put away the stethoscope, his expression full of amazement


    Sure enough, it was exactly the same situation as Lu Chen described in the form!


    And, when the patient squatted down, the murmur on the left edge of his sternum was indeed attenuated!


    "Doctor, how is my son''s condition?" Jin Huafang said quickly, "What is the disease?!"


    "Didn''t the medical examiner tell you?" Li Qinghua frowned.


    "I said a little, what is hypertrophic cardiomyopathy." Jin Huafang whispered, "I mainly want to see if your diagnosis is the same as his."


    "Then I''ll tell you now, it''s the same!" Li Qinghua said, "But these are preliminary diagnoses, and your son still needs an echocardiogram and an electrocardiogram."


    Jin Huafang naturally wouldn''t leave for inspection so easily, and he asked Li Qinghua a lot of questions.


    Such as, what is hypertrophic cardiomyopathy?


    Is hypertrophic cardiomyopathy serious? What are the treatment methods?


    Li Qinghua was really going to be stunned by him.


    In the end, Jin Huafang left the clinic with the echocardiography sheet opened by Li Qinghua.


    "Huh..." Li Qinghua looked at the back of the father and son leaving, and couldn''t help but wonder, "This kid Lu Chen is really fierce! How did he find out about the abnormality of these students?"


    When others go, they all go to make up for mixed meals.


    But Lu Chen went there for the real purpose of seeing a doctor!


    And he was able to quickly diagnose what kind of disease among many students, this ability, Li Qinghua could only silently admire in his heart.


    ¡­


    Jinghua Second Hospital, outpatient cardiac ultrasound room.


    Jin Huafang met other parents who were also from Jinghua Experimental Middle School.


    "All of you have problems with the physical examination?" Jin Huafang did not expect so many people.


    "Yeah, what about arrhythmia, let''s definitely check the ultrasound and electrocardiogram."


    "And do a 24-hour Holter."


    "Yes! However, there are several hundred for this one Holter, and several hundred for cardiac ultrasound..."


    Finally it was Jin Huafang''s turn. He took his son Jin Miao into the cardiac ultrasound room and handed the examination sheet to the sonographer.


    The doctor in the ultrasound department also saw Li Qinghua''s description in the checklist.


    Hypertrophic cardiomyopathy to be investigated?


    This surprised the sonographer!


    In general, few clinicians directly diagnose hypertrophic cardiomyopathy. It is only discovered by patients who routinely undergo echocardiography.


    The sonographer immediately became very energetic.


    Ultrasound diagnosis of hypertrophic cardiomyopathy is also very difficult, and it may be difficult for ordinary sonographers to draw such a conclusion.


    for a long time.


    The result of the echocardiogram is out: hypertrophic cardiomyopathy!


    (end of this chapter)

 v2 Chapter 547： Another "Plague God"

    Chapter 547 A different kind of "God of Plague"


    When Jin Huafang received the results of the cardiac ultrasound, he couldn''t help but be startled.


    In addition to his admiration for the medical examiner Lu Chen, he is more worried!


    Worrying about his son Jin Miao is basically a diagnosis of heart disease now!


    But he is only eighteen years old, and he still has a lot of youthful future.


    Jin Huafang immediately took the cardiac ultrasound report and came to the Cardiology Clinic where Li Qinghua was in an extremely tormented way.


    "It really is hypertrophic cardiomyopathy!" Li Qinghua checked the echocardiography report in detail.


    The Ultrasound Department of Jinghua No. 2 Hospital is also very strong nationwide, ranking eighth in China. Basically, there will be no misdiagnosis.


    Cardiac ultrasound can report hypertrophic cardiomyopathy, which is basically a no-brainer!


    "Dr. Li, is my son really this heart disease?" Jin Huafang''s forehead was slightly exposed, and his whole body was trembling.


    "Yes, it''s confirmed!" Li Qinghua nodded, "Through your son''s symptoms, signs, and heart ultrasound report, hypertrophic cardiomyopathy is now diagnosed."


    Jin Huafang''s expression was a little decadent. He stared at Li Qinghua blankly, and whispered, "Is this illness serious? What should I do now?"


    "Hypertrophic cardiomyopathy has the risk of sudden death." Li Qinghua said bluntly, "And as long as it involves heart problems, no matter how small the problem, it will be infinitely magnified."


    Jin Huafang lowered his head and stared blankly at the report sheet in his hand, how could this happen?


    At this time, Li Qinghua said again: "However, fortunately in misfortune, your child''s type of hypertrophic cardiomyopathy is relatively good, and the prognosis is good. For the time being, you can take some oral medicine and conservative treatment. It''s really not good, hypertrophic cardiomyopathy Patients can also undergo radiofrequency ablation to ablate the hypertrophic myocardium..."


    Most hypertrophic cardiomyopathy has a good prognosis.


    If the patient''s symptoms are serious and even affect their daily life and study, at this time, radiofrequency ablation can be performed, but this is the last choice!


    Hearing Li Qinghua''s next explanation, Jin Huafang felt a little bit more in his heart.


    His son''s situation did not seem to be as bad as he had imagined. .


    "However, you still have to thank Dr. Lu who gave your son a physical examination!" Li Qinghua sighed, "If he hadn''t found something abnormal during the physical examination and asked you to come to the hospital for an examination, I still don''t know when it would have been discovered. Problem! Hypertrophic cardiomyopathy can be detected through ordinary physical examinations, but ordinary doctors have no such ability!"


    Hypertrophic cardiomyopathy, no matter how good the type is, there is a certain risk of sudden death.


    Early detection, early prevention, this is the most important part!


    Jinhua Fang naturally knew this.


    At first, he didn''t quite believe what Director Song of the Physical Examination Department said.


    thought that Director Song deliberately exaggerated his son''s illness in order for him to have an examination.


    Now that I think about it, Jin Huafang regrets it so much!


    Fortunately, I came to the hospital for a check-up, otherwise the consequences would be disastrous!


    ¡­


    Jinghua Experimental Middle School.


    Lu Chen is giving the students a heart auscultation.


    At this moment, he suddenly heard a sound from the system.


    "Congratulations, +1 for the thank you from the Jinhua side!"


    Lu Chen was slightly taken aback, Jin Huafang?


    The name ?? is a little unfamiliar?


    But then he thought about it, Jin Huafang was most likely a student for today''s medical examination.


    Today''s medical examination task is coming to an end, and there are fewer and fewer students in line.


    Until about 6 pm, there were no more students queuing in the medical examination room.


    Suddenly, Director Song of the Physical Examination Department came to Lu Chen''s side at some point.


    "Little Lu, you are amazing!" Director Song walked quietly to Lu Chen''s side and gave him a thumbs up.


    "Director, you are..." Lu Chen was stunned, but he didn''t react for a while.


    "Oh, it''s the student you suspected of hypertrophic cardiomyopathy just now!" Director Song whispered, "His parents took him to the Second Jinghua Hospital for an ultrasound, and the ultrasound confirmed hypertrophic cardiomyopathy!"


    Lu Chen smiled slightly, it seems that the thank you just now should belong to the student or parent.


    "Director, this student''s symptoms are typical, and I made a mistake. If he doesn''t have any symptoms, I might not be able to see it." Lu Chen said modestly, "If you go to other doctors, you can see it too. from."


    Director Song really likes Lu Chen as a child, with strong ability, good personality, and not arrogant.


    Generally, a child of this age has some ideas of being arrogant, but Lu Chen has no idea at all!


    "Hey, Xiao Lu, do you have a girlfriend?" Director Song suddenly asked.


    Before Lu Chen could reply, Director Song said again, "I have a niece who is about the same age as you. She also studied medicine. Would you like to meet me?"


    Lu Chen blushed, "Director, I don''t have time now..."


    I thought I could have a good rest for a month, but I didn¡¯t expect to be sent for a medical examination for the college entrance examination.


    After that, he has to start preparing for the thesis, and he really doesn''t have much time.


    "Hey, you''re only a second-year graduate student, how can you be so busy?" Director Song ignored Lu Chen''s resignation, "After you work in the future, you''ll be busy. You don''t have time to find a girlfriend now. Do you think there will be time later?"


    Lu Chen scratched his head, "One step counts as one step."


    "Okay, let''s step back 10,000 steps, you are a cardiologist, and you will definitely have an interventional surgery in the future, right?" Director Song asked, "Don''t you want to find a girlfriend quickly, get married and have a child sooner, so that you can concentrate on it later? Surgery?"


    "Director Song, you are right..."


    Lu Chen can only agree that trying to reason with elders and women is a very wrong behavior!


    "Then I''ll introduce you to someone later, so you can get to know each other."


    Lu Chen: "..."


    ¡­


    Lu Chen ended today''s medical examination with a very good "record".


    He alone found out the students with problems, which was worth the sum of the others.


    Not only some students with arrhythmia, but also a case of "Hypertrophic Cardiomyopathy".


    During the following physical examination, other doctors also discovered Lu Chen''s "magic" diagnostic ability.


    It was as if most of the students with problems came to Lu Chen''s side to stand in line.


    In fact, Lu Chen relies on the system to quickly identify the patient''s priority, and then comprehensively judge the disease based on his clinical diagnosis and treatment ability.


    This also made Lu Chen "fire" in the circle of the medical examination department.


    Everyone knew that the second hospital of Jinghua, this time sent a "Plague God" like character.


    However, the influence of Lu Chen was good after all.


    Although there are many students who have problems, it is the best for the future of students to be able to find problems in advance and solve them in time!


    I haven''t read the comments very much lately. When I returned to the clinical department, I found that it was much busier than the medical department!


    (end of this chapter)

 v2 Chapter 548： A research competition with AstraZeneca!

    Chapter 548 and AstraZeneca''s research competition!


    The half-month examination for the college entrance examination was over, and Lu Chen also gained a fortune.


    Although the money is not much, such a different journey is quite meaningful to Lu Chen.


    Every time he sees a young student, Lu Chen can feel the power of that youth.


    During the ?? period, Lu Chen also received a pennant from Jinhua, expressing his gratitude to Lu Chen for his "clear observation".


    Be able to receive pennants from students in the work of the college entrance examination physical examination.


    Lu Chen is the only one!


    ¡­


    weekend.


    Lu Chen stayed in the dormitory, and he still has more than half a month''s vacation.


    Last time, he and Ke Yue talked about publishing the thesis, taking advantage of this holiday, to take action.


    The preliminary work of the ?? National Nature Project has been basically completed.


    Through data collection, statistics and analysis, Lu Chen began to determine the title of the paper and the general research type.


    However, Lu Chen''s dissertation project had just started when he heard a message.


    A piece of bad news from Wang Ruoxi!


    "Lu Chen, AstraZeneca headquarters, has started a study on the early application of dapagliflozin in myocardial infarction. I have seen the specific plan, which is similar to what you showed me before!"


    Wang Ruoxi is AstraZeneca''s Jinghua Regional Manager. Her authority is not low, and she immediately told Lu Chen about this.


    Actually, Lu Chen knew for a long time that after his project was announced, other laboratories would definitely follow up quickly, especially AstraZeneca. .


    As the production company of the drug Dapagliflozin, AstraZeneca has more obvious advantages. Their experimental research and development expenses are sufficient, and they can recruit more experimental patients!


    Once AstraZeneca completes the corresponding experiments first and announces the experimental results, the significance of Lu Chen''s national nature project will be greatly reduced!


    can only be regarded as the first related research in China, not the first in the world.


    Scientific research, the concepts of first and second are completely different!


    "Lu Chen, you should know the news from AstraZeneca."


    The eight districts in the heart, the director''s office.


    Li Yao''s brows slightly wrinkled, she also knew the news at the first time.


    Because AstraZeneca wants to recruit experimental patients, it must register the experimental number on the website, and those who are interested can find out after a little inquiry.


    "I heard about it." Lu Chen nodded, his expression was also very serious.


    "Their movements are really fast. I thought they might wait for a while before starting the experiment." Li Yao said slowly, "I didn''t expect our experimental project to be announced before long before they started..."


    If the AstraZeneca experiment is carried out late, then they still have the time advantage on their side, and they will not necessarily be slowed down by AstraZeneca!


    However, now AstraZeneca is too fast!


    Lu Chen''s national nature project has just completed the preliminary preparations.


    "Lu Chen, I have an acquaintance in AstraZeneca''s headquarters." Li Yao said, "I can go to him and directly make our project a sub-project of AstraZeneca Asia. In this way, we can receive Strategies project funding.¡±


    Lu Chen understood what Li Yao meant, this was "active surrender!"


    Applying directly to become AstraZeneca''s sub-project in China will not only get a lot of funding, but also have a good relationship with AstraZeneca, which will help future research.


    "Teacher, do you have to do this?"


    Lu Chen was a little unwilling. He was the one who first proposed the experiment.


    As long as his experimental paper can get ahead of AstraZeneca, as the first to propose, it is possible to change clinical guidelines.


    Give up this opportunity and choose to become one of AstraZeneca''s sub-projects. Except for the normal conclusion, nothing else may be obtained.


    Li Yao sighed and shook his head: "Hey, there''s no way, you may not know the horror of AstraZeneca, their experiments are progressing very fast, we need a year of research time to come to the final conclusion, they may only need In half a year, the research and development efficiency of this research is unmatched."


    "By doing this, I can also secure a portion of the experimental funding for us."


    Lu Chen also knew the pros and cons.


    Especially to compete with a giant company like AstraZeneca, it is almost impossible and unrealistic!


    but!


    As the man selected by the system, how could Lu Chen give up so easily? !


    He looked up at Li Yao with a determined look in his eyes.


    "Teacher, I don''t want to join AstraZeneca, I want to complete the experiment independently."


    Hearing Lu Chen''s words, Li Yao was stunned.


    She stared at Lu Chen in surprise.


    She was surprised by Lu Chen''s decision, but not completely unexpected.


    If he just gave up like this, it would not be Lu Chen''s character!


    He couldn''t do so many things before, which seemed difficult to outsiders.


    "Teacher, really, I want to give it a try." Lu Chen said.


    Li Yao shook his head and smiled, and said, "It''s up to you, even if you can''t finish the experiment before AstraZeneca, it should be no problem to finish the national nature paper normally."


    Not all national and natural projects have to make great achievements. This is unrealistic. As long as you follow the regulations and finish the questions normally, it will be enough.


    "Thank you teacher." Lu Chen said excitedly.


    He really wants to fight, even if it is a scientific research competition with AstraZeneca, he is not afraid.


    When you were young, you didn¡¯t dare to fight, but when you get old, don¡¯t you feel even more afraid?


    ¡­


    With the big rock of AstraZeneca pressing in everyone''s heart, the progress of the experiment has been accelerated a little bit.


    Each experimental center is working hard to recruit experimental patients.


    On Lu Chen''s side, a new paper is also being prepared.


    This time, Lu Chen did not write the thesis himself, but handed over the task to Ke Yue.


    "Lu Chen, you asked to write an English paper, but my English is very poor..."


    Ke Yue was a little bit backed out.


    You ask her to do physical work, to collect data, that sort of thing, that''s fine.


    Let her write an English paper, it will torture her to death.


    "It''s alright, you write it first." Lu Chen smiled nonchalantly, "After you finish writing, I''ll change it for you."


    "But..." Ke Yue bit her lower lip, still a little confused.


    "Why, you don''t want to post an SCI in your own name?" Lu Chen started the ultimate seduction.


    When Ke Yue heard the word SCI, she began to be moved again.


    With Lu Chen¡¯s current level, he would definitely have to publish an international SCI paper, but only a Chinese core journal would be absolutely useless.


    "Then, let me try." Ke Yue gritted her teeth and took over the job.


    "Okay, I''ll leave it to you." Lu Chen smiled.


    This kind of early data collection paper is not too difficult, and it can just be handed over to other people in the project team to do.


    After all, everyone can''t fail everyone by following him so zealously.


    In the student days, everything else is fake, and the thesis is the "hard currency"!


    (end of this chapter)

 v2 Chapter 549： Heart Failure

    Chapter 549 HeartFailure


    Jinghua Second Hospital, Director''s Office of Cardiology Department.


    Cao Zhiying stared at the list in front of him with frosty eyes.


    This list is the list that entered the first round of the Huaxia Academician selection today.


    On the list, there is no his name!


    "I didn''t even pass the first round of selection?!"


    Cao Zhiying felt a gas in her heart, she couldn''t spit it out, she couldn''t swallow it, and it was stagnant in her chest.


    Huaxia''s selection of academicians is divided into three stages.


    Cao Zhiying has not even been selected for the first round of valid candidates...


    "My influence in academia is still not enough, not enough!"


    It can be said that Cao Zhiying''s contribution is inseparable from the influence of Jinghua Second Hospital.


    However, this is not enough to make Cao Zhiying the most influential academician in China.


    Academician of Huaxia, this is the highest honorary title pursued by countless scholars. It needs to make great contributions to the country and society in order to have the opportunity to be evaluated.


    ¡­


    At the same time, this one was also published by the relevant agencies.


    Everyone in the Jinghua Second Academy knew that Cao Zhiying was defeated.


    All the cardiologists were terrified and acted cautiously during this time, for fear of getting burned.


    However, everyone in the Jinghua Second Academy began to discuss.


    "Director Cao Zhiying is so powerful. He has written several domestic guides, published SCI papers with more than 20 points, and presided over so many key scientific research projects. How can he still be brushed!"


    "It''s not because the selection of academicians is too intense! Every year so many people run for election, and it is not bad to be selected for the first round!"


    "But Director Cao Zhiying is the most promising academician of our Second Academy of Jinghua, and even he has no hope for the time being. What about in the future? Others have no chance, right?"


    Some people rejoice in misfortune, and some people are very sorry. .


    But these things have nothing to do with Lu Chen for the time being.


    ¡­


    At this time, Lu Chen was sitting in the dormitory, helping Ke Yue revise the paper.


    The early stage of the work of the country was completed, and Ke Yue immediately began to write the thesis.


    Today, when Ke Yue found Lu Chen with the paper, Lu Chen still didn''t quite believe it.


    "Ke Yue, you are a little too fast!"


    In just one week, Ke Yue''s thesis was completed.


    Ke Yue pursed her lips and smiled slightly, "Lu Chen, please help me to correct it."


    "Okay, no problem!" Lu Chen laughed.


    However, this English document written by Ke Yue is rich in content, but there are many mistakes in grammar and wording.


    After all, Ke Yue is only a half-way monk.


    Lu Chen turned on his laptop, switched to review mode, and gave Ke Yue a horizontal description of what was wrong or inappropriate.


    ¡­


    Jinghua Second Hospital, the dormitory of Jipei Building.


    Ke Yue has two huge dark circles under her eyes.


    She had been up all night for several consecutive nights, and finally completed the thesis task assigned by Lu Chen.


    "Xiao Yue, is it worth it for you to stay up so late every day?"


    Ke Yue''s roommate came to her side.


    "All agreed to this job, it must be done well." Ke Yue smiled.


    "Are you still writing English papers?" Ke Yue''s roommate said with a smile, "Then your difficulty has really increased exponentially. I see other people participating in the teacher''s national nature project, and many of them have already sent their graduation thesis. You''re the only one who doesn''t move here."


    The roommate''s seemingly unintentional question was actually a sarcastic sarcasm.


    "Xiao Yue, don''t be deceived by your classmate. In the end, you''re all helping him with his work, and you haven''t caught anything!"


    Ke Yue pursed her lips and said nothing.


    She just revised her paper according to Lu Chen''s review comments.


    The best way to fight back against others is to come up with strong evidence.


    After a busy week, Ke Yue revised the paper and submitted the paper a little nervously.


    According to her original intention, she just wanted to submit an SCI journal with an impact factor of 2 points.


    But Lu Chen changed his selection to another SCI journal called HeartFailure, with an impact factor of 5!


    "Lu Chen, how about we stabilize?" Ke Yue was still a little uneasy.


    Actually, according to what she meant, as long as you can publish SCI papers, you are considered a success!


    How dare you ask for a high-scoring SCI paper!


    "Ke Yue, this is not something you do alone." Lu Chen comforted, "All our papers, the corresponding authors are written with the name of Li Yao''s supervisor. A few tenths of an SCI paper, then our tutor Li Yao''s face is gone!"


    Hearing Lu Chen''s words, Ke Yue could only submit an article to HeartFailure journal according to what he wanted.


    ¡­


    Time passed slowly.


    Lu Chen''s vacation is over, his next rotation department is the infectious disease department.


    However, the Infectious Diseases department is relatively leisurely compared to other departments.


    Like the Department of Hematology, the students in the group were selected to take turns to work.


    Just like that, Lu Chen had more than 20 days of rest after reporting from the infectious disease department.


    He also took this opportunity to plan and summarize his own national nature projects.


    Next, they have opponents!


    Moreover, it is also a giant rival - AstraZeneca!


    ¡­


    Ke Yue is currently rotating in the Department of Gastroenterology.


    After finishing her busy clinical life every day, she has to return to the National Nature Office in the eight districts of her heart to continue clinical experimental research.


    This kind of life is extremely boring, yet extremely fulfilling.


    Ever since she joined Lu Chen''s National Nature Project team, her daily life has been like this.


    Even, she spent much more time on this project than Lu Chen!


    "Senior Sister Ke Yue, after you get off work today, do you want to return to your heart?" asked the same group of junior sisters who were rotating in the Gastroenterology Department.


    Ke Yue smiled and nodded: "Yeah, there''s nothing to do anyway, I''ll go back to the Cardiology Department to check the progress of the experiment, in case something goes wrong."


    She knew that she was not that smart compared to others.


    It was like when she first came to the eighth district in the heart of Jinghua Second Hospital, she could not even read the electrocardiogram of atrial fibrillation, and was ridiculed by the department.


    With the help of Lu Chen, she slowly integrated into the eight areas in her heart.


    "Oh, senior sister, you are really working too hard." The little junior sister said, "If you want me to tell you, you might as well just post two Huaxia core papers and just graduate together. Why is it so hard? In the end, It could also be useless.¡±


    "Okay, I''ll take a look." Ke Yue pursed her lips and smiled.


    Recently, too many people persuaded her to give up, including her friends and classmates.


    It is naturally good to be able to join a national nature project team.


    But the project team takes a long time to produce results, and it may be useless. After you graduate, the project team will not produce any articles.


    Everyone is selfish and has to consider the disproportion between giving and returning.


    ¡­


    Ke Yue was walking back to the eighth district in his heart.


    "Huh... In a few months, I will graduate to the third grade, and I still need to publish a thesis after graduation."


    According to the regulations of the hospital, as long as the paper is above the Huaxia core journal, there is no mandatory requirement for SCI papers.


    The vast majority of students publish Huaxia core papers.


    Very few students will publish SCI journal papers, such people are rare!


    Ke Yue thought to herself that if she couldn''t publish SCI papers again, she would settle for the next best thing and publish a Huaxia core paper.


    (end of this chapter)

 v2 Chapter 550： two first authors

    Chapter 550 Two First Authors


    Ke Yue returned to the eighth district in her heart and just passed the front desk of the nurse station.


    "Ke Yue, I have a package from you. I don''t know why it was sent directly to our Cardiology Department." The little nurse in the Cardiology Department saw Ke Yue, who had returned to the eighth district of her heart, at once, "Oh, yes, it seems that It was sent from abroad."


    "Okay, thank you." Ke Yue took the package from the nurse with some doubts.


    She hasn''t shopped online recently!


    Why would someone send themselves this kind of package?


    And it¡¯s foreign?


    Ke Yue held the package in her hand, weighed it a few times, and returned to the National Natural Projects Office without knowing why.


    At this time, in the project office, several younger brothers and sisters were already busy.


    They have inherited the good tradition of Ke Yue very well. Usually, they will come to the office to collect scientific research data when they have something to do.


    Seeing Ke Yue coming in, everyone greeted her.


    "Hello, Senior Sister!"


    Ke Yue''s location is in the first row of the office.


    After she put her backpack away, she noticed the package she just received.


    touched the shape of the package, it should be a book.


    "Junior brothers and sisters, you haven''t bought me anything recently, have you?"


    In the ?? office, everyone shook their heads, expressing denial, "I didn''t buy it!"


    "That''s weird, who will send this package..." Ke Yue slowly removed the outer packaging of the package in doubt, "It was sent from abroad..."


    The other junior brothers and sisters had nothing to do, so they also came up to Ke Yue.


    ¡­


    The outer packaging of the ?? package was slowly torn off, revealing the contents.


    This is a book with a layer of black packaging on the outside of the book.


    "What makes it so mysterious?" Ke Yue was speechless.


    The junior brothers and sisters on the side were all interested, and they all gathered around.


    "Senior sister, take it apart!"


    Ke Yue shrugged and tore off the outermost black cover.


    This book is thoroughly and unreservedly displayed in front of everyone.


    "This is¡­¡­"


    Ke Yue saw a few large English characters on the cover right away.


    "This, this is this HeartFailure?"


    The memory of HeartFailure instantly appeared in Ke Yue''s mind.


    Lu Chen asked him to choose the journal HeartFailure!


    Could it be that HeartFailure has received the manuscript?


    But, how can it come directly to a book...


    Ke Yue quickly opened the HeartFailure and flipped through the catalog.


    Sure enough, in the last few lines of the table of contents, it was the paper by her and Lu Chen!


    HeartFailure not only received the manuscript, but also appeared in the journal directly!


    You must know that for ordinary SCI papers, if you want to be published, you should start at least a year!


    Some even take two years!


    Unless the content of the article is groundbreaking, etc., it may be published in advance.


    For example, the article published by Lu Chen before will not be published until a month or two later.


    This time, Ke Yue''s paper was even more outrageous, and it appeared in the journal without waiting for any time!


    ¡­


    "Sister, what is your book?"


    On the side, Junior Sister saw that the smile on Ke Yue''s face couldn''t be hidden, so she hurriedly asked.


    "HeartFailure Journal." At this time, Ke Yue''s smile was extremely bright, "SCI Journal HeartFailure."


    "Is this journal very powerful?" Little Junior Sister whispered softly.


    Ke Yue didn''t answer yet, sitting next to her, another boy whispered: "HeartFailure, I just did a Baidu search, and it has an impact factor of 5 this year!"


    "What? 5 points?" Little Junior Sister said absentmindedly.


    "Yes!" The boy nodded, his tone unquestionable, "I think this book should have been sent by HeartFailure magazine."


    "Why did the magazine send this to Senior Sister?" Little Junior Sister wondered.


    "Why do you say..." The boy said enviously, "That must be because Senior Sister Ke Yue submitted the paper to HeartFailure!"


    Little Junior Sister was shocked at this moment.


    "You mean...Sister Ke Yue sent a 5-point SCI paper?!"


    "If you don''t believe it, you see that Senior Sister Ke Yue has turned to the page of her thesis."


    In her impression, it would be great to be able to publish an SCI with a score of 1.


    She set a goal for herself, that is, to publish a 1-point SCI paper in Brother Lu Chen''s national nature project team.


    Now, Senior Sister Ke Yue, who is only one level higher than her, actually directly issued a 5-point SCI paper? !


    ¡­


    At this time, all eyes in the entire National Nature Project Office were directed towards Ke Yue.


    The HeartFailure journal in her hand seems to have a strange magic power, which makes everyone''s eyes follow closely.


    From the very beginning, the smile on Ke Yue''s face never stopped.


    "Finally done!" She looked at the black and white words on HeartFailure magazine, as if afraid that it would disappear.


    Soon, this news was immediately known to the rest of the eight districts in the heart.


    A small storm, centered on the eighth ward of the Cardiology Department, spreads rapidly around!


    Another postgraduate student in the Department of Cardiology has published a 5-point SCI paper!


    It seems like a year has passed since the last time.


    So far, the Department of Cardiology of Jinghua Second Hospital has published two SCI papers with more than 5 points!


    ¡­


    You must know that as a graduate student, it would be great to be able to publish an SCI, no matter what the impact factor is.


    SCI papers with one or two points are already very good.


    However, Ke Yue really did a big thing this time!


    The entire Jinghua Cardiology Department has reproduced the situation where Lu Chen published a 5-point paper in the past.


    "I''m going! Have you heard of it! Ke Yue from the Second Academy of Jinghua University published an SCI paper today, and I heard it''s a journal of HeartFailure!"


    "This magazine is 5 points!"


    "Could it be that this journal is easy to publish?!"


    "The man upstairs, I''ll give you three years to see if you can post an article!"


    "Ask for a link to the official website of the HeartFailure journal, I''m going to publish a paper!"


    "Ke Yue is really amazing, if he doesn''t speak up, he is amazing!"


    ¡­


    At this time, Lu Chen was analyzing the experimental data in the dormitory.


    He also received the news that Ke Yue published a 5-point SCI paper at the first time.


    "Congratulations, congratulations!" Lu Chen immediately sent a smile to Ke Yue.


    "Tong Xi." Unexpectedly, Ke Yue replied with two words and took a photo of Lu Chen.


    This photo is right in HeartFailure''s mind, where Ke Yue published the article.


    At the beginning, Lu Chen still hadn''t reacted.


    Until Lu Chen looked at the author of this paper, he was stunned.


    Mentor Li Yao must be the corresponding author, no doubt.


    However, what Lu Chen didn''t expect was that Ke Yue and him were the first author!


    Tied for the first author!


    ¡­


    According to Lu Chen''s previous meaning, this article was written by Ke Yue, so the first author is Ke Yue, and he is the second author.


    However, Ke Yue directly listed herself and her as a parallel second author!


    (end of this chapter)

 v2 Chapter 551： Exchange in Beijing

    Chapter 551 Entering Beijing for Exchange


    "Ke Yue, why did you make me the first author?"


    Lu Chen immediately sent Ke Yue a WeChat message.


    After seeing it, Ke Yue replied with a smile: "You came up with the entire experimental plan, and you helped me change a lot of content. In fact, at first, I thought that you should be the first author, and I am the first author. The second author."


    Having said that, the author of the whole paper is Ke Yue.


    Lu Chen''s original plan was to have Ke Yue as the first author of this paper, so that he could graduate or be promoted to future titles.


    However, there are two people who are tied for the first author. When the title is promoted, only the person with the first name can be counted.


    "Okay, anyway, with this thesis, there is no problem with your graduation." Lu Chen replied.


    "Well, that''s quite no problem!" Ke Yue is very happy now.


    My hard work has paid off, and there is nothing more gratifying than this.


    Some time ago, someone said in front of her every day that she should give up the publication of SCI papers and choose the most secure Huaxia core papers.


    She almost couldn''t hold on anymore!


    Fortunately, this article came in time, allowing Ke Yue to regain her confidence.


    A SCI paper of ??5 points, such a high-level paper, has surpassed many deputy chief physicians of the Second Jinghua Hospital, and even some chief physicians have not published papers of this level.


    Graduation with this kind of thesis is simply "cannon hitting mosquitoes". .


    "Lu Chen, thank you!"


    Ke Yue thought about it for a while, but still sent a WeChat message to Lu Chen very solemnly.


    During the two years in Jinghua Second Academy, Lu Chen was not so much her classmate as she was another teacher!


    From the very beginning of ECG teaching to the present teaching of dissertation, the existence of Lu Chen has made her take a lot of detours, and she has also grown rapidly.


    "No thanks, we are from the same family." Lu Chen said.


    Lu Chen was always so light, as if everything he did was trivial.


    Ke Yue also knew that Lu Chen''s temperament was indifferent, so he didn''t say any more words of thanks.


    However, for Lu Chen''s national nature project, she will do her best.


    ¡­


    weekend.


    The other roommates were out for business, and Lu Chen stayed in the dormitory as usual, analyzing and collecting experimental data.


    "Analyze various data of echocardiography, as well as patient''s TNI, BNP and other data."


    "However, these seem to be very old-fashioned. Are there any new indicators to monitor the patient''s cardiac function status?"


    Experiment is the need for continuous innovation and continuous subversion of conventional conclusions in order to achieve breakthrough results.


    Lu Chen is constantly looking for various guide materials, as well as online resource libraries, and at the same time collecting various materials about scientific research experiments.


    When the whole person enters the state of learning, it is a bit sleepless.


    So much so that Lu Chen didn''t know when Wang Zihao returned to his bedroom.


    "Hey, Lu Chen, did you eat lunch?"


    Wang Zihao lightly patted Lu Chen on the shoulder, and then pulled him back from his thoughts.


    "No, not yet." Lu Chen turned his head to look at Wang Zihao who was picking up the lunch box.


    "That''s right, I bought two lunch boxes and I''ll give you one." Wang Zihao smiled and picked up a lunch box with two meat and one vegetable and handed it to Lu Chen.


    "Where did you get this?" Lu Chen was not polite and took the lunch.


    "Operating room, I had an operation just now." Wang Zihao said, "It happened to be an extra portion. I think you must not eat this, so you took an extra portion."


    "Thanks." Lu Chen smiled, not to mention, he was really hungry.


    Wang Zihao took two mouthfuls of rice and finished it soon. Seeing that Lu Chen was still sorting out the experimental data, he said, "Lu Chen, there is a big event recently, do you know?"


    Lu Chen was stunned when he heard the words, "Major event? Is the national college entrance examination coming?"


    "Hey, no, I mean something big about us." Wang Zihao smiled mysteriously.


    "About us?" Lu Chen frowned, "Is it going to study three?"


    "no."


    "Don''t give a shit, let''s talk." Lu Chen laughed.


    "Cough cough." Wang Zihao cleared his throat and said, "Lu Chen, do you remember when we were in the first grade, after winning the national medical clinical skills competition, what reward did the school promise us?"


    "I remember that all kinds of scholarships and evaluations are given priority." Lu Chen thought about it and said, "By the way, and the choice of tutors for studying at the university is a priority."


    Two years have passed, and Lu Chen''s memory is a little fuzzy.


    However, the school has kept its promise. The annual scholarship, whether it is a national scholarship or a bursary, will give priority to their champion members.


    Because Lu Chen still remembers this reward.


    "Oh, it seems that you really forgot." Wang Zihao raised his eyebrows and smiled, "There is also the most important reward, that is, the opportunity to go to Kyoto or the magic capital to learn and communicate."


    Lu Chen patted his head, "Yeah, why did you forget this."


    Then Lu Chen looked at Wang Zihao, "Then that''s the big thing you''re talking about?"


    Wang Zihao nodded, "Well, next month, our hospital will have a small exchange meeting with the top medical schools in Kyoto and Magic Capital. At that time, the five members of our champion group will go to the top medical schools in Kyoto University together to conduct Half a year of study and exchange.¡±


    Kyoto University School of Medicine, which is the medical ivory tower in the eyes of Huaxia Medical College, is the top medical school in China.


    Being able to study here will definitely add a gorgeous touch to your resume.


    "I really want time to fast forward to next month!" Wang proudly had gold stars in his eyes, and seemed to be looking forward to studying and living in Kyoto Medical College, as well as "playing".


    Lu Chen''s thoughts also returned to the scene where he attended the electrophysiology training class in Kyoto.


    Compared to Jinghua Second Hospital, Kyoto University School of Medicine is definitely one or two grades higher.


    The teachers and equipment there are much better than Jinghua, and there is even the most advanced interventional simulation operating room in the world.


    Lu Chen is also looking forward to his trip to Kyoto next month.


    Although it is only half a year, I can definitely learn a lot.


    In addition, some of Lu Chen''s clinical research projects have experimental centers in Kyoto, so he can coordinate and coordinate the experimental progress of the sub-centers.


    Finally, Lu Chen and his third assessment in the Kyoto electrophysiology training class are coming soon.


    In this way, this trip to Kyoto has become more and more significant.


    ¡­


    The celebration of Ke Yue publishing a 5-point SCI paper has not completely dissipated, but Jinghua Medical University announced a new news-an academic exchange meeting with Kyoto University School of Medicine will be held next month.


    As soon as this news came out, all the affiliated hospitals were shaken.


    Because there are five members of the championship group, there are still three places.


    At times like this, it¡¯s time for all parties to grab places.


    (end of this chapter)

 v2 Chapter 552： Competition for places

    Chapter 552 Competition for places


    There are three more exchange places to go to Kyoto University School of Medicine!


    All parties start to operate.


    This kind of opportunity, for a graduate student, can not only see the world, but also learn top medical technology.


    For those students who want to go to Kyoto for further study, they can get to know the professors and tutors in Kyoto in advance. This opportunity is definitely to be seized!


    So at this time, the relatives of the directors and deans began to jump out and scramble for the last three places.


    ¡­


    However, this matter has nothing to do with Lu Chen and others.


    The five-member team that was their champion at that time all occupied one of the spots.


    "Lu Chen, what kind of clothes do you think I should bring? How is the weather in Kyoto? Is it cold?" Wang Zihao "shows off" his upcoming trip to Kyoto in his bedroom every day.


    As one of the champion group members, Wang Zihao was lucky to have this opportunity to communicate.


    "It''s okay, but it''s not possible, I''ll go to Kyoto to buy it later." Lu Chen smiled, this prince is very interesting, he has been attracting everyone''s "hatred" in the dormitory these two days.


    "Oh, I''ll ask Lao Gu to see what he''s bringing with him." Wang Zihao ran to the next bedroom and went to find Gu Xinyue, one of the champion group members.


    Lu Chen smiled helplessly, what a treasure!


    Then, he continued to look down at the experimental data in his hand.


    ¡­


    Jinghua Second Hospital, the conference hall of the office building. .


    All the tutors of the Second Academy gathered together to discuss the quota selection plan.


    "According to the leaders of the university, this time our Second Academy has occupied three of the eight seats." Dean Liu sat on the rostrum and looked around, "The leaders of the university, what they mean, want our Second Academy to take the initiative. Give up the fight for the remaining three spots."


    The five members of the ?? champion, including Lu Chen, Wang Zihao and Gu Xinyue, are all from Jinghua Second Academy, and the other two students are from Jinghua First Academy and Jinghua Fourth Academy.


    This Kyoto exchange meeting is a grand event for the entire medical university, not just the Jinghua Second Hospital.


    However, now because the Jinghua Second Hospital has three champion group members, it automatically gets three places, which can make other affiliated hospitals jealous!


    Especially the Jinghua Group of Three Hospitals, currently there is not a single quota!


    In order to allocate the quota resources reasonably, the university leaders came up with this method, allowing the Jinghua Second Academy to voluntarily withdraw from the quota competition.


    It¡¯s just that the allocation of the quota this time involves the interests of many parties, and no one is willing to give up so easily.


    Sure enough, as soon as Dean Liu of the Second Academy of Jinghua said this, the people below began to discuss.


    "Why did our Second House automatically withdraw?!"


    "There are many members in the championship group, and there are many outstanding talents. Is it our fault in turn?"


    "Yeah, the opinions of the leaders are too unreasonable. We can understand the places awarded to the members of the champion group, but have the rest of us in the Second House even had no chance to compete?"


    "Yes, we strongly urge the Second House to participate in the election for the remaining seats!"


    One stone creates a thousand waves!


    Dean Liu looked at the indignant crowd below, and a faint smile appeared on the corner of his mouth.


    This is what he wants!


    As the dean of the Second Academy in charge of external exchanges, he originally allocated this quota. If the university leaders directly deprived this quota, he would definitely get nothing this time!


    Therefore, he still has to fight for the remaining places.


    He can''t do it alone, then incite the group of mentors under him to fight together.


    Dean Liu believes that this quota must be wanted by the tutors of Jinghua Second Academy!


    Looking at the noisy atmosphere around him, Dean Liu pressed his hands down to signal everyone to be quiet.


    "I know that everyone doesn''t want to see this quota fall by the wayside, so I will convey to the school leaders that which affiliated hospital should belong to! Whoever is excellent will take this quota!"


    As soon as these words came out, everyone nodded.


    Now we can''t take into account what kind of selection method, all we need is a selection qualification.


    In the entire meeting, most people were very excited, except for one person, that was Li Yao.


    Li Yao sat at the scene and did not follow the crowd.


    Because she already has a student Lu Chen, she has obtained a corresponding exchange quota in Beijing.


    Whether ?? can have a second place seems to have nothing to do with her!


    ¡­


    After this meeting is over.


    Dean Liu also took the opinions of the Second Academy and went to the school headquarters to mediate with the leaders and strive for more exchange places in Beijing.


    Finally, hard work pays off!


    In the end, the university leaders agreed to the Jinghua Second Academy to participate in the competition for places.


    However, it is limited to only one!


    The leaders of the university are only willing to allocate one more place for the second hospital to compete with other affiliated hospitals.


    In other words, next, Jinghua Second Academy will get at most one more place, and it may also come back empty-handed.


    This is already a great concession made by university leaders.


    The leadership of the Second Academy of Jinghua did not dare to say anything more. If they annoyed the leaders of the university, they might not even be given the final quota!


    ¡­


    However, this place still has to compete with other affiliated hospitals.


    Dean Liu and others were also a little embarrassed.


    If you put it directly into a related household, in case the competition with other affiliated hospitals fails, then this opportunity will be wasted.


    After weighing it again and again, Jinghua Second Hospital can only choose the best among the best!


    Let all the tutors report candidates, and fill in their respective advantages. After the evaluation of the second college, they will be sent to the university headquarters for evaluation.


    ¡­


    "Mr. Li, the academy has asked you to apply for a place in the election." Sun Guoguo received a notice from the academy.


    All tutors need to select a student from the second-year graduate students and submit it as a candidate to compete with other affiliated hospitals for places.


    "Forget it, Lu Chen is already in it, I don''t need to report it anymore." Li Yao shook her head slightly.


    Sun Guoguo reminded: "Teacher, this time it''s not a backdoor selection, it''s all based on personal strength, why don''t you report it?"


    Li Yao was slightly taken aback, "You mean, let me report to Ke Yue?"


    "That''s right!" Sun Guoguo nodded, "No one is saying that a tutor can''t have two students go to Kyoto! It''s all because of their own excellence. Could it be that under the same tutor, it has become a hindrance to their growth. A stumbling block? That doesn''t make sense!"


    Li Yao felt that Sun Guoguo was right.


    With Ke Yue¡¯s current performance, he has published an SCI paper with a score of 5, which is unmatched by many doctoral students!


    In case, Ke Yue can get a place for exchange in Beijing, it will be of great benefit to Ke Yue''s future!


    Thinking of this, Li Yao did not hesitate at all, and immediately reported Ke Yue''s name.


    (end of this chapter)

 v2 Chapter 553： information

    Chapter 553 Message


    When Lu Chen and others were preparing for the Kyoto exchange, the competition for the remaining places was also quietly starting.


    "Senior Sister Guoguo, do you think our teacher reported my name?"


    When Ke Yue received Sun Guoguo''s WeChat, he looked very surprised.


    "Yes, don''t you want to seize this opportunity?" Sun Guoguo said.


    This opportunity is a rare opportunity for every graduate student.


    If it wasn''t for the fact that the Second Academy of Jinghua already had three places, the leaders of the Second Academy were forced to choose the best among the best, then Ke Yue really wouldn''t have any chance.


    "I think, but..." Ke Yue paused, but did not speak.


    In her subconscious, these school-level things have nothing to do with her, she is just an unknown girl who works hard.


    Don¡¯t stand out, don¡¯t stand out, just do your own thing.


    How could she have thought that such an opportunity to exchange in Kyoto would fall on her head.


    "There is no but." Sun Guoguo said, "You should seize this opportunity. Don''t you want to continue your studies in the future?"


    Medicine majors, masters are just the beginning.


    If you want to really set foot in the field, you still need a doctoral degree, or a doctoral degree is just a stepping stone.


    "Senior sister, but if I go to the capital, the experiment on the side of Jinghua, wouldn''t it be..." Ke Yue said slowly. .


    She is still worried about the national nature project on Jinghua''s side. Once she goes to Kyoto, the experimental project she manages will have to be interrupted.


    "Oh, don''t worry. At that time, you will be handed over to the next class of junior brothers and sisters, and our teacher will be sitting in Jinghua, so the progress of the experiment will not be left behind." Sun Guoguo smiled, "What''s more, at present, it is only Your name has been reported, but the final quota has not been officially decided yet."


    "Well, that''s true." Ke Yue smiled.


    She felt like she was thinking too much.


    In the entire Jinghua Medical University, with so many people, the chances of getting her turn are too small!


    "Anyway, Junior Sister, you should pay attention to the selection of places."


    "Okay, thank you, Senior Sister."


    ¡­


    Jinghua Second Hospital, the conference hall of the office building.


    Dean Liu, who was in charge of this foreign exchange, sat on the rostrum.


    On both sides of him sat the directors of various scientific research and teaching and research offices, a total of about 20 people.


    Among them, Cao Zhiying, director of the teaching and research section of the Department of Cardiology, was also present.


    "Everyone, I''m calling everyone here today mainly for the exchange quota in Kyoto." Dean Liu looked around the crowd, "Because there are more students, each department will be evaluated within the department first, and then the whole hospital will be evaluated."


    In front of the directors, is a list of people who have passed the internal evaluation.


    "It''s time for everyone to vote." Dean Liu said, "Every director has the opportunity to vote for two votes. You cannot vote for students in your own department. The two students who voted the most will get the final places to participate in the evaluation."


    "Attention everyone, these two students will be sent to the school to compete with all the students of the affiliated hospital."


    At this time, playing cards of favor is especially cautious.


    Because this time, it was a registered vote.


    If the selected students are too outrageous, they are finally sent to the school department for evaluation, and they will be brushed down.


    That would be worth the loss.


    All directors are patiently checking the information of each participating student.


    The criteria for judging students are mainly papers, award certificates, etc.


    In fact, the most intuitive is the thesis!


    Has the paper been published, and the journal that published the paper is Huaxia Core or SCI?


    If it is SCI, is it the first author, and what is the journal impact factor?


    These are the most important judging criteria!


    ¡­


    "Hey, Director Cao, this student selected by your Cardiology Department can do it!"


    Director of the Nephrology Teaching and Research Office sat next to Cao Zhiying and whispered.


    "A student has published four SCI articles. Although the scores are not high, but the volume is large, he is still the first author. This is nothing!"


    "Another student actually posted a 5-point SCI as the first author! What can I say? I can only sigh that such a good seedling has not come to our department!"


    It¡¯s not just the director of the nephrology department who has this idea. The ideas of other department directors are similar to him.


    Actually, among all the students, those who can publish SCI papers still account for a small part, but most of them are after the second author.


    It is rare for people like Cardiology to publish papers as the first author!


    "However, this student seems to be Director Li Yao''s graduate student." The director of the Department of Nephrology wondered, "I remember that Director Li also has a student named Lu Chen, who is even better than this student. I have to say that Director Li Yao recently But it is very beautiful, I became the chairman of the Jinghua Electrophysiology Association, and now the students are still so good..."


    Cao Zhiying responded with a smile to everyone''s inquiries.


    However, he was extremely helpless in his heart. As the head of the department, his students were far inferior to Li Yao''s students.


    This is not very pleasant to say!


    The most important thing is that he recently applied for an academician, but he didn¡¯t even pass the first round.


    All things added up, and Cao Zhiying was in a very depressed mood at the moment.


    ¡­


    After half an hour.


    Voting for all directors closes.


    Dean Liu holds the final result in his hand.


    "Okay, now I announce that Ke Yue from the Department of Cardiology and Liu Lian from the Department of Nephrology have the highest number of votes and will represent our second hospital to participate in the school competition!"


    The results were announced, and no one was surprised, as if this should be the final result.


    At this time, Dean Liu sighed slightly in his heart, "The quota that I had worked so hard to get from the leaders of the school, ended up making a wedding dress for others."


    No way, Ke Yue from the Cardiology Department and Liu Lian from the Nephrology Department are really too outstanding!


    was so good that even Dean Liu had no choice but to "steal" this quota from the two of them.


    Liu Lian was originally an undergraduate student of Jinghua Medical University. She was admitted to the school''s graduate school with excellent results. In the first two years of graduate school, she won several national scholarships and published several high-scoring SCI papers, one with the highest score. The impact factor has 8 points!


    Although Liu Lian is only the third author, her contribution to the paper is also great, which is enough to prove her excellence.


    Secondly, a 5-point SCI paper by Ke Yue from the Department of Cardiology has shocked four people some time ago.


    No matter how mediocre her previous resume was, this paper is enough!


    This is the first author, and the gold content is high enough!


    Even among the graduate students in the entire Jinghua Second Academy, very few can produce papers of this level!


    ¡­


    However, the news that Ke Yue and Liu Lian participated in the evaluation on behalf of the Jinghua Second Academy did not reach everyone''s ears.


    Because this is not the final result, the two will be reported to the school for the final selection of all-affiliated hospitals.


    In the blink of an eye, another week passed.


    The day to go to Kyoto for exchange is getting closer and closer.


    Suddenly, a piece of news appeared in the postgraduate group of Jinghua Second Academy, which completely ignited everyone''s emotions.


    (end of this chapter)

 v2 Chapter 554： Get off the horse!

    Chapter 554 Get off the horse!


    "The Cardiology Department Ke Yue has been granted a place to go to Kyoto for exchange!"


    Those who know the inside story are not surprised.


    Ke Yue''s 5-point SCI paper is really amazing.


    But Ke Yue himself was stunned the moment he heard the news.


    "I, I got a place to exchange in Kyoto?"


    Ke Yue, who had always been a little inferior, still couldn''t believe this fact at this time.


    She looked at the news that appeared in the group and heard the congratulations from the people around her, and felt that all this was so unreal.


    She never imagined that one day she would represent the school in going out to communicate.


    This can be said to be the most dreamy thing for a girl who has been ordinary since childhood.


    All of this is because of one person, that is Lu Chen!


    ¡­


    For this result, the most happy person is the tutor Li Yao.


    Two of her students have successfully obtained places for exchange in Kyoto.


    This is the only one for Jinghua Medical University!


    For a time, Li Yao''s teacher''s reputation became more popular among the students.


    Presumably in the coming year, there will be another wave of climaxes for the students who apply for the postgraduate examinations under Li Yao''s supervisor.


    ¡­


    The day to go to Kyoto for exchange is coming soon.


    The ?? exchange team members, including eight students and a teacher leading the team, were all ready to fly to Kyoto. .


    After a three-hour journey, everyone finally arrived in Kyoto.


    Kyoto University School of Medicine, one of the top medical schools in China.


    Its affiliated hospitals, such as the First Affiliated Hospital of Kyoto University, are among the top three in the country for many departments.


    For the Second Affiliated Hospital of Jinghua Medical University, only the Department of Cardiology ranks among the top ten in the country. From here, you can see the huge gap between the two hospitals.


    The second hospital of Jinghua went to exchange this time with the First Affiliated Hospital of Kyoto University.


    According to each person''s different majors, they will be assigned to different departments.


    For example, Lu Chen, Gu Xinyue, and Ke Yue will be divided into cardiology departments.


    Wang Zihao will be assigned to general surgery.


    ¡­


    First day in Kyoto.


    The people did not go to the clinic, but were taken to the student dormitory to settle down.


    In order to quickly get acquainted with the exchange students of the foreign college and the students of the Kyoto main college, the Kyoto side deliberately divided everyone into each dormitory.


    This made Wang Zihao''s wish to continue living in the same dormitory with Lu Chen in vain.


    The bedroom conditions in Kyoto are not much different from those in Jinghua.


    The only difference ?? is that there is no independent bathroom, only a large bathroom!


    This made the exchange students from Jinghua a little uncomfortable.


    "I''m going! I was about to take a shower in the bedroom, but I found there was no shower!"


    Wang Zihao let out a wailing in the WeChat group of the four.


    The WeChat groups of these four people are Lu Chen, Gu Xinyue, Wang Zihao and Ke Yue.


    All four of them are from Jinghua Second Hospital.


    In addition, due to Lu Chen''s relationship, Ke Yue, Gu Xinyue and Wang Zihao also know each other, but they are not so familiar.


    Seeing that no one in the group responded, Wang Zihao immediately named Aite one by one.


    Lu Chen was making the bed, and when he saw Wang Zihao''s message, he immediately replied.


    "Wash it a few times and get used to it."


    Wang Zihao: "..."


    In the dormitory where Lu Chen was, the other three were also graduate students.


    Two of them are graduate students of Cardiology and the other is a graduate student of Medical Oncology.


    Seeing that Lu Chen came to communicate from another school, the other three were very polite. After introducing themselves to each other, they went to study separately.


    Lu Chen has been in the First Affiliated Hospital of Kyoto University before, but he has not lived in the dormitory yet.


    I just came here today, and I can clearly feel the difference between this place and Jinghua.


    The learning atmosphere is more intense, everyone is busy with their own affairs, either reading papers or working on scientific research data.


    Lu Chen is usually very serious, but after coming to the Kyoto dormitory, he was also infected by these roommates.


    The state of their reading is absolutely unmatched by ordinary people!


    It''s no wonder that almost all the people who can get into the Kyoto University School of Medicine are academic masters and academic gods.


    On the first day, everyone in Jinghua felt a strong sense of oppression.


    Even Wang Zihao, who was not very serious at ordinary times, was also reading the papers in the bedroom.


    "It''s terrifying! Everyone is reading the literature, I can''t just pull out my phone and play games by myself!"


    Wang Zihao complained in the group, but still no one paid attention to him.


    ¡­


    Ten p.m.


    Lu Chen began to prepare to wash and sleep, while the others in the dormitory were still studying.


    He couldn''t help but sigh, "I''m not afraid of others being smart, but I''m afraid that people who are smarter than you will work harder than you!"


    However, Lu Chen has his own daily routine and doesn''t pay too much attention to the other three. After washing up, he is ready to go to bed.


    Just as Lu Chen lay down, a graduate student in cardiology across from his bed suddenly said.


    "Hey, brother, which tutor in Cardiology did you choose?"


    All students who come to Kyoto for exchange will choose their temporary tutors for this half year in advance.


    The choice of tutors is up to the students themselves.


    You can choose a big celebrity with far-reaching influence, or you can choose a young teacher who has just been rated as a mentor.


    However, it is the freedom of each tutor whether to accept students who come to exchange.


    Tutors can interview in person to decide whether to accept the student.


    This is also an assessment for all the exchange students coming to Kyoto!


    In other words, it''s a disembarkation!


    If you do not pass the tutor interview and are not accepted by the tutor, then the school will make a unified arrangement and lose the opportunity for tutors to teach one-on-one.


    This exchange activity involves not only Jinghua Medical University, but dozens of medical schools across the country.


    The competition is fierce!


    Lu Chen smiled, and then said, "I chose Professor Qin Sifeng from the Department of Cardiology."


    In an instant, the entire bedroom was silent for a moment.


    Lu Chen was a little strange, turned to look at his roommate, and found that this roommate from the Cardiology Department looked at him with a dull expression.


    "Is there a problem?" Lu Chen asked in confusion.


    In fact, before choosing a mentor, he also had a little hesitation.


    He knew several mentors throughout the First Affiliated Hospital of Kyoto University.


    Including Professor Yang Feng, who had applied for the postgraduate examination before, Director Wanjingshui of Xinnei San District, who was cooperating in clinical research, and Professor Qin Sifeng, whom he met at the Kyoto Institute of Electrophysiology.


    In addition, he also knew several old professors who were teaching at the Kyoto Institute of Electrophysiology.


    However, considering all the circumstances, Lu Chen finally chose Professor Qin Sifeng, whom he was most familiar with.


    "Brother, your vision is really good!" The roommate from the Cardiology Department paused, "Professor Qin is the oldest professor in our Cardiology Department, and he is one of the most influential authoritative experts in the field of electrophysiology in the country. "


    Lu Chen nodded, he knew all this.


    "However, Professor Qin has almost no students now, let alone a graduate student who is a foreign exchange student." The roommate shook his head slightly and smiled, "What''s more, the graduate students under his own are all brought by the little boss of Keli. You choose Professor Qin, you simply wasted this opportunity to choose!"


    The scores for the postgraduate entrance examination are out, I wish everyone a successful landing!


    (end of this chapter)

 v2 Chapter 555： Tutor interview

    Chapter 555 Mentor Interview


    In the dormitory, two graduate students of cardiology looked at Lu Chen like a fool.


    When they took the postgraduate entrance examination, they did not dare to apply for Professor Qin Sifeng.


    A foreign exchange student dared to choose Professor Qin Sifeng?


    They had to admire Lu Chen''s spirit of not being afraid of tigers.


    "Brother, I advise you to change to another tutor." The roommate comforted.


    "But, it seems that it can''t be changed now." Lu Chen paused.


    He himself did not expect to choose Professor Qin Sifeng, there are so many doorways.


    "Then there''s no way." The roommate spread his hands and sighed, "You''re pitiful, brother. If you don''t have a mentor to teach you for the next six months, you''ll have to fight alone."


    For the foreign exchange students who are not selected by the tutor, they lose the opportunity of one-on-one tutoring.


    Lu Chen smiled, but he didn''t pay much attention to this matter, "Thank you brother for reminding me, I got it."


    This postgraduate student in the Department of Cardiology, named Tian Xiaolong, is a postgraduate student in the First Ward of Cardiology Department of the First Affiliated Hospital of Kyoto University. .


    His undergraduate degree is not Kyoto University, but an unknown medical school.


    It is not easy for an undergraduate medical student from a foreign hospital to be admitted to Kyoto University School of Medicine!


    Because such top colleges generally have some xenophobic ideas, they would rather recruit a less outstanding student from their own school, and may not accept you as an outside college.


    Unless, you are a grade or two better than the students in this college.


    "You''re welcome." Tian Xiaolong said with a smile, "We''re actually pretty much the same. I didn''t have an undergraduate degree from Kyoto University. I was lucky enough to get in. If we can help each other, then we can help."


    Lu Chen knew that Tian Xiaolong said good luck, which is modesty.


    He must have put in unimaginable efforts to be admitted to the Kyoto University School of Medicine.


    Lu Chen and Tian Xiaolong chatted for a while, then went to sleep.


    ¡­


    the next day.


    Office building of Kyoto University School of Medicine.


    Graduate school teachers bring together all the students who come to exchange.


    "This morning, the tutor''s interview." Sun Qiang stared at the students in the classroom with a serious expression, "Each tutor''s assessment method is different. Whether or not the tutor likes you depends on everyone''s efforts."


    Sun Qiang didn''t have a good face for these students who came to communicate with others. Except for some of them who were really talented and learned, others might have come in through the back door.


    As soon as the ?? voice fell, there were whispers in the classroom.


    "I heard that if the interview fails, there will be no one-on-one tutoring, and you can only learn by yourself in the department."


    "It''s like this, I heard the senior brother who came to exchange in the last session said that it''s really miserable not to pass the tutor''s interview assessment."


    "Do you have any gossip, what is the probability of passing the interview?"


    "It doesn''t seem to be very high, only about 20%. Think about it, these Kyoto University tutors usually don''t even have time to teach their own students. How can they teach an outside school?"


    ¡­


    Wang Zihao couldn''t help but complain when he heard everyone''s whispers, "Since the probability of passing is so low, why do you have to make this part of choosing a mentor? Isn''t it pure disgusting?"


    Gu Xinyue said blankly: "That''s because you are not good enough. As long as you are strong enough, the tutor will definitely choose you."


    Wang Zihao can only helplessly spread out his hands, "These tutors of Kyoto University, all of them have hands and eyes, except Lu Chen, who can get their eyesight?"


    Lu Chen heard that he was being cued, so he turned around and whispered, "I can''t tell you about this matter, what if the instructor finds you pleasing to the eye, then choose it?"


    "Hope." Wang Zihao pouted.


    Everyone was talking in a low voice, except for Ke Yue, she had been listening silently to everyone''s conversation.


    She didn''t have much expectations about whether she could be selected by her mentor.


    Because she could come to Kyoto University and stay in Kyoto University School of Medicine for half a year, it was something she could never imagine.


    ¡­


    on the podium.


    Sun Qiang pressed his hands down, signaling everyone to be quiet.


    "Okay, everyone will go to different departments in batches according to different professional departments. At that time, a teaching secretary will take you to meet your respective tutors."


    Next, all students are separated according to their majors and taken to various departments.


    Lu Chen, Ke Yue and Gu Xinyue were still together, while Wang Zihao was assigned to surgery.


    "Old Gu, I can''t be selected." Before leaving, Wang Zihao shouted, "You, Lu Chen, and Ke Yue, you must do your best!"


    Lu Chen smiled, patted Wang Zihao on the shoulder, and left with the army.


    ¡­


    The First Affiliated Hospital of Kyoto University, Cardiology Ward.


    Sun Qiang, as the Deputy Chief Physician of Cardiology Department, is responsible for leading the team of Cardiology students.


    "Everyone looked at the floor of their chosen tutor and went to different departments."


    Everyone from the Cardiology Department began to check the floor to which they belonged.


    "I''m in one area of ??my heart." Lu Chen said, "How about you?"


    Professor Qin Sifeng is a part of his heart.


    "Five areas in the heart." Gu Xinyue said lightly.


    Ke Yue smiled, "I have three areas in my heart."


    "Three districts in my heart?" Lu Chen was stunned for a while, this seemed to be the department where junior sister Yao Jie was.


    "What''s wrong?" Ke Yue blinked.


    Lu Chen smiled, "Our clinical experiment sub-center has the participation of the three districts in the heart. It is quite suitable for you to go to the three districts."


    "Well, that''s great." Ke Yue nodded slightly.


    When she came to Kyoto from Jinghua, what she was most worried about was actually the national nature project.


    At this moment, Sun Qiang said: "The classmates whose tutor is in the first area of ??the heart, come with me."


    Lu Chen was startled, then walked out of the crowd.


    Along with Lu Chen, there were two other cardiology students.


    "Okay, you three follow me."


    Sun Qiang was a cardiologist himself, so he prepared the three of them to go to the ward in the first district.


    Except for Lu Chen, the other two, one male and one female, were all studying in an unknown institution.


    The three of Lu Chen followed Sun Qiang to the first ward in the heart.


    ¡­


    One area in the heart, showing the classroom.


    "You three sit in the classroom for a while." Sun Qiang said, "After your tutor is done, he will come to you."


    After ??, Sun Qiang left the classroom.


    "Hey, classmate, which tutor did you choose?" One of the boys approached Lu Chen.


    "Qin Sifeng." Lu Chen said with a smile.


    "What did you say?" Hearing Lu Chen''s words, the boy''s eyes widened, "Professor Qin Sifeng?"


    Lu Chen nodded slightly.


    At this time, another girl also cast a surprised look at Lu Chen.


    "Brother, you are awesome!"


    The boy gave Lu Chen a thumbs up, he smiled and shook his head without saying anything, then returned to his seat.


    Lu Chen didn''t explain anything. The more he explained, the more chaotic it became. Let''s see Professor Qin Sifeng again.


    About ten minutes later.


    The mentors chosen by the other two came to the classroom and took them to their respective offices.


    Only Lu Chen was still in the classroom, and Professor Qin Sifeng was never seen.


    Suddenly the upper limit is waived...


    Normal update


    (end of this chapter)

 v2 Chapter 556： Exclusion in Kyoto

    Chapter 556 The Exclusion of Kyoto


    Sun Qiang came to Shi''s classroom, saw Lu Chen sitting there alone, and let out a sneer in his heart.


    "This student is somewhat ignorant of how high the sky is and how to choose Teacher Qin?!"


    "Then just wait, Mr. Qin is performing surgery in the catheterization room today, so he really doesn''t necessarily have time to come."


    An hour later.


    The other two students have already finished their tutor interviews, and Lu Chen still hasn''t seen Professor Qin Sifeng.


    At this time, it was already ten o''clock in the morning.


    Lu Chen sat in the classroom, brushing his phone in a bored way.


    Four people in the WeChat group.


    Wang Zihao first jumped out to speak.


    "Let me go! The tutor here is really personal, and he just passed me a question when he asked me a question..."


    Lu Chen immediately replied, "What question was asked?"


    Wang Zihao said: "The tutor asked me how many SCI papers I have published in one episode... I answered zero..."


    Lu Chen smiled helplessly, there was nothing he could do, the tutor was not very good at judging students from other aspects, and the thesis was the most intuitive.


    Although Wang Zihao usually says that he is very serious, but publishing SCI papers is really not something ordinary people can do.


    "Lu Chen, you must have passed the tutor interview, right?"


    Lu Chen looked outside the classroom, but didn''t even see the shadow of Professor Qin Sifeng.


    "No, the instructor I chose didn''t even come. I heard that the operation was performed in the catheterization lab."


    "Then Lao Gu and Ke Yue, how are you two?"


    for a long time.


    Ke Yue''s message jumped out of the WeChat group.


    "I passed."


    "Ke Yue, I''ll just say it, you can definitely do it!" Wang Zihao said.


    "Congratulations!" Lu Chen also smiled lightly.


    Don''t look at Ke Yue''s usual quietness and silence, but her advantage now is not small!


    With this 5-point SCI paper some time ago, even in the medical school of Kyoto University, which is full of academic tyrants, it can kill most of the students.


    Ke Yue had already returned to the dormitory at this time. She looked at the congratulations sent by everyone on her mobile phone, and her heart blossomed with joy.


    Actually, her tutor interview went well today.


    The tutor asked her which papers she had published, and Ke Yue directly took out her 5-point SCI paper.


    The instructor glanced at it, didn''t say anything, just gave it a pass.


    "Hey, what about you, Laogu?" Wang Zihao asked again.


    However, after more than ten minutes, Gu Xinyue popped out three words, "No way."


    "Huh?" Wang Zihao said in surprise, "Old Gu, how could you fail?!"


    Lu Chen was also a little surprised. Gu Xinyue can be said to be one of the best students of Jinghua Medical University. He is very proficient in various clinical skills, except for the thesis, which may be slightly worse.


    However, Gu Xinyue didn''t make any movement next.


    Don''t look at Gu Xinyue''s usual aloof style and don''t care much about anything, but Lu Chen knows that he has a strong self-esteem.


    Ke Yue looked so inconspicuous, and passed the interview with the tutor.


    He didn''t...


    This result is hard to accept.


    Seeing that Gu Xinyue did not reply, the crowd did not continue to ask.


    Lu Chen thought that after returning to the dormitory, he still went to see classmate Lao Gu and comforted him.


    ¡­


    Before I knew it, it was already eleven o''clock.


    At this point, Lu Chen had been sitting in the classroom for two hours.


    Sun Qiang came to the Shi classroom again.


    "Student, why don''t you go back, Professor Qin may have been in the catheterization room for the surgery today."


    "Teacher, should I go to the catheterization lab to find Professor Qin?" Lu Chen stood up and said.


    "Hey, why don''t you understand what I''m saying?" Sun Qiang sighed, "I mean, don''t give up hope! Who is Professor Qin? He basically doesn''t take any students..."


    Lu Chen calmed down and looked down at the time, "Teacher, let me wait for another half an hour. Before you get off work at 11:30, if Professor Qin has not come, then I will leave."


    "It''s up to you." Sun Qiang spread his hands, "Just wait if you want, but the ending shouldn''t make any difference."


    After ??, Sun Qiang left the classroom.


    Lu Chen frowned slightly as he watched the back of him leave.


    This teacher of Kyoto University School of Medicine is too indifferent to these foreign exchange students.


    From the first day, Lu Chen could feel that the atmosphere of this medical school was very exclusive!


    Actually, Lu Chen didn''t care too much about whether he could pass Professor Qin Sifeng''s assessment.


    After all, when he was in Kyoto Electrophysiology Institute, Professor Qin was the tutor of the institute.


    But now, Lu Chen also wants to fight!


    After thinking about it, he took out his mobile phone and dialed a number he hadn''t contacted for a long time.


    ¡­


    "Hello, Lu Chen?"


    Hearing the familiar voice over the phone, Lu Chen smiled and replied, "Well, brother Bo, I haven''t seen you for a few months, stay safe!"


    On the other end of the phone was Min Xiaobo from Jinghua Central Hospital.


    Min Xiaobo responded with a smile: "Lu Chen, this busy man usually doesn''t have time to chat with you. Why do you have time to call me today?"


    "Cough cough." Lu Chen cleared his throat, "Brother Bo, I really miss you this time, don''t get me wrong."


    "Hehe, I believe in you." Min Xiaobo laughed and scolded, "Tell me, what''s the matter?"


    "Brother Bo, do you have Professor Qin Sifeng''s phone number?" Lu Chen immediately asked.


    When he was at the Kyoto Institute of Electrophysiology last year, Min Xiaobo happened to find Qin Sifeng as his teaching tutor.


    "Of course there is." Min Xiaobo smiled, "However, let''s talk about it first, what are you looking for with Teacher Qin?"


    "Brother Bo, it''s like this..." Lu Chen smiled and told Min Xiaobo the whole story.


    "You went to Kyoto again?" Min Xiaobo was quite surprised.


    Lu Chen said: "Yes, come to Kyoto to exchange and study, and by the way, complete the assessment of the third stage of the Kyoto Institute of Electrophysiology."


    "Okay, I''ll send you Teacher Qin''s number later." Min Xiaobo said, "When you see Teacher Qin, say hello to me by the way."


    "No problem." Lu Chen smiled.


    "That''s it, when you return to Jinghua, we will get together again."


    hung up the phone, less than a minute later.


    Lu Chen received the phone number of Professor Qin Sifeng from Min Xiaobo.


    After he stored the number in his mobile phone, he dialed it directly.


    ¡­


    The First Affiliated Hospital of Kyoto University, Cardiology Catheterization Laboratory.


    Today is Cardiology Electrophysiology Surgery Day.


    As the backbone of the electrophysiology field of the department, Qin Sifeng not only has to guard the catheterization room, but he may even have to do it himself when encountering some difficult operations.


    "When this patient is ablating, he must pay attention to multiple regional pacemakers. Don''t worry, take your time, and try to ablate all the pacemakers that can be monitored..."


    Qin Sifeng is standing outside the catheter room, teaching electrophysiological surgery experience to a group of young doctors.


    At this moment, a young doctor in a surgical gown walked up to Qin Sifeng with a mobile phone and whispered, "Mr. Qin, you''re on the phone."


    Qin Sifeng took the phone and saw that it was an unfamiliar number.


    This number is his life number, which is generally unknown to patients.


    (end of this chapter)

 v2 Chapter 557： Goodbye Qin Sifeng

    Chapter 557 Goodbye Qin Sifeng


    Qin Sifeng evacuated the surrounding young doctors, and then took the phone.


    Caller ID is a mobile phone number from Jinghua.


    Qin Sifeng frowned slightly, he had no acquaintances in Jinghua.


    Except for a student who taught at Kyoto Electrophysiology College last year, he seems to be from Jinghua.


    In doubt, Qin Sifeng answered the phone.


    "Hello, is that Professor Qin?"


    "It''s me, are you?"


    "Professor Qin, I''m sorry to bother you, I''m Lu Chen."


    "Lu Chen?"


    The name ?? flashed across Qin Sifeng''s mind, quickly evoking many of his memories.


    He remembered the difficult electrophysiological procedures he had completed in the catheterization lab last year.


    It was all because of Lu Chen''s participation that it was so smooth.


    "Are you the Lu Chen who attended the Kyoto electrophysiology training class last year?"


    Qin Sifeng suddenly stood up straight, his expression quite excited.


    This surprised the young doctor beside him.


    Professor Qin Sifeng received a call from whom?


    Usually, even if he received a call from the dean, he might not be so excited.


    "It''s me, Professor Qin.."


    Hearing the voice on the other side of the phone, Qin Sifeng immediately grinned.


    "Lu Chen, why did you suddenly think of calling me? You haven''t seen each other for more than half a year since we parted ways in Kyoto. I wonder if you are born or not?"


    Qin Sifeng''s hearty laughter came out.


    The surrounding people were even more surprised when they saw Qin Sifeng''s state. They were used to Professor Qin''s seriousness and rarely saw him so amiable.


    "Professor Qin, I came to Kyoto this time to study hard behind you." Lu Chen flattered.


    "It''s so daring!"


    The smile on Qin Sifeng''s face was even more intense. How much he wanted to have a student like Lu Chen, but unfortunately he chose another student named Min Xiaobo, "However, I remember that you seemed to be in the first year of graduate school last year, right?"


    Qin Sifeng, who had calmed down, felt that Lu Chen''s words were unrealistic.


    If Lu Chen graduated and came to read his Ph.D., he would definitely be welcomed with both hands.


    But Lu Chen should be in the second year of graduate school at the moment, and there is still one year left to graduate, and he is still at Jinghua Medical University.


    "Professor Qin, I am now sent by Jinghua to Kyoto to study and exchange for half a year..."


    Lu Chen explained a little, Qin Sifeng immediately said in surprise: "So, you are in Kyoto now?"


    "I''m in the showroom in your ward." Lu Chen chuckled softly.


    Qin Sifeng was shocked, "Are you in the classroom in the first district of my heart upstairs?"


    "Um."


    "I''ll be up right now!"


    Hearing Lu Chen''s affirmative answer, Qin Sifeng immediately hung up the phone, walked towards the catheter room at the same time, and instructed the young female doctor beside him, "The rest of the operations are relatively routine, I''ll go upstairs first, call me if you have anything. Telephone."


    "Okay, Professor Qin." The young girl nodded slightly, seeing Qin Sifeng''s anxious appearance, she should go upstairs to meet important guests.


    ¡­


    One area in the heart, showing the classroom.


    Time, half past eleven in the morning.


    Sun Qiang walked into the Shi classroom slowly with a smile on his face. He leaned against the door and knocked lightly on the door frame.


    "Student Lu Chen, it''s time, we''re off work, you''re ready to go too."


    The agreed time between the two has come, and there is no point in continuing to stay like this.


    "Mr. Sun, I''ll leave right away." Lu Chen stood up and smiled.


    Sun Qiang saw that Lu Chen was still not giving up, he just sneered, then turned around and prepared to leave.


    As soon as he walked to the door showing the classroom, his eyelids twitched, and he suddenly saw a familiar figure, and immediately stopped, the sneer on his face suddenly dissipated.


    "Qin, Professor Qin, why are you here?"


    Qin Sifeng''s face returned to his previous indifference, he nodded slightly to Sun Qiang, and passed by his side.


    Suddenly, Qin Sifeng listened to his footsteps and turned to look at Sun Qiang, who was terrified.


    "I heard just now that today is my mentor''s interview, why didn''t you tell me?"


    Sun Qiang secretly swallowed, "Well, Professor Qin, you are usually so busy, and today is the day of surgery, I''m afraid it will disturb your work."


    Qin Sifeng glanced at Sun Qiang, "My business, when will it be your turn to make up your own mind?"


    Sun Qiang was startled, too scared to speak.


    Qin Sifeng is an authority in the field of cardiac electrophysiology, but his temper is also very stinky, and he usually scolds and crys many young doctors in the department.


    Qin Sifeng ignored Sun Qiang and walked into the classroom.


    The moment he saw Lu Chen, the frost on Qin Sifeng''s face disappeared instantly, like a conjuration, and he immediately filled with smiles.


    "Little Lu, you came here yesterday and only contacted me today. Look, you don''t take my old bones to heart!"


    Qin Sifeng made fun of Lu Chen.


    Lu Chen hurriedly said respectfully, "Professor Qin, how dare I, after setting up the dormitory yesterday, I''ll call you as soon as I come to the hospital today."


    "You are slick, but for the sake of you choosing me as a mentor, then I won''t care about you." Qin Sifeng walked up to Lu Chen and patted him on the shoulder with a smile. The joy in his eyes could not be hidden. .


    Last year, Lu Chen''s amazing performance at the Kyoto Institute of Electrophysiology had already conquered everyone.


    Especially in the second stage of the assessment, Lu Chen not only overfulfilled the task, but also performed several highly difficult electrophysiological surgeries!


    The most important thing is that during Qin Sifeng''s relationship with Lu Chen, he found that this child has a pure and pure temperament, and he has no arrogance and arrogance of young people. He is a good seedling worth cultivating!


    Although Mr. Qin has a very bad temper, for such a rare medical talent, it is completely another kind face.


    Outside the classroom.


    Sun Qiang didn''t go far. Hearing the conversation between Qin Sifeng and Lu Chen, he was stunned, his eyes widened, and he couldn''t even move.


    "This student... knows Professor Qin?!"


    And listening to the content of the conversation between the two, Qin Sifeng admired Lu Chen very much.


    Why did things suddenly become like this?


    The student he didn''t like originally, a medical university from a medical university, actually had a good time with Professor Qin?


    When Sun Qiang returned to the doctor''s office, his mind seemed to have lost his chords, and he couldn''t let go.


    ¡­


    Lu Chen and Qin Sifeng ignored Sun Qiang and left the area in their hearts.


    As for such things as mentor interviews and assessments, then you don¡¯t need them!


    "Little Lu, do you mind having a working lunch at noon?" Qin Sifeng led Lu Chen to the catheterization lab.


    Today is the day of surgery, and there will be several electrophysiological surgeries to come. Although Qin Sifeng does not need to go on stage to perform it himself, he still has to take care of it.


    "Of course I don''t mind." Lu Chen smiled, "I stayed in the catheterization room for a while, and I still miss the lunch here."


    Don¡¯t look at it as a work lunch, but it¡¯s all meals ordered by equipment manufacturers, all ordered according to the highest standard.


    At this moment, the female doctor who had been following Qin Sifeng walked up quickly.


    "Mr. Qin, the operation in the No. 3 catheterization lab encountered some trouble. Mr. Xiao, please come over."


    (end of this chapter)

 v2 Chapter 558： Disappointed? !

    Chapter 558 Disappointed? !


    "Go!" Qin Sifeng waved his hand and walked towards the No. 3 catheterization room.


    The female doctor and Lu Chen next to ?? saw this and followed closely behind.


    On the way, the young female doctor kept silently observing Lu Chen.


    Didn''t Professor Qin pick up a big man just now, why did a young man suddenly appear?


    ¡­


    No. 3 conduit outdoor.


    Qin Sifeng did not rush in, but wanted to know the patient''s condition first.


    "what''s the situation?"


    The young doctor outside the catheter room immediately said: "The operation went well at first, but when the puncture was just performed, there seemed to be some problems."


    After ??, the young doctor handed the patient''s medical record to Qin Sifeng.


    Qin Sifeng opened the medical record, the first page was the patient''s echocardiography report.


    "This ultrasound...the patient''s atrial septal puncture is indeed a bit tricky." Qin Sifeng said with a frown.


    Compared with coronary intervention, the talent pool of electrophysiology is relatively small, and Xiao Shikang is already a leader among the younger generation.


    The surgical problem that even he can''t solve is not a routine small problem.


    Lu Chen also saw the patient''s echocardiogram and said solemnly, "Blend fossa ovalis?"


    Qin Sifeng nodded, his face quite serious. .


    Atrial septal puncture is the most basic step in atrial fibrillation ablation, and it is also the most dangerous step!


    Generally, the puncture point of the interatrial septum is in the fossa ovalis.


    At the time of puncture, make sure that the puncture is only on the fossa ovalis.


    If it goes beyond the fossa ovalis, it may cause cardiac tamponade!


    In addition, the location of the puncture point is also related to the patient''s body shape, heart shape and structure, etc.


    Some people are slender and slender, the heart is vertical, and the puncture is generally a little higher.


    If it is too low, the duct will pass under the fossa ovalis to the bottom of the atrium. In some people, the left atrium is very small, and the top of the left atrium goes to the opposite side of the left atrium and causes cardiac tamponade!


    If it is a transverse heart, the puncture should be a little lower, and if it is too high, it may pass through the roof, or even into the pulmonary artery, and the aorta in the front.


    Also, don''t pierce too fast, if you pierce too deeply, it may go to the opposite side.


    "Mr. Qin, shall I get you a lead coat?" said the young female doctor on the side.


    Usually, Qin Sifeng would come to power in person at times like this.


    But today...


    Qin Sifeng looked at Lu Chen beside him, he didn''t need to take action himself!


    "No." Qin Sifeng shook his head slightly and pointed to Lu Chen beside him, "Find him a suit that fits him."


    Hearing Qin Sifeng''s words, everyone around looked at Lu Chen with surprised expressions on their faces.


    There is a lot of mobility in the catheterization room. A small number of people think Lu Chen is a little familiar, but they didn''t meet the number for a while. They just regarded Lu Chen as a doctor in the general ward upstairs.


    Lu Chen smiled lightly, he had expected this situation long ago.


    Mr. Qin brought him to the catheterization room, but he didn''t plan to let him "watch the play" by the side!


    "Find it for him?" The young female doctor had never seen Lu Chen at all, her expression was a little hesitant. Teacher Xiao couldn''t solve the problem, should such a young doctor do it?


    "Don''t waste time!" Qin Sifeng urged.


    The young female doctor didn''t dare to neglect her, and she even threw away her thoughts, and hurriedly prepared to find a lead coat for Lu Chen.


    "Don''t bother you, I''ll find it myself." Lu Chen smiled.


    In the catheterization laboratory of the First Affiliated Hospital of Kyoto University, he once stayed for a month.


    I am relatively familiar with the environment here.


    He found a set of lead suits with ease, put them on, and walked into the catheterization room.


    ¡­


    No. 3 catheter room.


    Xiao Shikang was staring at the angiography image in front of him.


    This is a case of radiofrequency ablation of atrial fibrillation, but he ran into trouble while performing a transseptal puncture.


    Because in the contrast image, he saw a bulging tumor in the fossa ovalis of the patient¡¯s atrium.


    A fossa ovalis tumor is soft, elastic, and not easy to pass through.


    And the left atrium is small, so special care should be taken in puncturing. Once the puncture needle passes through the bulging tumor and reaches the free wall side of the left atrium, it will cause the risk of cardiac perforation.


    Even under the guidance of the cardiac ultrasound, Xiao Shikang flinched.


    Because once there is any mistake, the patient''s heart is at risk of perforation!


    "Have you told Professor Qin?" Xiao Shikang asked the graduate student who was following the stage.


    "Said, Professor Qin will come right away." The graduate student said.


    Xiao Shikang nodded slightly, now he can only wait for Qin Sifeng''s arrival to see if he has any better way to pierce.


    Just as Xiao Shikang was dazed by the contrast image, a familiar and somewhat unfamiliar voice suddenly sounded in his ear.


    "Mr. Xiao, here I come."


    Xiao Shikang looked back immediately, and at some point, a doctor wearing a surgical gown appeared beside him.


    He was wearing a mask and hat, and Xiao Shikang could not see his appearance.


    But listening to his voice and looking at his piercing eyes, Xiao Shikang felt very familiar.


    "You are¡­¡­"


    Lu Chen squinted his eyes and smiled, "Mr. Xiao, I''m Lu Chen, I haven''t seen you for a year, you don''t remember me?"


    At the beginning, Lu Chen came to the Kyoto Institute of Electrophysiology for the second round of assessment, that is, to study under Xiao Shikang.


    "Lu Chen?" Xiao Shikang was stunned, the figure in his mind slowly overlapped with the person in front of him, and a surprised look appeared on his face, "You, why are you here?!"


    "Mr. Xiao, wait until the operation is over to catch up. Let''s take a look at this patient first." Lu Chen smiled.


    "Okay!" Xiao Shikang nodded slightly and began to tell Lu Chen about the patient''s situation.


    The patient ?? is a female patient in her 60s with a diagnosis of paroxysmal atrial fibrillation.


    In recent years, her frequent episodes of atrial fibrillation and angina pectoris have caused the patient to suffer a lot.


    After much deliberation, I finally made up my mind to do atrial fibrillation ablation!


    When the operation started today, everything went smoothly.


    But when it was time for atrial septal puncture, Xiao Shikang felt something was wrong.


    ¡­


    "Lu Chen, have you seen the patient''s preoperative cardiac ultrasound?" Xiao Shikang asked.


    "I have seen it." Lu Chen nodded, "The patient has a fossa ovalis bulge tumor, which is soft and large, and is not easy to puncture through. Once it touches the free wall of the left atrium, the heart is easily perforated. ."


    "Yes, I''m considering this possibility now, so I haven''t dared to start." Xiao Shikang sighed.


    He turned his head slightly, glanced at Lu Chen beside him, and found that he was staring at the patient''s angiography image.


    "Lu Chen, is there any safe way?"


    Lu Chen didn''t answer directly, but instead asked, "Have you done an intraoperative ultrasound?"


    "I just asked the ultrasound teacher to do it." Xiao Shikang said, "Do you need to do it again?"


    Lu Chen looked at the angiography image and nodded, "Push the ultrasound machine over, and I''ll take a look at the specific location of the fossa ovalis tumor."


    "Okay." Xiao Shikang immediately instructed the graduate student beside him to push in the ultrasound machine outside the catheter room.


    Qin Sifeng, Xiao Shikang and others were not surprised by Lu Chen''s superb and skilled ultrasound technology.


    It was outside the catheter room. When other young doctors saw Lu Chen showing off his ultrasound skills, they knew that this young man was unusual!


    Lu Chen didn''t waste too much time, he mainly wanted to use ultrasound to determine the approximate location of the bulging tumor in order to facilitate the puncture direction.


    "Now, even with ultrasound-guided puncture, the risk is not small!" Xiao Shikang frowned deeply.


    Anyway, he didn''t dare to pierce like this!


    Because the risk is extremely high, once you fail, you will be ruined!


    Does Lu Chen want to take such a risk?


    (end of this chapter)

 v2 Chapter 559： Heinous sin!

    Chapter 559 Heinous crime!


    Whether it¡¯s in the catheter room or outside the catheter room, everyone¡¯s heart goes to their throats.


    "Professor Qin, do you really not take the stage for such a difficult atrial septal puncture?"


    There were young doctors around and asked, in their opinion, Lu Chen, who was on stage at this time, was younger than their age, and he usually did some simple electrophysiological surgery. Today, they encountered this kind of atrial septal puncture, but Even the deputy chief physicians with general qualifications dare not get started.


    Everyone stared at Qin Sifeng closely, and the female doctor beside him was always ready to prepare a surgical lead suit for him.


    I saw Qin Sifeng smile indifferently, and said calmly: "Today, you all have a good look, study hard, and prepare the video equipment. Today''s surgical operation is regarded as a teaching video."


    "What?" Everyone was shocked when they heard Qin Sifeng''s words.


    Kyoto University School of Medicine, this is not a pheasant school. It can be used as a teaching video here, which is almost the ceiling of the national surgical operation!


    Why is Qin Sifeng so confident in the young man in front of him?


    A big question arose in everyone''s heart, and they stared at the operating table in front of them, daring not to look away easily.


    ¡­


    The catheter room at this time.


    Lu Chen removed the cardiac ultrasound machine and wiped the couplant off the patient''s skin.


    Xiao Shikang has been staring at Lu Chen quite nervously.


    As long as Lu Chen is ready to start the puncture, he will assist in the operation at any time, and contact the cardiac surgeon at the first time, so that the cardiac surgeon is on call at any time.


    Because once the heart is at risk of perforation, the patient is immediately converted to open thoracic surgery.


    "Mr. Xiao, prepare an electrode tube."


    At this time, Lu Chen suddenly said. .


    "Electrode tube?" Xiao Shikang was taken aback, "Don''t you already have one?"


    Lu Chen stared at the angiographic image in front of him, and said slowly, "Please prepare another one!"


    Xiao Shikang was a little unclear, but he did as he did and instructed the graduate student on the side to get another electrophysiological electrode tube.


    Lu Chen got the electrode tube and directly implanted it into the patient''s ventricle through the catheter.


    Everyone was very surprised when they saw this scene, "He, what is he doing?"


    Only Qin Sifeng smiled faintly, "Lu Chen wants to further determine the location of the fossa ovalis."


    "Didn''t you use an ultrasound just now?" The young female doctor on the side asked suspiciously, "Also, with this electrode, how can you determine the location?"


    While staring at Lu Chen''s operation, Qin Sifeng explained: "Because everyone''s heart is different, and some have a little transposition. If you judge by the upper edge of the coronary sinus, there may be errors, or you may think that every patient will There are jumps, but they are not. Some patients do not jump. At this time, it is very important to find a suitable place and then puncture."


    "Adding an extra tube and a ventricular electrode can help to determine the highest position of the tricuspid annulus. By adding a corner of the ventricular electrode, the height of the fossa ovalis can be initially determined."


    After listening to Qin Sifeng''s explanation, everyone showed a sudden realization.


    However, Qin Sifeng also had some doubts in his heart.


    This method of adding electrodes to determine the fossa ovalis is not very common in China.


    One is that this difficult surgical disease is not common, and the other is that this method is mainly popular in foreign countries and has only been introduced into China in recent years.


    Where did Lu Chen learn these skills?


    How many things have yet to be discovered in this young man?


    ¡­


    No. 3 catheter room.


    When Lu Chen put the electrodes into the patient''s ventricle, Xiao Shikang knew his intention.


    "Lu Chen, are you trying to determine the location of the fossa ovalis?"


    Lu Chen nodded slightly, "The anatomical site of the true fossa ovalis and the turn of the ventricular electrode are the same as the high position of the tricuspid valve, that is, the level of the bundle of His is slightly backward and upward, so the oval can be judged by adding an electrode. The height of the nest, I personally think it is quite useful."


    Lu Chen said calmly, but Xiao Shikang''s eyes widened.


    This one-handed operation is fantastic!


    An inconspicuous electrode tube can play such a huge role in the ventricle.


    Xiao Shikang thought to himself, why didn''t he think of this method before?


    However, just knowing the location is not enough, the next puncture is the top priority!


    All the preparations made in the front are for the accuracy of the puncture.


    Make sure you have a 100% success rate!


    Because here, once it''s below 100%, it''s 0%!


    "Are you going to start piercing?" Xiao Shikang stood beside Lu Chen, ready to go.


    Unexpectedly, Lu Chen shook his head again.


    In Xiao Shikang''s surprised eyes, he picked up the catheter and injected a little contrast agent into it.


    At the same time, Lu Chen''s voice sounded, "Under the unclear and unfamiliar situation, if you feel suspicious, don''t try to puncture first, push a little contrast agent to take a look, if there is no resistance, it is very likely that it will be punctured. in the cavity."


    Xiao Shikang looked at Lu Chen''s skillful manipulation skills, and couldn''t help but recall the dry pericardiocentesis that Lu Chen performed in this catheterization lab a year ago.


    The same amazing people, the same convincing.


    At this time, the graduate student standing beside Xiao Shikang was stunned.


    I thought that there was a little guy like him in the catheterization room, but I didn''t expect it to be a big boss!


    Hearing the conversation between Lu Chen and Mr. Xiao Shikang, he found out that this operation has become a one-sided teaching operation!


    Who is this person?


    He has been in the catheterization laboratory for more than half a year, and he has never seen such a person. He looks as old as him, or even younger than him!


    ¡­


    Conduit outdoor.


    The smile on Qin Sifeng''s face became more intense. He stroked his chin, which was not much of a beard, and laughed loudly: "You should learn from Lu Chen''s bold and careful operation. During the puncture process, don''t be stingy with contrast agents. , even if you don''t go through it, you will know where you are dyed."


    Everyone was a little disdainful when they heard this.


    Pushing contrast agent, this simple operation, everyone can do it!


    There is no need to hold Lu Chen so bluntly, right?


    Seeing everyone''s faces, Qin Sifeng knew what they were thinking, so he snorted coldly, "You young doctors, don''t take it seriously! I saw a doctor doing atrial septal puncture before and encountered a patent foramen ovale. But at that time, the puncture needle had already reached the left atrium, and he still wanted to pursue a sense of breakthrough, but when he saw the staining of the posterior wall in the contrast agent, he felt very scary at the time, and immediately suspended the operation!"


    "It doesn''t matter if you make mistakes, but it''s the patient who suffers!" Qin Sifeng''s face turned cold, "Because of your carelessness, you have caused harm to the patient, that''s a heinous crime!"


    (end of this chapter)

 v2 Chapter 560： Education Bureau

    Chapter 560 Teaching Bureau


    No. 3 catheter room.


    Lu Chen finally started atrial septal puncture.


    At this time, a doctor from the Cardiac Surgery Department of the First Affiliated Hospital of Kyoto University also came to the Cardiology Catheterization Room.


    They are waiting in the catheter room, ready to take over and switch to open thoracic surgery in the event of serious cardiac perforation complications.


    On the operating table, Lu Chen''s needle insertion speed was extremely slow.


    Even if he knew the anatomical position of the patient''s heart well, Lu Chen didn''t dare to slack off.


    After he inserted the needle 2mm, he paused and pushed a little more contrast agent.


    "Hands are really steady!" Xiao Shikang exclaimed.


    Lu Chen stared at the image after angiography, and felt the patient''s breathing from the screen.


    Be aware that the human heart is beating constantly.


    Breathing action also affects the position of the patient''s heart chambers.


    If this is not considered, even the smallest puncture error can have serious consequences.


    If the location of the puncture is wrong, for example, the posterior wall of the aorta is punctured, penetrate 5mm, and it will enter the aorta as soon as the ground is pushed. .


    After confirming that the position is almost safe, Lu Chen pushed in a little bit of a small needle tip, about 1mm.


    Lu Chen''s every little action touched everyone''s nerves.


    At this time, Qin Sifeng stopped talking and teaching, and also stared at the puncture needle on the screen.


    Just then, Lu Chen moved again.


    His eyes were like torches, he clenched the catheter in his hand, and pushed in the puncture needle without any hesitation.


    aside, Xiao Shikang didn''t dare to come out, just like he was puncturing himself.


    However, looking at Lu Chen''s silhouette, Xiao Shikang has no reason in his heart, and has more confidence.


    ¡­


    At this time, in Lu Chen''s eyes, he had already blocked all the noise around him.


    What I saw in my eyes and what I thought in my heart was only this atrial septal puncture operation.


    In the virtual training space of the system, Lu Chen has performed hundreds of such atrial septal puncture operations.


    However, for this kind of patient with fossa ovalis, he has never touched it in reality.


    To avoid fossa ovalis tumor perfectly, in addition to precise positioning, you also need "work" on your hands!


    At this time, Lu Chen had to sigh that the training in the virtual space of the system really helped a lot.


    Don''t look at just pushing the puncture needle into a short 1mm, but it requires precise hand micro-manipulation!


    The movement on the hand is a little bigger, and the puncture needle can penetrate the aorta!


    At this time, the puncture needle was pushed in by 1mm.


    Lu Chen held his breath lightly, and slowly felt the characteristic throbbing sensation of the catheter reaching the fossa ovalis.


    Boom!


    Boom! Boom!


    Boom! Boom! Boom!


    Lu Chen''s breathing, the patient''s breathing, the throbbing feeling on his hands.


    At this moment, a delicate balance has been reached.


    Finally, the puncture needle in his hand slowly broke through the atrial septum and reached the cavity.


    "It''s done!"


    Lu Chen''s face showed a touch of joy, and a drop of sweat dripped on his forehead inadvertently.


    However, Lu Chen''s tense nerves did not relax.


    The ?? puncture needle into the chamber is only half the battle.


    Next, it is necessary to reach the designated position and place electrodes to measure the ablation point of atrial fibrillation.


    ¡­


    Conduit outdoor.


    At the moment when Lu Chen''s puncture was successful, there was a momentary silence in the atmosphere present.


    Everyone looked at each other and could see the shock in each other''s eyes.


    This kind of operation is awesome!


    They watched the entire operation and finally understood why Professor Qin Sifeng wanted this operation to be regarded as a teaching operation.


    Every step of Lu Chen''s operations is at the textbook level, and even some operations are not in the books.


    I don''t know who it was, but took the lead in applauding lightly, and everyone in front of the catheterization room No. 3 stood up and clapped.


    "Where did this young man come from, he''s amazing!"


    "As expected of the person brought by Professor Qin, the operation of this electrophysiological operation, compared with such a top surgeon, is not too stubborn!"


    "I''m afraid this kind of genius operation is only seen in our Kyoto University School of Medicine?!"


    Everyone was talking, Qin Sifeng stroked his beard and smiled, while secretly thinking: "This Lu Chen was rejected by him last time, this time he must stay in the capital!"


    However, Qin Sifeng recalled that last year, when Lu Chen was still in the Kyoto electrophysiology training class, Deng Shaoqiu, a professor from the Medical School of Magic Capital University, directly promised Lu Chen the title of "associate professor".


    At that time, Qin Sifeng felt that Deng Shaoqiu''s approach was more radical, but now it seems that this is a sure-fire business!


    "It doesn''t matter, even if I use all connections, I will keep Lu Chen!"


    Looking at Lu Chen in the catheterization room, Qin Sifeng had already made up his mind.


    ¡­


    Lu Chen, who was in the catheterization room, didn''t know that he was already remembered by Mr. Qin.


    When he successfully completed the puncture, the rest of the ablation work was handed over to Xiao Shikang.


    However, Lu Chen did not step down, but stood beside Xiao Shikang, ready to deal with emergencies at any time.


    At this time, Lu Chen was like a higher-level doctor, guiding the lower-level doctor''s operation in front of the operating table.


    "Lu Chen, shall I go in a little more?" Xiao Shikang asked from time to time.


    Lu Chen nodded slightly, "Well, pay attention to push a little contrast agent, you don''t need a lot, as long as you can see clearly."


    "The origin of atrial fibrillation has basically been found out, Lu Chen, see if you missed anything..."


    Xiao Shikang''s surgical techniques are much more skilled than electrophysiologists in general hospitals.


    Lu Chen just mentioned a few words on the side, and he was able to react immediately and make corresponding adjustments.


    At this moment, a prompt popped up in the system panel.


    "Congratulations, the proficiency in electrophysiological surgery has risen to 92.5%!"


    A look of joy flashed across Lu Chen''s face.


    The proficiency in electrophysiological surgery has not risen for a long time.


    After completing this difficult atrial septal puncture today, the proficiency that has been standing still has finally loosened!


    It seems that there is still a long way to go to increase the proficiency of electrophysiological surgery to 100%!


    ¡­


    This atrial fibrillation ablation operation lasted for a total of two hours.


    Lu Chen also stayed on stage for two hours.


    Until the end of the operation, Lu Chen''s tense nerves finally relaxed.


    "Cuckoo..."


    Hearing the sound of "protest" coming from his stomach, Lu Chen felt his stomach churning and was already hungry.


    Taking off the surgical gown and lead gown, Lu Chen walked out of the catheterization room.


    Seeing this, everyone immediately greeted them.


    Qin Sifeng walked in the front, he patted Lu Chen on the shoulder, with a bright smile on his face, "Good job!"


    Lu Chen responded with a smile, "Mr. Xiao and I cooperated well."


    Xiao Shikang followed behind Lu Chen, his face flushed when he heard this.


    This is a teaching bureau. Whether the operation is successful or not has nothing to do with him.


    Xiao Shikang waved his hand quickly, "This is thanks to Lu Chen and Teacher Qin''s usual teaching."


    Lu Chen glanced back at Xiao Shikang, this old Xiao, the road is wide!


    (end of this chapter)

 v2 Chapter 561： Where did the second generation of learning come out? (The lord of Xuanteng Luo

    Chapter 561 Where did the second generation of learning come from? (The leader of Xuantengluo plus 4)


    Cardiac catheterization room, rest room.


    This is the professor''s separate lounge, Lu Chen and Qin Sifeng are sitting opposite each other.


    There were two lunch boxes and mineral water on the table in front of them.


    "Looks like you haven''t seen each other for a year, your hands haven''t become rusty!" Qin Sifeng made no secret of his appreciation for Lu Chen, "Today''s atrial septal puncture surgery is another textbook-level surgical case."


    Lu Chen smiled, then opened the lunch box, the fragrant meal made his index finger move.


    He pushed the lunch box in front of Qin Sifeng, and then opened the other one by himself.


    "Professor Qin, I also try my best."


    Qin Sifeng smiled slightly, he just liked Lu Chen''s attitude of not taking credit and arrogance, "How long are you going to stay in Kyoto this time?"


    "The communication time is half a year, and then I will participate in the third round of assessment of the Kyoto Electrophysiology Training Course." Lu Chen said.


    "Oh, yes, I almost forgot about your third round of assessment." Qin Sifeng smiled.


    Lu Chen stuffed a piece of meat into his mouth, "Professor Qin, do you know when the third round of assessment will start?"


    "This..." Qin Sifeng was about to say something, but he suddenly paused, then shook his head and smiled, "It''s not convenient for me to say more now, you''ll know when the time comes."


    "Okay.." Lu Chen shrugged, making it so mysterious.


    Lu Chen and Qin Sifeng talked about academic issues again, and then the topic returned to Lu Chen''s exchange and study.


    "Lu Chen, then I will arrange you in the first area of ??my heart, and take care of the patients independently. The electrophysiological surgery involved will also be performed by you." Qin Sifeng said sternly, "Like the other doctors in the department, you will meet every month. Give you a certain salary."


    "Okay, thank you Professor Qin!" Lu Chen didn''t hesitate.


    He is now a licensed physician and can manage patients independently.


    Although he doesn''t know what other people''s arrangements are, in the Cardiology Department of the First Affiliated Hospital of Kyoto University, being able to manage patients independently will be a great improvement for anyone.


    I knew earlier that almost every patient who can be hospitalized here has incurable diseases.


    Although there are not many beds in each ward, the quality of patients is very high!


    "The superior doctor in our group is Xiao Shikang. He has just been promoted to deputy chief physician, and he can lead the group. You can follow him." Qin Sifeng added, "Of course, if you have any work or academic questions, you can come and ask. Me, you know my phone too."


    Speaking of the phone, Lu Chen suddenly remembered the work that Min Xiaobo had explained to him.


    "By the way, Professor Qin..." Lu Chen was interrupted as soon as he spoke.


    "What else do you call a professor, is it so difficult to call me a teacher?" Qin Sifeng deliberately had a dark face.


    Lu Chen smiled and changed his words: "Mr. Qin, it''s like this, Min Xiaobo asked me to say hello to you on his behalf."


    "This kid, you haven''t called me for a few months." Qin Sifeng snorted coldly, "I let him come to Kyoto to develop, and he has to go to the backcountry Jinghua. He failed to be promoted to deputy director this year. That''s what he deserves."


    Lu Chen smiled helplessly.


    Teacher Qin''s violent temper, he really got used to it.


    However, Mr. Qin said that Bo Ge failed to be promoted to deputy high school. This was the first time he heard of it.


    Before he knew that Min Xiaobo was going to be promoted to vice-high, he thought that if he came to Kyoto to get gold plating, he would definitely be able to evaluate it when he went back, but he didn''t expect that something went wrong.


    "Lu Chen, you have a strong surgical ability now, but you still have to keep up with scientific research." Qin Sifeng seemed to be moved and sighed, "Look at your Cao Zhiying from Beijing, if nothing else, scientific research He is still good, although this academician selection has been brushed, but no matter how hard you work, there will still be drama."


    Still stay in front of the boss and know a lot of gossip information.


    Lu Chen nodded and said, "Mr. Qin, this time I''m here on a scientific research mission..."


    He briefly explained his national nature project to Qin Sifeng.


    "The cooperation between your Jinghua and the three districts in your heart?" Qin Sifeng frowned.


    "Yes." Lu Chen said, "I met Fang Ruzhang at the Kyoto Institute of Electrophysiology. He happened to be in the third district of my heart, so I talked to Director Wanjingshui about this."


    "Alright." Qin Sifeng said solemnly, "However, researching drugs is always too constrained by foreign pharmaceutical companies. You should get on the right track as soon as possible."


    Lu Chen had to sigh at Professor Qin''s vicious vision, and suddenly pointed out the limitations of his scientific research projects.


    It seems that Mr. Qin can achieve his current status, not only as a surgeon.


    "Thank you, Mr. Qin, this is just my current postgraduate thinking." Lu Chen said that he has not really systematically contacted other basic scientific research training.


    "Okay." Qin Sifeng smiled slightly. In fact, he was going to explore Lu Chen''s tone to see where he wanted to study in the future. By the way, he would express his love for talent, but after thinking about it, he still gave up. Lu Chen just came to Kyoto, Gotta give him a bit of buffer time.


    Qin Sifeng couldn''t believe it anymore. With half a year, can''t Lu Chen stay in the capital?


    ¡­


    After eating the lunch box, Qin Sifeng signed "passed" on the instructor''s assessment form, and Lu Chen left the catheterization room.


    Today is not the time for him to go to work. Next, he has to go to the Academic Affairs Office to get his badge and report the results of his tutor''s assessment.


    Whether the ?? tutor''s assessment is passed or not is related to the future training plan of the Kyoto University School of Medicine for each student.


    Those who pass the assessment will have one-on-one teaching by the tutor.


    Students who fail to pass can only "eat a big pot of rice", and the Academic Affairs Office will send a teacher to conduct unified teaching.


    ¡­


    The First Affiliated Hospital of Kyoto University, Academic Affairs Office.


    Lu Chen came to room 202 with the instructor''s assessment sheet.


    "Is Mr. Fang from the graduate school here?"


    The door was ajar, Lu Chen stuck his head in and knocked lightly on the door.


    "I am." A round-faced female teacher raised her head from the computer desk.


    "Mr. Fang, I''m sorry to bother you. I''m a student who came to exchange and study. I''m here to get a badge." Lu Chen walked into the door and handed over his tutor''s assessment sheet.


    "It''s so late, what''s your name?" Fang Yuan glanced at Lu Chen.


    "Lu Chen."


    "Oh, your badge is there, go find it yourself." Fang Yuan pouted angrily at the other table beside him, then took the assessment sheet without looking at it, and put it aside, "After finding it, at the other table. I''ll just sign here."


    There were only five badges left on the table, and Lu Chen found his own at once.


    This badge is very simple, with only one photo, with the name and department written on it.


    Lu Chen got the badge and signed his name on the roster.


    "Thank you, Mr. Fang." Lu Chen was about to leave with his badge in hand when Mr. Fang suddenly handed over an A4 piece of paper.


    "Wait a minute, this is your class schedule for the next six months."


    Lu Chen stopped and took the timetable in confusion. He hadn''t heard of the timetable.


    After seeing the arrangement of the class schedule, his expression froze.


    Although there are not many courses, there are courses almost every day from Monday to Friday.


    According to Teacher Qin''s words, he basically manages patients in the department!


    He prefers to practice in the clinic rather than in class.


    "Teacher, does everyone arrange so many classes?" Lu Chen asked in surprise.


    "Yes." Fang Yuan didn''t lift his head, he was still lying on the table writing something.


    "But my teacher told me to manage patients independently in the department from now on." Lu Chen paused, "If there are so many courses, will there be conflicts?"


    "Independent management of patients?" Fang Yuan raised his head in surprise, "Impossible! Graduate students in our own school will not be allowed to independently manage patients before they reach the third grade!"


    At this moment, Fang Yuan seemed to have thought of something, picked up the assessment sheet on the side and looked at it, his expression stunned.


    "Classmate, have you passed the exam?"


    Lu Chen nodded, "Yes."


    Fangyuan couldn''t believe it, she hurriedly flipped through the entire assessment list, it was indeed the assessment list they distributed, not a fake.


    What makes Fang Yuan even more shocked is that the signature on the column of the tutor is the signature of Professor Qin Sifeng!


    "Professor Qin Sifeng accepted you?" Fang Yuan finally spit out these words with difficulty.


    Lu Chen smiled, "Mr. Fang, black and white, there shouldn''t be any mistakes."


    "You, since you passed the assessment, this timetable is not applicable." Fang Yuan paused, "Your tutor is solely responsible for your arrangements for the next six months."


    Lu Chen smiled, that''s right!


    He still prefers to work clinically.


    Fangyuan carefully looked at Lu Chen in front of him, secretly swallowed his saliva, his eyes were full of shock.


    The pass rate of the ?? tutor assessment is already very low, let alone such a boss-level character, it is basically impossible.


    Where did the student in front of him come from, the "second generation of learning"?


    (end of this chapter)

 v2 Chapter 562： Depressed old valley

    Chapter 562 Depressed Laogu


    Walk out of the Academic Affairs Office.


    Lu Chen took his name badge, looked at it a little, and stuffed it into the satchel he was carrying.


    This Kyoto University School of Medicine is really perfunctory and made such a simple badge.


    "It turned out that whether the assessment was passed or not also involved the study arrangement for half a year."


    Lu Chen was a little fortunate. Fortunately, he chose Qin Sifeng and passed the assessment.


    If you choose a tutor you don¡¯t know and fail the assessment, then you have to be arranged to go to the teaching building every day for classes?


    For the current Lu Chen, the basic knowledge is already very solid, what he lacks is this clinical practice.


    Go back to the bedroom.


    Lu Chen didn''t go back to his bedroom immediately, but came to the door of Gu Xinyue''s bedroom.


    lightly knocked on the door, but it was Wang Zihao who opened the door.


    "Lu Chen, you are here."


    Wang Zihao blinked at Lu Chen, then lowered his voice and said, "Lao Gu is in a bad mood."


    Lu Chen nodded, Gu Xinyue was not like Wang Zihao, he always had his own pride.


    Whether he was an undergraduate or a graduate student, he was among the best at Jinghua Medical University. .


    Except for the pervert Lu Chen, Gu Xinyue believes that she is not inferior to anyone else.


    However, on the second day after coming to Kyoto University School of Medicine, reality gave him a brutal one-shot kill.


    Gu Xinyue''s chosen mentor, just asked a few words and rejected him!


    ¡­


    went into the bedroom.


    Gu Xinyue is sitting at the desk, reading various documents on the computer.


    He held the mouse, and clicked on this document for a while, then closed it, and then clicked on another document.


    Although his expression was very calm, he had already betrayed him with his trembling hand holding the mouse.


    "Lao Gu, I invite you to go out for a meal tonight. I know there is a restaurant near the hospital, and the taste is not bad." Lu Chen said.


    "Lu Chen, you are too snarky!" Wang Zihao said in disgust, "Just invite us to a restaurant? I''m going to eat Kyoto roast duck!"


    "Okay." Lu Chen smiled, "You can choose, I''ll treat you!"


    Although the system does not have the function of making money, Lu Chen is not short of money now.


    National scholarships, school-level grants, school-level scholarships, as well as national monthly subsidies, department-issued subsidies, and the money Lu Chen earned from "flying knives" at the county hospital. These sums of money made Lu Chen''s school life extremely nourishing.


    Ever since he went to graduate school, he has never asked Lu Wenguo for a penny.


    The most important thing is that he is now a single dog and has no girlfriend, which is a huge expense.


    "You guys go, I don''t really want to go."


    However, Gu Xinyue''s sudden refusal made Lu Chen and Wang Zihao a little silent.


    It seems that this blow is really big for Laogu!


    "Go, Lao Gu." Wang Zihao leaned in front of Gu Xinyue, "Don''t you want to take a stroll around the capital?"


    "I don''t want to." Gu Xinyue said lightly.


    Wang Zihao: "..."


    Lu Chen paused, then said solemnly, "Old Gu, don''t tell me, you will be defeated by such a little setback, right?"


    Gu Xinyue lowered her head and did not speak.


    Lu Chen couldn''t see his expression either.


    "Gu Xinyue in my impression is the one who turned the tide with me in the National Medical Skills Competition."


    "The one who participated in the National Electrocardiogram Contest with me, knowing that it was impossible, but still insisted."


    After saying these words, Gu Xinyue still did not move.


    Lu Chen winked at Wang Zihao, "Let''s go."


    After saying that, Lu Chen and Wang Zihao left the bedroom.


    At this time, Gu Xinyue, along with Lu Chen''s voice, also fell into deep memories in his mind.


    Once, he was admitted to the postgraduate of Jinghua Second Academy with the first grade in the school.


    Except for Lu Chen, he has never served anyone else.


    Together with Lu Chen, they won the National Medical Skills Championship and became members of the Jinghua Electrophysiology Association.


    He prides himself on being no worse than anyone, except Lu Chen, a pervert.


    But now in Kyoto, Gu Xinyue asked, "I, can I really do it?"


    In my mind, all kinds of complex emotions are intertwined.


    heard Lu Chen''s words.


    The unwilling thoughts in his heart are growing like crazy!


    ¡­


    Lu Chen and Wang Zihao left the bedroom.


    "Lu Chen, Lao Gu, he should be fine, right?" Wang Zihao sighed.


    "Don''t worry." Lu Chen smiled, "Lao Gu is not someone who gives up so easily. If he thinks about it, he will return to normal."


    "It was smooth sailing in the past, but there were occasional setbacks, which is understandable!"


    Wang Zihao pouted and said nonchalantly, "Hum, I''m different from Lao Gu. No matter what you do, happiness is the most important thing."


    "Do you think everyone is as heartless as you?" Lu Chen smiled.


    Wang Zihao has a wealthy family. Apart from being a doctor, he has many options, so naturally he doesn''t care about these things.


    "Do you really go out to eat at night without Lao Gu?" Wang Zihao said.


    "Don''t worry, Lao Gu will come." Lu Chen smiled.


    As soon as the ?? voice fell, Lu Chen''s WeChat alert sounded.


    He picked it up and saw that it was a message from Gu Xinyue, "Send me the address for dinner at night."


    Wang Zihao came over to take a look, then smiled and said, "Oh, Lu Chen, Laogu really can''t escape your palm!"


    ¡­


    The friendship of classmates is the most rare.


    Middle school has passed for a long time, most of the classmates will not contact, only the classmates after college, it is very likely that they will be friends for life.


    What''s more, Lu Chen and Gu Xinyue used to "fight side by side" together. This kind of relationship is more rare than that of ordinary classmates.


    night.


    Lu Chen, Gu Xinyue, Wang Zihao, and Ke Yue got together and found a famous Internet celebrity roast duck restaurant.


    Gu Xinyue''s spirit seemed much better than in the afternoon, and she returned to her former "cold attitude".


    "I rub it, this roast duck is too fatty." Wang Zihao spit out, "I have wiped out all my fondness for Kyoto roast duck..."


    "I think it tastes pretty good." Ke Yue smiled.


    But that being said, after Ke Yue had eaten a few, he stopped eating.


    "You came to the wrong store." Gu Xinyue said lightly, "You must not come to this kind of online celebrity shop for dinner."


    "Forget it, there''s still half a year left anyway." Wang Zihao laughed, "I''m determined to eat all of Kyoto!"


    "How many times have you eaten in Kyoto?" Lu Chen teased, "You just had your gallbladder cut last year, and now you still have gout?"


    Wang Zihao: "..."


    When everyone heard this, they all laughed.


    ¡­


    The second day of ?? came to Kyoto, and it was just like that.


    The next day.


    Lu Chen put on a brand-new white coat, put on a simple badge, and took his 3MLittmann stethoscope to the Cardiology ward of the First Affiliated Hospital of Kyoto University.


    In the next half month, a new test is coming!


    (end of this chapter)

 v2 Chapter 563： Begging in the emergency department!

    Chapter 563 Begging in the emergency department!


    Department of Cardiology.


    This is the same as Jinghua''s cardiology ward, divided into four medical groups.


    Each medical group is led by doctors above the deputy director level.


    Most of the senior titles are professor-level characters, and the intermediate titles are like Xiao Shikang, who just got the deputy senior title, or senior attending doctors.


    Lu Chen''s role is the resident doctor in the group.


    When Lu Chen came to the doctor''s office, most of the doctors had already arrived.


    This is different from Jinghua.


    When he was in the eight districts in the heart of Jinghua Second Hospital, Lu Chen was the first one to go every day.


    Today, more than half of the doctors in the first district of the Cardiology Department have come.


    The senior doctor in the ?? group, Xiao Shikang, was also busy at the computer desk.


    "Mr. Xiao, here I come."


    Lu Chen immediately came to Xiao Shikang.


    Xiao Shikang turned his head and saw that it was Lu Chen, with a happy expression on his face, "Great, there are only a few interns in this month''s group besides me, and I can''t be too busy."


    coincides with the graduation of the third-year students. Most of them are busy writing graduation thesis, looking for jobs, or taking exams or studying abroad. Many people choose to take leave.


    So, at this time of year, Corey is a little understaffed.


    "Lu Chen, we have ten beds in total." Xiao Shikang said.


    Lu Chen was slightly taken aback when he heard this.


    One group only has ten beds?


    This is much less than the Cardiology Department of the Second Hospital of Jinghua!


    At that time, there were nearly twenty beds in the medical team that Li Yao was in charge of.


    This is a full half!


    Lu Chen thought that Xiao Shikang had just led the group, maybe there were fewer beds at the beginning.


    However, when he looked at the bed arrangement on the computer, the number of beds in other medical groups was similar to that of Xiao Shikang, about ten.


    In a hospital as big as Kyoto, each medical group has only ten beds, which is simply too few!


    Xiao Shikang smiled when he saw Lu Chen''s expression and what he was thinking, "Lu Chen, we are not as good as the hospitals below. All patients in the outpatient or emergency department have strict admission indications, and some are mild. Or those that can be treated in outpatient clinics will not be admitted to the hospital.¡±


    To put it bluntly, being admitted to the Cardiology ward of the First Affiliated Hospital of Kyoto University is a high-quality incurable disease.


    However, even with such harsh admission conditions, beds in the cardiology ward are hard to come by!


    This is the top existence of Huaxia Medical Technology.


    The diseases that cannot be cured here are almost declared incurable.


    "Lu Chen, you are in charge of the two hospital beds now. First, familiarize yourself with the department environment and the operation of the medical record and doctor order system." Xiao Shikang continued, "I''ll give you another task after that."


    "Okay, thank you Teacher Xiao." Lu Chen smiled.


    He thinks he is very lucky. After he entered the clinic, most of the teachers he met are good role models for doctors.


    ¡­


    Lu Chen''s first step in the first area of ??his heart was not to manage patients, but to be familiar with the operating system here.


    The operating system of each hospital is different.


    But the top-level operating system is the easiest. Lu Chen quickly became familiar with the software operating system here and the process of treating patients.


    The main source of patients here, in addition to the income of the superior physicians in the outpatient clinic, is the income from the emergency department.


    As long as there are vacant beds, new patients will come in within ten minutes.


    "Lu Chen, your two beds are empty." Xiao Shikang said, "So you may go to the emergency department later to admit two patients."


    Lu Chen is a little strange. For patients admitted to the emergency department, they have to go to the emergency department in person?


    "Mr. Xiao, didn''t the emergency department admit the patient to the hospital?" Lu Chen wondered.


    "No." Xiao Shikang shook his head, "Today it''s our group''s turn to go to the emergency department for consultation. We go to the emergency department in person, and if the patient has a disease of the cardiovascular system, we can admit it."


    This is the first time Lu Chen has heard of this mode of accepting patients.


    In the Jinghua Second Hospital, the emergency department will accept them as they want, and they will not even greet you.


    Everyone has been suffering from the "emergency department" for a long time!


    Unexpectedly, when he first came to the First Affiliated Hospital of Kyoto University, the emergency department here gave Lu Chen a big surprise!


    They do not arbitrarily admit patients to the hospital, but after consultation with the ward doctors, they decide whether to admit them or not.


    ¡­


    Sure enough, the top hospitals in Huaxia never have a break.


    Lu Chen just stayed in the first area of ??his heart for an hour when the emergency department consultation came.


    "Lu Chen, I''ll accompany you to the consultation today." Xiao Shikang was afraid that Lu Chen was not familiar with the whole consultation, so he offered to accompany Lu Chen, "You will come alone in the future."


    "Okay." Lu Chen followed Xiao Shikang to the emergency ward of the hospital.


    As soon as he walked into the emergency room, Lu Chen was taken aback by the scene here!


    The corridors of the emergency department are all filled with patients, and there is basically no place to stay.


    "No way, the emergency department can''t blame patients." Xiao Shikang explained, "Everything that can be dealt with has been dealt with, and the rest are seriously ill or waiting for a bed."


    Although the emergency department cannot pass the buck, the ward has limited beds, and these patients can only stay in the emergency department.


    Even if he can only sleep in the corridor, no one has the idea of ??leaving.


    After all, this is the last hope!


    If the disease cannot be cured here, the chance of cure in other hospitals in Huaxia is even slimmer!


    "Old Xiao, you came very fast today!"


    Entering the emergency department, Lu Chen saw fluffy hair staring at two male doctors with big dark circles.


    Xiao Shikang replied with a smile: "You guy, was the night shift again yesterday?"


    "Yeah!" Fan Jian nodded, and also saw Lu Chen behind Xiao Shikang, "Your group of new students?"


    "That''s not it, Lu Chen, the new doctor in our group." Xiao Shikang smiled, "I''m here for the consultation today, and he will be here in the future."


    "Yo, you haven''t recruited new people for several years in your heart, why did you make an exception this year?" Fan Jian asked in surprise.


    Xiao Shikang didn''t explain too much, "Don''t gossip, which beds are the patients in? I''ll read it early so that I can go back to the ward for rounds."


    "Wait a minute, I''ll take a look." Fan Jian turned to look at the medical record folder, "The 12th and 22nd beds in the house, and the 34th and 36th beds in the corridor, these are the four patients for the time being. Go and see if you can bring them with you. Take a few walks."


    "There are only two empty beds in our department right now." Xiao Shikang shook his head and said, "And it''s not necessarily a disease of our department."


    "Oh, take away as much as you can, my little temple here can''t keep these people!"


    ¡­


    Lu Chen was a little confused about their conversation at the beginning.


    Until he came to the hospital bed, seeing the eyes of every patient and family members contained a deep begging!


    How they wish the doctor in front of them could take them away!


    As long as you can live in, you can get the help of the top medical team, which means the hope of life!


    (end of this chapter)

 v2 Chapter 564： High-quality critically ill patients! (The leader of the Xuanteng Luo alliance added

    Chapter 564 High-quality critically ill patients! (The leader of Xuantengluo plus 5)


    came to the bedside of the patient in bed 12.


    Xiao Shikang whispered to Lu Chen: "The purpose of our consultation is to roughly judge the patient''s condition. If it is our department''s disease, it can be admitted to the hospital."


    "Okay, Teacher Xiao, I see." Lu Chen nodded slightly.


    He holds the medical records of the 12-bed patient in his hand.


    This is an old man in his sixties.


    Three years ago, because of a stroke, a large area of ????cerebral infarction.


    After two months of treatment, his life was saved, but he was left with left limb paralysis and aphasia.


    Because I can''t speak, the quality of life is not as good as before.


    The patient''s family is his wife, and explained on the side: "The doctor also said back then that it was very difficult for him to survive such a large-scale cerebral infarction. The only way is to recover slowly.¡±


    Three years ago, the patient underwent rehabilitation exercises in many large hospitals. His physical activity seemed to be slightly better, but he still could not speak.


    "Oh, the old man asked for it all by himself!" The patient''s wife sighed, "He was stubborn when he was given antihypertensive medicine before! He has been refusing to take the medicine, and he didn''t bother me in the end. No need to do it."


    "But then again, I was able to survive three years ago, thank God, thanks to your hospital."


    "Doctor, you rescued him three years ago, but you can''t leave him behind this time!" The patient''s wife pulled Lu Chen''s cuff, and tears almost fell.


    This time, the old man was hospitalized again.


    Mainly fever, but also cough and expectoration.


    His own ability to expectorate is not bad, he can cough up to his mouth, and his wife is wiping it off with a tissue.


    Lu Chen looked over his head, his health was 65(-).


    Lu Chen is a little strange, this disease has nothing to do with their cardiology department, right?


    Patients with sequelae of cerebral infarction may have swallowing and coughing dysfunctions, which are very easy to cause pneumonia due to aspiration. This is the case with the old man.


    In the past three years, pneumonia has recurred repeatedly, and even doctors are not surprised.


    "Fan Jian, why do you ask us to consult a patient with this kind of cerebral infarction?" Xiao Shikang was also surprised, and quickly called Fan Jian over.


    Fan Jian stepped forward, picked up the patient''s medical record, and shook his head slightly: "If the patient only has pneumonia, we will send him to the respiratory department of the hospital below. We have given the patient antibiotics in the emergency department for the past two days, and the effect is good. The cough and phlegm are also less. But last night, an accident happened..."


    Last night, after the patient''s family fed the old man a little fruit, he lay down and rested.


    Not long after, the old man suddenly became short of breath.


    The patient''s wife added: "I was very nervous last night. After all, he has been in the hospital for so long, and he has never breathed like this. I think it may be that his condition is getting worse!"


    Xiao Shikang frowned and said, "Did he **** it up? He doesn''t have a good swallowing function. If you feed him like this, if you **** it up, it will easily cause wheezing."


    "No, it went well when eating." The patient''s wife recalled, "I used to feed like this before, and it was fine."


    At this time, Fan Jian said: "The patient had no obvious cough last night, and aspiration was ruled out. Later, our nurses measured the blood pressure and found that the blood pressure was very high at 200/120mmHg. If it wasn''t for aspiration, I thought it might be Acute heart failure due to hypertension."


    The pressure in the peripheral blood vessels is high, the more work the heart needs to do to pump blood, and it is even difficult to pump the blood out!


    At this time, the heart will become weaker and weaker, and it is easy to induce acute heart failure, resulting in dyspnea and shortness of breath.


    "Has the patient''s heart ultrasound been done?" Xiao Shikang asked.


    "Done." Fan Jian nodded, "It was because the echocardiography showed that the cardiac function was low, so I considered sudden heart failure, and I listened to the patient''s lungs last night, and I could hear a small amount of wet rales. It''s worse than before."


    "What about the amount of in and out these two days?" Xiao Shikang asked.


    "It was okay a few days ago, about 2,000ml, but today it''s very little, only 300ml of urine."


    Xiao Shikang nodded slightly, "Looking at the patient''s condition now, he has no obvious difficulty breathing."


    "Well, but from last night to now, the patient still has intermittent symptoms of wheezing and shortness of breath, and the heart failure may not be well controlled, so I will ask you to consult with your heart."


    Xiao Shikang looked back at Lu Chen after listening to Fan Jian''s words, "How, do you think this patient should be admitted?"


    Lu Chen nodded slightly: "Hypertension is high all the year round, and echocardiography shows damage to cardiac function. At present, the possibility of acute heart failure cannot be ruled out. In addition, he only had 300ml of urine during the day, and his kidneys may be damaged. I think it can be accepted. to our cardiologist."


    Hearing Lu Chen''s words, the patient''s wife was stunned.


    The old man has had a stroke and was paralyzed on the bed. This time he said that he has heart failure, kidney failure, etc., can he still survive?


    But after hearing what Lu Chen said later, "In the ward", my wife was a little excited. If she could live in, it means that there is still salvation!


    "Well, the analysis is good." Xiao Shikang nodded and turned to Fan Jian and said, "Lao Fan, you should use some diuretics first to lower the blood pressure. After I read the other patients, I will write the consultation form together, and then take this patient. Go to Cardiology."


    "Okay, thank you." Fan Jian breathed a sigh of relief, patted Xiao Shikang on the shoulder lightly, and then smiled at Lu Chen.


    Can transfer a critically ill patient, and his emergency department ward can be safer.


    ¡­


    "Let''s go and see the 22 beds."


    The time was limited, Xiao Shikang immediately took Lu Chen to see the 22-bed patient.


    Bed 22 is a 35-year-old male patient who was admitted to the hospital mainly because of "chest tightness and dyspnea for more than 3 months".


    His health is 56 (--).


    The patient has no history of any special disease.


    I checked in a lower-level hospital for a month or two, and did a lot of examinations, but no cause was found.


    And the symptoms got worse and worse, and finally I had no choice, so I came to the Cardiology Department of the First Affiliated Hospital of Kyoto University.


    Lu Chen came to the bed, and after a brief consultation, he began to examine the patient.


    "A grade 2/6 systolic murmur could be heard in the apex of the heart, wet rales could be heard in both lower lungs, and edema of both lower extremities."


    After the physical examination was over, Lu Chen opened the patient''s medical record.


    Laboratory examination: BNP2312ng/L, echocardiography: LVEF30%, left ventricular end-diastolic diameter 70mm, ECG report: complete left bundle branch block.


    Lu Chen''s mind quickly flashed a piece of information, thirty-five years old, cardiac insufficiency, left ventricular dilatation.


    The cause of this patient is not yet clear, but it is obvious that it is indeed a disease of the Department of Cardiology.


    "Do you think this patient should be admitted to hospital?" Xiao Shikang asked.


    Lu Chen nodded without hesitation: "The patient should have heart failure, but I don''t know the cause of heart failure for the time being. Further examination is needed to clarify the cause. The patient is so young, if the root cause can be found, it is the best!"


    "Okay." Xiao Shikang smiled, "The judgment is very accurate!"


    At this time, Lu Chen couldn''t help but sigh, the quality of the patients in this emergency department is not very high!


    If it was in the Jinghua Second Hospital, this kind of patient might have been pushed to the inpatient ward long ago.


    But at this moment, there was a sudden noise from the ward not far away, and the doctors and nurses in the emergency department all ran in one direction.


    Lu Chen frowned, put down the medical record folder in his hand, and took a closer look.


    He was startled, this seems to be the direction of the 12-bed patient? !


    (end of this chapter)

 v2 Chapter 565： I dont like to do multiple choice questions

    Chapter 565 I don''t like to do multiple choice questions


    Lu Chen and Xiao Shikang immediately came to the bedside of bed number 12.


    I saw the uncle on the hospital bed half-lying, gasping for breath all the time, with a very painful look on his face.


    Beside the bed, Fan Jian and the nurse were constantly busy.


    "Master has a heart failure again?" Lu Chen frowned.


    "It is estimated that it is." Xiao Shikang nodded slightly, and immediately stepped forward to start the physical examination of the patient.


    Lu Chen stood aside, always feeling that something was wrong with this uncle.


    Because of the changing trend of life on his head, it is still a minus!


    According to Lu Chen''s previous experience, patients with acute heart failure have at least two minus signs, or even three minus signs.


    Now this patient has only one minus sign trend!


    However, all the symptoms of the patient point to the diagnosis of heart failure.


    Lu Chen has not found any abnormality yet.


    At this time, Xiao Shikang had finished the physical examination of the patient, and said to Fan Jian: "The patient''s blood oxygen saturation is a little lower, only 92% (normal blood oxygen is more than 97%), first give the uncle oxygen, and then use some diuretics. The agent can release all the water in the body and excrete it through the urine, the water is less, the load on the heart is reduced, and the heart failure will also be relieved.¡±


    "In addition, add some nitroglycerin, it''s really not good, and then use some cardiotonic drugs."


    Fan Jian nodded slightly when he heard the words. .


    In this critical condition of the patient, it is impossible to directly transfer to the Cardiology Department, because the risk of transfer is very high.


    Only after the patient''s condition has eased a little, consider transferring to the cardiology ward.


    At this point, the nurse had already used all the medicine.


    The patient''s family members were wiping the old man''s sweat while murmuring, blaming themselves for not taking good care of the old man.


    "The medicine is on, let''s go see someone else." Xiao Shikang said.


    Lu Chen looked at the old man on the hospital bed, then followed Xiao Shikang and left.


    ¡­


    34 beds in the hallway.


    This is a very young female patient, about twenty years old.


    She was wearing a mask and hat, and a pair of glasses were sparkling.


    However, her pale lips indicated that her physical condition was extremely bad at this time.


    The HP on her head is 54 (--)!


    Lu Chen frowned deeply, she was the most serious of the three patients.


    Xiao Shikang just approached the hospital bed, the patient''s family immediately stood up, "Doctor, can we live in?"


    The family members are about fifty years old and should be the father of the patient.


    "We''ve been waiting in the emergency department for five days!" The family members'' voices were a little choked, but a big man''s eyes were red, "Doctor, please, please take my daughter in!"


    The patient on the hospital bed lowered her head silently, she seemed to have no hope.


    "Family, don''t worry, let''s take a look at the patient''s condition first." Xiao Shikang said softly, "As for whether or not to be admitted to the hospital, this is not something we can decide."


    Lu Chen also sighed slightly in his heart. There are only two beds, and two patients have already been admitted.


    Therefore, there is a high probability that this patient will not be admitted.


    The number of beds in the hospital is only so many, and there is no limit to the number of extra beds.


    The workload of each doctor and nurse is only so much. If the number of beds continues to increase, the efficiency of doctor management may become lower, so the gain will not be worth the loss.


    Lu Chen and Xiao Shikang started to check the patient''s hospitalization record together.


    The patient is 22 years old this year and was admitted to the hospital with "palpitations and chest tightness for 1 week".


    The patient started to have palpitations and chest tightness 1 week ago, which lasted for several hours to half a day, and the attacks were irregular and had nothing to do with labor activities.


    No special medical history. No similar family history.


    Physical examination on admission: blood pressure 96/65mmHg, jugular vein distended, cardiac border expanded to both sides, rhythm uniform, a grade 4/6 holosystolic murmur could be heard at the lower end of the left sternal border, and there was no edema in both lower extremities.


    Laboratory examination, BNP229.32pg/ml. Blood routine, CRP, myocardial enzymes, liver and kidney functions, coagulation items, D-dimer, blood sugar, and blood lipids were all normal.


    The chest CT of the patient showed that the left ventricle was squeezed to one side by the huge right heart, and the left ventricle was obviously reduced and transposed clockwise.


    Xiao Shikang frowned after reading the patient''s entire medical record.


    Obviously, this is also a disease related to cardiology!


    "Mr. Xiao, what should I do with this patient?" Lu Chen asked in a low voice. He also felt that this young female patient had a high probability of a disease of the cardiovascular system and needed to be admitted to the hospital for treatment.


    However, now their group has no vacant beds!


    "There is no way." Xiao Shikang shook his head, "We have no more beds, so we can only wait for other departments of Cardiology to come for consultation."


    Having said that, Lu Chen knew that beds in the Cardiology Department of their hospital were really hard to come by!


    I have to wait for other groups to come for consultation before being admitted to the hospital.


    "Doctor, I beg you, I kneel down for you, and put us in the hospital!"


    Suddenly, the patient''s family "thumped" and knelt at the feet of Lu Chen and Xiao Shikang.


    "We''ve gone all over the major hospitals, but they can''t do anything, and they haven''t been diagnosed. Now only your hospital is left, and you are my last hope!"


    Xiao Shikang hurried forward, trying to help the patient''s family up.


    But the patient''s family members are very bulky and it is difficult to move them.


    Xiao Shikang could only helplessly say: "I know how you feel, but we really can''t do anything here. We can''t get out of the bed for the time being."


    When the patient''s family heard this, they seemed to have lost their energy and slumped beside the hospital bed.


    Her daughter''s condition is very unstable and her life is at risk if the cause is not found as soon as possible.


    But now he can''t leave the Cardiology Department of the First Affiliated Hospital of Jinghua University, because this is his last hope!


    "Uncle, stand up first." Lu Chen looked at the family members and patients who seemed to have lost their minds, and couldn''t bear it. "There is no bed now, but I can promise you that as long as there is a bed, I will arrange you in immediately."


    No way, reality is so cruel sometimes.


    The 12-bed and 22-bed that Lu Chen and Xiao Shikang have just looked at are all indications for admission to the hospital, and their condition is equally critical.


    They couldn''t have given up on either of the first two patients and admitted this patient instead.


    Hearing Lu Chen''s words, the patient''s family members could only nod their heads in frustration.


    ¡­


    left 34 beds.


    Xiao Shikang''s mood is still flat, he may be used to it.


    But Lu Chen sighed slightly in his heart.


    He doesn''t like doing multiple choice questions, and if he can, he would like to admit all patients to the hospital.


    came to the bedside of 36 beds.


    Fortunately, this patient is not a disease of the cardiovascular system!


    Lu Chen and Xiao Shikang agreed that the 36 beds should be respiratory diseases, so they told Dr. Fan Jian and asked him to invite the respiratory department to come for consultation.


    "Old Xiao, you decided to accept 12 beds and 22 beds, right?" Fan Jian confirmed again.


    Xiao Shikang nodded slightly, "That''s right."


    As soon as he finished speaking, the nurse in the emergency department suddenly ran over and whispered beside Fan Jian: "Doctor Fan, I have a situation to tell you, the 12-bed patient has not urinated since he urinated 300ml in the morning. !"


    (end of this chapter)

 v2 Chapter 566： Open the quilt early to see!

    Chapter 566 Open the quilt early and take a look!


    From morning to now, the emergency department has given the patient at least three diuretics (furosemide)!


    However, the patient did not excrete a single drop of urine!


    This made everyone present stunned.


    Lu Chen and Xiao Shikang, who were about to leave, also stopped at this time.


    "Go and see the 12-bed old man again!" Xiao Shikang said solemnly, he was really worried.


    The Department of Cardiology pays the most attention to urine output.


    If patients with heart failure want to relieve their condition quickly, they rely on urinating as much as possible to reduce the load on the heart.


    So, Lu Chen, Xiao Shikang and Dr. Fan Jian from the emergency department came to the bedside of 12 beds together.


    ¡­


    came to the bed.


    Lu Chen squatted down immediately and checked the patient''s urine bag.


    Sure enough, there was only 300ml of liquid in the urine bag.


    "What''s going on here?" Fan Jian muttered to himself, he checked the patient again, "Could it be acute renal failure?"


    Xiao Shikang shook his head, "It doesn''t look like it! The patient''s urine output was normal for the first two days, and it has been low since last night. In addition, although the patient''s serum creatinine value has increased, it has not reached the level of severe renal failure. to the point of.¡±


    It is not renal failure, so what is it?


    Lu Chen stood beside the hospital bed, continued to check the patient''s case, and fell into deep thought.


    "Old Fan, you say, is it possible that you have heart failure?" Fan Jian suddenly said.


    "Isn''t it heart failure?" Xiao Shikang wondered, "Then what do you think it is?"


    "For example, pulmonary embolism?" Fan Jian whispered. .


    The patient has been bedridden for several years, and the blood flow of the blood vessels in the lower extremities will definitely not be very good, and it is easy to form thrombosis.


    Once the thrombus falls off, it may flow into the pulmonary artery, causing pulmonary embolism, resulting in asthma, hypoxia and other manifestations.


    Xiao Shikang frowned and said, "You are right, but even with pulmonary embolism, when the patient''s blood pressure is normal and the blood volume is sufficient, after taking diuretics, there should be urine, right?"


    Fan Jian scratched his head, "That''s right."


    At this time, the patient''s family couldn''t help but ask: "Doctor, he is still wheezing and has not relieved. It seems to be getting worse. What''s going on, is it okay?"


    It can be seen that the family members of the patient are very scared, and their lips are shaking during the speech.


    "The old man has never suffered from heart failure before! Why is it so serious this time?!"


    Lu Chen frowned upon hearing this.


    The words of the patient''s family caught his attention. Has this patient ever suffered from heart failure before?


    His eyes turned to the old man. He was lying on the bed, unable to express himself at all because of aphasia and dementia.


    Is it really not heart failure?


    Just as Lu Chen''s thoughts were running fast, a prompt popped up on the system panel.


    "Congratulations, breakthrough in clinical thinking ability!"


    At the same time, countless diagnoses and differential diagnoses flashed through Lu Chen''s mind.


    All the medical records of this 12-bed grandfather quickly flashed through Lu Chen''s mind.


    After just a few seconds, all the ideas finally came together.


    When Lu Chen re-examined the patient, he really found something different.


    ¡­


    Although the cause of the patient has not been found, it is impossible for Xiao Shikang and Lu Chen to stay in the emergency department all the time.


    They still have a lot of patients in the inpatient ward that need to be dealt with.


    The patient can only be left in the emergency department first, and then transferred to the cardiology department when the condition improves, and the cause is slowly found.


    Just when Xiao Shikang was about to leave the emergency department, he didn''t expect Lu Chen to walk back to bed 12.


    Xiao Shikang was about to shout to stop Lu Chen, but saw that he directly lifted the patient''s quilt, exposing the patient''s abdomen.


    Xiao Shikang felt a little strange, and walked to Lu Chen''s side, "What''s wrong?"


    Lu Chen frowned, glanced at the patient''s abdomen, then squatted down to look at the urine bag, his face suddenly looked a little wrong!


    "Mr. Xiao, look at the patient''s bladder..."


    You can see the patient''s lower abdomen distended very obviously without using hands at all!


    At this time, Xiao Shikang also felt something was wrong.


    Fan Jian next to him patted his head, "Oh, I was busy just now, and I forgot to check the abdominal condition. I just listened to my heart and lungs."


    "Percussion." Xiao Shikang''s face was a little unsightly, "Take it easy, don''t buckle the bladder."


    At this time, a thousand grass and mud horses came running in Fan Jian''s heart.


    bladder so big? Why? Is it urinary retention?


    He calmed down, started immediately, touched the patient''s lower abdomen lightly, and buttoned it lightly.


    Voiced!


    The normal percussion sound of the abdomen should be a drum sound.


    If it is dull, it means that there is liquid in it!


    Is it really urine retention?


    In the first place, Fan Jian couldn''t even believe what he was touching!


    "Old Xiao, this...this..."


    Xiao Shikang shook his head slightly and said slowly: "I just checked it, the patient''s urinary catheter has sediment and the urine is cloudy, such a urinary catheter is very easy to block, if he is really blocked and can''t urinate, then It''s just urine retention!"


    "A few days ago, the patient''s urine output was close to 2000ml every day, and today it''s only about 300ml. If it really is urine retention, the patient will be suffocated to death!"


    Although the old man on the hospital bed couldn''t speak, he could definitely feel the discomfort caused by urinary retention!


    So you will be short of breath, sweat profusely, and your blood pressure will rise.


    As the saying goes, a living person cannot be suffocated by urine, but if the urine tube is blocked to prevent the urine from being discharged, it will be terrible!


    At this point, the nurse has come to perform bladder irrigation.


    After flushing, it turned out that the urethra was blocked!


    "My God!" The little nurse opened her mouth wide.


    After the ?? is unobstructed, the urine is continuously drawn out from the urinary catheter, and it is almost 500ml in a few seconds.


    "Close the urethral clamp first." Xiao Shikang said, "Urinate after a while."


    If too much urine is excreted in a short period of time, the filled bladder shrinks rapidly, which is likely to damage the bladder and cause hematuria.


    The little nurse has lingering fears. Today, she is also responsible for not finding the patient''s urinary catheter blockage in time.


    Lu Chen finally breathed a sigh of relief!


    Patients may have heart failure, but this heart failure is called holding back the urine!


    Xiao Shikang whispered to Fan Jian beside him: "Old Fan, if you opened the quilt earlier, looked at the urine tube, and looked at the abdomen, why would you do this?"


    In less than 2 minutes, the old man''s shortness of breath gradually eased, and his blood pressure also dropped.


    Safe!


    Crisis, lifted!


    Fan Jian''s back was soaked, his face was red and his ears were red.


    He knew that if Lu Chen and Xiao Shikang didn''t find out in time, they would continue to treat heart failure and continue to use diuretics...


    The urine will accumulate more and more, but it will be held in the bladder, then it is really terrible!


    As the doctor on duty, he has an unshirkable responsibility!


    "Old Xiao, thank you for today!" Fan Jian said solemnly, "When I look back, please give me a good meal."


    Xiao Shikang shook his head slightly, "Lu Chen noticed it first, if you want to thank him, thank him!"


    Fan Jian looked at Lu Chen beside him, and made no secret of his gratitude, "Dr. Lu, thank you! Come to me anytime if you have anything in the future."


    Lu Chen smiled, "Mr. Fan, your emergency department is too busy, it is inevitable that there will be negligence, I can understand."


    Hearing this, Fan Jian felt a little better.


    But in the profession of a doctor, you can''t deviate in the slightest.


    A lot of details cannot be omitted, otherwise, mistakes will eventually lead to big mistakes!


    The patient''s family is also very reasonable. During this time, she also knew how tired the doctors were. She also took great pains to treat her old man''s illness, and did not pursue Dr. Fan Jian.


    But Lu Chen also knew that this kind of thing, if others don''t pursue it, the person involved will remember it for a lifetime!


    (end of this chapter)

 v2 Chapter 567： Take off the quilt sooner

    Chapter 567 Open the quilt early


    Chapter 563 An acquaintance wants a bed!


    ps: This chapter is republished, subscribe! Subscribed, just refresh!


    The cause of the 12-bed old man was found.


    With his current physical condition, he does not need to go to the cardiology ward. On the contrary, he is more suitable for respiratory medicine.


    Lu Chen then asked, "Mr. Xiao, the 12th bed will not go to the Cardiology Department for the time being, then I''ll turn the 34th bed in the corridor."


    "Of course." Teacher Xiao smiled, "This is the best ending."


    34 beds, most likely to be diseases of the cardiovascular system.


    Staying in the emergency department for one day is more dangerous.


    "OK."


    Lu Chen immediately walked towards the 34th bed.


    ¡­


    34 beds in the hallway.


    On the hospital bed, a pale smile appeared on Lin Xinxin''s face.


    This smile is squeezed out.


    "Dad, it''s alright." Lin Xinxin pretended to be strong, "The big deal, let''s go home, I''m fine now, there''s nothing uncomfortable."


    Lin Qiang naturally didn''t believe his daughter''s words.


    He had seen his daughter''s pain when she fell ill, and he knew that her illness could not be solved by a small hospital.


    "Xinxin, don''t worry, the doctor didn''t say just now, let us turn over if there is a hospital bed." In fact, Lin Qiang himself had no confidence.


    This doctor looked too young just now!


    Such a young doctor is generally not qualified to lead a team.


    How could a doctor without a team have the right to admit a patient to the hospital?


    Lin Qiang knew in his heart that maybe this young doctor was just comforting him just now.


    However, even if there is only a 1 in 10,000 chance, he has to wait!


    ¡­


    Lu Chen was about to come to the corridor when suddenly the phone rang.


    It was Professor Qin Sifeng''s call.


    "Hey, Lu Chen, are you still used to it in the department?"


    Qin Sifeng''s hearty laughter came, and Lu Chen replied with a smile, "It''s fine, I''m following Mr. Xiao for consultation, and I just saw a few patients."


    "That''s fine, just ask Xiao Shikang if you don''t understand anything." Qin Sifeng smiled, "By the way, do you have any free beds here? There is an acquaintance here who wants to be hospitalized, and her family has something to do with it. Come to our group to check, see if there is a bed, let her stay for two days."


    Lu Chen was taken aback, "Mr. Qin, my two empty beds are full today."


    Sophisticated people are everywhere, let alone a place like a hospital.


    "It''s full." Qin Sifeng groaned, "Okay, I''ll let her wait, anyway, there''s no rush, you should focus on your side first."


    "Okay, Teacher Qin."


    Lu Chen breathed a sigh of relief, he was really worried that Qin Sifeng would have to let him out of a bed.


    He now has only two vacant beds. Although 12 beds are no longer available, he is ready to admit 34 beds to the hospital.


    ¡­


    came to the bedside of bed number 34.


    Lin Qiang was quite surprised when he saw the young doctor coming back, so he said, "Doctor, is there anything else?"


    Lu Chen looked at the **** the hospital bed and said sternly: "I still have an empty bed here. If you agree to come to our department, then you can go through the transfer procedures now."


    "what?"


    Lin Qiang''s eyes widened, he couldn''t believe this sentence.


    "Doctor, you mean there is a bed? Can we live in it?"


    Lu Chen nodded slightly, "Yes, the last bed."


    Lin Qiang was startled when he heard Lu Chen''s affirmative answer, and a look of surprise appeared on his originally dejected face.


    If you can live in it, it means there is salvation!


    On the hospital bed, Lin Xinxin''s expression was also extremely surprised.


    She was planning to go home and continue treatment in a lower-level hospital, but in the blink of an eye, this young doctor brought such good news!


    "Doctor, let''s live in! We want to live in now!" Lin Qiang quickly stood up and looked at Lu Chen excitedly.


    "Okay, I''ll tell the emergency doctor now and transfer you to a department immediately." Lu Chen said.


    After saying this, Lu Chen left, and Lin Qiang followed behind Lu Chen and thanked him.


    He and Xiao Shikang wasted too much time in the emergency department.


    There are still many things in the ward waiting for him to deal with.


    "Mr. Fan, please do both of these transfers." Lu Chen said to Fan Jian who was busy beside him.


    "I''ll do it right away!" Fan Jian agreed immediately, "I will do two transfer courses from your department from the very beginning."


    ¡­


    Leave the emergency department.


    Lu Chen and Xiao Shikang were on their way back to the cardiology ward.


    "Lu Chen, how do you feel about our hospital?" Xiao Shikang asked with a smile.


    Lu Chen pondered for a long time, then said slowly, "Although I haven''t managed patients in the cardiology ward, but from what I saw in the emergency department just now, the level of the emergency department of Kyoto Hospital is much higher than our Jinghua!"


    Although negligence is inevitable in the emergency department, this is under a high-pressure working state, and the condition of each patient is not simple.


    The emergency department can only deal with changes in emergency conditions, and it is impossible to make clear the patient''s condition.


    Jinghua''s emergency department, it is impossible to keep these patients in the emergency department ward, because the risk is too great, most of them will be directly pushed to the cardiology ward.


    "Did Professor Qin also call you just now?" Xiao Shikang said again.


    "Yes." Lu Chen nodded, "Ask me if I have a bed, I said no."


    "Hey, Lu Chen, you are still amazing!" Xiao Shikang gave Lu Chen a thumbs up, "Rejecting Professor Qin directly, if it were us, it would not be so easy."


    Xiao Shikang had to sigh, is Lu Chen''s true temperament, or a newborn calf, and he rejected Qin Sifeng directly, not afraid of being put on small shoes.


    Lu Chen didn''t care. First, he couldn''t give up the patient who needed to be hospitalized for the sake of an acquaintance. Second, he believed that Professor Qin Sifeng was not such a narrow-minded person.


    Although the First Affiliated Hospital of Kyoto University is much more powerful than the Second Hospital of Jinghua, he is only a newcomer here. He dare not say how noble his character is, but as a doctor, the bottom line must be guarded!


    ¡­


    Back to the ward in the first district of the heart.


    Lu Chen began to inform the front desk nurse that the emergency department would admit two patients.


    At this moment, Qin Sifeng suddenly came to the ward.


    Next to him was a woman in her forties.


    "Professor Qin, can''t I see that there are two empty beds in the ward? Can''t you live in?"


    Qin Sifeng smiled, "It''s just that the bed is vacant, and inpatients should have been arranged."


    "Can you let us live in first?" The woman laughed, "Anyway, the patient hasn''t come in yet, so there is still room for manoeuvre."


    Qin Sifeng shook his head, "No, I can''t do it here anyway, why don''t you go to another department to see if there are any free beds?"


    "This..." The woman was stunned, her face not very good-looking, "Let''s do an inspection, it won''t take long."


    "Then you should do the examination in the outpatient clinic." Qin Sifeng said sternly, "Our beds here are all for critically ill or intractable diseases."


    At this time, Qin Sifeng also saw Lu Chen, nodded slightly at him, and walked into the director''s office with the woman.


    Lu Chen smiled slightly, it seemed that Professor Qin thought the same as him.


    In this way, he felt a little more at ease working under Qin Sifeng.


    (end of this chapter)

 ~： Festival

    Chapter about repetition


    As you can see, two duplicate chapters were posted.


    The new chapter was blocked, so I reposted it again, but I didn¡¯t expect the previous one to be unblocked¡­


    VIP chapter I can''t delete the whole chapter.


    Temporary remedy: tomorrow I will delete the content of the repeated chapter and replace it with the content of a new chapter. For those who have subscribed, refresh it and you can see the new chapter.


    Sorry again.


    ps: The previous chapter has been updated and can be subscribed. Students who have subscribed can refresh.


    (end of this chapter)

 v2 Chapter 568： Missing a bed? just a joke!

    Chapter 568 Missing a bed? just a joke!


    (The repeating chapter of the previous chapter has been updated and can be subscribed normally. Students who have already subscribed, refresh to read.)


    In less than half an hour, two patients in the emergency department were sent to the ward in the first area of ??the heart.


    They were placed in the 17th and 18th beds managed by Lu Chen.


    "Lu Chen, although Professor Qin asked you to manage the bed patients alone, you can ask me at any time if you have any questions." Xiao Shikang said to Lu Chen.


    However, after the morning consultation in the emergency department, Xiao Shikang also had a general understanding of Lu Chen''s clinical abilities.


    That is definitely far more than the average student, otherwise it would be impossible to see the cause of the patient''s heart failure at a glance.


    "Thank you, Mr. Xiao."


    Coming to the top cardiology ward in the country, Lu Chen didn''t dare to slack off.


    The work intensity here is far more than that of the Cardiology Department of Jinghua Second Hospital.


    ¡­


    After the two patients were placed on Lu Chen''s bed, Lu Chen began to do some examinations for them, including re-examination of cardiac ultrasound and electrocardiogram.


    The male patient who was transferred from the emergency department had heart failure, but the cause could not be found for a while, so Lu Chen could only treat the patient for heart failure first. .


    Another female patient named Lin Xinxin, Lu Chen didn''t have the slightest clue, only slowly looking for clues on the electrocardiogram.


    Many diseases are the same as normal people at ordinary times, except that the changes of electrocardiogram can be detected during the attack.


    The morning in a district in my heart just passed.


    In addition to Lu Chen, Ke Yue also followed the tutor in the department, while Wang Zihao and Gu Xinyue were assigned to the group classroom.


    At noon, Lu Chen ate in the hospital cafeteria.


    After all, he had stayed in Kyoto for two months, so he was quite used to the food here.


    During the ?? period, Lu Wenguo and Luo Meizhen also called Lu Chen and asked him how his life in Kyoto was.


    "Son, your brother is going to take the college entrance examination soon, you have time to cheer him up!" Luo Meizhen said to Lu Chen, "I heard from your uncle that your brother is all about studying medicine, and the momentum has not diminished recently, so you still advise persuade him to..."


    "Okay, Mom, I''ll persuade him when I have time."


    Lu Chen didn''t expect that his cousin, Lu Hao, actually wanted to study medicine? !


    This kid obviously doesn''t know the difficulties of studying medicine. It seems that he has time to have a good chat with him, and let him dispel his idea of ??applying for medical school as soon as possible.


    At noon, Lu Chen returned to the bedroom.


    Just walked downstairs to the bedroom, but saw a familiar figure standing at the gate.


    "Junior sister, why are you here?"


    The person in front of him is Junior Sister Yao Jie.


    Yao Jie immediately turned around when she heard the voice, her brows filled with joy from her heart, "Senior brother, I''m coming to see you. If I hadn''t seen Senior Sister Ke Yue coming, I wouldn''t have known you were in Kyoto!"


    After saying this, Yao Jie pouted and said strangely: "Senior brother, you have been in Kyoto for several days, why didn''t you tell me?"


    Looking at the slender girl in front of him, Lu Chen smiled, "Isn''t it busy to forget? I just came to the department to report today, and I was going to find you today."


    Seeing his old friend in a different place, Lu Chen was also in a good mood, and he was such a beautiful junior sister.


    "Senior Brother, I heard from Senior Sister Ke Yue, did you choose Professor Qin Sifeng as your tutor?"


    "Yes." Lu Chen nodded slightly.


    "Wow, as expected of Senior Brother Lu Chen, Professor Qin actually accepted you." Yao Jie tilted her head, her eyes flashing with admiration, "Professor Qin is one of the most powerful tutors in our Cardiology Department. He usually They don''t accept students anymore."


    "Good luck." Lu Chen smiled, "By the way, how is the progress of clinical research experiments?"


    Yao Jie paused and said slowly: "It''s alright, under the leadership of Director Wan, the experiment went smoothly. In addition to managing patients clinically, I also collect experimental data after work."


    "Well, hard work. Ke Yue happened to go to the third district in your heart. She also participated in the project when she was in the Jinghua Second Hospital. If you have any questions that you don''t understand, you can ask her." Lu Chen said.


    "Oh." Yao Jie heard the words, lowered her head silently and glanced at her toes, then raised her head and whispered, "Senior brother, I found that you...you have a good relationship with Senior Sister Ke Yue."


    Lu Chen was taken aback for a moment, then smiled: "Of course, we are from the same family. She is also a member of my project team and has helped me a lot."


    "Oh." Yao Jie whispered, "I heard that Senior Brother and Senior Sister Ke Yue wrote an SCI together?"


    "Yes." Lu Chen didn''t expect Yao Jie to even know about this. "It was mainly written by Ke Yue. I just gave some advice."


    Yao Jie wrinkled her nose and said, "Senior brother, can you also give me some guidance on writing the thesis?"


    "This..." Lu Chen was taken aback, "Of course, as long as I''m free, I can help you read the paper."


    "Thank you, Senior Brother." Yao Jie''s eyes narrowed when she heard Lu Chen''s words.


    The two chatted for a while, and Yao Jie left reluctantly.


    Lu Chen vaguely felt Yao Jie''s thoughts, but he didn''t have any thoughts in this regard for the time being, so he could only keep a distance from Yao Jie''s sister.


    ¡­


    Back to the Cardiology ward in the afternoon.


    Xiao Shikang brought Lu Chen a very unexpected news.


    "Lu Chen, Corey is going to add two more beds for you." Xiao Shikang said.


    "Are you adding an extra bed so soon?" Lu Chen asked in surprise.


    He thought it would take a few more days for the extra bed, but this afternoon, the department added two more beds for him!


    "Oh, it''s not because of the woman in the morning." Xiao Shikang whispered, "Her family has something to do with her, so she had to move in today, so I contacted the dean and added an extra bed for her!"


    Corey''s other medical groups are already saturated, except for Lu Chen who only manages two beds.


    Because, after consultation with the leader of Corey, two extra beds were directly added to Lu Chen.


    "Oh, a big relationship!" Xiao Shikang shook his head helplessly, "It''s not an ordinary relationship to be able to contact our dean!"


    Lu Chen was also helpless.


    When I was in the emergency department in the morning, ordinary people wanted to live in, but it was hard to find a bed, and they waited in line for the bed.


    Now it seems that there is a lack of beds?


    That''s all a joke!


    Lu Chen can''t say anything more, no matter how good he is, in the eyes of the leaders, at most he is just a talented student who deserves to be cultivated.


    Therefore, in China, it is a common phenomenon to become an official when you study well.


    ¡­


    If there are empty beds, there will be patients.


    One of them is a "big relationship", and the other bed is temporarily vacant, but a patient will be admitted soon.


    Lu Chen came to the ward of the "big relationship".


    The woman in her forties I saw this morning was sitting beside the bed.


    She was dressed elegantly and held a bag of which Lu Chen didn''t know the brand.


    Seeing Lu Chen coming in, the woman slowly stood up and asked, "Are you Dr. Lu?"


    "Yeah." Lu Chen nodded slightly.


    "I''m a new patient." The woman said lightly, "I came to the hospital this time to do some physical examinations. Please prescribe some examinations for me later, such as whole body CT, head + cervical spine MRI..."


    She said politely, but her tone didn''t mean the slightest politeness, and she started directing Lu Chen directly.


    Lu Chen felt a little helpless in his heart, but Corey really had an "uncle"!


    (end of this chapter)

 v2 Chapter 569： Evil relationship

    Chapter 569 The Great Relationship of All Evil


    Lu Chen has nothing to do with this kind of patient. The leader arranged to come here on your bed. You can''t complain, you have to take care of it.


    Otherwise, if something goes wrong, she will stumble you from behind and report it to the leader, then you will be unjustly killed.


    "It''s okay to do the examination. I''ll give you an examination order later. However, when you came to the hospital this time, did you feel any discomfort?" Lu Chen asked.


    This involves writing the content of the medical record. If there are no symptoms, it is difficult to write the chief complaint and the history of the current illness.


    "This... I don''t have any discomfort in my heart." The woman frowned, "If I have to say something, it should be a migraine!"


    "I have severe migraine headaches. Recently, there has been a lot of work stress and poor sleep. Migraine headaches are easily induced."


    Lu Chen continued: "Apart from headache, there are no other symptoms? For example, do you have symptoms such as chest tightness and chest pain?"


    "No, I''ll tell you very clearly, I don''t have these symptoms." The woman said decisively, "I should have had headaches 2 years ago, and the headaches were not serious at first, just take a nap and rest."


    "Afterwards, I was under a lot of pressure at work, and I occasionally felt nauseated. The sound stimulation would aggravate the headache. I went to the doctor and the doctor said it was a migraine. This time I came here to check the problem of my head."


    Lu Chen nodded slightly.


    No wonder she said she would go for a cranial MRI as soon as she came, which seemed to be mainly a neurological problem.


    In fact, this patient is more suitable for going to the neurology department, but she and the leader of the cardiology department got to know each other, so she was arranged to come to the cardiology ward. .


    Because in general, hospitals are not allowed to be hospitalized for medical examinations.


    Lu Chen re-examined the patient in front of her, her HP was 73(-).


    This is a relatively "ambiguous" health value and its changing trend.


    "Do you have a history of hypertension in the past?" Lu Chen asked.


    High blood pressure, which can also cause headaches, especially when hypertensive crisis occurs.


    "No, I have a physical examination every year and my blood pressure is normal." The woman said, "Other aspects of my body are very good. I came to the hospital this time to check my head. I''m afraid that if this pain continues, the stroke will end one day!"


    Lu Chen groaned: "If it''s just a simple migraine, there won''t be a stroke."


    "I''m still scared!" The woman paused, "I also heard that cranial tumors may also cause headaches, nausea and vomiting, so I wanted to check the cranial MRI."


    Lu Chen said sternly: "Don''t be nervous, most people have migraine headaches caused by high work pressure and emotional tension."


    "Hey, hope." The woman sighed in her heart.


    Migraine is not a serious illness, but it hurts really badly!


    Whether it is a "connected household" or not, Lu Chen still inquired about the patient''s medical history in detail based on the principle of doing his best.


    Every time she has an attack, the main part of the headache is the left temple (temporal), and it is pulsatile.


    is that you can clearly feel that there are blood vessels in it jumping and jumping, and when you jump, the headache will get worse.


    At first, I had a headache if I didn¡¯t get enough rest, and later I would have a headache for no reason, and there was no regularity.


    After being diagnosed with migraine in another hospital, she has been taking migraine drugs, such as ibuprofen, diclofenac, and other drugs specially used to treat severe migraine.


    "Ibuprofen is very effective at first, but after a while, the effect is not obvious." The woman said, "And the frequency of headaches is getting higher and higher."


    Hearing this, Lu Chen said in a deep voice, "Ibuprofen is a pain reliever, but it cannot prevent migraine. I suggest that you should change to a less stressful job, and take a nap at noon to improve your sleep, and you might have a headache. disappeared."


    The ?? woman shook her head slightly, "How can it be so easy! I also want to rest, but the reality doesn''t allow it..."


    "Well, I''ll prescribe another medicine for you, called Flunarizine Capsule." Lu Chen said, "This medicine is used to treat cerebrovascular disease, and it can also prevent migraine. You can take it with painkillers, see Does it work?"


    "Thank you, but I have taken this medicine." The woman shook her head, "Not only this medicine, but also Chinese and Western medicines, I have tried them all, and they have not had much effect."


    Hearing the woman say that, Lu Chen had no idea.


    Specialized in surgery, involving diseases of the nervous system, he is not very professional.


    "When you have finished the relevant examinations, I will invite you to a neurology consultation." Lu Chen said.


    "Okay." The woman nodded.


    After getting along for a short time, she felt that this young doctor is not bad, at least willing to listen to her, and his attitude is not bad. Although some doctors in Kyoto Hospital have good medical skills, their temper is really bad.


    ¡­


    Leaving the ward, Lu Chen returned to the doctor''s office.


    This woman''s condition is not complicated, it doesn''t look like an intracranial tumor, and a stroke is even more unlikely!


    At present, it may be just a simple migraine.


    Anyway, this disease does not belong to the department of cardiovascular medicine, but to the department of neurology.


    Lu Chen decided to ask the neurology department for consultation after the patient has undergone cranial CT and MRI, and then directly transfer the patient to the neurology department for treatment.


    After the examination order is finished, the nurse will help to make an appointment for the MRI examination next Friday, which is the fastest time.


    As a "big relationship", women are particularly dissatisfied with this appointment time!


    "You want me to wait a week?" The woman immediately took out the phone from her bag.


    Lu Chen can only deeply despise her behavior of occupying medical resources...


    However, I have to say that her relationship network is really strong. After a phone call, the MRI examination time was directly adjusted to tomorrow morning...


    The time has been adjusted for a full week, but Lu Chen was shocked!


    The number of inpatient and outpatient patients in the hospital is extremely large, so generally speaking, for an MRI examination, it is necessary to make an appointment and queue for more than a week or two.


    "It''s a big family of all evils!" Lu Chen complained in his heart.


    ¡­


    After dealing with "big relationship".


    Lu Chen''s main energy is still on the other two patients who were transferred from the emergency department.


    The condition of these two patients "cannot be underestimated". Lu Chen analyzed all the case data, but there were still not many clues and ideas, so he could only temporarily stabilize the condition.


    "As expected of a patient in Kyoto!" Lu Chen exclaimed in his heart.


    If any patient of this level is placed in the Cardiology Department of Jinghua Second Hospital, it will be subject to a major round of Cardiology.


    But, what Lu Chen didn''t expect was...


    These two patients who were transferred from the emergency department did not have any problems, but the "big relationship" unexpectedly happened!


    In the middle of the night, Lu Chen received a call from Xiao Shikang.


    "Lu Chen, there is a problem with the related account you received in the afternoon, come to the department!"


    Lu Chen was startled, "She just has a migraine, what else could go wrong?"


    hung up the phone, and Lu Chen hurried out the door.


    (end of this chapter)

 v2 Chapter 570： Sudden hemianopia

    Chapter 570 Sudden hemianopia


    Originally it was a twenty-minute journey, but Lu Chen arrived at the ward in the first district of his heart in less than ten minutes.


    In the ?? department, in addition to the doctor on duty, Xiao Shikang and Qin Sifeng are all there.


    "Mr. Xiao, Teacher Qin, what happened to the patient?" Lu Chen put on a white coat and came to the doctor''s office.


    "Since you are here, let''s go see the patient together." Qin Sifeng''s face was quite serious.


    "Okay." Lu Chen nodded slightly.


    So, he followed Xiao Shikang and Qin Sifeng to the ward of the "big relationship".


    in the ward.


    The woman is lying on the hospital bed with her eyes closed.


    In addition to the "big relationship", there is another young woman who looks a bit like the patient, and the two should be in a mother-daughter relationship.


    "Professor Qin, Director Xiao, you are here." The young woman immediately stood up when she saw the three of them entering the room. .


    The woman on the hospital bed also slowly opened her eyes.


    It''s just that her current state of expression was completely different from when she saw Lu Chen in the afternoon, and she didn''t seem to have any energy.


    The HP on her head has also changed from 73(-) in the afternoon to 68(--) now!


    The changing trend of the two minus signs further confirms that her condition is not optimistic.


    "Professor Qin, I, I still can''t see on the right side..." The woman said extremely weakly.


    Lu Chen was stunned when he heard this, can''t see on the right?


    What does it mean?


    At this time, Xiao Shikang whispered to Lu Chen: "The patient was sleeping at home at night, and the headache suddenly aggravated, followed by hemianopia and impaired vision on the right side. Because this patient is relatively special, we think that you are the doctor in charge of the bed. So I called you over."


    Lu Chen was amazed, could it really be a stroke?


    Or is the intracranial tumor aggravated?


    Lu Chen thought this was too dramatic.


    He has been worried about the other two patients, but he did not expect that there was a problem with this "big relationship"!


    He immediately stepped forward and began to conduct a more detailed inquiries and neurological examinations for the woman.


    Seeing that it was Lu Chen, the patient on the bed was also very cooperative at this time, "Doctor Lu, you are here."


    "When did the vision loss occur?" Lu Chen asked.


    "Around nine o''clock at night, but my migraine has been attacking for half an hour." The woman said, "I took painkillers and was going to sleep, but the painkillers didn''t work, the pain got worse, and after a while, I felt my eyes I can''t see anything."


    At this time, the patient''s daughter explained: "How can I put it, my mother can''t see it at all, or I stand on her right side, and she can''t see it at all, even if her eyes are wide open, she just can''t see it. I, can''t see me unless I turn my head and let my eyes look straight at me."


    "Then after a few minutes, my mother felt that her left hand felt abnormal, but she couldn''t feel her left hand moving. She clearly saw that this hand was her, but she didn''t feel it, and it didn''t hurt to pinch hard."


    Hearing this, Lu Chen''s mood instantly hit rock bottom.


    There is a greater chance of such typical symptoms of hemianopia, limb sensory disturbance, stroke, or intracranial tumor!


    At this time, the woman said again: "Doctor Lu, do you think I really have a brain tumor? I went online on Baidu. The most common type of brain tumor is glioma, and many gliomas are disgusting. , the mortality rate is still high. The most common are headache, nausea, and many people also affect limb sensation, movement, and even loss of vision."


    The more she spoke, the more the woman''s voice trembled.


    These symptoms are all exactly right!


    Lu Chen couldn''t guarantee anything, so he could only comfort him a few words.


    At this time, Xiao Shikang said on the side: "We have invited an emergency neurology consultation. We cannot rule out the possibility of cerebral hemorrhage, cerebral infarction, and craniocerebral tumor for the time being. It is recommended to improve cranial CT and DWI in the emergency."


    The duration of ordinary cranial MRI examination is very long, and the patient may not be able to complete it.


    Therefore, in general emergency MRI examinations, DWI examinations are performed. The time is short, and it can be completed in about five minutes, but the results may be inaccurate.


    "Mr. Xiao, I''m a bed doctor, I''ll accompany her." Lu Chen said.


    According to common sense, this should be accompanied by the doctor on duty.


    However, there was a trace of guilt in Lu Chen''s heart. The occurrence of such a problem in a "big relationship" has something to do with his failure to correctly assess the patient''s condition.


    But to be honest, he never thought that a woman in her 40s could have a stroke...


    out of the ward.


    "In five minutes, when the MRI side is ready, you can take the patient out for an examination." Xiao Shikang said to Lu Chen next to him.


    "Mr. Xiao, Teacher Qin, this patient is my responsibility." Lu Chen said.


    This is the first time that Lu Chen has experienced such an unexpected change in his condition since he came to clinical work.


    The most important thing is that Lu Chen told the patient yesterday that the possibility of a stroke is not high...


    A doctor must not only diagnose and treat patients properly, but also correctly judge the condition and prognosis. This is also a very important point.


    Qin Sifeng came to Lu Chen''s side and patted his shoulder lightly, "Don''t blame yourself, I knew about her condition this morning, even I didn''t expect that such a young patient would have a stroke and a brain tumor. the possibility of..."


    Lu Chen forced a smile, he knew that it was Qin Sifeng comforting him.


    Because the patient is a "big relationship", several deans and leaders in the hospital have called to express condolences.


    But it''s getting late, and these leaders haven''t come, but it is foreseeable that tomorrow morning, many leaders will come to say hello.


    ¡­


    Five minutes later, Lu Chen and a nurse on duty took the patient and their family members to the CT room and the MRI room for examination.


    After the inspection, there are less than ten kinds, and the result is out.


    The woman was lying on the bed and turned her head to one side, not daring to see the final result. She said to her daughter, "Xiao Lan, look at it, and tell me after seeing the result."


    The patient''s daughter took the two checklists, glanced at them, and a look of joy flashed in her eyes.


    "Mom, nothing happened, no cerebral hemorrhage or cerebral infarction! No brain tumor either!"


    Hearing this, the woman lying on the hospital bed mentioned the heart in her throat and finally fell to the ground!


    The rest of the life!


    The happiest thing in the world may be a false alarm.


    However, Lu Chen poured a ladle of cold water at this time, "CT and DWI in the emergency are not necessarily accurate, they need to be reviewed and observed. Because you have hemianopia and sensory impairment on one limb, there must be something wrong with your head!"


    The test results may be deceiving, but the patient''s symptoms are real.


    Back to the ward.


    The doctor on duty called for another emergency consultation in the neurology department.


    The neurologist''s statement is similar to that of Lu Chen.


    "Cerebral hemorrhage, cerebral infarction and brain tumor are temporarily excluded. However, many small tumors cannot be seen by head CT and DWI. Tomorrow, the patient will have to complete MRI and MRA examinations, as well as a transcranial Doppler ultrasound. an examination."


    The results of the inspection are temporarily normal, which is a fortune in misfortune.


    Lu Chen, Xiao Shikang and Qin Sifeng explained a few words to the patient and left.


    It''s just that Lu Chen still has doubts in his heart.


    If the results of ordinary MRI+MRA are normal tomorrow, what is the reason for the patient''s hemianopia and limb sensory impairment?


    ¡­


    Back to the bedroom, it was almost twelve o''clock in the evening.


    The roommates were all asleep, and Lu Chen carefully washed up before going to bed.


    Lying on the bed, he slowly closed his eyes.


    All the medical history information of the patient just now appeared in Lu Chen''s mind.


    "Huh, I''m still careless."


    Lu Chen is reflecting on his diagnosis and treatment behavior. His previous clinical experience was so smooth that his judgment is now a bit arbitrary.


    Fortunately, there was no serious accident. If the patient does suffer from a stroke, as the doctor in charge, he would be dereliction of duty.


    On the other hand, the system''s health value and changing trend also "deceived" him.


    This is not to say that the system is down.


    However, due to the rapid changes in the patient''s condition, the temporary health value and change trend may not be able to keep up with the speed of the disease change.


    What''s more, he couldn''t keep an eye on the patient''s health 24 hours a day.


    It is still necessary to maintain a reverence for life at all times, so as to avoid these neglects as much as possible.


    (end of this chapter)

 v2 Chapter 572： Bubble signals in the brain! (Ask for a monthly pass! Fight

    Chapter 572 Bubble signals in the brain! (Ask for a monthly pass! Fight for 2000!)


    The First Affiliated Hospital of Kyoto University, cafeteria.


    "You eat first, I still have something to do!"


    Lu Chen suddenly stood up, a glint of light flashed in his eyes.


    Suddenly, he thought of a potential possibility for the woman''s condition!


    He didn''t even bother to eat, so he was about to leave the cafeteria.


    "Lu Chen, where are you going?" Wang Zihao said immediately.


    "Go back to the department!" Lu Chen waved his hand, turned his head and said, "Ke Yue, thank you for reminding me just now, I''ll go first!"


    After that, Lu Chen left the cafeteria in a hurry, leaving only the three people who looked at each other in dismay.


    ¡­


    Back to the department.


    Lu Chen immediately came to the ward of the "big relationship".


    At this time, the woman was eating lunch brought by her family.


    Seeing Lu Chen who rushed to the ward, the woman was slightly taken aback, "Doctor Lu, who are you?"


    Lu Chen calmed down a little and said, "I''m sorry to disturb you for lunch. I have a new idea about your condition."


    Hearing Lu Chen''s words, the woman immediately put down the chopsticks in her hand, and she didn''t care about eating anymore.


    This migraine tormented her hard.


    Especially the hemianopia and limb sensory impairment this time, scared her to death!


    She will now try her best to seize every opportunity to solve the "migraine"!


    "Doctor Lu, speak slowly, I''m in no hurry to eat." The woman looked at Lu Chen and pricked up her ears, not daring to miss a word.


    "You may do a foaming test!" Lu Chen said slowly.


    "Foam test?" The woman was taken aback, she looked up a lot of treatments for her condition.


    Migraine, craniocerebral tumors, etc., she has a lot of knowledge, and she dare not say that she has a doctor''s specialty, but at least she can understand the relevant terms, but this time Lu Chen proposed the foaming test, she is fundamental Never heard of it.


    "Because I suspect it''s not your head that has a problem..." Lu Chen held the woman in front of him tightly, "It''s a heart problem!"


    This sentence made the woman even more confused.


    If there is a problem with the heart, how can the brain behave?


    "You listen to my explanation first." Lu Chen continued.


    He didn''t expect this kind of situation at first, he always thought it was a disease of the nervous system, but after Ke Yue''s reminder just now, he suddenly thought of a disease.


    "You said, I''m listening." The woman was also attentively at the moment.


    Just listen to Lu Chen slowly: "Many adults, about a quarter of them, will have a patent foramen ovale, but most of them are very mild and do not affect their lives. A small number of people will have symptoms."


    "The foramen ovale is a physiological channel in the heart''s atrial septum, which is formed during the embryonic period. This foramen ovale closes soon after birth, but some people do not close it. If it is severe, the blood in the right atrium will flow into the to the left atrium, and then you have your migraine, neurological symptoms."


    The woman looked at Lu Chen with a bewildered expression.


    She couldn''t understand Lu Chen''s explanation, because she didn''t know the anatomy of the heart at all!


    "Let me explain it this way." Lu Chen found a pen and paper and began to draw a diagram, simply drawing the four chambers of the heart on the paper, "The heart has four chambers, and the left atrium and right atrium are adjacent but not connected. , because the interatrial septum wall separates them, and the foramen ovale is a secret passage between the two rooms. This secret passage is open during the embryonic period, but it closes shortly after birth, and the two rooms are not connected since then. Connected."


    "Oh, you draw the picture like this, I can understand a little bit." The woman is also a intellectual, and immediately understood what Lu Chen meant, "However, the hole you said is not closed, why does it cause me a headache?"


    Lu Chen continued to explain: "Because the foramen ovale is not closed, part of the blood will directly cross this foramen and enter the right atrium. This part of the blood does not pass through the lungs, but directly enters the systemic circulation and enters the brain."


    "Because this part of the blood does not pass through the lungs, there are often small emboli or small air bubbles, which can directly enter the brain and cause blockage, causing a stroke-like performance. You suddenly had hemianopia and limb disorders last night, and this is the reason!"


    The woman was stunned for a while, she roughly understood what Lu Chen said, "In other words, there is a hole in my heart?"


    "That''s understandable." Lu Chen said, "In fact, this patent foramen ovale is very common, many people have it, but they are not serious, there is no problem, and they are not found."


    "Then how can we discover the existence of the breach?"


    The woman believed Lu Chen''s statement a little, it sounded like the same thing.


    Actually, no matter if Lu Chen can justify it or not, she will try to believe him.


    Because I have never had her disease, I don''t understand her pain!


    Now, if there is any hope, she will seize it!


    Lu Chen thought for a while, and said, "Some people can see it on echocardiography, but if the patent foramen ovale is relatively small, the echocardiography may not be able to see it, because the probe is placed on the chest, and the distance from the heart is still too far. , difficult to distinguish."


    "What should we do then?" the woman asked.


    Lu Chen smiled and said, "Then do a transesophageal echocardiography, which is to insert the probe through the mouth, all the way deep into the esophagus, and do an ultrasound in the esophagus. Because the esophagus is close to the heart, it will be clearer."


    "Isn''t it uncomfortable to do it through the esophagus?" The woman was a little worried.


    "That''s right, just like doing a normal gastroscope, if something goes deep into your esophagus, it will definitely be uncomfortable." Lu Chen nodded slightly, "In addition, in addition to the echocardiography, the foaming test I just mentioned can also find problems."


    The so-called foaming test is to use a tube of physiological saline, air, and blood mixed liquid, fully vibrate (two syringes back and forth) to generate air bubbles, and then quickly inject it from the human arm vein.


    Theoretically, after these bubble-filled fluids enter the veins, they will immediately enter the superior vena cava ¡ú right atrium ¡ú right ventricle ¡ú pulmonary artery ¡ú pulmonary capillaries ¡ú pulmonary veins ¡ú left atrium ¡ú left ventricle ¡ú systemic circulation (various arteries, such as the middle cerebral artery) .


    If the patient does not have a patent foramen ovale, the liquid filled with bubbles will enter the pulmonary capillaries according to the above path, and the bubbles will be absorbed by the capillaries and will not enter the systemic circulation, so we perform transcranial Doppler color Doppler ultrasound on the patient to monitor the brain In the middle artery, there will be no traces of air bubbles.


    However, if the patient has a patent foramen ovale, and the right atrial pressure can be increased by inhaling and holding the breath (Valsalva maneuver) during the operation, the bubble-filled fluid will directly flow from the superior vena cava ¡ú right atrium ¡ú foramen ovale ¡ú Left atrium ¡ú left ventricle ¡ú systemic circulation (including middle cerebral artery).


    Some of the bubbles will directly pass through the foramen ovale to the left heart, and then enter the cerebral artery immediately. At this time, a transcranial Doppler ultrasound can detect the bubble signal, so it is inferred that there is a patent foramen ovale.


    ¡­


    Lu Chen immediately brought the woman to the ultrasound examination room to conduct the foaming experiment.


    Sure enough, it was not what Lu Chen expected.


    After examination, a bubble signal was found in the woman''s brain!


    This means that a woman''s heart may indeed have a patent foramen ovale.


    Hearing the result, the "big relationship" woman was surprised and delighted.


    Surprisingly, there was something wrong with his heart, and from what Lu Chen said, it seemed to be a congenital heart disease.


    Happily, we finally found the cause of "migraine"!


    Ask for a monthly pass!


    (end of this chapter)

 v2 Chapter 573： Far in the sky, close in front of you

    Chapter 573 Far in the sky, close at hand


    "If this foramen ovale is not repaired in time, there may be a big stroke next time!"


    Lu Chen said slowly.


    He is not scary.


    By assessing the woman''s current symptoms, this is a highly probable event!


    This sentence made the woman start to be frightened again.


    "Is that treatable right away?" The woman couldn''t wait to ask Lu Chen.


    Lu Chen shook his head slightly, "The foaming test only shows the possibility of a patent foramen ovale in your heart, not necessarily, it may be atrial septal defect, or other congenital anomalies, as long as it can cause bubbles to pass through the left Atrial disease could have caused your situation."


    So, next, we still have to do a further cardiac ultrasound to see if we can directly find the patent foramen ovale, and then we can hammer it!


    Lu Chen reported the patient''s condition to Xiao Shikang.


    "Positive foaming test, patent foramen ovale?" Xiao Shikang was also very surprised, he glanced at Lu Chen, this kid is really powerful, why did he suddenly think of this disease?


    "Mr. Xiao, I''ll take the patient for an ultrasound first." Lu Chen said, "I won''t transfer to the neurology department for now."


    "Okay." Xiao Shikang nodded.


    However, it suddenly occurred to him that Dong Feng also reminded in the morning that after the "connected households" were transferred to the neurology department, Lu Chen''s qualifications for the independent management bed should be revoked...


    "Forget it, wait and talk to Lu Chen."


    ¡­


    Lu Chen immediately arranged an ordinary cardiac ultrasound for the woman, but it seemed that no patent foramen ovale was found, which might be too small to look good.


    But the foaming test did prove that there was a problem, so Lu Chen mobilized the patient to perform a transesophageal echocardiography. .


    "Although it''s a little uncomfortable, this check seems to be more accurate." Lu Chen explained.


    The woman agreed, holding back the pain, and finished the transesophageal echocardiography.


    Fortunately, it was all worth it.


    After transesophageal ultrasonography, the diagnosis of patent foramen ovale was confirmed!


    At this moment, two prompts popped up on Lu Chen''s system panel.


    "Congratulations, +1 for receiving thanks from Ding Rongli!"


    "Congratulations, the completion of the system upgrade has increased!"


    Lu Chen''s face was overjoyed. For this weird migraine, he finally found the final cause!


    But this time, the patient is even less likely to be transferred to the neurology department.


    "This is a cardiac interventional operation, and the operation is not complicated." Lu Chen said to Ding Rongli, "We can do it ourselves, and we don''t need to go to surgery to open the chest."


    Ding Rongli also checked the treatment methods and knew that the foramen ovale closure was the main method for the treatment of patent foramen ovale.


    The reason is very simple, there is a secret passage between the two rooms, all we have to do now is to block this secret passage, and we are done.


    ¡­


    "Surgery must be done, and it must be done by the best skilled doctor."


    Ding Rongli began to exert the energy of her relationship with households again.


    She went directly to the professor''s office and found Qin Sifeng.


    "Professor Qin, it would be great if you could perform this interventional procedure yourself." Ding Rongli sat in the office with a smile on her face.


    "Then you made a mistake." Qin Sifeng leaned back on the office chair, "I''m old now, and I can''t do general surgery, but I''m not as skilled as those young people. If you want me to tell you, find a young doctor. Just do it, definitely better than me!"


    Ding Rongli knew that this was a disguised refusal. Although Professor Qin rarely does it himself, he is definitely better than the average surgeon!


    "Then you must introduce me to a doctor with better skills." Ding Rongli retreated.


    Even if Qin Sifeng didn''t do it himself, he had to have a doctor with deep qualifications and high surgical proficiency do it.


    Qin Sifeng suddenly smiled, "Then you don''t need to look for me, this person is far away in the sky and right in front of you!"


    "Huh?" Ding Rongli was taken aback, "You mean Dr. Xiao Shikang?"


    She knew about Xiao Shikang''s resume and had just been promoted to deputy chief physician. Although she had done a lot of electrophysiological surgeries, she always felt a little unsafe.


    Unexpectedly, Qin Sifeng shook his head slightly.


    "Isn''t it Xiao Shikang?" Ding Rongli was stunned. In her medical team, the superior doctor is Xiao Shikang. "Could it be Lu Chen?"


    Thinking of this, Ding Rongli couldn''t help laughing.


    How could she have such a strange idea!


    Although Dr. Lu Chen is really good and solved the "migraine" that has plagued her for many years, she is still too young to perform these operations.


    "Yes, it''s Lu Chen!"


    However, Qin Sifeng''s sudden words made Ding Rongli stunned.


    "Professor Qin, are you kidding me?"


    "Even if you don''t want to operate on me, there''s no need for such a joke, right?"


    However, the expression on Qin Sifeng''s face was extremely serious, it didn''t look like he was joking at all.


    Moreover, based on Ding Rongli''s understanding of Qin Sifeng''s temper, Professor Qin should not be such a person!


    Could it be... Really Lu Chen?


    Ding Rongli swallowed and confirmed again: "Professor Qin, are you serious?"


    "What did I lie to you for?" Qin Sifeng said with some amusing, as he pulled out a newspaper, "You can look at this."


    Ding Rongli took the newspaper suspiciously.


    This is the newspaper inside the hospital, the date is last year.


    I saw that the headline of the newspaper was that the Cardiology Department completed a difficult electrophysiological operation.


    She patiently continued to watch.


    "Electrophysiological surgery, chief surgeon Lu Chen?"


    Ding Rongli knew why Qin Sifeng took out this newspaper.


    If this Lu Chen is this Lu Chen, then what Qin Sifeng said is not a joke...


    Just listen to Qin Sifeng continue: "In addition to this, Lu Chen has a national intervention certificate. Two days ago, he was in the catheterization room and completed a difficult electrophysiological operation that even Xiao Shikang could not do."


    "Lu Chen was originally your doctor in charge of the bed, and now as your surgeon, I think it should be the best."


    The evidence in front of him, combined with what Qin Sifeng said, made Ding Rongli have to believe that her young doctor in charge of the bed was really such a powerful surgeon?


    walked out of the director''s office.


    Ding Rongli was a little confused, she found Xiao Shikang.


    "Dr. Xiao, Professor Qin said that Dr. Lu Chen..." Ding Rongli paused, "Is it a very good interventional cardiology doctor?"


    Xiao Shikang nodded without hesitation: "Yes, he is much better than me anyway."


    At this moment, Ding Rongli completely believed it.


    That young doctor who seems to be ignorant of the world can be praised by so many people, it is really amazing!


    ¡­


    One area in the heart, the doctor''s office.


    This strange case of "migraine" diagnosed by Lu Chen was known to many doctors in Keli.


    While marveling at Lu Chen''s excellent clinical thinking, they were also studying this case.


    "Lu Chen, patent foramen ovale can lead to a stroke. This is understandable, so why does the foramen ovale cause migraine?" Suddenly a graduate student from Kyoto University asked.


    Lu Chen smiled slightly, "Actually, the reasons are more complicated. It may be related to the passage of tiny emboli, bubbles, etc. to the brain, or it may be related to some inflammatory mediators. At present, the mechanism is not fully studied."


    "However, many people suffer from migraine headaches for many years, and later find out that the patent foramen ovale is closed. After the closure operation, the migraine disappears, thus confirming the relationship between the patent foramen ovale and migraine."


    Lu Chen made these principles very thorough.


    After he returned to the dormitory, he also read a lot of literature and gained a more in-depth understanding of the neurological symptoms caused by patent foramen ovale.


    Looking at Lu Chen who was talking eloquently, the other graduate students in the first district in their hearts were all convinced.


    Lu Chen is not only an expert in surgery, but he also killed most of them clinically.


    This exchange student from a remote area of ??Beijing is really not easy!


    But at this moment, the head nurse in the first district in her heart slowly walked into the doctor''s office. She stood at the door, looked around, found Lu Chen, and then knocked lightly on the door frame.


    "Doctor Lu, I temporarily handed over your four beds to Dr. Xiao."


    ¡­


    (end of this chapter)

 v2 Chapter 574： Lu Chens Chief Swordsman

    Chapter 574 Lu Chen''s Chief Swordsman


    Lu Chen was taken aback for a moment, then turned to look at the head nurse at the door.


    What does she mean?


    Take his bed back?


    In the ?? department, the others also looked at each other, not understanding the head nurse''s meaning at all.


    "Head Nurse, are you saying that you want me to return the bed to Teacher Xiao?" Lu Chen wondered.


    "Well, that''s right." The head nurse''s face was flat, "Leader Corey decided, I just let you know, and then you don''t need to manage the bed for the time being."


    After saying that, the head nurse left the doctor''s office.


    Everyone looked shocked when they heard the head nurse''s words.


    Lu Chen just solved such a difficult case, why suddenly revoked his qualification for independent bed management?


    It stands to reason that Qin Sifeng is Lu Chen''s mentor, so he would never make such a decision to withdraw. It seems that the leader who made the decision is someone else...


    Lu Chen was also extremely surprised.


    He has just arrived at the Cardiology Department of the First Affiliated Hospital of Kyoto University, and there is no conflict of interest with others at all. How could a leader target him?


    However, since the head nurse said so, Lu Chen could only accept it silently.


    At this time, Xiao Shikang walked into the doctor''s office.


    Lu Chen stepped forward quickly, "Mr. Xiao, the head nurse said that my bed has been taken back?"


    Xiao Shikang nodded helplessly, "Yes, Professor Qin can''t do anything about it, it''s what he meant."


    Lu Chen''s heart sank, it seemed that the leaders really had a target.


    "However, don''t worry." Xiao Shikang whispered, "This leader is at odds with Professor Qin, so hurting innocent people is not aimed at you. After a while, Professor Qin will let you manage the bed again."


    "Yes." Lu Chen nodded slightly, the hospital is actually a small society, and the relationships in it are complicated. At present, he is still a student who has not graduated, so he can only bear it silently.


    Xiao Shikang patted Lu Chen''s shoulder lightly, "Don''t worry, I can study in the department during this time. As for the management of the bed, I''m afraid you don''t want to take care of it if you have more time in the future."


    "Okay, thank you Mr. Xiao, I got it."


    Lu Chen also calmed down and didn''t let him manage the bed, so he should have a good rest.


    ¡­


    Ding Rongli was not in a hurry to find Lu Chen, she still wanted to check it out, and asked other acquaintances in the hospital to see who had better intervention skills.


    However, during her questioning, she discovered that her bed doctor, Lu Chen, had not come to see her all day.


    "Director Xiao, why didn''t Dr. Lu come to the department?" Ding Rongli found Xiao Shikang, "I didn''t see him in the department today."


    For Lu Chen, she still has a heart of gratitude.


    After all, he found the cause of his "migraine" for many years.


    "That''s it." Xiao Shikang said, "Doctor Lu has left the bed temporarily, and I will take over his bed."


    "Don''t care about the bed?" Ding Rongli was stunned, "Did he go to another department for rotation?"


    "No." Xiao Shikang shook his head slightly, "This is an arrangement made by the leader. It is said that Lu Chen''s clinical experience is still shallow. Leave the bed alone for the time being, and we will see the situation later."


    "Doctor Lu has little experience?" Ding Rongli was quite puzzled.


    A doctor like Lu Chen, although young, is very experienced!


    She went to several hospitals before, but couldn''t find the cause. It was Lu Chen''s "eye-catching eyes" that found the problem.


    "Kyoto Hospital is so powerful? Even Lu Chen can''t manage beds independently?"


    For a while, Ding Rongli didn''t know whether the Jingjing Hospital was powerful, or whether she overestimated Lu Chen.


    ¡­


    In the following days, Ding Rongli asked around in the electrophysiological intervention circle.


    This question, that''s incredible.


    It turns out that Lu Chen is already well-known in the Huaxia electrophysiology circle!


    "It seems that Professor Qin Sifeng is not a fool." Ding Rongli thought for a while, "In the first area of ??my heart, it is safer to find Dr. Lu Chen for surgery."


    So, Ding Rongli found Lu Chen again.


    doctor''s office.


    "Dr. Lu, I hope you will do this sealing operation for me."


    Lu Chen frowned slightly, it was a good time for this "big relationship" to come to him, and it happened that there was no one in the office.


    "I''m sorry, but I don''t have the right to have surgery for the time being in the first area of ??my heart."


    His qualifications for independent bed management have been cancelled, not to mention surgery!


    On the other hand, Lu Chen''s impression of this "connected household" was not very good.


    Relying on his status as a related household, he flouted all the rules of the hospital.


    But as a doctor, Lu Chen can''t control too much, he can only treat every patient with all his heart.


    Ding Rongli was thinking about it when she heard Lu Chen''s words, but Lu Chen didn''t refuse. The problem now is that he doesn''t have the right to operate...


    For this matter, you have to find a superior leader!


    Soon, Ding Rongli found Dong Feng, who managed the Cardiology Department.


    Dong Feng did not dare to neglect these Kyoto-related households, and he heard that the relationship behind Ding Rongli was unusual.


    "You are in better condition now." Dong Feng sat in front of Ding Rongli and poured her a cup of hot tea with a smile.


    "Very good, I found the cause of the headache, and I feel better." Ding Rongli nodded slightly.


    The "migraine" that has been bothering her for many years is about to be resolved, and she is extremely relieved.


    "Are you satisfied with our medical treatment here?" Dong Feng continued.


    "It''s okay." Ding Rongli smiled, "However, my former bed doctor, Lu Chen, is quite good. I don''t know why he was suddenly withdrawn?"


    Dong Feng groaned in his heart, but on the surface he was still calm.


    I didn''t expect that Lu Chen would be able to win Ding Rongli''s favor, it''s really not easy!


    Dong Feng said slowly: "This is a normal rotation."


    "Since it''s a rotation, then I hope he can continue to be my doctor." Ding Rongli said, "And I also hope that Lu Chen will be the main surgeon for my surgery!"


    "This..." Dong Feng was stunned for a moment, and then said, "Although Dr. Lu Chen is young and promising, he is still too young, and his experience may not be as rich as that of the older generation of doctors, or I will recommend you a few qualifications. A doctor with deep, surgical experience?"


    "No!" Ding Rongli waved her hand, "I want Lu Chen!"


    Dong Feng slandered a few words in his heart. Qin Sifeng had to go back before he was disgusting for a few days. He really slapped him in the face...


    But there is nothing he can do, he may not dare to offend Ding Rongli, he can only satisfy her as much as possible.


    ¡­


    What Lu Chen didn''t expect is that the energy of this relationship is really unusual!


    The next day, his qualifications as a tube bed were restored in the department.


    And the first thing he did to restore the tube bed was that Ding Rongli''s interventional operation was arranged.


    Although Lu Chen didn''t have much trouble with the "related households", he was his own patient after all, so he still had to do the surgery with all his heart.


    Before the operation, Lu Chen signed the informed consent as usual.


    Actually, this occlusion operation is very simple.


    It is only necessary to inject a needle into the femoral vein at the root of the thigh. The guide wire enters from the femoral vein and goes all the way up into the right atrium. Find the position of the foramen ovale, then snap the occluder into the hole, and release it tightly. Stuck in the middle, the surgery is over.


    This occluder is like a small umbrella, tightly blocking the breach, from now on, the blood in the right atrium will not pass through the left atrium.


    The entire procedure took about half an hour.


    Today''s night shift, I can only update as much as possible.


    (end of this chapter)

 v2 Chapter 575： Rush to do the ECG!

    Chapter 575 The electrocardiogram that was rushed!


    Such a simple operation, Lu Chen personally took the stage, and the process was naturally very smooth.


    After the operation, Ding Rongli wanted to thank Lu Chen, but he refused.


    "Doctor Lu, let me treat you to dinner."


    "You can come to me at any time where it will be useful in the future."


    "Doctor Lu, you don''t have to be polite to me, it''s a little trivial, take it!"


    Ding Rongli made goodwill many times, but Lu Chen rejected them all!


    Healing and saving people is his principle.


    But emotionally, he had a hard time with these privileged classes.


    Especially when Ding Rongli wanted to live in when he had only two wards and had already admitted two emergency patients.


    Lu Chen doesn''t have any good feelings for Ding Rongli, this is completely disregarding the safety of emergency patients!


    More importantly, after the operation was over, Lu Chen did not receive any "thank you value" prompt in the system panel.


    What does this mean...


    Ding Rongli, who was very grateful on the surface, was actually thinking what she was thinking, no one knew!


    Lu Chen just treated Ding Rongli as an ordinary patient. After the diagnosis and treatment, there will be no more entanglements in the future.


    ¡­


    The first area of ??the heart, the rest room of the catheterization laboratory.


    Lu Chen and Qin Sifeng sat opposite each other.


    "Oh, Lu Chen, you really look like when I was young!"


    "Mr. Qin, otherwise we wouldn''t be able to get together!"


    Lu Chen felt more and more that Professor Qin had too much appetite for him.


    Qin Sifeng saw all of Lu Chen''s performances.


    Qin Sifeng when he was young, relying on his medical skills, just like Lu Chen now, he simply treats illnesses and saves people. He doesn''t try to flatter and follow the trend, and he doesn''t know how to maintain the relationship with his superiors.


    Therefore, Qin Sifeng did not go in the direction of the official career, but stayed in the front-line clinical work.


    and Dong Feng, who was the same year as him, entered the leadership of the hospital early.


    As a result, the gap between the two is getting bigger and bigger!


    Dong Feng is now Qin Sifeng''s direct supervisor, Qin Sifeng can only be a professor in the department!


    Does Qin Sifeng regret it?


    This stubborn old man has no regrets at all!


    Seeing that Lu Chen was so similar to himself, he was quite relieved.


    However, since Lu Chen is his student, it is impossible for him to let Lu Chen go back to his old ways.


    Qin Sifeng was already thinking about how to pave the way for Lu Chen''s future.


    After all, he hopes that Lu Chen''s future can go further than himself!


    ¡­


    After a few days of "farce", Lu Chen took over the four beds again.


    The two patients he received in the emergency department are still living in hospital beds.


    The diagnosis of both of them is still unclear, but the symptoms of heart failure have improved for the most part.


    In the past two days, although Lu Chen did not have an independent bed, he was also paying attention to the changes in the condition of the two.


    In the morning, Lu Chen was writing a record of the disease course in the office.


    Each patient here must write a difficult case discussion record.


    This will take Lu Chen a lot of time!


    At this time, a little nurse suddenly trotted into the doctor''s office.


    She glanced in and found Lu Chen''s location.


    "Doctor Lu, your bed 18 suddenly became flustered again, you should go and see her."


    Lu Chen heard the words and immediately stood up, "Okay, let''s go right away!!"


    The 18-bed patient was the girl named Lin Xinxin who was transferred from the emergency department.


    Most of these diseases involving electrophysiology cannot be detected when there is no disease onset, so Lu Chen communicated with the patient again. Once the condition is unstable, he immediately calls the doctor on duty.


    This time, Lu Chen happened to be there.


    He immediately pushed the electrocardiograph and went to Ward 18.


    ¡­


    Next to the 18-bed ward.


    "Xinxin, what''s the matter with you?" Lin Qiang was very anxious.


    In the past few days, Lin Xinxin''s condition has stabilized. Why did she suddenly get sick again today?


    "Dad, Dad, don''t worry." Lin Xinxin tried her best to smile on her pale face, "I, I''m fine, the doctor will be here soon."


    As soon as he finished speaking, Lu Chen walked in with an electrocardiograph.


    While doing a physical examination for Lin Xinxin, he issued various medical orders to the nurses beside him.


    "Electrical monitoring and oxygen inhalation!"


    "Open another venous access for backup!"


    After the physical examination was over, Lu Chen immediately performed an electrocardiogram on Lin Xinxin.


    Although the two are of the same age, they usually avoid it, but at this time, they don''t care about the other problems of these men and women.


    When Lu Chen just finished the electrocardiogram, Lin Xinxin''s symptoms suddenly eased.


    These symptoms really come and go in a hurry!


    However, fortunately, Lu Chen rushed to complete the ECG as soon as possible, leaving behind the ECG changes of Lin Xinxin when he got sick.


    And, the effort is worth it!


    The picture that I managed to grasp immediately solved Ding Xinxin''s diagnosis question.


    "It is basically consistent with the ECG manifestations of tricuspid valve depression. The first picture is a B-type pre-excitation, from the bypass of the posterior septum."


    "The second picture shows atrial flutter with right bundle branch block, intermittent pre-excitation (the hops of the long II lead-width QRS wave are pre-excited down). The second picture is particularly interesting, all right bundle branch block There is no pre-excitation in the stagnation..."


    Every previous electrocardiogram was taken when Lin Xinxin was normal and did not have the disease, so no abnormality was found.


    "Doctor Lu, have you found the cause?" Lin Qiang looked excited and turned to look at Lu Chen.


    Lu Chen didn''t speak at first, he took the electrocardiogram in his hand and looked at it carefully.


    Lin Qiang slowly calmed down when he saw his serious expression.


    After a long while, Lu Chencai raised his head and said slowly: "Combining with the patient''s previous echocardiography, the diagnosis should be tricuspid valve depression (Ebstein''s deformity, also known as Ebstein''s deformity)."


    The incidence of tricuspid valve downshift deformity accounts for 0.03%~1% of congenital heart disease, which is a rare congenital heart deformity.


    Depressed tricuspid valve deformity is the tricuspid valve that moves downward and divides the right ventricle into atrialized right ventricle and functional right ventricle. Although it looks like a very large right ventricle, this part of the atrialized right ventricle has a thin wall and contains a large number of fibers. Tissue, the endocardium is smooth, and the myocardium is non-contractile.


    This results in the patient being very young, but the symptoms of heart failure are extremely severe!


    "Congratulations, +1 for receiving thanks from Lin Xinxin!"


    "Congratulations, +1 for receiving thanks from Lin Qiang!"


    "Congratulations, the completion of the system upgrade has increased!"


    Lu Chen was also a little overjoyed when he saw these three prompts pop up from the system panel.


    This high-quality difficult patient will immediately give thanks once the diagnosis is correct.


    Unlike the previous Ding Rongli, even after the surgery was done on her, there was no "thank you" at all!


    Although the original intention of curing diseases and saving lives is not for the "thanks" of patients, but if they can receive thanks, it will make every doctor feel happy.


    (end of this chapter)

 v2 Chapter 576： Although handsome but light (first more)

    Chapter 576 Although handsome but light (first)


    The medical profession has serious involution, not to mention the Kyoto University School of Medicine, which is simply a gathering place for "involutionaries".


    No matter in the department, in the cafeteria, or in the alley of the hospital, Lu Chen could see students reciting with textbooks.


    There is also a "skillful person", who can memorize internal medicine books like a fluent!


    This is Lu Chen''s far inferior, and it makes him awe-inspiring.


    In the field of medicine, textbooks are the result of countless doctors'' painstaking efforts. If you can read textbooks well, you will definitely be a good doctor. If you use them flexibly, you will definitely become a good doctor.


    In Kyoto University School of Medicine, Lu Chen hasn''t stayed for long now, but what he saw made him feel deeply.


    Students from other medical schools are still worried about the fourth and sixth grades. The students of Kyoto University School of Medicine are already preparing for the TOEFL and IELTS exams to prepare for studying abroad.


    This is indeed the ivory tower in the hearts of all Chinese medical students!


    Ke Yue, Wang Zihao and Gu Xinyue were also greatly shocked.


    Perhaps coming to Kyoto University School of Medicine, learning cutting-edge clinical knowledge is second, and more importantly, feeling the learning atmosphere here.


    ¡­


    During the ?? period, Lu Chen also contacted his cousin Lu Hao.


    This kid, he is about to take the college entrance examination.


    Hearing his mother say that he wants to study medicine, this is a bit of a mystery!


    "Brother, do you think it''s good to study medicine now?" Lu Hao said with a smile on the phone.


    "Hey, brother, you''re still young, you haven''t been exposed to medicine, and watching the doctor saving people on TV is very thrilling. In fact, it''s very hard." Lu Chen persuaded hard, "Do you want to experience high school life again?"


    "Brother, isn''t it as exaggerated as you say?" Lu Hao smiled.


    "Oh, you still don''t believe me?" Lu Chen said angrily, "Look at the usual family, am I the busiest?"


    "Hey, that''s true." Lu Hao said again, "But I still think studying medicine is good! Brother, don''t stop me, I''ve made up my mind!"


    Lu Chen: "..."


    Now, the babies born after 00 are so stubborn?


    Lu Chen decided to use data to speak, "Brother, do you know that there are about 800,000 medical graduates in our country every year, but only about 20,000 become doctors. When you see this probability, what can you think of?"


    "Uh, there is a shortage of people in the medical market right now? It''s a good time to study medicine!"


    Lu Chen was speechless, there is something wrong with this kid''s brain circuit, "This shows that, except for some of the postgraduate students, many others have changed careers!"


    Lu Hao disagreed, "Brother, that''s it, I''ve decided. I''m going to read, don''t bother me."


    Hearing the busy tone from the phone, Lu Chen smiled bitterly.


    Now it seems that he can only go with him.


    In fact, in the final analysis, the medical industry is not bad except for being a little tired, and the social recognition is not bad.


    "By the way, this kid wants to study medicine, do you have enough marks?"


    Lu Chen''s impression of Lu Hao was still a year ago. This kid can only pass the second line at most. Can he apply for a good medical school or not...


    ¡­


    After ?? "education" his cousin Lu Hao, Lu Chen put his focus on clinical work again.


    He currently manages four beds. Although there are not many beds, the quality of each patient is very high.


    Each patient basically spends a lot of brain cells to find the final diagnosis.


    But as long as the correct diagnosis can be made, the completion of the system upgrade can also increase a lot.


    Currently, in Lu Chen''s system panel, the system upgrade completion rate has reached 74%.


    The last system upgrade has been traced back to a year ago.


    Lu Chen is now looking forward to the next system upgrade to see if there are any breakthroughs in system functions.


    "Lu Chen, here comes the patient!"


    With the cry of the nurse, Lu Chen''s thoughts were brought back to reality.


    He happened to have a patient discharged today, and the outpatient clinic immediately arranged a new patient for him.


    "Okay, see the patient right away."


    Lu Chen sorted out the things at hand.


    During this period of time, there were many interns in the area of ??my heart.


    Xiao Shikang also assigned a female intern to Lu Chen.


    In the internal medicine department, especially the cardiology department and the internal medicine department, the proportion of female students is higher than that of male students.


    Although everyone is a scholar-level figure, we still have to start with the most basic things such as blood pressure measurement and electrocardiogram.


    "Junior sister, let''s go and see the patient." Lu Chen brought his intern to the ward.


    ¡­


    came to the ward.


    The patient on the bed was a woman of about thirty years old.


    She was lying on the bed with her eyes closed, her face and lips were red, her breathing was even, and she could not see any signs of illness at all.


    "Hello, is this a new patient?" The female intern said before coming to the ward.


    Li Wenqian opened her eyes and said softly, "Well, yes."


    She slowly sat up from the bed, looking at the two young doctors in front of her, frowning slightly, "Are you my bed doctor?"


    The female intern shook her head, "No, I''m an intern."


    Hearing this, Li Wenqian breathed a sigh of relief and said, "So these two are interns, are they so young!"


    Doctor is an industry that requires experience, and the older you get, the more popular it becomes.


    The common people came to see a doctor, and they believed that those doctors with gray temples, such as Lu Chen, were still a little nervous in their hearts.


    But what the female intern said next made Li Wenqian stunned.


    "I''m not a bed doctor, this is your bed doctor."


    The female intern pointed to Lu Chen beside him.


    "What?" Li Wenqian felt that the man and woman in front of him should be about the same age, so how could it be her doctor in charge of the bed?


    For a while, she retreated a little and didn''t want to be hospitalized anymore.


    Came to the First Affiliated Hospital of Kyoto University, Li Wenqian is to solve her own "intractable diseases".


    She has seen many times in the small hospital below, but she has not found the cause at all.


    Now asking such a young doctor to see a doctor is a waste of time!


    "Do you have any questions?"


    Seeing that the patient''s expression was wrong, Lu Chen asked quickly.


    "That..." Li Wenqian paused, "I want to ask, should I be more than you as the doctor in charge of the bed?"


    "What do you mean?" Lu Chen was stunned, he could feel the patient in front of him, and he didn''t seem to trust him very much.


    No way, although he is handsome, he is still too young.


    "I mean, there should be senior doctors in the group, can you take care of me together?" Li Wenqian asked tentatively.


    "Of course there is." Lu Chen nodded with a smile, and he guessed right, "There are two higher-level doctors in our group, one is the deputy chief physician Xiao Shikang, and the other is the chief physician Qin Sifeng."


    "Oh oh."


    Li Wenqian was relieved. After all, a handsome face can''t be eaten, let alone cured!


    (end of this chapter)

 v2 Chapter 577： near-death

    Chapter 577 The Sense of Dying


    The first step for treating patients is to ask for medical history and physical examination.


    Lu Chen gave all the work to the female intern Su Rui.


    She deserves to be a student of Kyoto University''s medical school. She is well-mannered in the consultation and physical examination, so Lu Chen can''t pick out any faults at all.


    Patient Li Wenqian, 28 years old this year.


    A few months ago, I started feeling flustered occasionally.


    "It means that the heart will jump suddenly, accompanied by a feeling of pressure in the chest." Li Wenqian added.


    Lu Chen nodded slightly, "In our medical terminology, it''s called palpitations and chest tightness."


    The patient initially thought that it was a bad heart.


    "I''m not yet thirty years old! My heart is not good!" Li Wenqian was scared to pee just thinking about it.


    After all, heart disease is no trivial matter, and even the smallest heart disease can make people miserable.


    Severe heart disease and even sudden death, can you not worry?


    "I went to the hospital at that time!" Li Wenqian recalled, "The cardiologist at the hospital below us auscultated my heart and did an electrocardiogram. No problem was found, except that my heart rate was a little too fast."


    Lu Chen wondered, the heart rate was too fast, which didn''t mean anything.


    Some people have a fast heart rate when they see a doctor, which is caused by physiological stress.


    The patient''s HP is 74 (-), and it seems that there shouldn''t be too many problems.


    "Did you take any medication afterwards?" Lu Chen asked.


    "I did." Li Wenqian nodded, "I still remember that the doctor prescribed metoprolol tartrate."


    Metoprolol tartrate, this medicine is a beta-blocker. There are many beta-receptors in the heart. Once blocked, the cardiac activity will be inhibited, so it can be used to treat tachycardia and heart failure.


    Many patients with arrhythmia and high blood pressure will take this medicine. It is a very common and widely used medicine.


    "Is your heart feeling better?"


    "It got better. Later, I was busy with work, so I didn''t take it to heart." Li Wenqian said, "But two months later, the symptoms came back! The familiar heart is uncomfortable, and it suddenly comes on. It''s like being taken aback, and then the heart is pounding for a few minutes, 5-6 times a day, and it''s even worse than before."


    "Will taking metoprolol tartrate work?" Lu Chen wondered, listening to the patient''s description, it really looked like some kind of paroxysmal arrhythmia.


    "It doesn''t work." Li Wenqian sighed, "The symptoms of this uncomfortable heart have seriously affected my daily life and work. Later, I went to the hospital again and chose to do it when I was most uncomfortable. Echocardiogram and EKG, but still no problems."


    Su Rui, a female intern beside ??, said: "It may be that the arrhythmia occurred for a short time and suddenly stopped. Although you still feel uncomfortable, the arrhythmia has already passed, so the electrocardiogram did not find any problems."


    Many arrhythmias are sudden and sudden, and it is impossible for ordinary ECGs to step on that point, so there is no way to find abnormalities.


    "Hey, that feeling is really uncomfortable, it''s really like dying again." Li Wenqian said helplessly.


    Clinically, there is a professional medical term called near-death feeling.


    "The doctor at the local hospital gave me a different medicine." Li Wenqian took out another box of medicines, metoprolol succinate tablets from her bag.


    Metoprolol Succinate Tablets and Metoprolol Tartrate Tablets, are one-ingredient medicines.


    However, the latter is a short-acting drug, and one pill can only be used for a few hours; the former is a long-acting drug, and one pill can be used for about a day.


    "By the way, there is another medicine..." Li Wenqian pulled out another porcelain bottle of medicine from her bag, Suxiao Jiuxin Pills.


    Suxiao Jiuxin Pill is used for coronary heart disease, not arrhythmia, but people will curse mother when they are in a hurry, so bring it with you just in case.


    "Have the symptoms eased?"


    "No..." Li Wenqian showed a wry smile on her face, "All the medicines combined have no effect, not at all, and you will still feel uncomfortable and have that sense of near-death."


    Lu Chen frowned deeply.


    Described by the patient''s symptoms, it looks like some kind of arrhythmia.


    And through the health value of 74 (-) on her head, there should be no fatal disease, otherwise the change trend cannot be a minus sign.


    "Have you done a 24-hour Holter?" Lu Chen asked.


    24-hour dynamic electrocardiogram, as the name suggests, is to carry the ECG box for 24 hours.


    As long as there is an arrhythmia attack within 24 hours, it can catch it.


    "I have done it, more than once, but to no avail."


    said, Li Wenqian took out a few more checklists from her bag.


    Lu Chen took it and took a look.


    There are a total of three dynamic electrocardiogram examination results, except for the occasional rapid heart rate, no abnormal problems were found.


    "I have been to many hospitals, but now I really have no choice." Li Wenqian sighed helplessly, "I can only come to your hospital."


    If the Cardiology Department of the First Affiliated Hospital of Kyoto University can''t solve it, then she is really desperate!


    Lu Chen had a basic understanding of the condition, so he conducted a more careful physical examination on the patient.


    Heart and lung auscultation did not find any problems.


    "Senior Brother Lu, do you think it might be an autonomic disorder?" Su Rui suddenly said.


    Lu Chen nodded slightly, Su Rui''s suspicion was fine.


    Autonomic dysfunction can also cause symptoms such as palpitations.


    The so-called autonomic nerves may not be well understood by everyone.


    In simple terms, it is the autonomic nerves that control the internal organs, including the sympathetic and parasympathetic nerves.


    If something goes wrong with them, the visceral sensation and movement will be unpleasant, so it is possible to suspect that the autonomic nerve disorder causes heart palpitations.


    However, Li Wenqian interrupted: "I checked the information on the Internet, and some people said that it was an autonomic disorder, so I was asked to take some B vitamins, oryzanol, etc., but it was useless for me."


    Lu Chen found that these people who came to see a doctor at the Kyoto Hospital had a thorough understanding of their condition and would often check information on the Internet.


    Su Rui frowned slightly, if it wasn''t autonomic disorder, what else could it be? She pondered other possibilities in her mind.


    At this moment, Lu Chen said: "If there is really no way to detect arrhythmia, we can do electrophysiological examination."


    Arrhythmia is like a thief. The thief always waits until the night is dark and windy and the lights are dark before committing crimes.


    After ?? succeeded, he quickly hid, and the police couldn''t do anything about him (similar to an ordinary electrocardiogram).


    Okay, then step up the patrol, and the patrol will be guarded 24 hours a day (24-hour dynamic electrocardiogram).


    But even so, the thief still has a way to evade the patrol of the police and attack behind the scenes.


    What can we do in the end?


    There is only one way. If you want to catch the thief, you can only go from house to house to register and visit.


    This is called active attack, which is like an electrophysiological examination of the heart. It is directly near the heart to stimulate the heart (knock on the door to register), and if there is a problem, it will be induced.


    "What should I do with this electrophysiological examination?" Li Wenqian asked immediately.


    "A minimally invasive surgery," Lu Chen explained, "directly use electrodes to penetrate deep into the esophagus, stimulate the heart near the esophagus, and see if it can induce arrhythmia. If it can, then find a way to perform radiofrequency ablation to burn off the lesions. "


    Lu Chen''s description is straightforward.


    Li Wenqian was a little scared when she heard it.


    It''s scary to move a knife on the heart!


    "I, I..." Li Wenqian swallowed and spit, "This... I''ll think about it first. Doctor, let the director come to see me first..."


    Lu Chen shrugged his shoulders, there was nothing he could do. These patients didn''t trust him, so he had to let Deputy Director Xiao Shikang come to the room for rounds.


    (end of this chapter)

 v2 Chapter 578： strange referred pain

    Chapter 578 Strange Referred Pain


    Electrophysiological examination is, after all, an invasive surgical procedure.


    The patient resisted, but Lu Chen could understand.


    On the other hand, Lu Chen was going to review the patient''s electrocardiogram and heart ultrasound.


    The inspection level of different hospitals varies greatly.


    Especially at the level of cardiac ultrasound, ordinary hospitals can at most look at the size of each chamber of the heart, but not others.


    And the ultrasound departments of some top hospitals, through ultrasonography, can perform heart ultrasound, and even diagnose cardiomyopathy, valvular disease, congenital heart disease, etc.


    Just in case, Lu Chen still checked Li Wenqian again, so that he could feel more at ease.


    ¡­


    Back to the doctor''s office.


    Lu Chen asked Su Rui to write a medical record, and he was responsible for the doctor''s orders.


    The two people work together, which can save a lot of time.


    This is also the first time that Lu Chen has experienced the joy of being a senior doctor!


    My subordinates can finally have someone to help write medical records, or give medical orders.


    For those junior brothers and sisters in the previous group, Lu Chen really didn''t dare to let them write the course of the disease, and he was also a student himself, always instructing the junior brothers and sisters under his command, it was not that kind of thing.


    Now that he manages the bed independently, Su Rui is equivalent to the first student he brought!


    "Su Rui, in addition to autonomic disorders, what other diseases do you think this patient should consider?"


    Lu Chen began to ask questions.


    This habit of ?? also inherits Li Yao''s "fine tradition".


    When he was rotating in the eight districts in his heart, he was also devastated by Li Yao''s questions for several months.


    Su Rui pursed her lips, her small eyes filled with big doubts.


    No matter how good she is, she is still an undergraduate intern with little or no clinical experience.


    "Senior Brother Lu, I haven''t thought of it yet." Su Rui glanced at Lu Chen secretly.


    The senior brother in front of her is not from Kyoto University School of Medicine, but she does not dare to have any contempt.


    On the contrary, after she heard about Lu Chen''s deeds, she felt indescribable admiration in her heart.


    Lu Chen smiled, "Actually, there is such a principle in our Cardiology Department."


    "Young people say that the heart is not feeling well, think of stomach problems."


    "The elderly say that the stomach is upset and think of heart disease!"


    Su Rui blinked, "Senior brother, but the symptoms described by the patient seem to have nothing to do with stomach problems. She clearly pointed out that the heart is uncomfortable..."


    Lu Chen smiled, "Many times the symptom description is inaccurate, or in other words, there is radiating pain. When my roommate had a kidney stone before, the pain in the testicles would also be involved."


    After saying this, Lu Chen felt a little inappropriate.


    After all, Su Rui is still a young female trainee, unlike those mature and experienced nurses.


    "Cough cough." Lu Chen coughed softly to hide his embarrassment.


    Su Rui blushed slightly, "Senior brother, you, what kind of roommates are you?"


    "There is a chance you can see it." Lu Chen scratched his head and could only sell Wang Zihao, "Actually, what I mean is that the esophagus and the heart are very close to each other, and some patients may have gastroesophageal reflux, which causes the heart to fail. It is comfortable, so it is described by patients as a symptom of the heart.¡±


    Since the innervation of the splanchnic nerves is intricate, there are often overlapping innervations.


    For example, a nerve may innervate several organs, which may cause interference to the brain. In fact, it is A¡¯s problem. The brain sometimes thinks that it is B¡¯s problem, so subjectively it will be expressed as B¡¯s pain.


    The typical pain of kidney stones is waist pain in the kidney area, and ureteral stones can also cause renal colic or ureteral colic, and can also radiate to the testis and labia.


    Su Rui recorded it in her notebook while listening to Lu Chen''s narration.


    "Congratulations, +1 for the thank you from Su Rui!"


    A prompt popped up on the system panel again, Lu Chen smiled slightly, and continued: "So, there is no need to worry about the patient''s electrophysiological examination. I am going to try to give gastric protection treatment first, and complete the gastroscopic examination if necessary. After excluding gastric diseases, Do electrophysiological tests again."


    Lu Chen''s overall thinking was completely displayed in front of Su Rui.


    He has no place to hide. As for how much Su Rui can understand and how much she can comprehend, it depends on her understanding.


    "Senior Brother Lu, does the patient have coronary heart disease?" Su Rui said again.


    Lu Chen smiled, "Don''t consider it, because the patient is young and does not have any risk factors for coronary heart disease (high blood pressure, diabetes, smoking, etc.), so coronary heart disease is not considered. Of course, if the patient is worried about coronary heart disease, coronary heart disease can be improved. CTA inspection."


    "Yes." Su Rui nodded, and wrote down what Lu Chen said in the notebook.


    ¡­


    One area in the heart, in the ward.


    Li Wenqian was lying on the bed, thinking about the electrophysiological examination that Lu Chen just mentioned.


    After thinking about it for a long time, she was still going to look for relevant information on electrophysiology on the Internet.


    At this moment, the nurse came in, and she was pushing a treatment cart with several bottles of medicine on it.


    "Do I still need an injection?" Li Wenqian asked in confusion.


    "Are you Li Wenqian with 25 beds?" The little nurse picked up the infusion sheet for comparison.


    "Yes." Li Wenqian nodded.


    "That''s right, this is the medicine prescribed by the doctor in charge of the bed." The little nurse said.


    "What medicine?" Li Wenqian frowned, she doesn''t feel any discomfort now, does she still need medicine?


    "Stomach-protecting medicine."


    "What? Medicine to protect the stomach?" Li Wenqian immediately stopped the little nurse''s needles, "I don''t have stomach problems! Don''t give me needles yet!"


    After finishing speaking, Li Wenqian took out her mobile phone again, glanced at the name of the liquid on the infusion list, and then began to search online.


    for a long time.


    "It''s really a medicine to protect the gastric mucosa!" Li Wenqian''s brows furrowed deeper, "Why is this young doctor prescribing medicine for my stomach? Does this medicine have a high commission?"


    Isn''t this a fuck? She couldn''t have been stabbed in such a vague way.


    Li Wenqian quickly found the doctor''s office.


    Lu Chen was explaining the patient''s condition to Su Rui.


    "Doctor Lu..." Li Wenqian called softly.


    Lu Chen looked back, "What''s the matter with you?"


    "That''s it, why are you giving me stomach-protecting medicine?" Li Wenqian stared at Lu Chen, trying to get a satisfactory explanation from his mouth.


    "Oh, that''s it, I''m going to find you." Lu Chen immediately explained his thoughts to Li Wenqian.


    "You said that my heart is not feeling well, but it''s actually caused by stomach problems?" Li Wenqian''s eyes filled with disbelief.


    Heart discomfort, and stomach problems, she can still distinguish between these two conditions.


    "We just have this consideration." Lu Chen said, "So I''m going to give you some stomach-protecting medicines as a diagnostic treatment measure."


    Li Wenqian was still a little unconvinced, she paused, "Then give me some medicine to protect my stomach, I don''t want an injection."


    "Also." Lu Chen nodded slightly and prescribed pantoprazole capsules and gastric mucosal protector to Li Wenqian.


    The next pace will be faster.


    (end of this chapter)

 v2 Chapter 579： dilemma

    Chapter 579 Dilemma


    After dealing with Li Wenqian, a patient with an "uncomfortable heart", Lu Chen continued to look for diagnostic clues from his other patients.


    He also slowly fell in love with this process.


    Just like a detective solving a case, all the details are gathered together, and finally, a reasonable reasoning and diagnosis are made.


    In addition to clinical training, the other main purpose of Lu Chen''s trip to Kyoto this time was to cooperate with the clinical research experiments carried out in the third heart area of ??the First Affiliated Hospital of Kyoto University.


    "Lu Chen, Director Wan asked you to have time tomorrow to visit the three districts in your heart to discuss the experiment."


    After get off work, Ke Yue suddenly sent Lu Chen a WeChat message.


    "Okay, received." Lu Chen replied immediately.


    The three districts in the heart, as the Kyoto scientific research sub-centers, also undertake a lot of tasks.


    Tomorrow happens to be the weekend, this time I should go to discuss with Director Wan about specific matters.


    ¡­


    The next day.


    Lu Chen got up early, several roommates in the dormitory went to the library to study, and he went to the third area of ??his heart.


    Heart Three Districts are two floors upstairs in Heart One District.


    There are also many people waiting for the elevator on weekends, so Lu Chen climbed the stairs.


    As soon as he entered the third area of ??his heart, he saw Ke Yue and Gu Xinyue chatting in front of the nurse station.


    "Old Gu is usually so arrogant and cold, but today is a little unusual!" Lu Chen smiled to himself, and then stepped forward.


    Because the two had their backs to Lu Chen, even if Lu Chen approached, the two of them hadn''t noticed Lu Chen''s arrival.


    Lu Chen got closer and heard Gu Xinyue say.


    "Ke Yue, what are the statistical methods involved in your overall experimental procedure? I read it for a long time, but I don''t quite understand it."


    Ke Yue paused and said, "The main thing is survival curve analysis and COX regression analysis. For more details, you need to ask Lu Chen. I''m also studying statistics now. This is too difficult."


    "Oh, okay." Gu Xinyue nodded.


    At this moment, Ke Yue caught a glimpse of Lu Chen out of the corner of his eye.


    "Hey, Lu Chen, you''re here."


    Lu Chen stopped hiding, stood up and said with a smile, "What are you two doing secretly?"


    Gu Xinyue immediately stood up straight when she heard Lu Chen''s voice.


    "Lao Gu said he wanted to come and learn from us, so I brought him here." Ke Yue blushed, she was thin-skinned and couldn''t stand the jokes of others.


    "Oh...is that so?" Lu Chen glanced at Gu Xinyue.


    "That, don''t get me wrong." Gu Xinyue cleared her throat, "We are discussing the experiment."


    Lu Chen looked at the awkwardness of the two and stopped teasing them, "Is Director Wan here?"


    "Here." Ke Yue nodded, "He comes to the department at seven every day."


    "Director Wan is really early!" Lu Chen exclaimed.


    None of these director-level characters really sleeps late.


    "Let''s go to the office."


    Under the leadership of Lu Chen, the three came to the director''s office.


    Boom¡­


    Lu Chen lightly knocked on the door.


    "go ahead!"


    A deep voice came from the room, and Lu Chen pushed the door and entered.


    In the director''s office, Director Wan Jingshui was discussing something with Fang Ruzhang.


    Seeing Lu Chen walk in, Wan Jingshui quickly stood up with a smile on his face.


    "Student Lu Chen is here!"


    Fang Ruzhang also stood up immediately, "Lu Chen, you are here!"


    Lu Chen walked into the office with a smile, "Director Wan, Teacher Fang, long time no see!"


    "Come on, there''s no need to chat, Fang Ruzhang and I are discussing experimental issues, and you came just in time." Wan Jingshui didn''t have any ink on it, so he directly pulled Lu Chen to sit on the sofa, and Ke Yue and Fang Ruzhang also sat beside him.


    "You should know about AstraZeneca recently, right?" Wan Jingshui looked serious.


    Lu Chen nodded slightly, "AstraZeneca announced an experimental plan similar to ours."


    "Hey, they are the original research company of Dapagliflozin after all." Wan Jingshui sighed, "Although we started the experiment early and have certain advantages, but facing a giant multinational company like AstraZeneca, I would I still think it''s very dangling!"


    When ??Wan Jingshui first heard about Lu Chen''s clinical research project, he had great expectations for him.


    Once the research results are finally removed, it may change the clinical guidelines!


    Lu Chen was a little silent when he heard the words.


    Wanjingshui''s words make sense. In a scientific research competition with AstraZeneca, the winning rate will not be too high!


    "Director Wan, do you think there is any way to break the situation now?" Lu Chen paused and looked up at Wan Jingshui and Fang Ruzhang.


    In clinical research, his experience is still shallow, far less than that of a director-level figure.


    Wan Jingshui glanced at Fang Ruzhang beside him.


    Fang Ruzhang understood and said slowly: "There are two options, the first is to withdraw from the competition. We can only publish the experimental results in China and make sure that your national natural project is finished. As for how much influence it can have in the world. , then it''s up to the gods."


    To put it bluntly, the first option is to lie flat!


    As long as you can publish a few SCI papers, you don¡¯t need to be too high-quality, and you don¡¯t need to publish papers faster than Oscar, as long as you can pass the national natural conclusion.


    This is not the same as Lu Chen''s original idea.


    "Mr. Fang, what about the second type?" Lu Chen stared at Fang Ruzhang.


    "As for the second type..." Fang Ruzhang paused, a glint of light flashed in his eyes, "That is to expand the scale of the experiment and fight with AstraZeneca!"


    Clinical scientific research experiments are different from basic scientific research experiments, and the most needed is the scale of the experiment!


    The larger the experimental sample size, the more convincing the experimental results are!


    A sample of 100 people and a sample of 10,000 people, it is obvious which papers are of high quality.


    "As far as I know, the number of AstraZeneca''s first batch of experiments was around 1,000 people." Lu Chen said.


    The sample size of 1,000 people, among which the experimenter''s inspection fee, drug use fee, etc., is not a small amount.


    Lu Chen''s current clinical trials, the number of people in Jinghua and other experiments in other places, has never been more than 400 people in total!


    Four hundred and one thousand, the difference is not small!


    What''s more, this is the first round of competition.


    This competition is about human, material and financial resources!


    Just relying on the National Natural Science Research Fund is not enough!


    "Hey, that''s why it''s difficult!" Wan Jingshui shook his head slightly, "Your tutor, Professor Li Yao, has also contacted me, and she can''t make a decision for the time being. Let me discuss it with you."


    Wan Jingshui valued Lu Chen''s scientific research project very much, and believed that some achievements would be made, so he was willing to run.


    Lu Chen thought about it for a long time, now he is in a dilemma.


    Give up and lose such a good opportunity.


    Persistence, the price paid is several times higher than it is now.


    The most important thing is that he is only a student now, what way can he continue to expand the scale of the experiment?


    (end of this chapter)

 v2 Chapter 580： Difficulties and Opportunities

    Chapter 580 Difficulties and Opportunities


    "Director Wan, what if I said, I want to choose the second one?"


    Lu Chen spoke in a low volume, but in the director''s office, it was like throwing a huge boulder into the calm lake, causing ripples.


    "The second kind..." Wan Jingshui rubbed his chin with his right hand and pondered, "Actually, I''m thinking of the second kind!"


    If Lu Chen was just an ordinary student and thought of such a topic by chance, then Wan Jingshui would definitely not be able to fight with him.


    But Lu Chen''s future is already foreseeable.


    In the future history of medical development in China, Lu Chen will definitely leave a strong mark!


    So, now, Wanjingshui is willing to gamble!


    However, the choice is easy, but the actual implementation is more difficult.


    "Director Wan, how do you think I should expand the scale of the experiment?" Lu Chen looked at Wan Jingshui.


    "The way to expand the scale of the experiment, our existing scale and personnel, is definitely not acceptable!" Wan Jingshui said solemnly, "I have discussed several times with your mentor Li Yao, if you really choose to confront AstraZeneca head-on, then It is necessary to carry out clinical experiment sub-centers in major nationwide, and to find the sponsorship of the experiment, just relying on the National Natural Fund, the cost problem is still stretched.¡±


    Lu Chen nodded slightly.


    He did not expect that Li Yao and Wan Jingshui had already thought about these issues.


    As the most direct person in charge of this experiment, he has not considered related issues for the time being.


    "Thank you, Director Wan." Lu Chen continued, "I will discuss the specific execution strategy with Li Yao mentor."


    "Okay, since you have chosen to have a scientific research competition with AstraZeneca, I still want to remind you that in the next year, put aside clinical matters for a while." Wan Jingshui instructed, "For the time being. Focus on clinical research first. As for Professor Qin Sifeng, I will communicate with him and ask him to reduce or exempt the beds you manage."


    Lu Chen was startled.


    He understands the truth that you cannot have both.


    For most people, scientific research and clinical development cannot be synchronized.


    But Qin Sifeng finally gave him four beds, and he couldn''t give up easily.


    "Director Wan, I will balance clinical and scientific research." Lu Chen said.


    Maybe others can¡¯t develop synchronously, but he has systematic help, and it is not impossible for clinical and scientific research to develop synchronously!


    In fact, the most important thing is that Lu Chen prefers the process of clinically treating diseases and saving people.


    However, scientific research and experiments are also indispensable for every doctor''s promotion.


    Even, in top hospitals, scientific research capabilities are more valued than clinical capabilities.


    "Okay, I believe you." Wan Jingshui patted Lu Chen''s shoulder with a smile.


    This kid did not disappoint him!


    It is very gratifying to see such a talented young man appear in the younger generation of Huaxia.


    In the end, although Huaxia Medicine has made rapid progress, it started late. Many domestic treatment guidelines have copied foreign guidelines intact.


    Whether it is clinical or clinical research, compared with developed countries in Europe and the United States, there are still many gaps between Huaxia and developed countries.


    "By the way, Director Wan, these two are my classmates in Jinghua." Lu Chen suddenly introduced to Wan Jingshui, "They have been helping me a lot in scientific research, and this time come to Kyoto with me. Exchange study, but also want to make some achievements in scientific research.¡±


    Wan Jingshui looked at Ke Yue and Gu Xinyue, "I know this girl. She is a student working in our department. This boy is the first time I have seen him."


    "Director Wan, hello, my name is Gu Xinyue." Gu Xinyue immediately whispered, thanking Lu Chen immensely in his heart, for bringing him up on this occasion, he could show his face in front of Director Wan Jingshui.


    "Well, yes, they are all good children!" Wan Jingshui nodded slightly, "Actually, I am also quite envious of you. When I was so young, I was able to come into contact with this kind of scientific research project. For me in the past, I really wanted to I don''t want to! You must cherish it."


    "Don''t worry, Director Wan, we will." Gu Xinyue said.


    Ke Yue also echoed.


    "Okay, let''s go out first." Wan Jingshui said again, "Lu Chen and I have something to say."


    Hearing this, Fang Ruzhang, Ke Yue, and Gu Xinyue all left the director''s office.


    ¡­


    Lu Chen is also a little strange, why did Director Wan Jingshui only leave him alone?


    Wan Jingshui made another cup of tea for Lu Chen, and Lu Chen quickly got up to catch it, "Thank you, Director Wan."


    Wan Jingshui smiled slightly, holding a cup of tea and taking a sip.


    "Lu Chen, you have made a lot of noise in the Cardiology Department of our Kyoto First Hospital recently!" Wan Jingshui laughed, "A difficult case was diagnosed, and a difficult electrophysiological operation was completed."


    "Director Wan has won the prize." Lu Chen smiled.


    "Hey, this isn''t too much." Wan Jingshui paused, looked up at Lu Chen and said, "Actually, my first thought about expanding the scale of the experiment was that in addition to the three areas in our hearts, we could try to expand the scale of the experiment. Clinical trials are also being conducted in other wards."


    "This..." Lu Chen was taken aback.


    Actually, Lu Chen had thought about this before.


    The Department of Cardiology of the First Affiliated Hospital of Kyoto University has a total of six wards.


    If every cardiac ward participates in his clinical project, the scale of the experiment can definitely be expanded.


    The Cardiology Department of the Second Hospital of Jinghua is already implementing this strategy.


    However, the only obstacle now is the network!


    "Director Wan, except for one area in my heart, I''m not familiar with other directors at all." Lu Chen said solemnly, "It''s not easy to get them to join the experiment!"


    "You don''t have to worry about this." Wan Jingshui said, "I can help you contact the directors of other departments, but you have to let them see the potential of your experimental project, so that they may join."


    "Potential?" Lu Chen was taken aback, "Director Wan, do you mean to publish a paper?"


    Wan Jingshui nodded slightly, "Although I heard that you recently produced a high-scoring SCI paper, but this is not enough, send as many papers as possible, so that the directors of other departments can see the possibility of producing results, and they will may join in."


    Of course, other departments joined in, following Wanjingshui.


    Wanjingshui, as the first batch of collaborators to join the clinical trial, is one of the five most important PIs (project leaders)!


    "Okay!" Lu Chen''s eyes were full of fighting spirit.


    The more difficult it is, the more it can stimulate the potential fighting spirit in him.


    "Lu Chen, in these two months, publish as many papers as possible!" Wanjing Shuidao.


    ¡­


    After leaving the director''s office, Lu Chen already had a new mission goal, that is, to publish as many papers as possible within two months.


    According to the meaning of Wanjingshui, it is best to send another 5-point SCI paper and two to three 2-point SCI papers.


    "It''s really stressful!" Lu Chen rubbed his temples.


    SCI papers are not ordinary writing novels.


    Many postgraduate tutors can''t post an article a year...


    Now Wanjingshui requires Lu Chen to complete three articles within two months!


    The difficulty of this one can be imagined.


    However, this is also a great opportunity.


    If they can really complete the task, even if other cardiology departments do not participate in the experiment, it will be a huge improvement for themselves!


    (end of this chapter)

 v2 Chapter 581： Get thanks from your sister

    Chapter 581: Getting Thanks from Junior Sister


    Just when Lu Chen was worried about his SCI papers, Li Wenqian, a patient he managed, also ran into trouble.


    Li Wenqian didn''t sleep well in the hospital, so she went home to sleep privately.


    In fact, this is not allowed. According to relevant rules and regulations, hospitalized patients cannot go home at night.


    But Li Wenqian couldn''t take it anymore. In the evening, the "symphony" in the ward came and went, and she finally returned home with the medicine that Lu Chen prescribed to her.


    Coincidentally, in the middle of the night, the discomfort in her heart attacked again.


    Extremely uncomfortable near-death feeling!


    Li Wenqian ate the Betaloc that she had been taking before, and the pantoprazole that Lu Chen gave her today.


    She is going to go to the hospital when her symptoms get better.


    However, what I didn''t expect was that after more than ten minutes of relaxation, the discomfort in her heart suddenly disappeared.


    Li Wenqian was just stunned for a while, but didn''t take it to heart.


    I thought it was an accident, because she had this situation before, and the "sense of near-death" would slowly disappear.


    But, on the second day......


    In the evening, Li Wenqian was lying on the hospital bed, and that kind of "sense of near-death" in his heart did not attack for a whole day!


    Li Wenqian began to have some doubts.


    "Did the stomach medicine work?"


    During this time, except today, she would have heart palpitations and a sense of near-death attack every day.


    The third day, early morning.


    Li Wenqian opened her eyes, a flash of joy flashed in her eyes.


    Sure enough, there was no heart attack all night long!


    However, in the morning, the symptoms of heart palpitations reappeared. Li Wenqian did not take her previous medicine, but only took pantoprazole capsules.


    The symptoms of palpitations disappeared again!


    ¡­


    In the morning, Lu Chen rounds the room as usual.


    Li Wenqian immediately spoke out about her strange phenomenon.


    "After taking the stomach medicine, the feeling of impending death in the heart has not attacked?" Lu Chen was also quite surprised.


    Is it true that the heart is uncomfortable due to stomach problems?


    "I also deliberately only took stomach medicine, not the medicine I had prepared before." Li Wenqian said, "I found that the symptoms to my heart have never occurred!"


    "Then the electrophysiological examination should be suspended for now." Lu Chen said solemnly, "I''ll arrange a gastroscope for you first."


    Li Wenqian trusts Lu Chen unconditionally at this time.


    Simple stomach medicine actually cured the "sense of near-death" in the heart that had troubled me for a long time!


    Li Wenqian was a little afraid of the discomfort of having a gastroscope, and finally had a painless gastroscopy.


    This investigation, as expected, found the problem: Cardia lesions.


    The pathological biopsy tip was: chronic inflammation with acute active inflammation.


    Some people may not know what a cardia is.


    The cardia is a checkpoint for the esophagus to enter the stomach. If the cardia is relaxed, the food in the esophagus will enter the stomach. If the cardia is clamped, the food will not fall down, and the gastric acid in the stomach cannot reflux into the esophagus.


    Cardia is the gate, to ensure that you can go out smoothly, and definitely not let in.


    In this way, the road from the esophagus to the stomach can only be followed, not the other way around.


    But normal people occasionally have acid reflux, which is a sign that the cardia is not tightly closed. In some pathological conditions, the cardia is relaxed, and gastric acid is easily refluxed into the esophagus, which can cause esophagitis.


    This is gastroesophageal reflux disease.


    ¡­


    In the ward, Li Wenqian''s eyes showed a look of incomparable gratitude.


    In the eyes of Junior Sister Su Rui, the admiration was even stronger.


    "Congratulations, received +1 thanks from Li Wenqian!"


    "Congratulations, the completion of the system upgrade has increased!"


    "Doctor Lu, it turns out that I really have a stomach problem!" Li Wenqian tightly clenched the gastroscope pathology report in her hand.


    During her medical treatment for more than half a year, she was almost always in the outpatient department of cardiology, and she never thought about the problem of the digestive tract.


    "Actually, you can''t rule out the problem of your heart for the time being." Lu Chen didn''t say anything, some people have heart and stomach problems at the same time, "But you don''t need to check the heart for the time being, take the stomach medicine for a while, and the symptoms will not recur. Only then can the diagnosis be made, this feeling of impending death of the heart originates from the digestive tract."


    "Okay, Doctor Lu, I''ll listen to you!" Li Wenqian nodded quickly.


    Now Lu Chen''s words, for her, that is the imperial edict!


    ¡­


    Back to the doctor''s office.


    Sister Su Rui is still a little unbelievable. This patient has been treated in other top three hospitals in Kyoto for a long time, but the doctor has never suspected a digestive tract problem.


    Came to Brother Lu Chen''s hospital bed for two days, and was diagnosed at once!


    Is this the charm of Brother Lu Chen?


    Lu Chen secretly looked at Junior Sister Su Rui, who was on the side, and found that she had been staring at the gastroscope pathology report. He thought to himself, "Why didn''t Junior Sister give me thanks for solving such a patient? This is unscientific!"


    So Lu Chen cleared his throat and smiled: "Junior sister, if you don''t understand anything, you can ask me directly."


    This kind of gratitude is worth nothing if you don¡¯t earn it!


    Su Rui came back to her senses, stunned and said: "Senior brother, I, I just want to know the specific cause of the heart discomfort caused by gastroesophageal reflux..."


    Lu Chen smiled and asked rhetorically, "What are the common symptoms of gastroesophageal reflux?"


    Su Rui said: "The common manifestations of gastroesophageal reflux are heartburn and regurgitation. Others include pharyngitis, chronic cough, asthma, etc..."


    Su Rui is a top student at Kyoto University, she can recite such basic questions by heart.


    "Actually, you missed a bit." Lu Chen added, "In a few cases, arrhythmia may also be induced, because the esophagus and the heart are close to each other, and when the esophagus is stimulated, it is easy to touch the heart, thus Causes arrhythmias, such as atrial fibrillation, or paroxysmal supraventricular tachycardia. These arrhythmias can have palpitations, chest tightness, and a sense of impending death.¡±


    This is also when Lu Chen communicated with Li Wenqian, he did not deny the existence of "heart disease".


    "Then why did the patient find no abnormality in the 24-hour electrocardiogram?"


    Su Rui thought for a while and continued to ask.


    "There are several reasons." Lu Chen is very pleased that this kind of student at the top level is able to ask key questions, "One is that it happened that there was no attack for 24 hours, so it was not caught, which requires repeated repetitions. Do a 24-hour Holter."


    "The other is that the patient may have no obvious arrhythmia at all, and it may be just the autonomic dysfunction caused by the reflux stimulated the heart, not necessarily the result of a significant arrhythmia."


    Su Rui listened and recorded.


    Lu Chen''s system panel finally popped up a prompt.


    "Congratulations, +1 for the thank you from Su Rui!"


    It''s really not easy to get the gratitude value from the junior sister!


    At this time, Su Rui suddenly said, "Senior brother, the patient''s discomfort for so long is not a heart problem at all, but a digestive tract problem. It''s a pity that so many doctors have not found this."


    Lu Chen paused and said solemnly: "If you have been in other hospitals, you know that this is actually not uncommon. Because doctors are of uneven levels, and outpatient doctors are too busy, they don''t have a lot of time to think about patients slowly. The situation, like an assembly line, next, next..."


    "But, Senior Brother, the hospitals I saw this patient went to were all the top three hospitals in Kyoto." Su Rui said, "These hospitals are also very famous!"


    Lu Chen shook his head slightly and sighed, "It''s not uncommon for some tertiary hospitals that are desperately pursuing papers to have this kind of thing happen."


    He himself is now faced with the choice of clinical and scientific research.


    If he was an ordinary person, he would have to choose the focus.


    ¡­


    (end of this chapter)

 v2 Chapter 582： Bad news, fatal blow!

    Chapter 582 Bad news, fatal blow!


    A district in the heart, the director''s office.


    "Lu Chen, you only want to take care of two hospital beds?" Qin Sifeng looked at the boy in front of him suspiciously.


    In his eyes, Lu Chen is definitely not such a lazy person.


    "Yeah." Lu Chen nodded slightly.


    "Why?" Qin Sifeng frowned, he had a lot of expectations for Lu Chen, and there were already very few hospital beds!


    In Qin Sifeng''s future expectations, he will add a few more beds to Lu Chen.


    Why did Lu Chen suddenly give up?


    "Mr. Qin, in the next period of time, I want to mainly study my own national nature project." Lu Chen said, "I want to publish a few more papers..."


    Lu Chen revealed his and Wanjingshui''s plans.


    "Do you want to cooperate with the Cardiology Department of the First Affiliated Hospital of Kyoto University to conduct research on the National Nature Project?" Qin Sifeng asked in surprise.


    Kyoto Hospital, the relationship here is complicated, Lu Chen and Wan Jingshui still think too simple!


    "Lu Chen, there are issues of benefit distribution and resource distribution here, but it''s not like when others see that you have published a few papers, they will start a project with you." Qin Sifeng said solemnly.


    "Mr. Qin, I know it''s difficult." Lu Chen nodded slightly, "Director Wan will help me contact the directors of each department and try to win the approval of the directors."


    "In that case, let me help you contact the professors of several research groups." Qin Sifeng said suddenly.


    Lu Chen''s expression brightened upon hearing this, "Thank you, Teacher Qin."


    Qin Sifeng is very influential in the Department of Cardiology. With his words, Lu Chen''s scientific research and experimental projects will be a lot easier.


    "Since you have already decided, I won''t say anything more." Qin Sifeng continued, he knew the importance of scientific research and experimental projects.


    Now, to be promoted to Deputy Chief Physician, you need to have undertaken at least one national natural project.


    Lu Chen''s choice is understandable.


    Leaving two beds is the result of Lu Chen''s careful consideration.


    It is impossible to give up clinical practice completely.


    So he decided to continue to manage two beds while focusing on scientific research projects, so that the clinical work is not busy and clinical skills will not be forgotten.


    "However, I have one more request for you." Qin Sifeng said suddenly.


    "Teacher Qin, please speak."


    Qin Sifeng said solemnly: "The number of beds has been reduced, but I still hope you can participate more in the operation in the catheterization room."


    Surgery, to put it bluntly, is about practice making perfect.


    Being out of the operating room for two months, the surgical ability of ordinary people will definitely decline.


    "Okay." Lu Chen nodded.


    He knew that Qin Sifeng was taking care of him, otherwise he wouldn''t care at all.


    "That''s fine, let''s work hard!" Qin Sifeng patted Lu Chen''s shoulder lightly.


    "I will." Lu Chen responded with a smile.


    ¡­


    Leave the doctor''s office.


    Lu Chen found a student in his medical team, Su Rui.


    "Junior sister, why don''t I talk to Teacher Xiao, you go to another group?" Lu Chen said to Su Rui with a smile.


    After getting along for a while, Lu Chen was extremely satisfied with Su Rui''s performance.


    In other words, the quality of the students at Kyoto University¡¯s medical school is very high. Just bring any student and put it in the second hospital of Jinghua, which belongs to the existence of the ceiling.


    "Brother, you, you don''t want me to follow you anymore?" Su Rui pursed her lips lightly.


    Her expression now is like that of an abandoned daughter-in-law.


    "No." Lu Chen quickly explained, "I''m about to reduce the number of beds and make it into two beds. If you still follow me, you probably won''t learn much."


    With two beds, Lu Chen usually has nothing to do in the department, let alone take a student!


    "Ah? Senior Brother, why do you only have two hospital beds left?" Su Rui wondered, could it be that another leader made it on a whim?


    I haven''t been with Lu Chen before, I don''t know Brother Lu Chen''s clinical strength, I have only heard of his electrophysiological surgery ability, but now working with Lu Chen, Su Rui understands Lu Chen''s strength very well.


    "I have a lot of scientific research projects on hand, so clinical matters will be put aside for the time being." Lu Chen explained a little.


    "Scientific research?" Su Rui blinked. She felt like she was hugging a thigh. After she was about to go back to the dormitory, she carefully searched how many papers Brother Lu Chen had published.


    "Yeah." Lu Chen nodded slightly, "So you follow the other teachers, much better than me."


    Su Rui paused for a while, then said slowly: "Brother, let''s go, I''ll follow you for the time being. I''ve also participated in experimental research in the group recently. I''ll see if I can learn something from you."


    Lu Chen was taken aback for a moment, this is really a scholar-level figure!


    Su Rui has already started scientific research experiments at the undergraduate level.


    Recalling that when I was an undergraduate, I was still doing electrocardiograms for patients on the hospital bed.


    "Alright." Lu Chen didn''t say no. For medical students in top medical schools, thesis ability is much more important than clinical ability!


    After finishing the ward, Lu Chen returned to the bedroom.


    For the next two months, he will devote himself to the writing of the thesis.


    The first thing, Lu Chen realized that he entered the system panel and exchanged the "Thesis Writing" skill card (intermediate).


    After redeeming this skill card, the gratitude value accumulated during this period is not much left.


    But it''s all worth it!


    Obtained the "Thesis Writing" skill card, and Lu Chen started high-intensity writing training.


    ¡­


    In the library, Lu Chen, Ke Yue, and Gu Xinyue sat in a row to collect experimental materials during this period.


    "If the early papers want to be outstanding, they must work hard from the experimental steps, the expected results of the experiment, and the innovation of the experiment."


    With the help of the "Thesis Writing" skill card, Lu Chen quickly found the entry point and began to collect targeted data.


    Gu Xinyue and Ke Yue are mainly responsible for the collection of all patient experimental data, while Lu Chen is responsible for the statistical analysis of the data.


    Statistical analysis of data is also the most difficult point in clinical research experiments.


    Ke Yue is already a veteran, and quickly entered the rhythm.


    But Gu Xinyue has just joined, and has not been accustomed to sorting out huge data for a while.


    "This is much more difficult than treating patients clinically!" Gu Xinyue sighed.


    However, he would not easily admit defeat. After adjusting his mentality, he continued to immerse himself in data collection.


    ¡­


    Just when the three of Lu Chen were buried in clinical research, a "bad news" came unexpectedly!


    "Led by AstraZeneca, three consecutive papers on the latest research progress of Dapagliflozin have been published!"


    "All three SCI papers have a score of 5 or more! The highest one has a score of 8!"


    When the members of Lu Chen''s National Nature team saw the news, everyone was silent, whether it was in Jinghua or in Kyoto.


    AstraZeneca shot!


    The first move is a fatal blow!


    (end of this chapter)

 v2 Chapter 583： exit crisis

    Chapter 583 Exit Crisis


    Lu Chenyan''s expression was very solemn.


    When he saw the paper published by AstraZeneca, he felt great pressure!


    AstraZeneca had never acted before, everyone was just afraid of its past terrifying strength.


    But now, when he made his move and faced this giant company, Lu Chen even wanted to give up.


    AstraZeneca''s three papers have many highlights, whether in terms of conception, innovation, or experimental procedures and statistical methods.


    Lu Chen once published an SCI paper with a score of 5. Compared with these three papers, they are all at a disadvantage!


    The three areas in the heart, the doctor''s office.


    "too difficult!"


    Director Wan Jingshui and Fang Ruzhang sat opposite each other, and both of them had this deep helplessness in their eyes.


    "I used to have a fluke mentality." Wan Jingshui sighed, "AstraZeneca has so many projects, if he doesn''t pay too much attention to the drug Dapagliflozin, maybe we can have a solution! But now... ¡­¡±


    The impact factor of these papers may not be the highest, but the AstraZeneca experiment has not been fully carried out, and only the three previous papers can be used as the final papers of many other national natural projects.


    Once AstraZeneca completes the final trial, it will definitely change the clinical guidelines!


    "Director, it seems that we still underestimate AstraZeneca!" Fang Ruzhang shook his head helplessly, "Next, what should I do with Lu Chen''s national nature project?"


    has already promised Lu Chen to participate, so it must be carried out to the end.


    Fang Ruzhang asked about the next "intensity of participation".


    Lie flat, or continue to cooperate with Lu Chen to expand the scale?


    After a long while, Wan Jingshui slowly raised his head, "Tell Lu Chen, we will continue the next experimental project in the three districts in our heart, but we will not take the initiative to expand the scale, and I do not need this PI (principal person in charge) status. "


    Previously, the reason why he valued Lu Chen''s national nature project so much was mainly innovation, the only one in the world!


    But now, with AstraZeneca in the front, the weight of Lu Chenguo''s natural project is much smaller in an instant.


    There is no way, in the scientific research community, only the first, not the second.


    The first person is the founder.


    Next, whether it is the second person or the 200th person, it can only be regarded as a repeated experiment.


    Wanjingshui has this time, it is better to cooperate with other projects.


    Fang Ruzhang could only nod his head when he heard Wanjingshui''s words.


    ¡­


    "Mr. Fang, what do you mean, Director Wan will not continue to expand the scale?" Lu Chen''s face was a little ugly.


    He was stunned by the news brought by Fang Ruzhang before he recovered from the "bombing" of AstraZeneca''s three papers.


    Fang Ruzhang nodded slightly, "Director Wan means, we will continue to participate in the experiment, but not as PI, nor will we undertake any major experimental part."


    Lu Chen understood, Director Wan was about to lie down.


    Withdrawing from PI means that he does not need to pay a lot of money and is not responsible for the authenticity of experimental data and other issues.


    And the final result of the experiment, at most, he is just a name, and there is no substantive result.


    "Mr. Fang, if you help me answer, I still have to thank Director Wan." Lu Chen smiled bitterly.


    This is also excusable.


    At times like this, the choice of Wanjingshui is not surprising.


    He did not quit directly, but chose to continue the next cooperation, which has already saved him face.


    "Okay." Fang Ruzhang said, "Lu Chen, don''t be discouraged, publish a few more SCI papers, and it will be great if you can conclude the topic of the country."


    "Well, good." Lu Chen replied softly and ended the conversation with Fang Ruzhang.


    ¡­


    Lu Chen''s national nature project encountered an unprecedented crisis in the future.


    Someone like Wanjingshui just quit the PI and stayed to continue the experiment, which is still a face.


    Many clinical research centers simply opted out.


    Lu Chen''s natural experiment in the country has returned to its most primitive state.


    With the current scale, it is impossible to surpass AstraZeneca!


    "Lu Chen, you are still young. If you can apply for the National Nature Program this time, it is already a success." Li Yao also felt a big shock at the first time.


    "Teacher, do we really have no hope?" Lu Chen said slowly.


    "Hope is slim." Li Yao shook his head slightly, "The entire clinical research experiment will last for a year. If we don''t have any way to expand the scale of the experiment, even if we can complete the experiment ahead of schedule, it is impossible to cooperate with AstraZeneca. Compete. On the other hand, even if the scale of the experiment can be expanded, but the progress of the experiment is smaller than that of AstraZeneca, it is all in vain.¡±


    To win this scientific research competition, there are two necessary conditions, one of which is the scale of the experiment, which is not less than the number of AstraZeneca''s laboratories. Second, that is the progress of the experiment, it is meaningful to finish the problem first than AstraZeneca.


    Lu Chen also knew the difficulty.


    In particular, when AstraZeneca published these three papers, it has also represented that they have matured in the research field of dapagliflozin in the treatment of heart failure.


    After a long while, Lu Chen''s voice came over the phone.


    "Teacher, give me another two months, I still want to try." Lu Chen said in a deep voice.


    "What do you want to do?" Li Yao wondered.


    "Teacher, I want to prove that my experiment is no worse than AstraZeneca!"


    At this moment, Lu Chen''s voice was very firm.


    Although AstraZeneca is a giant multinational company, and even though Lu Chen doesn''t have any capital now, he just wants to collide.


    Because of the worst results, it''s just a return to the initial state of the experiment.


    Li Yao''s heart moved slightly, she suddenly understood why Lu Chen was able to stand out among the many students.


    "Ok, I will wait for you!"


    ¡­


    Lu Chen doesn''t have much time. Within two months, if he can''t prove himself or expand the scale of the experiment, it will be a complete failure of the scientific research competition.


    Because the scale of the experiment will not be expanded for more than two months, his experimental progress will definitely lag behind AstraZeneca, and it will be too late by then!


    Fortunately, Lu Chen still has a group of friends who never leave.


    In the library, Ke Yue, Gu Xinyue, and even Wang Zihao came.


    Such a small team with "skimming feet" was quietly established.


    People don''t talk about failure at all, and everyone has an unwillingness to admit defeat in their eyes.


    After AstraZeneca published the three papers, Lu Chen spent a whole week to understand the context of the three papers thoroughly.


    Knowing yourself and knowing your enemy can help you survive a hundred battles.


    The two-month deadline has already passed half a month.


    Lu Chen finally started the writing part of the thesis.


    This time, he is ready to complete the writing of three SCI papers.


    Lu Chen posted a mission.


    "Ke Yue, my mission and yours, each one has an SCI."


    "Also, Lao Gu and Zihao, you two will finish an article together!"


    Compared with the other two, Ke Yue has experience in completing SCI papers.


    And both Laogu and Wang Zihao have zero experience!


    Except for Lu Chen and Ke Yue, this kind of "not in the mainstream" scientific research team doesn''t seem to be able to publish three SCI articles in two months...


    (end of this chapter)

 v2 Chapter 584： Ways to improve the quality of your paper

    Chapter 584 Methods to improve the quality of papers


    Data collection, analysis, thesis topic formulation, content writing...


    All things are carried out slowly and in an orderly manner.


    Lu Chen spends the rest of his time on writing papers except for managing two clinical beds every day.


    Junior Sister Su Rui from the ?? group also came to Lu Chen''s project team and occasionally helped Lu Chen with data collection.


    Teaching building, a free classroom.


    Lu Chen and others took this place as a temporary project base.


    The hospital library is a place that needs to be quiet. Lu Chen and others have a lot of problems that need to be discussed collectively, so they chose to be in the classroom.


    "Lu Chen, look at my experimental steps here, did I miss something?"


    As long as they encounter problems they don''t understand, Ke Yue, Gu Xinyue and others will find Lu Chen in time.


    "There may be some problems with the selection of indications." Lu Chen would stop his work every time to help everyone check for deficiencies.


    Actually, he did not have high requirements for Gu Xinyue and Wang Zihao.


    As long as they can complete the writing of the thesis within two months, that is a success!


    The rest, the revision of the thesis, is done by himself.


    "Okay, I''ll go check the information again."


    Everyone is working hard, and no one is worried about success or failure.


    This kept Lu Chen in a state of concern, and he was a little disappointed.


    The team that was temporarily formed by himself slowly got on the right track.


    Just like that, a month passed in a blink of an eye.


    ¡­


    Over the past month, Lu Chen has mostly been immersed in thesis writing.


    If he hadn''t managed two beds occasionally, he might be extremely boring now.


    The experimental data was all sorted out, and Lu Chen began to analyze the data with SPSS.


    This operation, Ke Yue, Gu Xinyue, and the others would not know at all, so Lu Chen was the only one left to complete it.


    Several other people were watching and learning from the sidelines.


    Taking advantage of this opportunity, Gu Xinyue''s clinical research level has made great progress.


    But the doubts in his heart are big!


    is also rotated clinically. When did Lu Chen secretly learn clinical research?


    Especially the operation of this SPSS software, it takes a lot of time and energy for ordinary people to master it!


    But looking at Lu Chen''s operation, his proficiency is so high that it is on par with some students who specialize in statistics.


    This shocked Gu Xinyue, Ke Yue and others.


    "Without a year of professional training, it is impossible to reach Lu Chen''s level!" Gu Xinyue admired Lu Chen even more in her heart.


    In addition to being talented and intelligent, he really couldn''t find any other words to praise Lu Chen.


    ¡­


    In order not to escape Lu Chen''s retreat, Ke Yue, Gu Xinyue and others also redoubled their efforts to conduct scientific research experiments.


    Even when Lu Chen was away, or when Lu Chen went to rest, they would still spend time in the classroom writing papers.


    "All of you staring at such big dark circles?"


    After checking the room, Lu Chen came to the teaching building, opened the door, and saw everyone looking tired.


    He was also heartbroken, everyone worked hard for the same goal.


    Even Wang Zihao, who knew nothing about it, was able to provide some advice to the project team.


    However, Lu Chen always felt that his thesis was still lacking!


    AstraZeneca''s three papers, he has studied many times.


    Among them, the innovative idea is something he cannot surpass in a short period of time.


    So, in what way can he break through AstraZeneca''s "paper blockade"?


    ¡­


    According to the current progress of the paper, Lu Chen can complete the SCI writing, but as for the quality of the paper, it is definitely not as good as AstraZeneca''s three papers.


    Lu Chen thought about it for a long time, but still didn''t think of any way to break the situation. In desperation, he could only find tutor Li Yao.


    Jinghua Second Hospital, eight districts in the heart.


    Li Yao is sitting in the office. In her computer file, it is the first draft of Lu Chen''s paper!


    "It''s incredible!"


    When Li Yao saw this paper for the first time, there was a deep surprise in his eyes.


    In one month''s event, Lu Chen was able to write such a high-quality paper!


    This is not a paper with water words. From Li Yao''s perspective, this paper can definitely be published in SCI journals with about 6 points.


    She had a clearer understanding of Lu Chen''s abilities.


    This kind of terrifying thesis writing level, if Lu Chen is placed in any corner of the world, he can make his own way.


    "Mr. Li, how do you think this paper compares to the one with the highest score from AstraZeneca?"


    Seeing the text in Lu Chen''s email, Li Yao was a little stunned!


    This article is really amazing.


    However, no matter how good it is, it is only a dissertation completed within a month.


    There are also many flaws, and compared with AstraZeneca''s carefully crafted papers, it still falls short.


    So, Li Yao replied: "Lu Chen, you don''t need to compare with AstraZeneca, your paper is already great!"


    At this time, Lu Chen had blocked such words.


    What he needs now is not encouragement, but is there any way to make his thesis go further?


    After learning about Lu Chen''s demands, Li Yao also thought hard.


    This paper by Lu Chen has been finalized.


    The research content, steps and methods can hardly be changed, so how can the quality be improved to a higher level?


    ¡­


    For Lu Chen now, the adjustment of life is clinical work.


    Clinical research experiments have become the main theme of life.


    "Doctor Lu, you are really amazing." Li Wenqian came to the follow-up consultation, and she looked quite excited, "It''s been a month since I was discharged from the hospital, and I took the medicine you prescribed for me, and my heart is not feeling well, or that kind of dying feeling, It never happened again!"


    Lu Chen sat in the office in the first district of his heart, listening to Li Wenqian''s description, a faint smile appeared on his face.


    "That''s good, it seems that your heart is still uncomfortable due to stomach problems." Lu Chen said.


    "Yeah, yes!" Li Wenqian gave Lu Chen a thumbs up, "Dr. Lu is really young and promising. I have seen so many illnesses in other hospitals, and even went to the chief physician, but no one ever thought it was the stomach What''s wrong!"


    Lu Chen smiled and said nothing.


    Don''t underestimate each other, he can''t say much.


    But seeing the patient recover, Lu Chen was also very happy.


    At the same time, the system panel also popped up a prompt.


    "Congratulations, +1 for the thank you from Li Wenqian!"


    ¡­


    Just when Lu Chen and Li Wenqian were talking, the phone suddenly vibrated. Lu Chen picked it up and saw that it was the tutor Li Yao who sent a WeChat message.


    "Lu Chen, the only thing that can improve the quality of your paper now is to change the statistical method of the experiment!"


    Seeing this message, Lu Chen frowned, changing the statistical method?


    The statistical method he is currently using is the most comprehensive and top-level statistical method he can master.


    If you want to change the statistical method, with Lu Chen''s current ability, it is simply impossible to do it!


    (end of this chapter)

 v2 Chapter 585： Another way

    Chapter 585 Find a new way


    Lu Chen''s current statistical level can reach the intermediate level.


    With a thought, he entered the system mall.


    Soon, he found the "Statistics" skill card (Advanced).


    However, the gratitude points that this advanced skill card needs to consume makes him discouraged!


    It takes 20,000 points!


    All his gratitude points have been used to exchange for the "Thesis Writing" skill card, and now the total gratitude points are less than 100.


    What''s more, let alone two months, even if Lu Chen was given another two months, it was unlikely that he would earn enough 20,000 points of gratitude.


    This road is broken!


    "Is there really no way?" Lu Chen frowned deeply.


    Don''t rely on the help of the system to learn difficult statistics by yourself?


    The idea of ???? just appeared in Lu Chen''s mind, but he gave up.


    Remember that statistics, like medicine, is a separate course.


    Learn statistics first, and then apply it to your own national nature project.


    There is only one month, which is too short!


    This road is broken again!


    At this moment, Xiao Shikang suddenly walked to Lu Chen''s side.


    "Lu Chen, Professor Qin is looking for you and asks you to come to his office. He has something to call you."


    "Oh well."


    Lu Chen''s thoughts were pulled back, then nodded and walked towards Qin Sifeng''s director''s office.


    ¡­


    lightly knocked on the door, Lu Chen tidied up his collar, and then slowly walked into the office.


    in the office.


    Qin Sifeng was at the desk, frowning and flipping through the documents in his hand.


    Hearing the movement, he raised his head slightly and smiled when he saw that it was Lu Chen.


    "Lu Chen, come and sit."


    Qin Sifeng pointed to the chair opposite, Lu Chen responded lightly, and sat down.


    "Mr. Qin, Mr. Xiao said you were looking for me?"


    "Yes." Qin Sifeng put the document in his hand aside and said to Lu Chen with a smile, "There is an operation tomorrow, maybe you need to do it."


    "Okay." Lu Chen agreed without any hesitation.


    "You didn''t even ask what the operation was?" Qin Sifeng smiled.


    "Working under Teacher Qin, that''s what I should do." Lu Chen scratched his head, "Also, I also like electrophysiological surgery. When encountering difficult surgery, I can gain some knowledge."


    "Well, it''s good to have such an idea." Qin Sifeng nodded to Lu Chen with satisfaction.


    Although Lu Chen has been in the department for a short time recently, Qin Sifeng is still very concerned about Lu Chen''s current situation.


    "I heard that you have been busy with clinical research recently. If you encounter any trouble and need my help, just let me know."


    Lu Chen''s expression changed when he heard this.


    Seeing Lu Chen''s hesitant expression, Qin Sifeng knew that he had made a mistake by mistake, so he was quite curious: "Is there really trouble?"


    Lu Chen nodded slightly, "Mr. Qin, do you know some statistics teachers?"


    "Statistics?" Qin Sifeng frowned, "Why are you asking this?"


    Lu Chen paused, then briefly explained his demands.


    Since it is not possible to exchange through the system and self-learning is not enough, then you can only rely on outside help.


    "Change the statistical method to improve the quality of the paper?" Qin Sifeng repeated Lu Chen''s words.


    "Yes." Lu Chen nodded slightly.


    "Show me the paper first." Qin Sifeng said.


    Just happened to have his first draft of the paper in his mailbox, so Lu Chen sent it directly to Qin Sifeng.


    ¡­


    for a long time.


    Qin Sifeng read the whole paper, he and Li Yao have the same expressions!


    That is amazing!


    It is hard to imagine that this is a dissertation written by a graduate student in one month!


    The statistical method Lu Chen is using is already excellent.


    If you want to change the statistical method, it is basically the top one!


    "Lu Chen, I don''t think you need to worry at all." Qin Sifeng raised his head and looked at Lu Chen, as if looking at a treasure, the joy in his eyes is self-evident, "With your current ability, sooner or later, you will be able to break out into your own space. ."


    The implication is that now Lu Chen doesn''t have to fight with AstraZeneca at all.


    "Precipitate well, Lu Chen, you will go far!"


    Lu Chen was a little silent.


    These words of Qin Sifeng, his mentor Li Yao also told him.


    The current AstraZeneca is like Dao Tianzhu, straddling in front of Lu Chen.


    Everyone, including Lu Chen himself, felt that it was impossible for him to beat AstraZeneca.


    "For the past six months, follow me to study in the catheterization lab." Qin Sifeng continued to comfort him, "As for the natural projects in your country, just let the flow take its course, and you can finish it. Don''t worry, you will encounter better scientific research projects in the future. , in no hurry."


    Really give up?


    Give up this chance to confront AstraZeneca?


    Lu Chen lowered his head and flipped through the paper in his hand.


    Suddenly, a WeChat message popped up on the mobile phone WeChat.


    opened it and saw that it was sent by Gu Xinyue.


    "Lu Chen, Zihao and I have finished the first draft of the thesis, you can help us see it."


    Gu Xinyue actually completed the writing of the thesis?


    He is faster than Ke Yue? !


    A month ago, Gu Xinyue had zero knowledge about Lu Chen''s national nature project.


    In just one month, he and Wang Zihao have been able to complete a thesis.


    Looking back on the past month, every bit of struggle with everyone.


    Lu Chen''s eyes became more and more firm!


    He slowly raised his head and looked at Qin Sifeng in front of him.


    "Mr. Qin, I don''t want to give up yet!"


    Lu Chen''s voice was not loud, but Qin Sifeng was stunned.


    His words were all for this sake, Lu Chen still didn''t give up?


    Should I say that Lu Chen is a glutton, or is he cute and stupid?


    Obviously you don''t need to fight like this, you have to force yourself into this situation.


    Qin Sifeng shook his head slightly, then a faint smile appeared on his face, maybe this is the uniqueness of Lu Chen...


    "Well, I''ll leave you with the contact information." Qin Sifeng picked up the pen and wrote a name and phone number on a sticky note, "This is a professor of statistics at Kyoto University, and I was a former classmate. You are now The statistical method to be replaced, probably only she can help you improve."


    "Thank you, Teacher Qin." Lu Chen''s face showed joy.


    "However, she is usually very busy. Whether you can persuade her to help you depends on your ability." Qin Sifeng said.


    "Yeah." Lu Chen nodded slightly. Like this long-established professor, most of them have a personality, and it may take a lot of effort to ask him to help.


    However, now that I know such a path, I have some hope.


    Lu Chen took the note that Qin Sifeng handed over, with the name Su Yaling written on it, followed by her contact number.


    walked out of the director''s office.


    Lu Chen did not make a rash call, but now searched for information about Su Yaling on the Internet.


    Su Yaling, professor, doctoral supervisor, deputy director of the Center for Statistical Sciences, Kyoto University.


    ¡­


    (end of this chapter)

 v2 Chapter 586： goodbye acquaintance

    Chapter 586 Goodbye acquaintances


    Lu Chen was a little surprised when he saw Su Yaling''s profile.


    Deputy Director of the Statistical Science Center, this is the big boss among the big guys!


    This Statistical Science Center was founded by many statistical authorities.


    Lu Chen didn''t expect Professor Qin Sifeng to have such a relationship?


    But think about it, behind an excellent scientific researcher, there must be an excellent statistical partner.


    With the deepening of scientific research, the more advanced statistical knowledge needs to be used.


    "However, it''s definitely not easy to persuade Professor Su Yaling to help me!" Lu Chen wasn''t too sure.


    Qin Sifeng has clearly stated that Su Yaling cannot directly change the statistical method for herself because of his relationship.


    The time of these bosses is very precious, and it is impossible to easily agree to their requests.


    "No matter what, I still have to give it a try." Lu Chen said in his heart.


    ¡­


    Go back to the bedroom.


    Lu Chen studied Professor Su Yaling''s resume carefully. Since he decided to ask her for help, he must fully understand it.


    In which statistical fields Su Yaling has made achievements, and which articles she has published in the past three years, Lu Chen finds them one by one.


    "Lu Chen, you are amazing!" Wang Zihao said in admiration when he saw the information on Lu Chen''s table.


    He thought that he and Gu Xinyue had spent a month writing an article, which was already very good.


    But when he saw Lu Chen, his self-confidence was wiped out again.


    Wang Zihao can only keep reminding himself in his heart, don''t compare yourself to Lu Chen!


    Fortunately, I am definitely better than him at one point...that is, I am not as black as him!


    After learning about Su Yaling''s resume, Lu Chen found some free time and came to the Statistical Science Center of Kyoto University.


    Statistical Science Center Building, this is a new building, in stark contrast to other buildings next to it.


    On the bulletin board on the wall at the entrance of the lobby on the first floor, the history of the establishment of the Statistical Science Center is written.


    The Center for Statistical Science is composed of a number of professors and doctoral supervisors as the main responsible teams, each of whom has a good reputation in the field of statistics in China.


    "Classmate, who are you looking for?"


    Just as he was about to go upstairs, the security guard at the door on the first floor stopped Lu Chen directly.


    "Master, I''m looking for Professor Su Yaling." Lu Chen smiled.


    "I don''t seem to have seen you before, do you have any documents?" The uncle glanced at Lu Chen, "Student ID or work ID?"


    "This..." Lu Chen was taken aback for a moment, he really didn''t know that he needed a certificate to enter the building, he thought about it, took out his mobile phone, and turned to a picture, "Master, I''m an exchange student at Kyoto University this year, you see, This is our badge, which I just didn''t bring today."


    Uncle has presbyopia, looked at the phone from a distance, and said suspiciously: "You, I really haven''t seen it before..."


    "Master, I''ll go in and find Professor Su, and I''ll be back soon, it won''t take long." Lu Chen hurriedly laughed.


    "Okay, go back quickly!" The security guard saw that Lu Chen was also a student, so he didn''t bother, "But next time, take your ID with you, or I won''t let you in."


    "Okay, thank you uncle."


    Lu Chen waved at the uncle and went straight to the third floor.


    He had already found out that Su Yaling was in the deputy director''s office in room 305 on the third floor.


    At the door of Room 305, Lu Chen knocked gently on the door.


    But after a long while, still no one responded.


    Lu Chen patiently knocked on the door again.


    "Isn''t Professor Su not here? It seems that today''s trip was in vain."


    Just when Lu Chen was wondering, a surprised voice came from his ear.


    "Doctor Lu?"


    Hearing this female voice, Lu Chen turned his head in surprise and saw that it was her?


    Some time ago, Ding Rongli, a "connected household" who was hospitalized in his bed!


    is the female patient who had a headache and was finally diagnosed with a patent foramen ovale.


    "Doctor Lu, why are you here?" Ding Rongli opened her mouth in surprise and looked at Lu Chen in front of her.


    Lu Chen also returned to the divine way: "That...I have something to ask Professor Su Yaling."


    "Professor Su went to a meeting today and was absent all day." Ding Rongli immediately said, "Is there anything I need help with? I am one of the members of Professor Su''s group."


    Lu Chen''s eyes lit up, "You also do statistics?"


    "Yes." Ding Rongli nodded slightly, "My own major is statistics, and I have also studied at the Statistical Science Center for a long time."


    "Is such that¡­¡­"


    Lu Chen informed Ding Rongli that he wanted to change the statistical method in his paper.


    "That''s it?" Ding Rongli smiled, "Leave it to me, I can do it."


    Lu Chen''s face showed a happy look, "That''s really great."


    "Come with me to the office."


    "OK."


    Lu Chen followed Ding Rongli to the small office beside him.


    For the confidentiality of the paper, he did not take out the whole paper, but only took out the statistical part.


    As a researcher in statistics, Ding Rongli has been in this field for many years. She is proud of her profession.


    She has also helped many doctors to do statistical analysis. Although the SCI impact factor of the articles published is not high, she has published a lot!


    She poured a glass of water for Lu Chen, then sat down at the desk by herself and began to read Lu Chen''s data report.


    ¡­


    After a while.


    Ding Rongli frowned, Lu Chen''s request was really difficult!


    No wonder he came to Professor Su Yaling, ordinary people really can''t solve it...


    is a bit of a slap in the face!


    "How''s it going?" Lu Chen asked aloud.


    It''s been more than half an hour, why Ding Rongli hasn''t moved at all!


    Ding Rongli blushed and said slightly embarrassed: "Doctor Lu, I''m sorry, I may not be very skilled in the statistical analysis you asked for..."


    Not very skilled?


    When Lu Chen heard this, he knew that Ding Rongli might be too good. He was not too surprised, "It''s okay, thank you anyway."


    Ding Rongli''s face was a little unsightly. He took over this job, and now he told Lu Chen that he couldn''t do it...


    The most important thing is that Lu Chen used to be his doctor in charge, and he solved such a big trouble for her. She couldn''t help her at all, and she was really sorry.


    Lu Chen was about to get up and leave when Ding Rongli quickly said, "Dr. Lu, let''s go, you can put your data with me. When Professor Su returns, I will help you communicate with him."


    "It''s so brave!" Lu Chen nodded quickly.


    He is worried about how to get along with Professor Su Yaling? !


    With Ding Rongli''s help, he won''t have his eyes darkened.


    "Okay, Dr. Lu, I''ll contact you when the time comes."


    After Lu Chen and Ding Rongli agreed, they left the ward.


    ¡­


    Two days later, Ding Rongli sent back news to Lu Chen as promised.


    (end of this chapter)

 v2 Chapter 587： Meet Su Yaling

    Chapter 587 Meeting Su Yaling


    "Lu Chen, do you have time tomorrow? Come to our Statistical Science Center."


    "Okay, received."


    Lu Chen was very excited. Hearing what Ding Rongli said, it was mostly done!


    the next day.


    After he finished his work in the department, he came to the Statistical Science Center of Kyoto University.


    Room 305.


    Ding Rongli and Su Yaling sat opposite each other.


    "Xiao Su, the statistical task of your data analysis is another job you took over privately?"


    Su Yaling has a grim face, some white hair on the temples, and wears silver-rimmed glasses. She looks extremely serious.


    "Professor Su, what you said, I don''t have the responsibility to take on such private work." Ding Rongli scratched her head awkwardly.


    As a statistician, many people help others do statistical work online to get paid.


    In the eyes of outsiders, the highly difficult statistical analysis, in their hands, may only take a few hours before the machine can all run out.


    The Huaxia core paper that Wang Zihao published before was done with the help of students majoring in statistics.


    Ding Rongli often "takes orders" on the Internet, and the price is not cheap. Su Yaling turns a blind eye to this.


    "I see that you don''t have the guts." Su Yaling said coldly, "I read this data analysis. With your current ability, you really can''t do it."


    Ding Rongli could only bow her head helplessly.


    "However, I''m also curious, why is this kind of demanding statistical analysis needed?" Su Yaling''s eyes flashed with doubts, "I actually found me here."


    "Professor Su, his name is Lu Chen, he is a physician in the Cardiology Department of the First Affiliated Hospital of Kyoto University." Ding Rongli explained.


    "The First Affiliated Hospital of Kyoto University?" Su Yaling suddenly realized, "It seems that the old man Qin asked him to come, hehe, this is fun..."


    Just then, there was a knock on the door.


    "He should be here." Ding Rongli stood up immediately.


    "Please come in." Su Yaling''s mouth curled up.


    Lu Chen opened the door and found that the two women in front of him were staring at him.


    Ding Rongli pouted to the side.


    "This person should be Professor Su." Lu Chen thought to himself, then smiled and introduced himself, "Professor Su, hello, I was introduced by Professor Qin."


    Su Yaling raised her brows slightly, but she didn''t guess.


    It is indeed because of Qin Sifeng!


    "Sit!" Su Yaling pointed to the sofa in front of her.


    Lu Chen felt that Professor Su Yaling''s tone was not quite right, especially when he mentioned Professor Qin.


    So, he immediately made up the mortal past of Qin Sifeng and Su Yaling in his mind...


    "Lu Chen, right?" Su Yaling''s voice interrupted Lu Chen''s thoughts.


    "Yes." Lu Chen nodded quickly.


    "I read your data report, and I don''t think you need to use more advanced statistical methods." Su Yaling said unceremoniously, "With your current thesis requirements, the current statistical methods are sufficient."


    The student in front of him is about twenty-three or four years old. At most, he is a bachelor, master and doctoral student, and he may publish a doctoral dissertation this year.


    The requirements for a doctoral dissertation only require that the impact factor of a single SCI paper exceeds 5 points.


    "Professor Su, it''s like this, I want to conduct a more precise statistical analysis..." Lu Chen was about to speak when Su Yaling interrupted him.


    "Don''t talk about that, are you Qin Sifeng''s student this year?"


    Lu Chen was taken aback, nodded, and shook his head again.


    Su Yaling frowned, "What do you mean?"


    Lu Chen immediately explained: "Professor Qin Sifeng is my teacher, but I am not from Kyoto University. I came to exchange this year and chose Professor Qin Sifeng as my tutor."


    "Not from this school?" Su Yaling asked in surprise, "How old are you now?"


    Lu Chen was stunned for a while, then smiled: "I will study the second year this year."


    "What? You, you''re only studying for the second year?"


    Su Yaling was surprised, then looked down at the data report in her hand, a data table of this level is not something that a master student can make!


    A graduate student, who is not a Ph.D. from Kyoto University, can make such beautiful data?


    "Which school did you come to communicate with?"


    "Jinghua Medical University."


    Su Yaling is silent, Jinghua Medical University? The top end university?


    "You made this data sheet in my hand?" Su Yaling paused, then confirmed again, "Didn''t Qin Sifeng do it for you?"


    "Professor Su, I wrote this myself." Lu Chen nodded, "I have the original data and analysis chart of the data report at hand, do you want to see it?"


    "Look!" Su Yaling said rudely.


    She still doesn''t quite believe what Lu Chen said, saying that he is a doctoral dissertation is more convincing, but saying that it is a master''s dissertation is simply impossible!


    There are not many students of this level in Kyoto University.


    When Lu Chen saw that Su Yaling wanted the raw data, he immediately called Ke Yue and asked her to send all the raw analysis data.


    Less than five minutes.


    Lu Chen received the email, and he immediately sent it to Su Yaling, "Professor Su, you can take a look."


    In order to gain Professor Su''s trust, she still has to be familiar with the overall experimental situation.


    Su Yaling went back to the computer and just glanced at it, she knew what Lu Chen was thinking.


    She asked Lu Chen a few more questions about the data, and confirmed that this "data report" was indeed written by Lu Chen.


    "Lu Chen, why do you insist on changing statistical methods?"


    Lu Chen was slightly silent, and then said, "Publish a higher-scoring paper!"


    He didn''t lie, the reason why the whole experiment was replaced with advanced statistical methods was to issue high-scoring papers.


    Su Yaling likes Lu Chen''s temperament a little bit, she''s straight, and she doesn''t beat around the bush.


    "Why didn''t old man Qin bring you here in person?"


    here, here again!


    Looking at Su Yaling''s expression, Lu Chen dared to make sure that there was something tricky between the two.


    "This... Teacher Qin has been busy recently... When he is done, he will definitely come." Lu Chen responded tentatively.


    Su Yaling''s face softened a little after hearing this.


    "Okay, I see, you can go."


    "Huh? Let me go?"


    Lu Chen was taken aback for a moment, he glanced at "" Ding Rongli, a little confused.


    "Why...you have something else to do?" Su Yaling frowned.


    "No, no more."


    Ding Rongli hurriedly whispered: "Doctor Lu, you go first, I''ll tell you when I have news."


    Lu Chen could only nod his head slightly.


    The old professors are all moody, Lu Chen can''t go against their will like this.


    ¡­


    This time, he came home empty-handed.


    Actually, it''s not really empty-handed. After all, Lu Chen knew about the "feeling" between Professor Qin Sifeng and Professor Su Yaling.


    In addition to waiting for the result, Lu Chen decided to start in this direction.


    (end of this chapter)

 v2 Chapter 588： fall into a trap

    Chapter 588 Falling into a trap


    Return to one area of ??your heart.


    Before leaving get off work, Lu Chen went straight to the director''s office.


    In the office, Qin Sifeng is sipping tea leisurely.


    When Lu Chen suddenly knocked on the door and came in, he was stunned for a moment, then smiled, "Why are you back, didn''t you go to find Su Yaling?"


    Lu Chen sat next to Qin Sifeng, blinked his eyes, and said slowly, "Teacher, I just came back from Professor Su. She said that she would only be willing to help me if you came over in person."


    Hearing this, Qin Sifeng groaned in his heart, "Then what... I''ve been busy recently. There is a cardiovascular exchange group from abroad. I''m busy entertaining, and I may not have time recently."


    "Teacher..." Lu Chen coughed softly, "Aren''t you... afraid of Professor Su?"


    Qin Sifeng''s eyes widened, "How is that possible? How could I be afraid of her?!"


    "Then you can always help me." Lu Chen smiled, "Go find Professor Su."


    Qin Sifeng was slightly silent.


    Lu Chen continued: "Teacher, look, I will never refuse where I usually need to use it."


    Hearing this, Qin Sifeng''s eyes flashed a hint of cunning, "Actually, it''s not impossible for me to find her, you have to promise me something."


    "Okay!" Lu Chen said quickly.


    Qin Sifeng smiled, "You brat, you are not afraid that I will sell you."


    Lu Chen smiled and scratched his head, "Teacher, what you said, I have nothing to sell."


    Qin Sifeng paused and said, "This exchange group from abroad wants to share the experience of surgery with our cardiovascular-aged interventional doctors."


    It is said to be "communication technology", but it is actually a comparison of the ability of interventional surgery.


    "They sent three people to the exchange group, and we also sent three people here."


    "I want you to try it."


    Lu Chen frowned. Although he wasn''t interested in these games, he didn''t show weakness when everyone else came to the door.


    You can see the surgical proficiency of foreign interventional doctors, which seems to be good.


    "Okay, Teacher Qin, I promise you." Lu Chen nodded.


    "Okay! Then I''ll call Su Yaling now."


    Looking at the faint smile on Qin Sifeng''s face, Lu Chen suddenly felt that he had fallen into a pit? !


    This older generation of people, all of them are human beings, and accidentally fell into the pit...


    ¡­


    Once you get into the pit, just get into the pit, and the result is quite good.


    After ?? Qin Sifeng made a phone call, Su Yaling agreed to Lu Chen''s request and asked him to go to the Statistical Science Center of Kyoto University a week later to get the analysis results.


    Lu Chen breathed a sigh of relief, and finally saw a glimmer of light.


    If Su Yaling''s final statistical analysis is correct, then the quality of his paper should be on a higher level!


    ¡­


    However, what Lu Chen didn''t expect was that this "interventional surgery competition" with the foreign exchange group came so soon!


    The next day, he was revising his thesis in the dormitory, when Qin Sifeng called him to the cardiovascular catheterization room.


    When I came to the door of the catheterization room, it was already overcrowded.


    On the way here, Lu Chen has already inquired that the exchange group to Kyoto University this time is from an island country, the Faculty of Medicine of the University of Tokyo in an island country, and its cardiovascular strength ranks among the top three in the island country.


    This time, there were more than 20 people in the exchange group from the island country. In addition to the normal academic exchange meetings, this "intervention competition" was also the most eye-catching part.


    "Lu Chen, I''m here!"


    At the door of the catheterization room, Xiao Shikang took Lu Chen in.


    "Mr. Xiao, there are so many people?" Lu Chen looked around and couldn''t help sighing.


    "Hey, the three surgical competitions this time are coronary intervention, congenital heart disease and electrophysiological surgery." Xiao Shikang said, "So most of our cardiology surgeons have arrived."


    "The competition in the three fields?" Lu Chen was taken aback, he thought it was only about electrophysiology.


    "Yes, and the age of the surgeon must be under thirty-five." Xiao Shikang said, "Professor Qin originally asked me to go, but after thinking about it, it''s better for you to go, and grasp it. These little rbs, I can''t stand it, it''s easy to say that I lose compared with others, and if I lose, I can''t forgive myself."


    Lu Chen smiled and said nothing.


    He also heard about the record against the island country just now. In the past few years, the island country has basically stabilized China.


    ¡­


    The leaders of the hospital and the island country exchange group visited the catheterization room, and Qin Sifeng was following them.


    Lu Chen also saw Professor Yang Feng and Jia Bo, both of whom were at the front of the team, separated by the leaders of the exchange group.


    Yang Feng saw Lu Chen standing at the door of the electrophysiology operating room, his eyelids twitched.


    "It''s him again?"


    Jia Bo explained: "Teacher, I heard that Lu Chen came to our hospital as an exchange student."


    "Why was he selected to compete?" Yang Feng frowned, "What a nonsense! He is a graduate student from another school coming to the competition?!"


    "He was selected by Professor Qin Sifeng, and I have no right to intervene here." Jia Bo said, "I can''t change people now."


    "Lu Chen is still like a dog-skin plaster, no matter how you shake it, you can''t shake it off." Yang Feng''s face darkened, thinking back to when he was in the Kyoto Electrophysiology Institute, Lu Chen actually publicly rejected him.


    Every time he thinks of this, his face feels dull.


    Lu Chen saw Yang Feng and Jia Bo looking towards him, and also greeted them.


    Yang Feng''s face turned even darker!


    ¡­


    At this moment, a professor from an island country whispered to the people around him: "Look at the doctor in front of their intervention room No. 6, why are you so young?"


    The members of the other island country exchange groups all noticed Lu Chen''s situation in the Intervention Room No. 6.


    "Huaxia people, are they scared?"


    "Find a young man to compete in this competition. Is there a reason for losing?"


    "The conceited Chinese will pay the price!"


    "Yamamoto-kun, Fujiwara-kun, Tsuruta-kun, you must show the Chinese people what the world''s top cardiovascular intervention capability is!"


    The members of the island country exchange group noticed Lu Chen, and everyone had a displeased look on their faces.


    No matter how Huaxia Fang thought about it, they all felt that it was disrespectful to them!


    ¡­


    "Intervention game begins!"


    Yang Feng directly announced the start of the competition after communicating with the island professor.


    Three doctors from the island country entered the intervention room.


    Lu Chen looked at the two people beside him, one was for cardiac intervention and the other was for congenital heart disease intervention, both of them were about thirty years old.


    Lu Chen had seen them several times in the catheterization lab and didn''t know each other very well.


    Walk into Intervention Room 6.


    Lu Chen saw the patient lying on the operating table.


    In this "intervention competition", all patients signed the informed consent.


    Those who can participate in this competition are all well-known surgeons in the industry, and patients will naturally not object.


    While waiting outside just now, Lu Chen had already understood the patient''s condition.


    This is a patient who has undergone ablation of atrial fibrillation twice, but still has atrial fibrillation.


    Failed twice, now ready for a third operation.


    For Lu Chen, he is most familiar with atrial fibrillation ablation surgery!


    As the doctors from each intervention room entered, the surgery officially began.


    intervened outdoors, and everyone looked at the six big screens attentively.


    Professors from several exchange groups from the island countries were also sitting upright, staring at the surveillance video.


    China and the island country are friendly on the surface, but for historical reasons, the two sides are a **** feud.


    In this exchange trip, no one is willing to lose out.


    (end of this chapter)

 v2 Chapter 589： win

    Chapter 589 Winning


    Lu Chen entered a state of surgery.


    He had put aside all his distractions and completely forgot that this was a game, but instead focused on making the operation perfect.


    The difficulty of atrial fibrillation ablation surgery lies in positioning.


    Find as many ablation points as possible, otherwise it will lead to recurrence of atrial fibrillation and ablation failure, but not too much damage to the myocardium.


    This balance point is also a difficult point, which needs to be grasped by the surgeon.


    Intervenes outdoors.


    Yang Feng nodded slightly as he looked at the performance of the doctors in the intervention rooms No. 4 and No. 5.


    Coronary intervention is his forte.


    The candidate for this competition is also a young doctor with the best proficiency in coronary intervention under Yang Feng. He has completed a number of difficult coronary intervention operations, and has a large number of young doctors in the field of coronary intervention in China. reputation.


    As for the doctor candidates for congenital heart disease, it was appointed by Ou Yangming, a young doctor who had just returned from his studies in the United States.


    Except for Lu Chen, he is just a graduate student from the outer school... This lineup is quite powerful!


    As for the opponent''s island country, Yang Feng turned his head to see that their surgical intervention method was unpleasant, but they were so prudent that people couldn''t pick out any faults.


    "What a tough opponent." Yang Feng couldn''t help but think that the island country''s medicine has ranked first in the world for many years in a row, and China''s modern medicine started very late. Although it has made rapid progress, there is still a big gap.


    In order to ensure fairness, the judges of this competition are American members of the International Cardiovascular Organization.


    The judges will evaluate the overall surgery score based on the degree of surgical completion, difficulty, speed, long-term effects, complications, and various factors.


    ¡­


    Time is passing slowly.


    Worryingly, both intervention doctors in Huaxia''s Intervention Room No. 4 and No. 5 encountered trouble.


    Among them, the coronary intervention of No. 4 is a highly difficult CTO lesion.


    In the face of this serious vascular disease, it takes a long time and the effect is not necessarily good.


    Congenital heart disease No. 5, the patient''s heart structure has undergone severe transposition, which is not the same as the normal heart, resulting in a certain deviation in the angle and direction of the puncture.


    The appearance of this unexpected situation caused the progress of the two Huaxia Fang to fall behind!


    In the three interventional operating rooms in the island country, although there were some minor accidents, they were all easily resolved.


    "This is really bad luck!" Yang Feng shook his head involuntarily.


    For the sake of fairness, the types of surgery in each field are the same, but the physical conditions of the patients themselves are fundamentally different, so it is impossible to guarantee the same level of difficulty of surgery.


    Yang Feng turned his head to look at Lu Chen, who was beside him.


    Good guy, he, he''s almost done?


    This speed...


    is simply appalling!


    That''s right, Lu Chen is performing the final induced arrhythmia treatment for the patient.


    As long as atrial fibrillation is not induced, it proves that the operation is basically successful.


    Others only did half of it, but he actually finished it all?


    ¡­


    The professors in the island country also looked gloomy and looked at the No. 6 intervention room where Lu Chen was.


    "Where is this doctor from?"


    "Excessive pursuit of speed ignores the safety and completion of surgery!"


    "He''s inducing arrhythmia now, definitely inducing atrial fibrillation."


    "Tsuruta-kun must be able to surpass him! I believe in Tsuruta!"


    The third operating room in the island country is also undergoing electrophysiological ablation of atrial fibrillation, but at this time the patient is still being positioned.


    Compared with the two, the difference in operation speed is too large.


    Outside the catheter room, everyone''s eyes could not help but turn to the sixth operating room where Lu Chen was.


    ¡­


    Lu Chen began to induce all-round, not letting go of any place at all.


    At the same time, Lu Chen''s attention was fixed on the ECG monitor on the operating table.


    Because once the atrial fibrillation waveform appears on the monitor, it means that the ablation of atrial fibrillation basically failed.


    Induced once, twice, three times¡­


    Outside the catheter room, Qin Sifeng''s heart also mentioned his throat.


    said it was an ordinary competition, but it still took on too many things.


    If Lu Chen fails, the inner part of his heart that he leads may suffer the punishment of failure.


    As the person in charge of the electrophysiology field, Qin Sifeng chose Lu Chen against the public opinion, and he will also be punished accordingly.


    Finally, everyone saw that Lu Chen stopped what he was doing.


    "This is... the end?"


    Yang Feng stared at the screen tightly, not daring to miss any of Lu Chen''s operations.


    I saw that Lu Chen had withdrawn the catheter and electrode from the blood vessel.


    "Okay, it''s done." Lu Chen smiled and said to the patient on the hospital bed.


    "Doctor, will my atrial fibrillation recur?"


    On the operating table, the patient quickly asked when the operation was completed.


    He was really scared!


    Ablation of atrial fibrillation twice in a row, the pain and cost involved are huge.


    Lu Chen smiled, "I don''t dare to say 100% completely melted away, but I can guarantee that you won''t do it again in recent years!"


    "That''s good!!" The patient smiled reassuringly. After one or two years after the operation, the atrial fibrillation came back.


    She has been tortured by atrial fibrillation to the point of going crazy all these years!


    Atrial fibrillation attack, if the heart rate is too fast, it may be the attack of acute heart failure, and even lead to the occurrence of myocardial infarction and cerebral infarction.


    This is a very dangerous thing for anyone.


    ¡­


    Intervenes outdoors.


    The professors from the island country all had gloomy faces.


    Because the judges from the United States have given Lu Chen the final score, 93.82.


    According to the usual grading rules, more than 90 points can be regarded as the top score.


    "It''s really surprising, where did such a young and excellent doctor appear?"


    "I think he is about the same age as my son, only twenty years old."


    "Maybe he''s in his thirties, he just looks young."


    "Our Tsuruta-kun, it doesn''t seem very good..."


    ¡°¡­¡±


    After half an hour.


    When the last interventional doctor finished the operation, just ten minutes later, the American judges'' scoring results came out...


    Two surgical elites in each field are compared.


    ¡°¡­¡±


    "Operating Room No. 3, Tsuruta, 91.43."


    "Operating Room No. 6, Lu Chen, 93.82."


    ¡°¡­¡±


    In order to prevent Lu Chen''s score from being forgotten, the American judges repeated it again.


    "Won!"


    Lu Chen smiled slightly.


    This surgery went well. Mainly because he has the highest surgical proficiency in atrial fibrillation ablation, and training in the virtual space of the system can quickly adapt to a variety of situations.


    However, Lu Chen looked at the scores of the other two, and they seemed to be lower than the doctors in the island country.


    If it is two wins in three games, then Huaxia still loses.


    At this time, Yang Feng''s face was extremely gloomy.


    His two most proud young doctors actually lost!


    And Lu Chen actually created another miracle, winning the game without any suspense.


    It can be said that Lu Chen''s advantages are extremely obvious!


    (end of this chapter)

 v2 Chapter 590： legendary journal

    Chapter 590 Legendary Journal


    The First Affiliated Hospital of Kyoto University.


    Cardiac catheterization laboratory.


    At this time, the atmosphere in the room was very strange.


    how to say¡­¡­


    The professors of Kyoto University felt that they lost, and the island country exchange group did not have the joy of winning the competition.


    Accidents in operating rooms No. 4 and No. 5 also led to a low degree of completion of the two doctors.


    But in the competition in the field of electrophysiology, the island country lost completely!


    Lu Chen can be said to have crushed the opponent in all aspects in terms of speed, completion, difficulty, etc.


    This is still the younger generation of doctors, should they have the strength?


    What annoys the doctors in the island country the most is that Lu Chen seems to be a lot younger than them!


    "Tsuruta-kun, think carefully after returning home!"


    The professor of the island country exchange group gave Tsuruta a hard look at the third operating room.


    Tsuruta lowered his head, still chaos in his mind.


    Before he came to Kyoto, he didn''t take the doctors here in his heart.


    After all, the medicine in the island country is a lot higher than that in China, especially in the cardiovascular field.


    The death rate of coronary heart disease among islanders is the lowest in the world!


    In terms of basic prevention and intervention in the cardiovascular field, the island country has far surpassed China.


    "Professor, this time is definitely an accident!" Tsuruta still couldn''t help explaining, "How about we have another match?"


    "More than that? Isn''t that shameful enough?" Professor Shimakuni''s tone was very displeased.


    Hetian, as a contestant, could not see Lu Chen''s surgery, but as spectators, they could see it clearly!


    Lu Chen''s operating technique and proficiency have surpassed that of Hetian in all aspects.


    "Professor, I..." Tsuruta wanted to explain something, but Professor Shimakuni directly interrupted.


    "Stop talking! Go back and watch the surgery video for yourself!"


    For the island country exchange group, if they did not fully crush Huaxia, this would be a loss!


    After saying that, Professor Shimakuni rolled his eyes Tsuruta, and then the people who led the exchange group left the catheterization room.


    ¡­


    On the Kyoto University side, apart from Qin Sifeng and his party, the atmosphere was not very harmonious.


    The level of involvement of the island nation is indeed higher than that of Huaxia, but what everyone did not expect was that, except for the outsider Lu Chen, everyone else lost!


    Take a step back and say that if Xiao Shikang is on the court, Kyoto University is likely to be wiped out!


    "Let''s go! Let''s go back too!" As the director of the Department of Cardiology, Yang Feng''s face was dull at this time.


    Although it was a simple exchange, it involved the faces of both sides. As the leader of the University of Cardiology, he was really **** off by the performance of everyone.


    As for Lu Chen, his emotions are very complicated now.


    If he really accepted Lu Chen back then, he would be his own student!


    All the honors of Lu Chen will be under his halo!


    But now...


    Qin Sifeng, Xiao Shikang and others in the first district in their hearts were all ecstatic at this time.


    Lu Chen represented them, the only contestant who has beaten Xiao rb!


    "Lu Chen, that''s great!" Xiao Shikang put his arm around Lu Chen''s shoulder, "I saw those little rbs'' faces turned pale! It''s really heartwarming!"


    Lu Chen smiled.


    At this time, he was also very happy, but as a master, he must remain calm.


    "Lu Chen, I didn''t see you wrong." Professor Qin looked at Lu Chen with a smile on his face.


    Lu Chen touched his nose and approached Professor Qin, "Teacher, you forgot what you promised me!"


    "Don''t worry." Qin Sifeng nodded, "In a few days, I will find Su Yaling in person!"


    ¡­


    After this little episode, Lu Chen''s reputation spread throughout the Cardiology Department of the First Affiliated Hospital of Kyoto University!


    As a foreign exchange student, Lu Chen can be well known to everyone, which is unexpected.


    Lu Chen didn''t care too much about the opinions and remarks of others. At this time, he threw himself into the writing of SCI papers!


    When the time agreed with Su Yaling arrived, Qin Sifeng really went to the Statistical Science Center of Kyoto University in person.


    "Professor Qin and Professor Su must have something tricky!"


    Lu Chen received an email containing Professor Su Yaling''s new analysis of his experimental data.


    "Lu Chen, I have done what I promised you!" Qin Sifeng made a special call to Lu Chen.


    "It''s hard work, teacher."


    Lu Chen simply replied, and quickly opened the email.


    After browsing the paper for a while, Lu Chen''s eyes lit up!


    "It''s just... so awesome!"


    is worthy of being a top statistician. His experimental data has been re-analyzed by Professor Su Yaling, and the force is instantly higher.


    The most important thing is that the experimental data can still get positive results after re-analysis.


    What Lu Chen feared most was that after Su Yaling''s secondary analysis, he finally came up with a negative result, so this kind of article would be impossible to publish!


    Now Lu Chen has no such worries. He directly integrated Professor Su Yaling''s experimental analysis and wrote it into his paper.


    In the next few days, Lu Chen focused on improving the wording and sentence structure of the thesis.


    After all, it is an English paper, not a habit of the mother tongue, and many words and sentences need to be revised.


    To be simple and clear without obvious grammatical errors.


    Finally, three days after receiving Su Yaling''s experimental analysis report, Lu Chen completed the writing of his entire thesis.


    The two-month deadline is approaching, and he also completed this SCI paper at the end of the time.


    ¡­


    The last thing, and that is the choice of journals to publish in.


    The choice of journals for publication is also a technical task.


    SCI impact factor is too low, then it is a loss!


    If the ?? is too high, the manuscript will be rejected, and too much review time will be wasted.


    After discussing with Li Yao, Lu Chen chose a magazine called "BasicResearchincardiology".


    The recent SCI score recalculation, its impact factor is 11.98 points!


    This is one of the top ten cardiovascular journals in the world. Even for many professors from Kyoto University, it is not easy to publish a paper in this journal!


    Just like Xiao Shikang, Fang Ruzhang and others, the highest impact factor of published papers is only 5 points!


    Director Wanjingshui of the three districts in his heart published the highest impact factor of 14 points, but it was tied with others.


    ¡­


    The First Affiliated Hospital of Kyoto University.


    A classroom in the teaching building.


    Everyone in Lu Chen''s team gathered, including Ke Yue, Gu Xinyue, Wang Zihao and others.


    "Lu Chen, how sure are you?" Ke Yue asked in a low voice after seeing Lu Chen click the submit button.


    Everyone in the ?? team turned their attention to Lu Chen.


    "This..." Lu Chen also shook his head slightly, "It''s hard to say, BasicResearchincardiology is a foreign language SCI journal, and it doesn''t discriminate against Chinese people, but it requires high-quality papers, so I can only do it this time! "


    Everyone is also confused.


    The SCI impact factor of Lu Chen¡¯s papers this time is too high!


    Even if they believed in Lu Chen again, they still felt a little drum in their hearts in the face of this "legendary journal".


    In addition to Lu Chen''s paper, the paper jointly written by Gu Xinyue and Wang Zihao was published in a journal with an SCI impact factor of 2.


    Ke Yue''s paper has also been completed recently. Everyone thought that she would submit to SCI journals with a score of 5 or more. After all, Ke Yue has published an SCI paper with a score of 5.


    However, to everyone''s surprise, Ke Yue chose a SCI journal with a score of 3.


    But Lu Chen understood Ke Yue''s choice.


    Ke Yue''s last paper, he was very involved and revised the whole paper, so he was tied for the first author.


    And this time, regarding Ke Yue''s thesis, Lu Chen only made a few comments. His time was too tight, and he used it all in his own thesis.


    ¡­


    Across the ocean, America.


    "BasicResearchincardiology" editorial department.


    Sultan Ana is a general editor in the newsroom.


    Her daily job is to conduct a preliminary screening of emails from all over the world, that is, a preliminary review.


    There are too many emails sent from all over the world every day. If we don¡¯t screen first, the workload of experts will be too much.


    The papers that pass the preliminary review will be sent to other experts for peer review.


    After the peer review is over, the editor-in-chief will conduct the final review before the manuscript will be accepted.


    The entire review process usually takes two months.


    Of course, for some novel and innovative papers, the review time will be shortened, and even the publication will be arranged in advance!


    "Hey, I''m going to read so many manuscripts today!" Anna made herself a cup of coffee and relaxed before starting to review the manuscripts.


    She glanced at the mailbox, and was assigned more than 100 submission emails today.


    If you read each article carefully, you must see the Year of the Monkey and the Horse Moon!


    Fortunately, after working for Anna for five years, she already has her own set of quick judgment criteria.


    First, look at the country or region where the contributor is located.


    In Europe, America, island countries and other places, she will pay more attention, as for Asia, Africa and other places, her attention will be much less.


    Then, it is the work unit where the contributor works.


    Papers from world-renowned universities and research institutes, take a look at them, and if there are no obvious problems, they will be passed directly for peer review.


    Finally, that is to read the abstract of the paper.


    is the most editor, and she is familiar with most of the foreword research topics in the cardiovascular field.


    Just by looking at the abstract of the paper, she can basically judge the general content of this paper.


    Anna took a sip of her coffee and started her day''s work.


    "Hey, it''s Huaxia''s paper again." Anna shook her head helplessly, and after having roughly glanced at the content of the paper, she directly rejected the manuscript.


    Although the editor-in-chief has repeatedly reminded all editors that there should be no regional discrimination, in the actual review process, everyone still has a certain regional bias.


    After all, quite a few of the papers submitted from China are "useless"!


    Either compile data, or plagiarize, or not have much experimental value at all.


    Fortunately, there are several papers sent from Europe and the United States, which made Anna wash her eyes.


    "pass!"


    Anna saw that the article was sent by a famous university in the United States, and passed it directly.


    "Hey, it''s another paper from Huaxia." Anna frowned and flipped through the paper in front of her, and muttered to herself, "The contributor''s work unit is Jinghua? I heard about the capital of Huaxia, but I haven''t heard of this Jinghua... ¡­¡±


    Anna subconsciously sentenced the paper to "death penalty".


    But according to the process, she still has to look at the abstract of the paper-about the application of dapagliflozin in the prevention of heart failure in the early stage of acute myocardial infarction.


    Seeing this topic, Anna gave a soft "Huh", "AstraZeneca seems to be doing this research recently."


    This is a hot research field these days. Anna suddenly became interested, and she looked down patiently.


    "It''s still similar to AstraZeneca''s research!"


    After reading the entire abstract of the paper, Anna couldn''t help but come up with an idea, is this author here to touch porcelain?


    Imitate AstraZeneca''s experimental content, take advantage of the hot research field, and publish a few more papers?


    If this is the case, Anna will not let this "touching porcelain" Chinese contributor pass the manuscript.


    Anna continued to read.


    First of all, there is no problem with the text. Many Chinese manuscripts may have many grammatical errors.


    This changed Anna''s initial impression of the paper.


    As she read further, she slowly discovered that the statistical method used in this article has rarely been seen before!


    is the first review editor of an SCI paper. Although she can''t write it, she can roughly judge the quality of the paper after reading too many papers.


    She could feel that this paper from Huaxia might not be simple!


    She immediately marked the paper as "passed the first review", and then quickly forwarded the paper to three other American experts on cardiovascular heart failure drugs.


    ¡­


    Speaking of Lu Chen''s side, his days at Kyoto University entered a plateau.


    After solving the problem of the thesis, the beds he managed were restored to four.


    It''s fun to bring beautiful school girls around the house every day.


    After checking the room, Lu Chen sat in the office and sorted out the medical records.


    "Senior brother, there is a black person on our hospital bed!" Junior sister Su Rui suddenly ran into the ward.


    "How dark is it?" Lu Chen glanced at Junior Sister Su Rui.


    "Black Africans." Su Rui stuck out her tongue.


    "Ah? Why didn''t he go to the International Department? Come to us?" Lu Chen was taken aback.


    "I don''t know." Su Rui wrinkled her nose.


    "Okay, let''s go take a look." Lu Chen picked up the stethoscope and brought a beautiful junior girl to meet the black man for a while.


    ¡­


    came to the ward.


    is really black!


    Lu Chen walked to the bed, the black man stood up, showing his big white teeth, and suddenly fluent Mandarin came out of his mouth, "Hello, doctor."


    Lu Chen was stunned, this Mandarin is really standard, and it also has a Beijing accent. It seems that he has lived in Kyoto for a long time, and quickly said: "Hello."


    "I''m a new patient who just arrived. I''m giving you trouble."


    Negro is about thirty years old and of good build.


    Even in a shirt, Lu Chen could still imagine his two well-developed chest muscles.


    And the health value on the black head is 81 (0).


    Healthy HP, and there is no downward trend.


    This healthy **** cow, what are you doing in the hospital?


    Lu Chen frowned and asked, "What''s wrong with you?"


    The black man pointed to his chest, "Chest pain!"


    Then, he took out an electrocardiogram and handed it to Lu Chen.


    Lu Chen took the electrocardiogram with a suspicious look in his eyes and looked at it intently.


    Good guy, the V1-V6ST segment of the chest leads is elevated at least 0.3mv!


    On the electrocardiogram diagnosis, the scary "extensive anterior myocardial infarction" is marked!


    (end of this chapter)

 v2 Chapter 591： different races

    Chapter 591 Different races


    Chest pain, ST-segment elevation on the ECG, and one troponin difference. This is an acute myocardial infarction!


    And in the emergency, there is no need to wait for the results of troponin.


    With chest pain and ST-segment elevation on ECG, the diagnosis of myocardial infarction can be confirmed.


    However, this black man was still standing in front of Lu Chen.


    Health is so healthy and has no tendency to drop.


    Unless there is a bug in the system, it is impossible to have a heart attack at all!


    Beside ??, Junior Sister Su Rui was also stunned, "Master... Senior Brother, is this a heart attack?"


    She was also puzzled.


    Patients with extensive anterior myocardial infarction do not think that this black man is in such a good condition.


    "Not sure yet." Lu Chen shook his head slightly.


    However, for the sake of safety, Lu Chen still let the black man stay on the bed and not move around.


    "Sister, push the ECG machine over and give the patient another ECG."


    "it is good."


    The pretty junior sister left, and Lu Chen began to carefully ask about the patient''s condition.


    "When did the chest pain start?"


    "Yesterday at noon."


    "When the chest pain attacked at noon yesterday, what were you doing?"


    "Just finished a long run."


    "Have you had this type of chest pain before?"


    "Not at all, this is the first time."


    ¡°¡­¡±


    This is a typical symptom of angina pectoris with chest pain after activity!


    Except for the patient''s age, there are no risk factors, no matter how you look at it, this looks like a patient with first-time angina pectoris.


    Junior Sister Su Rui pushed the electrocardiograph over and reviewed the electrocardiogram for the black man.


    The ECG of the review is not much different from the ECG of the patient who was admitted to the hospital.


    Immediately afterwards, Lu Chen finished the physical examination of the black man, but still found nothing abnormal.


    Lu Chen calmed down and said to Su Rui who was beside him, "Let the nurse do an urgent blood check first and check troponin."


    "I got it." Su Rui nodded, then ran back to the doctor''s office to make a doctor''s order.


    Lu Chen stayed in the ward and continued to talk to the black man, trying to find meaningful clues.


    Although the system shows that there is no possibility of myocardial infarction, Lu Chen''s preliminary diagnosis cannot rule out myocardial infarction.


    For the sake of safety, whether it is a myocardial infarction or not, troponin must be checked urgently.


    "Doctor, am I seriously ill?" The black people could see the nervousness on Lu Chen and Su Rui''s faces.


    "How do you say it, just looking at the electrocardiogram is very serious!" Lu Chen said in a deep voice.


    The black man was stunned for a moment, "I heard from the doctor in the emergency department, this is a myocardial infarction?"


    "This...not necessarily, we need to further check to confirm."


    Lu Chen is extremely cautious about the diagnosis of the patient.


    So far, there have been no problems with the health value and the changing trend that the system has suggested to him, and he doesn''t really want to cause panic among the patients.


    Suddenly, Lu Chen thought of a disease, and he quickly asked, "Do your parents, or family members, have a history of heart disease?"


    "No." The black man shook his head. "My parents are very healthy. They are both football players. I inherited their profession and became a football coach in Kyoto."


    No?


    Lu Chen originally thought it might be Brugada syndrome.


    Brugada syndrome is a syndrome caused by abnormal ion channel function.


    Clinically, this syndrome is characterized by ST-segment elevation in leads V1-V3 of the electrocardiogram, and sudden cardiac death, and there is usually a family history.


    There is no family history of sudden death, and there is no history of similar syncope and chest pain, which can basically rule out Brugada syndrome.


    What will it be?


    ¡­


    Lu Chen returned to the doctor''s office with a puzzled look on his face.


    At this time, Su Rui immediately stepped forward and said to Lu Chen, "Senior brother, the results of the initial screening of troponin in the department have come back, and the cardiac troponin is negative!"


    The patient had chest pain for more than a day and was negative for troponin, so acute myocardial infarction could basically be ruled out.


    Lu Chen murmured in his heart: "If there is no error in the system, this patient is really not a myocardial infarction!"


    At this moment, Su Rui frowned and asked, "Brother, is this patient a ventricular aneurysm?"


    Persistent elevation of the anterior ST lead, another common situation, is the complication of ventricular aneurysm after myocardial infarction.


    Lu Chen rested his chin in his right hand, thought for a while, then shook his head: "Not so much, the patient has no history of chest pain, and this time he also ruled out myocardial infarction, so the possibility of myocardial infarction complicated by ventricular aneurysm is extremely low. "


    As the saying goes, three cobblers are better than Zhuge Liang.


    Lu Chen shared this strange patient with others in the first area of ??his heart.


    What''s more, this is the Kyoto University School of Medicine. More than 99% of the cardiology department are top scholars, but there are no cobblers!


    Other people in the first district of the heart were also very interested when they heard about Lu Chen''s case.


    "I think let''s do an angiography first. Whether it''s a heart problem or not, an angiography will make it clear."


    The more radical doctor directly suggested that Lu Chen pull the black man over for a coronary angiography.


    Is there any myocardial infarction, whether it is a ventricular aneurysm, at a glance!


    "I think it''s better to do an ultrasound first. The patient has symptoms of chest pain after exercise, so it''s not a cardiomyopathy."


    Conservative doctors still recommend doing an ultrasound first.


    The Ultrasound Department of the First Affiliated Hospital of Kyoto University is powerful, and you can generally see any cardiomyopathy, valvular disease, and congenital heart disease.


    ¡­


    Lu Chen listened to everyone''s suggestions, but he never expressed his own opinion.


    Whether it is acute myocardial infarction, cardiomyopathy, valvular disease, or congenital heart disease, the health value displayed by the system will definitely not be the current 81!


    In addition, the trend of health value changes did not decrease.


    What does this mean¡­


    shows that black people do not have fatal diseases, on the contrary, they are extremely healthy!


    However, in reality, black people have symptoms of chest pain, and the electrocardiogram shows a picture of myocardial infarction.


    No matter how you look at it, it looks like a "sick" person!


    Lu Chen always felt that he seemed to have overlooked something...


    "This strange black man with chest pain must have a breakthrough!"


    At this time, Su Rui leaned over to Lu Chen''s side and said softly, "Senior brother, that black man said that there is still something to do at the school. Can you leave the hospital first?"


    Lu Chen shook his head, "You can''t let him go back until he is diagnosed."


    If something goes wrong with black people outside the hospital, in addition to the conflict between doctors and patients, it may also cause diplomatic disputes!


    Thinking of this, Lu Chen suddenly froze and patted his head.


    How could you forget such an important "clue"!


    At present, everyone''s thinking mode is based on the normal "yellow race".


    But, the patient in front of him...he is a black man!


    Lu Chen quickly took out his mobile phone and searched for relevant papers in the literature library.


    ¡­


    In the doctor''s office, everyone was talking about the black people''s diagnosis.


    Suddenly, Lu Chen''s voice rang in the doctor''s office.


    "Teachers, have you ever thought about another possibility, black people may not have any disease at all?"


    (end of this chapter)

 v2 Chapter 592： Magazines reply

    Chapter 592 The Magazine''s Reply


    One area in the heart, the doctor''s office.


    Everyone was stunned when they heard Lu Chen''s words, then shook their heads.


    "Impossible, the patient has chest pains!"


    "I have never seen a patient without disease with this kind of electrocardiogram..."


    "Lu Chen, at least you have to rule out other diseases before you can finally consider the physiological situation?"


    ¡­


    There was a lot of discussion, and they were not very supportive of Lu Chen''s "no disease theory".


    In medicine, there is a default rule that considers the physiological abnormalities of patients, after excluding all possible diseases.


    For example, in a patient with proteinuria, you may need to exclude kidney disease before you may consider physiological proteinuria. (Physiological proteinuria can be seen in changes in body position, strenuous exercise, high temperature, etc.)


    It is impossible to consider that proteinuria is caused by physiological conditions from the beginning.


    Su Rui on the side also looked at Brother Lu Chen curiously.


    She has been with Lu Chen for a while, and she knows her brother''s character, and she is definitely not the kind of person who is aimless.


    Lu Chen must have his own reasons for saying this.


    She quietly looked at Lu Chen, looking forward to his next words.


    After Lu Chen and others finished expressing their opinions, he cleared his throat and said, "Teachers, have you seen the electrocardiogram of black people before?"


    As soon as these words came out, everyone was a little confused and shook their heads.


    Although Kyoto is an international metropolis, foreigners who come to the First Affiliated Hospital of Kyoto for treatment will always go to the International Department, and rarely come to them.


    And African medicine lags behind, and it is rare to see black doctors appearing at global conferences.


    Xiao Shikang was also in the office, he asked aloud: "Lu Chen, you mean different races have different electrocardiogram performances?"


    Lu Chen nodded, "Yes, in fact, this is well understood. For example, the recommended dosages in many clinical guidelines are different for different races, such as warfarin, rosuvastatin and other drugs..."


    Warfarin, an anticoagulant drug, at the same dose, yellow people are more prone to bleeding complications than white people.


    Xiao Shikang frowned, "It''s just a drug, it doesn''t represent changes in the electrocardiogram. As long as the black man''s heart is on the left and its position in the chest remains the same, the electrocardiogram graph shouldn''t change."


    The principle of ?? body surface electrocardiogram is to use an electrocardiograph to record from the body surface the pattern of changes in electrical activity generated by the heart during each cardiac cycle.


    When everyone heard Xiao Shikang''s words, they nodded in agreement.


    Lu Chen shook his head. When it comes to electrocardiogram and electrophysiology, that is his strength!


    "Mr. Xiao, you may have overlooked one point, and that is the adaptation of the heart."


    Xiao Shikang frowned deeply, "Adaptive change?"


    Lu Chen nodded slightly and continued: "Race is one of the main factors that cause adaptive heart changes in exercise. More than two-thirds of black athletes have repolarization changes in the electrocardiogram."


    "Including J-point elevation and ST-segment arched dorsal elevation in the precordial leads (V1-V4), as well as T wave inversion, in the absence of other clinical or ECG features of cardiomyopathy, the above ECGs appear to be normal variants, No further screening is required."


    The black man on Lu Chen''s hospital bed was an athlete by profession.


    In the Cardiology Office, it was difficult for everyone to digest Lu Chen''s remarks for a while.


    "Lu Chen, you mean, this patient doesn''t need any other tests?" Xiao Shikang asked tentatively.


    Lu Chen nodded slightly, "No need, he should be a normal physiological change."


    "Then how to explain his chest pain?"


    Lu Chen thought about it and said, "I have carefully asked the patient that he was exercising vigorously when the chest pain occurred, so I think that his chest pain is most likely caused by excessive exercise."


    "This..." Xiao Shikang was stunned for a moment, but didn''t say much.


    All of the young generation leaders in the field of cardiology will definitely not easily listen to Lu Chen''s words.


    One of the resident physicians who had just arrived in the department said, "Lu Chen, is there any literature to support what you said?"


    Lu Chen nodded without hesitation: "Of course, it was mentioned in the latest issue of the electrocardiogram analysis of international athletes. If you are interested, I can send the literature to the group."


    This document was also found by Lu Chen just now.


    There is a "Literature Reading" skill card. It is very easy to find this kind of document.


    "Lu Chen, send it to the group!" the resident doctor said quickly.


    "Okay." Lu Chen smiled and nodded.


    Everyone is very interested in this new knowledge.


    Especially this theory is completely contrary to everyone''s normal thinking mode!


    The profession of medicine is to keep learning and rely only on experience to treat diseases, and sooner or later it will be eliminated.


    Everyone clicked on the literature that Lu Chen posted in the group.


    Not long after, Lu Chen noticed the prompt popped up from the system panel.


    "Congratulations, +1 for receiving thanks from Xiao Shikang!"


    "Congratulations, +1 for the thank you from Su Rui!"


    ¡°¡­¡±


    Looking at the series of thank you points, Lu Chen sighed in his heart, and he successfully put on another wave.


    What makes Lu Chen the most delighted is that the completion of the system upgrade has also improved, and the next upgrade is one step closer!


    ¡­


    Find the correct diagnosis, the next diagnosis and treatment plan, that is, let the black people decide.


    "Doctor Lu, are you saying that my electrocardiogram performance is physiological?" The black man also showed a smile.


    Actually, he also felt that he had no major problem, but the doctor at the school hospital was too nervous.


    "Well, we rarely see foreigners." Lu Chen explained patiently, "but we read the international clinical guidelines, and about two-thirds of black athletes have this kind of electrocardiogram performance, so it is a normal physiological phenomenon. , do not need to be dealt with for the time being.¡±


    "However, if you are worried, we can complete further cardiac examinations for you, such as cardiac ultrasound, cardiac angiography, etc."


    The black man shook his head quickly, "Doctor Lu, I trust your judgment. Well, I also have doctor friends in Africa. Let me tell them about the situation here."


    "Of course." Lu Chen nodded.


    International guide, just a piece of paper, if it can be verified in reality, it is the best.


    Then, the black people began to contact their doctor friends in Africa.


    for a long time.


    The black man came to the doctor''s office and found Lu Chen.


    "Dr. Lu, you are really amazing!" The black man showed his white teeth, "My friend in Africa said that my situation is indeed common!"


    When everyone in the office heard the black man''s words, they became more convinced of Lu Chen''s previous remarks.


    I didn''t thank Lu Chen just now, but this time, I finally gave Lu Chen a thank you.


    Lu Chen smiled slightly, this black man has a high emotional intelligence, he knew that he would come to the office to praise him.


    "In that case, you can leave the hospital."


    After all, the black man had an electrocardiogram and a blood test, but he still had to pay for it. Su Rui processed a 24-hour admission and discharge record, and the black man was discharged.


    ¡­


    After dealing with this black patient, there was a brief silence in the doctor''s office in the first district of the heart.


    Lu Chen was looking at the system panel, calculating how long it would take him to upgrade the system next time.


    At this time, the beautiful little sister Su Rui suddenly came up to Lu Chen.


    A faint scent was refreshing, which made Lu Chen''s heart sway.


    Single solo for so many years, even Lu Chen, a veteran cadre, was very difficult to withstand this test.


    "Brother, this black man gave me an idea just now." Su Rui said softly.


    "You said it." Lu Chen kept his mind and didn''t look sideways.


    Su Rui thought for a while, and said slowly, "Senior brother, in the national nature project you are doing now, the experimental group is the yellow race, and AstraZeneca''s experimental group is the white race. Actually, think about it, there is not much conflict, right? "


    Lu Chen looked at Su Rui in surprise, this little girl is not bad!


    can actually draw inferences from one case to another. From the black patients, I think of the national natural experiment project.


    It will definitely be a good seedling for scientific research in the future!


    "How do you say this..." Lu Chen touched his chin, Su Rui was right, but she ignored a very important point, "In your opinion, where is the most developed medicine in the world?"


    "Europe, America, Japan." Su Rui said, "Most of the clinical treatment guidelines are written by experts from European and American countries. Our Chinese medical experts are translating them and making minor changes to become domestic guidelines."


    "Well, that''s a good point." Lu Chen nodded, "Then you say, under the same conditions, I study the yellow race, and AstraZeneca studies the white race, who has the most influence in the end?"


    Su Rui was stunned, "It should be AstraZeneca. However, this does not affect our research results, after all, the research objects are different."


    "It does not affect our results. However, compared with AstraZeneca, if our research results are slower than theirs, the number of experiments is less than theirs, and the statistical methods are lower than theirs, then our Do the research results have any international influence?" Lu Chen asked slowly.


    Su Rui glanced at Lu Chen, "Everyone will say...that we are plagiarism and plagiarism?"


    "Yeah." Lu Chen nodded slightly, "Not only does it have little influence, it is very likely that others will call it AstraZeneca!"


    Although Lu Chen didn''t want to think about it, this is the reality.


    China''s medicine is indeed lagging behind the international level. Although it is catching up non-stop, and in some fields, it is already at the forefront of the world, but in general, there is still a big gap with the powerful countries such as Europe, America, and Japan.


    Why did Lu Chen work so hard to catch up with AstraZeneca?


    Because once he slacks off and asks AstraZeneca to complete the experiment ahead of schedule, then his experimental results will not be able to make a splash in the world at all, and he can only enjoy himself in China.


    "Senior brother, when did you say that China can surpass foreign countries?" Su Rui sighed slightly. Medical students place great importance on English ability, because most of the top literature is from Europe and the United States.


    Lu Chen was slightly startled when he heard Su Rui''s words, surpassing Europe, America and Japan?


    A seed sprouted slowly in Lu Chen''s heart.


    Lu Chen murmured in his heart: "Yes, there will be such a day!"


    ¡­


    Across the ocean.


    USA, Harvard Medical School.


    Fan Boyan, as a reviewing editor (peer reviewer) of the journal BasicResearchincardiology, will be assigned to review one or two papers every once in a while.


    He came to the United States for many years, and after his own efforts, he was successfully appraised as an associate professor at Harvard Medical School.


    As a Chinese, this is also extremely rare in Harvard Medical School.


    Today, Fan Boyan received another email from the editorial department of "BasicResearchincardiology", "Professor Fan to help review the manuscript."


    Fan Boyan happened to be free, so he clicked on the email.


    As a peer reviewer of a paper, he has a lot of power to decide the final result of an article.


    There are generally three peer reviews for each paper. As long as it can be favored by two experts, it can basically be accepted by the editor-in-chief.


    Peer expert review is divided into single-blind and double-blind. "BasicResearchincardiology" chooses double-blind, that is, the contributor and the reviewer do not know each other''s identity.


    "The habit of reading this English study is so authentic. It should also be a thesis of some European and American university or research institute."


    As a Chinese native Fan Boyan, he is very aware of the English writing habits of contributors from all over the world.


    In general, people from other countries, even if their English level is professional, the way of writing papers is close to the way of thinking in their own countries.


    The paper in front of him, the first glance Fan Boyan saw, was too authentic.


    It is absolutely impossible for it to come from the handwriting of people from other countries.


    "Hey, this is still about Dapagliflozin!" Fan Boyan murmured, "Could this be another AstraZeneca paper?"


    Recently, Dapagliflozin is a big hit in the international cardiovascular drug field!


    Fan Boyan has also read several papers on AstraZeneca''s research on dapagliflozin.


    "I remember that in China, there seems to be a laboratory researching dapagliflozin, and it has also published several good papers."


    Fan Boyan will dabble in this cutting-edge hot field.


    In particular, this time, the research team of "Dapagliflozin" is also from China!


    This was a big surprise for Fan Boyan.


    As a Chinese person, although he is in the United States, his heart is in Huaxia. He is always concerned about the information in the domestic cardiovascular drug field of Huaxia.


    Fan Boyan threw away the distracting thoughts in his mind and continued to read.


    "Hey, something is wrong!"


    As a professor and doctoral supervisor in the cardiovascular field, he immediately noticed the abnormality of this paper.


    "The statistical method used in this paper is not right!"


    It¡¯s not that the statistical method is too bad, on the contrary, it¡¯s too good!


    For this type of clinical research experiment, such high-end statistical methods are simply not used.


    The same conclusion can be drawn with only a slightly lower level of statistical methods for sports.


    Fan Boyan frowned slightly. He paused reviewing the paper on "Dapagliflozin", but found the papers published by AstraZeneca.


    In this comparison, Fan Boyan discovered an anomaly.


    The papers published by AstraZeneca have never tried such advanced statistical methods at all.


    How can a "special case" suddenly appear?


    "Is this paper in my hand not published by AstraZeneca?"


    Fan Boyan was taken aback by this thought in his heart!


    If it is said that it was not published by AstraZeneca, then isn¡¯t this published by the laboratory in China?


    "When did China dare to do this kind of scientific research competition with AstraZeneca?"


    Fan Boyan still couldn''t believe it.


    In his subconscious mind, aren¡¯t the domestic scientific researchers following behind countries such as Europe and the United States in translation work?


    If it is really a domestic laboratory... Thinking of this, Fan Boyan has a faint expectation in his heart.


    ¡­


    ¡­


    ¡­


    The First Affiliated Hospital of Kyoto University.


    The doctor''s office in the first district of the heart.


    "Lu Chen, you have been in Kyoto for about two months, haven''t you?" Xiao Shikang asked Lu Chen.


    "Well, almost." Lu Chen nodded slightly.


    Time flies so fast, half a year of communication life has passed in a blink of an eye.


    "The postgraduate departments in the academy, the students who ask you to come to exchange, all submit a summary." Xiao Shikang said, "The main thing is to talk about what you have done in the past two months, what gains or achievements."


    "Okay." Although Lu Chen wasn''t interested in this kind of thing, but what the hospital asked, he could only do it.


    Go back to the bedroom.


    Lu Chen started to prepare the monthly summary.


    He heard that the academy will also give certain rewards to outstanding students.


    The specific criteria for judging is still unknown.


    "It''s been two months so soon!" Lu Chen muttered in his heart, not much time left for them to conduct clinical research experiments!


    According to the previous deployment, if he cannot publish a high-scoring SCI paper within two months, and cannot prove that he has the strength to compete with AstraZeneca, then he can only lie down!


    "Time is running out."


    At this time, Lu Chen could only look forward to the reply from "BasicResearchincardiology" magazine.


    As for the rest of the research team.


    Ke Yue''s paper has been accepted, which is good news!


    As for Gu Xinyue and Wang Zihao, because of their lack of experience, the thesis they completed together was returned for revision.


    The other party did not directly reject the manuscript, but returned it for revision, which also means that there is still a chance.


    Lu Chen was relatively free for the time being. Taking advantage of this opportunity, he happened to help Gu Xinyue and Wang Zihao revise their papers.


    ¡­


    In the blink of an eye, another week has passed.


    The paper that Lu Chen helped Gu Xinyue and Wang Zihao revise was also accepted by the magazine!


    For this, Wang Zihao was excited for several days, and even Lao Gu, who had always been aloof, had a long-lost smile on his face.


    However, neither Ke Yue''s thesis nor the papers of Gu Xinyue and Wang Zihao are the decisive factors.


    They have 2 points and 3 points. Compared with AstraZeneca''s paper, they really can''t make it to the table, so they can only make up for it.


    "Lu Chen, hasn''t your magazine replied yet?"


    Wang Zihao asked while the research team was having lunch together.


    Lu Chen shook his head helplessly: "Not yet."


    "If there is no reply this month, is our experiment..." Ke Yue whispered, her expression was a bit bitter, she also devoted a lot of effort to Lu Chen''s national nature project.


    Hearing this, Lu Chen did not respond, and the atmosphere at the scene was a little dull.


    Everyone understands that if Lu Chen''s paper has not been accepted within this month, then this national natural project can only be declared to be flat, and it will not be able to compete with AstraZeneca.


    "It''s nothing, everyone be happy." Seeing that everyone was in a bad mood, Lu Chen could only comfort him, "We are still so young, even if this time is unsuccessful, there will be more opportunities in the future!"


    Having said that, everyone was still a little unwilling.


    Just when Lu Chen was about to continue comforting everyone, suddenly, his phone vibrated slightly.


    Thought it was the sound of WeChat, when he took out his mobile phone and looked at it, several large characters appeared on the notification bar: "You have a new email, please check it!"


    Lu Chen was startled, new email?


    Could it be...


    At this time, Wang Zihao came over to take a look, and he said in surprise, "New mail!"


    When everyone heard this, they all looked up at Lu Chen.


    Lu Chen swallowed softly, he had never been so nervous before...


    Unlock the phone and click on the information in the notification bar.


    The interface jumps, enters the mail APP, and then enters the inbox.


    Lu Chen stared at the sender''s message, then paused slightly, looked up at Ke Yue and the others, "It''s a reply from the magazine."


    Hearing Lu Chen''s words, everyone sat upright and stared at Lu Chen, not daring to let out the air.


    After thinking about it, in the future, try to have as many words in each chapter as possible, so as not to separate, and think about the title, which is too troublesome.


    ps: As a front-line clinician, it is too difficult to keep changing!


    After all, it is impossible to update after two consecutive night shifts.


    However, I will schedule, work hard, and update as much as possible.


    (end of this chapter)

 v2 Chapter 593： Jinghuas Rewards

    Chapter 593 Jinghua''s Reward


    The First Affiliated Hospital of Kyoto University.


    The three districts in the heart, the director''s office.


    "Bang bang bang... bang bang bang..."


    A hurried knock on the door interrupted Director Wanjingshui''s thoughts.


    He was just thinking about which scientific research projects are worth ¡°investing¡± recently.


    Seeing that the person who came in was Fang Ruzhang, Wan Jingshui frowned slightly, "What''s the hurry? Is there a patient who can''t handle it?"


    Fang Ruzhang stepped forward and said solemnly: "Director, I''m sorry, I''m rash."


    "What''s the matter?" Wan Jingshui said lightly.


    "There''s news from Lu Chen''s side!" Fang Ruzhang swallowed, and until now, it was difficult for him to digest the news himself.


    "Lu Chen... What news can he have over there?" Wan Jingshui asked in confusion.


    He has not been in touch with Lu Chen for a long time since he was released from his PI status with Lu Chen.


    Fang Ruzhang paused and said slowly: "Director, their small research team has published an article."


    Seeing that Fang Ruzhang''s face was not quite right, Wan Jingshui''s eyelids jumped, and he suddenly had a bad feeling in his heart, "Which magazine, how many points?"


    "One for 2 points, one for 3 points..."


    Wan Jingshui heaved a sigh of relief, raised his teacup without changing his face, and took a sip. If it was only to this extent, then Lu Chen would still not pose any threat to AstraZeneca.


    You must know that the paper published by AstraZeneca, the highest SCI impact factor, has reached 8 points!


    "There''s another 12-point..."


    "Pfft..." The tea in Wanjingshui''s mouth almost spurted out.


    He glared at Fang Ruzhang, what a bastard, he was panting when he spoke, wouldn''t he finish it all at once?


    "Are you sure it''s 12 points?" The corners of Wan Jingshui''s mouth kept twitching.


    His first reaction was definitely disbelief.


    Write a 12-point thesis in two months, are you lying to a little fool?


    "Sure! A student in their team sent a WeChat Moments, and Yao Jie just showed it to me." Fang Ruzhang said, took out his mobile phone, opened the album, and found a screenshot, "Three magazine receipts were sent on it. information on the manuscript.¡±


    Wan Jingshui sullenly took over the phone and saw that it was the acceptance notice of three papers!


    One of the magazines is "BasicResearchincardiology".


    "It really is a 12-point SCI journal..."


    Fang Ruzhang glanced at Wanjingshui and said cautiously, "Director, what should we do next?"


    In fact, Fang Ruzhang did not agree with Director Wan''s PI status for withdrawing from cooperation at the beginning.


    Lu Chen''s potential value is too high, and he must have a bright future. If he can form a good relationship, he may be able to hug his thighs in the future.


    I quit my PI status before, but now I am shy and licking it up?


    The expression on Wanjingshui¡¯s face is unpredictable¡­


    After a long silence, he said slowly: "What if he posted this article? AstraZeneca''s global influence is definitely not something that a Jinghua Medical University can challenge."


    "Director, what do you mean..." Fang Ruzhang was stunned.


    "Stay still. Since you quit, don''t think about rejoining. Let your mind go."


    ¡­


    This person who shows off in the circle of friends has no one but Wang Zihao.


    For most of them, doing something and not telling the people around is no different from not doing it!


    So the moment Lu Chen''s paper was accepted, Wang Zihao immediately posted on his Moments.


    Then, his circle of friends liked and commented, and it was immediately maxed out!


    Because of Wang Zihao, people from the Cardiology Department of Jinghua Second Hospital also learned the news at the first time.


    In an instant, the legend about Lu Chen became popular again in the Jinghua Second Hospital, and this time it also spread to the Kyoto University School of Medicine.


    Lu Chen''s research team is also famous!


    Within two months, three SCI papers were produced. Such a high efficiency is even comparable to some top experimental teams.


    After receiving the praise from everyone, Lu Chen behaved extremely calmly.


    Compared with AstraZeneca''s scientific research competition, this achievement is just the beginning, and the real difficulty is still to come!


    However, what confuses Lu Chen is that even though he has published an SCI paper with nearly 12 points this time, the labs that he chooses to cooperate with them again are still very limited.


    This is very different from what Lu Chen expected!


    "Am I overestimating the role of the paper, or underestimating the strength of AstraZeneca?" Lu Chen was puzzled.


    If things go on like this, there are so few cooperative laboratories, and it is impossible to expand the scale of the experiment only with the capabilities of the Cardiology Department of the Second Hospital of Jinghua University.


    With the progress of the experiment, the experimental gap between the Department of Cardiology of Jinghua Second Hospital and AstraZeneca will become bigger and bigger!


    Lu Chen was quickly diluted by the joy of publishing the paper...


    ¡­


    Jinghua Second Hospital.


    The eight districts in the heart, the director''s office.


    Li Yao also discovered the problem after experiencing the joy of Lu Chen publishing a 12-point SCI paper.


    Because of AstraZeneca''s strong attack, even if Lu Chen published this paper, there are still not many research centers that return to the experimental project.


    According to this trend, they have no way to increase research centers and expand the scale of research.


    Li Yao thought for a while, then immediately picked up the phone and contacted Lu Chen.


    "Lu Chen, are you busy now?"


    Lu Chen is resting in the dormitory at this time, "Teacher, this weekend, we will rest."


    Li Yao thought about it for a while, but changed the topic without mentioning the experiment, "According to the regulations of the college, SCI papers with more than 10 points will be given material rewards according to the impact factor."


    In simple terms, SCI papers with a score of 0-10 will be rewarded with half the impact factor of 10,000 yuan. For example, if a SCI paper with a score of 5 is published, Jinghua Medical University will reward the first author with 2.5w.


    Once the SCI impact factor exceeds 10 points, the full reward of 10,000 yuan will be awarded. For example, Lu Chen published an SCI paper with a score of 11.98 this time, and he can get a reward of 11.98w.


    After all, as long as it is a SCI paper published during school, the work unit of the paper must be signed by Jinghua Medical University.


    The publication of such a high-scoring SCI paper is a huge improvement for Jinghua Medical University''s reputation and future strength evaluation.


    "Thank you, teacher." Lu Chen smiled, no one would have a hard time with money.


    For the current Lu Chen, this is also a huge sum of money.


    As for the rest of the research team, if they publish papers, they will also receive this award from the school.


    "As for the experiment, let it be natural." Li Yao said softly.


    "Teacher, don''t worry." Lu Chen replied, "Actually, rather than scientific research, I prefer to stay in clinical treatment."


    "Whether it''s clinical or scientific research, I believe you are the best." Li Yao''s voice came from the phone, "You are already the best young man I have ever seen, and the future of Huaxia Medicine will definitely have you. A place!"


    When Lu Chen heard this, he suddenly felt relieved.


    Instructor Li Yao is right, he has done his best, and let¡¯s just let the rest go.


    ¡­


    ¡­


    However, after all, Lu Chen underestimated his own 12-point SCI paper.


    BasicResearchincardiology, the top ten journals in the world!


    Even if AstraZeneca wants to publish a paper in this journal, it is extremely difficult.


    At this time, AstraZeneca China headquarters in Modu.


    On the top floor of the office building of the headquarters.


    In the luxuriously decorated office, a bloated middle-aged man is concentrating on consulting the documents in his hand.


    for a long time.


    The ?? man grinned, the fat on his face shaking.


    "Huh, it''s really interesting!"


    He slowly put down the document in his hand and lit the cigarette in his hand.


    There is a paper in the file, which is the 12-point SCI paper on "Dapagliflozin" written by Lu Chen!


    (end of this chapter)

 v2 Chapter 594： The good boss of the construction site (two in one

    Chapter 594 The Good Boss of the Construction Site (Chapter Two in One)


    bang bang bang... bang bang bang...


    There was a knock on the door, and the man took a breath, "Please come in!"


    A slender, black-haired female secretary in business attire walked in.


    She walked to the man''s desk and handed over a document respectfully, "Mr. Wang, the author information of Daglijing''s paper has been found."


    "Oh, put it on the table." Wang Lei smiled and stared at the female secretary in front of him.


    The female secretary lowered her head, raised her head slightly, and saw Wang Lei''s eyes, her face was a little red, "Mr. Wang, if it''s all right, I''ll go out first."


    Wang Lei tapped the smooth desktop with his left index finger and picked up the document with his right hand, "Okay, you can go first, but I have something to do later."


    "Yes." The female secretary nodded and left the office with enchanting steps.


    Wang Lei looked at the back of the female secretary, reluctantly withdrew his gaze, and then focused his attention on the document in front of him.


    "Li Yao, the corresponding author of the paper, is a professor and doctoral supervisor of Jinghua Medical University. He is currently a member of the Huaxia Society of Cardiovascular Medicine and chairman of the Jinghua Electrophysiology Society. He has published many high-scoring SCI papers, and was involved in plagiarism and plagiarism the year before... ¡­¡±


    All the information of Li Yao is clearly displayed in this document.


    Wang Lei noticed a sentence in the document, "There are rumors within Jinghua Medical University that the national nature project on Dapagliflozin was run by Lu Chen, a student of Li Yao''s tutor, who is also the first author of the paper."


    "Lu Chen, the Second Affiliated Hospital of Jinghua Medical University, Master of Cardiovascular Medicine, has published three high-scoring SCI papers (all about dapagliflozin''s clinical research), the highest one is 11.98 points; Champion of Clinical Skills Competition, fifth place in Huaxia Wenxin Cup ECG Competition..."


    "Hey, this postgraduate student is not easy!" Wang Lei was slightly taken aback after reading Lu Chen''s resume.


    This is the first time he has seen such a gorgeous resume!


    It is no exaggeration to say that these honors are comparable to many professors of cardiovascular medicine.


    "Interesting, really interesting!" Wang Lei touched his chin, immediately picked up the phone on the desk, and dialed.


    The phone was connected right away.


    Wang Lei said in a serious tone, "Lin Feng, help me contact the person in charge of Jinghua District, I want to meet with Professor Li Yao."


    "Received, Mr. Wang."


    The phone hangs up, Wang Lei looks at the document in his hand, and a bold idea pops up in his mind...


    ¡­


    The First Affiliated Hospital of Kyoto University.


    One area in the heart, the doctor''s office.


    Lu Chen has recovered from his excitement after the paper was accepted.


    As for the experimental progress of the National Nature Project, he has done his best, and he can''t grasp the next thing.


    Lu Chen is a person who doesn''t really believe in God''s reward.


    If you believe that God rewards hard work, once you have worked hard and achieved success, you are likely to look down on those who fail.


    If you try hard and still fail, you are likely to blame others and lament the injustice of heaven.


    Therefore, Lu Chen felt that most of the matters were beyond his ability to decide.


    He can only do everything with all his heart and that is enough.


    "Senior brother, thank you for this thesis." Junior sister Su Rui stood beside Lu Chen with a smile.


    This time, for Lu Chen''s paper, Junior Sister Su Rui also did her best to get a fifth author.


    Don''t look at the fifth author, this is a high-scoring SCI paper of 11.98.


    Being able to put on a name is not a small honor!


    "No thanks, you deserve it." Lu Chen smiled. Some time ago, Su Rui really helped him a lot.


    "Senior brother, are you free this weekend?" Su Rui looked at Lu Chen with a blushing face, "I want to treat you to a meal."


    Lu Chen''s heart tightened, and he looked down at the petite Junior Sister Su Rui beside him.


    It''s time to test the veteran cadres again!


    Just when Lu Chen was about to agree, the ward nurse suddenly ran into the ward, "Lu Chen, emergency department consultation!"


    Today is Lu Chen''s turn for consultation, and his bed just happens to be vacant.


    Lu Chen quickly grabbed the stethoscope and replied to the nurse, "Okay, I''ll go now."


    According to the hospital''s consultation regulations, the emergency consultation must be arrived within 10 minutes, so Lu Chen didn''t dare to delay. After leaving the cardiology department, he walked directly to the emergency department.


    Junior Sister Su Rui followed closely.


    This time, Xiao Shikang did not follow him any more.


    Lu Chen has long been familiar with the hospital''s diagnosis and treatment process and can conduct consultations independently.


    ¡­


    Came to the emergency department.


    Lu Chen met an acquaintance again, Fan Jian, the attending doctor of the emergency department.


    "Hey, Lu Chen, you''re here." Fan Jian saw Lu Chen with a smile on his face.


    "Well, it''s our group''s turn for the consultation today." Lu Chen nodded slightly, came to Fan Jian''s side, and picked up the patient''s medical records.


    "I heard you posted a cruel article recently?" Fan Jian hooked Lu Chen''s neck affectionately.


    "Good luck." Lu Chen couldn''t stand this kind of intimate contact, so he took a step back.


    Unexpectedly, Fan Jian took another step forward, "Lu Chen, next time there is a topic suitable for me, don''t forget me!"


    Lu Chen: "..."


    behind Su Rui quickly turned her face away, this kind of romantic scene is not suitable for her to watch.


    Lu Chen quickly changed the subject, "Brother Fan, what''s the condition of the patient being consulted?"


    Talking about the patient''s condition, Fan Jian became a little more serious, "This is a patient with syncope. After staying in our emergency department for several days, the examinations were basically done, but still no cause was found. come and see."


    The most common cause of syncope is cardiac or cerebral origin.


    "Let''s go see the patient first." Lu Chen handed the patient''s medical record folder to Su Rui behind him, and followed Fan Jian to the ward.


    ¡­


    On the hospital bed, lay a middle-aged man of about forty years old.


    Fan Jian introduced the patient''s condition on the side, "The patient is an electric welder. Three days ago, he was welding on a one-meter-high platform and suddenly fell off."


    "At that time, the patient felt that the right hand and foot were twitching so badly that he could not squat steadily, and the whole person fell. The construction site owner sent him to our emergency department. After a preliminary examination, the hand and foot were not injured, but the skin was broken. But to be on the safe side, the site owner still hospitalized the patient and double-checked the cause of the fall."


    As soon as Fan Jian finished speaking, the middle-aged man on the hospital bed grinned and said, "Our boss said that he has covered all the expenses for the hospitalization examination. It''s not bad money. Let me go back after the examination is all right."


    Good guy, this construction site owner is really particular about it.


    Fan Jian jokingly said: "This construction site is so good, I can also apply for the job tomorrow."


    Everyone laughed.


    Lu Chen turned his attention back to the patient.


    The patient''s health is 68 (--).


    Two minus sign trends, it seems that should be the problem!


    Generally, a person who falls for no reason like this is either a problem with the brain or a problem with the heart, which should not be able to escape.


    "Did your consciousness clear at the time? Do you remember what happened? Did you know you fell?" Lu Chen began to ask three times.


    The patient replied: "I remember, I remember! I just felt my right hand and right foot twitch like an electric shock. I couldn''t balance my whole body, and then I fell down."


    "Are you welding at that time?" Lu Chen asked, "Don''t worry, it''s an electric leakage or an electric shock."


    "No." The patient shook his head, "Every electric welder has a plastic handle, and the place where I stand is a wooden ladder, it is impossible to get an electric shock."


    Lu Chen nodded slightly, yes, if it was an electric shock, it would be impossible for only one hand and foot to twitch.


    "Has this happened before?" Lu Chen asked.


    "No, this is the first time."


    Lu Chen frowned, then this is a bit strange.


    Immediately afterwards, Lu Chen asked a lot of questions and learned that the patient did not have chest tightness, chest pain, difficulty breathing, dizziness, headache and other symptoms when he fell.


    Moreover, the patient is usually healthy and has no underlying diseases, such as high blood pressure, diabetes, etc.


    The twitching of the whole hands and feet only lasted for a few seconds, and it quickly subsided.


    After routine physical examination, the patient''s limb muscle strength and muscle tension were all normal. Other neurological tests were largely normal as well.


    Lu Chen thought for a while, then said to Fan Jian who was beside him: "The problem of the brain should be considered first. I fell for no reason, and one side of the limb twitched. It might be epilepsy, cerebral hemorrhage, cerebral infarction, or craniocerebral tumor. or other diseases of the nervous system."


    Fan Jian said helplessly: "The examination of the nervous system has been done, and the results are all normal."


    Lu Chen frowned even more. He took the medical record from Su Rui and checked it carefully.


    Sure enough, the patient''s brain CT, MRI, and dynamic EEG were all done!


    All were normal, no cerebral hemorrhage, cerebral infarction, and no tumor were found.


    "The result of the blood draw, and the electrocardiogram?" Lu Chen asked again.


    For some patients, it may also be caused by heart problems, such as heartbeat too slow or too fast, causing the heart to pump blood poorly, and then cerebral ischemia, which will then cause the above symptoms, so cardiac examinations are normal.


    "Normal!" Fan Jian helplessly spread his hands, "The patient is normal except for a little high uric acid."


    Lu Chen turned to ECG and Holter, as well as cardiac ultrasound.


    is indeed the same as what Fan Jian said, it is normal.


    Lu Chen frowned, this is strange, any inspections are normal at present!


    "Could it be epilepsy?" Lu Chen pondered for a while, then slowly said to Fan Jian beside him, "The patient first twitched for no reason, and then fell from a height. At that time, he was clearly conscious and able to clearly remember what happened. The whole process was After a few seconds, I stopped smoking. Afterwards, my hands and feet moved normally, and there was no incontinence, and there was no abnormality in the physical examination of the nervous system. It seems that there is a high possibility of epilepsy!"


    There are many types of epilepsy, and the classification is very complex.


    Some are very serious, with a full-blown grand mal, the whole person is convulsing violently, and the consciousness is not light.


    But there are also mild ones, such as simple partial seizures, which are relatively short, a few seconds, and more than ten seconds.


    Fan Jian wondered: "Lu Chen, if it is an epileptic seizure, why is the patient''s EEG normal?"


    EEG is the most important auxiliary examination for the diagnosis of epilepsy.


    Because the so-called epilepsy is actually caused by abnormal discharge and random discharge of a certain part of the brain.


    "It is possible for EEG to record this epileptic discharge process," Lu Chen explained, "but not 100%, just like Holter."


    In fact, for one reason or another, abnormal EEG results are recorded in only 50% of epilepsy patients, and the other 50% are missed.


    "In this case, the possibility of epilepsy is relatively high." Fan Jian muttered to himself.


    At this time, the patient on the hospital bed suddenly asked in a low voice, "Doctor, is my illness related to work? Could it be caused by work?"


    "It''s hard to say." Lu Chen said, "The cause of epilepsy is unknown."


    When it comes to work-related injuries, be cautious.


    "Brother Fan, let''s ask a neurologist for consultation." Lu Chen said.


    After all, he is not a neurology major, and he can only say that he has only a limited understanding of the knowledge of the nervous system.


    "Already invited, it should be on the way." Fan Jiandao.


    As soon as the ?? voice fell, the consulting doctor from the neurology department came to the emergency department.


    Lu Chen didn''t know him, the hospital was too big, and he had been here for too short a time, so he was not familiar with many people.


    However, Lu Chen stayed in the emergency department and wanted to hear the opinion of the neurology department.


    After reading the medical records, the neurologist said to Fan Jian and Lu Chen: "At present, epilepsy is indeed not ruled out in patients. But diagnosing epilepsy is not a trivial matter. Many people call epilepsy epilepsy, which shows how discriminatory this is. sick."


    "We neurologists generally have to be confident enough to make this diagnosis. In addition, if the diagnosis is epilepsy, it means that long-term oral antiepileptic drugs may be required in the future."


    "This is not a joke. I suggest you stay in the hospital and continue the investigation. Try to check it out as much as possible."


    The psychiatrist is still a professional, and he named the key to the problem at once.


    Diagnosis of epilepsy is easy, but after diagnosis, this series of problems is more troublesome.


    The middle-aged man in the hospital bed panicked when he heard what the neurologist said, "Doctor, if it really is epilepsy, can this disease be cured?"


    The neurologist shook his head, "Current medical surgery, epilepsy cannot be cured, only long-term oral antiepileptic drugs, such as sodium valproate sustained-release tablets."


    This sentence made the patient a little bit broken, "I''m a skilled worker, if the boss knew that I had epilepsy, no one would dare to invite me..."


    A trace of bitterness appeared on the patient''s face, "Doctor, do you have to take medicine for a long time?"


    The neurologist said: "How to say... About 30% of epilepsy patients may have spontaneous remission if they do not take medicine. In other words, 30% of epilepsy patients do not take medicine and may gradually reduce or even stop having seizures."


    "That is to say, it is not necessary to take medicine for a long time?" The patient said again.


    The psychiatrist shook his head slightly, "But we can''t judge for the time being which type of person belongs to the 30%. If you are the remaining 70% and don''t take medicine, you may become more and more powerful, and you may not be so lucky next time. You could be swimming, you could be driving, you could be crossing the street."


    "Once it occurs in such a dangerous environment, even if the symptoms only last for a few seconds, it will be fatal!"


    Fan Jian whispered from the side: "In the past two days in the emergency department, the patient had two more attacks, but they were both in the hospital bed, so there was no danger."


    The neurologist heard the words and said, "Three attacks in a short period of time means that you still need to take medicine."


    Hearing this, the patient was a little silent.


    Fan Jian saw that the communication was almost the same, so he took Lu Chen and the neurology department back to the office, "If there is a bed in the neurology department, I''ll just take it in?"


    "No problem." The neurologist nodded, "I''ll contact you when the bed is available."


    "Thank you for the consultation." Fan Jian breathed a sigh of relief and finally sent the patient away. Facing such a patient whose condition is unknown, it was really a time bomb.


    Lu Chen saw this and was ready to leave.


    But just as Lu Chen stepped out of the door of the emergency department ward with his right foot, he heard the cry of a nurse from the ward: "Rescue! Rescue!"


    Lu Chen stopped and looked back into the ward.


    Junior Sister Su Rui also stretched her neck, looked inside, and said in surprise, "Senior brother, it seems that the patient we just consulted was rescued!"


    Try to post as many chapters as possible.


    (end of this chapter)

 v2 Chapter 595： Meet AstraZeneca

    Chapter 595 Meeting with AstraZeneca


    The First Affiliated Hospital of Kyoto University.


    Emergency Medicine.


    In the ward, the alarm sound of the monitor and the shouting of the medical staff were mixed together.


    "Doctor Fan, the patient is sick again!"


    The patient on the hospital bed rolled his eyes up and began to twitch violently, foaming from the corners of his mouth.


    Fan Jian has already rushed to the bedside and said loudly: "One diazepam, intravenous injection!"


    The emergency department nurses have high rescue quality and immediately prepared diazepam injection.


    Just when the nurse was about to give the patient medication.


    Lu Chen found something very strange, and hurriedly shouted: "Wait a minute!"


    He points to the ECG monitor at the patient''s bedside.


    On the ECG monitor, the ECG is a straight line!


    This is so scary!


    A straight line on the ECG means that the patient may have stopped cardiac electrical activity!


    In other words, the patient may have had a cardiac arrest.


    To put it more bluntly, the patient may have died.


    Fan Jian looked in the direction Lu Chen pointed.


    Sure enough, the ECG is a straight line!


    He felt a little uneasy in his heart. He was about to jump on it and performed CPR. He quickly felt the patient''s carotid artery pulse, but he really couldn''t feel it.


    But after a few seconds, you can feel the throbbing.


    At this time, the nurse shouted again, her heartbeat came back!


    Fan Jian had a cold sweat on his back, but luckily it was a false alarm.


    Immediately afterwards, the patient''s convulsions also stopped, less than 10 seconds before and after.


    Fan Jian shook his head helplessly: "A patient with epilepsy, the cause of which has not yet been figured out, which is good, the heartbeat stopped immediately. It''s so embarrassing!"


    But at this moment, Lu Chen was stunned. He seemed to know why the patient had a seizure.


    Lu Chen stepped forward, quickly checked the patient''s bilateral pupils, re-measured his blood pressure, and confirmed that the patient''s vital signs had stabilized.


    At this time, the patient has also slowly woke up.


    "Lu Chen, what''s the matter?" Fan Jian stared at Lu Chen in surprise. Did he find something again?


    "Can you call up the patient''s ECG monitor record?" Lu Chen asked.


    "Of course you can." Fan Jian nodded, turned around and instructed the nurse beside him to call up the records of the ECG monitor.


    The nurse quickly called up the record.


    Lu Chen flipped through the patient''s ECG monitoring record, corresponding to the time. Before the attack, the patient''s heart rate was good, more than 80 times per minute, but at the beginning of the convulsion, the heart stopped beating, and there was a long RR interval. Lasted 7 seconds.


    "The problem is here!" Lu Chen said in a deep voice.


    Fan Jian looked at Lu Chen suspiciously, still didn''t quite understand what Lu Chen meant, "What''s wrong?"


    "The patient should have cardiac arrest first and then convulsions." Lu Chen said slowly. "It seems that the convulsions are caused by diseases in the cardiology department, not the epilepsy we have always thought."


    Fan Jian was stunned, "Lu Chen, what do you mean...is this Aspen syndrome?"


    Lu Chen nodded slightly, "Yes, it''s Aspen syndrome!"


    The so-called Aspen syndrome refers to a disease in which syncope and convulsions occur due to cerebral ischemia and hypoxia due to sudden insufficient or no pumping of blood by the heart for some reason.


    Heart beating too slowly, or not beating at all, or beating too fast may cause insufficient pumping and cause fainting and convulsions.


    The final diagnosis is only a thin layer of window paper from reality.


    Lu Chen pierced this layer of paper, and all the doctors present suddenly realized.


    Originally, Fan Jian and the others also considered the possibility of heart disease, so they also arranged to do a dynamic electrocardiogram, echocardiography, etc., but no abnormal findings were found.


    "Why are echocardiograms and electrocardiograms okay?" Fan Jian said.


    Lu Chen smiled, "Because during the examination, the patient did not have convulsions, and naturally there was no cardiac arrest. The electrocardiogram done at this time will definitely not be able to capture evidence."


    Fan Jian nodded, "It makes sense, but why didn''t the patient have a cardiac arrest in the first place?"


    Lu Chen explained patiently: "The patient was only twitching on one side of the limb at the beginning, and his consciousness was still awake. Considering that the cerebral ischemia was not serious at that time."


    "Afterwards, the arrhythmia aggravated, and the arrest time may be prolonged, leading to disturbance of consciousness and generalized seizures. The patient never felt chest tightness, chest pain, palpitations and other discomforts before the seizure."


    Just now, the patient had a sudden convulsion, which occurred directly under the eyes of the tube doctor and the ECG monitor.


    So, we finally caught the real murderer!


    As soon as Lu Chen finished speaking, he noticed a prompt popped up from the system.


    "Congratulations, +1 for the thank you from Fan Jian!"


    "Congratulations, the completion of the system upgrade has increased!"


    ¡­


    "Lu Chen, it''s really thanks to you."


    Fan Jian patted Lu Chen on the shoulder, but he didn''t expect Lu Chen to help him solve the problem for the second time.


    Lu Chen smiled, he also accidentally discovered that the patient''s electrocardiogram showed a straight line.


    "Do you have a bed? Take this patient to your department?" Fan Jian said again.


    Now that epilepsy is ruled out, then instead of going to the neurology department, you need to go to the cardiology department to be hospitalized.


    "There just happens to be a bed, so you can go." Lu Chen nodded, "But Brother Fan, you need to talk to the patient first. He may have to complete the electrophysiological examination and may need a pacemaker. If you don''t go for surgery If so, there may be no need to go.¡±


    "Okay, as long as there is a bed, I will communicate with the patient." Fan Jian grinned, it is better to transfer out such a high-risk patient as soon as possible.


    ¡­


    Go back to the doctor''s office in the first district of the heart.


    Lu Chen explained to the nurse, ready to accept a patient from the emergency department.


    Although this patient does not have medical insurance, the boss of others reimburses him in full!


    "Senior brother, I have a little question about the patient just now." Su Rui whispered.


    "Ask." Lu Chen smiled, he liked this little junior sister, not because she was beautiful, but because...you could earn thanks!


    Su Rui blinked and asked, "Why does this kind of patient have no symptoms before the onset? Such as chest tightness, chest pain, palpitations..."


    Lu Chen explained with a smile, "Not every patient with arrhythmia will feel uncomfortable. Some people don''t have any heart discomfort and just fell to the ground. Later, they were diagnosed with sick sinus syndrome. Heart disease. The beating is irregular, the brain is ischemic, and after a few seconds, it will darken and fall."


    "Isn''t that dangerous?"


    "Yes." Lu Chen nodded, "So after this patient finds out the specific reason, he may need a pacemaker."


    Su Rui nodded, in her eyes, Senior Brother Lu Chen is too powerful, he knows everything he asks, it''s just a treasure chest!


    ¡­


    The First Affiliated Hospital of Kyoto University.


    General Surgery Ward 1, doctor''s office.


    Since coming to Kyoto University, Wang Zihao has felt a lot of pressure!


    He never imagined that one day he would be able to stand in the top medical school in China.


    Surrounded by academic masters and academic gods...


    Although he is usually heartless and doesn''t care much about other people''s opinions, he still suffered a big blow when he came to this competitive environment.


    In the entire department, his clinical knowledge and skills may be the worst.


    However, a recently published 2-point SCI paper turned him around!


    As a postgraduate student, it is not easy to be able to complete a SCI paper alone.


    Even in Kyoto University, where there are many scholars, only a small number of people can achieve this achievement.


    Since the publication of this SCI paper, Wang Zihao instantly gained confidence!


    Usually in the department, he walks straight.


    Returning to the bedroom after get off work, Wang Zihao was about to find Lu Chen, but he didn''t expect his sister Wang Ruoxi to call.


    "Zihao, are you with Lu Chen now?"


    Thought Wang Ruoxi was concerned about his younger brother, but opened his mouth and asked Lu Chen.


    "Yes, sister, what''s the matter?"


    Wang Zihao knew that his sister was "specially concerned" about Lu Chen for a while.


    But after Lu Chen didn''t respond, Wang Ruoxi stopped the offensive.


    Could it be that the old love is rekindled this time?


    Could it be that Lu Chen is going to be his brother-in-law again?


    Wang Zihao is very tangled...


    Lu Chen is very good, but from a brother to a brother-in-law, it always feels so strange!


    Just listen to Wang Ruoxi continue: "Lu Chen recently published a paper on Dapagliflozin, right?"


    "Well." Wang Zihao responded, he knew that his sister happened to be AstraZeneca''s Jinghua regional manager, so it''s not surprising to know these things.


    Wang Ruoxi said solemnly, "Zihao, there is something, you have to tell me the truth."


    "Sister, what you said is right, I''m your younger brother, and I definitely won''t lie to you!" Wang Zihao said in surprise.


    Listening to the serious tone of the old lady, isn''t it about emotions?


    Wang Ruoxi paused and said slowly, "Then tell me, did Lu Chen complete this thesis himself, or did his supervisor help?"


    Wang Zihao blurted out when he heard this: "It must have been done by Lu Chen alone! Professor Li Yao gave at most a little opinion, and most of the content was done by Lu Chen himself."


    "Really?" Wang Ruoxi still didn''t believe it.


    This is not some SCI paper with two or three points!


    is one of the top journals in the cardiovascular field!


    The department directors of many provincial tertiary hospitals have not reached this level...


    "Really! I promise!" Wang Zihao said immediately.


    On the other end of the phone, Wang Ruoxi was a little silent. He knew that Lu Chen was unusual, but he still underestimated him.


    This time, he was even noticed by the people above.


    "Okay, I got it. I''ll come to Kyoto to find you tomorrow."


    Wang Ruoxi hung up the phone after she finished speaking.


    Hearing the busy voice over the phone, Wang Zihao pouted, "That''s nice, look for me? Mostly Lu Chen..."


    ¡­


    On Lu Chen''s side, his mentor Li Yao also contacted him.


    "Lu Chen, people from AstraZeneca may have contact with you recently." Li Yao gave Lu Chen a vaccination in advance, "It should be to talk to you about the Dapagliflozin natural project."


    Lu Chen was a little confused when he saw the news.


    "Teacher, why is AstraZeneca looking for me?"


    "I don''t know exactly, but they are very interested in your paper." Li Yao replied, "You completed this paper independently, so I asked their people to find you directly."


    Although Li Yao has a correspondent author, she has really touched Lu Chen''s light.


    "Okay, thank you teacher, I got it." Lu Chen was quite puzzled.


    Why did AstraZeneca come to him, isn''t there a competitive relationship between them?


    Is AstraZeneca here to "call for security"?


    At the same time, Lu Chen also learned from Wang Zihao that Wang Ruoxi would come to Kyoto.


    It seems that Li Yao''s tutor is right, the people from AstraZeneca are coming!


    ¡­


    The next day.


    As soon as Lu Chen got off work, he was blocked by Wang Ruoxi downstairs in the bedroom.


    "Lu Chen, long time no see."


    Although Wang Ruoxi was wearing black business clothes, she still couldn''t hide her hot figure. She had shoulder-length short hair, and she looked very capable and had a touch of charm.


    "Sister Ruoxi, why did you come all the way to the capital?" Lu Chen greeted him with a smile.


    Wang Ruoxi also provided a lot of support for his national nature project about Dapagliflozin. For example, experimental drugs are all sold at discounted prices.


    This saved Lu Chen a lot of project funds!


    "Brother Lu Chen, of course I''m here to find you, and there are still important things to do." Wang Ruoxi is not a few years older than Lu Chen, but she has been in the workplace all the year round, and there is a little more in her tone that Lu Chen is not mature and sophisticated.


    "Any time? Let''s talk somewhere else."


    "it is good."


    Being accompanied by beautiful women, Lu Chen is also willing.


    Facing patients in the hospital every day is sometimes quite boring.


    found a cafe near the hospital, the two found a booth and started chatting.


    Lu Chen is not used to the coffee here, so he has to add a lot of sugar every time.


    "Brother Lu Chen, take your time and taste it, it''s all bittersweet." Wang Ruoxi took a sip of the sugar-free coffee.


    "Forget it, I''ll add sugar." In his opinion, life is very difficult many times, so let''s try to sweeten it as much as possible.


    "Sister Ruoxi, what''s the matter with me this time?" Lu Chen asked straight to the point.


    "Oh, if it''s okay, I can''t come to you?" Wang Ruoxi put down the coffee cup and said softly.


    Lu Chen secretly glanced at Wang Ruoxi''s delicate face, then withdrew his gaze and coughed lightly, "Of course you can."


    "Stop teasing you." Wang Ruoxi retracted her smile and said sternly, "I heard Zihao say that the 12-point SCI paper you published recently was done independently by you?"


    Lu Chen shook his head slightly.


    "Ah... not?" Wang Ruoxi was taken aback.


    Lu Chen said slowly: "First of all, this SCI paper is not 12 points, but 11.98 points; secondly, I can only say that most of it was done by me, and the statistical methods in it were obtained by a professor at Kyoto University."


    Lu Chen tells the truth, and anyone with a discerning eye can see that this statistical method is really impossible for ordinary people!


    "What do I think." Wang Ruoxi smiled, she mainly wanted to ask if Lu Chen was in real name.


    Generally speaking, if you can have one or two low-scoring SCI papers, it is very good.


    Once the SCI impact factor exceeds 5 points, it must be considered that this is not a "study valve"!


    The current second generation of learning is better than the second generation of officials and the second generation of wealthy people.


    Elementary schools have begun to study genes, which makes many masters and doctorates feel bad?


    "Lu Chen, in fact, I came to you this time to represent the AstraZeneca China Division." Wang Ruoxi said slowly.


    Lu Chen smiled, "Sister Ruoxi, just finish it in one breath, what''s the matter with me?"


    Wang Ruoxi paused, "Looking for you, cooperation!"


    "Cooperation?" Lu Chen was puzzled, "Aren''t you AstraZeneca doing this experiment too?"


    Thinking of this, he was suddenly stunned. Does AstraZeneca want to turn their experiments into AstraZeneca''s "sub-center"?


    If this is the case, Lu Chen''s independent National Natural Project will directly become a subsidiary of AstraZeneca and become a clinical research center in China.


    Although there is no need to compete with AstraZeneca, it also loses the meaning of the original experiment, which is no different from choosing "laying flat".


    "Lu Chen, don''t get me wrong." Wang Ruoxi seemed to have insight into what Lu Chen was thinking, "Currently, the one who is conducting the same experiment as you is not the AstraZeneca headquarters, but an AstraZeneca European branch."


    "The branch?" Lu Chen frowned, "Is there any problem?"


    "There are many problems." Wang Ruoxi smiled, "If it is a clinical research led by AstraZeneca''s headquarters, then we won''t talk much about it, and we must be in a competitive relationship. Now, it is only a European branch that competes with you in scientific research. Department. Our China branch, and the European branch, are actually competitive.¡±


    "Isn''t it all one company? Is it so complicated?" Lu Chen wondered.


    Wang Ruoxi shook her head, "AstraZeneca is a multinational giant company. The more this kind of company is, the more complicated the relationship will be. The people in the branches all want to be promoted to the headquarters. There is a certain competitive relationship, which mainly depends on which district¡¯s performance has improved more, or who produces more influential scientific research.¡±


    Hearing this, Lu Chen understood a little.


    "Oh, so you want to work with me on the Dapagliflozin project, and want to compete with the European branch?"


    Wang Ruoxi smiled and nodded: "That''s right! The headquarters supports this kind of scientific research competition, because no matter which side wins, it is the AstraZeneca headquarters that will ultimately benefit!"


    Lu Chen pouted, these Europeans and Americans have a good plan!


    No matter which division wins, it is ultimately beneficial to AstraZeneca headquarters, so the headquarters acquiesced to this competition.


    "Actually, we didn''t intend to compete with the European branch on this project. The European side is progressing very fast, and we simply can''t keep up." Wang Ruoxi added, "But because of your sudden emergence, our Huaxia branch noticed you. Only then did I have the mind to compete with the European branch again.¡±


    Lu Chen frowned upon hearing this.


    At present, if nothing else, AstraZeneca''s European branch''s experimental progress must be faster than them!


    In this way, the cooperation request of the Huaxia branch is an opportunity.


    But AstraZeneca is a foreign company after all, a blood-sucking capitalist who can¡¯t see clear interests, so they will definitely not take it lightly.


    "How do you want to cooperate?" Lu Chen looked up at Wang Ruoxi.


    (end of this chapter)

 v2 Chapter 596： Does not clot

    Chapter 596 No blood coagulation


    In the coffee shop.


    Lu Chen and Wang Ruoxi sat opposite each other.


    "Our AstraZeneca China branch will cover all the expenses for your experiments." Wang Ruoxi smiled.


    When Lu Chen heard this, his heart moved slightly, "What if we want to expand the scale of the experiment?"


    "Within a reasonable range, we will also bear all the expenses!" Wang Ruoxi said.


    "Sister Ruoxi, can you represent AstraZeneca''s China branch?" Lu Chen was a little puzzled.


    bear all the experimental expenses, which is not a small amount!


    "Of course!" Wang Ruoxi nodded slightly, "This time I came with instructions from the leaders of Huaxia District."


    "Then what do we need to pay?" Lu Chen paused and wondered.


    Capitalists, definitely won¡¯t bleed so easily!


    Clinical research experiments are quite expensive, not to mention that in Lu Chen''s next plan, if he wants to surpass AstraZeneca''s European branch, he still needs to expand the scale of the experiment.


    "It''s very simple." Wang Ruoxi said sternly, "All the output of your papers, you need to bring the name of our AstraZeneca Huaxia branch, in addition, we AstraZeneca have the right to use all your related articles! "


    "This..." Lu Chen was slightly taken aback.


    Sounds like a simple condition.


    is easy to achieve, just add a name to the paper, and then hand over the rights to use the paper to AstraZeneca.


    But Lu Chen intuitively told him that things might not be so simple!


    Seeing Lu Chen''s hesitant expression, Wang Ruoxi took another sip of coffee, she was not in a hurry.


    In her opinion, as long as Lu Chen has an idea for his experiment, he will definitely agree to her conditions.


    Unless, he chooses to lie flat!


    ¡­


    Even with the help of the system, no matter how good Lu Chen is, he is still just a novice student.


    "Sister Ruoxi, I can''t give you an answer for a while." Lu Chen raised his head and stared at Wang Ruoxi, "Give me some time to think, and I will contact you as soon as I think about it."


    "Of course, I''ve been in Kyoto these few days." Wang Ruo smiled slightly, "but you have to make a decision as soon as possible, you know, every day we delay, the progress of the experiment will not be one point behind the European branch of AstraZeneca. ."


    "Okay, don''t worry, it''s just these two days." Lu Chen nodded slightly.


    "Alright then, the work is over." Wang Ruoxi looked at Lu Chen with a smile, "Let''s talk about private matters."


    "Private business?"


    Lu Chen hadn''t finished digesting what Wang Ruoxi brought to him, when he heard the word "private matter" and was slightly taken aback.


    "Sister Ruoxi, tell me." Lu Chen looked at Wang Ruoxi in surprise.


    Wang Ruoxi stretched her waist lazily, showing off her proud curves.


    "Lu Chen, you shouldn''t have a girlfriend, right?"


    "No, not yet." Lu Chen was stunned.


    Wang Ruoxi is Wang Zihao''s sister. Wang Zihao stays with Lu Chen every day, so he naturally knows Lu Chen''s emotional state.


    "Then... Then what do you think of your sister?" Wang Ruoxi smiled and looked straight at Lu Chen.


    Lu Chen coughed lightly.


    To tell the truth, Wang Ruoxi is definitely a beauty above seven points, and she has a very good figure. The key is to have a big **** and be able to have a son.


    Seeing that Lu Chen didn''t speak, Wang Ruoxi leaned in front of Lu Chen and lowered her eyebrows.


    Lu Chen smelled a fragrance and moved in his heart.


    However, Wang Ruoxi suddenly left again, and immediately raised her eyebrows and smiled, "I''m kidding you, how old are you, don''t take it seriously."


    While Lu Chen breathed a sigh of relief, he was also slightly disappointed.


    Damn, he was molested!


    Soft and fragrant as jade, beautiful and delicious.


    He is not Liu Xiahui. Facing this kind of test, after a while, he may not be able to hold it.


    However, Lu Chen didn''t want to be molested by the beautiful young lady, so he stared at Wang Ruoxi in front of him, "Sister Ruoxi, if you want, of course I''ll be fine."


    Wang Ruoxi was stunned for a moment, she didn''t expect Lu Chen to be so bold all of a sudden, she smiled, "You little brat, you dare to molest your sister in turn?"


    Lu Chen looked at Wang Ruoxi with a smile, his eyes fixed on her.


    Wang Ruoxi pursed her lips and smiled, "Sister won''t accompany you, I''ll go first."


    After paying the bill, Wang Ruoxi left quickly, leaving Lu Chen alone to sit in the cafe.


    Looking at Wang Ruoxi''s leaving back, Lu Chen also recovered his mind, put aside his distracting thoughts, and immediately contacted his tutor Li Yao.


    As for AstraZeneca''s China branch seeking cooperation, he doesn''t have much experience, but tutor Li Yao can definitely give advice.


    ¡­


    contacted Li Yao.


    "I guessed it." Li Yao was not surprised as he imagined, but smiled: "They are also very complicated inside AstraZeneca, which is not uncommon."


    "Teacher, can I agree?" Lu Chen said.


    "Promise, definitely promise!" Li Yao smiled, "Such a good thing must not be missed. But you must avoid a few pits."


    "What pit?" Lu Chen wondered.


    "First of all, AstraZeneca''s Huaxia branch must not interfere with the progress of the experiment; secondly, they only have the right to use the paper, not ownership; finally, they can use the results we have made, but they need our authorization." Li Yao soon Just a few points.


    Lu Chen nodded slightly, fortunately, he asked Li Yao, his mentor, and did not rashly agree to Wang Ruoxi.


    "Teacher, how can I think that no matter what we do, the ultimate beneficiary is still AstraZeneca?" Lu Chen paused.


    "Oh, there''s no way out." Li Yao explained, "You are now researching other people''s drugs. Although the point of view is very novel, in the end, the biggest beneficiary is still AstraZeneca."


    "I''m not reconciled." Lu Chen sighed.


    "So, in your future research, try to avoid this kind of foreign medicine. Huaxia Medicine is too weak now."


    Lu Chen nodded slightly. When he first arrived at the First Affiliated Hospital of Kyoto University, Professor Qin Sifeng also said the same thing to him.


    "Okay, teacher, then I will contact AstraZeneca tomorrow and agree to their cooperation?" Lu Chen said.


    Li Yao thought for a while: "Before cooperating, try to get some benefits. As you know, in our department''s clinical trials, each patient enrolled in the group will reward the doctor in charge of the bed, so that everyone can be more motivated. participate."


    "Teacher, you mean..."


    Li Yao said: "Tell AstraZeneca that in addition to paying for all the costs of the clinical experiment, they have to put aside a part of the money for the subsidy of the laboratory staff, especially your small team, the experiment is so hard, you must have some funds. "


    Lu Chen felt that what Li Yao said was very reasonable.


    Although he is not short of money, the other members of the research team are all students, and many of them are still living on the living expenses given by their parents!


    ¡­


    hung up the phone, Lu Chen already had a rough plan in mind.


    The next day.


    Lu Chen found Wang Ruoxi directly through Wang Zihao.


    The two met again at the coffee shop and directly finalized the cooperation plan.


    In addition, Wang Ruoxi does not have the power to decide the subsidy plan proposed by Lu Chen for the time being.


    "Lu Chen, I will report the cooperation plan first." Wang Ruoxi said, "The subsidy needs to be decided by the leaders at the top. If there is any news, I will notify you as soon as possible. However, the leaders value this cooperation very much. should agree."


    "Okay, thank you Sister Ruoxi." Lu Chen smiled, "I have troubled you these two days."


    "I''m the one who troubled you." Wang Ruoxi stood up and stretched out her right hand, "I hope we have a win-win situation."


    Lu Chen also stood up, stretched out his right hand, and shook Wang Ruoxi lightly.


    A tender feeling came from his fingertips, which made Lu Chen''s heart move.


    Just as Lu Chen was about to withdraw his hand, Wang Ruoxi suddenly brought his face close to him.


    In Lu Chen''s surprised eyes, Wang Ruoxi''s light red lips left a light lip print on his cheek.


    One touch away!


    "Thank you little brother." Wang Ruoxi turned and left with a smile on her face.


    Lu Chen touched his cheek subconsciously, and then he realized, "I was molested again?!"


    "I''m not convinced..." Lu Chen shouted weakly in his heart.


    Single solo for more than 20 years, he hasn''t felt this touch well, just disappeared like this?


    ¡­


    With a faint aftertaste, Lu Chen returned to the bedroom.


    This cooperation with AstraZeneca should be a win-win situation.


    I thought it would just lay flat, but I didn¡¯t expect the twists and turns, and the willows will be dark and bright!


    As soon as Lu Chen sat down in the bedroom, Wang Zihao looked for him.


    Just did a "bad thing" with someone else''s sister. When Lu Chen faced Wang Zihao, he was a little embarrassed.


    "Lu Chen, what''s wrong with you?" Wang Zihao looked at Lu Chen in surprise.


    "No...nothing." Lu Chen touched his nose and quickly changed the subject, "Didn''t you go to the big class? Why did you go back to the dormitory?"


    Wang Zihao was very nervous, and he didn''t care about Lu Chen''s abnormality, he smiled, "Oh, class is boring, why don''t you do a clinical experiment!"


    Recently published a paper, Wang Zihao was a little out of touch, and from time to time he brought out clinical experiments to talk about things.


    In this regard, Lu Chen could only helplessly smile, he could understand the excitement when he first published an SCI paper.


    "What about Lao Gu and Ke Yue?" Lu Chen asked again.


    "Lao Gu is in a big class, Ke Yue should still be doing clinical research in the department." Wang Zihao said, "By the way, what will we do next for our experiment? Does it depend on a few of us?"


    "Next, you don''t have to participate in the experiment for the time being." Lu Chen thought about it and said.


    This time, he published a paper in the field of cardiovascular disease. Wang Zihao is a general surgeon. This time he can publish a paper or put on a name. It can¡¯t be like this all the time, right?


    Wang Zihao''s face changed, "What, what''s wrong?"


    Could it be that Lu Chen was going to kick him?


    Seeing his face, Lu Chen knew that he wanted to be crooked, so he kicked him lightly and scolded with a smile: "You are a general surgeon, come to our cardiology department every day to rub papers, once or twice is okay, time is good. It''s been too long, what does this make others think?"


    Wang Zihao scratched his head, "This... I also want to do general surgery experiments, but no one takes me."


    "You should start simple." Lu Chen suggested, "Actually, clinical trials are all the same. As long as you grasp the essence, you can draw inferences from one case. If you have any questions, you can ask me at any time."


    "Okay, then I''ll try it." Wang Zihao nodded slightly, now that he has Lu Chen''s assurance, he has to try it.


    "Oh, that''s right." Wang Zihao said again, "What is my sister looking for from you?"


    Hearing Wang Zihao talking about Wang Ruoxi, Lu Chen blushed slightly, and then returned to normal, "Something about the experiment."


    Wang Zihao had no doubts.


    Afterwards, Lu Chen and Wang Zihao chatted for a while, and went off to do their own thing.


    ¡­


    Back to the first area of ??Cardiology.


    Lu Chen performed a cardiac electrophysiological examination on the uncle who was transferred from the emergency department.


    In the end, sick sinus syndrome was found.


    After Lu Chen placed a dual-chamber pacemaker on the patient, the patient''s symptoms were relieved, and the "epilepsy" never occurred again, so he was discharged from the hospital.


    The First Affiliated Hospital of Kyoto University is worthy of being the top hospital in the country. Lu Chen has seen many intractable diseases here.


    The completion rate of system upgrades has skyrocketed, basically every day.


    This was basically impossible before.


    Lu Chen estimated that before the end of this exchange, the completion of his system upgrade should reach 100%.


    Just when Lu Chen was immersed in the system attributes, the doctor''s office suddenly started to quarrel.


    ¡­


    "My dad spent 3,000 yuan for just one day''s stay? Your hospital is too dark!"


    A middle-aged woman about forty years old, with her hips on her back, stood at the door of the doctor''s office.


    A young doctor stood beside her.


    Lu Chen knew him. His name was Fang Ao, and he was a graduate student of Cardiology at Kyoto University School of Medicine.


    Fang Ao explained patiently with an apology on his face: "Auntie, I told you before that the first day you came here, the fee was more expensive, and it will be less after today."


    "I don''t care about that. I''m going to be discharged from the hospital now. I won''t be treated in your hospital!" The middle-aged woman was full of anger and did not listen to Fang Ao''s words.


    "Your father is currently hospitalized with chest pains, and he can''t be discharged for the time being." Fang Ao reminded.


    Lu Chen noticed that the superior physicians of all medical groups were absent, only the resident physicians and graduate students were in the ward.


    "I''m still living? Wouldn''t I be killed by your hospital!" The middle-aged female doctor snorted coldly, and his voice became louder, "I don''t care! I''m going to be discharged from the hospital today."


    Fang Ao looked a little cramped, looked into the doctor''s office, and lowered his head again.


    "Auntie, don''t get excited first, let''s talk about it slowly." Lu Chen helped him out, "Everything depends on the patient''s condition."


    However, middle-aged women don¡¯t look like Lu Chen at all.


    At this time, the senior doctor in Fang Ao''s group just came back!


    Fang Ao was relieved and stepped forward quickly, "Teacher, the family members of the 5-bed patient want to be discharged from the hospital."


    The superior doctor glanced at the middle-aged woman, and said coldly: "Yes, if you sign and express your willingness to bear all the consequences, then you can be discharged from the hospital!"


    After he finished speaking, he immediately sat in front of the computer, typed a doctor-patient communication record, and then said to the middle-aged woman beside him, "Sign it here. After you sign it, your father can be discharged from the hospital."


    The anger on the middle-aged woman''s face did not diminish at all. She picked up the communication record, just glanced at it, and her face changed suddenly, "There may be cardiac arrest, shock, or rupture of the heart? Don''t you scare me!"


    "I didn''t scare you, we have seen a lot." said the superior doctor.


    "Then...then I won''t sign it. I don''t have the right to sign this. When my eldest brother comes over, let him sign it!"


    After saying this, the middle-aged woman left the doctor''s office.


    ¡­


    "Lu Chen, thank you just now!" Fang Ao came to Lu Chen''s side and whispered.


    "It''s okay, I didn''t help anything." Lu Chen smiled, "What''s the condition of this patient?"


    This is the first time that Lu Chen has encountered such a situation since he came to Jingjing Hospital.


    Because in such a top hospital, others are worried that there will be no beds and will not be able to live in, which rarely happens.


    Fang Ao said helplessly: "Yesterday, the patient admitted to the emergency department had chest pain for a day, the changes in electrocardiogram were not obvious, and the troponin was elevated. We should still consider acute non-ST-segment elevation myocardial infarction. The patient''s chest pain has eased and surgery is not needed for the time being. Treatment. Just now, the family members felt that the cost of hospitalization was expensive, so they shouted to be discharged."


    Lu Chen nodded slightly.


    The first day of admission for a myocardial infarction patient, including blood drawing, monitoring, oxygen inhalation, etc., does cost thousands of dollars, which is similar in every hospital.


    "What about the patient''s electrocardiogram?" Lu Chen said casually.


    For patients considering myocardial infarction, he is still used to looking at pictures.


    Fang Ao opened the medical record folder, found three electrocardiograms, handed them to Lu Chen, and continued: "The patient''s electrocardiogram has not changed, but the myocardial enzymes have continued to rise, so we did not dare to let him out of the hospital at all."


    Lu Chen got three electrocardiograms. After a little comparison, there was indeed not much change.


    There are two types of acute myocardial infarction in the narrow sense. The first type of ECG can see ST segment elevation, which is called acute ST segment elevation myocardial infarction.


    Another type of ECG without ST segment elevation is called acute non-ST segment elevation myocardial infarction.


    "Lu Chen, this should be an acute non-ST-segment elevation myocardial infarction." Fang Ao said.


    Lu Chen carefully studied the three electrocardiograms and nodded slowly, "Yes. But why didn''t you do emergency surgery?"


    Fang Ao reluctantly said: "Just one day in the hospital, their family members thought the operation was expensive. As long as we talked about the operation, their family members directly refused. In addition, the patient''s chest pain has eased, and the best time for the operation has passed. We feel relieved. Slow down."


    "Alas." Lu Chen put down the electrocardiogram in his hand, shook his head and sighed, "If there is no surgery, this patient will be very difficult!"


    Hearing this, Fang Ao had a puzzled look in his eyes.


    Acute myocardial infarction has a very high mortality rate.


    However, this patient has acute non-ST-segment elevation myocardial infarction, not transmural myocardial infarction. Compared with ST-segment elevation myocardial infarction, the condition is still milder and the prognosis is slightly better.


    is not as serious as Lu Chen said!


    What''s more, Lu Chen had never been in contact with the patient at all. Just based on the absence of any electrocardiogram, he could judge that the patient did not undergo surgery?


    Lu Chen knew Fang Ao''s doubts, picked up the electrocardiogram, and was about to explain.


    Suddenly, the cry of a nurse came in from outside the doctor''s office.


    "5-bed rescue! 5-bed rescue!"


    Fang Ao immediately took off his legs and ran out, Lu Chen grabbed the stethoscope and followed closely behind.


    ¡­


    ran into the ward.


    Lu Chen saw that the nurse was performing CPR on the 5-bed patient.


    "The patient just suffered a sudden cardiac arrest!" the nurse shouted while performing CPR.


    Fang Ao ran to the bedside, the patient had lost consciousness, and the aortic pulse could not be touched.


    Beside the patient''s family, the middle-aged woman was crying frantically.


    Several nurses forcibly pulled her out for fear that she would disturb the rescue work.


    At this time, in Lu Chen''s eyes, the patient''s HP is 24 (---)!


    This is the one with the lowest health value among the patients he has seen recently.


    To make matters worse, the patient''s health drops at a rate visible to the naked eye!


    The HP was still 24 just now, but after a few seconds, it immediately became 22!


    "Open two more venous channels and bring the endotracheal tube here!" Fang Ao''s superior doctor quickly began to rescue him, and at the same time turned to Fang Ao and said, "Go and get the echocardiography!"


    "Received!" Fang Ao was about to go out when Lu Chen stopped him.


    "You are familiar with the patient''s situation, you are here to help, I will get it."


    "Okay." Fang Ao nodded, now is not the time to be humble.


    Lu Chen came to the nurse station, found a portable cardiac ultrasound machine, and immediately ran back to the ward.


    ¡­


    "Ruptured heart! Massive pericardial effusion!"


    The moment the ultrasound probe was placed on the patient''s heart, Lu Chen knew that the patient basically had no hope.


    Heart rupture, one of the most serious complications after myocardial infarction.


    After the heart is broken, a large amount of blood flows out, causing circulatory shock and pericardial tamponade!


    At this point, the patient''s HP has dropped to 15 (---)!


    Despite this, Fang Ao''s superior doctor immediately started pericardiocentesis!


    Lu Chen had to admire the high rescue quality of the doctors of Kyoto University.


    In this critical situation, the rescue of "pericardiocentesis" can still be carried out calmly!


    The superior doctor picked up the puncture needle and saw blood!


    Quickly draw out the uncoagulated blood!


    However, the patient''s heartbeat could no longer be maintained at this time.


    After using a lot of rescue drugs, the patient''s heart rate and blood oxygen saturation still showed a progressive decline.


    (end of this chapter)

 v2 Chapter 597： Open the path of academician advancement?

    Chapter 597 Open the path of academician advancement?


    Health 8 (---)!


    Lu Chen looked at the health value on the patient''s head and sighed slightly.


    useless!


    Heart rupture, once this fatal complication occurs, it is difficult for the patient to be rescued.


    Even if the superior doctor in the first area of ??the heart has tried his best to rescue him, he still has no luck!


    ¡­


    With the rapid alarm sound from the ECG monitor, the patient''s spontaneous heartbeat and breathing disappeared completely.


    Lu Chen sighed in his heart.


    In just a few years of his clinical career, he has become accustomed to life and death.


    But such a vivid life, fleeting, still makes people sigh.


    Life is often so fragile!


    No matter how medical technology develops, there are still many diseases that are difficult to treat.


    Lu Chen picked up the phone, turned on the camera, and looked at his health.


    (79¡ª)!


    "Huh..." Lu Chen let out a long sigh, "I''ve been a little tired recently, so I''d better rest."


    ¡­


    Typical, humanitarian chest compressions for 30 minutes.


    Miracle did not happen.


    After ?? was declared clinically dead, the patient was quickly dragged away by his family.


    Because the patient¡¯s family members had signed the medical records in advance because they refused the operation in advance, so now the patient¡¯s family members can¡¯t make trouble if they want to.


    out of the ward.


    Fang Ao took off his gloves and shook his head helplessly, "There''s no way, my heart is broken... Immortals can''t be saved."


    He carefully recalled the entire diagnosis and treatment process, and he did not make any mistakes.


    The complication of heart rupture, in many cases, can only depend on the patient''s life!


    There are many patients with acute ST-segment elevation myocardial infarction who do not develop this serious complication.


    But this patient, who was just an acute non-ST-segment elevation myocardial infarction, just had such a serious complication, who would have thought?


    "Wait..." Fang Ao suddenly remembered what Lu Chen said just now, "Not having surgery... will it be difficult?"


    Lu Chen''s words, isn''t this an indirect fulfillment?


    Back to the doctor''s office.


    Fang Ao found Lu Chen right away.


    He leaned beside Lu Chen with a puzzled look in his eyes, "Lu Chen, how do you know that this patient will be difficult if he doesn''t have surgery?"


    At this time, Fang Ao''s expression was like that of an elementary school student seeking knowledge.


    "Bring the patient''s electrocardiogram over." Lu Chen smiled.


    "ECG? Isn''t the patient acute non-ST-segment elevation myocardial infarction?" Although Fang Ao was strange, he still found the medical record folder, took out the ECG, and handed it to Lu Chen.


    Lu Chen pondered for a long time, then said in a deep voice: "Actually, this patient is indeed a non-ST-segment elevation myocardial infarction, but his electrocardiogram has a specific change."


    "Specific changes?" Fang Ao''s eyes widened. He has studied these three electrocardiograms many times, and the superior doctor has also read them several times, but he has not found any problems!


    Lu Chen paused, "The technical term is SubtleStemi."


    "What?" Fang Ao was stunned, he had never heard of this term at all.


    Lu Chen repeated, "SubtleStemi, this kind of picture also requires emergency PCI. It is the equivalent risk sign of Stemi. If it is not treated in time, serious complications, such as heart rupture, may occur!"


    Fang Ao frowned and looked at the electrocardiogram again.


    As a scholar-level figure, he was very uncomfortable to find that even though Lu Chen had made it so obvious, he still saw the problem of the electrocardiogram.


    Lu Chen explained patiently: "Subtle, in fact, means inconspicuous and imperceptible. The whole meaning is that some patients with acute and complete occlusion of the anterior descending artery do not show obvious ST-segment elevation in the chest lead on the ECG, but only show It is the fall of the R wave in the chest guide and the towering or symmetrical change of the T wave. Fang Ao, take a closer look at this electrocardiogram. "


    Lu Chen has explained it clearly enough now.


    Fang Ao got the electrocardiogram. After this kind of reminder, he compared and saw the decrease of the R wave in the chest conduction and the symmetry change of the T wave.


    "Really!" Fang Ao exclaimed in surprise.


    "Don''t underestimate the electrocardiogram!" Lu Chen smiled, "An electrocardiogram can actually reveal a lot of things!"


    "Hmmmm." Fang Ao couldn''t help giving a thumbs up to Lu Chen, this student who came to exchange from Beijing is really not easy!


    Just from the electrocardiogram, it completely killed him!


    "Congratulations, +1 for the thank you from Fangao!"


    "Congratulations, the completion of the system upgrade has increased!"


    Lu Chen''s face was overjoyed, he was getting closer to the system upgrade!


    ¡­


    In the next few days, Lu Chen was working on the clinic while waiting for news from Wang Ruoxi.


    Lu Chen is looking forward to this cooperation with AstraZeneca China branch.


    AstraZeneca has experimental centers all over China.


    If they can get their help, the national nature project can expand rapidly.


    The most important thing is that Lu Chen doesn''t need to pay any expenses, he just needs to improve the idea of ??clinical trials.


    A week later.


    Wang Ruoxi sent back the news.


    AstraZeneca China branch, agreed with Lu Chen''s conditions!


    Don''t ask them to add a request. After that, they have the right to take the lead in using any research results of Lu Chen on Dapagliflozin.


    Lu Chen thought about it, but agreed to Wang Ruoxi.


    Let¡¯s get over the immediate difficulties first!


    What''s more, Lu Chen had already made up his mind that he was too constrained to do foreign clinical drug trials.


    After the completion of this national nature project, he will change his research direction.


    As for the drug Dapagliflozin, he should never touch it again!


    Therefore, now that he agrees to AstraZeneca''s request, he has no loss at all, and he can also get a financial subsidy.


    ¡­


    AstraZeneca''s Huaxia branch moved quickly, and quickly signed a cooperation agreement with Lu Chen.


    Lu Chen''s National Nature Project has quietly started!


    For this cooperation with Lu Chen, both parties are confidential.


    With AstraZeneca''s cooperation, Lu Chen doesn''t need the help of other experimental centers now.


    Such as the water in the three areas of the heart...


    For this research institute that did not completely withdraw from the experiment due to affection, Lu Chen resolutely cleaned up this kind of ineffective experimental center.


    ¡­


    Three areas in the heart.


    Office of the Director.


    Wan Jingshui was quite surprised when he heard the message from Fang Ruzhang, "Lu Chen took the initiative to cancel the cooperation plan with us?"


    "Yes!" Fang Ruzhang nodded slightly, "Not only us, but also some other experimental centers in a wait-and-see state. Lu Chen did not have any reservations and directly withdrew the relevant experimental cooperation demands."


    "Lu Chen is so tough?" Wan Jingshui wondered, "Did they find a partner?"


    Fang Ru shook his head, "Probably not. Although Lu Chen posted an SCI paper with a score of 12, domestic experimental centers or research institutes have no intention of joining natural projects in other countries. I think Lu Chen mostly wants to lie down. ."


    Wanjingshui thought for a while and nodded in agreement.


    The cost of establishing experimental centers all over the country is also extremely high.


    If you know that there will be no great results, it is not necessary to continue to maintain this scale of experiments.


    "This is also a way to stop losses in time!" Wan Jingshui shook his head slightly, "It''s still a bit difficult to confront AstraZeneca."


    "By the way, Director, Yu Weiguang seems to have a new research project and wants to cooperate with us." Fang Ruzhang said suddenly, "Yu Weiguang asked you to meet this weekend."


    "Okay, you can arrange a time and let me know." Wan Jingshui smiled and nodded.


    Yu Weiguang, this is a rising star in the field of electrophysiology in China in recent years!


    He was a visiting scholar at Harvard in the United States, and was also taught by top international cardiovascular experts.


    Cooperating with him must be a profitable business!


    ¡­


    Speaking of which, Lu Chen has quietly started to expand the scale of the experiment.


    Because of this experiment, all of AstraZeneca''s Huaxia branch came forward.


    Therefore, no one could have guessed the relationship between Lu Chen and AstraZeneca''s China branch.


    So everyone thought that Lu Chen had chosen to "lie down" and gave up the idea of ??competing with AstraZeneca in scientific research.


    Lu Chen here is not at all surprised by the views of others.


    Now, with AstraZeneca''s full assistance, he only needs to process the data returned by various experimental centers and conduct secondary data statistics and analysis.


    And his research team, including Ke Yue, Gu Xinyue, Su Rui and others, all signed non-disclosure agreements.


    Su Rui was able to enter the R&D team, Lu Chen was very sophisticated.


    She was originally an undergraduate student at Kyoto University School of Medicine, so she has a natural advantage here.


    Actually, Lu Chen had thought about Yao Jie, but Yao Jie was in the third district in his heart, Director Wan Jingshui''s department.


    Wanjingshui has completely withdrawn from the experiment.


    Lu Chen''s troubles with Yao Jie''s sister, I''m afraid it''s not good.


    On the other hand, Lu Chen could vaguely feel Yao Jie''s feelings towards him.


    But he has no such plans at the moment, so he decided to alienate her.


    After considering many aspects, Lu Chen chose the first student he brought with him, "Su Rui".


    In addition to his research in Kyoto, Lu Chen also has a research group in Beijing, which is his own "direct line".


    ¡­


    Lu Chen''s first national nature project is quietly underway.


    All the research teams are full of expectations and want to see how far this project, which competes with AstraZeneca''s European division, can go? !


    The days in Kyoto go by day by day.


    In the blink of an eye, Lu Chen had been in Kyoto for three months, and half of the communication time had passed.


    Lu Chen''s reputation in the Cardiology Department of the First Affiliated Hospital of Kyoto University has also been thoroughly established.


    As everyone knows, this exchange student from Jinghua is not only able to manage the bed independently, but also proficient in electrophysiological surgery.


    On this day, tutor Li Yao also contacted Lu Chen.


    "Lu Chen, the experiment on Jinghua''s side has also begun to expand."


    "Okay, trouble teacher." Lu Chen said.


    "According to the data provided by AstraZeneca''s Huaxia branch, we have a total of 15 research centers across the country. The number of people in the first batch of experiments is 1,000, and the number of people in the second batch of experiments is no less than 3,000..."


    Listening to the message from Li Yao''s mentor on the phone, Lu Chen couldn''t help but sigh at AstraZeneca''s energy!


    It was only then that he discovered that even if the experimental centers such as Wanjingshui had not withdrawn, they would simply not be able to compete with a giant like AstraZeneca based on their abilities.


    This is just a division of AstraZeneca...


    No wonder Wang Ruoxi said before that if this research and development was led by the headquarters, then Lu Chen would have no chance of winning.


    This also shows that the withdrawal of Director Wan Jingshui was a very rational choice for them.


    ¡­


    The eight districts in the heart, the director''s office.


    When Li Yao communicated with Lu Chen, she was also secretly frightened.


    Before you know it, the research projects of your students have reached this level!


    Moreover, Lu Chen also published such high-quality SCI papers, with an impact factor of 12 points!


    Li Yao only once cooperated with another tutor, and published an SCI paper with 11 points.


    hang up the phone.


    Li Yao holds an application for the National Science Fund for Distinguished Young Scholars.


    National Science Fund for Distinguished Young Scholars, referred to as "Jie Qing"!


    This is one of the most valuable academic titles in the Chinese academic circles.


    If you want to touch the threshold of academician and get "Outstanding Youth", it is a start!


    Originally, Li Yao thought that it was impossible for him to continue his scientific research.


    However, several high-scoring SCI papers published by Lu Chen in the past two years have ignited a spark!


    For every paper published by Lu Chen, he is the first author, and Li Yao is the corresponding author!


    It can be said that the international honor of these papers basically belongs to Li Yao, the corresponding author.


    In addition, Ke Yue has also published two papers of good quality, and Li Yao is the corresponding author.


    In just two years, so many high-quality papers have been produced, which has loosened Li Yao¡¯s dusty scientific research path!


    Li Yao sat quietly in the office, and Professor Ouyang''s previous advice to her rang in her ears: "Xiao Yao, Lu Chen''s appearance is also your opportunity!"


    "He is not only a student, but also your lucky star!"


    "With his high-scoring SCI papers, your chances of winning this year''s selection of outstanding youths are much higher. If you decide to participate in this selection of outstanding youths, I will go to Kyoto to help you run it..."


    Li Yao understood Ou Yangming''s expectations for him.


    If you want to climb up the academic road, "Jiaqing" is an important milestone!


    Get "Outstanding Youth", then there is hope for a higher level.


    However, there is an age standard for "Jiuqing", and the applicant is less than 45 years old.


    Once you pass this age, if you don''t get the title of Outstanding Youth or Changjiang Scholars, you will basically be far away from the Huaxia Academic Center.


    Li Yao held the application tightly in her hands, her eyes flickering.


    Before Lu Chen, she never thought of this.


    But now, the sudden spark ignited by Lu Chen caught Li Yao by surprise.


    For a while, she hesitated.


    "Can I really do it?" Li Yao hesitated.


    However, Li Yao slowly recalled the efforts Lu Chen had made in the national nature project during this period.


    Even in the state of "betraying each other", he successfully published a high-scoring SCI paper.


    The students have worked so hard, so why does she have to back down?


    Li Yao suddenly smiled and slowly wrote her name on the application.


    ¡­


    (end of this chapter)

 v2 Chapter 598： College Entrance Examination

    Chapter 598 The trip to the college entrance examination


    is far away in Kyoto, Lu Chen, and he still doesn''t know Li Yao''s next plan.


    If Lu Chen found out, he would definitely be very happy in his heart. The more powerful the tutor, the better the platform for his student.


    The clinical research came to an end, and Lu Chen began to think about the next plan.


    There are still three months left to exchange in Kyoto.


    In the remaining three months, in addition to daily clinical work, there will be a third-stage assessment of the Kyoto Institute of Electrophysiology.


    Lu Chen calculated the time, the time for the third stage assessment should be coming soon.


    Passed the third stage of the assessment, and the exchange time was almost over. When he returned to Jinghua, Lu Chen officially entered the third grade, which also meant that his postgraduate career was coming to an end.


    ¡­


    One area in the heart, the doctor''s office.


    All doctors are busy every day.


    Here, you can hardly see anyone''s slack.


    In the real clinical work, Lu Chen''s various operation skills are improving rapidly. Many operations that are rare in Jinghua Cardiology Department are more common in Kyoto.


    The thing that makes Lu Chen the most happy is the improvement in the completion of the system upgrade.


    Because the upgrade conditions are too harsh, the last time Lu Chen upgraded, a year ago, the system added a symbol to display the trend of health value.


    Looking at the system panel, the completion of the system upgrade has reached 91%.


    Lu Chen thought to himself: "I don''t know what features will be added in the next system upgrade?"


    There was a faint expectation in his heart.


    ¡­


    In the blink of an eye, the day of the college entrance examination will soon arrive.


    Lu Chen thought of his cousin Lu Hao at home, and sent him a text message before the exam, asking him to work hard.


    "Brother, take the test well! When you finish the test, I will give you whatever gift you want."


    "Brother, really? I want the latest Switch or PS5!"


    "no problem!"


    With the thesis award from Jinghua Medical University, Lu Chen is not short of money now!


    As for whether Lu Hao chose to study medicine or not, Lu Chen didn''t want to care, and he didn''t care.


    After all, although medicine is a bit tiring, it is a good career.


    Besides, he is paving the way ahead, so cousin Lu Hao will have an easier road in the future.


    Everyone has their own life, no matter what choice you make, it¡¯s fine if you don¡¯t regret it.


    ¡­


    The college entrance examination is coming.


    Lu Chen suddenly received an assignment from Deputy Director Xiao Shikang.


    "During the college entrance examination, our department will send doctors to the examination room to carry out health protection work."


    "Lu Chen, the doctor in Corey doesn''t have time, so I''ll send you there this time."


    Originally, according to the usual regulations, it was the youngest doctor in Keli.


    This year, Lu Chen just came to the first area of ??his heart to communicate. He could manage the bed independently, and this errand fell on his head.


    "Okay, no problem." Lu Chen readily accepted.


    The college entrance examination has passed many years for him.


    It is also a good experience to feel the atmosphere of the college entrance examination at close range again.


    ¡­


    The date of the college entrance examination is about three days on June 6th, 7th and 8th every year, and the homophonic pronunciation of "admit it".


    As the most important exam in every Chinese person''s life, the government attaches great importance to it.


    Each examination room will cooperate with a number of medical staff, including two from internal medicine and two from surgery.


    Lu Chen was assigned to a middle school in Kyoto, not far from the medical school of Kyoto University.


    The day of the college entrance examination.


    As soon as it was dawn, Lu Chen got up, took the big bag arranged by the test center, and the other doctors came to the middle school together.


    The other three doctors in the same examination room are also residents of Kyoto University School of Medicine.


    The other two surgeons, Lu Chen, did not know each other, but by coincidence, the other physician was Lu Chen''s old acquaintance, Dr. Fan Jian from the emergency department.


    "Brother Fan, should you be the attending doctor, why are you still taking on this job?" Lu Chen wondered.


    As far as he knows, most of the people who take over this job are residents in the department.


    "Hey." Dr. Fan Jian patted Lu Chen''s shoulder, "Because we don''t have any inpatients in the emergency department, all of them are attending patients. I am still the youngest attending. There is no way, I am the only one here."


    "Oh." Lu Chen understood.


    Few newcomers want to go to the emergency department. Even if this is the emergency department of Kyoto University Hospital, it still faces a shortage of staff.


    "However, these three days are quite comfortable." Fan Jian smiled, "I heard that it is a short vacation to sit in the infirmary for three days, get three days'' subsidy, and then go back to the hospital. ."


    "Oh..." Lu Chen replied softly, "I hope so."


    Lu Chen thought, the peace and blessing he asked for in Jinghua, this time he also brought it with him, there should be no problem.


    The group came to the middle school and were placed directly in the infirmary.


    Everyone is equipped with a walkie-talkie. In the event of an emergency, the teacher in charge of the test center will contact them at any time.


    ¡­


    In Kyoto in June, the weather is unbearably hot.


    Fortunately, the infirmary is equipped with air conditioners and iced drinks, so Lu Chen and the others feel at ease.


    Taking advantage of this interval, Lu Chen consciously entered the system space to conduct electrophysiological surgery training.


    His current electrophysiological operation is an intermediate skill card, and his skill proficiency has reached 92%.


    Unless you get the advanced skill card of electrophysiological surgery, it is difficult to further improve the proficiency of this skill.


    But when Lu Chen looked at the system mall...


    The price of this high-level skill card is staggering, and it is simply not something that Lu Chen can afford now.


    The longer Lu Chen stayed in the clinic, the more he could feel the lack of his skills.


    Especially the most important coronary intervention in cardiovascular, Lu Chen is basically ignorant except for radial artery puncture, let alone the hottest TAVI and other technologies...


    The morning of the first day of the college entrance examination was spent so peacefully.


    In the afternoon, the weather suddenly warmed up.


    On the way to middle school, Lu Chen could clearly feel the heat of the sun, especially when he was walking in an empty classroom.


    Walking to the infirmary, Lu Chen and the others finally breathed a sigh of relief.


    However, looking at the students who were exposed to the sun and waiting for the exam room to open, Lu Chen couldn''t help but sweat for them.


    "Ding ding ding..."


    A rapid bell rang, and the afternoon exam officially began.


    Lu Chen was about to enter the system space for training when the voice of the person in charge of the examination room suddenly came from the walkie-talkie on the side.


    "Doctors, please note that there are candidates who are uncomfortable in examination room 32. Please go to the doctor in charge to check immediately."


    Exam Room No. 32 is managed by Fan Jian.


    "This afternoon has just started!" Fan Jian muttered when he heard the voice on the walkie-talkie, and immediately left the infirmary.


    After about ten minutes, before Fan Jian came back, the voice of the person in charge of the test center came from the walkie-talkie.


    This time, it was the turn of the examination room in charge of Lu Chen.


    Lu Chen walked out of the classroom under the poisonous sunlight.


    He faintly felt that this "trip to the college entrance examination" might not be so easy.


    I haven''t read the comments very much lately. I took a quick glance today and found that some classmates said that clinical and scientific research jumped to write, which was boring.


    Actually, I think that internal medicine is more difficult to write than surgery.


    Surgery focuses on surgical operations, which can be as exciting as action scenes.


    But internal medicine pays more attention to disease diagnosis, more rational judgment, and does not have the "atmosphere" of surgery.


    If the internal medicine literature is full of cases, it will definitely cause aesthetic fatigue.


    The further back you write, the fewer elements you can write if there is no breakthrough.


    You can¡¯t keep writing about difficult cases, right?


    So, in addition to writing about healing, there is also the growth of the protagonist.


    I''m also looking forward to the day when he becomes world famous.


    (end of this chapter)

 v2 Chapter 599： High school entrance exam!

    Chapter 599 The danger of the college entrance examination!


    came to the outside of the examination room.


    Lu Chen saw this "uncomfortable" candidate.


    The candidate is a thin and thin girl, wearing glasses, covering her stomach, and sitting on a chair in the corridor of the examination room with a pained expression, accompanied by a teacher next to her.


    Seeing the doctor coming, the accompanying teacher breathed a sigh of relief.


    "Doctor, this child suddenly has a stomachache." The teacher said, "Hurry up and take a look."


    Seeing that the doctor in front of him was so young, the teacher was also slightly taken aback.


    I heard that they are all doctors sent by the Affiliated Hospital of Kyoto University. I didn¡¯t expect that there are still such young people, maybe just in their early twenties.


    Lu Chen didn''t see the surprised look in the teacher''s eyes, and nodded slightly, "Go to the lounge next to me first, I''ll check it for her."


    "No, I''m not going."


    Unexpectedly, the girl raised her head and hurriedly shook her head.


    "I still have an exam, doctor, please let me sit outside for a while. When I''m more comfortable, I''ll go in and continue the exam."


    "This..." Lu Chen frowned.


    The HP on the girl''s head is 81(-).


    To be honest, for a young man under twenty years old, the HP of this 81 is still a little low.


    And, she also has a minus sign down trend.


    If not dealt with in time, abdominal pain may continue, and if it is an acute abdomen, it may even worsen or be life-threatening.


    "Teacher, just let me sit here and rest for a while." The girl prayed to the teacher beside her, "I''ve wasted a lot of time."


    This is the college entrance examination. After preparing for so long, I can¡¯t give up so easily.


    The teacher is not a doctor, and he can''t make up his mind, so he can only look at Lu Chen.


    Lu Chen paused and said slowly: "Don''t worry too much, we''ll go to the lounge next to me, and I''ll give you a quick check. If there are no major problems, I''ll let you come back and answer the questions immediately."


    The girl is still hesitant.


    She looked at the examination room, full of confusion in her heart.


    Before the exam started, her stomach started to hurt.


    But for the exam, she had already taken painkillers, but it still didn''t work.


    "If you continue like this, if the abdominal pain gets worse, it won''t happen for a while." Lu Chen said, "It may also affect tomorrow''s exam."


    "This... well, I''ll go." The girl heard this, gritted her teeth, and slowly stood up with the teacher''s support.


    ¡­


    Looking at the girl who was staggering in front of him, Lu Chen felt a little distressed.


    These students, they have paid too much for the college entrance examination!


    If it wasn''t for the unbearable pain, I believe girls wouldn''t bring it up on their own.


    Came to the lounge, Lu Chen quickly gave the girl a quick abdominal examination.


    "It''s so hot today, didn''t you drink some iced drink?" Lu Chen asked tentatively.


    "No...no." The girl shook her head, "I just drank a bottle of mineral water and didn''t touch anything else."


    "Any overnight food?"


    "No."


    "Then your aunt is here?" Lu Chen asked in a low voice.


    The girl blushed and nodded slightly.


    "Then your abdominal pain is the same as when your aunt came before?" Lu Chen continued.


    "Almost." The girl frowned deeply, "It''s a little different, it hurts a bit more than before."


    "Yes." Lu Chen nodded, he had already made up his mind, most of the time he was still suffering from aunt pain, except for acute gastroenteritis.


    The weather was hot, I drank a little more cold, and I was nervous about the exam, and my stomach hurt even more!


    "Drink some warm water now and take a painkiller." Lu Chen said, "Remember not to drink cold during the exam, you can take painkillers appropriately."


    "Well, thank you doctor." The girl raised her head and forced a smile.


    The girl took the painkillers prepared in the infirmary, waited for about five minutes, her stomach pain eased a little, and went back to take the exam shouting.


    The teacher who patrols the exam room has no choice. He can''t stop the girls from going to the exam. He can only remind the girls repeatedly that if the pain worsens, they should report it in time to avoid the delay of the disease.


    ¡­


    Go back to the infirmary.


    Dr. Fan Jian has returned.


    "Lu Chen, is there also a situation on your side?"


    "Well." Lu Chen said, "A girl, probably suffering from menstrual pain, just drank a cold drink again."


    "Hey, this ghost weather is too hot, if you don''t pay attention, if you drink something iced or cold, you may catch a cold." Fan Jian shook his head, "The one I just saw was a little feverish, with a body temperature of 38.2¡ãC. , If you have to go back to take a test after taking a break, no one can stop it."


    "It''s the same for me." Lu Chen said, "The stomach pain is relieved a little bit, so I have to go back to the exam room."


    In the face of this life-determining exam, no student dares to give up easily.


    An entire afternoon.


    Lu Chen found that there are quite a few candidates with minor problems, most of which are acute gastroenteritis, fever, hypoglycemia, dysmenorrhea, etc.


    Fortunately, the medicine preparations in the infirmary were relatively complete. After a simple treatment, each student returned to his own examination room.


    "Dear doctors, thank you for your hard work." The person in charge of the test center ordered to bring ice drinks to help everyone quench their thirst. "In this test room, there are more candidates with minor illnesses and pains than in previous years."


    "You''re welcome, your teacher has worked hard too."


    Fan Jian took a bottle of ice water, opened it, and poured it directly into his stomach.


    Lu Chen also took a bottle of water with a smile and took a few sips.


    Even though the infirmary has air conditioning, it can''t solve the internal heat. Drinking this bottle of ice water will make people feel cold in their limbs!


    "It''s hard to believe that under such high temperature conditions, there are still many college entrance examination rooms without air conditioning." Lu Chen shook his head helplessly, "The conditions here in Kyoto are quite good, students will be pre-cooled before entering the venue, other areas, just With one or two electric fans, how can you get it!"


    There is no absolute fairness in society.


    Just like, the number of Kyoto University admissions in Kyoto City every year is as much as the admission in a certain college entrance examination province!


    However, the number of applicants for the latter is more than ten times that of the former.


    Lu Chen''s dream was also Kyoto University, but he passed by.


    ¡­


    The first day of the college entrance examination ended in hot and dry weather.


    Lu Chen didn''t ask about his cousin Lu Hao''s exam status, but let him relax by himself and prepare for tomorrow''s exam.


    the next day.


    As soon as Lu Chen opened his eyes, he heard the sound of pouring rain outside.


    The whole temperature is no longer as hot as yesterday, but the dampness in the air is extremely uncomfortable.


    The weather on this college entrance examination day is really "disasters and disasters"!


    Lu Chen got on the bus as usual, and went to the exam center with his group.


    It was pouring rain, making visibility across the road very low.


    The bus driver had to slow down.


    Lu Chen got into the car and started to doze off.


    After a while, the car stopped suddenly.


    The bus driver stood up and said apologetically to the crowd: "It seems that there was a car accident ahead, and there is a traffic jam."


    Lu Chen looked out of the car.


    On the road, a car and a tricycle collided, blocking the already somewhat blocked road.


    (end of this chapter)

 v2 Chapter 600： I go to the hospital, you go to the exam!

    Chapter 600 I go to the hospital, you go to the exam!


    "This terrible weather!" Fan Jian muttered, "Our emergency department is most afraid of this kind of weather, something is going to happen!"


    Lu Chen glanced at Fan Jian angrily, didn''t something happen?


    "Doctors, you may have to wait. It seems that someone has been injured, which is quite serious." The driver stuck his head out of the window, "110 has come."


    Looking through the car window, Lu Chen saw that someone was lying on the ground, and the health on his head was "blood red"!


    He was stunned for a moment, the car couldn''t move for a while, "Master driver, please open the door, I''ll go down and have a look."


    "Hey, Lu Chen, it''s raining so hard..." Before Fan Jian finished speaking, he saw Lu Chen picked up an umbrella and got off the bus.


    Fan Jian shook his head helplessly and got out of the car with an umbrella.


    ¡­


    110 police cars have come to the scene, it seems that the tricycle and the car collided.


    This weather is most prone to traffic accidents.


    "Dad, what''s wrong with you... don''t scare me... wake up!"


    Beside the tricycle, a girl of about eighteen years old was kneeling beside a man in the pouring rain.


    The man was lying in the rain, blood dripping from his head, the blood running down his forehead and mixed with the rain on the ground.


    There are people around holding umbrellas for girls and men.


    The girl''s cry was heart-piercing, and it made people feel moved.


    Beside them, a man in a suit held an umbrella and kept talking on the phone. It seemed that it was the driver who caused the accident.


    Lu Chen paused, then stepped forward quickly.


    At this time, the man lying on the ground has a life value of 46(¡ª), which is in an endangered state!


    "I''m a doctor, let me take a look." Lu Chen pulled away the crowd of onlookers and came to the man.


    The girl who was crying immediately gave up a position, with tears in her eyes, she clutched Lu Chen''s sleeve tightly, "Doctor, please save my dad."


    Lu Chen turned to look at the girl and nodded to her.


    He noticed that the girl''s HP was 76(-), so there should be no danger to her life for the time being.


    Lu Chen turned his attention to the man lying on the ground again.


    Although the rain is pouring, the patient injured in the car accident cannot move the position at will. If the patient has a fracture, it may cause secondary injury.


    The man is in a coma.


    Lu Chen tried to call, but he didn''t respond.


    Lu Chen touched the carotid artery, and the patient''s pulse and breathing were all there.


    But his radial pulse was extremely weak.


    Lu Chen took out a stethoscope from his pocket and quickly performed cardiopulmonary auscultation on the patient.


    Heavy rain fell on Lu Chen''s body, but he couldn''t care so much now.


    "Heart and lung auscultation is probably normal. At present, it seems that the fatal injury should be the trauma to the head."


    Lu Chen gave the patient a simple physical examination and quickly made a judgment.


    At this time, Fan Jian also came to him.


    "Lu Chen, how is the patient?" Seeing this tragic situation, he immediately entered his identity as an emergency doctor.


    "Cranial trauma, shock state, and other traumas cannot be ruled out for the time being." Lu Chen said to Fan Jian, "Brother Fan, please come back to the car and bring some bandages."


    They carried a first aid kit with bandages and gauze.


    "Okay, I''ll go now." Fan Jian nodded and immediately ran towards the bus.


    ¡­


    "Doctor, my dad, how is my dad?" The **** the side was tearful and her eyes were red from crying.


    "Don''t worry, I''ll bandage him right away." Lu Chen comforted, "Besides, someone has already called 120, and the ambulance will come right away."


    "Thank you, thank you doctor." The girl wiped her tears with her hands.


    After a while, Fan Jian came back soon.


    He also got off the bus with the accompanying surgeon.


    The two came to the patient and began to cooperate with the patient''s head trauma site to perform a simple hemostatic bandage.


    But this is also a temporary first aid measure, open wounds are prone to infection, especially in such rainy days, the patient needs to be sent to the hospital immediately for debridement and suture, and to exclude other organ trauma.


    As soon as the two finished bandaging the patient, the 120 first aid arrived.


    "Hey, isn''t this Zhang Qiang?" Fan Jian saw that the doctor who got out of the ambulance was the doctor from the Emergency Department of the First Affiliated Hospital of Kyoto University.


    He hurriedly beckoned and asked Zhang Qiang to come over quickly.


    "Brother Fan, why are you here?" Zhang Qiang wondered.


    "I went out to work and happened to be passing by. I won''t say much more. Hurry up and carry the patient up. This patient is in a coma, and the condition is not very good. I have to send him there quickly."


    It is not the time for chatting due to such heavy rain. Fan Jian briefly explained his condition and asked the accompanying nurse to help lift the patient onto the stretcher.


    "Where''s the patient''s family?" Zhang Qiang shouted to the surroundings.


    "Doctor, I''m here." The girl limped forward, a middle-aged woman standing beside her.


    Lu Chen didn''t see her just now, it should have just arrived at the scene not long ago.


    "Get in the car and go to the hospital together." Zhang Qiang beckoned, "Hurry up and stop the ink!"


    The girl was about to step forward, but the middle-aged woman on the side stopped her directly.


    "Xiaohui, it''s time for the exam, you still have to take the exam, I''ll just accompany the doctor to the hospital!" The middle-aged woman''s eyes were red, and it was obvious that she had just cried.


    "Mom, I won''t take the test, I won''t take the test." The girl shook her head with tears in her eyes, "I''ll accompany you to the hospital."


    "Silly boy, just have me on Dad''s side." The middle-aged woman patted the girl''s head, "If you don''t go to the exam, when Dad wakes up, it will be uncomfortable."


    "Mom, but I..." The girl lowered her head, her tears already forming a line.


    "Not much to say, you take a taxi to take the test by yourself, and I will accompany your father to the hospital." The middle-aged woman got into the ambulance alone.


    "Mom..." The girl raised her head, and a layer of water mist had already covered her eyes.


    In the ambulance, the nurse had placed the man and slowly closed the door.


    With the departure of the 120 ambulance, the driver was taken back to the police station, and the scene became calm again.


    ¡­


    After the ??120 ambulance left, the traffic police immediately directed the nearby traffic.


    The traffic jams will soon be restored.


    The girl was holding an umbrella and stood alone by the roadside.


    Lu Chen had noticed long ago that the girl was holding a white transparent plastic bag, which contained test equipment and an admission certificate.


    She should be a candidate for the college entrance examination this year.


    "It should be difficult to take a taxi in this weather." Lu Chaofan Jiandao, "Brother Fan, please ask the driver to wait, I''ll be right back."


    After ??, Lu Chen walked towards the girl.


    ¡­


    "Which exam room are you in?"


    A strange yet somewhat familiar voice came from his ear, Zhong Hui raised his head, wasn''t this the doctor just now?


    "Doctor, I''m taking the exam at Kyoto No. 15 Middle School." Zhong Hui replied cowardly, with a hint of panic in her eyes just now.


    "I happened to be going to this exam room too." Lu Chen said, "You go with us."


    Zhong Hui didn''t say anything, she raised her head slightly and glanced at Lu Chen.


    If it wasn''t for this doctor today, would you be even more desperate?


    Lu Chen whispered: "If you don''t leave, you will be late for the exam."


    "Thank you, thank you doctor." Zhong Hui''s voice was soft and flies, she also knew that it was extremely difficult to get a taxi now.


    "Then come with me."


    "Um."


    Lu Chen walked towards the bus, Zhong Hui limping behind her.


    Night shift tonight. There may only be one chapter, try to post another chapter.


    (end of this chapter)

 v2 Chapter 601： dont call me viagra

    Chapter 601 Don''t call me Viagra


    Get on the bus.


    "Master driver, this girl also goes to No. 15 Middle School, so give her a ride."


    Lu Chen said to the driver.


    The bus has enough space to carry her.


    "Okay, no problem." The driver nodded with a smile, "Come up quickly, don''t be late."


    "Thank you, Master."


    Seeing that Zhong Hui was having a little difficulty getting into the car, Lu Chen quickly helped her into the car.


    Zhong Hui got into the car, stopped in front of the driver, and whispered, "Master, I will pay the fare."


    "Oh, no need, just sit down, the bus will start immediately." The driver waved his hand and started the bus immediately.


    Lu Chen smiled, this girl is quite cute.


    ¡­


    After getting in the car, Lu Chen briefly introduced to everyone. Everyone knew that this girl was the victim of the car accident just now.


    along the way.


    Zhong Hui has been silent.


    Her father was injured in a sudden car accident, which made it difficult for her to accept it for a while.


    What''s more, she doesn''t even know what her father''s situation is now.


    "How is your foot?" Lu Chen asked.


    "Fortunately, I just fell, and my ankle hurts a little." Zhong Hui touched her ankle, her face a little painful.


    "Take off your shoes, I''ll show you." Lu Chen said, "There are no broken bones. If there is a problem, it needs to be dealt with in time."


    Zhong Hui was not hypocritical, nodded slightly, bent down and took off her sneakers.


    Lu Chen briefly checked Zhong Hui''s ankle.


    No obvious trauma was seen, nor were the three major characteristics of fractures, including deformity, abnormal movement, and bone rubbing.


    "Fortunately, it may have been twisted." Lu Chen said, "But don''t use force on this foot for now."


    "Well, thank you doctor." Zhong Hui nodded, and she had said the word "thank you" many times today.


    Although there is no major problem with her legs, the muscles and some capillaries should still be damaged. The ankles are slowly swollen, and you can even see blue-purple blood stasis deposits.


    ¡­


    After getting out of the car, Zhong Hui felt the pain from her ankles getting worse, and she found that it was difficult for her to walk alone.


    Even with Lu Chen supporting her, it was difficult for her to move forward.


    "I''ll carry you." Lu Chen estimated the girl''s weight, it should be less than 100 pounds, so there shouldn''t be much problem in carrying her.


    "Doctor Lu, this is... not very good." Zhong Hui gritted his teeth.


    "I treat you as an ordinary patient, and you treat me as a doctor." Lu Chen comforted, and then looked at the time, "It''s only a few minutes before the exam, if you ink for a while, you''ll be late."


    "Alright then, thank you Dr. Lu." Zhong Hui nodded slightly and agreed to Lu Chen.


    Lu Chen smiled, then squatted down and carried Zhong Hui on his back.


    Fortunately, Zhong Hui''s weight was very light, so Lu Chen carried her easily.


    "Brother Fan, go to the infirmary first, I''ll carry her to the classroom." Lu Chen said.


    "Okay, be careful." Fan Jian nodded and left with the other two.


    ¡­


    Zhong Hui''s examination room was on the second floor, which also saved Lu Chen''s energy.


    If the exam room is in a high-rise building, even if she is underweight, it will not be easy!


    Along the way, everyone didn''t pay much attention to this strange combination of Lu Chen.


    After all, this is the college entrance examination. A small number of students with inflexible legs and feet rely on their parents to carry them to the examination room.


    At the entrance of the exam room, Lu Chen put Zhong Hui down.


    "Doctor Lu, thank you." Zhong Hui looked at Lu Chen with a hint of gratitude in her eyes.


    If Lu Chen wasn''t there, she really didn''t know what she would do today.


    "Come on, take the exam with peace of mind, don''t think too much about other things." Lu Chen didn''t know what to say, often at times like this, people are the most vulnerable, and the pressure will be great.


    "Thank you, Doctor Lu." Zhong Hui nodded. Although her brows still had a bit of bitterness, her mental state was obviously much better than before.


    Looking at Zhong Hui''s leaving back, Lu Chen felt quite in his heart.


    As a doctor, Lu Chen has not been in clinical practice for a long time, but he is used to seeing life and death.


    He understood the feelings of a family member very well.


    Especially for a 17- or 18-year-old girl, who can insist on coming to the examination room, her mind has already surpassed many of her peers.


    The reason why he helped Zhong Hui like this was actually for the original intention of being a doctor in his heart.


    Doctor, is not far from curing human physical diseases.


    Mental trauma is often more serious and deadly.


    Lu Chen also understood that even if he had systematic help, he would not be able to treat all the patients, just like the patient with a ruptured heart in the Fang Ao tube bed a few days ago.


    All he can do is do his best.


    Before there was no system, it was difficult for him to do it.


    But now, he hopes that he can live up to the original intention of being a doctor.


    ¡­


    Go back to the infirmary.


    Lu Chen found some ointments for bruises.


    "Oh, this girl is really miserable!" Fan Jian shook his head and sighed.


    Lu Chen''s heart tightened, "Is there news from the emergency department?"


    "Yes." Fan Jian nodded, "Intracranial trauma, hemorrhage from shock, or internal bleeding, I couldn''t save it..."


    Lu Chen was a little silent.


    For a teenage girl, losing her father will undoubtedly cause the most serious trauma to her soul.


    "The girl''s mother asked our emergency doctor not to disclose the news." Fan Jiandao.


    Lu Chen also knew that once the girl knew the news, no matter how calm she was, she might not be able to complete the next exam.


    Life is impermanent, no one knows which one will come first, accident or tomorrow.


    Lu Chen looked at the bruise ointment in his hand, and thought of this girl named Zhong Hui again, "I heard that she has good grades, I hope she can carry her father''s blessing and move forward bravely."


    ¡­


    The morning exam is over.


    Lu Chen came outside the examination room and wanted to help Zhong Hui, but she refused.


    "Doctor Lu, my aunt will come to pick me up in a while, don''t bother you anymore."


    "Okay, maybe you can use this." Seeing this, Lu Chen put down the ointment in his hand.


    "Thank you." Zhong Hui saw the ointment and did not refuse.


    Lu Chen left, but not far.


    After a while, he saw Zhong Hui limping out of the classroom.


    The aunt in her mouth did not appear.


    Lu Chen shook his head slightly, she is really a strong little girl...


    After making sure she could walk alone, Lu Chen left.


    ¡­


    The three days of the college entrance examination were easy, but because of Zhong Hui''s incident, Lu Chen''s mood was a little depressed.


    Even though he was used to seeing life and death, he couldn''t make himself feel emotionless.


    After the college entrance examination, Fan Jian said that the girl cried for a long time in front of the emergency department.


    Until she was too tired to cry and could no longer speak, she was supported by her mother and left.


    Lu Chen felt uncomfortable when he heard the news.


    But there are still a lot of things waiting for him to do, and he can''t care about hurting spring and autumn.


    ¡­


    Another month has passed.


    During this month, Lu Chenguo''s natural projects have been rapidly launched in various experimental centers across the country.


    Of course, the experiment was carried out under the name "AstraZeneca".


    Lu Chen now pays more attention to the completion of his system upgrade.


    After a month of accumulation, the system upgrade completion rate has reached 98%!


    It looks like it''s almost done...


    However, Qin Sifeng''s sudden news interrupted Lu Chen''s plan.


    "Lu Chen, the third-stage assessment of the Kyoto Institute of Electrophysiology has begun!"


    Lu Chen calculated the time, and when the third stage of the assessment was over, his communication time was almost over.


    "Prepare your luggage these two days, and prepare to fly to your destination the day after tomorrow." Qin Sifeng reminded again.


    "Flying?" Lu Chen was slightly taken aback.


    The third-stage assessment of the Kyoto Institute of Electrophysiology is not in Kyoto?


    "The assessment site is in the island country." Qin Sifeng said slowly.


    "Island country?" Lu Chen asked in surprise, "Could it be an international electrophysiological surgery competition?"


    "Yes." Qin Sifeng nodded slightly, "Our annual Kyoto Institute of Electrophysiology is actually to prepare for this international competition."


    Lu Chen frowned.


    He has heard about the international electrophysiology competition held in the island country.


    This is a grand event in the global electrophysiology academic community. Most of the participants are the younger generation of surgeons under the age of 40.


    "Lu Chen, this time our Huaxia contestants are you and Yu Weiguang." Qin Sifeng looked at Lu Chen, "Our request for you two is to at least be in the top 30!"


    "Top 30?" Lu Chen was stunned for a moment, it must be a bit too big to see them, right?


    Qin Sifeng seemed to see through Lu Chen''s thoughts, "This is a collection of the best electrophysiology talents from the younger generation in the world. There are hundreds of contestants. Our best ranking in China is only the twenty-eighth one that Professor Ou Yangming won that year. name!"


    "If you can enter the top 30, it means that your electrophysiology technology has basically entered the world''s top threshold."


    This electrophysiology conference is mainly for young people, and it is regarded as a competition in the reserve talents of various countries.


    ¡­


    Kyoto''s action is quick.


    The day before the conference, Lu Chen and Yu Weiguang got on the plane and came to the island country.


    Qin Sifeng accompanied the team as the leader.


    The International Electrophysiology Contest lasted for only three days.


    The first day is a time for scholars from all over the world to exchange and study.


    Lu Chen is the first time to participate in such an international conference.


    was brought to the venue by Qin Sifeng, and witnessed the top international academic event.


    Lu Chen has gained a lot. Here, he has seen many cutting-edge academic surgical operations in the world.


    In China, he has basically never seen it.


    Lu Chen, who was originally confident, suddenly became a little less confident after seeing the top practitioners from all over the world on the first day.


    "Hey, Lu Chen, let''s do our best." Yu Weiguang comforted, "Just think about it, people from other countries who came to the conference this time are almost forty years old, and no matter how bad they are, they are thirty-seven Eight years old, how about the two of us?"


    "I''m only 30 this year, and you are only 24. You can boil these old guys to death!"


    Lu Chen was still a little depressed, but when he heard Yu Weiguang''s words, he couldn''t help but smile.


    Thinking back carefully, he has only been exposed to electrophysiological surgery for less than two years.


    These foreign players present have been studying in the field of electrophysiology for more than ten years!


    Although Lu Chen has systematic help, it is difficult to make up for this gap in surgical development and surgical innovation.


    Moreover, Lu Chen''s current electrophysiological surgery skill card is only an intermediate skill card.


    ¡­


    On the second day, the International Electrophysiology Competition started!


    Lu Chen and Yu Weiguang¡¯s simulated surgery was scheduled for the afternoon.


    Throughout the morning, Lu Chen observed the operation in the hall.


    During the ?? period, he also saw the island player who exchanged in Kyoto last time.


    This time they are the hosts, and everyone is gearing up to show their strength in front of their international counterparts.


    "The players from the island country are really strong!" Yu Weiguang looked solemn.


    Lu Chen also nodded in agreement, last time he was able to beat that island country player, he should be the weakest among them.


    As for the other players in the island country, after seeing their surgery, Lu Chen didn''t have the slightest chance of winning.


    "You two, don''t bring your national sentiments into it, and don''t underestimate the island country." Qin Sifeng said, "The island country''s achievements in the cardiovascular field are among the best in the world. As for the last time Lu Chen won the island country doctor , After the doctor returned to China, he was fired by the hospital."


    Yu Weiguang''s eyes widened when he heard this, "I''ll go, Lu Chen, when did you win the doctor in the island country?"


    "Cough, good luck." Lu Chen cleared his throat and kept a low profile.


    is not low-key, it would be a shame if you were beaten up today.


    ¡­


    It''s afternoon.


    Finally, it was the turn of Lu Chen and Yu Weiguang.


    Not many countries care about Huaxia''s appearance.


    Although the volume of coronary intervention and electrophysiological surgeries in Huaxia ranks among the top nationwide.


    But in everyone''s eyes, he is still just a simple surgeon.


    All kinds of new spells in China are almost all from abroad.


    Lu Chen was fully prepared before the game. In the system space, he practiced various electrophysiological surgeries over and over again.


    But when the exam questions for the competition appeared in front of him, Lu Chen smiled wryly.


    "Pulse Field Ablation (PFA)... I''ve never seen this technique before..."


    Different from the traditional catheter ablation of atrial fibrillation, PFA uses a high-voltage pulsed electric field to act on the myocardial tissue, and the phospholipid bimolecules of the cell membrane undergo abnormal movement under the action of the pulsed electric field, resulting in irreversible electroporation, which in turn causes myocardial cell necrosis and apoptosis. The purpose of ablating abnormal electrical signaling in tissue.


    Lu Chen had heard of this latest surgical method and read several related literatures, but he had never seen this surgical method in the system, let alone in actual clinical work.


    However, the only good news is that this time the competition is in the simulated surgery room, so Lu Chen can try it boldly.


    He relied on his memory and groped for the operation.


    Atrial fibrillation PFA is basically the same as the preliminary preparation for traditional radiofrequency ablation.


    After successfully puncturing the atrial septum, Lu Chen delivered the PFA catheter to the atrium through the flexible sheath.


    "Next is the main event..."


    The most important thing in atrial fibrillation is positioning!


    In Lu Chen¡¯s memory, PFA ablation requires the PFA catheter to be sent to the mouth of the four pulmonary veins and the vestibule in turn under X-ray, and then the impedance and pulmonary vein potential are recorded, and 3 sites are respectively ablated at the mouth of the four pulmonary veins and the vestibule.


    Theoretical knowledge Lu Chen knows, but he has never practiced it.


    There is no chance to go back and redo in the mock exam!


    Lu Chen could only perform the operation step by step carefully.


    ¡­


    Conduit outdoor.


    Athletes from the island country Yamamoto and Fujiwara went to Lu Chen''s operating room on purpose.


    Seeing Lu Chen''s operation, Yamamoto couldn''t help but sneered, "How powerful do you think he can be? Even the ablation of PFA is so bad?"


    Fujiwara also shook his head, "I was in Kyoto for a short time ago. This doctor from Huaxia may have been lucky. Poor Tsuruta-kun was dismissed from the hospital."


    "I originally wanted to touch him in the finals, but there seems to be no chance." Yamamoto glanced at Lu Chen, then turned and left.


    Outside the catheter room, Qin Sifeng was also quite helpless.


    This organizer is really amazing, and directly picked a technique that has not yet been carried out in China.


    The whole game is over¡­


    Lu Chen bumped into the final operation, but Yu Weiguang, who also encountered difficulties, was not even able to complete the operation.


    In the end, Lu Chen ranked 53rd, while Yu Weiguang didn''t even get a grade.


    Walking out of the catheterization room, Yu Weiguang was dazed.


    The originally high-spirited Huaxia electrophysiology genius, at this moment, was somewhat hit.


    Lu Chen also sighed, it was the first time he felt this kind of failure.


    If he hadn''t gone abroad, he really didn''t know the gap between himself and the world''s top electrophysiologists.


    "Viagra, it''s fine, we''re still young." Lu Chen patted Yu Weiguang on the shoulder, and could only return him what he said before.


    "Hey." Yu Weiguang smiled bitterly, "Damn, I''m really dissatisfied. If you test any other technique, I''m absolutely sure that I will be in the top 30!"


    It¡¯s useless to say anything now.


    Lu Chen also accepted this failure calmly.


    Looking at the huge logo of the International Society of Electrophysiology behind him, he believes that he will be able to climb to the top here in the future!


    ¡­


    International Electrophysiology Congress is over.


    The final first place was won by an electrophysiologist from a well-known hospital in the United States.


    is not the champion of the island country, Yu Weiguang feels a little better.


    Lu Chen and others had no intention of playing in the island country at all, so they bought a ticket and flew back home the next day.


    "Hey, Lu Chen, I have the latest electrophysiology program there, would you like to try it?"


    Back in Kyoto, when we parted at the airport, Yu Weiguang suddenly suggested,


    "Viagra, I''m very interested, but I still have a project at hand." Lu Chen apologized slightly, "I''m sorry."


    "I know, isn''t it the one from Dapagliflozin?" Yu Weiguang whispered, "I''ve heard Director Wanjingshui say, isn''t your project yellow?"


    Lu Chen was stunned, Wan Jingshui and Yu Weiguang are still connected?


    "Hey, I''m right." Yu Weiguang thought he had guessed correctly when he saw Lu Chen''s expression.


    Lu Chen didn''t explain too much, just smiled, "I still want to try it."


    "Oh, your spirit of not giving up is very good, but it''s totally unnecessary!" Yu Weiguang shook his head helplessly, "Look at the failure of the island nation this time, I''ve seen it off."


    Lu Chen thought for a while, then suddenly said, "Viagra, have you cooperated with Director Wanjingshui?"


    "Yes!" Yu Weiguang nodded, "He has a lot of resources on hand! It''s promising to cooperate with Director Wan."


    "Then I wish the Viagra project a success." Lu Chen smiled.


    Seeing that Lu Chen did not intend to participate, Yu Weiguang did not continue to persuade, "Okay, if you want to participate in the future, you can find me anytime."


    "Thank you, Viagra." Lu Chen knew that Yu Weiguang was a really good person. As the backbone of China''s younger generation, there was absolutely no harm in having a good relationship with him.


    "By the way, there is one more thing."


    Lu Chen was about to leave when Yu Weiguang grabbed him.


    "What''s wrong?" Lu Chen looked at Yu Weiguang suspiciously.


    "Lu Chen, don''t call me Viagra in the future, either Brother Yu or Brother Guang." Yu Weiguang whispered.


    "Okay, Viagra."


    . . .


    In reality, this technique will only be carried out nationwide in 2021 and has not yet become popular.


    (end of this chapter)

 v2 Chapter 602： busy to die

    Chapter 602 Busy to die


    Back to Kyoto University School of Medicine.


    The leaders of the Kyoto Institute of Electrophysiology are quite dissatisfied with this result.


    There is a gap between China and foreign countries, but it is not to such a terrible level!


    However, when everyone passed Qin Sifeng, they learned about the scene of the game at that time.


    PFA ablation therapy has not yet been carried out in China today.


    All the leaders were silent.


    This question is really out of line!


    ¡­


    In the office.


    Qin Sifeng held a stack of documents in his hand.


    "Lu Chen, you and Yu Weiguang did not complete the expected goal of the third stage, so the assessment of the Kyoto Institute of Electrophysiology is over."


    If the assessment fails, naturally there is no reward.


    However, for Lu Chen, this experience of the International Electrophysiology Society was the best reward.


    Recognizing the gap with the top electrophysiologists, this gave Lu Chen a clearer goal.


    "Thank you, Teacher Qin, for your care during this time." Lu Chen said softly.


    came back from the island country, which means that the half-year exchange and study is coming to an end.


    "Are you going back to Beijing?" Qin Sifeng paused.


    "Well, I''ll be going back the day after tomorrow." Lu Chen nodded slightly.


    "After I go back, it''s time to study for the third degree, right?" Qin Sifeng narrowed his eyes with a smile on his face, "After graduating from a master''s degree, are you interested in coming to our capital for a Ph.D.?"


    "Mr. Qin, I definitely want to study for a doctorate, but I haven''t decided where to study yet." Lu Chen smiled.


    "Think about it." Qin Sifeng said, "This is related to your future development. With a good platform, you will definitely get twice the result with half the effort."


    "Thank you, Teacher Qin." Lu Chen nodded.


    Just listen to Qin Sifeng continue: "If you come to Kyoto, on behalf of the Department of Cardiology, I will give you a doctoral exemption position, and in the next three years, you can get full school-level scholarships, bursaries, and national-level scholarships. In addition, we will send you to study abroad."


    Dr. ??''s exemption means that Lu Chen entered the Kyoto University School of Medicine without an exam.


    This is the ivory tower in the hearts of all Chinese medical students.


    However, Lu Chen smiled, "Mr. Qin, I remember that at the Kyoto Institute of Electrophysiology, there was a professor who promised me that as long as I graduated and stayed in the school, he would give me the title of associate professor."


    Qin Sifeng''s conditions are no longer sufficient, but not enough!


    For Lu Chen, he is now full of "real kung fu", but he just lacks a platform for performance.


    Wherever he is, it will become an international platform.


    Therefore, what he needs now is the school''s biggest resource tilt!


    Although he has a good relationship with Qin Sifeng, it does not mean that he wants to harm his own interests and come to Kyoto.


    Hearing Lu Chen''s words, Qin Sifeng remembered Deng Shaoqiu, a professor at the School of Medicine of Magic Capital University, who had promised Lu Chen the title of associate professor.


    Modu University School of Medicine, although slightly worse than Kyoto University School of Medicine, is also the top existence in the country.


    "Lu Chen, as long as you come to the capital, I will try my best to win for you." Qin Sifeng said solemnly.


    He knew that Lu Chen was a slicker, but he didn''t take it down so easily!


    "Okay, Mr. Qin, I''ll think about it." Lu Chen smiled.


    Now, he has the absolute initiative, he chooses the school, not the school chooses him!


    There is still a year before he graduates from his master''s degree, and he still has enough time to improve his value.


    ¡­


    Two days later, Lu Chen and others set foot on the road back to Jinghua.


    This time, everyone has gained a lot from this exchange trip.


    The research team headed by Lu Chen has published three SCI papers in total.


    Among them, Lu Chen surprised everyone with an SCI paper with a score of 11.98.


    The articles of Ke Yue, Wang Zihao, Gu Xinyue and others are also of high quality for postgraduate students.


    Such a result, everyone is very satisfied.


    Because everyone not only has a main article, but also can be named on other articles!


    For example, Wang Zihao, he published an SCI paper with a score of 2 as the first author, and also named an SCI paper with a score of 11.98 and a score of 3.


    This kind of achievement is rare even in Kyoto University School of Medicine.


    Especially this SCI paper by Lu Chen with a score of 11.98, although others are only nominal, its value even exceeds this one written by the author!


    Back to Jinghua Second Hospital.


    All teachers and students of Jinghua Second Academy are discussing this incredible research team.


    Lu Chen is of course the most talked about!


    All his experiences from the beginning of his research to the present have been regarded as an unrepeatable "legend" by everyone.


    Ke Yue, Gu Xinyue and others were also mentioned by everyone, but the light was a little dim.


    ¡­


    Back to Jinghua Second Hospital.


    Lu Chen took half a day to respond to the cordial condolences of all his familiar friends, and then began to make careful plans for his final year of graduate study.


    First of all, the most important thing is the "National Nature" project in cooperation with AstraZeneca China branch.


    In addition to the existing experimental arrangements, Lu Chen needs to earn enough gratitude points to exchange for the advanced skill card of "Statistical Analysis"!


    The last time I was able to publish a paper with a score of 11.98 was entirely thanks to the help of Professor Su Yaling from Kyoto University.


    But this is only a temporary solution after all.


    In order to truly complete the project, Lu Chen still had to learn this advanced statistical analysis by himself, that is, to exchange "Advanced Skill Cards" worth 20,000 thanks!


    Secondly, it is another upgrade of the system!


    The current system upgrade completion rate is 98%. As long as you return to the clinic, you should be able to carry out the next system upgrade within a week!


    Last but not least, think about your future direction.


    Dr. ?? must be read.


    But where to read it, Lu Chen hasn''t decided yet.


    Mainly, there are so many choices¡­


    Everyone else has an opportunity to dismiss the doctor, so they have to seize it quickly.


    But Lu Chen is different!


    He is very distressed...


    According to his own estimation, most of the top medical schools in China may send him invitations to dismiss doctors.


    He is definitely going to choose one of the top medical schools.


    Now see who has the most chips!


    In Lu Chen''s plan, if he can complete his "national nature project", his worth will definitely skyrocket.


    At that time, it will not be as simple as the title of an associate professor.


    Even, he still has a high possibility to receive an offer from a top foreign medical school.


    However, studying abroad for a Ph.D. was not in Lu Chen''s plan.


    It is undeniable that the platforms in Europe and the United States are top-notch, and most of the scientific research achievements in the world currently come from them.


    However, Lu Chen has the system as the biggest help.


    Foreign platforms may not be so important.


    More importantly, Lu Chen didn''t want to help foreigners build laboratories.


    It is like, at present, most of the influential SCI are abroad, and few domestic journals have world influence.


    Lu Chen often thinks, why not build a rival in China?


    It is better to take root in the motherland to build laboratories in other countries abroad, and rely on your own system to help break the technological blockade in Europe and the United States.


    If there is no system, Lu Chen will most likely choose to go abroad and return to China after completing his studies.


    But now, his idea is to build a medical hall completely belonging to China.


    ¡­


    For each of the following goals, Lu Chen has prepared the most adequate plans.


    The first thing to do when returning to Jinghua is to return to the clinic and upgrade the system!


    However, before returning to the clinic, Lu Chen went to meet with his tutor Li Yao.


    Although he hasn''t seen each other for half a year, Li Yao''s help to him is huge!


    When his thesis was frustrated, Li Yao gave him advice and finally found a breakthrough.


    When ?? came to AstraZeneca branch, it was also the opinion of Li Yao''s mentor, which made Lu Chen determined to cooperate.


    Standing in front of the director''s office of the eight districts in the heart.


    Lu Chen took a deep breath, let it out slowly, and rubbed his dry face. He wanted to go to see tutor Li Yao in the best condition.


    Lu Chen gently knocked on the door, then pushed open the door and entered.


    In the office.


    Li Yao is helping her doctoral student revise the thesis.


    Hearing the sound, she raised her head slightly, and the moment she saw it was Lu Chen, a smile appeared on her face.


    "came back?"


    "Well, I''m back."


    Lu Chen responded with a smile.


    The two of them looked at each other and smiled, without saying anything.


    "It''s been a long time." Li Yao looked at Lu Chen with a dazed expression.


    When she knew that Lu Chen had completed an SCI paper with a score of 11.98 within a month, she was not only relieved, but also a little distressed.


    Others only see the bright and beautiful surface, but ignore the hard process.


    That month, Lu Chen stared at the dark circles under his eyes every day.


    "Teacher, as long as the result is good, all the hard work is worth it." Lu Chen smiled.


    "No matter what, as your mentor, I still want to thank you." Li Yao took out an application form from her drawer and handed it to Lu Chen.


    "This is... Jie Qing''s application?" Lu Chen was stunned for a moment, and a look of joy flashed in his eyes at any time, "Teacher, congratulations!"


    "Congratulations..." Li Yao shook her head with a smile, "It''s something that hasn''t been written yet."


    "Anyway, this is a good start." Lu Chen laughed.


    Jieqing, this is the first step into the top academic circle!


    "Well, so the main thing I will take over may be on this." Li Yao said solemnly, "If you miss this opportunity and want to wait until the next time, you won''t know about the Year of the Monkey."


    "Teacher, you just let it go, we all support you!" Lu Chen said.


    Li Yao heard this, glanced at the paper in hand again, and then coughed softly, "Then, will you help me read the paper first?"


    "What?" Lu Chen''s eyes widened.


    Looking at the doctoral dissertation handed over by Li Yao, Lu Chen secretly swallowed.


    "Teacher, you asked me to help those Ph.D. brothers revise their papers???" A big question mark appeared above Lu Chen''s head.


    "Is there any problem?" Li Yao asked back.


    "Ah? This..." Lu Chen pointed to himself, then pointed to himself, "Teacher, I''m only a second student!"


    Ask a second-year graduate student to help a PhD revise the thesis?


    A smile flashed in Li Yao''s eyes, "Just based on the SCI paper you posted with a score of 11.98, you are qualified to revise it!"


    The journals in which these doctoral dissertations are published, the highest one is only 4 points.


    After listening to Li Yao''s words, Lu Chen opened the paper in his hand.


    After reading a few lines, he frowned.


    "This, this is a doctoral dissertation?"


    In Lu Chen''s eyes, he could see a lot of mistakes at once.


    includes word usage, grammatical errors, technical terms, etc¡­


    This level of ?? may be equivalent to Ke Yue''s thesis level.


    "Lu Chen, don''t underestimate your dissertation level." Li Yao smiled, "I think now that I may not be able to point you to these doctoral dissertations, you should be able to grasp them."


    Actually, Lu Chen didn''t even notice it himself.


    In a subtle way, his own level, including that of his research team, has long surpassed his peers.


    "Okay, teacher, I''ll help you revise these papers." Lu Chen thought about it, and then decided to do the job.


    As soon as the ?? voice fell, a prompt tone popped up on the system panel.


    "Congratulations, you received +5 thanks from Li Yao!"


    Lu Chen was stunned for a moment. Instructor Li Yao is really powerful. He just promised to do this, and can he get the thanks without doing it?


    ¡­


    After coming out of the director''s office, Lu Chen also met his junior brother and junior sister.


    The first time they saw Lu Chen, it was extremely excited, and everyone''s eyes gleamed.


    "Senior Brother Lu Chen, you are back, we want to kill you!"


    "Senior brother, when are you taking us to publish a paper!"


    "Senior brother, you want to tell us something interesting about the medical school at Kyoto University!"


    ¡°¡­¡±


    Lu Chen is not as cold as the average scholar.


    On the contrary, as long as there are junior brothers and sisters to ask questions, he will try his best to answer.


    Therefore, in the eyes of the younger brothers and sisters, Lu Chen is an approachable existence.


    After greeting these junior brothers and sisters, Lu Chen returned to his dormitory.


    ¡­


    As soon as he returned to the bedroom, Lu Chen was about to make the bed when his phone rang.


    "Is it Zhou Wei?" Lu Chen glanced at the caller ID and answered the phone immediately.


    "Lu Chen, are you back?"


    Zhou Wei''s voice seemed a little tired, Lu Chen thought he just finished the night shift and didn''t care.


    "Yes, you are really well informed."


    "Now the school is talking about you guys everywhere, can I not know?"


    "Cough, what you said... I love to hear it." Lu Chen smiled.


    "I''m looking for you for something, see you at the old place?" Zhou Wei''s voice suddenly became a bit low.


    Lu Chen was startled, "Okay, I''ll go out immediately."


    hung up the phone, Lu Chen always felt that Zhou Wei was a little strange, but he couldn''t tell what went wrong.


    With this doubt, Lu Chen came to the restaurant near the hospital where he and Zhou Wei often ate.


    On the first day he came to Jinghua Second Hospital, Zhou Wei took him to this restaurant to eat.


    ¡­


    Lu Chen arrived at the restaurant and looked around, Zhou Wei hadn''t arrived yet.


    He found a place near the window and ordered a few dishes that they both often eat.


    After waiting for about five minutes, Lu Chen saw a familiar figure walking towards the door of the restaurant.


    "Viagra, this way!" He stood up and waved to the door.


    Zhou Wei noticed Lu Chen, and after a pause, he walked towards this side.


    However, when Lu Chen saw Zhou Wei clearly, he was stunned.


    Because the HP on Zhou Wei''s head is actually 69 (--)!


    When Zhou Wei sat opposite Lu Chen, he couldn''t believe it.


    This unkempt, casual hairstyle, unshaven beard, two big dark circles under his eyes, and a thin man, is actually the once high-spirited Zhou Wei?


    He was clearly in his twenties, but he looked like a middle-aged man in his thirties and forties.


    "What are you busy with recently?" Lu Chen asked in a deep voice.


    "I''m not busy with anything." Zhou Wei smiled wryly, "Be busy and die."


    . . .


    (end of this chapter)

 v2 Chapter 603： Bandit Mentor

    Chapter 603 Robber Mentor


    Lu Chen frowned, he could see that Zhou Wei''s state was very wrong.


    Don''t talk about the state of others, just talking about his health value, it already shows that there is a serious problem with his health state.


    A young man of his age has at least 75 HP!


    However, Lu Chen was still patient, poured a cup of tea for Zhou Wei, and continued: "I haven''t seen you for half a year, what happened?"


    Zhou Wei showed a bitter and dry smile on his face, he picked up the teacup and drank it.


    "Lu Chen, did you know... Recently, my supervisor has posted two SCI articles, one with 2 points and one with 4 points."


    "Very good." Lu Chen paused.


    "It''s good, but... I''m the second author." Zhou Wei lowered his head and held the teacup tightly, Lu Chen couldn''t see his expression at all.


    Lu Chen was a little silent, he listened to Zhou Wei continue to speak.


    "All the work of the two papers, including the experimental operation, thesis writing, and the final statistical analysis of the data, were all done by me, and all by myself."


    "Even the later revisions and the communication with the editorial agency are all done by me."


    "However, when the paper was sent, I was only the second author..."


    For a paper, the most important thing is the corresponding author and the first author.


    Don¡¯t look at the fact that the second author is just one place behind the first author, but the difference is huge!


    The papers of the corresponding author and the first author can truly be regarded as their own papers, which can be used in the evaluation of professional titles, as a graduation thesis, etc.


    Generally speaking, the person who proposes the idea of ??the paper is the corresponding author.


    The author of the paper, the main operator of the experiment, is the first author.


    The rest of the participants in the experiment are listed as the second author and the third author.


    "Who is the first author?" Lu Chen asked.


    Zhou Wei raised his head slowly, his voice dry, "My tutor has a son who is studying for a Ph.D at our school..."


    Before he finished speaking, Lu Chen understood the whole story.


    This is the act of a mentor who "takes and robs" for the sake of his next generation.


    This is a Bandit Mentor!


    Lu Chen knows his best friend very well. Apart from his liking to surf the Internet, play games, and watch beauties with black silk, he has no major shortcomings. It is impossible for him to make up this matter


    The horror of the second generation of scholars and scholars is that they can easily steal the research results of others.


    As a student of the tutor, Zhou Wei dared not speak out.


    "After writing the first paper, I found that I was only the second author. The first author was an unfamiliar name. This person is not yet in our laboratory. I mentioned this to my supervisor." Zhou Weidao, "She told me to leave it alone. It gave me peace of mind to do the experiment, and assured me that I would definitely be the first author of the next paper."


    Having said that, Zhou Wei paused slightly.


    Lu Chen sighed softly.


    The result is obvious, the tutor deceived Zhou Wei again, and the second paper was published, and he was still only the second author.


    "Later, I heard from a senior fellow in the lab that the first author is the son of our supervisor, who is now studying for a Ph.D.


    After Zhou Wei finished speaking, the atmosphere was a little heavy.


    "Have you mentioned this to your mentor?" Lu Chen asked.


    Zhou Wei nodded helplessly: "I questioned, but she never answered directly, instead she always mentioned graduation in secret..."


    "The tutor threatened you with graduation?" Lu Chen frowned.


    "Well, according to her meaning, if I don''t obey, I may not be allowed to graduate." Zhou Wei showed a wry smile on the corner of his mouth.


    When Lu Chen heard this, he couldn''t help but said angrily: "This teacher is really scum!"


    "Alas..." Zhou Wei sighed.


    It is his misfortune to meet such a superb mentor.


    Lu Chen compares Li Yao with his mentor...


    Bahhhh, his mentor doesn''t match at all!


    "So you''ve become this ghost during this period of time?" Lu Chen looked at Zhou Wei up and down.


    Zhou Wei nodded and shook his head again: "It''s not all because of this... Two months ago, I had a bad cold and had a bad cough. At that time, the paper was at a critical moment and I didn''t have time to go to the doctor, so I went to buy it. I took a lot of cough medicine, but the effect was not very good, but I went to the pharmacy next to the hospital to buy a cough medicine."


    "Cough medicine?" Lu Chen was taken aback, "What cough medicine?"


    Zhou Wei brought himself another cup of tea, his eyes were looking into the distance, his eyes blurred.


    "Powerful loquat dew." He came back to his senses and saw Lu Chen utter these five words.


    Lu Chen seemed to feel the shaking in his hand holding the teacup, "I''ve heard of this medicine, but I haven''t used it, how does it work?"


    "After drinking it that night, the effect was very good, and I didn''t cough much." Zhou Wei said slowly, "That night, it was the first time I slept so well since I caught a cold."


    Lu Chen said slowly: "Cough caused by a cold is sometimes difficult to treat, and the individual medicines vary greatly."


    Zhou Wei nodded, "As long as you don''t drink it, you will cough. I want to get better from coughing so that I can concentrate on writing the paper, so I drink half a bottle every day and buy it again after drinking it."


    Having said that, Zhou Wei showed a look of regret.


    Lu Chen was out of anger, "Don''t you know what the ingredients of strong loquat dew are? Have you been drinking it like this?"


    "I know...but I didn''t have time to go to the doctor at that time, and the tutor didn''t have a vacation." Zhou Wei lowered his head, "Every time I finish drinking the medicine, I have a comfortable feeling, and I feel that my whole body is lighter. How can I say that feeling..."


    Zhou Wei raised his head again, trying to get along with adjectives to describe that feeling.


    "Effectiveness!" Lu Chen stared at Zhou Wei''s eyes and said.


    "Yes, yes!" Zhou Wei said several pairs of words in a row, "That''s the feeling, the whole person is light and airy, sometimes I want to sleep, and the cough has basically disappeared."


    Having said that, Lu Chen knew the crux of the matter.


    I know the reason why there are two minus signs on Zhou Wei''s head!


    But Lu Chen didn''t say it, he was waiting for Zhou Wei to say it himself.


    At this time, Zhou Wei''s expression also became a little painful, "Since I drank that cough syrup, I can''t live without it. If I don''t drink it once in a few days, I will feel unbearable itching all over my body, and my whole body will be very tired. Sometimes I get chills, and I can''t continue the experiment. At that time, when the experiment reached a critical point, my supervisor refused to let me take a day off."


    Lu Chen frowned, this is a typical withdrawal symptom.


    He didn''t say anything, just listened to Zhou Wei continue: "There''s no way, I can only keep buying that potion, I''ve been to the nearby pharmacies... I know the reason in my heart, but I don''t dare to face it."


    Speaking of this, Zhou Wei was stuck, the corners of his mouth twitched, Lu Chen could see that he was a little excited.


    This is an obvious opiate addiction!


    (end of this chapter)

 v2 Chapter 604： addiction treatment

    Chapter 604 Detoxification Treatment


    Strong Loquat Dew contains poppy husks.


    The opium is derived from the poppy shell, and this drug is addictive.


    But there are individual differences, most people will not become addicted to eating, but when the amount of eating is relatively large and eating frequently, it is easy to become addicted.


    Once you don¡¯t eat, you will feel sick all over.


    For example, many people who quit smoking, smoke for a long time, and suddenly quit smoking, are very likely to experience symptoms such as discomfort all over the body, and even life-threatening in severe cases. This is the withdrawal syndrome.


    "Lu Chen, I really don''t want to drink, I really don''t want to drink anymore." Zhou Wei covered his face with his hands and leaned on the dining table, his shoulders trembling uncontrollably, "I know it''s an opiate addiction, I didn''t think it was anything at first. Later, the situation became serious, and I dared not tell others."


    "It doesn''t matter." Lu Chen comforted, "This situation can be resolved."


    Zhou Wei is not only tortured mentally by his mentor, but also physically.


    He hesitantly said: "I feel very uncomfortable now. When I first came out, I drank more than half a bottle of cough water, and I have boiled it up until now. After a while, I think I will drink it again. If I don''t drink it, I will lose my soul. of."


    Lu Chen also knew the seriousness of the problem, and said solemnly: "Viagra, you are like this now, you must undergo de-addiction treatment."


    Zhou Wei nodded, and then gave a wry smile, "I know, but I don''t know where to go or what to do. I don''t know what''s in my mind recently, maybe it''s all paste."


    Lu Chen lowered his head in thought.


    Zhou Wei is his best friend since college.


    His business cannot be ignored by himself.


    Zhou Wei is currently facing two problems. The first is to take de-addiction treatment. If you don¡¯t take good care of your body, everything is nothing!


    Secondly, they have to take a long-term view on the matter of mentor Zhou Wei.


    His mentor dared to do this, he must have had experience, Zhou Wei is definitely not the first victim, nor will he be the last!


    For this kind of cancer mentor, Lu Chen really didn''t plan to let him go so easily.


    "Viagra, go and ask for leave first." Lu Chen said, "I know that Jinghua has a special drug withdrawal treatment center, you can try it there."


    "Ask for leave... But my tutor is absolutely not allowed, and this kind of leave is definitely not short, can the school agree?" Zhou Wei said cautiously.


    Lu Chen knew that Zhou Wei had been under the influence of his mentor for a long time, and he might not dare to resist his mentor''s intentions at all.


    If he doesn''t change this idea, he doesn''t solve the fundamental problem.


    "Viagra, in fact, you are afraid of your mentor, just because you are afraid that she won''t let you graduate." Lu Chen said slowly.


    Zhou Wei gave a soft "um".


    The only thing that the tutor can threaten the students is this, but it is also the "lifeblood" of the students.


    Lu Chen said sternly: "But do you know that if you don''t graduate, or if you postpone your graduation, your tutor will not be eligible to recruit students in the coming year!"


    "Is there such a saying?" Zhou Wei frowned.


    "You can go and look at the documents issued by the school, this is not my nonsense." Lu Chen said, "You go to check the list of master students who did not graduate in each previous class, at most one or two did not graduate each year, and these are fundamental People who don¡¯t study, or who make big mistakes.¡±


    The school''s student training plan does have such a rule.


    The timely graduation rate (without extension) of postgraduate students is very high, almost reaching over 99%!


    But the graduation rate for PhDs is another story.


    Lu Chen said again: "Do you think your mentor might keep you from graduating, causing her to lose several free labor in the coming year?"


    "No." Zhou Wei shook his head.


    "So, she used this to threaten you, mostly just to scare you." Lu Chen said, "Your tutor would not dare to let you fail to graduate. On the contrary, if there are students who fail to graduate, she should be the most anxious, unless She''s broken with you, and she won''t be recruiting students in the coming year."


    Lu Chen''s remarks made Zhou Wei feel better.


    "But, what if she doesn''t want me to take leave?" Zhou Wei whispered.


    "I''ll help you with your leave. You go to the withdrawal center now." Lu Chen thought about it, Zhou Wei''s condition should not be delayed, and if he went to ask for leave, he might waste several days. .


    "Lu Chen, I..." Zhou Wei looked at Lu Chen and felt a little moved.


    These things, he will not tell his parents, lest they worry.


    In Jinghua, the only friend he could make friends with was Lu Chen.


    As for whether Lu Chen could ask for leave for him, Zhou Wei had no doubts.


    Lu Chen''s influence in the Second Academy of Jinghua is no less than that of any professor.


    Even Lu Chen''s avatar has been posted on the hospital''s admissions website for a long time, and is regarded as the school''s golden sign.


    "Don''t be mother-in-law or mother-in-law, I''ll help you get in touch, you can go directly by car." After Lu Chen finished speaking, he took out his mobile phone.


    Jinghua City People''s Hospital has a dedicated drug withdrawal treatment center.


    Lu Chen heard someone mention it at the Second Hospital of Jinghua.


    took out his cell phone, Lu Chen looked up Min Xiaobo''s contact number, and called.


    "Hello, Lu Chen?"


    Min Xiaobo, who received a call from Lu Chen, was quite surprised. This kid went to Jinghua, and it seems that he hasn''t contacted him for more than half a year, right?


    "Brother Bo, are you busy?" Lu Chen asked with a smile.


    "I''m taking a rest today, your kid came back from Kyoto?" Min Xiaobo also responded with a smile.


    "Yeah, I just came back." Lu Chen said, "Professor Qin asked me to give you a message. If you want Kyoto, he will help you work there."


    When he was at the Kyoto Institute of Electrophysiology, Min Xiaobo was also a student of Qin Sifeng.


    Min Xiaobo sighed for no reason when he heard this, "I''m in Jinghua now, and the director of the department has vigorously trained me. If I go to Kyoto, I might be a marginal person, so forget it."


    The competition in Kyoto is fierce. Even though Min Xiaobo attended the Electrophysiology School, he won a good place.


    But when it comes to the comprehensive strength of scientific research, the doctors in Kyoto can directly hang him.


    "That''s fine, but I think Professor Qin values ??Brother Bo, you can consider it."


    "Okay, thank you." Min Xiaobo said, "Don''t talk about me, what are you doing with me this time? Don''t tell me, you''re calling for this, right?"


    Hearing the doubt contained in the opposite tone, Lu Chen couldn''t help but smile, "Brother Bo, you really guessed it. I have something to trouble you."


    "Let''s talk." Min Xiaobo pouted, this kid must be fine with him.


    Lu Chen said straight to the point: "Brother Bo, do you have any acquaintances in the drug withdrawal treatment center of your hospital?"


    "Why are you asking this? Did you take drugs?"


    Lu Chen''s forehead was full of black lines, and he said angrily: "Brother Bo, your imagination is really rich!"


    "It''s not me! It''s my classmate who took i drugs!"


    "Huh? No, it''s not drug addiction! It''s addiction to cough medicine..."


    The corner of Zhou Wei''s mouth twitched, this guy really dares to say...


    He quickly turned his face away to avoid being reported by someone else over the phone.


    At this time, Min Xiaobo''s voice came out again: "Oh, I see, your classmate wants to come for de-addiction treatment, right?"


    "Well." Lu Chen responded.


    "When did you come over?"


    "If possible, I will let my classmates go to the hospital now."


    "Okay, you give your classmate my phone number and ask him to come to our hospital and contact me directly. I will take him there when the time comes." Min Xiaobo said, "I have a colleague I know here, I will say hello to him. ."


    "Thank you, Brother Bo." Lu Chen smiled.


    "You''re welcome," Min Xiaobo said, "But you promised to come to our hospital for academic exchanges, when will you come?"


    Lu Chen''s deeds in Kyoto, he also heard a little.


    Lu Chen''s future growth is limitless!


    It is essential to lay a solid emotional foundation with Lu Chen in advance.


    Min Xiaobo asked Lu Chen to engage in academic exchanges, firstly to really conduct academic discussions, and secondly to show his personal connections to everyone in the department and pave the way for his career as a department director.


    "Brother Bo, as long as you like, I can do it!" Lu Chen didn''t refuse, friendly "academic exchange".


    "You just returned to Jinghua, so let you rest for a while and come to us next week?" Min Xiaobo said.


    "Okay, listen to Bogo''s arrangement."


    hung up the phone, and Lu Chen breathed a sigh of relief.


    Since Min Xiaobo has responded to this matter, there should be no problem.


    "Viagra, I''ll give you a phone number, you can remember it." Lu Chen raised his head and said to Zhou Wei.


    "Okay." Zhou Wei had already taken out his phone.


    "He is a friend I met at the Electrophysiology Society. His name is Min Xiaobo. He is very nice." Lu Chen said, "When you arrive at the People''s Hospital, call him and he will arrange the rest."


    "Well." Zhou Wei didn''t say much.


    The relationship between him and Lu Chen, everything is silent, there is no need to say thank you.


    At this time, the food in the restaurant was ready.


    The two quickly settled for lunch.


    Before parting, Lu Chen patted Zhou Wei on the shoulder, "Viagra, I''ll help you with the school''s affairs. You have to cheer yourself up and keep your body healthy. Next, we have another big mountain to climb over. what!"


    Zhou Wei nodded solemnly, he understood what Lu Chen meant.


    Another mountain, that is his mentor.


    ¡­


    Soon, Zhou Wei took a taxi to Jinghua People''s Hospital.


    And Lu Chen went back to the bedroom, thinking about the breaking point of the whole thing.


    He first searched the school''s official website for the relevant information of Zhou Wei''s tutor.


    Zhou Wei''s mentor is Wu Min, who is 46 years old this year. He is a professor, chief physician, and postgraduate tutor in the first ward of gynecology. He has held important positions in several provincial academic committees, and has undertaken a number of national natural funds. Hundreds of papers, including more than 30 SCI papers.


    This is a relatively normal tutor''s resume.


    Lu Chen thought about it for a long time, and he already had an idea in his mind.


    At present, there are three methods.


    First, directly overthrow Wu Min.


    This is more difficult. Although he himself has a good influence, he is only a student after all. Taking a step back, even if a professor of the same identity as Wu Min wants to overthrow the other party, it is difficult to achieve. .


    Second, report Wu Min.


    In this situation, Wu Min must have done it more than once or twice. Together with the students who were in school and graduated by Wu Min, everyone denounced Wu Min and let public opinion put pressure on the school.


    However, it is estimated that most of the students in the school will not work against their tutors, and it is difficult to find students who have graduated. Even if they are found, it may not be realistic to persuade the other side to report Wu Min.


    Third, let Zhou Wei change his mentor.


    This is a way not to directly confront Wu Min. However, mentors have their own small groups, can you find a mentor who is willing to accept Zhou Wei?


    In addition, if you want to change your tutor, you have to get the consent of the original tutor Wu Min, which is also quite difficult.


    As for which method to use, Lu Chen had to discuss with Zhou Wei, so he was not in a hurry.


    The most important thing right now is to ask for leave for Zhou Wei.


    De-addiction treatment, no matter what, it will take at least half a month.


    There is no valid reason to ask for such a long vacation.


    If you leave your post for no reason, you may be dismissed directly.


    As for telling the truth to the graduate department and making Zhou Wei "addicted" to the public, this is likely to damage Zhou Wei''s reputation, which is also inappropriate!


    Still have to think of a foolproof plan!


    (end of this chapter)

 v2 Chapter 605： The system has been upgraded again!

    Chapter 605 The system has been upgraded again!


    Jinghua Second Hospital, teaching building.


    Postgraduate counselor Xiao Zhongjiang is handling various matters for all postgraduates in the college, such as the graduation thesis check, the registration of graduation destination, and the results of the training examination.


    In addition, one of the most important tasks of the graduate program is the evaluation of various scholarships.


    As long as material rewards are involved, this is even more careful.


    Otherwise, once there is a deviation, it may lead to complaints and even reports from many students.


    Although reporting is useless...


    "There''s nothing to say about this, first-class scholarships, special grants, national-level scholarships..." Xiao Zhongjiang saw Lu Chen''s name and directly assigned the three highest-level scholarships to his name.


    "Mr. Xiao, aren''t you grading?"


    A new teacher from the graduate student looked at Xiao Zhongjiang with some doubts.


    This scholarship evaluation is too dark, right? !


    is not graded, but is given directly by the teachers of the graduate students?


    No wonder I didn''t have any scholarships back then...


    Xiao Zhongjiang shook his head with a smile, and said indifferently, "Others need ratings, but Lu Chen doesn''t."


    "Why?"


    Xiao Zhongjiang smiled, "Xiaofang, you just arrived at our Second Academy, and you don''t know much about it. Speaking of Lu Chen, if nothing else, just a 12-point SCI paper will ensure that he can get these top scholarships. It''s gone!"


    "12 points?!" Xiaofang''s eyes widened, "This is something a student can write? A normal professor can''t write such a paper!"


    Xiao Zhongjiang showed a smile in his eyes, then nodded slightly: "This is just a thesis, not to mention the honors Lu Chen has won..."


    Lu Chen''s series of titles stunned the newcomer Xiaofang!


    "Mr. Xiao, this student you mentioned is so scary..." Xiaofang is apologizing for her "shallowness".


    "Yeah, so you said he still needs a rating?"


    "No...no need..." Xiaofang swallowed.


    Just kidding, this is a god-level character!


    ¡­


    At this moment, Lu Chen walked into the graduate department office.


    "Is Teacher Xiao there?"


    Lu Chen stood at the door of the office with a leave application in his hand, looking in.


    Xiao Zhongjiang raised his head and saw that it was Lu Chen, with a happy expression on his face, "Really, Cao Cao, Cao Cao is here! Come in."


    Lu Chen walked into the office with a smile, and handed Xiao Zhongjiang the petition in his hand.


    "Mr. Xiao, I''m here to ask for leave."


    "Are you going out to exchange and study again?" Xiao Zhongjiang smiled.


    Lu Chen often goes out to participate in competitions and exchanges, and it is common to ask for leave.


    The two of them came and went, and they became familiar with each other.


    "I''m asking for leave for my classmates this time."


    Xiao Zhongjiang was stunned for a moment, and glanced at the name of the leave application, Zhou Wei, a gynecologist?


    "Are you asking for leave for Zhou Wei?"


    "Well, he''s my college classmate." Lu Chen nodded slightly, but he didn''t expect Teacher Xiao to know Zhou Wei.


    There are many graduate students in the entire Second Academy, and it is not easy to be familiar with the counselors.


    "Zhou Wei, he really is, he usually spends his time in the laboratory." Xiao Zhongjiang shook his head slightly, "As a professional master, he does not rotate clinical departments normally, which will affect graduation."


    "I remember Zhou Wei said that her tutor helped him greet the courtyard, right?" Lu Chen thought about it and said.


    Xiao Zhongjiang shrugged, "I didn''t say it at all, what''s more, his mentor Wu Min is not a big leader, is it useful to say hello?"


    Lu Chen was helpless, he was really a miserable mentor.


    Xiao Zhongjiang and Lu Chen were familiar with each other, so they said a few more words, "In the past, the state was not strict with the regulations for master''s and master''s programs, and the tutors let the students go to the laboratory. We also turned a blind eye, but now the state strictly requires Now, Professor Wu Min is still doing this, we are really embarrassed."


    Lu Chen knew that Professor Wu Min''s matter could not be resolved for a while, and for the time being, the main thing was to ask for leave.


    "Mr. Xiao, can I ask for this half-month leave?" Lu Chen asked again.


    He had communicated with Min Xiaobo again just now and learned that he would be asked to take at least half a month''s vacation.


    "No." Xiao Zhongjiang shook his head, "Any leave of more than seven days must be reported to the dean and signed by them."


    Half-day vacation, the teacher can approve it.


    Within three days, the instructor can approve.


    Within seven days, the Graduate Division is authorized to approve.


    More than seven days, you need to report to the dean for approval.


    "Then I went out to participate in the competition and went to Kyoto to exchange and study, why didn''t I ask the dean to sign?" Lu Chen asked in surprise.


    Xiao Zhongjiang squinted his eyes and said with a smile: "Nonsense, you have valid reasons for that, and the hospital uniformly approved it. Of course, you don''t need to go to the dean yourself!"


    "In other words, I need to go to the dean for approval of my leave application?" Lu Chen frowned.


    "Yes, we need to find a leader in charge of postgraduate teaching." Xiao Zhongjiang nodded.


    To be honest, Lu Chen and the upper-level leaders of the Second Academy are really not familiar with each other.


    Do you have to rely on tutor Li Yao to ask for leave?


    If he asked for leave by himself, it would be better to ask Li Yao''s tutor, but now he is asking for leave for his classmates, which is not very good.


    Instructor Li Yao may be able to help, but it always feels wrong.


    "Don''t know the leader?" Xiao Zhongjiang saw Lu Chen''s hesitation.


    "Mr. Xiao, you''re joking. I''m a student, but I don''t know any big leaders." Lu Chen touched his nose.


    "But you''re an unusual student." Xiao Zhongjiang smiled, and then reminded, "Actually, you can go to the head of the school, Luo Binghe."


    Luo Binghe, Vice Dean of the Department of Management and Teaching of Jinghua Medical University.


    "Looking for him?" Lu Chen frowned, "But I don''t know Director Luo very well..."


    However, Xiao Zhongjiang leaned over to Lu Chen and whispered, "You participated in the National Medical Skills Competition when you were a student. This competition was hosted by Dean Luo Binghe at the time. You won the championship, but the hospital gave it to Dean Luo Binghe. There are a lot of rewards and resources. Because you are the champion, Dean Luo has got a lot of light!"


    Lu Chen suddenly realized that he still has this relationship.


    However, to ask for a leave of absence, is it a bit of a fuss?


    "Lu Chen, if you want to ask for leave for Zhou Wei, don''t hesitate, go straight to Luo Binghe." Xiao Zhongjiang said directly, "Zhou Wei is on the blacklist in our second hospital, so we won''t give him vacation easily. of."


    Hearing this, Lu Chen was quite helpless. He didn''t expect Viagra to be quite "famous" in the second hospital!


    Black and red, that''s red too!


    It seems that the only way to find Dean Luo Binghe.


    ¡­


    While it was still early, Lu Chen clenched the leave application form in his hand and rushed directly to the school headquarters.


    "I hope Dean Luo Binghe is here..."


    These leading dragons have no end in sight, so Lu Chen can only try his luck.


    Lu Chen took his student ID card and went directly to the office building of the school headquarters.


    found the security guard on the first floor and asked about the office of Dean Luo Binghe.


    Lu Chen went straight to the third floor.


    The office building of the school headquarters is very quiet, and there are very few people haunting it.


    Even those who come to work are cautious.


    ¡­


    came to room 308.


    bang bang bang...


    Lu Chen took a deep breath and knocked gently on the door.


    "Come in!"


    A strong male voice came from the room, and Lu Chen slowly pushed open the door and entered.


    At this time, Luo Binghe was bowing his head and signing various hospital-level documents.


    Recently, the leadership of the hospital has changed, and Luo Binghe is also thinking about whether he can go further.


    "Hello, Dean Luo." Lu Chen said softly.


    Hearing some unfamiliar voices, Luo Binghe raised his head, then frowned, "Who are you?"


    "President, I''m a graduate student of Cardiology Department of the Second Hospital, Lu Chen." Lu Chen said calmly.


    "Lu Chen?" Luo Binghe was stunned for a while, then smiled, "The champion of the National Medical Clinical Skills Competition?"


    "Well, it''s still Director Luo who has a good leadership." Lu Chen smiled.


    "I heard that you recently went to Kyoto to exchange and study?" Luo Binghe said, "How do you feel? What is the gap between Jinghua and Kyoto?"


    Lu Chen didn''t expect Dean Luo Binghe to pay so much attention to his developments.


    It seems that I have found the right person!


    "The Kyoto University School of Medicine is a top-level hospital, and we have a gap with them." Lu Chen thought about it and said slowly: "However, this gap is also shrinking year by year."


    Hearing the first half of the sentence, Luo Binghe''s face was a little solemn, but when he heard the second half of the sentence, he smiled happily.


    "Well, yes, it''s good to have this confidence."


    Luo Binghe stood up, walked to Lu Chen''s side, and patted his shoulder, "Come and sit here."


    Lu Chen nodded and followed Luo Binghe to the sofa.


    "Student Lu Chen, what''s the matter with you coming to see me this time?" Luo Binghe leaned back on the sofa, narrowed his eyes, and looked at Lu Chen with a smile.


    Lu Chen didn''t beat around the bush and said straight to the point: "President, in fact, I''m here to help a classmate ask for leave."


    Luo Binghe was a little surprised.


    The first time Lu Chen looked for him, was he actually asking for leave for someone else? !


    "How long, please?" Luo Binghe said softly.


    "Half a month." Lu Chen took out the leave slip.


    Luo Binghe took the leave application, glanced at it, then raised his head and asked, "Do you have a pen?"


    Lu Chen nodded and took out a blue and black pen from his pocket.


    He was well prepared.


    Luo Binghe took the blue and black pen and directly signed his name on the leave application.


    Although Lu Chen had expected it, he was still a little surprised.


    Luo Binghe is too refreshing, right?


    "I signed it." Luo Binghe put down the blue and black pen, but did not return the leave request form to Lu Chen, "But you have to tell me the reason for the leave. How can a normal student ask for a half-month leave?"


    Lu Chen was a little silent.


    Luo Binghe signed his name, which already represented his sincerity.


    Lu Chen thought for a while, then said, "President, it was actually my classmate who went to the hospital and became addicted to cough medicine, so I decided to take de-addiction treatment."


    "Are you addicted to cough medicine?" Luo Binghe was stunned, "Your classmate is from the Second Hospital, and she should also be a medical student. How could you be addicted to cough medicine?"


    Lu Chen smiled helplessly, "He''s had some trouble with his life and studies recently, so..."


    "What''s the trouble?" A glint of light flashed in Luo Binghe''s eyes.


    There must be a secret behind making a medical student addicted to cough medicine!


    Lu Chen touched his nose, what do you say?


    Is it true?


    But he didn''t have any evidence for the time being. Even if Luo Binghe was the dean, he probably wouldn''t have a good solution.


    In addition, take 10,000 steps back, what if Luo Binghe already knew about this?


    Seeing that Lu Chen was unwilling to speak, Luo Binghe was no longer reluctant.


    "Since that''s the case, I won''t ask anymore." He smiled and handed the leave slip to Lu Chen, "If you have anything in the future, you can come to me as long as you are not deceived."


    "Thank you, Dean Luo." Lu Chen took the leave request and breathed a sigh of relief.


    In addition, he really didn''t know how to explain this.


    Don¡¯t act rashly until things are clear.


    "Small thing." Luo Binghe waved his hand, "The benefits you brought to our school are far more than that! By the way, what plans do you have for your future?"


    Luo Binghe knew that Lu Chen had published a high-quality SCI paper.


    If this kind of talent can stay in this school, it will definitely be a big help for me.


    However, Luo Binghe also understood that it would be impossible for Lu Chen to stay in Jinghua.


    Jinghua is too young, and the talent that Lu Chen has shown so far cannot be retained by Jinghua!


    Lu Chen did not specifically cater to Luo Binghe, "I haven''t decided yet, but I will definitely continue my studies."


    With a simple sentence, Luo Binghe knew what Lu Chen was thinking.


    He felt a little regretful, but he was also happy for Lu Chen.


    "Okay! It''s pretty good!" Luo Binghe patted Lu Chen''s shoulder, "Wait for your return, but don''t forget your alma mater!"


    He is making long-term investment plans.


    Lu Chen''s future is limitless!


    When the time comes, if Lu Chen is willing to give Jinghua Medical University a hand, or give him a hand, then he will earn it!


    "Well, don''t worry, Dean." Lu Chen smiled.


    Lu Chen and Luo Binghe chatted a few more words, left his phone number, and left.


    ¡­


    Walk out of the school office building.


    Lu Chen was still a little stunned.


    Before he knew it, he had been able to talk to the headmaster on an equal footing.


    In the two years since he came to Jinghua, although there was systematic help, Lu Chen still focused more on clinical medicine and scientific research.


    As for the upper route, Lu Chen really rarely touched it.


    Seeing his influence, Lu Chen was quite relieved.


    However, this also made him understand a truth, making dazzling achievements in the academic circle can influence or radiate to other aspects.


    For example, he has no shortage of money. Although it wasn''t as good as those wealthy businessmen, it was enough for Lu Chen.


    Second, he has been able to influence certain decisions of the leadership.


    "It''s no wonder that there is a saying that ''learning leads to excellence''." Lu Chen smiled and shook his head.


    ¡­


    resolved Zhou Wei''s request for leave, and Lu Chen breathed a sigh of relief.


    For the rest, Zhou Wei will have to return from his illness and discuss it with him.


    It is not an easy thing to be free from the hands of the devil teacher.


    The next day.


    Lu Chen returned to the clinic.


    This month, the department he stayed in was the infectious disease department.


    Looking at the 98% completion rate of the upgrade on the system panel, Lu Chen had a faint expectation in his eyes.


    The system is about to be upgraded for the second time!


    On the third day of his stay in the infectious disease department, Lu Chen successfully diagnosed two cases.


    The long-awaited system prompt appears in the panel.


    "Congratulations, the system is 100% complete!"


    "System Upgrade!"


    (end of this chapter)

 v2 Chapter 606： Become a sea king?

    Chapter 606 Become a sea king?


    With a thought, Lu Chen quickly entered the system panel, wanting to see what changes would happen to the system after the upgrade.


    However, Lu Chen searched the system for a long time, and there was no change at all!


    "Impossible!" He touched his chin.


    The first change to the ?? system is that the color has changed to life value, showing the specific value.


    The second change, the health value has a trend change.


    The change this time should go a step further, why is there nothing?


    At this point, he had already left work, so he had no way to do clinical research, so he could only go back to the dormitory.


    ¡­


    "Hey, Viagra, how are you in the People''s Hospital?"


    Back in the bedroom, Lu Chen called Zhou Wei.


    After counting the days, Zhou Wei had about a week to go to the Municipal People''s Hospital.


    "It''s alright, my withdrawal symptoms have eased a lot now." Zhou Wei''s voice was no longer gloomy, "My attending doctor said that I should be able to leave the hospital in a week at most."


    "Great!" Lu Chen smiled, "I just got off work first, I''ll go see you."


    "Okay, I invite you to go out and have a rub."


    Lu Chen immediately left the hospital, stopped a taxi, and rushed to the Municipal People''s Hospital.


    ¡­


    Lu Chen had been to the Municipal People''s Hospital once before.


    This time, I found the inpatient ward where Zhou Wei was staying.


    pushed open the door of the ward, and Lu Chen saw Zhou Wei lying on the hospital bed, chatting with the little nurse.


    Seeing Lu Chen walk in, the nurse blushed and left. Zhou Wei immediately sat up and said with a smile, "You came so fast!"


    "Nonsense, if you invite me to dinner, I must be more active!" Lu Chen smiled.


    As soon as he entered the door, he saw that Zhou Wei''s HP was 72 (-)!


    Compared with before, it has risen a lot.


    Moreover, the trend of life value changes has changed from two minus signs to one minus sign!


    It seems that Zhou Wei''s de-addiction treatment here is quite successful.


    "Let''s go, I''ll ask you to go out for a rub." Zhou Wei had already taken off his hospital gown and changed into his own.


    "Well, then I''ll be slaughtered." Lu Chen smiled.


    But at this moment, he suddenly noticed that a prompt popped up in his system panel.


    "Target is using drug withdrawal and withdrawal therapy!"


    "Currently, HP is increasing at a rate of 0.55/day!"


    Lu Chen was stunned for a moment, how fast is his HP rising?


    What is this?


    There were other patients in the ward, and Lu Chen immediately looked at a patient next to Zhou Wei.


    This patient has just been admitted to the hospital and has not received any treatment yet.


    "Target is being violated for unknown reasons!"


    "The current health decline rate is 2.8/day!"


    Seeing this, Lu Chen instantly understood.


    The ?? system is really awesome!


    After the ?? upgrade, the value of the specific change of the patient''s life value is directly displayed.


    That''s not the most important thing...


    The most important thing is that the system also shows what kind of treatment the patient is undergoing, and can show the trend of the patient''s life value after this treatment.


    "Isn''t this the best medication guide?"


    Lu Chen''s eyes widened.


    Other doctors treat the patient''s drug response by taking the medicine. He directly sees the dynamic change of the patient''s life value.


    This is to judge the response to drug treatment in advance!


    Proper bug skill...


    "Lu Chen, let''s go, what are you doing?"


    Seeing Lu Chen stunned and not leaving, Zhou Wei wondered.


    "Oh, here we come!"


    Lu Chen regained his senses, with a bright smile on his face.


    ¡­


    With this system upgrade, Lu Chen''s clinical diagnosis and treatment ability has been further improved.


    He also noticed that after completing this upgrade, the system''s upgrade completion rate became 0%.


    This also means that the system can be upgraded again!


    However, this time, it is extremely difficult to upgrade the system.


    After Lu Chen diagnosed several patients in the infectious disease department, the system completion rate reached 0.8%.


    The ?? system also gives different degrees of completion according to the difficulty of the case.


    "It''s going to be the next upgrade, it''s really going to be the year of the monkey and the month of the horse!"


    ¡­


    a week later.


    Zhou Wei was discharged from the drug withdrawal center.


    Back at Jinghua Second Hospital, Lu Chen saw the sunny boy again.


    "By the way, Viagra, I remember you seemed to be talking about a girlfriend, right?" Lu Chen wondered.


    "It''s broken." Zhou Wei spread his hands indifferently, "Actually, a small part of the decadence I broke up some time ago was the reason for my breakup. But now I''ve figured it out, I won''t suffer if I break up! Don''t hang yourself on a small sapling, I still have a large forest waiting for me!"


    Lu Chen looked at Zhou Wei helplessly.


    The reborn Viagra will not become a sea king from now on, right?


    "Viagra, what do you want to do with your mentor?" Lu Chen asked.


    Talking about Wu Min, Zhou Wei''s face showed a sad look again, "Oh, of course I want to bring her down! You don''t know how much we students hate her!"


    "But what can I do? She is a professor. It is estimated that the principal wants to do her without a proper reason, and it will not work."


    Lu Chen frowned, "Do you have the original data of the paper, or other materials that prove that the paper was written by you?"


    "Yes, the data are all in the computer in the laboratory, and I can''t touch it now." Zhou Wei shook his head helplessly, "The computers in the laboratory are all intranets, and U disks cannot be inserted. At that time, Wu Min said that it was for information security. , I didn''t think about it that much, and I didn''t have a backup."


    Lu Chen frowned deeply, "This is difficult, the original data must have been taken away by Wu Min."


    "Why not, I''ll write another graduation thesis myself." Zhou Wei whispered, "As you said, Wu Min definitely wouldn''t dare not let me graduate."


    "Then she continues to let you go back to do the experiment, are you still going?" Lu Chen asked back.


    "This..." Zhou Wei was a little discouraged, "What should I do then?"


    Lu Chen''s eyes flashed a gleam of light, "I have a way..."


    ¡­


    Jinghua Second Hospital.


    Laboratory building.


    "Mr. Wu, Junior Brother Zhou Wei is back." A tall and thin girl with glasses walked into the office and said to a middle-aged teacher with a chubby figure and slightly curly hair in front of her.


    This middle-aged teacher is Zhou Wei''s mentor, a master tutor of gynecology, Wu Min.


    "What has he been doing these two weeks?" Wu Min''s eyes flashed with anger.


    "It seems that he is ill, and he asked for leave to be hospitalized." The girl whispered, "This is the request for leave from the younger brother."


    Wu Min glanced at him and was quite surprised, "He can still find President Luo to sign a leave of absence?"


    "What about others?"


    "Teacher, he is waiting outside the laboratory."


    "Let him come to me."


    "Okay, teacher." The girl breathed a sigh of relief, then quietly exited the room.


    Every time she talks to Wu Min, she is afraid that Wu Min will suddenly lose his temper and give her a scolding.


    However, she couldn''t help it, she was about to graduate, and she had to bite the bullet and come to her if she wanted her supervisor to read the thesis.


    came outside the office.


    "Junior brother, the teacher asked you to go in and find her." The girl waved to Zhou Wei.


    "Okay, thank you, Senior Sister." Zhou Wei smiled.


    "Hey, be careful, the teacher is getting angry." The girl whispered, "Junior brother, I''m reading the thesis, you can forget it, you can''t get better if you fight against the teacher."


    "Okay, I''ll listen to Senior Sister." Zhou Wei narrowed his eyes and smiled.


    The girl was taken aback for a moment, she had persuaded so many times before, but Zhou Wei did not agree.


    After a symbolic persuasion today, Zhou Wei suddenly thought about it?


    (end of this chapter)

 v2 Chapter 607： The title of the thesis, without changing a word?

    Chapter 607 The title of the thesis, without changing a word?


    Jinghua Second Hospital.


    Laboratory building.


    The atmosphere in the office is eerily quiet.


    "Zhou Wei, do you know Director Luo?"


    Wu Min was the first to speak.


    Zhou Wei had already learned about the leave from Lu Chen, so he nodded slightly.


    Wu Min saw this, a trace of surprise flashed in his eyes, and then disappeared, "Have you been hospitalized for the past two weeks?"


    "Well, my body is a little uncomfortable." Zhou Wei always had a smile on his face, and he didn''t have the decadence he was two weeks ago.


    "The body is the capital of the revolution." Wu Min said slowly, "You must take good care of your body, and then you can work hard."


    "Thank you for your relationship, I''m almost better." Zhou Wei wasn''t too surprised about Wu Min''s relationship.


    If you don''t know what she''s doing behind the scenes, you might really be deceived by her surface.


    "That''s fine." Wu Min said, "You are about to study for the third year, so you need to pay attention to the graduation thesis."


    "Got it." Zhou Wei nodded slightly, "Teacher, I was not very sensible before. All my papers were completed under the guidance of the teacher. I shouldn''t have too many ideas."


    Hearing this, Wu Min showed a smile on his face, "It''s not bad to know where you''ve lost your way, learn more from your senior sisters, there''s still a year left. You can now go back to the lab and continue working. ."


    "Okay, thank you teacher." Zhou Wei smiled and walked out of the room.


    The moment ?? walked out of the room, the smile on Zhou Wei''s face disappeared, replaced by a frosty face.


    Laughing at a person he hates, it''s disgusting!


    But when he thought of Lu Chen''s plan, Zhou Wei could only suppress his inner discomfort.


    ¡­


    came to the laboratory.


    Zhou Wei found that his commonly used computer was occupied by a junior sister.


    "Sister Fang, can I use the computer?" Zhou Wei came over.


    Junior Sister Fang was stunned when she heard this familiar voice, "Senior Brother Zhou, you, what happened to you?"


    "When the illness is cured, of course I will return." Zhou Wei smiled.


    "Oh, then you can use it, I use the computer from before." Sister Fang immediately stood up and gave the computer to Zhou Wei.


    Zhou Wei usually takes care of these little sisters, and everyone in the lab still prefers him.


    Zhou Wei was not polite either, saying "thank you" and sitting in front of the computer.


    He searched for the original data of his previous experiments.


    "Sure enough." Zhou Wei shook his head helplessly, "Wu Min is really an old fox."


    ¡­


    Zhou Wei fished for a while in the lab, and typed a few messages with Lu Chen.


    An hour later, Wu Min walked in.


    "Let me tell you something, everyone stop what you''re doing first." Wu Min looked around and said loudly.


    When everyone heard this, they immediately stopped their work.


    "Second year students should hurry up to prepare their graduation projects and dissertations. There is less than a year left, and I don''t want you to graduate by then!"


    "If you have a good topic or a good idea, you can discuss it with me."


    "As long as everyone''s papers can reach a certain standard, the school and I will reward everyone..."


    ¡­


    Zhou Wei was wandering the whole time, just when Wu Min was talking, he was farting.


    These words, Wu Min said many times and brainwashed everyone many times. It was these "kind words and kind words" that deceived him!


    After Wu Min said these irrelevant words, he left very satisfied.


    "Senior brother, your dissertation hasn''t started yet, do you want me to help?" Just now, Junior Sister Fang came to Zhou Wei''s side.


    "Thank you, Junior Sister." Zhou Wei smiled, "I''m preparing, I''ll come back to you when I have a good idea."


    Zhou Wei heard that Sister Fang was also a relative of the leader of a certain hospital, and was very polite to her.


    "Okay." Sister Fang smiled slightly, "Brother, remember me."


    After the younger sister left, Zhou Wei also began to study his own new topic.


    There is only one year left before graduation. Apart from the time for exams, job hunting or exams, everyone basically only has half a year to prepare the thesis.


    And Zhou Wei''s new topic this time came from Lu Chen''s idea.


    For Lu Chen, who has a "scientific research skill card", it is no longer a problem to help Zhou Wei come up with a good scientific research topic.


    Just like this, Zhou Wei returned to the laboratory and continued to help Wu Min to do experiments diligently, as a free temporary laborer.


    ¡­


    In the blink of an eye, a month has passed.


    Lu Chen was successfully released from the infectious disease department, and then went to the next department without stopping.


    In addition to his clinical work, Lu Chen''s most important project now is the "National Nature" project.


    In fact, the thesis he has published now is enough for graduation.


    But the scientific research competition with AstraZeneca''s European division has slowly progressed to the point of white-hot.


    This month, AstraZeneca Europe published two more SCI papers.


    Although the score is not high, the speed of publishing papers is like a sow!


    Quantitative change... It cannot be qualitatively changed, but it can give people pressure.


    However, now Lu Chen, with the support of AstraZeneca''s China branch, does not have much pursuit of temporary paper publication.


    What Lu Chen wants is the final victory of the scientific research competition a year later!


    ¡­


    On Zhou Wei''s side, he also started his own subject again.


    Zhou Wei stored all the original experimental data and experimental ideas in the computer in the laboratory.


    Today is the weekend, Zhou Wei still came to the laboratory in order to speed up the experiment.


    Just opened the door of the laboratory.


    Zhou Wei was stunned, and his eyes showed surprise, because Wu Min was sitting in front of his computer.


    Seeing Zhou Wei coming in suddenly, Wu Min didn''t have any panic or abnormality, she smiled, "I come to the laboratory on weekends, yes, very serious."


    Zhou Wei was silent for a long time before slowly saying: "Teacher, are you watching my experiment?"


    "Well, I heard Xiao Fang say that your recent experimental idea is good, I''ll help you check it out." Wu Min said slowly.


    Zhou Wei frowned slightly, Junior Sister Fang?


    "Then thank you teacher for your help." Zhou Wei replied indifferently, then sat aside.


    ¡­


    After half an hour.


    Wu Min stood up from the computer, "Zhou Wei, your experimental idea is not perfect."


    "Teacher, if there is anything you need to add, I will listen to you." Zhou Wei said quickly.


    "Well, first sort out the overall idea and the current experimental data, and send them to me." Wu Min put his hands behind his back, with a serious expression on his face, "These days, let me help you see if there is a good solution. , I''ll tell you again."


    "Okay, teacher." Zhou Wei nodded, "I''ll send it to you right away."


    After Wu Min left, Zhou Wei began to organize the experimental data.


    In less than ten minutes, he was finished.


    However, in order to avoid causing Wu Min''s suspicion, Zhou Wei still waited more than an hour before sending the sorted information to Wu Min.


    ¡­


    Another week passed.


    Zhou Wei came to the laboratory as usual and found that Junior Sister Fang was busy at her computer desk.


    He walked forward slowly, tapped Junior Sister Fang''s table lightly, leaned forward, and whispered, "Sister Fang, what experiments are you doing recently?"


    Junior Sister Fang was startled, seeing that it was Zhou Wei, a trace of panic flashed in her eyes, "That, is an experiment given to me by the teacher."


    "Oh, then come on."


    Zhou Wei walked back to his place after speaking.


    Since the last time I gave Wu Min all my experimental data, it was lost in the sea, and there was no more text.


    Yesterday, Zhou Wei accidentally discovered that Junior Sister Fang was actually doing her own experiments.


    Zhou Wei''s mouth twitched, "As expected of my dear teacher."


    He stood up and walked slowly towards the office.


    ¡­


    In the office.


    "Teacher, you haven''t given me an answer to the experimental project I gave you last time." Zhou Wei walked into the office and got straight to the point.


    "Oh, that..." Wu Min thought for a while, "Your experimental ideas are not yet mature. I changed the plan and asked Xiao Fang to try it first. As for you, just take it slow."


    Hearing this, Zhou Wei''s face turned ugly.


    Wu Min continued to persuade him: "Zhou Wei, your main purpose is to graduate now. If you do such an immature plan, if it doesn''t come out, wouldn''t it be a waste of time?"


    "It''s not long before you graduate, I''m thinking of changing your plan and making sure you can send a Huaxia core thesis!"


    "As for this immature plan, let your junior sister do it. Even if she makes a mistake, she can change the subject in time, don''t you think?"


    Zhou Wei was silent for a while, and then he said, "Teacher, but this is my subject after all..."


    "Hey, I have revised a lot of content, and it has nothing to do with your previous thoughts." Wu Min said slowly: "And I will give you a ready-made topic so that you can quickly graduate with a thesis. Isn''t it okay?"


    Zhou Wei''s depressed expression eased slightly when he heard this.


    "Then thank you teacher." Zhou Wei whispered, "I just think about graduation now."


    "Well, not bad." Wu Min showed a smile on the corner of his mouth, "I''ll give you a new topic in a while, don''t worry."


    Zhou Wei nodded slightly, then left the office.


    He''s not in a hurry...


    ¡­


    In the next period of time, Zhou Wei was very obedient, helping Wu Min with experiments, making coffee, and even taking express delivery by the way, as well as cleaning.


    In the dormitory of Guipei Building.


    "Lu Chen, how long will it be like this!" Zhou Wei stopped on the bed with a hopeless expression, "It''s too hard for me to face Wu Min every day!"


    "It should be soon." Lu Chen had already opened his laptop, "It stands to reason that your instructor is so keen on experimental projects, this experiment should be completed soon."


    "What if they can''t do it?" Zhou Wei asked.


    "Then you just mix up a Huaxia core thesis and graduate." Lu Chen spread his hands, "There''s really no other good way."


    "Alas." Zhou Wei sighed, "Ah, this is not the same as the plot in TV and novels, the evil forces are really hard to defeat!"


    At this moment, Lu Chen suddenly said in surprise: "Viagra, your tutor posted it!"


    Hearing Lu Chen''s words, Zhou Wei sat up with a "swoosh", and quickly approached Lu Chen.


    On Lu Chen''s laptop is an SCI paper query website.


    What comes into view is an SCI paper just published with an impact factor of 5.32!


    Corresponding author of the paper, Wu Min.


    The first author, Lan Xiang.


    The second author, Fang Fang.


    The third author, Zhou Wei.


    ¡­


    Lu Chen was surprised when he saw the title of the paper: "My dear, the title of this paper has not changed a single word? It''s exactly the same as what I gave you at the time!"


    Zhou Wei''s excited expression was mixed with a hint of speechlessness, "Nima, I don''t even have a second author, so I have a third author..."


    (end of this chapter)

 v2 Chapter 608： Big news!

    Chapter 608 Big news!


    Jinghua Second Hospital.


    Guipei Building bedroom.


    Lu Chen and Zhou Wei read the SCI paper published by Wu Min, including the experimental steps and final conclusions of the paper.


    Zhou Wei frowned and looked at Lu Chen beside him.


    "Lu Chen, should we take action next?"


    Lu Chen smiled slightly, "Nonsense, I''ve been waiting for more than a month, let your dear mentor see how powerful we are. Otherwise, she still thinks you are so easy to bully?"


    Zhou Wei still felt that something was wrong.


    "What if it fails?"


    Lu Chen shrugged, "What else can I do...that would be equivalent to sending a thesis to your supervisor. Let her have a better impression of you and let you graduate smoothly."


    "Hey, I hope it works."


    Zhou Wei pursed his lips, and a hint of determination flashed in his eyes.


    Now that you have chosen this step, you can only wait for the final result.


    ¡­


    Jinghua Second Hospital.


    Wu Min''s laboratory.


    Today Zhou Wei unexpectedly asked for leave and did not come.


    In this regard, the tutor Wu Min did not care at all.


    The whole laboratory is filled with a peaceful and pleasant atmosphere.


    "Teacher, congratulations, you have published another high-scoring SCI paper."


    "Teacher, this paper was published in less than a month. You are really amazing."


    "We are going to learn from Junior Sister Fang. It won''t take long for us to come to the lab, and we will be able to publish such a high-scoring paper..."


    Everyone in the lab is blowing "rainbow farts", and Wu Min is even more comfortable.


    She had long forgotten Zhou Wei in her heart.


    With this paper, her son should be able to study abroad smoothly, apply for a scholarship, and come back after plating gold abroad, that is, an overseas elite scholar!


    With these names, after returning to China, you can get hired in a good hospital and enter top universities.


    In Wu Min''s plan, his son''s future is the sea of ??stars!


    "Teacher, thanks to your help this time." Sister Fang also came to the office.


    This SCI paper, Junior Sister Fang is the second author, thanks to Wu Min''s "support", who said that she also has a big relationship behind it...


    "Work hard, there will be many papers in the future." Wu Min showed a smile.


    "Thank you teacher." Sister Fang''s face flashed with joy.


    Research can publish such high-quality papers, which will be of great benefit to her future scientific research!


    However, Zhou Wei''s shadow flashed in Junior Sister Fang''s mind. After all, this thesis was originally conceived by him...


    The next day.


    Zhou Wei came to the laboratory to work as usual, and at the same time, he calmly shared with everyone the joy of his supervisor publishing papers.


    Sister Fang saw that Zhou Wei didn''t care, and she no longer had any scruples in her heart. She already regarded this paper as her own.


    In the blink of an eye, another month passed.


    In addition to clinical work, Lu Chen is mainly obsessed with clinical research.


    In addition, the college entrance examination results came out.


    His dear cousin Lu Hao finally chose to major in clinical medicine and applied for the Jinghua Medical University.


    "Brother, you really don''t regret it?"


    Lu Chen called Lu Hao.


    "Hmph, what are you regretting! I think it''s cool to be a doctor, you watch these doctor dramas on TV..."


    Lu Hao didn''t care, and there was even a hint of excitement in his tone, "Brother, wait another month and I''ll come to you!"


    Lu Chen was talking on his cell phone, and he could imagine Lu Hao''s excited look, so he couldn''t bear to continue hitting him, "Okay, enjoy your last vacation by yourself."


    hung up the phone, Lu Chen couldn''t help shaking his head.


    Another young boy who accidentally stumbled!


    ¡­


    at this time.


    United States, editorial office of a journal.


    An anonymous report letter broke the silence of the editorial department.


    "Editor Nash, an email from Huaxia, reporting a paper published in our journal."


    Rachel ran into the editor''s office panting.


    Thesis fraud, plagiarism, and even data problems, these are all big problems!


    Once verified, it will not only withdraw the manuscript, but also affect the credibility of the journal.


    If there are too many retractions, or the quality of the paper is too low, the impact factor of the paper in the coming year will be lowered!


    "What are you panicking about?!" Editor-in-chief Nash glanced at Rachel, "There are so many reported emails every year, but there are very few really good ones."


    "This time is different!"


    Rachel''s expression was very nervous. She opened the document in her hand and handed it to the editor-in-chief Nash tremblingly.


    "This email is not only a report, but even an independent repeated experiment, pointing out all the abnormal data and graphics of the reported paper..."


    Hearing this, Nash was shocked.


    "Did an independent replicate experiment?"


    The so-called repeated experiment is to re-do the experiment according to the experimental steps in other people''s papers to restore the entire experimental process.


    This is also the easiest way to judge the authenticity of an experiment.


    You said you can do it, so I will do it again according to the method you said, so it should be possible, right?


    "Yes! Report the email, the data is very sufficient, and the argument is well organized." Rachel said slowly, "I even pointed out many unreasonable designs of this experiment, which made me think..."


    "What do you think?" Nash''s eyes narrowed.


    "This... the person who reported it seems to know more about this experiment..." Rachel whispered.


    Editor-in-chief Nash did not speak, and looked down at the entire report email.


    Rachel is right, this is a very well-documented whistleblower email.


    "I can''t wrong a person, but I can''t spare a person who tries to fake academically!"


    Nash said solemnly: "Rachel, you contact fellow experts and ask them to carry out the repeated experiments of this paper in person."


    "Okay, no problem!" Rachel nodded quickly.


    She knew that the editor-in-chief Nash was going to be serious, and even if there was no problem, she would have to find out a little problem!


    She couldn''t help but observe three minutes of silence for the author of this paper.


    ¡­


    Jinghua Second Hospital.


    The second floor of the Academic Affairs Office, Teaching and Research Section.


    The Department of Teaching and Research controls the dissertations of all doctors and postgraduates in the entire hospital, including dissertation publications, fund declarations, etc.


    At this time, people from the teaching and research department were chatting together.


    They usually work leisurely, and a lot of time can be used to watch dramas and fish.


    "The competition for national outstanding youth this year is really fierce. In our hospital alone, there are more than 20 applicants!"


    "Hey, it''s not like you don''t know how difficult it is to be promoted now! Everyone wants to go further. If they don''t want to be salted fish, they can only apply for the fund desperately."


    "Let me see, the most likely candidates to win the bid are Director Zhang Tao of the Department of Oncology and Director Wang Yang of the Interventional Department. By the way, this year, Director Li Yao of the Department of Cardiology has suddenly emerged and has published several high-scoring papers in a row. competitor."


    Everyone was chatting about gossip inside the hospital.


    They are most able to get in touch with different doctors, and they know all kinds of gossip.


    At this moment, a teacher in charge of reviewing papers in the teaching and research department was suddenly interrupted by the voices of everyone discussing!


    "Fuck! There is big news, come and watch!"


    (end of this chapter)

 v2 Chapter 609： Brother, well done!

    Chapter 609 Junior Brother, well done!


    Jinghua Second Hospital.


    Teaching and Research Department.


    The crowd immediately gathered around.


    One of them looked at the text on the computer screen and said slowly: "It has been verified by this journal that the paper published by Wu Min from the Second Affiliated Hospital of Huaxia Jinghua Medical University, titled "...", contains falsified data and graphics. If possible, we will notify the corresponding author and the first author to provide review materials, and if it fails, the manuscript will be withdrawn.¡±


    "Furthermore, all the manuscripts of the corresponding author and the first author of this article will never be accepted. At the same time, all papers in this journal under the names of Wu Min and Lan Xiang will be thoroughly investigated..."


    ¡­


    After reading the entire announcement, everyone was stunned.


    They all had an idea in their hearts, Wu Min is finished...


    It''s over!


    As Huaxia reviews the quality of the thesis, it becomes more and more strict. Every year, it will review the master''s and doctoral graduation thesis in batches, as well as the papers published by each supervisor.


    Once it is verified that there are acts such as data tampering, graphic fraud, plagiarism, etc., it will be severely punished.


    The Deputy Director of the Teaching and Research Division swallowed, and even thought of Wu Min''s ending in his mind.


    This announcement is already very euphemistic, let Wu Min continue to show evidence to prove his innocence, but in fact, the journal can issue a notice of this level, usually it has been investigated and there is sufficient evidence before it is released.


    is almost equivalent to "sentence to death"!


    "I remember that some time ago, a foreign journal exposed more than fifty fake papers, right?"


    "Yeah, this really hit the gun."


    "Look carefully, the first author of this paper seems to be Wu Min''s son... Then isn''t he..."


    In a very short period of time, the bulletin of the journal quickly fermented throughout the hospital and even the entire school.


    Of course, this is also fueled by Zhou Wei and others!


    Zhou Wei also found a wave of sailors, and spread the announcement widely in school post bars, forums, and even some WeChat groups.


    "Shocked! My school teacher actually did such a thing?! Men are silent and women are crying!"


    ¡­


    Lu Chen, the initiator, was also lurking behind his back, quietly waiting for the whole thing to ferment.


    This report email was sent by him!


    The idea of ???? the whole experiment was also revealed to Wu Min by Zhou Wei intentionally and inadvertently.


    However, Lu Chen played a little trick and deliberately revealed a flaw in one of the experimental steps.


    To put it simply, the data is artificially tampered with.


    If Wu Min can experiment with peace of mind and repeatedly verify, he is not using Zhou Wei''s experimental results directly, and maybe he can find clues.


    But, she didn''t!


    Publishing a high-scoring SCI paper in a short period of time is a temptation that no one can resist...


    In fact, what Lu Chen didn''t think about was that because of the chain reaction of the report, the journal actually wanted to thoroughly investigate all of Wu Min''s previous papers.


    Most of the papers really can''t stand strict scrutiny.


    "Viagra, your tutor is going to be in bad luck this time!" Lu Chen sent Zhou Wei a WeChat message.


    After receiving it, Zhou Wei simply replied, "Thanks, brother."


    This time they are also betting, bet right!


    ¡­


    Jinghua Second Hospital.


    Wu Min sat in his office with a gloomy face.


    She looked at the reports issued by the journals, heartbroken.


    "Zhou Wei, you are such a good boy!"


    Now Wu Min finally knows where the error is.


    From the very beginning, the data Zhou Wei gave him was problematic, waiting for her to be caught!


    "What a good boy! He''s selling smiling faces in front of me every day, but he''s actually doing such things behind his back!"


    Wu Min held the original data Zhou Wei gave her tightly in her hand, her fingertips were turning white.


    "Bang bang bang..."


    At this time, Junior Sister Fang knocked on the door lightly and walked in.


    "Teacher, Senior Brother Zhou Wei is here."


    "Let him in!" Wu Min held back the anger in his heart.


    "Okay." Junior Sister Fang was also very anxious at this moment.


    This paper also involves her!


    Fortunately, she is the second author and has little influence. It is the corresponding author and the first author who suffer.


    came outside the office.


    "Senior brother, the teacher let you in." Sister Fang whispered to Zhou Wei, she looked quite nervous.


    "it is good."


    "Wait a minute..." Junior Sister Fang suddenly stopped Lu Chen, "Senior brother, you, you won''t blame me..."


    "What do I blame you for?" Zhou Wei said lightly, "Don''t think too much."


    After ??, Zhou Wei walked into the office without looking back.


    For Junior Sister Fang, Zhou Wei also understands very well. In the whole thing, she was also the one who was led by the nose, but her inaction made Zhou Wei not have any good feelings for her.


    In the office.


    The moment Zhou Wei and Wu Min met, the atmosphere was extremely strange.


    After a long while, Zhou Weicai said lightly, "Teacher, what''s the matter with you? It''s okay, I''ll go back. I haven''t finished writing my graduation thesis yet."


    Wu Min finally couldn''t hold back his anger and pointed at Zhou Wei, "You bastard, don''t play stupid here, is this paper a deliberate ghost?!"


    She threw the paper straight to Zhou Wei''s face.


    Zhou Wei took a slight step back, then ducked.


    The paper was thrown on the ground, Zhou Wei''s expression did not change, he bent down and slowly packed the paper, "Teacher, what are you talking about, I don''t understand at all, you didn''t take this topic with your own hands. ?"


    "You said it yourself, my subject is not perfect, there are flaws in it, I thought you saw it."


    "You..." Wu Min pointed at Zhou Wei, so angry that he couldn''t say a word, his eyes were bloodshot.


    "What''s wrong with me?" Zhou Wei''s mouth twitched.


    "Don''t think that if you leave me, you can graduate with peace of mind?!" Wu Min was already a little exasperated.


    It''s no wonder that now she is facing not only the problem of the data of one paper, but all the papers published in her journals will be reviewed.


    This kind of consequence is something Wu Min cannot bear.


    "Teacher, don''t worry." Zhou Wei grinned, "Even if you are fired, I will graduate."


    "Go away, go away!"


    Wu Min shouted at Zhou Wei with a hoarse voice.


    Zhou Wei smiled slightly, "I have feet, so I don''t need to get out. Teacher, don''t get angry. You''ve lost your fame and fortune. You still need to be healthy."


    "you¡­"


    After Zhou Wei said this, he left without looking back.


    Today is Zhou Wei''s best mood this month.


    He came to the laboratory.


    Everyone in the ?? laboratory looked up at him.


    Zhou Wei smiled at the crowd, "Don''t worry about me, I''ll pack my things and leave right away."


    He packed up his things and just walked out of the laboratory building, but a senior sister hurriedly chased after him.


    "Junior Brother Zhou, does this teacher''s matter have anything to do with you?"


    This kind of thing, Wu Min will definitely not publicize it everywhere.


    However, when everyone heard the quarrel between Wu Min and Zhou Wei, there were some guesses in their hearts.


    Zhou Wei certainly couldn''t admit it, he just touched his nose and said haha, "How is that possible, it was the teacher who didn''t like me a long time ago and took the opportunity to drive me away."


    Senior sister pursed her lips and smiled, looked around, saw no one, lowered her voice, stretched out her thumb, and said slowly, "Junior brother, you''ve done a great job, I''ve long disliked her."


    Zhou Wei was stunned for a moment, then glanced at Senior Sister, she wasn''t kidding herself, was she?


    "Junior brother, don''t think that you are the only one whose papers are occupied by the teacher." Sister showed a wry smile, "In addition to papers, there are also scientific research funds, forget it, don''t mention it."


    Senior Sister sighed slightly, "I have nothing, and I have to worry about graduation."


    (end of this chapter)

 ~： night shift, one day off

    Night shift, one day off


    Today night shift, three patients have been admitted.


    Take a day off and make it up tomorrow.


    ps: I got a message recently that I might be transferred to the CCU ward¡­


    I''m going to go in June at the earliest, I''m tired...


    (end of this chapter)

 v2 Chapter 610： school starts

    Chapter 610 School starts


    The next developments were somewhat beyond Lu Chen and Zhou Wei''s expectations.


    I don''t know who broke the news on the Internet that Wu Min took up students'' papers, and even some students who had graduated from Wu Min started to join forces on somehu.


    Together "crusade" Wu Min''s past actions.


    "Lu Chen, didn''t you do this?"


    Zhou Wei looked at Lu Chen with a calm face and said in surprise.


    "It''s not me..." Lu Chen shrugged, "I don''t have the spare time to contact your senior brothers and sisters who graduated."


    "This should be called pushing the wall down and everyone pushes." Lu Chen smiled.


    Zhou Wei swiped one after another of breaking news, and was also secretly shocked. It turned out that his "dear" mentor had done so much shameful news behind his back.


    However, as soon as the whirlpool of public opinion became bigger, it was immediately suppressed by various platforms, and tactics such as withdrawal of hot searches and bans were made.


    Lu Chen knew that the school had taken action.


    No matter how misbehaving Wu Min is, it also represents Jinghua Medical University.


    If public opinion continues to ferment, this will have a great impact on Jinghua Medical University!


    ¡­


    But a month later, a sudden news shocked people in the Chinese academic circle.


    "Recently, the Ministry of Science and Technology has notified the latest batch of investigation and handling results of medical research integrity cases in some educational and medical institutions."


    "A total of 54 cases of academic fraud were reported this time, involving 9 universities and 17 affiliated hospitals. Over 100 people were dealt with, and many of them were revoked as deputy chief physicians and associate professors..."


    Pull a hair and move your whole body!


    Lu Chen didn''t expect Wu Min to involve so many scholars who fake papers.


    All over the country, more than 100 people were processed!


    In the dormitory of Guipei Building.


    Lu Chen was flipping through the report, and he was also a little frightened.


    The scholars involved, there are many authoritative experts from top hospitals, from Kyoto to the magic capital, and then to some experts from remote medical schools, all of them are included.


    Wu Min, impressively listed!


    "After investigation, a paper with Wu as the corresponding author and Lan as the first author of the Second Affiliated Hospital of Jinghua Medical University. The paper has behaviors such as tampering with data and improper signature."


    "The following measures were taken against Lan: the scientific research integrity admonishment conversation, the cancellation of the application for scientific and technological plans (special projects, funds) projects, the qualification for awards for 3 years, the cancellation of the qualification for promotion of professional titles for 3 years, and the extension of doctoral graduation for 2 years!"


    Next, is the punishment for Wu Min!


    "The following actions were taken against Wu: the scientific research integrity admonishment conversation, the cancellation of the application for scientific and technological plans (special projects, funds) projects, and the award qualification for 5 years, the cancellation of the postgraduate enrollment qualification for 3 years, and the cancellation of the members or members of the societies, associations and other working institutions that have been obtained. Qualification, lower the post level by two levels!"


    A series of punishment measures have basically hinted at the fall of Wu Min''s status in the academic circle!


    "Lu Chen, did you see the document issued by the Ministry of Science and Technology?" Zhou Wei called immediately.


    "Of course I saw it." Lu Chen said, "Actually, this is a punishment from the Ministry of Science and Technology, and the school''s plan to deal with Wu Min."


    "School?" Zhou Wei was taken aback.


    Lu Chen nodded slightly, "I checked the punishments in the past years, Wu Min may not be expelled from the school, but may be sent to other unimportant affiliated hospitals."


    "Lu Chen, thank you this time!" Zhou Wei''s voice was quite excited.


    If there is no Lu Chen, Zhou Wei may be able to come out of Wu Min''s shadow, but definitely not so fast!


    "It''s boring for the two of us to talk about this." Lu Chen smiled, and then paused as if he had thought of something, "However, Viagra, you have to be mentally prepared, the process of changing your tutor may not be too smooth. ."


    Jinghua Medical University has issued a document that all Wu Min students will be taken over by other tutors.


    But there are small groups of mentors. As long as Wu Min is blowing in the ears of other mentors, maybe no one will dare to accept Zhou Wei.


    "Don''t worry, I know what I have in mind." Zhou Wei said sternly, "I don''t believe it anymore. In the entire Jinghua Medical University, the gynecology tutors have contacts with Wu Min."


    ¡­


    Jinghua Medical University responded very quickly, immediately revoked Wu Min''s post, and started to transfer all Wu Min''s current students to other tutors.


    Lu Chen guessed right, Wu Min said bad things about Zhou Wei in front of other gynecology tutors.


    Even if other teachers don¡¯t believe it, they still have some grudges in their hearts.


    For a while, Zhou Wei really didn''t find another suitable mentor.


    Looking at it, the time for graduation is getting closer.


    The school had to directly assign Zhou Wei, a tutor who had just been promoted to the Master Supervisor at the Fourth Affiliated Hospital of Jinghua Medical University.


    In Lu Chen''s view, this result is acceptable.


    As long as Zhou Wei can make achievements in the future, he will definitely be able to break the stereotype of him.


    ¡­


    Zhou Wei''s affairs have come to an end.


    Lu Chen just concentrated on clinical research experiments.


    It was less than half a year before the conclusion of the National Nature Project, so he could only hurry up every minute and every second to advance the experimental process of each center according to the plan.


    With the cooperation of AstraZeneca China branch, everything went smoothly.


    During the ?? period, Lu Chen''s small team published another SCI paper with a score of five.


    Although the number of papers published is not as good as that of AstraZeneca Europe and the United States, the overall quality of the papers has exceeded them.


    At present, the competition between the two sides is also in a white-hot stage.


    Lu Chen and Li Yao had to ask for leave, temporarily leaving the clinical work.


    Li Yao and the college also knew the importance of Lu Chen''s project and approved Lu Chen''s request without hesitation.


    On the other hand, Li Yao is also running around non-stop for his "Jieqing".


    ¡­


    In the blink of an eye, the new semester starts and freshmen arrive.


    "Brother, where are you, I''m already at the school gate."


    Lu Hao came to Jinghua Medical University with a large bag and a small bag, as well as a suitcase, following the school bus.


    Next to him was a girl with a beautiful face, carrying a black bag in her hand.


    "Wait a minute, I''ll be out right away!" Lu Chen received the call and patted his head. The experiment was going on an important part, and he almost forgot that Lu Hao was coming to school.


    "Brother, aren''t you still in the dormitory?" Against the scorching sun, Lu Hao was sweating profusely, panting heavily.


    "I''ve already gone downstairs, I''ll be there soon!"


    Lu Chen hung up the phone, and after explaining the experiment to Ke Yue, he went downstairs quickly.


    In front of the school gate.


    Lu Hao pushed the suitcase, looked at the sign at the school gate, and walked into the school slowly.


    He looked curiously at the people coming and going.


    After three years of hard life in high school, he is full of expectations for college life.


    "Yuhan, my brother will be here soon, he will take us to report." Lu Hao smiled and said to the girl beside him.


    "Oh, no need." Gong Yuhan waved his hand, "Didn''t I tell you, my sister is studying for a Ph.D. in Jinghua, and she will be here later."


    "Oh." Lu Hao scratched his head, "Then let''s wait together."


    Gong Yuhan''s eyes suddenly lit up, "Lu Hao, there is a publicity column there, let''s go and have a look."


    "Okay." Lu Chen nodded, pushed the suitcase, and approached the propaganda column.


    The ?? propaganda column is filled with the best student representatives in the school.


    "Lu Hao, look! This is my sister!"


    Gong Yuhan suddenly pointed to a name on the propaganda column and laughed.


    "I''ll just say, my sister is amazing!"


    Lu Hao found Gong Yuhan''s sister among a bunch of names.


    "Hey, this is..."


    Lu Hao glanced, and felt that the most striking photo on the propaganda column was a little familiar.


    The other students have only one name, and only one student posted a photo with a detailed introduction.


    Looking at the contents of the propaganda column, Lu Hao widened his eyes and muttered to himself, "This, isn''t this my brother?"


    "Lu Chen, a postgraduate student in the Department of Cardiology of Jinghua Second Hospital, the champion of the National Medical Skills Competition and the fifth place in the National Electrocardiography Competition, has won several national scholarships and grants, and has published several papers in top international journals..."


    (end of this chapter)

 v2 Chapter 611： Sister route!

    Chapter 611 Sister Route!


    Lu Hao just entered the university, so he didn''t quite understand the meaning of these introductions.


    I only know that Cousin Lu Chen published a thesis and won a scholarship, so it should be considered very powerful.


    "Yuhan, look at this, this is my brother."


    Lu Hao pointed at the photo on the propaganda board with some excitement.


    Gong Yuhan was about to turn her head to look when she heard someone calling her from behind.


    "Rain Han!"


    Gong Yuhan turned around and saw his sister waving to her on the opposite side of the road.


    "Lu Hao, my sister is here!"


    When Lu Hao heard this, he was shocked, and other things were left behind.


    pushed the suitcase and followed Gong Yuhan.


    ¡­


    "Yuhan, this is..." Gong Yuting was very happy to see her sister, but when she saw the boy behind her, her brows wrinkled.


    Gong Yuhan immediately stepped forward and grabbed her sister''s arm, "Sister, this is my high school classmate who got into Jinghua Medical University with me."


    She then whispered to Lu Hao: "Lu Hao, this is my sister, she is currently studying for a PhD in the Second Affiliated Hospital."


    "Hello, elder sister." Lu Hao scratched his head and shouted a little embarrassedly.


    "Classmate?" Gong Yuting''s face was half-smiling, "I don''t think it''s that simple, right? You don''t remember what your mother told you, let you study hard in college and don''t do other things."


    Gong Yuhan pouted and muttered, "I didn''t talk about this in college, it was in high school..."


    "What did you say?" Gong Yuting frowned deeply.


    "No, nothing..." Gong Yuhan stuck out his tongue, "Sister, don''t think too much, we are really classmates."


    "Humph." Gong Yuting glanced at Lu Hao, she didn''t believe her sister''s nonsense.


    She was on the other side of the road just now, and she saw that the two were very close.


    "Yuhan, after five years of university, you still have to focus on your studies. Medicine is not as easy as other majors, and it is not as easy as you think." Gong Yuting frowned, "Don''t let me complain to my mother."


    "Okay..." Gong Yuting gave Lu Hao a frustrated look.


    I thought that after going to college, the underground romance between the two could be exposed.


    But looking at it like this, the old lady still disagrees!


    Lu Hao, who was standing beside him, was also quite helpless at this time.


    Seeing that his girlfriend''s sister''s attitude was not very good, he didn''t know what to say for a while.


    can only carry the bag and stand silently by the side.


    ¡­


    Lu Chen came to the gate of Jinghua Medical University, looked around a few times, but did not see Lu Hao.


    was about to call him when he found two women and one man standing next to the school''s bulletin board.


    This boy''s back is somewhat similar to Lu Hao.


    Lu Chen stepped forward and asked tentatively, "Lu Hao?"


    At this moment, Lu Hao was depressed when he heard a familiar voice.


    Look back.


    "elder brother!"


    A smile appeared on Lu Hao''s face, sweeping away the haze.


    "You are..."


    Lu Chen looked strangely at the two girls beside him.


    I, my cousin, can do it...


    As soon as I came to university, I met two girls.


    However, when Lu Chen saw the large and small bags on Lu Hao''s body, he knew that they didn''t just know each other, they probably came together...


    No wonder this boy had to let his uncle send him to school, and he dared to accompany his girlfriend.


    It''s more likely that my brother was admitted to Jinghua because of his girlfriend...


    In the blink of an eye, Lu Chen guessed the color of his cousin''s underwear.


    "Brother, this is Gong Yuhan, my high school classmate, next to her sister, who is studying for a Ph.D. at the Second Affiliated Hospital of Jinghua Medical University." Lu Hao introduced in a low voice.


    Lu Chen glanced at Gong Yuting, is she a Ph.D. student at the Second Academy of Jinghua?


    looks a little familiar, but I can''t remember it for a while.


    At this time, Gong Yuting also saw Lu Chen.


    She was stunned for a moment, this person is so familiar, she must have seen it somewhere!


    At this time, Lu Hao also introduced to the two sisters Gong Yuting: "This is my brother Lu Chen, who is currently studying at the Second Academy of Jinghua."


    Gong Yuhan didn''t have much reaction, his sister is a doctor.


    However, upon hearing Lu Hao''s introduction, Gong Yuting was stunned!


    "You...you''re Lu Chen?" She swallowed her saliva. Before Lu Chen could answer, she said again, "Yes! I said why you look so familiar, you are Lu Chen from the Cardiology Department of the Second Hospital!"


    Lu Chen was stunned by the behavior of the female doctor in front of him.


    Put it here to ask and answer your own questions?


    He nodded slightly, "Well, I''m Lu Chen, senior sister, which major are you a doctor of?"


    Gong Yuting paused, changed her tone from her previous domineering tone, and whispered, "Well, my tutor is Cheng Guowen."


    Cheng Guowen... This is an acquaintance!


    "Oh..." Lu Chen smiled, "No wonder Senior Sister looks familiar. It turned out to be Director Cheng''s doctor. We should have met in the catheterization room."


    "Well." Gong Yuting nodded slightly, her face slightly red.


    Gong Yuhan immediately noticed the abnormality of his sister.


    Sister''s toughness, she knows it.


    Why did Lu Hao''s brother change his temper when he came?


    "Sister, what''s wrong with you?" Gong Yuhan tugged at the old sister''s sleeve.


    "Stop talking." Gong Yuting turned her head and glared at her, then turned to look at Lu Chen with a smile.


    Gong Yuhan''s mouth widened, her old sister''s face changing speed was too fast!


    "Xiaohao, let me help you carry your bag."


    Lu Chen saw that Lu Hao had a large bag on his body, so he took the initiative to help.


    Unexpectedly, Gong Yuting glanced at Gong Yuhan, "Can''t you take your own things?"


    "Sister, me, this?"


    Gong Yuhan pointed at Lu Hao, and then at himself.


    Boyfriend helping to get things, isn''t it right and proper?


    And, old lady, why didn''t you say anything?


    Lu Hao has been holding it for quite a while!


    "It''s not heavy, don''t bother others!" Gong Yuting urged.


    "Oh¡­¡­"


    Gong Yuting had no choice but to take her bag from Lu Hao.


    Afterwards, Lu Chen took Lu Hao and Gong Yuting took Gong Yuhan to their respective classes to report.


    ¡­


    "Yuhan, are your boyfriend and Lu Chen brothers?"


    Seeing Lu Chen and the two walking away, Gong Yuting whispered.


    "This... looks like a cousin." Gong Yuhan thought for a while, "Lu Hao is the only child."


    "Oh." Gong Yuting nodded slightly.


    Although they are not brothers, their cousins ??are also very close!


    "Yuhan, I think Lu Hao is not bad!" Gong Yuting smiled, "You have a good eye, so I won''t report you to my mother."


    Gong Yuhan was overjoyed at first, then stunned.


    Lu Hao didn''t show anything just now, did he?


    How did the attitude of your elder sister change so quickly?


    She thought about it, the key point of this seemed to be Lu Hao''s cousin, Lu Chen!


    "Sister, you seem to have a different attitude towards this cousin Lu Hao..." Gong Yuhan whispered.


    She suddenly had a terrible thought.


    "Sister, don''t you like his cousin?!"


    Gong Yuting heard this, her head was full of black lines, "Why is this little girl''s film full of love and love?"


    Gong Yuhan''s voice became quieter, "Because I think his cousin is quite handsome, he should be worthy of you, old sister."


    "Don''t talk nonsense here." Gong Yuting patted the little girl''s head, "You just stood by the school''s publicity column, didn''t you notice the most striking photo on the publicity column?"


    "Photo?" Gong Yuhan shook his head, "I''ve been looking for your name, old lady, but I didn''t notice."


    Gong Yuting smiled angrily, "Next time you have a chance to check it out. The only student representative with a photo on the bulletin board is your boyfriend''s cousin, Lu Chen!"


    Gong Yuhan''s small eyes widened, "Is he so powerful? Could it be that... he is more powerful than your sister?"


    Gong Yuting laughed at herself, "Let''s put it this way, my tutor, Professor Cheng Guowen, may not be as good as him in some professional fields."


    Gong Yuting remembered very clearly that Lu Chen was the chief surgeon in a highly difficult electrophysiological operation, and her tutor Cheng Guowen was the assistant!


    As for the thesis, let alone.


    "what?"


    Gong Yuhan felt like his worldview was about to collapse when he heard this.


    A graduate student who is even more powerful than his supervisor?


    Gong Yuting thought for a while and said, "With Lu Chen here, your little boyfriend is at Jinghua Medical University, so he''s walking ''horizontally''!"


    There are still many unresolved issues for her own doctoral graduation project.


    Cheng Guowen''s tutor has too many students, and there is not much help for her.


    If she can find Lu Chen and help her revise her experimental project, then she may be able to graduate normally without delay!


    Gong Yuting glanced at her sister beside her.


    It seems that he is going to take the sister route!


    ¡­


    I owe two chapters from yesterday, so I obviously took a break to make up for it.


    I got off the night shift today and slept for most of the day.


    (end of this chapter)

 v2 Chapter 612： Back to the clinic (first update)

    Chapter 612 Back to Clinical (First Update)


    On Lu Chen''s side, he took Lu Hao to complete the registration.


    On the way to the dormitory, there are also thousands of warnings and thousands of instructions.


    "Xiaohao, study hard at school, call me if you have any questions, and find me directly."


    "I''m currently living in the dormitory of the second hospital on Jipei Road."


    The new undergraduates majoring in clinical medicine have lived in the school headquarters for the first four years.


    Until the fifth year of internship, he will be assigned to the dormitory of each affiliated hospital.


    Fortunately, it is not far from the school headquarters and the Second Affiliated Hospital, and the walk is about five minutes.


    "Brother, I saw your photo on that billboard..." Lu Hao suddenly recalled what he had just read on the billboard, and asked Lu Chen cautiously.


    "Oh, that..." Lu Chen smiled, "I participated in a few competitions before and won some awards."


    Seeing what Lu Chen said so lightly, Lu Hao didn''t ask any more questions, just pretending that Lu Chen''s cousin was a great student at school.


    took Lu Hao around the school for a few laps, and after getting acquainted with the environment of the dormitory and the cafeteria, Lu Chen left.


    He will continue to return to the department to conduct clinical research experiments.


    ¡­


    Time passed slowly.


    In the blink of an eye, Lu Hao also had two months to arrive at Jinghua Medical University.


    Within two months, he finally understood how terrifying his cousin Lu Chen''s resume was!


    As long as Lu Hao is mentioned in front of outsiders, everyone will be amazed, including his own counselor. It''s still my girlfriend''s doctoral sister.


    Only then did he know why his little girlfriend''s sister suddenly changed her attitude and acquiesced to the relationship between the two.


    It''s all because of cousin Lu Chen!


    "Brother, do me a favor."


    Lu Hao hesitated for a long time, and finally spoke to Lu Chen.


    After all, this is related to his future happy life.


    "What''s the matter? As long as you don''t get kidnapped, just say it." Lu Chen wondered.


    He and Lu Hao are both only sons. Although they are cousins, they are almost like real brothers.


    "That %my girlfriend''s sister wants you to read her doctoral dissertation."


    Hearing this, Lu Chen thought of the female doctor he met at the beginning of the school year, who seemed to be the girl of Professor Cheng Guowen.


    "Let me see? I remember she''s studying for a Ph.D., I''m just a master''s." Lu Chen smiled.


    "Brother, don''t bluff me, I already know how powerful you are in Jinghua..."


    Lu Hao quickly told everything he knew.


    What kind of genius that Beijing has never seen in a century, a student who is more powerful than a professor.


    Lu Chen was quite helpless when he heard this, so he had to agree to his request.


    He has been entrusted by Li Yao''s tutor and has helped many doctoral brothers and sisters to read their graduation thesis.


    Now that you can read one more article, you can¡¯t waste too much time.


    "Thank you bro!" Lu Chen excitedly said, so that he can also go back for business!


    ¡­


    The next day.


    Lu Chen devoted himself to clinical research.


    At the same time, every month he and Li Yao go to Fengm County to "flying knives".


    While improving the proficiency of electrophysiological surgery skills, you can also earn a lot of gratitude.


    However, Lu Chen also discovered a problem. Once he was out of the clinic, the speed at which he earned gratitude points was greatly reduced.


    After this period of accumulation, his total gratitude value is only about 3,000.


    There is still a huge gap between the exchange of "Statistics" advanced skill cards.


    "Do you still need to go to Professor Su Yaling to help with statistical analysis?"


    Lu Chen thought for a while, and finally decided to give up the idea.


    The last time I looked for Professor Su Yaling was because of the small sample size.


    The number of experimental samples involved now is in the thousands, and the workload has been greatly increased.


    Professor Su Yaling is not necessarily willing to help.


    What''s more, always asking outsiders to help analyze data, there is always a certain risk of leakage.


    Lu Chen decided to increase the speed of earning thanks points!


    If you can exchange the "Statistics" advanced skill card, then the problem of statistics will be solved easily.


    At present, the experiment has entered the middle and later stages, and it is enough to collect data step by step.


    With the help of Ke Yue, Gu Xinyue and others, there should be no mistakes.


    Thinking again and again, Lu Chen decided to go back to the clinic and earn gratitude points.


    ¡­


    "What? Lu Chen, do you want to choose the emergency department?!"


    Wang Zihao''s face was full of disbelief.


    The last few months of training is everyone''s choice.


    Most people will choose some auxiliary departments, the most common ones are ultrasound department, CT room, etc.


    These auxiliary departments are not very busy, so you can basically stop going after talking to the teacher.


    But Lu Chen chose the emergency department, which was beyond everyone''s expectations.


    "Yeah." Lu Chen smiled, "I don''t have to look for a job now, and I don''t have to worry about my graduation thesis, so I should choose to go back to the clinic."


    Wang Zihao nodded slightly, "You really can''t be free, the emergency department is so busy, if you go back for a few months, it must be in trouble again!"


    The prince paused for a while, and did not say the rest.


    With Lu Chen''s black-faced physique, he would go back to the emergency department, which medical team would be unlucky.


    Lu Chen had absolutely no self-awareness of this.


    He is now thinking of going back to the clinic to earn gratitude points.


    The function of the system has been greatly changed after this upgrade, and it has not yet been used clinically.


    ¡­


    Others didn''t quite understand Lu Chen''s choice.


    Li Yao felt that as a student, everything was good, but he was too tossed.


    Others are eager to go to a leisurely department, but he has to go to the busiest emergency department.


    But what surprised Lu Chen was that Gu Xinyue chose the emergency department just like him!


    "Old Gu, what are you doing?"


    In the cafeteria, Wang Zihao glanced at Lu Chen and then at Gu Xinyue.


    He always felt that there was something between the two of them hiding from everyone.


    Lu Chen chose the emergency department, and Lao Gu went with him...


    Could this be... the legendary love?


    Wang Zihao slandered in his heart, no wonder his old sister pursued Lu Chen so much, he was indifferent, couldn''t it be because of Gu Xinyue?


    Lu Chen didn''t know what Wang Zihao was thinking. Once he found out, he might beat him.


    But he was also surprised that Lao Gu would come to the emergency department with him.


    Gu Xinyue''s expression was calm, "My graduation thesis has been completed, and I have also applied for a Ph.D. at Kyoto University. I have nothing else to do for a few months. Can''t I go back to the clinic?"


    This reason...people have to believe it.


    In Lu Chen¡¯s small scientific research team, almost everyone has one SCI, and all of them meet the graduation requirements.


    After graduating from graduate school, it depends on whether you are looking for a job or continuing to study for a Ph.D.


    ¡­


    So, Lu Chen and Lao Gu together, holding hands... No, they returned to the emergency department of Jinghua Second Hospital hand in hand.


    (end of this chapter)

 v2 Chapter 613： Give your poo (second more)

    Chapter 613 Dedicate Your Poop (Second)


    Lu Chen and Gu Xinyue returned to the emergency department.


    It was already winter, the weather was freezing cold, and the number of patients in the emergency department increased sharply.


    For these two uninvited guests, the emergency department still welcomed them.


    Few graduate students will stay in the emergency department, most of them are taking leave to find a job, write a dissertation or take an exam.


    Research 3 is no better than Research 1 and Research 2. It is already an old fried dough stick in clinical practice and can basically be used as a resident physician.


    can be said to be the living force of the department.


    However, Wang Xiaodong from the emergency department didn''t know whether to laugh or cry.


    The dark-faced Lu Chen came to their medical team.


    "Brother Wang, long time no see." Lu Chen greeted Wang Xiaodong with a smile.


    Wang Xiaodong could only bite the bullet and grin.


    Hope everything goes well in the next few months.


    ¡­


    Lu Chen and Gu Xinyue were assigned to the medical team where Wang Xiaodong belonged.


    The two mainly followed behind Wang Xiaodong to help treat patients in the emergency department.


    For returning to the clinic, Lu Chen also felt a long-lost familiarity.


    In the past few months, he has been doing clinical research experiments, and it is still too boring!


    is far from the clinical sense of accomplishment of being a doctor.


    Lu Chen directly opened his system panel and began to patrol the emergency department ward.


    Since the system upgrade, he can now see the specific status of each patient.


    Include the currently used treatment regimen and whether it is beneficial to the patient.


    "The target is being treated with cedilan inotropic drug! Health increases at a rate of 0.25/day!"


    "The target is using piperacillin and sulbactam sodium for anti-inflammatory treatment! The rate of increase in HP is 0.15/day!"


    "The target is suffering from unexplained damage! The rate of health decline is 0.5/hour!"


    ¡­


    If there is any deviation in the treatment plan of any patient, Lu Chen will be able to know in time, and inadvertently, remind the doctors in charge of the bed to adjust the treatment plan.


    However, this is also within his ability. Many patients are already in the middle and late stages. No matter how hard Lu Chen tries, it will not help.


    Having only been in the emergency department for a week, whether it was from a patient or a clinician, Lu Chen received a lot of gratitude without any hesitation.


    In the ?? system panel, the total thank you value of 3,000 suddenly rose to 5,000!


    This also gave Lu Chen the hope of redeeming the "Statistics" advanced skill card.


    ¡­


    Emergency Department of Jinghua Second Hospital.


    doctor''s office.


    "Tomorrow you two have a good rest. You won''t be in the department anymore." Wang Xiaodong said to Lu Chen and Gu Xinyue, "You are almost graduating, so you still have to prepare well for your graduation thesis."


    Lu Chen blinked, "Senior brother, I have finished writing."


    Gu Xinyue is also expressionless, "Me too."


    Wang Xiaodong: "..."


    This is really more than a person, it''s maddening!


    In the beginning, when he was studying for the third year, he stayed up all day and all night for his graduation thesis, and it was not until a few days before the submission of the paper that he completed the thesis.


    Lu Chen and Gu Xinyue are good, and now there are still three or four months before the submission of the manuscript, and they have already completed their graduation thesis.


    "Then you can look at the requirements for doctoral admissions in various universities and prepare well." Wang Xiaodong whispered.


    Lu Chen grinned, "That...Senior brother, I received notices of doctoral exemptions from eight schools including Kyoto University, Modu University, and Sichuan West."


    Wang Xiaodong: "???"


    After being surprised for a while, he turned his head to look at Gu Xinyue, "Lu Chen has the qualifications to be exempted, so you have to study and prepare well."


    Gu Xinyue said slowly: "I don''t have as many as Lu Chen, I only got two, and these two do not have Kyoto University. I am applying for a doctorate at Kyoto University."


    Wang Xiaodong: "...???"


    Forget it, he didn''t have the desire to continue talking, he just made an excuse and ran into the doctor''s lounge.


    Back then, when he graduated with a master¡¯s degree and had no hope of taking the exam, he arrived at the emergency department where no one wanted to come.


    ¡­


    ¡­


    In this short period of time, Lu Chen has successively received notifications of doctoral exemptions from top universities across the country.


    That is to say, as long as he wants, he can go to any top university to study for a doctorate.


    And, all the mentors, that''s all chosen arbitrarily.


    This is the envy of others.


    Gu Xinyue also received notification of exemption from two medical schools, but he prefers Kyoto University School of Medicine.


    As for Lu Chen, what he wants is not just to be exempted, but to maximize his own value as much as possible.


    This national nature project is the best opportunity.


    As long as he can successfully complete it, then the top medical school in Huaxia is not a simple thing to exempt a doctor from qualifications.


    "Lu Chen, are you busy now?" Gu Xinyue''s voice suddenly sounded, bringing Lu Chen''s thoughts back to reality.


    "What''s wrong?" Lu Chen looked back, Gu Xinyue''s face was hesitant.


    This is the first time he has seen the cold Gu Xinyue with such an expression.


    "Have you been selling night shifts in the emergency department recently?"


    "Huh?" Lu Chen was stunned, "Why am I selling night shifts?"


    He now cherishes every hard-won night shift in order to earn gratitude points.


    "Oh...it''s okay." After Gu Xinyue said this, she stopped talking.


    Lu Chen thought for a while, "Lao Gu, didn''t you join that study guide exchange group? Many people sell night shifts there."


    "Added." Gu Xinyue said slowly, "But night shifts in other departments are too cheap."


    According to the current market price, there is only one night shift for Cardiology, Neurology, and Emergency Department, which is about 400-500.


    Night shifts in other departments, such as infection, endocrinology and other departments, hover around 200-300.


    Lu Chen paused, then glanced at Lao Gu, could he be short of money?


    Probably not!


    They all published an SCI paper before, and the school will reward a lot of money, and Gu Xinyue should have taken all the usual national scholarships and grants.


    These rewards should be enough for students!


    "Lao Gu, have you been short of money recently?" Lu Chen whispered.


    Gu Xinyue didn''t say anything, it was the default.


    "I have here..."


    Lu Chen was rejected by Gu Xinyue before he finished speaking, "No, I don''t need much, I have a solution."


    is really cold, Lu Chen shook his head slightly, this is really Lao Gu''s character.


    However, Lu Chen suddenly thought of Wang Zihao and smiled.


    "Lao Gu, haven''t you been with Zihao recently?" Lu Chen asked.


    "No." Gu Xinyue shook her head, "You give up, I won''t borrow money from him."


    "Oh, you think too much." Lu Chen smiled, "Do you know that Zihao is working on a research project recently."


    Gu Xinyue was stunned for a while, then shook her head, "Everyone has been busy recently, so they rarely get together."


    "Why did you suddenly bring up his subject?"


    A smile appeared on the corner of Lu Chen''s mouth, "He''s studying stool."


    Gu Xinyue frowned deeply, "Lu Chen, didn''t expect you two to be interested in this?"


    "Is this the same smell?"


    Lu Chen smiled, "I''m not interested in this, but I think you might be interested."


    "Haha." Gu Xinyue dismissed it.


    Lu Chen took out his mobile phone and found the news that Wang Zihao had sent him to recruit experimental subjects.


    and then forwarded it directly to Gu Xinyue.


    Gu Xinyue frowned and opened WeChat.


    came into view, is a few lines of large characters.


    "Donate dung to save people, point dung to gold."


    "Giving your **** is giving love."


    "Give donors 500 yuan of transportation subsidies each time!"


    (end of this chapter)

 v2 Chapter 614： This is a horror story about drinking (third

    Chapter 614 This is a horror story about drinking (the third)


    Gu Xin Yue stared at the message from Lu Chen on the phone.


    "This is real?"


    He looked at Lu Chen in surprise.


    "Of course it''s true." Lu Chen shrugged, "You can ask Zihao, this is his latest research topic, **** transplantation."


    Fecal transplantation refers to the transplantation of functional flora in the feces of healthy people into the gastrointestinal tract of patients to rebuild new intestinal flora.


    To achieve the purpose of curing diseases by balancing the intestinal flora.


    At present, this technology has shown good results in a series of diseases with traditional treatment methods such as inflammatory bowel disease, recurrent Clostridium difficile, irritable bowel syndrome, hepatitis B, and metabolic syndrome.


    "Oh, I see." Gu Xinyue then put the phone away.


    "Lao Gu, don''t you try it?"


    Gu Xinyue paused, "Let''s talk about it."


    Lu Chen smiled when he heard the words.


    Because he has already received a prompt from the system panel.


    "Congratulations, +1 for the thank you from Gu Xinyue!"


    Lu Chen smiled, this cold face is really different!


    ¡­


    However, this kind of experiment, not everyone can reach the standard of donation.


    Lu Chen has seen the conditions for donating feces, and it is really not easy.


    First of all, the age limit is 18-26 years old.


    Then go through the necessary physical examination of Jinghua Second Hospital. At the same time, it is necessary to strictly require the diet and work and rest required by the experiment to ensure the quality of the stool.


    However, once you become a donor, you can get a subsidy of 500 yuan each time.


    The number of donations per month varies from ten to dozens of times.


    One month''s salary is already worth most of the types of work.


    ¡­


    Just after Lu Chen and Gu Xinyue were chatting, the nurse suddenly hurried in.


    "Lu Chen, the patient is here, in the emergency room!"


    Lu Chen stood up immediately and came to live again!


    "Okay, Sister Nan Nan, I''ll be right here."


    He picked up the stethoscope and walked towards the emergency room.


    Gu Xinyue immediately stood up when she saw this, ran towards the lounge, and notified Wang Xiaodong as soon as possible.


    came to the rescue room.


    Lu Chen saw the patient at a glance.


    He was about forty years old, lying on a hospital bed and in a coma.


    There are not many clothes all over the body, almost naked.


    "Doctor Lu, the patient was found by the police on the side of the road this morning." The doctor accompanying the ambulance said, "The patient smelled of alcohol and slept on the street with no clothes on. No family members have been contacted for the time being."


    "In the ambulance, the blood sugar measured was 2.6mol/L, which is obviously hypoglycemia. The blood pressure was 90/60mmHg, and the heart rate was about 80 beats/min. Glucose was given intravenously."


    Lu Chen quickly performed a physical examination on the patient while listening to the ambulance doctor''s report.


    At this point, the health value on the patient''s head is 43 (---).


    The system prompt bar shows: The target is in a cold state and suffers from unexplained damage, and the health value drops at a rate of 1/H.


    Seeing this situation, one has to suspect that the patient may be taking drugs.


    "Immediately intubate the trachea and give naloxone intravenously!" Lu Chen quickly gave the doctor''s order for rescue.


    The first rule of rescue is to stabilize vital signs.


    Low blood pressure, find a way to boost it.


    Slow heart rate, increase heart rate.


    Low blood oxygen, take oxygen, use a ventilator!


    This patient was in a coma and had obvious hypoxemia. Lu Chen immediately intubated him and used an invasive ventilator to maintain his breathing.


    "Increase the rehydration volume! Take a blood gas!" Lu Chen touched the patient''s skin.


    He has been in a low temperature state for a long time, and the body temperature of the whole person is estimated to be very low!


    "Hurry up and check your temperature again!"


    "receive!"


    Three emergency department nurses have rushed over and started to cooperate with each other to rescue.


    ¡­


    "What is the patient''s condition?"


    Wang Xiaodong quickly trotted over, followed by Gu Xinyue.


    "The patient has just been intubated, and his breathing has stabilized." Lu Chen briefly described the patient''s medical history.


    In fact, it takes less than a few minutes for the patient to enter the emergency department ward.


    In such a short period of time, Lu Chen had already completed the endotracheal intubation.


    However, for Lu Chen, everyone was already taken aback.


    Lu Chen continued: "But the patient''s body temperature is very low, only 26.6 ¡æ."


    "So low?" Gu Xinyue frowned.


    26.6¡ãC, which is a full 10¡ãC from the normal body temperature of 37¡ãC.


    For the delicate machine of the human body, the temperature regulation is very precise. Such a large temperature change requires external force.


    "It''s an alcoholic again!" Wang Xiaodong frowned, "Mostly he fell asleep on the street at night and became frozen like this."


    It is now winter, and the temperature in the middle of the night is about minus four or five degrees.


    At this time, the nurse has finished the ECG for the patient.


    Wang Xiaodong took the electrocardiogram and was stunned, "What kind of electrocardiogram is this? The QRS complex is so strange? In addition, is the ST segment elevated?"


    Wang Xiaodong was confused after reading the electrocardiogram, and Gu Xinyue hurriedly came over to take a look.


    "Atrial fibrillation?" Gu Xinyue wondered, "The RR interval is definitely uneven, and the QRS waveform is abnormal, and the terminal part widens and stuns, like a pre-shock wave?"


    Both of them were not sure, so they handed over the electrocardiogram to Lu Chen.


    Looking at their eyes full of curiosity, Lu Chen coughed lightly and started pretending...


    He took the electrocardiogram.


    "Old Gu is right. First of all, it must be atrial fibrillation." Lu Chen said slowly, "Secondly, if it is an ST-segment problem, then acute ST-segment elevation myocardial infarction should be highly suspected, but the patient has been in a coma for so long. At the same time, ST-segment elevation in so many leads, it is estimated that he would have died a long time ago."


    Gu Xinyue nodded slightly, "What about the QRS waveform? Deformed? Pre-shock wave?"


    Lu Chen said solemnly: "It''s not certain for the time being, but if it''s a deformed QRS wave, then there must be serious abnormalities in his myocardium."


    QRS complex is the embodiment of ventricular electrical activity and the basis of electrical activity.


    Abnormal electrical activity is often rooted in structural abnormalities of the heart.


    Gu Xinyue suddenly realized, "Lu Chen, you mean, if it is a deformed QRS complex, then the patient may have cardiomyopathy or congenital heart disease?"


    "Yes." Lu Chen nodded slightly, "It''s not certain yet. The patient is currently in a coma and cannot ask for the relevant medical history. We need to see the patient''s further examination results."


    Afterwards, no obvious abnormality was found in the patient''s myocardial enzymes, BNP, bedside chest X-ray, and echocardiography.


    Brain CT and DWI for coma did not reveal any other clues.


    After reading the patient''s examination results, everyone was at a loss.


    The ECG is so strange, but the test results are normal!


    ¡­


    At this time, Lu Chen suddenly found that a prompt popped up on the system panel!


    "Ding!"


    "The target body temperature is rising, and the health value is rising at a rate of 0.232/H."


    After these days of groping, Lu Chen has learned.


    The treatment plan that appears in the system prompt should be the most important treatment measure for the patient, that is to say, the treatment plan that can increase the life value.


    Lu Chen was quite surprised, just with the rise in body temperature, the health of this drunkard began to rise slowly?


    Could it be that all the abnormality of the patient is only because of the drop in body temperature?


    (end of this chapter)

 v2 Chapter 615： Its not that you cant do it yourself, its the other party who opened the hang

    Chapter 615 It''s not that you can''t do it yourself, it''s the other party who opened the hook


    At this time, a woman in her forties, with an anxious look on her face, hurried into the emergency room.


    "The patient is here."


    Before the woman waited for the woman to say anything, Wang Xiaodong pointed to the drunken man''s bed.


    "Thank you, doctor." The woman looked at what Wang Xiaodong was pointing at, her expression tightened, and she trotted over quickly.


    Wang Xiaodong sighed helplessly.


    In the emergency department, he really sees this kind of scene a lot.


    Being able to lie down on the street drunk in such a cold weather, life must have encountered great difficulties.


    The woman ran to the hospital bed and shouted softly, but there was no response.


    "Doctor, what happened to my husband?"


    "He was sent to the hospital by the police..." Wang Xiaodong briefly described the patient''s condition, "He is still in a coma."


    The woman''s face was covered with tears.


    "It''s all my fault, I shouldn''t quarrel with him at night."


    "He worked well during the day and was scolded by the boss. I shouldn''t argue with him."


    "Doctor, you must save him!"


    said, the woman was about to kneel down to Wang Xiaodong.


    Wang Xiaodong saw that there were many such things, so he quickly supported the woman.


    "We will try our best, but the patient''s condition is unstable now, you still have to be mentally prepared."


    "Thank you, thank you doctor." The woman wiped her tears and returned to the bedside.


    ¡­


    Because of the special condition of the drunk, Wang Xiaodong promptly reported it to the superior doctor and Lu Jianjun, the director of the emergency department.


    "Xiaodong, you are the patient''s doctor, what do you think?" Lu Jianjun asked after learning about the patient''s condition.


    "The cause of the coma is yet to be investigated. It may be caused by hypothermia, but the most important thing now is that his electrocardiogram is abnormal. We haven''t found any cause." Wang Xiaodong said.


    "Yes." Director Lu Jianjun nodded slowly, then looked at the others in the office, "Do you have any other opinions?"


    "Could it be myocardial infarction? Cardiomyopathy? Or congenital heart disease?" said an attending doctor in the emergency department.


    Wang Xiaodong immediately replied: "The echocardiography is normal, there is no abnormal change, and myocardial enzymes and BNP are normal."


    "We also asked the patient''s family members. The patient has no previous history of heart disease."


    "Cardiomyopathy and congenital heart disease were tentatively ruled out."


    Wang Xiaodong ruled out several diagnoses one after another, and the doctors fell into deep thought.


    At this moment, a voice suddenly sounded from the corner of the office.


    "I think, should the patient have a cardiac MRI?"


    Everyone looked at the sound.


    The one who made this opinion was a doctor named Xu Yiwen who just came to the emergency department.


    He is currently a doctoral student, and his advantage lies in scientific research.


    Xu''s translation continued: "Cardiac ultrasound is not the gold standard for diagnosing cardiomyopathy, cardiac magnetic resonance is."


    "Perhaps we recommend the patient''s anterior cardiac MRI to further confirm or exclude."


    Lu Jianjun nodded slowly when he heard the words, "However, the technology of cardiac magnetic resonance is relatively new. Has our hospital developed it yet?"


    "Yes." Xu Yiwen smiled, "I recently had a topic about cardiac magnetic resonance. I asked the CT department of the hospital before, and their director has sent people to higher-level hospitals for further study, and now they can independently complete the diagnosis and treatment of cardiac magnetic resonance. process."


    Director Lu Jianjun of the Emergency Department is still very satisfied with this new doctor.


    You must know that it is not easy to recruit a doctor in a department like the emergency department.


    Even for a provincial leading hospital like Jinghua Second Hospital.


    If someone engages in scientific research, then there are topics.


    If there is a subject, then there is a fund.


    "Okay, then follow your ideas." Lu Jianjun nodded slightly.


    "Okay." Xu Yiwen grinned and suddenly saw Lu Chen next to Wang Xiaodong, "By the way, it seems that Junior Brother Lu Chen hasn''t expressed his opinion yet."


    The current Lu Chen is in the second hospital of Jinghua, which is very beautiful.


    Everyone may not know who the director of the department is, but they all know the name Lu Chen.


    Even though Lu Chen is only a graduate student.


    Wang Xiaodong and Lu Chen didn''t have much grudges, they just thought about what Lu Chen thought about this patient.


    Lu Jianjun also looked at Lu Chen curiously.


    Lu Chen, a student, knew something about him two years ago.


    Of course, there was an explosion in Jinghua, and Lu Chen was the first student to come to the emergency department for support.


    A variety of skilled clinical skills have left a deep impression on Lu Jianjun.


    Seeing everyone looking at him, Lu Chen smiled slightly, and said, "I think my brother''s idea is very good, and he can further diagnose cardiomyopathy. The current gold standard for cardiomyopathy is also the Lake Louise standard for cardiac magnetic resonance. If conditions permit, this inspection can be improved.¡±


    The examination of cardiac magnetic resonance is good, but the cost is still quite expensive, it costs thousands of dollars.


    Xu Yiwen was very relieved to hear Lu Chen say this.


    "but¡­¡­"


    Lu Chen''s next words caught everyone''s attention.


    "This patient is also my first consultation. After the emergency rescue in the morning, the patient''s vital signs have improved." Lu Chen said, "The patient will most likely wake up tomorrow."


    "What treatments did you mainly use?" Xu Yiwen asked curiously.


    "That''s the main point I want to say." Lu Chen smiled, "We didn''t give any other special treatment except warming up and rehydration."


    In the ?? office, everyone still couldn''t believe it, and opened the patient''s doctor''s order form one after another.


    One look, and sure enough, there is no other treatment except warming up and rehydration.


    "So, I was thinking just now that all these abnormal performances of the patient may only be related to hypothermia."


    The voice just fell, and everyone below remembered whispering.


    Xu Yiwen frowned and said, "Can hypothermia make the patient''s ECG image look like plastic surgery?"


    Lu Chen picked up the patient''s electrocardiogram from the table and explained, "The principle of the electrocardiogram is the electrical conduction of the heart, which is simply the current passing through the heart. Electrocardiographic changes in potassiumemia, such as QT prolongation and prominent U waves."


    Lu Chen marked several locations on the electrocardiogram, which just corresponded to what he said.


    "Looking at it like this, it seems to be true." Wang Xiaodong said in surprise.


    However, Xu Yiwen frowned, "How can I confirm my own thinking there? What check?"


    Lu Chen smiled, "It''s actually very simple."


    is easy?


    When everyone heard this, the corners of their mouths twitched.


    They didn''t have a clue yet, but Lu Chen actually said something very simple...


    Just listen to Lu Chen continue: "As long as the patient''s body temperature has completely recovered, review the electrocardiogram and other indicators."


    "Comparing the results before and after, if the ECG returns to normal, it can be basically confirmed that the abnormality of the patient''s ECG is related to hypothermia!"


    When the answer was not revealed, everyone was at a loss.


    But once the answer to the mystery was clarified, everyone made an "oh" sound, and it suddenly dawned on me.


    In fact, this is also a more classic clinical laboratory diagnosis method.


    For example, some patients with pulmonary nodules to be investigated will often undergo experimental anti-tuberculosis treatment without any pathogenic bacteria being examined.


    If the patient''s symptoms are relieved, then it can be reversed that the patient is a tuberculosis infection.


    "Lu Chen is right!" Lu Jianjun showed a satisfied smile.


    He really wanted to keep such an excellent student by his side.


    But it''s just a thought...


    Xu translation did not continue to ask questions at this time, bowed his head and remained silent.


    Obviously, compared to his cardiac MRI, Lu Chen''s diagnosis and treatment method may be simpler.


    "Actually, Senior Brother Xu''s idea is also very good." Lu Chen added with a smile, "Maybe because I am the patient''s first doctor, I understand the patient''s condition better. Otherwise, I would also support the patient''s cardiac MRI examination. ."


    Hearing Lu Chen''s words, Xu Yiwen felt a little better.


    It''s not that I can''t do it myself!


    It''s like the other party is hanging up...


    (end of this chapter)

 v2 Chapter 616： Money is hard to earn, **** is hard to eat!

    Chapter 616 Money is hard to earn, **** is hard to eat!


    On the way back to the dormitory in Guipei Building.


    Gu Xinyue was silent, and kept thinking about something.


    Nearly hit a telephone pole!


    It was Lu Chen who reminded him in time to avoid it.


    "Old Gu, what''s wrong with you?" Lu Chen asked curiously.


    Gu Xinyue shook her head slightly, "Nothing."


    He paused, then said again, "Is Zihao in the bedroom?"


    "Probably not." Lu Chen thought for a while, "Recently, he is busy with his own experiments, and most of the time he is in the department."


    "Oh."


    Gu Xinyue paused, "Then you go back to the bedroom first, I have something else to do, so I won''t go back with you."


    After saying that, Gu Xinyue walked towards the inpatient department in the opposite direction of the bedroom.


    Lu Chen smiled, he didn''t know what Gu Xinyue was thinking.


    It''s just that Lao Gu is short of money to spend, which is something he didn''t expect.


    After thinking about it, he still called Wang Zihao in advance to communicate with him.


    Wang Zihao, who received the call, looked puzzled, "Lao Gu is coming to participate in my experiment?"


    "I think 80% of the time yes." Lu Chen said.


    "But my place is full." Wang Zihao said.


    Lu Chen was stunned for a while, but then he thought about it.


    There must be many people willing to participate in this kind of experimental recruitment.


    "There is no place left?" Lu Chen asked.


    "It''s gone!" Wang Zihao sighed, "Old Gu is also true, if I didn''t say it sooner, I would definitely save a place for him!"


    Lu Chen frowned.


    Gu Xinyue would not easily borrow money from others, this is not easy.


    "Zihao, let''s do this, you do this..."


    After Lu Chen and Wang Zihao breathed out, they hung up the phone contentedly.


    But recalling Gu Xinyue''s somewhat cold face, Lu Chen couldn''t help but smile.


    Laogu, this guy is really worrying!


    ¡­


    Go back to the bedroom.


    Lu Chen sent her the papers that she helped Gong Yuting to read.


    Gong Yuting thanked him for winning streak, and insisted on inviting Lu Chen to dinner.


    Lu Chen originally wanted to refuse.


    I didn''t expect that after Gong Yuting said something, Lu Hao would come too.


    There is no other way, Lu Chen can only go out and make an appointment.


    At the hot pot restaurant in front of the school, everyone had a very pleasant dinner.


    At the end of this dinner, Lu Hao also understood that he hugged the thickest thigh of the Jinghua Second Hospital!


    "Xiao Hao, why are you following behind my **** instead of accompanying your girlfriend?" Lu Chen followed his cousin beside him with a half-smile.


    "Hehe, brother, what you said makes it seem like I forgot about you when I have a girlfriend." Lu Hao rubbed his nose and smiled.


    Lu Chen glanced at him, "Micro-expression psychology means that touching your nose is lying."


    Lu Hao blushed, and then moved to Lu Chen''s side, changed the subject and said, "Brother, bring my name when you post a paper, give me one for one or two."


    "Who did you hear these words from?"


    Lu Chen frowned.


    One work and two works, is it so easy to add a name?


    "Our classmates all say that, if you can get a title for an SCI paper, it will be super awesome." Lu Hao blinked, "Brother, can''t you? Others shouldn''t know about it."


    "Do you think others are stupid? You are an undergraduate student, and you don''t go to the laboratory, what would you do?" Lu Chen shook his head helplessly, "In a small way, it''s an improper signature of a paper, and in a big way, it''s a paper Forgery may be banned by the Ministry of Science and Technology!"


    "Ah? It''s so serious?" Lu Hao was shocked, "But I heard that a lot of people in the family do this."


    "Because I''m your brother, I can''t let you do this!" Lu Chen said sternly, "If you want to publish a paper, come to our laboratory and help with some topics. According to your contribution to the topic, I will give it to you. Hang the corresponding author name."


    Lu Hao lowered his head and remained silent.


    completely lost the excitement that he had just found Lu Chen.


    ¡­


    The two walked to the main entrance of Jinghua Medical University.


    Lu Chen stopped, "I''ll send you here."


    "Oh." Lu Hao nodded.


    "Why, are you still angry with your brother?" Lu Chen rubbed Lu Hao''s head.


    Lu Hao shook his head, "No, I was just thinking about what you just said."


    Lu Chen smiled lightly, "You don''t have to think so much now, it''s the most important thing to have a solid foundation."


    "Yeah." Lu Hao grinned, he had already figured it out.


    In his heart, Lu Chen is like his brother.


    Lu Chen must have his reasons for doing this.


    waved, and the two said goodbye.


    Looking at the girls waiting for Lu Hao at the school gate, Lu Chen couldn''t help but smile.


    "This kid, when it comes to love, is far more than me..."


    ¡­


    was speechless all night.


    The next day.


    Jinghua Second Hospital, Emergency Department.


    The vital signs of the drunk man sent by the police yesterday have stabilized.


    "After the sedatives are stopped, he may wake up."


    Lu Chen is reviewing his electrocardiogram.


    After one day of treatment, the patient''s body temperature returned to normal.


    "ßÚßÚßÚ..."


    The ECG machine has finished feeding.


    Wang Xiaodong and Gu Xinyue came over immediately.


    "Hey, the electrocardiogram is normal!"


    Wang Xiaodong said in surprise, "Lu Chen, as you said, this patient is caused by hypothermia."


    Lu Chen nodded slightly, "I went back yesterday and looked through the literature. The electrocardiogram of patients with hypothermia has a characteristic manifestation called Osborn wave, that is, there is a J wave like a hump at the end of the QRS wave."


    "Similar to the pre-shock that Lao Gu said yesterday, but a reversed pre-shock."


    Gu Xinyue was surprised.


    What surprised him was not the ECG of the patient, but the fact that Lu Chen actually went back to read the relevant literature.


    "so amazing!"


    Wang Xiaodong couldn''t help giving a thumbs up.


    Every time he is in front of Lu Chen, he feels like that student.


    Lu Chen smiled.


    This time the diagnosis is due to the system upgrade.


    reminded him that the treatment measure of "warming up" was the most important factor affecting the patient''s health.


    From this, the previous inferences are made.


    ¡­


    After the patient is offline, he gradually wakes up.


    When I saw myself in the hospital, I also recalled my experience the night before.


    At the age of ??, he is facing a mid-life crisis.


    The company is about to lay off employees, and he has to be careful every day.


    If I lose my job, how can I repay the mortgage and car loan? !


    The day before yesterday morning, he accidentally offended the leader, which made him terrified.


    When I got home, I was in a bad mood and had a fight with my wife.


    I came out alone to get drunk, and then the next thing happened.


    ¡­


    "Oh, these days, it''s really hard to earn money, and **** is hard to eat!"


    Wang Xiaodong shook his head slightly.


    Hearing this, Gu Xinyue''s expression was a little unnatural.


    "Xiaogu, what''s the matter with you?" Wang Xiaodong noticed Gu Xinyue''s strangeness and wondered.


    "No...nothing." Gu Xinyue sighed.


    Lu Chen laughed secretly in his heart.


    The **** transplant he told Lao Gu yesterday was not exactly "feces unpalatable"?


    (end of this chapter)

 v2 Chapter 617： A war without gunpowder

    Chapter 617 A war without gunpowder smoke


    The days in the emergency department are very tiring.


    But it''s very filling.


    The diseases that can be encountered here involve all clinical disciplines.


    Individual clinical skills, clinical thinking, and rescue skills are all improving rapidly.


    Gu Xinyue also slowly realized that Lu Chen''s choice of the emergency department was very deep.


    Fucking behind Lu Chen, as expected, there is nothing wrong!


    "Old Gu, go out for a meal after get off work, Zihao treats you to dinner!"


    Lu Chen came to the lounge, changed his white coat, and happened to meet Gu Xinyue.


    "Forget it, you go, I still have something to do."


    Gu Xinyue refused without thinking.


    Lu Chen smiled and did not persuade him any further.


    During this period, Gu Xinyue did not participate in any gatherings.


    why?


    is because he participated in the recruitment of Wang Zihao''s "fecal transplant" experimental patients.


    In order to ensure the quality of stool, strict diet is required, and spicy and stimulating barbecue, hot pot and other foods are not allowed.


    Everyone knows the inside story, but they haven''t broken it.


    "Okay, then I''ll go first."


    Lu Chen took his little black bag and left the department.


    ¡­


    Prince Ho treats guests to dinner.


    Mainly because his experimental project has been successfully concluded.


    Graduating soon, everyone from Lu Chen''s research team got together to talk about future plans.


    Wang Zihao''s family was wealthy, so he planned to get a master''s degree, and then he found a relationship and found a tertiary hospital in Jinghua, so he could be an ordinary little doctor.


    But now because of Lu Chen''s appearance, Wang Zihao''s plan has gone a little bit off.


    "Hey, after graduation, my family wants me to study abroad, like going to Germany, so annoying."


    Wang Zihao sighed, his face full of melancholy.


    "Will you die without Versailles?" Lu Chen laughed angrily.


    Ke Yue also covered her mouth and chuckled, she felt that Lu Chen was right!


    "It won''t die, but it will be uncomfortable!" Wang Zihao grinned and turned to Ke Yue, "Xiao Ke, what are you going to do after graduation?"


    Ke Yue was startled, "I haven''t made up my mind yet, but a few schools have sent me invitations for doctoral exemptions."


    Among the crowd, Ke Yue''s change should be the biggest.


    The little girl who didn''t even recognize atrial fibrillation and electrocardiogram when she started school has grown into an excellent student with several SCI papers in her hand.


    Her growth is visible to the naked eye.


    However, Ke Yue is also the most diligent among the crowd.


    Before she followed Lu Chen, she followed Sister Wang Shasha and was busy for a while.


    In the beginning, Ke Yue and Wang Zihao had similar ideas.


    Study hard and get a master''s degree.


    Other things, such as publishing SCI papers, studying for a Ph.D., etc., she didn''t think about at all, and she didn''t dare to think about it.


    But now, Ke Yue, who is sitting here, has undergone quite a gorgeous transformation.


    "Ke Yue, I think you should choose a good school and continue your studies for a Ph.D." Lu Chen smiled.


    In the medical industry, a doctorate is the minimum threshold for entering the academic circle.


    "Well, I''ll think about it." Ke Yue smiled and nodded.


    "Alas, Laogu didn''t come, so there''s no fun!"


    Wang Zihao opened a bottle of beer, "Lu Chen, if Lao Gu finds something wrong, I will sell you!"


    "If you don''t tell me, how could he find out..." Lu Chen shrugged.


    Ke Yue blinked, "I don''t understand what you two are talking about."


    "Oh, Xiao Ke, you are so smart in your experiments, why are you so stupid now." Wang Zihao smiled, "Why do you think we are having dinner today?"


    "Isn''t your project finished?" As soon as Ke Yue finished speaking, she felt that something was not right.


    She knew that Gu Xinyue participated in Wang Zihao''s "fecal transplant" clinical trial.


    But now that the project is over, what kind of experiment are you still participating in?


    Thinking of this, Ke Yue''s eyes widened, and he figured it out in an instant, "So you lied..."


    "Cough cough." Lu Chen coughed lightly, "Don''t talk nonsense, eat quickly, and go back to the literature after eating."


    "exactly!"


    Wang Zihao grinned, picked up the beer mug, and took a sip.


    Ke Yue pursed her lips and smiled, looking at the two of them chatting, she was very fortunate that she had joined the team.


    ¡­


    Kyoto.


    Fund Committee Office.


    All fund projects from all over the country will be submitted here for review.


    Including the national natural aspect, the national natural key, as well as "excellent youth", "jieqing" and so on.


    "Has the list of outstanding youth passed the preliminary review this year come out?"


    Yang Feng, as the evaluation expert of the fund, is responsible for the review of "Jieqing", that is, the final offline defense review.


    In the ?? office, a staff member immediately stood up and said, "Professor Yang, has come out and is reviewing."


    "The review is over, send it to my office."


    Yang Feng, as the director of the Department of Cardiology at Kyoto University School of Medicine, wants to inquire about the situation for the doctors in his department.


    "Okay, Professor Yang."


    ¡­


    Yang Feng ran into an acquaintance as soon as he walked out of the office of the Foundation Committee.


    "Professor Ouyang, why do you have time to hang out here?"


    The person in front of him is Ouyang Ming, who is also an expert on the fund''s judges.


    Ou Yangming put his hands behind his back and smiled, "Professor Yang, you have time to come here, why can''t I come?"


    "Professor Ouyang is joking." Yang Feng smiled, "There is still some time before the defense, you came quite early."


    Ou Yangming is a pioneer in the field of electrophysiology in China. Although he has not been rated as an academician, his influence is basically equal to that of an academician.


    At present, Ou Yangming has reached the age of retirement, so he still has to give him the respect he should give.


    "As for Professor Yang, I heard that the number of outstanding young people has increased by 300 this year." A smile appeared on the corner of Yang Feng''s mouth, "Our chances are much better."


    This year, the number of National Outstanding Youth Enrollment was expanded to 300 for the first time. Before last year, the number of National Outstanding Youth List was 200 each year.


    Ou Yangming''s expression remained the same and his tone was calm, "Professor Yang, do you still lack outstanding young people at Kyoto University?"


    He didn''t have much affection for this Yang Feng in his heart.


    He is obsessed with politics and power all day long.


    A scientific researcher, if he leaves the laboratory, his scientific life will end.


    Yang Feng also laughed when he heard this, and said without any speculation, "Professor Ouyang, see you on the day of the defense."


    After ??, Yang Feng left.


    Ou Yangming glanced at his back and walked into the office of the Foundation Committee.


    "Please give me a copy of this year''s list."


    He came to Kyoto this time, not only for a few students in his own hospital, but also for Li Yao!


    The staff in the office didn''t dare to neglect when they saw another big boss.


    "Professor Ouyang, you may have to wait a while. The list has been reviewed. How about I send it to your office later?"


    "Okay, sorry for the trouble." Ou Yangming nodded, and then slowly left the office.


    The staff were also relieved.


    Every year when it comes time to apply for outstanding youth, it is like a war without gunpowder smoke!


    ¡­


    The national outstanding youth is second only to academicians in my country, and is also often referred to as an academician candidate or "academician cradle".


    Scholars selected as "National Outstanding Youth" will receive relatively generous funding.


    On the surface, "Jie Qing" is said to be selected nationwide.


    In fact, behind every outstanding young man is a big man in the academic circle.


    Without the support of the big guys, it would be impossible to be selected as an outstanding youth!


    (end of this chapter)

 v2 Chapter 618： Uremia on the construction site (thanks to Xingluan i for fighting

    Chapter 618 Uremia on the Construction Site


    There are still about three months before the final offline defense review of "Jie Qing".


    The forces of learning from all parties have begun to slowly exert their strength.


    "Jieqing" has expanded to 300 people this year, of which the number of people in the medical field is about 30-40.


    There are so many colleges and universities across the country competing together, the difficulty can be imagined!


    Jinghua Second Hospital.


    Department of Cardiology, Director''s Office.


    "Teacher, congratulations, you passed the first trial of Jieqing!"


    Lu Chen smiled and looked at tutor Li Yao.


    Li Yao also showed a smile on her face, "Thanks to your SCI paper."


    "However, the next offline defense will be... difficult!"


    Li Yao sinks her heart.


    Even if Ou Yangming was in Kyoto to clear up the relationship for her, it would be difficult to break out of the top scholars without absolute hard power.


    "Teacher, I believe in you, you can definitely do it!"


    Ke Yue stood aside and cheered.


    Li Yao shook her head slightly, "Do your best, this is an outstanding youth after all, but it''s not that easy."


    ¡­


    Leaving the Director''s Office.


    Lu Chen and Ke Yue were walking down the path of the hospital.


    "Lu Chen, do you think our teacher has a good chance of being rated as an outstanding young man?"


    Ke Yue whispered.


    "How to say it, I definitely hope our teacher can be selected." Lu Chen said slowly, "But, being rational, it may not be easy."


    "Every outstanding youth is a very valuable social resource."


    "Look at our Jinghua Medical University, it has not been outstanding for two or three years."


    Ke Yue thought for a while, her expression a little hesitant.


    "What do you want to say?" Lu Chen wondered.


    "Lu Chen, if our country''s natural project can be successfully completed and surpass AstraZeneca''s European and American branches..." Ke Yue said, "Will our teacher''s chances of being evaluated increase?"


    Lu Chen was stunned for a while, he hadn''t thought of this level yet.


    However, the time for the conclusion of the national nature is almost in these three or four months.


    If the subject can be successfully concluded and a few high-quality SCI papers are published, it is possible to increase the chance of selection of Li Yao''s tutor.


    "Let''s do our best!"


    Lu Chen''s eyes were firm.


    Since there is such an opportunity, they must not miss it!


    ¡­


    Time passed slowly.


    It has been a month since Lu Chen and Gu Xinyue came to the emergency department.


    The gratitude value Lu Chen earned has reached 9,000!


    According to the speed of obtaining the gratitude value, in another month, Lu Chen felt that he should be able to exchange the "Statistics" advanced skill card.


    Jinghua Second Hospital.


    Emergency department, doctor''s office.


    Lu Chen was in a very happy mood, but Gu Xinyue was a little depressed.


    Originally, after this period of "staying poop", he made a small profit, which basically relieved the embarrassment in life.


    However, yesterday, he inadvertently learned that Wang Zihao''s "fecal transplant" project had already ended.


    And it was over a month ago!


    This puzzled him.


    Because he still donated his poo uninterruptedly in the past month.


    Gu Xinyue thought about it, took out her mobile phone, and sent a WeChat message to Wang Zihao.


    "Zihao, do you still need to stay tomorrow?"


    After a while, Wang Zihao replied with a message.


    "Stay!"


    Seeing Wang Zihao''s reply, Gu Xinyue was a little stunned.


    Seeing Lu Chen beside him, he thought about it and stepped forward.


    "Lu Chen, do you know that Wang Zihao''s project is over?"


    Lu Chen was taken aback for a moment, then turned to look at Gu Xinyue, this guy didn''t find something, right?


    "This...I''m not too sure. Why don''t you ask Zihao himself"


    Lu Chen could only kick the ball back.


    Gu Xinyue didn''t say much.


    Wang Zihao has let him continue to poop, so he may seem a little strange to ask this again.


    "Find a time and ask again in person."


    Gu Xinyue can only slow down this matter.


    ¡­


    Today, Lu Chen and Gu Xinyue are on the day shift.


    In one morning, they dealt with two rat poisonings, one who committed suicide by drinking pesticides, three patients with acute abdomen, and several patients with fever.


    When it was time to get off work, Lu Chen was handing over shifts with the middle shift doctor Xu Yiwen.


    "Brother Xu, pay attention to these two patients who have been poisoned by rat poison. The results of some urgent blood tests have not yet come out."


    "In addition, there is a patient with a fever, and there are some rales in the lungs..."


    ¡°¡­¡±


    After finishing his shift, Lu Chen was about to go back to the lounge. After changing his white coat, he would leave work.


    The rough voice of the nurse came in from outside the office.


    "Attention to the doctor on duty!"


    "Three emergency patients came at once!"


    "Okay, got it!" Xu Yiwen replied loudly, and then glanced at Lu Chen with some resentment.


    He knew that he was on duty on the same day as Lu Chen, and there was no good scene!


    Lu Chen smiled embarrassedly, and he had the same black physique.


    "Senior Brother Xu, I won''t leave first, so you can take a look at the patient."


    "Okay, thank you, Junior Brother."


    Xu Yiwen felt a little better in his heart.


    Actually, it was time for Lu Chen to leave.


    Gu Xinyue saw that Lu Chen hadn''t left, so he put on a white coat again and helped Xu Yiwen see the third patient.


    In this way, each person is not too busy to see one patient.


    ¡­


    came to the emergency ward.


    Lu Chen saw a haggard-looking man lying on a hospital bed.


    There was still a trace of dark red blood on the corner of his mouth.


    The patient''s HP is 42(¡ª¡ª)!


    A prompt pops up on the system panel: The target is suffering from unexplained damage, and the health value drops at a rate of 0.65/H!


    The nurse has already put oxygen on nasal cannula and ECG monitoring for him.


    Lu Chen stepped forward.


    The patient slowly turned his head, looked at Lu Chen, and said weakly, "Doctor, I have nothing serious, I am not hospitalized."


    As soon as he opened his mouth, Lu Chen knew that the patient might not be able to handle it.


    The nurse on the side whispered: "The patient is unmarried, bachelor, and his parents are in the countryside. The workers at the construction site sent him here."


    Lu Chen nodded slightly and said to the man: "Whether you will be hospitalized or not is another story. We will now give you a preliminary examination and diagnosis and treatment."


    Lu Chen felt a little helpless in his heart, the trend of the health value of the three minus signs.


    If you are not hospitalized, there is a risk of sudden death at any time!


    The man opened his mouth and wanted to say something, but stopped, shook his head slightly, and closed his eyes.


    Lu Chen started physical examination and consultation.


    The patient looks like a forty-year-old, but is actually only in his early thirties.


    An hour ago, during work, he suddenly vomited blood, not much, but vomited three or four times.


    Because he was a temporary worker, the boss didn''t care at all, but he scared a group of workers and rushed the patient to the hospital.


    But after the man was sent to the hospital, the workers also left.


    After examining the patient, Lu Chen made a preliminary diagnosis of gastrointestinal bleeding, the cause of which is yet to be investigated.


    "What illness did you have in the past?" Lu Chen asked.


    "The kidneys are not good."


    "Do you know what the specific disease is?"


    The man paused, his expression indifferent, "Uremia."


    (end of this chapter)

 v2 Chapter 619： calm man

    Chapter 619 Calm man


    Looking at the calm man, Lu Chen was slightly taken aback.


    Uremia, these three words have a lot of lethal power in the hearts of ordinary people.


    Most people will change their color when they smell it!


    In simple terms, uremia means that the kidneys are useless for various reasons.


    For the human body, the kidneys are the organs that drain and detoxify.


    The wastes produced by people¡¯s metabolism every day will be excreted through the kidneys to form urine.


    The kidneys are damaged, and the toxins cannot be excreted from the body.


    Over time, various organs in the human body accumulate toxins, which will lead to multiple organ failure and death.


    ¡­


    The man lying on the bed was able to say these three words so lightly.


    It seems that he should already know his condition very well.


    "When was uremia diagnosed?" Lu Chen continued to ask.


    "It should be half a year." The man said slowly.


    After he finished saying this, he suddenly began to vomit again.


    Lu Chen immediately tilted his head once to prevent aspiration.


    Fortunately, he didn''t vomit much, and after vomiting a small amount of dark red blood, it stopped.


    But after vomiting, the mental state of the whole person is even more sluggish.


    Lu Chen immediately instructed the nurse to give treatment to protect the stomach and stop bleeding.


    "Since uremia is diagnosed, why is there no dialysis?"


    Seeing that the patient''s condition improved slightly, Lu Chen asked aloud.


    There are only two treatments for ?? uremia.


    kidney transplant, or dialysis.


    The cost of a kidney transplant is quite unbearable for ordinary families, but the cost of dialysis, which is reimbursed by medical insurance, can barely be afforded.


    "I don''t want dialysis. I didn''t want to have dialysis before, and I don''t want dialysis now." The man shook his head, "You don''t need to worry about me, I''ll be discharged when I feel better."


    Lu Chen''s heart sank to the bottom. .


    If the medical history provided by the patient is true, then his gastrointestinal bleeding should be caused by uremia.


    The accumulation of toxins in patients with uremia can damage the mucosa of the gastrointestinal tract and cause gastrointestinal bleeding.


    In addition, patients with uremia may be combined with hyperparathyroidism. Hyperparathyroidism will increase the level of gastrin and increase the acidity of gastric juice, thereby damaging the gastric mucosa and causing bleeding.


    "Contact your family, we will communicate with him, you don''t need to worry about the cost." Lu Chen said.


    "No." The man shook his head slowly, "I''m not married, I don''t have a wife and children. My mother is gone, and my father is too old to move around in the countryside."


    "But uremia is not on dialysis, so the risk is very high!" Lu Chen frowned, "There is even a risk of sudden death at any time!"


    The man in front of him is only thirty years old!


    He tried to persuade the man to notify his family to come over.


    If it is really uremia, according to the current condition of the patient, after the condition is stabilized, emergency dialysis treatment is definitely needed.


    "No need, really no need." Although the man was very weak, his tone was unusually firm, "Dialysis is impossible, and I will never be able to do dialysis in my life."


    After saying this, the man seemed to have exhausted his strength, slowly closed his eyes, and stopped talking.


    ¡­


    The bedside ECG monitor emits a beeping sound.


    The nurse left after drawing blood from the patient.


    Lu Chen measured the man''s blood pressure again and perfected the electrocardiogram.


    All vital signs are temporarily stable, but what to do next is difficult.


    Waiting for the test results to come out, if the diagnosis is uremia, then dialysis must be done.


    However, the patient''s negative treatment attitude made the next treatment plan confusing.


    "Notify the medical department, contact the patient''s work unit, and let them coordinate."


    Lu Chen immediately contacted the medical department.


    Dialysis treatment, although the current technology is very mature, there are still certain risks.


    If there is no consent of the patient and the presence of family members, it must not be carried out easily.


    ¡­


    Simple treatment of the patient.


    After Lu Chen and Xu Yiwen took over, they also got off work.


    But now it¡¯s less than half an hour before going to work in the afternoon.


    Lu Chen hurried to the cafeteria, and after a quick lunch, he returned to the emergency department without stopping.


    At this point, the patient''s test results came out.


    ¡°Creatinine 1124umol/L¡­¡±


    Seeing such a high creatinine value, the patient''s uremia is undoubtedly diagnosed!


    "I have communicated with the patient many times." Xu Yiwen shook his head slightly, "He still doesn''t want dialysis, and we have nothing to do."


    "Thank you, brother."


    Lu Chen returned to the emergency room.


    The patient''s condition is much better than when he first came to the hospital in the morning.


    But his health is still decreasing.


    "If you are afraid that the treatment fee will not be enough, we can take the green route." Lu Chen said to the man, "First perform the arrears of treatment, and then you can make up the treatment fee."


    Seeing the patient''s twisted attitude, Lu Chen felt that he was worried about the cost of treatment.


    For this kind of critically ill patients, the hospital has a corresponding green channel system, allowing arrears of treatment, and making up for the treatment fee later.


    The man was half lying on the bed with the oxygen tube still at the tip of his nose. He glanced at Lu Chen with a lonely expression.


    "Doctor, I actually have hereditary uremia."


    Lu Chen was slightly startled, "Hereditary?"


    "Yeah." The man nodded slowly, "My mom passed away because of uremia, and my brother is on dialysis."


    The words of a man are calm.


    But in the eyes of Lu Chen and the nurse, it was as heavy as a thousand catties.


    A proper tragedy...


    Perhaps, the tragedy of life has long drained his tears.


    In everyone''s eyes, it was a tragic thing, so he was able to face it so "calmly".


    "My dad is alone in the country. He is now helping my brother with dialysis. If he has to bear the cost of my dialysis, it is impossible."


    For patients with uremia, the number of dialysis is about 2-3 times a week.


    This also means that the patient himself has basically left most of his work.


    The cost of dialysis is all borne by the only old father in the family.


    "When did your brother get sick?"


    "It''s about the same time as me." The man smiled wryly, "He is undergoing dialysis in the county hospital."


    Lu Chen is about to ask further about the relevant medical history.


    The man suddenly began to gasp for breath, his breathing was short, and his face was painful.


    "I...I feel so uncomfortable here..."


    The man grabbed his chest and said to Lu Chen in pain and helplessness.


    Lu Chen''s heart tightened.


    He knew that it was very likely that uremia had damaged the heart, leading to a series of diseases such as myocardial ischemia and heart failure.


    Lu Chen quickly greeted the nurse and gave the patient a simple treatment.


    However, without dialysis, any other treatment may be futile.


    Taking advantage of this gap, Lu Chen got the patient''s mobile phone.


    ¡­


    "Hello, are you Wang Wu''s family?"


    "Yes, who are you?"


    "I''m an emergency doctor at Jinghua Second Hospital. Wang Wu is hospitalized in the emergency department. He is in critical condition and needs emergency dialysis..."


    "Okay, I''ll be right here!"


    Lu Chen informed the patient''s old father at home.


    However, even if he buys the fastest train, he will not arrive at the hospital until 2 pm tomorrow.


    It is now three o''clock in the afternoon, and there will be nearly a day until two o''clock in the afternoon tomorrow.


    Now we can only wait for the patient¡¯s family to come in person and persuade the man to cooperate with the treatment.


    It is also impossible for the emergency department to force patients to undergo dialysis treatment.


    Just, in less than a day, can the patient wait?


    Lu Chen would come to the patient''s bedside to check every once in a while to ensure that the man''s vital signs were stable.


    (end of this chapter)

 v2 Chapter 620： He is really nice.

    Chapter 620 He is really good.


    However, the reality is extremely cruel.


    The man did not wait for his father after all.


    On this night.


    The man passed away because of sudden acute heart failure.


    the next day.


    Lu Chen came to the emergency department, and there were other patients on the bed.


    He vaguely remembered what the man said to him before leaving get off work.


    "The thing I regret the most is not having a relationship."


    "For more than 30 years, I haven''t even touched the little girl''s hand."


    When the man said this, he looked remorseful.


    His appearance was so ordinary that Lu Chen couldn''t even recall it.


    Just remember, his name is Wang Wu.


    Although the disease had tormented him all the time, he was always indifferent.


    ¡­


    Everyone in the department sighed at what happened to Wang Wu.


    lamented the irresponsibility of the previous generation.


    lamented the difficulty of reality today.


    also lamented the unfairness of fate.


    Lu Chen looked up the patient''s course record, and he could clearly see the rescue process last night.


    He sighed slightly in his heart.


    Perhaps, Wang Wu had already thought of this day.


    The unpleasant heart yesterday afternoon may be a symptom.


    But Lu Chen was powerless.


    Even with the help of the system, in the face of fate, he is still very small.


    Take ten thousand steps back, even if the patient is on dialysis, what is the chance of survival?


    ¡­


    Two in the afternoon.


    Wang Wu''s father rushed to the emergency department.


    "Nurse, which hospital bed is Wang Wu in?"


    An elderly man with a small black bag around his waist staggered to the nurse''s desk in the emergency department.


    "Wang Wu?" The nurse was stunned for a moment, then immediately responded, "Master, are you a family member of Wang Wu?"


    "I''m his dad." The old man nodded slowly.


    The nurse paused and took out the relevant medical information of Wang Wu, with a somewhat unnatural expression.


    The old man didn''t go to see the medical information, and seemed to have some hunch, "Wang Wu, what happened to him?"


    The nurse whispered: "Master, his rescue last night was ineffective, so it''s gone."


    "People, gone?" The old man was stunned.


    However, there was no crying and tears in his imagination, and his expression was calm.


    He picked up the medical records on the desk this time.


    "He''s gone, gone."


    The old man gently stroked the medical record, his expression did not fluctuate, he just kept saying "go away".


    ¡­


    For the arrival of the elderly, everyone in the emergency department sighed.


    The head nurse was afraid of the occurrence of medical disputes, so she came forward to communicate with the elderly in person.


    However, the old man did not make noise in the emergency department, as if he had accepted this reality long ago.


    He came to the emergency ward of the emergency department and came to the bedside of Wang Wu''s previous hospital.


    At this time, the hospital bed was empty, and the patient who came this morning had already been transferred.


    Looking at the old man who said nothing, Lu Chen wanted to say something, but he couldn''t say anything as he was stuck in his throat.


    "He''s actually pretty good."


    The old man suddenly said.


    His voice was low, but Lu Chen could just hear it.


    "Wang Wu, he is really good."


    "He has been a good boy since he was a child. Although he is a younger brother, he never fights or robs."


    The old man touched the guardrail of the hospital bed and moved tremblingly.


    "He''s really good."


    As soon as he turned around, the old man was already in tears.


    "Doctor, thank you for paying for my son''s last ride."


    At this time, the system quietly popped up a prompt.


    "Congratulations, +1 for the thank you from Wang Yunsheng!"


    When Lu Chen saw this scene, his heart seemed to be hit by something.


    He took a deep breath, turned and left the emergency ward.


    The elderly do not stay in the emergency department for long.


    He also had to deal with his son''s funeral and left soon.


    ¡­


    Wang Wu''s departure did not cause much trouble in the emergency department ward.


    Life and death are staged here every day.


    Lu Chen closed Wang Wu''s medical records.


    took a deep breath, then slowly exhaled it, adjusting his mentality, because he had to receive more emergency patients.


    Although he is used to seeing life and death, today''s Lu Chen is still a bit dull.


    Until after work, I met Laogu and Wang Zihao at the door of the bedroom.


    ¡­


    Wang Zihao lowered his head, with the expression of a little daughter-in-law feeling puffed up.


    Gu Xinyue tilted her head, her usual cold expression had long since disappeared.


    "You two... go ahead, I''ll go first."


    Lu Chen coughed lightly and turned around to leave.


    "Lu Chen, just leave me like this!"


    Wang Zihao strode forward and grabbed Lu Chen''s cuff.


    "This..." Lu Chen glanced at Yangu Xinyue''s expression, and then whispered, "Zihao, why don''t you bear it alone, don''t pull me into the water..."


    Wang Zihao grimaced, and a hint of slyness flashed in his eyes, "Then... I''m sorry, I let you down."


    Lu Chen was taken aback for a moment, knowing that this product must have been fully revealed.


    He looked at Gu Xinyue, touched his nose, and changed the subject: "What, I still have literature to read, so I won''t talk about it."


    Lu Chen was about to enter the bedroom.


    Gu Xinyue suddenly stretched out her hand, pressed it against the door, and stopped him.


    Lu Chen took a step back and leaned against the door frame.


    "Old Gu, you..."


    Lu Chen blushed.


    He was actually beaten by a man!


    Gu Xinyue also felt that something was wrong, and quickly put down her hand.


    "Thank you for this." Gu Xinyue stared at Lu Chen, "Don''t worry, I will pay it back."


    After ??, Gu Xinyue left without looking back.


    "Lao Gu, he''s... gone now?" Wang Zihao walked to Lu Chen''s side.


    Lu Chen glanced at him angrily, "If you don''t leave, you will continue to be beaten by him?"


    Wang Zihao grinned, "Don''t say it, I think it''s quite suitable."


    "Go away."


    Lu Chen scolded with a smile, turned and walked into the bedroom.


    ¡­


    Two months later.


    Lu Chen spent so long in the emergency department, he finally saved enough gratitude points and successfully redeemed the "Statistics" advanced skill card.


    At the same time, their current three-year training rotation plan has officially ended!


    For three years, the postgraduates have rotated all major internal medicine departments and intensive care units.


    Next, there are only two months left until graduation.


    The tasks of ?? graduate students are graduation thesis and final exams.


    Then there is planning for the future, employment, or further study for a Ph.D.


    For Lu Chen, the graduation thesis has long been completed.


    The ?? regulation training exam was not difficult for him.


    In the rest of his time, the most important work is the National Natural Clinical Research Project.


    ¡­


    Jinghua Second Hospital.


    Lu Chen''s exclusive experimental office,


    He rubbed his slightly sore head.


    Even with the help of skill cards, he was a little tired after studying statistics for a long time.


    "Ke Yue, how is the experimental data collection in the sub-center?"


    "Most of it went well and it''s expected to be fully gathered next week."


    Ke Yue, as the main force of the experimental team, undertook very important data collection work.


    "It''s hard work." Lu Chen said.


    The entire clinical trial research is nearing completion.


    Success or not, it depends on the final touch!


    Month-end monthly pass


    (end of this chapter)

 v2 Chapter 621： final showdown (big

    Chapter 621 The Final Showdown (Da Zhang, ask for a monthly ticket)


    After ??Lu Chen exchanged the "Statistics" advanced skill card, he could learn statistics in the shortest time.


    A lot of statistical theoretical knowledge poured into his head.


    The original obscure theory has become easy to understand with the blessing of advanced skill cards.


    The experimental data of various clinical research sub-centers have been gathered in Jinghua Second Hospital in the near future.


    ¡­


    Lu Chen''s exclusive research office is brightly lit every day.


    In order to catch up with the time schedule, Lu Chen and others took turns to analyze the experimental data overnight.


    The workload this time is different from the past.


    is the total sample size of the entire clinical laboratory, pooled together.


    All clinical research sub-centers have a total of more than 10,000 samples.


    Everyone in the ?? research team is overloaded.


    ¡­


    in the blink of an eye.


    One month has passed.


    This is the third night of Lu Chen''s overnight stay.


    For three days in a row, he just rested in the office for a while.


    With his unremitting efforts, he finally completed the statistical analysis of the last sample size of more than 10,000.


    The statistical methods this time are all based on Professor Su Yaling''s advanced statistical theory knowledge.


    "Whoo... it''s finally done."


    Lu Chen looked tired, his eyes were bloodshot, but his expression was abnormally excited.


    The two-year clinical research experiment has finally achieved preliminary results today.


    Next, as long as the experimental data is reviewed and the paper is written, the entire experimental research is completed.


    However, after Lu Chen''s mood was relaxed, what followed was an irresistible drowsiness.


    Lu Chen didn''t know how he got back to the bedroom.


    In a trance, he only remembered that when he returned to the bedroom, he fell asleep.


    After waking up, it was already pitch black outside the bedroom.


    ¡­


    "Have I slept all day?"


    Lu Chen rubbed his sleepy eyes, and the rumbling from his stomach made him decide to get up and look for food.


    In the bedroom, no one else is there.


    At the critical time of graduation, everyone is busy with the graduation thesis, and basically they study in the library until they go home very late.


    "Eat a bowl of instant noodles."


    Lu Chen had stocked up some instant noodles before, opened the cabinet, and found that they were all from Laotan sauerkraut.


    had no choice but to give up the idea of ??eating instant noodles and go out for food.


    At this time, it was already eight o''clock in the evening.


    The hospital cafeteria has long been closed.


    Lu Chen had to go to a small restaurant near the hospital, ordered a meat and a vegetarian meal, and ate leisurely.


    After eating, he took the opportunity to brush up on the latest cutting-edge information in the scientific research circle.


    A sudden message made Lu Chen suddenly nervous.


    "AstraZeneca Europe and the United States recently stated that the clinical research experiment on dapagliflozin is nearing completion. It is reported that the results of this research are likely to change the current clinical status of heart failure treatment..."


    AstraZeneca''s European branch is not slow in scientific research!


    Lu Chen ate a little faster.


    He quickly finished the meal, and before leaving, he also packed a few meals.


    Lu Chen did not go back to the dormitory, but came to the scientific research office with the food in his hand.


    ¡­


    At this time, everyone in the office is at their own post.


    "Senior Sister Ke Yue, there are errors in some of the data in Kyoto, please take a look."


    "Okay, I''ll check right away."


    When Lu Chen was away, Ke Yue was the leader of the entire experimental team, in charge of all experimental analysis projects.


    "In addition, Lu Chen''s statistical analysis results have been released. What everyone needs to do now is to find out the data that does not match, or there are abnormal data..."


    "This experiment is extraordinary, and there must be no mistakes."


    Lu Chen quietly walked into the office.


    Everyone was so focused that no one even noticed he was coming.


    Until Lu Chen put the packaged food on Ke Yue''s table.


    "Lu Chen, why are you here?"


    Ke Yue looked up and saw that it was Lu Chen, with a happy expression on his face, then frowned and said, "Why don''t you sleep for a while?"


    Lu Chen stayed up all night for several consecutive nights, and everyone was both admiring and distressed.


    "Sleep well."


    Ke Yue said: "Take a rest for a while, we are here."


    "I can''t sleep." Lu Chen sent Ke Yue the news he just saw.


    Ke Yue looked a little nervous after seeing it.


    "They''re almost over too?"


    "Well, so we can''t relax, let''s work harder together!"


    Some members of the research team had not eaten dinner, so Lu Chen ordered a few more KFCs and milk tea.


    In the ?? office, there is only the voice of members discussing each other.


    Everyone has a tired look on their faces, but it can''t hide their longing for the future.


    ¡­


    11pm.


    The night is dark.


    Under Lu Chen''s urging, the members of the research team reluctantly left the office.


    In the ?? office, only Lu Chen''s two younger brothers and younger sisters were left.


    Lin Qingping, as Li Yao''s master student, also successfully became a member of Lu Chen''s research team.


    Joined the research team with her, as well as her own colleague Fang Hao.


    The two of them were among the best in the postgraduate re-examination at that time, but they gave up other tutors with more academic influence and chose Li Yao instead.


    "Junior Sister Lin, you also go back early."


    Lu Chen walked to Lin Qingping.


    Lin Qingping is still busy sorting out some experimental data.


    "Senior brother, I''m almost there, I''ll leave soon!"


    Lin Qingping''s hair is a little disheveled, and she wears heavy glasses, she doesn''t have the delicate and lovely look she usually has.


    "Okay." Lu Chen nodded slightly, he glanced at Lin Qingping''s data, and there really wasn''t much left.


    He turned to look at Fang Hao, "Junior brother, it''s so dark outside, I''ll trouble you to send my junior sister back later."


    "Good brother."


    Fang Hao scratched his head and smiled shyly.


    "Well, then I''m relieved."


    Lu Chen didn''t wait any longer, packed his things and left.


    After half an hour.


    Lin Qingping finally completed his data sorting.


    "Huh... that''s great, it''s finally done."


    She looked at her experimental data with satisfaction, then returned to Fang Hao who was looking aside, "Let''s go, let''s go back too."


    "Yes." Fang Hao nodded.


    Lin Qingping went to the bathroom and tidied up a little.


    She closed the office door and left with Fang Hao.


    ¡­


    It was late at night, and few pedestrians could be seen on the path of the hospital.


    Lin Qingping and Fang Hao walked side by side.


    "Lin Qingping, you said we worked so hard, can we succeed in the end?" Fang Hao said suddenly.


    "I, I don''t know either." Lin Qingping was slightly taken aback.


    She recalled the scientific research life for more than a year, and she was full of emotions.


    The same class of graduate students, when others were only doing electrocardiograms clinically, they already came to Lu Chen''s research team.


    Began to experiment with clinical research.


    The road is hard, but the harvest is very rewarding.


    When their peers didn¡¯t know what scientific research was, they had already published several SCI papers.


    Thinking of this, Lin Qingping smiled relievedly, "As long as we work hard and learn and progress with Senior Brother Lu Chen, we will actually be considered a success."


    Fang Hao nodded slightly, "That''s right, it won''t be a loss anyway."


    The two smiled at each other and parted in front of their respective dormitories.


    ¡­


    Lin Qingping returned to the bedroom.


    No one else in the bedroom slept.


    Some people are watching a drama, some people are using pesticides, some people are talking on the phone with their boyfriends.


    "Qingping, you''re finally back!" A fat-faced girl said immediately, "It''s so late, we''re just about to call you."


    Lin Qingping put down her backpack and smiled, "The progress of the experiment has been tight recently, so I came back late."


    "What experiment are you doing?" the fat-faced girl asked curiously.


    "This..." Lin Qingping said embarrassedly, "About clinical cardiovascular drugs, the specific content cannot be said yet."


    "Oh." The fat-faced girl nodded enviously, "I haven''t seen what the experiment looks like."


    "What''s so envious of this?!"


    A girl who was playing games whispered, "The paper is sent out, it is not the first or second work. If you take out this kind of paper, others will not recognize it at all."


    "That''s right." Another girl who was putting on a mask said, "It''s useless if you post more papers of the fourth and fifth authors! Qingping, I think you might as well rest and post an article later. Once you write a Huaxia core thesis, you can graduate."


    Seeing what everyone said, Lin Qingping didn''t care. After a few words, he started to wash up.


    Seeing Lin Qingping entering the bathroom, the rest of the dormitory began to complain in a low voice.


    "Lin Qingping is still too simple. Her senior Lu Chen is very powerful, but it has nothing to do with her!"


    "Yes, definitely treat Lin Qingping as a free labor force!"


    "We''ve only just entered the second year of graduate school, so there''s no need to rush into experiments, and it will take a long time to graduate."


    "You see she comes back so late every day and makes herself disgraced, why bother?"


    ¡°¡­¡±


    Lin Qingping came out of the bathroom, and everyone closed their mouths.


    She sighed slightly inwardly.


    This bathroom is not soundproof, so the content of their words entered her ears without any leakage.


    If everyone is just a simple advice, then Lin Qingping will not say much.


    But there is a sour taste in the words of everyone.


    "Thank you for your concern." Lin Qingping looked around at everyone and said slowly, "But I think I did a good job in the laboratory."


    When everyone heard this, no one said a word, and continued to play games, put on masks, and watch dramas.


    Lin Qingping finished washing up, lay on the bed, put on headphones, and cut off the surrounding sounds.


    She tried her best to fall asleep quickly, and she will continue the clinical experiment tomorrow.


    ¡­


    The next period.


    Everyone in Lu Chen''s research team can''t wait to split the twenty-four hours a day into two halves.


    Lin Qingping''s time to go back to the bedroom is getting late.


    Sometimes when I come back at night, my roommates are already asleep.


    She washes carefully and tiptoically every day.


    However, two roommates complained that Lin Qingping disturbed them.


    "Junior sister, why don''t you come and live in our dormitory." Ke Yue took the initiative to find Lin Qingping after this incident, "There is still a vacancy in our dormitory, and my roommates are all studying for the third year, so they come back late every day. "


    "Okay, thank you, Senior Sister."


    Lin Qingping didn''t hesitate. Being able to live in the same dormitory with Senior Sister Ke Yue, she could learn more.


    Lu Chen also came forward to coordinate with the graduate department, and immediately transferred Lin Qingping to Ke Yue''s dormitory.


    Lin Qingping''s former dormitory, only the fat-faced girl kept her, and the others didn''t say anything at all.


    She naturally didn''t have any nostalgia, so she moved to Ke Yue''s bedroom that day.


    ¡­


    The time of a week is fleeting.


    Through the collective efforts of the research team, the experimental data part of the entire national natural experiment has been completed!


    The rest is the essay writing part.


    In order to save time, Lu Chen divided the entire research team into several groups.


    Each group manages different parts of the thesis, and finally, he will make final revisions.


    Thesis writing is equally important.


    Lu Chen didn''t dare to be sloppy in the slightest. He kept asking his tutor Li Yao, and occasionally teacher Qin Sifeng from Kyoto.


    ¡­


    "Lu Chen, I heard that the experiment of AstraZeneca''s European branch has been completed!"


    On this day, Lu Chen suddenly got bad news from Wang Ruoxi.


    AstraZeneca has sufficient staff. After the experiment is completed, the writing speed of the paper must be very fast.


    "How long will it take for your thesis to be completed?"


    Lu Chen looked at the paper on the computer and said solemnly, "The fastest time is a week."


    "As soon as possible." Wang Ruoxi reminded, "After the paper is completed, send it to me as soon as possible, and we will arrange journal review as soon as possible!"


    "clear!"


    Lu Chen knew that the scientific research competition between them and the European branch of AstraZeneca had reached the point where every second counted.


    Mentor Li Yao also came forward in person and asked everyone in the research team to take full-time leave.


    ¡­


    A week later.


    Lu Chen finally completed the final revision of the thesis.


    Immediately, he sent the final version of the paper to Wang Ruoxi.


    At the same time, he also learned that the European branch of AstraZeneca also completed the writing of the thesis.


    The time for the completion of the papers on both sides is basically the same!


    "Lu Chen, come out, I have some news to tell you."


    Wang Ruoxi asked Lu Chen out again.


    The location this time is still the cafe next to the hospital.


    "The headquarters is aware of the scientific research competition between our two divisions."


    Wang Ruoxi picked up a cup of coffee, took a sip, and said slowly.


    "As it happens, the time for the completion of the papers in our two divisions is basically the same."


    Lu Chen nodded slightly, when he heard the news, he was a little stunned, it was a coincidence.


    "What is your headquarters going to do?"


    Lu Chen knew that Wang Ruoxi couldn''t ask her out for no reason.


    "The headquarters wants our two divisions to send their papers to "Circulation", so that the editorial department of "Circulation" can directly compare and review the manuscripts, and choose one of the two for publication."


    Lu Chen was slightly startled, ""Circulation"?"


    The impact factor of "Circulation" reached 30 this year!


    This is the top journal in the cardiovascular field in the world, together with JACC and EHJ, and is called the three giants in the cardiovascular field!


    Lu Chen''s original plan was to submit the paper to the slightly lower-level "Circulationresearch", with an impact factor of around 20.


    In fact, this is already one of the top journals.


    But compared to "Circulation", "Circulationresearch" is a whole grade worse.


    "How is it? Are you confident?" Wang Ruoxi stared at Lu Chen closely.


    Lu Chen shook his head slightly, "To be honest, I really don''t have much confidence."


    Those who do cardiovascular work only know the difficulty of the top journal "Circulation".


    "There is no way out now, I can only bite the bullet!" Wang Ruoxi said slowly.


    "Actually, there is no such preparation in the European branch. We learned that they originally planned to send the paper to an SCI journal with a score of about 17."


    "This time, the headquarters let the paper be sent to "Circulation", which is also a good opportunity for us!"


    Lu Chen immediately understood what Wang Ruoxi meant.


    AstraZeneca''s headquarters must have something to do with the editorial department of "Circulation".


    Otherwise, with the difficulty of this clinical research experiment, it would be very difficult for both parties to reach the level of "Circulation".


    "Since this is the case, then we have to fight!"


    "I agree to submit the paper to Circulation!"


    Lu Chen''s eyes also lit up with raging fighting intent, ready to meet this final confrontation.


    (end of this chapter)

 v2 Chapter 622： we won! (First update, ask for a monthly ticket)

    Chapter 622 We, we won! (First update, ask for a monthly ticket)


    The experiment of the National Nature Project officially ended.


    Lu Chen''s research team also ushered in a break.


    However, everyone''s nerves are tense.


    Until the final result comes out, no one dares to relax.


    Generally speaking, the review time of the editorial department of "Circulation" is about three months.


    However, under the influence of AstraZeneca''s headquarters, the editorial department of "Circulation" reviewed the two clinical research papers immediately.


    This time, the peer reviewers invited by the editorial department of "Circulation" are also top experts in the cardiovascular field.


    Among them, Professor Fan Boyan of Harvard Medical School, is on the list.


    Professor Fan Boyan is a reviewer for several top journals.


    In the field of cardiovascular pharmacy, he can be said to be the first person in China!


    ¡­


    United States, Harvard University, School of Medicine.


    Professor Fan Boyan looked surprised.


    Looking at the paper in front of him, he couldn''t help but think of the paper from Huaxia some time ago.


    "AstraZeneca is really a big deal!" Professor Fan Boyan exclaimed, "How much manpower, material resources and other resources will be consumed for two branches to conduct scientific research experiments!"


    However, for a giant company like AstraZeneca, it has invested a lot of money and the results are extremely amazing.


    No matter which division''s research results can be published this time, it is a sure win for AstraZeneca.


    The research has made further breakthroughs, and the value that Dapagliflozin can create far exceeds the current investment.


    Soon, Professor Fan Boyan finished reading two of AstraZeneca''s papers.


    Comparing the two papers together, he had a more intuitive feeling.


    Having had the last review experience, Professor Fan Boyan easily found this paper from Huaxia.


    The same experimental procedure, the same statistical method.


    "When did Huaxia have such a powerful research team?"


    Professor Fan Boyan showed a gratified smile on his face.


    Any research experiment should be based on guidelines for changing clinical treatment, or at least help clinically.


    Huaxia''s daily output of papers is not low, and even ranks among the top in the world.


    But there are very few experiments that are truly meaningful and can be translated into clinical results!


    "Jinghua''s paper on dapagliflozin is definitely a treatment guideline that can change the clinic!"


    "If I could, I would really see this research team with my own eyes!"


    "Li Yao, Lu Chen, no matter what the outcome of this time is, the future international cardiovascular understanding will belong to these young people!"


    ¡­


    Kyoto University School of Medicine, The First Affiliated Hospital.


    The three districts in the heart, the director''s office.


    Wanjing Shui and Fang Ruzhang sit opposite each other.


    When they learned that Lu Chen and the China branch of AstraZeneca were cooperating, both of them were silent for a while.


    Who knew that Lu Chen could be on the list with such thighs?


    "Director, if we had known we wouldn''t quit..."


    Fang Ruzhang was quite regretful.


    What a great opportunity this is!


    Now the entire academic circle in the cardiovascular field is all staring at this battle between AstraZeneca China and Europe!


    If you can win, it will definitely be an opportunity to gain prestige in the international academic circle.


    It can even change clinical guidelines, which can leave its own name in the entire history of medical development.


    "Jinghua just got on this ride." Wan Jingshui snorted coldly, "With their current abilities, can they reach the standard of "Circulation"? Take 10,000 steps back, they can beat Aspen. Likang Europe?"


    Fang Ruzhang was full of slander in his heart.


    Anyway, this is "Circulation"!


    A journal that even Director Wan Jingshui himself cannot match!


    ¡­


    Another place in Kyoto.


    China Asset Management Committee Office.


    The second round of offline defense meeting of "Jie Qing" will start next week.


    Li Yao has come to Kyoto ahead of time to clear up the relationship for his "remarkable youth" road.


    Ou Yangming, as Li Yao''s recommender, also followed her to visit bigwigs from all walks of life.


    Li Yao originally thought that she still had some hope to catch the last train of "Jie Qing".


    But after these few days of communication, she also recognized a reality.


    She herself is still far from the title of "Outstanding Youth" academically!


    More importantly, most of the "Outstanding Youth" places are actually reserved by default.


    is only a very part of the quota, and there are still variables.


    This is what she slowly learned after coming to Kyoto.


    "Xiaoyao, don''t be discouraged." Ou Yangming said in relief, "This year there are more places than before. I made a rough estimate and there are at least five places left."


    Li Yao smiled reluctantly, "Okay, I will try my best."


    Although there are still five places, there are hundreds of people participating in the election at the same time!


    Scholars who can pass the first round of preliminary review all have iron connections behind them.


    Now the competition is based on the previous scientific research results of all scholars.


    There are not many papers that Li Yao can produce.


    In addition to a 14-point SCI paper that he once completed as the first author, there is only a 11.98-point SCI paper published by Lu Chen some time ago.


    Li Yao has studied his competitors.


    Both are applicants in the medical field. Many other people have several high-quality papers, of which there are more than 15 points, and even more, they have reached 18 points!


    She is very clear that, no matter from her educational background or her current scientific research background, she does not have any advantages.


    Most of the trips to the "Outstanding Youth" will end in failure.


    ¡­


    Time passes day by day.


    For everyone in Lu Chen''s research team, every day is a bit of a torment.


    They are constantly updating the latest academic information and want to know the dynamics of AstraZeneca headquarters in the first time.


    After the initial nervous waiting, Lu Chen became calm now.


    The ending cannot be changed, so let¡¯s face it calmly.


    During this time, he was not idle either.


    Instead, he came to the catheterization room of the Cardiology Department of Jinghua Second Hospital.


    For his arrival, Director Cheng Guowen should be the happiest.


    Lu Chen''s current electrophysiological level is unmatched by no one in the Jinghua Second Hospital.


    For some of the more difficult electrophysiological surgeries, Lu Chen will take the initiative to act as the chief surgeon.


    The addition of ??Lu Chen has also greatly improved the surgical ability of the interventional doctors in the Cardiology Department of the Second Beijing Hospital.


    At this time, in the catheterization room of the Second Jinghua Hospital.


    Lu Chen is instructing some attending doctors to perform dry pericardiocentesis.


    "Some arrhythmias originating from the endocardium may involve dry pericardiocentesis. How to correctly puncture the origin is extremely important for patients with arrhythmias..."


    Lu Chen explained while giving practical demonstrations to everyone.


    Most of the people who came to study were attending physicians, including some deputy chief physicians.


    None of them dared to underestimate the young doctor in front of them.


    Everyone was attentively listening to the explanation about the surgery.


    Lecture ends.


    A group of doctors pulled Lu Chen and asked various surgical questions.


    Lu Chen responded with a smile one by one, no one would refuse!


    The gratitude points given by these senior doctors are not comparable to those given by the junior sisters.


    After finally answering everyone''s questions, Lu Chen came to the lounge.


    picked up his mobile phone, and his expression was stunned.


    A total of 8 missed calls!


    The key is that these missed calls are all from Wang Ruoxi alone!


    Is the result of the paper out?


    Lu Chen''s heart tightened slightly, he quickly picked up the phone and returned to Wang Ruoxi.


    beep¡­


    The phone rang and connected.


    "Hello, Sister Ruoxi?"


    "Lu Chen, you finally answered the phone!"


    Wang Ruoxi''s voice was full of joy, "We won!"


    "Sister Ruoxi, what did you say, you won?"


    Lu Chen stood up immediately, and there was an indescribable surprise in his eyes.


    Wang Ruoxi seemed to calm down his excitement, and repeated, "Our Huaxia branch won!"


    "Jinghua won!"


    "Lu Chen, you won!"


    (end of this chapter)

 v2 Chapter 623： "Jieqing" defense meeting (second update, please ask for votes)

    Chapter 623 "Outstanding Youth" Defense Meeting


    Lu Chen didn''t know what mood he was in, so he put down the phone in his hand.


    Nearly two years of hard work, at this moment, finally bear fruit!


    At first, this was an abandoned clinical research project.


    At this moment, he finally proved himself!


    When Lu Chen forwarded this news to the research team, no matter where they were, everyone couldn''t help but let out a cry of joy!


    ¡­


    Jinghua Second Hospital, Guiping Building.


    Girls'' dormitory.


    Ke Yue was reading documents in his bedroom.


    Even though the National Nature Project has ended, she still maintains the habit of reading.


    Read the most cutting-edge hot articles in the cardiovascular field every day.


    Suddenly, the bedroom door was slammed open.


    Ke Yue was stunned for a moment, then turned around to see that it was Junior Sister Lin Qingping who had returned.


    Lin Qingping was carrying a bag, supporting her hands on her knees, panting heavily, her face flushed.


    Obviously, Lin Qingping ran back and forth all the way.


    "Junior sister, what have you left behind?" Ke Yue asked in confusion.


    Wasn''t Lin Qingping going to the library just now?


    "No." Lin Qingping shook her head desperately, her face still filled with excitement.


    She stepped forward, eased her breathing, and said excitedly: "Senior sister, we succeeded!"


    Ke Yue''s expression froze.


    At this moment, the heartbeat and breathing seemed to stop!


    Of course she understood what Lin Qingping meant.


    Ke Yue swallowed her saliva, her eyes widened, her voice a little hoarse, "Junior sister, you, how did you know?"


    Lin Qingping raised his phone excitedly, "Senior Brother Lu Chen posted it in the group, I saw it halfway along the way, and rushed back immediately."


    Ke Yue then remembered that when he was reading the paper, he habitually turned his mobile phone to silent.


    She immediately picked up the phone on the table.


    Sure enough, countless messages have flashed through the WeChat group.


    "We made it!"


    Everyone in the research team is cheering!


    ¡­


    Ke Yue held her mobile phone in both hands, swiping the information in the group.


    At this moment, her heart was filled with great satisfaction.


    Involuntarily, there seemed to be a layer of water mist in the eye sockets.


    From the little rookie who experimented at the beginning, to the old fritters today.


    The process of the experiment in the past two years, scene by scene, is constantly being staged in my mind.


    "Sister, we really succeeded!"


    Ke Yue raised her head and looked at Lin Qingping who was also very excited, tears slowly falling from the corners of her eyes.


    She walked forward slowly and hugged Lin Qingping gently.


    Lin Qingping could feel the excitement in Ke Yue''s heart.


    Apart from Senior Brother Lu Chen, Senior Sister Ke Yue put in the greatest effort.


    "Well, we won!"


    She hugged Ke Yue with her backhand, quietly feeling the joy of this moment.


    ¡­


    Jinghua Second Hospital.


    The first ward of the Cardiology Department, the doctor''s office.


    Gu Xinyue is teaching new interns to write medical records.


    "The chief complaint on the first journey cannot exceed twenty words!"


    "Stomach pain, is there such a complaint? The technical term is abdominal pain..."


    Beep beep...


    There were several beeps coming from the phone, Gu Xinyue frowned slightly and ignored it.


    But who knows, the mobile phone WeChat seems to be poisoned, beeping beeping...


    A series of beeps sounded!


    Gu Xinyue was startled, and immediately took out her mobile phone, ready to close WeChat.


    But suddenly I saw that this is the WeChat group of the research team.


    Click on the WeChat group chat information to see everyone''s chat content.


    Gu Xinyue''s eyes widened, then suddenly stood up from her seat, with a look of ecstasy on her face.


    This action shocked everyone else in the doctor''s office.


    Especially the female intern sitting next to him was shocked!


    Gu Xinyue''s coldness is famous far and near.


    In addition to rescuing patients, he will show a worried look, and usually he looks flattered.


    "What''s the big deal?"


    When everyone saw Gu Xinyue''s actions, their hearts were filled with slander.


    Who knows, Gu Xinyue suddenly picked up the phone and walked out of the office, and said to another doctor: "Mr. Zhang, I''m asking for leave today, so I won''t come."


    Teacher Zhang, with a confused look, nodded subconsciously.


    Gu Xinyue was about to graduate and came to help voluntarily.


    After Gu Xinyue left, Teacher Zhang looked around the office and said in amazement, "Who knows what Gu Xinyue is doing? I feel that he is very excited, and his mental state is not right!"


    Everyone shook their heads.


    But as you can imagine, this is definitely big news!


    ¡­


    On the Jinghua subway.


    Wang Zihao managed to grab a seat.


    Today, he is going to play in the real CS hall opened by his uncle.


    "Fuck!"


    "Fuck!!"


    ¡°¡­!!!¡±


    Seeing the news on WeChat on his mobile phone, Wang Zihao suddenly burst out with a few classic national curses.


    It is the rush hour of the subway, and the people around look at Wang Zihao like a fool.


    Wang Zihao didn''t know it, and was still immersed in the huge shock this news brought him.


    He was also a member of Lu Chen''s research team at the beginning, and he also participated in many projects when he was in Kyoto.


    It¡¯s just that due to the misalignment of his major, Wang Zihao later focused on his surgical major and did not continue to participate in Lu Chen¡¯s national natural project.


    But after joining the research team''s WeChat group, he never quit.


    At this moment, seeing the news of the success of Lu Chen''s dissertation, he has absolutely no idea of ??going to the real CS hall.


    At the next station of the subway, Wang Zihao got off and got on the return subway.


    ¡­


    Kyoto.


    "Jie Qing" offline defense meeting.


    In the field of medical cardiovascular, a total of 28 participants entered the final review.


    "Xiaoyao, I got the final news just now." Ou Yangming whispered, "There is one outstanding young man in the cardiovascular field this year!"


    Li Yao''s heart suddenly sank to the bottom.


    This also means that she has to take the first place among the twenty-eight people.


    In this way, it is possible to get this year''s "Outstanding Youth"!


    The order of defense will be determined by drawing lots.


    Li Yao is the twentieth!


    "Xiao Yao, just do your best." Professor Ouyang Ming patted Li Yao on the shoulder, he also knew that the current situation was not optimistic.


    If you want to stand out from the encirclement, it can be said to be a **** level difficulty.


    ¡­


    Li Yao sat in the rest preparation room and watched the PPT content over and over again.


    "Oh, what a coincidence, isn''t this Professor Ouyang and your beloved disciple?"


    The sudden voice made Ouyang Ming and Li Yao stunned.


    Following the sound, it was Professor Yang Feng from Kyoto University.


    Beside him was a young man of about thirty-four or five years old.


    If Lu Chen was present, he would definitely recognize that this young man was Yu Weiguang!


    "Yang Feng, you have enough places in the capital, and you still have to grab the remaining places?" Ou Yangming''s face was extremely ugly.


    Every year, Kyoto University has the largest number of "Outstanding Youth" places, and there are about ten places predetermined in advance.


    "What is robbery?" Yang Feng smiled, "Outstanding youth, talented people are the ones who are the best! We participate in the evaluation based on our strength, why is it called robbery?!"


    Li Yao glanced at Yu Weiguang, bit her lip, and did not speak.


    She knew about this applicant from Kyoto before.


    His resume is quite scary!


    Yu Weiguang, not only has the experience of learning from the top international leaders in the cardiovascular field, but also published a 20-point top journal paper as the first author!


    With his background blessing, the chance of getting this place is the highest among all!


    "Professor Ouyang, don''t say more, let''s meet at the defense meeting!"


    Yang Feng waved at Ou Yangming and left with Yu Weiguang.


    ¡­


    Ten minutes later, the Jie Qing defense will officially start!


    Several applicants who have just started their defense, the defense content is quite satisfactory.


    The previous research results were almost the same as Li Yao, which made her feel a little relaxed.


    "The fifteenth respondent comes on!"


    It''s Yu Weiguang''s turn!


    With absolute confidence on his face, he slowly walked to the defense stage.


    "Dear judges, this time my application topic is about ion channels..."


    Ten minutes later, Yu Weiguang''s speech ended.


    All other applicants looked extremely ugly.


    Yu Weiguang''s performance is too amazing!


    His research results, that 20-point SCI paper, have already surpassed theirs by a grade.


    Whether it is from research innovation or the effectiveness of content, it is basically the best in the audience!


    Applicants who have not yet played have heavy weights in their hearts.


    Everyone knows that this time there is only one outstanding quota left!


    It can be seen now that this last place seems to have a master...


    "Lian Po is old! The students he brought out are only at the level of not entering the stream..."


    Yang Feng looked at Ou Yangming, whose face was ashen, and the corners of his mouth could not help twitching.


    "Twenty Respondents Ready!"


    As the staff''s voice sounded, Li Yao took a deep breath, her eyes full of determination!


    She stood up, and in the eyes of everyone, she slowly walked to the defense stage.


    (end of this chapter)

 v2 Chapter 624： This is the truth (first update, last 100 votes)

    Chapter 624 This is the truth (first update, last 100 votes)


    Li Yao stood on the stage and started his speech.


    However, some people don¡¯t care.


    They have a certain understanding of their competitors.


    Li Yao from Jinghua can be regarded as the best seedling in Jinghua in recent years, but it is limited to Jinghua area.


    In the nationwide "Outstanding Youth" review, Li Yao''s strength can only be about medium.


    "Dear judges, this time my project title is Heart Failure and Metabolism..."


    As Li Yao¡¯s speech slowly unfolded, more and more applicants at the scene became interested in her speech.


    Everyone raised their heads, wanting to know more.


    Yang Feng had a surprised look in his eyes, but turned to a smile.


    "It''s a good idea, but its own hard power is still a little short..."


    Hard power, that is, whether the applicant''s previous research results can support this fund project.


    Li Yao''s current research results are still a lot worse!


    Yu Weiguang has been staring at Li Yao curiously.


    According to him, Lu Chen''s mentor was the woman in front of him.


    He originally thought that if he could teach a monstrous student like Lu Chen, his mentor should also be terrifying. Before, he could have his own shining point among the mentors.


    But listening to Li Yao''s speech, although it is creative, it is far from what Yu Weiguang imagined.


    "Lu Chen''s mentor, at this level?"


    Yu Weiguang couldn''t believe it.


    Suddenly, he smiled again.


    Who said that the strength of a tutor must match that of the students?


    "Let''s just say, if Jinghua can produce a Lu Chen, that''s already burning incense." Yu Weiguang secretly said in his heart.


    ¡­


    on the podium.


    Li Yao gave a calm speech, explaining the overall idea of ??her project to everyone.


    However, when she saw Professor Ouyang Ming''s solemn gaze, she knew that her project still had some fatal flaws!


    Li Yao''s speech is coming to an end.


    Everyone bowed their heads one after another, having already concluded that Li Yao was out of the game.


    is another escort!


    Yang Feng even looked at Ou Yangming with the smile of a winner on his face.


    At this time, Li Yao''s voice continued to echo in the hall.


    "Finally, I would like to introduce the preliminary research results of this project..."


    On the stage, the PPT page switches...


    Suddenly, a red, eye-catching English word appeared in everyone''s sight.


    "What...is this "Circulation"?"


    Yu Weiguang has been following Li Yao''s speech. At this time, the PPT page shows her published papers.


    The first paper was published in a journal, which is "Circulation"!


    Not only Yu Weiguang was dumbfounded, everyone else was dumbfounded!


    Don''t look at everyone''s top scholars of the young generation in China, but the threshold of "Circulation" is something that most people have not reached...


    Those who didn''t pay attention to Li Yao raised their heads one after another. When they saw the content of the PPT, their eyes widened and they asked the people around them what was going on.


    Yang Feng''s eyes also showed surprise and a trace of panic.


    "Circulation"?


    What is this situation?


    I have never heard that Huaxia has recently published top papers!


    Is it fake?


    Yang Feng shook his head again, cheating on this occasion is tantamount to "suicide"!


    The only possibility, this article was recently accepted by Circulation and has not been published by the magazine.


    But, is Li Yao capable of publishing papers of this level?


    Everyone is staring at the PPT on the wall, hoping that there is something wrong.


    But it backfired!


    Li Yao has clearly put the whole paper in front of everyone.


    "Circulation", the top journal in the international cardiovascular field, with an impact factor of more than 30 points!


    The situation is reversed in an instant!


    ¡­


    on stage.


    Li Yao still looks like a light cloud and wind, but in fact, her heart has long been full of ecstasy.


    The news of Lu Chen''s paper was also received by her two days ago.


    At that time, Li Yao had the same expression as everyone else, and was extremely surprised.


    But the most important thing is what Lu Chen said later: "Teacher, with this thesis, are you more likely to apply for Outstanding Youth?!"


    This made Li Yao''s mind instantly liven up again.


    Could it be that she can really catch the last train of "Jie Qing"?


    This paper immediately became her killer, but it could only be hidden in the dark!


    The news that the paper was published in "Circulation" was only circulated in a small area in Jinghua.


    The paper has not been officially published, and it is normal for other regions or schools not to know about it.


    ¡­


    Ou Yangming also knew this information for a long time.


    He also had a hard time hiding it!


    Especially when he saw Yang Feng''s ugly face, he felt very uncomfortable.


    But in order to let them relax their vigilance and not find a more powerful relationship to destroy the selection of the "Jiuqing" project, he can only bear it.


    Fortunately, looking at the current effect, it is already amazing!


    Professor Ou Yangming did not go to Yang Feng to be arrogant.


    is not to say how generous he is!


    However, the final result did not come out, and there is still the possibility of accident.


    ¡­


    Li Yao is gone.


    In the whole hall, the atmosphere is extremely solemn.


    The atmosphere was even more tense than when Yu Weiguang just came to power.


    Everyone recalled the content of Li Yao''s PPT in their minds, and a feeling of powerlessness slowly developed in their hearts.


    This is "Circulation"!


    Even many "outstanding young people" in the cardiovascular field have never reached the heights in their lives.


    The staff who presided over the defense was also stunned.


    Isn''t this a dimensionality reduction blow?


    When did "Jieqing" get mixed into something as strange as "Circulation"?


    For a while, the staff forgot to call the next person to prepare, and it was the reminder from the people around him that he swallowed, "Please prepare on the 21st!"


    ¡­


    Two hours later.


    The entire offline defense meeting is over!


    The expressions on everyone''s faces are extremely wonderful, some are happy, some are sad.


    "Professor Ouyang, congratulations."


    Yang Feng looked at Ouyang Ming with a half-smile.


    "The result has not come out, everything is still unknown."


    Ou Yangming held his hands behind his back, looking like he didn''t care.


    "Professor Ouyang, you are really humble, you have a "Circulation" in hand, what are you still worried about?"


    Yang Feng said slowly, with a smile on his face, which seemed a bit weird.


    Ou Yangming glanced at Yang Feng and said nothing.


    This kid is just disgusting.


    aside, Yu Weiguang''s face was indifferent, and he could not see any change in his expression.


    He glanced at Li Yao next to him, and suddenly said, "Professor Li, I remember this paper, did your student Lu Chen participate?"


    Others were amazed at Li Yao, but Yu Weiguang noticed Lu Chen.


    Lu Chen is the first author of this "Circulation".


    Moreover, as far as he knew, Lu Chen started to lead this project when he was in Kyoto, but later, due to some reasons, the cooperation with the various branches in Kyoto was forced to terminate.


    "Yes." Li Yao didn''t have any shyness, a smile appeared on the corner of his mouth, "The main contributor to this project lies in Lu Chen. As a mentor, I''m just dazzled."


    The surrounding scholars were all slightly startled.


    Are there any people who support their students?


    However, only Yang Feng, Yu Weiguang and others know that Li Yao is not boasting, it is the truth!


    Ask for a ticket


    (end of this chapter)

 v2 Chapter 625： Graduation destination! (Thanks to the God of Swallowing Food for the reward.)

    Chapter 625 Where to go after graduation! (Thanks to the God of Swallowing Food for the reward.)


    "Jie Qing"''s defense will end.


    The results of the defense will be announced one month later.


    Li Yao returned to Jinghua smoothly.


    In order to celebrate the publication of this "Circulation", Li Yao gathered all the members of the research team together and held a small celebration dinner.


    The final author ranking of this "Circulation" paper is-


    Corresponding author Li Yao.


    The first author Lu Chen, followed by Ke Yue, Gu Xinyue, Lin Qingping, Jiang Qingyan, Fang Hao, Sun Guoguo, Wang Zihao, Su Rui...


    As long as he contributed to the paper, Lu Chen included him in the list of authors.


    Then, according to the size of the contribution, the authors are ranked.


    Generally speaking, after the second author of the paper, it does not make much sense.


    Whether it is review, promotion, or fund application, only the corresponding author and the first author are counted.


    However, high-scoring papers are different.


    To be precise, it is very different!


    A high-quality paper, even if it is just a name, is glory.


    can be written in the resume, once participated in the work of a major project fund.


    For example, Lu Chen''s "Circulation", even the fourth and fifth authors are extremely valuable!


    Not to mention the second and third authors.


    ¡­


    at first.


    The publication of Lu Chen''s "Circulation" was only spread within a very small range.


    With the official publication of the paper, the research teams of Li Yao and Lu Chen officially entered the public eye.


    Jinghua Medical University also earned a lot of prestige for this.


    Jinghua Second Hospital.


    A girl''s dormitory in Guipei Building.


    The atmosphere in this bedroom is a bit dull.


    Suddenly, a fat-faced girl broke the silence.


    "Why don''t we let Qingping come back to live? She''s in the same dormitory now is Senior Sister Yansan. After Senior Sister graduated and moved away, the dormitory is also empty. It''s better to live with us, after all, they are all roommates."


    However, everyone was silent and no one responded.


    The publication of "Circulation" by Lu Chen''s team amazed everyone.


    This is no longer just a small fight for an ordinary team!


    This has touched the top international journals.


    It can be said that among the peers, there are very few people who can be named in this paper.


    Forget about the fourth author and the fifth author, give them a fifteenth author, and they are all excited to death.


    And now, their former roommate Lin Qingping is the fourth author of this "Circulation"!


    This kind of achievement can already ensure that the national scholarship is in her pocket.


    The fat-faced girl was a little embarrassed when she saw that everyone did not speak: "You make a statement, I will communicate with Qingping."


    When a girl heard this, her eyes suddenly lit up!


    "That...why you go and talk to Lin Qingping, if there is any experiment in the future, please take us with one."


    The fat-faced girl was stunned for a moment, but just as she was about to say something, she was interrupted by another girl, "Yes, I also want to say this, Lin Qingping must have a lot of experimental projects now, right? Bring us to publish a paper, and it will be solved after graduation! "


    A black line appeared on the forehead of the fat-faced girl, "Are you just thinking about your thesis?"


    "Otherwise, what are you thinking?" a girl asked in surprise, "After Lin Qingping comes back, what if he comes back so late in the middle of the night and makes us sleep?"


    The fat-faced girl was suddenly speechless, "You usually play games so late, do you need others to disturb you?"


    However, she spoke in a low voice.


    The other two dormitories were chatting and didn''t care about her at all.


    The fat-faced girl sighed slightly when she saw this, but she could only rot the proposal in her stomach.


    ¡­


    One month later.


    Kyoto came back with news.


    This year, Jinghua Medical University produced an unprecedented "Outstanding Youth".


    The news of ?? spread throughout Beijing in a very short time.


    Public "Jinghua" celebrates together!


    You must know that Jinghua has not produced a single "Outstanding Youth" for several years in a row!


    The appearance of ?? "Jiuqing" represents the hospital''s heritage and resources to a certain extent.


    Although Kyoto has not announced who it is, the answer is about to come out!


    Everyone thinks of that amazing research team, which has already made the world''s top results in less than two years.


    Sure enough, soon after, the list of "Outstanding Youth" was announced.


    Li Yao''s name is listed!


    "Li Yao, doctoral supervisor of Jinghua Medical University, research direction, heart failure and myocardial metabolism..."


    In an instant, everyone in Jinghua seemed to be talking about Li Yao.


    After tea and dinner, we talked about this new Chinese "Jiuqing".


    Li Yao''s status has also risen in Jinghua Second Hospital!


    From the ward director of the eight districts of the Department of Cardiology to the deputy director of the General Department of Cardiology, his status is second only to Cao Zhiying, the director of the Department of Cardiology!


    For a time, Li Yao''s popularity reached its peak in the Second Academy of Jinghua.


    And those rumors about Li Yao in the past also disappeared in an instant.


    Secondly, when everyone talks about Li Yao, they will definitely talk about Lu Chen.


    Some people say that Li Yao is a good mentor and has taught a medical genius that is rare in a century.


    Some people say that Lu Chen is Li Yao''s lucky star. After Lu Chen came, Li Yao''s status skyrocketed! Scientific research results are also endless.


    Some people say that Li Yao''s current "excellent youth" is all because of Lu Chen''s secret help.


    Later, it became more and more evil, saying that Lu Chen was Li Yao''s son...


    However, Lu Chen, the party involved, was caught in a happy "trouble"


    ¡­


    As time goes by, Lu Chen and others are approaching graduation!


    Looking at the letters on the table "rejecting the doctor" from dozens of medical colleges, Lu Chen picked it up.


    While others are still struggling to get a doctorate position, Lu Chen is already "extremely rich".


    The top universities in the country, let them choose!


    He guessed right!


    Since the official publication of the "Circulation" paper, the conditions promised by various colleges and universities to Lu Chen have become more and more generous!


    Even the Kyoto University School of Medicine, who has always been stingy, even gave it directly. After two years of doctorate graduation, he will be given the title of associate professor!


    This is the top Kyoto University in China, not a second- or third-rate university!


    The importance of ?? his job title is self-evident.


    But what moved Lu Chen''s heart was that in addition to Kyoto, the conditions of another university were also extremely attractive!


    That is also the top medical school in China - the Medical School of Magic University!


    Modu not only promises to stay in school after graduation to give the title of associate professor.


    even promised that Lu Chen would be able to form his own research and development team from now on, and the hospital would provide a corresponding experimental site.


    This condition is almost the existence of the ceiling!


    Lu Chen, as a student who has just graduated with a master''s degree, can form his own team at school, which is unprecedented.


    It can be seen from this that Modu University values ??Lu Chen.


    Moreover, Magic City University is not bad at all!


    ¡­


    Jinghua Second Hospital.


    Lu Chen and Gu Xinyue walked side by side on the path of the hospital.


    "Hey, Lao Gu, do you think I should choose Kyoto or Magic City?"


    Gu Xinyue looked at Lu Chen with "contempt", "Don''t need Versailles!"


    "No!" Lu Chen spread his hands and sighed, "I''m just chatting with you normally..."


    "Hey, Lao Gu, don''t go!"


    Gu Xinyue suddenly quickened her pace, trying to get away from this Versailles guy.


    Lu Chen was chasing after him, "You said that I have so many acquaintances in Kyoto, so it''s easy to do things when I go there. But the conditions in the magic capital are too tempting!"


    Gu Xinyue stopped and said lightly: "Sometimes, changing the environment may produce different chemical reactions."


    "Hey hey." Lu Chen glanced at Gu Xinyue in amazement, "Old Gu, when did you say such profound and profound words?!"


    Gu Xinyue''s mouth twitched, and she ignored Lu Chen.


    "Lao Gu, listen to me..."


    ¡°¡­¡±


    ¡­


    After repeated consideration by Lu Chen.


    In the end, he refused the invitation of Kyoto University!


    Instead, I chose the medical school of Modu University, which is also a top medical school!


    Lu Chen''s doctoral career for the next three years will be spent at the Medical School of Modu University


    ps: Don''t link the strength of the school in the book to reality.


    Thank you for your monthly pass, it¡¯s hard work.


    Work during the day and update at night.


    So you can only have more when you have a rest.


    But on the day we rested in the hospital, we still had to come to the hospital for ward rounds in the morning. In fact, we only had half a day of rest time.


    (end of this chapter)

 v2 Chapter 626： Go to Magic City

    Chapter 626 Going to the Magic City


    Lu Chen spent a few days making detailed plans for his future career.


    Dr. ?? is a very important part of the plan!


    This stage basically determines the future development direction.


    During this period, he not only wanted to further improve the level of clinical diagnosis and treatment, but also began to get involved in a deeper scientific research and academic circle.


    ¡­


    A few days later, the master''s graduation defense is over.


    Lu Chen''s dissertation successfully won the title of "Excellent Graduation Dissertation at the University Level".


    After all, he is now a leading researcher in the field of his dissertation.


    This "Circulation" paper can bring Lu Chen and Li Yao far more than that.


    Lu Chen''s original idea was to do a study that could change the clinical treatment guidelines.


    Now that the project is over, the paper has been successfully published in "Circulation", and there has been a voice in the academic circle to further enhance the status of Dapagliflozin!


    However, the next thing is the in-depth cooperation between Li Yao and AstraZeneca.


    After all, on the bright side, Li Yao is the top executor of this project!


    Eight districts in the heart, in the director''s office.


    Li Yao looked at the boy in front of her with a lot of emotion in her heart.


    Who knew that the students who were transferred to him three years ago could actually achieve this level? !


    Even with himself, he enjoys the huge benefits brought by Lu Chen, and now he has become the only "Outstanding Youth" in the hospital!


    "Lu Chen, have you decided to go to the magic capital?"


    Li Yao had a smile on the corner of her mouth.


    She was not surprised by Lu Chen''s choice.


    Across the country, Jinghua is just an unremarkable little place.


    Kyoto and Magic Capital are the cities with the fastest medical development in China.


    There are top doctors and researchers there!


    There is the vast sky where Lu Chen can fly freely.


    "Yes, I''ve thought about it." Lu Chen smiled, "Modu offers the best conditions, and Magic Capital is at the top level in the country in the cardiovascular field."


    "Well." Li Yao nodded, "I have a few classmates in Mo, I will say hello when the time comes. If you have anything, you can find them."


    "Okay, thank you teacher."


    Lu Chen was also not polite.


    "If you have any difficulties in the future, come to me anytime, come back anytime!"


    "it is good!"


    After chatting for a while, Lu Chen left.


    Go back to the bedroom.


    He informed his father, Lu Wenguo, who was far away in his hometown, that he was going to the magic capital.


    ¡­


    Binh Duong Central Hospital.


    General surgery, doctor''s office.


    Today happens to be Lu Wenguo on duty.


    When Lu Wenguo received a call from Lu Chen, he was still a little stunned, "Son, are you going to do a Ph.D. at Modu University?"


    Some time ago, Lu Chen mentioned it to them.


    But Lu Wenguo didn''t care, thinking that Lu Chen just had this idea.


    How long did it take for this to become a reality? !


    "Well, Dad, I''ve already thought about it." Lu Chen said slowly, "The magic is the ceiling of Huaxia Medical. I''ll go there to further my studies."


    "Okay, Dad supports you!"


    Lu Wenguo has long since looked away, and no longer thinks about him returning to his hometown of Binh Duong to work.


    Lu Chen is the pride of the family, the first doctor in the Lu family!


    If you say this, you can save face.


    "What time are you going home?"


    "Next month." Lu Chen thought about it for a while, "After the defense is over, there is still a final exam for the training program. After the exam, I will go home and live for a while."


    "Well, give your mother a call when you have time."


    "it is good."


    Lu Wenguo hung up the phone with a happy look on his face.


    They knew that Lu Chen was very good at Jinghua Medical University, and as a representative, he went to Kyoto for exchange for half a year.


    But successfully admitted to the Ph.D., still makes Lu Wenguo very proud!


    "Director Lu, why are you so happy?"


    Beside ??, Wu Yun, a resident doctor in the department, asked with a smile.


    Lu Wenguo smiled, "Lu Chen was admitted to the Ph.D. of Modu University!"


    Wu Yun was stunned for a moment, then smiled and said, "Lu Chen is really amazing! I have long said that he is smart, Director Lu, your family is lucky."


    Hearing Wu Yun''s compliments, Lu Wenguo''s face kept smiling.


    Although masters are everywhere now, doctors are still scarce.


    In their county-level city hospital in Binh Duong, the entire hospital does not have a doctor.


    "But..." Wu Yun suddenly frowned and said, "I remember that the results of the doctoral general admissions exam haven''t come out yet, right?"


    "Lu Chen is qualified to be exempted."


    Having said that, Lu Wenguo straightened his back even more.


    Wu Yun was even more surprised when he heard this.


    Recommended doctor, this kind of gold content is not comparable to the unified recruitment or application assessment system!


    Those who are eligible for exemption are all outstanding among their peers, or have made good research and development results, and can directly study for a doctorate without taking an exam, and the tutor can choose at will.


    "Director Lu, Lu Chen''s future is limitless!"


    Wu Yun smiled, then thought of himself again.


    After taking the postgraduate entrance examination for three consecutive years, I didn''t even pass the line in the B district...


    "The last year of the test!" Wu Yun secretly said, "If you don''t pass the test, just be a salted fish."


    ¡­


    One month later.


    Jinghua Medical University''s training exam is over.


    Lu Chen''s research team members will soon go their separate ways.


    On the first night before parting, everyone had a dinner together.


    In addition to Lu Chen''s accident, Ke Yue also received doctoral exemption notices from several universities.


    To Lu Chen''s surprise, Ke Yue also chose Modu University in the end.


    Of course, Moduo did not impose any additional conditions.


    Gu Xinyue chose to go to Kyoto University School of Medicine.


    Wang Zihao was arranged by his family to study in Germany.


    In addition, Lu Chen''s best friend Zhou Wei, he has no plans to continue his Ph.D.


    Perhaps because of his mentor, he lost the idea of ??continuing to be in the academic circle.


    After graduating, Zhou Wei found a job at a tertiary hospital near his home through his relationship. It was a relatively stable job.


    Those who have not graduated yet, continue to study with Li Yao in Jinghua.


    Lu Chen, a national nature project, still has a lot to explore.


    However, Lu Chen did not intend to continue his in-depth research.


    Dapagliflozin, after all, is a foreign imported drug!


    No matter how you study, there are certain limitations, and it is impossible to break through the blockade of foreign medical technology.


    Lu Chen''s eyes turned to the field of medicine, not just medicine!


    ¡­


    returned to his hometown of Binh Duong.


    Lu Chen started a rare holiday.


    In the three years of his master''s degree, Lu Chen has been struggling with clinical and scientific research, and it is rare to have such a rest.


    Sleep until you wake up naturally every morning, get up to eat, make a cup of tea, watch the latest movie, and then go for a walk in the nearby park.


    This kind of comfortable, stress-free life made Lu Chen feel extremely comfortable.


    For a moment, he even thought that without the help of the system, after graduation, he might have returned to Pingyang and lived such a comfortable life.


    But no if...


    After the holiday, Lu Chen said goodbye to his parents, packed his luggage, and headed to the Huaxia Economic Center - Magic Capital.


    ps: Next is a new one, Lu Chen''s career as a Doctor of the Magic Capital.


    Of course, it is mainly dealing with clinical, scientific research is second.


    (end of this chapter)

 v2 Chapter 627： Mentor selection

    Chapter 627 Mentor Selection


    Modu University School of Medicine, one of the most prestigious medical schools in China, has had many discipline founders.


    Whether it is clinical diagnosis and treatment or scientific research, Modu University School of Medicine is the top in China!


    However, compared to the Kyoto University School of Medicine, the background and social influence of the magic capital are still slightly insufficient.


    ¡­


    When Lu Chen arrived in the magic capital, it happened to be four o''clock in the afternoon.


    Go out of the airport lobby.


    Lu Chen saw Dong Hao approaching.


    "Senior brother, didn''t I say I don''t need to pick it up?" Lu Chen smiled.


    Dong Hao in front of him is exactly the senior Lu Chen met when he was in the second hospital of Jinghua.


    At that time, Dong Hao was only a regular trainee. After graduation, he was admitted to the medical school of Modu University.


    "Oh, what''s the matter? It''s your first time in the capital, so you may not be familiar with it." Dong Hao took the bag from Lu Chen''s hand with a smile, "I''ll take you back to school quickly, maybe the logistics haven''t finished get off work yet, You can still apply for a dormitory, so you don''t have to live out tonight."


    "Excuse me, Brother Dong."


    "Hey, I haven''t seen you for a year or two, why have you become so polite?" Dong Hao patted Lu Chen''s shoulder, "If it wasn''t for your help, I wouldn''t have been able to study with peace of mind. What about the two."


    In those days, Dong Hao had a sudden onset of speed in the room, and it was Lu Chen who paid for the medical expenses and asked him to have the surgery.


    "Okay, Senior Brother, then I won''t be polite to you."


    Lu Chen said with a smile, he knew that Senior Brother Dong Hao was straightforward, so he no longer struggled with these small issues.


    Hearing this, Dong Hao grinned.


    Then, Lu Chen followed Dong Hao on the airport bus.


    The two found an empty seat, placed their luggage, and sat down.


    "By the way, Ke Yue came here last week." Dong Hao smiled, "Ke Yue is also really good, I really didn''t expect her to be eligible for a doctor''s exemption."


    Lu Chen''s excellence, Dong Hao is very clear, he can get the exemption qualification, that is quite normal.


    But Ke Yue... That stupid girl, who didn''t even know the electrocardiogram of atrial fibrillation on the first day of admission, was actually able to get the doctoral exemption qualification of Modu University after three years!


    This is something Dong Hao never expected!


    Is the threshold for doctoral exemption qualifications so high now?


    Dong Hao thought of this and heard Lu Chen say: "Senior brother, don''t underestimate Ke Yue, she is talented in scientific research."


    After ?? finished speaking, Lu Chen smiled.


    He suddenly thought of the days when the Jinghua research team worked together day and night.


    "Then I have time to ask her about scientific research." Dong Hao said in surprise.


    Since Lu Chen said so, it seems that Ke Yue has changed a lot.


    Dong Hao studied for a master''s degree because he had already trained.


    Undergraduate and professional masters are different, they stay in the laboratory every day.


    Dong Hao came to Magic Capital for a year, but in terms of scientific research, he did not produce many papers. He just followed his mentor and posted a few core papers.


    ¡­


    More than an hour''s drive.


    Lu Chen and Dong Hao came to the First Affiliated Hospital of Modu University.


    The hospital logistics office has not closed yet.


    Dong Hao took Lu Chen to the logistics office, took out the doctoral admission letter, and applied for a two-person dormitory.


    "Your doctor''s accommodation is still good!" Dong Hao envied, "Our masters are all four-person rooms, and there are some six-person rooms."


    Lu Chen smiled and said, "Senior brother, in two years, you will be able to live in with a doctorate."


    "Hey." Dong Hao shook his head slightly, "I am self-aware of myself, and I just mix my master''s degree until I graduate."


    Lu Chen smiled and said nothing.


    The two soon came to the doctoral student dormitory.


    Dong Hao helped Lu Chen move the luggage into the bedroom.


    "Senior brother, is there a supermarket nearby?"


    Lu Chen only brought some clothes.


    Others, such as toiletries and bedding, need to be temporarily purchased.


    "Yes, there is a big supermarket at the back of the hospital." Dong Hao said, "Let''s go to dinner first, and then I''ll take you to the supermarket."


    "Okay." Lu Chen nodded slightly.


    The two of them just walked out of the dormitory building.


    The cell phone in Lu Chen''s pocket rang.


    took a look, Lu Chen smiled, it was Ke Yue who called.


    "Hey, Lu Chen, are you in the magic capital?" Ke Yue''s voice came from the phone.


    "Just arrived." Lu Chen smiled.


    "Where are you now?" There was a hint of excitement in Ke Yue''s voice.


    "Just in front of the doctor''s dormitory in the hospital, I''m going to have dinner with Senior Brother Dong Hao."


    "Are you at the hospital?! Wait a minute, I''ll be there soon."


    Hearing the busy tone on the phone, Lu Chen couldn''t help but shake his head with a smile.


    Ke Yue is usually quite calm, how dare he be so reckless today.


    Less than five minutes.


    Lu Chen saw a familiar figure coming downstairs from the doctor''s dormitory, it was Ke Yue.


    She was wearing a short skirt with a ponytail and a sweet smile on her face.


    trot all the way to Lu Chen''s side, Ke Yue''s face was slightly rosy.


    "Lu Chen, you are here."


    "Well." Lu Chen nodded slightly, "You also live here?"


    "Yes, I am also a doctor." Ke Yue pursed her lips and smiled, "I am on the fifth floor, which floor are you on?"


    "Second floor." Lu Chen said.


    "Yes." Ke Yue then looked at Dong Hao, "Hello, senior brother."


    "Hello, junior sister." Dong Hao replied with a smile, "You shouldn''t have had dinner, let''s go eat together, wash the dust for Lu Chen, and welcome him to the magic capital."


    "Senior brother, let me invite you." Lu Chen said, "You have helped me so much today."


    More importantly, he is not short of money.


    Brother Dong Hao''s family situation, he knows.


    "Hey, it''s your first time in the capital, so there''s no reason for you to have a dinner." Dong Hao pretended to be angry, "I must come to invite this meal, or I won''t go!"


    When Lu Chen saw this, he could only nod helplessly.


    ¡­


    The three found a small restaurant near the hospital and ordered several famous local dishes.


    The three of them ate while recalling the interesting past when they were studying in Jinghua Second Academy.


    "You don''t know what Director Lin Cui of the eight districts in your heart looks like when she is angry, everyone is really frightened." Dong Hao recalled, "We were really afraid of her at that time."


    "Well, this, I''m too impressed." Ke Yue nodded slightly.


    She was scolded on the first day she came to the department, and the perpetrator was Director Lin Cui.


    "Yes, Director Lin Cui is still very good to patients..."


    After chatting ??, the topic returned to Lu Chen.


    "Lu Chen, which tutor did you choose?" Ke Yue asked curiously.


    Dong Hao also turned to look at Lu Chen.


    Lu Chen took a sip of water and said slowly, "I chose mentor Zhang Shuqing."


    Ke Yue was taken aback, Zhang Shuqing?


    She carefully searched for the name in her mind, but she had never heard of it...


    Shouldn''t Lu Chen choose a big guy to be his mentor?


    Such as dean, chief director level.


    How did you choose an unknown mentor?


    (end of this chapter)

 v2 Chapter 628： Lu Chens ambition

    Chapter 628 Lu Chen''s Ambition


    "Ke Yue, it''s normal for you not to know." Lu Chen said softly, "He was promoted to doctoral supervisor just last year."


    Lu Chen has also considered for a long time about the choice of a mentor.


    There are many types of tutors in universities.


    The first type of ?? is an academic leader, who has been famous for a long time, and has his own research team, with many students and many projects. However, such bosses generally do not manage students themselves.


    The second type is the old fritters in the academic circle, which has a certain influence, but it is impossible to continue to climb up. There are some items in hand, but they are all less important.


    The third type, new tutors, do not have much influence in the academic circle, even few people know about them, and there are not many students under them.


    But these tutors are generally young, communicate with students a lot, and have more passion in their work. Moreover, many new mentors are very powerful. It''s just because he is young, not many students know about it.


    Lu Chen checked the tutor team of the Medical College of Magic Capital University.


    There are many doctoral supervisors in Cardiology, among them the chief director is a famous man in the whole country, even as famous as Yang Feng, Ouyang Ming and others.


    If you choose such a big-caliber tutor, you may be more helpful on the academic road, but under his hands, there will be many restrictions.


    Because the boss has a lot of research projects, there is very little room for Lu Chen to play freely.


    Thinking about it, Lu Chen still chose Zhang Shuqing, a doctoral supervisor who was newly promoted last year.


    Of course, he communicated with Zhang Shuqing beforehand.


    After Lu Chen fully expressed his wishes, Zhang Shuqing also said that he would give him enough space for scientific research.


    This also allowed Lu Chen to make a decision, and finally chose Zhang Shuqing.


    "Lu Chen, I''m actually curious, why don''t you study abroad?" Dong Hao wondered, "With your conditions, it should be very simple to want to study abroad."


    Ke Yue also echoed, "I heard that Wang Zihao has all gone to study in Germany. If Lu Chen wants to go, he can."


    Lu Chen smiled slightly.


    "Of course I have thought about this question. The scientific research environment in foreign countries is much better, and many cutting-edge R&D teams are located in Europe and the United States. There is still some gap between China and Europe and the United States in terms of scientific research and academic environment."


    "However, I don''t want to go to a foreign laboratory, I want to set up my own Huaxia R&D team, just like when I was in the Jinghua Second Institute."


    Lu Chen glanced at Ke Yue and Dong Hao, and said sternly, "Are Chinese people worse than Europeans and Americans!"


    Hearing Lu Chen''s words, both Ke Yue and Dong Hao were startled, and they felt extremely shocked.


    Those who do scientific research naturally understand the gap between China and Europe and the United States.


    The top academic journals and clinical guidelines are all foreign.


    If you want to learn medicine well, English ability is essential. The latest guidelines and literature are published in foreign journals.


    China''s top journal, with an SCI impact factor of less than eight!


    While they were still pursuing their own interests, Lu Chen''s ideas had reached a far-reaching level.


    Actually, Lu Chen didn''t say anything.


    For him now, there is not much difference in any hospital.


    He believes that he has the ability to lead Huaxia''s medical career to take off!


    Dong Hao couldn''t help swallowing when he looked at Lu Chen, who was full of pride.


    At this moment, he admired Lu Chen from the bottom of his heart.


    "Lu Chen, I believe you can do it!" Ke Yue said.


    She looked at Lu Chen and had no reason to trust him.


    Just like when she joined Lu Chen''s research team, although there are many difficulties and obstacles ahead, she just keeps pushing forward!


    Dong Hao also pursed his lips and said half-jokingly, "Lu Chen, in the future you will become a doctoral supervisor. You have to leave me a doctoral student seat!"


    Lu Chen smiled and shook his head, but did not answer.


    Today''s words are also the first time he has said them in front of others.


    The ambition and ambition in my heart were displayed so clearly for the first time.


    The following dinner, the three of them chatted slowly, like old friends who hadn''t seen each other for many years.


    Lu Chen and Dong Hao were chatting while Ke Yue occasionally said a few words beside him.


    After dinner, Dong Hao rushed to check out, Lu Chen helplessly spread his hands, so he had to go back next time.


    After paying the bill, Lu Chen went to the nearby supermarket to buy daily necessities, and then went back to the bedroom.


    The three separated in front of the doctor''s dormitory.


    Dong Hao lives in the dormitory building for graduate students, which is another area of ??the hospital.


    ¡­


    Lu Chen returned to the bedroom.


    The other bed in the bedroom is empty, and no one has come yet.


    Being alone in a single room made Lu Chen feel much quieter.


    After making the bed and washing up, Lu Chen went to bed.


    Tomorrow, he will also go to tutor Zhang Shuqing.


    Although the school hasn''t started yet, it still depends on what arrangements he has.


    was speechless all night.


    The next day.


    The Cardiology Department of the First Affiliated Hospital of Modu University, including CCU, has a total of six wards.


    Zhang Shuqing is currently the deputy director of the second ward.


    Lu Chen came to the ward very early to wait.


    The style of the ward here is similar to that of Kyoto. There are more than 60 beds in the entire ward.


    "Hello, who are you looking for?"


    In the door of the doctor''s office, the attending doctor Jiao Jingqiu asked.


    Seeing Lu Chen waiting outside the door for a long time, she thought it was a family member of a certain patient.


    Lu Chen quickly explained his purpose, "Hello, teacher, I''m a student of Zhang Shuqing''s tutor, and I just came to report today."


    "Oh." Jiao Jingqiu smiled, "You came too early, it''s only seven o''clock, Director Zhang will come at about seven thirty, go to the office and have a seat."


    "Thank you, teacher." Lu Chen walked into the office, found an empty seat and sat down.


    "Are you a master student this year?" Jiao Jingqiu asked proactively.


    "No." Lu Chen smiled and shook his head, "I am Teacher Zhang''s doctorate this year."


    Jiao Jingqiu was slightly surprised, "Are you the doctor who was dismissed by Teacher Jiao?"


    "If there is only one doctor to be dismissed, it should be me." Lu Chen smiled.


    Jiao Jingqiu couldn''t help looking up and down at Lu Chen.


    It must be unusual for such a person to be able to obtain a doctorate exemption from Modu University.


    Either the second generation of studies, or the outstanding scientific research ability!


    Which kind of Doctor Zhang''s doctor will he be?


    Just then, a patient in a hospital gown suddenly walked into the doctor''s office.


    His face was not very good-looking, and he was holding a medicine box in his hand.


    "Doctor Jiao, you are here, I just happened to ask you something."


    Jiao Jingqiu looked back and frowned: "Uncle, I didn''t tell you, you have an acute myocardial infarction this time, just two days after the operation, you need bed rest, you can''t run around!"


    "I know this, let''s not talk about this first." The patient took out the medicine box in his hand and handed it to Jiao Jingqiu, "Doctor Jiao, the medicine you prescribed me is hypoglycemic, I don''t have diabetes, why did you prescribe it for me? This medicine?"


    There was a hint of anger in the patient''s voice.


    Lu Chen looked at the patient''s medicine box.


    This medicine box, Lu Chen is extremely familiar with, is exactly the "dapagliflozin" involved in other countries'' natural projects!


    (end of this chapter)

 v2 Chapter 629： Found a treasure!

    Chapter 629 Found a treasure!


    Dapagliflozin, the current indication on the instructions, is only for type 2 diabetes.


    The patient looked angry and puzzled, "Is this a mistake in your work? If I didn''t see the instructions on the medicine box, did I take this medicine?"


    Jiao Jingqiu approached the medicine box and said quickly, "Uncle, this medicine in your hand is not only a medicine for diabetes!"


    "In addition to myocardial infarction this time, you have some complications after myocardial infarction, such as heart failure. This dapagliflozin can treat heart failure."


    The patient is still full of disbelief, "But I just read the drug insert, and it doesn''t say that it can treat heart failure?"


    "Can''t you just read the instructions?" Jiao Jingqiu explained, "The indications of many drugs are very broad, not only limited to the instructions of the drugs. You can check online about Dapagliflozin''s treatment of heart failure."


    "There is also a recent study. Among the Chinese people, this drug can prevent the occurrence of heart failure after myocardial infarction."


    "Really?" The patient looked at the medicine box, and his tone was much better than before.


    "Really!" Jiao Jingqiu said, "This medicine was prescribed to you by our director. During the rounds this morning, I will explain it to you again by the director."


    "The director opened it, that''s understandable." The patient nodded slightly, "Then I''ll take one now?"


    "Of course you have to eat!"


    Jiao Jingqiu patiently explained to the patient twice, and the patient returned to the ward with the medicine box.


    ¡­


    "Huh... It''s finally resolved."


    Jiao Jingqiu breathed a sigh of relief.


    This is the work of clinical practice, and many times it is to communicate with patients.


    Because doctors and patients have differences in access to information, doctors often occupy the initiative, so it is more necessary to communicate effectively with patients.


    "Teacher, your communication skills are really strong, you convinced the patient at once." Lu Chen smiled.


    "I''m just telling the truth." Jiao Jingqiu smiled, "Dapagliflozin is a drug that can treat heart failure in the first place. There is a paper in the latest "Circulation", which was published by Chinese people, and the research happened to be Dapagliflozin. net preventive effect on heart failure."


    "This paper, you should have read it?"


    Lu Chen was stunned for a while, his expression a little unnatural, "That... I''ve seen 100 million points."


    Jiao Jingqiu just nodded slightly, "Well, not bad. You have also read this latest literature, which proves that you still pay more attention to the knowledge of the frontier of scientific research."


    "Slightly concerned." Lu Chen just smiled and echoed.


    Jiao Jingqiu chatted with Lu Chen a few words, and then went back to his own business.


    ¡­


    Around half past seven, Zhang Shuqing finally arrived!


    Lu Chen had seen Zhang Shuqing''s photo on the official website of Modu University before.


    Lu Chen recognized him the moment he walked into the doctor''s office.


    Zhang Shuqing is of medium build, with eyes and a kind smile on his face.


    "Hello Mr. Zhang, I''m your doctor this year, Lu Chen."


    The moment Zhang Shuqing saw Lu Chen, the smile on his face became even wider.


    "School hasn''t started yet? It''s so early? Is there a dormitory?"


    Lu Chen''s resume has been read, and it is even more gorgeous than the resumes of ordinary tutors!


    For example, most of the supervisors did not have the ability to publish the "Circulation" paper with a high SCI impact factor of 30.


    In addition to this top journal paper, Lu Chen also has three other SCI papers, two with a score of five, and one with a score of 12. The quality of these papers is quite high!


    Zhang Shuqing has published many papers. Currently, there are more than 20 SCI papers, but the highest-scoring papers he has published in the past are only 25 points.


    However, Zhang Shuqing also had many questions in his heart.


    At Lu Chen''s age, to be able to publish a paper in such a top journal, would it be a "second generation of learning"?


    It is extremely difficult to publish such a paper if there is no support behind it.


    Lu Chen didn''t know what his mentor was thinking, so he responded with a smile: "Mr. Zhang, I have already applied for a dormitory in the magic capital that I arrived yesterday. I want to come to the hospital early so that I can adapt to the environment in advance."


    "Well, the idea is good." Zhang Shuqing nodded slightly, "Come with me to the office."


    ¡­


    deputy chief''s office.


    Zhang Shuqing opened Lu Chen''s resume again.


    Every time he saw this resume, he was amazed.


    "Has published four SCI papers, won the championship in the National Medical Skills Competition, the fifth place in the National Electrocardiography Competition, and won several national scholarships..."


    Zhang Shuqing raised his head slightly and saw Lu Chen''s slightly immature face.


    "Student Lu Chen, once again welcome you to join our team!"


    Lu Chen smiled, "Mr. Zhang, it''s my honor to join your team."


    Zhang Shuqing nodded slightly, "However, I have always had a question in my heart."


    Having said this, Zhang Shuqing paused.


    "Teacher, please speak." Lu Chen said.


    Zhang Shu cleared his throat, looked at Lu Chen, and said solemnly, "Why did you choose me?"


    Logically speaking, Lu Chen''s resume is so excellent, and he is a doctor who should be dismissed. He should be able to choose the highest-level cardiologist, right?


    Lu Chen had long thought that Zhang Shuqing might ask such a question.


    The answer cannot be the same as yesterday''s yes.


    "Mr. Zhang, I have actually read your resume." Lu Chen smiled, "Although you are a new supervisor, your current research results are unique in the academic circle in terms of clinical and scientific research."


    "Especially in percutaneous valve intervention, your research should be regarded as the top in China. I am very interested in this aspect, so I chose you."


    Zhang Shuqing became interested when he heard Lu Chen''s words, "Are you studying cardiovascular pharmacy? Do you know anything about interventional therapy?"


    Lu Chen didn''t speak, just took out a certificate in his backpack.


    Zhang Shuqing was a little curious and took over this certificate.


    After seeing the content of the certificate, his pupils shrank slightly, and he said in shock, "This is the certificate of completion of the Kyoto Institute of Electrophysiology?"


    Lu Chen smiled and nodded.


    "Lu Chen, you...how did you have this certificate?" Zhang Shuqing swallowed.


    This certificate represents the highest level of electrophysiology among the young generation in China!


    is issued every two years, with less than five copies issued each time!


    "Teacher, don''t you have my resume in your hand?" Lu Chen pointed to the resume on the table, "It says yes."


    Zhang Shuqing hurriedly picked up his resume and studied it carefully. Only then did he see the inconspicuous position at the end of the resume, with a line of small characters.


    "Studied at Kyoto Institute of Electrophysiology and received a certificate of completion from Kyoto Institute of Electrophysiology..."


    The main reason is that Lu Chen has won honors and published too many papers, and Zhang Shuqing didn''t notice this at all before.


    If ordinary people could get this kind of certificate, they would have placed it in the most conspicuous position.


    Lu Chen is actually placed in this kind of corner? !


    Zhang Shuqing was secretly shocked.


    If the paper can be published for him by someone else, then this certificate is different.


    This is the real thing, and you have to pass the strictest assessment to get it!


    Those who have obtained this certificate are basically the backbone of the electrophysiology field in Huaxia, and their future achievements will definitely not be bad!


    Zhang Shuqing''s eyes on Lu Chen changed!


    His eyes were full of amazement, admiration, and a hint of joy.


    I found a treasure!


    (end of this chapter)

 v2 Chapter 630： A nice lad!

    Chapter 630 A nice guy!


    Next, Lu Chen had a more in-depth exchange with his new mentor Zhang Shuqing.


    Zhang Shuqing''s main research direction is still in the field of interventional therapy, including the currently relatively hot interventional therapy for valvular disease.


    In the past, valvular diseases, such as valvular stenosis, required surgery through thoracotomy, but now it is different. It can be treated with minimally invasive interventional therapy without thoracotomy.


    With the development of social economy, minimally invasive surgery is also a major trend.


    Surgery that used to require extensive incision will gradually move closer to minimally invasive surgery.


    However, in the field of "minimally invasive" valve therapy, China is still in its infancy in China, but it is already in full swing abroad.


    Zhang Shuqing, as a returnee doctor, once studied in the United States to learn the minimally invasive method of valve treatment. After returning to China, he decided to introduce this procedure gradually.


    "Lu Chen, all the top cardiovascular hospitals in China are currently preparing to carry out valve interventional therapy." Zhang Shuqing said solemnly, "It is still quite difficult for our Magic City University to become a pioneer in this field."


    Lu Chen nodded slightly.


    In today''s China, the competition of new technologies is quite fierce, and any new technologies and new projects will inevitably be introduced and learned by major top hospitals.


    "Teacher, I have never done a similar valve intervention before."


    Lu Chen''s previous surgeries were basically related to electrophysiology.


    Valve-related interventional therapy is a brand new research field.


    "It''s okay." Zhang Shuqing smiled, "This is a brand new field, let''s all become pioneers!"


    ¡­


    Lu Chen and Zhang Shuqing had a pleasant chat.


    Zhang Shuqing is a relatively friendly tutor. Although he is young, he is more willing to communicate with students and listen to their demands.


    Lu Chen applied for a special blog this time, not a general science blog.


    There are also two types of full-time medical doctors. One is science and technology, and the target is a master¡¯s degree. In short, it means staying in the laboratory to do experiments. The future direction is to become a medical researcher, not a clinician.


    Another type of ?? is a professional doctorate. The target is a professional master. Although he can also do experiments, he spends a lot of time in the clinic, and his goal is to become a clinician in the future.


    Compared with scientific research, Lu Chen prefers clinical practice, so he chose a professional doctorate without hesitation.


    Lu Chen''s three-year plan for a professional doctorate, the first two years are in clinical work, and the last year is in the laboratory.


    The standard for doctoral graduation is to publish a paper with an SCI impact factor of 5 points, or to accumulate 7 points for multiple papers.


    This requirement is not difficult for Lu Chen.


    I knew earlier that any paper he has published so far has an impact factor of more than 5 points!


    As for the formation of his own scientific research team, Lu Chen also revealed to Zhang Shuqing.


    Zhang Shuqing knew about Lu Chen''s idea early in the morning. It was a privilege granted to Lu Chen by the school.


    However, it may be difficult to form your own research team as a doctoral student.


    The two chatted for an hour before Lu Chen left.


    ¡­


    The second district of the heart, the doctor''s office.


    After Lu Chen left.


    Zhang Shuqing also returned to the doctor''s office.


    "Director Zhang, was that the doctor you dismissed this year?"


    The doctor in Zhang Shuqing''s group immediately asked.


    "Yes, a very nice guy." Zhang Shuqing smiled.


    "Oh, I originally applied for your doctorate." Yu Bin sighed, "But I didn''t expect you to receive a deduction..."


    Students who are exempted from the push-off system have the right to choose their tutors first.


    Zhang Shuqing has only one spot for a professional blog this year. After being occupied by Lu Chen, no matter how high the scores of the general admissions exam are, the others will have no chance.


    "Take your time, there is still a chance next year." Zhang Shuqing patted Yu Bin''s shoulder lightly.


    "Director Zhang, which school is your student from?" Yu Bin asked curiously, "How come you are so powerful, and you actually got the qualification for exemption."


    "His master''s school seems to be Jinghua Medical University."


    Zhang Shuqing thought for a while.


    "Jinghua?" Yu Bin frowned.


    In his impression, Jinghua is only a first-class medical school. Although the cardiovascular major is relatively strong, its overall comprehensive strength is relatively weak.


    Compared with Modu University, Jinghua is not a star and a half.


    How can students in such schools be eligible for exemption?


    Zhang Shuqing saw the doubts in Yu Bin''s eyes and smiled slightly, "Although Jinghua''s overall strength is not good, the cardiovascular major is still good."


    Zhang Shuqing paused, "The most important thing is that the papers published by Lu Chen are all good and of high quality. In electrophysiological surgery, he has also made great achievements."


    "Really?" Yu Bin smiled, "How many papers did he post?"


    "I read his resume, and there are about 4 SCI papers in his first author." Zhang Shuqing said.


    "That''s not bad either."


    Yu Bin said this on the surface, but he was overjoyed in his heart.


    He has published 6 SCI papers for one author!


    is two articles higher than the doctor who was dismissed.


    Yu Bin couldn''t help but think, could it be easier for Jinghua to qualify for exemption?


    But at the time of Bin YY, Zhang Shuqing continued to say: "Don''t look at only four papers, the quality is really high!"


    "How high is the quality?" Yu Bin was taken aback.


    His SCI paper, the one with the highest impact factor has 5 points!


    The impact factor of ?? is quite high for a general master¡¯s degree.


    In Yu Bin''s thoughts, no matter how high the quality of Lu Chen''s paper is, at most 8 points? Or 10 points?


    Zhang Shuqing shook his head slightly and said with a smile, "Every article is no less than 5 points!"


    Yu Bin was stunned for a moment, "That''s amazing."


    After all, half of his 6 papers are one or two points.


    Lu Chen scored more than 5 points in each article, it seems that he has two brushes!


    At this time, Yu Bin smiled mysteriously when he saw Zhang Shuqing, "Do you know where Lu Chen''s latest paper was published?"


    "Where?" Yu Bin asked subconsciously.


    Zhang Shuqing said slowly: ""Circulation"!"


    Yu Bin heard the words, widened his eyes, and lost his voice: ""Circulation"?"


    His voice alarmed other doctors, such as Jiao Jingqiu whom Lu Chen met this morning.


    She glanced at Yu Bin curiously.


    Yu Bin swallowed and looked at Zhang Shuqing in disbelief, "Zhang, Director Zhang, are you kidding me?"


    "What a joke..." Zhang Shuqing said with a smile, "The paper has been published and can be found online. It''s the one about Dapagliflozin, which was organized by the department before, you forgot?"


    "That paper..." Yu Bin was taken aback, of course he remembered that this paper was the latest heart failure drug research in the cardiovascular field.


    It¡¯s just that they paid little attention to the author of the paper, only knowing that it was from Huaxia.


    After saying this, Zhang Shuqing didn''t have any chatter and started to prepare for the ward round.


    At this time, Jiao Jingqiu had noticed the content of the conversation between the two.


    She looked at Yu Bin very curiously, "Brother Yu, what are you talking about with Director Zhang?"


    Yu Bin took a long time to recover, "Director Zhang''s doctor is here today."


    "I know." Jiao Jingqiu nodded slightly, "He waited here for a long time in the morning, and I even chatted with him a few words. He''s a very nice guy."


    Yu Bin twitched the corner of his mouth and murmured, "It''s not bad..."


    "Ah? Senior brother, what did you say?" Jiao Jingqiu asked suspiciously.


    Yu Bin regained his mind and was stunned: "If I said that the paper about Dapagliflozin that was recently published in "Circulation" was published by this doctor, would you believe it?"


    Jiao Jingqiu opened her mouth wide, her mind full of question marks.


    "Senior brother, you said this paper was issued by this doctor who came in this morning?"


    Yu Bin nodded slowly.


    Jiao Jingqiu: "???"


    Jiao Jingqiu and Yu Bin have the same mood just now, and they are also extremely shocked!


    This top-level paper actually came from a doctoral student.


    Wrong!


    According to the time of publication, Lu Chen should still be a master at the time...


    Jiao Jingqiu turned her head with difficulty, it was hard for her to digest the news now.


    She suddenly remembered that this morning, she seemed to have asked Lu Chen if she had read this paper on Dapagliflozin...


    One update today and make up for it tomorrow.


    Today we are going back to the countryside to visit the graves.


    Mom had a sudden onset of supraventricular tachycardia at night...


    He hurried back and could only code one chapter.


    Fortunately, I used some physical methods and turned it over.


    (end of this chapter)

 v2 Chapter 631： Uncomfortable electric shock (first more)

    Chapter 631 Uncomfortable Electric Shock (First Update)


    Because Lu Chen had just arrived in the magic capital, Zhang Shuqing did not let him enroll immediately.


    Instead, he gave Lu Chen a few days off. After he was familiar with the hospital environment, he would officially enter the department next Monday.


    Taking advantage of this time, Lu Chen, under the leadership of Ke Yue and Dong Hao, quickly visited the entire First Affiliated Hospital of Modu University, and was initially familiar with the locations of various clinical departments.


    ¡­


    Monday is coming soon.


    Lu Chen put on a new badge and came to the doctor''s office in the second district of the heart.


    From a master''s degree to a doctorate, Lu Chen is not only a change of identity, but also a change of responsibility.


    When Lu Chen was rotating in the Second Hospital of Jinghua, he was only a master, equivalent to a resident doctor, but he was still a student in essence, and he had no right to issue medical orders on his own.


    Now, Dr. Lu Chen is studying, rotating in the department, and has been used as an attending doctor. (Two years after graduating from a master''s degree, you can take the examination for the attending doctor)


    The attending doctor can already manage the bed independently and issue medical orders independently.


    Lu Chen''s power has officially been upgraded!


    in the doctor''s office.


    Zhang Shuqing introduced the current members of the group to Lu Chen.


    Senior physician Zhang Shuqing, attending physician Yu Bin, several graduate students and regular trainees.


    The arrival of ??Lu Chen added an attending doctor to the group.


    "Lu Chen, you and Yu Bin separate the beds of our group together." Zhang Shuqing looked at Lu Chen, and then said to Yu Bin, "You and Lu Chen will subdivide the beds later and give Lu Chen a few students."


    "Okay." Yu Bin nodded slightly.


    The arrival of ??Lu Chen also liberated his labor force.


    He can concentrate more on preparing for next year''s Ph.D. exam.


    After Zhang Shuqing finished his instructions, Yu Bin said to Lu Chen, "Doctor Lu, how many hospital beds do you want?"


    said, Yu Bin took out the bed arrangement table in the group.


    Lu Chen smiled, "Listen to Senior Brother Yu''s orders."


    Yu Bin graduated with a master''s degree and worked for four or five years. It''s not wrong to call him a brother.


    "That''s good." Yu Bin said, "Then we have an average score. You take care of the ten beds in the front, and I''ll take care of the ten beds in the back."


    "no problem."


    Lu Chen has no opinion on managing patients.


    "In addition, there are currently six students in the group, three of us each."


    Lu Chen''s group was divided into three students, one boy and two girls.


    One of the girls is a postgraduate student of Modu University, working in the Department of Cardiology, and the other two are interns of the Medical College of Modu University.


    ¡­


    After Zhang Shuqing finished his instructions, he left. He was leaving the clinic this morning.


    Lu Chen and Yu Bin started their ward rounds today.


    It was the first time to participate in a ward round as a senior doctor. Compared with before, Lu Chen''s mood was very different.


    He felt that the burden on him was heavy!


    "Come on, let''s go round the room together."


    Lu Chen walked at the front, followed by three students.


    He was about to walk into the ward when Ji Yingying, a female graduate student in the group, suddenly said, "Senior brother, the 10-bed family members in our group are very difficult to speak, so be careful."


    "Huh?" Lu Chen frowned, "The family members have a bad temper?"


    Ji Yingying nodded, "Every time we rounded the room last week, the patient''s family members had to quarrel with Teacher Yu."


    "Okay, thank you Junior Sister, I understand."


    There were many patients who were difficult to deal with clinically, so Lu Chen was not nervous and walked into the ward with three students.


    ¡­


    in the ward.


    On the 10-bed bed, lies a female patient of about 50 years old.


    A middle-aged man sat beside the bed and played a short video with a voice over.


    When he saw Lu Chen and others coming in, he didn''t say a word, didn''t turn off his phone, and continued to scan his own videos.


    Lu Chen calmly walked to the other side of the patient''s bed.


    Before the ward round, he had a simple understanding of the patient''s condition.


    A 49-year-old female patient with a history of hypertension and duodenal ulcer.


    He was admitted to the hospital due to "intermittent palpitations for 4 years, and aggravation for 1 day".


    "Auntie, are you feeling better today?" Lu Chen asked as usual.


    Before the patient could speak out, the patient''s family members became impatient, "Why do you ask every day?! Come up with a solution, and the doctor in charge has changed again today?"


    "Uncle, don''t worry." Lu Chen comforted patiently, "I''m a doctor in Director Zhang''s team, you can tell me if you have any questions."


    The ?? man calmed down a little, frowned and said, "Well, I''ll tell you, my wife has been hospitalized for three or four days, and your hospital hasn''t come up with a good solution yet!"


    Lu Chen was about to answer when Ji Yingying took over the conversation and whispered, "Brother, this patient was diagnosed with VT (ventricular tachycardia) before, and the patient was advised to undergo ICD treatment, but the patient refused."


    "Since then, the patient repeatedly went to the doctor because of palpitations, and was cardioverted every time."


    Lu Chen nodded slightly, "Thank you, I see."


    At this time, the man said loudly: "Don''t tell me to do surgery again, we said not to do it! My wife is so young, if this thing is installed, it will be inconvenient to live in the future!"


    The man glared at Ji Yingying all the time.


    It is estimated that it is so many days of grievances, and I want to let it out in one breath.


    The little girl shrank her head and took a step back in fear.


    Seeing this, Lu Chen quickly stepped forward and walked between his family and Ji Yingying.


    "Uncle, I can understand your anxious mood." Lu Chen comforted, "You calm down now, we can discuss together, all for the sake of the patient''s own disease."


    The man glared at Ji Yingying, then looked at Lu Chen without speaking.


    ¡­


    Lu Chen turned around and began to examine the patient.


    Although the diagnosis of "ventricular tachycardia" was clearly recorded in the medical records, Lu Chen did not believe it at all.


    Looking at Lu Chen''s serious physical examination of his wife, the man no longer had seizures, but turned off his mobile phone and stood quietly.


    After the physical examination, Lu Chen asked, "Auntie, every time you have an attack, what''s wrong with you?"


    "It''s just palpitation, it feels like my heart is about to jump out." The patient said.


    Lu Chen frowned and said, "Are there any other discomforts? For example, dizziness, fainting, etc."


    The patient thought about it carefully, then shook his head, "No."


    Lu Chen didn''t speak, took the medical record in Ji Yingying''s hand and started to read it.


    A total of two electrocardiograms came into view.


    The first ECG, at the onset of the patient''s symptoms, showed wide QRS tachycardia.


    The second ECG, after electrical cardioversion, shows sinus rhythm.


    At first glance, it¡¯s really VT (Venticular Velocity)!


    "Doctor, I''m really afraid of being electrocuted now!"


    At this time, the patient said again.


    "Every time I give me an electric shock, that feeling is too scary." The patient''s face showed indescribable horror.


    Lu Chen knew that it was extremely painful for a person to be cardioverted when he was awake.


    And this patient, not once or twice, but in the past four years, has experienced this kind of "electric shock" many times.


    "I''m now afraid of this disease attacking, so I don''t dare to do too much physical work."


    (end of this chapter)

 v2 Chapter 632： Is Lu Chen a straw bag? (Second!)

    Chapter 632 Is Lu Chen a straw bag? (Second!)


    "Doctor, I really don''t want to be electrocuted again!"


    On the hospital bed, the patient even shed a few tears.


    "Auntie, don''t worry, we will try our best to find a way for you. You should rest first, don''t get excited."


    After comforting the patient a few words, Lu Chen left the ward.


    Three of his students followed.


    The patient''s man looked at Lu Chen''s back and felt extremely irritable, "These young doctors are all the same! I guess they all want to make a fool of themselves, and then they will be discharged from the hospital!"


    ¡­


    out of the ward.


    Ji Yingying said, "Senior Brother Lu, this patient just doesn''t want to get an ICD. He thinks it''s too expensive. Teacher Yu Bin planned to let her stay for two more days before letting her out of the hospital."


    Lu Chen frowned deeply and nodded slightly: "Okay, I understand. Go and see other patients first."


    There are still nine patients to see, and Lu Chen didn''t stop there.


    Today''s ward round is to get a preliminary understanding of the patient''s condition, and he will not give too much explanation to the three students for the time being.


    However, the next rounds were not very smooth.


    The condition of some patients is a little tricky, and they are hospitalized for many days without a clear diagnosis.


    In addition, there are some patients and their family members who have a bad temper and it is difficult to communicate.


    Lu Chen also felt for the first time the trouble of personally managing the entire group of patients.


    He was just a student before, and he didn¡¯t need to worry about the patient¡¯s doctor¡¯s orders.


    Even if there are some mistakes, the superior doctor will point it out.


    But it''s different now, he is a superior doctor himself!


    Do everything personally, be responsible for the patients in the entire group, and think about every point.


    Once there is negligence, it is likely to cause harm to the patient.


    ¡­


    After the ward round, go back to the doctor''s office.


    Lu Chen sat back in his seat and was about to check the medical orders of each patient to check for omissions.


    A nurse hurried in suddenly.


    "Doctor Yu, the 10 beds in your group have developed ventricular tachycardia again! Go and have a look!"


    At this time, Yu Bin also happened to return to the office, and immediately said: "Okay, I know!"


    Lu Chen was shocked when he heard the words, and immediately stood up, "Senior brother, my patient, let me see it."


    "Okay, let''s go." Yu Bin nodded slightly and reminded, "The patient should be suffering from ventricular tachycardia, so bring the defibrillator too!"


    "Yes." Lu Chen nodded.


    He hurried out of the office. In fact, he didn''t need to tell him. The ward nurse had already rushed to the ward with the ambulance and the defibrillator.


    ¡­


    in the ward.


    The 10-bed patient was lying on the hospital bed, his face was slightly painful, but his mind and consciousness were clear.


    The man stood beside the hospital bed, akimbo, pointed at the nurse and scolded: "You nurses are so slow! How long have I been shouting! If there is any problem with my wife, you guys will wait for me!"


    The two nurses were too angry to speak.


    Actually, as soon as the pager rang, they rushed over.


    But the family members of this patient are notoriously difficult to deal with, and they don¡¯t want to talk too much.


    Two nurses put an ECG monitor on the patient''s face and turned on the defibrillator.


    Lu Chen frowned and shouted in a low voice, "Rescue the patient, family members don''t make trouble, or I''ll call the security guard."


    After finishing speaking, Lu Chen pulled the curtains beside the hospital bed to isolate the patient''s family from outside.


    The patient''s family glared at Lu Chen, but didn''t say anything else and could only wait in place.


    Lu Chen ignored the patient''s family.


    He usually has a good temper, and he has always been kind to patients and their families.


    But in the face of this kind of rescue, he couldn''t make ink with the patient''s family.


    Don''t let the patient''s family interfere with the rescue work!


    ¡­


    Lu Chen came to the bedside, immediately checked the patient, and then ordered Ji Yingying to do an electrocardiogram on the patient.


    However, according to the electrocardiogram above the bedside ECG monitor, it is still wide QRS tachycardia.


    Lu Chen thought, is it VT again?


    "Doctor, you''re not going to give me an electric shock again, are you?"


    The patient looked at the defibrillator beside the bed, his lips were trembling all the time.


    "Auntie, don''t worry, we are treating you." Lu Chen changed the subject, and he couldn''t guarantee that he would not use a defibrillator.


    Ventricular tachycardia is an extremely malignant arrhythmia, and all dangerous events such as shock and cardiac arrest may occur at any time.


    "Senior brother, the electrocardiogram is done." Ji Yingying was very agile and finished the electrocardiogram immediately.


    Another intern also finished measuring his blood pressure, "Brother, the patient''s blood pressure is 120/80mmHg, and the blood pressure of both upper extremities is symptomatic."


    Lu Chen nodded slightly and looked at the electrocardiogram in front of him, but a question arose in his heart: "The blood pressure is normal, is the patient really ventricular tachycardia?"


    At this time, the nurse on the side asked.


    "Doctor Lu, is there electrical cardioversion?"


    Lu Chen shook his head, "No need for now."


    "But the patient has ventricular tachycardia, so he really doesn''t need cardioversion?" The nurse asked with wide-eyed eyes.


    Not only the nurses, but also the students, such as Ji Yingying, were very curious in their hearts.


    The patient has been diagnosed with ventricular tachycardia before, and is now having an attack!


    This is an extremely malignant arrhythmia. If you don¡¯t hurry up with electrical cardioversion, your life will be in danger at any time. What are you still doing here?


    "I said, don''t need it for now!" Lu Chen''s face was calm and his tone was very firm.


    The ?? nurse frowned and whispered, "You can''t give up cardioversion because of the patient''s reluctance!"


    Although the voice was low, Lu Chen still heard it. He looked at the nurse and said solemnly, "Get ready to pump in amiodarone!"


    "Huh?" The nurse was slightly taken aback, "Amiodarone?"


    "Yes! Hurry up!" Lu Chen frowned.


    Although the ?? nurse felt a little strange, she still nodded, "Okay, I''ll go to dispense the medicine!"


    ¡­


    Yan Shuming hurriedly ran back to the treatment room, while dispensing the medicine, he muttered to the nurse beside him, "Director Zhang''s new doctor is so strange!"


    "Why is it weird?"


    Yan Shuming said: "The patient in bed 10 is obviously suffering from ventricular tachycardia. Before each episode, it was electrical cardioversion, but this time, amiodarone was used!"


    "That''s right, I think you''d better go and talk to Yu Bin to avoid any medical accident."


    Yan Shuming thought for a while, and felt that his colleague was right, and quickly said: "Fangfang, help me get the prepared amiodarone, and I''ll find Yu Bin!"


    "it is good."


    The soldiers were divided into two groups, Fangfang went to the ward with amiodarone, and Yan Shuming quickly ran to the doctor''s office.


    "Doctor Yu, go and see the 10 beds!"


    Yu Bin was revising the course of the disease written by the students in the group. Hearing this, he raised his head and was quite puzzled, "Didn''t Dr. Lu already see it?"


    "He went to see it, but he said to use amiodarone..."


    Yu Bin was stunned, then frowned, "Amiodarone?"


    "Yeah! So I''m here to find you..."


    Yu Bin stood up immediately, "Okay, let''s go and have a look."


    As he walked outside, there was still a murmur in his heart.


    Lu Chen has published so many high-scoring papers, even top journal papers.


    "Scientific research is so powerful, but clinically, shouldn''t he be a bum?"


    (end of this chapter)

 v2 Chapter 633： no electric shock

    Chapter 633 No Electric Shock


    The second area of ??the heart.


    In the ward.


    "Doctor Lu, you...are you sure you are using amiodarone?" the nurse asked.


    Lu Chen frowned, the nurse in this magic capital is too long-winded!


    A question that has been asked many times!


    "I''m sure!" Lu Chen said solemnly.


    "Oh, that''s good." The nurse pouted and put amiodarone in the infusion pump, ready to infuse the patient.


    The nurse has the responsibility to help the doctor check the correctness of the doctor''s order, but if Lu Chen insisted, she would not continue to ask.


    At this time, Yu Bin and Yan Shuming walked quickly into the ward together.


    "Lu Chen, what''s the condition of the patient?" Yu Bin opened his mouth and asked.


    The nurse who was dispensing the medicine immediately stopped what she was doing when she saw this situation.


    Lu Chen explained: "Senior brother, the patient has a heart attack. This is her electrocardiogram. I am going to use amiodarone for cardioversion."


    Yu Bin was slightly startled, but instead of uttering a sound, he stretched out his hand to take the electrocardiogram.


    "Isn''t this VT? Why amiodarone? Is there any special purpose?"


    Yu Bin''s words were very subtle and did not directly refute Lu Chen.


    Beyond his words, why not use electrical cardioversion?


    The first measure of ventricular tachycardia is electrical cardioversion.


    aside, the corners of Nurse Yan Shuming''s mouth twitched.


    She would like to see how this new young doctor handles this matter.


    "This Lu Chen didn''t listen to my advice. Fortunately, Yu Bin was found here. If the doctor''s order is wrong, wouldn''t the patient be harmed?"


    In clinical practice, many nurses are even more experienced than young doctors.


    Yan Shuming secretly thought that he would have to give advice to the director in the future. These new doctors have too poor clinical experience, so they still have to study in the department for a period of time before they can become independent.


    Otherwise, the risk is too high!


    Lu Chen''s expression didn''t change. He glanced at Yu Bin and said slowly, "Because... this is not room speed!"


    The voice of ?? just fell.


    The entire ward, whether it was the doctor or the nurse, stared wide-eyed and looked at Lu Chen in disbelief.


    Yu Bin was a little unhappy in his heart.


    How could he believe what Lu Chen said!


    He looked down at the electrocardiogram in his hand, wide QRS complex tachycardia, this is ventricular tachycardia!


    And the patient has done it many times in the past, and every time the diagnosis is ventricular tachycardia, he uses electrical cardioversion.


    Lu Chen''s three students also opened their mouths wide.


    Especially the female graduate student Ji Yingying, she had always emphasized to Lu Chen that this patient had supraventricular tachycardia.


    At this time, Lu Chen smiled and said slowly: "Senior Brother Yu, I ask you a question, why hasn''t the blood pressure dropped in patients with such frequent VT?"


    Blood pressure, this is also one of the "suspicious points" that Lu Chen noticed!


    Normally, malignant arrhythmias such as ventricular tachycardia and ventricular fibrillation will basically cause a drop in blood pressure.


    Yu Bin was also stunned. In his subconscious, the patient was a patient with ventricular tachycardia and needed electrical cardioversion. He didn''t pay attention to the blood pressure issue at all.


    "The patient''s blood pressure is very low?"


    "Yes." Lu Chenwei nodded.


    He turned over the patient''s past medical records.


    The patient''s echocardiography and coronary angiography showed no structural heart disease.


    There is no long QT, Brugada syndrome and other manifestations on the electrocardiogram.


    The ECG of the patient at the time of the attack does not match the ECG characteristics of the left posterior or left anterior branch VT (ventricular tachycardia).


    The most important thing is that the patient''s HP is 72 (-)!


    If it is really a ventricular tachycardia attack, such a serious arrhythmia, the change in life value must be more than a minus sign.


    The diagnosis of ventricular tachycardia does not seem to be very scientific!


    "this¡­"


    Yu Bin frowned, and he was a little unsure for a while.


    Lu Chen seems to have some truth in what he said!


    If the patient is really suffering from VT, why is the hemodynamics so stable?


    Why is it just a little flustered and uncomfortable, but no other symptoms at all?


    Yu Bin picked up the patient''s electrocardiogram and read it carefully again.


    He didn''t want to let go of any clues.


    "Is the patient really not having ventricular tachycardia?"


    ¡­


    Lu Chen saw Yu Bin in a daze, and hurriedly urged the nurse: "Hurry up and use amiodarone."


    Yan Shuming glanced at Yu Bin, saw that he had no response, gritted his teeth, and put amiodarone on the patient.


    "Okay, pay attention to the rate of amiodarone pumping and monitor heart rate changes."


    Lu Chen breathed a sigh of relief when he saw that the nurse took the medicine.


    Yu Bin swallowed his saliva, glanced at Lu Chen secretly, and asked in a low voice, "Lu Chen, if the patient is not ventricular tachycardia, what is it?"


    Lu Chen smiled slightly, "Room speed?"


    "Huh?" Yu Bin looked at the electrocardiogram repeatedly, his brows furrowed, and he muttered, "I really didn''t see where the SVT was..."


    The differential diagnosis of ?? wide QRS complex tachycardia is a timeless topic in cardiology.


    VT and SVT are often difficult to distinguish.


    VT is a malignant cardiac arrhythmia that often implies a more dangerous condition and requires more aggressive management strategies.


    Supraventricular tachycardia is a relatively good prognosis arrhythmia.


    Especially in some emergency situations, if you can quickly distinguish between ventricular tachycardia and supraventricular tachycardia, you can gain a lot of rescue time for rescue.


    ¡­


    "Lu... Doctor Lu, are you sure you really don''t need electric shocks?"


    The man stood at the door of the ward and looked inside.


    He was quite excited after seeing the nurse giving his wife medicine instead of using "electric shock".


    At this time, his attitude towards Lu Chen was no longer the arrogant and domineering he had before.


    Before, every time his wife had a heart attack, she came to the hospital for electric shock cardioversion.


    caused the two of them to have a deep fear of this "electric shock".


    "No electric shock." Lu Chen said slowly, "We temporarily used an anti-arrhythmic drug for the patient, and now it''s enough to monitor the heart rate changes at any time."


    "But..." The man frowned, "When will my wife''s heart rate drop?"


    "It depends on the specific condition and the sensitivity of the patient to the drug." Lu Chen said, "Some people take half an hour, some people three hours, and some people may need a day or two."


    "Will this medicine... be useless!" The man said with some concern.


    Electric shock is scary, but it is real and effective!


    After each shock, his wife''s heart rate returned to normal.


    This drug treatment, if it doesn''t work, doesn''t that delay the treatment time?


    Lu Chen saw the man''s worry at a glance.


    "Uncle, you can rest assured that we will evaluate the patient''s condition at any time. No electrical cardioversion is required for the time being, and no electrical cardioversion is required!"


    The man wanted to say something, and the patient on the hospital bed immediately said, "I listened to Dr. Lu. I don''t need electric shocks for the time being. I want to try drugs. Even if it takes a day or two, I''m willing to try it!"


    The man seems to underestimate his wife''s determination not to use "electric shock".


    Having experienced the torture of "electric shock", the patient suddenly heard that there is no need for electric shock, and the whole person was very excited.


    "Okay, Dr. Lu, we will follow your arrangement." The man said.


    Lu Chen nodded slightly, and after instructing the nurse to pay attention to the patient''s heart rate changes, he left the ward.


    (end of this chapter)

 v2 Chapter 634： Cardiovascular!

    Chapter 634 Cardioversion!


    The second area of ??the heart.


    doctor''s office.


    The atmosphere around Lu Chen was a little weird.


    Three students, you look at me, I look at you.


    A doubt arises in everyone''s heart.


    Was the patient diagnosed with "ventricular tachycardia" really just supraventricular tachycardia?


    Beside ??, Yu Bin was even more silent.


    This patient was previously in charge of him.


    During the patient''s hospitalization, "ventricular tachycardia" occurred once, and he was cardioverted.


    This is him, recommending patients to install an ICD!


    However, Lu Chen''s opinion now overturns all his previous diagnosis and treatment work.


    (Electrical cardioversion can be used for both ventricular tachycardia and supraventricular tachycardia, but for supraventricular tachycardia with stable hemodynamics, it is not necessary to use electrical cardioversion at all, it will increase the injury and pain to the patient anyway)


    Ji Yingying bit her lower lip. She flipped through the patient''s electrocardiogram, but couldn''t find any clues about supraventricular tachycardia in this picture.


    If she was in another major, it would be fine, but she herself is a cardiologist, and even an electrocardiogram was diagnosed wrong.


    "Senior brother..." Ji Yingying whispered.


    Lu Chenhuo turned his head and looked, "What''s wrong?"


    Ji Yingying sat next to Lu Chen, "How did you see the VSP in this picture? I''ve been looking at it for a long time, and I haven''t seen any sign of the VSP."


    Her words represent the voice of everyone.


    The other two students immediately put their heads together, and even Yu Bin looked towards Lu Chen.


    They are so curious!


    Lu Chen pursed his lips and smiled, it was time to earn gratitude points again.


    Currently, he is now preparing for "valvular intervention" treatment.


    In the ?? system mall, the skill cards for valve interventional therapy are worth tens of thousands of thanks!


    Without trying to earn thanks points, Lu Chen would have to wait until the Year of the Monkey to exchange this skill card.


    ¡­


    "Cough cough." Lu Chen cleared his throat, took the patient''s electrocardiogram and a blank A4 piece of paper, and started his own explanation, "Then let me tell you something."


    Seeing Lu Chen like this, the three students immediately bought three small stools from the conference room.


    Yu Bin also came to be interested.


    But he wasn''t very proactive, so he had to lean on Lu Chen''s side!


    Just listen to Lu Chen and continue: "To distinguish between VT and SVT with differential conduction, we generally need to analyze the atrioventricular relationship (the relationship between the P wave and the QRS complex), the ventricular depolarization vector, and the shape of the QRS complex."


    "Many scholars have proposed the differential diagnosis process. The more commonly used methods are the Brugada method and the Vereckei method. In particular, the Vereckei method only relies on the avR lead for differential diagnosis, which is easy to remember and easy to use in clinical practice."


    "In 2020, an article published in HeartRhythm proposed the use of limb leads for differential diagnosis, which is also very simple."


    ¡­


    "Senior brother, what are these methods you mentioned?" Ji Yingying was stunned.


    The method that Lu Chen said, she has only heard of it, but she has never seen it clinically, and has never seen anyone else use it.


    Lu Chen smiled, "To put it bluntly, a simple international standard for diagnosing ventricular tachycardia has been formulated."


    "According to this criterion, ventricular tachycardia and supraventricular tachycardia can be rapidly differentiated."


    Ji Yingying curiously said: "Senior brother, if you say this, we have no reference. If you give an example, just use this patient''s electrocardiogram to demonstrate it to us."


    "Of course." Lu Chen nodded slightly, "Then I will use the Brugada method to diagnose this electrocardiogram."


    Lu Chen started his entire step-by-step deduction on the blank A4 paper.


    Brugada method, the steps to identify the origin of wide QRS complex tachycardia, divided into 4 steps.


    First, if the QRS complexes in the precordial leads are not RS type, it is diagnosed as VT.


    Second, if there is an RS-type QRS complex in the anterior chest leads, and the RS interval is >100ms, it can be diagnosed as VT.


    Third, if atrioventricular dissociation can be confirmed, the diagnosis of VT can be established.


    Fourth, if the tachycardia meets the morphological criteria of the QRS complex in leads V1 and V6, i.e., a left bundle branch block-like pattern, an rS QRS complex in lead V1, and an RS interval >70 ms; or if the left bundle branch (and/ or right bundle branch) block-like pattern, the initial QRS complex in lead V6 is a positive wave, and R/S<1, VT can be diagnosed.


    ¡­


    "Huh? This...is this easy?"


    Ji Yingying was a little stunned.


    "Senior brother, are you sure this is the easy way?"


    She feels that it is not easy at all!


    If you want to memorize these four steps, it looks simple, but it is not easy to actually implement it!


    Ji Yingying glanced at the other two students beside her, they both shook their heads.


    She breathed a sigh of relief.


    It doesn''t seem to be her problem, but this step is not as simple as imagined for them now.


    "Practice makes perfect." Lu Chen said, "You can learn these four steps by looking at a few more clinical pictures."


    "Actually, in many cases, we are lazy, which leads to deviations in the diagnosis of patients. If we can strictly abide by international standards, this patient''s similar situation can be completely avoided!"


    Ji Yingying''s heart moved, "Brother, according to what you mean, this patient must have Supraventricular Tachycardia?!"


    Lu Chen nodded slightly, "Mostly so!"


    Combined with the health indicator on the system panel and the existing electrocardiogram evidence, Lu Chen was confident in the diagnosis of supraventricular tachycardia.


    At this moment, a prompt popped up in the system panel.


    "Congratulations, +1 for the thank you from Ji Yingying!"


    "Congratulations,¡­¡­"


    "Congratulations,¡­¡­"


    Three consecutive prompts are given by three students in the group.


    The next prompt made Lu Chen stunned for a moment.


    "Congratulations, +1 for receiving thanks from Bin!"


    Lu Chen looked out of the corner of his eye, Yu Bin was putting his head together at this moment...


    "Cough cough." Seeing that Yu Bin was discovered, he was slightly embarrassed, "Doctor Lu, that, you said it very well!"


    Yu Bin is not a novice like Ji Yingying who has just entered the clinic.


    After Lu Chen''s suggestion, he immediately understood the key.


    Four judgment steps, one by one to diagnose ventricular tachycardia.


    Yu Bin had seen similar medical reports, but never paid attention to it.


    At this time, the system defaults that Lu Chen and Yu Bin are doctors of the same level, so there is no bonus to the thanks points obtained.


    "Brother, thank you for your compliment." Lu Chen smiled.


    A little gratitude is better than nothing.


    Although Yu Bin questioned his "amiodarone" before, this is normal.


    Patients with normal ventricular tachycardia definitely need electrical cardioversion.


    Medicine is a process of constant questioning and truth preservation.


    Yu Bin''s prejudice against Lu Chen had long since disappeared.


    He couldn''t help but sigh, that straw bag seems to be himself!


    ¡­


    After half an hour.


    Yan Shuming walked into the doctor''s office with a complicated expression. She looked at where Lu Chen was.


    "10 beds, cardioversion..."


    (end of this chapter)

 v2 Chapter 635： Listen to Dr. Lu!

    Chapter 635 Listen to Doctor Lu!


    Lu Chen was not surprised by this result.


    Supraventricular tachycardia, cardioversion with amiodarone, has a high success rate.


    The sensitivity of this patient to amiodarone was good, and within half an hour of the drug, the supraventricular tachycardia had been converted to sinus rhythm.


    Yan Shuming looked at Lu Chen in surprise.


    She thought it was a mistake by Lu Chen, but she didn''t expect it to be a few of them!


    From diagnosis to treatment, everything is wrong!


    This new young doctor seems to have two brushes.


    Yan Shuming glanced at Lu Chen secretly, then lowered his head.


    in the doctor''s office.


    Although everyone already knew about Lu Chen''s diagnosis of "Suppressed Vessel Speed", their hearts were still shocked when they heard Yan Shuming''s words.


    "Senior brother, you are amazing!" Ji Yingying smiled, "You need to teach me more about electrocardiography, I''m a noob in this field."


    The other two students also echoed the sentence.


    You can see the different treatment effects of different doctors.


    This patient was always on Yubin''s bed before.


    has lived for almost a week, but no one has ever suspected the diagnosis of "ventricular tachycardia"!


    On the first day Lu Chen came, he was diagnosed at once!


    Yu Bin stood aside with a rather embarrassed expression on his face.


    This contrast...it seems a little too obvious!


    "Go, go see the patient." Lu Chen stood up.


    The three students and Yu Bin followed behind him.


    ¡­


    in the ward.


    The patient was lying on the hospital bed with an excited smile on his face.


    "I''m ready?"


    "Am I really okay?"


    "I''m really good!"


    The patient looked at the ECG monitor beside the bed, and the heart rate had changed from 160 beats/min to 85 beats/min.


    "Wife, your heart rate has really come down!" The patient''s family members were also very excited, "You don''t need to be electrocuted!"


    Seeing Lu Chen and his party walking in, the man immediately stepped forward and grabbed Lu Chen''s hand, "Doctor, thank you, thank you so much!"


    Lu Chen couldn''t stand the enthusiasm of the patient, so he quickly said, "Let me see the patient first."


    "Mmmm." The man nodded immediately and let Lu Chen go over.


    Lu Chen stepped forward and said to Ji Yingying, "Recheck the electrocardiogram."


    "OK."


    Lu Chen came to the bedside and conducted a careful physical examination on the patient.


    "Anything uncomfortable?"


    "No." The patient shook his head with a smile, "There is no palpitation or chest tightness at all, I am just like a normal person now!"


    Looking at the smile on the patient''s face, Lu Chen was also relieved.


    "Use this medicine for a while, and you can withdraw it later." Lu Chen said to Yan Shuming who was beside him.


    "Okay, I know."


    Yan Shuming nodded, she would not question Lu Chen at all now.


    But the patients and their family members became anxious when they heard this.


    "Doctor Lu, look at this medicine... there''s still so much left, do you want to finish it?" The man pointed at the "Amiodarone infusion pump" and asked in a low voice, "And my wife is just a little bit, and the medicine takes a long time. Come on, consolidate it?"


    Lu Chen shook his head, "It''s not necessary, don''t worry, we won''t withdraw it when it''s still in use, and when we don''t need to continue using it, we''ll also withdraw it as soon as possible!"


    "this¡­¡­"


    The man scratched his head and looked at the patient on the hospital bed.


    The patient smiled, "Just follow the doctor''s advice and withdraw it when it''s time to withdraw."


    "Okay." The man nodded and said to Lu Chen, "Trouble Dr. Lu."


    "What we should do." Lu Chen said with a smile, "Since the condition is stable now, I will also communicate with you about the next treatment plan."


    "Huh?" The man was stunned, "Do you need any more medicine?"


    Lu Chen smiled and shook his head, "It''s not medicine, but surgery."


    "Surgery?" The patient and his family looked at each other.


    Lu Chen could see the doubt in their eyes.


    Originally, Yu Bin asked them to do ICD surgery, but they refused, so they kept putting it off.


    Lu Chen continued: "Actually, the disease of supraventricular tachycardia is one of the few diseases in our cardiology department that can be completely cured."


    There are many kinds of diseases in Cardiology Department, such as coronary heart disease, hypertension, heart failure, partial arrhythmia and so on.


    These diseases are almost all chronic diseases.


    As long as it is a disease, there is no turning back. With the current medical technology, there is no cure. It can only improve the symptoms and prolong the survival period.


    Supraventricular tachycardia, an arrhythmia, is a disease that can be cured by radiofrequency ablation, and the success rate is very high.


    "However, the doctor said something different from you before." The man wondered, "He said he was going to wear BCD, and now you are saying radiofrequency ablation..."


    If it wasn''t for Lu Chen''s medication to restore the patient''s heart rhythm, the man might be making trouble again now.


    But even so, his face was still a little unsightly.


    Lu Chen didn''t care and explained patiently: "Because it was suspected to be ventricular tachycardia before, I needed to install an ICD, but now it seems that the patient is not ventricular tachycardia, but supraventricular tachycardia..."


    Lu Chen also explained in detail the pathogenesis and treatment strategies of VT and SVT.


    The man was skeptical, but still looking forward to this result without the need for an expensive ICD.


    "Why did you diagnose wrong before?" the man said.


    Lu Chen smiled, "These two types of arrhythmias are difficult to distinguish, and many times, electrophysiological surgery is needed to distinguish them."


    "The first time I saw the patient''s electrocardiogram, I thought it was ventricular tachycardia... If it wasn''t for the patient''s previous examinations, and if it wasn''t for the doctor''s help, it would be very difficult for me to diagnose supraventricular tachycardia. of."


    Yu Bin glanced at Lu Chen gratefully when he heard Lu Chen''s words.


    Anyway, this patient is his fault!


    After Lu Chen''s communication, the man really didn''t continue to struggle with this issue.


    "Doctor Lu, after the operation you mentioned, my wife''s illness will no longer occur?" The man suddenly asked again.


    "There is a certain chance of recurrence." Lu Chen said, "There is no guarantee of complete success. In very few patients, supraventricular tachycardia may recur after surgery, requiring a second operation."


    "This..." The man couldn''t help frowning.


    The family members on the hospital bed were also hesitant.


    Surgery is expensive, and there is no guarantee of 100% cure, and there is a possibility of recurrence.


    But without this surgery, there may be frequent attacks of supraventricular tachycardia.


    "I will tell you the pros and cons of surgery and conservative. The choice is yours." Lu Chen said.


    The patient and family members looked extremely hesitant.


    They have no medical background, and no one in the family studied medicine. The information obtained from the Internet is mixed and inaccurate.


    At this time, the patient on the hospital bed suddenly said: "Doctor Lu, give me a suggestion, conservative or surgical, whichever you say, I will choose which one!"


    Lu Chen was slightly startled.


    In fact, he was used to telling patients the pros and cons of all treatments and then leaving the choice to them.


    He paused and said solemnly, "If you can afford the cost of the surgery, I still recommend an ablation surgery."


    "If you don''t do it, the next time you have a supraventricular tachycardia attack, every time you come to the hospital, the medical bill will be quite a lot!"


    The reason why patients and their families are hesitant is mostly because of medical expenses.


    But hearing Lu Chen say this, it seems to make sense.


    Every time you come to the hospital with an illness, you will accumulate a lot of medical expenses!


    "Then listen to Dr. Lu!" The patient gritted his teeth, "I''ll do this ablation operation!"


    (end of this chapter)

 v2 Chapter 636： What about Director Zhang?

    Chapter 636 Where is Director Zhang?


    Patient''s surgery is scheduled for next week.


    Because of the use of amiodarone for cardioversion, the effect of the drug is long-lasting and the effect is very good. In order to avoid the inability to induce supraventricular tachycardia during the operation, the operation is scheduled for the next week, and the amiodarone is metabolized out of the body as much as possible.


    After this patient, Yu Bin''s attitude towards Lu Chen was very different.


    It turns out that Lu Chen is not only good at publishing papers, but also very proficient in various clinical skills.


    Judging from Lu Chen''s ECG interpretation skills and his ability to communicate with patients, he is not a rookie!


    On the contrary, Yu Bin could faintly feel that Lu Chen''s clinical thinking had even surpassed his.


    When facing Lu Chen, it was like asking him to face Director Zhang Shuqing.


    This feeling was the strongest when Yuhama was doing ward rounds every morning.


    "Lu Chen, please help me see a patient."


    "It''s the patient with chest pain who took the medicine for coronary heart disease and still has pain!"


    "Yes, that''s 28 beds!"


    Lu Chen is like a superior doctor who is omnipotent and answers every question.


    "Okay, then I''ll go look at the 28 beds later."


    Then other people in the second district in their hearts will see a strange scene.


    Lu Chen took Yu Bin and other students to round the room together.


    This combination is quite weird!


    Logically speaking, Yu Bin has been clinically managing the bed independently for many years.


    Lu Chen has just graduated and has never managed a bed independently.


    Why do the roles of the two seem to be reversed!


    "This old lady''s chest pain, I don''t feel like coronary heart disease." Lu Chen read 28 patients.


    "Isn''t it chest pain?" Yu Xin wrinkled, "But after coronary CTA, the blood vessels are narrowed."


    "There must be coronary heart disease." Lu Chen said, "But her chest pain is not necessarily caused by coronary heart disease or angina pectoris."


    Lu Chen opened the chest CT image of the patient.


    "You look at this picture first."


    "This...I''ve seen it." Yu Bin whispered.


    "Take a closer look."


    "Oh." Yu Bin nodded slightly, trying to find a different location.


    But he read it three or four times and found no abnormality in the CT scan of the patient''s chest.


    "Are you sure there is nothing abnormal?" Lu Chen asked again.


    "Really... Really no..." At this time, Yu Bin had already flinched a little.


    Lu Chen smiled and put the patient''s CT image results in front of Yu Bin''s eyes again.


    "Senior brother, look at this place of the patient..."


    Lu Chen pointed to a part in the CT.


    "This is... the spine?" Yu Bin was stunned.


    He is a cardiologist, so what is he doing to see the spine when he has nothing to do?


    Suddenly, when he looked at the CT image magnified by Lu Chen again, he was stunned.


    "Spine deformity?" Yu Bin asked in surprise.


    "Yes!" A smile appeared on the corner of Lu Chen''s mouth, "The patient is an elderly woman with osteoporosis, and is prone to fractures or spinal deformities."


    This slight spinal deformity is invisible on the surface and is easily ignored by everyone.


    Even the patients themselves do not know it, they may feel heart pain or stomach pain.


    This point, Yu Bin really never thought of it.


    "Spine deformity, will it also cause chest pain?" Yu Bin wondered.


    "That''s for sure!" Lu Chen nodded, "I have managed several patients, all of which are caused by spinal deformities..."


    Yu Bin''s expression changed, and he immediately prescribed the corresponding treatment medicine to the patient.


    ¡­


    Similar patients are not rare.


    Yu Bin slowly discovered that many difficult or undiagnosed medical records had been solved in Lu Chen''s hands, miraculously!


    This made everyone in the second district in their hearts realize the clinical power of Lu Chen.


    Such a new doctoral student completely attracted everyone''s attention.


    "Lu Chen, when is the surgery?"


    "No accident, it should be tomorrow." Lu Chen said.


    The operation they were talking about was supraventricular tachycardia, which was previously misdiagnosed as ventricular tachycardia.


    "Okay, then I''ll go with you to be an assistant." Yu Bin said with a smile, "Can you do that?"


    "Of course, as long as the senior brother has time to go to the catheterization room, you can!" Lu Chen did not refuse.


    These electrophysiological surgeries are still relatively rudimentary, and there is not much technical content in them.


    "Well, Lu Chen, thank you!"


    The next day.


    Lu Chen checked the room in the morning. After finishing the work, he pushed the patient downstairs.


    The quality of life of the patient in the past week has been better than that of the previous three or four years!


    No more panic symptoms!


    "Doctor Lu, do I have to have surgery?"


    At this point, the patient begins to waver again.


    "Do it!"


    Lu Chen didn''t understand what the patient was thinking, and immediately said.


    "Well, that''s fine." The patient could only accept it silently.


    ¡­


    Catheter lab.


    The patient''s husband was waiting outside, and Lu Chen pushed the patient into it.


    Not long after, Yu Bin also came down.


    He has changed into his surgical gown and looks ready to take the stage as an assistant.


    "Lu Chen, where is Director Zhang?"


    Yu Bin asked curiously.


    The surgery is about to start, why can''t you see the surgeon?


    "What is Teacher Zhang doing here?" Lu Chen wondered.


    This kind of ablation operation is the most basic operation, so there is no need for Director Zhang to come?


    "Director Zhang won''t come? Is he okay?" Yu Bin was startled, "Then, who will perform the surgery?"


    He looked around to see if teachers from other groups came to help with the operation.


    However, he did not see other groups of surgeons.


    "I do!" Lu Chen smiled slightly.


    "What? What did you say?"


    Yu Bin was stunned.


    "You, aren''t you an assistant?"


    "Who said I was an assistant?" Lu Chen shrugged, "I''m a magician!"


    Yu Bin swallowed, "Lu Chen, this joke isn''t very fun, it''s not a practice!"


    Lu Chen did not explain much, and went directly into the catheterization room.


    "Ah, you..."


    Yu Bin stared blankly at Lu Chen walking into the catheterization room, his mind was still in chaos.


    He was going to be an assistant, but now...


    Yu Bin stayed outside the catheter room, watching Lu Chen''s next steps in shock!


    ¡­


    The patient went to the console with mixed emotions of anticipation and fear.


    Due to the shadow caused by electrical cardioversion, when Lu Chen put in the lead, the patient instinctively shouted "don''t electrocute me".


    However, after Lu Chen''s explanation, the patient''s mood calmed down.


    After that, the surgery went very smoothly.


    Electrophysiological examination showed a dual AV nodal pathway, and it was very easy to induce a typical slow-fast AV nodal reentrant tachycardia.


    When Lu Chen stimulated the atrium rapidly, the atrioventricular 1:1 conduction and the QRS complex appeared widened (differential conduction). The widened shape was consistent with the clinical tachycardia.


    It is inferred that the patient''s wide QRS tachycardia should be atrioventricular nodal reentrant tachycardia with differential conduction.


    The next ablation process is very simple.


    After the slow path of the atrioventricular node was modified, the tachycardia was no longer induced.


    The whole process lasted 40 minutes.


    After 4 years, the patient can be said to have cleared away the clouds and mists, and the willows are bright.


    (end of this chapter)

 v2 Chapter 637： Lu Chen is a sweet pastry

    Chapter 637 Lu Chen is a sweet treat


    The second district of the heart, the doctor''s office.


    Yu Bin was still immersed in the shock of Lu Chen as the chief surgeon.


    He looked at Lu Chen, his mouth moved slightly, he wanted to say something, but when the words came to his mouth, he couldn''t say anything.


    In Yu Bin''s eyes, Lu Chen has less clinical experience than himself...


    How could he possibly be qualified to lead the knife? !


    Cardiac intervention is the same as surgery.


    It is difficult for ordinary hospitalized or low-level attending physicians to qualify as chief surgeons.


    Only after constantly following the stage, being an assistant, and working in the catheterization room for seven or eight years, can you be qualified as the chief surgeon.


    But now, Yu Bin''s worldview has been turned upside down.


    He looked at a doctor younger than himself, standing in the catheterization room, performing surgical operations extremely skillfully.


    This kind of shock cannot be felt by outsiders!


    "Senior brother, you are so amazing!"


    Ji Yingying''s face was slightly red.


    During the operation, she also took time to visit the cath lab to take a look.


    She was also extremely shocked when she saw Lu Chen taking the lead.


    In her impression, the doctors who can perform operations in the catheterization lab are all senior doctors.


    Lu Chen was only a few years older than her, yet he was able to take the lead, which was unimaginable for them.


    "Junior sister, what do you think is the seriousness of this case?" Lu Chen asked with a smile.


    "Huh?" Ji Yingying blinked, "I thought my brother could do the surgery independently, it''s amazing!"


    "That''s it?" Lu Chen frowned and pondered.


    It is not that he is boasting.


    This case was simple for him, but a great learning opportunity for these students.


    Ji Yingying frowned slightly, "This patient, everyone thought it was ventricular tachycardia at first, but it was actually supraventricular tachycardia. Brother, you can diagnose it, it''s amazing!"


    Lu Chen nodded slightly and said slowly: "The patient''s real condition is often hidden in the details, and we need to use our keen sense of smell to carefully observe and reason about these details."


    If the patient really installs an ICD, for her, her future life will inevitably be in the haze of "electric shock".


    This is unacceptable for every patient.


    "Brother, intracardiac electrophysiology is very interesting." Ji Yingying smiled, "If I hadn''t chosen the endocrinology department, I would really like to transfer to the cardiology department now."


    The thrilling rescue of cardiology department may be difficult to feel in other departments of internal medicine.


    Lu Chen''s diagnosis and treatment will not only clear the haze for the patient''s future life, but also change the life trajectory of a family.


    Isn''t this the greatest sense of accomplishment of a doctor?


    "But the cardiology department is tired..." Lu Chen shook his head slightly and smiled, "I still envy your leisurely department."


    Everyone¡¯s career pursuit is different.


    Easyness is good, but it also makes people lose their fighting spirit gradually.


    ¡­


    Lu Chen''s light was gradually enlarged after the main surgery.


    Everyone else in the department knows that Director Zhang Shuqing has recruited a great doctoral student this year. Not only has he published a top-notch thesis, but his clinical and surgical abilities are even more impressive.


    The head nurse of the second district in my heart moved with the breeze.


    Such a young talent, and still a bachelor, is simply a sweet treat!


    "Lu Chen, you''ve been in the department for over a month now!" Head Nurse Gao came to the doctor''s office with a smile.


    "Well, almost." Lu Chen nodded.


    During this month, he was basically used to the rhythm of the First Affiliated Hospital of Modu University.


    I come to the ward to work every day, and occasionally perform a few operations.


    While earning life points, you can also improve the completion of system upgrades.


    "I heard that you don''t have a girlfriend. I have a few good ones here. Let me introduce you to a few."


    Head Nurse Gao said with a smile.


    If it wasn''t for her daughter who had just entered junior high school, she would have liked to introduce her daughter to Lu Chen.


    In everyone''s perception, Lu Chen''s future is bright.


    "Thank you for the kindness of the head nurse." Lu Chen smiled shyly, "The people you introduced must be locals from Modu. I can''t even afford a toilet here, so let''s forget it."


    "Oh, it''s temporary that you can''t afford it." The head nurse smiled, "First get to know a few, cultivate feelings, and then stay in the magic capital, or stay in our department, that''s great..."


    Lu Chen couldn''t resist Nurse Gao''s enthusiasm, so he could only agree temporarily, saying that he would find a time to meet someone else.


    ¡­


    The First Affiliated Hospital of Modu University.


    Cardiology CCU.


    VIP ward.


    It was late at night, but a family member of a city leader was suddenly hospitalized, and the leaders of the Cardiology Department were dispatched.


    "What is the patient''s condition?"


    Liu Jun, director of the Department of Cardiology, rushed to the CCU in a hurry, frowning at the medical records in front of him.


    Zhang Shuqing took out the electrocardiogram, handed it to Liu Jun, and said solemnly: "A 50-year-old middle-aged male, the main complaint is fatigue, which is obvious after the activity, and the heart rate slows down significantly, about 37 beats/min."


    "Is there any history of amaurosis and syncope?" Liu Jun continued.


    "Not yet." Zhang Shuqing shook his head slightly, "But the patient''s symptoms of fatigue are obviously related to the slow heart rate,"


    Liu Jun carefully studied the electrocardiogram, and it was just a simple sinus tachycardia.


    "It may be necessary to implant a pacemaker." Liu Jun said slowly.


    However, this patient has a special status.


    In the decision to implant a pacemaker, Liu Jun felt that he should be more cautious.


    "Shuqing, what do you think?" He turned to look at Zhang Shuqing.


    Although Zhang Shuqing is young, he is a young generation leader in the field of electrophysiology and valves at the Medical College of Modu University.


    Therefore, he is deeply loved by the chief director Liu Jun.


    "The patient just came to the hospital, and the reason for the slow heart rate is still unclear, such as whether there are specific factors such as hypothyroidism, which caused the slow heart rate." Zhang Shuqing analyzed, "The patient is currently in a stable state, and will not be treated for the time being until the test results come out tomorrow morning. , let''s have a big discussion within the department and brainstorm!"


    Implantation of a permanent pacemaker, although it is a simple operation, but considering that the patient''s identity is extremely special, everyone has to be cautious.


    "Well, then that''s it." Liu Jun nodded slightly, "Let the doctor on duty pay close attention to the changes in the patient''s condition, and notify me at any time if there is any situation."


    "Okay, Director. I''m not leaving today, I just slept in the CCU duty room." Zhang Shuqing said.


    "Um."


    Liu Jun nodded with satisfaction, patted Zhang Shuqing on the shoulder, then turned around and left.


    ¡­


    the next day.


    Lu Chen received a call from his mentor Zhang Shuqing just after the ward round.


    "Lu Chen, come to CCU''s demonstration classroom and participate in a case discussion."


    "Okay." Lu Chen didn''t think much, and after explaining a few words to Ji Yingying, he took the stethoscope and came to the CCU classroom.


    The ?? classroom is generally a place for intra-departmental study, remote consultation and discussion of difficult cases.


    The classroom of the Department of Cardiology is very large and can accommodate about 70 or 80 people.


    Lu Chen opened the door, startled.


    Good guy, it''s almost full!


    What kind of difficult case is this?


    Actually held a general medical consultation!


    Lu Chen has some expectations in his heart...


    (end of this chapter)

 v2 Chapter 638： 37 beats/min ECG

    Chapter 638 ECG at 37 minutes


    CCU shows the classroom.


    Many doctors came to participate in the discussion.


    Most of them are senior attending physicians, and there are also some deputy chief physicians and chief physicians.


    There are very few doctors like Lu Chen who just came to the hospital.


    Lu Chen knew almost no one except his mentor, chief director Liu Jun, and the doctor in the second district of his heart.


    When he was in the Jinghua Second Hospital, he participated in many case discussions.


    However, they are all participating as students, and they are rarely able to express their own ideas.


    This time is different. He represents Mr. Zhang Shuqing''s medical team and has the opportunity to express his opinions.


    "Lu Chen, come here!"


    In the noisy environment, Lu Chen suddenly heard a voice, he looked for it, it was Jiao Jingqiu, the attending doctor in the second district of his heart.


    There was a young doctor sitting next to her. Lu Chen looked at him, and he probably wasn''t someone in the second area of ??his heart.


    Lu Chen stepped forward and sat beside Jiao Jingqiu.


    "Lu Chen, are you here to study too?" Jiao Jing Qiu Yingying smiled.


    Lu Chen was taken aback for a moment, then nodded and smiled, "Mr. Zhang asked me to come and see. What is the condition of this patient, why are so many people here?"


    "I''m not too sure." Jiao Jingqiu shook his head and whispered, "But I heard that the patient seems to be a family member of a leader in the city..."


    Lu Chen frowned slightly, the anticipation that had just risen in his heart disappeared in an instant.


    He thought it was some difficult patient!


    At this time, the male doctor beside Jiao Jingqiu said, "I heard from my colleague in CCU that it is a patient with sinus bradycardia, and the patient''s eldest brother is the leader of a certain unit in the city. What is the purpose of this discussion? , is to see whether to put the pacemaker."


    "That''s all? Do you want to have a big discussion in the subject?"


    Jiao Jingqiu blinked her eyes in disbelief.


    "Tell me that you are young, you have no consciousness at all!" The male doctor grinned, "The leadership is a big deal! Even if the illness is not serious, it must be shown to the leadership!"


    "But our clinicians are very busy!" Jiao Jingqiu pouted, "Who has the time to mess with them here..."


    Lu Chen pursed his lips, but did not speak.


    He agreed with Jiao Jingqiu''s words in his heart.


    But everyone is in this environment, and many things cannot go as they wish.


    Only when you become stronger can you have a choice.


    ¡­


    At this moment, Liu Jun on the podium spoke.


    "Everyone returned to their seats, and the case discussion began immediately."


    As soon as the ?? voice fell, the noisy sound in the classroom slowly disappeared, everyone sat down, and those who did not find a seat stood at the back.


    At this time, on the projector in front of the podium, the medical records of the patients in this discussion appeared.


    Zhang Shuqing also walked slowly to the stage.


    "The case discussion this time, I invite everyone to come here, mainly about the issue of pacemaker implantation..."


    With the PPT screening, Zhang Shuqing introduced the patient''s condition and auxiliary examination materials to everyone one by one.


    Condition introduction is complete.


    Liu Jun, Director of Cardiology University, stepped onto the podium again, looked around the crowd, and said slowly:


    "The topic of this discussion, do patients need to have a pacemaker implanted? After the pacemaker is implanted, what treatment problems do they need to face?"


    "I won''t name names. Let''s brainstorm and speak up."


    After Liu Jun finished speaking, there was a murmur of discussion under the podium.


    Lu Chen saw a middle-aged doctor raise his hand in the front row, Zhang Shuqing immediately handed over the microphone.


    "Okay, the first person to speak is Director Qin from the first district in the heart." Liu Jun nodded slightly.


    Qin Feng is the deputy chief physician who has just been promoted this year. He has made good achievements in the field of electrophysiology.


    He stood up, took the microphone, and said slowly, "I just heard Director Zhang''s introduction, and I have a certain understanding of this patient."


    "The main symptom of the patient is fatigue, the electrocardiogram is sinus bradycardia, the heart rate is only about 37 beats/min, and it may be slower to fall asleep at night!"


    "Other tests, including routine blood tests, liver and kidney function, thyroid function, and echocardiography were normal."


    "The initial diagnosis is sinus bradycardia. If the patient has severe symptoms of fatigue, a pacemaker needs to be implanted!"


    Liu Jun nodded slightly when he heard the words.


    Lu Chen kept frowning, staring at the ppt screen.


    The interface where the PPT is parked on the podium is the patient''s electrocardiogram.


    ¡­


    "Who will speak next?" Liu Jun continued to ask.


    "Let me do it!"


    There is a middle-aged female doctor next to Director Qin. She wears glasses and has a serious face. It seems that she should also be a director-level figure.


    "Director Zhang, here it is."


    Director Qin immediately handed the microphone to her.


    Liu Jun on the stage smiled, "Okay, then Director Zhang from the fourth district in his heart will express his views."


    Director Zhang stood up, her voice was a little cold, she did not directly pervert whether a pacemaker was implanted, but asked: "Has the patient ever taken heart rate-lowering drugs, such as Betaloc, drugs such as digitalis, etc. What was the previous heart rate of any patient? Is it a manual worker, or an athlete?"


    Director Zhang has many questions.


    basically revolves around the slowdown in heart rate.


    Long-term oral heart rate-lowering drugs, as well as manual workers and athletes, will have a slow heart rate.


    If it is physiological and there is no symptoms of severe dizziness or syncope, then no special treatment is required.


    If it is because of certain drugs, then stop the drug, after removing these factors, the patient''s heart rate should be able to increase.


    On the stage, Zhang Shuqing explained one by one: "The patient has not taken any heart rate-lowering drugs, nor has he been a manual worker, nor an athlete."


    Director Zhang nodded, "I think it''s better to be cautious. After perfecting the dynamic electrocardiogram, we will further evaluate whether to implant a pacemaker."


    "Okay, Director Zhang''s opinion is good." Liu Jun nodded with a smile.


    Next, several directors and senior attending physicians spoke.


    However, the opinions of these people are similar to those of Director Qin and Director Zhang at the beginning.


    It is necessary to place a pacemaker, or after improving the dynamic electrocardiogram, and then assess whether to implant a pacemaker.


    ¡­


    Lu Chen didn''t speak.


    He found a copy of the patient''s electrocardiogram and read it repeatedly.


    Jiao Jingqiu also came over and took a few glances.


    "Lu Chen, what else is so good about this electrocardiogram?" Jiao Jingqiu wondered, "Isn''t it a sinus bradycardia, no matter how you look at it, you can''t see anything?"


    Lu Chen smiled and shook his head, "I''ll just take a look."


    The electrocardiogram shown on the ppt just now cannot be seen clearly.


    Lu Chen will never "follow what others say".


    It is only after one''s own thinking that the final diagnosis can be made.


    His ECG skills are already advanced, and his proficiency in ECG interpretation has reached 93%.


    Most of the electrocardiograms with problems have no clue in his eyes!


    ¡­


    at this time.


    The male doctor sitting next to Jiao Jingqiu whispered, "Jingqiu, what''s the use of discussing this? Isn''t it the same result?"


    Jiao Jingqiu nodded helplessly, "No way, we still have to discuss it! How about... I''ll speak too?"


    "Ah? You, you want to speak?" The male doctor said in surprise, "What can you say?"


    At this moment, Liu Jun was asking if anyone else was speaking from the podium.


    Jiao Jingqiu immediately raised his hand.


    "Oh, let''s talk about the doctor at the back."


    The ?? microphone was successfully handed to Jiao Jingqiu.


    "Cough cough." Jiao Jingqiu cleared her throat, stood up and said, "Isn''t this a simple sinus bradycardia?"


    "Severe sinus bradycardia just explains the patient''s symptoms of fatigue, especially after exercise. Sinus bradycardia is also one of the manifestations of sick sinus syndrome."


    "Severe sinus bradycardia with symptoms, just implanting a pacemaker, from symptoms to ECG and treatment... Isn''t this perfect?"


    "This is a very straightforward question..."


    Jiao Jingqiu pouted.


    It is such a simple question, and it takes so many people to sit together and discuss it for so long?


    The family members of this leader are really big names!


    The male doctor sitting next to Jiao Jingqiu was in a hurry at this time, and quickly lowered his voice, "Jingqiu, don''t say a few words! What are you talking about?!"


    On the podium, Liu Jun''s expression changed slightly, and then returned to normal.


    He could hear Jiao Jingqiu complaining inside and out.


    This kind of thing is not something a little doctor can complain about.


    There are so many directors in front of you who have no opinion, why did one of your attending doctors jump out?


    "Okay, I remember Dr. Jiao''s opinion."


    Liu Jun nodded towards Jiao Jingqiu, his eyes burning like torches.


    "Okay, this discussion is over, we finally summarize our opinions..."


    Just when Zhang Shuqing was about to announce the end of the discussion, he suddenly caught a glimpse of Lu Chen raising his hand.


    He was slightly startled.


    He was still thinking about why his student Lu Chen didn''t speak up, and showed his face in front of everyone, making a wave of presence.


    Lu Chen really raised his hand.


    However, the discussion is coming to an end now.


    Now raise your hand to speak, is it necessary?


    It seems that there will be no other different opinions, right?


    "Oh? There is also a young doctor speaking." Liu Jun also saw Lu Chen raising his hand, "Then you can make the last speech."


    Lu Chen stood up slowly and took the microphone from Jiao Jingqiu''s hand.


    Jiao Jingqiu''s face brightened, thinking that Lu Chen was really interesting.


    must have come to help him complain!


    The male doctor beside ?? sighed slightly, thinking, next time, he must stay away from these two goods...


    However, Lu Chen''s first sentence stunned everyone present.


    "Teachers, I want to ask a question, is this patient''s ECG a bradyarrhythmia or a tachyarrhythmia?"


    There were still people whispering in the entire showroom just now, but at this moment there was no sound.


    Everyone looked at Lu Chen with puzzled eyes, even with a hint of mockery.


    Beside him, Jiao Jingqiu opened his mouth so wide that he could even put a fist in.


    Lu Chen is too exaggerated!


    On the electrocardiogram, the patient''s heart rate was clearly written as 37 beats/min!


    Normal heart rate is 60-100 beats/min.


    Less than 60 beats/min, that is bradycardia.


    > 100 beats/min, it is called tachycardia.


    "Lu Chen, are you alright? Are you out of your mind?" Jiao Jingqiu said in surprise, "The heart rate of this electrocardiogram is 37 beats per minute!"


    (end of this chapter)

 v2 Chapter 639： causation

    Chapter 639 Causation


    Cardiology CCU.


    shows the classroom.


    Lu Chen stood up and faced everyone in the classroom.


    His eyes were firm and he didn''t care what other people were saying.


    "Lu Chen, what did you just say?" Zhang Shuqing thought that Lu Chen was wrong and asked again, wanting to give him a chance to correct.


    Lu Chen was not in a hurry, and still insisted on the sentence just now:


    "Is this patient''s ECG a bradyarrhythmia or a tachyarrhythmia?"


    Zhang Shuqing''s complexion changed.


    He felt that Lu Chen was not such a pointless person.


    It''s obviously a 37 beats/min ECG, so why do you ask this?


    on the podium.


    Liu Jun stared at Lu Chen closely, then he seemed to think of something, and immediately lowered his head to look for something, "Shuqing, where''s the patient''s electrocardiogram?"


    Zhang Shuqing glanced at Liu Jun strangely, and whispered, "I have a copy here."


    Liu Jun took the electrocardiogram and read it carefully.


    ¡­


    Under the podium.


    The voices of the crowd are endless.


    Many people saw Lu Chen''s face and thought he was a little strange.


    "Which ward is he a doctor? Why haven''t I seen him!"


    "I haven''t seen it before, so it''s not an intern from somewhere, right?"


    "Hey, I heard that Director Zhang Shuqing is accepting doctoral students this year, but you didn''t hear him, Director Zhang just called out his name!"


    "Hey, that''s right! It''s called Lu or something..."


    Seeing that Liu Jun and Zhang Shuqing on the stage did not speak, Lu Chen paused and continued: "Some doctors may think that this is not a simple sinus bradycardia, and it can be solved perfectly after implanting a pacemaker. problem, but..."


    He paused and looked around the crowd, "If we distract our attention a little at this time, pay attention to the sharp waveform on the T wave in lead V1 of this electrocardiogram..."


    T wave in lead V1?


    Everyone heard Lu Chen''s voice and looked over at the place he reminded.


    However, the graphics in the PPT on the podium are rather blurry, and you can''t see anything unusual.


    Only those doctors with copies of electrocardiograms in their hands slowly discovered the difference.


    Director Qin suddenly stood up and looked back at Lu Chen in surprise, "Doctor Lu, you mean the T wave in lead V1, not the T wave?"


    "Yes, not a T wave!" Lu Chen smiled and nodded.


    T wave, not T wave?


    What does it mean?


    Everyone''s mind was full of mud.


    The conversation between Lu Chen and Director Qin seemed to be encrypted.


    Everyone can''t understand!


    ¡­


    on the podium.


    Liu Jun heard the conversation between the two, and when he looked at the electrocardiogram again, a flash of surprise flashed in his eyes.


    T wave, not T wave?


    Such a small detail that is easily overlooked was actually discovered by the doctor in front of him? !


    He whispered to Zhang Shuqing beside him, "Which ward is he a doctor? New here this year? Do you know him?"


    Zhang Shuqing immediately replied: "Director, he is the doctoral student I just recruited this year, Lu Chen."


    Liu Jun was stunned for a moment, then laughed, "Well done! It''s really a hero! This time the big discussion in the department is really right."


    Zhang Shuqing is not sure why.


    He looked at the electrocardiogram and found nothing unusual.


    But seeing Liu Jun''s attitude change, it must be related to Lu Chen.


    The doctors under the podium also saw the change in the expression of the chief director Liu Jun.


    Combined with what Director Qin just said, everyone began to re-examine Lu Chen''s words.


    More and more people are looking for copies of electrocardiograms.


    "Shuqing, can you zoom in on the electrocardiogram on the PPT to make it clearer to everyone."


    The smile on Liu Jun''s face was very bright. After Lu Chen''s advice just now, he had already seen the essence of this electrocardiogram.


    "Okay, Director."


    Zhang Shuqing nodded slightly and immediately began to operate on the stage.


    ¡­


    The electrocardiogram on the PPT gradually enlarged, and all the doctors present could clearly see the T wave in lead V1.


    The crowd began to whisper.


    "The shape of this T wave is really different from the normal one! It''s very sharp, it''s really not a T wave!"


    "Yes, not T waves, nor QRS waves, nor U waves!"


    "It''s nothing, shouldn''t it be an interference wave?"


    "Have you seen this kind of interference wave? I don''t think it is an interference wave..."


    The people present here are the backbone of each ward. After Lu Chen''s reminder, they immediately discovered something wrong with the T wave of the electrocardiogram.


    On the stage, Zhang Shuqing was stunned.


    He understood at once, and murmured, "This is not a T wave, nor is it any other waveform."


    "Then there is only one possibility left!" Zhang Shuqing looked at Lu Chen in surprise, "That is the P wave!"


    ¡­


    Most of the doctors present suddenly realized at this moment.


    The way they looked at Lu Chen started to change!


    "Doctor Lu, please continue to explain it to everyone."


    On the stage, Liu Jun looked at Lu Chen, and the corners of his mouth curled up.


    "Okay, Director." Lu Chen replied, holding the electrocardiogram in his hand, his tone was unhurried, "I believe all teachers should have discovered that, judging from the T wave on this lead V1, it is not real T waves, but P waves!"


    "And this P wave is not the same as the normal P wave, so it must be an early morning."


    Following Lu Chen''s voice, everyone began to re-examine the electrocardiogram in front of them.


    As you can see, the shape of this P wave is really different from the normal P wave!


    Lu Chen continued: "There is no QRS wave behind Fang Zao, which means Fang Zao arrived very early, encountered the refractory period of the atrioventricular node, and has not been passed down. The current heart rhythm is called sinus rhythm and atrial early doublet rhythm, which is just atrial early. Not uploaded."


    "Fang Zao didn''t go down, but it has a compensatory pause."


    "The appearance of compensatory intervals resulted in a slowing of the heart rate and also caused the patient''s symptoms of fatigue."


    Lu Chen''s explanation was very clear, and everyone present understood the essence of this electrocardiogram.


    However, there are always people who disagree.


    Jiao Jingqiu raised his hand.


    Lu Chen was slightly taken aback, but still handed the microphone to her.


    "Doctor Lu, your analysis was correct just now. But after so much analysis, isn''t the final conclusion a slow heart rate? Is it different from what we analyzed? Why do you say it''s a tachyarrhythmia?"


    "I think I can answer you this question."


    Lu Chen was about to answer when Director Qin in the front row suddenly stood up. He stared at Jiao Jingqiu with a smile.


    All eyes were focused on him again.


    "If you look at it from the perspective of QRS or systole, it is undoubtedly a slow arrhythmia."


    "But from the point of view of the P wave, the frequent arrhythmia should be a rapid arrhythmia!"


    "If we analyze from the causal relationship, the slowed heart rate is the result, and the frequent occurrence of early morning sickness is the cause!"


    Speaking of this, Director Qin''s tone paused slightly, his eyes turned to Lu Chen, his eyes softened, "I think, this is what Dr. Lu just said, tachyarrhythmia!"


    If you are interested in this ECG, I will post it


    (end of this chapter)

 v2 Chapter 640： Confidence is destroyed!

    Chapter 640 Self-confidence is destroyed!


    Jiao Jingqiu pursed her lips, still a little unwilling to give up, "Is there any problem with implanting a pacemaker for this arrhythmia?"


    The basal heart rate is only 37 beats/min, which is a bradyarrhythmia. Is there a problem with the implantation of a pacemaker?


    "There''s a problem!" Lu Chen said, he didn''t care about everyone''s astonishment, and continued: "Assuming a cardiac pacemaker is implanted, the patient is in sinus rhythm, and a dual-chamber pacemaker should be implanted, and its working mode For atrioventricular pacing (DDD), it senses the electrical activity of the atrium and triggers the electrical activity of the ventricle.


    "The patient is likely to feel uncomfortable due to the rapid heart rate and frequent ventricular pacing!"


    Lu Chen''s words were firm and directly pointed out the inappropriateness of "implanting a pacemaker"!


    Everyone present was silent.


    A few minutes ago, everyone''s opinions could be said to be surprisingly unified, and a pacemaker needs to be implanted!


    But now... slap in the face!


    The speed of the slap in the face is so fast!


    Jiao Jingqiu had nothing to say, glanced at Lu Chen, and sat down silently.


    Lu Chen continued to fight while the railway was hot: "The correct treatment for this patient should be ablation!"


    "Ablate atrial premature death! The compensatory interval disappears, and the patient''s heart rate should increase!"


    ¡­


    At this time, everyone in Shi''s classroom looked at Lu Chen, and their eyes couldn''t help but reveal a look of amazement.


    Except for the people in the second district of the heart, who knew something about Lu Chen, everyone else was secretly wondering, when did the Cardiology Department of the First Hospital of the Magic City produce such an excellent young man!


    on the podium.


    Liu Jun and Zhang Shuqing had bright smiles on their faces.


    Liu Jun''s smile was because Lu Chen solved his problem.


    Zhang Shuqing''s smile was because of Lu Chen''s excellence, he felt a little bit of pride!


    "Okay, now I''ll make the final summary." Liu Jun put away his smile.


    He looked around the people in the classroom, and his voice was loud, "Today''s case has made everyone realize a problem, the heart rate is slow, is it not necessary to have a pacemaker implanted?"


    "Solving the problem, starting from the source, and finding the essential reason for the slow heart rate is often the most effective!"


    The voice of ?? just fell.


    A series of prompts popped up in Lu Chen''s system panel.


    "Congratulations, received +10 thanks from Liu Jun!"


    "Congratulations, you received a +5 thanks from Zhang Shuqing!"


    "Congratulations, +5 for receiving thanks from Qin Feng!"


    ¡°¡­¡±


    Because all the people present were senior titles, the thanks to Lu Chen also increased a lot accordingly.


    Seventy or eighty people were present, and Lu Chen almost got over 300 thanks!


    "It seems that the more discussion of this kind of case, the better!" Lu Chen thought to himself, this kind of benefit is worth the many days of clinical work.


    ¡­


    Case discussion ended.


    The crowd slowly exited the stage.


    While leaving, they also paid attention to Lu Chen, the young man who appeared today.


    "Lu Chen, you can go back later!" Zhang Shuqing stopped Lu Chen who was about to leave.


    "Okay." Lu Chen was about to go back and write today''s medical records. Seeing this scene, he could only sit down silently.


    Jiao Jingqiu glanced at Lu Chen and left without saying anything.


    Today, her self-confidence has been destroyed.


    Destroyed by a doctoral student who has just entered the clinic for a few years!


    ¡­


    in the classroom.


    Only Lu Chen, Liu Jun, and Zhang Shuqing were left.


    "Lu Chen, this is the director of our Department of Cardiology, Director Liu." Zhang Shuqing immediately stepped forward and introduced.


    "Hello Director Liu." Lu Chen was neither humble nor arrogant.


    "Well, good!" Liu Jun laughed, patted Lu Chen on the shoulder, and looked up and down at Lu Chen carefully, "Where are you from?"


    "Director, I''m not a native of Modu, I''m near Jiangcheng in Huzhong Province."


    "Oh, Jiangcheng? This is a good place!" Liu Jun nodded slightly, "I went to Jiangcheng once when I was young, and I was deeply impressed by the culture and customs."


    Liu Jun is worthy of being a good river and lake, and he quickly narrowed the distance with Lu Chen.


    "Your undergraduate and master''s degrees are also from Jiangcheng?" Liu Jun continued.


    Lu Chen shook his head, "The undergraduate is from Jiangcheng University, and the master is from Jinghua."


    "Jinghua?" Liu Jun was stunned for a moment, his expression changed again when he looked at Lu Chen, "Your master''s tutor... Could it be Li Yao?"


    Lu Chen was startled, "Yes!"


    He looked at Liu Jun strangely.


    This was the first time he met Liu Jun, how could Liu Jun know about his mentor in Jinghua?


    Liu Jun seemed to see Lu Chen''s doubts and smiled, "Your supervisor has recently published a top journal paper. This kind of paper is extremely rare no matter which hospital it is in, and we must be concerned about it. "


    "Professor Li Yao once also communicated with me that her student union came to Modu. I didn''t expect you to come so early."


    Lu Chen came to the hospital two months in advance.


    There is still one month before the start of school.


    Lu Chen understood this time. Professor Li Yao told him before that he would say hello to his old classmates in the magic capital and ask them to take care of him.


    I didn''t expect that this relationship was actually the chief director!


    Li Yao''s relationship is really tough.


    But then again, if the relationship is not strong, Mr. Li Yao would not be able to win the "Outstanding Youth" this year.


    "Director Liu, this student of mine is incredible!" Zhang Shuqing laughed aside, "His resume is very dazzling!"


    "Really?" Liu Jun smiled slightly. He looked at Lu Chen and liked it more and more, "Lu Chen, come with me."


    "Yes." Lu Chen nodded.


    He followed Director Liu Jun to the VIP ward of the CCU in the heart.


    ¡­


    In the VIP ward.


    A male patient in his fifties was lying on the hospital bed.


    Beside him stood a man slightly older than him, with a Chinese character face, a suit and leather shoes, and a stern expression.


    Seeing the three of Liu Jun walking in, his expression did not change, he just nodded slightly: "Director Liu, you are here."


    "Juju Zou, why are you here in person?" Liu Jun hurriedly stepped forward and smiled.


    "I heard that you had a big discussion on the subject, I came to see the results."


    Zou Yi said indifferently, he glanced behind Liu Jun, why is there a young doctor?


    He looked a little unhappy. The less people knew about his visit to the hospital, the better.


    "Officer Zou, the result of our discussion has come out." Liu Jun said sternly, "It may be necessary to perform radiofrequency ablation."


    "Huh?" Zou Yi frowned deeply, "Isn''t a pacemaker implanted? Why do you need to do ablation again?"


    Zou Yi has already asked a professor in Kyoto. After someone saw the electrocardiogram, they suggested implanting a pacemaker.


    Why is the magic capital melting? !


    However, for ablation and pacemaker implantation, Zou Yi definitely prefers ablation.


    The pacemaker is a permanent foreign body implant, and there will be many problems in the later treatment.


    "How do you say..." Liu Jun organized the language and wanted to use the simplest language to explain the patient''s cause, "Actually, the patient''s slow heart rate is the result, caused by the frequent occurrence of atrial arrhythmia. , the patient''s heart rate will increase!"


    "Well." Zou Yi nodded slightly, "Well, give me a copy of the case data."


    He decided to take all the medical records and ask the doctor in the magic capital.


    Regarding the question of surgery, don¡¯t be sloppy at all!


    "Okay, I''ll ask Dr. Lu to send it to your secretary later." Liu Jundao, "Dr. Lu is also the main person involved in this discussion, and has made great efforts for this discussion."


    "Just send the case to me directly." Zou Yi glanced at Lu Chen and didn''t care.


    He didn''t quite believe that with so many chief professors around, what use could a young doctor do?


    This young doctor is probably just a person Liu Jun introduced to focus on training.


    (end of this chapter)

 v2 Chapter 641： Who is the chief surgeon?

    Chapter 641 Who is the chief surgeon?


    Lu Chen doesn''t really care about these big leaders.


    But since it was arranged by the director and mentor, he could only do as he did.


    Back to the second ward in the heart.


    Lu Chen transferred the patient''s information, wrote down the specific diagnosis and treatment plan, and sent it to Zhang Shuqing.


    After ??, Zhang Shuqing sent it directly to Zou Yi.


    in the ward.


    Zou Yi received Zhang Shuqing''s medical record, glanced at it, and sent it to the "professor" in Kyoto.


    Although the Cardiology Department of the First Hospital of Magic Capital is very strong and is at the top level nationwide, Zou Yi believes in Kyoto University School of Medicine even more.


    "Hello, Professor Xiao, are you busy?"


    Zou Yi made a call.


    Xiao Shikang received a call from Zou Yi as soon as he finished checking the room.


    "Oh, old classmate, you call me, of course I''m not busy!" Xiao Shikang came to the lounge and smiled.


    He and Zou Yi have been classmates for many years, and they have a good relationship. Although they graduated, they have always been in touch.


    "It''s like this." Zou Yi said straight to the point, "My eldest brother is hospitalized, and the doctor in the magic capital said that he should do ablation surgery. You can look at the medical records and get your opinion."


    "Okay." Xiao Shikang nodded, "Send it to me, but the Cardiology Department of your Demon City No. 1 Hospital is also top-notch. If you want to do ablation, it must be right."


    "If you keep saying that you want to do ablation, I won''t ask you." Zou Yi said helplessly, "The key is to let us do pacemakers at the beginning, and after a day, let us do radiofrequency ablation, which has changed too much. It''s almost time. So I don''t know what to do, and I still want to ask your opinion."


    "Really?" Xiao Shikang was also interested.


    pacemaker and ablation surgery, the gap between the two is huge.


    "You send me the medical records and I''ll take a look now."


    "it is good."


    ¡­


    The First Affiliated Hospital of Kyoto University.


    Three areas in the heart.


    Xiao Shikang came to the lounge and quickly turned on the department''s computer to receive the files sent by Zou Yi.


    "Sinus bradycardia?"


    Xiao Shikang saw the electrocardiogram, and his first reaction was the need to implant a permanent dual-chamber pacemaker.


    "How did the devil do to dissolve?"


    Xiao Shikang frowned deeply, he didn''t quite understand the meaning of ablation for the time being.


    With this question in mind, he continued to read the medical records.


    "Isn''t a T wave a real T wave?"


    When he saw this sentence, Xiao Shikang was stunned for a moment. He immediately switched to the previous ECG, and then exclaimed: "It''s really not a T wave, it''s a P wave!"


    "Who noticed this?! Not only is the observation meticulous, but the clinical thinking is also top-notch!"


    Xiao Shikang had a sudden realization and a clear mind after reading the entire medical record.


    "There are still many capable people in the magic capital!" He couldn''t help sighing.


    However, when he saw the final signature of the medical record, he was stunned.


    "Lu Chen?"


    "The organizer of this medical record is Lu Chen?"


    Xiao Shikang''s eyes widened.


    If this Lu Chen is the Lu Chen of Jinghua, then it can be explained.


    The scenes of Lu Chen''s three districts in his heart appeared in his mind.


    Solved the difficult problem for the patient with headache for many years, and successfully diagnosed the "patent foramen ovale".


    Xiao Shikang knew that Lu Chen had graduated from Jinghua, and refused the invitation of Kyoto, but went to the medical school of Modu University.


    For this reason, Professor Qin Sifeng showed regretful expressions in front of him many times.


    Xiao Shikang was silent for a while, then called Zou Yi back.


    ¡­


    "It is indeed an ablation operation." Xiao Shikang said solemnly, "This is still the high level of doctors in the magic capital. If you go to other hospitals, you may be asked to put a pacemaker."


    Xiao Shikang explained to him the reason for the "slow heart rate" in detail.


    "Okay, then I''ll listen to you." Zou Yi nodded, although he didn''t understand very well, but he believed in Xiao Shikang''s level, "By the way, Lao Xiao, you know a lot of people in the medical circle, you know that this operation, in Demon City, who is at a higher level?"


    Xiao Shikang smiled, "Pacemaker implantation is a relatively less difficult operation, and it can be done by some senior attending physicians or deputy chief physicians."


    Some chief physicians have been out of the clinic for too long, and most of them are engaged in scientific research. It is very likely that they do not have the high surgical proficiency of those deputy chiefs or attending physicians.


    "Old Xiao, please help me find out." Zou Yi said solemnly, "After all, it is an operation, and there are risks. I want to minimize the risks."


    "If you say that, I have a personal recommendation." This medical record in Xiao Shikang''s hands.


    "Who?"


    "Lu Chen."


    "Lu Chen? Who is he? From the No. 1 Academy of Demon Capital?" Zou Yi was stunned.


    Xiao Shikang said in amazement, "Don''t you know? Your medical records were compiled by Lu Chen!"


    "Organize data?"


    Zou Yi''s mind was full of memories, wasn''t this organized by a doctoral student of Zhang Shuqing?


    "The Lu Chen you said...is a student?" Zou Yi asked in confusion.


    Old Xiao, what does this mean?


    Just introduce a doctoral student for surgery?


    Xiao Shikang smiled when he heard the words, "If I''m not mistaken, it''s him!"


    Zou Yi paused, his tone full of doubts, "A student...why?"


    "Don''t worry, just listen to me..." Xiao Shikang said calmly, "Don''t underestimate this student..."


    For ten minutes, Xiao Shikang told Zou Yi about Lu Chen''s situation.


    ¡­


    "He, is he really just a student?"


    Hearing what Xiao Shikang said, Zou Yi was extremely shocked.


    Although he is not from the medical circle, he also knows that this kind of resume, even if it is placed on some professors, is extremely glamorous.


    "Yes!" Xiao Shikang smiled, "" It''s not wrong to choose him as the chief surgeon. After passing this village, there is no such shop. In the future, if you want Lu Chen to take the lead, you may not have such a chance. "


    "Okay." Zou Yi nodded solemnly, "I''ll listen to you."


    ¡­


    Lu Chen, who was working in the first area of ??his heart, didn''t know that he had been "targeted" by the big leader at this time.


    In the office of the chief director of the First Hospital of Magic City.


    Liu Jun and Zhang Shuqing sat opposite each other.


    "Shuqing, Director Zou has agreed to the operation." Liu Jun looked at Zhang Shuqing with a strange look.


    "That''s good!" Zhang Shuqing nodded, "Then I''ll have CCU prepare for the operation right away."


    said, Zhang Shuqing was about to leave.


    "Wait a minute. Liu Jun touched his chin, a trace of puzzlement flashed in his eyes, "Do you know who Director Zou asked to be the chief? "


    "Isn''t it Director you?" Zhang Shuqing was slightly startled.


    Generally, for such a big leader, Liu Jun will personally come to the stage to guide.


    Liu Jun shook his head slightly, "No."


    "Huh?" Zhang Shuqing was a little surprised, "Director Qin or Director Zhang?"


    "neither!"


    Liu Jun took a deep look at Zhang Shuqing and said slowly, "Lu Chen!"


    (end of this chapter)

 v2 Chapter 642： The students chief knife, the tutors assistant!

    Chapter 642 The student''s chief knife, the tutor''s assistant!


    One stone creates a thousand waves!


    The news that Lu Chen performed the surgery spread like wildfire in all the cardiology wards of the First Hospital of Modu.


    Last time, Lu Chen''s main surgery was only in the three areas of his heart, and only a small number of people knew about it.


    But this time, it was spread in all cardiology wards.


    Everyone knows it!


    "I heard that a city bureau leader named a doctoral student to perform the surgery!"


    "You heard right? The doctor is the chief surgeon? Does he have an intervention certificate?"


    "It''s true! I''m going to have surgery tomorrow!"


    "Tomorrow I will rest, just go to the catheterization lab!"


    ¡­


    Lu Chen, as the party concerned, may be the last person to know about this.


    In the department, everyone was talking about it.


    Until Zhang Shuqing came back from the director and confirmed the news.


    "Lu Chen, you have good news today, tomorrow morning surgery at ten o''clock, frequent ablation surgery." Zhang Shuqing looked at Lu Chen with a peaceful face, "There should be no problem, right?"


    "no problem."


    Whether it is ablation of premature atrial or implantation of a pacemaker, it is the most basic operation for electrophysiological surgeons.


    "Don''t be under pressure, just treat it normally." Zhang Shuqing ordered before leaving.


    "okay, I get it."


    Lu Chen didn''t feel much.


    Whether it is the family members of the leader or the common people, he will do his best to heal.


    What''s more, this patient''s disease was diagnosed by him.


    ¡­


    The First Hospital of Magic City.


    Canteen.


    "Junior Brother, you are really amazing." Dong Hao looked at Lu Chen with admiration and smiled, "You have only been here for a month, so you are famous. When I was in the laboratory in the afternoon, I heard people talk about you. "


    aside, Ke Yue looked at Lu Chen with a smile.


    In her view, all this is a matter of course.


    Lu Chen is so good, others will find out sooner or later.


    "To be honest, I don''t know what happened so far." Lu Chen shrugged, "I have seen that big leader, but he ignored me at the time, and I don''t know why he chose me in the end... "


    "Oh, it''s a good thing anyway." Ke Yue held her chin, "I''ll go to the catheterization room tomorrow too."


    "You''re not going to work tomorrow?" Lu Chen was taken aback.


    "You are too confused." Ke Yue smiled, "Tomorrow weekend, our laboratory will be on vacation."


    Ke Yue chose Cobo and would stay in the laboratory for three whole years.


    She just came to Modu, the experimental project is not very busy, and there are two days off every weekend.


    "Hey, unfortunately, I''m not in my heart." Dong Hao scratched his head, "Otherwise I''ll join in the fun."


    Lu Chen didn''t feel much about this operation at first, but seeing that everyone valued it so much, he couldn''t help but take it seriously.


    All in all, nothing can go wrong tomorrow.


    "By the way, Junior Brother, your experimental team..." Dong Hao said suddenly.


    He also heard that Lu Chen could independently form an experimental team.


    This is also a very important reason why Lu Chen gave up the capital and chose to come to the magic capital.


    "It hasn''t started to form yet." Lu Chen said, "I estimate that we will have to wait until the second half of the year, when I am thoroughly familiar with it and integrate into the First Academy of Magic Capital, before starting to form it."


    The most important thing is that Lu Chen has no suitable scientific research projects for the time being.


    He decided to break away from the previous "Dapagliflozin" project and devote himself to a new project.


    After all, Dapagliflozin is an imported foreign research drug.


    No matter how much you study, you will be "stuck in the neck".


    Dong Hao''s face suddenly hesitated. He paused for a while before slowly saying, "Junior brother, you... what do you think of me?"


    "Huh?" Lu Chen took a mouthful of rice and looked up at Dong Hao, "Senior brother, do you mean to join my experimental team?"


    "Yes!" Dong Hao nodded hurriedly.


    Lu Chen pondered for a long time, but shook his head, "Senior brother, most of my next experiments should involve clinical research. You are in the laboratory, and it is more about basic research..."


    The difference between the two can be said to be a world of difference!


    Basic scientific research, dealing with cells.


    However, in clinical research, more scientific experiments are carried out on patients.


    "This..." Dong Hao paused, "That''s right."


    "Yes." Lu Chen nodded, "Look, Ke Yue has not joined for the time being. However, if I have an idea for basic scientific research, I will definitely notify you as soon as possible."


    "Okay." Dong Hao was also relieved.


    He originally planned to experiment a little bit. If he had the right opportunity, he might be able to publish a few SCI articles.


    Now it seems that there is no fate.


    ¡­


    The next day.


    9:30 am.


    After Lu Chen checked the room, he left the ward in the eyes of everyone in the department and went to the catheterization room.


    Ji Yingying also followed behind Lu Chen.


    "Senior brother, are you nervous?"


    "It''s okay." Lu Chen smiled slightly, he had seen bigger scenes.


    Whether it is the assessment of the Kyoto Institute of Electrophysiology or the International Conference on Electrophysiology, it is much higher than the current standard.


    The two walked into the catheterization room while chatting.


    ¡­


    At this time, many doctors have gathered in the catheterization room, including the director of the department and doctors from other departments.


    Seeing Lu Chen coming in, Zhang Shuqing immediately stepped forward and instructed:


    "Lu Chen, Director Liu and Director Zou are in the lounge next door. You should change into a surgical gown first, and then check the patient''s status and other examination materials."


    "If there is no problem, the operation will start on time in twenty minutes."


    Lu Chen nodded lightly, "Okay."


    He doesn''t have his own surgical gown for the time being, so he can only borrow others first.


    After changing his clothes in the changing room, Lu Chen went to the VIP ward to check the patient''s status.


    "The patient''s vital signs and mental state are all normal, and the operation can be performed normally."


    Lu Chen instructed the nurse to push the patient into the operating room of the catheterization lab.


    At this time, Director Liu Jun and Director Zou Yi had already walked out of the lounge.


    ¡­


    "Let''s start." Liu Jun said to Lu Chen, who had changed into his surgical gown, "Today you are the chief surgeon, and your tutor is your assistant!"


    "Huh?" Lu Chen looked beside him.


    Zhang Shuqing had already changed into his surgical gown.


    Director Liu Jun didn''t believe in himself and asked Zhang Shuqing to take "insurance"?


    "Teacher Zhang, this..." Lu Chen paused, showing hesitation.


    If he was alone, it was fine.


    But let his mentor be his assistant, this combination is too weird!


    Student chief knife, tutor assistant...


    If this is passed on, it will damage Teacher Zhang Shuqing''s reputation!


    Zhang Shuqing smiled and said indifferently: "Lu Chen, don''t care what outsiders say, you just treat me as non-existent and just do the surgery!"


    Seeing that Zhang Shuqing said so, Lu Chen could only nod his head, "Okay then."


    The arrow was on the string and had to be fired.


    He took a deep breath as much as possible, adjusted his state, and walked slowly towards the operating room.


    (end of this chapter)

 v2 Chapter 643： Guide wire resistance

    Chapter 643 Guide Wire Resistance


    This is Lu Chen''s second surgery in the magic capital.


    He recalled all the steps of ablation in his mind, puncture, mapping, and ablation!


    The difficulty of premature atrial ablation surgery lies in mapping!


    The operator needs to map all possible areas of the atrium, find out the origin of the atrial anomaly as much as possible, and then perform ablation.


    Traditional point-by-point mapping requires sweeping the ablation catheter all over the atrium. It takes at least 2 hours to map 200-300 points, and requires high catheter operation for the surgeon.


    Lu Chen decided to use the latest high-density electrophysiological anatomical mapping technology to complete the ablation of this premature atrial.


    "let''s start."


    Lu Chen stood in front of the operating table, his gloves and hats already changed.


    Normally, the assistant needs to prepare the surgical area for draping and disinfection.


    However, this time the assistant was the mentor Zhang Shuqing, and Lu Chen really didn''t dare to let him operate.


    Therefore, Lu Chen silently disinfected the patient''s surgery area.


    ¡­


    This time, Lu Chen chose the right femoral vein as the puncture route.


    Enters from the femoral vein, passes through the inferior vena cava ¡ú right atrium ¡ú puncture the interatrial septum, and finally reaches the left atrium.


    Lu Chen''s puncture technique was the same as before.


    Fast and accurate!


    In the blink of an eye, Lu Chen''s femoral vein puncture was completed.


    The guide wire passed smoothly!


    Zhang Shuqing next to him felt Lu Chen''s piercing speed most intuitively.


    too fast!


    He really just blinked...


    Lu Chen succeeded in the puncture, and the guide wire was implanted.


    All the doctors watching outside the catheter room had surprised expressions on their faces.


    Judging from this puncture technique, Lu Chen''s electrophysiological technique must be considered top-notch.


    This level of proficiency is impossible without years of surgical experience.


    However, everyone is very strange.


    With Lu Chen''s age, how could he have achieved such a high level of proficiency in an intervention certificate for at most one or two years?


    Director Liu Jun also saw Lu Chen''s operation for the first time.


    "This young man is really good." Liu Jun said to Zou Yi, "Vascular puncture is the starting point and key point of our cardiac interventional surgery!"


    "Lu Chen''s puncture level is top-notch in any hospital in the country."


    Zou Yi nodded slightly.


    He is a layman, looking at the excitement, he doesn''t know the meaning of this piercing.


    Although he heard that Xiao Shikang admired Lu Chen so much, he had never seen such a young chief surgeon before, and he was still a little worried.


    Hearing Liu Jun complimenting Lu Chen so much, he felt a little relieved.


    ¡­


    Catheter room.


    Lu Chen gently squeezed the guide wire and let it follow the blood vessel, slowly heading towards the left atrium.


    Suddenly, Lu Chen frowned.


    He felt a little bit of resistance!


    "Shouldn''t it be?!" Lu Chen murmured, "I just arrived at the inferior vena cava, how could there be resistance?"


    Zhang Shuqing also saw that Lu Chen''s movements paused for a while, and asked in confusion, "What''s wrong?"


    "There is resistance!" Lu Chen frowned softly.


    "Is there resistance now?" Zhang Shuqing''s expression was also very surprised.


    The guide wire has just entered the femoral vein, at most the inferior vena cava!


    At this time, it is impossible to have resistance.


    Could it be that there is something wrong with Lu Chen''s operation?


    Zhang Shuqing glanced at Lu Chen.


    Everyone was watching from the outside, he couldn''t just question Lu Chen like that.


    Unexpectedly, Lu Chen said, "Teacher, why don''t you try it?"


    Zhang Shuqing did not expect Lu Chen to be so light.


    He is not afraid that if he succeeds, everyone outside will see it?


    Zhang Shuqing pondered slightly, then nodded.


    Patient safety comes first!


    Lu Chen turned slightly to his side and gave up his position.


    ¡­


    Conduit outdoor.


    Everyone saw the abnormality on the operating table.


    "What''s going on? Why did Lu Chen give way to Director Zhang?"


    "I saw Lu Chen paused just now. Could it be that the guide wire can''t get through?"


    "Impossible! Where did this guide wire go? It''s impossible!"


    "Hey, do you think it''s because this kid''s level is not enough, so let Director Zhang come forward temporarily?"


    Lu Chen and Zhang Shuqing''s behavior aroused everyone''s suspicion.


    Zou Yi frowned and looked at Liu Jun, "Director Liu, what''s going on?"


    Liu Jun also frowned deeply. It was the first time he saw the puncture guide wire, and he still needed to be replaced.


    In this case, there is only one possibility, and that is trouble!


    Otherwise, it is impossible to easily substitute.


    "Juju Zou, let''s take a look. I don''t understand it yet." Liu Jun snorted.


    He was thinking about the possibility of this happening.


    Zou Yi could only sink his heart and silently watch the changes in the operating room.


    ¡­


    Zhang Shuqing took over Lu Chen''s place and started feeding the guide wire.


    As soon as he got started, his expression changed.


    There is resistance!


    And this resistance is not small.


    how could be?


    As soon as the guide wire reached the inferior vena cava, it encountered resistance!


    The blood vessels of the human body are very fragile, and brute force cannot be used, otherwise the blood vessels may be damaged.


    In case of rupture or dissection of blood vessels, it will not be worth the loss.


    So Zhang Shuqing didn''t dare to make any changes!


    "Let me try to wear the left side." Zhang Shuqing said solemnly.


    They just punctured the right femoral vein, and now they encounter resistance and can only try the left side.


    "Okay." Lu Chen nodded slightly.


    But what they didn''t expect was.


    The left femoral vein path, despite repeated adjustment of the angle, the guide wire still cannot pass!


    The blood vessels on both sides of the ?? have encountered the same problem.


    This situation is extremely rare, at least Zhang Shuqing has never encountered it before.


    A fine sweat slowly appeared on his forehead.


    This patient has a special status, and his current state of mind is a little unstable.


    If something goes wrong, his future promotion will be difficult!


    Zhang Shuqing turned to look at Lu Chen, and found that he, the student, was still indifferent.


    "Teacher, why don''t you do an angiogram?" Lu Chen suddenly said, "There is resistance to the passage of the guide wire, which only means that the blood vessel may be stenotic or deformed!"


    Through angiography, you can see the specific conditions of the blood vessels.


    "Well, it makes sense." Zhang Shuqing thought for a while, "Okay, then you come to the imaging."


    The guide wire cannot pass, but the contrast agent can pass.


    This is also the only way at present!


    Zhang Shuqing gave way.


    Lu Chen stepped forward immediately, took over the teacher''s position, and started angiography.


    ¡­


    Seeing the movements of the two, the people outside also reacted.


    "If I read that right, they just pierced the left side again?"


    "I think it''s probably because the guide wire is not passing smoothly and is blocked!"


    "Their positions have changed again..."


    "What is Lu Chen doing? Did he decide to do an imaging first?"


    As the contrast image is displayed on the screen in front of the operating table.


    Everyone inside and outside the catheter room was stunned.


    The patient''s azygos vein joins the superior cavity and then reaches the right atrium, which means that the hepatic segment where the inferior vena cava enters the atrium is absent!


    The inferior vena cava goes around the heart in a large circle through the azygos vein and finally enters the right atrium.


    The popular explanation is that some blood vessels do not exist in the normal path of the patient into the atrium!


    (end of this chapter)

 v2 Chapter 644： Let Lu Chen continue!

    Chapter 644 Let Lu Chen continue!


    The originally quiet catheterization lab was now full of discussions.


    Everyone looked at each other in dismay. When they encountered such a deformed blood vessel, it was considered a winner!


    Inferior vena cava hepatic segmental absence is a rare congenital cardiovascular disease, accounting for about 0.6% of congenital heart disease.


    In the absence of the hepatic segment of the inferior vena cava combined with premature onset of atrial, there are very few patients who require radiofrequency ablation.


    "What''s the matter?" Zou Yi stared at Liu Jun beside him.


    Liu Jun frowned deeply, "It should be a congenital vascular malformation, the guide wire cannot pass through the conventional puncture path."


    "Congenital vascular malformation?" Zou Yi was stunned, "Is it serious?"


    "It''s not a serious problem." Liu Ju explained, "In the ablation operation, a guide wire and electrodes need to be delivered through the inferior vena cava. Now that the access is blocked, the operation may need to be suspended."


    "Is there an unconventional path?" Zou Yi wondered.


    "There is, but there is." Liu Jun said, "But the risk is high, and it will test the proficiency of the practitioner."


    Just as the two were talking, Zhang Shuqing walked out of the catheterization room.


    "Director, in an emergency, the patient has a congenital vascular malformation." Zhang Shuqing put his hands on his chest and said solemnly, "The guide wires on both sides cannot get in."


    "I see." Liu Jun nodded slightly, "Stop the operation, we will organize a discussion immediately, and then make plans for the next step."


    Liu Jun said this not only to Zhang Shuqing, but also to Zou Yi.


    He has to put on a serious attitude.


    However, Zhang Shuqing paused and said slowly, "That... Lu Chen said that the internal jugular vein route can be used."


    Liu Jun raised his brows, "Inside the neck? Did he do it?"


    "He said yes." Zhang Shuqing nodded slightly, "If the operation is suspended now, the patient''s second operation will be very harmful and troublesome."


    Liu Jun frowned.


    At this moment, he was a little dissatisfied with Lu Chen''s "recklessness".


    Obviously, a more secure method can be used.


    Does Lu Chen have to be a hero like this?


    Suspend the operation, brainstorm ideas, and then proceed to the operation after discussion, isn''t it good?


    Zhang Shuqing knew the director very well. Seeing that he was silent, he immediately noticed the sullen look under his calm appearance.


    "Director, I think it''s better to suspend the operation." Zhang Shuqing said immediately.


    Liu Jun said it was not very good, and Zou Yi was still watching.


    But what he said didn''t matter too much, after all, he was Lu Chen''s mentor.


    "Okay, let''s suspend the operation!" Liu Jun nodded slightly.


    Zhang Shuqing understood and was about to return to the catheterization room, but Zou Yi stopped him, "Director Zhang, wait a moment, I''ll make a call and make a decision."


    "This..." Zhang Shuqing glanced at Liu Jun and saw Liu Jun nodded, "Okay."


    Then he stood silently aside.


    Zou Yi returned to the lounge, took out his mobile phone, and called Xiao Shikang.


    ¡­


    The First Affiliated Hospital of Kyoto University.


    Three areas in the heart.


    Office of the Director.


    "Lu Chen went to the magic capital, it''s really a big loss for us!"


    Xiao Shikang passed the medical records Zou Yi gave him to Qin Sifeng.


    "Hey, there''s no way." Qin Sifeng held the medical records and sighed slightly, "The hospital refuses to take out too many hospital tilts, and it makes sense that Lu Chen can''t be kept."


    Yang Feng is the director of the Department of Cardiology at the First Affiliated Hospital of Kyoto University.


    He seemed to have some prejudice against Lu Chen, and did not take positive measures to recruit Lu Chen.


    "It wasn''t long before Lu Chen went to the Demon City, and he has already made a name for himself in the Demon City No. 1 Courtyard. It''s really not easy." Xiao Shikang smiled.


    "Gold will shine wherever it is." Qin Sifeng smiled, "It''s a reasonable thing."


    Xiao Shikang was about to continue to say something when the phone rang suddenly.


    "Director, I''m sorry, I''ll take a call."


    Seeing that it was Zou Yi''s call, Xiao Shikang answered immediately.


    "Hey, Lao Xiao, are you busy? I have some problems with the operation here."


    Xiao Shikang was stunned, "Didn''t Lu Chen do it? How could something go wrong?"


    He knows Lu Chen''s electrophysiological surgery level too well. In some surgical techniques, Lu Chen is the existence of the ceiling, not to mention this simple atrial ablation surgery.


    "It was done by Lu Chen!" Zou Yi said solemnly, "But I heard Director Liu Jun from the Magic Capital say that my brother has a congenital vascular malformation, and the puncture route cannot be used, so the operation may need to be suspended."


    "Vascular malformation?" Xiao Shikang was stunned, looked up at Professor Qin Sifeng, "Tell me more about it."


    Qin Sifeng immediately became interested when he heard the conversation between the two.


    "It''s just a puncture from the thigh, and the guide wire can''t get in." Zou Yi explained briefly, "The Magic Capital is going to suspend the operation. After the discussion, a second operation will be performed."


    He is a layman and can only say a few words on his own terms.


    But that''s enough!


    Xiao Shikang immediately understood what Zou Yi wanted to express.


    "The path below is blocked, you can walk from above!" Xiao Shikang frowned, "Why should the operation be suspended?"


    "If you continue the operation, won''t the risk be very high?" Zou Yi wondered.


    "The risk is higher, but the second operation is also very troublesome. If the problem can be solved at one time, it will definitely be the last." Xiao Shikang said, "The second operation will make the patient suffer more!"


    "But, who should do it? Continue to let Lu Chen do it?" Zou Yi frowned.


    According to what he meant, he wanted Director Liu Jun to do it himself.


    Lu Chen looks too young.


    The profession of a doctor, the older you are, the more secure you are.


    A young man in his twenties, and a middle-aged and elderly man with gray temples.


    Who would you choose as your primary doctor?


    Xiao Shikang didn''t hesitate, "Continue to let Lu Chen do it!"


    "But...this..." Zou Yi was still a little hesitant.


    At this time, Qin Sifeng suddenly said, "Shikang, are you calling Zou Yi? Are you talking about the surgery in the Magic Capital?"


    "Yes." Xiao Shikang nodded.


    "Give me the phone and let me talk!" Qin Sifeng smiled.


    Xiao Shikang was stunned for a while, and immediately said: "Zou Yi, our Director Qin is also beside us. I will let him tell you in person."


    "That''s great!"


    Zou Yi looked happy.


    He has been to the Cardiology Department of the First Affiliated Hospital of Kyoto and met Qin Sifeng.


    Qin Sifeng is a leading electrophysiology expert in the field of electrophysiology in China.


    "Sekang told me about your situation. I also know about this vascular malformation just now," Qin Sifeng said sternly.


    "Thank you, Professor Qin." Zou Yi said softly, "Please guide me on the next step of treatment."


    "Hehe, I don''t need my guidance." Qin Sifeng said slowly, "If you have Lu Chen there, that''s enough!"


    Zou Yi looked surprised, is it Lu Chen again? !


    Not to mention that Xiao Shikang admires him so much, and now even Professor Qin Sifeng, a famous electrophysiological expert in the country, also trusts this young man Lu Chen so much!


    "What do you mean, let Lu Chen continue the operation?" Zou Yi asked tentatively.


    "Yeah!" Qin Sifeng said with a smile, "Lu Chen has encountered something even more difficult than this. A patient in his 70s and 80s couldn''t even use the internal jugular vein. Finally, he succeeded in percutaneous hepatic vein puncture..."


    Hearing Qin Sifeng''s words, Zou Yi had it in his heart. decision.


    "Okay, thank you Professor Qin!"


    ¡­


    hang up the phone and go back to the cath lab.


    Liu Jun and Zhang Shuqing are waiting for Zou Yi''s final choice.


    "Director Zou, how are you thinking?" Liu Jun said.


    Zou Yi glanced at the two people in front of him and said slowly, "Let Lu Chen continue!"


    (end of this chapter)

 v2 Chapter 645： unexpectedly successful

    Chapter 645 Unexpectedly smooth


    "Let Lu Chen continue?"


    There was a surprise in Liu Jun''s eyes, but it was fleeting.


    "Yes, since Lu Chen said that he can go through the blood vessels of the neck, let him continue to do it!"


    Zou Yi looked at Liu Jun with an unquestionable tone.


    Liu Jun nodded.


    But he didn''t quite understand why Zou Yi made such a hasty decision after making a phone call.


    Actually let Lu Chen continue the operation?


    However, the leaders have spoken out, and Liu Jun can only do so.


    At the same time, Zhang Shuqing also received instructions from the leader and immediately returned to the operating room.


    ¡­


    Inside the operating room.


    When the angiography was over, Lu Chen saw that the blood vessels were out of shape, and he didn''t feel the slightest panic in his heart.


    As Professor Qin Sifeng said, he encountered a more difficult operation when he was in Kyoto.


    At that time, all conventional approaches in this patient had failed, and the last option was percutaneous hepatic venipuncture.


    That kind of difficult surgery has been successfully completed, not to mention this level of surgery.


    "Lu Chen, keep doing it!"


    Zhang Shuqing walked into the catheterization room and came to Lu Chen''s side.


    "it is good."


    Lu Chen nodded slightly and began to prepare for the internal jugular vein puncture.


    "Why aren''t you surprised at all?"


    Looking at Lu Chen, who was indifferent and dissatisfied, Zhang Shuqing couldn''t help saying.


    "What are you surprised about?" Lu Chen turned his head and asked in confusion.


    "The director actually asked you to continue doing it!" Zhang Shuqing said softly.


    "This..." Lu Chen smiled, "I didn''t think much about it, let me do it, or not let me do it, it doesn''t make any difference, as long as someone can complete the operation."


    "Then...how sure are you?" Zhang Shuqing paused.


    "Do your best." Lu Chen smiled, "Internal jugular vein puncture, although we use it very little, but the safety is guaranteed and there will be no problems."


    "Okay, don''t force it, do your best." Zhang Shuqing nodded, "Let''s start, I''ll help you."


    Lu Chen''s operation continued.


    It''s just that the puncture point this time changed from the femoral vein below to the jugular vein above.


    ¡­


    Conduit outdoor.


    Everyone was shocked when they saw this scene.


    At first everyone thought the surgery would be suspended.


    But now, not only did the operation not stop, Lu Chen actually continued to puncture the internal jugular vein.


    "What is Lu Chen trying to do? Director Liu doesn''t care?"


    "The femoral vein puncture route is not good, and the internal jugular vein is changed."


    "This young man is really daring!"


    "Looking at his calm face, is this a pretence, or is he not caring at all!"


    There was a lot of discussion.


    Today, the shocks that Lu Chen brought to everyone came one after another.


    Liu Jun looked at Lu Chen''s skilled puncture skills, and his heart settled a little.


    Now I hope that Lu Chen can complete the operation, otherwise he will not be able to explain to Zou Yi.


    ¡­


    Lu Chen re-entered the operation state.


    Internal jugular vein puncture is not difficult, the only thing that needs attention is to prevent the puncture from entering the carotid artery.


    But now with ultrasound localization, this complication is rare.


    Lu Chen re-sterilized, spread towels, and punctured.


    Everyone was not surprised at Lu Chen''s piercing speed so fast.


    "He really had an internal jugular vein puncture?"


    "Compared to the femoral vein puncture just now!"


    "Whether the operation is successful today or not, based on the puncture level of Lu Chen''s hand, there must be an iron job!"


    After the puncture was completed, Lu Chen began to feed the guide wire.


    This time, the guide wire entered without any resistance.


    Under the guidance of the guide wire, adjust the tip of the sheath to point to the atrial septum, and perform atrial septal puncture with a specially shaped atrial septal puncture needle, and finally the electrode is sent into the atrium!


    The simplest one-step puncture took more than half an hour.


    At the moment when the electrodes were implanted, Lu Chen breathed a sigh of relief.


    Next, is the mapping of arrhythmia!


    After puncturing the interatrial septum, Lu Chen applied a multi-level mapping catheter to locate the origin of the atrial prematureness, at the anterior edge of the mitral valve!


    After ablation at the origin of the mapping, the room disappeared early!


    Atrial early disappears, and its compensatory interval also disappears.


    On the ECG monitor beside the operating table, the patient''s heart rate suddenly increased!


    ¡­


    Surgery is over.


    aside, Zhang Shuqing was silent.


    How is this going?


    Lu Chen''s process of puncturing the internal jugular vein, how come there was no pause?


    From puncture, mapping, but the final ablation, Zhang Shuqing felt that he saw a textbook-like ablation drill.


    He didn''t have time to pick out a single fault, and the operation was completed.


    The patient''s heart rate increased as Lu Chen had guessed!


    Conduit outdoor.


    The mood of everyone is exactly the same as Zhang Shuqing.


    Who said this operation is difficult?


    They didn''t even see the place where Lu Chen thought or paused, and completed the final operation very smoothly.


    "Don''t think too much, it may be because Lu Chen did it so well!"


    "If we did it, it might be different!"


    When everyone heard this, they suddenly woke up.


    It''s not that the surgery is too simple, but the proficiency of the surgeon is too high.


    At this time, I don''t know who broke out a message.


    "Lu Chen once obtained the intervention certificate from the Kyoto Institute of Electrophysiology!"


    As soon as this news came out, everyone was in an uproar.


    When everyone looked at Lu Chen in the catheterization room again, their eyes were different.


    Although the First Hospital of the Magic City is considered to be the top in the cardiovascular field, there are not a single person who can obtain the electrophysiological intervention certificate in recent years!


    ¡­


    Conduit outdoor.


    "Director Liu, the operation is over?" Zou Yi looked at Liu Jun nervously.


    He could vaguely hear the voices of everyone discussing.


    But a layman is a layman after all, and he cannot judge the completion of the operation.


    "Well, the operation is over!"


    Liu Jun looked at Lu Chen in the catheterization room, the dissatisfaction that had arisen in his heart just now disappeared without a trace!


    He doesn''t care about the process, only the final result.


    Lu Chen''s performance is perfect!


    "Juju Zou, you can see the patient''s heart rate change." Liu Jun pointed to the heart rate value on the screen, "From the first 40 times per minute, it has now risen to 70 times per minute!"


    Zou Yi smiled and nodded.


    Others can''t see the difference, but the increase in heart rate is still very intuitive.


    "Director Liu, why do I feel that this operation is not difficult for Dr. Lu?" Zou Yi asked suddenly.


    Before ??, Liu Jun emphasized to him that it is extremely difficult to change a puncture path.


    But looking at Lu Chen''s operation, he basically didn''t encounter any difficulties!


    "Juju Zou, the operation is not too difficult." Liu Jun smiled, "The reason for this situation is that our Doctor Lu has a relatively high level of proficiency."


    "Yes." Zou Yi nodded slightly.


    He was more fortunate in his heart.


    Fortunately, he did not listen to Liu Jun''s advice at the time, so the operation was suspended.


    Otherwise, performing a second operation will not only be a cumbersome process, but also increase the harm to the patient!


    I was going to take a day off today.


    Tonight, the whole city will be checked for nucleic acid, and the department will have to take eight doctors for help.


    I thought I would be taken away, but it turned out that there was no me...


    (end of this chapter)

 v2 Chapter 646： wretched Lu Chen

    Chapter 646 Wretched Lu Chen


    When Lu Chen came out of the catheterization room.


    Liu Jun took Director Zou Yi and immediately stepped forward.


    "Doctor Lu, hard work!"


    Liu Jun patted Lu Chen''s shoulder lightly, with an unusually bright smile on his face.


    "Director, the operation has been completed. But I still need your guidance to see if I have any imperfections." Lu Chen smiled.


    Although the operation went well, Lu Chen didn''t have any arrogance.


    For Lu Chen, the ablation of the room and the choice of multiple channels are not very difficult things.


    If Lu Chen hadn''t participated in the International Electrophysiology Conference, he might have been a little complacent.


    After all, his electrophysiological level is already the top level in China.


    But after international competitions, he knows that his level is far from the top international experts and professors!


    "This operation is already quite perfect."


    Especially in front of Director Zou Yi, Liu Jun was not stingy with his praise.


    "Even if you let me do it, I can''t do it at your level!"


    The better Lu Chen is and the more successful the operation is, then his mission has been successfully completed.


    Zou Yi originally thought that Lu Chen was just a "second-generation learner" introduced by Liu Jun and Zhang Shuqing.


    Unexpectedly, this young man''s surgical ability far surpassed that of his peers, and was even comparable to the electrophysiological techniques of the older generation.


    On the other hand, Lu Chen is young and full of stamina, and his ability to perform surgery even exceeds that of an ordinary director!


    "It seems that the recommendations of Lao Xiao and Professor Qin are indeed correct!"


    When Zou Yi re-examined Lu Chen in front of him, the intention of making friends arose in his heart.


    Lu Chen''s future is far more than that!


    Being able to meet a future top medical expert in advance is a sure-fire business.


    "Doctor Lu, I would like to thank you again for this operation." Zou Yi stepped forward and smiled.


    Lu Chen smiled slightly, and said softly without being humble or arrogant: "Director Zou, this is what our doctors should do."


    No matter who the patient is, Lu Chen will try his best to complete it.


    "Thank you anyway." Zou Yi smiled, "I remember this favor."


    ¡­


    Walk back from the catheterization lab to the third intracardiac area.


    Lu Chen was enjoying everyone''s praise along the way.


    After this operation, the thank you value keeps rising in the prompts on the system panel.


    "Congratulations, you received +10 thanks from Zou Yi!"


    "Congratulations, +5 for receiving thanks from Liu Jun!"


    ¡°¡­¡±


    In just one day, Lu Chen''s surgery quickly fermented.


    Several media in the magic city even wanted to interview Lu Chen.


    But Lu Chen rejected them one by one.


    He would rather be a purer doctor than stand in the spotlight.


    Hospital canteen.


    Lu Chen, Ke Yue and Dong Hao got together again.


    "Senior brother, you didn''t see that after Lu Chen''s surgery, everyone''s shocked eyes." Ke Yue smiled, "Maybe no one believed that Lu Chen would complete the surgery so easily."


    "Hey, if only I could go in and watch it." Dong Hao was quite disappointed.


    "There will definitely be opportunities in the future." Ke Yue narrowed her eyes and smiled.


    Lu Chen didn''t feel too much, this kind of surgery is actually not that difficult.


    It¡¯s just that the identity of the surgical patient is unusual, and everyone pays special attention to it.


    "School will officially start tomorrow." Lu Chen changed the subject, "Your experimental tasks should be even more onerous."


    Talking about this, Ke Yue''s little face turned bitter gourd.


    "Hey, my tutor is applying for a natural science program recently, and asked me to help write the tender. I have never written it before, it''s too difficult!"


    Lu Chen paused, "I wrote it for Teacher Li Yao before. If you have anything you don''t understand, you can come and ask me."


    "That''s great!"


    Ke Yue''s face brightened.


    With Lu Chen''s help, then this country''s natural bid should be a big problem.


    Dong Hao has nothing to do, "I still have a master''s degree after all. I help the teacher with chores in the laboratory. I can only graduate with a thesis."


    Dong Hao spoke calmly, but Lu Chen could clearly feel the helplessness in his words.


    A student who does not have any background, in the environment of the Magic City, it is very difficult to continue to climb up!


    "Senior brother, don''t worry, if I really have a suitable project here, I will find you first." Lu Chen said.


    Ke Yue on the side of ?? also said immediately: "Senior brother, I am here too, if there is any suitable experiment, I will tell you."


    Hearing this, Dong Hao''s heart warmed, "You don''t need to be too reluctant, my requirements for graduating with a master''s degree are not that difficult."


    After chatting for a while, the three of them went back to their bedrooms.


    ¡­


    School will officially start tomorrow.


    Lu Chen went back to the dormitory and began to pack some materials needed for registration.


    This bed is empty in the bedroom, and someone should come tomorrow.


    After coming to the magic capital for more than a month, Lu Chen began to slowly get used to it.


    Compared with Jinghua, the pace of life and work here is faster!


    The knowledge that Lu Chen was able to learn in the magic capital was also more systematic and refined.


    Everything is going in a good direction, go slowly!


    was speechless all night.


    ¡­


    The next day.


    Lu Chen got up early and packed the materials needed for registration into his backpack.


    Walking out of the dormitory building, Ke Yue was waiting on the first floor.


    "You got up so early?" Lu Chen smiled.


    "No, actually I just arrived." Ke Yue whispered.


    "Okay, let''s go to the school together."


    The place to apply is not in the affiliated hospital, but in the public health building of the headquarters of the Magic City University.


    Today is the registration time for Masters and Ph.D.


    On the first floor of the public health building, a large number of people have gathered, most of them are masters who just recruited this year.


    The queue of Dr. ?? is relatively small.


    Lu Chen and Ke Yue were at the back of the line.


    While chatting, Ke Yue asked something about the national nature tender.


    Lu Chen told everything he could know.


    Suddenly, a clear female voice came from beside Lu Chen, "Classmate, is this the team where doctors lined up to sign up?"


    Lu Chen looked back, then his pupils shrank.


    is talking about a girl, she looks very delicate, wearing a black short skirt, more conspicuous in the crowd.


    However, it was not her appearance that surprised Lu Chen.


    But the health value on her head is actually 58 (--)!


    The girl in front of her frowned slightly.


    Lu Chen stared straight at her, making her feel a little uncomfortable.


    He looks gentle and kind, and he looks like a dog. I didn¡¯t expect that he was actually such a wretched man!


    She was about to turn around and leave, but Lu Chen stopped her.


    "Students, we are here to line up for the doctor''s registration." Lu Chen said slowly.


    "Oh, then thank you." The girl stood behind Lu Chen, only three or four positions away.


    Ke Yue knows Lu Chen better, he is not Wang Zihao''s kind of person, he can''t walk when he sees a beautiful girl.


    She noticed Lu Chen''s abnormality and immediately asked, "Lu Chen, what''s wrong?"


    Lu Chen shook his head slightly, but his expression was still serious.


    Health below 60 and the trend is two minuses.


    The girl in front of me must be ill, and she is seriously ill!


    (end of this chapter)

 v2 Chapter 647： Clarithromycin

    Chapter 647 Clarithromycin


    The atmosphere of the scene was silent for a moment.


    Lu Chen didn''t speak, thinking about the situation of the girl behind him.


    From the outside, she does not have any abnormality.


    A twenty-four or five-year-old girl who is in her youth should not have any major problems!


    Ke Yue looked at Lu Chen with doubts in his heart.


    He seems to be very interested in this girl.


    As for this girl, frowning, she didn''t like Lu Chen''s wretched eyes just now.


    ¡­


    It was finally the turn of Ke Yue and Lu Chen to submit the registration materials.


    After paying the tuition fee and submitting the relevant certificates, Lu Chen officially entered the school and became a doctor of cardiology!


    However, Lu Chen was not in a hurry to leave.


    The girl behind him with only 58 HP seems to have an accident at any time.


    "Lu Chen, is there something wrong with this girl?" Ke Yue whispered aside.


    "How should I put it, I just don''t feel right." Lu Chen said in a deep voice.


    Actually, he can leave now, and what happened to this girl has nothing to do with him.


    However, the doctor''s conscience stopped him.


    "If nothing happens, then remind her." Lu Chen murmured in his heart.


    A kind reminder is always good.


    Ke Yue was also hanging out. She suddenly said, "Lu Chen, I just checked the application of that girl. She seems to be the doctor that Director Liu Jun recruited this year."


    "Yeah." Lu Chen nodded slightly


    Director Liu Jun is the leader of the Cardiology Department of Modu. If she can get her doctorate, then this girl may not be easy.


    ¡­


    He Xiaohui feels that she has been unlucky recently.


    It is also possible that it was because of the acclimatization. She had just lived in the magic capital for two days, and she felt gastrointestinal discomfort.


    In the middle of the night yesterday, I also had symptoms of diarrhea and fever.


    This shocked her.


    Although she is a doctor of medicine, she is more concerned with basic research, and she knows nothing about clinical matters!


    Wouldn''t it be a serious illness?


    So, He Xiaohui went to the emergency room late at night.


    The emergency doctor said it was enteritis, so she was given a transfusion to observe overnight.


    But today, I have to come to the school to sign up. After He Xiaohui asked the emergency doctor to prescribe anti-inflammatory drugs, she went back to the dormitory.


    But this morning, He Xiaohui felt a pain in her chest!


    It hurts for a while, but it''s fine.


    She felt that she must have been tired recently. She hadn''t had a good rest last night. She was going to go to the outpatient clinic after the start of the school year.


    "Hey, when I came to the school early in the morning, I met a wretched man..." He Xiaohui frowned slightly. Looking back, the wretched man dangled beside her before leaving, which was really annoying.


    She plans to complete the registration as soon as possible, and then go back to the dormitory early.


    But as soon as she submitted the application materials, she felt that her chest started to hurt again!


    The pain this time was stronger than before.


    He Xiaohui clutched her chest and frowned.


    There was even fine sweat oozing from her forehead.


    "what happened?"


    "Why is it so painful?"


    He Xiaohui felt dizzy, and the pain in her chest made her breathing a little short.


    She crouched down and covered her chest desperately.


    "No way, I''m going to the hospital..."


    Just when He Xiaohui was struggling to stand up and almost fell to the ground, someone suddenly supported her.


    "What¡¯s wrong with you?"


    Ke Yue, under Lu Chen''s reminder, noticed something was wrong with the girl and hurriedly stepped forward.


    He Xiaohui saw Ke Yue''s appearance clearly. It was the girl who just lined up in front of her to sign up, and she should also be this year''s doctoral freshman.


    "My chest hurts." With Ke Yue''s support, He Xiaohui steadied her body, "I''m sorry, I''m sorry to trouble you."


    "It doesn''t matter, everyone is a classmate, and I am also a doctor of cardiology in the Department of Cardiology." Ke Yue said.


    "Well." He Xiaohui frowned.


    She felt the pain in her chest aggravate again, and her face turned slightly pale.


    "It doesn''t matter, do you want to go to the hospital?" Ke Yue said quickly, "I''ll take you there."


    "Thank you...Thank you." He Xiaohui doesn''t like to trouble others, but the pain at this time has exceeded her upper threshold.


    ¡­


    At this time, in Lu Chen''s eyes.


    The health of the girl in front of her has further decreased, and the trend of health has turned into three minus signs!


    "The target is being violated by unknown factors, and the health value declines at a rate of 2.31/H..."


    This descent rate is a bit fast!


    "Ke Yue, let''s take her to the emergency department." Lu Chen said in a deep voice.


    "Okay." Ke Yue nodded immediately.


    He Xiaohui''s attention was not on Lu Chen, and he didn''t particularly care.


    The school headquarters and the First Affiliated Hospital are across the street.


    Lu Chen and Ke Yue immediately sent He Xiaohui to the emergency department.


    "Ke Yue, I''ll go to register first." Lu Chen said, "You accompany her to the emergency department first."


    "Yes." Ke Yue helped He Xiaohui to go to the emergency medicine department.


    Lu Chen took her ID card and ran to the registration hall.


    Staff or students of our school can register for free.


    For convenience, Lu Chen came to the lobby and directly took out his student ID.


    "Hello, I''m a student of this hospital, and I have an emergency medicine number!"


    The staff at the front desk glanced at the student ID card, took the ID card in Lu Chen''s hand, and immediately called Lu Chen a number.


    Holding a registered ticket in his hand, Lu Chen came to the emergency medical clinic.


    At this time, He Xiaohui was lying on the hospital bed.


    Ke Yue is negotiating with the emergency doctor, "Hello, teacher, we are both doctors of cardiology this year, this classmate suddenly had chest pain when he signed up..."


    Ke Yue also took out her work badge and explained her condition to the emergency doctor.


    "okay, I get it."


    The emergency doctor was a middle-aged man. He immediately ordered the nurse to open the venous access, and then performed cardiopulmonary auscultation and physical examination on He Xiaohui.


    "It looks familiar, did you come to the emergency department last night?" the emergency doctor asked He Xiaohui.


    "I... I came here last night because of diarrhea." He Xiaohui said weakly, "Teacher, you even prescribed clarithromycin for me."


    "Oh, clarithromycin, I remember." The emergency doctor nodded slightly.


    ¡­


    "What''s the situation?" Lu Chen stepped forward and whispered.


    "I just told her family." Ke Yue said, "But her parents are also out of town, and they won''t be here until the afternoon."


    "Her main symptom is chest pain?" Lu Chen wondered.


    "Well, I just heard her say that when I woke up this morning, I had a chest pain, and it was even more painful when I signed up!" Ke Yue said, "But for the past two days, she has some fever and diarrhea, and she came to the emergency room in the middle of the night last night. Section once."


    "Fever, chest pain?" Lu Chen was startled.


    At this time, He Xiaohui''s electrocardiogram results also came out.


    ECG results showed that T waves were inverted in leads II, III, aVF, and V2-V4.


    "She...she doesn''t have a heart attack, right?" Ke Yue opened her mouth wide and looked surprised.


    "What are you thinking." Lu Chen shook his head, "You can''t have a heart attack at such a young age."


    (end of this chapter)

 v2 Chapter 648： allergy

    Chapter 648 Allergies


    "Let''s take a look at the results of the troponin screening first." Lu Chen frowned.


    After all, they are his classmates for the next three years. Lu Chen and Ke Yue did not leave the emergency department immediately, but accompanied them patiently.


    And Lu Chen also wanted to figure out, what the **** is wrong with this young girl?


    He Xiaohui was lying on the bed very weakly at this time.


    She felt that her chest pain was better, but she was still in an extremely uncomfortable state.


    This time, fortunately, she ran into her classmate, otherwise she really didn''t know what to do.


    He Xiaohui looked in the direction of Ke Yue.


    Why is that wretched man there?


    She frowned, but the pain in her chest made her not thinking about other things.


    ¡­


    When Ke Yue was thinking about He Xiaohui''s condition, she suddenly thought of a very strange thing.


    That''s because Lu Chen seemed to have known about He Xiaohui''s anomaly from the very beginning, right?


    From the moment she appeared in their sight, Lu Chen''s eyes were very strange.


    Could it be that he noticed something was wrong at that time?


    Ke Yue feels that this is really mysterious...


    If it wasn''t for the timely reminder from Lu Chen just now, she might not have realized that He Xiaohui was about to faint.


    "Myocardial enzyme results are out!"


    At this time, the emergency doctor suddenly stepped forward, holding a test report in his hand.


    Lu Chen and Ke Yue hurried forward.


    "Troponin is elevated!" the emergency doctor said solemnly.


    Lu Chen looked intently.


    Sure enough, troponin in cardiac enzymes increased about tenfold!


    "Lu Chen, is she really suffering from a heart attack?" Ke Yue whispered, "But she doesn''t have any risk factors for coronary heart disease?!"


    This time, Lu Chen didn''t answer immediately.


    Myocardial infarction, in a narrow sense, refers to myocardial infarction caused by coronary heart disease, that is, the rupture of plaque in the coronary vessels and the formation of thrombosis.


    Broadly speaking, any factor that causes myocardial damage can be called myocardial infarction, such as myocarditis, tachyarrhythmia, bradyarrhythmia, cardiomyopathy, etc.


    Therefore, He Xiaohui''s elevated troponin means that her heart muscle is damaged, which can be said to be myocardial infarction in a broad sense.


    But one thing is certain, the cause of her myocardial infarction is definitely not because of coronary heart disease.


    Thinking of her previous history of fever, Lu Chen frowned, "Could it be fulminant myocarditis?"


    Ke Yue was also taken aback, "Is it myocarditis?"


    "Well, the myocardial damage caused by myocarditis cannot be ruled out at present." Lu Chen said solemnly, "Because she has a history of prodromal infection, as well as chest pain and elevated troponin."


    Lu Chen''s idea coincided with that of the emergency doctor.


    Explosive myocarditis is an acute and critical illness.


    If not handled properly, patients may suffer from acute heart failure, malignant arrhythmia and other unpredictable malignant events at any time!


    The only troublesome thing now is that He Xiaohui''s family is not around.


    This kind of critical illness still needs family members by his side.


    "No matter what the cause of the myocardial damage, she now needs to be hospitalized for further examination." Lu Chen said solemnly.


    "Well." Ke Yue nodded, "The emergency department teacher is communicating with her, should we contact the graduate department?"


    "I''ll contact you." Lu Chen said, "Her parents are away, and the teachers of the graduate department should come to take care of her."


    "OK."


    The two acted separately.


    Ke Yue took care of He Xiaohui and was ready to take her to the hospital.


    Lu Chen contacted the teacher of the graduate department and informed He Xiaohui''s situation one by one.


    "Lu Chen, the emergency department teacher suggested that she live in CCU first." Ke Yue said, "Let''s take her there?"


    "Well, according to the current condition, it is necessary to live in CCU." Lu Chen nodded slightly.


    He Xiaohui is at high risk of living in a general ward before cardiovascular disease is ruled out.


    "Is she willing to live in CCU?" Lu Chen asked.


    CCU has no family to accompany her, so she can only be alone. She is a girl, which may be very inconvenient.


    "She is willing." Ke Yue whispered, "She said that the chest pain was so uncomfortable that it seemed like she was about to die. Now let her live wherever she wants, I guess she is willing."


    "Well, that''s fine." Lu Chen breathed a sigh of relief, "I have contacted the teacher of the graduate department, and there will be a teacher to communicate with He Xiaohui."


    The next thing, Lu Chen and Ke Yue will no longer care.


    As a classmate who just met, sending He Xiaohui to the emergency department and then sending her to the CCU ward is very interesting.


    As for Lu Chen, he was still regarded as a lewd man by the confused He Xiaohui.


    ¡­


    I thought it was just a simple school registration, but I didn¡¯t expect to encounter such a thing.


    Lu Chen felt that the "God of Black Face" was lurking near him again.


    If you find a time, you still have to go to the temple to worship.


    After registration, the Graduate Division organized a meeting for all students to announce their graduation thesis requirements and study arrangements for the next three years.


    Cobo spends most of his time in the lab.


    The first two years of the professional doctorate are in the clinic, and the last year in the laboratory.


    However, each instructor has their own specific arrangements, which may be slightly different.


    He Xiaohui was still hospitalized in CCU due to her illness, and was unable to come over.


    And the bed that was vacated in Lu Chen''s dormitory, no one lived in.


    This made Lu Chen a little happy.


    The double room became a single room!


    No need to worry too much about what you usually do in the bedroom.


    ¡­


    After school started, Lu Chen''s clinical tasks became heavier.


    In order to exercise Lu Chen, Zhang Shuqing added a few more beds for him.


    The most important thing is that Zhang Shuqing paid back his three master students and asked Lu Chen to help them with them.


    Lu Chen was busy until late every day before returning to his bedroom.


    He almost forgot about "He Xiaohui".


    Until the fifth day after school started, Ke Yue found him.


    "Lu Chen, do you still remember He Xiaohui?"


    "He Xiaohui?" Lu Chen was stunned, "Who is it?"


    "It was the girl who had chest pains on the day of the school year. You thought about myocarditis." Ke Yue explained.


    "Oh...it''s her!" Lu Chen just remembered, "What happened to her?"


    "She sent me a WeChat message this morning, saying that she had a coronary angiography yesterday and no stenosis was found." Ke Yue said, "In addition, there is no problem with the cardiac ultrasound."


    "As expected." Lu Chen smiled, "She''s so young, she doesn''t have any genetic diseases, and she doesn''t have any bad habits. It''s definitely not a myocardial infarction caused by coronary heart disease."


    "Listen to her, CCU hasn''t given a definite diagnosis yet. She is very annoying every day now, and she doesn''t dare to leave the hospital easily." Ke Yue wondered, "Is it really myocarditis?"


    "The diagnosis of myocarditis is more troublesome, and it is definitely not possible to do a myocardial biopsy. The best way is to do a cardiac magnetic resonance examination." Lu Chen said slowly, "However, I thought back carefully later, there should be another kind of The possibility of disease..."


    "What''s the possibility?" Ke Yue immediately became interested.


    "Do you remember when she took anti-inflammatory drugs?" Lu Chen smiled.


    "Anti-inflammatory drugs?" Ke Yue frowned, "You mean she took clarithromycin?"


    "Yeah." Lu Chen nodded slightly, "Actually, you should ask her medical history more carefully. If her chest pain is related to taking clarithromycin, it is most likely the myocardial damage caused by clarithromycin."


    At that time, the situation was relatively urgent, and Lu Chen was not the first doctor, so he did not understand these situations.


    Ke Yue immediately understood after Lu Chen''s reminder: "Lu Chen, what do you mean, myocardial infarction caused by coronary spasm? Clarithromycin-induced coronary spasm... side effects of the drug?"


    Lu Chen smiled: "It can be said that coronary spasm caused by clarithromycin caused myocardial infarction, but it is not necessarily a side effect of the drug."


    "what is that?"


    "Drug allergy!"


    (end of this chapter)

 v2 Chapter 649： Face brushing opportunity

    Chapter 649 Face Brushing Opportunity


    Ke Yue was the first to hear such an argument.


    Clarithromycin can actually cause allergic reactions, cause coronary spasm, and finally lead to myocardial ischemia, increased troponin, and symptoms of chest pain!


    Ke Yue also admired Lu Chen''s amount of knowledge, and he really didn''t know where he obtained these bizarre medical knowledge.


    These days, Ke Yue occasionally goes to CCU to see He Xiaohui.


    The doctor in the tube bed never told her that He Xiaohui''s disease was caused by drug allergy.


    "Ke Yue, I''m just guessing." Lu Chen smiled, "After all, I didn''t really care about her."


    "Well, I see." Ke Yue nodded.


    She thought about it. When she went to CCU to see He Xiaohui later, she must talk to the doctor in charge of the bed.


    ¡­


    The First Affiliated Hospital of Magic Capital.


    Cardiology CCU.


    He Xiaohui has been admitted to CCU for almost a week, but the doctor in charge of the bed has not found the cause.


    "Ke Yue, you came to see me again."


    He Xiaohui watched Ke Yue come to the bed and said with a smile.


    "Lest you be bored alone." Ke Yue said, "The teacher of the graduate department has given me the task, so that I have time to accompany you."


    Although the two met by chance, there were few female doctors, and everyone was in the same department, and they quickly became familiar with each other.


    "Well, I feel much better, but I haven''t found the cause yet..." He Xiaohui looked lonely.


    The symptoms are getting better, but the cause has not been found out. What if I do it again?


    "Don''t worry, you will find it." Ke Yue thought about what Lu Chen said in the morning, and then said, "Xiaohui, what were you doing when you had chest pains?"


    "The first time it hurt was when I woke up in the morning." He Xiaohui said immediately, "The second time it hurt was when I came to sign up, and you were there."


    "Did you take medicine before you felt pain?"


    "Take medicine?" He Xiaohui was stunned for a while, then nodded, "Yes, I took clarithromycin prescribed by the emergency doctor."


    "What about before you come to the school to register?"


    "I ate it too, I ate it and went out."


    Sure enough!


    Ke Yue''s heart shuddered, was Lu Chen''s diagnosis correct?


    He Xiaohui''s chest pain is coronary vasospasm caused by clarithromycin allergy?


    "Ke Yue, what''s wrong?" He Xiaohui frowned, "Could it be that my illness is related to clarithromycin?"


    "For the time being, I just suspect this possibility." Ke Yue said slowly, "If you want to make a diagnosis, you need to go to further confirmation."


    "Clarithromycin?" He Xiaohui thought back carefully, and it was after she took clarithromycin that the symptoms of chest pain appeared.


    Ke Yue and He Xiaohui chatted for a while, and then went to her bed doctor.


    "You said it was allergy to clarithromycin, which caused coronary spasm?"


    He Xiaohui''s bed doctor is Cao Lei, who used to be a graduate student in the Department of Respiratory Medicine, and was later transferred to the Cardiology Intensive Care Unit.


    "Well, myocarditis is ruled out now, Xiaohui is so young, coronary heart disease is definitely impossible, and the results of angiography are still normal." Ke Yue said slowly, "So is there coronary spasm caused by drug allergy? Then she appeared. Chest pain symptoms and elevated troponin?"


    Cao Lei was a little silent.


    He also recalled He Xiaohui''s disease process in his mind.


    For this cardiologist, they are still very attentive.


    "Let me ask Director Yang." Cao Lei thought for a while, "I have never seen coronary spasm caused by allergy to this drug."


    "Well, thank you Mr. Cao." Ke Yue smiled, "We are only suspicious now, so please trouble you."


    "It''s alright." Cao Lei smiled, "You young people are still active, I really never thought about this cause."


    After ??, Cao Lei left with He Xiaohui''s medical records.


    Director''s Office of Cardiology CCU.


    "Director Yang, do you say there is coronary spasm caused by allergy to this drug?" Cao Lei handed He Xiaohui''s medical record to Director Yang Songlin.


    "This patient is the doctor that Director Liu recruited this year?" Yang Songlin picked up the medical record in his hand and examined it carefully.


    "Yeah." Cao Lei nodded, "I''ve lived here for almost a week, and I haven''t found the cause. I just heard from Ke Yue that I''m allergic to drugs. I haven''t seen it before, so I''m here to ask your opinion."


    "Ke Yue told you?" Yang Songlin was startled.


    Ke Yue is the doctor he recruited this year, Kebo.


    I mainly do basic research in the laboratory. How can I understand this kind of clinical knowledge?


    "It''s true, just five minutes ago, she came to my office and said it." Cao Lei said.


    Yang Songlin was quite surprised, and then explained: "Actually, there is a very professional term for this disease, called Kounis syndrome."


    Cao Lei said helplessly: "Director, what are you talking about? Another rare disease?"


    "Then you are wrong." Yang Songlin smiled, "Kounis syndrome is not a rare disease, it is an allergic reaction that causes mast cells, macrophages and T lymphocytes to activate, synthesize and release inflammatory mediators, and cause peripheral vasodilation. lower blood pressure.¡±


    "A syndrome of decreased coronary blood flow, arrhythmia, coronary spasm, coronary atherosclerotic plaque erosion, rupture, or coronary stent thrombosis, also known as allergic myocardial ischemia syndrome."


    Cao Lei realized this, "Director, this disease...how was it diagnosed?"


    "If you want to clarify the relationship between clarithromycin and coronary spasm, you need to do clarithromycin-induced lymphocyte stimulation test (DLST)." Yang Songlin said, "If the result is strongly positive, it can confirm the coronary Arterial spasm is an allergic reaction to clarithromycin."


    Cao Lei stood up immediately, "Director, then I''ll do it now!"


    "Well, let''s go." Yang Songlin nodded slightly.


    After Cao Lei left, Yang Songlin thought of his student Ke Yue again.


    "With this kind of clinical thinking, it would be a pity to be only an experimental researcher!"


    ¡­


    At this time, Lu Chen was on the phone with Li Yao.


    Although Lu Chen graduated from Jinghua Medical University, there are still many things to do in the follow-up of his national nature project.


    Since the top paper was published in "Circulation", AstraZeneca and Jinghua have both started to operate, wanting to promote the heart failure indications treated by dapagliflozin, and even write it into the guidelines for clinical heart failure treatment. middle.


    To this end, Li Yao has been working hard for a while, giving reports at major medical conferences across the country and even around the world, promoting Dapagliflozin''s diagnosis and treatment of heart failure after myocardial infarction.


    After winning the title of "Outstanding Youth", Li Yao''s status in the academic circle has a further upward trend!


    Whether ?? can go further in the name of "Jie Qing" depends on her follow-up research results.


    "Lu Chen, are you still used to studying and living in the magic capital?" Li Yao''s voice came from the microphone.


    Lu Chen immediately felt very familiar and friendly, "It''s okay, life here is very convenient. By the way, teacher, I have met Director Liu Jun."


    "You know his relationship with me?" Li Yao smiled.


    "Director Liu took the initiative to tell me." Lu Chen said.


    "Well, sometimes you can find him for things, but..." Li Yao paused, "For important things, you still have to rely on yourself."


    "Well, teacher, I remember it." Lu Chen said.


    Liu Jun is an outsider after all, it is better to rely on himself than others.


    "I will come to Modu tomorrow to attend a meeting. Do you have time tomorrow? Come with me to attend." Li Yao said again.


    "Okay, teacher. I''ll just rest tomorrow." Lu Chen said.


    "That''s fine, you wait for my notice."


    Lu Chen is not very keen on participating in these conferences, but there are a lot of various conferences in the academic circle, one is to promote himself and increase the influence of the academic circle, and the other is to make friends with other academic circles and find cooperation projects.


    For him, this is a good opportunity to brush his face.


    (end of this chapter)

 v2 Chapter 650： i didnt sit wrong

    Chapter 650 I did not sit wrong


    challenge experiment, positive!


    Cao Lei stared at the result in surprise.


    Clarithromycin-induced lymphocyte stimulation test (DLST), the result was strongly positive.


    This proves that coronary spasm is an allergic reaction to clarithromycin!


    He Xiaohui also noticed that something was wrong and quickly asked, "What''s wrong?"


    "Student He, we have found the cause!" Cao Lei looked at He Xiaohui in front of him.


    "Is it really caused by clarithromycin?" He Xiaohui sat up from the bed and asked nervously.


    "Yes." Cao Lei nodded, "The experiment we did just now proves that you are allergic to clarithromycin!"


    "Allergic reactions cause blood vessels to constrict, coronary spasms, so you get chest pain."


    He Xiaohui''s eyes were full of surprise and surprise.


    "I was really hit by Ke Yue!"


    "Mr. Cao, me, as long as I stay away from clarithromycin in the future, my disease will not come on?"


    Cao Lei nodded with a smile, "It won''t happen. But how do you say it, you still have to be careful when you take other medicines. Some people are allergic, not only to clarithromycin, but also to other things."


    "Mmmm, thank you Teacher Cao." He Xiaohui quickly took out her mobile phone and sent Ke Yue a WeChat message.


    "Ke Yue, thank you for reminding me. I was really caused by clarithromycin this time!"


    After about two minutes, Ke Yue replied: "It''s good that you found the cause! But it''s not me, it''s Lu Chen who you want to thank for telling me about the allergic reaction to clarithromycin."


    "Lu Chen?"


    He Xiaohui frowned.


    After these days of Ke Yue''s explanations, she knew that on the day of registration, the wretched man who had been staring at her was called Lu Chen!


    "Ke Yue, you wouldn''t say that on purpose in order to save my opinion of him, right? You actually saw it!"


    Ke Yue smiled, "I don''t have the ability, don''t misunderstand Lu Chen, when he stared at you, he should have found something wrong with you."


    "Found something wrong with me?" He Xiaohui wondered, "Except when I have chest pains, I have symptoms at other times. I''m fine at other times. Before I got sick again, I didn''t even know I was bad!"


    He Xiaohui always felt that Ke Yue was comforting herself.


    She murmured a few words in her heart and ignored it.


    ¡­


    Lu Chen didn''t know what happened in the CCU of the Cardiology Department.


    He returned to the dormitory and gave him a general understanding of the information that Li Yao sent him.


    He found that his task tomorrow was not just to be an audience member, but also to give a presentation on stage.


    This opportunity is not just about brushing your face!


    In a large national conference, being able to speak on stage is definitely not a small amount!


    The audience here are all big names in the industry. If you can show your face and even give an academic report to everyone, it proves that Lu Chen has begun to set foot in the top academic circle.


    Lu Chen knew that Li Yao definitely had to pay a big price to get this opportunity.


    ¡­


    The next day.


    Lu Chen came to the Holiday Inn where the conference was held.


    This is a well-known hotel in Magic Capital. Many large-scale conferences in the medical field will be held here.


    Of course, all the expenses are borne by the pharmaceutical company.


    When Lu Chen came to the front desk to sign in, he found that many people had already arrived.


    Li Yao is here too!


    Standing at the door of the conference hall, she saw Lu Chen''s figure in the distance, and her face brightened.


    "Lu Chen, here!"


    Lu Chen looked up and saw a familiar figure, tutor Li Yao.


    She was accompanied by a young girl.


    Lu Chen also knew her, that was his junior sister, Lin Qingping, who was considered the best of all the students.


    When Li Yao came out for a meeting, he also brought his students out to see the world.


    used to be him, now it is Lin Qingping.


    Lu Chen stepped forward quickly.


    "Teacher, you came very early." Lu Chen smiled and nodded slightly to Lin Qingping, who was beside him, "Junior sister is here too."


    Lin Qingping was also very excited when she saw Lu Chen, and nodded quickly.


    "It''s getting late." Li Yao said, "You have to go to the test film later, so don''t waste your time."


    Test film, that is, give a PPT in advance in the background, and conduct a one-person trial lecture to avoid unexpected risks on the stage.


    "Qingping, you take your brother Lu Chen to test the film. I''ll go back to the hall to accompany the other experts."


    "Okay, teacher."


    After ??, Li Yao answered in the conference hall.


    ¡­


    "Brother, come with me." Lin Qingping smiled and Lu Chen walked to a small room next to the conference hall.


    Lin Qingping pushed the door and entered.


    There are already experts in the room to test the film.


    "Yu Weiguang?" Lu Chen subconsciously called out when he saw a familiar figure.


    Yu Weiguang, the leader of the younger generation of Kyoto University School of Medicine.


    Whether it is electrophysiology clinical or electrophysiological research field, it is second to none among the younger generation in the country.


    "Lu Chen, are you here too?" Yu Weiguang stood up in surprise.


    "I came with my tutor." Lu Chen smiled, "Are you testing the film?"


    Yu Weiguang nodded, "I''m the second person to speak on stage."


    "Okay, let''s try it first."


    Yu Weiguang''s arrival, Lu Chen was not surprised.


    This academic conference involves major hospitals across the country, and they will basically send their own hospital representatives to speak on the stage.


    Lu Chen briefly glanced at the content on Yu Weiguang''s ppt. It was an electrophysiological procedure related to the diagnosis and treatment of heart failure. The content was very novel and basically included all the current cutting-edge knowledge in China.


    After about five minutes.


    Yu Weiguang''s test piece is over.


    Lu Chen started his own test piece. At this time, there were already many experts waiting for the test piece.


    In order to hurry up, Lu Chen just browsed the ppt briefly, and then ended his test film.


    ¡­


    When Lu Chen walked into the conference hall, he felt the scale of the conference.


    The conference hall alone can accommodate four or five hundred people, and there are also multi-channel web broadcasts.


    It is enough to see that the heart failure branch of the Chinese Medical Association, the organizer, attaches great importance to this conference.


    The ?? meeting is finally here!


    Li Yao sits in the first row. All the experts and professors here are prominent figures in China.


    And Lu Chen was placed in the second row by the organizer!


    The seat here is also filled with many professors, most of whom are speakers waiting to speak on the stage.


    Lu Chen sat in the second row, looking a bit abrupt.


    He looked around, and most of them were people over the age of 40 or 50. The youngest person was probably Yu Weiguang, who was only in his thirties.


    But Lu Chen''s young face was particularly eye-catching.


    Just as Lu Chen was thinking, a voice suddenly sounded beside his ear.


    "Hello, classmates, this is not your seat, please get your seat after the third row."


    Lu Chen looked back.


    A boy wearing a work badge is standing beside him.


    "Classmate, please let me go. A teacher from Kyoto Hospital has no seat."


    Lu Chen blinked and replied with a flat face, "I''m sorry, I didn''t sit in the wrong seat."


    (end of this chapter)

 v2 Chapter 651： one-sided compliment

    Chapter 651 One-sided praise


    "You... this person is really unreasonable!"


    Lin Shumin frowned at the boy in front of him.


    looks even smaller than yourself, how come you have the face to occupy such a good seat all the time?


    "If you don''t get up again, I''ll call the security guard in the conference hall."


    Lin Shumin pointed at the door.


    "Here, my badge, you can take a look."


    Lu Chen handed over his chest.


    Lin Shumin took it over and took a look, it was really a badge for the guests attending the conference.


    Ordinary participants do not have this qualification.


    "you¡­¡­"


    Lin Shumin glanced at Lu Chen and wanted to ask where the card was picked up.


    But at this moment, on the podium, Liu Jun started to speak.


    "The meeting is about to start, everyone finds a seat and sits down."


    Lin Shumin frowned and looked at Lu Chen, "If you''re lucky, you can sit here first, and I''ll come back to you when you have a rest!"


    Lu Chen spread his hands, he shouldn''t have to wait for a break, the staff member can see him on the stage later.


    ¡­


    on the podium.


    Liu Jun is reading out the speech at the meeting, thanking experts and professors from all over the country for coming to the meeting.


    This conference focuses on the cardiovascular field, in the diagnosis and treatment of heart failure.


    A two-day conference will be held from various aspects such as drugs, surgery, new research progress, etc.


    Across the country, experts who have made achievements in the field of heart failure came to attend the conference.


    In addition to the new progress brought by the experts, some young people will also give speeches.


    This conference also provides a national platform for the younger generation to "swipe their faces" and enhance their influence.


    With the conclusion of Liu Jun''s speech, the meeting officially began.


    Lu Chen didn''t expect that his mentor, Li Yao, was actually the first to come to power.


    Dapagliflozin''s treatment of heart failure after myocardial infarction is one of the most breakthrough developments in Huaxia''s cardiovascular field in recent years.


    Li Yao''s status has risen.


    Some experts even predict that as long as Li Yao''s status does not collapse in the later stage, the drugs in the cardiovascular field will be brought closer.


    Her status in the academic circle will definitely surpass that of Cao Zhiying of Jinghua Medical University, and even reach the academician level.


    You must know that Cao Zhiying of Jinghua Medical University has been devoted to academicians for many years, and at most only passed the first round of review.


    "Dear experts, professors, and colleagues in the cardiovascular field, hello everyone, it''s my pleasure to attend this heart failure conference in Magic City..."


    Li Yao spoke very fluently and grasped the rhythm well, and explained the latest research progress of "Dapagliflozin" in an easy-to-understand manner.


    Since the publication of Lu Chen''s top-level paper, the number of times she has been invited to participate in the conference has greatly increased, and it has been no less than ten times so far.


    Moreover, this is Li Yao''s targeted selection of those influential conferences, otherwise the number of participants will definitely be more!


    Lu Chen listened carefully.


    Although he personally participated in these projects, he can still learn a lot of other knowledge from the explanations of top experts like Li Yao.


    ¡­


    "This is our own research done by the Chinese!"


    Lin Shumin looked at Li Yao on the stage admiringly!


    As a Doctor of Cardiology, he is very aware of the predicament of the current Chinese scientific research circle.


    Let¡¯s talk about various scientific research papers, there are not a lot of them published every year.


    But there are not many that really translate into clinical results and are beneficial to clinical treatment.


    This is where the gap between Chinese scientific research and top European and American scientific research lies!


    Any scientific research results in the medical circle are most valuable if they are helpful for clinical treatment or diagnosis.


    Otherwise, studying all kinds of cells and genes, even if the hype is all over the place, it is always floating in the air and not down-to-earth.


    There is no real sense of benefit to the patient''s treatment.


    However, Li Yao''s research is different!


    The study of clinical data with large samples, and it is a study of Chinese ethnicity, no longer a study of foreign ethnicity, and then we are copying it.


    This is first-hand research material!


    Lin Shumin admires this kind of Chinese scholar who can blaze a path of his own in the national academic circle.


    ¡­


    Li Yao finished his speech.


    There was warm applause in the conference hall.


    Lin Shumin slapped his hands vigorously, his face flushed.


    He was thinking about when he would go to read the postdoctoral fellow of Li Yao''s supervisor, it would be very meaningful.


    Suddenly, he caught a glimpse of Lu Chen, still with a calm expression on his face.


    "Is this person really... Can you understand?" Lin Shumin murmured in his heart, "Bai Xia sits in such a good position!"


    Lu Chen didn''t know what Lin Shumin was thinking at this time.


    He is also very excited, but this project has been attended by himself, and the most exciting moment has long passed.


    "Professor Li has finished his speech, and the next part is the discussion session." Liu Jun, as a supporter, briefly summarized Li Yao''s speech, "Whatever experts and professors want to discuss, you can put it up now, and the discussion time is five minutes! "


    As soon as Liu Jun finished speaking, several people present raised their hands.


    Li Yao ordered a middle-aged man sitting in the front row.


    "Professor Li, hello, I''m from the Cardiology Department of the Second Affiliated Hospital of Modu University." The middle-aged man stood up and said, "Your project on Dapagliflozin has been researched since the beginning and the first article published. Since the beginning of the paper, I have been paying attention. I admire your scientific research team very much. It is the pride of our Chinese people to win the scientific research competition with Europe..."


    What about a good discussion?


    What about asking questions?


    Liu Jun was a little surprised, it was the first time he saw this situation.


    is obviously a part of the discussion, how can it become a one-sided compliment?


    "Cough, please pay attention to the discussion content and time limit." Liu Jun couldn''t help but reminded.


    The middle-aged man regained his senses and turned back to the topic, "Oh, Professor Li, what I want to ask is, how did you judge the therapeutic effect of the drug during your experiment?"


    Li Yao smiled and replied immediately: "The evaluation of drug effects traditionally includes laboratory test results, such as BNP, myocardial enzymes, etc., as well as some inspection items, such as cardiac ultrasound ejection fraction and ECG changes. In addition to this , there are some novel indicators, such as GLS in cardiac ultrasound, and other indicators, such as soluble ST-2 and so on.¡±


    "Thank you, thank you Professor Li for your answer." The middle-aged man sat down after getting a satisfactory answer.


    Next several people asked questions, and Li Yao answered them one by one.


    But Li Yao''s last sentence surprised everyone.


    "Thank you all for your questions, which are very helpful for our research."


    "In fact, in the entire scientific research work of Dapagliflozin, my students and my scientific research team have made great efforts. Most of the things are handled by them personally, which is much clearer than my teacher."


    When everyone heard this, they just thought that Li Yao was trying to cultivate the next generation and pass on the halo to his students and his own research team.


    After all, no one would believe that the leader of this project is just a student!


    (end of this chapter)

 v2 Chapter 652： whitewashed medicine

    Chapter 652 Whitewashed Medicine


    In the morning, some expert-level figures came to the stage to give speeches.


    It is not yet the turn of young people to come to power for academic exchanges.


    During the coffee break, Lin Shumin wanted to find Lu Chen.


    But in a blink of an eye, his people were nowhere to be seen.


    At this time, Lu Chen and Li Yao were already in the lounge, meeting with the leaders of various hospitals across the country.


    "Director Liu, thank you for your care during this time!"


    Li Yao said to Liu Jun with a smile.


    Liu Jun smiled, "Director Li, what you said, classmate Lu Chen is now in our hospital! Isn''t it just right that we take care of him?"


    "You are right." Li Yao smiled, "Lu Chen is a good boy. If he is bullied in the Devil''s Capital, then I will come to you, Director Liu Jun!"


    Li Yao was joking and said these words.


    But between the lines, there is love for Lu Chen.


    Liu Jun had no reason to understand, so he agreed.


    The current Li Yao, that is a hot figure in the cardiovascular field.


    If she can cooperate with her next scientific research project, it is very likely that she will continue to publish a top journal paper!


    Although you are all big brothers, it is not easy to publish a top journal paper.


    Lu Chen followed Li Yao and met with the directors or directors of various major hospitals.


    The name ?? "Lu Chen" also began to enter the ears of the big guys.


    "Teacher, you see that I have graduated, you still help me brush my face like this..." Lu Chen said to Li Yao with a smile.


    Li Yao smiled, "What''s wrong? You''re not my student after you graduate?"


    "Of course not." Lu Chen quickly waved his hand, "I mean, over at Jinghua, would you be unhappy to see you help me a graduate student?"


    "My own business has nothing to do with Jinghua." Li Yao smiled, "The teacher''s help to you is limited now, and I will definitely not have many opportunities to come to the magic capital in the future. Everything depends on myself!"


    "Don''t worry, teacher, I understand." Lu Chen nodded slightly.


    The master brings in the door, and the practice depends on the individual.


    Li Yao has already opened the door for Lu Chen to enter the academic circle, and the rest depends on Lu Chen''s future development.


    "By the way, if you have time, go to the vice president of Modu University, Li Yuanhua." Li Yao suddenly said, "The preferential conditions that Modu gave you back then were all approved by Principal Li himself."


    "Okay." Lu Chen was slightly surprised.


    Before ??, he always thought that it was a preferential condition given by Director Liu Jun himself.


    But after getting along for more than a month, he found that Director Liu Jun was not familiar with him.


    It turns out that there is a higher level of relationship behind this.


    ¡­


    In the afternoon, the meeting continued.


    Lin Shumin came to the conference hall and was about to find Lu Chen.


    found that Lu Chen was talking to a young man.


    Lin Shumin vaguely felt that this young man looked familiar.


    Suddenly, he looked stunned, "Isn''t this Yu Weiguang from Kyoto?!"


    Yu Weiguang, his reputation in China even surpassed many old professors.


    As a leader of the younger generation, just after returning from abroad, he published a top 20-point paper, breaking through many problems in the field of electrophysiology.


    This made Yu Weiguang famous for a while, with countless halos on his body!


    However, in the first half of this year, Yu Weiguang''s application for "Jie Qing" failed, which surprised many people.


    With Kyoto University School of Medicine as the backing, Yu Weiguang has such a bright resume, how could he still fail the application? !


    Everyone has to sigh, this Chinese academic circle is getting more and more convoluted!


    Lin Shumin wanted to find Lu Chen, but saw Yu Weiguang talking to him.


    He hesitated in his heart.


    Can someone who can sit and talk with Yu Weiguang be an unknown little person?


    Lin Shumin thought for a moment.


    If he sits with Yu Weiguang himself, I''m afraid he won''t be able to say a word.


    "Leave him alone."


    Just like that, Lu Chen continued to sit in his seat stably.


    ¡­


    "Lu Chen, you didn''t come to Kyoto when you graduated. Professor Qin Sifeng was very sad."


    Yu Weiguang sat next to Lu Chen while the meeting was still a few minutes away.


    "The conditions given by the magic capital are good, so I''m here." Lu Chen told the truth.


    If Kyoto can provide comparable conditions, then he will definitely go to Kyoto.


    For him, there is no big difference between these two top platforms.


    "Hey, the development of the magic capital in recent years is indeed very good." Yu Weiguang looked around and whispered, "But you Director Liu is a person who has taken the upper-level line, and you are definitely not satisfied with the position of the director of the Department of Cardiology. How much thought is put into the department, this is still two things!"


    Lu Chen was slightly taken aback.


    What is Yu Weiguang saying to himself?


    "Lu Chen, don''t think I''m provoking relationships." Yu Weiguang continued in a low voice, "I only say this because I have a good relationship with you. After all, we studied in the Electrophysiology School together before, and we also went abroad to compete together. .Modu Cardiology Department, the power struggle may have been serious in recent years, you have to be careful!"


    Lu Chen is not a novice, and after three years in the Jinghua Second Hospital, he has long understood that the hospital is a small society.


    There is also a conflict of power here, and there is a rather dark side.


    However, more often, hospitals are whitewashed by the sacredness of medicine.


    Lu Chen thought for a while, then chuckled, "I just want to be a doctor, a good doctor. As for other things, it has nothing to do with me."


    "Oh, your thinking is still too naive." Yu Weiguang shook his head slightly, "Can you still not stand in line? When you choose your own mentor, you are already in line by default!"


    Lu Chen still smiled, "Do you know what conditions the Demon Capital gave me?"


    Yu Weiguang was stunned, why did he ask this question at this time, "What are the conditions?"


    "The hospital allows me to form my own scientific research team." Lu Chen said slowly, "and will provide corresponding experimental equipment and venues!"


    "Fuck!" Yu Weiguang''s eyes widened, "How big is Magic Capital University?"


    This gave Lu Chen a way back, and he was not afraid of being restricted by his own mentor.


    After all, in many cases, the tutor can change, name.


    As long as Lu Chen can get his own research results, the tutors are rushing for him.


    He doesn''t care about how the external conditions change.


    Lu Chen continued: "But the magic capital has given me a lot of restrictions. If there is no research result within a year, all the preferential conditions will be withdrawn."


    "No matter what, hearing you say that, I envy you." Yu Weiguang patted Lu Chen''s shoulder, "I really look forward to meeting you again in the international cardiovascular field!"


    "Me too!" Lu Chen smiled.


    He and Yu Weiguang spent some time together in Kyoto Electrophysiology.


    Lu Chen has a good impression of him, and he is a good character.


    ¡­


    As Liu Jun''s voice sounded on the stage, the afternoon meeting officially began.


    The first speaker was Yu Weiguang from Kyoto!


    Yu Weiguang stood up and walked slowly to the stage.


    Everyone''s eyes are all looking at this young generation leader in the electrophysiology field in China!


    (end of this chapter)

 v2 Chapter 653： Harvest!

    Chapter 653 Great harvest!


    Yu Weiguang walked towards the rostrum, his eyes were firm, and there was a faint smile on the corner of his mouth.


    As one of the outstanding young people in the cardiovascular field in recent years, Yu Weiguang has the opportunity to speak at such a conference where big names gather.


    It is difficult for ordinary young people to have such qualifications to come to power.


    "Good afternoon, professors and colleagues, the content of my speech today is the new progress of electrophysiological technology in the prevention and treatment of heart failure..."


    Yu Weiguang went straight to the point and started his speech directly.


    Everyone under the stage listened intently.


    It is also extremely rare to hear Yu Weiguang''s lectures.


    Lin Shumin found a small corner and listened carefully to Yu Weiguang''s speech.


    If Li Yao is his idol on the road of scientific research, then this Yu Weiguang is his benchmark and the target of chasing!


    As a contemporary, Lin Shumin has always paid close attention to Yu Weiguang, including his recent papers and research projects he presided over.


    However, over time.


    Lin Shumin also gradually understood that the gap between himself and Yu Weiguang is huge.


    In his own lifetime, it should be impossible to surpass Weiguang.


    Looking at Yu Weiguang who was in high spirits on the stage, Lin Shumin felt incomparably envious in his heart, and also had a trace of loneliness.


    Others have begun to lead scientific research, but I am still a horse in a small laboratory.


    ¡­


    "As expected of a leader in the cardiovascular field of China!" Lu Chen muttered in his heart as he looked at Yu Weiguang on the stage.


    In electrophysiology technology, Yu Weiguang''s technical and theoretical knowledge has almost reached the ceiling of Huaxia.


    And, he is heading towards the top international level.


    Lu Chen believes that in the future of Huaxia''s cardiac electrophysiology, Yu Weiguang will definitely occupy a pivotal position.


    ten minutes later.


    At the end of Yu Weiguang''s speech, warm applause broke out in the conference hall.


    "Weiguang is a role model for young people in our era!" Liu Jun, as the host, came out to make a concluding speech, "In the field of electrophysiology, Weiguang''s level is better than our old guys, that''s not too much!"


    Yu Weiguang took over the conversation and smiled, "Professor Liu praised it. Compared with other people, I just entered this circle earlier."


    "There are many excellent electrophysiologists present, such as Professor Liu''s First Affiliated Hospital of Modu University. The Cardiology Department can be said to be capable of producing in large numbers, and I am also willing to be defeated!"


    When Liu Jun heard this, a bright smile appeared on his face.


    This kid Yu Weiguang can handle it!


    No wonder I was able to climb to where I am now, this is so nice to say!


    Liu Jun himself didn''t know that the Cardiology Department of the First Affiliated Hospital of Modu University had a young man comparable to Yu Weiguang?


    Could it be Zhang Shuqing?


    Wrong!


    Zhang Shuqing is involved in valvular disease intervention, which has nothing to do with Yu Weiguang''s electrophysiology.


    "If you have any questions next, you can ask them." Liu Jun laughed.


    Then, everyone in the audience raised their hands to ask questions.


    Lin Shumin raised his hand cautiously even though he was a staff member.


    Yu Weiguang also saw this staff member who was always busy on the sidelines.


    "You come and ask."


    Yu Weiguang hit Lin Shumin, which made the latter excited.


    Lin Shumin took the microphone, his voice trembling, "Yu...Mr. Yu, what is the theoretical mechanism of anti-heart failure in your latest electrophysiological technique?"


    Yu Weiguang smiled slightly and began to answer...


    ¡­


    "Okay, Weiguang''s discussion is over, please..." Liu Jun flipped through the schedule in his hand.


    Suddenly, a trace of surprise flashed in his eyes, why is he?


    Has anyone changed the flow chart?


    He remembered that when he looked at the schedule the day before yesterday, there was no such person!


    However, Liu Jun''s expression soon returned to normal, "The following is a doctoral student in the Cardiology Department of the First Affiliated Hospital of Modu University, Lu Chen!"


    PhD student, Lu Chen?


    Except for some big coffees who have met with Lu Chen, the others rarely know Lu Chen.


    Under the stage, there was sparse applause.


    Lin Shumin was also a little curious.


    In his impression, there seems to be no such person named Lu Chen in the meeting schedule.


    Lu Chen?


    Why does it feel a little familiar...


    Lin Shumin frowned, glanced at him, and suddenly saw the kid who "occupied the seat" stand up.


    What is he doing standing up?


    To the restroom?


    But his direction was towards the podium.


    Lin Shumin opened his mouth slowly.


    Could he be... Lu Chen?


    By the way, remember the name on his badge, it seems to be Lu Chen...


    Lu Chen didn''t care about the eyes of outsiders, he stepped onto the stage calmly and looked around at the people below.


    "Good afternoon, teachers, today''s speech is about the preventive effect of dapagliflozin in early heart failure in patients with myocardial infarction..."


    Everyone was shocked when they heard the title of Lu Chen''s speech.


    How is this so similar to the title of Jinghua Li Yao?


    But isn''t Lu Chen from the Medical School of Magic Capital University?


    Everyone looked at Lu Chen on the stage with suspicious eyes.


    However, although Lu Chen''s topic is similar to Li Yao''s, the content of what he talks about is quite different.


    What ??Li Yao is talking about is more about the clinical application and transformation of Dapagliflozin.


    What Lu Chen was talking about was the basic experimental process of the Dapagliflozin project in clinical research.


    In short, Li Yao is talking about the general direction of scientific research, while Lu Chen is more detailed and more closely related to scientific research itself.


    In the beginning, Lin Shumin listened to Lu Chen''s speech with a suspicious look.


    But when he listened to it, he felt something was wrong.


    What Lu Chen said was more suitable for me!


    The more he listened, the more interested he became.


    What Li Yao is talking about belongs to scientific research orientation and general direction.


    Otherwise, it would be impossible for anyone to ask the question of "indicators of drug efficacy" in the morning.


    Lu Chen explained the steps of the entire clinical experiment.


    Include the experimental design, experimental idea, experimental purpose and so on for each step.


    After listening to Lu Chen''s speech, Lin Shumin felt that his problems in clinical research had been answered.


    This is simply textbook-level teaching in clinical research!


    ¡­


    in the conference hall.


    There were still people chatting in whispers, but as Lu Chen''s speech deepened, the entire conference hall became extremely quiet.


    Everyone is listening carefully to Lu Chen''s speech.


    These are all dry goods!


    Usually you have to pay to listen to it!


    On Lu Chen''s side, while speaking, he kept receiving system prompts.


    "Congratulations, I received Yu Weiguang''s thanks..."


    "Congratulations, I received Li Yao''s thanks..."


    "Congratulations, received..."


    Lu Chen was slightly surprised.


    The system prompts keep playing, I knew there were hundreds of people in this conference hall...


    Harvest!


    Proper harvest!


    Lu Chen originally just wanted to introduce his scientific research project, but at this time, the more he talked about it, the more vigorous he became.


    (end of this chapter)

 v2 Chapter 654： So fragrant!

    Chapter 654 Really fragrant!


    ten minutes later.


    Lu Chen finished his speech.


    Everyone stared at Lu Chen closely, with an unfinished feeling.


    Everyone was immersed in Lu Chen''s speech.


    "Ah... why did it stop suddenly?"


    "No? I still want to hear it!"


    "I feel like I can do it, fast! I''m going to do a scientific research experiment!"


    Lu Chen''s explanation gave everyone a feeling that I can do it too!


    Lin Shumin was also very melancholy at the moment.


    Why did it stop suddenly?


    ¡­


    At this time, Lu Chen''s heart also blossomed with joy.


    The positions of the audience here are basically higher than him.


    At least they are the attending physicians in the department, most of them are deputy chief physicians, and even some experts and professors, and the gratitude value is doubled.


    Just ten minutes.


    Lu Chen got more than 600 thanks points, and the thanks points he got are still increasing.


    "Lu Chen''s speech is over, this..." Liu Jun stood up, paused, and then slowly said: "It''s very good to explain the scientific research work very well. If you have anything you want to discuss, you can bring it up now. , the discussion time is 5 minutes, hurry up!"


    Liu Jun''s voice just fell.


    In the conference hall, rows of hands were raised in unison.


    Even Lin Shumin raised his hand in hesitation.


    Everyone has gains and doubts.


    is like a student who has just learned a lot of knowledge. At this moment, he wants to report to the teacher. He has many questions and wants to raise his hand to ask questions.


    "Time is limited, everyone come one by one."


    Lu Chen started to randomly call names.


    The first one is a very young doctor.


    "Hello Dr. Lu, I''m from Jiangcheng University School of Medicine. What I want to ask is about statistics..."


    Regarding the knowledge of advanced statistics, Lu Chen has been studying it for a while, and he has also exchanged advanced "statistics" skill cards.


    Lu Chen answered all the questions asked by the young people.


    "Oh, that''s the case, I know." The young doctor suddenly realized, "Then in the multivariate regression analysis, there are so many indicators, how do we judge the influential indicators?"


    Lu Chen smiled and said slowly: "We usually first perform a single-factor analysis for each relevant indicator, but this is a lot of work. We can use clinical experience to make a simple judgment first, which can reduce some workload."


    "For example, for the impact of drug efficacy, patient age, weight, taking cycle, etc., these indicators will affect drug efficacy, we will not do univariate analysis alone, but can directly include multivariate regression analysis."


    "I see, thank you Lu Bo for your answer!"


    The young doctor sat down happily.


    ¡­


    Next, is the second person''s question.


    He still asked two questions.


    Everyone else was in a hurry.


    It''s almost five minutes, and it''s not my turn yet!


    Lin Shumin saw that the question was hopeless, so he could only put down his hand in disappointment.


    "Because of time, everyone can only ask one question!" Liu Jun reminded suddenly.


    As soon as these words came out, hope rekindled in the hearts of others.


    The second person, the question is over.


    Next, is the third person.


    Liu Jun glanced at the time, four minutes had passed.


    Then let the third person finish the question, and this round of discussion is over.


    But what Liu Jun didn''t expect was that the third person''s question lasted for two minutes!


    Lu Chen''s answer also took two minutes.


    All of a sudden, the discussion time was suddenly extended.


    Seeing that the fourth person wanted to ask questions, Liu Jun quickly stopped him.


    "Time is running out, there are still a few more speeches from colleagues." Liu Jun stood up and interrupted, "Let''s move on to the next content first."


    Everyone here is a little disappointed, there is no such a good opportunity to ask for advice!


    Liu Jun felt a little helpless.


    The usual discussion time is symbolic and avoids the cold.


    Today''s discussion time, no one wants to end it!


    ¡­


    Lu Chen slowly returned to his seat, and everyone''s eyes followed closely.


    Everyone was very interested in Lu Chen''s identity.


    Many people inquired about the people around them, and only then did they know that Lu Chen was a researcher in Li Yao''s team, and he came to the medical school of Modu University after graduation.


    And from Lu Chen''s speech, we can tell that he is definitely the main researcher.


    Magic City University School of Medicine, that''s really a treasure!


    But the general public didn''t understand Li Yao''s support for Lu Chen.


    But the bosses present have all seen Lu Chen just now.


    Everyone originally thought that Lu Chen was here to brush his face.


    But after the speech just now, everyone suddenly realized that this kid really has two brushes!


    "Old Liu, you are so lucky in Modu University, this kid, I think it''s pretty good."


    Many bigwigs laughed at Liu Jun.


    Liu Jun also just smiled and did not speak.


    Lu Chen''s performance was really amazing.


    But now he is just a doctoral student, how the future will develop, maybe!


    ¡­


    "Lu Chen, I thought you were going to talk about electrophysiology." Yu Weiguang whispered to Lu Chen, "I''m really not used to your cardiovascular drugs!"


    "This is my master''s graduation project and my teacher''s national nature project." Lu Chen smiled, "I like electrophysiology, but the necessary scientific research projects still need to be done."


    "Hey, you still have to specialize!" Yu Weiguang said, "I''m only doing electrophysiology now, and I feel like I can''t do what I want. You''re specialized in so many fields, but you''re not good at it!"


    Yu Weiguang''s reminder is very reasonable.


    It is very difficult for ordinary people to make achievements in one field, let alone multiple fields at the same time.


    However, Lu Chen is not an ordinary person.


    In addition to electrophysiology and drug research, Lu Chen''s future plans include valve intervention, coronary intervention, etc.


    "Okay, I will." Lu Chen smiled.


    Of course, on the surface, it still has to be perfunctory.


    After all, Yu Weiguang also kindly reminded himself.


    "But your research is really good." Yu Weiguang said, "When I was in Kyoto, I heard Dean Yang and Professor Qin say it many times. By the way, and Director Wan, although he didn''t say it, But I can feel that he is quite regretful for ending his cooperation with you."


    "Next time I have a good project, I''ll find you." Lu Chen smiled.


    "Wow!" Yu Weiguang''s eyes lit up.


    Lu Chen said angrily, "You told me just now that you want to be dedicated?!"


    "This..." Yu Weiguang coughed softly, "If you can publish a paper in a top journal, why be specific!"


    Lu Chen can only say, it''s really fragrant!


    ¡­


    The first day of the meeting, the perfect end.


    The doctors from various hospitals have gained a lot.


    Lu Chen''s name, starting today, has officially entered the vision of the Huaxia academic circle.


    (end of this chapter)

 v2 Chapter 655： Form a team

    Chapter 655 Forming a Team


    The first day of the meeting is over.


    The general doctors all left the hotel.


    The big bosses from various hospitals started to have dinner together.


    Lu Chen accompanied Li Yao to the banquet of the meeting.


    For Lu Chen''s performance this morning, all the bosses praised him a lot.


    However, Lu Chen''s identity was slightly embarrassing.


    was introduced to everyone by Professor Li Yao from Jinghua Medical University.


    But Lu Chen himself is a Ph.D student at the Medical College of Modu University...


    This combination, how to say it, is a bit strange.


    ¡­


    The next day''s meeting, continue.


    This time, Lu Chen did not continue to speak on stage.


    Instead, as a listener, I listen carefully to the most cutting-edge research hotspots of the experts.


    In just two days, Lu Chen has gained a lot.


    not only gained a lot of gratitude, but also met a large number of top academic celebrities in China.


    These network resources are a very important hidden wealth for Lu Chen in the future.


    Since Lin Shumin knew Lu Chen''s identity, he stopped bothering Lu Chen.


    instead stood silently, watching the rather heated discussion between him and Yu Weiguang.


    He deliberately wanted to come in and say something.


    But until the whole meeting was over, Lin Shumin never had the chance to talk to Lu Chen again.


    ¡­


    The two-day heart failure conference is finally over.


    Li Yao took Lin Qingping back to Jinghua.


    And Lu Chen returned to the First Affiliated Hospital of Modu University to continue his clinical work.


    The first hospital in the magic capital, the cafeteria.


    Lu Chen, Ke Yue and Dong Hao got together again.


    "Lu Chen, what were you doing the last two days?" Dong Hao asked curiously, "I went to the dormitory to look for you, but I didn''t see anyone."


    "Taking time to attend a meeting." Lu Chen smiled.


    "Heart failure conference?" Ke Yue blinked.


    "Well, the National Heart Failure Conference." Lu Chen looked at Ke Yue, "Aren''t you paying attention?"


    Ke Yue is also a doctor of Cardiology, and logically speaking, he should pay more attention to these news.


    "Oh, I don''t have time, I''m moving bricks in the lab." Ke Yue shook her head helplessly, "I didn''t say last time that I wanted to write a tender for the teacher."


    "Oh..." Lu Chen recalled that he had promised Ke Yue to help, but he forgot about it, "Do you need my help?"


    "Yeah, yes!" Ke Yue nodded quickly.


    "Okay, let''s go tonight."


    "That''s right." Ke Yue suddenly said, "Last time, the cardiologist Dr. He Xiaohui was diagnosed with clarithromycin-related coronary spasm and has now been discharged from the hospital."


    "Really?" Lu Chen was slightly taken aback.


    He was just guessing.


    And he never received any thanks for He Xiaohui.


    "After an allergy test, she is indeed allergic to clarithromycin." Ke Yue said.


    "It''s fine." Lu Chen nodded, not paying much attention.


    For him, this is just a little effort.


    In the evening, Lu Chen took the time to help Ke Yue revise the national nature bid.


    ¡­


    The next day.


    Modu University, the school headquarters.


    Lu Chen found Li Yuanhua, the vice principal, according to the contact information given by Li Yao''s tutor.


    Li Yuanhua is a very kind middle-aged man.


    His figure was a little bloated, the top of his head was a little bald, and his eyes narrowed into slits when he smiled.


    "Lu Chen, I thought you wouldn''t come to me anymore."


    The first sentence of meeting Li Yuanhua made Lu Chen stunned.


    "Principal Li, that... I also just learned about you from tutor Li Yao." Lu Chen paused, but decided to tell the truth.


    In the face of such a person who has been in the leadership for many years, it is not advisable to be opportunistic.


    "Didn''t Director Liu Jun tell you?" Li Yuanhua said half-jokingly, "The conditions for your coming to our school are all documents signed by me."


    "I met Director Liu less often, maybe Director Liu forgot." Lu Chen snorted haha.


    Li Yuanhua glanced at Lu Chen and said nothing.


    "Let''s put the matter of Director Liu Jun aside for now." Li Yuanhua continued, "You came to me this time, so this is not the only thing, right?"


    Lu Chen smiled, "Principal Li, what I want to ask is about my formation of a scientific research team. Where is the laboratory assigned by the school?"


    "This." Li Yuanhua smiled, "After the laboratory has formed a scientific research team, you must apply to us in person, and we will approve the site you believe in."


    "Oh, that''s it." Lu Chen nodded.


    To put it bluntly, the qualifications for scientific research must be assessed!


    If a few random people come to form a scientific research team to occupy an independent laboratory, it would be a huge waste of resources.


    Lu Chen and Principal Li Yuanhua chatted for half an hour.


    Before leaving, Li Yuanhua mentioned Li Yao.


    "Lu Chen, remember to say hello to Li Yao and Professor Ouyang for me!"


    "Okay." Lu Chen''s eyes narrowed.


    He was thinking about the reason why Principal Li helped him just now.


    It can¡¯t be because of your own tyrannical spirit, right?


    What he didn''t expect was that Li Yuanhua, Li Yao and Professor Ou Yangming had known each other for a long time.


    ¡­


    Back to the clinic.


    Clinical work is a little boring.


    Unless he encounters some difficult cases, Lu Chen will be a little interested.


    and the interns and graduate students behind Lu Chen were also replaced one by one.


    Lu Chen also gradually got used to the status of this superior doctor.


    Everyone also knows that this very young doctor is not only rich in clinical experience, but also has first-class surgical skills.


    Lu Chen has also slowly accumulated a group of patient fans who come to him regularly for diagnosis and treatment.


    ¡­


    As Lu Chen''s mentor, Professor Zhang Shuqing, he has the intention to let Lu Chen join his R&D team.


    But when Lu Chen learned about Zhang Shuqing''s research, he refused.


    Zhang Shuqing''s research project is very mature.


    If Lu Chen joins it, it will be mechanical work at all, and there will be no breakthrough at all.


    What Zhang Shuqing valued was Lu Chen''s statistical analysis ability!


    He learned from Director Liu Jun that Lu Chen''s statistical ability is extremely superb.


    For a scientific research, statistics occupies a very important position.


    Lu Chen''s refusal made Zhang Shuqing''s supervisor lose such a good opportunity to improve the level of the thesis.


    Deputy Director''s Office.


    "Mr. Zhang, I have my own research plan, and I can''t join your research team for the time being." Lu Chen said to Zhang Shuqing, "If there is something that needs my help in statistics, I will define it."


    "All right."


    Zhang Shuqing smiled helplessly.


    This is the first time he has been rejected by a student!


    Other students, but eager to join their team.


    But Zhang Shuqing wasn''t angry either, he knew Lu Chen''s ability, this was a scientific research project that looked down on him.


    "Well, thank you teacher for taking care of you." Lu Chen smiled.


    Zhang Shu''s reckoning is very generous, after all, he is still his own mentor.


    It''s just that Zhang Shuqing knew in his heart that Lu Chen didn''t need to rely on himself to graduate, he naturally had no scruples.


    The third month after coming to the magic capital.


    Lu Chen began to set up his own research and development team, officially starting his doctoral research career.


    (end of this chapter)

 v2 Chapter 656： Out-of-capacity diagnosis and treatment

    Chapter 656 Diagnosis and treatment beyond ability


    As a doctoral student, Lu Chen was destined to spend most of his time on scientific research.


    Since he chose not to join his mentor Zhang Shuqing''s team, Lu Chen started to form his own scientific research team.


    At present, Lu Chen doesn''t know many people.


    Including Ke Yue and Dong Hao, there are only some graduate students and colleagues in the same department.


    The most important thing is that Ke Yue is now focusing on basic scientific research, and Lu Chen''s clinical research is not quite right.


    Senior Brother Dong Hao is not a Cardiologist either. Asking him to help him from different majors is fine, but it is not a long-term solution.


    Lu Chen can only expand his selection, not stick to the one area in his heart at the moment.


    ¡­


    "Lu Chen, help me with a clinic tomorrow."


    Instructor Zhang Shuqing gave Lu Chen the task of going out of the clinic.


    He spent most of his time in the cath lab recently, conducting research and development of new scientific research projects, leaving the ward and outpatient affairs to others.


    "Okay, teacher."


    Lu Chen naturally agreed.


    The outpatient service is different from the ward, so you can meet more patients and earn more gratitude points.


    The next day.


    Bringing his junior sister Ji Yingying, Lu Chen came to the outpatient building of the First Hospital of the Magic City.


    The outpatient building of the Cardiology Department is on the third floor.


    Lu Chen was about to take the escalator up, when he ran into an old man asking for directions on the first floor.


    "Doctor, how do I get to the outpatient department of gastroenterology?"


    Seeing that the old man was older and came to the hospital alone to see a doctor, Lu Chen moved with compassion.


    "Master, why don''t you follow me." Lu Chen smiled, "I''m going to the cardiology department, which is on the same floor as the gastroenterology department."


    "Okay, then thank you doctor." The old man nodded slightly.


    Just like that, Lu Chen and Ji Yingying took the old man to the third floor of the outpatient building, the consultation room of the gastroenterology department.


    The old man trembled to the nurse guidance desk...


    Lu Chen and Ji Yingying came to the cardiology clinic.


    He is a regular number today, no limit.


    Because of Ji Yingying''s help, Lu Chen was only in charge of seeing a doctor. Ji Yingying gave the doctor''s order, and the two cooperated quite quickly.


    Maybe because it is a normal number, there are not too many difficult patients.


    Eleven in the morning.


    Lu Chen and Ji Yingying are ready to finish the morning work.


    But at this moment, a fierce quarrel suddenly broke out in the consulting room opposite.


    Lu Chen frowned slightly.


    Modu First Hospital, which is one of the top hospitals in the country.


    Few people make trouble here.


    Many times, the truth of "big shop bullying" exists!


    There were constant quarrels outside, but Lu Chen took his mind back.


    Hurry up and finish the last two patients, he can get off work.


    ¡­


    But the noise outside was getting louder and louder.


    After seeing the last two patients, Lu Chen immediately took Ji Yingying out of the outpatient room.


    "Senior brother, look!" Ji Yingying suddenly said, "The patient who was arguing is our old man in the morning!"


    "Huh?" Lu Chen looked over, "Really!"


    I saw the old man put one hand on his hips and raised the other hand, roaring into the gastroenterology clinic.


    "Why are you quack doctors!"


    "Quack doctors hurt people!"


    "If you want me to tell you, these doctors are so unscrupulous!"


    "I want to sue you, I must sue you!"


    The old man was very excited, and the more he talked, the more vigorous he became.


    The nurses and security guards at the doctor''s guide desk didn''t dare to go forward at all seeing the old man''s age.


    Once this old man falls, the trouble will come!


    Seeing this, Lu Chen approached slowly.


    "Master, please calm down first." Lu Chen stepped forward with a warm smile.


    The old man wanted to continue the attack, but when he saw that it was Lu Chen, he stopped, "Young man, it''s you!"


    "Master, did we do anything wrong?" Lu Chen smiled, "You can tell me, I''ll go talk to their doctor and find their director."


    When the old man heard this, his eyes lit up and he immediately took Lu Chen''s hand.


    "Then I''ll have a good talk with you! Look at this..."


    After finishing speaking, the old man took out a medical record.


    Lu Chen picked it up and took a look. The medical record said he was diagnosed with hepatitis B and cirrhosis...


    "Master, is there any problem with this?"


    Lu Chen wondered.


    "Yes!" The old man nodded immediately, "I have liver disease, right?"


    "Yes." Lu Chen nodded slightly.


    "Then take a look at this doctor''s profile." The old man pulled Lu Chen to the side corridor.


    Introductions of various doctors are hung on the walls of the corridor.


    The old man pointed to one of them.


    "Hu Rong, Deputy Chief Physician of the Department of Gastroenterology. He is good at treating inflammatory bowel disease, acute pancreatitis, enteral nutrition for gastrointestinal diseases, peptic ulcer and other treatments, colonoscopy and endoscopic polypectomy, early cancer and other surgical treatments. "


    Lu Chen frowned, this introduction is fine!


    "Master, what''s the problem?"


    "Why are you so sluggish as a young man?!" The old man said angrily, "I have liver disease! But in the scope of this doctor''s treatment, there is no liver disease at all!"


    Lu Chen was stunned.


    Can you "touch porcelain" like this?


    After Lu Chen''s simple understanding, he knew the whole story.


    The old man questioned that although Dr. Hu is an expert in treating digestive system diseases, he is not qualified to treat liver diseases.


    Why keep him under Dr. Hu''s treatment range?


    Why not hand over to another director?


    Why not let other directors consult?


    Do you take liver disease patients as your own experiments, or is there a huge economic chain behind it?


    ¡­


    Lu Chen was silent.


    He didn''t know what to say to make the old man change his mind.


    Looking at the spitting old man, Lu Chen felt tired for the first time.


    There is always a huge gap between doctors and patients that cannot be bridged.


    However, Lu Chen''s sudden appearance also had a little effect, that is, it calmed the patient''s emotions in time.


    Allow enough time for the gastroenterology clinic to react.


    At this time, the director of the gastroenterology department has arrived.


    "Uncle, you see that I am treating liver disease. I will help you." The director of the gastroenterology department turned towards the old man completely, calming his mood. "If you don''t believe it, look at the introduction on the wall."


    The old man really went to see the introduction on the wall...


    ¡­


    At this moment, Lu Chen silently left the outpatient building.


    Ji Yingying slowly followed him.


    "Senior brother, this patient is too incredible." Ji Yingying said suddenly, "You actually said that a doctor in the gastroenterology department is not qualified to treat liver disease?"


    Lu Chen shook his head slightly, "It''s not that he doesn''t understand, it may be that he doesn''t want to understand or listen to other people''s explanations."


    "Senior brother, is the doctor-patient relationship so difficult?"


    Lu Chen was silent.


    A good doctor is afraid of not encountering a bad disease.


    The doctor-patient relationship has come step by step to what it is today, who is to blame? Who to blame?


    (end of this chapter)

 v2 Chapter 657： basic **** 6

    Chapter 657


    In clinical affairs, in addition to the diagnosis and treatment of patients, it is more about the communication between doctors and patients.


    There are so many things, and they can¡¯t help but worry about life.


    Lu Chen''s growth lies not only in the growth of various business levels, but also in the maturity and sophistication of doctor-patient communication.


    The help of the ?? system only lies in the improvement of medical knowledge and skills, but the communication between doctors and patients requires personal experience in clinical practice.


    ¡­


    Of course, in addition to clinical work, Lu Chen is also looking for candidates for his own research team.


    Generally excellent talents occupy a pivotal position in their respective mentor teams.


    Lu Chen had a hard time digging them up.


    Secondly, most masters and doctorates have their own independent scientific research projects, and it is quite difficult to want the other party to join their own team.


    After another month, Lu Chen still hadn''t found a suitable person.


    Lu Chen could only change his mind and decided to publish a few papers first to increase his influence within the Magic Capital University.


    After all, his previous papers were all published in Jinghua, and although they had a great influence, in the eyes of the people of Modu, they were illusory.


    Lu Chen felt that it was important to rebuild his influence in order to open up the situation in the magic capital.


    ¡­


    So, Lu Chen began to write the corresponding paper after combining it with the future research and development direction.


    The title is "Comparison of the efficacy of TAVR and conventional surgical thoracotomy in patients with moderate to severe aortic regurgitation".


    Current treatment methods for moderate to severe aortic valve regurgitation mainly include surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR).


    Due to the high risk of SAVR, high-risk patients are not suitable for this type of surgery.


    TAVR is less traumatic and has faster postoperative recovery, making it an effective alternative to SAVR.


    However, all the curative effects need to be compared with data, not just looking good with the naked eye.


    Evidence-based medicine requires evidence of good curative effect.


    So, combined with the cardiovascular hotspots for the next few years.


    Lu Chen positioned his research project on the comparison of the efficacy of TAVR and traditional surgery.


    Because Lu Chen does not have any surgical experimental data for the time being, the first paper is only a review.


    ¡­


    The threshold for ?? review papers is extremely low, but the upper limit is high.


    It is generally the industry leader who is qualified to give a brief overview of the development of the entire discipline.


    Ordinary-level doctors, even if they write hyped reviews, no one will admit it, and no journals will be willing to accept them.


    However, as Lu Chen, who has published papers in top journals, naturally he has no scruples in this regard.


    It took him three days to get his head around the development of TAVR.


    Then went on to spend a week writing the thesis.


    In a week, I want to write an SCI paper.


    In the eyes of outsiders, this is impossible, or a **** level difficulty.


    But for Lu Chen, the difficulty can only be said to be average.


    In addition to the bonus of having a "paper writing card", Lu Chen''s current influence in the academic circle is not small. If you want to publish a hot review paper, there are still many journals willing to accept it.


    a week later.


    Lu Chen''s thesis writing was successfully completed!


    The completion of the paper writing is the choice of the journal for submission.


    After his inquiry, he finally chose a journal with an SCI impact factor of eight for submission.


    "Although the impact factor is not high, it should be able to hit."


    Lu Chen thought about it for a long time, the quality of his paper is not very high.


    After all, it is just a review, without original experimental data, it is based on the existing data of others.


    SCI journals with eight points, for others, are already high-quality journals.


    But for Lu Chen now, the score is really not high.


    After careful comparison, Lu Chen finally chose this eight-point journal.


    The difficulty is not high, but the chances of being hired are very high!


    ¡­


    Just as Lu Chen expected, his paper was successfully accepted.


    The first hospital in the magic capital, the cafeteria.


    Dong Hao looked at the mobile phone that Lu Chen handed over in astonishment.


    On the mobile phone mailbox, the information of "accepted manuscript" is clearly written.


    "It''s that simple?"


    Dong Hao has 100,000 whys in his mind...


    Now let alone an SCI of 8 points, he can''t even post an article with a score of 0.5.


    "Didn''t you say that an SCI of eight points is considered top-level?"


    Dong Hao swallowed and spit.


    For ordinary researchers like them, eight points is equivalent to a top-level paper.


    After all, many professors and doctoral supervisors publish papers with the highest scores, and may not even get eight points.


    Lu Chen has completed the writing of a high-quality paper in such a short period of time!


    made Dong Hao hard to digest this fact for a while.


    He had also heard before that Lu Chen had published many high-scoring papers.


    But, that was only heard, there is no shock that I have seen with my own eyes.


    Ke Yue on the side of ?? was not too shocked.


    For Lu Chen, this should be regarded as the level of "basic exercise not 6".


    "In fact, don''t look at the high score, but it''s just a review, not too much nutrition." Lu Chen smiled, "But my future scientific research projects will develop in this direction. With the support of data in the future, I should be able to do it. More stuff!"


    Dong Hao is really envious and moved.


    "Lu Chen, that... can I join in?" He paused.


    Lu Chen thought for a while, but did not answer directly, instead asked: "Senior brother, your major is different from his, this thesis..."


    Dong Hao interrupted him, "Lu Chen, don''t worry, I can learn, and I''m studying statistics recently, I''m very proficient with SPSS software!"


    "That''s it." Lu Chen smiled, "For the next experiment, I will arrange tasks and assign authors according to the size of their contributions."


    "no problem!"


    Dong Hao was very excited when he saw Lu Chen''s agreement.


    Anyway, I finally hugged my thighs!


    Ke Yue on the side of ?? said softly, "Lu Chen, just call me if you need something, I will definitely be able to help."


    "Okay." Lu Chen nodded slightly.


    Their relationship, needless to say.


    is an inappropriate description.


    As long as Lu Chen called out, Ke Yue would definitely be the one in front.


    "Currently, Senior Brothers Ke Yue and Dong Hao are considered substitutes." Lu Chen murmured in his heart, "The team needs at least three people!"


    Ke Yue has her own research projects to do.


    And Dong Hao''s help to himself should be limited.


    They can only be regarded as substitutes for the scientific research team.


    "Ke Yue, do you have any familiar classmates? Let''s see if they want to join my research team." Lu Chen asked.


    It is too inefficient to find members by himself.


    "Okay." Ke Yue nodded, "I''ll ask you later."


    In addition to asking Ke Yue to help find it, Lu Chen also made a note at the end of his thesis and invited cooperating members.


    ¡­


    With the official publication of the paper, Lu Chen caused quite a stir in the First Affiliated Hospital of Modu University.


    We are helping foreign cities to fight the epidemic today, and we will be quarantined tomorrow.


    (end of this chapter)

 v2 Chapter 658： Take the chance of luck

    Chapter 658 Seize the chance of luck


    "Have you heard that Lu Chen from the first district in his heart posted an SCI paper with eight points!"


    "What? Eight points?! Which fierce guy is this? Why haven''t I heard of it!"


    "Your news is too obscure! Even Lu Chen doesn''t know about it. I heard that he, as the first author, has published a top journal paper with more than 30 points, and there are no papers with 20 or 10 points. Next."


    "Yes! I have also heard that this eight-point essay is not very simple for him?!"


    "Where is Mr. Lu Chen? Let''s form a group to go on an adventure. If we can meet him and hug him, we won''t have to worry about the thesis!"


    ¡­


    The more top-tier hospitals, the more they value these scientific research papers.


    A little bit of trouble will attract everyone''s attention.


    Even if Lu Chen had completed two electrophysiological operations independently before, he was not as shocked as he published an SCI paper with eight points!


    The most important thing is that Lu Chen has complete autonomy because of the preferential conditions given by Modu University.


    The corresponding author and first author of this paper he published are himself.


    According to common sense, for papers published by students, the supervisor should occupy the position of "corresponding author".


    This is also a position with the highest gold content!


    Students cannot occupy.


    But Modu gave Lu Chen absolute autonomy, and he could use himself as the "corresponding author" for all the papers he published in Modu.


    This is unimaginable for other Magic City students!


    In addition, Lu Chen''s message of "invite collaborators" has also been seen by people with a heart.


    Everyone¡¯s minds began to get acquainted.


    However, there were not many people who really moved. After all, Lu Chen himself was only a doctoral student.


    Research projects and laboratories are, in the eyes of others, illusory things.


    ¡­


    A part of the heart.


    "Senior brother, tomorrow I''m going to rotate out." Ji Yingying said to Lu Chen with some reluctance.


    "Well, where is the next department?" Lu Chen asked with a smile.


    His impression of Ji Yingying, a girl, was relatively good.


    After all, she was the first student she took after she became a senior doctor.


    "Go to the gastroenterology department." Ji Yingying whispered.


    "Very good." Lu Chen nodded, "The Gastroenterology department is not as busy as ours, so you can relax a little."


    "Hmm." Ji Yingying looked up at Lu Chen, who seemed to be hesitant to speak.


    "Junior sister, is there anything else?" Lu Chen immediately noticed her abnormality.


    "That...Senior brother, I saw that you posted an SCI paper with an eighth score." Ji Yingying paused.


    "Well, there is such a thing."


    Now, most of the Cardiology Department of the First Hospital of the Magic City basically know about Lu Chen''s thesis.


    "Senior brother, you are amazing!"


    Ji Yingying whispered, her gaze towards Lu Chen was also full of admiration.


    "If you work hard in the future, you can do it." Lu Chen smiled.


    Ji Yingying is a smart person, and usually has a job in her eyes.


    As long as nothing goes wrong, the future is bright.


    Hearing this, Ji Yingying blushed, glanced at Lu Chen, and then whispered slowly: "Senior brother, that... me, can I join your research team?"


    Lu Chen was taken aback.


    "Aren''t you from the endocrinology department?"


    She is similar in nature to Dong Hao.


    Different majors, joining Lu Chen''s scientific research team seems a bit nondescript.


    Ji Yingying hurriedly explained: "Senior brother, I''m graduating with a master''s degree soon, and I will definitely pursue a Ph.D. in the future. I decided to pursue a doctorate in Cardiology at Magic Capital!"


    "What? Change department to read a Ph.D.?"


    Lu Chen was slightly startled, he really admired Ji Yingying as a student.


    "It is possible to change departments to study for a Ph.D. in theory, and some people have succeeded, but it is not easy!" Lu Chen thought for a while, "Why do you suddenly want to transfer to the Cardiology Department?"


    "Because I think Cardiology is interesting!" Ji Yingying thought for a while and smiled at Lu Chen, "Also, we rotate between departments at about the same time. My time in Endocrinology is the same as in Cardiology."


    Actually, there is another most important reason.


    Ji Yingying felt that following Lu Chen in the past few months, she had learned a lot more than in other departments.


    is like an electrocardiogram. From a thin sheet of electrocardiogram, any change in waveform can analyze various diseases.


    This made Ji Yingying really feel the charm of medicine.


    "No matter what, you have to think about it!" Lu Chen said sternly, "This is not a family game. The difficulty of changing majors is left here."


    "Senior brother, I''ve made up my mind, I want to learn from my heart!" Ji Yingying looked at Lu Chen, her eyes resolute, "I want to join your research team!"


    At this moment, Lu Chen was moved by this little girl''s decision.


    He took a deep look at Ji Yingying, and then said slowly, "Okay! Then I welcome my junior sister to join my team!"


    Ji Yingying''s face brightened as soon as the ?? voice fell.


    Great!


    finally got his wish and joined the team of senior brothers.


    Actually, Ji Yingying also has her own plans.


    Although it is difficult to change departments while studying for a Ph.D., if you join Senior Brother Lu Chen¡¯s team now, in case you can produce one or two high-scoring SCI papers.


    The difficulty of changing departments when studying for a Ph.D. is no longer there.


    At this moment, a bright smile appeared on Lu Chen''s face.


    In addition to Ke Yue and Dong Hao and other original team members, Ji Yingying can be said to be the first person to join the scientific research team.


    ¡­


    The First Hospital of Magic City.


    Doctoral student, female dormitory.


    After a month of cultivation, He Xiaohui also returned to normal life and study.


    During her illness, due to Ke Yue''s care for her, she now has a very good relationship with Ke Yue, and will come to visit from time to time.


    No, He Xiaohui came to Ke Yue''s bedroom again while she was resting.


    "Xiao Yue, I didn''t expect you to publish so many papers before?" He Xiaohui looked at Ke Yue in surprise. She was looking through the papers Ke Yue had published before.


    Among them, there are two or three SCI papers by the first author, and the highest one is a five-point paper.


    Not to mention other non-first author papers¡­


    This kind of high-quality thesis, even if it is in accordance with the graduation requirements of the doctoral degree, it has reached the standard!


    "I''m just lucky." Ke Yue pursed her lips and smiled.


    In addition to her own efforts, Ke Yue knew very well that if she hadn''t met Lu Chen, she would most likely have gone to work directly after graduation, let alone a Ph.D.


    "Luck is also a part of strength." Ji Yingying smiled, "Why don''t I have such luck?!"


    Hearing this, Ke Yue was stunned for a moment, thinking of what Lu Chen had said to him before.


    When ?? looked at Ji Yingying again, Ke Yue''s eyes lit up and said, "Yingying, now there is a chance for you to have this kind of luck, do you want it?"


    (end of this chapter)

 v2 Chapter 659： Team prototype (first day of quarantine)

    Chapter 659 Team prototype (first day of quarantine)


    "What luck?"


    He Xiaohui was a little stunned.


    Could it be that there is metaphysics in publishing articles?


    "You should know that I am from Jinghua." Ke Yue said slowly.


    "Well, you told me." He Xiaohui nodded, "Your tutor is Professor Li Yao, and she is very popular in our field of cardiology recently!"


    Ke Yue smiled.


    "Actually, most of the country''s natural projects were hosted by Lu Chen."


    When ?? Ke Yue''s words came out, He Xiaohui couldn''t believe it.


    Lu Chen?


    is that wretched man?


    "You...you''re not kidding?" He Xiaohui said in surprise, "He presided over it? How is that possible?"


    "Just open the thirty-point paper." Ke Yue shrugged, "Look at who Yizuo is."


    He Xiaohui found the top journal paper with doubts in her eyes.


    The corresponding author is Li Yao.


    The first author is... Lu Chen?


    It''s really Lu Chen!


    "This...how is this possible?" He Xiaohui muttered to herself.


    "So, I''m not joking." Ke Yue said sternly, "Last time your illness was also diagnosed by Lu Chen, and he also posted an eight-point review during this period of time. You should also know about this, right?"


    He Xiaohui was silent for a while before slowly accepting this fact.


    "Ke Yue, what does it have to do with luck when you tell me this?" He Xiaohui looked up at Ke Yue.


    "Lu Chen''s scientific research team is recruiting, I think you are quite suitable." Ke Yue smiled.


    "Ah? His research team is recruiting?" He Xiaohui was stunned, "How could he have his own research and development team?"


    "The authority given to him by the principal of the Magic City!" Ke Yue smiled, "It''s also the reason why Lu Chen came to the Magic City. At the beginning, the major medical schools were all vying for Lu Chen, but Lu Chen finally chose the Magic City."


    He Xiaohui: "..."


    To be honest, He Xiaohui was moved.


    Although she is Director Liu Jun''s doctorate, Director Liu has too many students.


    She is in it, unremarkable.


    Especially at the beginning of school, He Xiaohui took a rest for more than a month and was out of touch with other classmates.


    She is now in the laboratory every day, raising mice, and has nothing else to do.


    "When I was a graduate student, I basically followed Lu Chen." Ke Yue smiled, "Most of the papers you read are because of Lu Chen''s guidance."


    He Xiaohui looked at Ke Yue''s published papers, and she felt envy in her heart.


    "If it weren''t for my own heavy task now, I would definitely participate directly." Ke Yue smiled.


    He Xiaohui pursed her lips.


    Actually, after thinking about it carefully, she and Lu Chen had no grudges.


    It was just that when he was signing up, Lu Chen stared at her a few times.


    This also shows that Lu Chen''s vision is quite good.


    He Xiaohui looked up at Ke Yue, "Then let me try?"


    "Try it!" Ke Yue nodded, "I''ll let Lu Chen know."


    ¡­


    At this time, Lu Chen was on his way back from the department.


    He received a call from Ke Yue.


    "He Xiaohui wants to join? Who is he?"


    Lu Chen felt that the name sounded familiar, but he really didn''t recall it for a while.


    "It''s the doctor from Director Liu Jun, who is allergic to clarithromycin." Ke Yue explained helplessly.


    Lu Chen is good at everything, but he doesn''t remember much.


    It may be that there are too many patients to deal with every day.


    Speaking of people''s names, Lu Chen couldn''t remember them.


    But as long as the name of the disease is mentioned, Lu Chen can probably remember it.


    "Oh, I remember." Lu Chen patted his head, "You said it once."


    Ke Yue smiled angrily, "She wants to join, what do you think?"


    "Of course you are welcome!" Lu Chen replied immediately.


    To be admitted to Director Liu Jun''s doctorate, he naturally has his own abilities.


    Lu Chen is short of manpower right now. If there are such elite soldiers coming, it must be a warm welcome.


    "Okay, then sometimes you two meet?" Ke Yue said.


    "Okay, wait for my notice."


    Lu Chen is going to hold a team establishment meeting and a welcome meeting after the scientific research team is decided.


    ¡­


    Since the last heart failure conference, Lin Shumin began to pay attention to Lu Chen.


    I didn''t expect that the Cardiology Department of the First Hospital of the Magic City would hide such a capable person.


    To this end, Lin Shumin deliberately found Lu Chen''s published papers, and even checked Lu Chen''s past deeds online.


    This search made Lin Shumin stunned.


    Other people''s resumes are slowly rising.


    But after Lu Chen entered graduate school, it was a straight upward trend.


    The SCI papers published as the first author are all high-quality papers above five points, and there are several top journal papers.


    This is a paper that even Lin Shumin''s mentor has not published!


    "How long has it been since Lu Chen came to the Devil''s Capital? He posted an eight-point review." Lin Shumin had a wry smile on the corner of his mouth.


    He has a third year of Ph.D. this year!


    Only one SCI paper with two points was published.


    Not yet ready for graduation.


    If there is no achievement in the next six months, he will most likely postpone his graduation!


    As a professional doctor, he spends most of his time working in the department.


    Now that graduation is approaching, the topic given by the tutor simply cannot work...


    "Alas." Lin Shumin sighed in his heart.


    Suddenly, he looked startled.


    Because he saw the last paragraph of Lu Chen''s paper, he invited collaborators to join the research team.


    "Lu Chen is qualified to form his own research team?" Lin Shumin was stunned for a while. At this time, he noticed the paper published by Lu Chen, and he was actually the corresponding author!


    "Damn it! You can publish your thesis without your supervisor''s name, that''s awesome!"


    Lin Shumin''s heart began to liven up.


    If you can join Lu Chen''s team and mix up a few papers, wouldn''t it be easy to graduate?


    Speaking of which, he and Lu Chen still "know"? !


    Just do it!


    Lin Shumin, under the pressure of "postponing graduation", found out about Lu Chen''s dormitory.


    ¡­


    "Bang bang bang!"


    Lu Chen was looking through the latest literature on valve intervention when a knock on the door pulled his thoughts back.


    "Isn''t it time for dinner?" Lu Chen glanced at the time, thinking it was Ke Yue calling him to eat.


    stood up and opened the door.


    Lu Chen frowned and looked at the strange man in front of him.


    "Does Lu Chen live here?"


    "I am, you are..."


    Lu Chen carefully looked at the man in front of him.


    Wearing round-frame glasses and a flat head, he is not tall, only about 170.


    "That...I''m the staff member of the Heart Failure Conference?" Lin Shumin scratched his head, "It''s the one from that morning..."


    "Huh?" Lu Chen blinked, "Oh, you asked me to give up my seat, right?"


    "This..." Lin Shumin blushed, embarrassed, "I''m sorry, of course I thought you were a student."


    "It''s fine." Lu Chen waved his hand, "Is there anything you want to do with me?"


    Lin Shumin heard the words and immediately took out the paper in his hand. This is the eight-point review recently published by Lu Chen.


    "I think you want to recruit someone." Lin Shumin looked at Lu Chen nervously, "I just wanted to try it."


    The first day in the quarantine hotel was boring.


    (end of this chapter)

 v2 Chapter 660： A mixed team

    Chapter 660 Teams of mixed good and bad


    "Ah? Are you a student in our hospital?" Lu Chen asked in confusion.


    "Yes, this is my ID."


    Lin Shumin quickly handed over his student ID.


    Lu Chen took it and took a look.


    Lin Shumin, Department of Cardiology of the First Hospital of Magic City, professional doctor.


    "You''re the third year of the Ph.D. this year?" Lu Chen asked.


    "Yes." Lin Shumin nodded quickly.


    "Bo San came to my research team, do you have time?" Lu Chen wondered.


    At the stage of Ph.D. three, they are generally preparing for graduation. Who still has the heart to join other people''s scientific research teams?


    "That..." Lin Shumin scratched his head, "The graduation experiment has encountered some problems and cannot continue."


    Hearing this, Lu Chen pondered for a while, "Then go ahead and talk."


    Lu Chen led Lin Shumin into the bedroom.


    Lin Shumin is not like Ji Yingying or He Xiaohui, Lu Chen knew a little about them, so he directly promised them to join the research team.


    For Lin Shumin, he still needs to continue to ask about some specific situations.


    Avoid overcharging.


    After all, from what Lin Shumin said, he was the kind of person who had problems with graduation.


    ¡­


    in the bedroom.


    Facing Lu Chen, who was a few years younger than him, Lin Shumin looked a little embarrassed.


    Lin Shumin had only experienced this feeling from his mentor.


    "Can you briefly talk about your main work for the past two years?" Lu Chen asked with a smile.


    "I, I didn''t post any high-scoring papers, and I didn''t spend a long time in the lab." Lin Shumin whispered.


    Lu Chen smiled, "Senior Brother Lin, just say something about what you have done."


    Lin Shumin scratched his head, and when he heard Lu Chen call his senior brother, he felt a little uncomfortable, and said slowly: "Well, then, in fact, I spend most of my time rotating in the department..."


    five minutes later.


    Lin Shumin ended his introduction.


    "That''s about it."


    Lu Chen nodded slightly.


    He also had a simple understanding of Lin Shumin.


    As a professional doctor, Lin Shumin spent most of the two years working in the department.


    The tutor promised to give him a scientific research project in the third year and let him graduate.


    However, this scientific research project was blocked in the middle, and there is no more text.


    Lin Shumin thinks that if he relies on his mentor, he will most likely have to postpone it next year.


    That¡¯s why I wanted to join my team.


    Lin Shumin''s experience is actually a portrayal of the lives of some doctors.


    Faced with the pressure of life and graduation, it is better to say a little if you have a strong ability to withstand pressure. You can resist the past and find your own way, such as Lin Shumin.


    Those with weak ability to withstand pressure may drop out of school at light level, or do some irrational things at worst.


    Lu Chen had also heard some senior doctors and sisters talk about these issues, and the words were full of loneliness.


    ¡­


    Lu Chen thought for a while.


    During the conversation with Lin Shumin, I felt that this person is okay, not the kind of difficult person to get along with.


    And at the heart failure conference, letting yourself give up your seat is also a responsible performance.


    "Okay, Senior Brother, come on then." Lu Chen smiled slowly, "Welcome to our team!"


    Lin Shumin was pleasantly surprised: "This is enough?"


    Would it be a bit sloppy?


    "Of course." Lu Chen nodded slightly, "I am the person in charge, I agree, that''s it. But..."


    Hearing these two words, Lin Shumin''s heart tightened, "But what?"


    "There is also a process of inspection during the internship period." Lu Chen said, "The time is not long, just a month."


    Lu Chen was not afraid of Lin Shumin''s incompetence, but he was afraid that he was not motivated, so he just wanted to mix and graduate with a few papers.


    Through this inspection period, Lu Chen was also able to get a good understanding of Lin Shumin, including He Xiaohui and Ji Yingying.


    "Okay, no problem!" Lin Shumin nodded quickly.


    He now regards Lu Chen as the last straw to "avoid postponing graduation"!


    Lu Chen smiled, "Then senior, wait in my dormitory for a while. Let''s go out for dinner together at night."


    "I invite you." Lin Shumin stood up and said.


    "How can you invite Senior Brother!" Lu Chen smiled, "And there are other people in our research team tonight."


    "Others? Oh, that''s fine."


    Lin Shumin nodded, full of expectations for the members of the scientific research team.


    Will there be some big bosses in the hospital?


    ¡­


    5:30 PM.


    Ke Yue knocked on the door on time, and He Xiaohui was with her.


    Lu Chen introduced everyone to each other.


    "Hello, Senior Brother Lin." Ke Yue and He Xiaohui said hello.


    "Hello, two junior sisters." Lin Shumin nodded in response, but he was full of doubts.


    Where did the big guy go?


    Lu Chen said at this time: "Let''s go to the restaurant first, and the other two members will go by themselves later."


    Lin Shumin nodded slightly, and there were two other members. It seemed that the boss was behind.


    ¡­


    Magic City No. 1 Courtyard, in a nearby restaurant.


    Lin Shumin stared blankly at Dong Hao and Ji Yingying in front of him.


    That''s right?


    Two master students.


    One of them is not a cardiologist...


    Is the configuration of this scientific research team the minimum version? !


    Besides he is the third Ph.D., Ke Yue and He Xiaohui are both freshmen of Ph.D. one, and Dong Hao and Ji Yingying are only postgraduates.


    Lin''s title is not because he doesn''t believe in Lu Chen''s ability.


    It''s just that the team configuration is a little too low...


    Moreover, he himself is just a doctor with little research experience.


    Among the crowd, apart from Lu Chen, this girl named Ke Yue seems to be the only one who has rich scientific research experience.


    However, Lin Shumin has no other better choice for the time being.


    Forget it, we can only take one step at a time.


    ¡­


    at the dinner table.


    "Everyone will be a member of a scientific research team in the future." Lu Chen smiled and looked at everyone, "I hope everyone can help each other and publish more high-scoring papers!"


    The crowd substituted tea for wine and toasted a few cups.


    Lu Chen continued: "In the next month, I will draw up a scientific research plan and officially start our scientific research work! The school headquarters will also approve the corresponding laboratory and experimental equipment for us."


    Hearing this, Lin Shumin felt a little excited.


    Lu Chen''s level is beyond words.


    Following behind him can at least improve his scientific research level.


    The others, except Ke Yue and He Xiaohui, are all rookies in scientific research.


    Hearing Lu Chen''s words, he was quite excited.


    Only He Xiaohui was relatively calm.


    She came to try to join the scientific research team.


    As for whether to publish papers, she doesn''t particularly care.


    "Okay, then our scientific research team will be officially established today!"


    Lu Chen raised his glass again, and everyone also picked up the glass.


    A slightly sloppy meeting, a team of mixed good and bad was successfully formed.


    As for how far this team will reach in the future, no one will know, and no one can easily judge.


    Lu Chen''s steps towards the scientific research circle started from this point.


    Support other cities to fight the epidemic (actually help with nucleic acid checks), and come back for quarantine (up to three days).


    (end of this chapter)

 v2 Chapter 661： Its more tiring than working the night shift by yourself!

    Chapter 661 I''m more tired than working the night shift myself!


    The scientific research team was successfully established.


    Lu Chen continued to work clinically while drawing up a scientific research plan as soon as possible.


    The essence of ?? medical research is to serve clinical diagnosis and treatment.


    Otherwise you are playing hooligans!


    Clinical work cannot be lost!


    ¡­


    Return to one area of ??your heart.


    Lu Chen flipped through the shift schedule.


    It''s his turn to work the night shift today...


    After the normal start of school, he was officially entered into the hospital system and began to work night shifts.


    However, as a superior doctor, Lu Chen is also equipped with a graduate student or a graduate student.


    The two work night shifts together.


    Generally, only the things that the students can''t handle, the higher-level doctors will come forward to deal with them.


    "Lu Chen, I''ll be with you tonight!"


    Senior nurse Zou Wenjing from the Cardiology Department came to Lu Chen with a smile.


    These nurses in Corey like to be on duty with Lu Chen.


    After all, Lu Chen is a well-known young talent. He can also joke and have a lot of fun.


    But Lu Chen was miserable.


    Being teased by these old nurses (xi), I can¡¯t even show my strength!


    "Sister Zou, you have to cover me!" Lu Chen smiled, "My night shift...you know."


    Zou Wenjing didn''t care at all, and patted Lu Chen''s shoulder with a smile, "It''s easy to say, sister has been in class for more than ten years, what kind of thing I haven''t seen before."


    "Oh, that''s good."


    Lu Chen smiled slightly, he just came to the magic capital, and everyone may not know his dark attributes.


    ¡­


    5:30 PM.


    Lu Chen and the day shift doctor took over and officially started the journey of the night shift.


    At this time, the night shift graduate students came.


    Lu Chen was a little disappointed, the night shift graduate student was a newcomer.


    The students who have just entered the first year of graduate school have never worked several night shifts at all.


    Clinical experience can also be said to be very little!


    "Tonight will be miserable."


    Lu Chen sighed in his heart.


    If it is an old fried dough stick with second or third research, then he can handle most emergencies without calling himself every time.


    But if you meet someone who is young and inexperienced, this night will not stop!


    ¡­


    Night shift begins.


    Lu Chen guessed right, this night shift is no different from his own.


    He originally wanted to write a research project book in the lounge.


    However, the knocking on the door never stopped.


    bang bang bang!


    Lu Chenqiang opened the door with a smile.


    "Junior sister, what happened?"


    "Senior Brother Lu, the 5-bed patient is dizzy, what should I do?" Liu Mengqi whispered.


    "Take her blood pressure."


    "Oh... well!"


    After ?? finished speaking, Liu Mengqi ran away in a flash.


    Lu Chen shook his head helplessly.


    Not long after sitting down, the knock on the door rang again.


    "Senior brother, can the 11-bed patient take a leave of absence to go home at night?"


    Lu Chen: "..."


    Forget it, let¡¯s go to the doctor¡¯s office and sit.


    Otherwise, this door will be knocked to pieces!


    ¡­


    Lu Chen took his computer and came to the doctor''s office.


    found a comfortable position and sat down with peace of mind.


    While writing a scientific research project book, Liu Mengqi was remotely controlled.


    is that the surrounding environment is relatively noisy, which is also impossible.


    After a while, Liu Mengqi returned to the duty room.


    "Senior brother, the blood sugar in bed 45 is a bit high, 11.5mmol/L. Do you want to deal with it?"


    Lu Chen didn''t answer immediately this time.


    He frowned and looked at Liu Mengqi, and asked, "Junior sister, do you know what the patient''s basic blood sugar is?"


    "This...I don''t know." Liu Mengqi shook her head, "Bed 45 is not my patient."


    The corner of Lu Chen''s mouth twitched slightly, "Junior sister, the basal blood sugar of the 45-bed patient is 12 or 13. Do you think it is necessary to ask?"


    "Huh?" Liu Mengqi quickly lowered her head, "Senior brother, I don''t know, I''ll watch it next time."


    Lu Chen couldn''t bear to criticize these young students severely, so he could only say patiently, "I''m not blaming you. It''s that you have to try to analyze and deal with it yourself, and understand the priorities, instead of reporting everything, so that you can The ability to be independent is gone.¡±


    "What should you do when you work the night shift by yourself in the future?"


    "Well, senior brother, I see." Liu Mengqi sat beside Lu Chen with a lonely expression.


    Lu Chen was really afraid that what he said was serious.


    Now these students have limited capacity!


    "That... Junior Sister, in fact, everyone was the same when they first started working the night shift." Lu Chen comforted immediately, "When I first started working the night shift, I might not have been as good as you, and I was too scared when something happened."


    "I can''t." Liu Mengqi curled her lips, "Senior brother, you are so good, all the directors and professors are praising you, how could you be worse than me before?"


    Lu Chen was slightly taken aback, this girl is not stupid.


    However, he still said with a smile: "I can''t know everything from the beginning, right? Everything has a process of adaptation. You must have enough basic knowledge now, and the key is to apply it to clinical work."


    "Well." Liu Mengqi nodded slightly, feeling a little better, "Senior brother, what did you do at that time?"


    "It''s actually very simple." Lu Chen thought for a while and said, "The most important thing is to determine the changing trend of the disease, and what symptoms such as chest pain, headache, and dizziness may correspond to."


    "Some patients have symptoms of heart failure or angina pectoris, and we need timely drug treatment."


    "Some patients still need our spiritual comfort."


    These things cannot be explained in one or two sentences, and Liu Mengqi needs to experience them clinically.


    "Senior brother, I understand!" Liu Mengqi nodded heavily.


    Lu Chen still reassured him, "But as long as you think you can''t solve it or you''re not sure, you should tell me in time."


    "Oh." Liu Mengqi nodded slightly.


    Lu Chen briefly informed about other matters to be aware of, and then focused on his own affairs.


    ¡­


    I don''t know if it was because of the old nurse Zou Wenjing, there was no special emergency that night.


    However, some small things keep coming.


    Even in the middle of the night, Liu Mengqi often knocked on the door and called Lu Chen up.


    Strictly implement what Lu Chen told him, and call him up when he encounters patients who are not sure.


    Liu Mengqi felt that she didn''t have much confidence in most of the things she encountered...


    The next day.


    Early shift.


    Lu Chen stared at a dark circle and came out.


    "Lu Chen, it''s okay to be assigned a class with me, basically nothing major happens." Zou Wenjing smiled.


    "Yes, nothing major happened." Lu Chen sighed helplessly, "But the little things keep coming, I basically didn''t sleep much..."


    Lu Chen pointed to his two dark circles, wanting to cry without tears.


    "Haha." Zou Wenjing comforted, "It will be fine when young Liu Mengqi and the others grow up!"


    ¡­


    After finishing the shift, go back to the dormitory.


    Lu Chen fell asleep and couldn''t hold it anymore!


    This is more tiring than working a night shift by yourself!


    (end of this chapter)

 v2 Chapter 662： "Valve intervention" skill card

    Chapter 662 "Valve Intervention" Skill Card


    The First Hospital of Magic City.


    Department of Cardiology, Director''s Office.


    Liu Jun and Zhang Shuqing sat opposite each other.


    "Shuqing, after Bureau Zou went back last time, he even praised our hospital." Liu Jun took a sip of tea, "You have to apply for the funding projects of the Department of Science and Technology this year, and Bureau Zou will help us with the arrangements. Take advantage of this opportunity.¡±


    "Okay, let''s urge the people below to apply." Liu Jun smiled, "This year, there are quite a few young attending doctors in various departments."


    After all, the National Natural Science Project Fund is limited, and the fund projects of the Science and Technology Department of the Provincial Municipal Bureau are more suitable for some ordinary doctors.


    "Well. Tell me about you, how is the valve intervention going?" Liu Jun said again.


    Since coronary stents entered medical insurance, the price has plummeted, and you are looking for new fields and new projects.


    In the cardiovascular field, the hottest one should be the medical treatment of transcatheter valve intervention.


    "It''s going well." Zhang Shuqing nodded slightly, "Compared to other hospitals in Huaxia, we are only a little behind them."


    "You still have to hurry up!" Liu Jun frowned and said, "If you miss it by a tiny inch, it''s a huge difference! Now it''s not only competing with the cardiology department of other hospitals, but also with the surgery department!"


    "Director, I can''t be in a hurry now, after all, it''s a new technique." Zhang Shuqing''s expression was a little helpless, "In China, there is a lot of resistance to experimental things, and I think we are using them as experiments..."


    "Okay, you start this matter, and if you have any questions, please communicate with me in time."


    "Okay, Director Liu."


    Liu Jun took another sip of tea and suddenly said, "By the way, how is your student named Lu Chen?"


    Lu Chen''s performance at the heart failure conference also made Liu Jun''s evaluation of him one point higher.


    Zhang Shuqing knew that the top leaders were paying attention to Lu Chen, and after thinking about it, he said, "In addition to rotating in the department recently, he is setting up his own scientific research team in his spare time. I heard that he has already found a few people."


    "Starting to form a team so soon?" Liu Jun was taken aback, "He only has a few months, right?"


    "Almost three months." Zhang Shuqing said.


    "You guys are still too young!" Liu Jun shook his head slightly, "I don''t know anyone, and I don''t want to cooperate with us. I work alone, what good R&D team can I find?"


    Zhang Shuqing didn''t say much after hearing the words.


    The last time he invited Lu Chen to join his experiment, he was rejected.


    What are you talking about?


    Let your students join your lab, you have to be careful...


    The result was also rejected!


    "However, after all, Lu Chen was recruited by the principal himself." Liu Jun said, "We still have to give the necessary help, otherwise we will be blamed by the people above, and we won''t be able to explain it."


    "Okay, I understand." Zhang Shuqing nodded.


    is his own student after all.


    Although the student''s independence is too high, when someone asks, isn''t the tutor his own?


    "Director, I''ll give him one for next month''s valve intervention class?" Zhang Shuqing asked cautiously.


    "You can figure it out." Liu Jun didn''t care.


    Actually, he really valued Lu Chen as a student, but he was not allowed to form his own research team.


    In his opinion, it was still too hasty for the school leaders to give such conditions.


    No matter what Lu Chen said, he was just a doctoral student.


    The most important thing in the magic capital is this kind of highly educated researcher.


    What Liu Jun needs are obedient students.


    ¡­


    ¡­


    When Lu Chen opened his eyes again, it was four o''clock in the afternoon.


    "It''s really good to live alone in the bedroom, and I''m not afraid of affecting others."


    Lu Chen stretched and got out of bed.


    After washing up, he started to go out for food.


    Halfway through, Lu Chen received a call from his mentor Zhang Shuqing.


    "Next month''s valve intervention class?" Lu Chen was slightly startled.


    "Yes." Zhang Shuqing continued, "The study class held in our magic capital is mainly for the study of theory and skills for two weeks."


    "Finally, there is a simple assessment. If you pass the assessment, you will be eligible for valve intervention."


    Because valve intervention is a brand-new surgical procedure, unlike the previous routine surgery, it is necessary to re-qualify for surgery.


    With the popularization of surgical techniques, it will become easier and easier to obtain surgical qualifications in the future.


    "Okay, thank you Teacher Zhang."


    What Lu Chen lacked was the clinical experience of this type of surgery.


    Although there are skill cards for valve intervention in the system mall, it is too expensive!


    Heart valve intervention skill card, you need as much as 20,000 thanks!


    After the last heart failure conference, Lu Chen had accumulated some gratitude points, and the total gratitude points reached 17,000.


    However, there is still some gap between the 20,000 thank points.


    For now, it is good for Lu Chen''s scientific research project to go to the study class for the time being to understand the theoretical knowledge of the technique.


    "Thank you for telling me!" Zhang Shuqing''s voice came from the phone, "On the third of next month, go to the class on time, and I will send you a specific notice. There are not many places this time, so you have to take good care of it. !"


    "Well, thank you Teacher Zhang."


    Thanks again, Lu Chen hung up the phone.


    ¡­


    During this month, Lu Chen began to improve the scientific research project plan.


    Within a month, Lu Chen earned a lot of gratitude points.


    With a thought, the system panel appeared in front of him.


    Currently, the total thank you value has reached more than 19,000.


    The distance to redeem the "Valve Intervention" skill card is only the last few hundred points of thanks!


    But the day to enter the "Heart Valve Intervention" class is approaching.


    The number of places in this class is limited, and there are 80 people in the entire Demon City class.


    There are only eight places in the First Demon City, and Lu Chen occupies one of them.


    He is also looking forward to this class.


    ¡­


    The location of the ?? study class is located in the Magic City Central Hospital.


    The ?? study class lasts for two weeks.


    The first week is theoretical study, and the second week is observation of surgery, practical operation and assessment.


    Lu Chen came to the teaching building of the Magic Capital Central Hospital.


    Eighty students have already arrived in the study class at this time.


    All of them are senior physicians or deputy chief physicians in various hospitals. There are almost no PhD candidates like Lu Chen.


    Lu Chen was in the back row of the classroom and found an empty seat to sit down.


    The instructor of the ?? study class, who is also the director of the Magic Capital Central Hospital, gave a simple speech and started the lecture.


    Lu Chen took out his notebook and listened to the class silently.


    A week of theoretical study is over quickly.


    Lu Chen has a clear understanding of the operation of heart valve intervention.


    In addition, this week.


    Lu Chen also occasionally returns to the department to check on patients and earn a wave of gratitude.


    Finally, before the second week of study.


    Lu Chen got his wish and exchanged this "Heart Valve Intervention" skill card.


    (end of this chapter)

 v2 Chapter 663： Where did he come from?

    Chapter 663 Where did he come from?


    After dinner.


    Lu Chen entered the system virtual space.


    "Use the Valve Intervention Skill Card!"


    With a thought of ??, a simulated operating table immediately appeared in the virtual space of the system.


    All kinds of equipment and surgical instruments are all matched with "valve intervention" surgery.


    After the last week of study.


    Lu Chen already knew something about valve interventional surgery.


    If the heart is likened to a house, then the valves of the heart are the doors and windows of the house.


    Once the valve is broken, that is, the doors and windows of the room are broken. If things go on like this, the heart function will be completely damaged, that is, heart failure.


    The conventional treatment method is surgical thoracotomy, repairing the valve, or replacing the entire valve, which is often referred to as valve replacement surgery.


    This kind of major surgery is very traumatic to the human body and requires surgery to open the chest, that is, the operation of extracorporeal circulation.


    And valve intervention (TAVR), like coronary intervention, is a minimally invasive treatment of valve intervention through peripheral blood vessels.


    Little harm to the human body, especially suitable for some middle-aged and elderly patients who cannot tolerate too much surgery.


    ¡­


    Now is the time to test the results and improve your skill proficiency!


    With the foundation of electrophysiological surgery, Lu Chen can get started faster.


    From awkward and unfamiliar at the beginning, Lu Chen gradually mastered the essentials of "valve intervention".


    After staying in the virtual space of the system for about four hours, Lu Chen felt a little tired, so he backed out and started to sleep.


    was speechless all night.


    The next day.


    Lu Chen had breakfast and came to the catheterization room of the Magic Capital Central Hospital early.


    Under the leadership of Dai Wansong, director of the Central Hospital, everyone began to observe the operation.


    "The TAVR peripheral approach includes the femoral artery, carotid artery, axillary artery, etc. The specific approach to choose depends on the patient''s condition and vascular conditions."


    Dean Dai Wansong explained and simulated the operation for everyone.


    "Who of you know the most common vascular path?" Dai Wansong continued.


    At this time, a middle-aged doctor said: "Director, about 90% of TAVR is done through the femoral artery in clinical practice."


    "That''s right." Dai Wansong nodded slightly, "Take femoral artery puncture as an example. Before puncture, we should read the CTA images of peripheral blood vessels in detail, and identify the bifurcation of the deep femoral artery and superficial femoral artery. There is no obvious stenosis, plaque or puncture at the puncture point. calcification, etc."


    Because it is a simulated operation, everyone enters in batches and can clearly see the operation area.


    "Can anyone demonstrate the puncture process?" Dai Wansong looked around the crowd.


    "Me!" The middle-aged doctor who answered the question just now stood up again.


    "Okay, then let''s demonstrate by Dr. Bai Xin."


    Dean Dai Wansong gave up a position.


    Bo Xin put on gloves, held the puncture needle, and started femoral artery puncture.


    Lu Chen stood aside and observed it carefully.


    Bo Xin''s operation is very professional, and there is no strange appearance at all.


    "The puncture point is usually within the femoral head, below the inguinal ligament, and at least 10mm above the bifurcation of the femoral artery. The puncture methods include micropuncture, contralateral contrast puncture, ultrasound-guided puncture, pigtail canal puncture..."


    Bo Xin''s explanation is also very clear.


    However, Lu Chen knew very well that the puncture of these peripheral blood vessels was not the point.


    The most difficult techniques for "valvular intervention" are the techniques of guide wire crossing the valve, orbital establishment and balloon pre-dilation.


    Sure enough, after the femoral artery puncture, Dean Dai Wansong continued to ask: "Can anyone demonstrate the operation of the guide wire transmembrane?"


    As soon as the voice fell, no one responded.


    Doctor Bai Xin, who was more active just now, was also very hesitant at this time.


    "Aren''t you willing to give it a try?" Dai Wansong asked again.


    When Lu Chen was about to step forward, Bai Xin moved.


    He stepped forward, "Dean Dai, let me try again."


    "Okay." Dai Wansong nodded with a smile, "Don''t be afraid of making mistakes, it''s your first attempt. Once you get started, you can slowly improve it later."


    Bo Xin took a deep breath, and then stepped onto the simulation console.


    He held the guide wire in his hand and began to push it in.


    "When the guide wire crosses the valve, the operation should be gentle, to avoid the guide wire entering the coronary artery by mistake, and to seize the opportunity of opening the aortic valve during systole to push the cross valve guide wire homeopathically. For severely stenotic valve orifice or valve leaflet abutment misalignment, super-sliding guide wire can be used. Silk."


    Bo Xin said as he fed the guide wire.


    The ?? movement is not as skilled as before, but in the bumping, the guide wire was successfully passed through the valve.


    If it is the first time that Bo Xin has performed valve intervention and can let the guide wire pass through the valve, it will be very difficult!


    The people watching were amazed.


    "I heard that Bai Xin is Dean Dai''s student, so it seems that he has the true biography!"


    "I''m sure that Bai Xin has done this kind of surgery before, otherwise it would be impossible to be so skilled."


    "Have you done it and come to the study class? Does this not count for a place?"


    "Continue to study, I have done it before, but it''s just an assistant..."


    Just as everyone was talking, a student suddenly asked, "Doctor Bai, if I use the ultra-smooth guide wire, will I still not be able to pass it?"


    "This..." Bai Xin was suddenly stunned.


    He did have valve intervention surgery, but he was only the first assistant, and he had never encountered such a situation.


    Others are also staring at Bo Xin, expecting an answer from his mouth.


    However, everyone was disappointed.


    Bai Xin thought for a while, then shook his head, "I haven''t encountered this situation yet, so..."


    Dai Wansong also had a hint of disappointment in his eyes, he was just about to remind everyone.


    At this moment, a calm voice came from the students.


    "If the guide wire cannot pass through the stenotic valve in the forward direction by the above methods, puncture of the atrial septum can be considered to establish a track across the aortic valve in the reverse direction."


    It was Lu Chen who said this, and he took a step forward.


    All the students looked at the sound.


    In the eyes of everyone, why is this student so young?


    Dai Wansong had a surprised look on his face, "Have you met before?"


    Lu Chen shook his head, "No, I have read the corresponding operation materials, and it seems to have mentioned it."


    Lu Chen has never met him in reality, but he has seen him in the system virtual space.


    Was he right?


    Everyone had some doubts in their hearts, and all looked at Dean Dai Wansong.


    Dean Dai Wansong nodded slowly, "Yes, this student is right! At this time, we can consider puncturing the atrial septum and establishing a track across the aortic valve in reverse."


    is actually right!


    Everyone was shocked, and looked at Lu Chen with a look of surprise.


    Where did this person come from?


    "What''s your name and which hospital are you from?"


    Dai Wansong asked everyone what they wanted to say.


    Lu Chen smiled slightly, looked at everyone, and said slowly: "The First Affiliated Hospital of Magic Capital University, a doctoral student in the Department of Cardiology, Lu Chen."


    Lu Chen?


    Everyone thinks this name sounds familiar!


    Among the students, someone suddenly exclaimed.


    "Is he the Lu Chen from the Heart Failure Conference?!"


    Because one of the schools I was in charge of checking nucleic acid was all negative, so I ended the quarantine early this afternoon...


    What a short quarantine time. (two days)


    (end of this chapter)

 v2 Chapter 664： snare assistant

    Chapter 664 Snare Assistant


    Dai Wansong reacted immediately.


    Lu Chen at the Heart Failure Conference?


    He also participated in the heart failure conference some time ago, and he immediately recalled the young man who surprised everyone in his mind.


    He looked at Lu Chen in front of him with a hint of surprise in his eyes!


    He remembered that Lu Chen was studying dapagliflozin?


    Why did you come to their TAVR class?


    (The following uses TAVR instead of valve intervention)


    ¡­


    After a brief interlude, calm was restored in the catheterization lab.


    Dai Wansong took a deep look at Lu Chen.


    Could this kid want to engage in TAVR across research fields?


    "Let''s continue next..." Dai Wansong retracted his thoughts and began to explain.


    Everyone in the catheterization room looked at Lu Chen from time to time.


    For this mysterious young man, everyone has a trace of curiosity in their hearts.


    On the operating table, Dai Wansong continued: "After the successful transvalvular valve, a stiffened guide wire needs to be sent through the pigtail catheter for the implantation of large sheaths for vascular access, the delivery of dilatation balloons and valve systems, and the prevention of peripheral vascular complications. Deal with it. Who do you know of the types of guide wires that are hardened by TAVR in China?"


    As soon as this question came out, the entire catheterization room was silent.


    This is already a very professional question. Everyone present is new to TAVR. Shouldn¡¯t they be familiar with this question?


    Everyone looked at each other in dismay, without any clue.


    Dai Wansong looked at Bo Xin and found that the latter lowered his head and didn''t look at himself, so he was a little disappointed.


    So, he turned to look at Lu Chen who was standing beside him.


    Lu Chen saw Dai Wansong''s gaze, paused, stood up, and said softly, "Currently, there are mainly two types of hardened guide wires suitable for TAVR available in China, Lunderquist and Amplatz."


    Lu Chen paused and continued: "The Lunderquist guide wire is harder and stronger than the Amplatz guide wire. It is suitable for almost all types of valves, but at the same time, the risk of complications such as guide wire perforation and incision is also relatively increased... ¡­¡±


    As soon as Lu Chen finished speaking, everyone in the catheterization room looked at him.


    Let me go, is this a newcomer to TAVR?


    Actually know so much about the current domestic market guide wire.


    This time, everyone had no doubts about Lu Chen''s answer.


    Being able to answer so fluently must be Lu Chen''s real understanding, that''s right!


    Sure enough, a smile appeared on Dai Wansong''s face, "Well said!"


    He went on to add: "The shaping curvature of the tip of the stiffened guide wire should match the size and shape of the ventricular cavity, and there should be no edges and corners, otherwise fatal complications such as myocardial perforation may occur during valve delivery and release, and it takes time during the operation. Note the position and tension of the guidewire within the ventricle."


    This is why there are currently only two types of hardened guide wires in China.


    Because it is too important to harden the guide wire, once the matching is unsuccessful, it will directly affect the success rate of subsequent surgery.


    "Come and try orbital establishment and balloon pre-dilation?"


    Dai Wansong said this to Lu Chen alone.


    All the students in the catheterization lab looked at Lu Chen enviously.


    There are not many opportunities for this kind of practice!


    The fraud in the simulated operating room is very expensive, and the equipment required for each simulated operation has a lot of consumption.


    "Okay." Lu Chen smiled and nodded.


    He practiced in the virtual space of the system for a long time last night, but it was the first time to operate in real life.


    walked slowly to the stage and took over from Dai Wansong.


    ¡­


    The virtual space of the system and the operation in reality are still somewhat different.


    The real touch made Lu Chen''s heart beat slightly faster.


    This is not real surgery yet.


    If it was a real human surgery, the string in Lu Chen''s mind might be even tighter.


    Lu Chen didn''t get started quickly.


    Instead, choose an appropriately sized dilation balloon based on ultrasound and CT measurements.


    Then adjust the angle through the balloon marker and calcification position, place the middle of the balloon in the calcified stenosis area, and select an appropriate body position according to the CT angle so that the target calcification area does not overlap with the balloon position, so as to observe the balloon expansion effect.


    Seeing Lu Chen''s actions, so mature and sophisticated, Dai Wansong couldn''t help but nodded slightly.


    In his heart, this kind of proficiency is definitely not the first time to do TAVR surgery!


    After Lu Chen successfully completed the balloon pre-dilation, Dai Wansong did not call to stop, but said expectantly: "Lu Chen, don''t stop, you continue!"


    Lu Chen nodded.


    This opportunity to operate in reality was rare, and he concentrated his attention even more.


    The next step is valve delivery and release.


    This is the top priority of the whole operation!


    Lu Chen needs to deliver the artificial valve to the location of the diseased valve, and then release it successfully.


    This is also a step that tests the skill of the practitioner the most.


    Dai Wansong looked at Lu Chen without blinking.


    The reason why he let Lu Chen continue is to see where his abilities are.


    If this last step can be completed, it will prove that Lu Chen is ready to go to school.


    ¡­


    Catheter lab.


    All the students didn''t dare to let out the air, they all stared at Lu Chen''s movements.


    His every step touched everyone''s nerves.


    After balloon pre-expansion, if the valve is severely damaged, there is a lot of regurgitation, and the patient''s hemodynamics are unstable, a prosthetic valve needs to be implanted quickly.


    However, it is only a simulated operation now, without such concerns, Lu Chen can take it easy and play steadily.


    In the case of full fluoroscopy, the artificial valve is slowly delivered.


    The early delivery of the ?? valve was smooth.


    Lu Chen paused for a while until he reached the position of the aortic arch.


    "Be careful here!" Dai Wansong reminded appropriately.


    At this time, if the hardened guide wire cannot be pulled in, it is easy to get out of the ventricle.


    Lu Chen did not act in a hurry, but recalled the training steps in the system space last night in his mind.


    He first adjusted the body position to the left anterior oblique position, and then pushed the valve, while tightening the super-hard guide wire to avoid damage to the aorta during valve delivery.


    However, no matter how Lu Chen adjusted the position, the valve could not be delivered.


    ¡­


    Other students also noticed the abnormality of Lu Chen''s operation.


    "its stuck!"


    "The valve can''t get in... I guess it''s because the valve''s angle is too big, and it''s impossible to get through!"


    "Hehe, let me just say it, Lu Chen probably won''t be able to get in. Theoretical knowledge is one aspect, and final operational skills are the first aspect."


    "We''re still in a class, and it''s pretty good to be able to do this!"


    Some people sigh, others gloat.


    However, Lu Chen was completely unaffected.


    "If it doesn''t work, you can end the operation." Dean Dai Wansong said softly.


    For Lu Chen''s performance, even if he failed to complete all the steps, Dai Wansong was very satisfied.


    At this moment, Lu Chen slowly raised his head, without any nervousness on his face, he put down the guide wire in his hand, and said to Dai Wansong, "President Dai, the aortic valve of this simulated patient has a large angle, and the artificial valve is very large. It was difficult to pass through the aortic valve, and I needed a snare to assist the valve and correct the misalignment of the prosthetic valve."


    "This..." Dai Wansong was stunned when he heard Lu Chen''s words, "You want snare assistance? Why not use double guide wire technology?"


    (end of this chapter)

 v2 Chapter 665： invite

    Chapter 665 Invitation


    When the prosthetic valve cannot be delivered, the first thought should be the double guide wire technique.


    But Lu Chen took a different approach and used snare directly, which made Dai Wansong extremely puzzled.


    TAVR is a brand new technique.


    There is still a certain gap between the overall development of Huaxia and the top foreign technologies.


    Dai Wansong''s cognition and processing methods are the most conventional.


    Lu Chen''s treatment method was also the finalized diagnosis and treatment idea after a systematic and rigorous review.


    ¡­


    The other students looked at Lu Chen and Dai Wansong, all confused.


    The conversation between the two has gone beyond the scope of everyone''s understanding.


    Lu Chen said: "If the aorta is distorted and severely angled, the double guide wire technique can be used. However, for patients with a large aortic valve angle, it is difficult for the artificial valve to pass through the aortic valve orifice, or the valve coaxiality is poor. , you need to use snare assistance!"


    "There is such a saying?" Dai Wansong was slightly taken aback, "Lu Chen, try it."


    "it is good."


    After saying this, Lu Chen started immediately.


    After the familiarization process just now, he became more and more proficient in realistic simulated surgical operations.


    The ??snare auxiliary operation was quickly completed in Lu Chen''s hands.


    Dai Wansong''s pupils shrank slightly.


    Really succeeded by Lu Chen!


    "Lu Chen, did you come up with this idea yourself?" Dai Wansong suddenly stepped forward and looked at Lu Chen excitedly.


    "this¡­¡­"


    Lu Chen paused for a while, but didn''t think of anything good to say for a while.


    The electrophysiological surgery before ??, the development at home and abroad, has been very mature.


    Most of the operations that Lu Chen can do already have previous templates.


    But in the field of TAVR, this is a brand new operation, the system virtual space can help Lu Chen improve the operation, but this has never happened in reality.


    "I seem to have seen it somewhere before." Lu Chen snorted, trying to perfunctory.


    But Dai Wansong did not let this problem go easily.


    "Which documents? Can you find them?"


    He searched in his mind for a paper that matched Lu Chen''s writing, but after spending a long time, he still didn''t have any clue.


    "Probably not." Lu Chen shook his head, "There are too many documents, I forgot."


    In reality, there is no such technology at all!


    Dai Wansong had more insight in his heart at this time.


    In his mind, he had never seen such a technique.


    In other words, Lu Chen is most likely the creator of this technique!


    When Dai Wansong looked at Lu Chenzhi again, his eyes were extremely hot.


    Finally let him meet a TVAR genius, so he can''t let it go!


    Lu Chen is continuing the operation.


    What he didn''t know was that he was already remembered by Dai Wansong beside him.


    ¡­


    ten minutes later.


    Under the operation of Lu Chen, the first TVAR simulation operation was completed in an instant!


    Except for the initial vascular puncture, guide wire entry and other operations, which were completed by Bo Xin, all the remaining steps were independently caused by Lu Chen.


    The other students in the catheterization lab changed their expressions when they looked at Lu Chen.


    Obviously not a newcomer to TAVR, why do you want to come to the class with them!


    Doesn¡¯t this take up resources?


    Bai Xin gritted his teeth. He couldn''t understand why such a young Ph.D student knew more about TAVR than he did?


    This is simply impossible!


    At this time, I don''t know who suddenly said: "I see, Lu Chen''s mentor is Zhang Shuqing, isn''t he the one who does TAVR?"


    "That''s right! It must be the case. Zhang Shuqing usually takes Lu Chen with him, and usually has some TAVR operations."


    "So, Lu Chen''s intervention level will be so high!"


    Hearing everyone''s murmurs, Bai Xin felt a little better.


    He knew that Zhang Shuqing was one of the first people in China to engage in TAVR.


    Lu Chen is his student, and it is reasonable to have this level.


    It''s just that since Lu Chen is not a newcomer, why did he come here to join in the fun?


    ¡­


    As the party involved, Lu Chen did not understand what everyone was thinking at this time.


    Even if he knew, he laughed.


    Instructor Zhang Shuqing, he has never taught him anything for the time being!


    When he finished the whole operation, he was called into the office by Dean Dai Wansong.


    "President Dai, are you looking for me?" Lu Chen looked at Dai Wansong with some doubts.


    Dean Dai''s friendly attitude made Lu Chen cautious.


    Be diligent for nothing, either a traitor or a thief!


    "That...you think about the snare operation you just did, where did you see it?" Dai Wansong whispered.


    "This..." Lu Chen felt helpless, "President Dai, I didn''t mean it, I really forgot."


    It seems that after one lie has been told, the first lie must be covered up with more lies.


    Dai Wansong touched his chin and smiled at Lu Chen: "Doctor Lu, I think...you may be a new technology!"


    He didn''t ask anything else, but put forward his own ideas directly.


    This made Lu Chen stunned.


    He thought that Dean Dai Wansong was going to get to the bottom of it, and he was still organizing the reasons for the response in his mind just now.


    I didn''t expect Dai Wansong to come directly to a "new technology"!


    Lu Chen immediately understood what Dai Wansong was thinking.


    New technologies, new projects¡­


    This can not only apply for various funds and projects, but also publish papers!


    "President Dai, I really don''t know if the new technology you are talking about counts." Lu Chen said slowly, "After all, I do remember it."


    "Hehe, it''s okay to be unclear."


    Dai Wansong stepped forward and patted Lu Chen on the shoulder, "After graduation, are you interested in coming to our hospital?"


    Lu Chen was startled.


    He just started school!


    How come Dean Dai thought about graduating in three years...


    "President Dai, I''m a first-year graduate student!" Lu Chen whispered.


    "I know." Dai Wansong smiled, "If you promise to come to us, I can give you promotion privileges, go out to communicate, study, start-up funds for scientific research, etc., all of which are indispensable!"


    To be honest, Lu Chen could feel Dai Wansong''s sincerity.


    But it''s too early to talk about three years from now!


    In three years, a lot can happen.


    Lu Chen is definitely not at his current level...


    "Mr. Dai, thank you for your kindness." Lu Chen smiled, "When I graduate, I will definitely think of you first."


    "Okay." Dai Wansong nodded slightly, "Okay, that''s it, you go back and think about this snare assistant. If you can find the best literature to support it, if you can''t find it, that''s even better..."


    ¡­


    When walking out of Dai Wansong''s office.


    Lu Chen breathed a sigh of relief.


    After today''s realistic simulated surgical operation and last night''s system virtual operation, his TAVR surgical proficiency has risen to 54.52%.


    Training in the system space is still necessary.


    Lu Chen returned to the dormitory and immediately entered the virtual space of the system to start simulating surgery.


    Because of the simulated surgery in the morning, Lu Chen''s operation in the virtual space of the system was smoother this time.


    After three hours of training, the TAVR proficiency has risen to 67.31%.


    (end of this chapter)

 v2 Chapter 666： New mentor Lu Chen

    Chapter 666 New Mentor Lu Chen


    The next day.


    Lu Chen came to the study class as usual.


    What he didn''t expect was that Dean Dai Wansong directly issued a certificate of qualification for the study class!


    "Dean Dai, that means...I don''t need to be assessed?" Lu Chen held the TAVR qualification certificate with a surprised expression.


    "No need." Dai Wansong smiled, "Everyone saw your performance yesterday, and you don''t need to be assessed at all."


    The most important thing is that some of Lu Chen''s thoughts couldn''t even keep up with Dai Wansong''s thoughts!


    "Dean, then can I go?"


    Lu Chen asked tentatively.


    The purpose of his coming to the class is to obtain a TAVR certificate and obtain a legal qualification for surgery.


    Now that you have it, there is no need to stay here.


    "Well, you can go." Dai Wansong said, "However, do you want to stay and accompany me as a tutor to teach and assess the students?"


    "Huh?" Lu Chen was taken aback for a moment, then pointed to himself, "Me?"


    Let him be a doctoral student as a tutor?


    "How is it? Can''t it?" Dai Wansong said with a smile, "This is also good for you. You can practice simulated surgery at any time. There are not many opportunities like this."


    Lu Chen heard the words, without any hesitation, nodded immediately: "Okay, I''ll stay."


    Although there is the help of the virtual space of the system, if the reality can simulate the operation, the more the better.


    What''s more, being a tutor in the study class can also earn a wave of gratitude.


    kills two birds with one stone.


    On the other side, Dai Wansong was also very happy.


    Lu Chen is here, he can rest.


    At least you don¡¯t have to do it yourself.


    ¡­


    Lu Chen became the tutor of the class.


    In the beginning, the students were particularly shocked by the fact that Lu Chen was a mentor.


    They did not have the kind of consciousness that Dai Wansong had.


    In their opinion, at most, Lu Chen learned earlier than them and was more familiar with his operations.


    Shouldn¡¯t have reached the level of being a mentor yet!


    However, with Lu Chen''s teaching in-depth.


    The attitude of the students towards Lu Chen took a 180-degree turn.


    Because no matter what questions you ask, Lu Chen can answer them in a timely and accurate manner.


    And in the practical training, you can point out everyone''s mistakes and deficiencies, and help everyone improve their surgical ability.


    In terms of teaching, Lu Chen did not hide his secrets at all.


    All the students, including Bo Xin, have incomparable admiration for Lu Chen.


    All students can really feel the improvement of their operation level.


    Don''t look at Lu Chen''s young age, but the best ones come first.


    Many people will call out Teacher Lu when they see Lu Chen.


    Looking at the doctor who was more than ten years older than him and calling his teacher, Lu Chen was also very embarrassed, so he could only pretend that he didn''t hear it.


    ¡­


    in the blink of an eye.


    One week is about to pass.


    There will also be a small assessment before the end of the class.


    Only those who pass the assessment can obtain the TAVR qualification certificate and obtain the legal qualification for surgery.


    Before ??, the pass rate of each assessment was around 20%, with a maximum of 30%.


    In other words, among the 60 students, less than 15 people may be able to obtain the qualification certificate.


    Such a low pass rate made all students extremely nervous before the assessment.


    "I heard that the pass rate is less than 20%! Such a difficult assessment, I may come to the study class next time to pass."


    "Do your best. Anyway, I think Lu Chen''s teaching is very good. I tried it myself yesterday, and I should be able to pass the test."


    "I''m afraid that the simulated surgery problems will be difficult! We are newbies, and if the problems are a little more difficult, then we won''t be able to do it!"


    Lu Chen, as a newly appointed mentor, naturally does not need to participate in the assessment.


    However, he was also curious about the pass rate of the assessment.


    As a new technique, the more doctors can learn it, the higher the penetration rate.


    If TAVR such as ?? can be included in the scope of medical insurance, it may be able to benefit more people.


    This is another important reason why Lu Chen doesn''t keep his surgical skills private.


    The assessment time is only one day.


    The results of the assessment will be announced on the same day.


    ¡­


    In the ?? office, Dai Wansong got the final assessment results.


    Just looking at the result, Dai Wansong was shocked.


    The pass rate of their group of students has at least doubled compared to every previous issue.


    However, in this batch of students, except for Lu Chen, the quality of the other students should be about the same as usual!


    The only difference is that of the mentor...


    Thinking of this, Dean Dai Wansong felt extremely melancholy.


    He has worked so hard to be a mentor for so long, but he didn''t expect Lu Chen to increase his pass rate so much!


    And other students were also very excited when they saw the result.


    "This assessment is not difficult, it made me worry for so long!"


    "Haha, I passed too. I thought I would have to wait until the next training session."


    "Actually, Lu Chen has always given us some tips on what this assessment involves, including some difficult points of surgery and things that are easy to ignore, so we can pass it so easily!"


    "Yes, yes, I participated in the last training class, and I feel that Teacher Lu''s teaching is the most straightforward and can point out our mistakes!"


    Passed a TAVR skill assessment.


    Lu Chen''s status in the hearts of doctors involved in the magic capital has been further improved.


    ¡­


    Study class, lounge.


    "Lu Chen, think about it, how about being a long-term tutor for our TAVR class?"


    Dai Wansong looked at Lu Chen kindly.


    "Every time a class is held, a certain salary will be given." Dai Wansong said, "Also, you can join our Magic Capital Valve Intervention Association. If you have any difficult operations, everyone can share the information."


    Lu Chen thought for a while, then nodded in agreement.


    For him, this is a good opportunity to join the circle of doctors in the magic capital.


    While teaching others, he can also improve his own skill proficiency.


    "By the way, Dean Dai, what about my salary as a tutor this time?" Lu Chen looked back.


    Unexpectedly, Dai Wansong pretended not to hear and strode out of the duty room.


    Lu Chen: "..."


    I''m going, it''s a big loss!


    ¡­


    The two-week TAVT class is over.


    Modu Central Hospital, Cardiology Department Showroom.


    After Dai Wansong made a brief summary, Lu Chen spoke a few words for coming to the stage.


    To tell the truth, the people below are the backbone of the hospitals in Modu.


    When Lu Chen spoke, he was also very modest.


    Although he is a mentor himself, he also puts himself in the attitude of a learner.


    "Alright then, I announce the successful conclusion of the TAVR class in Magic Capital!"


    While Dai Wansong was speaking on the stage, the door to the classroom was suddenly pushed open.


    A young doctor in a white coat walked over quickly and whispered a few words in Dai Wansong''s ear.


    Dai Wansong''s expression changed slightly.


    "Go, show me!"


    The young man nodded slightly and led the way.


    Suddenly, Dai Wansong paused and said to Lu Chen behind him, "Lu Chen, come with me."


    Night shift tonight, maybe one more shift.


    There are a lot of patients.


    (end of this chapter)

 v2 Chapter 667： Fast face change

    Chapter 667 The speed of changing faces is fast


    Lu Chen was a little unclear, but he still followed behind Dai Wansong.


    The young doctor was slightly taken aback, but he didn''t say much, and still led the way.


    "This is the direction to CCU?"


    Walking out to show the classroom, Lu Chen found that the young doctor was walking in the direction of CCU.


    Sure enough, after a few turns, the three stopped at the entrance of the CCU''s medical passage.


    The young doctor swiped his card.


    The three entered in turn.


    Dai Wansong and the young doctor put on their own sneakers.


    "Lu Chen, put on your shoe covers."


    "it is good."


    Lu Chen nodded, took a pair of shoe covers from the utility cabinet, followed behind Dai Wansong, and came to the CCU ward.


    This time, instead of going to the catheterization room, I came to the bedside.


    ¡­


    Before ?? approached, Lu Chen saw the busy doctors and nurses beside the hospital bed, and the ticking alarm of the monitor.


    "Intubation!"


    "Ice bag brain protection!"


    "Open a few more venous accesses!"


    ¡°¡­¡±


    The patient in the hospital bed is in a very bad situation.


    In Lu Chen''s eyes, the patient''s HP is only 35(¡ª¡ª)!


    and the trend of health decline is very fast, reaching 1.26/min.


    "Dean, you are here."


    A middle-aged doctor presided over the rescue. When he saw Dai Wansong coming, he nodded slightly.


    "What''s the situation?" Dai Wansong frowned tightly, staring at the patient on the hospital bed.


    The middle-aged doctor said quickly: "This patient had just had acute heart failure and cardiogenic shock during the TAVR surgery that was planned to be performed three days later. His blood pressure was just 70/40mmHg, and he lost consciousness and was in a very bad state!"


    Dai Wansong heard the words and stepped forward to check the patient''s condition.


    The patient has undergone bronchial intubation and central venous intubation. After active rescue by the medical and nursing staff and the application of a large number of vasoactive drugs, the blood pressure has finally stabilized.


    "Bring me the medical records." Dai Wansong said.


    The young doctor quickly ran to the doctor''s office and took all the patient''s information.


    Dai Wansong glanced at it for a while, and then handed it to Lu Chen who was beside him.


    The other doctors in the CCU only noticed Lu Chen''s unfamiliar face at this time.


    Lu Chen didn''t care about other people''s opinions. He picked up the medical record folder and began to compare and check the patient''s condition.


    He faintly sensed the reason why Dai Wansong asked him to follow him.


    ¡­


    Patient, male, 86 years old this year.


    He was admitted to the hospital with "recurrent palpitations for more than 6 years, chest pain and shortness of breath for more than 1 month".


    The patient developed palpitations for no apparent reason 6 years ago. The local hospital diagnosed "coronary heart disease" and did not receive standard treatment.


    He developed chest pain, palpitations, shortness of breath, and paroxysmal nocturnal dyspnea more than 1 month ago. During hospitalization in a local hospital, he developed sudden chest pain, dyspnea, and loss of consciousness.


    Diagnosis of "acute left heart failure, calcified aortic valve stenosis (severe) with regurgitation (mild), pulmonary infection, stress ulcer".


    After being given anti-platelet, lipid-regulating, anti-infective, and anti-heart failure treatment, the shortness of breath improved, and then he was transferred to the Magic Capital Central Hospital.


    ¡­


    Lu Chen flipped through and saw the patient''s cardiac ultrasound report.


    "LVEF: 28%; bicuspid active leaflet thickening, calcification, limited opening, Vmax=4.24m/s, PG=72mmHg, MG=49mmHg, AVA=0.3cm."


    The cardiac ejection fraction of a normal person is above 50%, but this patient is only 28%, and the myocardial contractility is severely damaged!


    "Lu Chen, what do you think?" Dai Wansong looked at Lu Chen.


    This surprised the surrounding doctors.


    Director Dai actually asked this little doctor for his opinion?


    When everyone saw Lu Chen, they all felt awkward.


    Where is this student from?


    Lu Chen thought about it for a while, and without much nonsense, he said directly: "The emergency TAVR operation is going to be performed tonight, and it is possible to save the patient. If it drags on, I don''t know what will happen."


    Other doctors were a little shocked when they heard this.


    This little doctor speaks so decisively? !


    The middle-aged doctor in charge of the rescue looked at the young doctor who was leading the way and asked in a low voice, "Who is this young man?"


    The young doctor said slowly, "Dean Dai brought out the students from the TAVR class. It should be this group of students."


    Member of TAVR class?


    The middle-aged doctor frowned deeply, unable to understand what Dean Dai Wansong meant by bringing Lu Chen here.


    At this time, when Dai Wansong heard Lu Chen''s words, he nodded slightly: "Yes, just as I thought."


    Then, he turned to look at the middle-aged doctor beside him, "Hua Yuan, go talk to your family about the emergency TAVR surgery. Everyone else came to the office, let''s discuss it first."


    "Okay." Hua Yuan nodded without ink, and immediately went to the CCU doctor-patient communication room.


    The other doctors, in addition to taking care of the patients, put down their work and came to the doctor''s office.


    ¡­


    This is the first time that Lu Chen has come to the CCU office of the Magic Capital Central Hospital.


    The overall layout of the office is similar to that of the Magic City.


    Everyone took their seats.


    Dai Wansong started to speak first.


    "The patient suffered from sudden acute left heart failure and cardiogenic shock. Currently, his vital signs are temporarily stable, but there is a possibility of deterioration at any time. We are preparing for emergency TAVR surgery."


    "Now we are discussing the risks of surgery and the precautions after surgery."


    As soon as the voice fell, everyone whispered.


    An elderly doctor stood up and said slowly, "Dean Dai, you are an expert in TAVR. I know that you are eager to perform surgery on the patient. But the patient''s current state is very unstable, I am afraid I can''t get off the operating table."


    "Then what do you mean, don''t do it?" Dai Wansong looked at the old doctor, "Just wait like this? See God''s will?"


    "This..." The old doctor paused, "The risk of surgery is too great, and to be honest, this surgery has just started in China, and our experience may not be enough."


    "Okay, I know what you mean." Dai Wansong stared at the old doctor, "Don''t worry, you won''t be allowed to perform this operation."


    Then, Dai Wansong ignored the old doctor and looked at the other doctors present.


    "Who has other opinions?"


    After a while, a young doctor raised his hand.


    "Say it directly without raising your hand." Dai Wansong said solemnly.


    "Oh." The young doctor quickly stood up, "The cause of all patients should be cardiogenic shock caused by severe aortic valve stenosis. If we don''t solve the cause, the patient''s vital signs will definitely not be able to maintain."


    "As long as the vasopressors are removed, the blood pressure will definitely collapse."


    "So TAVR surgery must be done! But the risk is extremely high. Before surgery, we must ask the patient''s family to sign an informed consent form, or a life and death certificate. Otherwise, the patient will not be able to move!"


    The young doctor said a lot, and his mouth was dry.


    Dai Wansong nodded slightly, "Young people are still motivated!"


    However, he immediately frowned, "But what you said, except for surgery, everything else is nonsense! What did I just ask? The risks of surgery, precautions and postoperative care! You said all What nonsense?"


    The young doctor looked embarrassed and immediately lowered his head.


    At this time, Lu Chen finally spoke.


    "Dean Dai, may I say a few words?"


    When Dai Wansong heard Lu Chen''s words, a smile appeared on his gloomy face, "Well, tell me."


    Everyone''s eyelids jumped.


    Dean Dai''s face-changing speed is really fast!


    (end of this chapter)

 v2 Chapter 668： Out-of-hospital consultation

    Chapter 668 Out-of-hospital consultation


    Everyone''s eyes were fixed on Lu Chen.


    Lu Chen didn''t have stage fright. He cleared his throat and said slowly, "If the family agrees, the operation will definitely be done. If you don''t do it, you will have to die!"


    "As for the difficulty of the operation, I just looked at the patient''s CT and ultrasound, and summed up three things."


    "In terms of the patient''s access conditions, there are plaques from the femoral artery to the upper 1/3 of the femoral head, multiple calcifications in the abdominal aorta and iliac aorta, and stenosis in the descending segment of the blood vessels. In addition, the left vascular condition is worse than the right... ¡­¡±


    Dai Wansong was slightly surprised.


    Lu Chen had already had so many ideas in such a short period of time.


    Even has a good opinion on the conditions of the surgical approach.


    It seems that he brought Lu Chen over, and he was right.


    The other doctors present were a little unimpressed by Lu Chen''s speech at the beginning.


    But listening and listening, the way they looked at Lu Chen changed.


    These points that Lu Chen said are professional!


    too professional!


    It is impossible to know this without knowing enough about TAVR surgery.


    "Okay, I''m done."


    After Lu Chen finished speaking, he slowly sat down.


    Silence, the whole office was silent.


    It took a long while before Dai Wansong''s laughter sounded.


    "Look, this is the correct surgical recommendation, what were you talking about just now?"


    Everyone bowed their heads, and a trace of embarrassment flashed across the old doctor''s face.


    At this moment, Dr. Hua Yuan, who communicated with the patient''s family, came back.


    "President, the family agrees to the operation and has signed the informed consent form." Hua Yuan walked into the office.


    Dai Wansong nodded slightly, "Have you explained the risks of surgery clearly?"


    "I have already told the patient''s family members that it is very likely that they will not be able to step down! The family members expressed their informed consent and are willing to take all risks."


    "Okay, notify the cath lab and start the operation immediately!"


    Dai Wansong gave an order, and everyone began to act.


    ¡­


    "Lu Chen, accompany me to the catheterization room."


    "Okay, Dean Dai."


    Lu Chen nodded and followed behind Dai Wansong.


    Hua Yuan frowned at Lu Chen''s back.


    He wasn''t there just now, so it''s not quite clear what happened.


    But seeing Lu Chen walking into the catheterization room with everyone, he was very surprised.


    Dean Dai also values ??this junior too much.


    "Brother Hua, don''t underestimate this Lu Chen."


    The little doctor beside Hua Yuan hurried forward and told everything that happened in the office just now.


    "Those words...he said it himself?"


    "It''s true!" The little doctor nodded, "We''re all watching."


    "His name is... Lu Chen?" Hua Yuan always felt that the name was a little familiar.


    ¡­


    Dai Wansong brought a group of doctors to the catheterization room.


    The patient was also pushed over.


    Two doctors pushed the bed, and the other two pushed the ventilator, thus pushing the patient into the catheterization room.


    At this time, in Lu Chen''s eyes.


    The patient''s HP is only 21(¡ª¡ª)!


    With such a low life value, can you be saved?


    Lu Chen also had some drumming in his heart.


    He encountered very few cases where he was rescued by low HP.


    "Ready to start surgery!"


    Dai Wansong walked to the cloakroom, ready to start changing surgical gowns and lead gowns.


    He is naturally the chief surgeon for this operation.


    As a pioneer of TAVR surgery, he is currently the most powerful person in the surgery in the Magic Capital Central Hospital.


    Hua Yuan followed behind Dai Wansong, also preparing to change into lead and surgical gowns.


    Unexpectedly, Dai Wansong stopped him in time.


    "You don''t have to wear it."


    Hua Yuan''s hand holding the lead coat immediately stopped in the air.


    "Dean, you mean I...I don''t need to wear it?"


    "Yeah." Dai Wansong nodded slightly, "I''m talking loud, can''t you hear me?"


    "But..." Hua Yuan pointed to himself, what he wanted to say was, without him, who could be an assistant?


    The entire Magic Capital Central Hospital, even if his TAVR surgery skills are better.


    "That... Lu Chen is an assistant." Dai Wansong seemed to understand what Hua Yuan meant and pouted at Lu Chen behind him.


    "Lu Chen?" Hua Yuan looked back and saw that Lu Chen was wearing a lead coat, "President Dai, is he the new doctor in our hospital?"


    "No." Dai Wansong shook his head, "You don''t have to worry about it so much, Lu Chen is here to be an assistant, he is qualified!"


    "Oh."


    Seeing what Dai Wansong said, Hua Yuan did not dare to ask any more.


    He put down the surgical gown in his hand and walked out of the cloakroom.


    ¡­


    Conduit outdoor.


    Everyone was very curious when they saw that Hua Yuan came out alone.


    "Brother Hua, why don''t you wear clothes?" said the young doctor, "Aren''t you going to have this surgery?"


    Hua Yuan shook his head helplessly, "Dean Dai won''t let me go!"


    "If you don''t go, then who can go?" The young doctor smiled, "Could it be that Dean Dai performed the surgery by himself?"


    "The new one is here." Hua Yuan said softly.


    "Ah? Lu Chen?"


    When everyone heard the news, they all looked in the direction of the cloakroom in disbelief.


    Some people who knew Lu Chen were a little confused.


    "I heard that Lu Chen is a cardiovascular drug. He was the one who did the hottest Dapagliflozin recently. Why did he suddenly come to TAVR again?"


    "Don''t tell me, I heard from the TAVR class that Lu Chen''s surgical skills ranked first in the class!"


    "What about the number one? Can you replace Brother Hua? Brother Hua used to be the number one in the class!"


    These people didn''t know much about Lu Chen''s performance in the TAVR class, and at this time they had ten thousand distrust of Lu Chen.


    After all, Huayuan''s qualifications are here.


    Except for Director Dai and individual directors, Huayuan''s TAVR surgery proficiency is the highest!


    ¡­


    "President, I''m from the First Hospital of the Magic Capital. I''m here to be an assistant in your hospital. Can this... be done?" Lu Chen whispered.


    He also just thought of this question.


    "Don''t worry, there is an inter-hospital consultation system between hospitals." Dai Wansong smiled, "We also invited experts from other hospitals to conduct consultation and surgery before, and it was enough to write a record of out-of-hospital consultation."


    Lu Chen was a little helpless, "President, you already said that all the experts were hired before, but I''m only a doctoral student..."


    Dai Wansong waved his hand and said indifferently: "Special talents have special policies, don''t worry, I will let my assistant handle this matter."


    "Alright then." Lu Chen nodded.


    Dean Dai Wansong said so, and he couldn''t say anything more.


    Under the gaze of everyone.


    Lu Chen followed behind Dai Wansong and slowly walked into the operating room.


    ¡­


    at the same time.


    The Cardiology Department of the First Hospital of the Magic City received an application for an out-of-hospital consultation from the Magic City Central Hospital.


    Director Liu Jun was dealing with affairs in the office. He was also surprised when he received a call from the medical department: "The Central Hospital invited us for consultation? It''s not easy. I think about who to send."


    Just when Director Liu Jun was thinking about which director to rest today, there was a voice over the phone, "Director Liu, you don''t need to send it, there is someone from the Central Hospital, and the person is currently in the catheterization room of their Central Hospital."


    Liu Jun was taken aback, "Who is it?"


    "Your heart is in one area, Lu Chen."


    "Who? Say it again!" Liu Jun grabbed the microphone and frowned.


    "Lu Chen..."


    (end of this chapter)

 v2 Chapter 669： floating valve

    Chapter 669 Floating Valve


    Director Liu sat on the office chair with question marks in his mind.


    Lu Chen, why did he go to the Magic Capital Central Hospital?


    Moreover, the Magic Capital Central Hospital even asked Lu Chen to go to the consultation!


    You should know that for general out-of-hospital consulting doctors, the minimum professional title should be a deputy chief physician, and no matter how bad it is, a senior attending doctor should be.


    And Lu Chen is only a doctoral student, and he has not yet obtained the qualification certificate of the attending doctor!


    (ps: Master''s degree can be taken in two years after graduation)


    "Director Fang, is this in line with the rules?" Liu Jun wondered.


    Director Fang Yu of the Medical Department said: "How should we put it, if we are sent abroad, it must not be Lu Chen, but this is what the Magic City Central Hospital asked for, and it is also about TAVR surgery. There are special policies for special circumstances."


    "Okay, I have nothing to do here, as long as the medical department agrees."


    Liu Jun hung up the phone, and after thinking about it, he still called Zhang Shuqing.


    "Shuqing, what is your doctor named Lu Chen doing recently?"


    Zhang Shuqing was stunned, and immediately replied: "Director, I didn''t tell you last time, there is a TAVR class in Modu recently, and I asked Lu Chen to go."


    "Oh, I remember." Liu Jun nodded.


    "Dean, what happened to Lu Chen?"


    "No, it''s like this." Liu Jun told the story of the Modu Central Hospital, "Lu Chen''s TAVR surgery technique is good?"


    "This... it shouldn''t be." Zhang Shuqing shook his head, "I remember Lu Chen said once that he was just getting started with the TAVR technique, so he should be... a novice."


    "Should... be considered a novice? Are you sure?" Liu Jun asked in return, "You mean that Director Dai of the Modu Central Hospital is a fool and asked a novice for consultation?"


    Zhang Shuqing felt a little unconfident after being asked this.


    "When Lu Chen comes back, I''ll ask him again."


    Liu Jun sighed, "Shuqing, you student, you are too evil, can we grasp it?"


    Zhang Shuqing was stunned for a while before slowly saying: "No matter what, Lu Chen is my student. The better he does, the better our hospital''s face is, isn''t it?"


    "Okay, you student, I don''t need to ask, you can cultivate." Liu Jun smiled.


    "Okay, thank you Director!"


    Zhang Shuqing was relieved for no reason when he heard this.


    No matter how powerful people are, if they are led to wear small shoes, they will not be able to stand up!


    However, Lu Chen''s TAVR surgery skills are really doubtful, and he has to ask him what''s going on when he looks back.


    ¡­


    Modu Central Hospital.


    Catheter lab.


    Lu Chen stood beside Dai Wansong and started the first real-world TAVR operation in his life.


    He took a deep breath and calmed his heart a little.


    Even when he was a surgical assistant, not the chief surgeon, Lu Chen would still devote 100% of his concentration.


    Disinfection, drape, puncture, all in one go.


    Dai Wansong looked straight and nodded.


    "I''ve come to insert the guide wire."


    According to Lu Chen''s analysis just now, the patient''s entire blood vessel condition is very poor.


    There are multiple calcified plaques at the origin and bifurcation of the femoral artery.


    Calcified plaques are like garbage attached to the walls of blood vessels.


    There is too much garbage, which is likely to affect the entry of the guide wire.


    ¡­


    Even an experienced TAVR surgeon like Dean Dai Wansong carefully pushed in the guide wire at this time.


    "There is resistance!"


    and Lu Chen guessed the same, the plaque and stenosis of the blood vessels seriously affected the entry of the guide wire.


    Dai Wansong didn''t dare to push too hard.


    In case of rupture of blood vessels or dissection of blood vessels, it would be a huge loss!


    Conduit outdoor.


    Everyone sweated for Dean Dai Wansong.


    The feeding of the guide wire is the cornerstone of the entire operation.


    If the guide wire cannot be fed in, forget about the subsequent operations.


    At this time, Lu Chen, who had been playing beside him, whispered, "Dean Dai, why don''t you try wearing the superficial femoral artery?"


    "Shallow strands?" Dai Wansong put down the guide wire in his hand, "I...I haven''t tried it."


    "I can." Lu Chen said immediately.


    "Okay, you come." Dai Wansong didn''t hesitate, and quickly stepped aside.


    Lu Chen stepped forward immediately, and as soon as the needle went down, the puncture entered the shallow part of the thigh.


    "Dean Dai, I''m done."


    "Huh? That''s it?" Dai Wansong''s eyes widened.


    "Yes." Lu Chen nodded.


    puncture an artery only, as long as you have exercised hundreds of thousands of times in the virtual space of the system, it is not a problem to puncture any difficult blood vessels.


    Amazed but surprised, after Gu Qian successfully punctured, the two changed their positions.


    Everyone in the conduit room didn''t have time to react.


    Lu Chen had already become an assistant again.


    ¡­


    Dai Wansong pushed the guide wire into it bit by bit.


    The guide wire quickly reached the valve position.


    Next, is the most important guide wire transmembrane.


    If the guide wire is successfully passed through the valve, it will affect the delivery and fixation of the subsequent prosthetic valve.


    Dai Wansong did not rush into the guide wire, but watched the patient''s CT and ultrasound results again.


    CT analysis of the patient showed:


    TYPE1 bicuspid valve, with fusion of left and right, thickened valve leaflets, severe calcification, and calcification can be seen in the plane of the valve annulus.


    The left coronary opening height is about 11mm, the right coronary opening height is about 13.4mm, the French sinus structure is acceptable, the STJ height is about 16.9mm, the diameter is about 28.4mm, the ascending aorta is widened, the widest point is about 42.2mm, and the heart angle is about 53¡ã.


    Dai Wansong has rich experience in TAVR.


    He immediately selected an appropriate transmembrane position based on the CT analysis results, and successfully passed the guide wire across the valve.


    "It''s still Dean Dai''s experience. Except for the first guide wire entry, it was too smooth."


    "The position of this assistant, I think I can do it too..."


    "Don''t BB, didn''t you see that Dean Dai asked Lu Chen to do the shallow puncture just now?"


    Lu Chen didn''t know the thoughts of those present.


    He was engrossed at the moment, staring closely at Dean Dai''s operations.


    "I started the balloon pre-dilation." Dai Wansong also raised some spirits.


    Before the prosthetic valve is delivered, the vascular access needs to be pre-dilated, which can create a better vascular pain, otherwise the prosthetic valve may not be delivered to the correct position.


    In this step, Dai Wansong still completed it perfectly.


    In Lu Chen''s view, even if he did it, he might not have done well as Dean Dai.


    "Phew..." After finishing the above operations, Dai Wansong''s forehead oozes fine sweat, and he has spent a lot of energy.


    However, the operation is not over yet!


    The last step left, the delivery and release of the prosthetic valve!


    The delivery of the ?? valve is performed under full fluoroscopy, so it is not difficult.


    Rare is the release of the valve.


    The valve creates a force that "drills down" or "jumps up" during release, causing the valve to displace.


    In addition, during the valve release process, especially the anterior 1/3-2/3, the valve has not been fully anchored in the valve annulus, and is easily displaced by the impact of the regurgitation blood and the respiratory movement.


    Once the valve is displaced, it is not released at the predetermined position, which means the failure of the operation!


    ¡­


    Sure enough, at this last step, Dai Wansong ran into trouble again.


    "No, the image of the valve being affected by the patient''s breathing motion is too large."


    "The displacement is too obvious, and the valve can''t be released at all!"


    Lu Chen also noticed this problem right away.


    The floating valve is impossible to release!


    His brows were furrowed, and he kept thinking about the training process in the virtual space of the system in his mind.


    Is there any way to stabilize the floating valve?


    (end of this chapter)

 v2 Chapter 670： Pause your breath?

    Chapter 670 Suspend breathing?


    "Or not!"


    Dai Wansong tried a variety of methods, whether it was adjusting body odor or adjusting the puncture port, but the valve could not be stabilized.


    Lu Chen''s mind is also over and over again, recalling the operation in the virtual space of the system.


    In the catheter room, everyone also discovered the abnormality of the operation.


    "It''s hard to do! Blood reflux and breathing movement affect valve stability!"


    "The artificial valve is in place, but it can''t be released. It''s just a step away! It''s a pity, I was still choosing A or B just now."


    "Hey, I said it before, surgery in China is still immature! There is nothing you can do in this situation!"


    The atmosphere at the scene was very solemn.


    The previous and mid-term surgeries went smoothly.


    This is the last step of valve release.


    Dai Wansong racked his brains, but still could not find a solution.


    "Oh, why not." Dai Wansong was more than enough, but not enough.


    A variety of factors make the valve unable to stabilize, forcibly releasing the artificial valve will only cause more serious complications.


    Just when Dai Wansong was about to give up, Lu Chen suddenly said, "President Dai, I have an idea."


    "Huh?" Dai Wansong looked at Lu Chen suspiciously, "You said."


    "The instability of the valve is temporarily caused by two main reasons. First, the backflow of blood, which cannot be changed temporarily. Second, the patient''s breathing movement, we may be able to start from this aspect."


    Dai Wansong was taken aback for a moment, "Breathing? Is it possible to stop breathing?"


    Lu Chen smiled, "Yes, let the patient''s breathing stop!"


    "what???"


    Dai Wansong was stunned, "Lu Chen, do you mean to suspend the ventilator?"


    "Yes." Lu Chen nodded, "The instability of the valve is largely caused by the breathing movement driven by the ventilator. If we suspend the ventilator, stabilize the valve, and quickly implant the artificial valve, that''s fine!"


    Dai Wansong sank.


    It is very simple to say, stop the ventilator and implant a prosthetic valve.


    But the risk is not that big!


    The patient is now relying on the ventilator to maintain breathing movement, and stopping the ventilator means that he is hovering between life and death.


    Pauses may be as short as a few seconds.


    If the valve is not implanted quickly during this period, all efforts will be lost.


    ¡­


    Lu Chen looked at Dai Wansong.


    If he is the chief surgeon, then he may not hesitate to operate.


    Because only in this way, it is possible to seek a lifeline.


    But the current chief surgeon is Director Dai Wansong, who is just an assistant.


    He has no power to decide the next surgical operation.


    Dai Wansong was shocked after hearing Lu Chen''s plan.


    This young man really dares to think!


    Pause the ventilator and release the valve.


    If there is no absolute confidence, who can do such a thing?


    ¡­


    Dai Wansong''s palms, forehead, and even his neck were oozing out layers of fine sweat.


    He raised his head slightly, looked at Lu Chen''s resolute eyes, and sighed with a random sigh of relief, "Okay, I''ll listen to you!"


    Lu Chen was also slightly stunned.


    He did not expect Dean Dai Wansong to make a decision in such a short period of time.


    Suspending the operation of the ventilator is likely to be infamous, but not everyone has the guts.


    Lu Chen walked to the ventilator and said softly, "Dean Dai, we are both ready. When I turn off the ventilator, you will release the valve immediately. After success, I will turn on the ventilator again."


    "it is good!"


    Dai Wansong twisted his neck and tried to relax himself.


    ¡­


    The people outside the catheter room couldn''t hear the conversation between the two.


    All I could see was that Lu Chen suddenly walked to the ventilator.


    "What is Lu Chen going to do? Why did he put down the operation?"


    "The prosthetic valve can''t be put on, what is he doing to debug the ventilator?"


    "I don''t understand, is it possible that he gave up voluntarily?"


    Many people felt that Lu Chen might have to give up.


    After all, even Dean Dai couldn''t solve such a difficult TAVR operation.


    However, the sharp-eyed classmates immediately realized that something was wrong with Lu Chen.


    "Fuck, look carefully! What is Lu Chen doing?"


    I don''t know who shouted softly, and everyone''s eyes immediately turned to Lu Chen.


    "He...he''s playing with the parameters of the ventilator."


    "No, that''s not right! He''s turning off the ventilator!"


    Everyone was stunned, and their eyes were full of astonishment.


    Turn off the ventilator?


    This...isn''t "murder"?


    Everyone couldn''t say a word, so they could only stare at Lu Chen in front of him.


    The power supply of the ventilator was unplugged, and at this moment, Dai Wan was loose!


    ¡­


    He held the prosthetic valve in his hand, and when the ventilator stopped, he quickly sensed the valve status.


    The stability of the ?? valve can be clearly seen from the angiographic images.


    The ventilator stopped, and minutes passed by.


    The first second...


    Second second...


    The third second...


    Dai Wansong could even feel the sound of his own heartbeat.


    He stared at the state of the artificial valve.


    Suddenly, Dai Wansong''s expression froze.


    "Finally stabilized!"


    Waiting for the valve to stabilize, a surprise appeared on Dai Wansong''s face.


    Without hesitation, he quickly implanted a prosthetic valve.


    As long as you find the correct position, the release of the valve is quite simple.


    At this time, Lu Chen was not idle either, he paid close attention to the patient''s blood oxygen changes.


    At the moment Dai Wansong released the prosthetic valve, he restarted the ventilator at the same time.


    "Call..."


    Dai Wansong felt that his hands were shaking.


    Although the prosthetic valve was successfully released to the predetermined position, it was really thrilling.


    Conduit outdoor.


    Everyone hasn''t seen what happened, why did Dean Dai Wansong suddenly release the valve?


    Isn''t he afraid of unstable position?


    Everyone is very suspicious.


    However, when re-checking the valve angiography, the position was quite perfect!


    The prosthetic valve arrived at the intended position exactly.


    Everyone looked at each other, what happened just now?


    ¡­


    But, now is not the time to celebrate success!


    Lu Chen and Dai Wansong have been watching the patient''s blood oxygen saturation.


    If the patient''s blood oxygen saturation can slowly rise, then the only thing they have left to worry about is gone.


    on the monitor.


    The patient''s oxygen saturation started to change from 78%.


    80%¡­


    82%¡­


    86%¡­


    Under the gazes of Lu Chen and Dai Wansong, the patient''s blood oxygen saturation rose to 94%!


    "Dean, we''re done!" Lu Chen''s face showed a look of joy.


    The prosthetic valve was successfully implanted in the designated position.


    The paused breathing also gradually increased after the ventilator was resumed.


    "It''s done, we succeeded!"


    Dai Wansong''s hands trembled slightly. This was the most thrilling operation he had performed in recent years.


    We are outside tonight, there is only one update!


    Make it up tomorrow! Make it up tomorrow!


    (end of this chapter)

 v2 Chapter 671： urgent

    Chapter 671 Urgent


    The ECG monitor beside the bed was still ticking.


    Lu Chen has completed the aftermath of the operation, pulled out the guide wire, and wrapped the femoral artery puncture area.


    Dai Wansong pushed the cardiac ultrasound machine over under everyone''s attention.


    After surgery, ultrasound can show:


    The position of the prosthetic aortic valve is fixed, the shape of the valve annulus is good, the valve is fully opened, the position is prepared, and the coronary opening is not blocked.


    "Very good! The valve position is very good!" Dai Wansong finally showed a relieved smile on his face.


    At this moment, his heart was really let go.


    He patted Lu Chen on the shoulder, with a hint of relief in his tone, "Lu Chen, luckily I brought you this time!"


    Lu Chen replied modestly: "President, you are the main force of the operation, so I will fight."


    "You little slicker." Dai Wansong smiled and said nothing.


    After confirming that the patient''s vital signs were stable, they walked out of the cath lab together.


    ¡­


    Conduit outdoor.


    The crowd immediately greeted him.


    "Dean, you are amazing, the surgery is so beautiful!"


    Hua Yuan came to Dai Wansong.


    Others also agreed, praising the high degree of completion of the operation.


    Each of them was in the catheter room and saw every step of the operation.


    However, Lu Chen''s role is only an assistant.


    People don''t know much about his role.


    In everyone''s opinion.


    This surgical assistant, Lu Chen, is the same for anyone else!


    "Don''t flatter me." Dai Wansong changed out of his surgical gown and lead coat, and pointed to Lu Chen, "If Lu Chen wasn''t there this time, my operation wouldn''t have gone so smoothly."


    "This..." Hua Yun was slightly taken aback.


    Why does Dean Dai hold Lu Chen so much?


    No need!


    He just found out.


    Lu Chen is a doctoral candidate in the First Hospital of Modu. This time, he came to Modu Central Hospital to participate in the TAVR class.


    The doctor of the outer hospital, Dean Dai doesn''t need to hold it so hard!


    The others were also puzzled.


    They were standing outside the catheter room, but they could clearly see the entire operation.


    Lu Chen just adjusted the ventilator parameters and punctured the superficial femoral artery, what else was there?


    "Looking at your expressions, you still don''t believe it!" Dai Wansong smiled angrily.


    These young doctors in the Cardiology Department have very good skills, but it is difficult to admit the excellence of others.


    Hua Yuan touched his head and smiled, admitting what Dai Wansong said.


    "The valve was floating just now and was affected by blood reflux and the patient''s breathing movement." Dai Wansong said softly, "If it wasn''t for Xiao Lu who was in a hurry and came up with the idea of ??suspending the ventilator, our operation this time would be considered a failure!"


    Everyone was stunned when they heard this.


    Pausing the operation of the ventilator, was Lu Chen''s idea?


    Everyone looked back at this harmless young man with a smile on his face, and they were all shocked.


    This operation was initially thought to be unreasonable by everyone, but after seeing the final result, everyone reacted.


    Pause the ventilator for a short time, just to stabilize the valve and facilitate the release of the prosthetic valve.


    They were still amazed just now that Dean Dai was able to perform this operation with boldness and courage.


    Unexpectedly, this operation was proposed by a young man many years younger than them? !


    ¡­


    Dai Wansong continued: "Don''t look at Xiao Lu''s young age, he has a lot of experience in the field of TAVR!"


    Actually, Dai Wansong said this conservatively.


    In his opinion, Lu Chen''s experience has already left the people present several blocks away.


    "I just had an idea." Lu Chen smiled, "The teachers have rich experience and many things are worth learning."


    He is already conspicuous enough. If he is not humble, he will definitely make others disgusted.


    Sure enough, hearing Lu Chen''s words, everyone''s expressions softened a little.


    Huayuan took the initiative and said, "Dr. Lu, there will be more opportunities to come to our central hospital in the future, and we can discuss TAVR surgery together. This field is relatively new in our China, and only by gathering the strengths of everyone can it develop faster!"


    "Okay, teachers don''t think I am troublesome, then I will definitely come." Lu Chen smiled.


    When others give him face, he naturally has to give back.


    "Huayuan, the next care of this patient is left to you. Please report to me at any time if there is any situation." Dai Wansong said, "In addition, it can be properly promoted to attract patients to take the initiative to participate in the TAVR operation."


    "Okay, Dean." Hua Yuan responded immediately.


    Lu Chen stood aside and touched his nose.


    It turns out that the Central Hospital is also conducting clinical trials of TAVR. It seems that it will be a strong competitor in the future!


    ¡­


    declined Dean Dai''s request to share a meal, and Lu Chen returned to the first courtyard of the magic capital.


    Most of the people present were leaders. Lu Chen was not used to this kind of situation.


    Return to the first courtyard of the magic capital.


    After this hands-on TAVR surgery, Lu Chen had a deep feeling.


    He struck while the iron was hot and began to refine his TAVR clinical trial project book in more detail.


    Drawing and editing on the computer for hours.


    Until he remembered the knock on the door, he slowly regained his senses.


    stood up and opened the door. The person who came was Dr. Lin Shumin, a member of the R&D team.


    "Senior brother, why are you here?" Lu Chen smiled.


    "That...I just came to see." Lin Shumin smiled honestly.


    "Come in and sit."


    Lu Chen led Lin Shumin in.


    Walking into the bedroom, Lin Shumin saw Lu Chen''s laptop at a glance.


    "Lu Chen, are you writing a project book?"


    "Yeah." Lu Chen smiled and nodded, "You can''t do scientific research with your eyes in the dark."


    Lin Shumin nodded slightly, his tone paused, and then slowly said: "Lu Chen, in fact, I came here today to ask when the experiment will start. I... may be in a hurry here."


    Lu Chen frowned.


    He understood the panic of a third-graduate student about graduation.


    If he cannot submit his graduation thesis on time or publish a qualified dissertation, then Lin Shumin will have to postpone his graduation.


    "Senior brother, I already said that before you joined our R&D team." Lu Chen said slowly, "Our R&D team is just starting now, and it needs a certain process. At least until my project book is approved, it will be the beginning. scientific research."


    "I, I know." Lin Shumin nodded, "But...but I..."


    "Brother Lin, if you feel that we have delayed you, you can withdraw at any time, and we will find someone else. After all, none of us can guarantee that the scientific research will be successful and that a good paper will be issued."


    Now Lu Chen has to be a "bad guy".


    If you don''t make it clear now, in case it really delays Lin Shumin, it will complicate things.


    Lin Shumin might not say anything, but he might blame Lu Chen in his heart.


    This was the last thing Lu Chen wanted to see.


    (end of this chapter)

 v2 Chapter 672： How to apply for the fund

    Chapter 672 How to Apply for Funds


    The First Hospital of Magic City.


    Doctoral dormitory building.


    Lu Chen and Lin Shumin sat side by side, and the atmosphere at the scene was somewhat solemn.


    for a long time.


    Lin Shumin sighed slightly, "Lu Chen, I''m sorry, I''m too impatient about this."


    He knew it was his own fault.


    In the first two years of his clinical work, Dr. ?? did not care about his graduation.


    I trust my mentor too much.


    Now, pinning his hopes on Lu Chen, he is a little anxious.


    But Lu Chen''s R&D team was his last straw.


    "Senior brother, I can understand." Lu Chen said with relief, "When the project book on my side is completed, the experiment will be launched as soon as possible."


    "Okay." Lin Shumin nodded, "If you need any help, just come to me."


    Lu Chen smiled, "There is really one thing I need your brother to help with."


    "What''s the matter?" Lin Shumin asked sternly.


    Now, the matter of Lu Chen''s experiment is a big thing for him, and his girlfriend has to stand aside!


    "Actually, it''s about the application for this project''s fund." Lu Chen thought about it, "Because I''m still a doctoral student, and I only have a master''s degree in essence, so I can''t apply for many funds. Brother, you have been in the hospital for two years. In three years, I would like to ask which funds a PhD student like me can apply for."


    A large-scale scientific research project like Lu Chen definitely needs the support of funds.


    Otherwise, it would be impossible to accomplish with personal resources alone.


    As far as Lu Chen knows, for national-level funds, such as National Nature, etc., the threshold for application is that a doctoral degree is required.


    Lu Chen''s scientific research fund was applied for by his mentor Li Yao, and everything was in Li Yao''s name.


    This time, Lu Chen couldn''t ask Zhang Shuqing to apply.


    He had just rejected Zhang Shuqing before.


    More importantly, Lu Chen wants to be independent in the true sense!


    Lin Shumin was stunned for a moment, pondered for a long time, and then slowly said: "The national-level program will definitely not apply, mainly for some provincial and municipal-level programs, such as the Department of Education and the Department of Science and Technology, these can be tried. I remember my last session. A very excellent doctoral senior brother from the school, he applied for a certain fund project of the Ministry of Education."


    "Okay, thank you brother." Lu Chen smiled.


    "Thank me for what I did, I didn''t solve any problem." Lin Shumin scratched his head, "As for the details of the fund application, you may need to go to the corresponding official website to find it. I will continue to ask you here."


    "Yes." Lu Chen nodded.


    Things always come step by step.


    Not to mention the projects of the National Natural Science Foundation of China, some provincial and municipal projects, which are also the targets of many researchers.


    However, Lu Chen is more confident about these provincial and municipal projects.


    With his previous experience in participating in the National Nature Program in Jinghua, and the current popularity of TAVR surgery, he has absolute confidence to apply.


    Now the most problem, that is identity!


    If Lu Chen graduated with a Ph.D. degree now, then many things would be easy to handle.


    Lu Chen can even attack national-level project funds.


    Now we can only try, those provincial and municipal projects.


    ¡­


    After Lin Shumin left.


    Lu Chen first saved the word document of the project book, and then opened the pipeline network of the Department of Education and the Department of Science and Technology.


    He found the column of fund projects, and he began to study it carefully.


    On the other side, Lin Shumin left Lu Chen''s bedroom.


    He also began to ask some students in the lab, and even asked some senior brothers and sisters who had graduated, about the application for funds for the Ph.D.


    "Lao Lin, why are you asking about this now?"


    Shen Wenbo, a cardiology doctor in Lin Shumin''s room, looked at Lin Shumin with a puzzled expression.


    "Don''t tell me, you are cramming now and want to apply for a fund project?"


    Shen Wenbo knew that Lin Shumin was struggling with his graduation.


    I can''t sleep every day, and my hair falls out one by one.


    But if you apply for a fund project now, isn¡¯t that a case of emergency medical treatment?


    It is very rare that a doctoral student can apply for a fund project!


    "No, it''s a friend of mine, I asked for help." Lin Shumin said quickly.


    At present, he has not announced the fact that he joined Lu Chen''s scientific research team.


    "Are you a friend from nothing?" Shen Wenbo pouted.


    Lin Shumin: "..."


    Really can''t communicate.


    As long as outsiders hear him asking about this, they will subconsciously think that he applied by himself, and will inevitably be ridiculed.


    However, in order to help Lu Chen and himself, Lin Shumin didn''t care about the opinions of outsiders.


    Shen Wenbo felt a little sympathetic to Lin Shumin when he saw that he didn''t speak.


    Dr. ?? was actually very stressed when he read about the extension.


    This may not be a matter of a year or two. If there is no suitable project, it is possible to keep dragging it down.


    Shen Wenbo also knew that Lin Shumin was not the kind of wealthy family.


    It is not easy for the entire family to provide a doctor.


    In their entire village, Lin Shumin was the only doctor.


    "Lao Lin, I''m sorry, what I said was a little harsh just now." Shen Wenbo said, "I''ll help you go and ask my senior brother who graduated. He seemed to have successfully applied for a fund project during his Ph.D. study."


    "Really!" Lin Shumin''s dejected expression disappeared immediately, and turned to excitement, "Wenbo, thank you so much!"


    "Stop!" Shen Wenbo shrugged his shoulders, "Don''t be too happy, just wait until I finish asking."


    "Okay." Lin Shumin rubbed the corners of his clothes with both hands.


    This thing finally got some eyebrows.


    ¡­


    The First Hospital of Magic City.


    The ward of the first district of the Department of Cardiology.


    Lu Chen and his interns and graduate students had just finished checking the room in the morning when he received a call from Lin Shumin.


    "So early in the morning, why did Senior Brother call me?"


    Confused, Lu Chen picked up the phone anyway.


    "Lu Chen, I heard about the fund application!" Lin Shumin''s voice came from the phone.


    Lu Chen''s face was overjoyed, "Senior brother, take your time, don''t be in a hurry."


    "That''s right, I asked my roommate to ask a senior who applied for the project before." Lin Shumin continued, "He is applying for the fund project of the Education Department of the Magic City. In addition to the project content, the most important thing is that there needs to be a hospital. recommended!"


    "What recommendation?" Lu Chen asked in confusion.


    "It''s your mentor, as well as the chief director of the department or the leader of the school, who guarantees your project fund and directly recommends it to the Department of Education or the Department of Science and Technology." Lin Shumin said, "In this way, as a doctoral student, you are eligible for fund projects! Otherwise, , With our current status, it is very difficult to apply for a fund project."


    "Okay, sorry for the trouble, Senior Brother."


    "No trouble, as long as I can help you."


    Lin Shumin''s news can be regarded as a direction for Lu Chen.


    However, he is also very keen to catch a point.


    With their current status, it is very difficult to apply for fund projects.


    is just difficult, not impossible.


    Modu Hospital has fierce competition. If the recommended spots are not enough, Lu Chen still needs to rely on himself.


    There is another chapter to make up for yesterday.


    (end of this chapter)

 v2 Chapter 673： strive for

    Chapter 673 Fight


    The First Hospital of Magic City.


    A district in the heart, the director''s office.


    In front of Zhang Shuqing sat doctors from four departments.


    These four doctors are mainly young doctors, and they are basically low-level attending doctors.


    "Director Zhang, just because Lu Chen is your student, you give him so much convenience?"


    "You gave him the opportunity to go to the last TAVR class, and I won''t say anything. But this time the fund is recommended, do you still want to write his name?"


    "He''s just a doctoral student, not counting students from our hospital, we all stayed in school after graduating from a doctorate!"


    Ever since these young doctors knew that Lu Chen wanted to apply for the municipal fund project, they became anxious.


    are not regular employees of this hospital, but come to compete with them for fund projects?


    There are only a few project funds per year, and one more person competing means that the application success rate will drop!


    finally made everyone unable to bear the fuse, that is, Zhang Shuqing actually included Lu Chen''s name in the recommendation list.


    The original recommended quota is only four!


    This also means that one of the four of them must be brushed off.


    To be more precise, one of them cannot be included in the hospital''s referral list.


    So today, the four of them came to the director''s office together.


    Forcing the palace!


    The four of them are an honorary whole, and they are the staff of the hospital.


    And Lu Chen, in the final analysis, is just a student, not a person from the First Academy of Magic Capital!


    ¡­


    Zhang Shuqing looked helplessly at the four attending doctors in front of him.


    In fact, it is very rare for PhD candidates to apply for funded projects!


    It may only take a few years to produce one, and an extremely excellent doctoral student has the idea of ??applying for a project alone.


    Most of the doctoral students are still behind their supervisors.


    However, Lu Chen is one of the very few!


    But the four attending physicians in front of me are right.


    After Dr. Lu Chen graduates, there is still a question mark about where to go!


    The four of them are the regular army of the First Academy of Magic City.


    And Lu Chen is equivalent to an unorganized guerrilla.


    "Director Zhang, we all know that Lu Chen is excellent. But we are not bad, otherwise we would not have come to the Cardiology Department of the First Hospital of Modu. I will definitely not give up the recommended quota!"


    One of the attending doctors said so, and was immediately echoed by the other three.


    No one wants to admit that they are worse than others.


    Lu Chen''s current resume is brilliant.


    But in the eyes of outsiders, Lu Chen was actually stepping on Li Yao''s shoulders.


    Without Li Yao and the National Natural Science Project, Lu Chen can still set up his own scientific research team and wants to apply for fund projects.


    I''m thinking about farting!


    ¡­


    For a while, Zhang Shuqing really couldn''t make up his mind.


    The palms and backs of the hands are full of meat!


    Lu Chen is his student. These doctors are the backbone of the department in the future, so don¡¯t let them chill!


    "Everyone is a rare talent in the cardiovascular field of our Huaxia." Zhang Shuqing said slowly, "The department will definitely give you the greatest support for the fund project. The four of you can rest assured that I will give you the most satisfied. reply."


    Zhang Shuqing could only stabilize the crowd for the time being.


    Now we can only ask Director Liu Jun afterwards to see if he has any better way.


    ¡­


    while in the doctor''s office.


    Lu Chen is giving a lecture to the students in the group.


    "One of the main symptoms of our cardiology department is chest pain. It is very important for our cardiologists to understand the differential symptoms of chest pain."


    "When it comes to chest pain, cardiologists first think of myocardial infarction, aortic dissection, and pulmonary embolism. These are the three most critical diseases in our department..."


    Lu Chen''s lectures are simple and simple, and try to teach you some clinically practical ones, which are not covered in the textbook.


    Therefore, not only the students in my own group liked to listen to Lu Chen''s lectures, but students from other groups would immediately come over when they saw Lu Chen''s lectures.


    After a while, Lu Chen was surrounded by people.


    "Okay, let''s talk so much today. Everyone go back and read the book carefully. The knowledge from the textbook and practice will become something in your mind!"


    "Thank you, brother (teacher)!"


    After reaping a wave of gratitude, Lu Chen ended today''s lecture very happily.


    At this moment, the four attending doctors came back from the chief''s office.


    "Brother Zhang, your 40-bed myocardial infarction patient was not feeling well just now. I went to see it and it was fine." Lu Chen said to one of the attending doctors, "If you have time, go see him."


    The attending doctor surnamed Zhang didn''t say anything, just nodded slightly to Lu Chen, and then took his seat.


    Lu Chen was taken aback, when did Brother Zhang be so cold?


    Or, so cold?


    But in the blink of an eye, the attending doctor surnamed Zhang was chatting and laughing with others.


    Lu Chen immediately understood that this was for himself.


    Not only he, but also several young attending doctors, there are some subtle changes in their attitude towards themselves.


    ¡­


    "Senior Sister Jiao, why do I feel that there are several attending doctors in the department, it''s so strange!"


    Taking advantage of the time off work, everyone else left, leaving only Jiao Jingqiu, who was on the night shift.


    Lu Chen expressed his doubts.


    "This thing..." Jiao Jingqiu shook her head slightly, "I thought you were obsessed with clinical and scientific research, but I didn''t realize it."


    She naturally knew the interests involved.


    She originally wanted to apply for the fund project this year, but the final project proposal has not been completed, and she plans to move to next year to apply.


    just missed the conflict of interest with Lu Chen.


    "Senior sister, do you know the reason?" Lu Chen wondered.


    "Let''s put it this way, did you tell Director Zhang recently that you want to apply for a fund project?"


    "Yes." Lu Chen nodded slightly.


    After Lin Shumin told him about the fund application, he immediately reported his idea of ??applying for the fund to Zhang Shuqing.


    "This is the key." Jiao Jingqiu whispered, "There are only three to four recommended places every year. If Zhang Shuqing recommends you, the places for others will definitely be replaced."


    Lu Chen was stunned, he hadn''t thought about this.


    In his opinion, even without him, there would be competition between departments.


    "Senior sister, but we hand in the project book, and it is up to the director to decide whether to recommend it or not. I don''t have the final say on who gets up and who gets down!"


    "Oh, that''s what you said." Jiao Jingqiu pursed her lips, "If it''s an internal competition between our departments, then they naturally have nothing to say, but you''re just a doctoral student, and they''re definitely not convinced."


    "Thank you, Sister, I got it."


    Lu Chen frowned. What bothered him most was the "intrigue" inside the department.


    But wherever there are people, there must be these things.


    This is unavoidable.


    Besides, the fund project, for Doctor Magic City, it is the resource that determines the fate.


    No one is willing to give up easily.


    Lu Chen, it is even more impossible for him to give up.


    He still has to fight for the biggest fund project!


    (end of this chapter)

 v2 Chapter 674： Who is running with you?

    Chapter 674 Who is running with him?


    The First Hospital of Magic City.


    A district in the heart, the director''s office.


    Lu Chen took the time to find Zhang Shuqing.


    Lu Chen has no chance of making concessions on the matters recommended by the fund project.


    "Lu Chen, I decided to let Director Liu decide this matter, and I have nothing to do here."


    Zhang Shuqing looked helpless.


    "Teacher, I know." Lu Chen said sternly, "In any case, I will definitely not give up the opportunity to apply for this fund."


    Zhang Shuqing nodded slightly.


    The importance of ?? fund projects is self-evident.


    The young doctors in the department all want to use this as a springboard for promotion.


    "But in the end, there are very few precedents for PhD candidates applying for funded projects." Zhang Shuqing said slowly.


    "But after all, there is!" Lu Chen replied immediately, "Didn''t a doctoral student apply successfully a few years ago?"


    "That''s what I said, but..." Zhang Shuqing didn''t say the rest.


    Actually, what he wants to say is that the student who applied for the fund project has an excellent resume!


    But when I think of the papers that Lu Chen has published, they are more than half a star better than this student!


    Lu Chen pondered for a long time, then raised his head, looked at Zhang Shuqing, and said solemnly, "Mr. Zhang, if I am unsuccessful in this fund project, I will give up my preferential treatment when entering school!"


    "Huh?" Zhang Shuqing raised his head abruptly and looked at Lu Chen in surprise, "You mean disbanding the R&D team?"


    Lu Chen just nodded slightly and did not speak.


    At this time, Zhang Shuqing''s mind became active.


    The power of the hospital is only to recommend the location.


    As for whether the project book can be selected, it ultimately depends on the content of the funded project.


    Even if Lu Chen''s project is recommended, if the final review fails, then Lu Chen needs to give up the R&D team.


    Give up your own team, then there is only one way to go - join his research team of Zhang Shuqing!


    Zhang Shuqing was a little excited.


    If Lu Chen can join the team, he will definitely be a living force!


    "Okay! I''ll decide this matter!" Zhang Shuqing hesitated for a moment, and finally said, "Lu Chen, I''ll leave you one of the recommended positions this time!"


    Zhang Shuqing calculated in his heart, this is definitely a good deal.


    Four recommended positions, according to the odds of winning the bid in previous years, at most one can be selected.


    Everyone is happy that Lu Chen can go up, and the others should not say much.


    If Lu Chen loses the election, then he will make a profit!


    "Thank you, Teacher Zhang." Lu Chen also showed a smile on the corner of his mouth.


    He has confidence in his fund project. As long as he can get the recommended position, he is very likely to be selected!


    In addition, Lu Chen has a backer.


    If Zhang Shuqing still refuses his request this time, then he can go to the vice-principal Li Yuanhua.


    "Okay, then this matter is settled!" Zhang Shuqing nodded slightly.


    Lu Chen and Zhang Shuqing chatted for a while, then left the office.


    ¡­


    the following days.


    The news of Lu Chen''s recommended location spread like wildfire.


    The young attending physicians in the first district of my heart were even more indifferent towards Lu Chen.


    They didn''t know what method Lu Chen used, but the department leaders finally chose him.


    Lu Chen is also very low-key in the department. He usually takes good care of his patients, takes care of his students, and does not have trouble with other people in his life.


    During the day, the departments, canteens, dormitories, three points and one line of life.


    In the evening, apart from working night shifts, Lu Chen would exercise his proficiency in TAVR surgery in the virtual space.


    Another week passed.


    Lu Chen''s TAVR surgical skill proficiency has risen to 76.85%.


    If you want to continue to increase your proficiency, you can practice in the virtual space of the system, and the increase is very limited.


    Now only rely on real surgical operations to improve the proficiency of the skills.


    ¡­


    As time goes by, the time for the review of the Magic City Science and Technology Agency Fund Project has come!


    Lu Chen''s scientific research project book is in the recommended position in this batch.


    "Lu Chen, have you heard that this year, the Cardiovascular Fund Project of our Magic City Science and Technology Department has been decided by default!"


    As soon as Lu Chen arrived in the department, he heard a thunderbolt from Jiao Jingqiu.


    "What? Default?" Lu Chen was stunned for a moment, "Isn''t there three places? All three have been defaulted?"


    "Yes, one of them returned from studying in the United States and is a relative of the leader of the hospital. The other is a student of the principal, and the other is a returnee doctor who was specially recruited from Kyoto!"


    Jiao Jingqiu introduced Lu Chen one by one.


    "By this time every year, the results of the funding projects of the Ministry of Science and Technology have basically come out, and there will not be much changes in the final results."


    Lu Chen frowned deeply.


    One of the situations he was most afraid of appeared, that is, the default!


    Whether it is corporate recruitment or school recruitment, one of the most hateful scenarios is default.


    The result is obviously destined, but still let everyone run with it.


    No matter how high the test score is, in the end it will only be the fate of being brushed off!


    "These three quotas for this year are all in the cardiovascular field, which are relatively rare." Jiao Jingqiu added, "In previous years, they were distributed in various departments, so it was not so eye-catching. But it doesn''t matter, there is still a chance next year."


    "Is there no chance at all?" Lu Chen was a little unwilling.


    A deep sense of powerlessness permeated the whole body.


    If he was brushed off after working hard, then he has nothing to say.


    But this kind of person who had been pre-determined, brushed off, making Lu Chen a little angry.


    "How should I put it? According to the usual results, the final announcement is the same as the current news." Jiao Jingqiu understood Lu Chen''s mood, "You are still young, let''s fight again next year!"


    At this time, the four attending doctors who knew the news were also filled with righteous indignation.


    Victims, it is easy to resonate.


    So much that their resentment towards Lu Chen dissipated a lot.


    In the current situation, no matter who goes up, it will be with you!


    ¡­


    "Lu Chen, what happened to you recently?"


    Dong Hao felt that Lu Chen''s mood was a little dull recently, so he asked aloud when they were eating together in the cafeteria.


    Lu Chen shook his head slightly, "It''s nothing, maybe the department is too tired."


    The rest of the ?? team did not know the current default news at that time.


    The agreement between him and Zhang Shuqing has not been told to everyone.


    Once the funded project is cleared, the current research team must be disbanded.


    "Not only do you have to manage the bed now, but you will also be busy with scientific research in the future. It will indeed be very tiring." Dong Hao advised, "If you have time, rest more. After all, the body is the capital of the revolution!"


    "Well, I will." Lu Chen smiled reluctantly.


    "That...the results of the fund project will be announced soon?" Dong Hao suddenly said again.


    "Maybe... just two days."


    Lu Chen thought about it, but still didn''t tell everyone the cruel result.


    Take it easy!


    "Hey, I read the announcement on the official website of the Ministry of Science and Technology a few days ago, and it seems that the result announcement will be released today!" Ke Yue blinked, "Wait, I''ll check the official website."


    said, Ke Yue took out her mobile phone and logged on to the official website of the Science and Technology Bureau.


    "It''s really an announcement!" Ke Yue clicked in, and an announcement notice appeared on the homepage.


    Dong Hao also approached very excitedly, "Junior sister, hurry in and have a look!"


    Lu Chen was probably the calmest among the people present.


    Because he already knew the final outcome...


    "It''s over! It''s over! Lu Chen, we''re over!"


    Suddenly, the excited voices of Ke Yue and Dong Hao came out, making Lu Chen''s expression dull.


    Who is running with you?


    (end of this chapter)

 v2 Chapter 675： Be bald and look like an expert

    Chapter 675 Become bald and look like an expert


    "Really?"


    Lu Chen swallowed, his face full of disbelief.


    It was agreed that everyone would accompany them to run, but what about the three of them? !


    Makes it seem like he has become the default!


    "Lu Chen, are you kidding us, you must have guessed the result!" Ke Yue smiled, "You were so calm just now, you must have expected it."


    Lu Chen didn''t speak, he also took out his mobile phone.


    Quickly open the official website in the favorites.


    The announcement on the homepage is extremely dazzling.


    "Medical Fund Project of Magic City Science and Technology Bureau..."


    "Lu Chen, First Hospital of Magic Capital, Cardiovascular, Project Name, Comparison of TAVR surgery and traditional surgical thoracotomy in clinical applications..."


    was chosen!


    Lu Chen''s heart was full of joy and deep doubts.


    What exactly happened in this?


    Can your own fund project surpass the default quota of others?


    At this moment, many people''s names appeared in Lu Chen''s mind.


    Li Yao from Jinghua, Zhang Shuqing, Liu Jun, Li Yuanhua from Magic Capital, etc...


    But if it is related to the Science and Technology Bureau, it should be him, right?


    Lu Chen suddenly thought of a person.


    He immediately entered "Modu, Zou Yi" into the search engine.


    The result came quickly¡­


    "Zou Yi, Director of the Magic City Science and Technology Bureau..."


    It''s really him!


    Lu Chen''s eyes lit up.


    He guessed right.


    Li Yao might be able to help him, but the distance is too far to reach out.


    Mentor Zhang Shuqing and director Liu Jun are unlikely.


    And the hospital only has the right to recommend, not the final decision.


    Principal Li Yuanhua, there is a certain possibility, but the two meet very rarely.


    If the other party wants to replace the person appointed by him, he will definitely have to pay a certain price.


    The easiest person to do this is only one of his leading family members who had undergone surgery before.


    Director of the Magic City Science and Technology Bureau, Zou Yi!


    For him, adding an indicator and a fund project is quite easy.


    Thinking of this, Lu Chen breathed a sigh of relief.


    These are all his guesses.


    However, he believed that the person behind him would not do good deeds without leaving his name, and would definitely contact him.


    He just needs to wait in peace.


    ¡­


    At this time, the Cardiology Department of the First Hospital of Magic City.


    All doctors who are concerned about municipal projects have learned about the projects funded by the Science and Technology Bureau.


    The most shocking thing was the several attending doctors in the first district of the heart.


    Lu Chen actually passed!


    Could it be said that Lu Chen is the one who is truly determined by default?


    Otherwise, how could Director Zhang Shuqing be able to overcome the public opinion and insist on leaving a recommended position for him?


    A total of several attending doctors must be like this in the city...


    Unexpectedly, Lu Chen was actually one of the people he had chosen by default.


    Being able to become a default person, the background must be extremely powerful!


    Fortunately, their relationship with Lu Chen had eased.


    Otherwise, it''s really not easy for them to face Lu Chen now.


    ¡­


    Zhang Shuqing was sitting in the office, and he was equally astonished at the moment.


    what''s going on?


    Why did Lu Chen suddenly come up?


    The three people who were appointed by the cardiovascular system in the magic city have not been confirmed?


    Now there is an extra Lu Chen...


    "This kid, is there really a relationship behind it?"


    Suddenly, Zhang Shuqing also thought of Zou Yi.


    Zou Yi happens to be the head of the Science and Technology Bureau.


    However, Lu Chen just performed an operation on Zou Yi''s family.


    It''s just a one-sided relationship. Could it be that you have such a deep impression on Lu Chen?


    However, now for whatever reason, the Lu Chen Fund project has been officially approved!


    For him, there is no loss.


    Even, the performance of the first district in my heart will definitely improve again this year!


    ¡­


    Lu Chen guessed right, the second day after the announcement.


    Zou Yi''s secretary contacted Lu Chen.


    During the phone call, although the secretary did not clearly point out anything, he still talked side by side, talking about fund projects and asking Lu Chen to continue working hard.


    When Lu Chen heard this, he understood in his heart.


    It seems that it is beneficial to know leaders.


    Otherwise, even if he does the best project book now, he may not be able to be shortlisted for this year''s fund project.


    No wonder Director Liu Jun is so keen to take the upper-level route!


    Lu Chen also sighed in his heart.


    If he didn''t have the help of the system, if he wanted to really break through the blockade of the academic valve and enter the high-level academic circle of Huaxia, I am afraid it would not be as easy as it is now, right? !


    However, he just sighed.


    Since you have it, you should grasp it well.


    Obtaining the fund project is just the first step of the Long March!


    The road ahead will require a lot of hard work.


    ¡­


    The successful application of the ?? fund also heralds the start of Lu Chen''s scientific research project.


    This scientific research experiment is based on the technology of TAVR.


    First of all, compare the difference in efficacy between conventional surgical thoracotomy and the new TAVR surgery.


    Secondly, independent predictors of postoperative risk after TAVR were monitored.


    Such a large clinical scientific research may lead to many small scientific research projects.


    Others in the ?? group, in addition to being responsible for the overall large project, each person is responsible for a sub-project.


    Zhang Shuqing and Liu Jun also knew that Lu Chen''s scientific research project was started.


    However, they are not very optimistic about Lu Chen''s project.


    TAVR surgery is a new surgery.


    Those patients are definitely looking for experienced doctors, how could they come to such a young doctor?


    And the patient information of other doctors will definitely not be shared with Lu Chen.


    Therefore, in the eyes of outsiders, Lu Chen''s scientific research project on TAVR surgery is probably very difficult.


    You may not even be able to finish the question!


    ¡­


    However, the doubts about Lu Chen were shattered after a publicity message from the Magic Capital Central Hospital came out!


    "Dean Dai Wansong of our hospital and Lu Chen of the First Hospital of the Magic City have cooperated to complete the first TAVR surgery in the city of apnea!"


    Modu Central Hospital, this is a different way to promote the cooperative operation of Lu Chen and Dai Wansong.


    In this combined operation, Lu Chen''s role is beyond doubt.


    In order to win the favor of Lu Chen, Dai Wansong also strongly recommended a wave of Lu Chen in the text.


    In this way, Lu Chen is equivalent to having a free advertisement.


    Almost all the members of this group of TAVR classes were taught by Lu Chen.


    Some patients who could not be dealt with in their hospital were all introduced to the No. 1 Hospital of Magic Capital where Lu Chen was.


    ¡­


    However, there are many patients who come to inquire about TAVR surgery.


    But after everyone saw Lu Chen''s age, their hearts were uncertain.


    is too young!


    is not practical!


    If Lu Chen is a bald middle-aged man, then everyone will definitely trust him a lot!


    However, when Lu Chen took off his mask and hat, he looked a few years younger than his grandchildren. (Most of the TAVR patients are the elderly over the age of 60 or 70)


    These patients just flinch!


    After thinking about it, Lu Chen came up with an idea.


    Every time we talk about TAVR surgery, Lin Shumin comes forward.


    He is an older doctor with a high hairline and some signs of baldness on the top of his head.


    Deliberately raise the hairline by a few points to look like an expert!


    As for Lu Chen, he only showed up at the juncture of the final operation.


    As a result, more patients came to Lu Chen for TAVR surgery.


    On the other hand, he hesitated that Lu Chen''s surgery had passed the test, and the prognosis was good.


    His reputation among patients grew louder, and there was a virtuous circle.


    Lu Chen''s doctoral clinical research is advancing steadily.


    (end of this chapter)

 v2 Chapter 676： Recommended by Fan Zhiping

    Chapter 676 Fan Zhiping''s Recommendation


    In the blink of an eye, Lu Chen had been in the magic capital for half a year.


    Magic is indeed one of the most developed areas of medicine in the country.


    Lu Chen''s surgical and scientific research capabilities have grown rapidly here.


    And his fame, also nationwide, began to spread slowly.


    Various magazines, periodicals, and public accounts have reported Lu Chen''s TAVR surgery one after another.


    After all, in Modu, it represents one of the highest levels of Chinese medicine.


    Every innovation in medical technology here will receive the attention of doctors all over China.


    If Lu Chen still stayed in Jinghua, maybe he could be more free.


    But his influence will be very limited, and the level of exposure is limited to Jinghua.


    ¡­


    Jinghua, Department of Cardiology, Fengm County People''s Hospital.


    Fan Zhiping frowned and looked at the patient in front of him.


    "Doctor Fan, how is my dad''s condition?" A man in a suit was standing in front of the hospital bed.


    The man has a dusty appearance, his eyes are bloodshot, and it seems that he has not rested for a long time.


    "Come out, I''ll tell you in detail."


    Fan Zhiping took the patient''s family to the corridor of the ward.


    The pungent smell of disinfectant in the air made people feel a little irritable.


    "Doctor Fan, my dad''s condition...isn''t it good?" the man asked eagerly, "No matter what we say, we can still have a little relationship with relatives. If you have something to say, you can say it directly, I can accept it. of!"


    The county seat is too small, and many people can forcefully get involved.


    Fan Zhiping has never seen or heard of such distant relatives.


    "Alas." Fan Zhiping sighed slightly, "your father is currently in a state of severe heart failure, and his condition is very unstable. There may be the risk of acute heart failure, malignant arrhythmia, or even sudden death at any time. If we continue treatment here , I''m afraid it won''t be very good."


    The man''s face sank, and he said solemnly: "Doctor Fan, is there any good treatment? Money is not the problem, the problem is that my dad must be cured! No matter how good the medicine and the best treatment measures are, we must use it. ."


    Fan Zhiping shook his head, "This is not a problem with medicines. Heart failure is a chronic disease, and there is no way to go back. Now all we can do is to relieve the symptoms and delay the deterioration of heart failure. possible thing."


    "There''s really no way?" The man was a little unwilling.


    The tree wants to be quiet but the wind doesn''t stop, the child wants to be nurtured but the parent doesn''t wait.


    He has worked abroad for many years, and he is usually not at home except when he comes home for the New Year.


    If it wasn''t for the father''s illness this time, he probably wouldn''t come back.


    Fan Zhiping pondered for a long time before raising his head and said, "If you have to try it, there is indeed a way to go."


    "What?" the man asked suspiciously.


    Fan Zhiping said slowly: "The cause of your father''s heart failure is due to extremely severe stenosis of the aortic valve, which caused a series of heart failure symptoms, then I can deal with the cause."


    "Patients with aortic stenosis in the past need thoracotomy for valve replacement, but with your father''s physical state, he certainly cannot afford such a major thoracotomy."


    "And now with the development of medical technology, a new type of minimally invasive TAVR surgery, valve replacement can be performed without surgical opening of the chest. If the underlying cause of the patient''s heart failure can be solved, then your father''s survival may be extended! "


    The man heard the words, with a hint of urgency in his voice, "Doctor Fan, what are you waiting for? Hurry up and arrange the operation for us!"


    Fan Zhiping showed a helpless expression on his face, shrugged his shoulders, "We haven''t performed this kind of surgery here yet, you may need to be transferred to a higher-level hospital."


    "Can''t do it? I heard that you invite a professor from Jinghua Second Hospital to perform surgery every week!" The man asked suspiciously, "Can''t Professor Jinghua do it?"


    "I can''t do it!" Fan Zhiping shook his head, "This is not only a problem of the surgeon, but also the need for considerable equipment. Not only have we not performed this operation for the time being, but also the Jinghua University Hospital has not performed this operation."


    "This..." The man was taken aback, "Where are we going then?"


    "If your family is actively receiving treatment and has the corresponding conditions, then I definitely recommend you to go to the big hospital in the capital city or Kyoto." Fan Zhiping said, "The capital city is relatively close to the capital, and I recommend you to go to the capital city."


    "Okay, Dr. Fan, I''ll go back to discuss and answer you this afternoon." The man said softly.


    "Make a decision as soon as possible." After Fan Zhiping said this, he left.


    ¡­


    After Fan Zhiping left.


    The man began to take out his mobile phone and called his old classmates and friends in the People''s Hospital to inquire about this new technique.


    Fan Zhiping returned to the doctor''s office and breathed a sigh of relief.


    This patient''s condition is too unstable, and he has heart failure many times a day.


    If the cause can be solved by TAVR surgery, that would be a good solution.


    However, after all, it is a newly developed operation in Huaxia, and currently no one in Jinghua has the ability to perform this operation.


    Thinking of this, Fan Zhiping couldn''t help but think of Lu Chen.


    Since Lu Chen graduated, he and Li Yao have never come back for the "flying knife" operation.


    The Jinghua Electrophysiology WeChat group is still very lively every day, and everyone is discussing various difficult electrocardiograms.


    But Lu Chen rarely spoke.


    Later, Fan Zhiping learned that Lu Chen did not stay in Jinghua, but went to Modu to study for a doctorate.


    This made Fan Zhiping feel melancholy for a long time.


    Although he is much older than Lu Chen, the existence of "Professor Lu" is a guiding light in his career.


    When he was studying in Jinghua, he followed behind Lu Chen and truly felt the sense of accomplishment of being a doctor.


    ¡­


    A few days ago, Fan Zhiping accidentally saw Lu Chen''s message in the magic capital.


    "Lu Chen should go further and further!"


    The former electrophysiological "Professor Lu" is now carrying out the latest interventional surgery TAVR in the country!


    This is an operation that the entire Jinghua has never done!


    Seeing this news, Fan Zhiping felt high for Lu Chen, but also very disappointed.


    The distance between him and Lu Chen will eventually get further and further away...


    "Doctor Fan, are you busy?"


    With the sound of a voice, Fan Zhiping''s thoughts were brought back to reality.


    Fan Zhiping looked up, it was the family member of the patient just now.


    "Have you considered it?" Fan Zhiping wondered.


    "Well, I called my family, and I also called a few classmates who studied medicine. They said they could try this minimally invasive interventional surgery." The man said, "But I don''t know the market very well. Dr. Fan Can you help recommend a more powerful hospital or doctor for this operation?"


    Fan Zhiping raised his brows slightly, "I don''t know about other places. If you go to the magic capital, I can introduce someone to you."


    "Who?"


    "Magic City No. 1 Courtyard, Lu Chen!"


    (end of this chapter)

 v2 Chapter 677： stereotypes of people

    Chapter 677 Human Stereotypes


    Modu Second Hospital, outpatient building.


    Lu Chen is now slowly taking over Zhang Shuqing''s outpatient position.


    He goes out of the clinic one day a week.


    Zhang Shuqing spends more time on scientific research.


    Today, it was Lu Chen''s turn to leave the clinic again.


    In the morning, he bought soy milk and fried dough sticks in the cafeteria and came to the consultation room.


    The graduate students in the ?? group had already come to the consultation room ahead of time to help Lu Chen turn on the computer.


    It feels good to have students helping out!


    Lu Chen remembered that a year ago, he followed Li Yao out of the clinic.


    And now, he can go out of the clinic alone.


    "Mr. Lu, it''s time, I''ll call the first patient in?" the accompanying graduate student asked.


    Their tasks, in addition to helping teachers to issue doctor''s orders and write medical records, also need to maintain order at the scene.


    "Okay, let''s call." Lu Chen smiled.


    ¡­


    As Lu Chen''s reputation became more and more famous, there were also many patients in the surrounding counties and cities who came to see a doctor.


    In the past, Lu Chen saw up to 30 patients a day.


    But now, there are about 60 patients who call Lu Chen every day!


    More than twice as much as before.


    Lu Chen couldn''t help but speed up a bit when he looked at the patient.


    Otherwise, it is impossible to see all the patients that day.


    "Auntie, you have obvious symptoms of chest tightness and chest pain after exercising, and you have high risk factors for coronary heart disease and a history of genetic disease. I suggest you to do an angiography directly."


    "Master, after you change the valve, you need to take warfarin orally for a long time and monitor the INR regularly. Don''t forget it!"


    "Uncle, your blood pressure level does not need to take medicine for the time being. You can exercise and control your diet for three months. If your blood pressure is still very high, you need to take medicine!"


    ¡°¡­¡±


    The patients in the outpatient clinic mostly have some minor problems.


    If he really encountered a bad disease, Lu Chen would not have such a cheerful tone.


    must have frowned and thought for a while before he started to speak.


    Just like the patient in front of me.


    In Lu Chen''s eyes, the old man''s HP is only 49 (--)!


    Looking at his inspection report in the outer hospital, Lu Chen frowned deeply.


    The patient''s echocardiography showed: extremely severe aortic valve stenosis, the valve orifice area was 0.5 square centimeters, the flow velocity was 5.5 m/s, and the peak pressure difference was 120 mmHg.


    CT showed severe calcified stenosis of the aortic valve, with a calcification score of 2208, and a small amount of pleural effusion and pericardial effusion.


    "Master, what''s wrong with you now?" Lu Chen asked.


    "As soon as I move a little, I feel chest tightness, fatigue, and sometimes black eyes."


    The old man explained his symptoms very clearly.


    Lu Chen nodded slightly, "Your main problem is severe aortic valve stenosis!"


    Aortic valve stenosis is very dangerous and can cause arrhythmias (atrial fibrillation, ventricular prematureness, ventricular tachycardia, etc.).


    Some aortic valve stenosis can also cause embolism of the systemic circulation, and the shedding of the emboli may cause stroke, etc. Severe aortic valve stenosis can cause syncope and even sudden death.


    Uncle has already developed amaurosis and syncope. Pleural effusion and pericardial effusion are signs of heart failure decompensation, and sudden death may occur at any time.


    "Doctor Lu, I came to see you this time because I actually wanted to do TAVR surgery!" Meng Xiangsheng looked at the too young doctor in front of him. After hesitating for a while, he still explained his intention.


    When he first arrived at the Second Hospital of the Magic Capital, he was full of expectations for "Lu Chen".


    But when I saw myself, my heart was like a spoonful of cold water was poured.


    Too young!


    If it wasn''t for the photo at the door of the clinic, Meng Xiangsheng might have thought that Lu Chen was just a student.


    Why did Dr. Fan Zhiping recommend this kind of doctor?


    Lu Chen didn''t notice Meng Xiangsheng''s abnormality.


    He was now engrossed in examining the patient.


    "You know about TAVR surgery?" Lu Chen was slightly surprised.


    Generally not a person in the cardiovascular field, and few people know about this new surgery.


    "I''m not a native of Modu, I came from Jinghua." Meng Xiangsheng said softly, "The doctor at the local hospital recommended me to come to you."


    "Jinghua? Came to find me?" Lu Chen was taken aback.


    He flipped through the medical records in the patient''s hands.


    Taking a closer look, it''s actually Fan Zhiping from Fengm County? !


    Old acquaintance!


    Looking at Lu Chen''s expression, Meng Xiangsheng asked suspiciously, "Doctor Lu, do you know Dr. Fan?"


    Lu Chen nodded, "I also came from Jinghua and worked with Fan Zhiping."


    Hearing this, Meng Xiangsheng suddenly realized.


    No wonder Fan Zhiping would recommend Lu Chen to him, so the two knew each other!


    At this time, Meng Xiangsheng didn''t quite trust Lu Chen anymore.


    "Since it''s a patient from Jinghua, I''ll just say it directly." Lu Chen said, "In a state like your father, TAVR surgery needs to be performed within a time limit, otherwise, the state will get worse and worse!"


    "But the operation also has certain risks. If you agree to the operation, now our department just has a bed, and you can go through the admission procedures immediately!"


    If someone told Meng Xiangsheng before seeing Lu Chen that he could be directly hospitalized when he came to the Second Hospital of the Magic Capital, he would definitely be very excited.


    But after seeing Lu Chen, his heart was a little shaken.


    Could it be Jinghua''s Fan Zhiping, who has any PY deal with Lu Chen?


    Otherwise, there are so many top hospitals and top doctors in the magic capital, Fan Zhiping does not need to ask him to find such a young doctor!


    "Doctor Lu, let me think about it."


    Meng Xiangsheng''s words made Lu Chen stunned.


    Still need to consider?


    Lu Chen noticed Meng Xiangsheng''s hesitant gaze.


    It seems that most of them are patients who do not trust themselves very much.


    Lu Chen wasn''t too angry either.


    This situation, he has encountered too many times!


    People always have stereotypes about one thing.


    However, Lu Chen didn''t explain too much.


    The foundation of a good doctor-patient relationship is trust.


    If the patients and family members in front of you do not trust yourself, there is no need to force them to stay.


    Force stay, if there is really a problem with the operation, it may be more troublesome!


    "That''s fine." Lu Chen said to the graduate student beside him, "Call the next patient in!"


    ¡­


    Meng Xiangsheng took his father and walked out of Lu Chen''s clinic.


    "Xiangsheng, I actually think this Doctor Lu is very good." Meng Xiangsheng''s father said, "He was very serious and careful when he examined me. And the questions he asked me were all targeted."


    "Dad, but he''s...too young." Meng Xiangsheng frowned, "I think he''s in his early twenties, and I don''t have much surgical experience, so I''m not at ease asking him to perform surgery on you. ."


    "Hey, your child is usually very smart, why can''t you understand it at this time?" Meng Xiangsheng''s father shook his head slightly, "Look at these doctors out of the clinic, who is as young as Dr. Lu?"


    "No." Meng Xiangsheng shook his head.


    "That''s right, at his age, he can go out to a top hospital like the Second Hospital of the Magic City. Do you think it''s easy for Lu Chen?"


    Meng Xiangsheng was stunned for a moment, thinking that his father was right.


    However, preconceived ideas were ingrained in his mind.


    Meng Xiangsheng decided to go to more hospitals and see more doctors. After comparison, he finally chose the best surgeon.


    (end of this chapter)

 v2 Chapter 678： Going around and back to the starting point? (Thanks Im not rock candy

    Chapter 678 Going around back to the starting point? (Thanks for the reward that I am not rock candy and then returned to Chishangju)


    Lu Chen can guess some of Meng Xiangsheng''s thoughts.


    To see a doctor, you also need to shop around.


    Which one has good technology, of course, which one should go to.


    However, Modu is not like Jinghua, there is no shortage of patients here, and there is no shortage of patients for TAVR surgery.


    Meng Xiangsheng was introduced by Fan Zhiping.


    Lu Chen paid a little attention.


    However, only a little attention.


    He has more patients to see.


    ¡­


    said that Meng Xiangsheng was here.


    He was not in a hurry to leave the Second Hospital of the Magic City, but re-hung an expert number in his heart.


    Lu Chen''s is a regular number, and the registration fee is only five yuan.


    But the registration fee for this expert number is 500 yuan, which Meng Xiangsheng managed to grab.


    "Dad, I found this expert online. He is the director of the well-known Cardiology Department in Magic Capital. He has many titles and is very powerful!" Meng Xiangsheng read the introduction on a certain degree.


    "Okay, then listen to you, let''s go and have a look."


    Meng Xiangsheng waited for three hours, and when he was finally waiting for him, the expert got off work.


    The nurse at the door informed them to come in the afternoon.


    "Nurse, we''ve been waiting all morning, why don''t you let me in." Meng Xiangsheng held the registered ticket in his hand, with a smile on his face.


    "Everyone has been waiting for so long!" The nurse showed no mercy at all. "There are so many patients behind, do you have to see them? The doctor doesn''t eat at noon? Does he sleep without rest?"


    "This..." Meng Xiangsheng was about to say something, but his father interrupted him.


    "Xiangsheng, forget it, we''ll come back in the afternoon."


    "Ugh."


    Seeing what his father said, Meng Xiangsheng could only obey.


    He took his father to the restaurant near the Second Hospital of the Magic City. After lunch, he went to the outpatient hall to wait.


    ¡­


    Fortunately, the noon break is not long.


    Meng Xiangsheng and his father waited until two o''clock when the expert came.


    The two hurried into the consultation room, especially afraid of being cut in line by others.


    Meng Xiangsheng is the director of the second area of ??the heart, Zhang Guoqiang, who is good at various coronary interventions.


    "Professor Zhang, please show my father."


    Meng Xiangsheng handed his father''s medical records to Zhang Guoqiang.


    Zhang Guoqiang turned it over a little, and then gave Meng Xiangsheng''s father a simple auscultation.


    "Well, with your valve disease, surgical thoracotomy will definitely not work." Zhang Guoqiang said, "It may be necessary to undergo interventional surgery."


    "I know this." Meng Xiangsheng nodded slightly, "The doctor in our county hospital told us."


    "Just know, if you want to do this operation, go to Professor Zhang Shuqing in the first area of ??your heart." Zhang Guoqiang said lightly.


    "Aren''t you going to do this surgery?" Meng Xiangsheng asked suspiciously.


    "This is the latest valve intervention surgery. I am not engaged in this field." Zhang Guoqiang said lightly, "Professor Zhang Shuqing specializes in this field and is an authoritative expert in China."


    "Okay, thank you, Professor Zhang." Meng Xiangsheng got the answer he wanted and left the outpatient building with peace of mind.


    "Dad, this Professor Zhang Shuqing is in the inpatient department in the first district of the heart, let''s go find him."


    "Well, let''s go."


    Meng Xiangsheng supported his father and went to the inpatient department of cardiology department.


    ¡­


    afternoon.


    Lu Chen continued to stay in the outpatient building.


    There were not many patients in the afternoon, and he quickly finished watching all the patients.


    "Let''s go, let''s go back to the ward."


    Lu Chen didn''t stay too long, let the students leave work early, and returned to the area in his heart.


    As soon as he entered the ward, Lu Chen saw two familiar figures at the door.


    "It''s them?"


    Lu Chen saw Meng Xiangsheng and his father.


    They were standing in front of the director''s office, probably waiting for Zhang Shuqing.


    Lu Chen thought they had gone to another hospital, but he didn''t expect that they would come to a part of his heart after going around.


    However, Lu Chen walked past them directly, ignoring them.


    Meng Xiangsheng also noticed Lu Chen.


    He was stunned for a moment, but he didn''t expect that Lu Chen was also a part of his heart, and his face was a little embarrassed.


    "Xiangsheng, isn''t this the doctor during the day?" Meng Xiangsheng''s father asked in surprise.


    "Dad, be quiet."


    Meng Xiangsheng''s previous remarks were to think about it, and in a blink of an eye, he came to find someone else.


    In order to prevent the embarrassment of meeting, Meng Xiangsheng could only pretend not to see it.


    ¡­


    "Come in."


    Zhang Shuqing finally finished his work and called Meng Xiangsheng and his son in.


    After reading the medical records on Meng Xiangsheng''s head, Zhang Shuqing and Lu Chen said the same thing.


    "If you agree to TAVR surgery, you can move in." Zhang Shuqing said.


    "Did you perform the operation on my father yourself?" Meng Xiangsheng whispered.


    "Of course." Zhang Shuqing nodded slightly, "We have a whole team dedicated to TAVR surgery. But our ward is temporarily full, you may have to queue."


    "When I came here in the morning, didn''t I say there was still a bed?" Meng Xiangsheng said eagerly.


    "Morning? Are you asking about a part of our heart?" Zhang Shuqing asked in confusion.


    "Yeah." Meng Xiangsheng nodded, "I asked Dr. Lu Chen, and he said there was still a bed."


    "You already looked for Lu Chen this morning?" Zhang Shuqing frowned, "Why are you looking for me now?"


    "Uh, it''s like this." Meng Xiangsheng paused and explained, "I heard that you have authority in this area, so I came to you."


    Meng Xiangsheng did not tell the truth.


    He couldn''t say that he turned to Zhang Shuqing because he didn''t believe Lu Chen.


    However, Zhang Shuqing saw Meng Xiangsheng''s thoughts at a glance.


    Mostly seeing that Lu Chen is young, he doesn''t trust him very much.


    Although Lu Chen is very independent, he is his student after all.


    What''s more, he still admires Lu Chen quite a bit.


    Zhang Shuqing heard the words, but did not reply immediately, his right index finger slowly tapped the desk surface.


    After a long while, he slowly said: "Lu Chen is a doctor in our group and a relatively important member of our interventional surgery team. When your father''s interventional surgery occurs, Lu Chen will definitely be in power. So if you want to live in, Then think about it.¡±


    "Ah? This..." Meng Xiangsheng was stunned.


    He really didn''t expect Lu Chen and Zhang Shuqing to be in the same group, and they were the main members of the operation.


    Even if there is a bed now and can live in it, it would be really uncomfortable to be hospitalized under Lu Chen''s subordinates.


    "Well, I''ll give you a hospitalization certificate." Zhang Shuqing will definitely not refuse admission to the patient, "If you want to live in, then queue up."


    "Okay, then thank you Professor Zhang." Meng Xiangsheng thought about it and temporarily accepted Zhang Shuqing''s proposal.


    For a while, he couldn''t live in.


    The beds can be arranged here first, and he can go to other hospitals to have a look.


    ¡­


    Leaving the No. 1 Courtyard of Magic Capital.


    The next day, Meng Xiangsheng came to the Cardiology Department of the Magic Capital Central Hospital again.


    Enter the outpatient building.


    Continue to register and queue.


    While waiting at the Cardiology Clinic, Meng Xiangsheng saw the propaganda board outside the clinic.


    A large poster is promoting the latest TAVR technique.


    There is also a photo of the operating room above.


    There is a line of text below, "Dean Dai Wansong of our hospital and Dr. Lu Chen of the First Hospital of the Magic City, work together to complete the world-class difficult TAVR surgery!"


    Seeing the contents of the propaganda column, Meng Xiangsheng was stunned.


    "I wipe."


    After going around for a few days, why did you finally return to the starting point? !


    ps: The starting point is to launch the anti-theft test.


    The latest chapters can only be read at the starting point, and pirated websites cannot obtain the latest chapters.


    The official channel website will also be updated with a two-day delay.


    (end of this chapter)

 v2 Chapter 679： Difficulty seeking medical treatment

    Chapter 679 Difficulty in seeking medical treatment


    The First Hospital of Magic City.


    Lu Chen continued to work in the department as usual.


    Meng Xiangsheng, he didn''t particularly care.


    However, the mentor Zhang Shuqing mentioned this person in front of him.


    "Lu Chen, if Meng Xiangsheng wants to be hospitalized, I will let him line up the bed." Zhang Shuqing said, "He has been issued a hospitalization certificate."


    "Okay." Lu Chen nodded.


    He didn''t feel much.


    Not everyone has to trust him at first sight.


    As a doctor, his greatest wish is to cure patients.


    If Meng Xiangsheng''s father was hospitalized in his hands, he would still try to heal.


    ¡­


    Just got off work.


    Lu Chen returned to the dormitory and began to organize the laboratory and related equipment approved by the hospital.


    Since the successful application for the fund project, the hospital has also approved a laboratory for Lu Chen as scheduled.


    Although the laboratory is not large, it is basically enough for Lu Chen''s current team members to work.


    Lu Chen holds a group meeting in the laboratory every week, and all members report on their experimental progress.


    "Ding ding ding..."


    The phone rang suddenly, Lu Chen picked it up and took a look.


    is Fan Zhiping!


    "Could it be the case of the patient a few days ago?" Lu Chen thought about it, but still picked it up.


    "Lu Chen? I''m Fan Zhiping."


    Fan Zhiping asked cautiously.


    He hadn''t contacted Lu Chen for a long time, and he was quite afraid that Lu Chen would change his phone number.


    "Yes, Brother Fan, why are you thinking of calling me?" Lu Chen smiled.


    When he was in Jinghua, Lu Chen and Li Yao went back to the county hospital where Fan Zhiping was working every week, "Flying Knife".


    The relationship between the two is very good.


    Fan Zhiping usually asks Lu Chen''s opinion for some medical problems he usually encounters.


    However, since Lu Chen graduated and came to the magic capital, the connection between the two has been reduced a lot.


    "Lu Chen, you should be used to it in the magic capital, right?" Fan Zhiping asked.


    "It''s alright." Lu Chen smiled, "However, the work pressure here is a bit heavier than that of Jinghua. It''s also possible that I manage the bed independently now, and it''s no longer the time I used to rotate."


    "It''s good to be independent." Fan Zhiping said, "But with your level, you can be independent long ago."


    This sentence is the heartfelt words of Fan Zhiping.


    Lu Chen''s level, whether it is clinical skills, surgical operations, or scientific research ability, is obvious to all!


    "Brother Fan, is there anything specific?" Lu Chen asked.


    Fan Zhiping is no longer bewildering.


    "Lu Chen, I introduced a patient to you a few days ago for TAVR surgery, do you have an impression?" Fan Zhiping thought about it and said.


    "Is your surname Meng?"


    "Yes, it''s him!"


    Lu Chen smiled, "I remember, but I suggested that he be hospitalized at the time. Later, the family said to think about it and left."


    "Hey, this is..." Fan Zhiping sighed.


    When he received a call from Meng Xiangsheng, he was also very surprised.


    Meng Xiangsheng actually refused Lu Chen''s request for hospitalization, and went to another hospital to register.


    Now, I want to go back to Lu Chen''s department, but there are no more beds.


    Therefore, Meng Xiangsheng called him and asked if he could arrange a hospitalization earlier.


    Fan Zhiping hesitated for a while, not knowing how to speak.


    "Brother Fan, is there anything difficult for you?" Lu Chen wondered, he could hear the hesitation and helplessness in Fan Zhiping''s tone.


    "It''s about this patient. He is a distant relative of mine." Fan Zhiping said softly, "But it''s a relative, I haven''t talked about it before."


    "After he fell ill this time, I thought about severe aortic valve stenosis and asked him to go to Modu to find you for surgery, but when he saw you, he thought you were too young, so he went to Modu Central Hospital..."


    Lu Chen smiled and understood the whole story.


    Meng Xiangsheng actually went to the Magic Capital Central Hospital!


    Lu Chen later went to the Magic Capital Central Hospital again. The work of publicizing the TAVR surgery was a lot better than that of the Magic Capital Hospital!


    Lu Chen recalled the first time he went to the outpatient building of Modu Central Hospital.


    The huge propaganda poster has a photo of him and Dean Dai Wansong on it.


    Meng Xiangsheng most likely saw the propaganda of the Magic Capital Central Hospital, and ran back.


    However, out of love, he asked Fan Zhiping to come forward again.


    "Brother Fan, don''t worry." Lu Chen smiled, "When he moves in, I will arrange the operation as soon as possible, so that he doesn''t have any psychological pressure, I can understand his mood."


    It is actually quite difficult for ordinary people to seek medical treatment.


    Huaxia has a large population, and doctors are in great demand.


    The level of ?? doctors varies, and they are more concentrated in developed areas.


    If you meet a responsible doctor, his level may not be very good, but at least nothing will happen, and you will be transferred to a higher-level hospital as soon as possible.


    But if you come across a doctor with a poor level and no medical ethics, it will be miserable.


    In addition, the travel expenses, food expenses, accommodation expenses, registration fees, etc. on the way to seek medical treatment should also be considered.


    Meng Xiangsheng''s worries are not unreasonable.


    "That''s good!" Fan Zhiping breathed a sigh of relief, "I have already emphasized to Meng Xiangsheng that your level is no worse than those professors. However, if he is really worried, I will tell him not to harm you. ."


    "Okay, thank you Brother Fan." Lu Chen thanked him sincerely, "For such a long distance, you also introduced patients to me."


    "What are you talking about." Fan Zhiping smiled, "It''s not that your level is high, otherwise I wouldn''t know you''re doing TAVR!"


    Hearing other people''s compliments, Lu Chen was still very happy.


    "Brother Fan, let''s do this today, we''ll get in touch later when we have time."


    "Well, trouble."


    hung up the phone, Lu Chen recalled the time when he was with Fan Zhiping in the eight districts of his heart.


    At that time, the deputy chief physician followed a graduate student to work night shifts, which was a wonderful sight in the department of cardiology.


    On Fan Zhiping''s side, he contacted Lu Chen again.


    A long-lost blood was surging in his heart.


    Seeing Lu Chen becoming more and more powerful, Fan Zhiping was also restless and had a longing for the future.


    If he hadn''t met Lu Chen, he might have really lived in a corner and been a little doctor all his life.


    However, the appearance of the most powerful doctor he has seen makes him yearn for it.


    Slowly, Lao Fan also had a bold idea in his heart.


    ¡­


    The next day.


    Came to the ward in the first district of the heart.


    Lu Chen read the information on the ophthalmology department''s bed row, and Meng Xiangsheng''s father could not be hospitalized until the day after tomorrow.


    "Sister Fang, please help me to see if there are any patients who will not come to the hospital. If there are extra beds, please call the patient surnamed Meng in advance." Lu Chen said to the nurse in the main shift.


    Meng Xiangsheng''s father, although the symptoms of heart failure have been controlled, there is still the possibility of acute attack.


    His TAVR surgery, the sooner the better.


    The further down the ?? is dragged, the worse the patient may be.


    Ordinary patients in other rows of beds can only move back if the condition is not urgent.


    "Okay, I see." Nurse Fang pursed her lips and smiled at Lu Chen, "I will definitely take care of what Dr. Lu explained."


    The nurses in the department have a good attitude towards Lu Chen.


    If any other young doctor was a nurse, he would definitely not be willing to deal with it.


    Lu Chen smiled, "Thank you, Sister Fang."


    "No thanks, just invite me to a movie then."


    Lu Chen: "..."


    Hearing this, Lu Chen hurriedly ran away.


    ¡­


    When Lu Chen returned to the doctor''s office, he saw a group of doctors gathered around, discussing something intensely.


    Seeing Lu Chen coming back, Jiao Jingqiu quickly waved to him, "Lu Chen, come and see this strange patient."


    In an instant, Lu Chen became interested.


    Recently, he has been busy doing TAVR surgery, and these difficult and interesting medical records are a little less.


    (end of this chapter)

 v2 Chapter 680： Needle into the pericardium? (seek wave double monthly pass)

    Chapter 680 Acupuncture into the pericardium? (seek wave double monthly pass)


    One hospital in the magic capital, one area in the heart.


    The doctors in the department are already sitting together.


    "Senior Sister Jiao, what kind of patient? Do we need so many people to discuss?"


    Lu Chen stepped forward quickly.


    "The patient who was admitted yesterday, take a look."


    Jiao Jingqiu handed the medical record forward, Lu Chen took it, and sat down to check it.


    The attitude of everyone in the department towards Lu Chen has obviously improved a lot.


    Originally, everyone was a little unhappy about the application for the fund project last time.


    But because there are some pre-determined candidates, Lu Chen was able to break through the blockade of the pre-determined personnel, which made everyone admire him.


    In addition, Lu Chen can understand the feelings of the attending doctors. Seeing a doctor and treating a patient cannot determine the future and destiny.


    However, this fund project has affected everyone''s promotion.


    Lu Chen and the young attending doctors reconciled.


    ¡­


    At this time, Jiao Jingqiu introduced:


    "One week before admission, the patient experienced sudden symptoms of chest pain, accompanied by profuse sweating, chest pain, and inability to lie down. The symptoms persisted and did not relieve, and he went to the local hospital for treatment."


    "Acute extensive anterior myocardial infarction and heart failure were considered, and conservative medical treatment was given. The echocardiography showed a large amount of pericardial effusion."


    "Pericardiocentesis and drainage were given, and the daily drainage volume exceeded 500 mL, which was **** pericardial effusion. Afterwards, the patient''s symptoms improved, but the pericardial effusion continued to flow out, so he went to our hospital for treatment."


    Lu Chen quickly read through the medical records and had a simple understanding of the patient.


    Simple sentence summary.


    means that there is a large amount of pericardial effusion after myocardial infarction, 500ml of pericardial effusion is continuously drained every day, and there is still continuous pericardial effusion.


    The local hospital cannot handle it.


    The patient was transferred from the hospital below to the First Hospital of Magic City.


    "We are wondering why the patient''s pericardial effusion keeps increasing?" Jiao Jingqiu said while frowning.


    Lu Chen didn''t reply immediately, he pondered for a moment, then said, "Go and see the patient first."


    "Okay." Jiao Jingqiu nodded slightly.


    Other doctors who wanted to check the patient''s condition also followed Jiao Jingqiu and Lu Chen to the bedside.


    ¡­


    Beside the hospital bed.


    The patient is a forty-year-old male. Lie on the bed in a semi-recumbent position.


    There was also a middle-aged woman sitting beside the hospital bed, who seemed to be his wife.


    At this point, the health value on the patient''s head is only 38(¡ª¡ª).


    Jiao Jingqiu said to the family members of the patient beside him: "The doctors in our department will come to see the patient together."


    "Okay, thank you doctors."


    The middle-aged woman had a grateful look on her face, and hurriedly stood aside, giving up her seat beside the bed.


    Lu Chen took the stethoscope and walked to the bedside.


    No nonsense, let¡¯s go straight to the physical examination.


    The patient is in a semi-recumbent position, with a clear and clear voice.


    Blood pressure 100/60 mmHg, a drainage tube can be seen in the 5th intercostal space of the midclavicular line, thick breath sounds in both lungs, a few moist rales can be heard at the base of both lungs, low and dull heart sounds, regular heart rate, heart rate 80 beats/min, no murmurs are heard , Abdominal soft, no tenderness, no edema in both lower extremities.


    "What''s uncomfortable right now?"


    "It hurts here...and stuffy." The patient pointed to his chest weakly, "I can''t breathe out when I lie down, I feel like I''m suffocating to death."


    Lu Chen nodded.


    The patient currently has a significant sign of pericardial effusion.


    Review the patient''s current exam.


    ECG: sinus rhythm, rS pattern in leads V1-V6, T wave inversion, heart rate 80 beats/min.


    Echocardiography: Left ventricular ejection fraction (LVEF) 38%, segmental motion abnormalities of the left ventricular wall (thinning of the left ventricular anterior wall and apex myocardium, decreased motion, bulging of the apex, paradoxical movements seen in class), Pericardial effusion (massive) with echogenic drains visible in the pericardium.


    After seeing the patient, Lu Chen was about to leave the ward.


    Unexpectedly, the patient''s wife followed behind everyone.


    "Is something wrong?" Jiao Jingqiu asked suspiciously.


    "Doctor Jiao, can I listen to you discussing the condition?" The patient''s wife gritted her teeth, looking anxious.


    "No!" Jiao Jingqiu shook her head resolutely, "It is impossible for family members to participate in the discussion, but we will tell you the results of the discussion."


    "This... that''s fine." The patient''s wife pursed her lips. "Doctor Jiao, you must save my lover. He is the backbone of the family. Without him, I really don''t know what to do."


    As he spoke, the patient''s wife''s eyes were already red.


    "We will try our best." Jiao Jingqiu said indifferently, "But the patient is in critical condition and there is a risk of sudden death at any time."


    "I, I know." The patient''s wife lowered her head.


    Lu Chen could already hear her faint sobbing.


    Everyone just comforted a little, didn''t have much time to pay attention, and then left silently.


    This kind of thing, everyone has seen too much.


    Many doctors are already numb when they see this scene.


    ¡­


    Back to the doctor''s office.


    Everyone temporarily formed a team to discuss the condition.


    Jiao Jingqiu was the first to say: "After admission, the patient was considered to have persistent **** pericardial effusion and mild anemia, so single antiplatelet therapy was temporarily given."


    "After admission, all immune items, tumor markers and tuberculosis antibodies were all negative, and pericardial effusion due to other causes was not considered for the time being."


    "So we finally focused on the heart itself. Given that the patient''s blood pressure is not high, fluids should be added every day as appropriate, and the drainage tube will be clamped after the daily drainage volume is about 500mL."


    "The most needed question at present is what is the cause of the patient''s pericardial effusion? Tumor? Tuberculosis? Rheumatism? Inflammatory stimulation after myocardial infarction? Or something else."


    Jiao Jingqiu''s questions came up one after another.


    Lu Chen frowned slightly.


    In his opinion, this patient may not be so simple, and there are still many doubts.


    At this time, an older doctor in Corey said: "Blood pericardial effusion is more common in tumors and infections, and infections are more common in tuberculosis patients in developing countries."


    "There was no obvious tuberculosis on the chest CT of the patient outside the hospital, the tuberculosis-related test was negative, and the patient had no relevant medical history, so the probability of directly suffering from tuberculous pericarditis was relatively small."


    Jiao Jingqiu nodded slightly, "Troubleshooting tuberculosis and rheumatic diseases temporarily."


    "What I want to ask is, does he have a history of pericardial effusion before this myocardial infarction?" the veteran attending doctor said again.


    At this time, Jiao Jingqiu continued to say: "The patient should have no pericardial effusion before. If there was pericardial effusion before, it will not be the only symptom of heart failure this time, and the patient has no previous symptoms of wheezing."


    "Well, that makes sense." The attending doctor nodded.


    This possibility has also been ruled out.


    "Sister Jiao, what about the pericardial effusion caused by inflammatory stimulation after myocardial infarction? Is this possible?"


    Corey, a very young attending physician, came up with his own idea.


    "It''s unlikely." Jiao Jingqiu immediately rejected it, "Pericarditis and pericardial effusion are post-myocardial infarction syndromes, but most of them are small amounts of fluid leakage, the color should be mainly pale yellow, and a large amount of **** pericardial effusion is extremely rare."


    The discussion was at an impasse for a while.


    Pericardial effusion is caused by various reasons?


    At this time, Jiao Jingqiu frowned and said, "Actually, I''ve been thinking about a possibility. Could it be that the puncture needle pierced the ventricle during pericardiocentesis?"


    As soon as the voice fell, everyone was shocked and agreed.


    During the double monthly pass period, ask for a monthly pass.


    Starting tomorrow, a five-day holiday.


    I am the donkey of the production team, and I will die if I vote.


    (end of this chapter)

 v2 Chapter 681： bulging pericardium

    Chapter 681 Prominent pericardium


    "Sister Jiao, I think your idea is very likely." The young attending doctor said.


    Pericardiocentesis is a risky clinical skill operation.


    If the puncture needle accidentally penetrates a few centimeters more, it is likely to hit the heart and puncture the heart. Even a small rupture will cause pericardial effusion.


    However, Lu Chen shook his head slightly.


    "I don''t think this is very likely. Because the echocardiography before the puncture showed a large amount of pericardial effusion, the puncture needle can be drawn without going too deep into the needle."


    A large amount of pericardial effusion, as long as the puncture needle breaks into the pericardium, the fluid can be drained.


    There is no need to go deep into the pericardium at all.


    This kind of operation can be done even by a doctor in a county-level hospital.


    In addition, most of the current pericardiocentesis is done under the guidance of cardiac ultrasound, and you can see whether it touches the heart or not.


    "Lu Chen, what you say is quite reasonable." Jiao Jingqiu nodded slightly, "If the puncture needle touches the heart, the heart rupture caused by it may not be small. Will the patient still be like this?"


    There was a lot of discussion.


    There is still no conclusion about the etiology of pericardial effusion in patients.


    "Lu Chen, what do you think?"


    Jiao Jingqiu asked when she saw that Lu Chen had not made any comments.


    Lu Chen didn''t come to Modu Hospital for a long time, but his clinical thinking was particularly meticulous, which is widely recognized.


    However, Lu Chen said helplessly: "Everyone has actually talked about the cause of pericardial effusion, and I really can''t say anything else."


    There are only so many causes of effusion, and everyone can say one.


    basically sums it all up.


    "Alas." Seeing this, Jiao Jingqiu sighed slightly.


    Gathered everyone''s opinions, but in the end I couldn''t discuss the reason.


    This is very melancholy!


    What should I do if the pericardial effusion swells up again after the patient''s drainage tube is removed?


    At this time, Lu Chen thought about it, and then said softly, "Senior Sister Jiao, this patient has not had a cardiac ultrasound after being admitted to the hospital. Well, let me go and have a cardiac ultrasound for the patient."


    "You know how to do an ultrasound?" Jiao Jingqiu was stunned.


    In fact, she originally wanted to review the patient''s heart ultrasound.


    However, the patient is currently inconvenient to move, and it is certainly inconvenient to go to the ultrasound room, so he can only do bedside cardiac ultrasound.


    "It will be a million points." Lu Chen nodded slightly.


    His current cardiac ultrasound technology has reached an advanced level.


    "Okay, let''s try it out."


    Corey always has a small ultrasound machine, but not many people use it.


    After all, ultrasound requires systematic learning and training.


    ¡­


    Lu Chen quickly got a portable ultrasound machine.


    The group followed Lu Chen to the hospital bed.


    "Actually, ultrasound is very simple, and practice makes perfect." Lu Chen sat on the right side of the patient with the ultrasound instrument, and explained to everyone, "Practice on the patient a few times, and you will be able to do it."


    Echocardiography is a non-invasive test.


    is different from invasive procedures such as coronary intervention and electrophysiology. It is simple and harmless, and it is easy to accumulate a lot of experience.


    "It''s easy to say, but difficult to do!" Jiao Jingqiu shook her head. She had tried to learn cardiac ultrasound, but because it was too difficult, she had no time to practice, so she gave up.


    Lu Chen took the cardiac ultrasound probe, smeared the couplant, and placed it on the surface of the heart skin.


    "This is a short-axis view of the heart, here is the left ventricular outflow tract, the aortic arch..."


    Lu Chen also explained to everyone while examining the patients.


    There are not many such opportunities.


    General ultrasound doctors do not have the leisure time to explain ultrasound to everyone.


    "The fluid dark area here is pericardial effusion."


    "Easy to distinguish, fluid from normal heart tissue."


    Lu Chen placed the probe at the apex of the patient''s heart again.


    "This is a slice of the apical four-chambered heart..."


    Everyone heard Lu Chen''s voice, and when they looked back, they saw him staring at the ultrasound machine screen.


    "Lu Chen, what''s wrong?" Jiao Jingqiu said quickly.


    "Senior sister, look here." Lu Chen pointed to the screen, "This is the apex of the patient''s heart."


    Jiao Jingqiu blushed pretty, "Even if you point it out to me, I can''t understand it..."


    "Senior sister, you don''t need to understand."


    "what?"


    "That''s not what I meant." Lu Chen hurriedly said, "I mean that there is obviously a protrusion here. Even if you can''t read the specific picture, you can still see the strong echo streak of the protrusion."


    "Oh, there seems to be a strong echo shadow." Jiao Jingqiu came over and took a closer look, "What is this? Normal people don''t have this?"


    "Definitely not!" Lu Chen said sternly, "I think it is most likely the pericardium."


    "Pericardium?" Jiao Jingqiu was startled.


    "Yes!" Lu Chen had already paused the picture of the cardiac ultrasound and circulated it to everyone.


    "Protruding pericardium... Could this be..."


    Suddenly, Jiao Jingqiu was stunned and looked at Lu Chen beside him in amazement, "Pericardium...heart rupture?"


    Lu Chen also nodded slightly, "Yes, it should be a complication after myocardial infarction - rupture of the free wall."


    Heart rupture is divided into free wall rupture and ventricular septal perforation, but the mortality rate of free wall rupture is close to 100%.


    Lu Chen was the first time he saw a person who survived a ruptured heart.


    "The patient has a rupture in the apex of the heart, which is considered to be caused by myocardial infarction, and the rupture is gradually sealed by the local visceral pericardium."


    Lu Chen couldn''t help but sigh. Fortunately, with the help of the pericardium, he saved his life.


    This man has such a big life!


    aside, Jiao Jingqiu swallowed, and his right eyelid twitched.


    She immediately said to the graduate student behind her: "Xiao Zhang, please call for emergency consultation from the Department of Thoracic Surgery, Ultrasound, and CCU!"


    "receive!"


    The graduate student ran out in a flash.


    Everyone in the ward, all of them could not help breaking out in a cold sweat.


    Heart rupture with a mortality rate close to 100% is actually in this ward!


    "Patients should stay in bed absolutely, avoid emotional agitation, and can''t get out of bed for bowel movements!" Jiao Jingqiu instructed, "If the bowel movements can''t be resolved, we will open the medicine!"


    ¡­


    five minutes.


    Doctors from thoracic surgery, CCU, and ultrasonography all came.


    The director of the ultrasound department came with a regular cardiac ultrasound machine.


    Portable ultrasound instruments are too small and many are not fully functional.


    Jiao Jingqiu asked the ultrasound department to perform bedside ultrasound for further diagnosis.


    "That''s right, the apex of the heart is the protruding pericardium!" The director of the ultrasound department had the same diagnosis as Lu Chen. "After myocardial infarction, the myocardium is damaged and the myocardium is weakened, which may lead to rupture of the free wall or perforation of the interventricular septum. !"


    Diagnosed with heart rupture with a mortality rate of nearly 100%!


    Why do you say the death rate is 100%?


    Once ruptured and bleeding, it will cause cardiac tamponade in a very short time, restricting the beating of the heart.


    Surgery is usually too late!


    However, in this case, the patient is not suitable for hospitalization in the general ward, and was transferred to the Cardiology Intensive Care Unit as soon as possible.


    ¡­


    in the doctor''s office.


    Jiao Jingqiu looked at Lu Chen next to him, feeling like the rest of his life.


    Fortunately, Lu Chen did an ultrasound and found the protruding pericardium in time.


    In case, the pericardium is ruptured and the heart ruptures and hemorrhages.


    That man, that is beyond the reach of gods!


    But that''s the case, I got a little life back.


    The prognosis of this patient will also be poor, and the risk of severe heart failure and heart rupture is still high.


    "Congratulations, received +5 thanks from Jiao Jingqiu!"


    "Congratulations, received from..."


    The system popped up a few more prompts, brushed a wave of thanks, and the system upgrade completion rate also increased.


    Ask for a monthly pass


    (end of this chapter)

 v2 Chapter 682： I don’t love red envelopes, but I love pennants more (the first update, ask Boyue

    Chapter 682 I don''t like red envelopes, I love pennants more (the first update, ask for a monthly ticket)


    Lu Chen''s cardiac ultrasound technology was greatly appreciated by the director of the ultrasound department.


    This kind of protruding strip shadow is not easy for general ultrasound doctors to find.


    "Lu Chen, if you have time, teach me how to do a cardiac ultrasound!" Jiao Jingqiu smiled and said to Lu Chen, "I have always been interested in cardiac ultrasound technology, but I have no chance!"


    Not only her, but also several other doctors in the first area of ??the heart, also said this to Lu Chen only half-jokingly.


    There is a teacher teaching hands-on, this is a good opportunity!


    "Of course no problem!" Lu Chen nodded in agreement of course.


    It doesn¡¯t take too much time, and you can earn a wave of gratitude points, so why not do it.


    After this small disturbance, the doctors in the first district of the heart had a new understanding of Lu Chen.


    In their eyes, Lu Chen seems to have no problems.


    Seeing a doctor, scientific research, and various clinical skills operations are all at your fingertips.


    ¡­


    The next day.


    Meng Xiangsheng, who was resting in the hotel next to the First Hospital of the Magic City, received a call from a nurse in the first area of ??his heart.


    "Meng Xiangsheng, right? We have beds in our department. If you have time, hurry up and go through the hospitalization procedures."


    "Huh? Do you have a bed now?"


    Meng Xiangsheng was quite excited. The nurse told him before that he would have to wait at least three days.


    "Yes, you must complete the hospitalization procedures before ten o''clock in the morning, otherwise the bed will be postponed to others."


    "Okay, I know!"


    hung up the phone, but Meng Xiangsheng didn''t dare to delay.


    quickly brought his father to the first hospital in the magic capital, and paid for the hospitalization procedures, for fear that the bed would be given to someone else.


    ¡­


    The two of them rushed to the first area in their hearts. Their bed doctor was Lu Chen!


    Although Meng Xiangsheng had learned what Lu Chen meant from Fan Zhiping, it was still a little embarrassing to meet again.


    Meng Xiangsheng bowed slightly and said with an apologetic smile, "Doctor Lu, I''m sorry."


    Lu Chen just nodded slightly without talking too much.


    For Meng Xiangsheng''s father, Lu Chen just regarded him as an ordinary patient.


    There is no need to be cold, and of course there is no need to be too enthusiastic.


    But Lu Chen''s indifferent temperament, in Meng Xiangsheng''s opinion, means that he has an opinion on them!


    "Xiangsheng, I think you think too much." Meng Xiangsheng''s father shook his head and said, "I don''t think Dr. Lu is such a person!"


    "No, I heard that Dr. Lu is still a relatively important member of the surgical team." Meng Xiangsheng pursed his lips, "If I don''t prepare red envelopes, I''m really worried."


    After taking some free time, Meng Xiangsheng found Lu Chen.


    He was also smart, and directly dragged Lu Chen to a blind spot in the corridor for surveillance.


    Looking at the envelope in Meng Xiangsheng''s hand, Lu Chen suddenly came to his senses.


    "If you came to me because of this, then you don''t have to." Lu Chen didn''t even look at the envelope in Meng Xiangsheng''s hand, "I don''t accept this kind of thing!"


    Meng Xiangsheng held the envelope, his hands resting in the air, slightly embarrassed.


    "Doctor Lu, this is a little bit of my heart."


    "I said no." Lu Chen said sternly, "If there is nothing else, then I will leave."


    After saying this, Lu Chen was about to leave.


    He is not short of money now.


    If he was really short of money, he would not choose to be a doctor.


    Since he chose the profession of a doctor, he never thought of making money by treating diseases and saving people!


    "Doctor Lu, don''t worry, there is no surveillance here, and no one comes here." Meng Xiangsheng thought that Lu Chen was a little embarrassed, "Just take it."


    Lu Chen didn''t say a word, didn''t even look at him, he just left.


    Only Meng Xiangsheng was left wandering in place alone.


    "Huh? This..."


    He looked at Lu Chen''s back, a little confused.


    In Meng Xiangsheng''s view, his attitude is very clear.


    You can get the money with a little effort, why don¡¯t people get it?


    ¡­


    After Lu Chen left.


    Meng Xiangsheng thought for a while, and quickly called Fan Zhiping again.


    After clarifying the whole story, Fan Zhiping couldn''t help laughing, "You really don''t need to give red envelopes!"


    "Isn''t it necessary to stuff a few red envelopes before surgery?" Meng Xiangsheng whispered, "I''m afraid that time..."


    "Your worries are unnecessary!" Fan Zhiping laughed, "I admit that a small number of doctors may charge this money, but most doctors will definitely not accept red envelopes from patients."


    Some doctors in small hospitals may have behaviors in this regard, but the bigger the hospital, the less such things will happen. Once it happens, the future will be ruined!


    "I know Dr. Lu very well. He definitely doesn''t accept your red envelopes!" Fan Zhiping continued, "He will do his best to treat every patient."


    Meng Xiangsheng did not expect Fan Zhiping''s evaluation of Lu Chen to be so high.


    "Brother Fan, do you know what Dr. Lu Chen likes?"


    "You really don''t need to worry about this." Just as Fan Zhiping was about to persuade Meng Xiangsheng to stop thinking about this, he suddenly remembered a habit of Lu Chen, "However, if you can send a pennant, Dr. Lu will definitely Very happy!"


    Fan Zhiping remembered that when Lu Chen and Lu Chen were in the department before, every time Lu Chen received a pennant from a patient, he always had a smile on his face.


    He doesn''t love red envelopes, only pennants!


    "Send a pennant?" Meng Xiangsheng touched the back of his head.


    Dr. Lu Chen is not used to material money, but he likes this kind of vain and meaningless pennant?


    "Okay, after the surgery, I''ll send a pennant to Dr. Lu Chen!"


    Meng Xiangsheng immediately went to the shop next to the hospital and ordered a custom pennant.


    ¡­


    As the preoperative preparations were perfected, the surgery was immediately put on the agenda.


    Meng Xiangsheng was quite nervous, but his father was not at all nervous.


    When Lu Chen came to the ward rounds every day, he would come up to chat.


    Finally, on the morning of the fourth day of admission, Lu Chen started TAVR surgery.


    For others, TAVR is a new spell.


    But for Lu Chen, he has trained the TAVR technique countless times in the virtual space of the system.


    This is one of the most common operations.


    The surgery went smoothly.


    In just an hour and a half, the operation was successfully completed!


    After the operation, Meng Xiangsheng''s father was normal, and the symptoms of heart failure were relieved immediately.


    Meng Xiangsheng could finally breathe a sigh of relief, he looked at Lu Chen with great excitement, "Doctor Lu, I really don''t know how to thank you!"


    Meng Xiangsheng was very tired after rushing to seek medical treatment.


    Fortunately, he met Lu Chen, and luckily the operation went well!


    "Doctor Lu, this is my intention, you must not refuse!"


    After finishing speaking, Meng Xiangsheng took out two golden pennants from his backpack.


    One side reads "The Doctor''s Kindness", and the other side reads "Rejuvenating Hands"!


    Lu Chen was stunned for a moment, it was the first time he saw two pennants given away!


    But this time, Lu Chen readily accepted.


    After all, pennants have a bonus of gratitude.


    (end of this chapter)

 v2 Chapter 683： Does love make you restrained? (Second update, ask for a monthly ticket)

    Chapter 683 Love makes people restrained? (Second update, ask for a monthly ticket)


    Seeing Lu Chen happily holding two pennants, Meng Xiangsheng felt a lot of relief.


    "Doctor Lu Chen, thank you so much this time!"


    It is the greatest wish for a father to be able to pass this stage safely.


    Lu Chen gave Meng Xiangsheng the opportunity to show his filial piety.


    At the same time, Meng Xiangsheng has decided to quit his job out of town and accompany his father at home.


    "Although the operation was successful, the risk to the patient is still relatively high. Pay attention to the maintenance after discharge, and don''t catch a cold." Lu Chen reminded, "The most common cause of heart failure is respiratory infection."


    "Okay, thank you Dr. Lu for reminding me." Meng Xiangsheng nodded quickly, "Can I have your phone number?"


    Lu Chen shook his head, "We''ll call you from our department. When you have something to do, call when you go to work, and someone will help you. Or join the patient follow-up group of our department. You can ask questions there, and I''ll have someone answer it."


    Lu Chen seldom gave the patient his own contact number.


    Public and private should still be clearly defined.


    "OK then."


    Meng Xiangsheng was slightly disappointed, but he could understand.


    Meng Xiangsheng''s father stayed in the first hospital of Modu for two weeks, and he was discharged after recovering more than half of his body.


    ¡­


    The weather is already very cold.


    In this weather, the cardiology and respiratory departments have the most patients.


    Acute exacerbation of heart failure and acute exacerbation of COPD are the most frequent at this time.


    Lu Chen has been busy in the department for a while, and in a blink of an eye, the end of the year is approaching.


    ¡­


    Because Lu Chen''s hometown is in another province, Corey gave him a few extra days of annual leave.


    Jiao Jingqiu happens to be local to the magic capital.


    Lu Chen handed over all the patients in the group to Senior Sister Jiao Jingqiu.


    In addition, things related to scientific research can only be temporarily slowed down.


    "I won''t be back for the New Year. I''m in the dormitory. I''ll continue with the scientific research."


    Lin Shumin''s initiative was the only one in the research team who didn''t go home for the Chinese New Year. Lu Chen didn''t ask too much. Everyone has their own privacy and their own life.


    "Alright then, Senior Brother Lin, pay attention to safety in the hospital, and communicate with us in time if there is anything."


    "it is good!"


    On the first day of the Southern New Year''s Eve, Lu Chen packed his bags and set off on a journey home.


    During the ?? period, Lu Chen also found time to meet Zhou Wei.


    This guy is very busy. He just got off the operating table and ran over to make an appointment with Lu Chen.


    ¡­


    The two were having dinner at a restaurant.


    Zhou Wei also brought a beautiful girl who was a nurse in the internal medicine department of the same hospital.


    "We''re getting married next year!" Zhou Wei still laughed so heartlessly.


    "Okay, let me know when the time comes, and I will definitely come back from the magic capital!" Lu Chen smiled.


    "That would be the best."


    It seems that Zhou Wei has completely come out of the shadow of his mentor.


    Lu Chen also felt relieved.


    Every time Lu Chen recalled Zhou Wei''s dejected scene, he felt a little unbearable in his heart.


    Now seeing Zhou Wei''s smiling face, I sincerely wish him well.


    "You kid, haven''t you found a girlfriend yet?" Zhou Wei really couldn''t open the pot and lift it.


    "All alone." Lu Chen smiled and spread his hands, "I can''t find it!"


    "I see, you don''t want to find it, it''s not that you can''t find it!" Zhou Wei grabbed his girlfriend''s shoulder, "I remember when I was a graduate student in Jinghua, your junior sister, and my classmate, seemed to treat you all the same. It''s good. Don''t you have a colleague who went to the magic capital with you to read a blog? Did something happen?"


    "Damn, Ke Yue and I are pure fellows." Lu Chen scolded with a sullen smile, "As for the junior sister you mentioned, others are far away from me."


    "Oh, you still have to hurry up!" Zhou Wei smiled, "Hurry up to get married and have a baby, and then you can engage in intervention with peace of mind. You also know that interventional contrast rays still have some effects on the human body."


    "Well, don''t worry, I know it." Lu Chen nodded slightly.


    Coronary angiography has the greatest impact, so Lu Chen has never been involved in it, but opted for electrophysiology with reduced radiation dose.


    The two chatted while eating.


    After talking about the postgraduate entrance examination, they rescued the "great god" in the Internet cafe. The Internet cafe owner also gave them a 50% discount on the Internet, but they had no chance to go again.


    When we talked about Zhou Wei¡¯s first admission to the department, he was beaten on the head by the patient¡¯s family.


    After chatting happily, the two looked at each other and smiled.


    Meetings are always short-lived.


    After dinner, Zhou Wei went to work, and Lu Chen had to rush home.


    Before leaving, Zhou Wei patted Lu Chen on the shoulder, "How long can you stay at home this time?"


    "Go back to the magic capital on the fifth day of the first year." Lu Chen smiled, "This time the department has a long vacation."


    "Okay, let''s get together again after the new year."


    The two of them went back to their respective homes.


    ¡­


    Back to Binh Duong again.


    Lu Chen felt a long-lost intimacy.


    No matter how prosperous the big city outside is, it can¡¯t reach the hometown road.


    Lu Wenguo was already waiting by the station.


    When Lu Chen walked out of the station, a smile appeared on Lu Wenguo''s serious old face.


    "Dad, I''m back."


    Lu Chen shouted softly.


    "Okay, just go back!" Lu Wenguo grinned and took the backpack from Lu Chen''s hand.


    Lu Chen''s bag was not heavy, so he let his father take it.


    "Your mother has already cooked and is waiting at home." Lu Wenguo put his backpack in the back row, and Lu Chen sat in the co-pilot.


    "I heard that the uncle''s family also returned to Pingyang?"


    "Well, Lu Hao also came back from Jinghua. He came back two days earlier than you." Lu Wenguo smiled, "I will also come to our house for dinner tonight."


    "Hmm." Lu Chen thought of his cousin, who really wasn''t the one who gave him peace of mind.


    In Jinghua''s undergraduate program, this year happens to be a sophomore year, and I have already failed in several subjects, especially the anatomy course. It seems that I only got more than 40 points in the 100% test paper.


    "Your uncle asked you to go home and teach your brother a good lesson." Lu Wenguo sighed slightly, "I''ve talked about a few girlfriends, it''s really worrying."


    "Huh? How many times?" Lu Chen asked in surprise.


    This kid Lu Hao, didn''t he go to Jinghua for his girlfriend?


    Changed girlfriends in a blink of an eye?


    He remembered that Lu Hao used to help his girlfriend and sister revise the thesis.


    "Yes, we didn''t know it at first. This kid''s circle of friends blocked us." Lu Wenguo said, "It''s because his parents from a middle school classmate are familiar with your uncle, and he knew it by accident."


    "This brat..."


    Lu Chen quickly took out his mobile phone and opened WeChat.


    Sure enough, this kid Lu Hao blocked him too!


    ¡­


    Back home.


    Uncle''s family has arrived.


    Seeing Lu Chen come back, the family is naturally very happy.


    Only Lu Hao sat silently on the sofa. Seeing Lu Chen coming back, he wanted to talk to him, but he held back.


    Lu Chen smiled angrily, when did this kid become so reserved?


    After changing so many girlfriends, dare to make him mature and restrained?


    (end of this chapter)

 v2 Chapter 684： Family Banquet (Third Update, Tickets)

    Chapter 684 Family Banquet (Third Update, Tickets)


    Binh Duong City.


    Lu Chen''s home.


    After the family finished their meal, several elders were playing mahjong.


    Lu Chen and Lu Hao came to chat in the room.


    "You kid is not easy." Lu Chen smiled and looked at his cousin, "How many girlfriends have you changed?"


    "No... not many, only three..." Lu Hao scratched his head, looking simple and honest.


    "Three girlfriends in two years, isn''t that much?" Lu Chen''s mouth twitched.


    "I''m a man who wants to collect all the twelve constellations..." Lu Hao curled the corners of his mouth.


    Lu Chen: "¡­"


    He never thought that his brother had the potential to be a scumbag?


    "I remember when you started your freshman year, you had a girlfriend, right?" Lu Chen said, "Didn''t you go to Jinghua for her?"


    "Yeah, that''s right." Lu Hao nodded, "After she dumped me and broke up, I''ll find someone else."


    When Lu Hao said this, he seemed indifferent.


    Lu Chen thinks, this stinky boy must have been hurt by others, and then he will slander others?


    "Brother, you can''t do this, you can''t hurt other girls..."


    Lu Chen was interrupted by Lu Hao before he could finish his words, "Brother, you haven''t even held a girl''s hand, so you''re still talking about me?"


    Lu Hao deliberately looked surprised.


    Lu Chen: "¡­"


    Forget it, there is no way to talk about it today.


    Lu Hao then said: "Brother, don''t worry, I am sincere to every girl and will not hurt them. As for the breakup, it is a peaceful breakup."


    Lu Chen could only shake his head when he heard the words, "Forget it, you are so old, I can''t control you emotionally. But you have to pay attention to academic matters!"


    "Brother, it''s really not my fault, many people have failed in anatomy, it''s too difficult!" Lu Hao showed a wry smile.


    "You just hang up?" Lu Chen said angrily.


    "There are... two more." Lu Hao shrank his neck, "Brother, don''t worry, I have passed the make-up exam."


    "Alas." Lu Chen shook his head, "Did you use all your cleverness in the wrong place..."


    ¡­


    After ?? "educates" Lu Hao, Lu Chen can also communicate with Lu Hao''s father.


    It was rare for the elders to get together. It happened that Lu Wenguo and Luo Meizhen rested the next day, and everyone played mahjong until late at night.


    Lu Chen struggled to fall asleep in an environment with occasional loud noises outside the room.


    This time before the Chinese New Year.


    Lu Chen rested adequately at home, slept until he woke up naturally every day, and lived a life of putting on his clothes, reaching out for food, and opening his mouth.


    Check WeChat Moments and a certain tone every day to watch variety shows and movies.


    Relaxed state, swept away the tiredness of being in the magic capital.


    This kind of rest and relaxation is also very productive.


    Lu Chen found that his yellow health was slowly rising.


    ¡­


    The first day of New Year''s Eve, according to the tradition of the Lu family.


    The entire Lu family will have dinner at the hotel.


    This tradition has been maintained for decades, and this year is no exception.


    However, the family members are numerous and distributed all over the country.


    There are many people, Lu Chen has never met.


    And since he studied medicine, he spends most of his time in Beijing or the Magic Capital every year, except to go home for the New Year.


    This was also the reason why Lu Wenguo opposed him to study abroad for graduate school.


    Five o''clock in the evening.


    Lu Chen and Lu Hao followed their parents to the hotel where the family reunion was.


    Lu Chen now has a brand new identity.


    The only doctor in the family.


    The most educated person in the audience, Lu Chen attracted everyone''s attention.


    Whether it is parents or grandfathers, everyone looks at Lu Chen with curiosity.


    However, it was just curiosity.


    After all, Lu Chen was just a student, and perhaps he had to ask his family for tuition fees.


    No one else in the ?? family studied medicine, and they didn''t focus on the medical field. Naturally, they didn''t know Lu Chen''s current status in the academic circle of cardiology.


    ¡­


    The Lu family''s family is relatively large, and the most educated is a doctor, but there are still many people who have succeeded in business.


    Lu Hao''s father, Lu Wenjun, actually did some good business and made a lot of money over the years.


    In addition, Lu Chen has some relatives who run a big supermarket, sell cosmetics, open a clothing store and so on.


    No, just as Lu Chen sat down, there was a young man in the main seat, who was very attentive to the elders of the grandfathers and elders.


    "Brother, that''s the third grandpa''s house. You may not have seen him before. He has been in the coastal city, and this year seems to be the first time he has returned to Pingyang." Lu Hao whispered to Lu Chen.


    "How do you know so clearly?" Lu Chen smiled.


    "I met once in Jiangcheng before." Lu Hao spread his hands, "His name is Lu Zhendong, he is very charming. I heard that he graduated from a famous coastal university and now he works in a Fortune 500 company."


    "Oh." Lu Chen nodded slightly, "I''ve never heard of it."


    While the two were chatting, the second grandfather, Lu Chaoming, walked into the hotel.


    Seeing where Lu Chen was, his eyes lit up, he ignored Lu Zhendong''s greeting, and walked directly towards Lu Chen.


    "Hello second grandpa."


    Lu Chen saw Lu Chaoming and immediately stood up.


    "Lu Chen, I haven''t seen you for almost a year. You''ve grown a lot taller, and you''ve become more handsome!" Lu Chaoming patted Lu Chen''s shoulder and laughed.


    "Second Grandpa, are you in good health?" Lu Chen smiled.


    "It''s good. After the surgery, I didn''t feel any discomfort." Lu Chaoming said, "I then decided to go on a trip around the country with your second grandmother, to places that I hadn''t been to when I was young."


    Lu Chaoming was discovered by Lu Chen at a family gathering a few years ago that he had a lung problem.


    Later, Lu Chen made an excuse and asked Lu Chaoming to go for a medical examination.


    Sure enough, lung cancer was discovered!


    Fortunately, it was discovered in advance. After the operation was completed in time, Lu Chaoming''s lung examinations over the years were all normal.


    "Lu Chen, I heard that you are studying in the magic capital, are you still used to it?" Lu Chaoming asked.


    "Well, it''s okay. Thank you second grandpa for your concern."


    "Lu Chen, you are the pride of our Lu family, the only MD in our Lu family!" Lu Chaoming smiled.


    Lu Hao interjected, "Second grandpa, I will be the second one in the future!"


    "Well, Xiaohao is the second one." Lu Chaoming touched Lu Hao''s head, chuckled lightly, and sat down.


    ¡­


    Everyone was seated, and the family dinner officially started.


    Lu Chen''s grandfather, as the oldest elder in the audience, gave a simple speech, and everyone began to toast.


    Lu Chen didn''t know how to drink, so he mixed with the juniors and had drinks with everyone.


    There were a lot of people at this gathering, and many relatives came back from other places.


    Brothers Lu Wenguo and Lu Wenjun, who rarely drink alcohol, also drank a lot.


    For a while, the atmosphere on the field was extremely lively.


    Lu Chen was happy, so he chatted with his cousin Lu Hao, cousin Li Huiyan and others at the small table beside them.


    Cousin Li Huiyan has changed a lot.


    A few years ago, she was a big fat girl, but now she has become a slender little girl.


    This surprised Lu Chen.


    "Brother, don''t worry, I didn''t lose weight with diet pills." Li Huiyan smiled and said to Lu Chen, "I have often participated in physical exercise and controlled my diet over the years, and I have only maintained my figure now."


    "That''s good!" Lu Chen was really worried about his cousin, who had been taking weight loss drugs, which would definitely have considerable side effects.


    Just as Lu Chen and the others were chatting, there was an exclamation from the dining table at the main seat.


    (end of this chapter)

 v2 Chapter 685： No rise (fourth update, ask for a wave ticket)

    Chapter 685 No rise


    Lu Chen''s eyelids jumped.


    As a doctor''s sharp intuition, he felt that something was wrong.


    Could it be that his face was black and luck, and he brought it to the family gathering?


    However, after I came to the hotel, I glanced at the crowd and found no one with less than 60 health points and no three minus signs on the trend of health value.


    While thinking about it, Lu Chen also looked towards the source of the sound.


    At the table in the main seat, a group of people gathered together.


    As a doctor, Lu Wenguo ran forward immediately.


    When Lu Chen saw this, he immediately stood up and walked quickly towards the crowd of onlookers.


    ¡­


    On the side of the main seat, a middle-aged man slumped on a chair.


    His expression was extremely painful, his right hand was covering his chest, and beads of sweat were dripping from his forehead.


    Lu Chaoming stood in front of Lu Fanming with a worried look on his face.


    "Fan Ming, what happened to you?"


    "It hurts, my chest hurts so much that I can''t breathe, I feel like I''m going to die!" Lu Fanming felt like he was going to hell.


    There was a huge boulder weighing thousands of pounds on his chest, making him breathless.


    "Call an ambulance!" Lu Chaoming shouted to the others.


    The family members on the side of ?? immediately began to call the 120 emergency number.


    "I remember that Fan Ming seemed to have coronary heart disease before!"


    "Yes, I''ve heard of it too."


    "In this situation, he has done it once before!"


    Just as everyone was talking, Lu Wenguo stepped forward quickly.


    "Wen Guo, you''re a doctor, look at what happened to Fan Ming!" Lu Chaoming said eagerly, "We were talking just now, but he suddenly died. He couldn''t speak, and slumped on the chair."


    Lu Wenguo didn''t say much, and immediately began to check Lu Fanming''s pulse and physical examination.


    "Fan Ming, did you have coronary heart disease before?" Lu Wenguo wondered.


    "Well, coronary heart disease and angina pectoris diagnosed overseas." Lu Fanming nodded weakly.


    Combined with the patient''s medical history and the reality of chest pain, Lu Wenguo immediately made his own judgment.


    "This time it''s mostly angina pectoris, but acute myocardial infarction cannot be ruled out!"


    Myocardial infarction? !


    The Lu family was shocked when they heard Lu Wenguo''s judgment.


    Now with the deepening of medical science, many people know about the acute and critical condition of myocardial infarction!


    "Fan Ming, you should bring the rescue medicine with you." Lu Wenguo said.


    "At...home, I didn''t bring it here."


    Lu Wenguo frowned slightly.


    If it is really angina pectoris, then the symptoms will definitely be relieved after using drugs that expand coronary artery, such as nitroglycerin tablets and Jiuxin pills.


    If the symptoms are not relieved after using such a drug, it is most likely a myocardial infarction!


    However, now that I don''t bring the medicine, it''s all nonsense.


    ¡­


    At this time, Lu Chen also came over.


    When everyone saw that it was Lu Chen, they immediately gave way.


    This is the only MD in the Lu family!


    Lu Chen frowned, he had seen the man slumped on the instrument several times.


    He is the son of the third grandfather. He has been doing business in coastal cities all the year round, and he is also one of the best in the Lu family.


    Lu Chen stepped forward, and before he could speak to Lu Chen, Lu Wenguo immediately leaned over to Lu Chen''s side and whispered, "Xiaochen, Uncle Fan Ming suddenly felt chest pain and tightness, accompanied by profuse sweating and a sense of near-death. Coronary heart disease. I think there is a high probability of myocardial infarction! Just now I was afraid that everyone would be worried, so I didn¡¯t say so absolutely.¡±


    Lu Chen looked at Lu Fanming on the chair, frowning deeply.


    Because of this moment, his health value is 72 (--), and his health value tends to decrease.


    This kind of HP should not be a heart attack based on Lu Fanming''s goal.


    For patients with myocardial infarction, the trend of life value changes are all three minus signs!


    Lu Fanming is not a heart attack, at least not now.


    Lu Chen calmed down a little.


    However, everything has to be planned for the worst.


    Angina pectoris, especially unstable angina pectoris, can change to myocardial infarction at any time.


    "Dad, I decided that your consideration is reasonable." Lu Chen said, "Uncle Fan Ming needs to go to the hospital immediately to rule out myocardial infarction."


    "Okay, 120 has been called." Lu Wenguo said, "I will also contact the directors of the emergency department and cardiology department."


    120 The ambulance came soon.


    Everyone immediately carried Lu Fanming into the ambulance.


    Lu Wenguo followed the ambulance to the hospital, and the others also drove there.


    The originally lively family gathering suddenly became a bit dull when this happened.


    "Brother, I heard that Uncle Fan Ming had several illnesses before." Li Huiyan whispered.


    "Like this?" Lu Chen wondered.


    "Well, I called the ambulance several times." Li Huiyan nodded, "so no one outside dared to drink with him. Today is probably a family gathering, the atmosphere is good, I drank a few more drinks on a whim, and this is the fault. ."


    Lu Chen thought that his father just said that Uncle Fan Ming had coronary heart disease before, so it should be angina pectoris now.


    However, the current situation is all speculation by Lu Chen relying on the HP system.


    Maybe, Uncle Fan Ming had a heart attack halfway through, so maybe that''s the case.


    ¡­


    The family reunion soon ended.


    Originally, everyone was going to go to KTV together, but when this happened, everyone lost their mood.


    Lu Chen wanted to go to the hospital to see Uncle Fan Ming, but was stopped by his mother.


    Luo Meizhen said bitterly, "Son, it''s very late now, and your dad has already gone. Many other people in the family have also gone. Now the emergency department is probably a mess. You have nowhere to go."


    Lu Chen felt that what my mother said made some sense.


    Lu Fanming has a high probability of only having unstable angina.


    Dad Lu Wenguo is also the director of general surgery at the Central Hospital. With this relationship, there shouldn''t be too much of a problem.


    After ?? and Lu Hao, Li Huiyan and others parted, Lu Chen went home and went to sleep peacefully.


    ¡­


    the next day.


    When Lu Chen got up, his father Lu Wenguo just came back from the hospital.


    He stared at the dark circles, a bit funny.


    In the living room, Lu Chen poured a glass of water for Dad.


    "Dad, how is Uncle Fan Ming''s condition?"


    Lu Wenguo took a big mouthful of water and smiled, "I have done several electrocardiograms and myocardial enzymes, all of which are normal, not myocardial infarction, but angina pectoris."


    "Yeah." Lu Chen nodded, this was what he expected.


    "However, you, Uncle Fan Ming, are stubborn and have a stubborn temperament. After watching him all night, if there is no discomfort, he will be discharged from the hospital." Lu Wenguo shook his head slightly, "he didn''t listen to my words. I just came back after I sent him home of."


    "It may be that he has become a doctor for a long time, so he should know his condition." Lu Chen said, "Not to mention that it is not very good to live in the hospital today on New Year''s Eve."


    Lu Chen and Lu Wenguo were on the sofa and chatted for half an hour.


    Suddenly, the doorbell rang.


    Lu Chen frowned, who else is visiting today?


    He put down the cup in his hand and got up to open the door.


    pushed the door open, and in front of him was Lu Fanming, who was sick last night.


    Lu Chen was about to speak when suddenly he felt something was wrong.


    If Lu Fanming really just had angina, then his diagnosis last night was correct.


    But why hasn''t he received any prompt from the system until now, and why hasn''t the system upgrade completion level increased at all?


    There is only one possibility, and that is that his diagnosis is wrong!


    (end of this chapter)

 v2 Chapter 686： Diagnosis that has not changed in ten years (first update)

    Chapter 686 The diagnosis that has not changed in ten years (first update)


    "Uncle Fan Ming, why are you here?"


    Lu Chen wondered.


    What surprised him the most was Lu Fanming''s health.


    actually rose to 76(-)!


    This level of health is not much different from normal people.


    "Xiaochen, I''m here to find your dad." Lu Fanming patted Lu Chen''s shoulder.


    Lu Chen was stunned for a moment, and immediately said, "Uncle, come in quickly."


    "Xiaochen, who is here?" In the room, Lu Wenguo said loudly.


    "Dad, Uncle Fan Ming is here." Lu Chen replied.


    Then, Lu Wenguo came out and said in surprise: "Fan Ming, didn''t I let you go home and rest? Why are you running around?"


    "Oh, brother, I''m almost healed." Lu Fanming was afraid to pat his chest, "I don''t feel at all, and the examination yesterday was normal."


    "Anyway, your situation yesterday was still very dangerous." Lu Wenguo frowned, "You should quit smoking and drinking in the future!"


    "Hey, let''s not talk about this, let''s talk about other things." Lu Fanming quickly put aside the topic and pulled Lu Wenguo to sit on the sofa.


    ¡­


    Lu Fanming is 40 years old this year, married without children, divorced again, and now lives alone.


    "Brother, I was going to tell you something yesterday, but I didn''t have time." Lu Fanming sat down and was about to smoke, but when he saw Lu Wenguo''s eyes, he silently retracted his hand.


    Lu Wenguo has a relatively high prestige among his brothers and sisters.


    "Tell me."


    "I have a friend''s daughter who wants to come to your hospital. She just graduated from the medical school. Do you think she can..." Lu Fanming smiled.


    Pingyang Central Hospital, although it is only a county-level city hospital, it is also a third-class hospital. If you want to enter after graduation from a general health school, it still costs some money.


    "Your friend?" Lu Wenguo frowned, "You have been in the coastal city for the past few years, but I never heard that you have a friend in Pingyang!"


    "Hey, well, this is a former friend." Lu Fanming replied, not bothering much about this issue.


    "I can tell you about this." Lu Wenguo said indifferently, "Tomorrow the hospital is going to expand, and it should recruit a lot of new nurses."


    "Okay, then thank you big brother."


    "You will eat alone when you go back, why don''t you stay with me at night?" Lu Wenguo said politely.


    "This... maybe not so good?"


    That being said, Lu Chen really didn''t see any embarrassment in Lu Fanming.


    "It''s just an extra pair of chopsticks. If you go back to your dad, he probably doesn''t like seeing you very much."


    "Hey, okay, then I''ll leave you here with a shy face."


    Lu Wenguo and Lu Fanming chatted vigorously in the living room.


    Luo Meizhen was preparing meals in the kitchen, while Lu Chen went in to help.


    ¡­


    "Oh, I don''t need your help, let''s go out and watch TV." Luo Meizhen didn''t want Lu Chen to get in the way here.


    "Mom, I''ll help you wash the vegetables." Lu Chen quickly said, "Nothing else, I can still do this."


    "Xiaochen, tell me." Luo Meizhen suddenly whispered, "Did you find a girlfriend in the hospital?"


    "What?" Lu Chen was taken aback, "Mom, why did you ask this all of a sudden, I said it before, I didn''t look for it!"


    "Aren''t you shy not to tell us?" Luo Meizhen asked, "Look at your doctorate degree, you will be twenty-seven or eighty-years-old. At the age of others, children are starting to play soy sauce!"


    Lu Chen: "..."


    Sure enough, when I get older, I start to urge myself to have a girlfriend.


    In the past, my mother was the most opposed to campus romance.


    "Look at your cousin Lu Hao. Although he said that he is not very reliable, others are really good. He has changed three girlfriends in two years." Luo Meizhen praised.


    Lu Chen didn''t want to hear his mother''s nagging. After washing the dishes, he hurried out of the kitchen.


    ¡­


    In the living room.


    Lu Wenguo is chatting with Lu Fanming.


    Seeing Lu Chen coming out, Lu Fanming quickly waved to him, "Xiaochen, I didn''t know you were a doctor of cardiology, come and show me my coronary heart disease."


    To be honest, Lu Chen was really interested in Lu Fanming''s condition.


    If he really suffers from angina or myocardial infarction, his health will definitely not increase.


    Lu Chen stepped forward, sat beside Lu Fanming, and immediately asked, "Uncle, when were you diagnosed with coronary heart disease?"


    "Oh, it''s been more than ten years since I was diagnosed with coronary heart disease." Lu Fanming shook his head slightly, "I''ve been hospitalized more than twenty times in the past ten years."


    Lu Chen was a little strange, so he asked, "What test did you do to diagnose coronary heart disease?"


    "What coronary CT, coronary angiography, I have done a dozen times." Lu Fanming said, "It is said that the blood vessel is narrowed by 50%, but it has not reached the level of stent placement, so no stent is placed."


    The simplest standard for stent placement, the vascular stenosis needs to exceed 75%.


    "Oh." Lu Chen nodded slightly.


    It seems that the diagnosis of coronary heart disease is clear.


    "But I have taken medicine for coronary heart disease, and the symptoms of chest pain have not been significantly relieved." Lu Fanming said helplessly, "There are more than a dozen kinds of traditional Chinese medicine, and I have been taking them, but the effect is not good! The chest pain is still there. Occasional attacks."


    "Uncle, what medicines did you take?"


    "I have pictures in my phone, show me." Lu Fanming took out his phone, quickly found the picture in his favorites, and handed it to Lu Chen.


    Lu Chen took it over and took a look. In addition to statins, aspirin, nitrates, metoprolol tablets and other conventional drugs for coronary heart disease, he also prescribed diltiazem for coronary spasm and small vessel disease (microcirculation). nicorandil.


    "Uncle, you really have all these medicines!"


    Lu Chen glanced at the photo and handed the phone back.


    "Yeah, there are many types of medicines, and I insist on taking them every day, but there is no effect. When this chest pain should be attacked, it still attacks."


    Hearing this, Lu Chen lowered his head and pondered.


    It seems that Uncle Fan Ming''s chest pain may have other reasons!


    "Uncle, tell me the specific process of the disease."


    "From the first time?"


    "Well, that''s the best way to go."


    Actually, Lu Fanming didn''t think Lu Chen could solve any problems.


    After all, I have been sick for more than ten years, and I have gone to many large hospitals, but I have not been able to resolve it.


    However, seeing that Lu Chen was so enthusiastic, he still organized the language and slowly began to speak.


    ¡­


    Lu Fanming first got sick ten years ago.


    At that time, he was just starting a business, and he was under great pressure. After an unpleasant argument with someone, he drank a lot of alcohol.


    In the early morning of the next day, I suddenly experienced severe chest tightness and chest pain while driving. I felt breathless, palpitations, sweating, and frequent death. I immediately went to the emergency department of the local hospital and was admitted to the cardiology department.


    In the following ten years, he went to the hospital emergency room more than 20 times with the same symptoms.


    After ??, he went to the provincial capital and Kyoto University Hospital for diagnosis. He had multiple coronary CT scans and angiography multiple times. At most, only 50% of the blood vessels were narrowed, and no cardiac stent was placed.


    Each emergency check-up ECG and serum troponin were normal.


    The diagnosis and treatment procedures for each emergency room and hospital stay are similar, and the diagnosis remains the same for ten years - coronary heart disease, unstable angina pectoris.


    Monthly ticket event, 5k tickets, plus 5 chapters.


    (end of this chapter)

 v2 Chapter 687： Panic (Second update, get the tickets.)

    Chapter 687 Frightened (Second update, bring the tickets.)


    Twenty minutes later.


    Lu Fanming finished speaking.


    During this period, Lu Chen just listened silently without any interruption.


    "Okay, I''ve been through the whole course of the disease, that''s about it."


    Lu Fanming took a sip of tea and moistened his throat. After talking for so long, his mouth was dry.


    In his opinion, a case like his own should give Lu Chen some experience.


    It is not realistic to really want him to solve his own problems.


    After all, he didn''t believe that Lu Chen had any good solutions for the illnesses that the doctors in the Kyoto University Hospital could not solve.


    "Uncle, let me ask you a few simple questions." Lu Chen said slowly, "If you can answer, just answer me."


    "Okay, you can ask." Lu Fanming had a smile on his face, "I know everything."


    "Every time you get sick, you should have checked for gastrointestinal diseases, right?"


    "Of course I checked." Lu Fanming nodded slightly, "I have checked all the diseases like gallstones, pancreatitis, kidney stones, and they are all normal."


    The reason why Lu Chen asked this was to rule out some diseases similar to biliary heart syndrome.


    These diseases are, on the surface, heart pain, but are essentially gastrointestinal lesions.


    "Not bad. You can think of this situation, which proves that your thinking is good." Lu Fanming has been ill for a long time, so he also knows some differential diagnoses for chest pain.


    He is even more aware of the disease of chest pain than the average little doctor, what kind of disease will cause pain, and how to treat it clearly.


    However, for a while, Lu Fanming felt more and more uneasy about his heart problems.


    After several emergency hospitalizations with no effect, he began to search for various treatment methods on his own.


    If you bleed your own arteries, and the arterial blood rushes out of the wound, the diagnosis and treatment seem to be relieved.


    In addition, he learned acupuncture and moxibustion by himself, and gave himself various acupoints in Zhahegu and Neiguan.


    "Uncle, do you usually experience chest tightness and chest pain after exercising?" Lu Chen asked again.


    The most typical symptom of angina pectoris caused by coronary heart disease is chest pain or chest tightness after increased activity, myocardial ischemia and hypoxia.


    "Don''t tell me Xiaochen, what I told you is exactly the opposite!" Lu Fanming smiled, "I usually have no symptoms after running and climbing, even when I have chest pain and chest tightness. , I went for a run, and the symptoms were relieved a lot. In a word, exercise makes me comfortable!"


    This is weird!


    After the ?? activity, Lu Fanming not only had no symptoms of chest pain, but also relieved the original symptoms!


    Lu Chen frowned slightly, this is the exact opposite of the symptoms of coronary heart disease!


    "How is it, do you have any clues now?" Lu Fanming smiled happily.


    Lu Chen didn''t answer right away, he pondered for a moment, and said, "Uncle, how is your usual temper?"


    Lu Chen and Lu Fanming didn''t get along for a long time, and they didn''t know much about his character.


    Speaking of this, Lu Fanming coughed lightly, "Well, my usual personality may be irritable, easy to get angry, and upset. I usually stay up late, fall asleep quickly, wake up early, and wake up after 3 o''clock and can''t fall back to sleep. ."


    "Oh, if that''s the case, then I know." Lu Chen smiled slightly.


    "Why, my temper is also related to my illness?" Lu Fanming wondered.


    "Of course it''s related!" Lu Chen nodded, "Many diseases are related to mood."


    "Hey, listening to you, do you know what disease I am?"


    Lu Fanming had a hint of surprise in his eyes.


    "Uncle, you have coronary heart disease, that''s for sure. But every time chest pain occurs, it''s not because of coronary heart disease or angina pectoris." Lu Chen smiled, "There are other reasons!"


    "Huh?! Then... what''s the reason for that?"


    Lu Fanming said quickly, in a very urgent tone.


    After suffering from this disease for ten years, a glimmer of hope suddenly appeared, so you must seize it!


    "Your illness has a proper name in medicine, it''s called panic!"


    Lu Chen said slowly.


    At this time, Lu Wenguo looked at his son in surprise, "Frightened?"


    He knew it was a kind of mental illness.


    For Chinese people, this disease cannot be diagnosed blindly.


    Mental illnesses are discriminated against by outsiders.


    "Fright? What...is panic?" Lu Fanming has researched on chest pain-related diseases, but he knows nothing about mental diseases.


    Lu Chen paused and said slowly, "In short, it''s an acute attack of anxiety!"


    "Anxiety? I''m not one of those girls, and I don''t think blindly, how can I be anxious!"


    Lu Fanming waved his hand and immediately denied Lu Chen''s diagnosis.


    "Uncle, don''t worry, listen to me first." Lu Chen smiled.


    "Okay, say it." Lu Fanming held his breath, he wanted to see what reason Lu Chen could use to convince him.


    Lu Chen immediately smiled and said, "Ten years ago, you suffered from chest pain, chest tightness, shortness of breath, and a sense of impending death after being unhappy and drinking heavily. However, the ECG and troponin levels in the more than 20 emergencies were not high. Definitely not an acute myocardial infarction!"


    "In addition, after climbing, running and other activities, not only did you not feel chest discomfort, but you felt relaxed and happy, indicating that there was no exertional angina, including syndrome X, broken heart syndrome, etc."


    "The drugs for anti-coronary spasm and the treatment of cardiovascular disease have no effect, indicating that there is no spasm and coronary microvascular disease."


    Lu Fanming could hear Lu Chen''s remarks, so he calmed down and thought carefully about the meaning of Lu Chen''s words.


    I just listened to Lu Chen continue: "I just learned about your symptoms during each attack, uncle, and every time you have physical symptoms of anxiety, so I think you are an acute attack of chronic anxiety. This disease, with you It is related to long-term work stress and staying up late.¡±


    After Lu Chen finished speaking, Lu Fanming and Lu Wenguo in the living room fell silent.


    Lu Fanming was trying to figure out what Lu Chen said.


    And Lu Wenguo was a little surprised by his son''s clinical thinking.


    It wasn''t until Luo Meizhen''s voice came out that the thoughts of the two big men were pulled back.


    "Wen Guo, help me come in and serve the dishes!"


    "Okay, I''m here." Lu Wenguo replied loudly, and then said to Lu Fanming beside him, "Come and continue the chat, I''ll serve the dishes."


    After Lu Wenguo left the living room.


    Lu Fanming slowly raised his head, the young man in front of him had a hoarse voice, "Lu Chen, then tell me, if I really have this disease, how should I treat it?"


    He suffered from illness for more than ten years!


    Over the past ten years, every attack has been painful.


    How many decades can life be?


    Lu Fanming is the golden age of thirty to forty years old. He was tortured by the pain to the point of bloodletting and self-mutilation!


    He had an idea at this moment, no matter if Lu Chen was right or not, he had to try it!


    (end of this chapter)

 v2 Chapter 688： Can vegetables reduce blood pressure? (third more)

    Chapter 688 Can vegetables reduce blood pressure? (third more)


    in the living room.


    Lu Wenguo just came out with the dishes. Hearing Lu Fanming''s words, he also stopped and looked at Lu Chen on the sofa.


    Lu Chen smiled softly, "Uncle, don''t worry too much, there are quite a few patients like you in clinical practice!"


    In modern society, the pace is too fast!


    Mortgage loan, car loan, and dowry money for men. It is very difficult for a young man who does not eat old age to get a wife by himself.


    If you start your own business, the pressure is even greater. In the information age, as long as you don¡¯t work hard, you will be eliminated.


    Similar to mid-life crisis, etc...


    Everyone may have psychological problems, the key is how to look at them.


    "Uncle, you can take citalopram orally, one tablet after breakfast every day, and lorazepam (a fast-acting anti-panic drug) as a backup."


    "Huh..." Lu Fanming smiled helplessly, "Xiaochen, no matter how much you said today, I will try it!"


    Lu Chen said seriously: "Uncle, don''t worry, you can take it for a while and see if it works. If it doesn''t work, stop the drug in time, it won''t affect you."


    The reason why Lu Chen dared to prescribe these two medicines was because the system immediately popped up a prompt when he gave a diagnosis of "panic".


    "Congratulations, the completion of the system upgrade has increased!"


    The completion of system upgrades has increased, which means that the diagnosis is correct!


    "Okay, I have time to try it." Lu Fanming nodded, "Xiaochen, please send the name of the medicine to my WeChat later."


    "Yes." Lu Chen replied, "But this medicine needs a prescription. Uncle, you still have to go to the hospital to see a psychiatrist."


    "Don''t worry, I can get it." Lu Fanming smiled.


    At this time, he also saw Lu Wenguo on the side, and couldn''t help but give a thumbs up, "Brother, your Xiaochen is really amazing!"


    Lu Wenguo smiled and shook his head, "He is also an impressionist diagnosis. Fan Ming, I think you should go to the psychiatrist to have a look and ask their opinions."


    Lu Wenguo is not to demolish, but to protect Lu Chen.


    Don¡¯t think that you are relatives, you can prescribe this kind of psychotropic drugs to others casually.


    If something goes wrong, Lu Chen will be a sinner.


    "Brother, don''t worry about it! I will definitely go to a psychiatrist. I have my own plans." Lu Fanming smiled.


    "That''s good!" Lu Wenguo breathed a sigh of relief, "Wait a moment, I''ll serve the dishes, and I''ll have dinner right away!"


    ¡­


    After a brief exchange, the relationship between Lu Fanming and Lu Chen''s family became more harmonious.


    Especially Lu Fanming''s attitude towards Lu Chen, that''s really intimate!


    This made Luo Meizhen a little confused, and asked Lu Wenguo in a low voice, "What happened?"


    Lu Chen and Lu Fanming didn''t meet many times, but now it looks like they were really close.


    "What do you say..." Lu Wenguo didn''t know where to start.


    "Talk about the key points!" Luo Meizhen glanced at Lu Wenguo angrily.


    Lu Wenguo could only spread his hands, "That''s why Lu Chen diagnosed Fan Ming''s disease."


    "Ah? Fan Ming doesn''t have coronary heart disease?" Luo Meizhen blinked in surprise.


    "Our son said he had an acute attack of anxiety." Lu Wenguo whispered.


    "Anxiety?" Luo Meizhen was also a medical staff, her eyes widened when she heard this word, "Is this possible?"


    She glanced at Lu Fanming and then at Lu Chen.


    "Who knows." Lu Wenguo smiled, "but after listening to Xiaochen''s analysis, it is quite reasonable. Now the medical divisions are getting more and more detailed, and the departments of internal medicine don''t know each other very well. The disease, let alone this kind of disease that crosses major professions."


    Luo Meizhen also echoed, "Well, don''t think I''m just a nurse, I have seen more doctors in clinic than you. In my opinion, clinicians can only cure diseases when they diagnose correctly!"


    "I agree with this." Lu Wenguo nodded slightly, "The basis of clinical medicine is diagnostics, the basis of diagnostics is symptomology, and symptomology relies on consultation."


    At present, the medical level can train thousands of technical experts in angiography, stents, radio frequency, etc., but ignore the basic skills in clinical practice, and it is difficult to train doctors who consult and see a doctor.


    Recalling the history of Lu Chen''s medical treatment for the family members, Luo Meizhen said without reason, "This time Fan Ming''s illness may have been touched by Xiaochen!"


    ¡­


    The family had dinner, and with Lu Fanming, it was harmonious.


    At the dining table, the family is happy.


    Lu Fanming has been in the society all the year round, he can speak well, and from time to time a joke emerges, which makes everyone laugh.


    "Sister-in-law, your fried pork with celery tastes really good!" Lu Fanming patted Luo Meizhen''s horse, "Celery can also lower blood pressure.


    Lu Chen smiled, "Uncle, what you said is wrong."


    "Am I wrong?" Lu Fanming was taken aback for a moment, "Which sentence is wrong? Are you saying that your mother''s cooking is not delicious?"


    Luo Meizhen looked at Lu Chen next to her with a "ruthless" look.


    Lu Chen quickly waved his hand, "How could that be, Mom''s cooking is the best in the world!"


    Hearing this, Luo Meizhen showed a bright smile on her face.


    "Then what did I say wrong?" Lu Fanming wondered.


    "You said that celery can lower blood pressure!" Lu Chen smiled.


    "Isn''t it possible?" Lu Fanming blinked, "I always watch TV promotions, various health and fitness programs, reprints from Moments, and various articles. What about celery, fungus, onion, bitter gourd, carrot? Yes, it can lower blood pressure. I live next door to an old man who has high blood pressure for more than ten years. He uses celery as a life-saving medicine every day, stir-frying celery, mixing celery, and celery juice. I can smell it from far away. This smell, mixed with the smell of onion, really hits the nose!"


    Lu Chen smiled, "The foods on the Internet that can reduce blood pressure are basically fake."


    "Fake?" Lu Fanming asked in surprise.


    Lu Wenguo and Luo Meizhen were also very interested and looked at the doctor''s son who made them proud.


    "For example, in celery, it is indeed found in animal experiments that apigenin extracted from celery has the effect of dilating blood vessels. But...in animal experiments, the content of apigenin used is very high! The content of apigenin in celery is actually very low. Very low!"


    "Even if the content is very low, it should be useful!" Lu Fanming said.


    "It can only be said that other nutrients are rich, but if you want to lower blood pressure, it means you have to eat several kilograms of celery at a time, and you have to eat it for several months." Lu Chen smiled, "It may be that the blood pressure will not drop by then. , the stomach will break down first. On the other hand, celery is a proper high-sodium vegetable. Eating too much sodium will make your blood pressure higher and higher!"


    "What about fungus and onion?"


    "They are similar to celery. If you want to rely on them to lower blood pressure, you need to eat a large dose!" Lu Chen said, "So far, no specific food has the pharmacological effect of antihypertensive drugs."


    Last year, my cousin told me that she went to the hospital and was diagnosed with depression.


    I was surprised, in my impression, she is definitely the kind of positive person.


    But when she was in her thirties and forties, the pressure of family and work, and the mid-life crisis, made her unable to sleep every day, and felt irritable for no reason.


    Later, Shimo went to a hospital, was diagnosed with mild depression, took medicine in time, and is almost better now.


    So, we face up to mental illness and treat it in time.


    The society should show more care and tolerance to these groups of people.


    (end of this chapter)

 v2 Chapter 689： The lab was robbed! (Fourth more, ask for a wave ticket)

    Chapter 689 The laboratory was robbed! (Fourth more, ask for a wave ticket)


    Vegetables can lower blood pressure. Most of these rumors are based on rumors.


    or some people with ulterior motives, in order to market blood pressure-lowering food, deliberately spread it with partiality.


    Simple, natural and low-cost, the magical legend of hypotensive food has been widely spread, but it has also buried a terrible hidden danger.


    ¡­


    Simple New Year''s Eve dinner, pleasant chat.


    The whole family enjoyed the New Year''s Eve happily.


    As soon as the morning arrives, the message alert sound of the mobile phone does not stop.


    Teachers, classmates, leaders, all kinds of fancy New Year''s greetings information, emerging one after another.


    Lu Chen also sent New Year''s greetings to Li Yao, Zhang Shuqing, and teachers who had brought him.


    Then he sent a group text message of New Year''s greetings to his more familiar friends, such as Zhou Wei, Gu Xinyue, Ke Yue, Wang Zihao and others.


    In each WeChat group chat, members are very active.


    Lu Chen also sent a few New Year''s red envelopes in his research team''s WeChat group.


    Although the ?? New Year''s flavor is not as strong as before, Lu Chen is still relatively happy.


    There are not many days to be reunited with family members!


    on the other hand.


    After Lu Fanming went back, he immediately contacted and got the citalopram and lorazepam that Lu Chen said.


    Without any hesitation, he followed Lu Chen''s doctor''s order and started eating!


    ¡­


    On the first and second day of the first year, Lu Chen and his parents celebrated the New Year together.


    In the third year of junior high, it was time for the reunion of the university classmates that Zhou Wei mentioned.


    It took almost four years after graduation. Some of Jiangcheng University graduates studied for a Ph.D., some worked directly, and very few changed careers.


    Lu Chen met with his old classmates again, and each talked about some of his experiences.


    Some people regret studying for a Ph.D., some people regret working directly, and quite a few people regret choosing this career.


    Lu Chen could clearly feel the feeling of being tired of the medical profession among his classmates.


    If there are other suitable jobs, there may be a considerable number of students who will simply give up the profession of a doctor.


    In addition, when we talked about whether the younger generation would be allowed to study medicine, everyone shook their heads in silence.


    Fortunately, the existence of Lu Chen can give everyone a little hope of studying medicine.


    Everyone is a talented person in the medical field, and naturally they all know what Lu Chen is good at.


    Just that 30-point top journal paper surpassed everyone present.


    In the medical circle, in the final analysis, in addition to curing diseases and saving people, that is whose paper has a high impact factor, who has the most funded projects, and who has more social titles.


    Even if Lu Chen wanted to purely cure illness and save people, that was not exempt.


    ¡­


    After a happy new year, Lu Chen embarked on a journey back to the magic capital.


    Before parting, Lu Wenguo and Luo Meizhen were naturally reluctant to part.


    But the eagle has spread its wings, and the road ahead is bright.


    They could only silently bless their son.


    Cousin Lu Hao also came to see Lu Chen away, and he shouted: "Brother, you are waiting for me in the magic capital! When I graduate, I will definitely find you..."


    Lu Chen just smiled at Lu Hao''s oath.


    This stinky boy, just get the undergraduate diploma with peace of mind!


    Before getting on the plane, Lu Chen also received a call from Lu Fanming.


    "Xiaochen, are you going back to the magic capital?"


    "Um."


    "Okay, remember to keep in touch. The medicine you told me a few days ago, I have already taken it, don''t tell me, I am refreshed these days and can sleep at night!"


    "That''s good!" Lu Chen smiled, "Uncle, you still need to go to the hospital''s psychiatric department for regular follow-up."


    "Don''t worry." Lu Fanming said, "I have decided to quit smoking and drinking, and I will definitely go back to the doctor in the future."


    He knew that if he could really get rid of his pain this time, he would pay any price!


    "Okay, uncle, I''ll get on the plane right away, so I won''t tell you."


    "Ok, bye!"


    hung up the phone, and Lu Chen was also very happy.


    It is his greatest wish to relieve the pain of the patient.


    Besides, Lu Fanming is also his relative.


    happily returned to the magic capital, but something happened that made Lu Chen extremely angry.


    The laboratory approved by the school headquarters was robbed by a teacher!


    ¡­


    "Senior Brother Lin, speak slowly, don''t rush!"


    In the bedroom, Lin Shumin was panting heavily, his face full of anger.


    "In the second year of junior high, I was working in the laboratory, and suddenly a teacher knocked on the door and asked me to remove all our things!" Lin Shumin said angrily, "When I said this was our laboratory, he mocked him. When the deadline for the first half of the year is up, if there are no papers to be published, the laboratory will take it back, so it¡¯s better to give it to them earlier.¡±


    "Then what?" Lu Chen suppressed the anger in Huo''s heart.


    "I refused to move, so they wanted to force things to move." Lin Shumin said, "I asked them to show the school notification documents, but they couldn''t show it."


    "Isn''t there three months left for the half-year deadline? They are obviously here to find fault!" Lu Chen was quite angry.


    The preferential conditions that Lu Chen received in those days included one restriction that Lu Chen needed to make a grade within half a year, that is, to publish an SCI paper with a score of 10 or more, otherwise the laboratory would be withdrawn.


    "I later asked about this teacher''s identity. He is a master''s tutor who has just been promoted this year." Lin Shumin said, "This year is also the first time to come to the laboratory."


    "I see." Lu Chen nodded, "Senior Brother Lin, during this period, you are in the laboratory alone, you have worked hard."


    "It''s not hard." Lin Shumin sighed helplessly, "Lu Chen, it''s hard for us, the other party is a master''s director, and we are only a few students..."


    "What about the tutors, and what about the students! We have a notice from the school in black and white!" Lu Chen angrily said, "I don''t believe that they are pushing hard!"


    ¡­


    The next day.


    Lu Chen and his party came to the laboratory building.


    Just arrived at the entrance of the laboratory, a middle-aged man about forty years old blocked everyone''s concessions.


    "You are Lu Chen?" Cheng Xinxin frowned.


    Lu Chen frowned deeply, he didn''t know the man in front of him.


    Lin Shumin whispered: "Lu Chen, this is the master director I told you!"


    Lu Chen smiled and said loudly, "Yes, I am Lu Chen, teacher, are you coming to visit our laboratory?"


    "You..." Cheng Xinxin paused, "You''re really sharp-spoken, this laboratory was originally allocated to us, and it was temporarily used by you for three or four months, why are you still not satisfied?"


    "It''s distributed to you?" Lu Chen snorted coldly, "Mr. Cheng, show me the notice sent to you by the hospital, I''m a serious notice!"


    "Lu Chen, you..." Cheng Xinxin stretched out his finger and landed Chen, "It took you three months, isn''t that enough time? Our experiment is at a critical step, and we need a quiet environment!"


    (end of this chapter)

 v2 Chapter 690： Battle against each other (first vote)

    Chapter 690 Fight against each other (first update vote)


    Lu Chen stared closely at Cheng Xinxin in front of him, and said solemnly: "Don''t say we have published papers, even if we do not publish papers, as long as the school does not let us go, we will never leave!"


    At the same time, Lu Chen thought to himself, what is the situation of this new mentor?


    Logically speaking, these high-end intellectuals, even if there are hatreds behind them, will still be peaceful on the surface.


    Isn''t it possible to smash the face like this and come directly to grab the laboratory? !


    Lu Chen couldn''t understand this kind of behavior.


    The most important thing is that he is not some unknown student now.


    In the influence of cardiology pharmacy, TAVR surgery, and academic circles, he is even far more than the average master tutor.


    "Haha, so you''re so determined, why don''t you leave the laboratory?" Cheng Xinxin''s face was frosty, and he looked at Lu Chen with a very unkind expression.


    He really couldn''t figure out what qualifications the student in front of him had to occupy the laboratory?


    As a master supervisor, I finally applied for the lab today. I didn¡¯t expect the school to suddenly notify and delay the approval.


    After he inquired about the reason, he realized that his beard was cut off.


    If the other party is also a mentor, then he won''t say much.


    But the one who cuts Hu is just a PhD student!


    This makes him very angry!


    After ?? calmed down, he found Lu Chen''s resume.


    At first, I saw that Lu Chen published an 8-point SCI paper, and his expression was quite solemn.


    A PhD candidate who can publish such a paper is no small person.


    However, then he saw Lu Chen''s 30-point top journal paper.


    This shocked Cheng Xinxin!


    There are not many people in the Cardiology Department of the entire Magic Capital First Hospital who have the ability to publish this SCI paper with a score of more than 30 points!


    However, what followed was his suspicion of Lu Chen.


    Several high-quality papers, with a score of about 8, then he still believes that Lu Chen wrote it himself.


    But when a 30-point top journal paper suddenly appeared, Cheng Xinxin''s attitude towards Lu Chen changed!


    He began to suspect that Lu Chen was cheating!


    Actually, this kind of thinking is very simple.


    The master can complete one or two SCI papers, which is quite excellent.


    However, if you complete five or six papers, all are one work, and there are also papers with up to 30 points.


    This is not excellent, this is tricky!


    In Cheng Xinxin''s view, Lu Chen''s thesis was all completed during his master''s degree.


    In addition, Li Yao was involved in the "counterfeiting storm", Cheng Xinxin has reason to believe that these papers are just with the name of Lu Chen.


    Lu Chen is a veritable second generation of learning!


    As a result, Cheng Xinxin buried the idea of ??"breaking through" the laboratory in his heart.


    In addition, he also had a big leader standing behind him, otherwise he wouldn''t dare to come to Lu Chen so blatantly.


    ¡­


    Outside the lab.


    Lu Chen, Lin Shumin and others confronted Cheng Xinxin.


    "As long as the school has an approval and wants us to move out, then we can leave at any time!"


    Lu Chen looked at Cheng Xinxin, thinking about his background.


    For the time being, the two sides can''t tear their faces, and there''s no need!


    The school gave him the task of publishing an SCI paper with a score of 10. For Lu Chen now, that was really easy. (The 5 points mentioned in the previous chapter are purely a typo)


    10 points paper, Lu Chen really doesn''t like it.


    When Lu Chen first arrived at the First Hospital of the Magic City, he had already published an 8-point review.


    If you want to write now, then write to the top journal papers!


    In front of this master director named Cheng Xinxin, Lu Chen deeply remembered his name in his heart.


    "Okay, you really have the guts!" Cheng Xinxin said with a gloomy face, "You don''t hold your tail when I see it, move away by yourself!"


    He knew the standard left by Lu Chen''s laboratory, that is, to publish a 10-point SCI paper within half a year.


    This is not something that ordinary labs can do!


    Even Cheng Xinxin himself cannot guarantee that he can publish a 10-point SCI paper within half a year.


    Leaving this sentence, Cheng Xinxin left quickly.


    ¡­


    Looking at the back of him leaving, everyone felt a little heavy in their hearts.


    In three months, can their scientific research team succeed?


    "How many cases have we accumulated so far?" Lu Chen suddenly said.


    "There are about thirty." Lin Shumin said.


    "At the end of this month, how much can there be?"


    "Work hard, there are almost forty." Lin Shumin paused.


    "it is good."


    Lu Chen''s eyes narrowed, "At the end of this month, we will start sorting out the data!"


    "Ah?" Lin Shumin was slightly taken aback, "Are you a little anxious?"


    According to Lu Chen''s previous plan, the number of cases must reach at least 60.


    If the sample size is too small, the scientific research results obtained will have a relatively large bias.


    "Forty cases, barely enough." Lu Chen frowned.


    This is a surgical research project, unlike previous drug projects, which often require tens of thousands of samples.


    And the TAVR procedure is a brand new procedure, and there are not as many patients who can receive the new procedure, unlike conventional surgery.


    There can be forty cases, and the minimum standard of the experiment can be reached.


    Since outsiders want to see his appearance so much, he certainly can''t do what others want.


    "Also, Senior Brother Lin, aren''t you also in a hurry to graduate?" Lu Chen thought about it and said, "You are responsible for this first paper, and you are the first author!"


    Lin Shumin''s eyes showed a look of hope, "Really...really?"


    "Yes." Lu Chen nodded slightly, "Of course, the writing of the thesis is all done by you."


    Lu Chen will not be a good person either. If he wants to be the first author, he will write a paper himself.


    "Okay, no problem." Lin Shumin was quite excited.


    He can''t sleep every day now, and he is most worried about his graduation.


    Lu Chen''s words, but he took a reassurance pill.


    As for the rest of the research team, they all know the urgency of Lin Shumin, and they won''t compete with him.


    ¡­


    After comforting everyone, Lu Chen went back to their bedrooms.


    Go back to the bedroom.


    Lu Chen also began to think about his current situation in the No. 1 Courtyard of the Magic City.


    I am a doctoral student, but the school has assigned a separate laboratory, which is comparable to many young master supervisors.


    However, he is young after all!


    Especially in the medical circle, people still pay attention to seniority.


    Lu Chen knew that Cheng Xinxin was definitely not the only one who had opinions on him in the First Courtyard of the Magic City.


    It is estimated that there are many people who are not used to the preferential treatment they receive.


    After all, as a doctoral student, I do a lot of things, so my name is not right.


    For example, in the previous fund application, if it wasn''t for the unscheduled person selected to mess up, Lu Chen would still be isolated by the people in the department.


    Although Lu Chen didn''t care much about their vision, but a person in the department, looking down and not looking up, the relationship is so rigid, it''s always not good.


    As for lying dormant and keeping a low profile, this is also unlikely.


    Lu Chen smiled slightly, his strength did not allow him to keep a low profile.


    Since being excellent is easy to be envied by others, then continue to climb up!


    Climbing to the top of the mountain makes everyone feel terrified, and makes others feel no jealousy at all.


    For the next period of time, Lu Chen''s thoughts were all on the TAVR operation.


    The job of Lin Shumin and other members is to collect, process and analyze the existing data.


    Lu Chen''s entire scientific research team started to get busy.


    The laboratory dispute between Lu Chen and Cheng Xinxin was also widely circulated in the first courtyard of the magic capital.


    ¡­


    ticket.


    Come on, come on, finish this chapter, there are three more chapters left.


    (end of this chapter)

 v2 Chapter 691： In one sentence (second more)

    Chapter 691 in one sentence (second more)


    The First Hospital of Magic City.


    Doctor''s dormitory building.


    Lin Shumin has been full of energy recently, sweeping away the usual downturn.


    I get up early every day, but I can''t see the slightest tired look at all.


    This made Shen Wenbo, a cardiologist in the same room, amazed.


    "Lao Lin, have you been taking medicine recently?" Shen Wenbo caught Lin Shumin when he was about to go out in the morning.


    "What''s wrong?" Lin Shumin looked at Shen Wenbo curiously.


    "You still ask me what''s wrong, look at you, you go out early and come back late every day, and you are still so excited, what are you doing?" Shen Wenbo said with a puzzled face.


    "Lab, what else can I do." Lin Shumin smiled.


    "Going to the laboratory? I wasn''t in your tutor''s laboratory, so I saw your figure." Shen Wenbo said in surprise, "I visited your tutor''s laboratory yesterday, but I didn''t see you at all!"


    "Hey, I''m in Lu Chen''s laboratory." Lin Shumin said.


    "Lu Chen?" Shen Wenbo frowned, "You shouldn''t listen to his tricks and help him work?"


    Lin Shumin heard Shen Wenbo''s words, but he was very serious, "Wenbo, Lu Chen didn''t fool me, I did it willingly with him, don''t say that in the future."


    Shen Wenbo was stunned for a moment, "Are you really entering the role? You need a 5-point SCI paper for graduation. You are working here with Lu Chen, can you publish such a paper? What''s more, you are only a few months away from your graduation defense. It''s time."


    In this short period of time, Lin Shumin not only had to write a paper, but also had to publish it in a magazine, which was quite difficult.


    "Whether I can publish a paper or not is another story." Lin Shumin replied earnestly, "But in Lu Chen''s laboratory, I can see hope, and I can really learn some scientific knowledge. In my supervisor''s laboratory ¡­¡­You know."


    Having said that, Lin Shumin paused, shook his head slightly, and said nothing.


    He trusted his mentor for two and a half years, and he didn''t want to delay any longer!


    "You..." Shen Wenbo didn''t know how to comfort Lin Shumin.


    Perhaps when people are in a desperate situation, if they encounter something, they will try their best to catch it.


    Seeing the invitation at this time, Shen Wenbo can only joke: "I hope you can succeed, if you can publish a 5-point SCI paper in such a short time, then you have to introduce me to your team. !"


    was originally just a word of comfort, but I didn''t expect Lin Shumin to really take it seriously.


    He replied solemnly: "I''m afraid this will not work. Lu Chen said that there is no shortage of people in the scientific research team. In a short period of time, there is really no recruitment."


    Shen Wenbo couldn''t help laughing and laughing, "Okay, okay, then you can help me!"


    "This... If you insist on joining, I can help you talk to Lu Chen." Lin Shumin didn''t mean to joke at all.


    Shen Wenbo feels like he can''t talk anymore today!


    Lin Shumin was stunned, he really regarded Lu Chen''s laboratory as a life-saving straw.


    ¡­


    said that since the last confrontation between Cheng Xinxin and Lu Chen.


    He then found the vice president of the First Academy of Magic Capital, who was also his doctoral tutor.


    "Mr. Zhang, why can a doctoral student still have his own laboratory?" Cheng Xinxin looked at Zhang Tao, the vice president, with a puzzled face, "We, a master supervisor, don''t have our own laboratory yet, and we can only rent others every day. The laboratory and equipment. Now that the experiment is at the most critical time, you can''t be disturbed!"


    "You said it''s okay for you to provoke others, but why are you trying to provoke Lu Chen? Outsiders may not be able to see the current situation, so why can''t you see clearly?"


    Zhang Tao looked at his student reluctantly.


    If it wasn''t for his father, who had some sponsorship for his own projects, he still wouldn''t care much about it.


    Don''t even look at how influential Lu Chen is now!


    Just for the TAVR procedure, Dean Dai Wansong of the Magic Capital Central Hospital gave him a platform.


    Cheng Xinxin doesn''t know this at all?


    "Mr. Zhang, I know that he has published a lot of high-scoring papers, but whether he did it himself, let''s talk about it!" Cheng Xinxin frowned, "Didn''t you tell me before, this kind of student, publishes Two or three papers, this is normal, if there are more, or the score is high, then you have to see if you are studying the second generation."


    "Hey, you didn''t listen to the other words, why do you remember these words so well?" Zhang Tao glanced at Cheng Xinxin angrily, "Take a second thought, if you wrote the 30-point paper, you would Give it to someone else?"


    "Of course not!" Cheng Xinxin said immediately.


    "That''s not it. Ordinary papers can be given to others or sold to others. It is possible." Zhang Tao paused, "But the influence and reputation brought by such top journal papers, then It is unparalleled, and no one will easily let it go. If Lu Chen can name a top-ranked paper, that is his ability!"


    "But, he''s a doctor..." Cheng Xinxin''s eyes widened.


    Recalling that when he was a doctor, he was still raising mice in the laboratory...


    "What about the doctor?" Zhang Tao snorted coldly, "That''s someone else''s doctor, and the gap between people is still very big. In other words, if Lu Chen graduates, his current identity will definitely be It will go a step further, when he can stay in the first courtyard of the magic capital, it is because the leader begged his grandfather to tell his grandmother to let him stay..."


    Listening to Zhang Tao''s words, Cheng Xinxin became more and more dazed.


    My biggest backstage commented on Lu Chen like this, so what should he do?


    "Remember my words, don''t mess with Lu Chen!" Zhang Tao said earnestly, "You used to set the conditions for him in the school to publish a 10-point paper, are you embarrassing him?"


    "Then you are wrong!"


    "For Lu Chen, an SCI paper with a score of 10 points is to practice hands!"


    "Huh? A 10-point SCI paper is just for practice?" Cheng Xinxin pursed his mouth, feeling a little dry.


    "Of course." Zhang Tao coughed lightly. In fact, he was exaggerating.


    is just to scare Cheng Xinxin and prevent him from going to trouble with Lu Chen again.


    10 points for SCI paper practice, which is still not realistic.


    However, what Zhang Tao didn''t expect was that he really meant it.


    ¡­


    One month later.


    Lu Chen''s scientific research team has accumulated a total of 43 TAVR cases.


    Everything was ready, and the entire scientific research team began to increase the horsepower and work hard.


    With the support of previous fund projects, this scientific research experiment is smoother than the previous ones.


    Lu Chen once again took advantage of his "scientific research skills card" and "statistics skills card" to gradually improve the design of the entire scientific research experiment.


    After finishing all the experimental data, start to apply relevant statistical methods to analyze the data.


    After ??, the rest of the operations depended on Lin Shumin''s thesis.


    Let¡¯s take the scientific research thing in one stroke.


    It can¡¯t be completely absent, and I won¡¯t write it in detail.


    (end of this chapter)

 v2 Chapter 692： Who wants to be with me? (third more)

    Chapter 692 Who is willing to date me? (third more)


    When typing the last word in the word document, Lin Shumin finally breathed a sigh of relief.


    It took him half a month from the beginning of writing the thesis to the end.


    This includes the editing of the thesis, the textuality, and the revision of the citations.


    This is the result of the hard work of everyone in Lu Chen''s R&D team in a short period of time.


    Lu Chen is the corresponding author, and he is the first author!


    There are still two months before the defense of the doctoral dissertation.


    Lin Shumin did not expect that he was worried that he would not be able to graduate normally, but now he has completed the task ahead of schedule.


    "Lu Chen, I sent the paper to your mailbox."


    Lin Shumin is very satisfied with his paper and is now waiting for Lu Chen''s final review.


    "Okay, I''ll go back to the bedroom at night to have a look."


    Lu Chen is still busy clinically.


    For him, clinical work is much more interesting than any scientific research experiment!


    But scientific research has to be done...


    Fortunately, I have a system by my side, otherwise I may not be able to take care of both ends.


    ¡­


    Just when Lu Chen was about to get off work, an uninvited guest came to the department.


    "Director Zou, why are you here?"


    Lu Chen looked at Zou Yi in front of him with a surprised expression.


    Others may not know Zou Yi very well, but Lu Chen still has a fresh memory.


    He is the boss of the Science and Technology Bureau!


    The last time I started my own fund project, it was only with the help of Zou Yi that I could break through the blockade of the default candidates.


    "Director Zou, are you here to find the Director? He has gone to the laboratory and is not in the department for the time being." Lu Chen smiled.


    "No, I''m here to find you." Zou Yi smiled slightly.


    "Ah? Looking for me?" Lu Chen was taken aback for a moment, and then he noticed that behind Zou Yi was a young man in his twenties.


    "Find a place to chat?" Zou Yi smiled.


    "Okay." Although Lu Chen was a little strange, he still nodded.


    The doctor''s duty room just happened to be empty, so he introduced Zou Yi and this young man into it.


    "Director Zou, I''m sorry for the last time."


    Lu Chen found two chairs and let them sit down.


    "Hey, it''s a big effort, and I also read your project proposal, it''s worthy of this place!" Zou Yi smiled, "How is the project going now?"


    "It''s going well. It''s estimated that there will be results next month." Lu Chen said.


    "So fast?" Zou Yi was also a little surprised,


    These projects are usually completed within two to three years, so that''s fine.


    The standard for the conclusion of the title is to publish the prescribed paper.


    I didn''t expect that Lu Chen had already produced results in less than half a year?


    "The funding support from the Science and Technology Department is still in place, so we can carry out the experiment in one go." Lu Chen patted Zou Yi''s horses at the right time.


    Whether it is true or not, the leaders will be very happy to hear this.


    Sure enough, when Zou Yi heard the words, he smiled, "You kid, it''s really going to happen!"


    Then, he suddenly changed the conversation and his expression became a bit serious, "I came to you this time, I actually wanted you to do me a favor."


    After ?? finished speaking, Zou Yi also glanced at the young man beside him.


    Lu Chen was slightly startled, and finally got to the point.


    The young man immediately took out a folder from his backpack.


    Zou Yi took the folder and handed it to Lu Chen.


    "This is my nephew, his name is Zou Wei." Zou Yi introduced, "This time I have a sudden onset, and it is said to be sick sinus syndrome, and a pacemaker may need to be implanted."


    Lu Chen opened the folder, which contained a medical record.


    "The doctor in their local city hospital said that although the pacemaker implantation is not difficult, I still want to find a doctor with better skills for him." Zou Yi smiled, "So I found you here. "


    After the last operation, Zou Yi knew very well the electrophysiological level of the young man in front of him.


    Not only is he considered a top practitioner among the younger generation of Huaxia, but even if the age level is relaxed, Lu Chen is considered one of the best.


    "Juju Zou, you have won the prize." Lu Chen smiled slightly.


    Hearing such praise from outsiders, he was also very happy inside.


    "Juju Zou, let me take a look at his medical records first."


    "Okay, let''s take a look first. Also, don''t call me Bureau Zou, you have more points, just call me Uncle Zou."


    Lu Chen smiled and said softly, "Hello, Uncle Zou."


    Zou Wei on the side of ??, seeing his uncle''s kind expression, his expression was really like a ghost.


    Director Zou, who was usually serious and serious, actually transformed into an amiable uncle because of the young doctor in front of him.


    This shocked Zou Weiwei!


    ¡­


    On Lu Chen''s side, he began to read Zou Wei''s medical records.


    A 22-year-old male patient was admitted to the emergency department with flu-like symptoms and syncope.


    Nausea, headache and confusion occurred after syncope attack, bradycardia lasted for 30s to 40s and brief sinus arrest in emergency.


    Self-reported eczema, asthma, and smoking history. Holter Tips 2 weeks after an ER visit:


    1) 2 prolonged sinus arrests, 6.5s and 6.8s, respectively;


    2) Full sinus rhythm, with an average heart rate of 71 beats/min and a heart rate fluctuation of 29 to 182 beats/min;


    3) In 22% of the time period during Holter monitoring, the patient''s heart rate was <60 beats/min.


    Looking at Zou Wei''s electrocardiogram, it does look like a sick sinus syndrome.


    And other inspection items, such as thyroid function, etc., can cause slow heart rate, there is no reason.


    "How is it? When can I have surgery?" Zou Yi asked anxiously.


    All pre-operative examinations are available, and they are also done by tertiary hospitals.


    In tertiary hospitals, the results of tests and examinations are mutually recognized, that is to say, as long as they are admitted to the hospital, they do not need to be tested or checked again as long as they are within the specified time.


    "If you are sure to put a pacemaker, after you are hospitalized, you will have the necessary laboratory tests, and you will be able to operate the next day." Lu Chen said slowly.


    "That''s great!" Zou Yi said with a smile, "This matter, the sooner the better. It has been delayed for two weeks. If you faint again next time, it will be troublesome."


    Zou Wei is the only child of his younger brother''s family, and the family is very precious, otherwise he would not have dragged him to find a relationship for the operation.


    "Well, can I add a word?"


    Zou Wei suddenly said cautiously.


    "You said it!" Zou Yi looked at his nephew and became serious again.


    Seeing Zou Yi''s gaze, Zou Yi couldn''t help shrinking his neck, but he still mustered up his courage and said to Lu Chen: "Lu... Doctor Lu, all the doctors before said that if I want to put a pacemaker, it must be in my heart. put this thing?"


    Hearing Zou Wei''s words, Zou Yi frowned and said in a displeased tone, "Don''t be tantalizing, kid! I asked the professors in Kyoto for you, and they all told you to put a pacemaker, so just be obedient!"


    "But..." Zou Wei swallowed and whispered, "I''m still so young, and if other girls see me in this situation, who would want to date me?"


    (end of this chapter)

 v2 Chapter 693： Not for a good reason (is there an update yet?)

    Chapter 693 The reason is not very good (is there any update?)


    Hearing this, Zou Yi was angry.


    "When are you still thinking about your girlfriend?"


    "Little life is more important, or girlfriend is more important?"


    Zou Wei timidly said: "It''s all important..."


    Lu Chen is also a little funny, this young man is really a man of temperament.


    But when Zou Yi heard this, he hated iron and turned into steel, as if he wanted to eat Zou Wei alive.


    "Uncle, I was wrong, I put a pacemaker..."


    Zou Wei was stunned all of a sudden.


    Zou Yi''s face felt a little better now.


    At this time, Lu Chen''s voice sounded leisurely, "Uncle Zou, don''t worry about putting on a pacemaker."


    Zou Wei''s HP is 64 (--).


    In this state, the system temporarily cannot provide any useful information.


    "Huh? Are you in a hurry?" Zou Yi glanced at Lu Chen in surprise, "But I asked Professor Jing, and they looked at the medical records and ruled out sick sinus syndrome caused by other causes, saying it was congenital. Yes, without a pacemaker, it''s very dangerous!"


    Sick sinus syndrome is a symptom caused by insufficient blood supply to the brain, heart, kidneys and other organs caused by slow heart rate, especially dizziness and syncope caused by insufficient cerebral blood supply.


    For sick sinus syndrome, drug therapy is often difficult.


    It is usually necessary to implant an artificial cardiac pacemaker to maintain normal life and work and prevent sudden death.


    Lu Chen smiled when he heard the words, "Professor Kyoto is right. However, sick sinus syndrome is common in the elderly, more precisely, it is seen in the elderly over 65 years old, and it is extremely rare in young people!"


    "That''s what I said, but I can''t find any other cause now." Zou Yi said, "It seems that the only way is to install an artificial pacemaker!"


    Lu Chen did not express his opinion immediately, but said: "Uncle Zou, if you believe me, let Zou Wei be hospitalized here, and I will show him again. If a pacemaker really needs to be implanted, absolutely Don''t procrastinate."


    "This..." Zou Yi frowned and glanced at his nephew.


    Zou Wei couldn''t help but nodded, "Uncle, just let me stay!"


    Actually, when he first saw Lu Chen, Zou Wei still didn''t quite believe it.


    Still that sentence, Lu Chen was too young.


    However, what Lu Chen said just now made Zou Wei a little moved.


    During such a long period of illness, almost all the doctors who saw his electrocardiogram were sure that he was going to have a pacemaker.


    Suddenly, when you come across something that says you don¡¯t have to put it, you really have to hold on to it!


    "Well, you''re not a child anymore, you have your own judgment." Zou Yi nodded slowly, "I''ll tell your parents about your affairs."


    "Thank you uncle." Zou Wei said quickly.


    Then, Zou Yi turned to look at Lu Chen, "Lu Chen, then I''ll leave Zou Wei to you. If you have anything, just contact me directly."


    "Okay, Uncle Zou." Lu Chen nodded slightly.


    Zou Yi explained a few more words to Zou Wei, and then left in a hurry.


    He still has a lot of things to deal with. It is an exception to be here for so long today.


    ¡­


    in the corridor.


    Lu Chen and Zou Wei walked side by side.


    Zou Wei secretly glanced at the too young doctor.


    Before he came to the No. 1 Courtyard in Modu, his uncle praised him so much.


    What is the future hope of Huaxia Medicine¡­


    "Doctor Lu, do I really need to put a pacemaker?" Zou Wei asked, still not at ease.


    "According to the current situation..." Lu Chen paused for a while.


    "Are you going to let it go?" Zou Wei quickly asked.


    "There is a high probability that it will be released!" Lu Chen smiled.


    "Huh?" Zou Wei was dumbfounded, "Lu, Doctor Lu, didn''t you just say that?!"


    "No, that''s what I said just now!" Lu Chen smiled, "My original words were, about putting a pacemaker, don''t worry, this doesn''t conflict with what I said just now, right?"


    "No...no conflict..." Zou Wei cried and grimaced, the little hope that had just been ignited has now been dashed again.


    Lu Chen looked at Zou Wei''s expression and said to him seriously: "I told you seriously just now, it''s not necessarily whether to put a pacemaker or not. Because you are still young, you must be careful about this!"


    As Zou Wei himself said, if a pacemaker is placed, it must be considered a patient.


    Ordinary girls, seeing Zou Wei like this, would not approach at all.


    Unless it is something else.


    "Doctor Lu, do you say that because I''m young, instead of finding the suspicious points in the medical records?" Zou Wei wanted to cry without tears.


    "It''s because you''re young." Lu Chen nodded without denying, "On the basis of your medical records, the pacemaker should be correct. If you are a sixty-year-old man, then I will have an operation tomorrow to give You put the pacemaker on."


    "Sigh..." Zou Wei didn''t expect that his death sentence would only become a reprieve.


    He has already accepted his fate, so let''s put the pacemaker.


    It''s just that I will say goodbye to such young and beautiful sisters in the future...


    Thinking of this, Zou Wei felt that life had no fun at all.


    "Okay, you move in first." Lu Chen said to Zou Wei, "If there are necessary inspections and tests, I''ll give you a re-examination."


    "Okay, I''ll listen to you."


    Zou Wei has no complaints against Lu Chen.


    In contrast, Lu Chen was the first person to say that he didn''t have to put a pacemaker.


    Although the reason is so inadequate...


    ¡­


    After completing the hospitalization procedures, the nurse placed Zou Wei on Lu Chen''s empty bed.


    Seeing that he was about to get off work, Lu Chen left the department after explaining a few words to Zou Wei.


    bought a meal in the cafeteria, and Lu Chen went straight to the bedroom.


    He wants to go back and read Lin Shumin''s paper.


    Turn on the computer and receive Lin Shumin''s email.


    Lu Chen began to read it carefully.


    As soon as he read the first paragraph, Lu Chen frowned.


    Lin Shumin''s English writing level is really not good.


    Lu Chen directly entered the paper review mode, and revised on Lin Shumin''s original paper.


    ¡­


    Evening, eleven o''clock.


    Lin Shumin finally waited for Lu Chen''s reply email.


    He received the email with joy, but when he opened it, the entire word document was filled with modified red letters.


    "This...this..." Lin Shumin was stunned for a while, unable to say a word.


    Shen Wenbo, who was in the same bedroom, saw Lin Shumin''s abnormality, turned his head to look, and immediately laughed, "Old Lin, who is this thesis you asked to revise, my dear, you don''t need to revise the whole article except for some formatted terms. Everything is covered in red letters."


    Lin Shumin blushed.


    At first, he was a little surprised, surprised, puzzled, and even a little angry.


    But when he saw Lu Chen''s revision, he still had to accept it.


    Lu Chen''s revision comments, word by word, picked out all his grammar, word usage, and grammatical errors.


    Shen Wenbo leaned over to take a look, and also found the power of the scarlet letter.


    "Who are you looking for to help revise the paper? This is too amazing! Give me an introduction, and I''ll ask him to revise the paper next time."


    Lin Shumin didn''t lift his head and said slowly, "Lu Chen."


    Originally there were still two days of vacation, but the result was a temporary shift tomorrow.


    So work tomorrow and rest for the next two days.


    (end of this chapter)

 v2 Chapter 694： Not close to women (the fifth is asking for votes)

    Chapter 694 Not close to women


    Lin Shumin stayed up all night again.


    According to Lu Chen''s review comments, he revised his thesis word by word.


    I stayed up until eight o''clock the next morning.


    He finally finished the revision.


    Because he has very free time now, after sending the revised paper to Lu Chen, he fell asleep.


    Lu Chen was also quite surprised, he didn''t expect Lin Shumin to fix it so quickly.


    But he doesn''t have time to watch it now, so he can only wait to go back to his bedroom at night.


    ¡­


    came to the department.


    After the early shift was over, Lu Chen started rounds.


    Came to Zou Wei''s ward. He was lying quietly on the hospital bed, staring at the ceiling blankly, not knowing what he was thinking.


    "Did you sleep well last night, did you feel dizzy or dark in front of your eyes?" Lu Chen asked as usual.


    Zou Wei saw Lu Chen coming, so he sat up, "Fortunately, I feel like a normal person now."


    "Well, I''ll listen to your heart." Lu Chen picked up the stethoscope and auscultated Zou Wei''s various heart valve areas.


    Except for the slow heart rate, no abnormality was found.


    "How is it? When will the surgery be scheduled?" Zou Wei whispered.


    "You accept reality so calmly now?" Lu Chen retracted the stethoscope.


    "What else can I do if I don''t accept it..." Zou Wei shook his head slightly and sighed, "Have pity on my sisters from Nanhai Island, I may not have time to play with them in the future."


    "South Sea Island?" Lu Chen was startled, "You don''t usually live in the magic capital?"


    "Yeah, I spend most of my time on Nanhai Island, and this time I came to the magic capital to see a doctor." Zou Wei explained, "I was planning to go to Kyoto, but my uncle was here, so he came to see you. "


    "Oh." Lu Chen nodded slightly, "I checked your blood in the morning, and when the results come out, there is no problem. I will have the operation tomorrow morning."


    Zou Wei nodded silently in response.


    After checking the other patients, Lu Chen returned to the ward.


    Today, the tutor Zhang Shuqing also came to the department.


    He naturally came for Zou Yi''s nephew.


    "Lu Chen, which bed are the relatives of Bureau Zou?" Zhang Shuqing asked when he walked into the doctor''s office.


    "The 10 beds are called Zou Wei. Currently, congenital sick sinus syndrome is considered..." Lu Chen handed Zou Wei''s medical record to Zhang Shuqing, and then explained his condition a little, "If the results of the re-examination are not abnormal, Getting ready to start the pacemaker implant tomorrow morning."


    "Well, okay." Zhang Shuqing finished browsing the patient''s medical records, "I''ll go see the patient himself."


    Since he is a relative of the leader, Zhang Shuqing must see the patient in person, and then briefly mention the relationship between the leader and himself.


    Lu Chen is busy now, but he doesn''t have time to accompany him.


    Zhang Shuqing went to the ward to visit by himself.


    ¡­


    about twenty minutes later.


    Zhang Shuqing finally came back from the ward.


    Lu Chen was stunned for a while, he thought Zhang Shu left the department early in the morning.


    I didn''t expect to get it from Zou Wei, who seems to be a relative who attaches great importance to leadership.


    "Lu Chen, this patient needs to be taken care of." Zhang Shuqing walked in front of Lu Chen, "As for tomorrow''s surgery, we will do it together."


    "Okay." Lu Chen thought that Zhang Shuqing had other opinions on Zou Wei''s condition, but he only said a few polite words.


    Zhang Shuqing wandered in the department, then left and continued to go to the laboratory to do his research.


    Lu Chen worked in the department in an orderly manner, receiving various patients.


    Now Lu Chen, the proficiency of various skills that can be improved clinically is already very limited.


    But he didn''t slack off.


    On the contrary, the ultimate goal of improving skill proficiency is to relieve the pain of the patient, rather than focusing on the skill proficiency itself.


    Although the clinic is busy, Lu Chen is enjoying himself while he is busy.


    Seeing one patient after another getting better and being discharged from the hospital, Lu Chen was full of relief.


    ¡­


    After working with other patients, Lu Chen took out Zou Wei''s medical records and began to focus on research.


    Not because he is a relative of the leader.


    But as Lu Chen said before, he is too young.


    If a pacemaker is placed now, his life in the future may change, what a pity!


    However, things backfired. No matter how much Lu Chen concentrated on analyzing the medical history and electrocardiogram, he didn''t see any doubts.


    He also took Zou Wei''s medical records to other doctors in the department for discussion, but no one found a reason for not putting a pacemaker.


    "Forget it, accept your fate!"


    Lu Chen also sentenced Zou Wei to death in his heart.


    ¡­


    After a busy day, Lu Chen stretched his waist lazily.


    I will have an operation on Zou Wei tomorrow. It seems that I need a good rest today to recharge my batteries.


    Lu Chen prepares to practice the pacemaker implantation in the system space after going back in the evening.


    Although he is very skilled, continuous training in the virtual space can keep him hot.


    Just when Lu Chen was about to leave the department after get off work, the little nurse on duty walked into the doctor''s office.


    "Doctor Lu, your 10-bed patient asked you if there was any medicine to get rid of the rash." After the little nurse finished speaking, she peeked at Lu Chen.


    This is the "big baby" in the department - the golden bachelor!


    "10 beds... medicine for rashes?" Lu Chen wondered, "Zou Wei has a rash on his body?"


    "Yes." The little nurse nodded slightly, "I took a look and found a red rash on the outside of the thigh."


    "Okay, I''ll go see him."


    Lu Chen immediately stood up, took the stethoscope, and walked towards Zou Wei''s ward.


    ¡­


    in the ward.


    Zou Wei saw Lu Chen hurried in and asked in doubt, "Hey, Doctor Lu, you haven''t gotten off work yet?"


    "I''m about to get off work. I heard that you have a rash on your leg, so I came to take a look." Lu Chen looked at Zou Wei carefully, and found no rash on the surface of the skin.


    "This, it doesn''t matter much." Zou Wei rolled up his hospital gown trousers, "I just got bitten by a tick and developed some rashes. There are quite a few of these bugs on our Nanhai Island."


    "Stung by a tick?" Lu Chen looked down at the affected area carefully.


    A linear red rash was indeed visible outside Zou Wei''s right thigh.


    "Is it itchy?"


    "Fortunately, a little." Zou Wei said, "I didn''t care about the rash before, but it was a little more today, so I asked the nurse if there was any medicine for the rash."


    At this time, Lu Chen suddenly stood up straight, looked at Zou Wei with a strange look, and chuckled twice.


    "That...the surgery tomorrow, are you nervous?"


    ''s sudden question made Zou Wei stunned, "It''s a little bit, after all, I put something in my heart, it''s fake if you''re not nervous."


    "If you are like this, will it be difficult to find a girlfriend in the future?" Lu Chen frowned.


    "Hey, Dr. Lu, don''t poke my sore spot." Zou Wei lay flat on the bed, looking at the ceiling, with a lifeless expression, "You said, if you can keep this **** out of it, then How wonderful!"


    "What if you really can''t let it go?" Lu Chen said slowly.


    "If you really don''t have to let it go, then it''s the manifestation of the Bodhisattva. I eat fast and recite Buddha every day, and I''m not close to women."


    Zou Wei looked at the ceiling, clutched his chest, and said reverently.


    (end of this chapter)

 v2 Chapter 695： Cant help womens color (first more)

    Chapter 695 Can''t help but be a woman (first update)


    "Whoops, wait, don''t say that yet."


    Lu Chen quickly stopped Zou Wei.


    "What''s wrong?"


    Zou Wei took his eyes back from the ceiling and looked at Lu Chen beside him.


    He was just joking.


    Now that he has surgery to put a pacemaker, it has become an established fact.


    "What if I said, you really might not need a pacemaker?"


    A smile appeared on the corner of Lu Chen''s mouth.


    "What?" Zou Wei was taken aback, "Doctor Lu, are you kidding me again?"


    "Do you think I would joke about this kind of thing?" The faint smile on Lu Chen''s face remained the same.


    But at this moment, in Zou Wei''s view, Lu Chen''s smile is so handsome and compelling.


    "You, what you said is true?" Zou Wei''s voice trembled.


    Lu Chen nodded slightly.


    "Why? Why don''t I use a pacemaker?" Zou Wei swallowed and got up from the bed excitedly.


    Lu Chen said sternly: "If I guessed correctly, you should have Lyme disease carditis!"


    "What disease, what inflammation?"


    Zou Wei''s eyes widened, he didn''t understand what Lu Chen was talking about.


    Lu Chen smiled, "Actually, it is a common disease in your South China Sea island, Lyme disease caused by tick bites."


    "Lyme disease?" Zou Wei frowned, "Does this have anything to do with my heart?"


    "Of course there is a connection!" Lu Chen continued, "Lyme disease may affect every tissue in the human body, including the heart!"


    Lyme disease is a tick-mediated spirochete infection, a natural foci disease caused by Borrelia burgdorferi.


    The disease is a systemic disease called Lyme carditis when Borrelia burgdorferi spreads in the blood and affects heart tissue.


    "My slow heart rate is also caused by this Lyme disease?"


    Lu Chen nodded slightly: "Lyme disease can lead to Lyme disease carditis in up to 10% of cases. It is more common in young men and often manifests as atrioventricular block, while sick sinus syndrome is seen in case reports. "


    "However, at present, the specific mechanism of sick sinus syndrome in Lyme disease is not yet clear."


    Hearing this, Zou Wei''s heart rose again.


    "The mechanism is not clear, so what should I do? Can it be cured?"


    Lu Chen smiled, "We don''t care about the mechanism for the time being, we just need to treat your Lyme disease."


    Cause treatment, after treatment of Lyme disease, the slow heart rate will naturally recover.


    "That''s great! What are you waiting for, treat me now!" Zou Wei was particularly excited, he tightly grasped the cuffs of Lu Chen''s white coat.


    I can''t wait for Lu Chen to give him medicine now.


    "Don''t worry." Lu Chen smiled, "My current diagnosis is also based on your clinical symptoms. If you really want to make a diagnosis, you need to check your blood."


    If the Lyme disease serological antibody is positive, it is correct to have been infected with Lyme disease.


    "Check, check now!" Zou Wei immediately rolled up his cuffs and stretched out his arms.


    In this way, he wanted to take a needle to draw blood for himself.


    Lu Chen can understand Zou Wei''s excited mood, "I have to check the blood now, and I have to wait for the results tomorrow and the day after tomorrow, I can''t be in a hurry."


    Zou Wei scratched his head and suppressed his excitement, "Okay, I''ll listen to you now."


    Lu Chen smiled, "You have a good rest now, I''ll ask the nurse to draw blood for you later."


    "Mmmmmmm."


    Zou Wei nodded quickly, and then lay down on the bed very obediently.


    ¡­


    Back to the department.


    Lu Chen first ordered the nurse to collect blood, and then shared his latest findings with everyone.


    Everyone in the department was surprised when they heard it.


    "Lyme disease carditis?"


    "This disease is too rare, this is the first time I have heard such a diagnosis."


    "But this makes sense, so young people have a slow heart rate, so I really need to look carefully for the reason."


    There was a lot of talk and interest in this new diagnosis.


    "Lu Chen, where did you see this disease?" Jiao Jingqiu blinked at Lu Chen, she was too curious about Lu Chen now.


    This man is literally a walking medical panacea.


    "I have read a document once in a while." Lu Chen smiled, "Actually, this disease is really not uncommon in our country."


    "Tell us about it quickly." Jiao Jingqiu immediately came to Lu Chen''s side.


    Others also pricked up their ears to listen.


    Lu Chen softly said, "According to the research conducted by the Huaxia Center for Disease Control and Prevention, the Lyme disease infection rate among Chinese people is very high."


    "A study from the South China Sea on patients with arthritis and neurological symptoms also confirmed that 10% of the patients were seropositive at the initial screening, and 2% were finally diagnosed with Lyme disease."


    "It can be seen that in China, Lyme disease is also a common disease. It''s just that our doctors miss a lot of Lyme disease!"


    ¡°¡­¡±


    Lu Chen talked a lot, and others listened with relish.


    "Congratulations, +5 for receiving thanks from Jiao Jingqiu!"


    "Congratulations¡­¡­"


    Lu Chen also brushed a wave of thanks.


    Jiao Jingqiu could not help but sigh after listening to Lu Chen''s lecture: "Actually, in clinical work, when a young patient develops sick sinus syndrome, Lyme disease carditis should be included in the differential diagnosis."


    Jiao Jingqiu''s voice immediately won the approval of others.


    After all, if young people want to put pacemakers, it will really affect the rest of their lives.


    ¡­


    I don''t know if Zou Wei used the relationship.


    The test, which originally took a day or two to get the results, was sent out in the afternoon.


    Zou Wei''s Lyme disease serology was positive for IgG and IgM.


    This time, a complete diagnosis!


    Zou Wei almost cried with joy when he heard the news.


    "Doctor Lu, you are my last big brother!" Zou Wei pulled Lu Chen''s hand, "If it wasn''t for you, then the rest of my life would be ruined!"


    Lu Chen quickly retracted his hand and joked at the same time: "I remember you said in the morning, what is not close to women? Is there such a thing?"


    Zou Wei did not change his face, and said without a heartbeat: "Of course there is such a thing, what I said is that it is forbidden to be a woman, and it is forbidden."


    Lu Chen: "..."


    Is this still possible?


    "Hey hey." Zou Wei smiled, "Brother Lu, if you have time to come to Nanhai Island in the future, I will be the host, and you will be satisfied."


    Zou Wei''s name for Lu Chen has changed from Doctor Lu to "Brother Lu".


    His inner gratitude to Lu Chen can be described with zero expression, that is, it is not excessive at all.


    "I have no luck with my small body." Lu Chen smiled, "Now that Lyme disease has been diagnosed, surgery is definitely not needed, and the next step is antibiotic treatment for Lyme disease..."


    Antibiotic treatment is an effective treatment that avoids unnecessary implantation of pacemakers in patients.


    What Zou Wei said to Lu Chen now is really obedient.


    What Lu Chen asked him to do, he would do.


    Let him stay in the hospital for a few days, then stay in the hospital for a few days!


    ¡­


    (end of this chapter)

 v2 Chapter 696： The normal level of the doctor (thanks to Shanna Yanyan for the reward

    Chapter 696 The normal level of the doctor (thanks for the shameless reward)


    After diagnosis of Lyme disease carditis.


    Lu Chen immediately gave Zou Wei antibiotic treatment, while closely monitoring his heart rate changes.


    Zou Yi also got the news right away.


    Really don''t need a pacemaker?


    At first, he thought that Lu Chen was just saying this in a formality.


    I didn''t expect it, it really came true!


    And from Lu Chen''s description, the evidence is extremely strong, what is the cause of Lyme disease carditis.


    The problem that even the great professor in Kyoto has not solved, is now solved by the doctor in this magic capital!


    While grateful in his heart, Zou Yi also sighed, "Am I here to witness the birth of a medical master?"


    At this time, in Zou Yi''s heart, Lu Chen''s status was faintly close to those of the medical bigwigs.


    ¡­


    On the other side, Lu Chen''s mentor, Zhang Shuqing, also received a call from Lu Chen in the laboratory.


    "Cancellation of the surgery?" Zhang Shuqing couldn''t help but be stunned, "Lyme disease carditis?"


    "Yes." Lu Chen explained to Zhang Shuqing over the phone, "Antibiotic treatment is very effective, and it should avoid the implantation of a pacemaker."


    "Okay, then I''ll listen to you."


    At this time, Zhang Shuqing felt quite helpless.


    He thinks he''s young enough to hit those big waves.


    However, he regained his senses and suddenly realized it.


    He has been beaten to death by Lu Chen, a rising star.


    "Oh, I''m getting old now? Do people really want to serve old age?"


    Zhang Shuqing hung up the phone and could not help but catch a glimpse of another doctor who was doing experiments with his head down.


    Let''s be a lab, clumsy, a simple experiment, almost a week has not been done.


    Write a thesis, that''s really a misnomer.


    Let''s treat the disease, the differential diagnosis of chest pain has not yet been figured out.


    Compared with Lu Chen, it was a world of difference.


    Zhang Shuqing smiled relievedly, "This is the normal level of a doctor!"


    "As for Lu Chen, that''s a monster!"


    ¡­


    Back to the bedroom at night.


    Lu Chen continued to revise the paper.


    Lin Shumin sent him the paper this morning, and he hadn''t had time to read it.


    Open Lin Shumin''s paper again.


    Lu Chen studied it carefully for half an hour.


    This time, there were basically not too many problems.


    From this point of view, Lin Shumin''s learning ability is quite strong.


    He hasn''t been able to publish a paper yet, mostly because no one has taught him.


    Now as long as Lu Chen tells him what to do, Lin Shumin will be able to keep up immediately!


    "It''s a good talent." Lu Chen said in his heart.


    After checking the paper, he finally picked out four mistakes and sent the paper to Lin Shumin.


    ¡­


    After Lin Shumin woke up today, in addition to eating, he had been waiting for Lu Chen''s reply.


    This time, he didn''t have the confidence he had before.


    Lu Chen brought him a lot of pressure, and he was afraid and did not correct it.


    "Ding dong."


    Finally waiting for Lu Chen''s reply to the email, Lin Shumin swallowed and opened the email carefully.


    When he saw that he needed to modify the content, his heart dropped.


    There are only four places that need to be modified, which is easy to handle.


    Lin Shumin got up and started to work.


    Even though Lu Chen only picked out four places, after he revised it, he still read the whole paper several times with great earnestness.


    After ?? confirmed that it was correct, the paper was sent to Lu Chen.


    After receiving Lin Shumin''s paper again, Lu Chen was quite satisfied this time.


    At present, papers of this quality are ready for submission.


    At this time, there is still a month and a half left before the deadline set by the school for Lu Chen.


    makes Lu Chen feel a little strange.


    Since the last time Cheng Xinxin came to the laboratory to make noise, he seemed to have disappeared and never came back.


    Lu Chen thought to himself, "Could it be that you are ready to give me the final blow?"


    He didn''t know yet that Cheng Xinxin had been criticized by the vice president of the First Hospital of the Magic City.


    However, Lu Chen didn''t take Cheng Xinxin to heart at all.


    is just a stepping stone at best.


    ¡­


    The First Hospital of Magic Capital, Department of Cardiology.


    After a week of antibiotic treatment, Zou Wei''s heart rate has gradually stabilized.


    After completing the 24-hour Holter monitoring, no conduction abnormalities were found.


    "It''s time to leave the hospital." Lu Chen smiled and said to Zou Wei on the hospital bed.


    "Brother Lu, don''t I need to stay for a few more days?" Zou Wei seemed a little reluctant.


    "I really don''t need to be hospitalized anymore." Lu Chen said, "Our bed is expensive, and there are many patients who want to live in it."


    "I''m completely healed?" Zou Wei said reluctantly, "I don''t need any more injections? I think, should it be consolidated for another week?"


    Lu Chen sighed slightly, his face quite helpless.


    "It''s really no use! After you are discharged from the hospital, you continue to take doxycycline orally, and review the dynamic electrocardiogram a month later. If there is no problem with this examination, then you will be completely healed!"


    "Okay, then I''ll listen to you." After hearing Lu Chen''s words, Zou Wei felt relieved.


    "Then leave the hospital tomorrow and go back to continue oral medication." Lu Chen instructed.


    Just as he was about to leave the ward, Zou Yi suddenly pushed the door and entered.


    "Hello, Uncle Zou." Lu Chen greeted with a smile.


    "Lu Chen, you are really amazing!" Zou Yi patted Lu Chen''s shoulder, "Zou Wei, I really have to thank you, otherwise this pacemaker will definitely be installed."


    Zou Yi is very happy at home these days.


    Fortunately, Zou Wei was brought to Lu Chen at that time.


    If this were to change to another doctor, maybe the pacemaker would have been installed in Zou Wei''s heart by now.


    "Uncle, this is what our doctor should do." Lu Chen smiled lightly.


    "Can he be discharged tomorrow?" Zou Yi said.


    "Well, it''s enough to take tetracycline orally for a period of time after discharge from the hospital. After a month, I will review it at the local hospital. If there is no problem, you don''t need to take medicine."


    Zou Yi didn''t reply immediately, he looked at Zou Wei on the hospital bed, and after a while, he said to Lu Chen: "Well, obviously he was discharged normally, but Zou Wei will not go back to Nanhai first, let him live in the magic capital, and come back to you for a re-examination in a month. If there is any problem during this period, I can contact you to deal with it in time.¡±


    "Okay." Lu Chen nodded.


    Zou Wei nodded straight.


    The disease is not completely cured, and he is not at ease when he returns to the South China Sea.


    In case something goes wrong midway, he doesn''t trust other doctors.


    "Okay, then it''s troublesome." Zou Yi smiled.


    "Uncle Zou, you''re welcome." Lu Chen also responded with a smile.


    Zou Yi suddenly said again: "Lu Chen, as long as you are in the magic capital in the future, I can pay attention to the fund projects of the Science and Technology Department."


    Lu Chen was stunned for a moment, then smiled and said, "Thank you, Uncle Zou. But don''t worry, I will submit the fund project for review as normal, and it will not embarrass you."


    "it is good!"


    The more Zou Yi looked at Lu Chen, the more he liked it!


    Young talents with unlimited future.


    Unfortunately, my daughter already has a boyfriend, otherwise I really want to match the two.


    (end of this chapter)

 v2 Chapter 697： Lu Chen is the boss

    Chapter 697 Lu Chen is the boss


    The days go by.


    Lin Shumin''s thesis has been submitted, and now it is enough to wait for the final admission result.


    The scientific research team ushered in a short break.


    But Lu Chen got a piece of news that surprised him from Zhang Shuqing.


    ¡­


    Office of the Director.


    Lu Chen looked at Zhang Shuqing in astonishment, "Teacher, you asked me to take care of the inpatient department of internal medicine?"


    What is the inpatient general? As the name suggests, he is always in the hospital.


    The full name of the inpatient hospital is the chief resident physician, which is just a job.


    In large hospitals, this position will be established, usually by a resident physician.


    During his tenure as chief inpatient, he will be responsible for various matters in the ward, such as surgical arrangements, admission of patients, consultation and so on. The workload is extremely heavy, and it is also a training for young doctors, who can grow rapidly.


    "Well, you are a professional doctor, and your main focus is on clinical work." Zhang Shuqing said, "I think the general inpatient work is very suitable for you. In fact, ordinary doctors really do not have this qualification to be the inpatient general."


    The Chief Inpatient of the First Hospital of Magic City is responsible for all emergency consultations of the Cardiology Department, as well as the rescue work of the night shift.


    Ordinary doctoral students with insufficient clinical experience are not competent for this work.


    Looking at Lu Chen''s hesitant expression, Zhang Shuqing said suspiciously, "This is a big challenge for a resident doctor. Why, are you afraid? Don''t you want to?"


    "No unwillingness." Lu Chen hurriedly said, "It''s just the work in my lab..."


    "Don''t worry, you are the chief hospital officer, and you don''t need to take care of the bed." Zhang Shuqing smiled, "When you are resting, you can go to the laboratory. If you have something to do, we can call you here."


    Lu Chen thought about it and agreed.


    In fact, he prefers to stay in the clinic rather than scientific research.


    "The total shift time in hospital is one year." Zhang Shuqing continued, "Your salary is equal to that of regular employees. At the end of one year, your Ph.D. is almost over, and you don''t need to stay in the clinic for the last year of your doctorate. You can do experiments with peace of mind and prepare your doctoral dissertation.¡±


    "Okay, teacher."


    After Lu Chen made his decision, he had a little bit of longing for the general life in the hospital.


    He had no idea what his dark-faced physique would bring to the First Demon City in the next year...


    ¡­


    The news that Lu Chen was going to be hospitalized in the internal medicine department was circulating in a small area.


    Everyone is not very surprised, the special bloggers may be arranged in the general position of the hospital.


    As Zhang Shuqing said, only those who perform well will have a chance to be selected.


    Lu Chen''s outstanding performance was seen by everyone.


    Hospitalization is different from general inpatients, and there is a separate duty room in the CCU ward.


    After all, you have to stay in the hospital 24 hours a day, and you always need a place to stay.


    "Doctor Lu, then I''ll give you the cell phone of the hospital chief."


    Tong Weibo, the previous inpatient of the Cardiology Department, handed an old mobile phone to Lu Chen with a face full of relief.


    This is a dedicated mobile phone for the inpatient department of Cardiology, which receives all emergency consultation calls in the entire hospital.


    Lu Chen took the phone, still a little curious, fiddled with it a little, and found that it only had the function of making and answering calls.


    "Doctor Lu, our duty room is actually pretty good. There is a washroom, and you can take a shower in summer." Tong Weibo introduced the layout of the duty room to Lu Chen.


    "That Senior Brother Tong, is the main job of our Cardiology Department inpatient hospital usually to run emergency consultations?" Lu Chen put his special mobile phone on the table.


    "Yes!" Tong Weibo nodded slightly, "In addition, during the night shift in the cardiology ward, if there is a sudden rescue and other wards are short of manpower, you will be called to help. The only good thing is that you don''t care about the bed, and the working hours are up to you. Arrangements, but usually consultation and rescue, you must be on call!"


    "Okay, thank you Brother Tong, I remember it."


    Lu Chen was about to ask some other questions.


    Suddenly, the old mobile phone on the table began to vibrate, and then the high-pitched ringtone rang suddenly.


    "I love you, love you like a mouse loves rice..."


    Lu Chen was taken aback for a moment, this ringtone is really...missing.


    Tong Weibo subconsciously prepared to answer the phone, stretched out his hand to get the mobile phone, and immediately stopped.


    He withdrew his hand and coughed lightly, "Doctor Lu, it''s your turn to answer the phone. If you guessed correctly, it should be an emergency consultation."


    "Oh, oh." Lu Chen answered and picked up the phone quickly.


    At the same time, Tong Weibo and Lu Chen beckoned to leave.


    At the moment when the door of the inpatient duty room was closed, Tong Weibo felt really relaxed.


    Finally, freed!


    The total hospital life in the past year is almost a few years older than his devastation.


    Actually, the work is not very tiring, after all, there is no need to manage the bed in the hospital.


    Most of the time, I arrange it myself, as long as I stay near the hospital.


    However, you need to be ready to answer the phone, emergency consultation, and emergency rescue at any time.


    The whole person is tense every day.


    I¡¯ve run out of time, I¡¯m so tired!


    Tong Weibo left without turning his head, but silently wished Lu Chen good luck in his heart.


    In the hospital duty room.


    Lu Chen picked up the phone, and there was a rapid sound from the other end of the phone.


    "Is there a total hospitalization in the Cardiology Department?"


    "Yes."


    "This is the emergency department, emergency consultation! A 16-year-old girl suffered a sudden cardiac arrest! Come and see!"


    Lu Chen was about to ask some questions when the phone was hung up.


    He had no choice but to put the old mobile phone back in his pocket, picked up the stethoscope, and walked towards the emergency department.


    ¡­


    The First Hospital of Magic City.


    Emergency Department, Rescue Ward.


    "Have the cardiology department, neurology department and ICU been notified?"


    Lv Zhifeng, the deputy chief physician of the emergency department, asked the nurse on the side eagerly while performing CPR on the patient.


    "I''ve been notified, it should be on the way!" the nurse said quickly.


    Hearing the affirmative answer, Lu Zhifeng nodded and said solemnly, "Prepare for defibrillation and endotracheal intubation!"


    "receive!"


    According to clinical regulations, emergency consultation must be present within 10 minutes.


    The CCU of the Cardiology Department and the Emergency Department Building are separated by a considerable distance.


    This is Lu Chen''s first consultation, so he doesn''t know what''s going on. He walked fast and even trotted to the emergency department ward.


    "Emergency cardiology consultation, which patient is that?" Lu Chen came to the nurse''s desk in the emergency department ward.


    "Two beds in the emergency room!" The nurse immediately pointed to the emergency room.


    "Thanks."


    Lu Chen didn''t have any delay, and ran quickly to the emergency ward, leaving behind a strange-looking nurse.


    "The hospital in the Cardiology Department has always been replaced? Why is such a young person here?"


    ¡­


    Lu Chen walked quickly into the emergency ward.


    The whole house was crying, and the scene was in chaos.


    Two nurses are trying their best to maintain order.


    Lu Chen looked at the hospital bed with the most people. A middle-aged male doctor was kneeling beside the bed, trying his best to perform CPR on the patient.


    And on the hospital bed, there was a little girl of fifteen or sixteen.


    She was pale and her lips were cyanotic.


    In Lu Chen''s eyes, the HP on her head was only 19 (---).


    Lu Chen sighed slightly, seeing that this is impossible to live...


    Is there another chapter?


    (end of this chapter)

 v2 Chapter 698： And what is puppy love? (fourth more)

    Chapter 698 What''s so special about puppy love? (fourth more)


    When Lu Chen sighed in his heart, he also quickly stepped forward and asked the young doctor beside him in a low voice.


    "Emergency cardiology consultation, what is the patient''s condition?"


    The young doctor was startled, turned his head, and saw an unfamiliar face. He was a little surprised, but he immediately said: "The patient is a sixteen-year-old high school student. Two hours ago, his family found him unconscious on the ground, so he rushed to send him. to our emergency department."


    "When he first came in, he was in a deep coma and had convulsions all over his body, but his vital signs were relatively stable. After CT and various examinations, the specific cause could not be found."


    "Just now, the patient suffered sudden breathing and cardiac arrest."


    Patients admitted to the emergency department have relatively limited useful medical history.


    "Okay, thanks, I got it."


    Lu Chen quickly read the tests and examinations on admission, and the whole body CT was basically normal.


    Blood test, except for higher white blood cell count, myocardial enzymes, D-dimer, liver and kidney function, electrolytes, and ions are all normal.


    At first glance, there is really no cause for it.


    At this time, the emergency department doctor had intubated the little girl.


    Chest compressions continued, and electrical defibrillation was used intermittently.


    In Lu Chen''s eyes, the little girl''s HP dropped extremely fast!


    In the blink of an eye, it dropped from 19 to 17!


    ¡­


    "One more defibrillation!" Lv Zhifeng, the deputy chief physician of the emergency department, picked up the defibrillator and ordered again.


    "receive."


    The person performing chest compressions stopped, and Lu Zhifeng quickly stepped forward to take over and performed a rapid electrical defibrillation.


    Everyone has been paying attention to bedside ECG monitoring.


    This time, everyone was not disappointed.


    After defibrillation, the patient''s heartbeat suddenly recovered.


    "Yes! It''s restored!"


    Lv Zhifeng stepped forward and touched the carotid artery, confirming the recovery of his heartbeat.


    Heartbeat resumed, chest compressions stopped.


    However, her spontaneous breathing has not recovered, and she can only be maintained by a ventilator, and her blood pressure is very low, which needs to be maintained by vasopressors.


    However, Lu Chen found that the decline rate of the patient''s health has slowed down, hovering around 15.


    The ?? rescue has finally come to an end.


    At this time, the little girl''s mother staggered over and lay beside the bed, crying and calling the little girl''s name.


    "Xiaoyu, wake up! Mommy is here, don''t leave Mommy behind."


    "If you''re gone, how can I live..."


    The cries of grief echoed in the emergency ward.


    The ?? nurse wanted to pull up the patient''s family, but she seemed to have infinite strength, clinging to the fence of the hospital bed and not letting go.


    ¡­


    "Excuse me, which department''s consulting doctor are you?" Lu Zhifeng looked at Lu Chen in confusion.


    He felt that Lu Chen was a little awkward, as if he had never seen it before.


    "Director Lu, I am the chief inpatient of the Cardiology Department."


    Lu Chen had just glanced at the badge of this middle-aged doctor, Lv Zhifeng, the deputy chief physician of the emergency department.


    "Isn''t the inpatient general of the Cardiology Department...isn''t Xiao Tong?" Lu Zhifeng frowned.


    "Director Lu, this is a new round for me. I just started my job today." Lu Chen said.


    "Oh, that''s it, let''s do it." Lu Zhifeng pouted at the little **** the hospital bed, "You saw the patient just now, so give me your opinion."


    Such a young hospital manager is younger than the previous Tong Weibo, and Lu Zhifeng really didn''t expect Lu Chen to give a good opinion.


    Sure enough, Lu Chen just shook his head slightly.


    "It is not clear what the cause is, but cerebral hemorrhage, hypoglycemia, and cardiac diseases may be ruled out."


    He simply read the girl''s medical records just now, but he couldn''t make an effective impression diagnosis. He could only rule out some unlikely diseases.


    "Well, then you can write a consultation opinion." Lu Zhifeng didn''t say much, just nodded slightly.


    At this time, the consulting doctors from the neurology department and the ICU ward rushed over.


    These two doctors should be acquainted with Lu Zhifeng.


    As soon as the three met, they began to talk about their illness.


    Lu Chen couldn''t talk at all, ready to write a consultation opinion before leaving.


    However, before writing a consultation opinion, a physical examination of the patient is routinely performed.


    At this time, the girl''s mother was still lying beside the hospital bed and never left.


    Lu Chen sighed slightly, and without saying anything, he stepped forward and performed a simple heart and lung auscultation and physical examination for the girl.


    ¡­


    The little girl was still in a deep coma, and her heartbeat was still very weak, but her heartbeat was finally restored.


    "Doctor, you must save my daughter!"


    Suddenly, the patient''s mother grabbed the corner of Lu Chen''s white lab coat.


    plopped and knelt on the ground.


    Without saying a word, he started to kowtow.


    The people around him couldn''t stop him.


    Lu Chen was stunned for a moment, then prepared to step forward to help the patient''s mother.


    Unexpectedly, the patient''s mother grabbed Lu Chen''s hand and refused to let go.


    She raised her head, tears streaming down her eyes, bloodshot eyes.


    "Doctor, I beg you, please, please save my daughter."


    "Auntie, don''t get excited, we are working hard to rescue." Lu Chen took a deep breath and tried to comfort the desperate woman.


    "Please, save my daughter."


    "She''s gone, how can I live..."


    "Xiaoyu, wake up, I don''t care about you anymore, you can do whatever you want..."


    Seeing that the woman''s mood was a little broken, the two male family members walked over with red eyes and forced the woman away.


    After seeing many rescue scenes, Lu Chen couldn''t help feeling a little bit of sadness and heartache in his heart.


    The cause is unclear, and he is in a deep coma, with no hope of life at all.


    Even if he has this Roush subsystem, there is currently no way.


    On the first day of hospitalization, he encountered such a difficult rescue patient, which made Lu Chen feel very heavy.


    But now is not the time to sigh.


    Lu Chen threw away all the distracting thoughts, and his mind worked frantically, trying to find a trace of vitality.


    And the speed at which the girl''s HP dropped was like a talisman, which made Lu Chen feel terrified.


    ¡­


    Twenty minutes later.


    Helplessly, Lu Chen still had no clue.


    The consulting doctors in the neurology department and the ICU ward have already written the consultation opinions and returned.


    Their opinions are the same as Lu Chen''s. The cause cannot be found for the time being. If the current state is maintained, the patient will most likely never wake up again.


    Lv Zhifeng, the deputy chief physician of the emergency department, was discussing the next rescue plan with the patient''s other family members.


    Such critically ill patients are generally transferred to the ICU for continued rescue and treatment.


    Lu Chen wrote down his consultation opinion very carefully, and then prepared to leave.


    pushed open the door of the emergency department ward.


    Lu Chen met the patient''s mother in Lu Chen''s corridor.


    ¡­


    She squatted on the cold ground, her legs slightly curled up, her hands tucked her knees, her eyes staring blankly ahead.


    Lu Chen didn''t intend to pay attention to women.


    It was just that the woman suddenly found him, and then staggered to stand up against the wall.


    "Doctor, my daughter...she...is she still alive?"


    Lu Chen sighed and slowly shook his head.


    The woman''s body seemed a little unstable, and Lu Chen quickly stepped forward to support her.


    "Doctor, do you think I shouldn''t be so strict with her... it''s all my fault..."


    "Alas." Lu Chen didn''t know how to comfort the woman.


    The pain of losing a loved one cannot be felt by outsiders.


    The woman said to herself again: "She fell in love early, I scolded her, and she stopped talking to me. Recently, she is in a bad mood and her academic performance has dropped, and I said a few more words to her... It''s all my fault, it''s all my fault. not good!"


    Lu Chen frowned, what''s so special about puppy love?


    Puppy love, bad mood, is it a breakup?


    Thinking of this, Lu Chen immediately asked, "Where did you find your daughter comatose?"


    The woman sobbed in a low voice: "At home, in her bedroom."


    "Is there anything special in the bedroom, like... a medicine bottle?"


    "No, not sure."


    (end of this chapter)

 v2 Chapter 699： Body Donation (First Update)

    Chapter 699 Body Donation (First Update)


    Lu Chen did not leave the emergency department immediately, but returned to the ward.


    Things seem to have taken a turn for the better.


    If the girl really fell in love early and broke up, then the reason for her coma may come to the surface.


    Lu Chen has encountered, and there are many news reports, what to drink sleeping pills, pesticides and unknown psychotropic drugs.


    "By the way, is there anyone else in your family?" Lu Chen asked in a deep voice.


    The woman is still in great grief.


    Lu Chen called out several times before she came back to her senses.


    "No, no one. This kind of thing happened at home, and everyone came to the hospital."


    Lu Chen frowned, "Now let one of your family members go home immediately, go to the bedroom where your daughter passed out and look for any medicine bottles or something."


    "Ah? Doctor... Doctor, do you mean my daughter takes medicine?"


    "This is just a guess, it''s very possible!" Lu Chen said sternly, "According to the current examination and test results, the cause of the coma cannot be found. Apart from taking medicine, I really can''t think of other reasons."


    If it is an overdose of sleeping drugs, it can lead to deep coma, respiratory depression, cardiac arrest, etc., which cannot be detected by ordinary blood tests and CT scans.


    "Okay, let the relatives here go back to one now."


    There seemed to be a hint of color in the woman''s eyes. She hurriedly ran into the emergency ward and told a family member to go home and check to see if there were any empty medicine bottles or the like.


    And Lu Chen did not leave for the time being, but returned to the emergency department.


    He has nothing else to do anyway.


    ¡­


    in the emergency department ward.


    Deputy chief physician Lv Zhifeng is communicating with the patient''s family about the condition.


    "Families should be mentally prepared. In this situation, they only use drugs to maintain blood pressure and maintain breathing. Once the drugs are withdrawn, the person may be gone." Lu Zhifeng said slowly, "If you want to continue treatment, you may need to be transferred to the intensive care unit. ?"


    The patient''s father is an honest and flattering middle-aged man with red eyes, "Doctor, tell me the truth, what are the chances of my daughter waking up?"


    "This...it''s hard to say." Lu Zhifeng shook his head slightly.


    "Then... According to your experience, how about an estimate?" the man whispered.


    Hearing this, Lu Zhifeng almost understood what the man meant.


    Transfer to the intensive care unit, maintenance monitoring and rescue costs, which is not an ordinary family can afford.


    And in the end, it is very likely to be the end of people and money.


    In an ordinary family, if you encounter such a thing, if you fight to the end, it may not have a good ending.


    Lu Zhifeng was silent for a long time, then slowly said: "Actually, let me be more straightforward. Your daughter''s current situation, if it takes a little longer, it can be diagnosed as brain death."


    "Brain dead?" The man''s face darkened, "That is to say, my daughter will become a vegetable in the future?"


    Lu Zhifeng shook his head.


    "Brain death is not a vegetative person, these two are different concepts."


    General vegetative state refers to a state that is similar to the survival phenomenon of plants under some specific disease conditions.


    In addition, the vegetative person at this time will still preserve some instinctive conditioned reflexes, and can also metabolize substances and energy, but their cognitive function has been completely lost, which is clinically irreversible coma.


    Brain death is the damage to brain function and brain stem function, which leads to brain death. For such people, they cannot breathe spontaneously, and they need to use machines to help them breathe.


    "Veterans can live for many years, after all, they do not need the maintenance of drugs and ventilators."


    "However, brain-dead patients can only last for a few hours, two or three days, and a maximum of ten days and a half months."


    "What we can do now is to look at the patient''s fortune."


    The man''s expression was extremely gloomy when he heard Lu Zhifeng''s words.


    Brain death, which undoubtedly has diagnosed clinical death.


    Continuing the treatment may be in vain.


    Is it really going to be cured?


    "Doctor, I''ll discuss with the child''s mother." The man seemed a little choked up, "I''ll give you an answer right away."


    "Okay, let''s discuss it as soon as possible." Lu Zhifeng said.


    ¡­


    The patient''s mother just had a glimmer of hope, so she asked her relatives to help her go home and take a look.


    But when he heard the man''s words, it was like a thunderbolt from the blue, and he stayed where he was, unable to move for a long time.


    brain death? !


    Her tears seemed to have dried up and she couldn''t cry anymore.


    She ran to the hospital bed, stared closely at her daughter''s appearance, stretched out her hand, tremblingly wanted to touch her face, and then slowly retracted her hand.


    "Little Rain, can you hear what mom said?"


    "Xiaoyu, mother will never criticize you again."


    "Little Rain, just open your eyes and talk to your mother..."


    There were no hysterical shouting and crying, and the woman just sat quietly beside the hospital bed, muttering something in her mouth, her eyes no longer looking bright.


    Looking at this situation, the husband cannot communicate with his wife about the next treatment plan.


    He stepped forward, gently grabbed his wife''s arm, and said slowly, "The doctor said that if you want to continue treatment, then transfer to the intensive care unit."


    The wife did not answer his words.


    The man gritted his teeth, as if he had made up his mind, and continued: "Don''t worry, as long as Xiaoyu still has a breath, he will continue to treat the pot and iron!"


    After talking, the man finally couldn''t hold it anymore and burst into tears.


    At this time, the woman wiped away her tears, glanced at her husband, then slowly stood up and walked towards Lu Zhifeng.


    ¡­


    Lu Chen had already returned to the emergency department ward.


    But he is a doctor who consults and can only stay silently by the side.


    When he heard Lu Zhifeng talking about "brain death", he also frowned slightly and didn''t say much.


    Judging from the current state of the patient, there is no spontaneous breathing and a deep coma. At first glance, it does meet the diagnosis of brain death.


    "Doctor Lu, do you have anything else to do?" Lu Zhifeng asked suspiciously when he saw Lu Chen leaving and returning.


    The general consultation doctor, after writing the consultation opinion, wants to leave early, who would stay in someone else''s department? !


    Lu Chen thought about it for a while, but still expressed his own thoughts, "Director Lu, I just heard from the patient''s mother outside that the patient may have broken up recently."


    "Huh?" Lu Zhifeng raised his eyebrows slightly, "Then what?"


    "I wondered if she was taking medicine at home..."


    Lu Chen was interrupted by Lu Zhifeng before he could finish speaking.


    "Wait a minute, the patient''s family has come to talk to me."


    At this time, the patient''s parents were walking towards Lu Zhifeng.


    When Lu Chen saw this, he silently stood aside.


    "Director Lu, we... we want to ask about body donation..."


    The patient''s father surprised everyone when he opened his mouth.


    (end of this chapter)

 v2 Chapter 700： This is life! (Second more piao)

    Chapter 700 This is a life! (Second more piao)


    Organ donation?


    All the doctors and nurses present and other family members of the patient were dumbfounded.


    Chinese people are quite taboo in this regard. It takes great courage to dare to make the decision to donate body organs!


    Lu Chen looked at the patient''s regular script, and somewhat admired the decision made by the girl''s parents.


    Just listen to the girl''s father in a deep voice: "Xiaoyu is usually a very kind and helpful child. If she can''t wake up, body organ donation may be able to treat more patients."


    The girl was diagnosed with brain death. Now only her heart is beating weakly, she is not breathing on her own, she is in a deep coma, and her heartbeat can stop at any time.


    However, brain death is also death!


    What we often say about death generally means that the cardiac arrest is equivalent to death, but clinically, some patients have the cardiac arrest.


    But the brain is no longer functional. In this case, it is considered brain death, and brain death is also death.


    It¡¯s just that many people still can¡¯t accept the idea that brain death is also death. After all, they think that the heart is still beating, and they hope that a miracle will happen one day and they will wake up.


    But can miracles happen easily?


    "Okay, I will help you contact the organ donation center." Lu Zhifeng said, "The corresponding process still needs to be improved."


    Lv Zhifeng immediately understood the choice of the patient''s parents.


    The high medical expenses are unbearable for family members.


    Give up treatment and donate body organs.


    In his opinion, this is nothing more than the best choice.


    However, organ donation is not a casual success, and an organ donation coordinator is needed to assess the situation of the "remains".


    After a series of complex procedures, deceased organs can be donated.


    "Thank you, thank you Director Lu."


    The patient''s father reached out and wiped a handful of tears.


    Just then, the patient''s mother''s cell phone rang.


    She was stunned for a few seconds, and then slowly answered the phone.


    "A bottle of sleeping pills was found in the trash can at home? The bottle is empty? I know, trouble."


    Lu Chen stood aside and noticed the situation. He quickly said, "Did you really drink the medicine?"


    With tears in her eyes, the woman nodded slowly: "Yes, after drinking her grandma''s sleeping pills, my son, my life is really hard..."


    But, it''s too late to say anything now.


    All have been diagnosed with brain death, is there any chance of recovery?


    Discovering the cause of this disease does not seem to be of any help in diagnosis and treatment.


    The patient''s parents returned to the hospital bed and looked at their daughter silently.


    I want to accompany her in this last time.


    ¡­


    Beside, Deputy Chief Physician Lu Zhifeng is still busy.


    He seemed to have forgotten what Lu Chen said to him just now.


    However, Lu Zhifeng was cautious.


    He came to the girl''s bedside again to re-score her brain function to assess the possibility of resuscitation.


    After a long while, Lu Zhifeng still shook his head, "Deep coma, very low brain function score, no signs of recovery at all, still brain dead!"


    Lu Chen stood aside, but his brows were furrowed, he felt something was wrong.


    Before ??, the cause has not been found, and the diagnosis of brain death may be justified.


    But now, with the influence of a large number of oral psychotropic drugs or poisons, the diagnosis of brain death has to be reconsidered!


    Such a young girl, only 16 years old, the cardiac arrest occurred in the emergency department, and CPR and rescue were very timely.


    Logically speaking, it shouldn''t be brain dead so fast!


    And most importantly, Lu Chen found that the patient''s life value was declining and gradually slowing down.


    "Director Lu!" Lu Chen suddenly stood up, staring at Lu Zhifeng resolutely.


    "What''s the matter?" Lu Zhifeng turned his head slightly and glanced at Lu Chen curiously.


    This cardiologist inpatient is really interesting. He came to the emergency department to consult a patient, but he still hasn''t left?


    Are you related to this patient?


    "You should have heard just now that this patient has a history of swallowing psychotropic drugs." Lu Chen said.


    "Yeah, what''s the matter?"


    Lu Zhifeng was a little impatient. He didn''t understand what the young man in the hospital wanted to do.


    However, the relationship between the emergency department and the cardiology department should not be strained. The two departments are too closely connected, and we can¡¯t see each other when we look up.


    He could only be patient and look at Lu Chen.


    Lu Chen glanced at the **** the hospital bed, turned his head back, and said softly, "Director Lu, I think this patient''s consideration of brain death would be a little less rigorous?"


    "Hehe, not too strict?" Lu Zhifeng first smiled, then he laughed dumbly, "Doctor Xiao Lu, do you know the criteria for judging brain death?"


    Brain death is a very complicated thing to judge. To diagnose a patient as brain dead, it needs to go through a very complicated procedure.


    Generally speaking, doctors do not easily make a diagnosis of brain death.


    Lv Zhifeng continued: "The patient had suffered cardiac arrest, was in a deep coma, had no spontaneous breathing, and had a very low brain function score. The possibility of resuscitation was very small, so I considered the diagnosis of brain death."


    "If it''s not strict as you said, and the family members of the patients are required to continue treatment in the intensive care unit, the treatment cost is 10,000 to 20,000 yuan per day, which ordinary family can spend such a large sum of money?"


    "And the final result is very likely to be empty of money and manpower. Is this the desired outcome of continuing treatment?"


    Lv Zhifeng feels that the young doctors today are too conceited and do not know how high the sky is!


    This kind of deep coma, patients with a history of cardiac arrest, basically have no possibility of resuscitation.


    Still have too little clinical experience!


    I always feel that I am a master of Xinglin, able to rejuvenate with a wonderful hand, and any patient wants to try it!


    Lu Chen took a deep breath and let it out slowly. He looked at Lu Zhifeng and said unhurriedly: "Director, you are an emergency department expert. You must be more professional than me in judging clinical death. You are more familiar with the standard of brain death than I am. ,but¡­"


    Having said this, Lu Chen paused slightly and continued: "But there is a precondition for judging brain death, and that is to rule out the effects of drugs (or poisons) that cause coma!"


    Lu Zhifeng frowned when he heard the words.


    Lu Chen''s words did not stop, "The patient has a history of oral drug poisoning, which must be taken into account. The patient''s sudden cardiac arrest and deep coma may be caused by this drug, not necessarily caused by cerebral ischemia and hypoxia. She was in a deep coma. After all, the patient was stopped in the emergency department, and you rescued her quickly, and the compression time was not too long."


    "In the final analysis, this is a life!"


    Lu Chen''s voice was low.


    "Director Lu, my opinion is to observe at least another 24 hours. At the same time, carry out the treatment of toxin removal, such as plasma exchange and blood perfusion!"


    (end of this chapter)

 v2 Chapter 701： Silently drink this bowl of chicken soup (third more)

    Chapter 701 Silently drink this bowl of chicken soup (third more)


    Lu Zhifeng put down the medical records in his hand and looked at Lu Chen with a burning gaze.


    He was extremely serious on the surface, but in fact his heart was a little shaken.


    Lu Chen''s words are every word.


    Every word of ?? was mapped into his heart.


    "What area are you from? Whose student?" Lu Zhifeng asked curiously.


    Lu Chen saw that Lu Zhifeng asked this question, and knew that his remarks should have played some role, so he said: "Director Lu, I am a doctoral student in my heart, and my supervisor is Zhang Shuqing."


    "You''re a doctoral student, why should you be the chief inpatient of the Department of Cardiology?" Lu Zhifeng was a little surprised when he heard this.


    "What''s the matter, I''m studying for a Ph.D., is there any problem?" Lu Chen was taken aback.


    "Other departments, resident physicians or PhD candidates, can be the chief inpatient." Lu Zhifeng frowned, "But in your cardiology department, every inpatient is always an attending doctor, even a senior attending doctor!"


    "Huh? Senior management?" Lu Chen felt something was wrong. "Before I came, I heard that the doctoral student is taking turns to be the head of the hospital?!"


    "That''s another department, like an endocrinology department, an infectious disease department, etc." Lu Zhifeng shook his head slightly, "You, the general resident of the Cardiology Department, often have to deal with various critical events. Ordinary residents or doctoral candidates may not be able to do that. I can''t help it at all. You are like Tong Weibo, the previous resident chief of the Cardiology Department, he is the senior attending doctor!"


    Since the Cardiology Department dared to let Lu Chen come to be the hospital chief, it also showed his ability.


    However, Lu Chen felt like he was being fooled!


    But now is not the time to say those words either.


    "Director Lu, what I just said..." Lu Chen said softly.


    "I thought about it carefully, it''s true that I was negligent!" Lu Zhifeng nodded, "I usually encounter this kind of patient, and some family members don''t give up, but they almost never wake up, so I just subconsciously substituted it, you are right. Yes, we do have to take that into consideration.¡±


    Lu Chen finally breathed a sigh of relief, "Thank you, Director Lu."


    "Thank me for what? I should thank you!" Lu Zhifeng patted Lu Chen on the shoulder, "You''re a good kid, I know how dare the Cardiology Department send you out to be the hospital chief! You have a kid with this. strength!"


    An ordinary consulting doctor may have written a consultation opinion and ran away long ago.


    Lu Chen was fighting here, and he really found a problem for him!


    Looking back now, Lu Zhifeng also broke out in a cold sweat on his back.


    If it wasn''t for Lu Chen''s reminder, the consequences would be unimaginable now.


    "Director Lu, in fact, after the body donation coordinator arrives, he will also re-evaluate the patient." Lu Chen said, "Their judgment on brain death is very professional. Even if I am not here and say these words, they will definitely find out. ."


    "Oh, people really have to obey the old!" Lu Zhifeng shook his head slightly, "This time has passed, I really want to take an annual leave and have a good rest."


    After Lu Zhifeng said this, he began to regroup and communicate with the patient''s family again.


    The content of the communication is naturally what Lu Chen said just now.


    In addition, the patient needs to continue to observe for 24 hours, and at the same time perform hemoperfusion, plasma exchange and other operations.


    ¡­


    The rest is not something Lu Chen can manage.


    His duty is to give his own consultation opinion.


    Now that Lu Zhifeng has adopted it, it is up to the patient''s family to decide.


    After staying in the emergency department for almost an hour, Lu Chen returned to the CCU lounge a little tired.


    Lying on the bed, he just remembered that Lv Zhifeng told him just now that hospitalizations in the Cardiology Department are always about senior physicians.


    After thinking about it, Lu Chen immediately called Zhang Shuqing.


    "Hey, Lu Chen? Today is the first day of the hospital, how are you feeling?"


    Lu Chen didn''t speak for a long time, Zhang Shuqing thought that Lu Chen had hung up, and repeated: "Are you listening?"


    "Teacher, I heard that the hospitalization of the Cardiology Department is always the main treatment, is that true?"


    Zhang Shuqing didn''t expect to be exposed so quickly, and he coughed a few times, "This...is true. But we sent you to be the chief hospital officer, and it was also very elegant."


    However, Lu Chen does not reject the general inpatient work of the Cardiology Department, on the contrary, he enjoys it.


    On the other end of the phone, Zhang Shuqing continued: "Originally, the attending doctor who came to be the chief inpatient this round has temporarily left the country, so we were unable to dispatch manpower for a while. Ordinary resident doctors or PhD candidates are really not competent for this job. , I finally thought of you and recommended you to the top."


    Lu Chen was quite speechless: "Teacher, you really made me lame."


    Zhang Shuqing smiled and said, "This is also a good exercise! I know you like to work in the clinic, this is definitely a good opportunity. On the other hand, the general hospital treatment in our Cardiology Department is very good and will not be treated badly. you."


    "Teacher, you said so, I have already taken office, can''t I quit?" Lu Chen smiled helplessly.


    "Haha, Lu Chen, work hard, I''m optimistic about you!"


    Before hanging up the phone, Zhang Shuqing poured Lu Chen a bowl of chicken soup.


    Lu Chen could only drink it silently.


    ¡­


    Stayed in my lounge for half an hour.


    The hospital chief''s special cell phone rang again suddenly.


    "I love you, love you like a mouse loves rice..."


    Lu Chen picked up the phone, thinking that he must change this ringtone to a more fashionable one later.


    picked up the phone, and Lu Zhifeng''s voice immediately came from the other end of the phone.


    "Lu Chen, right? I''m Lu Zhifeng from the emergency department."


    "I''m Lu Chen, hello Director Lu, is there an emergency consultation?"


    At this time, Lu Chen had already got up from the bed.


    "It''s not an emergency consultation." Lv Zhifeng said with a smile, "After my communication with the patient''s family, they agreed to go to the ICU for treatment, and the ICU is ready for double plasma exchange and hemoperfusion."


    Plasma exchange, hemoperfusion, in simple terms, these are all methods of purifying blood, the purpose is to remove residual drugs and some inflammatory mediators in the blood.


    "That''s great!" Lu Chen said, "This way the patient may be able to wake up!"


    Lu Zhifeng sighed, "Yeah, Lu Chen, thanks to your reminder. The body donation coordinator came just now, and after evaluating the patient''s condition, he said the same thing as you."


    "Director Lu, I actually didn''t think much about it, it''s just that such a teenage girl is gone. It''s a pity." Lu Chen sighed, "As long as there is a small chance, I want to seize it!"


    When I was in the emergency department, listening to the heart-breaking cry of the patient''s mother, as long as she was not a hard-hearted person, she would definitely be moved.


    What''s more, what about Lu Chen, who treats the disease and saves people as his mission?


    Actually, Lu Zhifeng''s emergency CPR on the little girl was also very timely.


    Otherwise, the cardiac arrest will be delayed for a long time, and it may be really brain dead!


    "Lu Chen, you are really good!"


    "Having a young doctor like you is a blessing for our Chinese medical community!"


    After chatting with Lu Chen for a few more words, Lu Zhifeng hung up the phone with a sigh.


    recalled the various things in the duty room today.


    Lu Zhifeng silently came to the duty room and took off his white coat.


    "Forget it, I''d better take a long vacation."


    He felt in his heart that in his current state, it seemed that he needed to rest for a while.


    (end of this chapter)

 v2 Chapter 702： Lu Chen was sued! (fourth more)

    Chapter 702 Lu Chen was complained! (fourth more)


    The general advantage of ?? hospitalization is that most of the time, you manage yourself.


    No patient management, no ward rounds.


    After talking with Lu Zhifeng on the phone, Lu Chen started to look up documents in the lounge.


    Although the paper has come to an end, Lu Chen''s habit is to study the latest hot literature every day.


    With the help of the "Literature Reading" skill card, Lu Chen was able to absorb all kinds of clinical and scientific research hotspot knowledge at the fastest speed.


    The current medical exploration is developing rapidly.


    More and more diseases are being discovered one after another.


    There are also some pathogenic mechanisms that were not clear in the past, which have also been studied by researchers.


    As a clinician, if you are only satisfied with your existing knowledge, you will definitely become outdated.


    ¡­


    However, Lu Chen had only read two of the documents when the special telephone of the hospital chief rang.


    Another emergency consultation!


    Emergency consultation of gastroenterology department, the doctor in the other department suspected that the patient had myocardial infarction.


    Lu Chen did not delay at all, and immediately rushed to the gastroenterology department.


    It really doesn''t stop!


    That''s right, the phone''s ringtone hasn''t been changed yet, Lu Chen thought that after this patient finished, he must change the ringtone!


    Came to the second ward of the Department of Gastroenterology.


    Lu Chen quickly looked at the patient who was being consulted.


    He is a middle-aged man who was admitted to the hospital last night because of stomach pain after drinking alcohol.


    The emergency department suspected a gastrointestinal disease and was admitted to the gastroenterology department.


    The electrocardiogram on admission was normal, but today the abdominal pain intensified, and the electrocardiogram was rechecked, and the ST segment of the inferior leads of the electrocardiogram was elevated!


    Rechecked myocardial enzymes, and the results were all elevated!


    "Acute inferior myocardial infarction!" Lu Chen was diagnosed immediately, "PCI needs to be done immediately!"


    "Doctor, you said I had a myocardial infarction?" The middle-aged man couldn''t believe it, "I know the disease of myocardial infarction, my uncle had a myocardial infarction, and he had chest pain at the time! But I didn''t have chest pain at all, I just had stomach pain, It hurts here! How could I have a heart attack!"


    said, the man still pointed to his stomach, his face full of doubts.


    "Who said myocardial infarction must be abdominal pain? Abdominal pain must not be myocardial infarction?" Lu Chen asked back.


    "But myocardial infarction is a type of heart disease. How can it be that the heart doesn''t hurt, but it hurts elsewhere!" The middle-aged man was still stubborn.


    Lu Chen frowned and said, "Then let me tell you now, there are many places for myocardial infarction, in addition to chest pain, it can radiate to the left shoulder, left upper limb, inner left upper arm, fingers and ring fingers. Some even only have a tight throat and tongue. Pain and toothache."


    "Toothache went to the dentist, and finally found out that it was a myocardial infarction!"


    The middle-aged man shook his face and put his arms around his arms, "Don''t talk about it, no matter how much you say to scare me, I don''t believe it anyway!"


    When encountering such patients, Lu Chen would not be accustomed to them.


    Lu Chen said with no expression: "Myocardial ischemia during myocardial infarction, excessive accumulation of metabolites in the myocardium, stimulates the cardiac autonomic nerve sensory afferent fibers, leads to increased excitation of somatosensory neurons, and causes referred pain in different parts of the body."


    "Gastrointestinal symptoms such as abdominal pain may be caused by necrotic myocardium during inferior wall myocardial infarction and stimulate the vagus nerve, causing gastrointestinal symptoms, etc."


    The middle-aged man turned his head and ignored Lu Chen at all.


    "Currently your symptoms, troponin, and electrocardiogram results are highly suggestive of acute myocardial infarction. If you don''t believe it, it doesn''t mean it doesn''t exist." Lu Chen said, "Myocardial infarction requires emergency surgery. Contact your family members and ask them to come over quickly."


    "No, I have no family."


    Lu Chen wasn''t angry either, and said lightly, "I''m telling you so much because I''m a doctor and you''re a patient. I have an obligation to explain my condition to you. As for whether you believe it or not, whether it''s cured or not, what does it have to do with me? relation?!"


    After ?? explained a few words, Lu Chen left.


    When encountering such a patient, it is really hard to argue!


    The doctor in charge of the gastroenterology department was also very helpless to the patient, "Dr. Lu, this person is just like this. He is a middle school teacher. We talked about his illness once, but he didn''t believe it at all, and he didn''t call his family over at all."


    Lu Chen was quite helpless, "Since the patient doesn''t believe it, let him sign it."


    "Sign? He really doesn''t even have a pen!" The gastroenterologist''s expression was also very helpless.


    "Then you still have to pay special attention. Although he is generally in good condition, he has an acute myocardial infarction after all, and the risk is very high." Lu Chen said, "Report it to the medical department, or contact their school leaders to deal with it."


    "Oh, that''s the only way it can be."


    Encountering such a wonderful patient, the gastroenterologist also has bad luck.


    Lu Chen finished writing his consultation opinion, but he hadn''t left the gastroenterology doctor''s office.


    A phone call from the medical department came over.


    When Lu Chen received the call, his whole person was not well.


    He was complained by this gastroenterology patient just now!


    On the phone, Lu Chen naturally recounted what happened.


    The medical department would not embarrass Lu Chen, just said a few words and hung up the phone.


    All wards are monitored, and there are records of the course of the disease as evidence.


    This is not who complains, whoever is justified!


    However, despite this, Lu Chen was still surprised by this kind of patient.


    It can only be said that such paranoid patients often have a poor prognosis!


    Back to CCU lounge.


    Lu Chen immediately changed the ringtone of the special mobile phone.


    It''s time to say goodbye to "mouse loves rice".


    ¡­


    It was also a coincidence when we had lunch at noon.


    Lu Chen met the doctor of gastroenterology in the cafeteria.


    As soon as they met, he complained: "Doctor Lu, after you left, the myocardial infarction patient made a lot of noise in our ward. Finally, I called the security guard over, and he was discharged from the hospital after signing the signature. "


    Lu Chen just spread his hands, "No way, this kind of patient, we are really powerless."


    "I agree with both hands!" The gastroenterologist sighed slightly.


    After finishing lunch, Lu Chen did not go back to CCU, but went back to the dormitory to rest.


    The dormitory is not far from the inpatient department. If there is a situation, he can arrive at any time.


    ¡­


    Just returned to the bedroom.


    Lin Shumin rushed over.


    "Lu Chen, I heard that you are being hospitalized in the internal medicine department?" Lin Shumin also looked at Lu Chen with surprise.


    He was shocked when he heard the news.


    When did the Cardiology Department let the doctoral student be the hospital chief? !


    "Oh, stop talking, I was fooled too." Lu Chen shook his head helplessly.


    Lin Shumin smiled, "I want to be the inpatient chief, but the hospital won''t let me! This is a good opportunity. I heard that the monthly salary is quite a lot!"


    The monthly subsidy for a doctoral student is pitifully small, only more than 1,000 yuan, just enough for living expenses.


    Lin Shumin''s mentor is not very reliable, and the usual subsidies are pitiful.


    He does not mean that.


    Lu Chen thought for a while, then raised his head and said to Lin Shumin, "Senior brother, you are in my scientific research team. I will give you a corresponding subsidy every month. Although it is not much, I can usually improve the food."


    Lin Shumin quickly waved his hand when he heard the words, "Lu Chen, don''t get me wrong, that''s not what I meant. What''s more, if the paper can be published this time, the hospital will also have a generous reward!"


    Speaking of papers, Lu Chen thought that the magazine''s response should be these days.


    He turned on the computer, clicked on the email, and there was really an unread email.


    Is there any update?


    might have¡­¡­


    (end of this chapter)

 v2 Chapter 703： If you want to be saved, save yourself first (first update)

    Chapter 703 If you want to be rescued, save yourself first (first update)


    Click on the email.


    Unfortunately, it is not an acceptance notice from the magazine.


    However, this email still caught Lu Chen''s attention.


    This is an email from AstraZeneca China branch.


    The approximate content of the email was to invite Lu Chen to attend the annual meeting of Huaxia Cardiovascular Pharmacy.


    After all, after the last cooperation, Lu Chen pushed AstraZeneca''s Dapagliflozin to a small peak.


    Such large-scale annual meetings are generally sponsored by large pharmaceutical companies, such as AstraZeneca, Pfizer, etc.


    AstraZeneca is still more concerned about strengthening cooperation and suggestions with these high-end scientific research teams.


    However, Lu Chen didn''t have much interest in this kind of meeting, and didn''t pay too much attention to it.


    But Lin Shumin, who was beside him, also saw this email.


    He was slightly surprised, it was an invitation to the annual meeting of cardiovascular pharmacy!


    Ordinary people are not eligible for this invitation.


    As far as he knows, at least his mentor is not qualified.


    "What, brother want to go?" Lu Chen also noticed Lin Shumin''s expression.


    "Hehe." Lin Shumin scratched his head, "I...haven''t been there yet."


    Lu Chen smiled, "The annual meeting will be on the sixth of next month, let''s go together when we have time."


    "That''s cool!" Lin Shumin said excitedly.


    Still following behind Lu Chen and having meat to eat!


    If this is your own mentor, how can you take yourself out!


    However, it makes Lin Shumin slightly regret that the journal has not responded to any news.


    This made him a little anxious, seeing that the graduation deadline was getting closer.


    ¡­


    Lu Chen just slept in the bedroom for half an hour.


    The call for emergency consultation came.


    Hazy opened his eyes, Lu Chen''s head was big.


    This general job in the hospital is really hard to do!


    This time, it was another emergency department consultation.


    Lu Chen got up quickly, took a shower, and rushed out of the bedroom.


    Came to the emergency department.


    The nurse on duty already looked familiar to Lu Chen.


    When she saw Lu Chen, she pointed to the emergency room, "Doctor, the emergency consultation is for 6 patients. It seems that they were just discharged from the gastroenterology department today."


    "OK, thanks."


    Lu Chen nodded slightly in thanks.


    At the same time, he was also thinking about the person who was discharged from the gastroenterology department. Could it be the paranoid middle school teacher that morning?


    Lu Chen walked into the emergency ward.


    This time, he did not see Lu Zhifeng.


    Walking towards the No. 6 hospital bed, Lu Chen immediately saw the bald and paranoid middle school teacher.


    Sure enough, it was really him!


    At this time, he was lying on the hospital bed with his eyes tightly closed, not in the slightest of the high spirits he had when arguing with Lu Chen in the morning.


    A young woman sat beside the bed.


    Seeing Lu Chen coming, the woman immediately stood up.


    aside, an attending doctor in the emergency department also rushed over immediately.


    "The patient was diagnosed in the gastroenterology department in the morning and refused to continue treatment and was discharged. He signed and was discharged. An hour ago, he suddenly fainted at home and was sent over by his family."


    Lu Chen nodded slightly, "I know this patient, and I will see him in the morning."


    "I see." The attending doctor nodded, "Then please ask Dr. Lu to see the patient again. For the time being, he still suspects cardiac syncope."


    "it is good."


    Lu Chen turned to look at the middle-aged man on the hospital bed.


    He still closed his eyes, completely ignoring Lu Chen''s existence.


    "Doctor, how is my dad?" the female family member whispered.


    "Myocardial infarction was diagnosed this morning." Lu Chen said directly, "Acute myocardial infarction is one of the diseases with the highest fatality rate in our cardiovascular department. However, your father refused to continue hospitalization and was discharged."


    "Oh, this, my dad is really..." The female family member shook his head and sighed, "Doctor, how should my dad''s disease be treated?"


    "Normally, after a myocardial infarction is diagnosed, emergency surgery is required." Lu Chen said, "However, in your father''s situation, we don''t dare to perform surgery casually. We still need the patient to accept it."


    Otherwise, if the operation is halfway through and the patient himself regrets it and jumps off the operating table, it will be troublesome.


    This kind of precedent has really happened!


    ps: Coronary intervention, only local anesthesia.


    "Hey, this..." The patient''s daughter looked at the patient in front of the bed with a helpless expression, "Doctor, please communicate with my dad again."


    Her father''s temper, as a child, must be known.


    Lu Chen didn''t say much. He took the stethoscope and performed auscultation on the patient''s heart again.


    The patient felt the movement and opened his eyes slightly.


    Seeing Lu Chen in front of him, he was stunned and wanted to move, but he didn''t have any strength at all.


    "The heart rate is very slow! Too slow!" Lu Chen frowned.


    After the auscultation, he didn''t care about the man''s expression, and directly stated his diagnosis.


    "Inferior myocardial infarction will affect the cardiac conduction system. Many patients may experience slow heart rate, conduction block, etc." Lu Chen said, "There may even be cardiac arrest!"


    He got the ECG for the patient''s review.


    A typical third-degree AV block with atrioventricular dissociation.


    This also explains why the patient faints!


    The heart rate is too slow, the cardiac ejection is reduced, and the peripheral blood supply is insufficient, which causes a series of symptoms such as dizziness and syncope.


    "The heart rate is too slow, it may be necessary to put a pacemaker now!" Lu Chen said solemnly.


    "Pacemaker?" The patient''s daughter was taken aback, "Is it permanently implanted?"


    Lu Chen shook his head slightly, "Temporarily use a temporary pacemaker to assist in the completion of the angiography operation. After the coronary angiography operation is over, if the slow heart rate still exists, then a permanent pacemaker needs to be implanted!"


    As soon as these words came out, the middle-aged man on the hospital bed panicked.


    He wanted to struggle to sit up, but because his body was too weak, he didn''t finish getting up for a while.


    "I...I don''t..." The man whispered, but he was really weak.


    Even if he hated Lu Chen again, he was not even willing to accept the fact that he had a "heart infarction".


    But now, all the evidence is placed in front of his eyes, and he cannot tolerate the slightest suspicion.


    Lu Chen ignored the patient.


    He communicated directly with his family: "In this situation, you can''t delay for a minute. If you agree to continue treatment, you need to be admitted to the emergency department immediately for emergency coronary angiography and temporary pacemaker implantation."


    "Okay, I''ll discuss it with my brother." After Lu Chen''s separate notification, the patient''s daughter also understood the risk of the disease, "I''ll give you an answer in ten minutes."


    Lu Chen nodded slightly, finished writing the consultation opinion, explained a few words to the emergency doctor, and left.


    This patient is different from the unconscious girl in the morning.


    The diagnosis is very clear!


    Whether to continue treatment depends entirely on the opinion of the patient and the patient''s family.


    Lu Chen continued to stay here, and he didn''t have much opinion.


    ¡­


    in the emergency ward.


    Lu Chen stepped forward.


    The patient quarreled with his daughter.


    "Discharge, I want to be discharged!" The patient replied in a very weak voice.


    The patient''s daughter begged helplessly: "Dad, what should you do if you faint again?"


    "I don''t care, I''m fine now, nothing is wrong."


    "But the doctor just said that you are still fainting. What should you do if it happens on the road or in other dangerous environments? What if there is no one around?"


    These conversations, Lu Chen had no way of knowing.


    Even if he knew, he wouldn''t say much.


    Anyone who wants to be saved must first save themselves!


    Otherwise, everything is empty talk.


    Going out for a day today.


    Just stopped to update, try to write as much as possible.


    (end of this chapter)

 v2 Chapter 704： Lu Chens tailor-made plan! (Second update, thanks

    Chapter 704 Lu Chen''s tailor-made plan! (Second, thank you for the shameless reward again)


    When this happened, Lu Chen didn''t go back to the bedroom to sleep, but went directly to the CCU in his heart.


    The CCU ward has a total of six medical groups and twelve doctors. They are the elite team of the Cardiology Department of the entire Modu First Hospital, specializing in the rescue of critically ill patients in various cardiology departments.


    Lu Chen came to the ward and briefly said a few words to the doctor on duty. There might be a myocardial infarction patient coming soon, and then he returned to his lounge.


    CCU doctor is also very interested in this new inpatient.


    They have long heard about Lu Chen.


    After all, the cardiology circle in the magic capital is not very large, and there are only one or two young people who can be influential.


    Many single female doctors saw that Lu Chen was pretty good-looking, and they all thought of getting to know him.


    "Oops, Dr. Lu, how are you feeling on your first day here today?"


    Doctor Zhang Lulu from the CCU ward came to Lu Chen''s lounge with a cup of milk tea.


    "It''s okay." Lu Chen smiled, "I''m just a little busy."


    "It''s your first day here, you''ll get used to it in the future." Zhang Lulu handed the milk tea to Lu Chen, "Well, I ordered an extra cup of milk tea and I''ll give it to you."


    "Okay, thank you Sister Zhang." Lu Chen smiled.


    Zhang Lulu frowned slightly, "I''m not much older than you, you sister, I really want to call me old!"


    Lu Chen was taken aback for a moment, shouldn''t he be called Sister Zhang?


    This girl is really hard to serve!


    Lu Chen complained in his heart for a while...


    ¡­


    After chatting with Lu Chen, Zhang Lulu left.


    Lu Chen was also able to continue to rest.


    The afternoon was not as busy as the morning, and Lu Chen spent most of his time checking documents.


    During the ?? period, Lu Chen also glanced at the WeChat group.


    Ke Yue, Dong Hao and others also learned about the news of his hospitalization.


    Ke Yue, who knew Lu Chen''s "black face" best, could only silently send his blessings in the WeChat group.


    Dong Hao also expressed his amazement in the WeChat group.


    It was the first time he saw a doctoral student, so beware of the inpatient department of internal medicine.


    But considering Lu Chen''s clinical level, it is understandable.


    When ?? was about to go to dinner, Zhang Lulu came again.


    "Lu Chen, the myocardial infarction patient you consulted at noon is here."


    "Just now?" Lu Chen frowned.


    This myocardial infarction patient, Lu Chen went to the consultation at 12 noon.


    It''s almost six o''clock now!


    "Oh, I can''t help it, I heard that the family members and the patient were chatting in the emergency department for an afternoon." Zhang Lulu said, "The patient was about to be discharged, and the family member insisted on not letting it go. Finally, the patient was allowed to come in after being tough."


    "Are you ready for surgery?"


    Zhang Lulu nodded slightly: "Well, it''s still within the time window, and it''s ready to be sent to the intervention room. But after an afternoon of delay, the effect of the surgery may not be ideal."


    Interventional surgery for acute myocardial infarction, the sooner the better!


    Completing the operation within 120 minutes of the onset of the disease can greatly save the necrotic myocardium.


    "This person is a middle school teacher, and I haven''t found him so stubborn." Lu Chen frowned.


    "Oh, don''t mention it, it''s usually the most tangled when you meet people who are teachers or lawyers."


    Zhang Lulu was moved.


    "I''m really afraid to say a word about these two professions."


    Lu Chen also nodded in agreement.


    After working in the clinic for a long time, I know what kind of people have what kind of personality, and what kind of people are more prone to conflicts between doctors and patients.


    ¡­


    After work, I came to the cafeteria.


    Lu Chen sat down with Ke Yue, Dong Hao, and Lin Shumin again.


    "Lu Chen, how is your general hospital life today?" Ke Yue asked with a smile.


    The other two also looked at Lu Chen curiously.


    If they want to be the chief resident, at least they have to wait until they graduate with a doctorate and become the attending doctor.


    "I feel that if I go to consultations as often as I do, within two months, I will definitely lose weight!" Lu Chen jokingly said, "The first hospital in the Magic City is so big, and the various inpatient departments are still not far from each other. Nearly, I''m really running around."


    "Haha, I guess it''s very interesting." Ke Yue echoed.


    She knew Lu Chen well.


    Perhaps for other doctors, running an emergency consultation is more tormenting and troublesome.


    But for Lu Chen, every consultation is a brand new diagnostic experience.


    "Lu Chen, that means you''re going to be the chief inpatient of the Cardiology Department for one year?" Dong Hao asked.


    "If there is no accident, it should be." Lu Chen nodded slightly.


    "The laboratory here..." Lin Shumin wondered.


    "Don''t worry, in fact, I usually have a lot of time on my own." Lu Chen smiled, "For example, I have nothing to do this afternoon, so I have been checking relevant literature."


    Dong Hao also nodded, "Actually, Lu Chen, you just need to come up with an idea or an experimental method, and we can do the rest."


    In most laboratories, the person in charge usually proposes various experimental ideas and methods.


    As for the specific implementation rules, it is all done by the people under our hands.


    It''s really rare to do things like Lu Chen.


    But this is also because Lu Chen is relatively young and is not used to commanding people under his command to work.


    "Yes, I want to say this too." Ke Yue also agreed, "Lu Chen, I know you like to be in the clinic. In fact, you don''t need to do everything yourself, we can do some small things. You can check it out at the end. already."


    Lin Shumin nodded, and he also agreed with this idea.


    Seeing what everyone said, Lu Chen could only accept it with embarrassment.


    In this way, he can also focus more on clinical work.


    ¡­


    Finish dinner.


    Lu Chen went back to his lounge.


    Since the scientific research team only needs to ask him to give the direction of scientific research, then this is much easier to handle.


    Lu Chen consults various documents every day.


    He has an unparalleled understanding of current scientific research hotspots.


    Not even limited to Cardiology, Lu Chen can also tell one or two about the latest developments in other departments.


    "If that''s the case, then I can tailor a scientific research direction for each member!" Lu Chen thought about it and made a decision that seemed unlikely to outsiders.


    Ordinary laboratory, if you want to find a better research direction, that''s great.


    I would like to concentrate everyone''s efforts to overcome this problem.


    But in Lu Chen''s idea, everyone must have a main research project, and then cooperate with another person to research small projects.


    In this way, the entire scientific research team can be maximized.


    However, every scientific research idea based on Lu Chen must have a certain scientific research value.


    Otherwise, the things made have no value, and the effort will be wasted.


    This plan, which was extremely difficult for outsiders, was not too difficult for Lu Chen.


    Now he holds several advanced skill cards such as "Literature Reading", "Scientific Research Experiment", "Statistical Analysis", etc., and can easily create a series of scientific research plans tailored for everyone.


    When everyone in the research team heard Lu Chen talking about this crazy plan, everyone was shocked.


    At the same time, everyone is excited!


    What kind of treatment is this?


    It can be said that this is simply feeding scientific research projects into everyone''s mouths.


    (end of this chapter)

 v2 Chapter 705： The first night shift in the total hospital life (the third update)

    Chapter 705 The first night shift in the total hospitalization career (third more)


    Night falls.


    Lu Chen''s first night shift in his hospitalization career started.


    During the day, Lu Chen is mainly responsible for emergency consultations in various departments.


    In the evening, Lu Chen had another job, which was to be ready to support the rescue of various departments of the Cardiology Department at any time.


    In general, the department is crowded during the day, and there is no need for Lu Chen''s help when a rescue incident occurs.


    But it¡¯s different at night. The night shift configuration of most wards is an attending doctor with a graduate student.


    In case of a little trouble, the hospital manager needs to be called for help.


    Lu Chen put the old mobile phone on the bedside, turned up the volume of the phone ringtone, and started to sleep.


    That''s right, just start sleeping.


    Take the time to sleep, this is a general practice as a hospital.


    Because you can''t tell, in the next second, you will be called up.


    ¡­


    One o''clock.


    An ambulance whizzed into the first courtyard of the magic capital.


    "Doctor, rescue rescue!"


    A flat cart was pushed from the ambulance by doctors and nurses.


    On the flat car, a man in his sixties was breathing heavily.


    "The patient has severe breathing difficulties, poor blood oxygen, and may require endotracheal intubation!"


    120 The doctor who followed the car rushed the patient to the emergency department ward.


    The doctor on duty in the emergency department rushed out immediately.


    "What is the patient''s condition?"


    "The 60-year-old male patient has been breathing poorly at home for 5 days. He has some cough and sputum. He came to the emergency department early this morning. There was no bed in the respiratory department, so he went home temporarily. He had chest tightness again at night!"


    The patient was immediately pushed into the emergency ward of the emergency department.


    The man was half-sitting on the bed, panting a little, wearing his mask on oxygen, unable to see if his lips were cyanotic.


    But the other person is still awake. Bedside ECG monitoring: blood pressure 160/80mmHg, heart rate 118 beats/min, respiratory rate 25 beats/min, blood oxygen saturation 92%.


    Wu Si immediately felt that the situation was not very good.


    The values ??of these indicators are not very good, especially the blood oxygen saturation. In the state of oxygen inhalation, his blood oxygen is only 92%!


    When a normal person breathes in air, the oxygen saturation should be above 98%, which means that most of the hemoglobin is combined with oxygen.


    Hemoglobin is like a speedboat, which is specially responsible for transporting oxygen to the body tissues. The 98% blood oxygen saturation means that so many speedboats are almost fully loaded.


    But the patient in front of him has a blood oxygen saturation of only 92% under oxygen inhalation with a mask, which means that a lot of hemoglobin is not fully loaded, which means that the oxygen is not enough, of course he is hypoxic!


    "Please call the department of respiratory, cardiology, and ICU emergency consultation immediately!"


    "Bring the intubation bag here!"


    "Open two more venous accesses!"


    ¡­


    In the CCU lounge.


    Lu Chen was sleeping soundly when a sudden ringing of his mobile phone woke him up.


    Heart rate immediately went from 60 beats/min to 120 beats/min.


    Lu Chen rubbed his eyes and got up from the bed.


    shook his mushy head, put on a white coat, and carried a stethoscope, and he went out.


    "It''s the emergency department again, it''s really not going to stop every day!"


    Lu Chen complained a little, but his steps were not slow at all, and he arrived at the emergency department ward in no time.


    At this time, in the emergency department ward.


    The patient''s breathing has calmed down a little, but the oxygen saturation is still around 90%.


    As soon as Lu Chen walked into the ward, Wu Si, the attending doctor of the emergency department, immediately stepped forward, "Mr. Lu, a patient with breathing difficulties has just arrived, so please come and have a look."


    "What is the specific situation?"


    Lu Chen silently accepted the title of "Mr. Lu".


    "The patient caught a cold 5 days ago, and has been coughing and expectorating sputum since then. This morning, he came to the respiratory department to be hospitalized, but there was no bed, and the chest tightness worsened at night."


    After ??, Wu Si handed Lu Chen a blood gas analysis result, "The blood gas was just drawn, and the partial pressure of oxygen is only 56%."


    Lu Chen took the blood gas analysis and frowned, "Severe pneumonia? Respiratory failure?"


    The partial pressure of oxygen is so low that it can already diagnose respiratory failure.


    Wu Si nodded, "It is currently considered pneumonia and respiratory failure."


    "Then you should ask the respiratory department for consultation, right?" Lu Chen glanced at Wu Si.


    Wu Si smiled embarrassedly, "The patient has a history of high blood pressure, so I still have to ask you to take a look and rule out heart diseases. If I send a myocardial infarction and heart failure to the respiratory department, they will not go to the medical department to complain to me tomorrow. what¡­¡­"


    Lu Chen smiled and said nothing.


    These doctors in the emergency department are very shrewd, and this kind of patient basically invites all relevant departments.


    After all, the patient is old, and he is not allowed to have heart disease, because of respiratory failure caused by heart failure.


    Lu Chen looked at the other examinations the patient had done in the emergency department in the morning.


    In the morning, the patient also did a blood routine, and the white blood cell count increased a little.


    "It''s probably a lung infection." Lu Chen thought.


    In addition, the patient has moderate anemia. Lu Chen asked the patient''s family. The family said that the man has had hemorrhoids for many years, which is probably caused by excessive bleeding.


    "It looks like the patient has pneumonia." Lu Chen said to Wu Sidao, "It is the most suitable for the respiratory intensive care unit."


    "The bed is temporarily unavailable." Wu Si spread his hands. "You can''t live in the corridor. Now you can''t live in the corridor."


    During the conversation between the two, doctors from the respiratory department and the ICU came.


    Four people discussed, this patient can only be admitted to the ICU for the time being.


    The patient''s pneumonia is not ordinary pneumonia, but a severe one. The blood oxygen drops at any time and cannot be maintained, so he needs to be put on a ventilator.


    "What is the attitude of the family?" said the ICU doctor.


    "Go all out, no matter what the cost." Wu Si replied immediately, "This is what the patient''s daughter just said, they are waiting outside."


    The respiratory doctor couldn''t help but spit out, "It''s inexplicable, since you''re going all out, why did you go early, and it took 5 days to come to the hospital after being at home."


    Wu Si reminded, "I asked the family members and said that no one was at home at the time, and it was inconvenient for the patient to come to the hospital alone, so he took it for a few days. I also scolded them just now, and you will stop talking about this later. , lest they collapse."


    The ?? family members are the patient¡¯s two daughters.


    The eldest daughter is a few years older than Lu Chen, and the youngest daughter is about the same as Lu Chen.


    Oh, and two sons-in-law.


    The son-in-law was smoking at the door. Although the nurses had already discouraged them, they still smoked secretly. The smell of smoke in one mouth could not be hidden.


    Wu Si reported the patient''s condition to the family, which roughly meant that he was seriously ill, it was a severe pneumonia, and he needed to go to ICU for treatment, but the ICU was expensive, so he had to be mentally prepared, and he could only go all out for treatment without any guarantee.


    These are all rhetoric. Wu Si is already a veteran of the emergency department. He must report truthfully and not scare his family.


    It takes a little skill to let the family know the seriousness of the condition, but not to speak out.


    ¡­


    Outside the rescue ward.


    The two daughters were worried and said they would try their best to rescue them and agreed to be admitted to the ICU.


    It seems that they have already discussed it, so they did not hesitate too much.


    At this time, Lu Chen wrote the consultation opinion and was about to leave.


    Suddenly, the patient''s eldest daughter sighed, "My father is really suffering. Last year, my uncle and my uncle passed away because of bowel cancer, and this year he came again. What a disaster!"


    When Lu Chen heard this, he suddenly woke up.


    (end of this chapter)

 v2 Chapter 706： S1Q3T3 (the fourth update to ask for a wave ticket)

    Chapter 706 S1Q3T3


    When others hear such a description of the patients, at most they will feel that they are pitiful, and so many people have died.


    But that''s not what a clinician thinks when he hears this.


    It happened that Wu Si also came out and heard the description of his family.


    Lu Chen turned his head and asked Wu Si, "Have you done a chest CT?"


    Of course Wu Si knew what Lu Chen meant. Lu Chen suspected that the patient might have lung cancer.


    The patient''s brother has cancer, which is a very prominent family history. The normal doctor''s thinking should consider whether the patient may have lung cancer.


    If the lung cancer is severe, blocking the bronchial tubes, or severely affecting the lung tissue, it may lead to hypoxia.


    "I asked the patient''s family just now. The patient had a physical examination half a month ago, and there was a CT scan." Wu Sidao, "I didn''t see the scan, but there was only one report. The report didn''t say that there was any lung cancer."


    Wu Si''s meaning is obvious, the patient is not lung cancer.


    I didn¡¯t see lung cancer half a month ago, so it can¡¯t be lung cancer now.


    Lung cancer does not grow in ten days or half a month, and it has such a big impact.


    "Most of them are probably pneumonia. Only pneumonia can develop so fast." Wu Si said solemnly.


    Lu Chen nodded slightly, temporarily agreeing with the old horse''s judgment.


    The patient''s HP is 48(¡ª¡ª).


    There is no special case at present.


    "Enter the ICU first." The ICU doctor said, "I''ll go back and prepare first."


    "Okay." Wu Si nodded.


    ¡­


    However, just when the patient was about to be transferred to the ICU, his condition suddenly changed.


    This is beyond everyone''s expectations!


    The patient was just pushed out of the emergency department gate, and the symptoms of chest tightness got worse!


    The nurse rushed out and said, "The patient''s heart rate is very fast, 130 beats per minute, and the breathing is even more rapid."


    Wu Si immediately said loudly: "Push back to the emergency room first!"


    At this time, the patient was sweating profusely and panting, and his panic could be seen in his eyes.


    He said intermittently to the nurse next to him, "Hurry up, turn up the oxygen for me, it''s uncomfortable."


    Blood oxygen saturation dropped to 88%.


    "Okay, don''t talk too much, just have a good rest!" the nurse said quickly.


    aside, Lu Chen didn''t have time to leave.


    "This is not a good thing." Lu Chen frowned, "The patient can''t wait to go to the ICU. If he wants to be here, he will be intubated and put on a ventilator."


    Lu Chen immediately listened to the patient''s lungs with a stethoscope,


    Breath sounds in both lungs, symmetrical, not pneumothorax!


    The patient''s hypoxia suddenly worsens, and we must be alert to the possibility of spontaneous pneumothorax. If one side of the pneumothorax, that is, the lung ruptures, the breath sounds on this side of the chest cavity will be very low, very low, or even inaudible.


    If you hear symmetrical breath sounds on both sides, it is basically not a pneumothorax. This auscultation is very important.


    At this time, Wu Si also had a heart and asked Lu Chen, "Mr. Lu, there shouldn''t be a heart problem. The patient''s severe hypoxia may induce myocardial infarction. If it is a myocardial infarction"


    Lu Chen frowned deeply.


    He didn''t deny Wu Si''s idea, "Then review an EKG."


    Wu Si heard the words, and immediately asked the next doctor to help the patient to take an electrocardiogram. At the same time, he increased the oxygen inhalation concentration, and asked the nurse to prepare for endotracheal intubation.


    Another nurse pushed the ventilator too.


    ¡­


    When the patient came to the emergency department, an electrocardiogram had been done, and no obvious abnormality was seen.


    I have also checked troponin, cardiac enzymes, etc., and they are all normal.


    The previous evidence does not support acute myocardial infarction.


    But it¡¯s hard to say whether there will be a sudden heart attack now.


    ECG results came out soon.


    Lu Chen immediately took the electrocardiogram and saw no obvious signs of myocardial infarction.


    No lead elevation or depression was seen.


    Wu Si also put his head close, "It seems that the patient is not a myocardial infarction..."


    "Could it be that his condition suddenly deteriorated?" Lu Chen murmured.


    Just now, the patient''s HP dropped at a faster rate!


    A patient with severe pneumonia suddenly has severe shortness of breath, and common diseases such as myocardial infarction and pneumothorax have been excluded, so it can only be explained by the deterioration of the condition.


    For example, the patient may turn over or have arrhythmia, which will cause the heart rate to be so fast and the hypoxia to be more serious.


    "Then let''s intubate. I''ll talk to my family. I''ll intubate here first, and then go to the ICU for insurance." Wu Si looked at Lu Chen, who was beside him, and wanted to ask his opinion.


    "Wait!" Lu Chen waved and stopped Wu Si.


    He frowned slightly, and took the electrocardiogram back to look at it again.


    He always felt something was wrong, a patient with sudden breathing difficulties.


    Have you overlooked something?


    Until Lu Chen looked at the electrocardiogram he had just done, he suddenly stopped!


    "what''s the situation?"


    Wu Si saw that Lu Chen''s expression had changed, and it was estimated that he had something new.


    When Lu Chen heard the words, he immediately handed the electrocardiogram to Wu Si.


    "Look at the S wave in lead I, as well as the Q wave and T wave in lead III. The electrical axis is deviated to the right. Does it look familiar?"


    Wu Si was dumbfounded, and just stared at the myocardial infarction information on the patient''s electrocardiogram.


    He was relieved that he didn''t see the heart infarction figure anyway.


    But now Lu Chen obviously has something else to discover, that''s why he sees it so carefully.


    ¡­


    Wu Si took the electrocardiogram, followed Lu Chen''s prompt, and carefully identified the electrocardiogram again.


    "Ah, S1Q3T3? Could the patient have a pulmonary embolism?!"


    S1Q3T3, as well as right axis deviation, the most typical ECG pattern in patients with pulmonary embolism!


    The thought of pulmonary embolism made Wu Si tremble.


    Six months ago, a pulmonary embolism patient died right under his nose.


    "Yes, this is pulmonary embolism!" Lu Chen said solemnly.


    Actually, pulmonary embolism is well understood.


    If there is a thrombosis in the human venous system, and the thrombus falls off, it will enter the pulmonary artery with the venous blood flow.


    If the thrombus gets stuck in the pulmonary artery, the blood cannot pass through, the blood cannot reach the lungs, and there is no way to obtain oxygen.


    If there is no oxygen supply, people are likely to be suffocated to death!


    Severe pulmonary embolism will kill you instantly!


    "I''m going, then this moment can''t be delayed!"


    Wu Si was taken aback.


    Although pulmonary embolism is highly suspected at present, ECG diagnosis of pulmonary embolism is still reluctant, and ECG can only provide a general idea.


    To really diagnose pulmonary embolism, we still have to perfect CT pulmonary angiography.


    Therefore, Wu Si has already rushed out to find the family members to sign, and suggested that the family members agree to do CT pulmonary angiography.


    ¡­


    Outside the emergency room.


    Wu Si stared closely at the patient''s eldest daughter, "The patient is now in a more serious condition, and it is suspected that there may be a sudden pulmonary embolism. This examination must be done."


    "Do you want to do it now?" The eldest daughter was stunned.


    "Yes! If you don''t do it, you will die. If you do it, you may not be able to save it, but at least there is a direction for treatment, and if the rescue is timely, there is still a chance."


    At the critical moment, Wu Si''s words were understood.


    The patient''s daughter was terrified. They had just glanced at the patient''s condition outside and had a general idea of ??what was going on.


    "Do, do whatever helps!"


    Start work tomorrow, night shift tomorrow.


    (end of this chapter)

 v2 Chapter 707： Professor Lu, long time no see!

    Chapter 707 Professor Lu, long time no see!


    Modu First Hospital, Emergency Department.


    "The patient is currently in critical condition. We have to intubate his trachea and put him on a ventilator first, and then do pulmonary artery CTA, otherwise we are afraid of accidents on the road."


    Wu Si said solemnly to the patient''s two daughters.


    The little girl was already crying.


    "The intubation agrees, and the ventilator agrees."


    The eldest daughter made a decision immediately.


    The two sons-in-law also expressed their stance and actively rescued them.


    The patient is now severely hypoxic. Pulmonary embolism will lead to hypoxia, which will cause major problems.


    Lack of oxygen can make the brain sluggish and even coma. Hypoxia reflexively makes breathing more rapid, hoping to get more oxygen from the air.


    "My dad is so hypoxic right now, can''t he increase his oxygen intake?" the eldest son-in-law suggested.


    He deals in medicines and knows a little bit of medical knowledge, but not much.


    Wu Si hurriedly shook his head and said, "It''s really not good. Because the patient''s alveoli are not hypoxic! The reason for the difficulty in breathing is that the pulmonary artery is blocked!"


    "No matter how much you inhale oxygen at this time, there is no way to relieve the patient''s hypoxia."


    Actually, the reason is very simple.


    What we need to do is to clean up the road, dissolve the thrombus stuck in the pulmonary artery, or use interventional methods to break the thrombus or remove the thrombus through surgery, so that the blood can smoothly enter the lungs, obtain oxygen, and then bring it to the tissue for use.


    "Is the ventilator useful?" The eldest son-in-law frowned.


    Wu Si was preparing the equipment for endotracheal intubation, but he didn''t have time to pay attention.


    Lu Chen immediately explained: "Although the ventilator can''t reverse the disease, it can alleviate some hypoxia, because we can inject pure oxygen into the patient''s lungs. If there is blood that can bypass the thrombus and enter the lungs, it may give more tissue to the lungs. Bring some oxygen, and at critical moments, bring a little more to count."


    The eldest son-in-law nodded to Lu Chen without saying much.


    At this point, Wu Si has all the equipment for endotracheal intubation ready.


    As a veteran of the emergency department, Wu Si intubated the patient in two or three times.


    The nurse quickly connected the ventilator and adjusted it to 100% oxygen inhalation. Seeing that the blood oxygen saturation has risen from 82% to 90%, and then it can''t go up.


    "Ah, it seems really boring." Wu Si sighed.


    On the other hand, the emergency department nurse has already contacted the CT room and called the respiratory medicine doctor again.


    The respiratory physician agreed to consider pulmonary embolism and agreed to CT pulmonary angiography.


    Consultation is very important at this time!


    First, there are multiple people with multiple ideas, and second, multiple people share the responsibility. This is to protect the patient, but also to protect yourself.


    Wu Si personally escorted the patient to the CT room.


    At this time, there was nothing to do with Lu Chen in the emergency department.


    Lu Chen perfected his consultation opinion, put the stethoscope in his pocket, and left the emergency department ward.


    ¡­


    The hospital path at night is somewhat quiet, forming a strong contrast with the noisy ward not far away.


    The weather is still cold, and the night wind comes out, making people feel a bit chilly.


    Lu Chen tightened his white coat slightly and walked back to the CCU lounge.


    Just sat in the lounge for five minutes.


    The phone rang.


    But this time, it was Lu Chen''s personal mobile phone, and it was Wu Si who called him.


    "Mr. Lu, pulmonary embolism has been diagnosed!" Wu Si''s tone was very solemn, "CT showed that there were many thromboembolisms in the pulmonary artery, but it was not completely stuck. Fortunately, there was still a little blood that could pass through, otherwise the patient would be gone in the emergency department. We are so lucky!"


    "This man is really dead!" Lu Chen couldn''t help but sigh, "Don''t go back to the emergency department, hurry up and send it to the ICU for thrombolysis!"


    Now only by dissolving the thrombus, the patient has a chance of life.


    "Okay, I''ll take him there myself!"


    Under the **** of Wu Si, the patient was safely transferred to the ICU.


    The superior doctor in the ICU has also returned. In such a critical condition, it will be safer to have a superior doctor there.


    ¡­


    Lu Chen had no time to take care of the rest of the rescue.


    As the resident chief of the Cardiology Department, he is always ready for consultation and rescue in other departments.


    However, after this rescue, it still reminded Lu Chen that he must not be confused by the symptoms of the patient.


    Thinking about it, Lu Chen took off his white coat and continued to sleep on the bed.


    This time, Lu Chen couldn''t sleep.


    After the rescue just now, his spirit is quite high now.


    So, Lu Chen took out his phone and opened the WeChat group.


    I found that there are many unread messages in the Jinghua Electrophysiology Exchange Group.


    When I opened it, it turned out to be a very difficult electrocardiogram, but no one has yet decoded it.


    "It''s all a bunch of night owls!" Lu Chen smiled.


    Recalling the time when I helped everyone interpret electrocardiograms in the Jinghua Electrophysiology WeChat group.


    It was a really nice experience.


    But now Lu Chen rarely bubbles in the group.


    As soon as everyone''s level has improved a lot, the most powerful is Fan Zhiping, who can basically judge most of the electrocardiograms.


    Secondly, when Lu Chen arrived in the magic capital, he rarely had time to pay attention to these group news.


    But today, when he encountered this difficult electrocardiogram, Lu Chen suddenly became interested.


    To find this electrocardiogram that no one in the group can interpret, Lu Chen carefully studied it many times.


    Finally got a diagnosis.


    "Left Posterior Branch VT, Ventricular 1:1 Retrograde Atrial!"


    As soon as ??Lu Chen''s avatar appeared in the group, the Jinghua Electrophysiology Exchange Group was in a frenzy!


    The focus of everyone''s attention was no longer the ECG, but Lu Chen himself.


    ¡­


    Fan Zhiping happened to be on night shift tonight, so he opened the electrophysiology WeChat group when he had nothing to do.


    His biggest interest now is to discuss various electrocardiograms with everyone in the group.


    However, tonight''s ECG is really difficult!


    Fan Zhiping thought for a long time, but he didn''t have any clue.


    Suddenly, a message popped up in the group.


    "Left Posterior Branch VT, Ventricular 1:1 Retrograde Atrial!"


    Fan Zhiping frowned slightly, this diagnosis... seems unlikely, right?


    However, when he saw the somewhat familiar head portrait, he was stunned.


    This is Lu Chen!


    Professor Lu, finally bubbling up!


    There is nothing to say about this electrocardiogram, it must be left posterior fascicular ventricular tachycardia!


    Fan Zhiping hurriedly sent a message.


    "Professor Lu, long time no see."


    Although he knew that Lu Chen was not a professor, he was still used to using the title "professor" in the WeChat group.


    Others in the group also chimed in.


    One after another, greetings to "Professor Lu" immediately swiped the screen.


    Many newcomers who have just joined the group do not quite understand what is going on.


    After a little inquiries, I found out that he was a big boss.


    ¡­


    Magic City No. 1 Hospital, CCU lounge.


    Lu Chen looked at the WeChat group and couldn''t help laughing.


    He really underestimated his influence in Jinghua.


    If I knew earlier, I would not send this message...


    However, Lu Chen also received a wave of thanks from the Jinghua Electrophysiology Exchange Group.


    No loss, no loss!


    Lu Chen chatted with everyone for a while, and then closed the WeChat group.


    Today¡¯s night shift is really busy, so I can only write as much as I can.


    We will rest tomorrow and update as much as you like.


    Looking for a wave ticket, the current monthly ticket goal is only half completed.


    (end of this chapter)

 v2 Chapter 708： Mr. Lu, please help!

    Chapter 708 Mr. Lu, please help!


    The First Hospital of Magic City.


    The fifth ward of the Department of Cardiology.


    Today is Yang Fan''s first night shift after he manages the bed independently.


    As a PhD student who just graduated this year, she has been engaged in scientific research most of the time before, so she does not have much clinical experience.


    Before working the night shift, she also asked for a blessing.


    But as soon as she took over the shift at night, she wanted to cry without tears.


    The nurse on duty tonight is also a newcomer.


    These two people stared at each other with big eyes, and their hearts were terrified about tonight''s night shift trip.


    Although Yang Fan is a high-level doctor today and has a first-year graduate student, she does not dare to lie directly in the lounge like other qualified doctors.


    Instead, stay in the doctor''s office with graduate students, ready to deal with emergencies.


    "Mr. Yang, bed 12 is uncomfortable, you go and have a look." The little nurse ran into the doctor''s duty room.


    "Okay, got it."


    Yang Fan nodded, and the graduate student beside him took the initiative to stand up and go to the ward to check.


    Yang Fan also clicked on the patient''s course record and looked at the patient''s hospitalization diagnosis.


    "Patient two days after acute myocardial infarction..."


    ¡­


    five minutes later.


    The graduate student who accompanied Yang Fan to work came back.


    "Teacher, the patient said that he had chest tightness. I made an electrocardiogram for him." The graduate student handed the electrocardiogram to Yang Fan.


    Yang Fan picked it up and took a look.


    is not much different from the previous ECG.


    "Have you auscultated your lungs?" Yang Fan asked.


    "Listen, it seems... I didn''t hear anything unusual." The graduate student pursed his lips and whispered.


    "Yeah." Seeing the students say this, Yang Fan felt a little stunned, so he decided to visit the patient in person.


    came to bed 12.


    Yang Fan carefully performed a physical examination on the patient and did not find any abnormality.


    So, she comforted the patient a little and went back to the doctor''s office.


    Just finished treating this patient, the little nurse ran in again.


    "Mr. Yang, 32 beds complained of chest pain, the other 46 beds said that they couldn''t urinate, and it was very uncomfortable. 57 beds said that their hands were shaking and they had no strength..."


    "Oh, well, I''ll take a look."


    Yang Fan''s buttocks were still hot, so he got up to check on the patient.


    After running back and forth many times, her legs were a little sore.


    However, fortunately, the patients suffered from minor illnesses and pains.


    A little comfort, or deal with it, it will be fine.


    But just as this thought flashed through Yang Fan''s mind, the little nurse hurried in.


    "Mr. Yang, bed 12 is out of breath, go and see him!"


    heard the eager voice of the nurse.


    Yang Fan was also surprised, and quickly called the graduate student beside him to follow him.


    ¡­


    in the ward.


    The 12-bed patient sat on the bed, looking pale and sweating on his forehead.


    The ECG monitor beside the bed is beckoning to the police.


    "Doctor, I have chest tightness, it''s so uncomfortable."


    Seeing Yang Fan coming in, the patient immediately shouted loudly.


    Yang Fan''s heart sank when he saw this.


    Within a week after myocardial infarction, the probability of various complications is extremely high.


    Such as malignant arrhythmia, acute heart failure, heart rupture, etc.


    She immediately ran to the bedside and auscultated the patient''s heart and lungs.


    As soon as the stethoscope touched the patient''s lungs, Yang Fang was taken aback.


    The whole lungs are full of wet rales!


    However, half an hour ago, she visited the patient, and the patient''s lungs were still very clean!


    Yang Fan was stunned for a moment, and the patient''s chest tightness became more obvious.


    On the bedside ECG monitor, the patient''s blood oxygen saturation is only 88%!


    "Push a furosemide immediately!"


    "Change to a mask to inhale oxygen!"


    The ?? nurse has pushed out the ambulance and started dispensing medicine.


    "Xiao Fang, take your blood pressure, and then review the electrocardiogram." Yang Fang instructed the graduate student beside him.


    "Okay, received."


    However, as soon as the graduate student finished measuring his blood pressure, he whispered, "Teacher, the patient''s blood pressure is only 84/54mmHg!"


    "Blood pressure so low?" Yang Fan frowned.


    Diuretics can affect blood pressure and make blood pressure lower.


    At this time, the patient is already in shock, and the diuretic is pushed again, which is very likely to aggravate the condition.


    "Is furosemide still pushed?"


    The little nurse had already prepared the medicine, turned her head to look at Yang Fan, and waited for her decision.


    "First... let''s not push." ??Yang Fan paused, "Use dopamine to raise blood pressure first."


    However, Yang Fan looked at the ECG monitor, and the patient''s heart rate was 120 beats per minute.


    Dopamine increases blood pressure and increases heart rate.


    She quickly changed her words, "No dopamine, norepinephrine!"


    The little nurse nodded and immediately began to dispense norepinephrine.


    But at this time, the patient''s blood oxygen saturation was somewhat unsustainable.


    From 88% at the beginning, it has been falling down.


    Even if the oxygen concentration is increased, it can only be maintained at about 83%.


    What made Yang Fan even more confused was that premature ventricular contractions frequently appeared on the patient''s ECG monitor.


    Three consecutive premature ventricular beats together is called ventricular tachycardia!


    When ?? and other graduate students named Xiaofang finished the electrocardiogram, they could already see a series of ventricular tachycardia.


    ¡­


    CCU inpatient general lounge.


    Lu Chen is chatting with Fan Zhiping.


    After Lu Chen was bubbling in the group just now, Fan Zhiping tentatively sent him a message.


    Unexpectedly, Lu Chen replied immediately.


    This surprised Fan Zhiping a little.


    "Professor Lu, thank you for the patient who underwent TAVR surgery last time."


    Lu Chen reluctantly looked at the message sent by Fan Zhiping, "Brother Fan, just call me a professor in the group, and leave it privately."


    "Hey, I''m used to it, but I haven''t changed it for a while." Fan Zhiping smiled, "Anyway, it''s a matter of time. I''ll call you first so you can get used to it."


    Lu Chen had nothing to do with him.


    "By the way, Lu Chen, how are you in the magic capital?"


    "It''s okay, the medical resources here are better than Jinghua." Lu Chen said.


    "That...is the medical graduate student in the magic capital good for the exam?"


    Fan Zhiping''s sudden words made Lu Chen slightly stunned.


    "What''s the matter, Brother Fan, your son is going to graduate school?" Lu Chen wondered.


    Fan Zhiping blushed, "No, it''s me... I want to take the test."


    "Huh?" Hearing this, Lu Chen was astonished.


    Old Comrade Fan is in his 40s, yet he still thinks about continuing his studies. It¡¯s really not easy.


    "Brother Fan, are you taking an on-the-job postgraduate exam to improve your education?" Lu Chen wondered.


    "No, I''m going to quit my job and study a full-time program." Fan Zhiping didn''t hesitate and I should have thought about it a long time ago.


    Lu Chen couldn''t help giving Comrade Fan a thumbs up.


    It takes a lot of courage to go to a full-time graduate school at such an old age!


    "Brother Fan, if you want to come to the magic capital, I can help you ask." Lu Chen said.


    He also has some foundations in the magic capital now, and it is relatively easy to help inquire about graduate admissions.


    "That''s really good." Fan Zhiping looked overjoyed.


    Just as Lu Chen was about to continue replying, the hospital chief''s cell phone rang again!


    "Mr. Lu, rescue the five districts in my heart, ask for support!"


    I tried my best today


    Ask for a wave ticket


    Tomorrow night shift, make up


    (end of this chapter)

 v2 Chapter 709： Is this the total strength of the Cardiology Department? (First

    Chapter 709 Is this the total strength of the Cardiology Department? (The first one, ask for a ticket)


    The fifth ward of the Cardiology Department, please support!


    When Lu Chen saw the news, he didn''t have the heart to continue chatting with Fan Zhiping.


    "Brother Fan, I have rescue here, we''ll talk later."


    Then he immediately set off for the fifth area of ??his heart.


    The five districts in my heart are just a few floors upstairs from CCU.


    Fortunately, the medical elevator at night was almost empty.


    In less than two minutes, Lu Chen arrived at the fifth district in his heart.


    ¡­


    strode to the nurse''s station, Lu Chen looked around, but did not see the nurse or doctor.


    In the ward not far away, there were faintly loud shouts.


    When Lu Chen saw this, he immediately rushed over here.


    He just walked in front of Ward 12, when the door of the Ward was just pushed open.


    A little nurse saw Lu Chen coming, and hurriedly said, "Is the heart hospitalized?"


    "Yes!" Lu Chen nodded slightly.


    "Bed No. 12 Rescue!"


    There is no need for the nurse to remind him at this time. Lu Chen has already seen a few busy rescuers beside the 12th hospital bed.


    "Patient has ventricular fibrillation! Ventricular fibrillation!"


    Lu Chen just walked into the ward when suddenly the bedside ECG monitor frantically sounded the alarm.


    A young female doctor immediately rushed to the bedside, performed chest compressions on the patient, and shouted at the same time: "Get ready for defibrillation!"


    The nurse has already brought out the defibrillator.


    When Lu Chen saw this, he quickly stepped forward.


    Nothing much, he hurriedly took the defibrillator from the nurse.


    Adjust the defibrillator to the defibrillation mode (the defibrillator has two modes, one monitoring mode and one defibrillation mode), and apply conductive paste to the two electrode pads.


    At this time, Yang Fan also noticed Lu Chen who came.


    Lu Chen carried the defibrillator, went to the patient''s bedside, and said to Yang Fan, "Get ready to make room, I''ll defibrillate!"


    Although the two met for the first time, they cooperated very well.


    When Yang Fan stopped CPR, Lu Chen stepped forward and took her place.


    "Everyone get out of the bed!"


    Lu Chen held two electrode pads and placed them on the apex and bottom of the patient''s chest.


    "Charge!"


    "Discharge!"


    With the release of the huge current energy, the patient''s body was only shaken lightly, and there was no sudden bounce like in the TV series.


    Lu Chen kept staring at the ECG monitor beside the bed.


    Fortunately, after a defibrillation, the patient''s ventricular fibrillation waveform changed to sinus rhythm.


    However, the patient''s blood oxygen saturation dropped further, and even 80% could not be maintained!


    Yang Fan looked at the young hospital manager in front of him, and immediately said, "Mr. Lu, the patient''s family agreed to go to the CCU, so let''s push the patient down now?!"


    Lu Chen frowned, glanced at Yang Fan, and categorically refused, "No! This way, the risk of transshipment is too great!"


    Although taking the elevator down to the CCU ward, it only takes two minutes at most, or even less.


    But two minutes are enough to cause many fatal problems.


    With such a simple sentence, Lu Chen didn''t talk nonsense with Yang Fan anymore.


    Because he was already preparing to intubate the patient.


    "The ventilator is ready, I''ll intubate!"


    Lu Chen''s movements are extremely fast, and he won''t drag anything at all.


    At the same time, he also issued other medical orders: "Find an ice pack for brain protection. Give the patient a bottle of sodium bicarbonate..."


    The nurse heard the words and started to prepare immediately.


    ¡­


    What surprised Yang Fan was that Lu Chen had already successfully intubated the ventilator as soon as she connected the tubing.


    Could it be that this is the overall strength of the cardiology department?


    Yang Fan''s originally nervous and fearful heart gradually calmed down after seeing Lu Chen''s calm and calm rescue.


    Connected to the invasive ventilator, under the assisted breathing of the ventilator, the patient''s blood oxygen saturation finally increased.


    "Did the family agree to transfer to CCU?" Lu Chen asked at this time.


    "Well, I agree." Yang Fan nodded, "This is a patient on the second day after acute myocardial infarction. He suddenly complained of chest tightness and discomfort at night, and then his blood pressure and oxygen saturation could no longer be maintained."


    "I see." Lu Chen calmly said, "You ask the nurses and family members to pack up and prepare to be transferred to the CCU. In this state, the patient may experience ventricular fibrillation or cardiac arrest at any time. I will call the CCU doctor on duty. A phone call and let them prepare in advance below."


    "Okay." Yang Fan finally breathed a sigh of relief and was finally able to send the patient away.


    ¡­


    Lu Chen immediately called the CCU doctor on duty.


    Zhang Lulu happens to be on duty at CCU tonight.


    "Sister Lulu, a patient with ventricular fibrillation and cardiogenic shock after myocardial infarction and PCI needs to be transferred to the fifth area of ??the heart."


    "Okay, Mr. Lu, I''m going to prepare the rescue room right away."


    During work, Zhang Lulu was still very serious, hung up the phone, and immediately asked the nurse to prepare the emergency ward.


    "Mr. Lu, thank you so much this time." Yang Fan said to Lu Chen beside him with lingering fears, "This is my first independent night shift, and this kind of thing happened..."


    This peace and blessing is a waste of money, Yang Fan thought to himself.


    "The patient is fine." Lu Chen paused, then said slowly, "But I think some medicines were not added in time after the operation, such as ACEI and beta-blockers. For patients with myocardial infarction, it is not a Once the surgery is over, everything will be fine.¡±


    ACEI and beta-blockers, as long as there are no contraindications, patients after myocardial infarction should be added at the first time.


    These two drugs can improve the long-term prognosis of patients. To put it bluntly, it is to prolong the lifespan.


    However, with the current medical voucher, you can find a large circle of doctors by asking him to do interventional surgery.


    However, it is difficult to find a master who can properly treat heart failure and interpret electrocardiograms.


    "I am not in charge of the bed for this patient." Yang Fan whispered, "However, I will communicate with other doctors in Keli to emphasize this issue."


    "That''s good." Lu Chen nodded.


    Yang Fan secretly glanced at Lu Chen.


    She knew Lu Chen''s identity very well.


    To be more precise, the doctor in the Cardiology Department of Modu First Hospital may not have seen Lu Chen with his own eyes, but he definitely heard about it after dinner.


    Lu Chen is a Ph.D student, several years younger than her!


    But he already has his own R&D team and has published several high-scoring SCI papers.


    Now, as a doctoral student, he has successfully become the chief inpatient of the Cardiology Department.


    Don''t look at Dr. Yang Fan''s graduation, if the director of the department now asks her to be the inpatient chief of the Cardiology Department, she would definitely not dare.


    ¡­


    After the nurses and the patient''s family were ready, under the **** of Lu Chen, the patient was successfully transferred to the CCU ward.


    "Mr. Lu, you can really do it." Zhang Lulu said to Lu Chen with a helpless face, "When you are the first night shift in the hospital, you just take care of me like that."


    "You''re welcome, you''re welcome." Lu Chen also joked.


    "You really dare to answer." Zhang Lulu smiled, "Do I have to invite you to drink another cup of milk tea?"


    "This... say it again."


    Lu Chen quickly stopped the conversation and returned to his lounge.


    (end of this chapter)

 v2 Chapter 710： Magazines Reply (Second Update)

    Chapter 710 The Magazine''s Reply (Second Update)


    Go back to your lounge.


    Lu Chen washed his face, and the continuous consultation and rescue made him a little sleepy.


    It was already 3 o''clock at night.


    It was pitch black outside the window, and only the occasional lights in the inpatient department could be seen.


    Lu Chen lay on the bed and fell asleep shortly after.


    The old special cell phone used by the hospital chief was placed by him at the bedside so that he could answer calls at any time.


    Fortunately, this sleep, I slept relatively smoothly.


    No rescue, no emergency consultation.


    Lu Chen slept until 6:30 and woke up naturally.


    was actually woken up by hunger, and there was nothing to eat in the lounge.


    Lu Chen thought that he would definitely need to stock up some dry food here.


    Washed a little and took a hot shower.


    Lu Chen came to the CCU ward to see the patient who was transferred from the fifth district of his heart last night.


    The patient''s condition has stabilized and will not be offline for a while.


    In addition, the myocardial infarction patient who was hospitalized from the gastroenterology department also had emergency surgery yesterday.


    However, due to the low blood pressure and poor cardiac function during the operation, IABP was temporarily used.


    The patient is no longer the hostile he had just been admitted to the hospital, and the whole person is much more honest.


    The paranoid middle-aged teacher was slightly surprised when he saw Lu Chen come to see him.


    "Doctor, when can I be transferred to the general ward?" He still asked.


    This time, he did not ask about being discharged from the hospital, but about the time when he was transferred to the general ward.


    "Ask your doctor in charge, it depends on your condition." Lu Chen said, "Since you''re hospitalized, you can rest in peace. You don''t need to take care of other things, and you can''t take care of them either."


    The patient was slightly silent.


    Lu Chen saw that he was stable and left.


    When ?? turned to leave the ward, the system popped up a prompt.


    "Congratulations, thank you +1 from Pang Shanghai!"


    Lu Chen was a little surprised. This paranoid middle-aged teacher was called Pang Shanghai.


    I didn''t expect that he could think about it, and he actually thanked himself.


    Lu Chen smiled and shook his head, then left the ward.


    ¡­


    "Hey, isn''t this our President Lu?" Zhang Lulu just came to the ward to visit the patient.


    Seeing Lu Chen coming, she also smiled knowingly.


    "Morning, Sister Lulu." Lu Chen smiled and nodded.


    "Oh, by the way, I almost forgot to tell you." Zhang Lulu stopped, "The ICU has a difficult case to discuss, and I called our CCU. The traditional tradition is to always attend the hospital, and it starts at 2 o''clock this afternoon. , don''t forget to go."


    "Okay." Lu Chen nodded in agreement.


    It seems that in addition to emergency consultation and rescue, he will have one more thing in the future, and that is the discussion of difficult cases.


    After chatting with Zhang Lulu, Lu Chen left CCU.


    Time to forage.


    At this time, the cafeteria breakfast is already available.


    Lu Chen ran to the hospital cafeteria to buy a bowl of noodles, and was about to sit down when he heard a somewhat familiar voice behind him.


    "Mr. Lu, what a coincidence!"


    Looking back, it was Wu Si, the attending doctor of the emergency department.


    "You got off work so early? It''s not even eight o''clock, right?" Lu Chen glanced at the time, it was only about half past seven.


    "Oh, the night shift in our emergency department is divided into the first half of the night and the second half of the night." Wu Si smiled, "Our hospital''s emergency department has a large flow of people, and one person spends the whole night, so you shouldn''t be exhausted."


    Lu Chen smiled, "That''s true."


    "Mr. Lu, tell you about the patient who was diagnosed with pulmonary embolism last night. He went to the ICU with thrombolysis. Now the situation is much better, and the blood oxygen saturation has risen!" Wu Si patted Lu Chen''s shoulder with some admiration. Said, "Mr. Lu, your clinical thinking is too awesome. If you hadn''t discovered the pulmonary embolism in time, whether this patient could be safely discharged from the emergency department, that''s another question!"


    Wu Si passed by the patient who suffered from pulmonary embolism last night, feeling both fortunate and frightened.


    "Your emergency department is usually too busy with a large number of patients, and sometimes it is inevitable that the diagnosis will be missed." Lu Chen smiled, "Actually, based on your level of diagnosis and treatment, this patient is definitely not a problem."


    Hearing what Lu Chen said, Wu Si touched the back of his head and smiled.


    Lu Chen really gave him face, this person can handle it!


    "Hey, I remembered that there was a teenage girl in your emergency department yesterday morning. She seems to have taken sleeping pills and was sent to the ICU. How is her condition?" Lu Chen suddenly remembered the "brain death" yesterday morning. girl.


    "This patient, I heard the director say it." Wu Si said slowly, his expression became a bit dignified, "At the beginning, he was diagnosed with brain death, but later he was considered a little lax, possibly due to the influence of drugs, and he was transferred to the ICU. Blood perfusion is performed. However, in the future, whether the patient wakes up, we have no follow-up."


    Lu Chen nodded. In fact, he was still curious about the girl''s follow-up.


    However, he just went to the ICU this afternoon to discuss difficult cases, and he can take this opportunity to have a look.


    "Ugh¡­¡­"


    Wu Si suddenly sighed.


    "What''s wrong?" Lu Chen asked in confusion.


    Wu Si raised his head and shook his head helplessly, "This patient is brain dead diagnosed by my teacher. After knowing that his diagnosis was not rigorous, he blamed himself. Today, he asked our director to take annual leave and wanted to adjust his state. "


    "Huh?" Lu Chen was slightly startled, "Your teacher is Director Lu Zhifeng?"


    Wu Si was stunned, "How did you know?"


    Lu Chen touched his nose, "I consulted the patient in the morning."


    "Mr. Lu, it turned out that you came to the emergency department and said that the diagnosis of brain death was not rigorous?!" Wu Si said in surprise.


    Lu Chen nodded, "I also discovered it by accident."


    "Fortunately, I found out, this little girl is only seventeen years old." Wu Si sighed, "There is still a lot of youth!"


    He looked at Lu Chen a little more.


    Even a senior deputy chief physician like Lv Zhifeng has seen it wrong. It is really not easy for Lu Chen to diagnose.


    Lu Chen echoed and said a few words.


    The two continued to chat for a while, and after breakfast, they parted.


    Wu Si has to go back to catch up on sleep, and Lu Chen has to go back to the dormitory.


    ¡­


    Before returning to the bedroom, Lu Chen also visited the hospital supermarket.


    In order to avoid starvation on duty in the future, Lu Chen had to stock up on snacks and mineral water.


    After visiting the supermarket, Lu Chen went back to the bedroom, took out two sets of his usual clothes, and prepared to put them in the CCU lounge.


    Although the dormitory is not very far from the inpatient department, as the general inpatient department, Lu Chen will definitely stay in the inpatient department most of the time.


    Keep these items and snacks ready to go.


    Go back to the CCU lounge and tidy up the room a little.


    After all, this is where he wants to live for a whole year, so he still needs a good cleaning.


    Just when Lu Chen finished tidying up the lounge, his mobile phone beeped.


    is not a phone call, not WeChat, but an email from a magazine.


    Lu Chen was looking forward to it, so he immediately opened the email and checked the content.


    ¡°Iampleasedtoinformyouthatyourarticlehasbeenacceptedforpublicationin¡­¡±


    Seeing the first sentence, a gratified smile appeared on Lu Chen''s face.


    Lin Shumin''s paper was accepted!


    Lin Shumin is the first author, and he is the corresponding author!


    (end of this chapter)

 v2 Chapter 711： The gold content of top journal papers (the third update)

    Chapter 711 The Gold Content of Top Issue Papers (Third Update)


    The First Hospital of Magic City.


    Doctoral dormitory building.


    The time for the defense of the doctoral dissertation is around May and June every year.


    Before the defense, the final version of the thesis needs to be submitted in advance.


    "Lao Lin, the deadline for submitting papers is coming soon. Have you finished your papers yet?"


    Shen Wenbo looked suspiciously at Lin Shumin, who had a calm face.


    "Not yet." Lin Shumin shook his head, then continued to read the documents in his hand.


    "You''re such an idiot, you don''t go to the lab anymore?" Shen Wenbo approached Lin Shumin and found that he was watching TAVR-related scientific research projects.


    "The recent project in our laboratory has come to an end, and Lu Chen gave us a period of vacation." Lin Shumin explained, "I don''t need to go there for the time being."


    "Hey, why are you so calm!" Shen Wenbo shook his head, "You must know that all doctoral dissertations in our school are subject to mandatory blind review! You are not worried at all?"


    The school needs to check the duplication and external review of graduate thesis.


    Those who have successfully passed these two items can finally apply for defense.


    In addition, in addition to the normal review procedures, there is a special review mechanism called blind review.


    All doctoral students of Modu University are compulsory to participate in the blind trial.


    Blind review requirements are more transparent, detailed and strict!


    If you fail the first round of blind review, you can apply for the second round.


    There are a maximum of three rounds of application, and each round will be evaluated blindly by three experts from outside the hospital. The scores are divided into A, B, C, and D.


    A is the highest and D is the worst.


    In any round of blind review, the result of ABB or below will be rejected, which will affect graduation.


    If there is a C/D in the third blind trial, it will also be directly rated as fail!


    "What''s the use of worrying?" Lin Shumin was quite open, "If it''s a big deal, let''s postpone it for a year..."


    "It''s nice to say, it''s a one-year extension, how stressful it is!" Shen Wenbo sighed, "Besides, in your family''s situation, if you don''t work again..."


    Hearing this, Lin Shumin was also a little silent.


    His parents worked hard for him to get a doctorate, but he is almost thirty years old now, and he has not shown any effect yet, and has not received any reward.


    Although his parents always told him not to worry, he could not be without any pressure.


    His parents are old. He looks forward to graduating early and working early, so that his parents don¡¯t have to get up early and stay up late.


    "Old Lin, I think you should go to your mentor." Shen Wenbo said, "No matter how unreliable he is, at least he knows a lot of people, maybe a friend is in the magazine, you put some money in and beg for mercy. , your tutor will definitely let you graduate!"


    If this was put before, Lin Shumin might really think about this and go to his mentor for help.


    But now, he has confidence in Lu Chen!


    "No!" Lin Shumin shook his head very firmly, "I believe this paper will definitely be accepted!"


    "Hey, if you have to hang yourself on a tree, you say you are..." Shen Wenbo said helplessly.


    "Wenbo, anyway, thank you for your reminder."


    Lin Shumin also knew that Shen Wenbo was doing this for his own good. The two had been roommates for three years, and their relationship was still relatively strong.


    "The reminder is useless, you don''t listen..." Shen Wenbo spread his hands, "You probably don''t know, our school''s doctoral dissertation blind review pass rate is only about 80%, and the school must brush some people."


    Just when Lin Shumin was about to answer, a "new email" notification popped up on his laptop.


    The sender of the ?? email is the magazine where his paper was submitted!


    ¡­


    Lin Shumin''s eyes narrowed, and he immediately put down the document in his hand.


    Gently squeeze the mouse and slowly move the cursor to the position of the email notification.


    Lin Shumin swallowed unconsciously.


    He was a little nervous, his fingers trembling slightly.


    closed his eyes and took a deep breath before slowly opening his eyes.


    After completing these preludes, Lin Shumin clicked on this email notification.


    Shen Wenbo, who was beside him, saw that Lin Shumin didn''t reply for a long time, he turned his head and found his abnormality.


    He immediately brought a stool and put it in front of Lin Shumin.


    "What is this?"


    Lin Shumin didn''t reply, and opened the email lightly.


    The internet speed in the bedroom is not very good, and the URL is stuck on the waiting interface.


    Lin Shumin waited for more than ten seconds, but couldn''t wait any longer, and immediately clicked refresh again.


    The content of the ?? email slowly appeared in front of the two of them.


    ¡°Iampleasedtoinformyouthatyourarticlehasbeenacceptedforpublicationin¡­¡± (No matter the number of authors, you will receive an acceptance email.)


    Seeing the first sentence, Lin Shumin''s face showed ecstasy.


    Immediately afterwards, his whole body was shaking!


    "I was hired!"


    "Finally hired!"


    If it wasn''t for someone by his side, Lin Shumin really wanted to scream in the sky.


    Although he was light on the surface, no matter how confident he was in Lu Chen, he was still suffering inside.


    Fortunately, this period of hard work has finally paid off.


    While Lin Shumin cheered inwardly, he also knew that he was following the right person!


    Otherwise, no matter how hard he tried, he would not have achieved such results.


    "Lao Lin, congratulations!"


    Shen Wenbo on the side of ?? was also happy for Lin Shumin, but his heart was very calm.


    His dissertation has long been accepted, and his graduation thesis has long been written.


    Unlike Lin Shumin, the paper has just been accepted as the deadline for the paper is approaching.


    Wait a minute, he has to see which magazine Lao Lin contributed to.


    Shen Wenbo immediately looked down at the email.


    However, the following few English letters made him stunned.


    "Fuck, Lao Lin, what did you post about JAMA Cardiology?" Shen Wenbo stood up and lost his voice.


    He stared at Lin Shumin, his voice trembling.


    Lin Shumin had already fallen into a huge ecstasy at this time, he didn''t pay attention to Shen Wenbo''s expression, he just nodded.


    "you you¡­"


    Hearing Lin Shumin''s affirmative return, Shen Wenbo was too shocked to speak.


    As we all know, the New England Journal of Medicine (NEJM), the Lancet (Lancet), the Journal of the American Medical Association (JAMA), the British Medical Journal (BMJ), collectively known as the "four top medical journals".


    JAMACardiology is a sub-issue of JAMA.


    Although it is not as influential as JAMA, its impact factor last year also reached 14.676!


    This is already one of the top journals!


    If Shen Wenbo is not mistaken, Lin Shumin is still the first work of this paper!


    JAMACardiology paper by the first author.


    What is the gold content of this? !


    The number of papers published by Chinese people in JAMACardiology every year may not exceed ten fingers!


    You must know that Lin Shumin, half a year ago, could not even write a 5-point SCI paper, and was struggling every day.


    Up to now, he has forcibly become the owner of a top journal paper.


    Shen Wenbo''s heart stirred up a storm, and Lin Shumin''s earth-shaking changes were all because of that Lu Chen, who was studying for a doctorate?


    There are two more


    (end of this chapter)

 v2 Chapter 712： Pure Doctor (fourth more)

    Chapter 712 Pure Doctor (fourth more)


    The news of Lu Chen''s publication of the JAMACardiology paper immediately spread throughout the entire Magic Capital Academy in just one morning.


    This time, not only the cardiology department, but also other disciplines in the first hospital have noticed Lu Chen.


    A doctoral student, who has just come to the first hospital for less than a year, has published two high-quality papers in succession.


    There is even an article on JJAMACardiology!


    If the gold content of the first review is not too high, then this latest paper will stop everyone''s mouth.


    All the data in the paper comes from Lu Chen''s accumulation of surgical cases in the past six months.


    The data of each patient is traceable!


    Those doubts about Lu Chen were shattered in an instant!


    If it is said that Lu Chen''s previous thesis was completed with the help of Li Yao, there is not much gold content.


    what about now?


    Lu Chen himself is the corresponding author!


    This is a paper produced by my own laboratory!


    All those who had questioned Lu Chen''s ability shut up.


    Because everyone knows that there is no scientific research cooperation between Lu Chen and his mentor Zhang Shuqing.


    This time, Lu Chen did not have any external force!


    ¡­


    Cheng Xinxin locked himself in the office.


    He knew the news right away.


    in the office.


    Cheng Xinxin''s expression was about to cry without tears.


    "What kind of insanity am I? I ran to find trouble with Lu Chen."


    Such a top journal paper in JAMA Cardiology is enough for him to be rated as a full professor.


    His current research project in his own laboratory, at best, publishes a SCI paper with a score of seven or eight.


    "Fortunately, the teacher reminded me to stop messing with Lu Chen."


    Since the last confrontation with Lu Chen, he stopped after being reminded by the dean.


    Although he was still angry, he didn''t bother to find Lu Chen again.


    The current Cheng Xinxin is very fortunate in his heart.


    Whoever went to trouble Lu Chen, that''s not a brainstorm!


    "In other words, if Lu Chen can cooperate, then..." Cheng Xinxin''s eyes lit up.


    As the saying goes, if you don''t fight, you don''t know each other.


    If he really catches up with Lu Chen''s line, then the future development will definitely be even higher!


    You must know that this time the JAMACardiology paper was successfully accepted.


    Besides Lu Chen, the most notable person is Lin Shumin, the first author of the paper.


    When everyone saw this name, they were all confused.


    Lu Chen''s name is still very loud in the first courtyard of the magic capital.


    But this Lin Shumin, who is he?


    Looking at his previous papers, all of them are not in the stream...


    In half a year, Lin Min hitched a ride with Lu Chen and became the owner of the top journal paper.


    With such a thesis, Lin Shumin should not have to worry about his work unit after graduation.


    When everyone thinks about it, even people like Lin Shumin want to succeed and complete the transformation in a very short time, so what about people like them who have good conditions?


    There are really not a few people who have this idea.


    Many people inquired about Lu Chen''s contact information and department, and wanted to come and inquire about cooperation with Lu Chen.


    However, Lu Chen had already told everyone in the research team in advance that the team would no longer recruit people and the project would be temporarily suspended.


    And he himself is in the CCU, ordinary people really can''t find it here.


    Therefore, Lu Chen has not been disturbed by others for the time being.


    ¡­


    Lu Chen''s mentor, Zhang Shuqing, was sitting in the director''s office.


    In front of him, Liu Jun, director of Cardiology University, was holding Lu Chen''s paper in his hand.


    "It really is a boy from a hero!"


    After a long while, Liu Juncai put down the paper in his hand.


    Zhang Shuqing nodded and echoed, "This kind of paper, if I write it myself, may not be able to complete it, and it is even more difficult to send it to JAMACardiology."


    "You student, it''s really unexpected."


    Liu Jun knew that as long as Lu Chen''s paper was published, his development would be unstoppable.


    This kind of talent is the one that all top schools and laboratories have to steal!


    "The president of our Modu University really knows people with discernment." Liu Jun smiled, "I promised Lu Chen to come to Modu, and it seems that it''s not a loss."


    "It''s a mutual achievement." Zhang Shuqing said.


    Ordinary students cannot have their own independent laboratories.


    For any paper published, the corresponding author is a mentor!


    In this way, all the light of Lu Chen will be hidden under the mentor.


    Just like in Jinghua back then, no matter how many papers Lu Chen published.


    The first reaction of the academic circle, the owner of the paper is Li Yao!


    Lu Chen is just Li Yao''s subordinate, the student who was held out.


    Now, Lu Chen is different.


    The label of his identity has been removed from the student.


    All the professors and experts would only see Lu Chen as someone of the same status.


    Even Lu Chen doesn''t have any title or position now.


    "Fortunately, we have a good relationship with Lu Chen!" Liu Jun couldn''t help laughing, "No matter what, you are his doctoral tutor."


    Zhang Shuqing also nodded slightly.


    When others couldn''t find Lu Chen, he easily contacted Lu Chen.


    Lu Chen also saw Zhang Shuqing''s face and agreed to cooperate on a scientific research project.


    "In short, we can support Lu Chen''s work after that." Zhang Shuqing said.


    "By the way, I heard that Lu Chen went to the hospital chief of the internal medicine department. Is that true?" Liu Jun frowned.


    In his opinion, isn''t this a waste of talent?


    Such high-end talents should stay in the laboratory, do experiments, publish papers, and apply for projects and funds.


    Only then can we reach the pinnacle of medicine.


    Going to be the hospital chief, isn''t this a proper waste of time?


    "This, I just called and told Lu Chen." Zhang Shuqing said helplessly, "What does he mean, even if he is not the inpatient general of the Cardiology Department, he will continue to stay in the clinic instead of focusing on Do research."


    "Why?" Liu Jun frowned deeply, "Why don''t you hurry up and go to the laboratory to develop your abilities?"


    Zhang Shuqing didn''t reply immediately, he suddenly recalled what Lu Chen said to him on the phone.


    "Mr. Zhang, compared to scientific research, I prefer clinical practice. I like to treat diseases. When I relieve the pain of patients, my heart is full of great joy."


    "What''s more, the end of medical research is also to cure diseases and save people."


    "All the scientific research I do is based on clinical practice, rather than going to the laboratory to study cells, which is not suitable for me. My original intention as a doctor is to treat diseases and save people."


    Zhang Shuqing smiled lightly, and he looked at the director Liu Jun in front of him.


    "Director, perhaps Lu Chen wants to be a pure doctor."


    ¡­


    The protagonist of this incident, Lu Chen, was on his way to the ICU at this time.


    He is going to conduct a hospital-wide discussion of difficult cases, and by the way, take a look at the "brain-dead" girl yesterday.


    We are still 2000+ votes away from the goal, it¡¯s really hard


    One more chapter


    (end of this chapter)

 v2 Chapter 713： Is she asleep? (fifth more)

    Chapter 713 She, fell asleep? (fifth more)


    Enter the ICU.


    Lu Chen put on a hat, mask, isolation gown, and shoe covers.


    The outfit was a bit bloated, and Lu Chen was not used to it for a while.


    Come to the doctor''s office.


    There was only one young doctor working in the office at this time.


    "Hello, I''m from the Cardiology Department. I''m here to participate in the discussion of difficult cases." Lu Chen said softly.


    The young doctor immediately raised his head and looked apologetic, "I''m sorry, teacher, our director hasn''t come yet. You should go to the classroom and sit for a while. When our director comes, the discussion will begin immediately."


    However, when the young doctor saw Lu Chen, he was also startled.


    So young!


    The doctors who came to discuss difficult cases were mostly deputy chief physicians, and a few were senior attending physicians.


    Why is there a young doctor in the Cardiology Department?


    Lu Chen didn''t notice the young doctor''s strange gaze, but nodded slightly: "It''s alright, I''ll wait for a while."


    "Instruct the classroom to be at the back." The young doctor pointed to the back.


    "Okay, thank you." Just as Lu Chen was about to leave, he stopped again, "By the way, may I ask, a 16- or 17-year-old girl should have been transferred to the emergency department yesterday. Which bed is she in?"


    "Yesterday...girl..." The young doctor was taken aback for a moment, "You mean the one who took medicine?"


    "Yes!" Lu Chen nodded.


    "It seems to be in 3 beds."


    "Okay, thanks."


    ¡­


    Lu Chen left the doctor''s office. Instead of going to the classroom immediately, he went to see the girl from yesterday.


    ICU beds are easy to find, there are more than ten beds in total.


    Lu Chen found bed number 3 at once.


    The girl lying on the hospital bed was the girl who was in the emergency department yesterday.


    She still closed her eyes and lay quietly on the bed.


    Health is much better than when he was in the emergency department yesterday, it has reached 42!


    The changing trend of life value is no longer a minus sign, but a plus sign.


    This proves that the girl''s condition is slowly recovering.


    Beside the bed, the blood purification machine is still running.


    "Have you not woken up yet?" Lu Chen frowned slightly.


    The longer you sleep, the lower your chances of waking up.


    Seeing such a young child lying in the emergency room, Lu Chen felt very uncomfortable.


    Every bed in the ICU is supervised by a nurse.


    The nurse in bed 3 saw a strange doctor standing still in front of her, which was quite strange.


    "May I ask who you are..." the nurse said.


    Lu Chen came back to his senses, "That... I''m a cardiologist, here to discuss difficult cases."


    "The difficult case is talking about 8 beds, not this bed." The nurse was a little puzzled.


    "Oh, I know." Lu Chen hurriedly said, "This little girl was consulted by me in the emergency department yesterday, so I came over to take a look."


    "That''s it." The nurse understood, "This little girl is really pitiful. I heard that she broke up with her boyfriend. I couldn''t think of it for a while and took medicine."


    "She...was awake?" Lu Chen still asked a little reluctantly, thinking that the girl might have woken up, and now she is just sleeping.


    "Not yet." The nurse shook her head.


    Lu Chen heard the words and sighed softly.


    "But... I feel like she might wake up today." The nurse paused.


    "Huh?" Lu Chen raised his brows, "Why do you say that?"


    "Because her indicators are improving, her blood oxygen saturation has risen, and her blood pressure has stabilized," the nurse said.


    "I hope so."


    Lu Chen looked at the **** the hospital bed, cheering for her in his heart.


    ¡­


    After reading the girl in bed number 3, Lu Chen came to the classroom.


    At this time, in the classroom, several doctors have come to discuss.


    For the discussion of difficult cases of a hospital-wide nature, only the departments related to the disease have sent people to come.


    Of course, there are also several departments that must be hired, such as the Department of Traditional Chinese Medicine, the Department of Pharmacy, etc.


    However, Lu Chen didn''t know anyone here.


    The young doctor who was in the office just now was distributing the patient''s case data to the consulting doctors.


    Lu Chen also took a copy.


    "Teachers can get acquainted with the patient''s condition before the discussion begins." The young doctor smiled.


    "I said Su Wenwen, when will your director arrive?" One of the older consulting doctors asked the young man, "Everyone has something to do, finish the discussion early, and go back early."


    Su Zhengwen touched his head embarrassedly, "On the way, he went to another department to consult a critically ill patient, and he will be back soon."


    Lu Chen didn''t care about everyone''s chat, he began to read the patient''s case data.


    ¡­


    The patient is a middle-aged male with high fever for 8 months.


    He was hospitalized twice in a large local tertiary hospital and was repeatedly diagnosed: Sj?gren''s syndrome, autoimmune hepatitis, acute pancreatitis, sepsis, septic shock.


    After being admitted to the hospital this time, his condition deteriorated rapidly, and he was transferred to the ICU of the First Hospital of Modu.


    Lu Chen flipped through his auxiliary examination report.


    ESR, C-reactive protein, D-dimer, fibrinogen, IL-6, and procalcitonin are all very high!


    Three days ago, the patient''s blood picture was basically normal.


    Beginning the day before yesterday, the patient''s hemoglobin decreased, and the platelets plummeted.


    Three days ago, platelets were 43*109/L.


    2 days ago, the small board was only 17*109/L.


    ¡­


    Lu Chen read the complete case data.


    At this moment, the director of the ICU also came back.


    The discussion doctors from other related departments have all arrived.


    All gathered and sat together.


    However, because Lu Chen was young and didn''t know anyone, he sat in the last corner.


    "I''m sorry, I''m late." The director of the ICU is a middle-aged male doctor who is unsmiling. "Let''s start the discussion now, Xiao Su, you''ll introduce your condition first."


    "Okay." Su Wen was standing up immediately and turned on the projector.


    For this discussion, he also made a brief introduction PPT.


    After about ten minutes of medical introduction, Su Wenzheng sat down.


    "After the introduction of the disease, let''s go to see the patient first." With a big wave of his hand, the director of the ICU led everyone to the ward to conduct physical examination and consultation for the patient.


    Lu Chen, as a young doctor, followed behind everyone.


    The consulting doctors from other departments thought that Lu Chen was a young doctor in the ICU undergraduate department, just came to participate in the discussion and study.


    Because there are many doctors participating in case discussions, not all doctors have the opportunity to examine patients.


    Otherwise everyone will check it again, it will waste too much time.


    Just like Lu Chen, he had no chance to get started.


    However, he still took a closer look at the patient.


    ¡­


    Return from the ward to the classroom.


    Su Wenzheng stood up again and began to propose the topic of this discussion.


    "I believe that all the experts understand the patient''s condition." Su Wenzheng said, "This patient was transferred from another hospital and is in a state of severe infection."


    "The reason why I invited everyone here is mainly to discuss the patient''s diagnosis. Is there any other possibility? Because such a long treatment, there is not much effect. On the contrary, the patient''s test indicators are gradually getting worse."


    "Also, do you have any comments on the next diagnosis and treatment plan?"


    ¡­


    As soon as he finished speaking, the first person to speak was the consulting doctor from the Respiratory Department.


    "First of all, I think that because procalcitonin and other inflammatory indicators are very high, it should be septic shock, and there may be a tendency to start DIC, resulting in a drop in hemoglobin and a sharp drop in platelets."


    "As for the next treatment plan, I think it is still necessary to upgrade antibiotics!"


    Lu Chen frowned slightly, thinking that things might not be so simple.


    (end of this chapter)

 v2 Chapter 714： Because a look changes the diagnosis! (the first

    Chapter 714 The diagnosis was changed because of a look! (first update)


    The First Hospital of Magic City.


    ICU shows the classroom.


    All doctors who came to discuss difficult cases began to speak in turn.


    The focus of everyone''s attention is nothing more than the cause of infection and fever, and the next steps for diagnosis and treatment.


    "I agree with Director Zhang. This patient is mainly in septic shock, and antibiotics must be upgraded!"


    "In addition to upgrading antibiotics, it is also necessary to prevent complications in other organs."


    "In addition, the patient is bedridden for a long time. Although the thrombocytopenia is low, there is a risk of deep vein thrombosis. Do you need anticoagulation therapy?"


    The discussion was very heated.


    However, the opinions are still relatively unified, and most doctors are considering septic shock.


    In terms of treatment, it is to upgrade antibiotics to prevent complications in other organs.


    In fact, in this case, the most relevant departments are the infectious diseases department and the rheumatology department.


    has little to do with cardiology, respiratory and other departments.


    ICU just follows normal procedures and invites other departments to see patients.


    After speaking in several key departments, the ICU director had a solemn expression and was somewhat dissatisfied.


    Su Zhengwen also shook his head slightly in his heart.


    The opinions of these doctors cannot be wrong, but they have no practical guiding significance.


    This patient has been to many hospitals, and the antibiotics used are all very advanced, and the remaining antibiotics are not used.


    They have been fighting infection for quite some time, but the patient''s condition has not improved!


    If you continue anti-infective treatment, it is nothing more than the use of restricted antibiotics, such as imipenem and other drugs, and there is no other adjustment in diagnosis and treatment.


    is a commonplace.


    "Hey, it seems that this discussion of difficult cases is useless..." Su Wenzheng sighed slightly in his heart.


    Next, are the speeches of other departments.


    However, the ICU director has no hope for the opinions of other departments.


    The rheumatology department and the infectious disease department did not provide any constructive opinions, let alone other departments such as cardiology and nephrology.


    Sure enough, it was not as expected by the ICU director.


    The opinions of nephrologists and gastroenterologists briefly describe the conditions of the patients and their departments.


    As for the analysis of the underlying condition, very few!


    "Hey, forget it."


    The ICU director has no hope of discussing this difficult case.


    ¡­


    "Finally, the cardiologist will consult the doctor, tell me your opinion." Su Wenzheng said sternly.


    Cardiovascular Medicine was the last department to speak.


    After he finished speaking, the discussion of difficult cases this time came to an end.


    Lu Chen finally got his chance to speak.


    He stood up, holding the patient''s case data in his hand.


    ICU director and Su Wenwen didn''t have any expectations when they saw such a young doctor.


    Lu Chen first cleared his throat, and then said slowly, "Teachers, in fact, I have a different opinion on this patient."


    As soon as he finished speaking, Lu Chen attracted everyone''s attention.


    "This kid, how dare you speak!"


    Seeing Lu Chen''s youthful appearance, everyone was in awe.


    Many people are still complaining about this, but the Cardiology Department actually sent such a young doctor to participate in the discussion of difficult cases? !


    ICU director and Su Wenzheng were also slightly taken aback, and then their expressions returned to normal.


    At this time, Lu Chen said, "Actually, when I first saw the patient''s medical records, I also thought that the patient had a contagious fever and was in shock after a severe infection. But..."


    Having said this, Lu Chen was obviously stunned, and everyone''s attention was mobilized.


    He continued: "But when I went to check on the patient, a look from the patient changed my judgment."


    "What? The patient''s eyes?"


    Everyone present was stunned for a moment, and looked at Lu Chen with doubts on their faces.


    They have never heard of this argument, just because of the patient''s eyes, make the diagnosis change!


    At this time, everyone''s interest was hooked.


    Looking at the young resident of the Cardiology Department in front of him, everyone was chatting and asking about Lu Chen''s origins.


    "Dr. Lu, please analyze it for everyone, don''t give a shit." Su Zhengwen said quickly.


    Lu Chen smiled and continued: "Although the patient is lying in the ICU and inhaling high-flow oxygen through a mask, his eyes are still alive and shiny. So I judge that the patient is not an infectious fever, but an immune fever! "


    "Huh? Is this all it takes?"


    Everyone frowned, wouldn''t this be a bit sloppy?


    These senior physicians and deputy chief physicians here seem to not understand what Lu Chen meant.


    When do you see a doctor with your eyes? Didn''t you read the lab report?


    Su Wenzheng frowned deeply and asked suspiciously, "Doctor Lu, what do you think about the eyes of patients with infectious fever?"


    Hearing this question, everyone looked at Lu Chen, wanting to hear Lu Chen''s next answer.


    Lu Chen smiled slightly and explained, "A patient with prolonged infectious fever, especially a patient with septic shock, is sleepy and indifferent in his eyes due to the action of bacterial toxins. While immune fever There are not many "toxins" in the body, even if the fever is several months, the eyes are still very smart, as long as the fever subsides, the appetite will be good."


    After Lu Chen finished speaking, the audience was silent.


    So people are trying to figure out the connotation of Lu Chen''s words.


    At first, everyone thought that Lu Chen was just exaggerating, but now he gave his reasons.


    People began to re-examine this issue.


    At this time, a deputy chief physician of the rheumatology department suddenly said, "I think this statement makes some sense!"


    "What do you say?" The ICU director looked at the rheumatologist.


    The rheumatologist thought about it and said: "This phenomenon may be better explained by the differential diagnosis of sepsis" (infection) and "subsepsis" (adult Still). "


    Then, the rheumatologist introduced the general situation of the two diseases to everyone.


    "So, is it really possible that it is an immune fever?"


    Su Wenzheng was slightly startled. The way he looked at Lu Chen had already changed.


    After the rheumatologist finished speaking, Lu Chen couldn''t help but nodded, "The rheumatology teacher is right! I think this is a clinical phenomenon that cannot be described in books and papers, and we can use therapeutic diagnosis to verify it. !"


    "You''re arrogant, using hormones?" The rheumatologist looked at Lu Chen tentatively.


    Lu Chen smiled and nodded: "Yes, this patient is mainly immune fever, first increase the dose of the hormone dexamethasone. After three days, if the fever subsides, it can be preliminarily judged that the patient is immune fever!"


    At this moment, Lu Chen not only put forward his own diagnosis opinions, but also gave the next diagnosis and treatment methods.


    This makes Su Wenzheng eager to try, and he can''t wait to give the patient a shot of hormones now!


    (end of this chapter)

 v2 Chapter 715： Annual salary of one million (second update)

    Chapter 715 Annual salary of one million (second update)


    The discussion of difficult cases is over.


    The only useful opinion is Lu Chen''s last speech.


    Many people already knew the name of this cardiology consultant at this time.


    "His name is Lu Chen, why does this name sound familiar to me!"


    "I just asked a colleague from the Cardiology Department. Lu Chen has a lot of background. Let me put it this way, less than half a year after he came to our hospital, he has already published an SCI paper with a score of 8 and a score of 14."


    "The most terrifying thing is that he is just a PhD student."


    ¡°¡­¡±


    Everyone was talking about it, but Lu Chen didn''t care much.


    He stood up, ready to see the situation of the "brain dead" girl, and then left the ICU.


    Su Wenzheng grabbed him.


    "What''s wrong?" Lu Chen turned his head in confusion.


    "That..." Su Wenzheng scratched his head, "Dr. Lu, why don''t you add a WeChat, I''ll ask you about the patient''s condition."


    "Uh, let''s do it." Lu Chen didn''t refuse, one more friend and one more news channel.


    For example, this time he wants to know the situation of the "brain dead" girl, so there is no way.


    The two soon added WeChat.


    "Doctor Lu, how much do you think is better for my patient''s hormone dosage?" Su Wenzheng didn''t plan to let Lu Chen go easily.


    Lu Chen thought about it and said, "Dexamethasone is 20mg per day for three consecutive days, and then the dose can be adjusted as appropriate."


    "Okay, thank you Dr. Lu." Su Wenzheng wrote it down gratefully, "Do you think that anticoagulation therapy is necessary?"


    Lu Chen nodded slightly, "You''re asking a good question. In fact, the patient''s thrombocytopenia is a consumptive thrombocytopenia caused by high D-dimer and high fibrinogen. The darkening of the patient''s toes is evidence. Low-molecular-weight heparin is a strong indication, but the current platelet count is too low, so I think high-dose dexamethasone and platelet transfusion can be used first, and then low-molecular-weight heparin can be used if the platelets can stabilize.¡±


    Lu Chen failed to examine the patient, but still glanced at it from a distance.


    The patient''s right toes turned black, which was actually D-dimer and high fibrinogen, which consumed platelets.


    "Mmmm." Su Wenzheng nodded while recording, and then asked, "How long can the platelets be stabilized before using low molecular weight heparin?


    Lu Chen was taken aback, this Su Wenzheng really regarded him as "one hundred thousand why"?


    But after thinking about it, he still replied: "Generally speaking, if the platelets can be stabilized above 30, you can try to use a low molecular weight heparin."


    Su Wenzheng quickly recorded everything Lu Chen said in a small notebook.


    ¡­


    Finally, after Su Wenzheng felt that there was nothing left to dig, he personally sent Lu Chen out of the ICU gate.


    "Doctor Lu, thank you so much this time." Su Wenzheng smiled, "Whether your opinion is useful for diagnosis and treatment, it will be of great help to our clinical thinking."


    "It''s okay, we all communicate and learn from each other." Lu Chen said, "Well, Doctor Su, if you have time, help me pay attention to the girl in bed number 3."


    "What''s the matter?" Su Wenzheng was taken aback, "Acquaintance?"


    Lu Chen shook his head, "No, it''s a patient I consulted."


    "Okay, I''ll send you WeChat if there is a situation."


    "Thanks."


    After Lu Chen left the ICU, he received a prompt from the system.


    "Congratulations, +5 for receiving a thank you from Su Wenzheng!"


    "Congratulations, received from..."


    It is also very good to earn so many gratitude points for a consultation.


    ¡­


    Back to his home, it was four o''clock in the afternoon.


    Lu Chen began to slowly adapt to the general life in the Cardiology Department.


    For ordinary people, it may be a little boring, even a little tired.


    But for Lu Chen, going back and forth between the consultation and the rescue, his inner satisfaction also increased.


    Just then, there was a knock on the lounge door.


    opened the door and saw a young male doctor.


    It looks like he is a graduate student or a graduate student.


    "Mr. Lu, someone is looking for you at the door of CCU."


    "Is someone looking for me at the door?" Lu Chen wondered.


    If it is a doctor, he should be able to come in and find it.


    If it was a patient, I wouldn''t know he was here.


    "A young man, said he knew you." The young male doctor said.


    "Okay, thank you, I''ll go right there." Lu Chen put on his white coat.


    came to the door of CCU.


    Zou Wei''s smiling face appeared in front of Lu Chen''s eyes.


    "It''s you!" Lu Chen smiled.


    With Zou Wei''s relationship, he must know that he is in CCU.


    "Brother Chen, I''m here to review this time." Zou Wei immediately took out his dynamic electrocardiogram for review.


    "Do you have my WeChat? Just send it to me to see, you don''t have to come in person." Lu Chen took the dynamic electrocardiogram with a smile.


    "Hey, I''ll show you for yourself, don''t worry." Zou Wei smiled, "If there''s no problem, I''ll be going back to the South China Sea in two days, so I just want to invite you to dinner today."


    Lu Chen looked at the dynamic electrocardiogram, "Have you been taking the medicine?"


    "Yes, every meal is a fixed order." Zou Wei said.


    "It''s not a big problem." Lu Chen returned the dynamic electrocardiogram with a smile, "No need to take medicine, but in the future, you should pay attention to it, and remember not to be bitten by ticks again."


    "Don''t worry, I know this."


    Although he had already shown other doctors in advance, he heard Lu Chen say it was fine, and the smile on his face became even stronger.


    "Brother Chen, do you have time? I''ll treat you to dinner tonight!"


    Lu Chen declined with a smile, "No, I''m currently the inpatient chief of the Cardiology Department. I have to stay in the hospital 24 hours a day, but I can''t just leave."


    "That''s it." Zou Wei didn''t give up, "Why don''t you go to your cafeteria, I heard that the third floor of your cafeteria is also a private restaurant."


    "You know that too?"


    "Hey, I went to eat while I was hospitalized!" Zou Wei smiled.


    "Well then." Lu Chen nodded, to be honest, he hasn''t been to the third floor of the hospital cafeteria.


    ¡­


    Seeing that Lu Chen agreed, Zou Wei took Lu Chen to the third floor of the hospital canteen.


    Lu Chen came to the cafeteria wearing a white coat. Before the cafeteria, he put the white coat outside the door.


    At this time, it was almost time for dinner, and there were many customers in the private restaurant on the third floor.


    "Brother Chen, you can order whatever you want, I''ll treat you today." Zou Wei pushed the menu in front of Lu Chen.


    "Then I''m welcome." Lu Chen smiled and ordered two meat and one vegetable.


    "Do you want to add another one?" Zou Wei frowned, he felt a little less.


    "No, let''s eat three dishes for two, absolutely enough!" Lu Chen quickly refused with a smile.


    "That''s fine."


    Zou Wei gave up when he saw this. Lu Chen was the main meal this time.


    The food came out quickly.


    The two chatted while eating.


    Lu Chen also knew that Zou Wei''s family background was not simple.


    The family actually opened a private hospital in Nanhai Island, which seems to be not small in scale.


    Zou Wei said to Lu Chen half-jokingly, "Brother Chen, if you are a high-end talent like you, if you graduate and go to my hospital, the salary will definitely be unreasonable! It must be many times more than yours in a public hospital!"


    Lu Chen smiled and said nothing.


    "Brother Chen, don''t believe it!" Zou Wei continued, "Many experts from Kyoto and the Magic Capital have left the country over the years. There are basically no locals in the discipline leaders in our Nanhai Hospital. If you can come to me Hospitals, the annual salary must not be lower than this.¡±


    After ??, Zou Wei smiled and stretched out a finger, "The annual salary is not less than one million!"


    (end of this chapter)

 v2 Chapter 716： Barriers between disciplines (third more)

    Chapter 716 Barriers between disciplines (third more)


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


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


    Discipline leader, this title already represents a lot of things, ordinary director, expert professor level tasks, can not bear this title.


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


    Although private hospitals have also developed by leaps and bounds in recent years.


    For example, the well-known private hospital in the cardiovascular field, the Asian Heart Hospital, its diagnosis and treatment level can be ranked in the country, but most of the overall medical resources are tilted towards public hospitals.


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


    Most of the medical students in Huaxia, the first choice after graduation, may not be a private hospital.


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


    Zou Wei saw that Lu Chen didn''t have such thoughts, and was slightly disappointed.


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


    And his uncle Zou Yi was full of praise for Lu Chen.


    If Lu Chen could come to his private hospital, he would wake up laughing from a dream!


    But now it seems that Lu Chen''s visit to their private hospital can only be a dream...


    As soon as the two of them had a meal, Lu Chen''s special hospital machine rang!


    ¡­


    Lu Chen immediately put down the tableware and answered the phone.


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


    Another emergency consultation!


    Lu Chen looked at Zou Wei apologetically, "I''m sorry, I''m going to the emergency consultation here, you can eat first, don''t worry about me, I''m almost done."


    Zou Wei hurriedly said: "Brother Chen, go get busy, don''t worry about me."


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


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


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


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


    Let the graduate student on duty send him a defibrillator and conductive paste.


    ps: Not all departments have defibrillators.


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


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


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


    ¡­


    General Surgery Ward 1.


    In the face of such a patient with atrial fibrillation and low blood pressure, the doctor in charge is like a formidable enemy.


    He did not dare to leave the ward at all, for fear that the patient would die of sudden shock.


    Seeing Lu Chen who came with a defibrillator, he breathed a sigh of relief.


    "Quickly defibrillate! Quickly defibrillate!" The general practitioner urged several times in a row.


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


    The most important thing is to measure a blood pressure!


    The patient is generally in good condition, with a blood pressure of 85/54mmHg, and there is no manifestation of shock, just a little flustered.


    Lu Chen frowned, his blood pressure was indeed a little lower, but it wasn''t as scary as what he said on the phone.


    What cardiogenic shock or something.


    "Quickly defibrillate!" The general surgeon saw that Lu Chen was slow to act, so he held back and said, "With such a low blood pressure, the danger is too great."


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


    "Huh? Still waiting?"


    Lu Chen nodded, "The patient''s current condition is okay, and there is no sign of shock. I need to see the patient''s laboratory report, such as serum potassium."


    "I forgot about this, are you in a hurry to see this?" The general surgeon frowned.


    "Electrical cardioversion should be used with caution in hypokalemia." Lu Chen explained, "And this patient has no indication that electrical cardioversion is necessary for the time being."


    The autonomicity and excitability of cardiomyocytes in hypokalemia are increased, and the conductivity is decreased. At this time, the sensitivity to electric shock increases. If electrical cardioversion is performed, it may lead to more malignant arrhythmias.


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


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


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


    He was also slightly surprised, it was really low.


    ¡­


    When Lu Chen heard this blood potassium value, he completely dispelled the preparation for electrical cardioversion.


    "First add fluids to boost blood pressure, preferably to increase serum potassium to 4mmol/L, so as to minimize the occurrence of arrhythmia." Lu Chen suggested to the general surgeon.


    "Is that all?" The general surgeon asked with some doubts, "Is there really no need for an emergency electrical recovery rate?"


    "No." Lu Chen shook his head.


    "This..." He communicated with the patient''s family just now and said that he was going to get an electric shock.


    Lu Chen continued: "Electrical shocks are not very traumatic to the human body. If you can''t get an electric shock, it''s better not to."


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


    However, the patient''s family understood it better and agreed to use drug treatment first.


    "Doctor Lu, you just left?"


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


    Lu Chen nodded, "This patient is very young, blood pressure and serum potassium have risen, and atrial fibrillation should be able to recover on its own."


    "What if I can''t cardiovert it?" the general surgeon said quickly.


    "If the blood pressure goes up, you can use amiodarone to cardiovert." Lu Chen said, "If the blood pressure is still low, you can use the blood pressure booster directly, and then use amiodarone."


    "Then write it clearly on the consultation sheet."


    "no problem."


    Lu Chen had no choice but to teach by hand.


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


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


    The consultation sheet is full of treatment opinions, and the defibrillator is temporarily kept in the general surgery department for backup, so that the general surgery department can replace it later. (CCU has many defibrillators.)


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


    ¡­


    Back to CCU lounge.


    Lu Chen found a packaged meal on the table outside his home.


    took out his mobile phone and saw Zou Wei''s message to himself.


    He was afraid that Lu Chen would not be full, so he ordered two more dishes in the cafeteria and brought them here.


    "This kid can really do something!"


    Lu Chen smiled, and he immediately replied "Thank you" to Zou Wei.


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


    Lu Chen is really hungry!


    So, he carried the food, returned to the lounge, and continued to cook.


    You can¡¯t do it without cooking!


    If I encounter an emergency rescue or something at night, I will be hungry again.


    (end of this chapter)

 v2 Chapter 717： I dont want to live anymore (please subscribe to a monthly pass!)

    Chapter 717 I don''t want to live anymore (please subscribe to a monthly pass!)


    CCU Lounge.


    After eating, Lu Chen read two more documents.


    At this time, it was past seven o''clock in the evening, and he was ready to start resting.


    Take time to rest, this is the first point he has figured out in the past two days.


    But not long after lying down, Lu Chen received a WeChat message from his cousin Li Huiyan.


    When he saw the content of this WeChat, he was completely shocked.


    His heart thumped a few times.


    This WeChat has only five words - I don''t want to live anymore!


    After seeing this message, Lu Chen suddenly lost sleep.


    He immediately replied: "Don''t be stupid! Life is beautiful, any difficulties are temporary!"


    At the same time, Lu Chen was thinking about whether he should call his aunt, Li Huiyan''s mother, immediately.


    Lu Chen has been holding on to the phone and has not let go. As long as his cousin doesn''t reply within a minute, he will immediately contact his aunt who is far away in Jinghua.


    I remember that during the Chinese New Year last year, he also met Li Huiyan once.


    My cousin at that time was in good shape. After participating in physical exercise, she lost weight.


    It is easy to gain weight, but difficult to lose weight!


    Everyone praised Li Huiyan greatly.


    However, why did you suddenly not want to live?


    Is it also some kind of puppy love? Bullied by your boyfriend?


    After all, Lu Chen has encountered too many such things clinically, and he has already made up a lot of plots in his mind.


    ¡­


    Just when Lu Chen was about to contact his aunt, his cousin Li Huiyan finally replied.


    A large paragraph of text, which is a bit messy.


    However, Lu Chen quickly glanced to the side, and immediately extracted useful information.


    It turned out that Li Huiyan felt a lump on her neck some time ago, so she went to check it and found that it was cancer!


    "Brother, I have thyroid cancer. I''ve checked Baidu. Some people say it''s not a big problem, some people say it''s very dangerous, and I don''t know what the situation is. These days, I''m emotionally broken and I want to cry."


    "The doctor I went to the outpatient clinic did not explain much to me, but I saw that his face was not very good. I am not sure if the time is running out."


    "He just asked me to pay for the hospitalization and then the surgery. I haven''t let my parents know yet, and my boyfriend also fell out with me..."


    After reading all the descriptions, Lu Chen burst into laughter.


    It is unfortunate to have cancer, but if it is thyroid cancer, it is a blessing in misfortune.


    Because the vast majority of thyroid cancers have a good prognosis.


    Lu Chen immediately edited a WeChat message to go back to the past: "Huiyan, although thyroid cancer is a malignant tumor, but in most cases it can be cured by surgery, and it will not affect life expectancy!"


    Of course, there are also special cases. If it is undifferentiated cancer, the prognosis will be poor, but there are not many such types.


    More pathological types are breast cancer and follicular cancer.


    Most have a good prognosis, and only a few are poor.


    However, Li Huiyan''s next sentence made Lu Chen dumbfounded.


    "Brother, I don''t want to implicate my family!"


    ¡­


    Things are not as serious as Li Huiyan thought, but she has reached a dead end.


    Lu Chen had to forcibly hack a certain degree, and quickly told Li Huiyan not to look at what everyone said on the Internet about thyroid cancer.


    All kinds of popular science, whether true or false, do you want to look at it with preconceived notions.


    Lu Chen said: "Huiyan, you should read the undergraduate textbook for our medical students, which contains the treatment and prognosis of thyroid cancer!"


    "But I don''t have any medical books, what do you think?"


    Seeing Li Huiyan asking this, Lu Chen knew there was hope.


    Explain that there is still room for manoeuvre, and it is not a dead brain!


    "wait a moment!"


    Lu Chen really didn''t have any undergraduate textbooks on hand, but he definitely had them in the CCU doctor''s office.


    CCU has a lot of graduate students and regular trainees who come to rotate, and they sometimes take out the textbooks and read them.


    Come to the CCU doctor''s office.


    Lu Chen really found a very worn textbook.


    Find the chapter on thyroid cancer, which will explain the pathological classification and prognosis, and send the photo to Li Huiyan.


    There is a very important sentence in it, which was specially marked red by Lu Chen.


    "...The thyroid cancer and follicular carcinoma are collectively referred to as differentiated thyroid cancer, accounting for more than 90% of adult thyroid cancers, and the prognosis is very good..."


    At the same time, Lu Chen also told Li Huiyan.


    "" Among my high school classmates, college classmates, and work colleagues, all of them were found to have thyroid cancer. Without exception, they are still alive and well, and they are exactly the same as normal people, so don''t worry at all! "


    "It''s nothing more than a long-term need for oral thyroxine replacement therapy after the thyroid is removed, which has little impact on life."


    Compared with our common liver cancer, lung cancer, stomach cancer, colon cancer, cervical cancer, etc., thyroid cancer is really lucky.


    The surgery fee will not be too high, and there is a student medical insurance, which can also be reimbursed part of it. It is not the end of the world!


    ¡­


    Lu Chen and his cousin Li Huiyan chatted for an hour. Fortunately, there was no emergency consultation or rescue in the middle.


    Li Huiyan seems to have relieved a lot, she is not so afraid, and she feels that there is hope in life.


    However, one wave has not settled, and another wave has arisen!


    "Brother, in fact, there is a girl in our class who was diagnosed with thyroid cancer last year and dropped out of school. I heard that she is depressed. It is because of her that I am so afraid."


    Lu Chen reluctantly continued: "Hey, it''s really unnecessary! After many years, if you look back at your hesitation and anxiety today, you will definitely feel that the self you want to be is actually a little immature and stupid!"


    "Will your brother still lie to you? Get good treatment, thyroid cancer is not dangerous!"


    In general, if you discover thyroid cancer, you only need to go to a regular hospital for treatment, and you may misbelieve some false medical information.


    Being defrauded by the unscrupulous Putian hospital, it is not enough to make you physically and mentally exhausted, and it often leads to bankruptcy.


    A person without a medical foundation, especially a young girl who does not have a strong ability to distinguish right from wrong, is very easily frightened.


    The situation has improved in recent years, mainly because people in the media have spoken out more, and there have been more scientific popularization of doctors, but after all, it is still a mix of fish and dragons, and the variety is dazzling.


    ¡­


    After the incident, Lu Chen comforted his cousin again, and then called her parents about the incident.


    Of course, in front of his aunt, Lu Chen repeatedly emphasized not to be too nervous and excited, and to avoid bringing such emotions to Li Huiyan.


    Otherwise, it will definitely make her nervous again, or even have a nervous breakdown.


    Lu Chen has been in the clinic for a long time, and found out that there is a group of female college students, what should I say...


    is very special. They have knowledge and ideas, but they are very sensitive, and sometimes they are even pessimistic, and it is easy to be confused when they see things.


    Or this is not only limited to girls, but also a common problem for young people!


    ¡­


    My hands are numb, thank you for your monthly pass and reward.


    No updates today, let''s continue tomorrow.


    (end of this chapter)

 v2 Chapter 718： very hard belly

    Chapter 718 Such a hard stomach


    The matter of ?? Li Huiyan''s cousin also caused quite a stir in the family.


    Lu Chen naturally comforted everyone in the family WeChat group.


    After ?? spent a lot of energy, Lu Chen turned off his phone and slowly began to rest.


    Compared to yesterday''s busyness, this night seems to be extraordinarily quiet.


    The cell phone of the general inpatient of the Cardiology Department never rang.


    Around ten in the evening.


    Su Wenzheng in the ICU brought good news to Lu Chen.


    "brain dead" girl, wake up!


    After the blood purification, the residual drug toxicity in the patient was also excluded from the body.


    Respiration, nerves, etc., which were suppressed by the drug, began to recover gradually.


    This news made Lu Chen excited.


    I want that seventeen-year-old girl to be able to return to this world again.


    Lu Chen was full of joy.


    "Doctor Su, please pay attention to the mental state of this patient afterward." Lu Chen thought about it and said.


    This kind of short-sighted girls, in addition to the diagnosis and treatment of their own diseases, it is more important to pay attention to their mental state.


    Otherwise, even if she is lucky enough to be rescued this time.


    What about next time?


    "Okay, don''t worry, Mr. Lu, we will have a special psychiatrist to take care of her."


    For this type of special patient, the First Hospital of Magic City has a special psychiatry department to take care of it.


    At this time, a series of prompt tones also came from the system panel.


    Lu Chen received another wave of gratitude from the patient''s family.


    After dealing with this matter, he began to fall asleep.


    ¡­


    But a night is certainly not complete without an emergency consultation.


    Around one o''clock in the morning, the familiar ringtone of the mobile phone rang again.


    The emergency consultation of the emergency department is here!


    Lu Chen was already fully prepared and slept for a long time in the first half of the night.


    So he is not tired now and rushed to the emergency department immediately.


    Late at night.


    The road from CCU to the emergency department is basically empty.


    Lu Chen felt a cold wind blowing, and could not help shrinking his neck.


    Most people are really afraid to walk on this kind of road, but Lu Chen is an atheist, so he is naturally fearless.


    Came to the emergency department.


    The emergency doctor on duty that day was a relatively young attending doctor, whom Lu Chen did not know.


    But the nurses in the emergency department are all very familiar with Lu Chen.


    In the past two days, Lu Chen went to the emergency department several times, and each time he stayed for a long time.


    "Doctor Lu, the patient is in the second emergency room!"


    The nurse named Xiaoli smiled sweetly at Lu Chen.


    These nurses now all know about the new inpatient chief of the Cardiology Department. That''s not easy!


    He is young, has an independent laboratory, and can complete various interventional procedures independently.


    is even more famous than many professors in the First Academy of Magic City!


    "Thanks, Sister Li." Lu Chen nodded slightly in response, ignoring the nurse''s eyes.


    ¡­


    Came to the second rescue room.


    The doctor on duty in the emergency department rushed over.


    "Mr. Lu, this is a middle-aged man with chest pain. He was admitted to the hospital in a coma. His blood pressure is relatively low and his condition is very serious. He is going to be sent to CCU."


    Lu Chen looked towards the hospital bed.


    On the hospital bed, lies a middle-aged man with 45 health (---)!


    He closed his eyes tightly, not responding to the outside reaction.


    The emergency doctor continued: "The patient became confused shortly after arriving at the emergency department."


    "Are you conscious on the road?" Lu Chen wondered.


    "Anyway, the family members said that the patient was still awake along the way, saying that he had chest pains and was uncomfortable. As soon as he arrived at the emergency department, he immediately had an electrocardiogram."


    After saying that, the emergency doctor took an electrocardiogram from the case and handed it to Lu Chen, "The electrocardiogram didn''t show any signs of acute myocardial infarction, but the blood was drawn, and troponin was elevated."


    Troponin is mainly found in cardiomyocytes, and its increase often indicates that the cardiomyocytes are damaged.


    However, in the early stage of myocardial infarction, the myocardium is not completely necrotic, and the electrocardiogram is not necessarily typical.


    "The family said that the patient has a history of three highs, hypertension, diabetes, hyperlipidemia, and has risk factors for myocardial infarction, so we can''t rule out acute myocardial infarction, so we asked President Lu to come and take a look."


    "Okay, I see." Lu Chen nodded.


    Judging from the current situation, acute myocardial infarction is indeed not excluded.


    In addition, the patient was in a coma, and the emergency department considered severe myocardial infarction and cardiogenic shock.


    But these are preliminary judgments.


    Lu Chen came to the patient''s bedside.


    The man is nearly 60 years old, has been in a coma, and is lying on the hospital bed without any movement.


    On the bedside ECG monitor, the heart rate is 120 beats/min and the blood pressure is 80/40mmHg.


    This blood pressure may not be much lower than normal blood pressure.


    But don''t forget that the patient has a history of hypertension. If the blood pressure is 160/80mmHg for a long time, it suddenly drops to 80/40mmHg.


    Such blood pressure cannot supply blood to his brain!


    It''s like you live on a high floor, the pump can''t handle the pump, so there is no water to take a bath at night!


    Once the blood supply to the brain is reduced, a coma occurs.


    In order to quickly rule out myocardial infarction, Lu Chen asked Gu Peisheng to perform an electrocardiogram on the patient again.


    At the same time, he also called the patient''s family to ask what happened.


    The patient''s family is a woman in her 50s who is the patient''s wife.


    Lu Chen frowned and said, "When did the patient start complaining of chest pain?"


    "I remember like it was yesterday." The middle-aged woman thought for a while. "Last night, she started to say that her chest was uncomfortable, but it was the worst in the early hours of this morning. I couldn''t bear it anymore, so I came to the emergency room and vomited once on the way. It didn''t take long for people to faint."


    The middle-aged woman was talking, her voice was a little whimpering, and her expression was extremely frightened.


    A good-natured person suddenly passed out like this.


    Anyone else would be nervous.


    Lu Chen understands middle-aged women very well, but he has no time to comfort her.


    If it is really acute myocardial infarction, then we must race against time to rescue and send it to the cath lab for intervention.


    Otherwise, once the myocardial infarction is prolonged, the blood vessels of the heart are blocked by the formed thrombus, the blood flow is blocked, and the myocardial cell necrosis will increase more and more!


    When the myocardial necrosis reaches a certain level, the patient is very likely to develop heart failure, then shock, and finally die!


    This process may occur in as little as a few minutes!


    "Get ready to send to CCU!" Lu Chen said in a deep voice to the emergency doctor beside him.


    "Okay, I''m going to issue a hospital permit now." The emergency doctor nodded and ran away.


    However, after saying this, Lu Chen still conducted a physical examination for the patient as usual.


    Auscultation of the heart and lungs was generally normal.


    However, when Lu Chen touched the patient''s stomach, his brows furrowed.


    The patient''s stomach is a little tight!


    This is not normal!


    When a normal person lies flat, the abdomen should be relaxed.


    No matter how hard or hard your abdominal muscles are, they should be soft.


    However, this uncle, who is over 500 years old, is in a coma, but his abdomen is very tight and hard!


    (end of this chapter)

 v2 Chapter 719： Seemingly simple physical examination (second more)

    Chapter 719 Seemingly Simple Physical Examination (Second)


    The patient''s stomach was so tense and hard, which greatly attracted Lu Chen''s attention.


    Abdominal tension often indicates inflammation in the abdominal cavity.


    Inflammation stimulates the peritoneum, causing the abdominal muscles to tighten, so the stomach feels a little tight to the touch.


    Lu Chen muttered to himself, "Could it be that the patient''s myocardial infarction caused the tension in the abdomen?"


    This situation is rare!


    At this moment, the ECG of the patient''s review also came out.


    Lu Chen took it and read it carefully, but still didn''t see the typical myocardial infarction pattern.


    At this time, it has been three or four hours since the patient developed obvious chest pain.


    If it is really acute myocardial infarction, there should be obvious changes in the electrocardiogram.


    However, this pattern is almost the same as before!


    "Could there be another cause for the chest pain?" Lu Chen frowned.


    In his mind, aortic dissection, pulmonary embolism, pneumothorax and other short-term life-threatening "chest pain" diseases flashed across his mind.


    However, they are not very similar!


    And the emergency department also made a preliminary investigation for such diseases.


    Lu Chen''s head was spinning fast, thinking about various possibilities.


    At the same time, his hands have not stopped for a moment, and he has been examining the patient''s abdomen, hoping to find more useful information.


    Lu Chen percussion on the liver area of ??the patient.


    is to make a fist with the right hand and lightly hammer the skin on the surface of the patient''s liver.


    Just like that, Lu Chen noticed that the patient''s brows suddenly became tense, showing a very painful expression.


    A comatose patient suddenly appears in pain, there is only one possibility.


    That is really hurting him!


    Normal people are reluctant to have percussion pain in the liver area, except for some acute inflammatory diseases, such as liver abscess, or cholecystitis.


    The patient''s wife saw the patient''s painful expression, thought he was awake, and was busy calling his name.


    But no reaction at all.


    ¡­


    Just then, the emergency doctor came back with a newly issued hospital card in his hand.


    He said to the patient''s wife: "Now take the hospitalization certificate and go to the CCU ward to be hospitalized!"


    The patient''s wife was about to receive the hospitalization certificate, but was stopped by Lu Chen.


    "Wait a minute!" Lu Chen said.


    "Mr. Lu, what''s the matter?" The emergency doctor looked at Lu Chen, who was beside him in confusion. Wasn''t he the one who asked him to issue a hospitalization certificate just now?


    Lu Chen looked at the patient lying on the hospital bed and said solemnly: "The patient may not be acute myocardial infarction, but most likely a gastrointestinal disease!"


    "Huh?" The emergency doctor was stunned for a moment, not knowing why Lu Chen said that.


    At this time, in order to further verify his idea, Lu Chen placed his left palm on the lower part of the patient''s right chest, and used his left thumb to compress the gallbladder area. If the patient has gallbladder inflammation, if he presses so deeply, it is bound to cause severe pain to the patient.


    Because the gallbladder is under Lu Chen''s thumb.


    Sure enough!


    When Lu Chen pressed down with his left thumb, the patient''s brows furrowed even more, and even twisted into a ball!


    Lu Chen took a long breath and slowly said to the emergency doctor beside him, "It''s true that the patient is in shock, but it''s not cardiogenic shock, it''s septic shock!"


    The emergency doctor saw Lu Chen''s physical examination and was amazed, and said loudly, "You mean acute cholecystitis?"


    Lu Chen nodded slightly, "Cholecystitis, cholangitis, these are not ruled out!"


    Cardiogenic shock refers to shock caused by heart disease. If it is myocardial infarction, intervention or thrombolysis should be performed immediately to restore blood supply to the heart muscle, so as to save the shock.


    But if the gallbladder is severely infected and septic shock occurs, the treatment is completely different.


    Inflammation of the gallbladder and bile duct can also cause chest pain. Although it is rare, it is possible!


    Conversely, a myocardial infarction is just as likely to cause abdominal pain rather than chest pain.


    If you get the two wrong and miss the best chance for treatment, the patient may really die.


    ¡­


    "Do you have a bedside ultrasound machine in your emergency department?" Lu Chen turned to the emergency doctor.


    "Yes!" The emergency department nodded immediately.


    "Hurry up and bring it here. I will perform an abdominal ultrasound on the patient to see if it is a liver and gallbladder problem." Lu Chen said.


    The emergency doctor was a little surprised, Mr. Lu did the ultrasound himself?


    Will he also have an abdominal ultrasound of the liver and gallbladder?


    This ultrasound machine is only used by one or two people in the emergency department.


    However, he was only slightly taken aback, now is not the time to doubt these things.


    He immediately instructed Gui Pearson to push the ultrasound machine next door over.


    Lu Chen took advantage of this time to ask the nurse to give the patient a quick refill.


    In fact, whether it is cardiogenic shock or septic shock, it is good to add fluids at this time.


    Only by raising the patient''s blood volume and blood pressure can the blood supply and oxygen supply to various organs be guaranteed.


    Otherwise, every organ of the human body will die one by one due to ischemia and hypoxia!


    In order to be safe, Lu Chen performed a detailed physical examination on the patient again, and there were not too many abnormalities in the heart and lungs.


    Pulled another electrocardiogram, but still did not see the typical manifestations of myocardial infarction!


    ¡­


    At this time, Pearson, the emergency department supervisor, came over with an ultrasound machine.


    Lu Chen immediately sat beside the patient''s bed and applied couplant to the ultrasound probe.


    All the movements are done in one go.


    Abdominal ultrasound is still very simple. Lu Chen now mainly looks at the gallbladder and bile duct.


    Under Lu Chen''s operation, an image of the gallbladder soon appeared on the ultrasound screen.


    "I''m going, the gallbladder is really big!" The emergency doctor can''t do an ultrasound, but it can still be identified.


    B-ultrasound showed that the gallbladder was significantly enlarged, the walls of the gallbladder and bile duct were thickened, there were still many stones in the gallbladder, and the bile duct was obviously dilated!


    The result did not surprise Lu Chen, it was really a problem with the gallbladder and bile duct!


    Lu Chen said solemnly: "The patient''s gallbladder and bile duct are inflamed, and it is very likely to be acute obstructive suppurative cholangitis."


    Once the stone blocks the common bile duct, the bile cannot be smoothly discharged from the digestive tract, and it is bound to accumulate more and more.


    In the end, the pressure in the bile duct increases, and the bile flows back into the blood. With the bacteria entering the blood, it will produce obvious manifestations of sepsis, and severe cases may have shock!


    "Please ask for hepatobiliary surgery consultation! Operate as soon as possible!" Lu Chen immediately put away the ultrasound equipment and said to the emergency doctor beside him.


    The emergency doctor also knew the urgency of the matter, and immediately ordered the nurse to call the hepatobiliary surgery department for emergency consultation.


    The surgeon came soon, and also confirmed the diagnosis of acute suppurative cholangitis, and rushed to the operating room for decompression and drainage of the bile duct.


    As long as the bile duct is incised to allow the bile to flow out, the condition will be significantly improved, and surgery will be considered later to completely solve the problem of gallstones.


    ¡­


    "Mr. Lu, thank you so much!"


    After the emergency doctor repeatedly thanked him, Lu Chen left the emergency ward.


    The system thanks and the level of upgrade completion have risen again.


    The emergency doctor looked at Lu Chen''s distant back and sighed in his heart, thanks to Mr. Lu this time!


    The emergency department was so busy that he didn''t have time to perform physical examinations on patients.


    Actually, no matter how busy the doctor is, there is still a need for a necessary physical examination!


    (end of this chapter)

 v2 Chapter 720： Stealing Records (Third)

    Chapter 720 Stealing Records (Part 3)


    As soon as he left the emergency department, Lu Chen was on his way back to the CCU ward when he was called by a phone call from the general ward of the Cardiology Department.


    The one who called was Jiao Jingqiu from the first district of the heart. She was the first cardiologist Lu Chen knew in the first hospital of the magic capital.


    "Lu Chen, come and help me see a patient." Jiao Jingqiu said on the phone, "It''s not a rescue, but it may be a little troublesome, and the patient''s family is not easy to talk to."


    "Okay, I''ll come right over."


    It¡¯s okay, it¡¯s not a rescue, it¡¯s not in a hurry.


    Lu Chen paced and came to the area in his heart.


    The nurse on duty is an old acquaintance, Yan Shuming.


    "Oh, why is Mr. Lu here when you are free?" Yan Shuming saw Lu Chen, and a smile flashed across his eyebrows.


    "Sister Jiao''s invitation, you must come!" Lu Chen smiled, then walked towards the doctor''s office.


    ¡­


    At this time, in the doctor''s office.


    A middle-aged man, staring closely at Jiao Jingqiu in front of him


    "Doctor Jiao, my daughter has been here for so long, why hasn''t she been diagnosed yet?"


    A look of helplessness appeared in Jiao Jingqiu''s eyes, "Your daughter just arrived yesterday, and it''s only the second day of hospitalization today, and many examinations have not been completed!"


    "But you are the top resource in the magic capital, and the capital is one of the most economically developed areas in the country." The man snapped his high hat directly, "My daughter shouldn''t be a big problem, you still can''t find it?"


    Jiao Jingqiu can only take out the patient''s medical records, "I told you just now that your daughter has chest tightness and palpitation. Myocarditis is temporarily ruled out. Other diseases need to be further investigated!"


    "Hehe, where are your leaders? I want to see your leaders!" The middle-aged man didn''t give in at all, "Or call me your director, and I''ll call and ask him."


    Jiao Jingqiu sighed in his heart.


    In this big night, I still want to find the director...


    This man was not in the ward during the daytime rounds, and the doctor in charge of the bed was off work at night, so he came over slowly.


    Jiao Jingqiu had explained his condition to him many times, and the middle-aged man at first expressed his understanding.


    In the middle of the night, the patient fell ill again, and the symptoms of chest tightness and palpitation worsened.


    The middle-aged man started to come to Jiao Jingqiu again.


    "Let me tell you this, I must meet your leaders tonight!" The middle-aged man said coldly.


    Jiao Jingqiu could only helplessly say: "I have informed our general inpatient department of cardiology."


    "Is he your leader?" The middle-aged man raised his eyebrows slightly.


    "Forget it, at night, we all listen to him." Jiao Jingqiu had no choice. Hospitalization is not always a leader, so that''s all I can say now.


    At this moment, Lu Chen walked into the office with a frown.


    ¡­


    He was just outside the office when he vaguely heard a quarrel.


    I thought to myself that it was probably some other patient who made trouble.


    Entering the door, sure enough, a middle-aged man was saying something to Jiao Jingqiu with a gloomy face.


    "Mr. Lu, you are here."


    Seeing Lu Chen coming, Jiao Jingqiu hurriedly stepped forward to say hello and winked at him at the same time.


    Although Lu Chen was puzzled, he still nodded.


    At this time, the middle-aged man on the side spoke, "You are their leader?"


    Lu Chen was stunned for a moment, wanting to see Jiao Jingqiu''s wink just now, he understood a little, so he nodded.


    But he was also quite helpless in his heart. Isn''t it too hasty to be a leader at his age!


    At this time, although he was wearing a mask and could not see his face clearly, he could still see his approximate age, at most thirty!


    Sure enough, the middle-aged man expressed his doubts.


    "Your hospital has such a young leader?"


    Jiao Jingqiu quickly explained: "He is the chief inpatient of our Cardiology Department and a specially hired talent in the hospital. He looks young, and his qualifications are much older than mine."


    The middle-aged man glanced at Lu Chen''s badge, and it really said that it was the chief inpatient of the Cardiology Department.


    At this time, Lu Chen admired Jiao Jingqiu quite a bit, and his kung fu for nonsense was quite powerful, one set at a time.


    The middle-aged man saw this, temporarily put away his doubts, and said to Lu Chen: "Then tell me, how to solve my problem now!"


    As soon as Lu Chen came in, he was a little stunned when he encountered this situation.


    Jiao Jingqiu quickly explained to him Lu Chen.


    ¡­


    It turned out that the daughter of this middle-aged man had a cold recently and felt chest tightness and palpitation. She took a few days of hanging needles, but there was no improvement. The myocardial enzymes were abnormal, and she suspected the possibility of myocarditis, so she was admitted to the cardiologist.


    On the second day after he came to the hospital, the middle-aged man started to come to her and start arguing because he was not diagnosed.


    Lu Chen knew the ins and outs of the matter, and felt quite helpless in his heart.


    Let them be diagnosed in two days?


    This is not to overhaul the machine!


    "Tell me, how to solve it?" The middle-aged man repeated.


    Lu Chen looked at the middle-aged man, frowning deeply, "Actually, you know it yourself, if it''s a minor illness, you can just get injections and take medicine at the clinic, there''s no need to come to the hospital at all. According to the frequency of your visits to the hospital, you must be working. It¡¯s also very busy, and it¡¯s not a last resort, and you won¡¯t let your daughter come to the hospital to see a doctor.¡±


    The middle-aged man paused and did not deny Lu Chen''s words, "But it''s been two days..."


    He was interrupted by Lu Chen before he could finish speaking.


    "Let''s just tell you, we have a three-day diagnosis rate in medicine. What do you mean, most patients require a diagnosis three days after admission."


    "First of all, you''ve only been two days, and it''s not time yet."


    "In addition, there are many people who have not been diagnosed for more than three days. At this time, we ask for consultation and discussion of even difficult cases, and follow the prescribed procedures to solve the patient''s condition."


    The middle-aged man raised his brows, "According to your opinion, it must be three days before you start paying attention to patients?"


    Lu Chen sighed slightly in his heart, why is this person unreasonable?


    He was about to continue his explanation when Jiao Jingqiu suddenly stood up and came to Lu Chen''s side, looked at the middle-aged man coldly, and pointed to the phone he was holding in his hand.


    "Are you secretly recording?!"


    Lu Chen has been communicating with the middle-aged man, and hasn''t noticed his cell phone yet.


    looked down slightly and found that his mobile phone was indeed exposed and was facing him.


    Lu Chen immediately stopped talking.


    This middle-aged man, his eyes narrowed, slightly turned his phone away, but he did not deny it.


    Jiao Jingqiu''s expression was a little angry, but she still tried her best to restrain herself. She stared at the middle-aged man and said solemnly: "" If you want to record, as a basic respect, you should consult my opinion in advance. I agree with you. Recording is possible. "


    "Otherwise, you are insulting me like this. In addition, every word I say now, we can take it to the court!"


    (end of this chapter)

 v2 Chapter 721： Is your period normal?

    Chapter 721 Is your period normal?


    "If you still respect people, please turn off your recording!"


    Jiao Jingqiu''s voice was not loud, but it reverberated in the doctor''s office and did not dissipate for a long time.


    The middle-aged man also seemed to be confused by Jiao Jingqiu''s series of voices. He subconsciously turned off the video button and slowly stuffed the phone back into his pocket.


    "This recording of mine...I''m not talking about the court, but I''m afraid that I can''t hear it clearly, so I can''t remember that much, so I just recorded it and listened to it slowly." The middle-aged man paused and said.


    Jiao Jingqiu ignored him and sat back in his seat.


    Lu Chen glanced at the middle-aged man. After a long while, he slowly said, "If you continue to be hospitalized in our Cardiology Department, I hope you can fully trust me instead of pointing your phone at me."


    There was a moment of silence in the doctor''s office.


    Jiao Jingqiu, who looked weak, made a speech without flinching, but it confused the big man.


    "Then I won''t say anything now, I''ll come to your director tomorrow morning!"


    The middle-aged man left these words of being strong on the outside and working on the inside, and left quickly.


    ¡­


    "Lu Chen, just now... Thank you." Jiao Jingqiu recovered and whispered to Lu Chen.


    Lu Chen waved his hand quickly, "You''re welcome, Sister Jiao, and I didn''t help you much."


    Actually, in Lu Chen''s heart, Senior Sister Jiao Jingqiu has changed a lot. She seems weak, but she doesn''t admit defeat at all!


    However, girls who dare to study cardiology are not weak girls!


    At this time, Jiao Jingqiu blushed, "Actually, I''m also afraid. If you weren''t here, I wouldn''t dare to tell him that..."


    Lu Chen: "..."


    Good guy, did you see it wrong?


    But since he''s here, Lu Chen still wants to take a look at the girl''s condition.


    Opened the disease course record, and Lu Chen began to read it.


    The patient is an eighteen-year-old girl who has just started college.


    ps: No intention to offend the big girls.


    A week ago, the patient caught a cold and began to have symptoms of chest tightness and palpitation. He took anti-inflammatory drugs in the local clinic for three days, but it did not improve at all, and the symptoms were getting worse!


    The family began to worry, so they came to the First Hospital of Modu. After seeing them in the emergency department, they found that two myocardial enzymes were elevated, and they were admitted to the Cardiology Department.


    On examination after admission, myocardial enzymes were normal.


    The electrocardiogram showed that the heart rate was too fast, the echocardiography was normal, the lung CT showed a small amount of inflammatory exudation, and the others were normal.


    Other laboratory test results are that the white blood cells are high, and the D-dimer is a little bit high, but not many.


    "The patient''s symptoms worsened tonight?" Lu Chen asked in confusion.


    "Yes." Jiao Jingqiu nodded, "If it wasn''t for the worsening of the symptoms, this would not have happened. But after I gave her oxygen, the symptoms were much better."


    Lu Chen was taken aback for a moment, after inhaling oxygen, the symptoms could be relieved.


    It seems that diseases such as myocarditis, myocardial infarction, and cardiomyopathy can be ruled out temporarily.


    "Sister Jiao, what kind of illness are you considering now?" Lu Chen looked at Jiao Jingqiu beside him.


    "Maybe it''s ordinary pneumonia." Jiao Jingqiu said, "Myocarditis, the most feared thing, has now been ruled out."


    "But she''s been on antibiotics for so many days, so she should get better, right?" Lu Chen frowned.


    Jiao Jingqiu also thought about this problem, so he said: "It may be that the antibiotics did not cover the pathogenic bacteria, or there were other complications, so the treatment did not have much effect."


    Lu Chen didn''t reply immediately.


    He read the patient''s laboratory report again, and after a long while, he slowly said, "The patient has chest tightness, fast heart rate, and high D-dimer. Does pulmonary embolism need to be ruled out?"


    The mechanism of pulmonary embolism has been discussed before and will not be repeated here.


    "Pulmonary embolism?" Jiao Jingqiu shook her head when she heard the words, "D-dimer is just high, and the patient is so young, there is no risk factor for pulmonary embolism, could it be pulmonary embolism caused by pneumonia? I think... Is that unlikely?"


    Lu Chen thought for a while, then said, "I''ll see the patient himself."


    ¡­


    It is late at night now.


    In the corridor of the ward, snoring can be heard one after another.


    Lu Chen came to the patient''s ward.


    The girl did not fall asleep immediately because she had just suffered from chest tightness.


    Seeing Lu Chen coming, the middle-aged man was slightly surprised.


    "I''ll see her." Lu Chen came to the hospital bed and expressed his intention.


    The middle-aged man saw this and slightly vacated some space for Lu Chen.


    Because the other patients in the ward were asleep, Lu Chen''s questioning voice was very low, and the content was as concise as possible without being verbose.


    But he didn''t ask anything special, and the girl''s answer was similar to what was recorded in the course of the disease.


    However, the girl''s HP is 56(¡ª¡ª)!


    is enough to prove that her condition is more than just pneumonia.


    Then, Lu Chen gave the girl a simple heart and lung auscultation.


    A small amount of wet rales could be smelled in both lower lungs, and other abnormalities were found.


    "Have you traveled far recently?" Lu Chen asked again, "For example, taking a long flight or a train?"


    The common cause of pulmonary failure is that the venous thrombosis of the lower extremities falls off, reaches the pulmonary artery, and blocks the pulmonary artery.


    For lower extremity venous thrombosis, in addition to some diseases, the most common is the long-term bedridden, sedentary, and economy class passengers on long-distance planes.


    "No." The middle-aged man replied instead, "She has been studying at school and has no time to go out to play."


    Lu Chen nodded lightly, "Then have you taken any special medicine?"


    The middle-aged man said again: "My daughter used to be in good health. She never got sick and never took medicine."


    On the ward, the girl did not deny it.


    "Is that so..." Lu Chen frowned.


    At first glance, there are really no risk factors for pulmonary embolism.


    However, Lu Chen was still a little unwilling to give up.


    He touched his chin, looked at the **** the hospital bed, and asked for no reason, "Is your period normal?"


    "Ah...this..." The girl''s face was thinner and her face was slightly red.


    This time, the middle-aged man could not answer instead, he just wondered: "Is this related to the disease?"


    "Maybe." Lu Chen said lightly, looking back at the **** the hospital bed, "Can you tell me whether your period is normal? How much is it? How many days?"


    The girl hesitated a little, her voice soft like a mosquito, "It''s normal now."


    Lu Chen saw the girl''s hesitation, "It''s normal now, what about before? Isn''t it normal?"


    The middle-aged man also saw what was wrong with the girl, and said quickly, "The doctor is treating you now, so tell the truth!"


    The girl heard the words and whispered: "I used to have irregular menstruation, I came late, and the amount was large. Later, I took some medicine by myself, and now I''m getting better."


    "Take medicine?" Lu Chen frowned, "What medicine did you say?"


    "That...contraceptive pill..." The girl hesitantly said.


    (end of this chapter)

 v2 Chapter 722： Id rather diagnose the error myself (first update)

    Chapter 722 I''d rather diagnose the error myself (first update)


    The First Hospital of Magic City.


    Cardiology ward.


    When the girl said the three words contraceptive pills, the middle-aged man showed an unbelievable look.


    "Lili, what did you say? You take birth control pills to regulate menstruation?"


    "Who did you hear this from?"


    "How can you take medicine indiscriminately! If you have any questions, tell Dad in time!"


    The middle-aged man couldn''t help but scolded in a low voice.


    It is intolerable and unacceptable that his precious daughter is actually taking this medicine.


    "Dad...I..." The girl lowered her head and her eyes were red, unable to squeeze out a word for a long time.


    Lu Chen was also quite surprised, and quickly said: "Contraceptives can indeed regulate menstruation, and we also use this method clinically. For some patients with irregular menstruation, temporary use of short-acting contraceptives can make menstruation easier. back to normal."


    "Really?" The middle-aged man heard the words, and his expression improved.


    Lu Chen nodded.


    Birth control pills generally contain estrogen and progesterone.


    The principle of contraceptives used to regulate menstruation is mainly to adjust the levels of estrogen and progesterone in the body by taking contraceptives, so that the original abnormal hormone levels can be adjusted to normal.


    At this time, the girl also said: "It''s like this. There is a girl in our dormitory who has irregular menstruation. After she went to the hospital, the doctor gave her birth control pills. After that, her menstruation became normal. I tried it. I didn''t expect it to be very useful."


    The middle-aged man heard the words, his face was blue, and he didn''t say much.


    Lu Chen shook his head reluctantly, "Everyone has different reasons for irregular menstruation. Maybe you can take contraceptives to adjust, but this is a temporary solution, not a cure."


    "The most important thing is that birth control pills can''t be taken for a long time!"


    Having said this, Lu Chen already understood the reason for the chest tightness in the girl in front of him.


    "Doctor, please tell me about the specific side effects." The middle-aged man looked a little anxious, and he stared at Lu Chen intently.


    Lu Chen thought for a while and then said: "It is common for people to be obese, their blood pressure will rise, they may also be mentally depressed, and some butterfly spots will grow on their bodies. The most serious thing is that long-term use of contraceptives will make people''s bodies in a state of stress. hypercoagulable state."


    "High coagulation state?" The middle-aged man wondered, "Is this any harm?"


    "This is what I''m going to tell you next." Lu Chen said solemnly, "It''s related to your daughter''s current condition!"


    Lu Chen''s words made the middle-aged man a little nervous.


    The **** the hospital bed also looked closely at Lu Chen.


    "Come out first, I''ll tell you carefully." Lu Chen said to the middle-aged man in front of him.


    "Okay." The middle-aged man lowered his head and comforted his daughter, then walked out of the ward with Lu Chen.


    ¡­


    in the corridor of the ward.


    Lu Chen and the middle-aged man came to a corner.


    "The body is in a hypercoagulable state. Simply put, it means blood stasis and thrombus can easily form." Lu Chen paused and said, "If the thrombus is in some small blood vessels, it may not matter, but if it is in a large blood vessel or more important blood vessels..."


    Lu Chen looked back at the middle-aged man, "That''s more complicated. For example, if the blood clot is in the heart blood vessel, if the blood vessel is completely blocked, it will cause myocardial infarction. If the blood clot is in the pulmonary blood vessel, it will cause pulmonary embolism!"


    "Myocardial infarction, pulmonary embolism?" The middle-aged man was startled, "Then my daughter is..."


    Lu Chen said slowly: "I now suspect that she may have a pulmonary embolism!"


    The middle-aged man swallowed and said with difficulty, "Is this disease serious?"


    Lu Chen nodded slightly: "If the large pulmonary blood vessels are completely blocked, the patient is at a very high risk of sudden death!"


    When the middle-aged man heard this, he became anxious, "Leader, what should I do next? What medicine should I use? Do I need surgery?"


    "Don''t be so nervous for now." Lu Chen comforted, "Next, we may need to do an enhanced CT of the pulmonary blood vessels to confirm whether it is the disease."


    "Okay, I will listen to you, use all the tests that need to be done, and the medicines that need to be used!" The middle-aged men were all incoherent.


    Then, Lu Chen asked the middle-aged man to return to the ward first.


    He came to the doctor''s office and talked to Jiao Jingqiu about the patient''s condition.


    ¡­


    "She''s been taking birth control pills?"


    When Jiao Jingqiu heard the news, his mouth was wide open.


    Who would have thought that an 18-year-old girl would actually take birth control pills for a long time? !


    "In order to regulate menstruation, follow the example of your roommate." Lu Chen shook his head helplessly, "We still don''t know much about this knowledge in society. If there is a problem with menstruation, we still have to come to the hospital for a checkup as soon as possible, instead of eating indiscriminately. drug."


    "Hey." Jiao Jingqiu also sighed, "It''s a little girl. She has a thin skin. Now, do you really suspect a pulmonary embolism?"


    "Well." Lu Chen said, "I have communicated with the patient''s family, and I will arrange a pulmonary artery CTA later."


    "Okay, I will inform the CT room immediately." Jiao Jingqiu also understood the seriousness of the matter.


    If it is really a pulmonary embolism, then the risk of the patient¡¯s condition has risen to a higher level.


    And the treatment will be very different.


    Enhanced CT of the pulmonary artery, unlike ordinary CT, requires a high-pressure syringe to create a contrast agent into the blood vessel.


    To do emergency enhanced CT at night, you need to inform the CT room in advance so that the nurses who spray the medicine will come over.


    "Lu Chen, I''ll accompany the patient for an examination later, you can help me see the ward." Jiao Jingqiu contacted the CT room and asked the patient to be pushed to the CT room after half an hour.


    "Okay, no problem." Lu Chen readily agreed, this is also one of the general responsibilities of the hospital.


    Although there is a night shift graduate student in the ward, but after all, he is only a student. Jiao Jingqiu dare not let the student accompany the examination, or let the student stay in the ward alone, which are all very high-risk things.


    ¡­


    After half an hour.


    CT arrival phone, you can go to check.


    Jiao Jingqiu immediately took the girl to the CT room of the outpatient building.


    Lu Chen stayed in the cardiology ward to take care of patients in the ward temporarily.


    Nurse Yan Shuming walked into the doctor''s office and gave Lu Chen a thumbs up.


    "Mr. Lu, you are really amazing! For patients that others can''t handle, you can come here in less than half an hour, and you''ll be done."


    She is very clear about the reason why the patient suddenly went out for examination.


    "I haven''t been diagnosed yet." Lu Chen smiled, "Don''t compliment me."


    "I see, this pulmonary embolism is inseparable!" Yan Shuming had great confidence in Lu Chen, "Otherwise, how could a simple pneumonia have been going on for so long?!"


    "I''d rather diagnose myself wrong, she is just a simple pneumonia." Lu Chen smiled.


    Pulmonary embolism, this is not a simple disease.


    For example, the patient with pulmonary embolism in the emergency department a few days ago was put on tracheal intubation, and he was almost not rescued.


    (end of this chapter)

 v2 Chapter 723： Pick a mentor for Lao Fan (Second Update)

    Chapter 723 Pick a mentor for Lao Fan (Second Edition)


    "Mr. Lu, I''ve been feeling flustered recently, and occasionally have chest tightness. The electrocardiogram and echocardiogram were all normal. Would you like to take a look at it for me?" Yan Shuming sat beside Lu Chen. .


    Lu Chen glanced at Yan Shuming''s HP, which was 76(-).


    No big problem.


    "It''s probably because there are too many night shifts." Lu Chen said, "Staying up late can easily cause endocrine disorders and cause various uncomfortable symptoms in the body. It is better to rest more and work less night shifts."


    "Hey, that''s what our profession is like, how can we not stay up late, except to change jobs." Yan Shuming shook his head with a smile, "So girls, you should still find a job that doesn''t work night shifts, even if you are a nurse or a doctor, you still choose a relaxed department. , at least don''t come to the night shift."


    Lu Chen smiled and said nothing.


    Everyone has their own career pursuits, some struggle, some lie flat.


    But every kind of job is just what you want, it doesn''t matter right or wrong.


    The ward was not busy for the time being, and Lu Chen also chatted with Yan Shuming.


    Don''t look at Yan Shuming as just a nurse, but it is not an easy thing to want to be a nurse in the First Hospital of the Magic City.


    Background, relationship, and even need to pay a sponsorship fee to get the qualification of a nurse in this top hospital


    ¡­


    About twenty minutes later.


    A message was sent back from the CT room.


    As soon as ?? pulmonary artery CTA results came out, Jiao Jingqiu called Lu Chen.


    "Lu Chen, the result is out, a diagnosis of pulmonary embolism!"


    This made Jiao Jingqiu feel scared for a while, and his back became cold!


    Fortunately, the girl''s pulmonary embolism was not a blockage of the main blood vessel, nor did the blood clot completely block the blood vessel.


    There is also part of the blood flow through, which can supply a certain amount of oxygen to the patient.


    Jiao Jingqiu was always paying attention to the girl''s vital signs on the way back to the department.


    She doesn''t dare to take it lightly now, for fear that something will happen to the **** the road.


    in the ward.


    Yan Shuming said to Lu Chen: "Look, I''ll say that this patient is inseparable, it''s a pulmonary embolism!"


    Lu Chen shrugged his shoulders and said nothing.


    Although her diagnosis is normal, it is really heartbreaking for such an 18-year-old girl to have pulmonary embolism.


    Fortunately, the cause was found, and pulmonary embolism can also be treated.


    After Jiao Jingqiu came back, Lu Chen was about to leave the department.


    "Doctor Lu, thank you so much!"


    The middle-aged man came to the doctor''s office again, and his expression was no longer aggressive, "I apologize to you again for the secret video I used before!"


    "Just cooperate with the doctor''s treatment." Lu Chen said, "The patient''s family members need to accompany you 24 hours a day. You can''t leave tomorrow, or let your other family members come to accompany you."


    "Okay, don''t worry, Dr. Lu, I know."


    After returning to the department, Jiao Jingqiu once again popularized the knowledge of pulmonary embolism to middle-aged men.


    This disease has a very high sudden death rate.


    Even the embolism of small blood vessels should not be taken lightly.


    ¡­


    After dealing with the general ward of the Cardiology Department, Lu Chen returned to the CCU lounge.


    For this pulmonary embolism patient, Jiao Jingqiu and other undergraduate doctors are responsible for the rest of the antithrombotic treatment.


    At this time, it was four o''clock in the middle of the night.


    As soon as Lu Chen walked into the CCU ward, he saw a student, pushing the bed alone and rushing towards the CCU catheter room.


    Because he is pushing the bed by himself, it is difficult to grasp the direction, taking three steps and stopping two steps.


    "Why are you pushing the bed alone?"


    Lu Chen knew this student, a graduate student who gave him a defibrillator during the day.


    "Mr. Lu, the CCU is too busy at night, and more than a dozen new patients have come." Zhang Dongyang said, "The manpower there is too short, so I have to push the bed alone."


    "Come on, let me help you." Lu Chen hurriedly stepped forward to help Zhang Dongyang grasp the direction.


    "Thank you, Teacher Lu." Zhang Dongyang did not refuse, it was indeed difficult for him to control the hospital bed by himself.


    "Just call me senior brother, I''m not a few years older than you." Lu Chen smiled.


    "Oh, okay." Zhang Dongyang felt that this new hospital manager was much better than the previous one.


    The previous resident general of the Cardiology Department had an ice face, and usually didn''t bother to care about their students.


    Unlike Mr. Lu... Senior Brother Lu, sometimes when he meets him, he will smile and say hello.


    Lu Chen helped Zhang Dongyang push the hospital bed to the cardiac catheterization room.


    This patient was diagnosed with acute myocardial infarction and required immediate emergency intervention.


    ¡­


    In the catheter lab at this time.


    Interventional Cardiologist is busy performing interventional treatment for the last myocardial infarction patient.


    "How many emergency rooms have you come to this night?" Lu Chen smacked his tongue.


    Zhang Dongyang thought for a while, "So far, there have been four patients with acute myocardial infarction."


    "Yo, who is on duty in your CCU tonight? It''s so hot?" Lu Chen asked in surprise.


    "That... the main class is Mr. Tan, and the sub-class is Mr. Cao." Zhang Dongyang smiled.


    "Oh." Lu Chen had heard of them, but they were not familiar with them.


    But the longer he spends in hospital, he will get to know them sooner or later.


    These very hot people, stay away from them in the future.


    "Senior brother, you go first, I''ll wait here for a while." Zhang Dongyang said to Lu Chen.


    His job is to take this patient to the operating table, and then pick up a surgical patient back to the CCU ward.


    Now the surgery has not been completed, he has to wait in the catheterization room for a while.


    Lu Chen didn''t stay, and returned to his lounge directly.


    His lounge is between the CCU ward and the cath lab.


    If you want to pass the catheterization room from the CCU ward, you must pass the door of his lounge.


    ¡­


    Lu Chen returned to the lounge, hung his white coat on the wall, washed his face, and lay on the bed.


    However, he has no sleep at all now.


    Suddenly remembered what Fan Zhiping told him yesterday, that he wanted to come to the magic capital for graduate school.


    Lu Chen promised him to help him find a suitable mentor.


    He has been in the First Hospital of the Magic Capital for more than half a year, and he is relatively familiar with the instructor of the Cardiology Department.


    But then again, Comrade Lao Fan is so old, and the average tutor is not necessarily willing to accept it.


    Some well-known tutors are definitely not willing to accept Fan Zhiping.


    Because Lao Fan is so old, he doesn''t have much room for improvement, so he has little value in training.


    For those new mentors, it is even more unlikely to accept Fan Zhiping.


    Fan Zhiping is forty years old, even older than some new mentors. It is really awkward to get along with each other.


    But since he had agreed to Fan Zhiping, Lu Chen patiently looked for him.


    Hard work pays off, Lu Chen really found him a mentor.


    This tutor is about fifty years old and not very famous, but he is humble and has strong clinical responsibilities.


    The most important thing is that he also had a history of accepting older graduate students before.


    "That''s it." Lu Chen took a screenshot of the tutor''s relevant information and prepared to send it to Fan Zhiping in the morning.


    If Lao Fan informs you that he really wants to come to the first postgraduate study in Modu, this tutor is undoubtedly the best choice.


    (end of this chapter)

 v2 Chapter 724： Stay in school (the third update)

    Chapter 724 Staying in School (Part 3)


    helped Lao Fan to choose a good mentor, and Lu Chen fell asleep.


    This sleep, he slept soundly.


    In the middle, there was no consultation and no rescue.


    He doesn''t have to do room rounds now. He slept until nine in the morning when he was awakened by the noise from the corridor outside.


    The first thing he did when he opened his eyes, Lu Chen sent him the information about the mentor he had chosen for Fan Zhiping via WeChat.


    ¡­


    Jinghua.


    Feng M County People''s Hospital, Department of Cardiology.


    Old Comrade Fan received Lu Chen''s Wechat as soon as he finished checking the room.


    Seeing that it was the mentor Lu Chen recommended to him, he was very grateful and quickly thanked him.


    Actually, he was still a little hesitant about going to the postgraduate entrance examination.


    After all, now it¡¯s not like when I just graduated and didn¡¯t get married, I don¡¯t have any ties and worries.


    He now has a stable job and his children are about to graduate from college.


    Comrade Lao Fan is now the Deputy Chief Physician, maybe he will become a Chief Physician in a few years.


    When the time comes, his life will be leisurely and stress-free.


    Why do you have to struggle so much, go to the magic capital to study for graduate school, can you still go to work elsewhere?


    Now, ordinary tertiary hospitals require graduate students, and Lao Fan has no advantages.


    In addition, Fan Zhiping¡¯s home is in Fengm County, so it is impossible for him to easily go to work in other places.


    Therefore, his idea of ??studying for graduate school has actually been fluctuating.


    But today, Lu Chen sent him the mentor recommendation information, and he was very grateful.


    "Lu Chen, do you think it''s necessary for me to come to graduate school at my age?"


    After thinking about it for a long time, Fan Zhiping still sent a message to Lu Chen.


    Lu Chen was washing up at this time, and he smiled slightly when he received the message from Comrade Lao Fan.


    He didn''t reply immediately, but after washing up, he sat beside the bed, thought for a moment, and then said, "Brother Fan, it actually depends on your original intention of studying for graduate school? For a diploma, will you be able to get promoted after you go back?"


    "Of course not. If it''s for promotion, I''ll just do an on-the-job master''s degree!" Fan Zhiping said immediately, "Actually, I really want to continue my studies. I feel that my ability... is lacking, and my knowledge is very lacking."


    Lu Chen smiled and typed a line on the phone screen.


    "Then try to take the postgraduate entrance examination. It''s more interesting to change the environment and meet more powerful people than to spend most of your life in the same place."


    ¡­


    Fan Zhiping fell into deep thought when he saw this sentence sent by Lu Chen.


    Lu Chen is right, after graduation, he came to work in the Cardiology Department of the County People''s Hospital.


    He worked hard and successfully hired a deputy chief physician.


    Work day after day, come to the ward rounds every day, write a record of the disease process, and then explain the disease to the patient''s family.


    Most of Corey''s patients were mildly ill.


    Once the condition is complicated or life-threatening, many patients will not stay in a county hospital for further treatment unless they are really out of money.


    Days like this are also relaxed and comfortable.


    However, whenever Fan Zhiping encountered some interesting patients, he wanted to keep them for further diagnosis and treatment.


    Most of the patients refused.


    did not give Fan Zhiping any chance at all.


    I look at common coronary heart disease and high blood pressure every day, and I will only cure these diseases in my life.


    A slightly rare disease, even if it was put in front of him, he didn''t know it himself.


    This feeling is very uncomfortable.


    Fan Zhiping was a little unwilling.


    "Go, try it." There was a voice in Fan Zhiping''s heart that kept "tempting" him.


    ¡­


    Fan Zhiping''s tangled heart, Lu Chen didn''t know.


    In his opinion, no matter what choice you make, as long as you don¡¯t regret it, that¡¯s fine.


    After ?? washing up, Lu Chen went to the cafeteria to forage.


    But breakfast is sold out.


    Lu Chen was helpless, so he could only go to the breakfast shop near the hospital and deal with it casually.


    On the way back to CCU, Lu Chen happened to see Lin Shumin.


    At this time, there was a boy beside Lin Shumin.


    The two of them chatted and laughed and seemed to be in a good mood.


    "Senior Brother Lin." Lu Chen greeted with a smile.


    Hearing this familiar voice, Lin Shumin turned around in surprise, "Lu Chen, why are you here?"


    "I woke up late, come out for breakfast." Lu Chen smiled, "You are going to..."


    "Where is our laboratory." Lin Shumin raised the laptop in his hand, "Although the thesis has been accepted, my graduation thesis still needs to be revised on the basis of the original."


    Graduate thesis, different from normal published papers, has its own unique format.


    "Okay, senior brother, hurry up, it''s not too long before your defense." Lu Chen said.


    "Hey, as long as the article is published, everything else is trivial." Lin Shumin said confidently, "My graduation thesis can be revised in two days at most."


    Lu Chen was also happy for Lin Shumin.


    It is difficult for others to understand the psychology of a PhD student expecting to graduate.


    "Lu Chen, let''s have a meal together at noon, let''s celebrate." Lin Shumin said again, "I''ll call everyone in the lab, this time I''ll treat you!"


    "No problem!" Lu Chen didn''t refuse, "It''s on the third floor of the hospital cafeteria. I''m in front of the hospital chief now, and it''s not very good to go elsewhere."


    This paper was published successfully, everyone has contributed, and it should really be celebrated.


    In addition, the First Academy of Magic Capital also has a lot of material rewards for the publication of SCI papers.


    Lu Chen and Lin Shumin will have corresponding rewards as communication and first work.


    "Okay, I''ll inform the rest of the lab later." Lin Shumin is now the happiest person in the lab.


    The publication of this top journal paper not only solves his studies and can get material rewards, but also solves his employment problem after graduation!


    ¡­


    "Lao Lin, was that young man Lu Chen just now?"


    Shen Wenbo was always beside Lin Shumin, but he didn''t say anything just now, until Lu Chen left, he asked.


    "Well, very young!" Lin Shumin smiled.


    "I know he''s a doctoral student. I thought he had been working in clinical for many years. If he comes back to study for a doctoral degree, he must be at least in his thirties." Shen Wenbo sighed, "I didn''t expect him to be even older than us. Four or five years younger."


    "Yeah, when I first saw Lu Chen at the heart failure conference, I thought he was an ordinary student, and asked him to get up to make way..." Speaking of his own history, Lin Shumin also thought it was very strange.


    If it wasn''t for his head cramping and letting Lu Chen give way, he wouldn''t know him.


    There are not so many things that happened later.


    Maybe you are still struggling with your graduation thesis?


    "Lao Lin, let me discuss something with you." Shen Wenbo suddenly laughed.


    Seeing his smile, Lin Shumin felt that there was nothing good, "What are you doing?"


    "Didn''t you tell me last time to introduce me to join Lu Chen''s laboratory? Look at this..." Shen Wenbo smiled.


    Lin Shumin wondered: "Let''s not say anything else, Wenbo, we are almost graduating, even if you can join the laboratory now, what''s the use?"


    Shen Wenbo smiled, "You don''t understand now, I have already obtained the qualification to stay in the school. I will still work in the First Academy of the Magic Capital. Joining Lu Chen''s laboratory will not be a problem at all!"


    "Is this still possible?" Lin Shumin asked in surprise.


    "Of course." Shen Wenbo said eloquently, "Brother''s previous grades were very good, and my tutor has some influence in the academy. It is relatively easy to win a place in the school."


    Hearing this, Lin Shumin''s mind began to revive.


    With his previous performance, it is definitely impossible to stay in school.


    Modu First Hospital is one of the top three hospitals in the country, and the students who stay in the school are the best among the doctors.


    However, now that he has published this top journal paper, the situation has changed, maybe he can really get a place to stay in the school!


    If you stay in the first courtyard of the magic capital, and also a member of Lu Chen''s laboratory, wouldn''t the future be...


    Thinking of this, Lin Shumin showed a very excited expression.


    (end of this chapter)

 v2 Chapter 725： Communication (fourth more)

    Chapter 725 Communication (fourth more)


    Looking at Lin Shumin''s wretched smile, Shen Wenbo said helplessly, "Lao Lin, what unhealthy things are you thinking of?"


    "Go away." Lin Shumin laughed and scolded, "You want to join the laboratory, maybe you really can''t do it for the time being."


    "What''s wrong?" Shen Wenbo asked suspiciously.


    "You also know that we recently published a high-scoring paper, and Lu Chen is going to temporarily stop the scientific research project to let everyone relax." Lin Shumin said, "It happened that Lu Chen also went to the hospital, so he may not be used to the current situation. Work, I don''t have time to do scientific research."


    "Okay then." Shen Wenbo sighed, wanting to rub his thoughts on the dissertation, but it was over, "However, when Lu Chen is ready to continue recruiting people, you must think of me first!"


    "This is no problem!" Lin Shumin laughed.


    After ?? and Shen Wenbo parted at the entrance of the laboratory, Lin Shumin took out his mobile phone, called the members of the laboratory one by one, and invited everyone to eat together on the third floor of the cafeteria at noon.


    The rest of the project team agreed with joy.


    ¡­


    Speaking of Lu Chen''s side, he returned to the CCU lounge.


    He was not idle, but continued to tailor scientific research project plans for project members.


    In addition to doing scientific research, when he is free, Lu Chen will enter the virtual space of the system to perform various surgical exercises.


    At present, the most practiced by Lu Chen is TAVR surgery.


    In the virtual space of the system, Lu Chen constantly improved his skill proficiency.


    Because he can now perform surgery independently in reality, his skill proficiency is increasing very rapidly.


    on the system panel.


    Lu Chen''s TVAR skill proficiency has reached 87.54%.


    Because TAVR technology has just emerged in China, this kind of skill proficiency has made Lu Chen''s technology stand in the ranks of the top domestic people, even comparable to the first-class level in foreign countries.


    At this time, a group of uninvited guests came to the first courtyard of the magic capital.


    They are the medical visiting and exchange team of the island country.


    The First Hospital of Magic City.


    Director''s Office of Cardiology Department.


    Liu Jun''s expression was extremely serious, "Shuqing, this time the island country came to our hospital for a visit, but it came with a strong purpose!"


    Zhang Shuqing rarely sees Liu Jun showing this kind of expression, and he couldn''t help but beat the drum in his heart, "Director, I know that every year they used the guise of communication to discuss various surgical operations with us. Is it our cardiologist''s turn this year? "


    "Listen to the news from the dean, it should be!" Liu Jun frowned, "And the technique they are discussing this time is the TAVR you are currently in charge of!"


    "Huh?" Zhang Shuqing was shocked.


    Although he is mainly focused on TAVR, and his technology is first-class nationwide, he is well aware of the gap between his own level and foreign countries.


    Most of these new techniques have been carried out abroad for many years, and even after they were popularized, they were slowly introduced into China.


    For example, TAVR surgery has a history of seven or eight years in Europe, America, island countries and other countries, and there are tens of thousands of surgical cases every year.


    As for China, it has only just started a few years ago. How does this compare?


    "Not confident?" Liu Jun stared at Zhang Shuqing.


    Zhang Shuqing gave a wry smile, "Really not."


    If you were to compare other techniques, it would be really comparable, but everyone¡¯s experience with this TAVR technique is very limited.


    The purpose of the island country exchange group to come to the magic capital this time is really the heart of Sima Zhao, and everyone knows it!


    "You said they didn''t go to Europe and the United States to communicate, why did they come to us?" Liu Jun buried a sullen breath in his heart.


    If this exchange and discussion is shameful, then he, the director of the Cardiology Department, can''t be blamed!


    "It''s not all the ideas that the leaders above have come up with a fever." Zhang Shuqing complained, "The euphemism is to invite top foreign medical groups to communicate and improve our medical level, but in fact it is to make money for yourself. It''s really embarrassing to be stepped on by others for political achievements, not to mention spending money!"


    "It''s useless to talk about this now." Liu Jun frowned deeply, "Get ready for the exchange and discussion meeting this afternoon."


    Zhang Shuqing left the director''s office with a smile that was uglier than crying.


    We have a long way to go for the exchange and discussion meeting this afternoon!


    ¡­


    CCU inpatient general lounge.


    "Huh..." Lu Chen opened his eyes and his consciousness retreated from the virtual space of the system.


    In the system space, he simulated various types of TAVR surgeries in special situations, and the completion of the surgeries was not bad.


    However, if he wanted to go further, Lu Chen had to continue his clinical practice.


    This morning was also relatively leisurely. Compared with the busyness of the previous two days, this morning was considered a vacation.


    It was time for lunch.


    Lu Chen put on his white coat and went out.


    Normal people would not wear a white coat to eat.


    But Lu Chen is different. As the hospital chief, he has to be on the lookout for emergency consultation and rescue 24 hours a day. The white coat and stethoscope cannot leave him!


    Hanging the white coat at the door, Lu Chen came to the third floor of the hospital canteen.


    Ke Yue, Dong Hao, Lin Shumin and others have already arrived.


    "Lu Chen is coming soon, you are the only one left!" Lin Shumin beckoned to Lu Chen from a distance.


    Lu Chen walked quickly to the dining table and sat down next to Ke Yue.


    Lin Shumin immediately pushed the menu in front of Lu Chen, "If you want to eat, you''re welcome, I''ll treat you today!"


    He patted his pocket, with a smile on his face.


    "Have you all ordered?" Lu Chen looked at everyone.


    "If you order it, it''s almost as long as you don''t order it." Ke Yue smiled.


    "Oh, that''s fine." Lu Chen picked up the menu.


    He was not prepared to be polite. This time, Lin Shumin received a lot of rewards. After all, he published a top journal paper with a score of 14 points.


    Lu Chen ordered another meat dish, and everyone started chatting.


    First of all, it is naturally a wave of business blows.


    The first paper in the ?? laboratory has the greatest effect on Lin Shumin and Dong Hao, both of them can graduate with this paper.


    After the ?? blowing each other, everyone began to ask Lu Chen''s next plan.


    "Actually, I have already thought about it." Lu Chen smiled and looked at everyone in the laboratory.


    Ke Yue and others immediately showed curious expressions and looked at Lu Chen.


    "I decided to tailor a scientific research project plan for everyone."


    Hearing Lu Chen''s words, Ke Yue, Ji Yingying, and He Xiaohui were naturally overjoyed.


    But Lin Shumin and Dong Hao were both surprised and happy.


    The happy thing is, Lu Chen is a big deal!


    Surprisingly, they are both graduating soon...


    "Lu Chen, do we have one too?" Lin Shumin pointed to Dong Hao beside him.


    Lu Chen blinked his eyes and said without hesitation: "No, both of you are going to graduate, definitely not!"


    "Huh? Is that so..."


    Lin Shumin and Dong Hao showed a hint of bitterness on their faces.


    tasted the sweetness, they were really reluctant to leave Lu Chen''s laboratory.


    At this time, Lin Shumin hurriedly added, "Lu Chen, maybe I will stay in the hospital for a post, so I can continue to stay in the laboratory, is this possible?"


    aside, Dong Hao was stunned when he heard this, why didn''t he think of this!


    Lin Shumin can stay in school, he can continue to stay in school for his Ph.D.!


    "Lu Chen, I can also continue my Ph.D. and stay in the lab."


    After he finished speaking, he also looked at Lu Chen in front of him nervously.


    Lu Chen smiled slightly, and said to the two of them in a hurry, "That''s fine!"


    (end of this chapter)

 v2 Chapter 726： Strange fracture (first more)

    Chapter 726 Strange Fractures (First Update)


    As for Dong Hao and Lin Shumin, Lu Chen still prefers them.


    Although their scientific research talent is not high, they are honest and willing to work hard.


    This is the researcher that Lu Chen wants most now.


    If they can really continue to stay in the laboratory, it will also be good news for Lu Chen.


    Dong Hao and Lin Shumin were naturally very happy when they heard Lu Chen''s promise.


    At the dining table, everyone came and went, chatting happily.


    Lu Chen also enjoyed it.


    Although I live in a foreign land, but with such a group of friends by my side, I don¡¯t seem lonely.


    This meal, Lu Chen ate more smoothly.


    It''s not like I was called in for a consultation when I ate half of my meal yesterday.


    After dinner, everyone parted ways, and Lu Chen returned to the CCU lounge.


    ¡­


    During lunch break at noon.


    Lu Chen received a call from his aunt and asked about his cousin Li Huiyan.


    As the first MD in his family, he patiently explained the thyroid cancer to his aunt.


    Over in Jiangcheng, Li Huiyan also asked for leave and was admitted to the Affiliated Hospital of Jiangcheng University.


    After all, it is the affiliated hospital where Lu Chen''s undergraduate degree is located, and he still knows some classmates in this hospital.


    In order to prevent his aunt from worrying too much, Lu Chen had to say hello to his classmates in Jiangcheng, asking them to pay more attention to his cousin.


    Just when Lu Chen and aunt finished talking on the phone and were about to rest.


    Emergency Department Wu Si suddenly called him.


    "Lu Chen, are you busy? Didn''t I bother you?"


    "It''s okay today." Lu Chen smiled.


    After the busy two days ago, today is to be more leisurely.


    "That''s it, do you remember the patient who was diagnosed with pulmonary embolism in the emergency department the other day?" Wu Si asked.


    Lu Chen was stunned for a while, then smiled and said, "Of course I remember, it just happened not long ago, and we searched for a long time and couldn''t find the cause of the patient. I remember that he was not transferred to the ICU for thrombolysis?"


    Wu Si''s voice was relatively low, "I was transferred to the ICU for thrombolysis. At that time, the thrombus was dissolved, but within a few days, a new thrombus appeared in the patient''s body."


    Lu Chen showed a surprised look and said quickly, "How could this be?"


    In general, patients should not experience pulmonary embolism again after taking thrombolytic drugs.


    Unless¡­something is causing a pulmonary embolism!


    Generally speaking, cancer patients, long-term bedridden, pregnancy, oral contraceptives and other patients have thicker blood and higher risk of thrombosis.


    Just like the girl yesterday, she suffered a pulmonary embolism because of an overdose of oral contraceptives.


    Lu Chen was startled, "Has the ICU found the cause of the patient''s pulmonary embolism?"


    Wu Si shook his head slightly and sighed: "I did an arteriovenous ultrasound of the lower extremity, and no thrombus was found."


    The most common source of thrombus in pulmonary embolism is venous thrombosis in both lower extremities.


    But no thrombus has been found yet, which proves that other susceptibility factors exist!


    "We still need to find the cause of the pulmonary embolism!" Lu Chen said solemnly, "At present, it seems that if the cause is not treated, the hypercoagulable state in the patient''s body cannot be relieved."


    "We also thought about it." Wu Sidao, "But it''s easier said than done to find the cause of pulmonary embolism. We carefully studied the entire case, but still couldn''t find it!"


    "In this way, you can send me a copy of the patient''s current medical information, and I will help you look at it."


    Lu Chen immediately became interested in this difficult case.


    "no problem."


    Wusi just waited for Lu Chen''s words, "I''ll send it to you right away."


    Compared with doctors in other departments, Wu Si trusts Lu Chen more.


    ¡­


    about five minutes later.


    Lu Chen received Wu Si''s case information.


    He was like a detective at this time, looking through the patient''s case data.


    To form a thrombus, there are generally three factors: thick blood, slow blood flow, and rupture of the vascular endothelium.


    Lu Chen is looking for all the information related to this factor, including pulmonary embolism, lung infection, abnormal kidney function, etc.


    Suddenly, he saw a result that was not very noticeable in the CT report of the patient.


    "Rib fractures!"


    Lu Chen frowned, why did the patient suddenly break a rib?


    He was now in a brainstorm again.


    In the course record, the patient did not have any history of impingement.


    I have been in the ICU for the past two days, how could I have fractured ribs?


    Could it be that you have been coughing all the time, and the cough has diagnosed the ribs?


    Coughing to fracture a rib sounds horrific, but it''s actually possible.


    In some patients with osteoporosis, it is not uncommon to have severe coughing, sneezing, or even sharp twisting of the waist, which may lead to rib fractures.


    This patient is really unlucky!


    Pulmonary embolism, anemia, lung infection, this time with a fractured rib!


    Lu Chen thought of the patient''s anemia again.


    At that time, the patient''s family said that it was caused by hemorrhoids bleeding.


    Is it all accidental?


    There is no necessary connection?


    "Can a monism explain all of the above anomalies?"


    Lu Chen murmured in his heart.


    Monism is to use one disease to explain all symptoms and abnormalities.


    If you are only satisfied with coughing and causing fractures, why not wonder what causes pulmonary embolism?


    Where does the thrombus come from?


    Why do patients get pulmonary embolism so easily?


    ¡­


    Thinking of this, Lu Chen''s mind raced, and various possible diagnoses emerged.


    Thick blood, abnormal kidney function, fractures, anemia¡­


    All the information was superimposed, and Lu Chen gradually got his eyes on him.


    "Could it be multiple myeloma?"


    Lu Chen was shocked, and the diagnosis flashed through his mind.


    Normally, our bone marrow produces many normal plasma cells.


    The usual job of plasma cells is to produce immunoglobulins, which protect the body and can be considered special forces.


    But in pathological conditions, the patient''s bone marrow is disorganized, and they produce a lot of abnormal plasma cells.


    These abnormal plasma cells also secrete many proteins, but they are not normal immunoglobulins.


    They do not have any protective effect on the body. Instead, they will dominate the ditch and not poop, and they will waste food and hinder the development and development of normal plasma cells.


    They can erode the patient''s bones, leading to osteoporosis, which can lead to broken bones if you''re not careful.


    The bone marrow cannot make normal blood, so the red blood cells and platelets will be forced to decrease, and the patient will develop anemia and thrombocytopenia.


    These bad proteins will accumulate in the kidney tubules, causing kidney damage and abnormal kidney function.


    The accumulation of bad protein in the blood will cause the blood to be thick, and the patient is prone to dizziness, vertigo, fatigue and other symptoms.


    Severe cases can cause thrombus formation, once the thrombus falls off.


    is pulmonary embolism!


    Thinking of this, Lu Chen couldn''t hold back his excitement and excitement.


    Is the patient really multiple myeloma?


    This disease is more common in middle-aged and elderly people, and the age of the patient is also suitable!


    There are three more updates today


    (end of this chapter)

 v2 Chapter 727： Make things difficult! (Second more)

    Chapter 727 Making things difficult! (Second more)


    Thinking of this, Lu Chen immediately took out his mobile phone.


    He happened to have the WeChat contact information of an ICU doctor.


    When I went to the ICU ward yesterday, the doctor named Su Zhengwen took the initiative to add his WeChat account.


    Lu Chen thought about it and organized the language a little.


    edited a message and sent the brief information of the patient to the past.


    The First Hospital of Magic City.


    In the ICU doctor''s office.


    Su text is writing yesterday''s difficult case discussion.


    He needs to record every doctor''s speech yesterday, and finally it becomes a medical opinion.


    Suddenly, the phone vibrated, he picked it up and looked at it.


    It was actually a WeChat message from the inpatient general of the Cardiology Department!


    When Su Zhengwen saw WeChat, the whole person was shocked.


    "That pulmonary embolism patient...is it multiple myeloma?"


    Although this patient was not in charge of the bed, his impression was very clear.


    Because the patient had another thrombus within two days after thrombolysis for pulmonary embolism!


    This very weird thing has already made everyone scrambled.


    Even the director of the ICU came over to check the patient in person, but still could not find the cause of the pulmonary embolism.


    ¡­


    At this time, Lu Chen''s WeChat message made Su Zhengwen''s eyes shine.


    "Yes! Why didn''t I think it was a pulmonary embolism?"


    With this reminder from Lu Chen, Su Zhengwen linked all the abnormalities of the patient, including pulmonary embolism, abnormal renal function, and anemia.


    It didn''t take a moment for him to be conquered by Lu Chen''s diagnosis.


    However, the final diagnosis of multiple myeloma is not only based on clinical symptoms and manifestations, but also requires further examination.


    "Mr. Lu, thank you!" Su Zhengwen said excitedly, "I came to discuss the difficult case yesterday and gave us a lot of opinions. I didn''t expect that you gave us such a good idea for diagnosis and treatment today!"


    "I also thought of it by accident." Lu Chen smiled, "By the way, how is your fever patient yesterday?"


    "I just took hormones on the first day today. The current situation is similar to yesterday, and there is no obvious improvement. But today is the first day of medication, and we have to continue to observe."


    Lu Chen nodded slightly.


    He really did not expect that the ICU really listened to his diagnosis and used hormone therapy directly.


    "Three days of hormones in a row should be able to see the effect." Lu Chen thought about it, and then instructed.


    "If that''s the case, that''s the best!"


    Su Zhengwen was also slightly taken aback, this President Lu is really confident in his diagnosis and treatment!


    hung up the phone, and Su Wenwen turned his attention to the pulmonary embolism patient.


    "Please ask the Department of Hematology for consultation immediately." He said to the nurses beside him.


    If it is really multiple myeloma, blood and bone marrow tests may be performed next.


    Otherwise, there is no way to grasp the most essential things!


    On the other hand, he had to communicate with the patient''s family to inform them of the diagnosis of multiple myeloma.


    ¡­


    On the other side, Lu Chen and Su Wenzheng from the ICU finished sending messages and started taking a nap.


    At this time, the Cardiology Department of the First Hospital of Magic City welcomed the island medical team that came to exchange this time.


    The dean of the First Hospital of the Magic City and Liu Jun, the director of the Cardiology University, accompanied him throughout the journey, followed by more than a dozen middle-level leaders.


    "Professor Watanabe, there are a total of eight wards in the CUU of our Demon City First Hospital!"


    "There are 60 patients in each ward, and the instruments and equipment in all wards are world-class!"


    "In addition, the annual volume of operations performed by the Cardiology Department of our Modu Hospital, including coronary intervention, electrophysiology, the latest TAVR and other new surgical procedures, can be ranked in the forefront of China, and this number should far exceed that of other foreign countries. "


    Liu Jun, while introducing, led the island country leadership team to visit CCU.


    A doctor from an island country, Watanabe, was puzzled at this time: "There are so many beds in your CCU ward, and I don''t see many doctors. Can each person manage so many beds? Can the efficiency be guaranteed? ( island language)¡±


    Beside ??, the translator of the island country immediately translated it into Chinese.


    Accompanying Liu Jun heard this, his face became extremely dark.


    Isn''t this obvious to make things difficult?


    "Professor Watanabe is not allowed to worry about this issue." Liu Jun frowned and said, "Each clinician in our CCU is experienced and experienced. We can fully bear the amount of patient management. "


    "Really?" Watanabe half-smiled, "But the number of patients is not the standard for measuring the benefits of doctors and hospitals. I remember, don''t you have a hospital in China that claims to be the largest in the world? The hospital has the most beds in the world. , but I don¡¯t think this hospital is very powerful?! In the international hospital rankings, I can¡¯t see this hospital! (Island Guowen)¡±


    Liu Jun''s head was so big, he didn''t expect this professor from the island country to be so familiar with the medical environment in China.


    "Professor Watanabe, there are many people in China, so there are naturally more doctors and beds in the hospital."


    "Hehe, don''t you have tiered diagnosis and treatment?" Professor Watanabe said again, "Will not all patients go to big hospitals to see a doctor? Your county hospital? What about the hospital in the health center?"


    "Of course there are graded diagnosis and treatment." Liu Jun bit the bullet and said, "It''s just that the population base is large, so the hospital will get bigger and bigger."


    "Oh...is that so?" Watanabe glanced back at Liu Jun, "Director Liu, we''re done visiting, let''s start the next project!"


    Liu Jun took a deep breath and nodded slowly.


    The next project is the highlight of this exchange meeting.


    "Director Liu, the surgical item for discussion this time is TAVR surgery." Watanabe continued, "We will send two members of the medical team to perform TAVR surgery respectively. You can also choose two doctors."


    "Okay." Liu Jun had already drawn up candidates.


    Zhang Shuqing from the first district of the heart, and Professor Zhu Qingshan from the fifth district of the heart.


    Zhu Qingshan is also a leader in TAVR surgery, and his level is among the first-class in China.


    ¡­


    The group came to the catheterization room.


    In today''s catheterization lab, except for emergency surgery, all other routine consultations have been postponed.


    At this time, a large number of people have gathered in the catheter room.


    All the doctors who were not on duty in the Cardiology Department came here, including Ke Yue and other doctoral students.


    The island country attaches great importance to the achievements of this exchange.


    On the side of Huaxia Magic Capital Hospital, it cannot easily admit defeat.


    The four patients who underwent TAVR surgery signed informed consent in advance.


    And this surgery was done by foreign experts.


    When these patients heard this, they all couldn''t wait to participate.


    Conduit outdoor.


    The four people who came to participate in the competition, two islanders and two Chinese people, were all checking the patient''s case data.


    Ten minutes later, the preoperative preparation time is over.


    The four entered the catheterization room one by one, and the surgical discussion officially began!


    (end of this chapter)

 v2 Chapter 728： Shall I come? (third more)

    Chapter 728 Shall I come? (third more)


    As the inpatient general of the Cardiology Department, Lu Chen also undertakes all emergency consultations and rescue work in the Cardiology Department.


    Therefore, the medical team from the island country came to discuss this matter. Although he knew about it, he did not go to join in the fun.


    However, the island medical team did not bother him.


    The emergency consultation in the emergency department came to him again!


    Magic City No. 1 Hospital, CCU lounge.


    At this time, Lu Chen was in a dream.


    A rush of cell phone alarms woke him up directly.


    "Mr. Lu, emergency consultation in the emergency department!"


    Wu Si no longer made the special phone number of the hospital chief, and directly called Lu Chen''s private phone.


    "Okay, I''ll be there soon!"


    Lu Chen was busy wearing a white coat while holding his mobile phone in one hand.


    opened the door, and there were bursts of noise outside the catheter room. He didn''t pay much attention to it, and hurriedly walked towards the emergency department.


    ¡­


    About five minutes later, Lu Chen arrived at the emergency department.


    On the hospital bed, an old man who was sweating profusely and short of breath was sitting on the hospital bed.


    The head of the bed was shaken at a right angle of 90 degrees to the ground.


    Wu Si, the attending physician of the emergency department. Nurses are being organized to rescue patients.


    Seeing that Lu Chen had arrived, he felt a little more at ease.


    "Mr. Lu, this should be a patient with acute heart failure."


    Lu Chen nodded, without the slightest trace of ink, picked up the stethoscope and began to perform a simple physical examination on the patient.


    Wu Si started to introduce Lu Chen''s condition.


    The patient developed dyspnea without obvious incentive more than one month ago, accompanied by chest tightness and shortness of breath, which was aggravated in the supine position, and relieved after sitting up. He went to the local hospital for diuresis and improved circulation, and the symptoms improved.


    One day ago, the above symptoms worsened, and he coughed up pink foamy sputum. He went to the local hospital again.


    Diagnosed as "heart failure", he was given nitroglycerin and sodium nitroprusside, but the curative effect was not good. After that, 7 vials of "recombinant human brain natriuretic peptide for injection" were pumped for 5 days, and the patient''s condition still did not improve significantly.


    An hour ago, the patient was transferred to the emergency department of Modu No. 1 Hospital and continued treatment.


    "At present, heart failure is certain!" Lu Chen agreed with Wu Si''s diagnosis.


    Through physical examination, the patient was orthopnea, full of wet rales in the lungs, and edema of both lower extremities, which was obviously a symptom of acute heart failure.


    And his HP is 47 (---), in a critical condition, the risk of sudden death is extremely high!


    "Use furosemide first." Lu Chen said, "After stabilizing the patient''s vital signs, transfer to CCU."


    "Okay." Wu Si nodded. At this time, he took out another case.


    It seems that it should be the patient''s case data in the local hospital.


    "Mr. Lu, look at this, the patient had an echocardiogram at the local hospital and it showed severe aortic valve stenosis - mild regurgitation!"


    Lu Chen raised his brows slightly, and immediately accepted the report in his hand.


    From this heart ultrasound report, the patient''s condition can be completely determined.


    Chronic heart failure caused by heart valve disease, and acute attack!


    Moreover, patients with severe aortic stenosis are absolutely suitable for TAVR surgery!


    After flipping through it for a while, Lu Chen asked Wu Si to bring over the emergency ultrasound machine for the sake of safety.


    He needs to review the patient with echocardiography.


    Ultrasound is related to the operator''s technique.


    Small tricks are very likely to cause huge errors!


    ¡­


    Wus soon had the nurse push the ultrasound machine.


    After performing a cardiac ultrasound examination on the patient, Lu Chen was again diagnosed with "severe aortic stenosis".


    Moreover, he also measured the patient''s cardiac ejection fraction, which was only 38%!


    Other data showed severe calcification of the aorta.


    Aortic valve: Vmax: 3.5m/s, Pgmean: 26mmHg, valve area: 0.6cm.


    The left atrium and left ventricle were enlarged, and the ascending aorta was widened. The basal segment of the interventricular septum is thickened and the ventricular wall beat is diffusely weakened.


    "What was the result?" Wu Si asked curiously.


    Heart ultrasound, unlike abdominal ultrasound, is difficult to understand if the anatomy is not clear.


    "The local hospital has done a good job." Lu Chen said solemnly, "There is indeed severe aortic stenosis, so it is best to do emergency TAVR surgery immediately!"


    Wu Si had no doubts about Lu Chen, "I''m going to communicate with the patient''s family?"


    Lu Chen nodded, "If the family agrees to the operation, send it to the CCU immediately, and I will help contact the surgeon."


    "Okay!" Wu Si heard the words and quickly called the patient''s family aside and started talking about the emergency surgery.


    Lu Chen stayed in the emergency room and continued to watch the patient''s condition.


    ¡­


    Five minutes later, Wu Si''s communication ended.


    "The patient''s family agreed!" Wu Si walked into the emergency room with a hospital certificate in his hand, "Mr. Lu, are you going to the CCU now?"


    In fact, he almost guessed the result. The patient''s family members went to many hospitals and sent the patient to the First Hospital of Magic Capital, and he would definitely not give up easily.


    "Wait a minute, I''ll call CCU first." Lu Chen said.


    He wants to ask the CCU doctor to prepare, and also to confirm that the CCU catheter has a free operating room.


    The call was connected immediately.


    "CCU in my heart? I''m Lu Chen."


    "Mr. Lu, what''s wrong?" It was CCU doctor Zhang Lulu who answered the phone.


    Lu Chen heard it all at once, and quickly said: "Sister Lulu, there is a patient with severe aortic valve stenosis in the emergency department. He has acute heart failure and may need emergency TAVR surgery. I heard that the medical exchange group from the island country came to the catheter. Room, can surgery be done over there now?"


    "There is a free operating room now, and emergency surgery can be done!" Zhang Lulu said immediately, "But Professor Zhang Shuqing and Professor Zhu Qingshan are both on stage. If you want to perform TAVR emergency surgery, there may be no one."


    Lu Chen frowned slightly, "Is there anyone?"


    At present, there are many people who can perform TAVR surgery in the First Hospital of the Magic City, but only Zhang Shuqing and Zhu Qingshan are the only doctors who can perform this kind of emergency surgery!


    Lu Chen hesitated for a moment, then said slowly, "Why don''t I do it!"


    Zhang Lulu was stunned for a moment. She knew that Lu Chen could independently lead the TAVR operation, and he had done a lot.


    "But you are the hospital chief now..." Zhang Lulu whispered.


    "Sister Lulu, I''m a cardiologist first, and then I''m the chief inpatient." Lu Chen said, "The patient needs emergency surgery, and I''m definitely responsible for it. As for the chief inpatient work, Ms. Lulu, are you busy now?"


    Zhang Lulu smiled helplessly, "You kid actually came to fight my sister''s idea! I happen to be not the main class today, so I can help you with the general work in the hospital for a while."


    Seeing Zhang Lulu say this, Lu Chen''s face showed a hint of joy.


    "That''s great! Thank you, Lulu! I''ll ask the emergency department to bring the patient to the CCU right away."


    hung up the phone, and Lu Chen immediately told Wu Si to pack up and prepare to transfer the patient to the CCU ward.


    Lu Chen took a step ahead and returned to the CCU ward to start preoperative preparations.


    (end of this chapter)

 v2 Chapter 729： The Rolling Tendency (Fourth)

    Chapter 729 The Rolling Tendency (Fourth)


    The First Hospital of Magic City.


    CCU Catheterization Lab.


    The medical team of the island country and the Cardiology Department of the First Hospital of Magic City are conducting exchanges on TAVR surgery.


    It is said to be a discussion and exchange, but in fact, the two sides are at war with each other.


    No one will admit defeat, no one will admit defeat!


    However, judging from the current status of the two countries in the international community and their past records, the island medical team has an absolute advantage!


    TAVR surgery has also developed in the island country for nearly six or seven years.


    Many innovative technologies related to TAVR are also passed down from island countries.


    At this time, both sides are in the catheterization laboratory.


    Zhang Shuqing and Zhu Qingshan had extremely solemn expressions.


    They are not representing individuals this time, but representing the entire Demon City First Hospital, and even representing the Chinese medical community, to compete with the medical team of the island country.


    The difficulty of the four surgeries is above average.


    However, the audience outside the conduit room could easily see the difference in operation between the two sides.


    The two doctors in the island country have a very high level of operation!


    The puncture and positioning are extremely precise. The way of feeding the valve seems to have no resistance at all, and the valve is released to the designated position very smoothly.


    However, on Zhang Shuqing and Zhu Qingshan''s side, they do not have such superb proficiency.


    Although they are already the best in China, they have encountered very few surgical patients and have limited experience.


    In the face of this moderately difficult TAVR operation, they can complete the operation very well.


    However, in terms of details, time, and completion of the surgery, there is still a significant gap between their surgery and the doctors in the island country.


    ¡­


    Conduit outdoor.


    There were many spectators at the scene, even if they were not those who did TAVR surgery, they could clearly recognize the gap between the two sides.


    Professor Watanabe from the island country was smiling at this time. It seems that choosing to come to Huaxia Magic Capital to communicate at that time was a very correct thing.


    Not only can you make some extra money, but you can also hit the Chinese medical community.


    kills two birds with one stone!


    Wait until the end of the discussion and exchange, Watanabe is going to give some symbolic help to the Huaxia interventionists, just send them away.


    "Haha, Takahashi-kun''s level is still good!" Watanabe smiled at Liu Jun, "He is not yet the top TAVR practitioner in our island country, he can only be regarded as second-rate!"


    When Liu Jun heard this, his face was ashen.


    is so despised!


    The island country is not even a second-rate practitioner, but he can come to Huaxia and defeat the best practitioner.


    This is the irony of Chi Guoguo!


    "Wait for the end of this exchange..." Liu Jun stared at Zhang Shuqing and Zhu Qingshan in the catheterization lab, frowning, "I must give these two gangs a good meal!"


    is simply too embarrassing!


    At this point, in the catheter room.


    The surgery on the island country is done faster and faster, and the preparation is better.


    On the other hand, Zhang Shuqing and Zhu Qingshan were doing it unhurriedly.


    In order to ensure the accuracy and completion of the surgery, the two of them can only do it step by step.


    Once the speed increases, the risk of accidents is high!


    ¡­


    "Okay, let''s push the hospital bed!"


    Just when everyone focused on the four operating rooms of the surgery, Lu Chen was greeting the CCU nurses and graduate students, and pushed the patient''s bed into the catheterization room.


    Because everyone''s attention was on the operating room for the surgery, no one could pay attention to Lu Chen''s arrival.


    Moreover, the location of the emergency room is not too close to the operation room for surgical consultation.


    One is on the outside, guaranteeing the time for emergency surgery.


    The other four operating rooms that are being used for consultation are for flat diagnosis.


    Lu Chen pushed the patient into the operating room and began to prepare for the operation.


    Ke Yue just turned around and saw Lu Chen inadvertently.


    "Ah? Why did Lu Chen come here?" Ke Yue was quite surprised.


    Isn''t Lu Chen the hospital chief? Don''t you want to go to emergency consultation and rescue?


    Looking at his posture now, it looks like he is going to have surgery.


    Ke Yue slowly withdrew from the crowd, but instead came to Lu Chen.


    "Lu Chen, what are you doing here?" Ke Yue blinked and asked in confusion.


    When Lu Chen heard this familiar voice, he knew it was Ke Yue, and smiled back, "Look at my outfit, I must be preparing for emergency surgery!"


    "You...preparing for surgery?" Ke Yue opened her mouth wide.


    However, Lu Chen pouted angrily towards the exchange catheterization room, "The TAVR surgery can be the main performer. Now, except for me, the rest are on the operating table, so I can only do it by myself. For the general work in the hospital, let others temporarily. like."


    "So that''s the case." Ke Yue turned and smiled, "Then I''ll see you do the surgery, it''s not interesting if you don''t see them."


    Lu Chen smiled and did not say much, and immediately prepared the relevant instruments and equipment for the operation.


    As for the audience outside the catheter room, a few people also noticed the abnormality on Lu Chen''s side, but they only glanced this way and didn''t react too much.


    ¡­


    On the other side, there are four operating rooms for surgery.


    The ?? operation is almost over.


    Two TAVR surgeons from the medical team in the island country completed the immediate postoperative cardiac ultrasound after the valve was accurately placed in the designated position and the valve was successfully released.


    The results show that the implanted artificial valve is all good! The patient''s heart function has recovered a lot compared to before.


    "Professor Watanabe, the two of us have completed our mission!" Takahashi and Nakamura walked out of the catheterization lab.


    He took off his gloves and mask, showing an extremely confident expression on his face, and when the two of them looked at Huaxia''s catheterization laboratory, disdain and mockery appeared on their faces.


    "Well done!" Professor Watanabe patted the two of them on the shoulders happily, "Well done! After returning to China, the benefits will not be less!"


    "Thank you, Professor Watanabe." The two looked at each other and grinned.


    Now the result is obvious.


    Takahashi and Nakamura''s surgeries were completed in a very short time.


    On the Huaxia side, no one has come out of the operating room yet!


    And looking at Zhang Shuqing and Zhu Qingshan''s surgical completion, they are no higher than Takahashi and Nakamura.


    The doctors in the Cardiology Department of the First Hospital of the Magic City have no smiles on their faces.


    lost...


    In this competition, I lost completely!


    There is no unwillingness in the hearts of everyone, only deep helplessness.


    Because the gap between the two sides is obvious!


    Liu Jun was expressionless at this time.


    After he was ready to go back, he was scolded by the dean.


    ¡­


    ten minutes.


    Zhang Shuqing and Zhu Qingshan came out!


    They saw Takahashi and Nakamura waiting outside.


    The faces of the two immediately became ugly, and they had already expected the final result in their hearts.


    "Director Liu, I don''t need to announce the results of this competition, right?" Watanabe looked at Liu Jun with a smile on his face.


    Liu Jun shook his head helplessly.


    When he was about to speak out, he suddenly saw how everyone in the catheter room suddenly walked towards the emergency room.


    (end of this chapter)

 v2 Chapter 730： Lost, but also won (night shift tonight)

    Chapter 730 Lost, but also won (night shift tonight)


    The First Hospital of Magic City.


    Emergency operating room of the cath lab.


    Lu Chen is concentrating on the preoperative preparations.


    The patient''s heart failure symptoms have just stabilized, but in the state of oxygen inhalation, the oxygen saturation is only around 90%, and the blood pressure can only be maintained at 90/60mmHg.


    Emergency surgery, different from regular consultation, has a much higher risk.


    Moreover, because of the unstable factors of the patient, it is necessary to complete the operation as soon as possible to avoid the recurrence of heart failure.


    Towel spread, disinfection, puncture, all in one go.


    Lu Chen didn''t notice the outside of the operation room at all, and a group of people had already surrounded him.


    "This is Lu Chen, what kind of emergency surgery does he want?"


    "It seems to be a patient with severe aortic valve stenosis, that should be emergency TAVR surgery!"


    "I think this patient''s condition is not stable and the risk is very high!"


    At this time, the island country exchange group, Professor Watanabe and his doctor, also came over curiously.


    After flipping through the medical records outside the operating room, the interpreter immediately said to Watanabe: "Dear Watanabe-kun, this Huaxia doctor is preparing to perform emergency TAVR surgery on the patient."


    "Oh? Emergency TAVR surgery?" Watanabe was slightly surprised, "I didn''t expect you to be able to do emergency treatment here? Let''s take a look first."


    Watanabe did not rush to leave, but stopped to watch.


    On the side of ??, people at the level of dean, director, etc. will naturally not leave.


    Liu Jun glanced at the operating room and saw that it was Lu Chen. He said to Zhang Shuqing who was beside him with some surprise, "I remember that he seemed to be worried about the inpatient general of the internal medicine department? Why did he come here for surgery?"


    Zhang Shuqing lowered his head and thought, looked over the patient''s medical records, and whispered, "This patient is very ill and needs emergency TAVR surgery. Just now, Lao Zhu and I were not free, only Lu Chen can do it."


    "Can Lu Chen have emergency surgery?" Liu Jun wondered.


    "It can be done." Zhang Shuqing nodded slightly, and then explained Lu Chen''s previous surgery experience and his work as a TAVR class instructor at the Magic Capital Central Hospital.


    "I know that you are an excellent student. It turns out that not only is the scientific research outstanding, but the clinical operation is also a good hand!"


    Liu Jun sighed that young people in this era also want to beat their front waves to death on the beach.


    Rao is so, Liu Jun only thinks that Lu Chen''s level is similar to Zhang Shuqing and others, or slightly inferior.


    However, if the island country exchange group wanted to observe, he would definitely not be able to refuse.


    ¡­


    Operation room.


    Lu Chen continued his operations.


    First of all, it is the choice of the approach.


    The aortic arch of the patient was OK, and there were no obvious signs of stenosis or developmental variation in the openings of the three hairs of the aortic arch.


    The thoracic aorta and abdominal aorta were relatively straight, no obvious calcified plaque was found, no obvious stenosis in the lumen, and the bilateral iliac-femoral arteries were slightly tortuous.


    After comprehensive consideration, Lu Chen chose the right femoral artery as the main approach.


    The ?? approach was very smooth, but the delivery of this valve was difficult!


    Lu Chen stopped the operation in his hand.


    Outside the emergency room, everyone noticed Lu Chen''s actions.


    "Let me just say it, emergency TAVR surgery is not easy to do!"


    "You look at the patient''s ultrasound and CT. This patient has a TYPE0 bicuspid valve, which is highly calcified. The calcification is distributed towards the junction of the valve leaflets. The operation is very difficult!"


    "I think it''s more difficult than the four operations just now?!"


    Professor Watanabe of the island country also touched his chin, looked at the medical records in front of him, and muttered: "The heart angle is 62¡ã, the difficulty of passing the valve through the valve is increased, and the coaxiality of the valve implantation is poor. It is easier to shift, which increases the difficulty of the operation..."


    He didn''t care about Lu Chen''s operation, but was thinking, what would he do if he encountered this situation?


    After thinking about it for a while, Watanabe shook his head slightly, but he didn''t think of a good solution for a while.


    The first hospital in the magic capital is too unlucky, how did it happen to encounter such a difficult operation? !


    ¡­


    At this moment, Lu Chen lowered his head and thought.


    In his mind, flashed past the TAVR surgery that he had practiced on the system panel.


    Difficulties such as puncture, valve delivery, release... and so on were constantly projected in his mind.


    Suddenly, Lu Chen had a flash of light.


    Once he used an assist method in the system space to deliver the prosthetic valve into the designated position.


    Thinking of this, Lu Chen said to the assistant beside him, "Use an 18mm balloon for pre-dilation, L23 VenusA-Valve valve, and bring a snare here!"


    The assistant was a doctor in the catheterization room. He was startled, "Snares?"


    "Yes!" Lu Chen said, "The patient''s heart angle is too large, I see if a snare can be used to assist in crossing the arch and crossing the valve."


    The assistant ?? understood and immediately took out the snare.


    As the balloon was pre-expanded, Lu Chen began to deliver the valve.


    Outside the catheter room, Professor Watanabe saw Lu Chen''s operation.


    He frowned slightly.


    What is this operation?


    With VenusA-Valve? And then use a snare?


    Look at the previous operation of this surgeon, he is not a beginner, right?


    How could ?? make such a low-level mistake? !


    However, with the continued operation of Lu Chen''s valve delivery, with the help of the snare, the VenusA-Valve valve actually successfully reached the predetermined position!


    "This... is it over?"


    Professor Watanabe was stunned. The two island doctors beside him who participated in the surgery just now had the same expression as him.


    "Professor Watanabe, what did this Chinese man do?"


    "I...I didn''t even see clearly, why did he put the valve in?"


    Watanabe frowned slightly, he stared at Lu Chen closely, and did not speak.


    At this time, Lu Chen started the postoperative ultrasound evaluation after the valve was delivered.


    Postoperative angiography and ultrasonography showed that there was no obvious regurgitation and no paravalvular leakage, the valve placement position was good, the shape was intact, and the preoperative transvalvular pressure difference was 50 mmHg.


    There is almost no pressure difference after surgery!


    Quite a successful operation!


    Professor Watanabe can see the ultrasound results clearly through the screen outside the operating room.


    "how is this possible?"


    "Why do Chinese people still perform such difficult TAVR surgery?"


    Watanabe had a dark face, looking at Lu Chen in the operating room, the expression on his face was unpredictable.


    ¡­


    Zhang Shuqing and Zhu Qingshan, who had been in the operating room for surgery, were all excited at this time.


    Others could only notice that Lu Chen suddenly delivered the valve, but did not see the most critical factor.


    And they are experts, and they can best see the doorway.


    Lu Chen''s operation can be said to fill another gap in the difficult operation of Huaxia TAVR!


    Not only use the snare for transmembrane transport, but also use the VenusA-Plus retrievable delivery system to ensure the stable release of the valve while reducing coronary risk!


    With this one-handed operation, Lu Chen can definitely be regarded as a magic capital, and even the ceiling of Huaxia TAVR surgery operation exists.


    When Zhang Shuqing and Zhu Qingshan looked at the island country medical exchange group, they found that they had left silently.


    Before he even had time to say hello to the dean and the director, he left first...


    Seeing that the island country exchange group had left, the dean, director and others also left immediately.


    ¡­


    When Lu Chen walked out of the operating room, most of the onlookers had already left.


    "Teacher, your competition is over?" Lu Chen took off his gloves and looked at Zhang Shuqing suspiciously.


    Zhang Shuqing looked at Lu Chen and nodded with a smile on his face.


    "Who won?" Lu Chen asked curiously.


    "We lost, but we also won."


    Zhang Shuqing said something inexplicable, Lu Chen scratched his head, not knowing why.


    Night shift tonight, just one chapter for now.


    rest tomorrow.


    Starting point 515 activity, every 5000 words updated on May 15, readers can draw a lottery once (reader fan value is more than 500)


    Strive for more on the day, let everyone draw 5 times!


    (end of this chapter)

 v2 Chapter 731： Retired from the hospital (first update)

    Chapter 731 Retirement from the hospital (first update)


    Lu Chen didn''t even ask about it. The island country medical exchange group had nothing to do with his small hospitalization.


    However, he is quite familiar with Huaxia''s TAVR technology.


    is equivalent to an island country, and it must be a step behind.


    After all, in terms of TAVR surgery, Huaxia is still in the development stage, and compared with the latest foreign technology, there is still a big gap.


    Now he just wants to be the inpatient general of the Cardiology Department.


    Check on patients every day. When encountering difficult cases or rescue, just do your part.


    After getting off the operating table, after Lu Chen communicated with the patient''s family, he had a simple handover with Zhang Lulu.


    When Zhang Lulu helped Lu Chen on duty, she did not encounter any emergency consultation or rescue.


    I just took a leisurely stay in the doctor''s office with my cell phone.


    Zhang Lulu admired Lu Chen''s emergency surgery. This is not only because of outstanding professional ability, but also a certain courage to make decisions.


    In the current medical environment, ordinary doctors really don¡¯t dare to take this responsibility.


    Lu Chen sent the surgical patient back to the CCU ward, explained some precautions to the doctor in charge of the bed, and then returned to his lounge.


    After this real operation, his TAVR skill proficiency has risen again, and he has a lot of insights into the operation.


    In reality, the highly difficult surgery, the improved proficiency, is worth the many days he has practiced in the system.


    Taking advantage of the rest time, he can sum up.


    Lu Chen felt that there was not much he could do. Between internal medicine and surgery, he could only do his best to apply what he had learned to patients.


    ¡­


    In the blink of an eye, a month has passed.


    Lu Chen is getting more and more comfortable with the general work of the hospital.


    He usually consulted, but he went to all the departments of the entire First Hospital.


    The entire Demon Capital Hospital also knew about the young hospital chief of the Cardiology Department.


    During this period, Lu Chen also met many colleagues, such as Wu Si from the emergency department and Su Wenwen from the ICU.


    No way, he has dealt with these two departments the most.


    It¡¯s okay to be unfamiliar!


    Su Zhengwen admired Lu Chen''s department very much, and it was all because of Lu Chen''s "eyes" that he judged the patient''s condition except for the patient''s condition.


    Since the fever patient took hormones for three days, the infection subsided very quickly!


    This confirms Lu Chen''s diagnosis that the immune fever is correct.


    Such diagnoses have also happened to Lu Chen a lot.


    The people in the first hospital of the magic capital are talking about it.


    Don''t look at the young age of the general resident of the Cardiology Department, but his clinical experience and surgical ability are nothing to say!


    For discussion of some difficult cases, each department will basically call Lu Chen.


    Even if it has nothing to do with the Cardiology Department, they still have to call Lu Chen and ask him to come and consult.


    Lu Chen lived up to expectations. With the help of the system, although he had never seen some incurable diseases, he was able to give some constructive suggestions to help the patient''s diagnosis and treatment.


    Therefore, his influence in the magic capital can be described as rising.


    Now go to other departments to inquire, and even some nurses know about Lu Chen.


    Lu Chen behaved extremely low-key. In addition to his daily work, he immersed himself in his own research projects.


    He knew that he was just a doctoral student at the moment.


    ¡­


    And Lu Chen also took time to take Lin Shumin to the cardiovascular pharmacy conference.


    Both of them have gained their knowledge, but Lu Chen has also learned that many well-known professors and experts in the industry will also stand up for some pharmaceutical companies and spare no effort to endorse them.


    These medicines, if you say they are useless, they still have some use, if you say they are effective, it is not necessarily true!


    In short, Lu Chen is not optimistic about the domestic pharmaceutical company environment.


    The original research products are very few, and most of them are imported from abroad.


    The drug "Dapagliflozin" that Lu Chen was researching before was also developed by a foreign company.


    For some proprietary Chinese medicine injections, it is easy to get batch numbers, such as Danhong injection, Xuesaitong injection, etc. in the field of cardiology.


    And these medicines are also very popular in many hospital departments.


    Original research is not as good as import, and import is not as good as direct purchase.


    Then why do you spend so much effort in research and development?


    The most important thing is that it may not produce results!


    This trip to the conference gave Lu Chen a deeper understanding of Huaxia''s pharmaceutical industry.


    Return to the first courtyard of the magic capital.


    Lu Chen also restarted his laboratory.


    Dong Hao has successfully applied for a doctorate in our hospital.


    Lin Shumin also got a place to stay in the school with this top journal paper.


    This made Lu Chen very happy and customized his own scientific research project for the two of them.


    As a result, Lu Chen''s laboratory was officially on the right track.


    However, some people who wanted to join the laboratory were also turned away by Lu Chen.


    Even the new master director who robbed the laboratory before, Lu Chen forgot his name, and came to Lu Chen''s place, wanting to rub a foot.


    Lu Chen is not such a generous person.


    refused directly, no matter what your relationship is, even if there is a dean as the backstage, that is no way.


    Apart from his mentor Zhang Shuqing, Lu Chen really did not participate in any other cooperation projects.


    Especially, when it was announced that Lu Chen had tailored a scientific research plan for each member.


    This made other people jealous of the existing members of Lu Chen''s laboratory!


    But helpless, Lu Chen is no longer recruiting!


    Lu Chen also had some ideas about his own laboratory.


    The number of members is not too large, just work hard and work hard.


    However, I¡¯m still only studying for a doctorate, so I can¡¯t take too many steps in scientific research, just step by step.


    In this way, Lu Chen spent the entire year of hospitalization safely.


    When ?? came to resign, he was a little reluctant.


    This is a dedicated cell phone for the general inpatient of the Cardiology Department. Although it is worn out, I am used to it.


    When I hear this bell, I always panic.


    But suddenly I can''t hear it, but my heart always feels empty.


    Lu Chen couldn''t help but laugh at himself, this is really a hard life!


    ¡­


    This year''s total hospital life, just as his mentor Zhang Shuqing said, made Lu Chen a lot more mature.


    In terms of clinical thinking and surgical skills, he has risen to another level.


    The most important thing is that Lu Chen has accumulated enough gratitude points to exchange for his long-cherished coronary intervention skill card!


    Coronary intervention is the interventional procedure for acute myocardial infarction.


    Because of the large amount of radiation in coronary intervention, Lu Chen has not developed this surgical skill.


    But now that the gratitude is enough, he will directly exchange it, and now the system is practicing in the virtual space.


    Interventional Cardiologist, Coronary Intervention is the leader, as for electrophysiology and TAVR, it can only be said to be the icing on the cake.


    (end of this chapter)

 v2 Chapter 732： Doctoral graduation (second update)

    Chapter 732 Doctoral Graduation (Second Update)


    Exchanged the surgical skill card for coronary intervention.


    But Lu Chen did not operate in reality, at most he only practiced in the virtual space of the system.


    After all, he couldn''t hide from the radiation of this thing.


    Only after I get a wife and give birth to a baby will I consider this matter.


    In the blink of an eye, Lu Chen was already in his second year of Ph.D.


    For the first two years, he stayed in the clinic.


    But this last year, he had to enter the laboratory.


    Normal clinical professional doctorate, need to enter the laboratory and start to prepare his graduation thesis.


    For Lu Chen, the quality and quantity of his existing papers are enough for him to graduate.


    But now Zhang Shuqing will not let him go to the clinic, and the department is not short of manpower.


    He can only spend the remaining one year on scientific research projects.


    Although it was only one year, Lu Chen had only half a year at most before graduation.


    The half year after ?? is the time to find jobs for doctoral students.


    ¡­


    At present, Lu Chen''s clinical laboratory has the same staff composition as before.


    In addition to Lu Chen, there are Ke Yue, Dong Hao, Lin Shumin, He Xiaohui and Ji Yingying.


    A laboratory of six people is not too small.


    In the past year, everyone has been carrying out the scientific research plan that Lu Chen made for them.


    Everyone has gained a lot.


    Led by Ke Yue, she published two SCI papers of about ten points.


    Lin Shumin published another SCI paper with a score of 7. Although the impact factor of this paper is far lower than the last time, the quality is already very high.


    Dong Hao, He Xiaohui, and Ji Yingying also published several papers with about five points.


    For the three who have just entered scientific research, a five-point SCI paper is already a capital that can be shown off!


    The entire laboratory has produced so many results in just one year.


    makes outsiders jealous.


    However, only because of jealousy, Lu Chen didn''t even think of expanding the enrollment.


    For him, scientific research projects are just things he does along the way in his clinical work.


    He really wanted to continue his clinical work, but Zhang Shuqing refused to let him!


    Actually, Zhang Shuqing is also kind.


    Lu Chen is a good seedling, he doesn''t seem to let Lu Chen continue to stay in clinical practice.


    forced him back to the lab, for these top medical tycoons.


    You don¡¯t need to learn to see a doctor at all. You can write papers and apply for fund projects. This is the most important thing!


    ¡­


    They come, the security.


    Lu Chen could only follow Zhang Shuqing''s words, returned to the laboratory, and began to concentrate on scientific research.


    Before going back to the lab.


    Lu Chen also carefully sorted out the current system panel.


    After redeeming the Coronary Intervention Skill Card, he still has 3857 points of gratitude!


    The ?? system upgrade completion rate is 36.18%.


    After the previous several upgrades, the system upgrade completion is relatively slow.


    And Lu Chen currently has skills.


    In addition to the common clinical ones, such as "electrocardiogram interpretation", "imaging interpretation", etc., there are also "literature reading" and "statistical analysis" related to scientific research.


    What attracted Lu Chen''s attention the most was the skill cards related to surgery, such as "electrophysiological intervention", "TAVR intervention", and "coronary intervention". Except for "coronary intervention", all other skill proficiencies had reached 90. % or more, or even higher.


    However, these skill cards are currently only advanced skill cards.


    In Lu Chen''s system panel, there are still two floors of the mall that have not been unlocked.


    According to the previous practice, the mall on the next floor will only be opened when the thank you point is consumed to a certain value.


    However, I don''t know if we have to wait until after the Year of the Monkey, the Horse and the Moon.


    Lu Chen is not in a hurry now, the existing skill cards are enough for him.


    Especially in scientific research, if he really wants to do research, there are still many things to do.


    ¡­


    For Lu Chen, the days in the laboratory were extremely boring, much more boring than in the clinic.


    He was patient and devoted himself to various scientific research projects.


    After all, in this era, we still have to rely on papers to speak.


    Especially in larger hospitals, the importance of the thesis is self-evident.


    Many departments will even hire special doctors to come back. They don¡¯t need to see a doctor, just be a mascot and write papers at home.


    Hard work pays off.


    During the time that Lu Chen was in the laboratory, the efficiency of paper output was higher than that of the past year!


    Moreover, the papers produced by Lu Chen''s laboratory are of extremely high quality, and many of the results can even be directly transferred to clinical results.


    This is what shocked others the most!


    The results of many other laboratories, although they look tall, study cells, channels, and genes, but in the end, there are very few laboratories that can contribute to clinical practice!


    This time, not only Lu Chen''s laboratory is not only famous in the first hospital of the magic capital, but also in the entire Chinese medical field, Lu Chen''s name has already started!


    Some people even joked that Nanlu Chen and Bei Weiguang were talking about Lu Chen in the magic capital and Yu Weiguang in Kyoto.


    These two are now known as two new stars in the field of cardiology in Huaxia!


    Whether it is in scientific papers or surgical skills, these two are far beyond their peers.


    However, someone with a heart discovered that Lu Chen''s age was even ten years younger than Yu Weiguang from Kyoto!


    Strictly speaking, these two are not from the same era.


    Those who know the inside story will all sigh. In the future, in the field of cardiology in Huaxia, is this going to catch up with the rhythm of Europe and the United States?


    ¡­


    "Phew...the defense...it''s finally over."


    Lu Chen breathed a long sigh of relief. His doctoral thesis defense was over.


    Although I was well prepared, I was still a little nervous.


    Fortunately, at today''s thesis defense meeting, several reviewers did not have him.


    Everyone knows Lu Chen, and one of them even studied in the TAVR class that year.


    And Lu Chen''s mentor, Zhang Shuqing, was even more relieved.


    Lu Chen is his student, so he is under a lot of pressure!


    When people mention him now, they will always add a prefix, Lu Chen''s mentor...


    This makes Zhang Shuqing, who has always been at the top of his peers, feel very uncomfortable.


    But this is his own student after all, he can only rot in his own heart.


    Others say that if the student is excellent, the tutor will also be honored.


    But Lu Chen''s rays of light were so dazzling that he, as a mentor, couldn''t even open his eyes!


    Finally got Lu Chen to collaborate with him on a project, he is the corresponding author, and Lu Chen is the first author.


    In the end, others still put the credit on Lu Chen.


    Comrade Zhang, this is really a cry without tears!


    Now that Lu Chen has graduated, the pressure on Zhang Shuqing has suddenly dissipated.


    ¡­


    And with Lu Chen''s graduation, his whereabouts have become the focus of all colleges and universities!


    Even international giant pharmaceutical companies such as AstraZeneca have secretly contacted Lu Chen.


    (end of this chapter)

 v2 Chapter 733： Shoot yourself in the foot (third more)

    Chapter 733 Shooting yourself in the foot (third more)


    Lu Chen currently has 21 SCI papers, all of which are the corresponding author or one.


    Most of the papers are above ten or even fifteen points.


    The most shocking thing is that all of Lu Chen''s papers were completed within three years of his Ph.D.


    Relying on a team of inexperienced researchers, Lu Chen was able to publish such high-quality and high-volume papers, which made all the top universities in China throw olive branches to Lu Chen.


    Even the heads of some state-level and key laboratories of the Ministry of Education came to invite Lu Chen in person.


    On the other hand, Lu Chen has done breakthrough research on Dapagliflozin, so pharmaceutical giants such as AstraZeneca and Pfizer also hired Lu Chen with high salaries.


    In addition, some foreign key laboratories are also constantly sending out cooperation invitations to Lu Chen.


    At this time, Lu Chen fell into the trouble of happiness.


    Generally, there are three ways to go for a doctor of medicine graduate.


    First, join a university affiliated hospital and focus on clinical work. Of course, promotion requires only scientific research.


    Second, join a university and focus on scientific research, that is, completely out of the clinic, not a doctor, and a laboratory researcher.


    Third, changing careers, such as joining a pharmaceutical company, becoming a pharmaceutical researcher, or becoming a pharmaceutical sales representative, a sales representative with a medical background is still quite popular in this field.


    As for his whereabouts after graduation, Lu Chen has a preliminary plan.


    He must have stayed in the hospital and continued to do this work of healing and saving lives.


    Options such as pharmaceutical companies and foreign countries are automatically excluded.


    Private hospital, he can''t go to it temporarily.


    The rest depends on which hospital affiliated to a domestic university is selected.


    His undergraduate degree is in Jiangcheng, his master degree is in Jinghua, and his doctoral degree is in Modu.


    This is really a stage, a different place.


    And this time, Lu Chen still intends to change place.


    People always go to more places and see more people and things.


    Always stay in one place, after a long time, it is difficult to get out of your comfort zone.


    Of course, people have to go to high places.


    Lu Chen''s next stop will definitely be better than the treatment given to him by the magic capital now.


    ¡­


    Lu Chen is not in a hurry, these colleges and universities are in a hurry.


    Nan Luchen, Bei Weiguang, this is not just talk.


    This is an appreciation for the two young people with the highest achievements in the field of cardiology in Huaxia!


    Whoever can get one of them will surely lead the Cardiology Department of this hospital to a small peak.


    Kyoto already has Yu Weiguang, if Lu Chen is obtained now, it would be unimaginable!


    Colleges and universities in other areas are all gritted their teeth and holding various conditions to smash Lu Chen.


    Lu Chen is also shopping around.


    While evaluating the level of colleges and universities, it is also necessary to look at the conditions given by the other party.


    Such as the amount of scientific research start-up funds, how much the annual salary is, when can I hire a deputy high-ranking officer, and when can I hire a high-ranking officer.


    These are all things that Lu Chen needs to compare.


    ¡­


    Lu Chen took advantage of the break after graduation defense and went home.


    Lu Wenguo and Luo Meizhen are at home, and they are also making suggestions for their son.


    "Xiaochen, why don''t you go back to Jiangcheng, the conditions here are not bad." Luo Meizhen said to Lu Chen with a smile.


    Counting it down, Lu Chen''s master and doctor have been outside for six years.


    For six years, Lu Chen rarely went home except during Chinese New Year.


    The child travels a thousand miles and the mother worries.


    Luo Meizhen really wants her son to be closer to her.


    She lifted Lu Wenguo''s leg under the table, pouted angrily, and motioned for him to say something.


    Lu Wenguo ignored it, and said to himself, "Xiaochen, you are so old, make up your own mind. Back then, my mother and I didn''t let you go out for graduate school. Looking back now, it was a big mistake. idea."


    Lu Wenguo is the director of general surgery. As an insider, he knows too well his son''s current excellence.


    To put it mildly, the director of the cardiology department of the provincial and municipal tertiary hospitals, this is an achievement that Lu Chen will be able to achieve in the future.


    Going forward, it is possible for Lu Chen to obtain titles such as academic leaders, "Outstanding Youth", "Changjiang Scholars", and even higher.


    If Lu Chen were to return to Jiangcheng, there would still be a big gap between this and the top hospitals in those top cities!


    Lu Wenguo felt that he had made mistakes before, and this time, he couldn''t be wrong again.


    "As long as you have time, just go home and have a look."


    Hearing her husband say this, Luo Meizhen sighed slightly in her heart. In fact, she understood it, but she was still reluctant to part with it.


    After all, Lu Chen is the only child.


    This time is the place of work after graduation. Once it is settled, it may be a lifetime event.


    However, Lu Chen smiled, "Mom and dad, it''s not like I won''t come here. If I don''t get along well outside, I''d better come back early to eat the old man. If I get along well, then I will kill my parents. Just take it and enjoy the happiness."


    "Your dad and I won''t leave here." Luo Meizhen frowned, "The neighbors on the street are all acquaintances. If you don''t work in the future, you can get together for a square dance, play mahjong in a circle, etc., go to you guys. What kind of big city, I don''t know a few of them, it''s boring."


    Luo Meizhen thought for a while and waved her hand quickly.


    On the side, Lu Wenguo rarely objected, but nodded: "I have seven or eight years to retire here, you can leave us alone and settle yourself first."


    Lu Chen smiled, "Could it be that if you have a grandson in the future, you won''t go and take your grandson? You won''t let your parents take it?"


    Hearing Lu Chen''s words, Luo Meizhen''s eyes lit up, "I''ll definitely go there then!"


    Lu Chen nodded slightly, "That''s right, I''ll be there sooner or later."


    I didn''t expect Luo Meizhen to take the opportunity to instruct him: "Son, you are too old, and you are going to run for the third time. Go home for the New Year this year, you must find me a daughter-in-law to come back! Otherwise, don''t come back!"


    "Huh?" Lu Chen was stunned for a moment, then smiled wryly.


    Mom''s face-changing speed is really fast!


    If you say let him do surgery and do scientific research, then he is invincible and invincible.


    But when it comes to talking about objects, it''s really hard to deal with, I don''t have any experience at all.


    Does this count as lifting a rock and smashing yourself in the foot?


    Luo Meizhen looked at her tall and handsome son, who was very promising, why didn''t she talk about friends, she was anxious!


    "No, while Xiaochen is at home, I still have to find a few targets during this time." Luo Meizhen murmured in her heart, "Maybe, after this target is settled, he will stay in Jiangcheng!"


    Lu Chen still didn''t know his mother''s thoughts. If he knew, he would definitely be dragging his suitcase and running away.


    So, before Lu Chen was ready, Luo Meizhen began to arrange a series of blind date plans for Lu Chen.


    ¡­


    In the next period of time, when Lu Chen chose a university hospital, he also had to choose a blind date.


    This made him miserable.


    In the end, Lu Chen had to return to school early to escape from his mother''s clutches.


    But this time back in the magic capital, he has already decided his whereabouts in addition to sorting out the relevant materials for graduation.


    (end of this chapter)

 v2 Chapter 734： Departure and Beginning (fourth more)

    Chapter 734 Departure and Beginning (Fourth)


    The First Hospital of Magic City.


    Office of the Director.


    Lu Chen sat on the leather sofa with a cup of tea in front of his table.


    This cup of tea was made by Zhang Shuqing himself for Lu Chen.


    "Don''t think about it anymore?"


    Zhang Shuqing turned his head and looked at himself, the student, with complicated eyes.


    At first, I thought it was a good seedling and worth cultivating by myself.


    But in the end, there is no need for your own training at all, and other people''s own laboratories have become prosperous.


    But now, Lu Chen is leaving.


    Zhang Shuqing was reluctant to leave Lu Chen regardless of his personal feelings or from the hospital level.


    "Teacher, I''ve been thinking about this choice for a long time." Lu Chen picked up the teacup and took a sip.


    "Alas." Zhang Shuqing sighed slightly, "The conditions of our first hospital in the magic capital are also very good. This time, I also represented Director Liu Jun and even the hospital, and came here to keep you."


    Lu Chen was touching the teacup, his eyebrows lowered, not knowing what he was thinking.


    For a while, the atmosphere in the office was terribly quiet.


    After a long while, Lu Chen raised his head and said softly, "Teacher, in fact, I also want to change the environment and see the customs of other places. After all, I always stay in one place, but I feel a little tired."


    These words, Lu Chen was mostly just comforting Zhang Shuqing.


    The main reason for ?? is that other colleges and universities give too much!


    knocked him out...


    "This..." Zhang Shuqing heard Lu Chen''s words, but didn''t say much, "Ah, anyway, if you change your mind, come back to me anytime."


    "Okay." Lu Chen smiled and nodded in agreement.


    Zhang Shuqing is his own mentor after all, so he may not give others face, but his face still has to be given.


    ¡­


    Leaving the Director''s Office.


    Lu Chen was relaxed.


    This time, after his careful selection, the final choice was not the magic capital, Kyoto, nor Jinghua or Jiangcheng, but the coastal city of Guanghai.


    As one of the fastest-growing cities in China, Guanghai has huge investments in medicine and education.


    Every year, some well-known experts, professors, and even subject leaders in the Chinese academic circles are dug into the local area with high salaries, forming a medical circle that is no weaker than Kyoto and the magic capital.


    Rich is willful!


    If you haven¡¯t cultivated talents, then buy, buy, buy!


    The conditions that Guanghai gave to Lu Chen this time were unimaginable by other colleges and universities.


    In addition to providing Lu Chen with a separate laboratory and scientific research start-up funds, he also promised that as long as Lu Chen did not make a big mistake, he would be promoted to deputy chief physician as soon as he joined the job, and three years later, he would be directly promoted to chief physician!


    What is the concept¡­¡­


    Lu Chen graduated with a Ph.D. this year. He is 28 years old.


    Three years later, at the age of thirty-one, Lu Chen''s professional title will be promoted to chief physician!


    The thirty-year-old chief physician has reached the pinnacle of other people''s careers as soon as he started working.


    According to common sense, it is basically impossible to become a chief physician at the age of 31 without reaching the age limit and corresponding qualifications.


    Even if Lu Chen has more than 20 high-scoring papers, even if he can perform multiple surgical operations independently, and is the leader in TAVR surgery in China, it is still very slim if he wants to become a chief physician at the age of 31. Bar.


    But the wonderful thing is, this "exceptional" admission!


    It can ignore most of the rules!


    Lu Chen does not need to worry about qualifications, years, or other external factors such as papers. After three years, he will be automatically promoted to chief physician.


    Do you think this is fragrant?


    Even though the medical environment in Guanghai is slightly inferior to that of Kyoto and the Magic Capital, Lu Chen is still willing to come.


    Anyone who doesn''t take shortcuts is a big idiot!


    Kyoto and Mo are unable to come up with these conditions. At most, they promise a title of deputy director, and they have to wait three years.


    As for the title of Zhenggao, let¡¯s talk about seniority.


    Even if there is a thesis, it still depends on the age, qualification, and preferences of the leader.


    Lu Chen likes to heal, but he doesn''t hate promotion either!


    Now there is a once-in-a-lifetime opportunity in front of him, and he must seize it.


    Once you are promoted successfully, you will not work hard for this kind of thing in the future.


    saved a lot of other thoughts.


    However, Lu Chen did not tell outsiders about the preferential conditions for this "exceptional" promotion.


    This kind of thing is better to be low-key.


    There are many people who know about it. After three years, nothing may happen!


    ¡­


    The news that Lu Chen chose to go to Guanghai was also known to everyone at the first time.


    The most depressing thing was not Ke Yue, not Lin Shumin, nor Dong Hao or anyone else in the lab.


    It''s Fan Zhiping!


    He listened to Lu Chen''s "words" and was admitted to the Cardiology Department of the First Hospital of the Magic City this year.


    Unexpectedly, Lu Chen left...


    When he knew that Lu Chen was going to Guanghai, he almost dropped out of school.


    However, Lu Chen finally persuaded him to stop.


    Laboratory meal, plus a Fan Zhiping.


    "Brother Fan, you didn''t study this graduate student for me!" Lu Chen took Old Comrade Fan''s hand and said bitterly, "This is for yourself, for your own future medical treatment!"


    Fan Zhiping thought about it for a long time, but he still listened to Lu Chen''s words again.


    Actually, he most likely came to Lu Chen.


    I didn''t expect that Professor Lu would just leave...


    left behind such a large group of people.


    Why do you say it is a large group of people?


    Because Ke Yue and others stayed in the magic capital!


    The conditions given by ??Modu are not bad, and it is also an economic center, and the hospital is also one of the top tertiary hospitals.


    Ke Yue actually wanted to leave.


    She bit her, and after thinking about it, Lu Chen finally let her stay.


    In Lu Chen''s view, Ke Yue''s development in the magic capital will definitely be better than in other places.


    Don''t look at the fact that Guanghai City is willing to spend money, but Guanghai City wants top scientific research workers, like Ke Yue, the treatment is almost the same as that of the magic city, it is better to stay in the magic city.


    This is also a brilliant place in Guanghai City. They use various preferential conditions to bring in academic leaders. As for the people working below, there are some people who are afraid that others will not come?


    If it wasn''t for Lu Chen''s suggestion, Ke Yue would probably have followed him.


    "Lu Chen, when you need help, come to me at any time." Ke Yue did not insist on her own idea, "I''ll come right away."


    Maybe when she was in front of Lu Chen, she was not used to having her own thoughts.


    "Okay." Lu Chen smiled and did not refuse.


    To be honest, he and Ke Yue have been working and studying together for six years.


    This classmate''s friendship is still quite deep.


    As for Dong Hao, he is still studying for a Ph.D., and he can''t leave if he wants to.


    Lin Shumin didn''t say much, Lu Chen''s help to him can''t be finished in a few words.


    When he was most desperate, Lu Chen gave him hope.


    "Lu Chen, just like Ke Yue, you can come to me whenever you need something."


    He finally stayed in the No. 1 Courtyard of the Magic City, and he didn''t have the courage to say the words "I''ll come right away".


    Lu Chen patted Lin Shumin on the shoulder


    In the past three years, he could also see Lin Shumin''s character, "Senior brother, you have to work hard, I''m optimistic about you!"


    "Yes." Lin Shumin nodded heavily.


    Looking at everyone''s distressed expression, Lu Chen couldn''t help but scolded with a smile, "You all have this expression, others think I''m here to suffer! Smile, laugh, I''m going to be the director!"


    Lu Chen made a few jokes, and the atmosphere at the scene was a little better.


    After dinner, Lu Chen''s laboratory in the magic capital was disbanded.


    Lu Chen''s new life and work began.


    What Lu Chen didn''t think about was that an unexpected acquaintance in the Cardiology Department of Guanghai City was waiting for him.


    There is still half of it unwritten, who said it will be finished.


    (end of this chapter)

 v2 Chapter 735： Onboarding (first update)

    Chapter 735 Onboarding (First Update)


    Lu Chen''s entry time is set for July.


    It¡¯s June, and there¡¯s still one month left before starting the job.


    He naturally returned to his hometown of Pingyang.


    This month, Lu Chen gave himself a vacation.


    When you actually start a job, I''m afraid there won''t be so much leisure time.


    Luo Meizhen knew her son''s choice of entry, so she could only agree to it by default and no longer let him go on a blind date.


    Lu Chen, of course, has nothing to do. He reads books and plays TV series at home every day, and occasionally goes to Jiangcheng to get together with Zhou Wei.


    Life is easy and leisurely, but Lu Chen relieved the fatigue of the doctor for three years.


    During the ?? period, Junior Sister Yao Jie contacted Lu Chen.


    She just inquired about Lu Chen''s current situation, and she was quite surprised to hear that her brother was going to Guanghai City.


    In her opinion, with the excellence of the senior brother, there is no problem in the magic capital, or even in Kyoto.


    If you go to Guanghai, this is a bit confusing.


    However, in Yao Jie''s opinion, Lu Chen''s is a big piece of gold, and it will shine wherever it goes.


    Lu Chen also knew Yao Jie''s plan after graduation.


    She stayed in Kyoto as a master''s graduate, which was not easy.


    However, a doctoral degree is a threshold after all. Sister Yao Jie is going to work and take the exam at the same time.


    Lu Chen also sent his sincere wishes.


    ¡­


    Happy time passed in a flash.


    In the blink of an eye, it¡¯s time to join in July.


    Lu Chen picked up some luggage.


    Looking at the wrinkles in his parents'' eyes, Lu Chen''s eyes were also a little sour, "Mom and Dad, take care of your health at home, I will come back to see you when I have time."


    Lu Wenguo waved his hand and pretended to be relaxed: "Your father, I''m still young, so you don''t need to worry about it."


    Lu Chen nodded, and left Pingyang with Luo Meizhen''s reluctant instructions.


    Guanghai City is one of the most economically developed areas in China. The city center is extremely prosperous, and there are row upon row of commercial buildings. Various Internet companies have branches here.


    The Medical College of Guanghai University is located near the third ring road in the city center. Although its background is not deep, after years of "buy, buy, buy", the current lineup of the medical school can be said to be not inferior to Kyoto and the magic capital. Academicians, There are quite a few academic leaders.


    Guanghai in July, the weather is already a bit hot.


    Lu Chen, wearing short sleeves and carrying a luggage bag, came to the First Affiliated Hospital of Guanghai University to report.


    Guanghai No. 1 Hospital covers a huge area. The whole hospital has thirteen inpatient departments, an outpatient building, an emergency building, and several other functional annex buildings.


    Lu Chen''s first stop was the personnel department of the hospital.


    He had already contacted the human resources teacher in advance and went straight to the third floor of the hospital administration office.


    At this time, some of the newly recruited employees this year have already arrived, and some are fresh graduates, like Lu Chen, and some have come from other hospitals.


    After Lu Chen reported in the personnel department, he informed him that there would be an orientation meeting in the hospital conference room the day after tomorrow.


    "Hey, brother, you also joined the cardiology department this year?"


    Lu Chen felt a slap on the shoulder, and when he looked back, he was a young man with a smile, about thirty years old, but his head was already a little bald.


    "Well." Lu Chen nodded slightly and responded politely.


    "I''m also a cardiologist, you just graduated with a doctorate, right?" the young man continued.


    "Yes, you too?" Lu Chen smiled.


    The young man nodded, "I have worked for a few years, passed the exam a few years ago, and graduated this year. I heard that the treatment here is good, so I came here."


    Lu Chen chatted with the young man.


    The young man''s name is Wang Qingfeng, a native of Western Hunan, 31 years old this year.


    "Lu Chen, maybe we will be assigned to a department, so we can look after each other." Wang Qingfeng said to Lu Chen with a smile.


    After all, he has been working for a few years. Wang Qingfeng speaks more smoothly and is willing to make friends.


    Not only did he say this to Lu Chen, but he also got into a relationship with other people, especially the beautiful girls who had just joined the job. He ran over and asked for WeChat because of his relationship with his colleagues.


    Lu Chen just smiled helplessly.


    After a while, the staff of the Personnel Department issued badges to everyone, and at the same time ordered: "This is a hospital card, which can be used as a meal card and an access card. On the 26th of every month, the hospital will regularly pay 600 yuan to the meal card."


    At this time, a young girl stood up and asked, "Teacher, do you have to run out of money every month? Can you transfer it to the next month?"


    "Of course." The human resources teacher smiled slightly.


    Wang Qingfeng heard the words and said to Lu Chen in a low voice, "Look at Guanghai''s good treatment. In my previous hospital, there was a monthly supplement of 220 meals, and it had to be used up in time every month, otherwise it would be eliminated. Lost."


    Lu Chen nodded and added a few words.


    He has not worked formally before, so he naturally does not know what the salary of normal employees is.


    However, Dr. Lu Chen still saved a lot of money for three years.


    Just in the year he was hospitalized, Lu Chen could get a lot of income every month, and then there was the reward for his thesis.


    In his entire Ph.D. career, or more precisely his postgraduate career, he has never reached out to his family for a penny.


    ¡­


    The most concern of new recruits is the issue of accommodation.


    Actually, there are relatively few natives in Guanghai, most of them are from other places.


    The treatment of Guanghai First Hospital is very good, there are family buildings, talent apartments, and some rental subsidies.


    Most of the newly recruited employees will choose to live in the family building, and a small number of them choose to rent.


    As for the apartment for single talents, ordinary people are not qualified to live in, and only some special talents will be introduced, and they will be allocated a set.


    "New employees who choose to live in the family building of the hospital, register with me, and the logistics staff will arrange dormitories later."


    Hearing the words of the human resources teacher, everyone lined up to register.


    This year, Guanghai has a lot of new employees. There are almost 60 clinicians, nurses, and medical technicians together.


    "Lu Chen, let''s live together." Wang Qingfeng walked to Lu Chen''s side, "I heard it''s a double room, we are both from the Cardiology Department, and we will take care of it when the time comes."


    Lu Chen shook his head.


    Wang Qingfeng was slightly surprised, "Do you have any acquaintances?"


    But looking around, Lu Chen had never chatted with anyone since he came in.


    "No acquaintance." Lu Chen said softly.


    "Then you want to rent a house?" Wang Qingfeng was stunned, but he didn''t expect Lu Chen to be a local tyrant!


    Renting a house near this hospital is not cheap. Although the hospital has subsidies, it is only a partial subsidy.


    Lu Chen smiled and said nothing.


    If he remembered correctly, he belongs to the introduction of special talents. He lived in the single-person dormitory for the first three years, and can be divided into a suite in the future.


    These things, Lu Chen is not easy to go out and talk about, so he can only keep a low profile for the time being.


    However, he wanted to keep a low profile, but he couldn''t keep a low profile, so the human resources teacher found him directly.


    "Lu Chen, right?" The personnel exam looked at Lu Chen with a smile.


    "Yes." Lu Chen stood up and replied politely.


    "You live in a talent apartment, and the logistics aunt will take you there later, you wait a moment."


    Lu Chen repeatedly thanked him.


    In addition to Lu Chen, there are several other new recruits. They were also introduced by special talents, and the HR teacher also found them.


    But these people are all about forty years old, and the youngest looks like thirty-five or six-year-old, not as young as Lu Chen.


    "Lu, Lu Chen...Are you living in a single-person apartment?" Wang Qingfeng could hear the teacher''s words just now.


    The update is a bit late, and there are three more updates


    (end of this chapter)

 v2 Chapter 736： Acquaintances meet (second more)

    Chapter 736 Acquaintances Meet (Second)


    The employees introduced by special talents, most of these people have their own achievements, and have a certain reputation in the industry.


    But didn''t Lu Chen say that he just graduated with a doctorate this year?


    At this time, Wang Qingfeng was the second monk at a loss.


    Moreover, looking at Lu Chen''s young appearance, he doesn''t look like someone who has been in the scientific research circle? !


    "Maybe my luck is better." Lu Chen smiled and didn''t say much.


    Wang Qingfeng doesn''t believe such nonsense.


    Those who can be introduced by the talents of Guanghai No. 1 Hospital are all the industry''s small coffee.


    There are various levels of ?? talent introduction.


    The highest level is of course academicians, academic leaders, etc., followed by industry leaders, chairman of national medical associations, etc., and then top three professors, society committee members, etc., and the rest are some outstanding young people. People, come with their own projects.


    But even the introduction of the lowest-level talents, for an ordinary doctor like Wang Qingfeng, it is impossible to find.


    "Lu Chen... Lu Chen..."


    Wang Qingfeng kept saying this name in his mouth.


    Suddenly, a light flashed in his mind.


    "Nan Luchen, Bei Weiguang... Could it be him?"


    When Wang Qingfeng looked at Lu Chen again, his eyes had changed.


    These two are the hottest new stars in the field of cardiology in China.


    No wonder he can live in a talent apartment, this is appropriate.


    I just didn''t expect that Lu Chen actually came to Guanghai! He is also too low-key.


    Hasn''t he been in the magic capital all the time?


    Wang Qingfeng is a doctor of medicine. He has just entered the scientific research circle and has some understanding of these academic circles.


    It seems that even someone like Lu Chen has come to Guanghai No. 1 Courtyard, so his choice is right!


    After knowing Lu Chen''s identity, Wang Qingfeng didn''t dare to chat with Lu Chen at will.


    Don''t look at the young age, this is a more powerful character than his doctoral supervisor!


    In just a few years of entering the academic circle, Lu Chen''s scientific research achievements are worth most of other people''s lifetimes.


    ¡­


    The newcomers around him were much more polite to Lu Chen after they knew that he was staying in the talent apartment.


    Many of them are not in their hearts, so they don''t know Lu Chen, but if they can enter the talent apartment, they are not simple characters.


    Lu Chen didn''t care about the envious or jealous eyes of the people around him, he waited for the support staff and then left.


    But before leaving, he still smiled at Wang Qingfeng and said, "Brother Wang, take care of me in the future, I''ll go first."


    Wang Qingfeng was a little flattered when he heard the words, and nodded quickly.


    Looking at Lu Chen''s back, he was slightly relieved.


    It seems that this visit to Guanghai No. 1 Hospital is definitely a worthwhile trip!


    ¡­


    Lu Chen got on the hospital bus, which was actually a bus.


    There are four people in this group of special talents.


    Apart from Lu Chen, the other three are two men and one woman, who are general surgery, oncology, and endocrinology.


    The four of them have all gotten to know each other. As employees who came in the same period, they are all recruited talents, and there will definitely be many places to deal with in the future.


    In the hospital, getting to know one more colleague will bring many benefits to future work and life.


    Single Talent Apartment is not far away, about ten minutes drive from Guanghai First Hospital.


    got out of the car, and a quiet neighborhood appeared in front of the four of them.


    The vegetation is dense and the environment is clean. From the outside, the apartment is quite beautiful.


    "The apartment has its own furniture, but some daily necessities need to be purchased by you." The logistics staff brought the four people into the community.


    The community has two households on one ladder.


    Lu Chen and the female doctor from the endocrinology department were assigned to the same floor, and the other two doctors were assigned to the upper floor.


    Open the door, the apartment is quite neat and clean, it should have been cleaned recently, and the corresponding electrical appliances and furniture are relatively complete.


    Lu Chen put down his luggage and walked around for a while.


    The room is two bedrooms, one living room, one kitchen and one bathroom, and also has a balcony.


    An apartment of this size is extremely rare in Guanghai, a place where every inch of land is so precious.


    No wonder it can recruit so many talents, Guanghai First Academy is really willing to spend money!


    Lu Chen thought that if he was in the magic capital, or went to Kyoto, he would most likely have to rent a house by himself, or crowd the hospital''s family building with others.


    "If your teacher has any needs or questions, you can contact me at any time. Every month''s water bill, electricity bill, and property fee will be deducted from the monthly salary."


    The logistics staff left their contact information and left.


    Lu Chen and the other three added WeChat to each other and returned to their room.


    ¡­


    Lu Chen first tidied up his room a little bit, no surprise, he wanted to live here for a long time.


    The decoration of the room is relatively ordinary, but fortunately, he has all the internal organs, so he doesn''t pick it up. He picks up his books and some clothes, and prepares to go out to buy some daily necessities.


    There is a large supermarket and a convenience store near the community, which is quite convenient.


    went to the supermarket and bought toothpaste, toothbrush, towels, toilet paper and other supplies. By the way, Lu Chen bought a quick-heat box lunch at the convenience store and went home.


    The first day in Guanghai was just like that.


    Late at night, Lu Chen lay on the bed he just made.


    Looking at the dim lights on the ceiling, Lu Chen felt quite satisfied.


    For the future, he is not confused, but full of energy.


    the next day.


    The genius is bright, and it is less than five o''clock.


    Lu Chen got up and ran for exercise.


    This is also a habit he has developed at home for a month recently.


    Because Lu Chen found that with regular work and rest and proper exercise, his health could increase slowly.


    Although it is very slow, it is useful!


    When he was a student, Lu Chen didn''t dare to exercise, because he often worked night shifts or worked overtime, and had a little rest time, so he must have gone to bed.


    If you have to get up early to exercise, you will die suddenly.


    But now Lu Chen''s identity is different. When he goes, he is the deputy chief physician, and the superior doctor who leads the team is not required to work the night shift.


    After running, I bought some breakfast on the side of the road.


    He went back to his apartment.


    In the morning, Lu Chen strolled around the hospital to familiarize himself with the environment.


    When he was going to rest at home in the afternoon, he unexpectedly received a call from the courtyard, asking him to go to Room 503 on the fifth floor of the Administration Building.


    Lu Chen thought it was their four "special talents" who went together.


    Unexpectedly, after the inquiry, the other three did not receive the call.


    Lu Chen came to the fifth floor of the hospital administration building with doubts.


    "501...502...503..."


    Lu Chen came to the door of Room 503, saw the house number, but was stunned, "Is this the dean''s office?"


    Why did the dean suddenly look for him today?


    In the office, there were two men chatting and laughing.


    Lu Chen listened carefully, the voice of one of them sounded familiar to him, but he didn''t recall it for a while.


    After a while, the two people inside became quiet.


    Lu Chen knocked on the door.


    "go ahead!"


    Lu Chen gently opened the door and saw the old man sitting on the sofa, with a hint of joy in his surprise.


    "Professor Ouyang, why are you here?"


    (end of this chapter)

 v2 Chapter 737： No matter where you are, you are my student

    Chapter 737 No matter where you are, you are my student (Part 3)


    In front of Lu Chen''s eyes, is Professor Ouyang Ming, a major in cardiology who has supported him many times.


    When Ou Yangming saw Lu Chen, he was not surprised at all, but he stroked his beard and smiled, "I am now the honorary dean and visiting professor of Guanghai No. 1 Academy. less!"


    The last time the two met was at the Kyoto Institute of Electrophysiology, and it has been four years since now.


    No wonder Lu Chen didn''t remember for a while that this was Ouyangming''s voice.


    Lu Chen smiled shyly, "Professor Ouyang, you won the prize."


    He remembered that Professor Ou Yangming used to be a professor at Sun Yat-Sen Medical College, why did he suddenly run to Guanghai?


    Professor Ouyang is not an academician, but his prestige in the field of cardiology, especially in the field of electrophysiology in China, is one of the best.


    Was it also "dug" by Guanghai?


    In this case, Lu Chen didn''t dare to ask in detail.


    However, for Lu Chen, Ouyang Ming can come to Guanghai, which is an excellent thing.


    There is someone behind the back, this feeling is really good!


    At this time, besides Ou Yangming in the office, there was also a middle-aged man sitting at the desk with a Chinese character face, a short beard and a serious expression.


    If Ou Yangming is the honorary dean, then the one in front of him is undoubtedly the real dean.


    "You are Lu Chen?" Guozi asked.


    Lu Chen responded quickly, "Yes, Dean."


    "Professor Ouyang said it well, he really is a talent." A smile appeared on Guozi''s face.


    At this time, Ouyang Ming also introduced: "Lu Chen, this is Dean Zhang Dewen of the Guanghai First Hospital. This time you come to Guanghai with preferential conditions, and Dean Zhang has done a lot."


    When Lu Chen heard this, he quickly bowed and said, "Thank you, President Zhang for your support."


    Zhang Dewen waved his hand and said with a smile, "Lu Chen, this is the value you brought from your own efforts, I''m just giving the conditions that match."


    "A thousand miles of horses also need Bole." Lu Chen shook his head and said, "The dean looks up to us, and I will naturally do my best in the future work."


    "Haha, this kid is really good at talking." Zhang Dewen said, "Whoever said that those who engage in scientific research are stunned, I don''t see it all, Lu Chen is not an exception. Teacher Ouyang, you have recommended a person to me this time. Talent!"


    From the moment Ou Yangming appeared, Lu Chen knew that Guanghai had given him many favorable conditions, and Ou Yangming must have worked hard.


    This kind of kindness, he is really hard to repay.


    Not to mention those material conditions, just being promoted to chief physician three years later saved Lu Chen a lot of trouble.


    Ou Yangming smiled and stroked his beard: "I really watched this child grow up. When I first saw it in Jinghua, I knew that this child was not something in the pool."


    Lu Chen met Professor Ouyang when he was a graduate student at Jinghua University.


    At that time, Lu Chen was still a terrified student in front of Professor Ouyang.


    Today, he has grown into a character that no one can ignore.


    Lu Chen had a lot of thoughts, and he also thought of Li Yao''s tutor who was far away in Beijing. He didn''t know how she was doing now.


    "Lu Chen, tomorrow''s new employee induction meeting, as a representative, come to the stage to speak." Zhang Dewen suddenly asked again, "As a new force in the Huaxia Cardiology Department, your appeal is not worse than some old professors."


    "I will listen to the dean''s arrangement." Lu Chen agreed.


    He is not the student he was in the past. The way he treats people and does things needs to be changed.


    Stayed in the dean''s office for a while, Zhang Dewen and Professor Ou Yangming still had something to chat, and Lu Chen left.


    Walk out of the doctor''s office.


    Lu Chen thought about it, took out his mobile phone, and made a call.


    ¡­


    Jinghua Second Hospital.


    The eight districts in the heart, the director''s office.


    Li Yao is already the deputy director of all wards of the Department of Cardiology. Except for the chief director Cao Zhiying, she has the greatest rights.


    But she was still used to the office in the eighth district in her heart, and she never moved out.


    "Qingping, you need to hurry up with the Dapagliflozin project. If you need anything or have any doubts, come to me at any time." Li Yao said in a deep voice to the girl in front of her.


    Lin Qingping, who applied for Li Yao''s master''s degree that year, followed Lu Chen to do experiments, and published several high-scoring papers.


    After graduating with a master''s degree, she did not leave, but chose to stay in Jinghua to continue her Ph.D.


    Today, she is also the right-hand man of Li Yao''s mentor, responsible for the entire follow-up scientific research project of Dapagliflozin.


    "Don''t worry, teacher, I will continue to follow up." Lin Qingping''s expression was firm, and she was no longer the timid she used to be. "For the new students, I want to find some helpers."


    "You can arrange it yourself." Li Yao thought about it, and then agreed, "Doctor''s side, ask Fang Ping to coordinate, I may not be able to control them recently."


    "Okay." Lin Qingping nodded.


    Recently, the experimental group encountered some thorny problems. Everyone worked overtime to overcome them. Li Yao also didn''t have a good rest for a few days, but he was still unable to do anything.


    Just when Li Yao wanted to continue explaining something, the phone rang suddenly.


    Li Yao frowned, picked up the phone, and then showed a smile.


    This surprised Lin Qingping in front of him.


    She hasn''t seen her teacher''s smiling face for a while, and the pressure of scientific research has been really heavy recently.


    "Lu Chen, you kid, how long has it been since you called the teacher?"


    Hearing what Li Yao said, Lin Qingping was startled.


    It turned out to be Senior Brother Lu Chen''s call, no wonder the teacher was so happy.


    Although Brother Lu Chen graduated for many years, the second hospital of Jinghua is full of "legendary" deeds of his senior, and everyone in the Cardiology Department can say a thing or two about Lu Chen.


    For their junior sisters and juniors, the existence of Lu Chen is the absolute strength and example in their hearts.


    The quality of students recruited by Li Yao''s tutor is increasing every year, and the difficulty of applying for the exam is also the highest in the Department of Cardiology and even the Second Jinghua Hospital!


    However, there is still an endless stream of people applying for the exam.


    ¡­


    "Teacher, I just joined here." Lu Chen smiled bitterly, "I just called you after I settled down."


    "How about Guanghai?" Li Yao smiled.


    "It''s okay, the treatment is good!" Lu Chen replied, "Teacher, I saw Professor Ouyang today."


    "I forgot to tell you about this." Li Yao smiled, "Last year, Professor Ouyang was hired by Guanghai First Academy as honorary dean and visiting professor."


    "Well, Professor Ouyang told me today." Lu Chen paused and said softly, "Teacher, I''m here in Guanghai... I''ll trouble you again."


    Lu Chen knew that the reason why Professor Ouyang Ming asked for so many favorable conditions for him was not only because of his own excellence, but also partly because of Li Yao.


    Li Yao was taken aback, it turned out that Lu Chen already knew.


    She smiled softly and said softly: "Wherever you go, they are my students, how can I ignore you."


    One more chapter


    (end of this chapter)

 v2 Chapter 738： Doctor Four (Fourth)

    Chapter 738 Doctor Four (Fourth)


    Although Lu Chen has now joined the company and has traveled to major cities such as Kyoto and the Magic Capital, what Lu Chen misses most should be those days in Beijing.


    Join Wang Zihao and Laogu to participate in the National Clinical Medicine Student Skills Competition.


    participated in the National Electrocardiogram Contest with Min Xiaobo.


    Rescue burn patients together with Brother Wang Xiaodong in the emergency department.


    and Ke Yue and others went to Kyoto University School of Medicine for exchange and study.


    Fan Zhiping went to night shift with him. Comrade Fan was a genuine deputy chief physician!


    When he was in the department, he always explained the electrocardiogram to Junior Sister Yao Jie, but most of the time he couldn''t get the thank you points.


    Thinking of this, Lu Chen smiled knowingly.


    The past can be traced back to nostalgia, but the future will definitely get better and better.


    "Teacher, if you need my help with anything, feel free to say it." Lu Chen smiled, "As long as I am within my ability, feel free to find me."


    "Don''t say it, there really is!"


    Li Yao is really not polite to Lu Chen.


    Lu Chen: "..."


    He just felt it and said it casually.


    How can you think that Teacher Li Yao really has something to look for him? !


    "It''s about Dapagliflozin''s scientific research project." Li Yao said.


    At that time, this project was handled by Lu Chen.


    From project initiation, experimental design, statistical analysis, to the final conclusion, Lu Chen is responsible for the follow-up.


    Although the current project is different from the previous one, they are all of the same origin.


    Li Yao thought, Lu Chen might be able to solve their current big trouble.


    When Lu Chen heard this, he naturally didn''t make any excuses.


    "Okay, teacher, find someone to connect with me."


    "No problem, I''ll let her find you."


    hung up the phone, Li Yao smiled and said to Lin Qingping in front of him: "Qingping, do you have the contact information of Brother Lu Chen?"


    "That... used to be there." Lin Qingping whispered, "If his current phone number and WeChat have not changed..."


    "Well, you remember his phone number." Li Yao opened the phone address book and reported a number, "If you have any questions, I will contact you Senior Brother Lu Chen. I have already explained it to him just now."


    "Okay." Lin Qingping was shocked when she heard the words.


    She can actually contact Senior Brother Lu Chen...


    That''s great, she never chases stars, but brother is her super idol!


    However, she couldn''t go to Senior Brother Lu Chen whenever she had a problem, she still had to study it herself before going to him.


    Otherwise, if the problem is too simple, Senior Brother Lu Chen may be annoyed, and he will look down on her!


    Walking out of the director''s office, Lin Qingping''s small fists were clenched tightly. This is a once-in-a-lifetime opportunity, and she must seize it.


    ¡­


    Lu Chen just returned to the apartment.


    Another doctor who lived upstairs knocked on his door.


    "Lu Chen, will the four of us get together tonight?"


    This doctor is a general surgeon, his name is Qian Xiaobao, who is two years older than Lu Chen.


    He is not tall, slightly fat, wearing glasses, and looks honest and honest.


    "Okay, are they both going?" Lu Chen pointed to the opposite side and upstairs.


    "Brother Cheng." Qian Xiaobao touched the back of his head, "But I haven''t asked about Xu Shan on the opposite side."


    Brother Cheng in Qian Xiaobao''s mouth is Cheng Liao, a doctor of oncology who lives opposite him.


    Xu Shan is the female doctor of endocrinology opposite Lu Chen.


    "Then let me ask Xu Shan." Lu Chen smiled for a year.


    Although they didn''t get along for a long time, he could see that Qian Xiaobao was rather shy and thin-skinned.


    Maybe he has been engaged in academics before, and he has never been in a relationship. He blushes when he encounters girls.


    Lu Chen knocked on the door of Xu Shan''s house opposite, Qian Xiaobao followed behind him.


    After a while, Xu Shan opened the door.


    She is wearing loose sportswear, glasses, a plain face, and no makeup, she is an extremely ordinary girl.


    "Is something wrong?" Xu Shan glanced at Qian Xiaobao behind Lu Chen and said softly.


    "Everyone just came to Guanghai, let''s have dinner together tonight?" Lu Chen showed a warm smile.


    Xu Shan frowned, she turned her head to look at the clock on the wall, "Yes, yes, but it''s a bit late now, I''ll be back early."


    "Just have a meal, very soon." Lu Chen nodded.


    "Going out now?" Xu Shan asked.


    "Um."


    "Then you two wait for me, I''ll pack up."


    As soon as he heard that the girl was going out to pack up, Lu Chen''s head became big.


    Putting on makeup and picking clothes, I''m afraid I''m wasting a lot of time.


    "After you''re done, send a WeChat message and we''ll go out..." As soon as Lu Chen finished speaking, he saw Xu Shan grabbing a bag in the living room, and then locked the door and came out.


    "Let''s go." Xu Shan put the keys in her bag.


    Looking at Xu Shan who didn''t wear makeup at all, Lu Chen was startled, this is too fast!


    As expected of a female doctor, there is still a big gap with normal women.


    At this time, Qian Xiaobao also called Cheng Liao down.


    The group of four went out together.


    ¡­


    The community is very close to the hospital, so there are many restaurants nearby.


    The four of them picked a nearby restaurant with beautiful decoration.


    When he arrived at the hotel, Lu Chen also noticed Qian Xiaobao''s unusual behavior and took the initiative to sit beside Xu Shan.


    Although he is thin-skinned, he does a lot of diligent things.


    Lu Chen smiled, it seems that this meal, Qian Xiaobao still has a purpose.


    Cheng Liao is a standard scholar. He is the oldest of the four. I heard that he is married and his children can play soy sauce.


    Lu Chen and Xu Shan are about the same age, and both have just graduated with Ph.D.


    This made Lu Chen curious about Xu Shan.


    As soon as she graduates, she can be recruited by talents. It seems that she has produced a lot of achievements during her doctoral period, and there must be some outstanding ones.


    However, everyone just met and didn¡¯t talk much about it.


    The four of them simply had a meal and then returned to the apartment.


    For Qian Xiaobao''s behavior, Lu Chen just smiled slightly.


    Efforts to pursue your own love are all worthy of encouragement.


    ¡­


    The next day.


    New employee induction meeting.


    Several deans and leaders came.


    Among them was Zhang Dewen, whom Lu Chen met yesterday, but Professor Ouyang Ming did not arrive.


    I think he is the honorary dean and does not need to attend this kind of meeting.


    The beginning of ?? is naturally the dean''s stinky and long speech.


    After one leader finished speaking, the other leader continued.


    The general content of ?? is almost the same, that is, welcome everyone to come, and hope to create a bright future for Guanghai First Hospital with everyone.


    The crowd fell asleep.


    It''s finally the new employee''s turn to speak!


    Lu Chen took the stage slowly as a representative.


    Zhang Dewen first introduced Lu Chen''s resume.


    Everyone was just thinking about how such a young Lu Chen could be qualified as an employee representative?


    But hearing Lu Chen''s resume, one by one, his eyes widened.


    As expected of a new employee representative, this resume is comparable to that of some senior professors!


    Next, it''s Lu Chen''s speech time.


    He focused on the key points and said without being too long-winded, indicating that everyone will work together to create the glory of Guanghai.


    The whole new employee induction meeting is over.


    Lu Chen and others cannot join the job immediately, but only after a week of pre-job training can they officially join the job.


    (end of this chapter)

 v2 Chapter 739： Apply for a masters supervisor (first update)

    Chapter 739 Application for Master''s Supervisor (First Update)


    Pre-job training is not clinical skills training, but more about the hospital system and related policies, including some annual leave, how to arrange family leave, etc.


    The one-week pre-job training is over, and it¡¯s almost July and a half when it¡¯s time for the actual entry.


    On the first day of his employment, Lu Chen went to meet the director of the Department of Cardiology of Guanghai First Hospital.


    With Ou Yangming and Zhang Dewen in front, Lu Chen didn''t feel any pressure when he met the chief director.


    The director of the Department of Cardiology is Cen Shangwei, who is also not a native of Guanghai. He was previously the deputy director of the Cardiology Department of a top tertiary hospital in Kyoto, and has a high reputation in the industry.


    He had heard of Lu Chen for a long time, and he also specially understood his resume.


    Cen Shangwei attaches great importance to such top talents.


    "This time, I have assigned you to the second area of ??my heart. You are now a deputy high school senior, but you are new to the scene. Let''s familiarize yourself with the clinic for a month before starting a team." Cen Shangwei asked Lu Chen tentatively.


    Generally speaking, the deputy high can already lead a group.


    Lu Chen is a special introduction, if he is placed under the hands of others, it may not be very good.


    However, the superior doctor who leads the team must also have corresponding abilities.


    Scientific research ability and surgical ability can be reflected on the resume, but there is no evaluation standard for this clinical ability.


    Cen Shangwei has never seen Lu Chen take care of patients, so he is not clear about his clinical abilities.


    In this matter, we can''t rely on Lu Chen''s mouth to say that he can, and let him lead the group.


    So the matter of leading a group, we still have to take it slowly.


    If Lu Chen didn''t have the corresponding ability, if he was asked to lead the team, wouldn''t it harm the doctors and patients in the team?


    Lu Chen was also aware of Cen Shangwei''s worries, smiled and said, "I''ll listen to the director''s arrangement."


    This month is his chance to show himself.


    Whether you can bring a group in the future depends on the performance of this month.


    In this regard, Lu Chen was quite confident.


    In the three years in Modu, he had experience in leading a group, and the one-year hospitalization experience allowed him to see a variety of different cases.


    "By the way, I heard that you have good attainment in TAVR technology." Cen Shangwei said with a smile, "Our hospital is also just starting out, you have to resist the banner!"


    "Director, I will try my best." Lu Chen answered every question with kindness.


    "This is excellent." Cen Shangwei nodded slightly, "As for the laboratory, once you have applied for the fund and been promoted to a master supervisor, the laboratory building will grant you a site."


    "Thank you Director for your care." Hearing this, Lu Chen''s heart moved.


    He can apply to be a postgraduate tutor!


    He is now fully qualified to apply for a master''s supervisor.


    First, the title of deputy senior or above. After he joins the job, the hospital will directly help him.


    Second, in the past three years, he has completed or is undertaking more than 1 vertical and horizontal scientific research projects as the person in charge or the main researcher (the top 5 at the national level, the top 3 at the senior official level, and the person in charge of the bureau level and other projects).


    Lu Chen has applied for the project of the Ministry of Science and Technology, which is also in line, but he currently has no project and needs to apply successfully this year.


    Third, 5 or more academic papers related to this discipline have been included in SCI as the first author or corresponding author in the past three years.


    The above conditions, Lu Chen is completely qualified, and he can already take the last train to apply for a master''s supervisor this year.


    However, he will not officially enroll students until next year at the earliest.


    Lu Chen was also quite excited when he thought of this.


    The transition of ?? identity from student to tutor is so short-lived.


    The twenty-eight-year-old master director is already the existence of the ceiling.


    ¡­


    After coming out of the director''s office.


    Lu Chen went to the logistics office, got his white coat for summer and winter, and then went to the medical office.


    His prescription rights have been approved, he will now go to sign the application, and finally go to the Information Section to enter his information.


    The preparations before joining the job are almost done.


    Back to my apartment, it''s almost 6pm.


    Lu Chen was going to put his bag back before going for food.


    Stepping out of the elevator, Lu Chen saw Qian Xiaobao hesitate in front of Xu Shan''s door.


    "You are this?" Lu Chen asked in confusion.


    "That...it''s nothing." Qian Xiaobao patted the back of his head embarrassedly, "I''m waiting for Xu Shan."


    "Oh." Lu Chen smiled and took out the key to open the door.


    Just then, the door on the opposite side opened.


    "I didn''t say that, I''ve already eaten it, don''t bother." Xu Shan was still wearing large-frame glasses and ordinary home clothes.


    "I heard that there is a delicious barbecue downstairs, so I thought of inviting you to try it." Qian Xiaobao didn''t give up.


    "Thank you, I''ll talk about it when I have time."


    After ??, Xu Shan closed the door, not giving Qian Xiaobao a chance to continue talking.


    Lu Chen smiled, this Qian Xiaobao really worked hard!


    He came home, washed his face, put down his backpack, rested a little, and went out.


    There are many restaurants downstairs in the community.


    It''s been over a week since he came to Guanghai, and Lu Chen''s favorite is the Sichuan restaurant.


    The cooking is authentic and not expensive. Although the store is small, there are many repeat customers.


    "Boss, have a small portion of fish-flavored shredded pork and tofu."


    Came to the Sichuan restaurant, Lu Chen called the boss and ordered two home-cooked dishes.


    "Okay, handsome guy, do you live near here?" the boss asked with a smile.


    Lu Chen has been here for several days, and he already has an impression.


    "Yeah." Lu Chen nodded noncommittally.


    "Okay, I will come here often in the future." The boss made a gesture, and then instructed the back kitchen to prepare meals.


    At this moment, Lu Chen saw Xu Shan walk into the restaurant.


    She also saw Lu Chen, and it was quite embarrassing when the two met.


    "Didn''t you already eat it?" Lu Chen wondered.


    Xu Shan waved her hand: "I have no intention of falling in love, so I won''t delay Qian Xiaobao."


    Lu Chen knew that, seeing that there were not many vacancies in the restaurant, he said, "Let''s get a table and eat together. I ordered two dishes, you see what you want, and then order another one."


    Xu Shan didn''t refuse, she sat opposite Lu Chen and ordered a vegetarian dish.


    Although they live on the same floor, except for pre-job training, the two usually have little interaction.


    This meal, the two of them didn¡¯t have much to say.


    Xu Shan is typical of a scientific researcher. She speaks less and has been concentrating on eating.


    However, Lu Chen also knew a little about Xu Shan.


    During his Ph.D. period, he participated in the scientific research of two national natural projects. He also presided over a department-level project and published several high-quality papers.


    This kind of resume is already an excellent existence among his peers.


    After eating, the two separated.


    Xu Shan is going to go to the supermarket, and Lu Chen is also back to the apartment.


    ¡­


    The next day.


    Lu Chen, under the leadership of Cen Shangwei, came to the second district of the heart and officially became an employee of Guanghai Cardiology Department.


    His professional title was adjusted to Deputy Chief Physician.


    Position, currently not available.


    2 chapters will be published today.


    2 chapters in the early morning.


    (end of this chapter)

 v2 Chapter 740： Director Lus ward round (second update)

    Chapter 740 Director Lu''s Rounds (Second Update)


    A new doctor came to the second district of my heart.


    Ph.D. just graduated, only twenty-eight years old. But the title is actually the Deputy Chief Physician!


    This made all the doctors in the department look at him.


    Especially those senior attending physicians - Wannian Lao attending.


    Many of these chief physicians have been promoted to chief physician for more than ten years, but they have never been able to be promoted to deputy chief physician.


    You should know that after five years of the attending doctor, you can apply for the deputy senior title.


    These people have been trapped in the quagmire of the attending doctor for many years, unable to extricate themselves.


    I saw a newcomer who just graduated and was the deputy chief physician.


    These attending doctors are full of surprise, doubt, envy, and even jealousy!


    However, everyone also understands.


    The people brought by Director Cen Shangwei, others cannot afford to offend.


    And anyone who is interested can find relevant information about Lu Chen when he inquires about Lu Chen''s resume, or searches the Internet.


    Just after graduation, Dr. ?? has more than a dozen high-scoring papers, including several top journal papers. Even in the field of TAVR surgery, Lu Chen has a certain right to speak.


    This kind of person is not the same type of person as everyone!


    "Lu Chen, follow Director Yan Wanfeng for a month to get acquainted with the clinical affairs, and then make plans for the future."


    "Okay, Director." Lu Chen nodded.


    Cen Shangwei left after explaining Lu Chen''s arrangements.


    Before coming to the department, Lu Chen had already learned that Yan Wanfeng was the deputy director of the second district of the heart, with the title of chief physician and a medical team.


    Cen Shangwei asked Lu Chen to follow him, which is also to let Lu Chen study hard, and also to investigate Lu Chen.


    If you can successfully pass this month of study, you can be competent to lead a group of doctors.


    After that month, Lu Chen was able to successfully lead the group.


    Otherwise, Lu Chen''s plan to lead the team would have to be postponed, or it would be impossible to lead the team in a short period of time.


    Yan Wanfeng also knew Cen Shangwei''s intentions, so he directly asked Lu Chen to take over his current job of leading the team.


    in the director''s office.


    Yan Wanfeng looked at Lu Chen with a smile on his face, "I now have 18 beds in my group, I have a senior doctor in charge, and the others are graduate students and graduate students. This month, you should try to be the leader first. If you encounter any problems in life or work, you can come to me at any time.¡±


    Although Lu Chen is a newcomer, Yan Wanfeng dare not underestimate him.


    For a scientific research maniac like this, it is easy to publish an article. If you can bring the name of the person in the department and let everyone shine, it will serve multiple purposes.


    Maybe, everyone in this department has to curry favor with Lu Chen.


    "Thank you Director Yan for taking care of you." Lu Chen smiled, "I''m new here, maybe I don''t understand a lot of things, so I''m bothering Director Yan."


    "It''s also my duty." Yan Wanfeng nodded slightly, "And this month, I can also relax a lot."


    However, in fact, Yan Wanfeng has many questions in his heart.


    For such a special introduction, most of the work will focus on scientific research, but as soon as Lu Chen came, he rushed to bring the team.


    This is quite rare!


    Because everyone has a kind of inertial thinking, doctors with excellent scientific research must have very little time for clinical practice.


    How much do you know about clinical things? It must be black eyes!


    Even, there are many departments that introduce such scientific research talents to be a mascot, not to go to the clinic, but to help the department write papers.


    For example, Qian Xiaobao, who came in the same batch as Lu Chen, has no clinical skills, and was specially hired by general surgery to write papers.


    Although Yan Wanfeng had this idea in his heart, he didn''t show it.


    It is a mule or a horse. If you take it out for a walk this month, you will know Lu Chen''s level.


    ¡­


    There are no longer a few people in the department who hold the same view as Yan Wanfeng.


    A young deputy chief physician like Lu Chen is too jealous, but if he can get on his boat and get a paper or two, maybe he can be promoted to deputy director!


    This is the true thought of every attending doctor in the department.


    As the senior doctor in charge of Yan Wanfeng, Jin Miao is quite excited!


    He has been the attending doctor for eleven years, and his promotion is far away.


    Originally, he was about to give up, and it would be a big deal to be the attending doctor for a lifetime.


    However, the arrival of Lu Chen made the fire in his heart ignite again.


    But I heard that Lu Chen was going to lead a group, so Jin Miao didn''t quite understand it.


    What does a scientific research talent like this come to be a clinician?


    But Jin Miao didn''t dare to say that to Lu Chen.


    Although he was more than ten years older than Lu Chen, on the surface he was polite to Lu Chen.


    "Lu... Director Lu, would you like to get acquainted with the patients in our group first?"


    Calling a young man in his twenties as the director, Jin Miao was still a little speechless.


    However, thinking that he might have to rely on Lu Chen in the future, he gritted his teeth and called out the word "Director".


    Lu Chen also coughed lightly, and was not used to hearing others call him Director.


    But this feeling is really cool!


    "Show me the bed table, I''ll familiarize myself with the patients first, and I''ll take you to the ward rounds later." Lu Chen said softly.


    "Okay." Jin Miao felt that Lu Chen''s role as director was really fast!


    Are you really taking everyone to do a room round?


    However, now that Lu Chen has taken Yan Wanfeng''s place, it is also appropriate to bring everyone around the room.


    I hope that there will be no jokes during the rounds.


    Jin Miao was really afraid that Lu Chen would not be able to save face and pretend to understand the clinical problems.


    ¡­


    Lu Chen doesn''t care what others think, he came here, that''s the deputy chief physician, he''s here to be a doctor!


    Turning to the list of patients in the group, Lu Chen began to check the patient''s disease course and doctor''s orders one by one.


    As a senior physician, you don¡¯t need to be hands-on.


    But you need to understand the condition of each patient and decide the general direction of treatment.


    Seeing that Lu Chen really read it carefully, Jin Miao was also quite surprised.


    Looking at his serious appearance, is it possible that there are really two brushes in clinical practice?


    However, Lu Chen''s medical records were very fast, which made Jin Miao''s attitude change immediately.


    In his opinion, this is just looking at flowers and pretending, right?


    Can he tell which patients are and what is the disease?


    "Won''t it be a silver gun wax head?"


    Jin Miao frowned, her affection for Lu Chen slightly diminished.


    After a while, Lu Chen closed the medical record and raised his head, "Okay, let''s start the ward round."


    "Oh, good."


    Jin Miao immediately greeted the regular trainees, graduate students, and some interns in the group to come round the room together.


    The real doctors are Lu Chen and Jin Miao, but there are quite a few students in the group. If you count them, there must be seven or eight people.


    Lu Chen took everyone to start a ward round.


    This is also Lu Chen''s first ward round in Guanghai First Hospital!


    The remaining two chapters will be published in the early morning


    (end of this chapter)

 v2 Chapter 741： Talented people work harder than you!

    Chapter 741 Talented people work harder than you!


    The procedures for ?? ward rounds are similar.


    The regulatory trainee or graduate student of the tube bed to report the medical history.


    Jin Miao explains the current diagnosis, treatment drugs, and the next treatment plan.


    Lu Chen stood beside Jin Miao, occasionally asking a few questions aloud, but more often he just listened carefully.


    When Jin Miao saw this, he thought that Lu Chen was not proficient in clinical practice, so he couldn''t give any advice, and could only be silent most of the time.


    He really misunderstood Lu Chen!


    Lu Chen felt that he was new here, so he carefully observed Guanghai''s ward rounds and the conditions of the patients in the group.


    Therefore, even if there is any problem, I just write it down first, and don¡¯t ask questions on the spot.


    Instead, prepare to ask questions later.


    "Director Lu, this patient may be troublesome. After five days of admission, the diagnosis is not yet clear, so further examination may be required." Jin Miao brought Lu Chen to the bed of the last patient.


    His original intention was not to embarrass Lu Chen.


    Because if this patient asked Lu Chen about the cause, he would not explain it, and he might lose face.


    Sure enough, as soon as he said these words, the patient looked at Lu Chen strangely when he heard the words "Director".


    There is such a young director?


    However, I can''t handle so much now.


    "Director, I''ve been living here for five days, why haven''t you found the cause yet?" The patient immediately got up from the hospital bed.


    Jin Miao paused as he was about to leave, he was really afraid of what to do!


    He was about to explain to the patient, but he didn''t expect that Lu Chen had already taken the patient''s medical record from Ji Pearson beside him.


    "Did you transfer from the oncology department?" Lu Chen remembered reading her medical records before the ward round.


    The patient was a woman in her fifties, she nodded slightly, "Yes, I''m preparing for chemotherapy. If there is a problem with the test result, I will be transferred to the Cardiology Department. You have to solve my heart problems quickly. , I want to go back to chemotherapy as soon as possible!"


    "Don''t worry, I''ll look at your medical records." Lu Chen comforted.


    Jin Miao smiled bitterly in her heart.


    Director Lu Chen is making a swollen face and making him fat!


    This patient, they have been studying for a long time in private, but they have no clue. Could it be that Lu Chen knew what the problem was just by looking at it?


    "Doctor Jin, first give a brief introduction to the patient''s condition."


    Lu Chen put down the patient''s medical record and picked up the tablet computer equipped in the department.


    Tablet PC and hospital intranet link, you can check the laboratory sheets and reports of all patients at the office.


    "Okay." Jin Miao nodded, "This patient was transferred from the oncology department last Wednesday. He was diagnosed with pulmonary CA and has undergone three courses of chemotherapy. This time is the fourth course. However, before chemotherapy, it was found that myocardial enzymes increased If it is high, transfer it to our department to continue treatment, mainly to find the cause of the elevated myocardial enzymes."


    "Does the patient have any symptoms?" Lu Chen asked.


    "I don''t have any discomfort."


    Before Jin Miao could reply, the patient immediately spoke up.


    Lu Chen nodded. He looked at the patient''s kinase results. Tests such as troponin and other creatine kinases all increased to varying degrees.


    Elevated myocardial enzymes usually indicate myocardial damage. Common causes are acute myocardial infarction, renal failure, etc.


    Jin Miao continued: "The patient has no risk factors for myocardial infarction, and no symptoms of chest pain or chest tightness. Echocardiography, coronary CTA, and even electrocardiogram are all normal, so we don''t have any clues for now."


    A normal echocardiogram can rule out cardiomyopathies, such as hypertrophic cardiomyopathy, which sometimes also cause elevated cardiac enzymes.


    Coronary CTA is normal, excluding coronary heart disease, such as acute myocardial infarction, which leads to elevated myocardial enzymes.


    The electrocardiogram was normal, excluding fast or slow arrhythmias.


    At this time, Lu Chen looked at Jin Miao and asked a seemingly unrelated question: "What chemotherapy regimen did the patient use before?"


    "This...I don''t know." Jin Miao shook his head, "Then I''ll go back to the office later and check the patient''s previous medical records in the oncology department."


    They are only responsible for diseases in cardiology. As for the oncology drugs of patients, they did not ask or need to know.


    Lu Chen frowned.


    "Director Lu, does it matter?" Jin Miao asked in a low voice.


    "I don''t know yet." Lu Chen said softly, then looked at the patient beside him, "Do you know that you are taking chemotherapy drugs in the oncology department?"


    "Uh, it''s a new type of drug." The patient thought for a while, "What kind of immunosuppressant is it called, it''s very expensive."


    Lu Chen''s eyes narrowed, "Immune checkpoint inhibitor?"


    "Well, yes! That''s the medicine." The patient nodded quickly.


    "Okay, I understand." Lu Chen handed back the medical records in his hand to the graduate student, and then said to Jin Miao, "Let''s make an appointment with the patient for a cardiac MRI, and I will review the cardiac enzymes tomorrow."


    "Huh?" Jin Miao was taken aback, "Heart MRI?"


    "Yes, our hospital should be able to do it, right?" Lu Chen said.


    "It can be done, but it is less done now." Jin Miao replied, he really couldn''t find the reason why Lu Chen asked the patient to have a cardiac MRI.


    "Let''s arrange it as soon as possible." Lu Chen turned back to the patient and said, "After we analyzed your condition again just now, we considered the possibility of myocarditis, so we need to check a cardiac MRI to confirm the diagnosis of myocarditis."


    The patient is naturally full of promises. She just wants to make an early diagnosis and transfer back to the tumor for chemotherapy as soon as possible.


    Jin Miao was stunned when she heard the word "myocarditis".


    The diagnosis of myocarditis, in addition to myocardial biopsy, is cardiac MRI.


    Myocardial biopsy is an invasive test with high risks, and few people will do it.


    To diagnose myocarditis, the only way is to do a cardiac MRI.


    However, Jin Miao racked her brains, but still couldn''t think of the cause of the patient''s myocarditis!


    The patient has no symptoms of prodromal cold, nor any symptoms of chest pain or chest tightness.


    Considering myocarditis, you have to come up with an incentive, right? !


    It is impossible to get myocarditis for no reason!


    Walking out of the ward, Jin Miao mustered up the courage and asked Lu Chen in a low voice, "Director Lu, you are considering myocarditis, what is the cause?"


    Lu Chen frowned slightly, "Didn''t you listen to me just now?"


    "Did you say it?" Jin Miao recalled the content of the conversation just now, and then noticed the "immune checkpoint inhibitor" that Lu Chen said.


    "Could it be the myocarditis caused by that tumor drug?" Jin Miao wondered.


    He had never heard of this kind of drug, but Lu Chen actually knew that this drug could cause myocarditis?


    Lu Chen nodded, "Go back and read the literature. Myocarditis caused by immune checkpoint inhibitors is a hot topic in the recent intersection of tumors and heart disease."


    "it is good¡­¡­"


    Jin Miao nodded silently.


    He really hadn''t heard of this medicine, but Lu Chen was right.


    Don''t be afraid of other people with good talent, just be afraid of people with good talent, you will work harder than you!


    (end of this chapter)

 v2 Chapter 742： convinced

    Chapter 742 Subdued


    After this episode of ward rounds, Jin Miao, the 10,000-year-old chief physician, immediately realized that Lu Chen was not as bad at seeing a doctor as a scientific researcher in everyone''s stereotype.


    Today, the patient with elevated "myocardial enzymes" stayed in his bed for several days. Director Yan Wanfeng also saw the patient, but no one thought it would be myocarditis caused by "immune checkpoint inhibitors".


    This not only requires careful clinical thinking, but also requires a large amount of literature reading.


    Otherwise, even if you encounter the drug "immune checkpoint inhibitor", you don''t know its use and principle, and it is unlikely to diagnose the "myocarditis" it induces.


    Jin Miao was still sighing at Lu Chen''s greatness, "As expected of a specially introduced talent!"


    What he didn''t expect was that he was about to usher in a storm.


    Back to the doctor''s office.


    Lu Chen changed his silence in the ward, opened the patient''s medical record, and slowly said to Jin Miao: "Before the ward round, I briefly looked over the medical record, and then during the round, I asked the patient some questions. According to the actual situation, I found that the diagnosis and treatment plan for some patients still has some flaws."


    "Director Lu, you said, I''ll listen." Jin Miao''s posture was extremely low.


    Now he wants to curry favor with Lu Chen, and after the ward round just now, he found that Lu Chen really didn''t come here to hang out clinically.


    "Let''s start with a simple one." Lu Chen''s expression was extremely serious, "First of all, let''s take a look at this 5-bed patient, a thirty-four-year-old female patient, without any symptoms of chest pain and chest tightness, just relying on the T wave of the electrocardiogram As a result, you let the patient do coronary angiography?"


    "Director Lu, this is the consent of the patient." Jin Miao defended.


    "Hehe, the patient agreed?" Lu Chen shook his head, "I''m not a clinical rookie, communicating with patients about their condition, whether to do coronary CTA or coronary angiography, depends on your inductiveness. If the disease is too serious, or coronary angiography must be done, will the patient refuse it?"


    Jin Miao''s face was not very good-looking, his posture was already very low, but Lu Chen was still so aggressive.


    "Director Lu, the patient is willing to do it and has already signed it. Is it wrong for us to do it for her?"


    Lu Chen laughed dumbly when he saw that Jin Miao was still pretending to be confused.


    "Okay, let''s not discuss the patient''s willingness or not. Tell yourself, does this patient need coronary angiography?" Lu Chen''s tone became very serious.


    Jin Miao remained silent for a long while before slowly saying: "The electrocardiogram has the possibility of myocardial ischemia, and coronary heart disease must be ruled out."


    "Don''t change the concept." Lu Chen''s eyes were shining brightly, "To rule out coronary heart disease, an angiography must be done? Isn''t it good to do coronary CTA?"


    Coronary angiography, no matter how non-invasive and small the wound is, it is also an operation!


    When the catheter enters the blood vessel, it will cause certain damage to the human vascular endothelium and even the nerve.


    Once the operation is wrong, there will be many side effects.


    Such as ruptured blood vessels, bleeding, hematoma, and even the possibility of infection.


    And coronary CTA, the diagnosis of coronary heart disease also has an accuracy of more than 95%.


    "Even, have you ever thought that the patient is a cardiac neurosis? Autonomic disorder?" Lu Chen continued.


    Hearing what Lu Chen said, Jin Miao lowered her head and stopped talking.


    Who said that people who are engaged in scientific research are not proficient in clinical practice.


    This Lu Chen, despite his young age, is quite rich in clinical experience.


    "Director Lu, everyone is basically doing angiography now. If we don''t do it, others will do it." Jin Miao said helplessly, "Now the hospital encourages one-day angiography, and many patients treat coronary angiography as a routine examination. "


    One-day coronary angiography, in simple terms, is to do coronary angiography in the outpatient clinic, do it in the morning, observe it in the afternoon, and then you can leave the hospital.


    "Hey." Lu Chen shook his head slightly, "I didn''t say boycotting surgery, I am a surgeon myself. But the better the doctor, the one who does more surgeries, but the one who knows which surgeries cannot be performed!"


    Jin Miao was startled when she heard the words.


    He never thought that this sentence came from the mouth of a junior.


    Once upon a time, his teacher told him the same.


    A good doctor does not perform many operations, but knows which operations cannot be performed!


    The better the technology and the richer the experience, the more you will have a heart of reverence for life.


    Instead of being a novice, you have to intervene in everything, and you have to recommend surgery for any kind of patient.


    "Director Lu, what you said is true, I wrote it down." Jin Miao nodded earnestly.


    "I hope you can really understand." Lu Chen sighed slightly, "Although many surgeries can generate income, the harm to patients is irreparable."


    "Yeah." Jin Miao replied in a low voice.


    Lu Chen knew that if he said this, he would definitely offend some people and even involve the interests of others.


    He may not be able to take care of others, but in his own medical team, he must take care of it when he sees it.


    When you wear this white coat, you need to take the initiative to take on many responsibilities.


    "Let''s not talk about this for now." Lu Chen felt that the topic was a little heavy, "Let''s take a look at this eight-bed patient. In the test on admission, D-dimer was elevated, and it was more than ten times higher, why is the ward round? No one mentioned this indicator? There are abnormal indicators in the blood test, do you leave it alone and do not re-examine it?"


    "This... The patient should not have pulmonary embolism." Jin Miao hesitated, "There is no thrombus elsewhere, and he is using anticoagulant drugs, so I left it out for the time being."


    "Then you plan to use anticoagulants all the time?" Lu Chen frowned, "Is it even after you leave the hospital?"


    "Stop it after a few days." Jin Miao replied in a very unconfident manner.


    "Hey, let''s talk about the common causes of elevated D-dimer." Lu Chen sighed.


    Jin Miao was taken aback for a moment, but he usually asks students questions.


    It was my turn to be asked today, but the question is simple, just said: "The increase of D-dimer indicates that the patient is in a hypercoagulable state, or the patient has a tumor, and the content of D-dimer in the body will also increase."


    "Can''t you be more specific?" Lu Chen frowned.


    Jin Miao quickly said: "For example, pulmonary embolism, myocardial infarction, atrial fibrillation, and even aortic dissection, D-dimer will increase."


    "It''s still not perfect." Lu Chen shook his head, "First of all, you have to distinguish between pathological and physiological. With age, D-dimer can increase physiologically, and pregnancy can also cause it to increase."


    "Secondly, as you said, the patient is in a hypercoagulable state, which is more general, or in other words, many diseases will put the human body in a hypercoagulable state."


    "The most common is deep vein thrombosis, followed by tumors, infections, autoimmune diseases, DIC, burns, trauma, most cardiovascular diseases, and hemolysis, blood transfusion reactions, and thrombolytic therapy can cause D-dimers Elevated..."


    Jin Miao stood beside Lu Chen and looked at him talking eloquently. He really admired this kind of clinical knowledge.


    Don''t look at the very simple basics, but most people don''t care about these details.


    Next, Lu Chen asked a few more questions and found out the loopholes in Jinmiao''s diagnosis and treatment.


    This time, Jin Miao really had to accept it!


    It''s no wonder that Lu Chen could be promoted to deputy chief physician just after graduation. It makes sense.


    Jin Miao felt that when facing Lu Chen, it was like facing Director Cen Shangwei of the Cardiology Department!


    And it only took Lu Chen one morning to be completely convinced by this ten thousand year old doctor in the department.


    (end of this chapter)

 v2 Chapter 743： Ambiguity (thanks to Lodaa for rewarding the leader)

    Chapter 743 Ambiguity (Thanks to Lodaa for rewarding the leader)


    Guanghai First Hospital.


    The second district of the heart, the doctor''s office.


    After Lu Chen pointed out the flaws in the treatment to Jin Miao, he sat back to his seat.


    He does not have any position for the time being, so he does not have his own separate office.


    In the ?? department, there are only four people in a separate office.


    Department director, deputy director, head nurse, and a rehired old professor.


    Lu Chen is now sitting in the position where Yan Wanfeng was before.


    His shift is naturally to take over from Yan Wanfeng''s shift.


    The duty of a doctor with a team of doctors is actually very simple.


    There is no night shift, and he is mainly responsible for going out of the clinic and accepting new patients for his medical team.


    Secondly, when I have time, I will lead the doctors in the group to round the wards, and usually answer the patients'' doubts about the treatment for the lower-level doctors.


    In short, the higher-level doctors have more time under their control.


    You don¡¯t have to work hard night shifts anymore, there will be a group of attending doctors, regular trainees and graduate students who help with the work.


    However, Lu Chen has to go out of the clinic next.


    Yan Wanfeng went out three days a week for the outpatient clinic, and Lu Chen took over from Katah''s shift. He also went out three days a week on Monday, Wednesday and Friday.


    The case system of each hospital is different. Although it is similar, it is still necessary to be familiar with it so as not to waste too much time when going out of the clinic.


    morning.


    In the ward, many new patients came.


    Lu Chen was still going to treat new patients, but he suddenly realized that he was already leading a group of doctors, so he no longer had to go to see patients in person...


    Jin Miao took a graduate student to treat new patients.


    The condition is relatively mild, and Jinmiao can handle it by himself.


    If his condition was relatively complicated, he would still ask Lu Chen for his opinion.


    One morning, just like that.


    ¡­


    It''s time for dinner.


    Lu Chen took off his white coat and walked slowly to the cafeteria.


    "Brother Wang, are you off work too?"


    Wang Qingfeng was tired all morning, and finally made it to the end of get off work. When he came to the cafeteria, he met Lu Chen with a relaxed and comfortable face.


    "Lu...Lu Chen, aren''t you busy in the morning?" Wang Qingfeng snorted and sat beside Lu Chen.


    "It''s okay, let''s get acquainted with the medical record system first." Lu Chen smiled, "How about you?"


    "Oh, don''t talk about it." Wang Qingfeng sighed, "I received five patients in one morning and issued a doctor''s order, but I didn''t have time to write the medical records."


    "Are you so busy?" Lu Chen blinked.


    "Busy!" Wang Qingfeng quickly took a bite of his meal, "I have five districts in my heart, which district are you?"


    "Second area in my heart." Lu Chen said.


    "Second district in my heart?" Wang Qingfeng said with a mouthful of rice in his mouth, "I heard that you are very busy, where did you go?"


    "It''s Yan Wanfeng''s team." Lu Chen thought about it.


    "The director''s team should be... busy too." Wang Qingfeng was stunned.


    Lu Chen smiled and said nothing.


    At this moment, Jin Miao also rushed to the cafeteria.


    He immediately saw Lu Chen.


    After finishing the meal, he immediately ran over in small steps.


    "Director Lu, come to the cafeteria to eat too."


    Jin Miao''s casual remarks made Wang Qingfeng stunned, and even the action of eating was half a beat slower.


    Director Lu?


    When did Lu Chen become the director?


    He knew that Lu Chen was a special talent, and his resume was shining, but he just graduated and came to the hospital, so why is he the director?


    "The food in the hospital cafeteria is okay, but the price is a bit expensive." Lu Chen said to Jin Miao with a smile.


    "Yeah, if you always eat in the cafeteria, 600 yuan a month is not enough." Jin Miao smiled.


    Wang Qingfeng looked at Jin Miao, he was probably an old man in the hospital, no matter how bad he was, he was a 10,000-year-old doctor. How could he be so polite to Lu Chen?


    "This is a colleague who joined me this year." Lu Chen introduced Wang Qingfeng to Jin Miao.


    "Hello, teacher." Wang Qingfeng said quickly.


    If you meet someone older than you in the hospital, and you call out a teacher, it must be right.


    Jin Miao smiled, looked at Wang Qingfeng''s bald head, and said, "Hey, don''t call me teacher, I''m not much older than you."


    Wang Qingfeng touched his nose, "Okay, then called Brother Jin?"


    Jin Miao was stunned for a moment, and then said helplessly: "Jin Ge? You are ambiguous, so let''s call you Brother Miao."


    Lu Chen snickered on the side.


    "Oh, fine." Wang Qingfeng touched the back of his head a little embarrassedly.


    Seeing the conversation pattern between Lu Chen and Jin Miao, Wang Qingfeng knew that Lu Chen''s position in the department was not comparable to those of them.


    A newly graduated deputy chief physician, this kind of gold content, even if it is placed in the whole of China, it is the only one!


    The three chatted while eating.


    Jin Miao''s intention was very obvious, and he immediately led the topic to scientific research.


    "Director Lu, you just came this year. You should apply for various national natural programs, right?" Jin Miao asked in a low voice.


    "Yeah." Lu Chen nodded, "When I get familiar with the environment of the department and scientific research, I will slowly put it on the agenda."


    "That... what do you think of me?" Jin Miao suggested himself, "I can help with any work I usually have, and I can also do SPSS software. I can also collect data or go to follow-up visits."


    Lu Chen immediately saw Jin Miao''s thoughts.


    He did not immediately refuse.


    Because the application for the project was successful later, he would definitely want to help.


    "When I need it, I will definitely come to you." Lu Chen said vaguely.


    The premise is that Jin Miao has his own brilliance and role, he is not like a casual idler to rub his papers


    Wang Qingfeng was also moved when he heard the conversation between the two.


    But he didn''t dare to say that like Jin Miao, he could only keep the scientific research project in his heart, and he would get to know Lu Chen well in the future, so it wouldn''t be abrupt to say it again.


    As for Lu Chen being the "director", he still has to inquire about it when he goes back...


    After eating in the cafeteria, the three of them went in different directions.


    Lu Chen has plenty of time, he can go back to the apartment to rest.


    Wang Qingfeng didn''t even finish writing the course of the disease, so he could only go back to the department to continue working.


    Jin Miao is also an elderly attending doctor, and he has a place in the department lounge.


    ¡­


    Wang Qingfeng returned to the five districts in his heart.


    The first thing is not to write the medical record, but to open the interface of the medical record system.


    In the medical record system, all doctors in the hospital and their titles can be queried.


    Wang Qingfeng directly typed in the word "Lu Chen".


    Immediately afterwards, a series of messages popped up, the deputy chief physician of the second district in his heart, Lu Chen.


    Although he already knew it, Wang Qingfeng was still a little shocked when the facts were in front of him.


    The doctor who graduates is an attending doctor at most. If you want to be promoted to the deputy chief physician, one depends on the number of years and qualifications, and the other depends on the fund and thesis.


    For a top three-level hospital like Guanghai No. 1 Hospital, the conditions for promotion to deputy director are more stringent, and you need to have hosted at least one national natural project!


    There are only so many natural projects in the country every year. It is extremely rare for monks to be promoted to deputy chief physician within ten years after graduation.


    And Lu Chen was exceptionally promoted to Deputy Chief Physician the year he graduated.


    Wang Qingfeng''s worldview was rewritten at this moment...


    Temporary overtime, just got off work. a few more


    (end of this chapter)

 v2 Chapter 744： Lu Chen who cant rest

    Chapter 744 Lu Chen who can''t rest


    Lu Chen walked back to the single talent apartment, which took about 20 minutes.


    He is now the deputy chief physician and does not need to stay in the department all the time.


    The timing of commuting to and from get off work is also relatively free.


    If this was the time he was studying for his Ph.D., and it took twenty minutes to get home at noon, then he didn¡¯t need to go back at all.


    After coming and going, it may take less than ten minutes to rest before I have to come to the hospital again.


    Now Lu Chen can go back to the apartment boldly, and even enjoy the scenery on the way.


    Back to the community, it was peaceful, most people didn''t come back, they all took a lunch break in the unit.


    The apartment that Lu Chen returned to alone seemed very leisurely.


    The opposite and upstairs are quiet, and they should not come back


    Lu Chen made a cup of tea, found the latest papers and literature, and began to read.


    Maintaining a certain amount of reading every day is a habit that Lu Chen has cultivated over time.


    And, whether it is a cardiologist or not, he will take a look.


    Until he was tired, he lay back in the bedroom, prepared to take a lunch break for half an hour, and then went to work.


    Lu Chen smiled slightly, is he living the life of a retired director ahead of schedule?


    ¡­


    afternoon.


    Lu Chen stepped on the spot and came to the second district in his heart.


    This surprised Jin Miao, because the senior doctors from the other groups didn''t come at this time.


    The superior doctors in other groups will not be so punctual. They may stay in the department for a while and then leave.


    Lu Chen was the one who came earlier.


    Back in the lounge and put on his white coat, he sat firmly in front of the computer and continued to familiarize himself with the hospital''s medical records and doctor''s order system.


    He will be out of the outpatient clinic tomorrow, so Lu Chen has to get acquainted as soon as possible.


    Jin Miao didn''t pay much attention to the early morning here, so he had a lot to do!


    Not only have to admit new patients, but also adjust the treatment plan of old patients, which is not an ordinary job.


    However, Jin Miao has a lot of students, including regular trainees, graduate students, and interns. With these free labor, he can also handle it.


    In addition, Jin Miao also ordered a cardiac MRI examination for the patient with elevated "cardiac enzymes".


    Waiting for the results to report, we can determine whether the patient has myocarditis.


    Lu Chen can also guide Jin Miao occasionally, earning a small amount of thanks.


    However, in the system mall now, the gratitude value required to exchange skill cards is often tens of thousands or hundreds of thousands.


    The gratitude value obtained from the students is already negligible.


    On the other hand, Lu Chen is now the deputy chief physician. When most medical students encounter problems they do not understand, the first thing they consider is to ask the attending physicians.


    Therefore, apart from Jin Miao occasionally asking Lu Chen to discuss a few questions, there were very few students who came to ask Lu Chen questions.


    This channel for getting thank you points has been blocked!


    This made Lu Chen quite melancholy!


    ¡­


    However, Lu Chen couldn''t rest after all.


    At three o''clock in the afternoon, Lu Chen was familiar with the medical record system, and when he was about to rest, Jin Miao walked into the doctor''s office.


    He came to Lu Chen: "Director Lu, a patient who came this morning has a heart attack!"


    He held an electrocardiogram in his hand and handed it to Lu Chen.


    Lu Chen looked down.


    This electrocardiogram is also really problematic.


    ST-segment elevation in the anterior septal leads, suggesting myocardial infarction.


    For ordinary patients, Jin Miao would not take the initiative to find Lu Chen.


    Unless the illness is serious or complicated, he will take the initiative to find a superior doctor.


    And the patient in front of him belongs to the category of serious illness.


    Even if he can treat the patient, he still has to fulfill his duty to inform.


    "What are the symptoms of the patient?" Lu Chen asked.


    "Mainly chest tightness, no obvious chest pain." Jin Miao thought about it and briefly described the patient''s condition.


    The patient is a 60-year-old aunt. She has had chest tightness for 4 days. She feels uncomfortable when she walks. Just sit down and rest for a few minutes.


    The children at home are busy, so I didn¡¯t take it seriously at first, but I didn¡¯t expect it to become more and more powerful.


    Now when I lie down, I feel bored and suffocated, cough and don¡¯t like to eat.


    She was willing to let her husband and wife bring her to the hospital to have a look.


    "The patient said that he used to have gastritis, bile reflux, and old cold legs. He usually takes some painkillers, but he has never had a heart attack."


    Lu Chen nodded slightly, "What about other risk factors for coronary heart disease?"


    Jin Miao replied eloquently: "Apart from age, high blood pressure, diabetes, dyslipidemia, obesity, smoking, drinking, family history, etc. are not related to her. The heart examination is generally normal, and there is a small amount of rales on auscultation of the lungs."


    Lu Chen read the patient''s examination and test results while listening to the story.


    Blood routine: white blood cells 11.13¡Á109/L, neutrophil percentage 86.5%, neutrophil absolute value 9.63¡Á109/L, hemoglobin 131g/L.


    Myocardial injury marker: Troponin T (cTNT) 42.2ng/L (0-14ng/L).


    Brain Natriuretic Peptide (BNP): 12723pg/mL (&amp;lt;100pg/mL).


    There were no obvious abnormalities in the three items of ??biochemistry, coagulation function and thyroid function.


    Jin Miao continued: "The increase in troponin T was not as high as expected, but the increase in BNP was particularly significant."


    After thinking for a while, Lu Chen said: "Severe heart failure can also cause a slight increase in troponin, which may be ischemic cardiomyopathy. First, basic treatment of coronary heart disease is performed to improve heart function, and then cardiac ultrasound is arranged. Elective coronary angiography."


    Even considering acute myocardial infarction, the patient missed the best time for surgery-within 12 hours of onset, the patient''s heart is now extremely fragile, like a lump of bean curd.


    If you do coronary intervention now, it is easy to puncture the heart.


    Therefore, we can only wait for the patient''s heart function to recover, make the heart stronger, and then perform coronary intervention.


    Jin Miao agreed with Lu Chen, "I will communicate with the patient''s family."


    ¡­


    Just when Lu Chen felt that everything was in order, the patient''s condition suddenly took a turn for the worse.


    The patient suddenly developed nausea and vomiting at around 4:00 p.m. The vomit was coffee ground-like, and the vomit occult blood test was positive.


    Lu Chen immediately ordered Jin Miao to review the blood routine.


    The patient''s hemoglobin decreased from 125g/L to 100g/L.


    Could it be upper gastrointestinal bleeding?


    "This is a big trouble!" Jin Miao walked in front of Lu Chen.


    Lu Chen frowned deeply.


    To avoid rats, it is necessary not only to fast and rehydrate, but also to take into account the heart function, and to stop antiplatelet drugs.


    Coronary heart disease is a thrombus, which is contradictory to the treatment of gastrointestinal bleeding!


    Coronary angiography has also become a distant prospect!


    Lu Chen recalled that he had seen cases of gastrointestinal bleeding after taking aspirin before, but most of them were based on gastrointestinal tumors and gastrointestinal ulcers.


    "He used to have gastritis, bile reflux, and old cold legs..."


    In Lu Chen''s mind, he suddenly remembered what Jin Miao said when he just explained his medical history.


    The foundation of the digestive system is indeed not good, and then there is "old cold legs", which is another "folk diagnosis".


    However, the smallest details cannot be missed.


    Lu Chen looked at Jin Miao, "I''ll go see the patient with you."


    (end of this chapter)

 v2 Chapter 745： White and purple (first update)

    Chapter 745 Whitening and Purple (First Update)


    As a doctor, Lu Chen will not let go of any small clues.


    Especially with multi-system symptoms like this one, you need to be cautious!


    Lu Chen is now a senior physician, and his words and deeds have influenced the treatment plan of the entire group.


    Soon, he followed Jin Miao to the ward.


    ¡­


    on a hospital bed.


    An old lady in her 60s was lying on the bed, not listening to what she was talking about. Her face was extremely pale and there was no blood at all.


    In Lu Chen''s eyes, her HP is 53(¡ª¡ª)!


    This rate of health decline basically indicates some serious diseases.


    Seeing Lu Chen coming, the family members of the patient beside the bed quickly stood up.


    "Our director has come to see you." Jin Miao said.


    The family member looked at Lu Chen in surprise, and couldn''t help but wonder: "Guanghai Cardiology Department actually has such a young director??!"


    But he just thought about it in his heart, and would not ask aloud in public.


    Lu Chen came to the bed, the old lady narrowed her eyes slightly and opened them slowly.


    "Auntie, what''s your main discomfort right now?" Lu Chen tried his best to make his voice soothing.


    "Chest tightness." Auntie glanced at Lu Chen, then patted her chest lightly.


    "What about the others? For example, is there chest pain?" Lu Chen asked again.


    Auntie shook her head, "It''s just chest tightness. When I lie down, I feel chest tightness so bad that I can''t breathe. When I sit up, I feel more comfortable."


    Lu Chen nodded slightly.


    This is a typical symptom of heart failure.


    "I heard just now that you said you had gastritis before? Your legs and feet are not easy?"


    Aunt ?? said noncommittally: "As I get older, there must be some problems. I usually eat, and my stomach is prone to bloating. As for the old cold legs, they were a little bit when I was young. When the weather became cold, my legs began to sore."


    Auntie seems to be more talkative too.


    After ?? started talking about his medical history, some couldn¡¯t stop.


    Lu Chen interrupted a little before she stopped.


    "Have you taken any medicine?" Lu Chen asked.


    "If you take medicine..." Auntie thought for a while, then shook her head, "I didn''t take any medicine."


    The patient''s family members said, "I did, my mother took some painkillers because of knee pain some time ago."


    Auntie nodded quickly after thinking about it.


    "Do you know the name of the medicine?" Lu Chen wondered.


    "It seems to be called... some kind of cloth." The family thought about it.


    Lu Chen paused, "Celecoxib?"


    "That''s right." The family nodded quickly, "That''s the medicine."


    Celecoxib, a non-steroidal pain reliever, is less harmful to the gastrointestinal tract than ibuprofen.


    Lu Chen asked the aunt to roll up her trousers and expose her knees.


    aside, Jin Miao was surprised to see Lu Chen''s actions.


    Their cardiologists rarely see patients'' skin conditions.


    Lu Chen''s behavior made him feel a little labored, but he had to admire Lu Chen''s patience.


    ¡­


    Lu Chen lowered his head and pinched his aunt''s knee.


    "Does it hurt?"


    "It''s okay." The aunt whispered back.


    However, when Lu Chen touched the skin of Auntie''s knee, he felt that Auntie''s skin seemed a little rough.


    When you are older, your skin is definitely not as white and tender as when you are young, but it is not so hard, right?


    Lu Chen didn''t speak, and looked at the skin on the aunt''s face and abdomen again.


    He suddenly found that the skin on the aunt''s face, abdomen, knees, etc. had thickened and hardened!


    "Come and feel it." Lu Chen stood up and said to Jin Miao who was beside him.


    Jin Miao was a little unclear, but he did it anyway.


    He also reached out and touched the skin of the patient''s abdomen and knees, and was stunned, "It''s really a little different from normal people. How can I put it, it''s too hard!"


    Lu Chen nodded in agreement, and then said to the patient: "Auntie, you should feel it yourself, the skin seems to be hardened."


    "When you get old, it''s like a damaged machine. It''s normal for your skin to be rough, right?" The aunt would not admit her problems.


    Originally asked her to come to the hospital, but she was unable to survive at home, so she agreed to come.


    Lu Chen frowned slightly, the feel and texture of this skin were obviously different from normal old ladies!


    At this moment, the family members who had been standing beside the hospital bed said, "Doctor, besides joint pain, my mother has another problem."


    "You said." Lu Chen turned to look at the family.


    "It''s my mother''s hand, which sometimes turns white and purple."


    Hearing this, both Lu Chen and Jin Miao were shocked.


    "What is it exactly? Can you describe it in detail?" Lu Chen said quickly.


    The family shook their heads, "If you can''t describe it, it''s just an abnormal color. By the way, I remember taking a photo."


    "Flip through and show us."


    Lu Chen didn''t speak, Jin Miao was quite excited.


    Hands turn white and purple, this peculiar phenomenon, called "Raynaud''s phenomenon" in medicine, is a disease of the immune system.


    The family members took out their mobile phones, opened the photo album, and began to search slowly.


    Sure enough, soon.


    He actually found a photo.


    In the photo, it is a pair of rough veterans.


    And the interphalangeal knuckles of these hands are upward, and the skin color has become very white and purple, forming a sharp contrast with the bottom.


    "When it is cold, it becomes like this." The patient himself added.


    Lu Chen and Jin Miao also made up their minds after seeing this very typical photo.


    "It should be Raynaud''s phenomenon." Jin Miao said in a daze.


    Lu Chen nodded, but he didn''t stop thinking about his condition.


    Raynaud''s phenomenon is just a symptom of rheumatic immune diseases, which can occur in many diseases.


    Fingers (toes) will experience numbness and sequential changes in color when exposed to cold and emotional agitation. The color first turns white, then purple, and then red.


    The principle of ?? may be that in the early stage, the spasm of the local arterioles can be caused by the swelling of the vascular endothelial cells, resulting in tissue ischemia, and then ulcers and scars on the fingertips, necrosis of the distal segments of the hands and feet, or the absorption and shortening of the soft tissues and phalanges due to ischemia.


    ¡­


    The more information about the patient, the more.


    It seems that the condition is more complicated than before. In fact, the more information, the clearer the patient''s condition.


    After asking Lu Chen, he drew a more important clue from the patient, which was "difficulty opening the mouth".


    The patient began to have difficulty opening his mouth in the past 8 months.


    Lu Chen arranged all the symptoms in his mind, hard skin, difficulty opening his mouth, Raynaud''s phenomenon, could it be...


    The manifestation of the patient''s cardiovascular symptoms is most likely not the primary heart disease, but the heart involvement of some rheumatic disease!


    Having guessed something in his heart, Lu Chen whispered to Jin Miao next to him: "Check! Continue checking! Antinuclear antibody, antinuclear antibody spectrum, immune kit, erythrocyte sedimentation rate, C-reactive protein (CRP), chest CT..."


    Kin Miao also understood the intention and immediately took action.


    (end of this chapter)

 v2 Chapter 746： Xishi in the eyes of a lover

    Chapter 746 Xishi in the eyes of the beholder


    Back to the doctor''s office.


    Jin Miao began to issue various blood tests and doctor''s orders, and at the same time ordered the nurse to start an emergency blood test.


    At the same time, his admiration for Lu Chen became stronger and stronger.


    Lu Chen took a trip to the ward and was able to unearth so much information!


    Compared with his focus on cardiovascular disease, Director Lu has a broader vision.


    Even without giving up every small symptom and sign, he got such an important clue from the mouths of patients and their families.


    If there are still people who say that Lu Chen is here to live in the clinic, then he will really fight back!


    ¡­


    The results of immunization and other related blood tests will not be released immediately. Most of them have to wait until the next morning. Some blood tests even need to be sent to private testing companies outside the hospital.


    Lu Chen was not in a hurry, and first ordered Jin Miao to treat the patient''s heart failure symptomatically.


    Whether it is heart failure caused by any other cause, the basic symptomatic treatment is the same.


    is the so-called three-pronged axe for heart failure, cardiotonic, diuretic, and vasodilator.


    At this moment, the cardiac MRI result came out of the patient with "elevated myocardial enzymes" that Lu Chen saw in the morning.


    Cardiac MRI shows that the myocardial signal is delayed and enhanced, and the myocardial sheet is enhanced!


    This is an important imaging change in the diagnosis of myocarditis.


    Delayed enhancement of myocardial signal, whose histopathological basis is myocardial edema and necrosis.


    "Director Lu, this patient really has myocarditis!"


    When Jin Miao reported the results of the cardiac MRI to Lu Chen, her face was full of excitement.


    "It seems that my previous guess was correct." Lu Chen smiled.


    Myocarditis caused by immune checkpoint inhibitors is rare in clinical practice.


    It is even rarer to be able to diagnose it!


    "Doctor Jin, this case is extremely rare. If you have the will to write a medical case report, it can also be published in a good journal." Lu Chen thought about it and said.


    For him, writing this kind of medical report is not very meaningful.


    But for Jin Miao, even if he can write a low-scoring SCI paper, he will have some advantages when he is promoted to deputy chief physician.


    "Really...really?" Jin Miao''s eyes widened, "How much SCI can you post?"


    Lu Chen smiled helplessly, "Don''t think about publishing a few papers, organize the patient''s medical records, and pay attention to the next treatment. If the patient can recover and even go back to chemotherapy on purpose, then it will be considered a relatively perfect case."


    "Well, I see."


    Jin Miao, like a taught student, nodded quickly and said yes.


    At this time, when he looked at this "myocarditis" patient again, his heart was full of excitement.


    "By the way, can you cure this myocarditis?" Lu Chen poured a spoonful of cold water on Jin Miao at the right time.


    "Ah? This..." Jin Miao blushed, "Is it different from normal myocarditis?"


    "There must be." Lu Chen smiled, "First of all, the cause is different."


    The common myocarditis is viral myocarditis, which is caused by viral infection. All conventional treatments are antiviral, hormones, and then life support therapy. If the heart is seriously injured, ECMO and other machines may be used.


    Myocarditis caused by immunosuppressive drugs is caused by drugs. At present, this drug has no antagonist, so the conventional therapy is hormones, hormone shocks, or the use of drugs such as immunoglobulin.


    Lu Chen gave Jin Miao a little explanation.


    Jin Miao felt her posture rise again.


    Immediately afterwards, Lu Chen smiled and dropped a big news, "We have no clinical guidelines for myocarditis caused by immune checkpoint inhibitors in China. These are borrowed from foreign guidelines. If you can collect domestic Relevant cases may be able to walk in front of all scientific researchers, and even fill the gaps in this area..."


    Jin Miao scratched his head when he heard the words.


    He didn''t think about it so much, he just thought of sending a simple medical report.


    I really didn''t expect Lu Chen to be able to diverge his thoughts, thinking of so many things, even the things in the clinical guidelines.


    Lu Chen is really a treasure, just throwing a little thing can feed them all!


    At this time, Lu Chen didn''t realize that when he was giving a lecture to Jin Miao just now, students from other groups in the department unconsciously surrounded him.


    When the lecture is over, various prompts will pop up frantically on the system panel.


    "Congratulations, I received a thank you from Jinmiao..."


    "Congratulations, received from..."


    Harvest a wave of gratitude, and Lu Chen was used to it.


    As an excellent superior doctor, if you can''t control the inferior doctor, it will definitely be a failure.


    Lu Chen pointed out the general direction of treatment, and Jin Miao began to issue a doctor''s order and write a record of the course of the disease.


    The benefits of ?? superior physicians reflect these directions, only macro-control is required, and no hands-on is required.


    ¡­


    The first day of work in Guanghai No. 1 Hospital is over.


    Compared with the clinical life of masters and doctors, the work of the deputy chief physician is easier, and a lot of "manual work" and "errands" are reduced, such as blood pressure measurement, electrocardiogram and so on.


    However, the psychological pressure must be greater than that of the student days. Now Lu Chen has the treatment direction of all the patients in the group.


    With great power comes great responsibility.


    Once something happens, Lu Chen is also the first responsible person.


    For dinner, Lu Chen went to a Sichuan restaurant near the community.


    He is already familiar with the boss here.


    I usually even add an extra side dish to Lu Chen. The amount is not large, but it is quite good with multiple flavors.


    "Are you here again?" The shop owner smiled and looked at Lu Chen, "The old way?"


    "Well, it''s the same." Lu Chen nodded with a smile.


    "Okay, wait a moment." The shop owner immediately ordered the back kitchen to prepare the meal, and also gave a small half dish.


    Lu Chen smiled slightly, the owner of this shop is really good at doing business.


    He came very often, and the meals he ordered were not cheap every time.


    Although the apartment has everything for cooking, Lu Chen''s cooking skills are too bad, it''s completely dark cooking, and he can only make fried rice or something.


    Not long after Lu Chen sat down, a familiar figure sat across from him.


    She is Lu Chen''s neighbor, Xu Shan.


    She beckoned to the shop owner and shouted, "Boss, I''m here too."


    "Okay!" The owner of the store was not surprised when he saw Lu Chen and Xu Shan fighting a table.


    During this time, Lu Chen and Xu Shan occasionally met in restaurants. No matter who came first, the two of them shared a table for convenience.


    "You got off work quite early." Xu Shan smiled.


    Today, she still wears large-frame glasses, and her bangs cover her brows.


    "I came two minutes earlier than you." Lu Chen smiled and poured a cup of tea for Xu Shan, and the two chatted.


    Let''s talk about Corey''s interesting things, and the meal time passed pretty quickly.


    After dinner, he returned to the apartment and saw Qian Xiaobao waiting in front of Xu Shan''s room again.


    ¡­


    "Xu Shan, that... have you eaten?" Qian Xiaobao asked nervously.


    "I ate." Xu Shan replied unexpectedly.


    "Oh." Qian Xiaobao scratched his head and glanced at Xu Shan in disappointment.


    Lu Chen didn''t look at the two chatting very well, so he said hello and closed the door of his room.


    "This Qian Xiaobao is really persistent." Lu Chen couldn''t help shaking his head.


    To be honest, Xu Shan looks quite normal, quite an ordinary girl, and an older female doctor.


    This Qian Xiaobao''s own conditions are not bad. If you lower your requirements, you definitely don''t have to lower your profile to chase people.


    However, there is something in the eyes of the lover, and Lu Chen doesn''t say much, so he can just take care of himself.


    There are also updates


    (end of this chapter)

 v2 Chapter 747： Lu Chens specialist clinic

    Chapter 747 Lu Chen''s Expert Clinic


    The next day.


    Lu Chen continued to run in the morning, had breakfast, went back to the apartment to take a shower, and then went to work.


    Today, he did not go to the department.


    Instead, I went directly to the outpatient building of the Cardiology Department of Guanghai First Hospital.


    Lu Chen took over from Yan Wanfeng''s Cardiology Specialist Clinic.


    came to the gate of the outpatient clinic.


    Lu Chen was stopped by the nurse outside the clinic.


    "Sorry, the consultation doesn''t start until 8:00." The young nurse pointed to the clock on the wall, "It''s only 7:50, and you have to wait outside for ten minutes. You can go in after the doctor calls. "


    "You can''t cut the queue."


    "Everyone has their own number on the registration slip."


    "There is an automatic blood pressure monitor in the waiting room. You can measure your blood pressure first and record it on paper."


    The little nurse patiently explained to Lu Chen.


    Lu Chen wanted to interject, but never found a chance.


    Only after the little nurse finished speaking, did she have the opportunity to take out her badge, she smiled helplessly: "Well, I am the doctor who went out of the outpatient clinic in the second district of my heart today."


    "Ah?" The little nurse opened her mouth wide and looked at Lu Chen in surprise, "But the doctor from the second general outpatient department in the heart has already arrived. Did you make a mistake? The schedule is repeated? Do you want me to help? Can you adjust it?"


    This little nurse speaks really fast, and she picks up the phone very diligently, preparing to call the outpatient office. It seems that she is really changing classes for Lu Chen.


    "Hey, don''t, I''m a doctor at the specialist clinic."


    Lu Chen said quickly.


    "Special...specialist clinic?"


    The little nurse thought Lu Chen was joking.


    Go see a doctor who specializes in outpatient clinics. Either white hair or Mediterranean baldness. There are almost no specialist outpatient clinics like Lu Chen.


    The registration level of Guanghai First Hospital is divided into three


    General outpatient clinics, specialist outpatient clinics, and special needs outpatient clinics.


    The general outpatient clinic is usually the attending or deputy chief physician.


    The expert clinic is the deputy chief physician and above.


    Special needs outpatient clinics, which are also the accounts of some Chinese medicine masters, and the registration fee can cost thousands of yuan.


    "My name is Lu Chen, the deputy chief physician of the second district of the heart. This is my badge." Lu Chen handed over his badge again, "You can check for yourself who is out of the specialist clinic in the second section of the heart today."


    The little nurse stared, how could there be such a young deputy chief physician?


    She flipped through the schedule at hand, hey, the second district in her heart was indeed Lu Chen!


    "Director Lu, no, I''m sorry." The little nurse quickly bowed her head and apologized, "I didn''t know it was you..."


    "It''s okay, if there''s nothing else, I''ll go in." Lu Chen waved his hand, took back his badge, and walked into the consultation room of the second district specialist outpatient clinic.


    The little nurse looked at Lu Chen''s back, still a little unconvinced that she could be the deputy chief physician at such a young age? !


    ¡­


    walked into the consultation room.


    Lu Chen found the white coat prepared for him by the outpatient clinic on the hanger behind the door.


    Put on a white coat, don a badge, sit in front of the computer, and turn on the power.


    Everything is ready, Lu Chen can finally show his talents.


    Although he has been to outpatient clinics before, most of them are accompanied by higher-level doctors, and the number of outpatient clinics that he actually visits by himself is relatively small.


    Now, Lu Chen is doing outpatient work for the first time in his own independent capacity.


    Before the outpatient work started, a female graduate student came to the clinic, who was arranged by the group to help Lu Chen.


    Lu Chen only needs to see the patient. As for the doctor''s order and the writing of the course of the disease, it is all done by the female graduate student.


    Arrival at 8:00, the outpatient clinic officially starts!


    Lu Chen turned on the caller.


    "Hey, why isn''t the content displayed?" Lu Chen was taken aback.


    There is no one in the patient list.


    "Maybe it didn''t refresh?"


    Lu Chen clicked the refresh button, but it was still blank.


    "The caller must be stuck!"


    He immediately restarted the caller and entered his account and password.


    is still blank.


    "Xiao Zhong, do you think the computer is stuck? It crashes?" Lu Chen looked at the female graduate student beside him.


    Zhong Hui nodded awkwardly, "Mr. Lu, let me restart your computer for you."


    She quickly pressed the restart button of the computer, and then secretly glanced at Lu Chen.


    This teacher is really young, handsome, and is the deputy chief physician, but why can''t he figure out the situation? !


    This is that there is no patient calling him at all!


    ¡­


    After ?? restarting the computer, Lu Chen finally accepted this extremely cruel reality.


    "Mr. Lu, you went out of the outpatient clinic on the first day today, and others probably didn''t understand the situation." Zhong Hui comforted in a low voice, "The patient will definitely come later."


    Lu Chen''s expression was a little melancholy. The neighbors on both sides were very lively, and it seemed that there were many patients...


    Now we can only wait inwardly.


    After half an hour.


    After Lu Chen refreshed the caller''s patient list again, a patient''s information appeared in the spare time.


    "Come on!" Lu Chen blinked.


    This is about to open!


    Lu Chen immediately clicked the "call" button, but after two minutes, no patient came in.


    "Mr. Lu, the patient has just registered, and may not have come out of the clinic." Zhong Hui reminded in a low voice, "Wait for a few minutes and call again."


    "Okay." Lu Chen felt that the student had a point.


    After waiting for three minutes, he called once.


    After five minutes, the number was called again.


    Still no one entered the consultation room.


    "Could it be that the registration is in the morning and the patient comes in the afternoon?"


    Just when Lu Chen was about to give up, the door of the consultation room was quietly opened.


    Lu Chen was shocked when he saw this, and immediately sat upright.


    This patient stepped into the door of the outpatient room with one foot. After seeing Lu Chen''s appearance, he immediately retreated.


    Lu Chen: "..."


    Forget it, it¡¯s just a matter of chance.


    Lu Chen''s excitement when he first went out to the specialist clinic has returned, and now he has become a Buddhist.


    There is no patient registration, and he is happy to relax.


    On the side, Zhong Hui broke the mystery in one sentence: "Director Lu, the fee for the expert outpatient number is quite expensive. Your number costs three hundred yuan. When others see your introduction, you are only 28 years old... I don''t think you dare to hang up. already."


    "That number just now..." Lu Chen frowned.


    "I guess it''s wrong..." Zhong Hui whispered, peeking at Lu Chen, afraid of saying the wrong thing.


    Lu Chen: "..."


    Die before you get out of school!


    Lu Chen had already received 10,000 critical hits without seeing a patient.


    ¡­


    "Hello, is this Director Lu Chen''s clinic?"


    Just when Lu Chen was about to fish for the morning, a very young female patient slowly walked into the consultation room.


    "I am." Lu Chen was shocked.


    Sure enough, a second registered person appeared on the caller list.


    And this patient was looking for him by name, so he should have gone to the wrong clinic.


    The female patient was about thirty years old. Sitting in front of Lu Chen, she immediately took out almost three medical records from her backpack.


    "Doctor Lu, please help me take a look."


    Looking at the medical records more than a foot high in front of him, Lu Chen fell into deep thought for a while.


    I have been home at 8:00 for the past two days, so tired.


    Only barely 3 changes.


    (end of this chapter)

 v2 Chapter 748： Simple test, not simple diagnosis

    Chapter 748 Simple test, not simple diagnosis


    Fortunately, there are not many patients now, and Lu Chen has enough time to look at these medical records.


    "Tell me about your condition first." Lu Chen opened the medical record book.


    While reading, listen to what the patient has to say.


    The patient''s name is Chen Xing, 34 years old this year.


    The HP on her head is 66(¡ª¡ª).


    "Okay." Chen Xing paused for a while, "You may think it''s incredible, but I''m really not pretending, I''m really not hypocritical!"


    Lu Chen looked up at Chen Xing, "Tell me."


    "Well." Chen Xing''s expression was a little solemn, "My illness is a long story..."


    It turns out that Chen Xing has been physically weak since birth and had irritable bowel syndrome before.


    This urticaria started 5 years ago, on face, armpits, chest, and red skin.


    It''s been even weirder lately.


    She became more and more ''unable to stand'', either because she lacked strength, or simply couldn''t stand.


    As long as you stand for three or five minutes, you will get sweaty and dizzy, but you can get better quickly when you squat and lie down.


    "When you stand up, you get sick, but when you lie down, you get better?"


    Lu Chen wondered, this is very strange.


    Unexpectedly, the first patient in my specialist clinic was such a peculiar patient.


    Such a thick medical record proves that she has seen many hospitals and still has no clue.


    "Yeah." Chen Xing nodded quickly, "Sometimes my heart rate can reach 180 beats per minute, I''m especially afraid of heat, I sweat a lot at night, and I have to use an ice pack when I sleep. Not to mention going to work, I go shopping. less than..."


    After Lu Chen learned about her general condition, he began to read Chen Xing''s previous medical records.


    Among them, sinus tachycardia and premature atrial contraction were found on Holter.


    The rest of the examinations, including echocardiography, coronary CTA, chest CT, etc., showed no significant changes.


    In the course of the disease, Chen Xing had taken IC antiarrhythmic drugs and beta-blockers.


    However, hypotension and fatigue occurred, and the drug was discontinued.


    Another ablation treatment was performed, but the effect was not good.


    "I went to large and small hospitals in the city, but I haven''t found any problems yet." Chen Xing looked lonely.


    Actually, she came to Guanghai First Hospital for treatment today.


    Because of her rich medical experience, she checked all the doctors'' information in advance. Among them, Lu Chen was the best at electrophysiology, so Chen Xing hung up his expert account without hesitation.


    Even though Lu Chen looks so young, she can''t control most things at all. She can only find the cause as soon as possible and solve this problem that has plagued her for many years.


    ¡­


    After reading the patient''s medical records, Lu Chen had already made up his mind.


    He closed the medical record and said slowly: "For a young woman like you, there are very few structural heart diseases, but autonomic dysfunction is very common."


    "Some people say that I have menopausal syndrome." Chen Xing frowned, "Is urticaria also an autonomic disorder?"


    Lu Chen shook his head, "I don''t know about urticaria, but I''ve heard of irritable bowel syndrome, which is also related to autonomic dysfunction."


    "Then what should we do?" Chen Xing wondered.


    In the past, some doctors have said that this is an automatic nervous system disorder, but no solution has been given.


    Just let her rest more and not get excited, but it doesn''t work at all, and the uncomfortable symptoms will continue to appear.


    Lu Chen heard the words, but said calmly: "I need you to do an experiment to further confirm, don''t be too nervous, this experiment is very simple."


    "Okay, I''ll listen to you."


    No matter whether it is useful or not, as long as it is related to the inspection, Chen Xingquan will not refuse.


    Seeking a doctor Over the years, Chen Xing has done too many examinations.


    The experiment requested by Lu Chen is very simple, a standing experiment.


    After the patient was lying on the back for ten minutes, then stood up, and the heart rate and blood pressure were measured one minute, two minutes, and three minutes after getting up, respectively.


    The results came out quickly.


    After lying on his back and standing upright, Chen Xing''s heart rate increased and continued to increase, but there was no hypotension.


    At this moment, in Lu Chen''s eyes, the answer was ready to come out.


    Lu Chen looked at Chen Xing and said slowly, "Your disease is called hyperadrenergic POTS."


    "What?" Chen Xing was taken aback, "It''s that simple?"


    She had done CT, ECG, MRI, etc. before, but no problem was found yet.


    Lu Chen just asked her to do such a simple experiment to confirm the diagnosis?


    This is really incredible!


    Lu Chen smiled: "It''s almost there, you need to urinate for a whole day and have another tube of blood drawn. You don''t need to be nervous, it''s not serious."


    Chen Xing gritted his teeth and did not speak for a while.


    Seeking a doctor for several years, no one ever told her the cause of the disease


    Now, Lu Chen just asked her to do a simple experiment and then directly stated the diagnosis.


    "Okay, I''ll do it now!"


    Chen Xing didn''t say much, took the test order that Lu Chen gave her, and walked out of the consultation room.


    At this time, Lu Chen also took a breath.


    The first patient in my specialist clinic finally finished it.


    It seems that there is not much conversation, but in fact half an hour has passed.


    "Teacher, what is this disease you are talking about?"


    the female graduate student Zhong Hui asked in a low voice, "How come I''ve never heard of it."


    Lu Chen smiled: "This name is a bit long, you won''t be able to remember it if you say it all."


    "Hyperadrenergic POTS, POTS is a Postural Orthostatic Tachycardia Syndrome."


    "This is a type of orthostatic intolerance accompanied by tachycardia manifestations, which is more common in women aged 15 to 35 years, and can develop symptoms of tachycardia, cerebral hypoperfusion, and activation of autonomic tachycardia after standing upright, and symptoms after lying down lighten or disappear."


    Zhong Hui is a little bit vague: "In terms of performance, it''s really very similar, that is, you were sure from the beginning that this female patient is POTS?"


    Lu Chen nodded slightly: "I was skeptical at first, because POTS has to be differentiated from inappropriate sinus tachycardia (IST).


    "Both of them primarily affect young women, and symptoms often overlap. But IST did not exacerbate symptoms by being upright, had a higher mean heart rate than POTS, and did not have the typical high heart rate peaks."


    "When I saw the results of the body position test, I was basically sure that it was POTS. The following is the type of classification, and the rest is to check the blood results."


    POTS is also divided into hyperadrenergic, neurological, hypovolemic, etc., which can be further classified by catecholamine detection, skin biopsy, blood volume assessment, and immunological testing.


    Lu Chen briefly explained Zhong Hui''s condition.


    As a graduate student entering clinical practice, her clinical experience is basically zero.


    ¡­


    As soon as the first patient left the consultation room, within a minute, the door of the consultation room was pushed open again.


    A woman wearing a short skirt and black high heels, with big waves and a smile on her face, walked into the clinic slowly.


    I''ve been too busy lately.


    Write as much as possible.


    (end of this chapter)

 v2 Chapter 749： lure

    Chapter 749 Temptation


    Is this a new outpatient?


    Lu Chen frowned slightly and refreshed the patient list of the caller.


    However, he did not see any new patient registration!


    "If you want to see a doctor, go to register first." Lu Chen said softly.


    But looking at this person''s dress, it doesn''t seem like he''s here to see a doctor...


    The woman in front of her is more delicate in appearance, and she wears makeup, which makes people take a few more glances.


    "Director Lu, I''m not seeing a doctor, I''m from the Qilu factory." The woman''s voice was delicate and she smiled at Lu Chen.


    It turned out to be a pharmaceutical agent, and Lu Chen was taken aback.


    During his master¡¯s and doctoral studies, few pharmaceutical agents have approached him.


    Because their medicines are designated by their superiors, after all, all medical orders must be reviewed by their superiors.


    But now it is different, Lu Chen has independent prescription rights.


    can even decide the medication of the lower-level physicians in the group.


    Pharmacy, began to move at the sound of it.


    On the day that Lu Chen went to the clinic, he found it in the clinic.


    "Hello." Lu Chen replied lightly.


    He doesn''t have a cold on these medicines, but everyone comes out to eat, and at least respect must be given.


    "Director Lu, this is your first time out of the outpatient clinic." The woman smiled slightly, "I have never seen you in the outpatient clinic before."


    "Well, I just came to the hospital not long ago." Lu Chen nodded.


    "You are really young." The smile on the woman''s face became more intense, and she slowly walked to Lu Chen''s side, "This is the first time I have seen such a young deputy chief physician."


    Lu Chen smiled and said nothing.


    Seeing that Lu Chen didn''t speak, and the woman didn''t feel embarrassed, she continued, "Listen to the accent, isn''t Director Lu local?"


    "no."


    "Sounds like someone over there in the lake? My hometown is over there."


    "Yeah." Lu Chen was not surprised, the accents near the lake were easier to identify, and they could basically be heard.


    "Let''s just say it, then Director Lu and I are still half fellows..." The woman talked about some household stuff, but didn''t say anything about medicine.


    Lu Chen could only have one match, and chatted with her when he didn''t.


    Maybe this is the advantage of beauty.


    In terms of communicating with people, it is easier to get close to people, and it will not be annoying.


    Dealing with pharmaceutical agents is something that every clinician must have experienced.


    Real medical treatment is not just about curing diseases and saving people.


    is more likely to face the test of money and power.


    Lu Chen is also slowly getting acquainted with the change of his identity, from a student to a deputy chief physician who really leads medical care.


    "Director Lu, you''re so young and handsome, you must have a girlfriend! Even if you don''t, there must be a lot of people chasing after him." The woman covered her mouth and chuckled.


    "That''s not true." Lu Chen shook his head.


    "That is Director Lu''s requirements are too high!" The woman kept putting a high hat on Lu Chen.


    Although Lu Chen knew she had ulterior motives, a smile appeared on his face.


    "I know a lot of beautiful girls, and the family conditions are not bad." The woman smiled, "If Director Lu wants to meet, then I will introduce you two."


    said, the woman inadvertently moved to Lu Chen''s side again.


    Lu Chen frowned, immediately sat up straight, waved his hand, "Thanks, I''m not interested for the time being."


    "That''s fine." The woman wasn''t embarrassed by being rejected.


    She just paused for a while, her eyes drifted out the window, and seeing no one outside, she continued: "Director Lu, we have some medicines in Qilu, so I might trouble you to take care of them."


    said, the woman quietly handed a piece of paper to Lu Chen.


    Lu Chen glanced lightly, all the names of medicines on it.


    Among them, Chinese traditional oral medicines are the main ones.


    "Doctor Lu, you just came here, you may not know which one of them..." The woman leaned down and whispered, "As long as you open a box of these medicines, we will all get a rebate."


    "Okay, I see." Lu Chen replied lightly.


    This kind of thing, Lu Chen disdain to do.


    What kind of medicine should be used for what patient, then what medicine should be used.


    He will not prescribe medicines that are not symptomatic or even useless to patients because of related interests.


    "Director Lu, don''t worry, these medicines have undergone rigorous clinical trials, and some of them have even been written into the Chinese and Western medicine treatment guidelines." The woman laughed softly, "Many patients have reported that these medicines are very useful, you When you usually go out to the outpatient clinic, you can bring some for these patients with coronary heart disease or heart failure, like this medicine, you can open six boxes of each, and let the patient come to the outpatient clinic after eating."


    Lu Chen glanced at the medicine, an unknown Chinese patent oral medicine.


    The key is that this drug is really well approved by the State Food and Drug Administration.


    Compared with some western medicines that have undergone strict clinical trials, it is easier to obtain approval and copyright numbers.


    Incredible, but it seems reasonable...


    "Okay, I see." Lu Chen still said the same thing.


    Seeing that Lu Chen didn''t say anything, the woman still had a smile on her face.


    She has seen this kind of doctor who has just led the team. She may be reserved at first, but once she gets the benefits of prescribing the medicine, she can''t stop.


    In other words, if you see other doctors get much more money than yourself, it will be unbalanced.


    Her chance has come.


    Before leaving, the woman took out a card from her bag, "Director Lu, this is a little bit of caution."


    A supermarket shopping card with a face value of five hundred.


    There were more than one ??, she took out two at a time.


    The shot is 1,000 yuan!


    "No, thank you." Lu Chen frowned.


    If you are someone else, if you are a young doctor who has just entered the clinic, you may really be reluctant to give up the money.


    But alas, he is not.


    Lu Chen''s hand didn''t even touch the card, he just said indifferently, "As you said just now, the medicines recommended in the guidebook should be used, and I will use them. Take this card back. Bar."


    The woman was taken aback for a moment, this was her first time, she couldn''t give anything!


    Other doctors may refuse to say a few words, but they all agree to follow.


    But this young deputy chief physician really has a personality!


    "Director Lu, I don''t mean anything else, just treat it as a gift between friends." The woman''s face was always smiling, and it seemed that Lu Chen''s actions would not provoke her.


    "We seem to have just met, aren''t we that familiar?"


    Lu Chen''s words made the woman startled.


    Just when she wanted to say something, Lu Chen interrupted her: "I''m sorry, there are patients waiting outside. If you don''t see a doctor, please go out first."


    After saying this, Lu Chen started calling.


    That''s right, Lu Chen welcomed his second patient.


    When the woman saw this, she could only silently withdraw her card and smiled at Lu Chen, "Then Director Lu, you are busy first, and we will discuss it in detail next time."


    The woman took small steps, gave Lu Chen a smile, and left the clinic.


    No more.


    The day after tomorrow, we will have a three-day holiday and will make up for it.


    (end of this chapter)

 v2 Chapter 750： Seeking a doctor (night shift)

    Chapter 750 Seeking a Doctor (Night Shift)


    Lu Chen didn''t want to take care of the drug generation.


    This woman was the first to come to him, but she was only one of the pharmacists.


    It is foreseeable that more people will come to Lu Chen in the future.


    Zhong Hui, a female graduate student, stared at Lu Chen blankly. This was the first time she had seen a doctor righteously rejecting the offer of Yaodai.


    He is Lu Chen, the genius boy who was passed on by word of mouth.


    Zhong Hui turned her head sideways and glanced at Director Lu Chen secretly.


    Lu Chen whispered to himself, "When you are a doctor, you won''t think about getting rich; if you want to get rich, you won''t be a doctor. Isn''t it better to earn money in other professions?"


    Zhong Hui''s heart moved slightly.


    At this moment, Lu Chen''s image became incomparably stalwart in his heart.


    As long as he is a medical student, he has more or less feelings of helping the world.


    But today, Lu Chen really stood in front of her and taught her the first clinical lesson, how to face the drug generation.


    ¡­


    Immediately afterwards, the second patient walked into the consultation room.


    She is an old lady of about 70 years old. She was sitting in a wheelchair and was slowly pushed in by her family.


    "Hello, Professor Lu." The family member is a young girl in her twenties.


    Walking into the consultation room, she turned slightly to greet Lu Chen.


    A simple action, which made Lu Chen''s favorability to her instantly rise.


    "All, come ahead of me." Lu Chen moved the chair in front of him and motioned for his family to push the wheelchair over.


    "Professor Lu, hello, I was introduced by Dean Ouyang Ming."


    The first sentence of the family members indicated their intention.


    She took out a medical record book from the small black bag she was carrying.


    Lu Chen was also quite curious.


    Professor Ouyang is really powerful, so he will introduce patients to him?


    Open the case and take a closer look, it turns out to be a patient with severe aortic stenosis.


    Here in Guanghai, TAVR surgery has just started, and it is far from developing as well as Kyoto and Magic Capital.


    In Modu, there are already several hospitals that can independently carry out TAVR surgery.


    But in Guanghai, currently only Guanghai Central Hospital, this hospital can do it, and it can only do simple and mild patients.


    Once, surgery cannot be performed for slightly more complicated patients or patients with severe valve calcification.


    "I heard that you can perform minimally invasive valve surgery here, so I came here." The family looked at Lu Chen with anticipation.


    Lu Chen didn''t respond immediately, put down the medical record book in his hand, "I''ll check the patient''s condition first."


    No matter what was written in the medical record, no matter what the patient''s previous diagnosis was, Lu Chen was still willing to trust his own consultation and physical examination.


    He held a stethoscope and asked the old lady for a physical examination.


    Because there are not many outpatients, Lu Chen''s physical examination was carried out in great detail.


    This physical examination was somewhat surprising to both the patient and the family.


    They went to the professor at Guanghai Central Hospital who performed TAVR surgery.


    Professor took a look at the medical records and said that the operation could not be done, and directly sent them to the magic capital or Kyoto.


    And the doctor in front of them, whether or not he can perform this operation, left a very good impression on them.


    The way of communication between doctors and patients is not only about verbal communication, but more about the details of these physical examinations. This silent "communication" method is often more effective.


    There are many things, and I cannot easily listen to the opinions of other doctors.


    The ancients said that when they learned about this, they had to do it.


    ¡­


    About ten minutes passed.


    Lu Chen stopped what he was doing, looked at the patient''s family, and said slowly: "The aorta is severely stenotic, the patient is older, and there are many underlying diseases. A normal thoracotomy has high risks, many complications, and troublesome post-care. Now Only TAVR surgery, which is minimally invasive valve intervention, can be considered.¡±


    "Hmm." The family members nodded quickly, "Our family found President Ouyang, and he said the same. Can you do this surgery here?"


    After ??, the family members looked at Lu Chen with hope.


    It is too long to go to Kyoto or the magic capital. The old lady can''t stand this kind of toss and is unwilling to go.


    If you can''t find a place where you can perform surgery in Gwanghae, that''s too bad.


    "Can."


    Lu Chen''s simple two words, in the ears of family members, are like the most pleasant words.


    "That''s great!" The girl was quite excited, she clutched the handle of the wheelchair tightly, "Professor Lu, then please put my grandma in the hospital quickly!"


    Lu Chen said in a serious tone: "The surgery can be done. Although it is a minimally invasive surgery, there are risks, and it may not be possible to complete the surgery."


    "Don''t worry, I know all this." The girl nodded quickly, she was really afraid that the doctor in front of her suddenly refused the operation again, "Surgery is dangerous, and we, as patients, can understand it."


    "Okay, then, I''ll give you a hospital admission card, you can go through the hospitalization procedures." Lu Chen motioned for Zhong Hui to issue a hospital admission card.


    "Thank you, Professor Lu." The family thanked him continuously, and then left the clinic with the patient.


    "Call..."


    Finally finished watching another patient, Lu Chen was still very happy.


    Although there are not many patients, he can answer various questions for the patients more calmly.


    Lu Chen thought about it, took out his mobile phone, and called Jin Miao who was in the ward.


    "Hello, Director Lu?"


    Jin Miao was doing room rounds when he received a call from Lu Chen, so he didn''t dare to neglect and answered the phone quickly.


    "It''s me. I just received a patient with severe aortic stenosis in the outpatient clinic. You should prepare for the operation. If there is no problem, arrange the operation as soon as possible."


    "Okay, I see, Director Lu."


    Jin Miao was slightly surprised, this is going to be TAVR surgery?


    Guanghai No.1 Hospital has not been opened yet.


    Lu Chen is going to make a breakthrough of zero!


    Although Jin Miao knew for a long time that Lu Chen was very accomplished in the TAVR field, seeing him in person was another matter.


    This kind of surgery is ahead of the whole country.


    As long as it can be carried out, the popularity of their department can be launched.


    More importantly, as the attending doctor under Lu Chen, he can learn from Lu Chen and have the opportunity to get in touch with TAVR surgery.


    If he really masters this kind of skill, then there is another hope for his career promotion!


    "Director Lu has accepted a patient, let''s hurry up and round the room, and prepare to accept the patient later!"


    Jin Miao took his graduate students and Ji Pearson to start the rounds. At this time, he was full of energy!


    ¡­


    What Lu Chen didn''t expect was that the second patient had just left.


    Here comes another pharmacy!


    is also a young girl with a good appearance.


    Lu Chen couldn''t help but complain, the pharmaceutical industry is so complicated?


    It''s no wonder that the director of a certain department and a pharmaceutical agent are always dealing with power and sex.


    Lu Chen''s way of dealing with these pharmacokinetics is to treat them coldly.


    In addition, another hospital in Guanghai, the leader of TAVR surgery in Guanghai Central Hospital, Professor Shi Langqin, is planning a major event about TAVR!


    Night shift.


    We will take three days off tomorrow, and the update will make up for it.


    The day shift has been too busy recently, so I can''t complain.


    (end of this chapter)

 v2 Chapter 751： Chairman (first update)

    Chapter 751 Chairman (First Update)


    Guanghai Central Hospital.


    Department of Cardiology, Director''s Office.


    "Professor Shi, who do you want to invite to this TAVR surgery conference?"


    In the ?? office, a fat-headed and big-eared doctor smiled and looked at Professor Shi Langqin, who was seated by the master.


    "Of course there are renowned experts in the country, all of them are invited, especially in the two places of Kyoto and Modu." Shi Langqin smiled, "Although our Guanghai started harder than them, we are developing very fast now. By the end of the month, the number of 20 surgeries should be completed."


    Shi Langqin is one of the more famous professors of cardiology in Guanghai Central Hospital. He has made achievements in the fields of electrophysiology, coronary intervention and TAVR.


    However, each head is related, and each head is not the strongest.


    Professor Shi Langqin is in the Guanghai Cardiology Department, but he can be regarded as a relatively "tragic" figure.


    At the beginning of coronary intervention, he could not win others.


    Later changed to focus on electrophysiological surgery, and was surpassed by other hospitals in Guanghai.


    Now that TAVR is a new type of field, he, Shi Langqin, can finally show off his skills.


    "Professor Shi, as long as you can sit on the chairman''s seat this time, then Guanghai''s future TAVR will be yours!"


    The chubby doctor was flattering all the time.


    But what he said was right, coronary intervention stents have entered the ranks of centralized procurement, the price of stents has plummeted, and many people do not want to learn coronary intervention.


    But TAVR is a new type of surgery, and many equipment have not entered the ranks of centralized collection, but it is still a big deal!


    This is also the reason why the TAVR industry is currently hot.


    Most of the future surgeries will definitely develop towards the direction of minimally invasive intervention.


    TAVR is the benchmark for the development of intracardiac intervention.


    "Hey, don''t lift me up so high, I still have a long way to go!"


    Although he said so, the smile on Shi Langqin''s face did not diminish at all!


    His purpose for holding the TAVR conference this time is for the position of the chairman.


    Guanghai currently does not have a branch of Cardiology TAVR intervention, as long as Shi Langqin takes the lead, the chairman of the branch must be his!


    This is the chairman of the branch, representing the highest level in the region. In the future, all TAVR resources of Guanghai will be in his hands.


    Funds, papers, and professional titles are nothing to worry about after that!


    Shi Langqin is already fantasizing about a happy life after becoming the chairman of TAVR in Shanghai Guanghai...


    ¡­


    at the same time.


    The cardiology departments of top hospitals across the country have been invited by Guanghai.


    Qin Sifeng from Kyoto, Zhang Shuqing and Dai Wansong from Magic Capital, and well-known TAVR professors from western Sichuan and Fudan all received invitations from Shi Langqin.


    Forming a chapter is no small matter.


    After all, everyone sees the development prospects of the TAVR field.


    "Guanghai?" Zhang Shuqing smiled helplessly.


    If he remembered correctly, that student of his went to work in Guanghai.


    With his qualifications and TAVR level, the position of the chairman will get Shi Langqin from Guanghai Central Hospital?


    "Then I will also go to Guanghai to meet my student." Zhang Shuqing has already ordered the doctors in the group, and he is going to Guanghai for a business trip.


    In addition, Dean Dai Wansong, who was working with Lu Chen in the TAVR class in the magic capital, also embarked on the road to the magic capital.


    Shi Langqin was his friend for many years, and this time Dai Wansong was also invited to stand there for him.


    For a time, the TAVR field in Guanghai was surging.


    Countless people in the industry in China have all turned their attention to this place.


    ¡­


    At this time, Lu Chen was still receiving patients in the outpatient clinic.


    As the outpatient time passed, the number of patients who came to see a doctor in his outpatient clinic gradually increased.


    Among them, a small part was introduced by Professor Ouyang.


    The ?? part is that there are no other doctors'' numbers, only Lu Chen has an expert number here.


    No matter what the patient''s purpose is, Lu Chen tries his best to solve everyone''s troubles.


    "Auntie, your chest pain doesn''t look like coronary heart disease, it looks like menopausal syndrome." Lu Chen patiently said to a female patient in her fifties, "Many middle-aged women will encounter this problem for no reason. chest pain, chest tightness, and no high-risk factors for coronary heart disease before, it is likely just an autonomic disorder."


    "Really?" Auntie still doesn''t quite believe it, "In our community, there is a woman about my age who has a heart attack!"


    "She''s not in the same situation as you, don''t worry so much, bring yourself into it." Lu Chen smiled helplessly, "Your electrocardiogram is normal, and you don''t usually have high blood pressure, diabetes, or other problems, such as coronary heart disease. The probability is very low.¡±


    "The probability is low, so there is, right?" Auntie looked quite nervous, "Why don''t I do a coronary angiography, so that I won''t be able to sleep every night."


    "Hey." Lu Chen said, "You usually think about things too much, and your mind is heavy. If you have to rule out coronary heart disease, you don''t need to do angiography. You can do a coronary CTA and you can also diagnose coronary heart disease."


    "Okay, Professor Lu, I''ll listen to you. You quickly give me a checklist, and I''ll do it now."


    Seeing that Auntie was so nervous, Lu Chen didn''t have any ink, he opened the checklist and test and asked her to go to the queue.


    ¡­


    After a while.


    Another 60-year-old aunt came to the consultation room.


    Wearing a pair of reading glasses, she probed the probe into the clinic.


    Seeing that there was no one in Lu Chen''s clinic, she walked in.


    Lu Chen refreshed the patient list, but did not find any newly registered patients.


    "Are you seeing a doctor? Did you go to the wrong clinic?" Lu Chen said.


    "I didn''t go wrong, it''s Dr. Lu''s number." The aunt walked into the outpatient clinic with a smile, then sat down in front of Lu Chen and rolled up her sleeves, "I''m here to see high blood pressure, help me measure my blood pressure. Bar."


    "Hanging up an expert account for 300 yuan just to see high blood pressure?" Lu Chen was taken aback for a moment.


    This is the first time he has seen such a "big problem" patient.


    "Show me the registration slip." Lu Chen said.


    "Oh, it''s not wrong, I''m here for you." Aunt took out the registration form and handed it to Lu Chen, "Look carefully, it''s your clinic number."


    Lu Chen saw that it was the registration receipt from the day before yesterday, and the registered doctor also went out of the clinic yesterday.


    "Auntie, this is your registration order the day before yesterday, not today." Lu Chen explained.


    "I registered the day before yesterday, can''t I watch it today?" The aunt''s face showed a puzzled look.


    "It''s not that I don''t show you. I don''t have your information here. I can''t write medical records, and I can''t prescribe medicine for you." Lu Chen said word by word.


    "It''s easy to handle, I''ll just ask a few questions, it won''t bother you, it won''t waste your time, and you won''t need to prescribe medicine." The aunt looked at ease, and took back the registered ticket the day before yesterday.


    Guarantee five more


    (end of this chapter)

 v2 Chapter 752： Contractual Relationship (Second Update)

    Chapter 752 Contractual Relationship (Second)


    Lu Chen smiled and shook his head: "Auntie, I''m sorry, I need to be responsible for what I said, and we need to record the corresponding diagnosis and treatment measures in the medical record."


    "I''ll just ask a few questions, so troublesome?" Auntie frowned, looking a little impatient.


    "In case I said the wrong thing or used the wrong medicine, I wrote it down in the medical record. This is also a kind of protection for you."


    Lu Chen knew that he couldn''t fight with such an aunt, or else the clinic would be in trouble today.


    "Don''t worry, I won''t blame you." The aunt waved her hand, with a smile on her face and a good-natured look.


    "It has nothing to do with whether you blame me or not." Lu Chen said, "You can refund the previous registration ticket and put up today''s outpatient number, and I can show it to you."


    Hearing this, Auntie''s face changed.


    "I''ll just say it clearly, your registration fee is 300 yuan, which is too expensive! I just asked about high blood pressure, a few words, it''s not worth it at all." The aunt stood up and put her hands on her hips, "I didn''t expect You, a young doctor, fell into the eyes of money! You really have no medical ethics! Young doctors today are so unethical!"


    Lu Chen''s face remained unchanged, and he said softly, "Auntie, if you think the expert number is expensive, you can go to the general outpatient number."


    "What did you say?!" When the aunt heard this, she became anxious again, "Do you think I look down on the expert number? Let me tell you, my son is the boss of a big company."


    "Auntie, your blood pressure is high, don''t be angry, regenerate your anger, and your blood pressure will be higher." Lu Chen said lightly.


    "Huh, you little doctors, you have no medical ethics, you really have no medical ethics!"


    Auntie''s voice became louder and louder, and she even stood at the door of the consultation room and shouted loudly, wanting to let everyone in the other consultation rooms know the same.


    "Aunt, this place is under surveillance, if you make noise again..."


    "Oh, I''m still afraid of you?" The aunt ran into the consulting room again, with one hand on her hip and one finger on the ground, "Don''t say it''s you, your principal is here today, and so do I!"


    Lu Chen glanced at Auntie coldly, then turned around and said to Zhong Hui: "Little Zhong, you call the hospital security and say that someone is making trouble."


    After he finished speaking, he took out his mobile phone and prepared to make a call, "I''ll call the police."


    Zhong Hui is an honest child. He immediately listened to Lu Chen''s words and took out his mobile phone to make a call.


    "Hey, do you think I''m afraid of you?! Still calling the police?"


    Aunt snorted coldly, but she had slowly moved out of the consultation room and walked out quickly.


    In a blink of an eye, she disappeared.


    Lu Chen was of course just pretending.


    Even if the police came, there was nothing to do with this old lady.


    "Then do I still call?" Zhong Hui took the phone and blinked.


    "No need." Lu Chen shook his head.


    At this moment, the little nurse at the door of the consultation room hurried over.


    "Director Lu, are you all right?"


    "It''s okay." Lu Chen said.


    "I was talking to other patients just now. I didn''t watch the old lady and let her in." The little nurse said apologetically.


    "It''s okay, but you know this aunt?" Lu Chen asked in confusion.


    The little nurse smiled helplessly, "Not only I know her, but the nurses who work here and the doctors who often go out to outpatient clinics know her. She makes a call every time, and then says that she will leave after only a few questions. In fact, it takes at least half an hour to ask. ."


    "Ask for half an hour?" Lu Chen was taken aback.


    "That''s right." The little nurse nodded, "I can''t drive it away, and it delays the patients in the back from seeing a doctor. But if it''s just like this, then forget it, but after every time the aunt asks, she refunds the registered ticket... "


    This wave of show action also blinded everyone''s eyes.


    After seeing the treatment, the registration fee will be refunded without prescribing medicine.


    "Oh, we have no choice but to watch closely. If you don''t call her, we won''t let her in. I didn''t pay attention today." The little nurse was young and thin-skinned, and she was also scolded by this aunt.


    "The forest is getting bigger, and there are all kinds of birds." Lu Chen said, "According to the rules of the hospital, next time she makes trouble, call the security guard."


    "Director Lu, you can stand up." The little nurse whispered, "Other doctors are better off doing more than one thing, and sometimes they see auntie."


    Lu Chen also did not comment on the behavior of other doctors.


    In fact, there is a contractual relationship between doctors and patients.


    is not a simple consultation and medical treatment.


    You are my patient, then I will be responsible for you.


    Registration is a simple proof of contract.


    The little nurse is gone.


    Lu Chen turned around and said to Zhong Hui, who had been silent all along, "Do you think I''m a little indifferent? Don''t treat auntie?"


    Zhong Hui quickly shook his head: "No."


    Lu Chen just smiled, "Actually, although being indifferent is not good, it is one of the ways to protect yourself."


    "In the face of some special patients, blindly tolerance and tolerance will not get their understanding. On the premise of protecting our own safety, we will use reasonable means to defend our little dignity as doctors."


    Lu Chen was also moved.


    Auntie is just one of the many patients. She quarrels the most and dares not do anything.


    There are also some extreme patients or family members who will act whenever they disagree. This is also a lot of people.


    "Well, Director Lu, I see." Zhong Hui nodded.


    When she first entered the clinic, she saw very little.


    Lu Chen''s words were kept in her heart by her.


    Perhaps in the future, when she truly enters the clinic, she will truly understand the meaning of these words.


    ¡­


    However, after the aunt left the clinic, Lu Chen was still disgusted.


    She went directly to the medical department to complain.


    Director Zhang Jun of the Medical Department contacted Lu Chen.


    "Director Lu, I understand your situation. This aunt is a celebrity in the outpatient department of our hospital. Next time, please stop arguing with her. If it doesn''t work, just talk to her and send her away."


    Lu Chen could only echo a few sentences.


    "Director Lu, don''t pay too much attention to these patients. There are too many complaints, which will affect future promotions."


    "Okay, thank you Director Zhang."


    Lu Chen thanked him.


    Lu Chen couldn''t agree more with the practice of the medical department and the mud.


    She wants to complain, so she goes to complain.


    However, as long as you tolerate it once, the aunt will have to make progress.


    As for the promotion, it doesn''t matter, after three years, he was automatically promoted...


    ¡­


    One morning, Lu Chen saw six patients.


    There are not many patients, and the condition is not difficult, but the process involved makes Zhong Hui feel quite deep.


    "Director Lu, when will you go out of the clinic next time, can I continue to follow?" Zhong Hui whispered.


    "Of course." Lu Chen smiled and nodded.


    Before there are no students of your own, it is great to have other students come to help.


    At least you don¡¯t have to write the course of the disease and prescribe the doctor¡¯s order yourself.


    (end of this chapter)

 v2 Chapter 753： Tangled (third more)

    Chapter 753 Tangled (Third)


    After leaving the clinic, Lu Chen had lunch in the cafeteria, and he returned to the apartment.


    During the ?? period, he also met Jin Miao.


    learned from Jin Miao that the patient with aortic stenosis who was admitted to the hospital in the morning has already stayed in the department.


    Next, after completing the preoperative examination, assessing the surgical method, risks, etc., he can start the TAVR surgery.


    The specific content of the operation needs to be discussed in detail with the patient and his family.


    As the breakthrough of TAVR surgery in Guanghai First Hospital, the hospital also attaches great importance to this operation.


    Even on the day of the surgery, reporters will be arranged to come.


    After the operation, Lu Chen and the surgical team will be interviewed, taking this opportunity to publicize the TAVR intervention level of the Cardiology Department of Guanghai First Hospital.


    These media announcements, Lu Chen didn''t take care of them, just leave them to the hospital.


    ¡­


    Continue to leave the clinic in the afternoon.


    Fewer patients came to see Lu Chen¡¯s doctor.


    Only one patient came to ask about TAVR surgery, which was also introduced by Professor Ouyang.


    Compared to other doctors, Lu Chen''s reputation in Guanghai Cardiology Department is not very big.


    He is not very concerned about this status quo.


    The longer I stay in Guanghai, the more patients will definitely come to see him.


    At four o''clock in the afternoon, see that no patient has come.


    Lu Chen immediately turned off the outpatient registration and ended the first day of outpatient work.


    "Director Lu, then I''ll go first."


    After saying hello to Lu Chen, Zhong Hui left the clinic.


    Lu Chen also packed up the stethoscope he carried with him and went back to the department first.


    in the department.


    Jin Miao was treating new patients with graduate students, and Lu Chen came to the ward of patients with "aortic stenosis".


    At this time, in the ward, the old lady and her granddaughter were worrying about something.


    Just now, they received a call from the team of Professor Shi Langqin from Guanghai Central Hospital.


    The doctor on the phone gave them time to go back to Guanghai Central Hospital and perform TAVR surgery as scheduled.


    "Can''t you do it before? Can you do it now?" the girl asked suspiciously.


    "Next week, Professor Shi will invite Professors from Kyoto and Modu to discuss the patient''s surgery." The voice on the phone was quite proud, "This is a once-in-a-lifetime opportunity. Many people want to find this kind of opportunity. It can''t be touched!"


    "Sorry, we have already stayed in Guanghai No. 1 Hospital." The girl said.


    "Guanghai First Hospital?" The voice on the other end of the phone was surprised, "In our Guanghai, only our hospital can perform TAVR surgery. Don''t be fooled!"


    The girl frowned slightly. Can only the central hospital in Guanghai do it?


    "If you are worried, you can check it online. The doctor with independent surgical qualifications is our Professor Shi Langqin! What''s more, this time, it is not only our Professor Shi, but also the great professors in Modu and Kyoto to discuss together. patient''s condition."


    "If you want to, come and contact us."


    The girl''s expression was a little hesitant, "Then I''ll discuss it with my family."


    "Make a decision as soon as possible! A little later, maybe this opportunity will be given to others, so I can''t control it!"


    hung up the phone, the girl frowned deeply.


    Mrs. God on the side also saw that something was wrong with her, "Xiaofang, who''s calling?"


    Xiaofang hesitated for a long time, but still said: "Grandma, it''s from Guanghai Central Hospital. I called and said that they have professors from Kyoto and Modu over there, and let us go there for hospitalization."


    "I''ve already lived here, I''m not going there!"


    Unexpectedly, the old lady refused the proposal without even thinking about it.


    "Why, grandma, we just moved in, we can find a reason to be discharged from the hospital!" Xiaofang thought for a while and said, "There are big professors from Magic Capital and Kyoto in the central hospital. Professor Lu is very nice, but He''s a little too young."


    "I''m going to you!" The old lady shook her head firmly, "I think Professor Lu can do it! It''s not like he hasn''t been to the Central Hospital, what Professor Shi over there didn''t even look at me, and urged us to leave. When you asked him to do surgery, he still refused."


    Xiaofang was a little silent.


    This part of the journey to seek medical treatment is really hard.


    encountered numerous obstacles in Guanghai Central Hospital, and finally found Professor Shi Langqin, and the other party left without saying a word.


    If it wasn''t for the relationship to find Professor Ou Yangming, and he asked Lu Chen to find him, their grandparents and grandchildren really didn''t know what to do.


    After seeing Lu Chen, he was not neglected like in Shi Langqin, and he didn''t even have any physical examination.


    Shi Langqin almost never met his grandmother.


    On Lu Chen''s side, in the consultation room, Professor Lu gave grandma a very detailed physical examination.


    This kind of treatment, they have never encountered in the process of seeking medical treatment.


    But now, it is related to the effect of grandma''s surgery...


    Xiaofang is very tangled, really tangled!


    ¡­


    At this moment, Lu Chen walked into the ward.


    "Professor Lu, you''re here." The old lady smiled when she saw Lu Chen coming in.


    "Well, mother-in-law, are you okay now?" Lu Chen smiled.


    "Fortunately, even though I was walking fast, I felt a little tight in my chest and couldn''t breathe." The old lady told the truth about her condition.


    Lu Chen nodded, this is a very typical symptom of heart failure, "How is it when you sleep at night? Do you feel that you are lying on your back when you are sleeping, and there are times when you wake up?"


    "Not at all." The old lady thought about it.


    "Okay." Lu Chen said, "You may need to do a more detailed preoperative examination in the hospital for the past two days. We need to fully understand your valve condition, such as valve position, degree of calcification, etc."


    "We all listen to you, we will do whatever inspections need to be done." The old lady smiled.


    "Um."


    Lu Chen checked the old lady again to avoid mistakes and omissions in the outpatient clinic in the morning.


    After making sure that the old lady had no other problems, Lu Chen left the ward.


    Looking at the back of Lu Chen''s departure, the old lady smiled and said to the granddaughter beside her, "Xiaofang, you can see now that Professor Lu is different from other professors."


    "What''s the difference?" Xiaofang shrugged.


    "Very gentle, very confident, in the words of your young people, this is the charm of personality." The old lady smiled, "This time, I live with Professor Lu, and at the central hospital, I don''t Will go again."


    Seeing that her grandmother had said so, Xiaofang could only nod her head in agreement.


    Looking back, she has to continue to check Professor Lu Chen''s resume on the Internet.


    ¡­


    Guanghai Central Hospital, Director''s Office of Cardiology Department.


    "Isn''t the patient candidate for the demonstration operation medical record yet found?" Shi Langqin frowned and looked at the fat doctor beside him.


    The fat doctor shook his head, "You said that patients with mild disease do not need it, and it is not challenging, so I did not look for it. For severe patients, all we know is an old lady with severe aortic stenosis, but I just called her family. , they seem to have gone to Guanghai First Hospital."


    "Guanghai First Hospital?" Shi Langqin wondered, "As far as I know, they only sent people to the Magic Capital and Kyoto for further study, haven''t they developed this technique independently?"


    "The specific situation is not clear." Dr. Fatty said, "However, many of the new doctors in Guanghai First Hospital this year may have dug some people from other places, so I don''t know."


    Shi Langqin suddenly felt a sense of crisis, "Fatty, go check it out and see who is in charge of Guanghai First Hospital. In addition, continue to look for patient candidates!"


    "it is good!"


    (end of this chapter)

 v2 Chapter 754： Do you really need guidance? (fourth tone)

    Chapter 754 Does it really need guidance? (fourth tone)


    After get off work, Lu Chen returned to the apartment.


    He ordered a rice bowl as usual at a Sichuan restaurant and packed it back to the apartment.


    This time, he didn''t meet Xu Shan.


    But in the stairwell, Qian Xiaobao was waiting here again.


    Lu Chen just smiled at him, then took out the key, ready to open the door.


    "That... Lu Chen, do you know when Xu Shan usually comes back?"


    Qian Xiaobao asked suddenly.


    Lu Chen turned his head and shook his head slightly: "I''m sorry, I usually don''t pay much attention to this, now it''s time to get off work, it should be fast."


    "Oh, thank you." Qian Xiaobao touched the back of his head.


    "You really insist." Lu Chen said with admiration, "Learn from you."


    "Hehe." Qian Xiaobao was a little embarrassed, "I just give it a try, I don''t have much hope."


    "I think there should be a lot of hope." Lu Chen said, "There shouldn''t be many persistent boys like you."


    Both of them graduated with a doctorate, so they should have a lot of common topics in the same hospital.


    Qian Xiaobao is not bad except for being fat.


    "This...you don''t understand." Qian Xiaobao smiled mysteriously.


    Lu Chen shrugged, ignoring Qian Xiaobao, and went back to his room.


    ¡­


    Lu Chen was eating his rice bowl when he received a video call from his mother.


    quickly wiped his mouth and put the food aside before Lu Chen picked up the video call.


    "Hey, Xiaochen, are you off work?"


    connected to the video call, and the portraits of Luo Meizhen and Lu Wenguo appeared on the screen.


    "Well, just got off work." Lu Chen smiled, "Mom and Dad, you two are not going to work today?"


    "I just got off work." Luo Meizhen smiled, "Quickly show me your accommodation conditions."


    "it is good."


    Lu Chen had no choice but to take his mobile phone and show his parents a look at his apartment.


    "Oh, it''s not bad!" Luo Meizhen narrowed her eyes and smiled, "The treatment in Guanghai is not bad, and they can live in such a big apartment for you."


    "Yes, and after three years, the property rights will be transferred to us." Lu Chen said.


    "Well, not bad, not bad." Luo Meizhen said to Lu Wenguo, "Old man, did you see how good Xiaochen is! We have worked hard for most of our lives, and we may not be able to afford this house in Guanghai."


    "That''s right, don''t even look at whose son." Lu Wenguo''s old face also showed a smile.


    Seeing that his parents no longer had the sadness he felt when he left his hometown, Lu Chen felt a little better.


    "Mom and Dad, if you have time, you can take an annual leave and come to Guanghai to play." Lu Chen smiled, "Anyway, my room is big enough to live in."


    "Okay." Luo Meizhen nodded immediately, "After a while, your dad and I will take time off, let''s take all the vacations we''ve hoarded, and come to Guanghai to accompany you."


    "That''s great." Lu Chen said happily, "I can eat the food my mother made again."


    After chatting with his parents for half an hour, Lu Chen was about to hang up.


    Unexpectedly, Luo Meizhen reminded: "You kid, remember to find a girlfriend, look at how many of your cousins ??have changed!"


    "Fine, I see."


    Lu Chen quickly hung up the phone.


    The food was a little cold, so he could only warm it up in the microwave before eating it.


    After dinner.


    Lu Chen began to enter the virtual space of the system, and began to practice TAVR surgery according to the situation of the outpatients today.


    ¡­


    The next day.


    Another new day, Lu Chen came to the ward.


    In the ?? department, everyone already knew that Lu Chen was going to undergo TAVR surgery.


    "Director Lu, do you need an assistant for this operation?"


    Many senior doctors in charge went to Lu Chen to ask.


    If you can really get on the line of Lu Chen, then the probability of being promoted to deputy director is much higher!


    "I don''t need it for now." Lu Chen shook his head.


    Hearing Lu Chen''s answer, everyone was a little disappointed.


    Jin Miao also heard Lu Chen''s remarks, and his heart froze for the most part.


    He dreamed yesterday that he could be Lu Chen''s assistant, and then he would go all the way and reach the pinnacle of his life.


    Unexpectedly, just after arriving at the hospital today, this dream was shattered by Lu Chen.


    "Let''s start the ward round." Lu Chen said to Jin Miao and others.


    Actually, as a superior doctor, Lu Chen doesn''t need to make rounds every day.


    According to the relevant clinical regulations, the superior doctor should check the room two to three times a week.


    However, when Lu Chen first arrived, he decided to come to the department every day to familiarize himself with the normal operation of the department as soon as possible.


    "Patients with 12-bed heart failure, remember to strengthen diuresis until dry weight... Pay attention to the stability of the internal environment, and quickly replenish if the potassium is low."


    "The 18-bed patient with pulmonary arterial hypertension must always pay attention to the blood pressure. The blood pressure of such a patient is too low, and it is not easy to rise."


    "By the way, there are still 7 patients in the bed. The electrocardiogram is supraventricular tachycardia, not ventricular tachycardia. Remember to distinguish clearly. Another family member communicated that if you want a radical cure, you will do radiographic ablation this morning..."


    Jin Miao followed Lu Chen and recorded everything he said in detail.


    As he spends more and more time with Lu Chen, Jin Miao has completely treated him as a powerful superior doctor.


    In just three days, Lu Chen used his actual clinical ability to prove that he was qualified for the position of a superior physician.


    ¡­


    Heart Second District, Deputy Director''s Office.


    Yan Wanfeng had just finished dealing with other things in Corey when he thought of Lu Chen who had been in the department for three days.


    It stands to reason that Lu Chen took his place.


    encountered some difficult problems that Lu Chen couldn''t handle, Jin Miao would definitely come to him!


    But for three days, Jin Miao never called him at all.


    "Could it be that Lu Chen''s luck is so good? Haven''t there been any critically ill patients in the group recently?"


    Yan Wanfeng thought so, but decided to come to the office to see it in person.


    Originally, in order to train Lu Chen, he was not prepared to come over.


    Come to the doctor''s office.


    Lu Chen happened to be away, and Jin Miao was teaching the intern next to him how to write medical records.


    "Xiaojin, where did Lu Chen go?" Yan Wanfeng said.


    "Director Yan, Director Lu went to the ward to see the patient." Jin Miao said immediately, "Yesterday, a patient with severe aortic stenosis came, and Director Lu went to communicate with the patient''s family about the operation in person."


    Yan Wanfeng also knew that Lu Chen was going to have TAVR surgery.


    "Doctor Jin, are the patients in the group in the last few days okay?" Yan Wanfeng changed the subject, "Are there any more severe patients?"


    Jin Miao hurriedly said: "Director Yan, the condition of the patients in the group is similar to before. Three of the patients are relatively serious. This morning, Director Lu carefully watched the patients."


    "Okay." Yan Wanfeng looked hesitant to speak.


    Is he really not needed to guide medication?


    Yan Wanfeng opened the patient doctor order system out of curiosity...


    There is one more


    (end of this chapter)

 v2 Chapter 755： Sponsorship fee for reading a doctorate (the fifth update)

    Chapter 755 Sponsorship for PhD Reading (Part 5)


    Yan Wanfeng opened the list of patients in his group.


    Surprisingly, there are quite a few patients in the group who are seriously ill!


    There are two ?? severe heart failure.


    There is also a severe stenosis of the aorta, and this patient has a very high risk of sudden death!


    And looking at the patient''s medical orders, there is basically nothing missing.


    According to his understanding of Jin Miao, his clinical thinking was not so complete.


    Most of the time, Jinmiao misses something more or less.


    Could it be that Lu Chen''s current ability is really capable of leading a team of senior doctors?


    "Xiaojin, how is Lu Chen in the department these past few days?" Yan Wanfeng said, "Is something wrong?"


    "Everything is fine." Jin Miao said immediately, "Director Lu is very familiar with the hospital''s medical records and doctor''s order system, and can already make doctor''s orders. He went to the outpatient clinic yesterday, which is good."


    "Then...then what do you think of Lu Chen''s clinical ability?" Yan Wanfeng finally asked the question he was curious about, "Can you be a superior doctor?"


    Hearing this, Jin Miao was stunned for a moment, and then smiled: "Director, what you said, don''t look at Director Lu''s youth, his clinical ability is nothing to say, anyway, I''m far behind."


    Seeing Jin Miao complimenting Lu Chen so much, Yan Wanfeng was surprised and relieved at the same time.


    The better Lu Chen is, the better the future of their department will be!


    At this time, Lu Chen just came back from the ward.


    "Director Yan, you are here." Lu Chen greeted Yan Wanfeng with a smile.


    "I''ll come and have a look." Yan Wanfeng nodded slightly, "Are you still used to it yourself?"


    "I''m quite used to it, I''m almost familiar with it." Lu Chen smiled, "If there is anything I don''t understand, I always ask Jin Miao."


    "Well, three days is already quite good." Yan Wanfeng said with appreciation, "By the way, there is a meeting on TAVR next week, you can come with me to attend it."


    "Okay." Lu Chen nodded.


    Now, Lu Chen urgently needs to brush his face in the academic circle and increase his influence.


    ¡­


    Lu Chen and Yan Wanfeng chatted for a while, and the latter went back to the office.


    "I''ll do a CT this afternoon, and the pre-operative preparations are almost done." Lu Chen said to Jin Miao, "I''m going to have the surgery tomorrow morning. After the inspection of the room tomorrow morning, you and Keli''s doctor will take over a shift and ask them to help take care of it. patients in the ward."


    "Huh?" Jin Miao was stunned for a moment, but did not react.


    Lu Chen raised his brows, "You don''t want to have TAVR surgery?"


    "Think about it!!!"


    Jin Miao''s face immediately showed joy.


    "But I heard you say before, don''t you need a surgical assistant?"


    "That''s because I already have you. This operation doesn''t require a second assistant." Lu Chen laughed.


    "Great!" Jin Miao was excited for a while.


    He thought that Lu Chen really didn''t take him!


    If he can get on Lu Chen''s thigh, then he can definitely get rid of the title of "Ten Thousand Years Old Master"!


    The other attending doctors in the department, at this moment, that is sour!


    Seeing Jin Miao "licking" like this, everyone is envious and disdainful, a complete contradiction.


    But more doctors just think that Lu Chen may be very powerful, but Jin Miao can be a free coolie at most, let him observe it on the operating table.


    Do you really want to teach Jinmiao TAVR technology?


    Church apprentices, the matter of starving the master to death, in medicine, that also happens.


    ¡­


    At this time, Jin Miao was full of energy.


    He can''t wait to have surgery now!


    "Director Lu, do I need to pay attention to the surgery tomorrow?" Jin Miao asked cautiously.


    "It''s your first operation, just pay attention to my operation." Lu Chen said, "When you go home tonight, you should watch the operation video of the TAVR operation first to familiarize yourself with the entire operation process."


    "Okay!" Jin Miao nodded immediately, but then he scratched his head again, "Director Lu, that, I don''t have TAVR surgery video resources..."


    Although there are many resources on the Internet, such cutting-edge and high-end surgical operation videos are really hard to find.


    And there are only a handful of people in China who can produce teaching and operation videos.


    Lu Chen smiled, "Then send me your email, and I''ll send you some TAVR operation videos after get off work."


    Others don''t have videos, and there are still quite a few videos here.


    Many of them were in the Magic City TAVR class, when he performed surgical operations and others recorded them for everyone to learn.


    "Okay, thank you Director Lu." Jin Miao said excitedly, "I will study hard."


    This kind of video material is still very valuable.


    Lu Chen was able to give it to him directly, proving that he was not regarded as an outsider!


    ¡­


    in the ward.


    Xiaofang looked at her grandma solemnly, "Are you really not going to the central hospital?"


    "Don''t go!" The old lady''s attitude was very firm, "Didn''t you also check Professor Lu''s information, he is also very good at this, and has done a lot of operations!"


    "But among the great professors who came to Guanghai this time, there is Lu Chen''s mentor, Professor Zhang Shuqing!" Xiaofang thought about it, "A mentor is always better than a student, right?"


    "That''s not necessarily true." The old lady shook her head. "What''s more, we have already agreed with Professor Lu. I believe him. If you regret it now, what''s the matter?"


    "Alas." Xiaofang had no choice.


    However, she found Lu Chen''s information on the Internet, which showed that she was really good at TAVR surgery, which made her feel at ease.


    Since grandma is going to operate here, then let her do it.


    Guanghai Central Hospital.


    Department of Cardiology, Director''s Office.


    "Director, the invitation letters have been sent, and all the directors will come."


    "That''s great." Shi Langqin smiled and patted the fat doctor on the shoulder, "What about the candidates for surgery?"


    "The old lady still refused, but today a male patient with a similar condition came in. I have communicated with him and agreed to perform TAVR surgery." The fat doctor said immediately.


    "Well, this is a good job!" Shi Langqin nodded slightly, "Work hard, next time I publish a paper, I will bring you a work."


    "Okay, thank you Director." The fat doctor looked happy, "Director, the matter of my nephew''s doctoral quota..."


    "This..." Shi Langqin shook his head, "There are too many students who have contacted me this year, and there are also many outstanding students. I will have to wait a little longer for my doctoral place."


    The fat doctor also sighed in his heart when he heard the words.


    I heard that Professor Shi Langqin''s doctoral degree is clearly marked, and it is impossible to get into without sponsorship fees.


    Doctor Fat was a little disbelieving before.


    However, the more he got in touch with Shi Langqin, the more he felt that this matter might not be groundless.


    However, on the surface he can only be full of smiles.


    "Then please take care of the director."


    "Well, don''t worry." Shi Langqin was very satisfied with Doctor Fatty''s attitude, "As long as he is good enough, I will definitely reserve a spot."


    (end of this chapter)

 v2 Chapter 756： Rescue of sudden syncope (first update)

    Chapter 756 Rescue of sudden syncope (first update)


    afternoon.


    After evaluating all the results of the "aortic stenosis" patient''s examination, laboratory tests, etc., Lu Chen finally determined the specific surgical procedure.


    After communicating with the patients and their families about the risks of surgery, they signed the informed consent form and finally determined the surgery time.


    "The surgery will start at nine o''clock tomorrow morning." Lu Chen explained to the old lady, "Don''t be too nervous, TAVR surgery is a minimally invasive interventional surgery. You are awake the whole time. If you feel any discomfort, you can always remind me. of."


    "Okay, Professor Lu, I''ll listen to you." The old lady smiled kindly, she pulled Lu Chen''s hand and chuckled, "You don''t need to be under pressure, just treat me as a normal patient, even if I go out We won''t blame you for anything."


    "Don''t worry, Auntie, we will do our best." Lu Chen smiled.


    There are patients who follow the doctor''s orders, the doctor''s work is also very good, and they can prepare for the operation wholeheartedly.


    Lu Chen continued to explain some precautions to the patient''s granddaughter, and then left.


    is approaching the end of get off work.


    Jin Miao came to Lu Chen and reminded embarrassedly, "Director, that video... If you have time, don''t forget it."


    "Don''t worry, I''ll send it to you when I get back to the apartment." Lu Chen smiled.


    "Okay, thank you, Director." Jin Miao scratched his head and smiled honestly at Lu Chen.


    Lu Chen didn''t say much, came to the duty room, changed his white coat, and got off work.


    As a senior doctor with a team, he Lu Chen came to the department every day, and he was already very diligent.


    Like other groups of senior physicians, most of the time they are in their own offices or laboratories.


    It would be great to be able to round two days a week!


    ¡­


    Got off work early today.


    Lu Chen thought about it and finished his dinner in the cafeteria.


    Although the food in the cafeteria is expensive, there are many kinds, and at least the hygiene is better than outside.


    As for cooking by himself, although the apartment is fully equipped, Lu Chen has not thought about it.


    I ate a bit too much for dinner.


    Lu Chen did not go back to the apartment immediately, but prepared to take a walk in an artificial lake near the apartment.


    Take a slow walk after meals to aid digestion.


    Guanghai''s economy is developing rapidly, and the overall pace of life is fast.


    Pedestrians on the road are in a hurry, rushing back from get off work to cook and reunite with their families.


    The artificial lake next to the apartment is quite large.


    It is now around seven in the evening, and many elderly people, in twos and threes, are walking around the artificial lake.


    Occasionally, you can also see some anchors of outdoor live broadcasts.


    Lu Chen was walking while swiping his phone.


    Wang Zihao complained about how irregular the Kyoto Hospital was in the WeChat group, and Gu Xinyue also echoed.


    After returning from his Ph.D. abroad, Wang Zihao stayed in a top 3A hospital in Kyoto. With the experience of studying abroad, his work was smooth.


    Gu Xinyue was a Ph.D. student in Kyoto, and with the help of her tutor, she also stayed in a hospital in Kyoto.


    The two of them are considered to be relatively close among college classmates.


    As for Ke Yue, he stayed in the magic capital.


    Lu Chen came to Guanghai.


    Everyone is scattered all over the country, and they are very busy with work. It is quite difficult to meet each other now.


    Usually, everyone can only complain about their own hospital in the WeChat group.


    "Lu Chen, how are you doing in Guanghai?"


    Wang Zihao liked Lu Chen in the WeChat group.


    Lu Chen thought about it, then edited a line of words, "It''s normal, I''m trying to lead a group."


    "I''ll go! Lao Lu, you are too ordinary!"


    Wang Zihao immediately complained: "Everyone has just graduated and joined the job, and they are all coolies under the director, but you secretly led the team by yourself?"


    Lu Chen smiled and sent another message, "I''m a vice-high now and I have a team, isn''t it normal?"


    Wang Zihao: "I''ll go! You, you... I beg you not to be mortal again!"


    Gu Xinyue: "+1 upstairs!"


    Ke Yue: "Vice-high belt team, it''s normal, why are you two so surprised?"


    Wang Zihao: "..."


    Lu Chen looked at the content of the chat and smiled.


    It is only when I chat with these old classmates that I can smile so comfortably.


    Usually in the department, he is the deputy high school, a genius in the eyes of everyone, and very few people will joke with him.


    Just like Jin Miao, as a senior doctor in charge, he usually doesn''t even have the courage to question Lu Chen in clinical practice.


    ¡­


    At this moment, not far in front of Lu Chen, there was a sudden exclamation.


    The crowd surged and went in one direction.


    Many elderly people were chatting, and soon they became noisy.


    Lu Chen didn''t want to bother.


    But when he passed the crowd, he inadvertently found a little girl lying on the ground.


    The HP on her head is 42(¡ª¡ª)!


    There are many people next to them who are leaning forward to check the little girl''s situation.


    Lu Chen''s footsteps paused, and immediately walked towards the crowd.


    The crowd of onlookers was shouting.


    "Someone passed out! Call an ambulance!"


    "Is there a doctor? I feel like she has no heartbeat and no breathing!"


    "Quick, come here!"


    Lu Chen was about to run forward, but found a figure rushing in front of him.


    Looking at the back, it should be a woman.


    She ran to the little girl, knelt beside her, and professionally checked her carotid artery pulsation and breathing.


    After ?? probing for a few seconds, she immediately began to perform chest compressions, and at the same time shouted to the person beside her: "Does anyone know this girl?"


    shouted aside, but no one paid any attention.


    She continued to start chest compressions.


    Lu Chen frowned. He felt that the woman''s voice was familiar, but he couldn''t think of where he heard it for a while.


    However, his attention now is all on the little girl lying on the ground.


    It seemed that she had a sudden syncope, and then her breathing and heartbeat stopped.


    It is definitely not easy to find the cause for a while now, so I can only do CPR and wait for the ambulance to arrive.


    ¡­


    Primary CPR, including chest compressions and artificial respiration.


    These two actions are best done at the same time.


    However, when there is only one person to operate, there is no way to do it. You can only perform chest compressions first, and then perform artificial respiration.


    The woman who was rescuing was a little hesitant. She was alone and could not do much. She could only ensure the continuity of chest compressions.


    Just then, Lu Chen caught up.


    "I''ll press, you give artificial respiration."


    The ?? woman looked beside her, slightly stunned, then nodded and immediately stopped the movements in her hands.


    Lu Chen took her place and continued to perform chest compressions.


    She knelt down beside the little girl and started artificial respiration.


    In textbooks, chest compressions and breathing are performed at a ratio of 30:2.


    But in actual rescue operations, it is most appropriate to keep the lungs ventilated as much as possible.


    It may be correct to follow the rescue steps according to the old rules, but it is very likely that the opportunity for rescue will be lost.


    There are three more


    (end of this chapter)

 v2 Chapter 757： Contrast (Second Update)

    Chapter 757 Contrast (Second)


    This kind of rescue is commonplace for Lu Chen.


    Every step, what needs to be done, has been firmly engraved in his mind.


    But it is difficult for a clever woman to cook without rice.


    There was nothing there, not even an AED, just bare-handed CPR, waiting for the ambulance to arrive.


    However, for the onlookers, the whole scene was thrilling.


    Everyone didn''t dare to come out, and they all stared at the rescue action of the two.


    There were even onlookers who took out their mobile phones and pointed them at the two people who were undergoing cardiopulmonary resuscitation.


    At this time, a middle-aged woman suddenly ran over in a hurry.


    When I saw the little **** the ground, I immediately broke down and cried.


    "Lily, what''s wrong with you!"


    The middle-aged woman''s mood was a little broken, Lu Chen frowned slightly, and said to the onlookers: "Pull her away first, don''t delay the rescue."


    A few young guys saw this and immediately pulled the middle-aged woman away.


    The middle-aged woman sat on the ground crying, "What are you doing! This is my daughter, Lily, what''s wrong with you! Mom is here!"


    At this time, she also knew that Lu Chen and the two were being rescued, so she just knelt on the side and shouted loudly.


    While performing chest compressions, Lu Chen quickly asked, "Are you a family member? What illness did the little girl have before?"


    It''s just that the middle-aged woman''s mood has collapsed, and she doesn''t care about Lu Chen''s words at all.


    "My Lily! Mom is late, what''s wrong with you!"


    Middle-aged women have been repeating these two sentences.


    Lu Chen was helpless and could only continue to rescue.


    He cooperates extremely well with women.


    After many cycles, the woman began to check the little girl''s heartbeat and breathing recovery.


    "Yes, there is a pulse!" the woman said.


    Lu Chen also got close to the little girl''s mouth and nose, the faint sound of airflow proved the recovery of breathing.


    "Phew...heartbeat and breathing have recovered."


    Although the pressing time was not long, Lu Chen''s hands were a little sore due to the high-intensity and continuous pressing at this tense moment.


    Fortunately, it is not far from Guanghai First Hospital.


    The siren of the ambulance sounded soon, and several medical staff carried stretchers and ran to the little girl quickly.


    "What''s the situation?" The emergency doctor immediately looked at Lu Chen.


    Lu Chen immediately said: "I''m a doctor from the Cardiology Department of Guanghai First Hospital. Just now, this patient had a sudden syncope on the road. He may have been walking. Just now, his breathing and heartbeat stopped. This lady and I were passing by and happened to meet. "


    "Well." The emergency doctor gave the girl a simple physical examination, "Fortunately, the heartbeat and breathing have recovered."


    Seeing that he was in the same hospital, the emergency doctor looked at Lu Chen more than once.


    Then, he said to the crowd watching: "Are there any family members?"


    Lu Chen pointed to the middle-aged woman who was slumped on the ground, "She is."


    "Okay, get into the ambulance and go to the hospital together."


    The emergency doctor did not waste time, tried to keep the middle-aged woman emotionally stable, and then quickly evacuated the scene with the little girl and her family.


    ¡­


    That''s it.


    The audience gave Lu Chen and the woman a thumbs up.


    There''s even no applause.


    From the little girl''s fainting, to the rescue, and finally the rescue was successful.


    Lu Chen''s calmness and skillful cooperation made everyone sigh and feel relieved.


    With the existence of such a doctor, everyone feels very secure.


    Lu Chen coped with the crowd, shook his sore arm, and prepared to leave.


    However, there was a sudden cry from behind.


    "Lu Chen!"


    Lu Chen was stunned for a while, then looked back.


    is the woman who rescued him with him just now.


    "You, you know me?" Lu Chen asked suspiciously.


    At this time, he only had time to carefully look at the woman in front of him.


    She looks extremely delicate, with curved willow-leaf eyebrows, fair skin, light lipstick, and a slender figure with uneven bumps.


    How to say it, it looks a bit familiar, but it doesn''t match the number.


    I saw the woman looking at Lu Chen with a half-smile, "Live across from me, don''t you know me?"


    "Huh?" Lu Chen was a little confused, "You... Are you Xu Shan?"


    How is this possible? !


    In addition to being able to match the age, this appearance and figure seem to be reorganized...


    Lu Chen recalled the first time he saw Xu Shan.


    Long bangs, even covering his brows.


    wears big glasses, covering most of his face.


    I don¡¯t even apply powder on my face, let alone apply lipstick.


    "That...I really didn''t recognize it." Lu Chen coughed softly.


    Even if your parents come, you probably won''t recognize them!


    Lu Chen finally knew why Qian Xiaobao was staring at Xu Shan.


    Qian Xiaobao''s own conditions are not bad, there is no need to exaggerate to chase after the previous "Xu Shan".


    It seems that Qian Xiaobao has probably seen what Xu Shan looks like now.


    "You pressed very neatly just now. I thought you were a scientific researcher, and you can''t do any clinical rescue." Xu Shan blinked and laughed lightly.


    Lu Chen also slowly accepted Xu Shan''s appearance and smiled, "Then you are wrong, my clinical practice is better than scientific research."


    Xu Shan smiled slightly, not too convinced.


    Introduced by special talents, most of them are excellent in scientific research. In short, they will publish papers.


    Clinical treatment is terrible, how do you judge it?


    Self-judgment? Peer-judged? patient rating?


    These are all inappropriate.


    "Have you had dinner yet?" Xu Shan said, "Let''s go to a Sichuan restaurant together?"


    "No." Lu Chen shook his head, "I ate in the hospital cafeteria."


    "Oh." Xu Shan nodded, "Then I''ll just go eat something else."


    At a fork in the road, Lu Chen and Xu Shan separated.


    Although Xu Shan''s current appearance is amazing, there is a sense of contrast, but Lu Chen doesn''t have too many ideas, he still has to focus on work!


    Back to the apartment.


    Lu Chen met Qian Xiaobao again on the stairs.


    This time, Lu Chen just smiled at him, then opened the door and entered his room.


    Most of Qian Xiaobao will be closed again.


    A girl who can read a doctorate and has such an outstanding appearance will not be easily moved by Qian Xiaobao.


    On the contrary, licking like this is very likely to make Xu Shan feel disgusted.


    But his feelings are his own. If he is willing to fight and suffer, Lu Chen will not talk too much.


    rested in the room for a while.


    Lu Chen found some videos of TAVR surgery practice in Modu before, packaged them and sent them to Jin Miao.


    Then, he continued into the virtual space to practice TAVR surgery.


    ¡­


    Jin Miao got off work and has been waiting for Lu Chen''s email.


    Wait until 8:00, and finally received the email!


    He eagerly opened the video, and he was unwilling to let go of every frame and every second of the picture.


    watched and watched until the early morning.


    Jin Miao finally felt a little sleepy, so she reluctantly turned off the video.


    He carefully backed up the video sent by Lu Chen and stored it in the cloud space.


    The value of this video is immeasurable to TAVR practitioners.


    ¡­


    (end of this chapter)

 v2 Chapter 758： The steps to amend the academician (the third update)

    Chapter 758 Steps for Modifying Academicians (Part 3)


    The next day.


    Guanghai First Hospital, Cardiology Catheterization Laboratory.


    After checking the room, Lu Chen brought Jin Miao to the catheterization room.


    "How was the video last night?" Lu Chen asked with a smile.


    "It''s very good." Jin Miao said, and then touched his head embarrassedly, "It''s just that there are too many videos, and the time is too short. I haven''t finished watching them yet."


    "It doesn''t matter, I''ll take a look at it later." Lu Chen said, "Today''s surgery, you mainly focus on observation. I will stop and explain the important operation process to you slowly."


    "Well, thank you Director Lu."


    This is the first time Lu Chen has come to the catheterization lab of Guanghai First Hospital.


    There are ten operating rooms in the entire catheterization laboratory, which is even larger than Kyoto and the Magic Capital.


    Really rich!


    There are six common operating rooms in total.


    Lu Chen''s operation this time was performed in the No. 2 operating room.


    The hospital attaches great importance to Lu Chen''s operation, which is a "zero" breakthrough in the hospital.


    The reporter invited by the hospital was already waiting in the catheterization room.


    The reporter is mainly responsible for a brief interview with Lu Chen after the operation, as well as taking some photos related to the operation.


    The other interventional doctors in the Cardiology Department rushed over as long as they were not on duty.


    For example, the directors of the cardiology department, Yan Wanfeng from the second district of the heart and others all came to the scene.


    This is a good opportunity to observe TAVR surgery up close!


    The hospital has even prepared a podium camera to record all the surgical procedures so that others can learn.


    ¡­


    Putting on a new surgical gown and lead gown, Lu Chen and Jin Miao entered the catheterization room together.


    Outside the catheter, everyone held their breath and watched Lu Chen''s movements silently.


    Preoperative preparation, disinfection, drape, puncture.


    These routine operations are not much different from normal coronary intervention and electrophysiology.


    Lu Chen taught while operating: "Actually, Academician Guo of the Department of Cardiology of Sun Yat-Sen University outlined 18 steps of TAVR surgery in detail."


    "If every operator can master these steps proficiently and analyze the difficulties and crux of them, they can avoid the occurrence of complications to the greatest extent, then TAVR is not difficult."


    Jin Miao echoed: "Well, I have also listened to Academician Guo''s lectures before, but these 18 steps are a bit cumbersome. If you don''t practice surgery often, it''s easy to forget."


    In fact, in clinical practice, there are very few doctors who can perform surgery by themselves.


    Cumbersome surgical steps are easily forgotten.


    "So, next is the main point I want to talk about." Lu Chen said solemnly, "I summarize the 18 steps of TAVR surgery into four ABCD points."


    Hearing this, Jin Miao''s eyes lit up.


    As a beginner of TAVR, Jin Miao was very interested in Lu Chen''s experience summary.


    Lu Chen smiled and continued: "The first point, A refers to Access, that is, entry processing."


    "This is the first skill to learn in TAVR surgery."


    "In previous interventions, the sheath inserted into the artery was only 6-7F, which is easy to handle. However, most TAVRs are above 18F, which is complicated and dangerous, and many interventional doctors need to relearn."


    ¡°¡­¡±


    Lu Chen explained while operating.


    The movements on his hands are not hurried and slow, with a calm look.


    His words can be heard directly by the people outside the catheter room through the voice system.


    Conduit outdoor.


    The crowd of onlookers originally just wanted to join in the fun.


    Take a look at how the first TAVR operation in the hospital was done.


    After all, there are very few things that can be learned without observing in the catheterization laboratory.


    However, with the deepening of Lu Chen''s teaching, everyone was amazed.


    This is not just surgery!


    Instead, he summed up his surgical experience and passed it on to everyone present.


    "How dare you revise the procedure of the academician''s surgery, this boy is really daring!" Director Yan Wanfeng sat outside the catheter room and said without much sigh.


    These people, when they meet academicians, may not dare to get out of the atmosphere.


    Lu Chen is good, summed up a more concise four-step method directly on the basis of the surgical steps prescribed by the academician.


    The most surprising thing is that Lu Chen didn''t hide his secrets, he directly disclosed all his surgical experience, and even the details of each operation.


    Actually, Lu Chen is different from others.


    Many directors or deans like to suppress young people.


    To put it bluntly, today is to prevent young people from surpassing themselves, so when imparting various knowledge and experience, they will more or less leave behind a little behind.


    Lu Chen doesn''t need it.


    He is not afraid of others surpassing him at all!


    ¡­


    After successfully completing the first step, Lu Chen started the second step.


    "B, refers to Balloon, which is balloon expansion."


    "This is also the core step of TAVR surgery, including anterior expansion and posterior expansion."


    "Balloon expansion can not only improve hemodynamics, but also provide an important reference for valve selection and risk judgment of coronary occlusion."


    "Of course, if you are not careful, it may also cause some serious complications, such as valve annulus rupture and circulatory collapse."


    There are more and more interventional doctors watching outside the catheter room.


    Many people even took out pen and paper and began to record every word Lu Chen said.


    The operation started, but it was only half an hour.


    Other interventional doctors have already filled the catheter room.


    "Congratulations, I received a thank you from Jinmiao..."


    "Congratulations, I received a thank you from Dai Wansong..."


    Lu Chen noticed it long ago.


    On the ?? system panel, his gratitude value is rising like crazy!


    Interventional doctors in the catheter room, the youngest is also the attending doctor, most of them are assistant assistant doctors and chief doctors!


    The higher the ?? professional title, the more thanks to Lu Chen.


    In just ten minutes, he earned hundreds of gratitude points.


    ¡­


    Lu Chen continued: "The third point of the operation, C, refers to Crossing, which is the transvalve."


    "This is the speed-limiting step of TAVR surgery. Sometimes it is still difficult and takes a long time. It is often the step that determines the length of TAVR surgery. This step also requires certain skills."


    Specific skills, Lu Chen will also demonstrate with Jin Miao.


    This made the audience jealous!


    How they hope that at this moment, they can take the place of Jin Miao!


    There are more and more interventional doctors watching.


    Yan Wanfeng, director of the scene, was not allowed to appear in person to maintain the order of the scene.


    Catheter room.


    Lu Chen is solving problems for Jin Miao step by step.


    "The last step of the operation, that is D, Deployment, is valve release."


    "Sometimes it is said that if TAVR surgery is a football match, the valve release is the last shot, the front has been laying the groundwork, the ball has been passing, and the last shot decides whether it is successful or not. ."


    "It can be seen that this step is very important in TAVR, and it is often completed within 2 minutes, which is also the charm of TAVR!"


    ABCD, the four precautions have been explained in detail.


    And Lu Chen''s surgery also ended successfully!


    Originally there was another chapter, but I haven¡¯t revised it yet. I¡¯m too sleepy. I¡¯ll post it tomorrow morning.


    Thank you for your donations and monthly passes.


    (end of this chapter)

 v2 Chapter 759： Take it to the next level? (make up for yesterdays)

    Chapter 759 Going to the next level? (make up for yesterday''s)


    The first TAVR operation in Guanghai First Hospital is completed!


    Conduit outdoor.


    Everyone looked at Lu Chen on the console in surprise.


    It turned out that Lu Chen had already brought in an ultrasound machine and was going to perform a postoperative ultrasound examination on the patient.


    "This... this is done? It''s only been an hour!"


    "I think...it should be done, didn''t you see that Lu Chen''s gloves were taken off?"


    "But while he is operating and explaining to us, he can still do it so fast..."


    "Let me ask, does Shi Langqin from Guanghai Central Hospital have such a fast speed?"


    "Absolutely not. I went to the central hospital to observe the operation. One of Professor Shi''s operations is estimated to take two or three hours, and he didn''t explain it at all."


    The speed is on the one hand, but also depends on the effect of the surgery.


    When Lu Chen finished the ultrasound, he compared the patient''s postoperative ultrasound with the preoperative ultrasound.


    Everyone can clearly see the degree of aortic valve stenosis in the patient, which is significantly improved than before!


    The stenosis of the valve was relieved, and the heart function recovered a lot immediately!


    Even if everyone doesn''t know how to perform TAVR surgery, they can understand that this surgery is done quite perfectly!


    "After watching an operation, how do you feel?" Lu Chen took off his gloves and hat, and looked at Jin Miao who was beside him with a smile.


    Jin Miao aside from helping Lu Chen with the first puncture, he was watching the whole process at other times, occasionally helping him with things.


    Jin Miao scratched his head and smiled naively: "I just feel that Director, you are doing so fast, you are doing so well, I... I didn''t see it clearly, I have to go back and watch more videos."


    "Well, take your time, you can''t eat a fat man in one bite." Lu Chen nodded slightly, "Let''s start with the simplest puncture first, and then you can follow me to the stage for the TAVR surgery."


    "Okay!" Jin Miao replied happily immediately.


    Lu Chen is also a lower-level doctor who has the intention to train himself.


    There are only limited surgeries he can do alone.


    But if some students can be trained to learn these new technologies and new projects, it will also benefit the common people.


    Compared with Shi Langqin''s broom, Lu Chen is more willing to teach what he has learned to other doctors.


    ¡­


    Get out of the cath lab.


    Seeing a large group of doctors surrounding the catheterization lab, Lu Chen was slightly stunned.


    Before the ?? operation, there were only a dozen or so doctors.


    Looking at it now, it is a piece of dark land.


    Yan Wanfeng, the director of the second district in my heart, is also among them.


    "Director Yan, you are..." Lu Chen wondered.


    Yan Wanfeng smiled and said, "Your operation is the first TAVR operation in our hospital, everyone come and learn."


    "Well, it''s good to exchange surgical experience with each other." Lu Chen nodded humbly.


    What is the exchange of surgical experience, he is talking about it all by himself.


    "The media reporters are waiting for you in the lounge. You can meet and answer a few questions, and by the way, help the hospital publicize it."


    Yan Wanfeng patted Lu Chen on the shoulder.


    He was a little worried about Lu Chen''s surgical ability at first, but after this time, I believe no one will question his TAVR surgical ability.


    "Okay, I''ll communicate with the patient''s family first before going to see the reporter." Lu Chen smiled.


    Then, together with Jin Miao, he pushed the hospital bed into a small room connecting the catheterization room to the outside world.


    The granddaughter of the patient is waiting in the house at this time.


    Seeing Lu Chen pushing the hospital bed over, the family members hurried forward, "Professor Lu, how''s the surgery going?"


    "Very successful!" Lu Chen laughed, "The old lady also cooperated with our operation very well, and everything was normal after the operation."


    "That''s great!" The family members said excitedly, and then hurriedly bowed to Lu Chen and Jin Miao, "Thank you, Professor Lu, and thank you Dr. Jin."


    Jin Miao smiled, "Although the operation was successful, the patient should be observed in the CCU ward for a few days, and then transferred back to the general ward depending on the situation."


    "Okay, I will listen to you." The family pulled the old lady and comforted, "Grandma, you will stay in CCU for a few days, I will come to see you, you don''t have to worry."


    The old lady just finished the operation, and she was a little weak, but she still smiled: "I know that Professor Lu is here, I am very relieved!"


    "Well." The family nodded.


    Then Jin Miao and the nurse pushed the hospital bed to the CCU ward, while Lu Chen went to the lounge to meet the media reporters from Guanghai.


    Lu Chen thought it would be very troublesome, but he just took a few pictures in the operating room.


    He then returned to a few questions from the reporter and the interview was over.


    ¡­


    Guanghai Central Hospital.


    Cardiac catheterization laboratory.


    "President Dai, you are welcome to come from afar!" Shi Langqin smiled and stretched out his palm towards Dai Wansong.


    Dai Wansong, deputy director of the Magic Capital Central Hospital, also stretched out his hand and hugged Shi Langqin tightly.


    "Old Shi, I haven''t seen you for a few years, you are still so old and strong!"


    The smile on Shi Langqin''s face became even wider.


    "That can''t be compared with Dean Dai! You have become the executive vice president of the hospital. Among our classmates, you are the best!"


    Dai Wansong and Shi Langqin are college classmates. The two have a deep relationship. After graduation, they both chose to major in Cardiology.


    The difference is that Dai Wansong made great strides and became the vice president of the Central Hospital.


    And Shi Langqin had no way to go further in his career, he could only think of a way academically.


    At the end of your career, you can change to be the chairman of the society, and you can also find a way out for the younger generation.


    "Old Shi, I passed the TAVR surgery two days in advance, just for your TAVR surgery, don''t let me down!" Dai Wansong laughed.


    "Don''t worry." Shi Langqin immediately instructed the lower-level physician to fetch the patient''s medical records, "High-quality patients will definitely make your trip worthwhile!"


    "Really? Then I have to study it carefully."


    Dai Wansong opened the patient''s medical records with a smile.


    Shi Langqin on the side was also a little booing.


    Three years ago, TAVR surgery was introduced to Huaxia by Academician Guo of Zhongshan Hospital. He and Dai Wansong and others were the same group to learn this technique.


    With the development of the past few years, TAVR surgery is in full swing in the Magic Capital Central Hospital where Dai Wansong is located.


    His Guanghai Central Hospital, which developed step by step, lags behind Magic Capital and Kyoto.


    Shi Langqin can only attribute the reason to the many talents in the magic capital.


    And he is just a bare commander in this wide sea!


    "Well, a good case!" After reading the patient''s case data, Dai Wansong nodded slightly, "The patient''s valve calcification is relatively serious, and the approach may need to be re-evaluated. At this time, the patient''s cardiac function is very poor, and the operation is too difficult!"


    "It''s so difficult, that''s why I brought you here!"


    Shi Langqin sighed, "Nowadays, many elderly people can''t bear the open-heart valve replacement surgery at all, so they can only perform this kind of TAVR surgery, but our technology is limited, and we have to seek the support of your magic capital and Kyoto! "


    "Don''t worry, I came to Guanghai this time to help you build this TAVR society, pool resources, and improve Guanghai''s surgical ability." Dai Wansong naturally understood the purpose of Shi Langqin''s words.


    "That''s great, with Mr. Dai here, our TAVR field in Guanghai can definitely take it to the next level!"


    (end of this chapter)

 v2 Chapter 760： Vice Chairman Lu Chen?

    Chapter 760 Vice Chairman Lu Chen?


    The afternoon after surgery.


    Guanghai''s media reported on Lu Chen''s surgery.


    Of course, this kind of report is only in a small area.


    After all, this is not the first case in the country, nor is it the first case in the province.


    Except for some specific patients and medical staff in the city, few others will focus.


    However, to achieve this effect, it is enough!


    The first TAVR operation was successfully completed, which also indicates that the intervention level of the Cardiology Department of Guanghai No. 1 Hospital is moving towards the national first-class direction.


    In Guanghai No. 1 hospital, Lu Chen''s name was initially launched.


    At the same time, Jinmiao is in the second district of the heart, which is infinitely beautiful.


    With Lu Chen, he can learn a lot more than in the past few years.


    Even in the clinic, he is more obedient to Lu Chen.


    Everyone can''t sigh, Jin Miao is really lucky!


    It happened that he was in Lu Chen''s group and could work behind the boss.


    And Jin Miao doesn''t care what outsiders say about him.


    He is now wholeheartedly improving his business ability, and wants to express himself in front of Lu Chen as soon as possible.


    ¡­


    Guanghai No. 1 Hospital, the second district in the heart.


    Office of the Director.


    Lu Chen and Yan Wanfeng sat opposite each other.


    "This time the operation was quite successful, Lu Chen, you''ve worked hard."


    Yan Wanfeng looked at the young man in front of him with great satisfaction.


    Having a doctor of this level in Corey has a huge impact on the entire hospital''s cardiology department.


    "The future TAVR surgery will be carried out slowly." Yan Wanfeng thought about it and said, "I have discussed with the hospital leadership, and you will be responsible for all the work on TTAVR."


    "Okay, thank you Director." Lu Chen nodded.


    This gave him a lot of power.


    The entire TAVR operation, related equipment, medicines, etc., were all prepared by Lu Chen.


    "Work hard at home." Yan Wanfeng smiled, "We old men can''t work for a few years, the future belongs to you young people!"


    This is a bright hint!


    Lu Chen hurriedly smiled and said, "Director, you are still young! I have to learn many things in clinical practice from you."


    Yan Wanfeng waved his hand and said with a smile, "Don''t flatter me. Jin Miao has already told me that your clinical ability is no worse than that of an ordinary director."


    Lu Chen did not deny it, but smiled slightly.


    "I was thinking about whether you could be a team doctor. Now it seems that I underestimated you." Yan Wanfeng said solemnly, "Lu Chen, you should stay in this position. Xiaojin, although My head is a little dull, but I am willing to work hard, and it is a good helper."


    "Ah? Director, you..." Lu Chen wondered.


    Before ??, Lu Chen was the doctor who replaced Yan Wanfeng.


    If Lu Chen continued to bring Jin Miao, what would Yan Wanfeng do?


    He can''t leave the clinic, can he?


    Yan Wanfeng is currently the deputy director of the second ward in the heart.


    The director of the Cardiology Department is usually not in the department, and Yan Wanfeng manages most things.


    "I..." Yan Wanfeng smiled immediately, "I have more important burdens to be entrusted to me in the hospital. I may not care much about clinical matters in the future."


    Lu Chen blinked.


    He''s not stupid. Listening to this, is Yan Wanfeng going to be promoted?


    "Then I''ll congratulate Director Yan in advance." Lu Chen continued.


    "Don''t worry, I will still be in the second area of ??my heart from now on." Yan Wanfeng said, "Lu Chen, you work hard, and I will add more weight to your burden in the future!"


    "Thank you, Director, I will definitely live up to your expectations."


    Yan Wanfeng said so, Lu Chen must have responded.


    "By the way, your TAVR surgery, if possible, train more talents for the hospital. What do you think of this proposal?" Yan Wanfeng looked up at Lu Chen.


    is entirely a negotiating tone.


    This condition is considered to be Yan Wanfeng''s replacement for the academy leader and asked Lu Chen.


    After all, this is a personal skill, and Lu Chen has no obligation to teach it to others.


    Lu Chen said without hesitation: "No problem, I happened to have this idea before."


    "That''s great!" The more Yan Wanfeng looked at Lu Chen, the more he really liked it.


    Today''s young people have this kind of dedication, not too many.


    "Director, but I don''t usually have much time." Lu Chen frowned, "Maybe I don''t have much time to teach, so I can only focus on gathering everyone when there is an operation, or find a time to gather everyone to study together. . In this case, the efficiency may be higher."


    "Don''t worry, the hospital will handle this problem for you, you just need to develop TAVR surgery well." Yan Wanfeng said with a smile, "In addition, if you have any problems in life and work, please contact me in time."


    "Okay, thank you Director." Lu Chen nodded.


    In this case, the hospital gave him the green light.


    is basically to fully support Lu Chen!


    This is very different from what Lu Chen was in when he was in the magic capital.


    After all, he was only a student before, and he did not really become a member of the magic capital.


    It is impossible for the hospital to put all its resources on one student.


    But things are different now. Lu Chen and Guanghai First Hospital signed a contract.


    Guanghai No. 1 Hospital can put all its resources on Lu Chen without any pressure.


    The top talent in the hospital is this treatment!


    And Lu Chen is on the rise now, and outsiders can''t suppress it at all.


    "By the way, at the TAVR conference in Guanghai next week, the Guanghai TAVR branch is going to be established at the conference." Yan Wanfeng said again, "We have a deputy director quota for the Guanghai First Academy. I discussed it with the leaders, and this quota is ready for you."


    "Vice-chairman of the TAVR branch?" Lu Chen was slightly surprised.


    Although he is only the vice-chairman of the Guanghai Branch, which is quite different from the National Association, his power is not small.


    In the wide sea, this title is already the top existence in the TAVR field.


    "With your current ability, you are absolutely competent." Yan Wanfeng smiled.


    Actually, if Lu Chen wasn''t too young, Yan Wanfeng was even thinking that with his surgical ability, it would be possible to become the chairman of this TAVR branch!


    However, this time the branch was led by Shi Langqin of Guanghai Central Hospital.


    Shi Langqin''s influence across the country is not bad. The most important thing is that he has a deep network of connections.


    This time, he invited many experts from all over the country.


    Qin Sifeng from Kyoto, Zhang Shuqing and Dai Wansong from Magic Capital, and Ou Yangming, Honorary President of the Academy.


    They have a very good personal relationship with Shi Langqin.


    And these people are all big names in the TAVR world, and they have endorsed Shi Langqin.


    The chairman this time is Shi Langqin.


    As for Lu Chen, if you can get a vice chairman of the branch, that would be a good deal.


    Lu Chen is still so young, as long as he can develop steadily, the future TAVR field of Guanghai will definitely belong to him!


    ¡­


    (end of this chapter)

 v2 Chapter 761： Emergency surgery?

    Chapter 761 Emergency surgery?


    I don''t know who spread the news, Lu Chen plans to vigorously develop TAVR surgery in the hospital, and even set up a TAVR team.


    At this moment, the entire Cardiology Department exploded.


    Most young doctors are eager to try, and even some veterans want to join Lu Chen''s team.


    TAVR is currently a brand new field and has a very bright future.


    The most important thing is that coronary stents have begun to be collected centrally, the price has dropped significantly, and coronary intervention has gradually declined. TAVR surgery is a sweet pastry.


    In just one afternoon, more than ten people came to look for Lu Chen.


    All are self-recommended doctors who want to join Lu Chen''s TAVR team.


    In addition, many people came over through other doctors in the department.


    This made Jin Miao feel a sense of crisis, especially afraid that someone would take his place.


    However, Lu Chen did not promise anyone for the time being.


    Although he is willing to teach TAVR surgery, the students would rather be short than abused.


    Once absorbed into your own team, you have to be responsible for your own "students".


    ¡­


    As for the condition of the surgery patient, it has greatly improved from before the surgery.


    In CCU, there is no family escort.


    The old lady is different from ordinary old people, and she doesn''t feel afraid at all.


    "Professor Lu, have you started a family yet?" The old lady pulled Lu Chen''s hand, unwilling to let it go.


    In order to avoid the next nagging, Lu Chen could only quickly say: "It''s done, it''s done."


    "Oh, what a pity." The old lady was quite disappointed, "My granddaughter, she looks good and has a good temper. She is still a graduate student."


    Lu Chen: "..."


    He still admires these old ladies. They are all lying on the hospital bed, thinking about being a matchmaker for others.


    After comforting the old man a few words, Lu Chen went home from get off work.


    ¡­


    That night.


    Guanghai Central Hospital.


    CCU Ward.


    Today''s night shift seems extra busy.


    It is 8pm now, and five patients have come to the CCU ward.


    The doctors and nurses on duty are all busy.


    After a while, the two nurses got together and chatted quietly.


    "Xiao Rong, look, the doctor on duty today is too hot."


    The nurse named Xiaorong nodded quickly, "Doctor Zhang should go to the temple to worship, I heard that every time he goes to work, he has to send someone away, and he is called black impermanence."


    "Oh, don''t scare me!" Another nurse exclaimed in surprise, "There are two very sick patients on my bed!"


    "Then I''m fine. The beds are all in stable condition, and one is waiting for surgery tomorrow." Xiao Rong grinned.


    The beds she manages are full, and there is no need to admit new patients at night.


    "Forget it, I won''t talk to you anymore, I''ll go check the room again."


    After saying this, the little nurse left.


    Xiao Rong is sitting in the ward, ready to pick up his mobile phone and scan today''s circle of friends.


    At this moment, in the silent ward, the sound of the monitor alarm sounded abruptly.


    Xiaorong was startled, and quickly followed the sound.


    At some point, the 35-bed patient was already sitting on the bed.


    His face was pale, panting heavily, and cold sweat was oozing out of his forehead.


    Seeing that the situation was not right, Xiaorong put down his mobile phone, ran forward immediately, and shouted in the direction of the doctor''s office, "34 beds for rescue!"


    As a CCU nurse, her professionalism is still very good. She checks the patient''s status at the first time, and has all the ambulance and defibrillator ready.


    Increase the oxygen intake and prepare rescue medication.


    Inquire about the patient''s status, take another blood pressure, and wait for the doctor to come.


    The doctor on duty rushed over immediately.


    He recognized the patient in front of him at a glance, the one who was going to have TAVR surgery tomorrow.


    orthopnea, shortness of breath, sweating profusely.


    "Damn it, isn''t it an acute heart failure attack?"


    The doctor on duty will examine the patient in the shortest possible time.


    The lungs are full of moist rales, and the blood oxygen is less than 90% in the state of oxygen inhalation.


    The most alarming thing for the doctor on duty is that the patient''s blood pressure can no longer be maintained!


    Acute heart failure attack is not scary, the most fear is the collapse of blood pressure!


    Heart failure requires diuresis, and low blood pressure requires fluid replacement.


    These two are in conflict with each other!


    "One pump of norepinephrine!" The doctor on duty immediately began to issue emergency medical orders.


    "Push another furosemide!"


    "The patient''s blood oxygen cannot be maintained, prepare for endotracheal intubation!"


    ¡­


    After half an hour of rescue, tracheal intubation, and then on a ventilator, the vital signs of the 35-bed patient finally stabilized.


    "Like this, can I still have surgery tomorrow?" The doctor on duty shook his head slightly.


    After thinking about it, he still informed Director Shi Langqin of the patient''s condition as soon as possible.


    At this time, Shi Langqin was entertaining Dean Dai Wansong who had come from afar.


    The two hadn''t seen each other for many years, and they were chatting happily.


    "Old Shi, I think if you came to the Magic Capital with me back then, the development would definitely be better than me!"


    Dai Wansong drank a small glass of white wine and his face turned slightly red.


    "Guanghai is not bad!" Shi Langqin said with a smile, "Anyway, I must earn no less than you!"


    "You ah you..." Dai Wansong shook his head with a smile, "What do you need so much money for, just enough."


    Shi Langqin shook his head slightly, just as he was about to say something, the phone suddenly rang.


    "Sorry, I''ll take a call."


    Seeing that it was a call from the department, Shi Langqin still picked it up.


    "Professor Shi, the 35-bed patient in the CCU just suffered from acute heart failure!"


    The voice from the phone made Shi Langqin nervous immediately, "How is the person now?"


    "Intubated, barely guaranteed a life."


    Shi Langqin was silent.


    This patient is the one he is going to have surgery on tomorrow.


    It happened just today!


    "Okay, I''ll go back to the hospital to have a look later."


    hung up the phone, Shi Langqin''s face was solemn.


    "What''s the matter?" Dai Wansong immediately noticed his abnormality.


    "Tomorrow''s surgery may not be possible." Shi Langqin said solemnly, "The patient suffered from acute heart failure just now and has been intubated."


    "I said it before, this patient is at a very high risk." Dai Wansong said calmly, "You said before that you would have to wait for the operation next week, and the patient will definitely not be able to wait. Now we can talk about whether we can make it through tomorrow."


    "Hey, it''s too late to say anything now." Shi Langqin shook his head helplessly.


    "It''s not too late!"


    Dai Wansong''s sudden words really made Shi Langqin stunned in place.


    "You can do emergency TAVR!"


    Shi Langqin was astonished when he heard the words, "Can you all do emergency care in the Demon Capital now?"


    Emergency surgery is several orders of magnitude more risky than normal surgery!


    Uncontrollable factors increase, and the patient is in the state of tracheal intubation, and the ventilator will affect the delivery of the valve.


    "There was a case before." Dai Wansong nodded slightly, "We can try it!"


    "Great, let''s hurry back to the hospital."


    Then, Shi Langqin immediately took Dai Wansong and returned to Guanghai Central Hospital.


    (end of this chapter)

 v2 Chapter 762： I asked an expert

    Chapter 762 I asked an expert


    Guanghai Central Hospital.


    Cardiology CCU ward.


    At this time, nurse Xiao Rong didn''t dare to be stunned, but stared at the patient on the hospital bed.


    If there is another problem, the patient will not be able to be saved!


    Now, when she recalls what she said just now, she really regrets it too much!


    doctor''s office.


    Shi Langqin, Dai Wansong and other bigwigs gathered.


    The reason is the patient with "severe aortic stenosis" who just developed heart failure.


    "Fortunately, the nurse found out in time. The first time the patient had heart failure, she immediately called for help." The doctor on duty introduced the condition, "But when I arrived, the patient was already sitting up breathing, and his blood oxygen saturation and blood pressure were not good. already."


    Dai Wansong listened silently without speaking, and kept flipping through the patient''s hospitalization in his hands.


    for a long time.


    "Dean Dai, can...can you do it?" Shi Langqin looked at Shi Langqin beside him with hopeful eyes.


    This time, he decided to perform TAVR surgery before the conference for the sake of building momentum.


    If he fails, it may damage his subsequent deployment, and even affect the selection of his chairman.


    "Yes." Dai Wansong nodded slightly and paused for a while, "However, the risk of surgery is extremely high, and the patient may not be able to get off the operating table. You must discuss this with the patient''s family. The family will take the risk, and we will start preparing for the surgery!"


    "That''s great, with your words, then I''m relieved."


    Shi Langqin''s heart was determined.


    "As for the family members, I''ll go talk to them in person!"


    He immediately took the doctor on duty to the doctor-patient communication room, ready to explain the risks of the operation to the patient''s family.


    ¡­


    On Dai Wansong''s side, he was not idle either.


    The reason why he dared to agree to Shi Langqin was of course because there had been similar cases before.


    Emergency TAVR surgery, although there are few cases, he has cooperated with Lu Chen for a few.


    What impressed Dai Wansong the most was the "pause ventilator" operation that made the valve input to the designated position.


    At that time, it was amazing!


    Lu Chen''s hand is even close to the level of the world''s top practitioners.


    In that operation, Lu Chen was the chief surgeon and Dai Wansong was the assistant.


    After ??, Dai Wansong also encountered several similar emergency TAVR surgeries.


    At the beginning, he would invite Lu Chen to perform the operation together.


    Later, Dai Wansong simply asked Lu Chen''s opinion online.


    After a comprehensive evaluation, a reasonable surgical plan is assigned to the patient according to the patient''s opinion.


    Don''t look at it as just a surgical plan, but there are many things in it!


    Taking the surgical approach as an example, the shape of the valve leaflets, the degree of calcification, the presence of fusion, and the diameter of the valve annulus should be evaluated preoperatively based on ultrasound.


    After tracheal intubation, the anatomy of the aortic root needs to be determined through the esophagus, and the course of the carotid artery, femoral artery, abdominal aorta, and ascending aorta should be evaluated to further exclude relevant contraindications and select an appropriate approach.


    Generally, inexperienced surgeons are prone to detours and even choose the wrong path, which delays the best time for surgery.


    The risk of ?? patients is so high, Dai Wansong still habitually asks Lu Chen''s opinion.


    He collected the patient''s medical records, took a photo and sent it to Lu Chen.


    ¡­


    Lu Chen was checking the paper when he suddenly received a message from Dai Wansong.


    However, he is used to it now.


    Dean Dai usually refers to his opinions when encountering interesting or difficult operations.


    As the dean, it is extremely rare for him to pull down his face and ask his own opinion.


    In the same way, Lu Chen is also happy to answer, not only can he earn a wave of gratitude, but also have a good relationship with Dean Dai.


    After receiving the surgical information from Dean Dai, Lu Chen began to study it.


    "Severe aortic stenosis, rapid atrial fibrillation, acute exacerbation of heart failure!"


    "The patient has intractable heart failure, and the medication is not well controlled. The patient is at risk of cardiogenic shock and sudden cardiac death at any time, and there is an indication for emergency TAVR surgery!"


    Dai Wansong nodded when he received Lu Chen''s reply.


    As expected of Lu Chen, he immediately judged the patient''s condition.


    "Lu Chen, we also decided to do emergency TAVR surgery here." Dai Wansong said immediately, "I made a plan myself, you can see if there is anything that needs to be modified..."


    Lu Chen quickly evaluated Dai Wansong''s surgical plan again, and really found a lot of problems.


    "President Dai, I just checked the patient''s left ventricular outflow tract internal strength, circumference and area, as well as the calcification of the outflow tract. You may need to pay attention to the risk of postoperative conduction block in the patient."


    Dai Wansong frowned slightly: "Well, I will prepare a temporary pacemaker and put it on the stage for use."


    "In addition, I measured the angle between the left ventricle of the patient''s aorta and it was over 70 degrees. Considering the transverse heart, we must pay attention to the angle of valve delivery during the operation."


    "Okay." Dai Wansong recorded every point of General Lu Chen.


    "The last point, Director Dai, you should also know that for this kind of patient who uses a ventilator, when the valve is finally stepped in, the ventilator may affect the operation, so it may have to be paused for a few seconds."


    Dai Wansong couldn''t help but smile: "Don''t worry, I still remember this very clearly!"


    "Well, that''s about it." Lu Chen said, "The plan you made, Dean Dai, is generally correct."


    Dai Wansong smiled, Lu Chen, this slick little guy, can really take care of his emotions.


    There are quite a few loopholes in his plan. Although it is not a big problem, after Lu Chen''s modification, it can greatly reduce the occurrence of complications.


    "Lu Chen, thank you." Dai Wansong said, "If you have time, let''s get together. You helped me a lot!"


    "Okay." Lu Chen smiled, "But I''ve left the magic capital now. When I go back, I''ll find you as soon as possible."


    "Lu Chen left the magic capital?" Dai Wansong was taken aback.


    He knew that Dr. Lu Chen had graduated, and thought that Zhang Shuqing would keep him if he said anything.


    But, Lu Chen actually left? !


    If he knew earlier, he would dig a corner and bring Lu Chen to the Magic Capital Central Hospital.


    Then their hospital will take off!


    Just when Dai Wansong was about to continue questioning Lu Chen, Shi Langqin came back.


    "Old Dai, the family agrees, let''s start the operation!"


    Dai Wansong took back his phone when he saw this.


    "Okay, I just sent the patient information to a TAVR expert and asked him for his opinion." Dai Wansong smiled, "The success rate of the operation has improved a lot!"


    "Old Dai, someone you even call an expert?" Shi Langqin said in surprise.


    "Yeah, TAVR surgery has developed rapidly in our magic capital in recent years, and his credit is not small!" Dai Wansong continued.


    "I really want to get to know each other." Shi Langqin became interested.


    "Don''t worry, there is a chance." Dai Wansong said, "Let''s settle this patient''s operation first today."


    "Okay." Shi Langqin''s expression was solemn, and then he ordered everyone to start preparing for the operation.


    In this operation, Dai Wansong was the main surgeon, and Shi Langqin was the assistant.


    (end of this chapter)

 v2 Chapter 763： Advance arrangement of "experts" (first update)

    Chapter 763 "Experts" Arrangements in Advance (First Update)


    Guanghai Central Hospital.


    Cardiac catheterization laboratory.


    Shi Langqin''s face was solemn.


    Emergency TAVR surgery, this is a field that their hospital has never set foot in.


    Quietly glanced at Dai Wansong beside him, and found that his face was calm, and Shi Langqin felt a little more calm in his heart for no reason.


    Lao Dai must have experience, and he said that he had consulted experts in the field of TAVR in China before.


    This surgery should be fine, right? !


    "Old Shi, let''s start."


    Dai Wansong gave an order and the whole TAVR operation started immediately.


    The initial disinfection and draping of the operation were done by the second assistant, a deputy chief physician of the Central Hospital.


    These routine surgical operations were done fairly well by the second assistant.


    "The next piercing, I''ll do it!"


    At the step of puncturing the blood vessel, Shi Langqin started to get started.


    In fact, the second assistant really wanted to get started, but Shi Langqin didn''t give this chance at all.


    The choice of surgical approach, Dai Wansong has already explained to Shi Langqin.


    According to Lu Chen''s advice, choose the right femoral artery route.


    Puncture, guide wire catheter entry, all these operations, Shi Langqin knows.


    However, when the balloon was inflated, Shi Langqin silently retreated.


    The patient''s coronary artery is serious, and the balloon dilation operation is wrong, which may cause serious complications such as blood vessel rupture and dissection.


    "Old Dai, I''ll leave the rest to you." Shi Langqin looked at Dai Wansong beside him.


    "Okay, don''t worry."


    Dai Wansong nodded slightly, in fact he was a little surprised.


    He thought that Shi Langqin would only let him do the last few steps when he encountered a more important operation.


    But now that the operation has just started, he actually withdrew directly.


    Balloon dilation is difficult and risky, but for a highly skilled operator, these complications can be completely avoided.


    But now, Shi Langqin has retreated!


    Is he cowardly? Or is it inexperienced?


    But now he can''t think too much about it, Dai Wansong threw away the distracting thoughts in his mind and devoted himself to the operation in front of him.


    ¡­


    Time passed, and the surgery was progressing slowly.


    Dai Wansong is worthy of being a leader in the TAVR field, and the whole operation went on in an orderly manner.


    The only downside of ?? is that he doesn''t seem to have a handy helper when he was in the magic capital.


    Shi Langqin''s first assistant, Dai Wansong is really not very good at directing him.


    And Ersuke couldn''t keep up with his own thinking at all, and he often had to remind him many times before he could understand his purpose.


    Finally, the operation went very smoothly to the last step, the delivery and positioning of the valve!


    After Dai Wansong successfully delivered the valve into the designated position, he failed to fix the valve for a long time.


    Shi Langqin looked at the scene in front of him and wondered, "Old Dai, why didn''t you release the valve?"


    "It''s not that I don''t release it, you look at the screen carefully." Dai Wansong pointed to the release position of the valve in the screen.


    "This... seems to be shaking?!"


    Shi Langqin was surprised to find that with each operation of the ventilator, the patient''s heart would shift due to the influence of the breathing movement.


    Although it is only a small displacement, it has a great impact in the whole interventional surgery!


    Shi Langqin had never encountered such a situation before.


    Because of the patients undergoing regular consultation, they can hold their breath and release the valve in just a few seconds.


    This is like when doing CT, the technician asks us to inhale and hold our breath.


    Pause the breathing exercise, which can effectively prevent the heart from shifting!


    "What should I do?" Shi Langqin hurriedly looked at Dai Wansong beside him.


    Dai Wansong''s eyes were firm, but he would say to the second assistant: "Go and stand beside the ventilator."


    He seemed to have thought of when Lu Chen was in the Magic Capital Central Hospital, the hand of the gods stopped the ventilator!


    Of course everyone was shocked.


    And now, he only needs to repeat it once.


    The second assistant was a little puzzled, but he still followed Dai Wansong''s instructions and came to the side of the ventilator.


    "Old Dai, you are..." Shi Langqin was a little confused.


    Dai Wansong said indifferently: "Wait a moment and listen to my command!"


    "Okay." Ersuke nodded quickly.


    This is the boss of the magic capital, and his status is higher than that of Professor Shi!


    Dai Wansong put his eyes back on the surgical field in front of him.


    He placed the valve above the designated spot, and now as soon as his hand is released, the valve will be released!


    Complete preparation, Dai Wansong raised his head and said to the second assistant next to the ventilator: "Prepare to suspend the ventilator and listen to my orders."


    "what?"


    Not only was the second assistant dumbfounded, even Shi Langqin was stunned.


    "Pause the ventilator? What the **** is this?"


    When ?? looked at Dai Wansong again, he found that his expression remained the same.


    "Old Dai, are you right?"


    "That''s right! It only takes two seconds to hear my order!" Dai Wansong said solemnly.


    Shi Langqin gritted his teeth, he believed in Dai Wansong very much, and then nodded to the second assistant beside him.


    The second assistant swallowed slightly, and stopped the ventilator under Dai Wansong''s signal again!


    ¡­


    "It''s now!"


    The ventilator stops, the breathing movement stops, and the heart stays still!


    Dai Wansong released the valve in his hand.


    The valve fell gently in the pre-specified position without any displacement.


    "Huh...success!"


    Dai Wansong showed a smile at the corner of his mouth.


    Look at Lu Chen''s simple operation at first, but in practice, it''s another matter.


    At this time, the second assistant has also restarted the ventilator.


    "It''s done!"


    Shi Langqin on the side was pleasantly surprised. On the operation screen, he could clearly see the release process of the valve.


    This is a perfect transmembrane delivery!


    "Old Dai, you are too strong!" Shi Langqin couldn''t help but exclaim, "How could you think of this method to stabilize the valve!"


    Dai Wansong smiled and shook his head, "This is not my original work, I learned it from an expert."


    "An expert again? The one you asked about just now?" Shi Langqin asked in confusion.


    "Yes." Dai Wansong nodded slightly.


    "Listening to what you said, I am more and more interested in this expert!" Shi Langqin smiled.


    "Don''t worry, everyone is engaged in the TAVR field, and there is a chance to meet in the future."


    Just as Dai Wansong was about to say something, the monitor beside him sounded an alarm.


    He looked back quickly, and the patient''s heart rate was only 30 times per minute!


    Seeing this scene, Shi Langqin and the second assistant panicked instantly, and they both looked at Dai Wansong in front of them.


    I saw Dai Wansong''s calm expression and smiled slightly: "This patient may need temporary pacing. I have the pacemaker ready!"


    "What?" Shi Langqin was shocked.


    Even a temporary pacemaker is ready!


    In other words, Dai Wansong had estimated before surgery that the patient is likely to have malignant arrhythmia!


    After Shi Langqin looked at Dai Wansong again, his eyes changed slightly.


    In the field of TAVR, the magic capital represented by Dai Wansong has probably surpassed other regions in an all-round way!


    I''m super busy today, I just got home, try to write as much as possible.


    If you haven''t finished writing it, make it up tomorrow.


    (end of this chapter)

 v2 Chapter 764： meet acquaintances

    Chapter 764 Acquaintances meet


    evening.


    Lu Chen is staying in the apartment, checking the latest literature.


    Suddenly, he received a call from his junior sister Lin Qingping from Jinghua.


    Sister Lin Qingping asked about the scientific research content of "Dapagliflozin".


    This was also instructed by tutor Li Yao at that time.


    Although Lu Chen has not continued to develop this project, the entire project of Jinghua''s "Dapagliflozin" started from scratch, and he almost single-handedly brought it up!


    No one knows the "Dapagliflozin" project better than Lu Chen.


    Lin Qingping''s questions are indeed difficult.


    However, Lu Chen still gave some opinions and thoughts of his own.


    "That''s about it, I can''t personally verify it now. I hope it will help my junior sister." Lu Chen said.


    "Brother, thank you so much!"


    Hearing Lu Chen''s opinion, Lin Qingping was extremely excited.


    And after Lu Chen''s explanation, Lin Qingping felt that the difficulties of the current experiment seemed to have some eyebrows.


    "You''re welcome, as long as I can help you." Lu Chen replied, "If you have any questions that you don''t understand, you can continue to ask me."


    "Okay." Lin Qingping thought for a while, but still mustered up the courage to ask what she had always wanted to ask.


    "Senior brother, when you were in Jinghua, you developed Dapagliflozin to the current level, why did you give up later?"


    Lin Qingping had no such idea before.


    It wasn¡¯t until she took over the project herself and learned more about it that she could truly realize the significance of the whole project.


    With this research and development achievement, Li Yao''s tutor even got the title of "Outstanding Youth"!


    If Lu Chen can continue to develop, his future achievements will definitely surpass Li Yao''s mentor.


    Lu Chen smiled when he heard the words, "I''m not giving up, right? Are you still there? You continue to do experiments, which is also a continuation of ours."


    Lin Qingping didn''t believe such a high-sounding reason, and replied: "However, if you continue to study Dapagliflozin, Senior Brother, the results you will achieve will definitely be much greater than what we are now?"


    After Lu Chen left, the progress of the "Dapagliflozin" project stagnated.


    Nowadays, the pressure of scientific research competition is so great that Jinghua can barely maintain the current progress.


    Lu Chen thought about it for a while, but did not give a perfunctory answer, but said: "Actually, the drug Dapagliflozin seems to be a hot topic, but after all, it is a drug imported from abroad, and any high-end technology research is easy to be blocked by foreign countries. Neck. In addition, in my heart, I actually prefer to study domestic drugs."


    "Huh?" Lin Qingping was taken aback, "Domestic drugs?"


    Is there any domestic drug comparable to Dapagliflozin?


    "There are very few now, and there will definitely be in the future." Lu Chen smiled, "I have confidence in the domestic R&D field!"


    hung up the phone, but Lu Chen''s words kept echoing in Lin Qingping''s mind.


    In scientific research, to a certain extent, the boundaries between countries are not very clear.


    For epoch-making drugs like "dapagliflozin", major laboratories around the world will scramble for research and development.


    Who cares about the country behind it?


    As long as you can get the latest research and development results, you can occupy a place in the field of scientific research.


    But now, Lu Chen is different.


    He directly gave up the research and development direction that was most beneficial to him.


    The reason for ?? is simply because he is more willing to develop domestic drugs.


    The image of Brother Lu Chen in Lin Qingping''s mind couldn''t help but become more stalwart.


    After talking with Lin Qingping, Lu Chen and Lin Qingping were also a little embarrassed.


    These are his words from the bottom of his heart.


    However, the development of scientific research still takes one step at a time.


    No matter how powerful he is, the things he can do are limited.


    In the future, the scientific research team, the surgical team, and the clinical diagnosis and treatment team will all be slowly written into Lu Chen''s future plans.


    ¡­


    The next day.


    Lu Chen came to the second district in his heart, and immediately saw Jin Miao hurried over.


    "What''s wrong, you look so serious?" Lu Chen asked curiously.


    "Director Lu, you are finally here." Jin Miao hurriedly took out his mobile phone and clicked on a news item, "Look, this morning''s news, Guanghai Central Hospital successfully completed the first TAVR operation in the province!"


    Lu Chen glanced at it for a moment, then withdrew his gaze.


    Emergency TAVR surgery, in his opinion, is no big deal.


    "Director, we just finished the TAVR operation yesterday, and this central hospital immediately completed one at night..." Jin Miao gritted his teeth, "Look, isn''t this determined to fight against us?"


    Lu Chen immediately shook his head: "Looking at this report, it should be an emergency TAVR operation, it was done temporarily, and it was not intended to target us."


    Actually, even if it is targeted, in the field of TAVR, Lu Chen is not afraid now!


    "But they have been promoting TAVR surgery, and it seems that Guanghai is the only family that can do it." Jin Miao said angrily.


    Now he and Lu Chen are on the same boat.


    He is very concerned about the information of these competitors.


    "The eyes of the masses are sharp." Lu Chen smiled, "We will do our own surgery, and sooner or later, the reputation of the hospital will be known."


    Seeing what Lu Chen said, Jin Miao could only nod silently.


    However, Lu Chen is also somewhat interested in this Guanghai competitor.


    Before ??, he had never heard that Guanghai Central Hospital could perform TAVR surgery.


    What is that Professor Shi? At most, he has to do some regular surgery, otherwise the patients who had the surgery yesterday would not be turned away.


    "It seems that everyone is making progress, so I have to work harder!" Lu Chen thought.


    At the Guanghai TAVR Conference the day after tomorrow, he can better understand the development status of TAVR in the central hospital.


    ¡­


    As for the old lady that Lu Chen underwent yesterday''s surgery, she can walk down the ground today.


    The old lady''s recovery was so good that the cardiologists in Guanghai Hospital were more curious and valued about Lu Chen''s TAVR surgery.


    As soon as Lu Chen checked the room in the morning, many doctors looked for ham.


    They all came here to submit their names, wanting to join Lu Chen''s TAVR surgery team.


    Faced with this situation, Lu Chen asked Jin Miao to come forward and temporarily rejected everyone.


    The surgical team is not in a hurry, first clarify the current situation of the Guanghai TAVR field, and then make the next step.


    ¡­


    Soon, it was the day of the first TAVR conference in Guanghai.


    This conference was led by Shi Langqin of Guanghai Central Hospital.


    The participating hospitals are from all over the country, including Kyoto, Magic Capital, Zhongshan, Western Sichuan and other places.


    Many experts gathered together, not only to exchange surgical experience, but also to establish the Guanghai TAVR branch of Huaxia Medical Association!


    Guanghai First Hospital, Yan Wanfeng brought Lu Chen to the conference, and also came with the mission goal, that is, to win the position of the vice chairman of the branch!


    What Lu Chen didn''t expect was that this grand meeting became a meeting of acquaintances.


    I was so sleepy that I barely wrote a chapter.


    We will be off tomorrow afternoon and will make up for it.


    (end of this chapter)

 v2 Chapter 765： I know them all (first update)

    Chapter 765 I Know All (First)


    Saturday.


    Shangri-La Hotel, the venue for the first TAVR conference in Guanghai.


    nine in the morning.


    Yan Wanfeng brought Lu Chen to the door of the hotel.


    On the first floor of the hotel, a large promotional sign was erected.


    On the ?? sign are some of the slogans of the conference.


    As soon as the two walked to the first floor, they passed a tall and thin middle-aged man.


    "Professor Yan, welcome to the meeting!" The middle-aged man walked over with a smile and stretched out his right hand.


    Yan Wanfeng also nodded with a smile, stretched out his hand and shook him lightly.


    "Professor Shi, you have a really big battle in this conference!"


    Shi Langqin smiled, "Hey, it''s all friends in the circle who help, it''s everyone giving face."


    Yan Wanfeng helped Lu Chen a little, and then said to Shi Langqin, "This is the new doctor from our department, Lu Chen."


    "Lu Chen?" Shi Langqin had read the report of the TAVR surgery in Guanghai First Hospital, and then laughed, "It really is a blueprint! Such a young man has such deep accomplishments in the field of TAVR, and we will definitely be ours in the future. The pillar of Guanghai!"


    "Professor Shi has won the award." Lu Chen responded modestly.


    Before he came, the leader of the Guanghai TAVR field should be Shi Langqin.


    Lu Chen also knew that at this conference, Shi Langqin was bound to win the position of chairman.


    Shi Langqin''s influence and technical status in Guanghai City should be able to match this status.


    To be honest, when Yan Wanfeng asked him to be the deputy chairman, Lu Chen was still a little surprised.


    His titles and his status as a member of the Society are really not too cold.


    It''s okay to get a lot of titles and bluff outsiders, but when it comes to clinical practice, many so-called "experts" can''t see a doctor!


    "Professor Shi, in this branch, we are going to give Lu Chen the quota of Guanghai First Academy." Yan Wanfeng smiled at Shi Langqin.


    "Huh?" Shi Langqin was stunned for a while, he glanced at Lu Chen, and then whispered to Yan Wanfeng, "Wan Feng, are you right? This position is not an ordinary committee member, but a vice-chairman!"


    "Of course there is no mistake." Yan Wanfeng smiled, his voice raised by a few decibels, "In our Guanghai First Hospital, Lu Chen''s ability is second to none. If he doesn''t occupy this spot, others will not dare to come!"


    "Okay..." Shi Lang nodded bitterly.


    In his opinion, of course, it is better to hold this kind of quota by yourself!


    Although he is only the vice-chairman of a provincial and municipal branch, it is not bad to speak out.


    As the three of them spoke, they took the elevator up to the third floor of the hotel.


    In the elevator, Yan Wanfeng continued with a smile and said, "Professor Shi, I heard that the experts you invited this time are not small. Who are they?"


    Lu Chen stood aside, silently listening to the conversation between the two.


    Shi Langqin heard the words, coughed lightly, and smiled: "Professor Qin Sifeng from Kyoto, Professor Dai Wansong from Magic Capital, and Zhang Shuqing, as well as Professor Ouyangming, and Professor Li Deming from Western Sichuan."


    Yan Wanfeng was secretly surprised when he heard the words.


    Qin Sifeng, Dai Wansong, Ouyang Ming, Li Deming, these are the pillars of the older generation in the field of cardiology in Huaxia!


    Anyone who pulls it out will last a long time.


    Shi Langqin definitely spent a lot of effort in inviting them over this time.


    However, Lu Chen''s expression at this time was extremely wonderful.


    Listen carefully, the people Professor Shi said, except Professor Li Deming from western Sichuan, he knows all the others!


    And, not just knowing¡­


    This relationship is very familiar!


    Zhang Shuqing is still his Ph.D. supervisor. When the teacher comes to Guanghai, he will not be notified...


    Yan Wanfeng noticed the change in Lu Chen''s expression.


    "What''s the matter?" he wondered, "Know these old professors?"


    Lu Chen paused, Zhang Shuqing is not old...


    However, he still nodded slightly, "Professor Zhang Shuqing is my doctoral supervisor."


    "That''s a coincidence!" Shi Langqin said in amazement, "No wonder you are so capable in TAVR. It''s really enviable to have a leader like Professor Zhang Shuqing."


    Lu Chen was full of slander in his heart.


    Does his TAVR surgical skills have anything to do with Zhang Shuqing?


    Yan Wanfeng also nodded slightly, this was the first time he heard that Lu Chen had such a relationship.


    "Also, I know Professor Qin Sifeng, Professor Dai Wansong, and Professor Ou Yangming..." Lu Chen said softly, as if it was a very inconspicuous thing.


    "what?"


    This time, Shi Langqin was even more surprised.


    These people are not in the same hospital, not even in the same city, how did Lu Chen know each other?


    "I went to Kyoto to exchange and study before, and I stayed in Professor Qin Sifeng''s department." Lu Chen explained.


    Shi Langqin realized this. He probably knew it by rotation in the department, so he didn''t think much about it.


    At this time, the elevator came to the third floor.


    Shi Langqin led the two into the lounge of the conference hall.


    "Professor Yan, the meeting is still half an hour away." Shi Langqin said, "Let''s sit in the lounge for a while, and the other professors are also there."


    "Okay, I''ll listen to your arrangement." Dai Wansong nodded.


    Looking at the closed door of the lounge, Lu Chen''s mood is a little bit looking forward.


    The old people meet again, I wonder what their expressions will be?


    ¡­


    The lounge door was slowly pushed open.


    Shi Langqin walked in first, Yan Wanfeng and Lu Chen followed him.


    Lu Chen looked into the lounge and saw several familiar figures sitting on the sofa chatting.


    The people sitting on the main seat are Professor Ouyang Ming and Professor Qin Sifeng.


    Dai Wansong sat beside Qin Sifeng.


    In the lounge where big bosses gather, Zhang Shuqing, who has relatively low qualifications, can only sit in the corner.


    In addition to the first time, there was an old man with gray hair, who seemed to be Professor Zhang Deming from Western Sichuan.


    To Lu Chen''s surprise, Xiao Shikang from Kyoto was also here!


    When Lu Chen was studying in Kyoto, he followed Xiao Shikang.


    "Professors are bothering you." Shi Langqin walked into the lounge and said softly, "Beside me are Professor Yan Wanfeng from our Guanghai First Hospital and Lu Chen, a doctor in their department."


    The chatter in the lounge stopped, and everyone looked at the sound, all stunned.


    At this time, the atmosphere of the scene was very strange, and it was a bit quiet.


    Zhang Deming was a little confused, so he didn''t say anything.


    Shi Langqin was a little puzzled when he saw the surprised expressions of the professors.


    He was about to ask aloud, but Qin Sifeng was the first to stand up and scolded with a smile, "Lu Chen, you run so far!"


    The sudden voice sounded, and Lu Chen touched his nose.


    After he returned to Jinghua from Kyoto, Professor Qin was very persistent, and he chose to go to the magic capital to study for a Ph.D.


    When he graduated from the magic capital, Zhang Shuqing also used various tricks to keep Lu Chen, but he came to Guanghai...


    Going around, no one thought that we would meet again here.


    Four more guarantees.


    If you are not tired, just watch five.


    (end of this chapter)

 v2 Chapter 766： Make a "wedding dress" for Lu Chen? (Thanks to Thomas for following along

    Chapter 766 Make a "wedding dress" for Lu Chen? (Thanks to Thomas Suifeng for the reward)


    In the scene, the most calm one was Professor Ouyang Ming.


    He knew that Lu Chen came to Guanghai.


    Moreover, Lu Chen was able to come to the First Hospital of Guanghai City, and he contributed a lot.


    Secondly, Zhang Shuqing also knew that Lu Chen came to Guanghai No. 1 Hospital.


    What he didn''t expect was that Lu Chen had only been here for a few days.


    He was able to attend such a high-level meeting?


    Gold shines wherever it is... That''s true!


    In the ?? field, the most surprising person, aside from Qin Sifeng, was Dai Wansong.


    He even contacted Lu Chen a few days ago!


    The emergency TAVR operation at that time, if it wasn''t for Lu Chen''s suggestion, I''m afraid it wouldn''t have gone so well.


    "Lu Chen? Why did you come to Guanghai?" Dai Wansong asked blankly.


    Shi Langqin and Yan Wanfeng stood aside, quite embarrassed.


    The other professors did not intentionally ignore Shi Langqin and Yan Wanfeng in front of them.


    It was the appearance of Lu Chen, which was really unexpected.


    At this time, the expression on Shi Langqin''s face can be described as shock and surprise, which is not an exaggeration.


    What is the situation everyone?


    Looking at the speeches of the two professors and the expressions of everyone, they are quite familiar with Lu Chen!


    And the relationship is unusual.


    They attached great importance to the young man Lu Chen.


    The most important thing is that Lu Chen is so young, how did he get into such a relationship with a professor?


    Don''t look at Shi Langqin inviting everyone over this time.


    That''s because he found a lot of people to match up, waste a lot of words and energy, and finally succeeded.


    At this time, Lu Chen stood up.


    He bowed slightly, and then said to Qin Sifeng and Dai Wansong neither humble nor arrogant: "Two professors, I''m sorry, I haven''t had time to inform you. After I graduated, I came to work in Guanghai First Academy."


    Xiao Shikang on the side of ?? also winked at Lu Chen with a smile on his face.


    "Hey, look at you guys, don''t scare the kids." Professor Ou Yangming beckoned to Lu Chen, "Everyone is here, let''s have a good chat, there are not many opportunities like this. Lu Chen Morning, come and sit with me."


    Lu Chen glanced at Yan Wanfeng, "Director, then I''ll go."


    "Come on, chat with the professors." Yan Wanfeng said quickly.


    He is an invisible figure in front of these big guys.


    I didn''t expect Lu Chen to meet so many big guys, it was a surprise!


    Lu Chen nodded slightly, walked slowly to Ou Yangming and sat down.


    ¡­


    sat beside Ou Yangming.


    Lu Chen glanced at Zhang Shuqing on one side and Qin Sifeng on the other side.


    What can I say?


    Except Zhang Deming, he knows every professor and has a good relationship.


    At this time, Ou Yangming was the first to speak: "Lu Chen, I heard that you completed the first TAVR operation in Guanghai First Hospital a while ago?"


    "Yes, Professor Ouyang." Lu Chen nodded, "The operation went well, and the patient was discharged yesterday."


    "Yes, yes." Ou Yangming nodded, "Lu Chen''s coming to Guanghai is a blessing for us in the field of cardiology in Guanghai!"


    Zhang Shuqing, as Lu Chen''s Ph.D. supervisor, immediately echoed: "Nan Luchen, Bei Weiguang, this is spread by word of mouth, Professor Ouyang, you are really good at digging the corner..."


    These words are somewhat resentful.


    Lu Chen was abducted to Guanghai, and their magic capital suffered the most!


    Beside, Shi Langqin heard the words and looked stunned.


    Nan Luchen, Bei Weiguang.


    Of course he had heard this.


    These are two of the most outstanding young people in the cardiology circle.


    Everyone basically acquiesced that the two were in the magic capital or Kyoto.


    This "Lu Chen" in Guanghai is actually "Nan Luchen"?


    Shi Langqin feels that things are not very good!


    The TAVR conference, which was originally a sure thing, suddenly changed.


    "Haha." Ouyang Ming smiled and stroked his beard with a smug look on his face, and said to Zhang Shuqing, "Shuqing, when you came back from the United States, I invited you, you are not sure. Opportunity!"


    "Professor Ouyang, my home is in the magic capital. I must be closer to home." Zhang Shuqing could only helplessly said.


    The most important thing is that the platform of Magic City is good!


    Although Guanghai has a lot of money, its medical background is much worse than that of Modu and Kyoto.


    Take this TAVR operation as an example. It has been carried out in Magic City and Kyoto for two or three years. There are about a thousand cases of large and small operations, including regular consultation and emergency.


    But in Guanghai, except for Shi Langqin from Guanghai Central Hospital, everyone else is still in the entry stage.


    Zhang Shuqing can''t figure it out now, why did Lu Chen come to Guanghai?


    How much benefit did the arrival of Guanghai First Hospital promise to Lu Chen?


    "Lu Chen, you posted that paper on TAVR a while ago. I''ve read it." Qin Sifeng, who is more focused on scientific research, said the paper, "Except the number of surgical samples is a little less, other aspects, That''s the best in the country."


    The paper mentioned by Qin Sifeng is the top journal paper published by Lu Chen during his Ph.D.


    In the field of TAVR in China at that time, it also set off a lot of upsurge.


    In the lounge, people gathered around Lu Chen and started a lot of topics.


    ¡­


    As the deputy director of the Magic Capital Central Hospital, Dai Wansong was unable to interject for a while.


    He glanced at Shi Langqin and Yan Wanfeng beside him.


    The two were sitting silently in the corner, watching everyone chatting and laughing.


    "Old Stone!"


    Dai Wansong walked to Shi Langqin''s side and patted his shoulder lightly.


    Shi Langqin was extremely depressed at this time.


    I thought that these people were invited to "endorse" myself, to find a wave of backers for my chairman position.


    Who would have thought that "Lu Chen" would be killed halfway!


    Seeing the old classmate Dai Wansong take the initiative to step forward, he was a little moved, and the old classmate can be trusted!


    "Old Dai, you said this is now..."


    Before Shi Langqin could speak, Dai Wansong interrupted him.


    "Old Shi, didn''t you say before that you always wanted to see that expert?"


    "What expert?" Shi Langqin was stunned.


    "Oh, you forgot the emergency TAVR surgery that night?" Dai Wansong reminded.


    "Oh, you mean, the specialist you asked before the surgery?"


    "Yes!" Dai Wansong nodded with a smile, "He''s right in front of you."


    "The expert is here?" Shi Langqin was a little surprised, "Who is it?"


    He looked around, there were many professors and experts present...


    "Lu Chen!" Dai Wansong said softly.


    Shi Langqin: "..."


    A black line appeared on his forehead.


    He thought Lao Dai was here to comfort him and help him find a sense of existence.


    I didn''t expect that Lao Dai was the last straw that overwhelmed him.


    "Don''t look at Lu Chen''s age, I''m not as good as him in the field of TAVR surgery." Seeing Shi Langqin''s expression, Dai Wansong thought he didn''t believe it, and quickly explained a few more words.


    Shi Langqin''s current expression is that of wanting to cry but no tears!


    Is there still hope for his position as chairman?


    I feel like I have been busy for a long time, and I have a feeling of making "wedding clothes" for others!


    (end of this chapter)

 v2 Chapter 767： Hope (Third)

    Chapter 767 Hope (Chapter Three)


    After half an hour.


    Guanghai TAVR Conference and Branch Inaugural Meeting has officially started!


    However, the current chairman of the conference, Professor Shi Langqin, was a little frightened.


    In the lounge, just ten minutes of conversation made Shi Langqin have serious doubts about himself.


    The arrow is on the string, so I have to send it!


    Shi Langqin could only silently endure everything that happened next.


    He bit the bullet and sent the professors to the conference hall.


    Lu Chen also sat in the first row.


    The ?? conference hall was already full of doctors from various hospitals, as well as students from some medical schools.


    As the chairman of the conference, Professor Shi Langqin took the lead to speak on the stage and announced the start of the conference.


    Next, the professors gave speeches in turn.


    Including Professor Qin Sifeng, the heavyweight professors will come to the stage one by one to speak and share the latest research results in the field of TAVR.


    The first person to come to power was Lu Chen''s doctoral supervisor, Professor Zhang Shuqing.


    As a leader of a generation slightly older than Lu Chen, he and Lu Chen collaborated on a scientific research project, which was successfully concluded recently.


    Zhang Shuqing walked onto the stage slowly, said with a smile, "I''m Zhang Shuqing from the No. 1 Hospital of the Magic City. I''m very happy to come to the beautiful city of Guanghai... Next, the content I will bring is about the application of TAVR surgery in China. This research is also thanks to the help of my doctoral student Lu Chen, now he is also a cardiologist at Guanghai First Hospital, and it can be regarded as the fate between me and Guanghai..."


    At this kind of conference, Zhang Shuqing mentioned Lu Chen, which also gave him a slap in the face.


    Although all the top professors knew Lu Chen, there were many young professors sitting underneath.


    The chairman of the conference, Shi Langqin, took all this in his eyes, but there was nothing he could do to change the situation.


    After Zhang Shuqing finished speaking, it was Xiao Shikang''s turn.


    What he said was about the analysis of Lu Chen''s paper on the top journal of TAVR.


    Naturally, Lu Chen was also mentioned.


    The doctors present all began to pay attention to the name Lu Chen.


    ¡­


    Three scholars spoke throughout the morning.


    Lu Chen did not appear on stage, but he was present in the content of each speaker.


    This is also the general trend in the field of TAVR. If you want to tell the latest hot topics, you can''t avoid Lu Chen''s previous top journal papers.


    The morning meeting was over and it was time for lunch.


    Ordinary participants went to the first floor for a buffet, while professors and experts came to a special banquet hall.


    In Shi Langqin''s plan, Lu Chen didn''t have this qualification, so he didn''t reserve a place for him.


    But now, Lu Chen has become a key figure with a halo.


    Shi Langqin could only add a chair to Lu Chen.


    Because there was still a meeting in the afternoon, everyone did not drink.


    Lu Chen was the youngest in the audience, and he used tea instead of wine to pay respects to all the professors.


    If it was real wine, he wouldn''t have the guts.


    ¡­


    Lu Chen came to Shi Langqin, smiled and said, "Thank you, Professor Shi, for providing this opportunity to bring all the experts together. In today''s meeting, I learned a lot of cutting-edge TAVR-related knowledge."


    Lu Chen drank it all.


    Shi Langqin also smiled reluctantly, "Thank you Dr. Lu for coming to the meeting, and I look forward to your speech this afternoon."


    Lu Chen smiled and sat back in his seat.


    As an old classmate of Shi Langqin, Dai Wansong could see what he was thinking.


    After the meal, there is a half-hour break before the meeting begins.


    Dai Wansong found Shi Langqin on purpose.


    The two met in a separate small conference room.


    Looking at Shi Langqin with a frustrated face, Dai Wansong couldn''t help but smile.


    "Old Dai, you are still laughing, you really have no sympathy." Shi Langqin shook his head slightly and sighed.


    "Haha, I didn''t say that." Dai Wansong laughed, "Lao Shi, you have always been running around for these titles and fame, aren''t you tired?"


    "Hey, it''s not like you don''t know, how much effort did I spend to prepare for the TVAR branch in Guanghai this time?" Shi Langqin frowned, "The manpower and powerlessness spent before and after are all me. The blood I paid, and now I feel like I have to make a wedding dress for a young man, I am not reconciled!"


    Dai Wansong shook his head slightly and poured a cup of tea for Shi Langqin.


    "Old Shi, you were the best student in our class back then, and the teachers valued you the most. Even our school''s beauty was chased by you and married as a wife. You don''t know how much everyone envied you at that time."


    Shi Langqin heard this, although he didn''t know what Dai Wansong meant, he still grinned when he recalled the glorious past.


    I just heard Dai Wansong go on to say: "We are old classmates and old friends, and I will talk to you without detours. Later, when we were all engaged in academics, you were busy applying for various programs and titles, associate professor, professor, Master supervisor, doctoral supervisor, excellent youth, outstanding youth, etc.¡±


    "This...isn''t it wrong?" Shi Langqin said with a frown.


    "That''s right, but you''ve put the cart before the horse!" Dai Wansong sighed, "We devote ourselves to scientific research, so titles and projects will naturally come, not to say that if you have such a title, you will become great and you don''t need to continue studying. ."


    There are countless professors of parallel imports.


    But those who really have real talents and real learning are seen by everyone.


    "You are the latest in our group to be promoted to chief physician, but what about academic influence?"


    Shi Langqin said with an expressionless face, "Of course I can''t compare to you."


    "Then you are still thinking about the position of the chairman?" Dai Wansong asked rhetorically.


    "If Lu Chen doesn''t come to Guanghai, can''t I take this seat?" Shi Langqin raised his brows.


    In the wide sea, Shi Langqin is still very confident in himself.


    "I don''t think so!" Dai Wansong smiled, "At the meeting this morning, I paid attention to the young people attending the meeting. Many doctors from Guanghai are very thoughtful. They may not be able to catch up with you within a year or two. ."


    "But that''s something that comes later." Shi Langqin said, "Furthermore, this chairman is not someone who does a good job in surgery, whoever has a good medical skill, and whoever is a good doctor! It''s our influence in the academic circle. force!"


    "Hey." Dai Wansong could only move Lu Chen out, "Then you and Lu Chen can''t compare their surgical ability and influence?"


    Lu Chen''s influence can be seen from today''s lounge.


    "With Lu Chen here, your position as the chairman is a hot potato!" Dai Wansong continued, "In the future, critically ill patients will all go to Lu Chen''s side. What is your face as the chairman of the Guanghai TAVR Society?"


    Shi Langqin was silent when he heard the words.


    "Old Dai, do you know why there are so many big bosses in the country, so much respect for the young man Lu Chen?" Dai Wansong''s words seemed to have magic power.


    Shi Langqin raised his head and hurriedly asked, "Why?"


    Dai Wansong took a sip of tea and said slowly, "Because we see hope in Lu Chen."


    There is one more


    (end of this chapter)

 v2 Chapter 768： Let me talk about the problem (fourth more)

    Chapter 768 Let me talk about the problem (fourth more)


    "Hope...hope?"


    Shi Langqin looked at Dai Wansong puzzled.


    Dai Wansong nodded slightly, took a sip of his tea, and said slowly: "Let''s take TAVR surgery, even if we talk about this surgery well now, and how hysterical it is, in foreign countries, this is an ordinary, A technique with a high popularity rate, but it has only just been launched in our country.¡±


    Shi Langqin nodded, he agreed with this sentence.


    Although domestic medical care has been trying its best to catch up in recent years, in terms of cutting-edge medical level, the gap between domestic and foreign is still not small.


    "It''s hard to catch up with us old guys!" Dai Wansong sighed, "Isn''t the hope for the future in young people like Lu Chen and Yu Weiguang?"


    "If even we don''t give these young people a stage to play, when will our domestic medical care catch up with Europe, America and island countries?"


    Shi Langqin was silent.


    When he was still thinking about his own interests, this old classmate''s thinking was no longer on the same level as his own.


    "Our Huaxia needs young people like Lu Chen, and we need to push them out!" Dai Wansong said solemnly, "I believe not only me, but all the professors who came here today have this idea! "


    Shi Langqin picked up the teacup and took a sip.


    These truths, he doesn''t understand.


    No matter medical or other industries, as long as Europe and the United States are stuck in the neck, it will be difficult to develop, and you can only mingle behind other people''s ass.


    The great country, how can we truly get rid of the constraints of outsiders?


    "Old Dai, thank you." Shi Langqin said softly, "I know what to do."


    ¡­


    The short break ended and the afternoon session resumed.


    The first one to play was a doctor from Guanghai Central Hospital.


    He shared the emergency TAVR surgery he had done a few days ago.


    In Shi Langqin''s previous plan, this operation was officially announced, and their TAVR surgery capability of Guanghai Central Hospital has entered the domestic popular ranks.


    Although it was done by Professor Dai Wansong, it also proves that Guanghai Central Hospital has this condition and ability.


    But now, Shi Langqin is a little less interested.


    He just wanted to end today''s meeting early.


    And Lu Chen was the last one to appear today.


    When Lu Chen reported his home, he attracted the attention of everyone present.


    After the professors in the morning, everyone knew about a character like "Lu Chen".


    "Hello everyone, I''m Lu Chen from the Cardiology Department of Guanghai First Hospital."


    When Lu Chen''s profile appeared on the big screen, everyone was keenly aware of it.


    Lu Chen¡ª¡ªDeputy Chief Physician!


    Under the stage, everyone was stunned.


    There is such a young deputy chief physician?


    Looking at Lu Chen''s profile, he should have just graduated with a Ph.D.


    Zhang Shuqing naturally noticed this, he froze in his heart, and understood why Lu Chen gave up on the capital and the magic capital.


    Guang Hai is really generous, he directly gave him the title of Deputy Director.


    Although their magic capital also promised Lu Chen the title of "Deputy Director" at the beginning, it will take three years, when the time limit is up, to be promoted smoothly.


    Instead of being promoted directly, like Guang Hai.


    Moreover, this is only a superficial preferential condition, what other conditions are there behind the scenes?


    At this moment, Zhang Shuqing even envied Lu Chen.


    Guanghai really has a lot of money!


    Qin Sifeng from Kyoto and Dai Wansong from Magic Capital also noticed this little detail.


    While everyone was shocked, they had to feel happy for Lu Chen.


    Promotion of professional title is a hassle, and the cumbersome conditions of various rules and regulations will waste a lot of energy.


    At this time, Lu Chen on the stage continued: "The content of my speech this time is different from other teachers. I just want to talk to you about some issues that have yet to be solved in the Huaxia TAVR field."


    As soon as these words came out, the audience was in an uproar.


    People who didn''t know Lu Chen thought that Lu Chen was a college student.


    Talk about the unsolved problems in the Huaxia TAVR field?


    This is something that only top bosses can do, right?


    Ordinary people don''t have the ability, nor the status, to talk about this kind of issue in front of everyone.


    This is like publishing a review paper.


    Ordinary scholars, even if they have their own ideas, want to publish review papers, it is quite difficult.


    And the general industry bigwigs don¡¯t have to write it themselves at all, let the students finish writing, bring their own names, and they can easily find journals for publication.


    Those professors who knew Lu Chen were all focused at this moment.


    Unsolved problems in the field of TAVR, these are the future research directions!


    The things that Lu Chen will talk about below are all bright scientific research fund projects!


    Qin Sifeng whispered to Xiao Shikang next to him: "What Lu Chen said must be written down."


    "Okay." Xiao Shikang nodded quickly.


    Zhang Shuqing also stared at Lu Chen expectantly.


    He had already thought about it. When the meeting was over, he must copy Lu Chen''s PPT materials.


    Generally speaking, the PPT materials at this kind of conference will not be easily spread.


    Dai Wansong took out his mobile phone, turned on the mobile phone camera, pointed it at the screen, and prepared to take a picture.


    Even Shi Langqin, who had always been in a bad mood, realized the importance of Lu Chen''s speech at this time.


    He immediately concentrated and stared at the screen on stage.


    ¡­


    Lu Chen didn''t care about the reaction of the crowd, and started his speech directly.


    "The first question I want to ask is, in younger patients, what is the value of TAVR?"


    The indications for TAVR surgery are those older patients who cannot tolerate thoracotomy.


    "In younger patients, the durability of the TAVR valve is an issue that must be considered."


    "I evaluated some foreign studies, and the results show that the TAVR valve has a 10-year long-term durability. Over time, the incidence of TAVR valve damage will gradually increase, and the average effective time of the valve is about 8 years."


    This is easy to understand.


    For example, a 40-year-old patient has undergone TAVR surgery, but the valve can only last for 8 years, or even shorter. For this young man, a second operation may be required, which will cause great harm to the patient.


    Lu Chen stared at everyone in the audience and said solemnly: "Blindly promoting TAVR surgery, even among young people, this is an issue that needs to be carefully considered."


    He is asking a question and a warning to everyone here!


    There will definitely be young people fooled into doing this kind of intervention.


    But judging from the current development of TAVR surgery, the durability of artificial TAVR valve is a big problem!


    The first question is so acute.


    The conference hall that was a bit noisy at first has now become a little quieter.


    Even those who were skeptical of Lu Chen were thinking about Lu Chen''s words in their hearts at this moment.


    (end of this chapter)

 v2 Chapter 769： Chairman Lu (night shift)

    Chapter 769 Chairman Lu (Night Shift)


    Shangri-La Hotel.


    Conference Hall on the third floor.


    Lu Chen was speaking on stage.


    The audience under the stage is taking notes.


    Some people, even back in their student days, took out their mobile phones and wanted to take pictures of the PPT on the screen.


    But Lu Chen didn''t stop. After finishing the first question, he continued on to the second one.


    "The second problem is the problem of intraoperative acute coronary obstruction."


    Even if Lu Chen is so skilled now, it cannot completely avoid the occurrence of myocardial damage.


    Moreover, acute coronary occlusion is difficult to predict effectively before or during surgery!


    Lu Chen continued: "For some patients with high risk of coronary occlusion, such as bicuspid valve deformity, severe valve calcification, and previous coronary artery disease, adequate preoperative evaluation should be carried out. Delayed postoperative coronary occlusion is also a cause of patients. significant cause of increased risk of death."


    "In addition, too low coronary ostium is one of the most common reasons why patients cannot undergo TAVR surgery in clinical practice."


    ¡­


    In the entire conference hall, only Lu Chen''s voice could be heard.


    A discussion meeting has become Lu Chen''s unique stage!


    He threw the key points of the remaining two questions one after another.


    "Third, can transfemoral TAVR be effective in the treatment of aortic regurgitation?"


    "Fourth, how to deal with dilation of the ascending aorta?"


    Four questions, four new research directions.


    This is a way for every TAVR practitioner to apply for various fund projects.


    Lu Chen was able to be so generous.


    shared his research results with everyone present!


    All the professors present, including those who could recognize the importance of Lu Chen''s remarks, were all shocked and looked at Lu Chen in confusion.


    ¡­


    At this point, Lu Chen had finished his speech.


    There was still a faint smile on his face.


    It is no exaggeration to say that these problems were discovered by Lu Chen''s research.


    Solving any problem can bring a qualitative leap to the understanding of TAVR surgery!


    Lu Chen is not that kind of good person!


    The reason why he shares these problems with everyone is that he knows that it is impossible to solve all TAVR related problems with his own efforts.


    mobilize everyone to solve these problems as soon as possible, in order to move the field of Huaxia TAVR surgery a step forward!


    not to mention.


    Knowing these problems is easy, but finding solutions is not easy!


    However, despite this, everyone still admires Yu Lu Chen''s selflessness and generosity in scientific research!


    Even Shi Langqin has taken it, completely taken it.


    Shi Lang asked himself.


    If you switch roles with Lu Chen, you will never be as selfless as Lu Chen!


    ¡­


    "Okay, that''s the end of my speech today, I hope I can bring you some help."


    Lu Chen smiled, bowed slightly to the crowd, and walked off the stage slowly.


    The voice of ?? just fell.


    There was warm applause in the conference hall.


    Many arrogant professors did not even hesitate to applaud themselves.


    Qin Sifeng glanced at Lu Chen on the stage, and then said to Xiao Shikang next to him: "Shikang, you also heard these four questions from Lu Chen just now, what do you think we can do?"


    Qin Sifeng was already thinking about these four issues.


    Xiao Shikang frowned, "The first two questions seem to be relatively meaningful, but they are very difficult. We can start with the latter two."


    "Then what do you think of the fourth one?" Qin Sifeng asked.


    "Yes." Xiao Shikang nodded and said, "Ascending aortic dilatation is a common problem in patients with valvular disease, especially in our patients with bicuspid valve malformations that are common in China. Femoral artery TAVR is more difficult."


    "If we solve this problem, we can help more patients."


    Not only Qin Sifeng and Xiao Shikang were discussing these four issues, but other professors also began to discuss with each other.


    For example, Dai Wansong is seriously thinking about the solution to the third problem.


    Aortic valve regurgitation is more common than aortic valve stenosis in the elderly Chinese population.


    ¡­


    The person with the most headache now is Yan Wanfeng.


    In his opinion, every question that Lu Chen talked about, if it was studied by people in his own department, how many results would be obtained!


    It''s such a waste to announce it to the public now!


    Others are scratching their heads and thinking about scientific research projects.


    Lu Chen did the opposite, and gave everyone a direct question.


    At this point, all speeches are over.


    The last procedure of the conference is to establish Huaxia Guanghai TAVR branch.


    The ?? Medical Branch is actually a ranking of academic influence in the region.


    The chairman of the provincial and municipal branch is the city-level leader of the discipline and the leader of the discipline.


    If he is the chairman of the entire Huaxia, he is the national leader in this field!


    This is also the position that Shi Langqin has been thinking about all the time.


    He has fantasized countless times that he stood at the front of the conference and became the chairman of the Guanghai TAVR branch.


    And today, everything has changed.


    The election of chairpersons will proceed as usual.


    The candidates for the ?? chairman are Lu Chen, Shi Langqin, and the director of another hospital in Guanghai.


    The people who have the right to vote are the professors from the higher medical branch.


    Including Qin Sifeng, Xiao Shikang, Dai Wansong and Zhang Shuqing, a total of 11 people voted.


    ¡­


    The time to vote is short.


    The professors entered the lounge and began to raise their hands to vote.


    five minutes later.


    The result of the poll is out.


    Lu Chen became the first chairman of the Guanghai TAVR branch with an absolute advantage of nine votes!


    This result was expected by everyone.


    It was just Lu Chen at this time, and there was still an unreal feeling.


    Before ??, Yan Wanfeng told him that he would take a deputy chairman back.


    Deputy Director, Lu Chen felt amazing at that time.


    But now, he just removed the "vice"!


    It turned out that before he knew it, so many bigwigs had gathered around him.


    Lu Chen''s influence in the academic circle has already surpassed that of a veteran professor like Shi Langqin.


    "Let''s congratulate Lu Chen on becoming the chairman of the first TAVR branch in Guanghai!"


    Following Shi Langqin''s words on stage, Lu Chen''s identity was finally settled.


    The entire conference hall burst into deafening applause.


    Beside, Shi Langqin looked at Lu Chen who was in high spirits on the stage, and his heart was really uncomfortable.


    Today, although he is the vice president of the chapter, it is only a consolation prize.


    ¡­


    Lu Chen stood on the stage and looked around.


    At this time, his expression was still a little dazed.


    In a trance, there is also a huge joy.


    But Lu Chen also knew that when he won the title, he also shouldered many responsibilities.


    For Lu Chen.


    The chairman of the branch is also just a new beginning, not the end.


    In the future, he will take Guanghai''s TAVR and make big strides.


    Take Huaxia TAVR and rush to the world!


    The **** of the night shift has favored me.


    Too busy, no updates today, make up tomorrow.


    (end of this chapter)

 v2 Chapter 770： Hold a study class (first update)

    Chapter 770 Holding a Study Class (First Update)


    All meetings are over.


    In Lu Chen''s system panel, the thanks value has soared again!


    This is faster than treating patients in the hospital!


    And it has risen more than Lu Chen''s previous meetings.


    But this is all thanks to the content of Lu Chen''s speech, which shared major issues in the field of TAVR with everyone.


    Anyone who knows about TAVR surgery is very grateful to Lu Chen''s speech, which made them re-understand this new type of surgery.


    End of the meeting.


    Professors from all over the world, as well as members of the newly established chapters, gathered for a group photo.


    Everyone asked Lu Chen to stand in the middle. Today, he is undoubtedly the protagonist with the most aura.


    But with so many bigwigs present, how dare Lu Chen stand in the middle!


    He quickly stepped aside and gave Ou Yangming and Qin Sifeng the empty seats in the middle.


    Ou Yangming saw this, smiled, and did not continue to refuse.


    This young man, Lu Chen, can be considered as he has grown up.


    How far can he go in the future?


    Ou Yangming had great expectations in his heart.


    Professors, come and go in a hurry.


    Everyone is very busy, and some professors will be flying back that night.


    For example, Qin Sifeng, the operation of the department cannot be separated from him.


    The treatment of some critically ill patients, as well as severe surgery, requires him to check.


    ¡­


    Outside the hotel gate.


    A commercial vehicle has been waiting for a long time.


    Qin Sifeng and Xiao Shikang stood side by side.


    Lu Chen stood in front of the two with a somewhat reluctant expression.


    "Professor Qin, Director Xiao, I don''t know when we will meet next time."


    "Haha, don''t worry, there is a chance." Qin Sifeng said with a smile, "You brat, what we talked about at the meeting today, we have to think about it when we go back, and we will inevitably ask you for advice later."


    Xiao Shikang nodded with a smile, "Lu Chen, look forward to meeting you next time."


    Lu Chen''s growth rate was so great that everyone was stunned.


    Maybe the next time we meet, Lu Chen may leave them far behind.


    "Professor Qin, Director Xiao, if you have any questions, please come to me at any time." Lu Chen smiled, "I also look forward to the next meeting."


    After saying that, Qin Sifeng and the two waved to Lu Chen and got into the commercial car.


    Then, Lu Chen''s mentor Zhang Shuqing and others also left.


    Guanghai''s brief meeting, Lu Chen also knew a little, although this mentor didn''t communicate much with him, but behind his back he firmly supported him.


    This time he was able to become the chairman, and many professors, including Zhang Shuqing, gave him the greatest support.


    ¡­


    Guanghai TAVR Branch was established.


    Lu Chen became the chairman, and the news spread like wildfire in a very short period of time.


    And the matter of Shi Langqin being picked peaches has also become a topic of discussion after dinner.


    However, Shi Langqin became the deputy chairman anyway, and his face was justified.


    On the other hand, Lu Chen is still young, and he is not familiar with the management of this branch.


    More things are left to subordinates to do.


    However, the position of the chairman represents the status of a top expert in the field of TAVR in Guanghai.


    Guanghai First Hospital''s original entry-level TAVR level was also pulled up by Lu Chen alone.


    The reputation of the hospital grew, and so did the patients.


    The aging of Huaxia is becoming more and more serious, and the number of patients who need TAVR surgery is also increasing.


    For a while, patients and their families came to Guanghai First Hospital to consult TAVR surgery, and there was an endless stream.


    As we all know, the level of surgery here is not inferior to that of Kyoto in the magic capital.


    Can operate at home, who is willing to travel through mountains and rivers?


    ¡­


    "Lu Chen, the formation of the TAVR surgical team is also on the agenda."


    Heart Second District, Director''s Office.


    Yan Wanfeng said to Lu Chen with a smile.


    Yan Wanfeng''s attitude towards Lu Chen has changed since Lu Chen became the chairman of Guanghai City, and he also knew so many big names in the industry.


    For Lu Chen, he lost the sense of the difference in status between superiors and subordinates, and showed more care from the elders to the younger generation.


    "Well, I''m also planning this for a while." Lu Chen nodded.


    It is definitely not possible to rely on him to perform the operation alone.


    is like some ordinary TAVR surgery, which can be done by the doctor below.


    "The hospital is now fully cooperating with your work. If you want someone who wants a catheterization lab, you will be matched!" Yan Wanfeng is full of confidence.


    The second area in their hearts was given great importance in the courtyard.


    "With your words, I''m relieved." Lu Chen smiled, "I''m slowly choosing the members of the surgical team. As for the catheterization room, if the hospital is willing to equip a set of simulated TAVR surgical equipment..."


    Hearing this, Yan Wanfeng showed a wry smile, "Lu Chen, your opening is not a small thing."


    Lu Chen smiled, he wouldn''t ask for small things in person.


    "According to me, at present this kind of simulated surgery equipment seems to be only available in Kyoto and Magic?" Yan Wanfeng said.


    "Yeah." Lu Chen nodded, and then said, "Director Yan, in fact, this simulated surgical equipment is not very useful to me. It is just for some beginners in surgery, so that they can get started faster."


    Any surgery, it is impossible to directly let doctors do experiments on patients.


    It takes at least ten or twenty years for some major surgical talents, such as cardiac surgery, to train a chief surgeon.


    The existence of simulated surgical devices can train surgical talents faster and more efficiently.


    And Lu Chen has the existence of a virtual space of the system. This kind of operating equipment in reality is of limited help to him.


    "This matter... I''ll help you to mention it to the courtyard." Yan Wanfeng paused,


    "Then thank Director Yan first." Lu Chen said quickly.


    Yan Wanfeng waved his hand, "Don''t rush to thank me, if you can approve it, then let''s talk about it."


    "Thank you in advance. By the way, Director Yan." Lu Chen said again, "I want to hold a TAVR class, do you think...is it feasible?"


    Lu Chen''s idea is also due to the experience of participating in the study class when he was in the magic capital.


    Less than two weeks of intensive study time allows beginners to master the simplest technique, and can better popularize the technique of TAVR.


    In addition, he has another idea, that is, to hold a study class in person, and to earn a wave of gratitude points.


    "Of course you can." Yan Wanfeng smiled, "You are now the chairman of TAVR in Guanghai City. Isn''t it very simple to run a study class?"


    "Okay, as long as there is leadership support." Lu Chen said.


    ¡­


    After leaving the director''s office, Lu Chen immediately contacted the staff of the TAVR branch in Guanghai.


    He wants to start the Guanghai TAVR class as the chairman.


    The first batch of students is limited to twenty.


    The course lasts for two weeks, and the location of the class is set at the Cardiac Catheter Center of Guanghai First Hospital.


    At the same time, a new personnel appointment was quietly passed to the second district in the heart of Guanghai First Hospital.


    (end of this chapter)

 v2 Chapter 771： The first confrontation between the new and the old (second update)

    Chapter 771 The first confrontation between the new and the old (Second Update)


    "I heard that the director of the second district in my heart has left!"


    "Huh? When are you leaving? Have you left our hospital?"


    "I don''t know, I heard that I couldn''t get along with the above, so I left!"


    "My darling, the director''s seat is vacant, this is a sweet treat."


    The Cardiology Department of Guanghai First Hospital has six wards.


    Except for the chief director and deputy director of the Department of Cardiology.


    Each ward has its own director and deputy director.


    And this time, the director of the second district of Cardiology Department suddenly resigned!


    When such an important seat is vacated, there are naturally countless pairs of eyes watching.


    However, Lu Chen knew that this position had already been reserved by Yan Wanfeng.


    Yan Wanfeng had already revealed to him some time ago.


    The burden on his shoulders needs to be heavier in the courtyard. This is a proper promotion!


    This time, the position of Section Chief of the Second District in his heart was vacated, most of which belonged to Yan Wanfeng.


    What Lu Chen didn''t expect was that this time the personnel appointment had something to do with him!


    Yan Wanfeng''s original position was the deputy director of the department.


    He was promoted to director, and the position of deputy director will also be vacated!


    ¡­


    Temporary meeting room of Cardiology Department.


    At this time, many middle-level and above leaders have gathered.


    Including Zhang Dewen, the dean of the Department of Cardiology, Ou Yangming, the honorary dean, Cen Shangwei, the chief director of the Department of Cardiology, Yan Wanfeng, the new director of the second district of the heart, and directors of other wards.


    They are all out.


    "Today I gathered everyone here mainly for new personnel appointments." Zhang Dewen took the lead and said, "After the decision of the leadership team of our hospital, Comrade Yan Wanfeng was appointed as the director of the Second Ward of Cardiovascular Medicine."


    When the directors heard this, they all cast a kind look at Yan Wanfeng.


    Some of them have already heard the wind.


    But today, Zhang Dewen officially opened his mouth. Although the hospital has not yet followed up, it is a sure thing.


    According to legend, this Yan Wanfeng was promoted by Zhang Dewen.


    Everyone looked at each other, it seems that they will have a good relationship with the second district in their hearts in the future.


    "Comrade Wan Feng takes over the second district of Xinnei, so his position as deputy director is also vacated."


    Zhang Dewen''s words immediately caught everyone''s attention.


    The second area in my heart is now in full swing, and TAVR surgery is in full swing.


    This is a big cake!


    Every director wants to get a piece of the pie and install a subordinate he can trust.


    "The opinion of the leadership team of the academy is to let us discuss internally first and give a collective opinion." Zhang Dewen looked around the crowd, "You give a director, if there is a suitable candidate, you can mention it."


    This cardiology department is not monolithic.


    There will be cooperation, competition, and contradictions among various departments.


    As the dean, what he can do is to coordinate the directors as much as possible, and lead the Cardiology Department of Guanghai First Hospital to go further.


    "President Zhang, I have a choice." Zuo Yaoqun, director of the first district in his heart, immediately said.


    "You said." Zhang Dewen''s expression was calm.


    "Gu Long, the deputy chief physician of our department, is a young talent with outstanding professional ability." Zuo Yaoqun said, "Last year, I applied for several provincial and municipal scientific research projects, and my leadership skills are also good."


    "Well." Zhang Dewen nodded slightly, but didn''t say much.


    Afterwards, the directors were chatting, recommending doctors in their departments.


    There are many doctors in the Cardiology Department, and there is a large turnover of personnel. It is impossible for the upper-level leaders to know everyone.


    All the positions of the deputy directors are ultimately a game between the directors.


    When everyone''s discussion came to an end, Yan Wanfeng suddenly spoke up.


    "President Zhang, I also want to recommend someone."


    As soon as ??''s voice fell, all the directors present stole a surprised look from Yan Wanfeng.


    This one just got promoted to director, and wanted to install his subordinates?


    "Who?" Zhang Dewen looked at Yan Wanfeng curiously.


    In fact, Yan Wanfeng just became the director, and he needs to do it steadily, manage and organize the second area in his heart.


    It is not very wise to recommend a candidate again at this time.


    Yan Wanfeng did not change his face, and continued: "Deputy Chief Physician of the Second District in the Heart, Lu Chen!"


    As soon as these words came out, the temporary conference hall was completely silent.


    This Yan Wanfeng is really daring!


    Who doesn''t know that Lu Chen has just graduated with a doctorate and has been in the Cardiology Department of Guanghai First Hospital for less than a month.


    The deputy chief physician who is less than 30 years old is already amazing enough.


    Now you still want him to be directly promoted to the deputy director of the department?


    This kind of promotion speed is faster than riding a rocket!


    (ps: Chief Physician, Deputy Chief Physician, Attending Physician, Resident Physician, these are titles, everyone has them. Department Director, Deputy Director, these are the duties of the department, and there is no absolute relationship between the two.)


    Zuo Yaoqun, director of the first district in his heart, was about to say something, but he was interrupted by Ou Yangming.


    Ou Yangming, who has always been unknown, said with a smile, "I agree with Comrade Yan Wanfeng''s choice!"


    What?


    Everyone was stunned when they heard what the Honorary Dean Ou Yangming said.


    Ouyang Ming came to Guanghai for a while.


    He is not only the honorary president of Guanghai First Hospital, but also an expert in the Department of Cardiology.


    I usually don''t interfere in the administrative affairs of the department. Why did I suddenly get into a bunch of things with Yan Wanfeng today?


    Everyone looked solemn.


    Professor Ou Yangming is only an honorary dean, but the weight of his words is not light!


    But the position of the deputy director of the second district in the heart, no one will give up this sweet pastry easily.


    Zuo Yaoqun, the director of the first district in his heart, gritted his teeth and said bravely: "Director Yan, Lu Chen, this young man, as we all know, is indeed a rare talent, but he is too young, will he have any qualifications? A little shallow?"


    "Yes, I think Director Zuo is right."


    Hearing Zuo Yaoqun say this, the director of a ward immediately agreed.


    However, there are also a few ward directors who remain on hold.


    They clearly felt Professor Ouyang Ming''s inclination this time.


    On the other hand, Ouyang Ming and Yan Wanfeng have a close relationship with Zhang Dewen.


    If you are eager to stand in line at this time, I am afraid it will make the leader unhappy.


    In the presence, the only person who did not express his opinion was Cen Shangwei, the director of the University of Cardiology.


    As the head of the Cardiology Department of Guanghai First Hospital, his opinion is definitely the most important.


    To a certain extent, it affects the final candidate of the deputy director of the second district in the heart.


    And Cen Shangwei sat silently beside Dean Zhang Dewen like an old monk entering meditation, and he didn''t speak.


    However, he was very clear about this personnel appointment in his heart.


    seems to be a simple personnel appointment.


    is actually a confrontation between outsiders and the internal forces of the hospital, and it is also a contest between the new force and the older generation.


    Slightly improper handling may lead to conflicts in the department.


    "Director Cen, you are at the helm of the Cardiology Department, tell me what you think."


    Zhang Dewen looked at Cen Shangwei, who was beside him, and wanted to hear the opinion of the director of the Department of Cardiology.


    (end of this chapter)

 v2 Chapter 772： defect

    Chapter 772 Defection


    Department of Cardiology, Temporary Conference Hall.


    All the directors stared at Cen Shangwei nervously.


    If he takes sides, he may cause others to be unhappy.


    But if you don''t make a choice, you will also lose the majesty and role of the director of the Department of Cardiology.


    "Everyone''s suggestions are very good." Cen Shangwei''s first sentence was He Shi Ni, "Whether it is Gu Long recommended by Director Zuo Yaoqun, or a candidate recommended by other directors, or Lu Chen recommended by Director Yan Wanfeng, they are all good candidates. He is a very talented person in our Cardiology Department.¡±


    This sentence is almost the same as saying it and not saying it.


    "The position of deputy director is naturally reserved for those who are capable." Cen Shangwei continued, "Experienced candidates naturally have certain advantages in managing departments, but we cannot ignore the momentum of the new force."


    "According to me, Lu Chen was recently named the chairman of the Guanghai TAVR branch, right?"


    Yan Wanfeng nodded quickly with a smile: "Yes, Director. At that time, the branch was established, and many professors from China were invited, including Qin Sifeng from Kyoto, Dai Wansong and Zhang Shuqing from Magic Capital, and Professor Ouyang."


    When everyone heard Yan Wanfeng''s name, they were also secretly shocked.


    With the authorization of these experts, Lu Chen, the chairman of the branch, has a really high gold content!


    "Well, Lu Chen came to our Guanghai, which is a great blessing for our Guanghai Cardiology Department." Cen Shangwei did not hesitate to praise Lu Chen.


    You must know that with so many people present, only Zuo Yaoqun can sit on the position of chairman of the Guanghai branch.


    He is the chairman of the Guanghai Heart Failure Branch, and the other directors are at most a deputy chairman.


    When everyone heard Cen Shangwei''s praise for Lu Chen, most of their hearts froze!


    However, Cen Shangwei continued: "However, some old comrades in Corey are familiar with the operation of the department, have rich experience, and have their own advantages, which cannot be ignored."


    Dean Zhang Dewen frowned slightly.


    Cen Shangwei doesn''t want to offend people, he wants a bowl of water that is level!


    But as a leader, if you don''t have the courage and blindly think of the mean, it will not work.


    Sure enough, I just heard Cen Shangwei say: "If you want me to think about it, why don''t you hold an open competition, find a time, get together and talk about your own advantages, and then let the leaders of the hospital make a comment?"


    After ?? finished speaking, Cen Shangwei also glanced at Zhang Dewen, as if asking for his opinion.


    Zhang Dewen raised his brows slightly, but did not make a sound immediately.


    And the other directors in the conference hall, except for Yan Wanfeng, all nodded in agreement.


    This seemingly fair competition is actually very unfriendly to newcomers.


    Lu Chen is an outsider no matter what.


    Hospital leaders may know his name.


    But in the actual selection, more or less personal relationship factors are involved.


    Yan Wanfeng was quite disappointed.


    If there is really an open competition, no matter how good Ren Luchen is, it may be a little off.


    Zhang Dewen laughed at this time, he turned to look at Cen Shangwei.


    "Comrade Shang Wei, if a deputy in a ward wants to go to a meeting and let the leadership team decide, then with so many departments and wards in the whole hospital, the deans may be too busy, right?!"


    Zhang Dewen said this with a smile, but it made Cen Shangwei unable to laugh, and his heart sank immediately.


    When other department directors heard this, they immediately became quiet.


    The leader directly rejected Cen Shangwei''s words, how could they dare to accept it?


    Although Zhang Dewen is the vice president, he is in charge of the clinical department and has a lot of power. He is one of the vice presidents who are most likely to be righteous in recent years.


    "The candidate for the deputy position of the second district in my heart will be decided here today!" Zhang Dewen looked around the crowd, "I am also annoyed when I go back to the selection and selection, and the leaders above are even more troublesome."


    The ?? conference hall was suddenly silent.


    I just listened to Zhang Dewen and continued: "Now I will also express my opinion. The reason why you place so much importance on the deputy position of the second district in the heart is nothing more than the benefits brought by the TAVR operation. But think about who introduced this operation to develop. grown?"


    "In my case, the most important thing is clinical skills and scientific research level."


    "What age and qualification are you talking about, it''s not the first in my list!"


    Zhang Dewen paused slightly when he said this, "Now give the directors one last chance to express their opinions, let''s talk in turn."


    Except for Yan Wanfeng, everyone else is bitter...


    You said so, and let everyone express their opinions?


    is really a bitch.


    "Everyone speak freely, don''t be restrained." Zhang Dewen added another sentence.


    Yan Wanfeng immediately said: "President, my opinion remains the same, I still recommend the clinic."


    "Okay!" Zhang Dewen smiled and nodded, "What about other people''s opinions?"


    After a long silence, the director of the three districts in his heart suddenly spoke up.


    "President Zhang, I think this young man Lu Chen is very nice. I even watched one of his operations, and that technique is really impossible for ordinary people to learn!"


    "So Director Zhang, are you going to change your mind?" Zhang Dewen looked at the director of the three districts in his heart with a half-smile.


    "Yes, I choose Lu Chen." Zhang Liang, director of the three districts in his heart, nodded immediately.


    "Oh, it''s good." Zhang Dewen smiled and nodded.


    Hearing what Zhang Dewen said, the other directors immediately expressed their stance and turned their backs on Lu Chen!


    And Zuo Yaoqun, the director of the first district in his heart, although he is reluctant, what can he do?


    "Since Dean Zhang said so, then we naturally have to listen to your opinion." Zuo Yaoqun still scolded Zhang Dewen openly and secretly.


    There are other deans behind him, so he is not afraid of Zhang Dewen wearing small shoes for him.


    Zhang Dewen also smiled, and said to the crowd without caring: "Since everyone''s opinions are so unified, then this matter is settled as is, and then I will take this matter to a meeting and send it together with the appointment notice of Comrade Yan Wanfengtong. come out."


    This meeting is mostly just a cutscene.


    After that, Zhang Dewen and Ou Yangming left immediately.


    conference hall.


    Yan Wanfeng had a smile on his face, a smug smile.


    He was trying to restrain himself, trying not to laugh out loud.


    The directors of other wards were all sitting in their seats, silent.


    How to say it, I can only feel that the times are changing so fast!


    A young man who has just graduated with a doctorate has not only hired a deputy chief physician, but is now a deputy director of the department!


    If you say it, no one will believe it, right?


    But now it really happened.


    At this time, Director Zhang Liang of the third district in his heart suddenly came to Yan Wanfeng''s side.


    "Hey, Director Yan, congratulations!"


    Yan Wanfeng did not have much contact with Director Zhang Liang.


    But judging from his performance at the meeting just now, he is a person who knows how to adapt to the situation.


    "Thank you." Yan Wanfeng responded with a smile.


    "The TAVR surgery in the second district of your heart is really amazing!" Zhang Liang smiled again, "I heard that the beds in the second district of the heart are very tight, and it is not easy to get one. what."


    "It''s okay." Yan Wanfeng smiled in his heart, this Zhang Liang definitely had a purpose.


    Sure enough, Zhang Liang suddenly whispered again: "Director Yan, I heard that Lu Chen is setting up a TAVR team. I have a candidate here, can you help me introduce it?"


    When the other directors heard this, they secretly scolded Zhang Liang for being a jerk, but they also began to liven up in their hearts.


    ¡­


    At this time, the client Lu Chen was still guiding the operation in the catheterization room of the Cardiology Department.


    And the news that he was promoted to the deputy director of the department was soon passed back to the ward by the directors of each ward.


    (end of this chapter)

 v2 Chapter 773： The three most important things

    Chapter 773 The three most important things


    Guanghai First Hospital, Cardiology Catheterization Laboratory.


    Lu Chen is instructing Jin Miao to perform TAVR surgery.


    Of course, it''s just the simplest steps for Jin Miao to perform the operation.


    Jin Miao had the basis of coronary intervention before.


    The operation of ?? intervention, the puncture of the first few parts, the entry of the guide wire and the catheter, are basically the same.


    Jin Miao can still get started quickly.


    However, he can only do these simple piercings for the time being.


    "Well, it''s not bad." Lu Chen stood beside Jin Miao and nodded with satisfaction, "First practice the basic puncture habits, and then start the valve operation."


    "Okay." Jin Miao responded immediately.


    For him now, Lu Chen''s words are the first order!


    The matter of forming a TAVR team is imminent.


    Jin Miao was afraid that his position would be replaced by others, so he could only practice hard.


    "Leave the rest of the operations to me. You can go outside and say hello." Lu Chen said, "Take the next patient down."


    There are many patients who have undergone TAVR surgery recently, and Lu Chen''s daily surgery is full.


    After this operation is completed, we have to do the next one immediately.


    Fortunately, with the help of Jin Miao, Lu Chen only needs to concentrate on the delivery and placement of the final valve.


    Jin Miao walked out of the catheterization room, ready to pick up the next patient.


    At this time, a young doctor passed by, he smiled and said, "Brother Jin, is Director Lu performing surgery inside?"


    Jin Miao is very alert now when she sees others looking for Lu Chen.


    came to Lu Chen again, do you want to join the TAVR surgery group?


    "Well, Director Lu is inside." Jin Miao replied lightly, "He''s very busy, are you busy? Just tell me."


    "It''s alright." The young doctor came and shook his head with a smile, "I just wanted to see Director Lu. It''s really amazing. How long has it been since I came to the hospital and became the deputy director of the department!"


    "What? Deputy director of the department?"


    Jin Miao was stunned.


    "Yes, don''t you know?" The young doctor smiled, "Deputy director of the second district in your heart! Everyone is talking about this now!"


    When Jin Miao heard this, she was both surprised and delighted!


    If Lu Chen can become the deputy director of the department, then he will follow behind Lu Chen, and he will also be exposed!


    "Is this true?!" Jin Miao said again.


    He still felt a little weird.


    Lu Chen came to Guanghai First Hospital for too short a time. In less than a month, he was exceptionally promoted to deputy chief physician.


    Now he is actually the deputy director of the department. Jin Miao doesn''t believe it when you say that Lu Chen doesn''t have a hard background behind him.


    "Seriously!" The young doctor nodded immediately, "I heard that it was decided by an internal meeting of the Cardiology Department, and it will be officially published in a few days, it can''t be fake!"


    Jin Miao was excited for a while, and he felt that his luck had come.


    finally hugged a thigh!


    However, he still has business to do now. He has to go upstairs to pick up new patients. He didn''t have time to chat with the young doctor, so he left quickly.


    ¡­


    This matter is not only discussed in one ward.


    Every ward of the Cardiology Department, as long as there are doctors, are talking about this new appointment.


    Lu Chen''s limelight even overshadowed Yan Wanfeng, who was promoted to the director of the department!


    When Lu Chen came out of the catheterization room, Jin Miao had already sent the new patient.


    "What''s wrong with you? So happy?"


    Lu Chen took off his gloves, looked at Jin Miao with a smile on his face, and asked suspiciously.


    "Hey, Director Lu, I''m so happy for you!"


    Jin Miao''s words left Lu Chen puzzled.


    "Happy for me?"


    "Yes, I heard that you are going to be promoted to the deputy director of the second district in your heart!" Jin Miao whispered beside Lu Chen.


    Although everyone knows about this, it is better to keep a low profile.


    "What did you say?"


    Lu Chen was about to take a sip of water when he heard Jin Miao''s words and put down the mineral water again.


    I only heard that Director Yan Wanfeng became the director of the department, but I never heard that he could become the deputy director!


    "Don''t talk about it! It doesn''t affect the hospital well." Lu Chen said, "I don''t even know about this, where did you know it?"


    "Everyone said so!" Jin Miao said, "I heard that the leaders had a meeting this morning to decide, Director Lu, just wait for the official notice to publish the document!"


    Jin Miao''s words were so certain that Lu Chen couldn''t help but believe them.


    However, he just came to the hospital for less than a month!


    This Guanghai First Hospital really dares to employ people!


    However, Lu Chen thought of Dean Zhang Dewen, whom he had met when he first joined the post, and Professor Ouyang Ming, who was the honorary dean.


    There must be their shadow behind this incident.


    "No matter what, others can say this, let''s not talk nonsense."


    Lu Chen is still quite cautious.


    If it were true, others would think they were Dese.


    If it¡¯s fake, it¡¯s a shame!


    All in all, Lu Chen didn''t want to think too much about changes in the department''s position.


    He didn''t have much thought about the position of Deputy Director.


    But if you let him do the trick, he will definitely fulfill the corresponding responsibilities and obligations.


    Throwing away the distracting thoughts in his heart, Lu Chen continued to start the next operation.


    Lu Chen knew very well that any title or status from the outside world was just an illusion.


    What really sets me up is my clinical skills and surgical ability!


    ¡­


    Lu Chen successfully completed three TAVR operations.


    These three operations are relatively conventional.


    If you put it before, you may go to Guanghai Central Hospital, but now they all go to Guanghai First Hospital.


    You must know that a TAVR operation requires at least one hundred thousand Chinese coins to start.


    The arrival of ??Lu Chen not only helped the people of Guanghai to solve a major "heart" problem, but also created huge benefits for Guanghai First Hospital.


    Moreover, at present, this interest is firmly in the hands of Lu Chen, the second district in his heart.


    Therefore, the directors of other wards are very jealous of the second district in the heart!


    But there is no way. At present, only Lu Chen can perform TAVR surgery, and everyone else is in the initial stage.


    TAVR patients who have completed the operation are all arranged to be observed in the CCU ward.


    When the vital signs are completely stable, they will be transferred back to the general ward.


    ¡­


    Lu Chen returned to the second ward in the heart after the operation.


    On the way, those who Lu Chen knew, or those who didn''t, would smile at Lu Chen.


    Everyone is talking about this appointment.


    Lu Chen knew that this kind of thing would definitely not be groundless, most of it was true.


    Sure enough, as soon as he returned to the doctor''s office, Director Yan Wanfeng found him.


    The current Yan Wanfeng can be said to be the real leader of the second go!


    Office of the Director.


    Yan Wanfeng''s smile never stopped.


    He smiled and looked at Lu Chen in front of him, pointed to the sofa in front of him, "Sit down."


    "Thank you, Director." Lu Chen nodded slightly and sat on the sofa.


    "Lu Chen, you should have heard about personnel appointments." The first sentence Yan Wanfeng said was about the personnel changes in the hospital.


    "I heard." Lu Chen smiled slightly, "Director Yan, congratulations."


    Yan Wanfeng smiled, "You kid, you are really slick, I''m talking about you! The deputy director of the second district in our hearts."


    Lu Chen was startled for a moment, but he really became the deputy director of the second district in his heart, so he quickly said, "Thank you Director Yan for your support."


    "Hey, you still have to thank Dean Zhang Dewen and Professor Ou Yangming." Yan Wanfeng smiled and said, "You can take this position, and the two leaders have contributed a lot!"


    Yan Wanfeng did not deny his credit in his words, and Lu Chen could hear it naturally.


    "I''ll give the two leaders a thank you call after get off work." Lu Chen immediately smiled, "Now, I still have to thank you, Director Yan."


    Yan Wanfeng smiled.


    "In the future, in the second district of the heart, the two of us will cooperate with each other and strive to make our department influential throughout the country."


    Yan Wanfeng is full of pride now, and he has high expectations for Lu Chen.


    "Don''t worry, Director, I will continue to work hard."


    And Lu Chen was also infected by Yan Wanfeng''s emotions, and his ability to lead cakes is really extraordinary!


    Lu Chen came out of Yan Wanfeng''s director''s office.


    Jin Miao stayed at the door the whole time, and immediately came up, "Director Lu, how is the situation?"


    Seeing how nervous he looked, Lu Chen couldn''t help but laugh, "What do you think?"


    "I think it must be good news!" Jin Miao said.


    Lu Chen smiled and left without saying anything.


    When Jin Miao saw this, he immediately understood, and then a smile appeared between his eyebrows.


    The news of Lu Chen becoming the deputy director seems to be true!


    ¡­


    Back to the doctor''s office.


    The attitude of everyone towards Lu Chen was very different from before.


    Before ??, although Lu Chen was the deputy chief physician, he did not have any position, so everyone was considered equal.


    But now, Lu Chen is wearing a "Deputy Director" hat on his head.


    Everyone didn''t dare to talk to Lu Chen at will, and they had to be careful what they said.


    Except for some interns, who still couldn''t understand the situation, they still ran over to ask Lu Chen some clinical questions.


    Lu Chen naturally would not refuse and continued to answer the intern.


    Seeing this situation, everyone felt a little more favorable towards Lu Chen.


    They were afraid that Lu Chen would become the deputy director of the department at a young age, and he would be arrogant and not take others seriously.


    However, now it seems that they are overthinking.


    But even so, Lu Chen could clearly feel that everyone had a different attitude towards him.


    Lu Chen was also a little uncomfortable sitting in the doctor''s office.


    No wonder department leaders have their own offices.


    The leader works with everyone and is likely to interfere with others.


    However, the hospital''s official personnel appointment red-headed document has not been issued.


    Lu Chen has not taken office for the time being, and he cannot have his own deputy director''s office.


    ¡­


    Before leaving get off work, Lu Chen sorted out the number of surgeries to be performed tomorrow.


    There are three more, all of them are relatively common TAVR surgery.


    Lu Chen is now eager to form a TAVR surgical team.


    Otherwise, he would be running out of time doing these ordinary TAVR operations every day.


    If Shi Langqin from Guanghai Central Hospital knew about this idea, he would definitely say Lu Chen Versailles.


    The economic benefits brought by one operation are incomparable to more than a dozen coronary interventions or electrophysiological operations!


    Lu Chen is still idle, these operations are ordinary!


    Saying it out is really going to make people angry.


    However, this is really Lu Chen''s most real idea. He hopes to cultivate a group of surgical talents to help the popularization of TAVR nationwide.


    get off work.


    Lu Chen came to the cafeteria as usual.


    There is still a lot of money in the meal card, and Lu Chendao got a little dizzy, and then found a table with no one, and wanted to sit down and eat slowly.


    However, his thoughts were immediately shattered by a voice.


    "Lu Chen?"


    Wang Qingfeng came over with a plate in his hand.


    "Brother Wang, are you off work too?" Lu Chen smiled.


    Wang Qingfeng touched the back of his head, "After get off work, that Lu Chen... No, I should call you Director Lu now..."


    Everyone in the Cardiology Department knew about Lu Chen''s promotion to Deputy Director of the Department.


    When Wang Qingfeng heard the news, his face was full of disbelief.


    In his opinion, it is possible to be rated as a deputy chief physician in his career, but it is impossible to achieve it in a lifetime if he wants to become the deputy director of a department.


    And Lu Chen, a young man, just came to the department for a month, and he has reached the peak of his career that he dared not imagine...


    Wang Qingfeng thought of this, and his eyes on Lu Chen became a little complicated.


    "Brother Wang, I''m younger than you, and it''s not work time now. You can just call me by my name." Lu Chen said.


    Between the same generation, Lu Chen didn''t want too much restraint, otherwise it would be too boring.


    "Then... all right." Wang Qingfeng nodded and kept calling Director Lu.


    The two chatted while eating.


    "Lu Chen, your TAVR surgery team... can I participate?" Wang Qingfeng thought for a while, but still told the matter.


    He asked Lu Chen once before, but the matter was not on the agenda at that time.


    has now been announced in the hospital, and the TAVR team will be formed in one month at the latest.


    This is a good opportunity, as long as you can join the TAVR team and learn TAVR surgical skills.


    Even if you can''t get into any scientific research projects, at least the salary can be higher!


    "Brother Wang, do you have any basis for intervention?" Lu Chen asked rhetorically.


    "Wang Qingfeng paused and whispered, "I have done coronary intervention with Taiwan before, and I have also followed up with electrophysiology. "


    "Can coronary angiography be done alone?" Lu Chen asked again.


    "This... Barely enough." Wang Qingfeng''s voice was getting lower and lower.


    Lu Chen shook his head, "Brother Wang, it is impossible for our team to start from scratch, at least we need to have a solid foundation in this regard."


    "Oh." Wang Qingfeng was a little disappointed.


    He has only a few years of work experience, so it is difficult to have the opportunity to perform surgery alone.


    "But I might do a TAVR class recently."


    Lu Chen''s words gave Wang Qingfeng a glimmer of hope.


    "TAVR class? Can I go?"


    "Of course you can." Lu Chen nodded, "There are several training sessions, and the first session has twenty places."


    "When will I be able to sign up?" Wang Qingfeng said quickly.


    "In the past week." Lu Chen thought about it.


    "Okay, I''ll pay attention to it then."


    Wang Qingfeng silently remembered this in his heart, and he has made this a top priority.


    ¡­


    After dinner, go back to the apartment.


    Lu Chen started to prepare the three most important things at the moment.


    First, contact Guanghai TAVR branch to hold a study class.


    Second, form your own TAVR team.


    Third, apply for national natural projects.


    Guanghai''s work and life are slowly on the right track, and Lu Chen is full of expectations for the future.


    (end of this chapter)

 v2 Chapter 774： Alternative heart murmur

    Chapter 774 Alternative Heart Murmurs


    Two days later.


    The leadership of Guanghai First Hospital officially issued a red-headed document.


    Yan Wanfeng was hired as the director of the second ward of the Department of Cardiovascular Medicine.


    Comrade Lu Chen was hired as the deputy director of the second ward of the Department of Cardiovascular Medicine.


    At this point, the pattern of the Cardiology Department of Guanghai First Hospital began to change.


    Lu Chen, as a representative of the new generation, began to formally touch the leadership.


    Yu Weiguang, who is far away in Kyoto, has also been officially promoted to Deputy Chief Physician recently.


    Nan Luchen and Yu Weiguang''s good talk is still going on.


    ¡­


    As for the formation of a TAVR surgical team, Lu Chen received recommendations from various directors one after another.


    Each ward has one or two doctors who want to join the surgical team.


    Lu Chen''s plan is to recruit five to six people.


    In addition to Jin Miao, who currently holds the spot, Lu Chen still needs to recruit four more people.


    "Director Lu, this is a list of all applicants for doctors."


    Jin Miao handed over all the forms of doctors who intend to apply to join the surgical team to Lu Chen.


    "Okay." Lu Chen nodded.


    Each doctor''s comprehensive abilities such as previous surgeries and professionalism are the objects of Lu Chen''s inspection.


    After two days of review, Lu Chen finally selected four doctors, three men and one woman, to join the TAVR surgical team.


    These four doctors, together with Jin Miao, will participate in the study class held in the catheterization room of the Cardiology Department of Guanghai First Hospital.


    ¡­


    In addition, Lu Chen officially has his own office in the department.


    Independent office, even a small bed, you can rest at ordinary times.


    Lu Chen picked up everything in the lounge and started his office life.


    In clinical practice, except for some critically ill patients, Jin Miao can handle most things alone.


    In the extra time Lu Chen has, in addition to the guidance of TAVR surgery, he is also working on the application for the National Natural Science Program.


    The surgical team and the scientific research team are the cornerstones of Lu Chen''s future development.


    The "TAVR surgery" simulation device that Lu Chen mentioned before has also been approved by the hospital leaders.


    This is another big event for the Cardiology Department of Guanghai First Hospital!


    As a result, Guanghai First Hospital can continue to cultivate surgical talents with the help of Lu Chen and the simulated surgical device.


    This process will not take too long!


    When Shi Langqin from Guanghai Central Hospital found out about this, he was completely overwhelmed by the spirit of Guanghai First Hospital.


    He is also a hard worker.


    From coronary intervention, electrophysiology, to the current TAVR surgery, others have always been overwhelmed.


    However, Dean Dai Wansong''s words somewhat awakened Shi Langqin.


    He even signed up for the "TAVR Surgery Study Class" held by Lu Chen, and fully encouraged the doctors of this hospital to study.


    In this regard, Lu Chen is quite supportive.


    With healthy competition, there will be better development.


    When the patient has only one option left for treatment, it is very dangerous.


    ¡­


    On the other hand, in the second area of ??the heart, everyone began to slowly accept the fact that Lu Chen became the deputy director of the department.


    Of course, this is all due to Lu Chen''s own strength.


    His outstanding clinical level and skilled surgical ability made everyone ignore his age before he was thirty years old.


    Time flies so fast, a month has passed in a blink of an eye.


    Lu Chen began to get used to the status of his deputy director.


    When it comes to the leadership, Lu Chen usually has an extra responsibility.


    However, he still focuses more on clinical and scientific research.


    As for the career, it is not within the scope of consideration for the time being.


    Heart Second District, Deputy Director''s Office.


    Lu Chen is checking the latest literature.


    The profession of a doctor requires constant study so as not to be abandoned by the mainstream academia.


    It is not advisable to rely solely on experience to cure diseases.


    "Huh... When will an influential magazine in China be published?"


    Looking at the foreign language on the screen, although Lu Chen has an advanced document reading skill card, he is still a little uncomfortable.


    Lu Chen always thought that sooner or later, a world-famous top China magazine would be published!


    "Bell bell bell!"


    The landline in the office rang, and Lu Chen answered the phone immediately.


    "Director Lu, I have a patient with severe aortic valve stenosis here. If you have time, can you help me to take a look?"


    Lu Chen heard it, it should be the voice of Zhang Liang, director of the third district of the Cardiology Department.


    "Okay, Director Zhang, I happen to have time now, so I''ll go take a look right away." Lu Chen said immediately.


    "No problem, come on, I''ll be waiting for you in the office." Zhang Liang smiled. He and Lu Chen had a good relationship, mainly because the person he recommended was selected by Lu Chen as the TAVR surgical team.


    Lu Chen hung up the phone and put down the document in his hand.


    took off his white coat on the hanger, put it on gently, and walked out of the office door.


    As soon as he walked out of the office, he met the doctors and nurses in the various departments.


    "Hello Director Lu."


    Everyone greeted Lu Chen one by one.


    "Yes." Lu Chen nodded and responded, mainly because there were many nurses in the department, and he couldn''t fully recognize them either.


    Now is different from when he was in the clinic before, he no longer has to work night shifts, and his relationship with doctors and nurses is not as familiar as when he was a master and doctor.


    Lu Chen didn''t rush to the third district in his heart, but went to the doctor''s office in the second district first.


    "Director Lu, are you going to the catheterization lab?"


    Jin Miao was writing the course of the operation, and when she saw Lu Chen coming, she immediately asked.


    "No, I''m going to the three districts in my heart to consult patients. Come with me." Lu Chen said.


    "Okay." Jin Miao looked happy, immediately grabbed the stethoscope and followed behind Lu Chen.


    Walking out of the door of the doctor''s duty room, Lu Chen said, "Director Zhang asked me to consult a patient with severe aortic stenosis."


    "Surgery?" Jin Miao''s eyes lit up.


    "I don''t know yet, let''s take a look at the patient''s condition first." Lu Chen said.


    "OK."


    Jin Miao followed Lu Chen closely and came to the third area in his heart.


    ¡­


    The three areas in the heart, the doctor''s office.


    Director Zhang Liang was already waiting for Lu Chen to arrive.


    He instructed the lower-level doctor to prepare all the patient''s information.


    "Director Zhang." Lu Chen walked into the office in the third district of his heart with a smile.


    Zhang Liang turned around and saw that Lu Chen came in with a doctor, he hurriedly said with a smile: "Director Lu, you have come, this patient has severe heart failure caused by valvular disease, you are an expert in this field, it''s really troublesome Come and see."


    After finishing speaking, a young doctor in the third district in his heart handed over the patient information to Lu Chen.


    "Okay, I''ll look at the medical records first."


    Lu Chen flipped through it for a while, and then handed it to Jin Miao.


    After Jin Miao finished reading, Lu Chen said to Zhang Liang, "At first glance, it is an indication for TAVR surgery. It needs to be operated as soon as possible, but the risk of surgery is not small."


    Zhang Liang nodded slightly: "Director Lu, do you have a good grasp of this patient''s surgery?"


    Lu Chen smiled, "Director Zhang, as you know, we never guarantee the success rate of surgery. I can only say that I have done many similar surgeries and none of them have failed so far. Even so, I can''t guarantee you success. Because once the risk appears in this patient, it is a 100% probability for him.¡±


    "Okay, I see." Zhang Diantian nodded, "This patient is my old patient. He didn''t have TAVR surgery before, and he couldn''t afford thoracotomy, so he has been treated conservatively. Now the patient''s heart failure symptoms are getting worse and worse. Just give it a shot."


    "If the patient agrees, we can start the operation as soon as possible in these two days." Lu Chen said.


    "Thank you, Director Lu." Zhang Liang smiled, "I will communicate with the family."


    "Okay, I''ll go see the patient again."


    Then, Lu Chen took Jin Miao to check on the patient''s condition.


    ¡­


    came to the ward.


    Lu Chen found something not quite right.


    When he auscultated the patient''s heart, he heard a murmur on the patient''s heart valve auscultation.


    This murmur is different from the murmur of severe aortic stenosis!


    Lu Chen recalled the patient data just now, and it seems that apart from aortic stenosis, he did not see any other problems.


    This is a little weird!


    "Jin Miao, go get the bedside ultrasound machine." Lu Chen was still a little worried, so he ordered Jin Miao to borrow the ultrasound machine.


    "it is good."


    Jin Miao has quick hands and feet, and quickly brought the ultrasound machine over.


    Lu Chen coated the ultrasound probe with couplant and placed it on each section of the patient''s heart.


    Sure enough, I found the problem.


    Patient''s left ventricular outflow tract obstruction!


    This is a contraindication to TAVR surgery!


    (end of this chapter)

 v2 Chapter 775： Lu Chens refusal

    Chapter 775 Lu Chen''s Rejection


    The three areas in the heart, the doctor''s office.


    "Left Ventricular Outflow Tract Obstruction?"


    Director Zhang Liang looked at Lu Chen in surprise.


    Lu Chen nodded, "I took a bedside ultrasound to see that the velocity of the left ventricular outflow tract increased, and I suspected outflow tract obstruction."


    "But we did a cardiac ultrasound a few days ago, and there was no report that the left ventricular outflow was obstructed?" Zhang Liang was still a little unconvinced.


    Professional sonographers, using professional machines, did not see it.


    Lu Chen used a portable ultrasound machine, can he tell?


    "Well, find Director Xia and let him do a bedside heart ultrasound." Lu Chen suggested.


    Director Xia is a director of the Ultrasound Department of Guanghai First Hospital who specializes in cardiac ultrasound.


    Lu Chen spent a month in the Cardiology Department of Guanghai First Hospital, and found that even this Director Xia had the highest level.


    "no problem."


    Zhang Liang also agreed with Lu Chen''s opinion.


    This patient still has some relationship with him. If you can''t check carefully, the risk of rushing to surgery is very high.


    Then, Zhang Liang immediately notified Director Xia of Ultrasound.


    Director Xia also had to sell this face, and immediately came with an ultrasound machine.


    In order to prevent Director Xia from hinting in his heart, everyone did not tell him the relevant diagnosis in advance.


    Lu Chen stood aside, staring closely at Director Xia''s operations.


    Director Xia said, "The calcification of the aortic valve is very serious!"


    "Bicuspid aortic valve (Type 0), aortic valve stenosis (severe), the average velocity is 4.7m/s, and the average pressure difference is about 102mmHg."


    ¡°¡­¡±


    Director Xia mentioned many different parameters, but he did not speak about the obstruction of left ventricular outflow.


    Is it really not?


    Lu Chen is quite confident in his ultrasound technology.


    He has an ultrasound skill card and has been training in the virtual space of the system for a long time, especially in cardiac ultrasound.


    Lu Chen''s ultrasound skills are not inferior to any other specialist directors.


    Now, this left ventricular outflow tract obstruction determines the patient''s fate!


    Yes, it is a contraindication to surgery and cannot be operated!


    No, then TAVR surgery can be performed within a limited time.


    As Director Xia''s ultrasound operation drew to a close, Lu Chen''s brows became deeper and deeper.


    Between him and Director Xia, others will definitely believe Director Xia''s ultrasound ability.


    But at this moment, Director Xia suddenly made a light "huh".


    His ultrasound probe stopped at the left cardiac outflow tract.


    Lu Chen looked at the scene in front of him indifferently, but Zhang Liang was not calm, and he quickly asked, "Director Xia, is there any problem?"


    Director Xia frowned and said slowly: "The flow velocity of the left ventricular outflow tract has increased significantly, it should be left ventricular outflow tract obstruction!"


    Everyone was stunned, it was really the result of what Lu Chen did!


    "Director Zhang, I don''t think you are very surprised?" Director Xia looked at Zhang Liang and said softly.


    Zhang Liang smiled helplessly, "Director Lu also had an ultrasound just now, and he said that the outflow tract was obstructed. We still don''t believe it."


    "Yeah?" Director Xia glanced at Lu Chen curiously, "Director Lu''s ultrasound surgery is not easy, it''s not easy to be able to notice this."


    Conventional echocardiography must be very good at identifying the flow velocity of the outflow tract.


    However, this patient had severe aortic valve stenosis and seldom noticed the flow velocity in the outflow tract.


    Even a sonographer sometimes misses it.


    "Okay, the ultrasound results are almost what I said." Director Xia put away the ultrasound equipment after watching the cardiac ultrasound. "Overall, it is similar to the last time, except that there is one more diagnosis, left ventricular outflow tract obstruction."


    "Okay, thank you Director Xia for coming in person." Director Zhang Liang quickly thanked him.


    "No thanks, this is my job originally." Director Xia finished speaking and glanced at Lu Chen, "Director Lu, if we have the opportunity, we can have a good discussion."


    "Okay, but it must be Director Xia, you are amazing." Lu Chen smiled.


    "Haha." Director Xia shook his head with a smile, then pushed the ultrasound machine and left.


    ¡­


    The three areas in the heart, the doctor''s office.


    Zhang Liang''s expression was a little dignified, he looked at Lu Chen.


    "Can''t the operation be done?"


    "This is an absolute contraindication!" Lu Chen said solemnly, "The risk of sudden death during surgery is extremely high!"


    "Then watch the patient''s heart failure continue to worsen?" Zhang Liang couldn''t bear it, "We won''t do anything?"


    "Let''s strengthen drug treatment and see if we can use some other drugs to treat heart failure, such as Xinhuosu or Levosimendan." Lu Chen thought about it, and then listed a few relatively new drugs.


    "Hey, but... you really can''t try surgery?"


    "No!" Lu Chen shook his head firmly, "Anyway, I won''t do it for him here."


    In such patients, the risks of surgery far outweigh the benefits.


    Even if the operation is barely successful, the harm to the patient is great!


    Whether the patient can benefit from the surgery is a matter of two things.


    Apart from the expensive medical expenses, Lu Chen couldn''t think of what this operation would bring.


    wrote down his consultation opinion, and he left with Jin Miao.


    ¡­


    The three districts in the heart, the director''s office.


    "Director Zhang, my dad... Really can''t have surgery?"


    A young man with a haggard face, fluffy hair, and red eyes, as if he hadn''t had a good rest for many days.


    "No." Zhang Liang shook his head, "I asked an expert in TAVR surgery in our hospital to see that your father has contraindications to surgery and cannot do this TAVR surgery."


    "But didn''t you say it before, surely you can do it?" The young man gritted his teeth, hoping to hear a little leeway from Zhang Liang''s mouth.


    "No outflow tract obstruction was found in the previous ultrasound, but this time, we found the problem." Zhang Liang explained patiently.


    The young man lowered his head and did not speak, but his trembling shoulders had betrayed his mood at this time.


    Suddenly, a plop.


    Young man, kneeling on the ground.


    "Director Zhang, I beg you, think of a way to operate on my dad."


    As the saying goes, a man has gold under his knees.


    Zhang Liang couldn''t bear it either, and hurriedly stepped forward to help the young man up.


    "You don''t have to do this, haven''t we been trying to figure out a way?"


    "But, you said before that without surgery, my dad might not be able to survive this month!" The young man was emotional, and he seemed to have a hard time accepting the result.


    Zhang Liang was silent for a long time, then raised his head and said slowly: "Would you like to go to a higher-level hospital, ask in Kyoto or the magic capital?"


    "It''s too far." The young man shook his head. "You said before that the risks on the road are very high. I''m afraid my dad will die before I reach Kyoto."


    The custom here is that people can''t die in the hospital, they have to take a breath and drag them home.


    Otherwise, you cannot enter the ancestral hall of the clan.


    "Director Zhang, there are other places besides yours, can you perform surgery?"


    "How about...you go to Guanghai Central Hospital and ask?" Zhang Liang looked at the young man''s hopeful eyes and could only let him go to Shi Langqin to try his luck.


    "They...can do it?" The young man stopped crying and looked up at Zhang Liang.


    "Professor Shi Langqin from the Central Hospital is an expert with the strongest TAVR surgical ability in Guanghai area, except for Director Lu Chen of our hospital."


    I have been really tired in the department recently, especially tired.


    Sometimes I really want to go to a relaxed department...


    Go to bed early.


    (end of this chapter)

 v2 Chapter 776： OK, I do!

    Chapter 776 Okay, I''ll do it!


    This patient was soon signed and discharged.


    Lu Chen did not operate on him, even if he continued to live in the Cardiology Department of Guanghai First Hospital, he could only be treated conservatively with drugs.


    As for where the patient went, Director Zhang Liang did not ask.


    Lu Chen returned to the second district in his heart.


    "Director Lu, can this patient really give it a try?" Jin Miao whispered, "Left ventricular outflow tract obstruction is not an absolute contraindication to surgery, right?"


    Surgery contraindications are divided into absolute contraindications and relative contraindications.


    Absolute contraindication, that is definitely not surgery.


    Relative contraindications, if you are ruthless, there is still a little chance of surgery.


    "This is not just a problem of left ventricular outflow tract obstruction." Lu Chen shook his head, "I went to see the patient at the bedside just now, and his condition was extremely bad. The risk of surgery was already high, and left ventricular outflow tract obstruction was added. There was no benefit to his condition from the operation."


    "Will TAVR surgery not improve his symptoms of heart failure?" Jin Miao asked again.


    "The probability is extremely small!" Lu Chen said, "The patient is old, and if you take ten thousand steps back, even if he undergoes surgery, his survival time will not be any different from that without surgery, so why should we have surgery?"


    An operation with such an obvious result, Lu Chen would not have done it.


    If you try, it can only be the end of people and money.


    "Oh, I see." Jin Miao nodded.


    In fact, in his mind, if the patient''s family signs and is willing to take all risks, they can try the operation.


    After all, one more patient has surgery, which also increases their chances of practicing hands.


    ¡­


    Guanghai Central Hospital.


    Professor''s Office of Cardiology.


    After this period of study, Shi Langqin felt that this class organized by Lu Chen was really good!


    I learned a lot of new surgical skills by myself.


    If the previous emergency TAVR surgery was put in front of him again, he thought he could give it a try.


    Of course, this is what he thought about it, and he has not put it into action.


    Because of Lu Chen''s golden name, the number of patients undergoing TAVR surgery in Guanghai Central Hospital has plummeted, and naturally there are fewer such difficult operations.


    "Director, here comes the patient!"


    A tiger suddenly interrupted Shi Langqin''s thoughts.


    The fat doctor came to the office panting, with a smile in his eyes.


    "TAVR surgery patient?" Shi Langqin immediately stood up.


    "Yes!" The fat doctor nodded slightly.


    "Where is the patient?"


    Shi Langqin put on a white coat and was ready to go out.


    "The patient''s heart failure is relatively serious, and he is currently in the CCU." The fat doctor replied.


    As long as Guanghai Central Hospital has a patient for TAVR surgery, Shi Langqin must check it first.


    "Go, go and see!"


    Shi Langqin strode out, the wind blowing under his feet.


    ¡­


    Came to the CCU ward.


    Shi Langqin saw the patient lying on the hospital bed.


    An elderly man in his sixties, with a dull complexion and withered, looks like a man in his seventies.


    After seeing the patient, Shi Langqin called the doctor aside.


    "What''s the condition of the patient?" Shi Langqin asked.


    The receiving doctor said quickly: "Professor Shi, this patient has just been transferred from Guanghai First Hospital. He is a patient with severe aortic valve stenosis, severe heart failure, and his condition is not very good."


    "Transfer from Guanghai First Hospital?" Shi Langqin was taken aback.


    What is this situation?


    It was the first time that he met a patient who had missed TAVR surgery from Guanghai First Hospital.


    "I heard from the patient''s family that the Guanghai No. 1 Hospital will not operate on them." The doctor said.


    "The patient''s family conditions are not good?" Shi Langqin asked in confusion.


    This TAVR surgery, although it is a minimally invasive surgery, is not cheap, and it is not covered by medical insurance for the time being.


    "Probably not." The receiving doctor shook his head, "I see that the patient''s family members are dressed in good conditions. I haven''t figured out why Guanghai First Hospital didn''t do it. I just heard from the family members that there are any taboos. disease."


    Shi Langqin was silent for a long time, then lowered his head and thought deeply.


    This is a great opportunity.


    Guanghai Central Hospital has not had the opportunity to perform TAVR surgery for a long time.


    However, he now has to figure out why Lu Chen in the first hospital did not operate on this patient.


    What are the contraindications for ?? patients? !


    "Call the patient''s family over and I''ll talk to him." Shi Langqin said casually.


    "OK."


    The receiving doctor left immediately.


    Normally, family members of patients are not allowed to enter the CCU ward, but now it is a special case.


    The ward receiving doctor took the patient''s family directly to the lounge of the CCU ward.


    "You are Professor Shi, right?" The middle-aged man was excited when he saw Shi Langqin, as if he had caught a life-saving straw.


    "I am." Shi Langqin nodded calmly, "Tell me about your father''s situation, why doesn''t Guanghai First Hospital operate on your father?"


    "This..." The middle-aged man paused, "I don''t practice medicine. I don''t know the specific reason. I really want to know what the obstruction is."


    Shi Langqin listened. He said slowly, "Left ventricular outflow tract obstruction?"


    "That''s right! That''s it." The middle-aged man nodded immediately, "The professor at the first hospital said that the operation was too risky, so he wouldn''t do it for my father. Later, Director Zhang Liang introduced me to you."


    "It turned out to be Zhang Liang." Shi Langqin nodded.


    Zhang Liang is the director of the three districts in the heart of Guanghai No. 1 Hospital, and he has a good relationship with him.


    "Professor Shi, can you perform surgery here?" The middle-aged man gathered his courage and asked. He stared at Shi Langqin, afraid of hearing bad news again.


    "I didn''t see the specific ultrasound report." Shi Langqin said, "If it really is left ventricular outflow tract obstruction, it should be a contraindication to surgery."


    "Professor Shi... you can''t do it here?" The middle-aged man heard this, his face darkened, and he was extremely disappointed.


    After going through many hospitals, is the hope of this one finally dashed?


    But what Shi Langqin said suddenly made hope in the middle-aged man''s heart.


    "Left ventricular outflow tract obstruction is a relative contraindication, not absolute." Shi Langqin said solemnly, "It doesn''t mean that surgery is 100% impossible. I once saw a medical record of a severe aortic stenosis combined with left For patients with ventricular outflow tract obstruction, TAVR surgery was completed at the First Affiliated Hospital of Kyoto University."


    "Really?"


    The middle-aged man''s expression became somewhat radiant again.


    "How could we cheat on this kind of thing, you can search on Baidu now." Shi Langqin said.


    "Then... can you do it here?" the young man said again.


    Shi Langqin did not reply immediately, but lowered his heart and seemed to be making a difficult decision.


    After a long while, he slowly said to the middle-aged man: "The patient is very ill, the risk is too high, and it is very likely that he will not be able to get off the operating table."


    "You can rest assured." The middle-aged man said quickly, "Whether the operation is successful or not, I will not blame you."


    "The cost of this operation is not cheap, and it is not covered by medical insurance." Shi Langqin said, "It is very likely that both people and money will be empty!"


    "I know, I accept the risk, I can sign!"


    Seeing the positive attitude of the patient''s family, Shi Langqin finally nodded in agreement.


    "Okay, I''ll make it for your father!"


    (end of this chapter)

 v2 Chapter 777： Something happened to the old stone!

    Chapter 777 Something happened to Lao Shi!


    Lu Chen has been very busy recently.


    Not only has to teach in the TAVR class, but also lead the TAVR surgical team of Guanghai First Hospital to perform various surgeries.


    In addition, he has to take time to write and apply for national nature tenders.


    ''s busy life made Lu Chen feel that he had returned to his postgraduate period.


    However, when you feel busy, you are climbing and improving your abilities.


    Once you relax, you are going downhill.


    After get off work, go back to the apartment.


    This time, at the door of the house, Lu Chen didn''t see Qian Xiaobao who lived upstairs.


    To be more precise, he hasn''t met Qian Xiaobao waiting at the door for many days.


    Lu Chen couldn''t help but think, did Brother Xiaobao give up?


    Without thinking, Lu Chen returned to his room.


    was about to take a break when the doorbell rang suddenly.


    Lu Chen was slightly taken aback.


    He has few friends here, and few people come to him.


    Could it be Brother Xiaobao?


    Gently open the door.


    Standing at the door is Xu Shan who lives opposite.


    The person that Qian Xiaobao misses.


    She was still wearing an ordinary home casual outfit, no makeup, and a pair of large-frame glasses, with long bangs covering her forehead.


    In this dress, she deliberately hides herself, which is completely different from when Lu Chen met her in the artificial lake that day.


    "Is something wrong?" Lu Chen asked.


    "Lu Chen, I''m sorry to bother you. Excuse me, did you write this paper?"


    At this time, Lu Chen realized that Xu Shan was holding a paper.


    Lu Chen was taken aback when he saw the title of this paper.


    is the top journal paper on "Dapagliflozin" published during his graduate studies.


    "Well, yes." Lu Chen smiled, "It''s been a few years, it should have been posted when I graduated from the third grade."


    Kenzo, it''s been about four years now.


    According to the speed of renewal in the medical field, the papers four years ago can already be regarded as old papers.


    "It''s really you!" Xu Shan shrugged the glasses on the bridge of her nose, her expression a little surprised and stunned.


    "Yeah, come in and talk about something." Lu Chen turned slightly sideways.


    Intuitively told Lu Chen that Xu Shan could not explain this matter for a while.


    "it is good."


    Xu Shan walked into the room without rejecting her.


    She happened to be wearing slippers and didn''t need to change her shoes.


    The two came to the living room and sat on the sofa facing each other.


    "Lu Chen, my major is endocrinology."


    As soon as he sat down, Xu Shan said immediately.


    "Recently, I am researching some drug effects of dapagliflozin. After seeing your paper, I am very interested."


    It turned out to be a study of dapagliflozin, no wonder I saw this paper.


    This paper by Lu Chen can be said to be the pinnacle of innovation in the entire dapagliflozin field.


    "My main research is the application of dapagliflozin in the field of heart." Lu Chen wondered, "You are also in this area?"


    Xu Shan shook her head, "No, I am studying the application of dapagliflozin in patients with chronic kidney disease. According to my preliminary observation, dapagliflozin can delay the deterioration of renal function and reduce the risk of cardiac and renal death."


    Lu Chen was startled.


    This drug has many effects, is it another magic drug like metformin?


    "Is there any previous research data?" Lu Chen asked.


    This conclusion is definitely not just a hypothesis, it must be supported by data.


    "I have some research data here, but it''s too little." Xu Shan shook her head, "I saw your paper by chance a few days ago, and I found that our research has many similarities. morning."


    Lu Chen smiled, "This paper was the conclusion I came to when I was a graduate student at Jinghua University and formed a research team. It took me almost two years to come to a conclusion."


    "No matter how many years, this result is so worth it!" Xu Shan''s words were full of praise, "Even if you look at this paper from the current perspective, it is still top-notch."


    "Thank you for the compliment." Lu Chen smiled.


    "But I may have to trouble you in the future. I want to ask you about some scientific research questions." Xu Shan made no secret of her purpose, "The pressure of scientific research is too much, and everyone has been busy applying for the National Natural Science Foundation of China recently. ."


    "No problem, as long as I have time, I will be happy to help." Lu Chen nodded, "You also have my WeChat, you can ask me at any time."


    Behind closed doors is not advisable.


    Communicate with scholars more, and new sparks can always burst out.


    And the talents who can be specially introduced, there must be something special.


    "Thank you so much, you are a good person."


    Xu Shan shrugged the glasses on the bridge of her nose again, narrowed her eyes and smiled.


    Lu Chen forced a smile.


    What''s the matter, this was issued a good person card?


    "By the way, I saw that you didn''t go to the Sichuan restaurant downstairs for dinner recently?" Xu Shan said again.


    "Well, there is too much money in the meal card." Lu Chen said, "I''ve been eating in the cafeteria recently, you''ve been eating downstairs?"


    Lu Chen glanced at Xu Shan, who was very slender.


    The restaurant outside is heavy in oil and tastes heavy.


    If this goes on, you will get fat!


    "No, I started to cook by myself." Xu Shan smiled.


    "That''s pretty good. Do it yourself, and it''s delicious to eat. Like me, I want to cook, but I don''t have the ability." Lu Chen touched the back of his head.


    Dark cuisine, this is no joke.


    God gave Lu Chen excellent surgical ability, but also deprived him of another talent.


    Lu Chen once tried to find a cooking skill card in the system mall.


    Unfortunately, it was not found.


    The ?? system mall is full of skill cards related to medicine or scientific research.


    "Lu Chen, you can see that I can''t just trouble you. You can always come to me if you need help." Xu Shan smiled.


    Lu Chen shook his head. He had neither diabetes nor hyperthyroidism.


    What are you doing with Xu Shan? !


    He is simply... He wants to earn a wave of gratitude.


    "It doesn''t matter, even if it''s a normal academic exchange, no one bothers anyone." Lu Chen said.


    "That''s not possible." Xu Shan shook her head, and suddenly a flash of inspiration came, "Well, when I cook in the future, I will make a portion for you too?"


    "This...isn''t right?" Lu Chen hesitated.


    Eating in the cafeteria every day, although the taste is good, but it is too tired.


    For another taste, it''s still pretty good.


    "What''s wrong." Xu Shan smiled, "I usually cook by myself, but if I cook a little too much, I can''t eat it. It''s not troublesome to cook for two people, and I can eat one more dish."


    Seeing that Xu Shan had said so, Lu Chen nodded and agreed, "That''s fine, we''ll share the food expenses equally."


    "Okay." Xu Shan narrowed her eyes and smiled.


    Just then, Lu Chen''s cell phone rang suddenly.


    He picked up the phone and looked.


    The caller ID was actually Dean Dai Wansong.


    Lu Chen smiled apologetically at Xu Shan, "I''m sorry, I''ll take a call."


    "It''s alright, I won''t bother you anymore, feel free to contact me later."


    Xu Shan finished speaking and left.


    Lu Chen answered the phone, and Dai Wansong''s urgent voice came from the opposite side.


    "Lu Chen, something happened to Lao Shi!"


    (end of this chapter)

 v2 Chapter 778： life first

    Chapter 778 Life comes first


    Old stone?


    Shi Langqin?


    Lu Chen quickly went through the relationship between the characters in his mind.


    But, why did Dai Wansong suddenly call him?


    "President Dai, speak slowly, don''t worry." Lu Chen said quickly.


    Dai Wansong calmed down, "Lu Chen, Professor Shi performed a TAVR operation this morning. The patient suffered a sudden cardiac arrest on the stage and is now being rescued!"


    Surgery has risks. Any surgery on the heart, whether it is coronary intervention, electrophysiology, or TAVR surgery, has the risk of cardiac arrest and even sudden death.


    Lu Chen''s strange thing is that he can''t control this.


    Although he is the chairman of the Guanghai TAVR branch and Shi Langqin is the vice chairman, but the two have no relationship between superiors and subordinates.


    Why did Dean Dai call here?


    "Lu Chen, I heard that this patient was transferred from your Guanghai No. 1 Hospital to the Central Hospital." Dai Wansong said again, "If possible, I would like to invite you to the Central Hospital. If possible, can you help the old man? Stone Remedy..."


    Dai Wansong''s voice was getting smaller and smaller.


    Even he felt that this request was too hard for a strong man.


    Going to save a failed operation will get you into trouble!


    It¡¯s okay to say that if he succeeds, if he fails, Lu Chen will also be in a quagmire.


    "At least a patient from our Guanghai First Hospital?" Lu Chen frowned.


    When will the patients who come to Guanghai First Hospital go to the Central Hospital for surgery?


    Lu Chen hasn''t heard the people below talk about it.


    By the way, Lu Chen suddenly thought of the patient that Zhang Liang asked him to consult a while ago.


    It was a patient with advanced heart failure with severe aortic stenosis and left ventricular outflow tract obstruction.


    Did he go to Guanghai First Hospital?


    Lu Chen was shocked, if it was him, then Professor Shi Langqin was really bold!


    How dare he touch such a patient?


    Lu Chen claims to be not the savior of the world. He is not responsible for this kind of thing, nor is he obliged to touch it.


    However, the patient is innocent.


    The life of the patient must be put first!


    Life comes first!


    Even if Shi Langqin did something wrong, now is not the time to blame.


    "President Dai, please communicate with Guanghai Central Hospital, I''ll rush over now."


    Lu Chen said as he walked outside.


    Just got home, and the **** hasn''t been hot, so I''m about to go out.


    "That''s great!" Dean Dai breathed a sigh of relief, "I''ll send you the patient''s information later, and someone from Guanghai Central Hospital will also respond to you."


    "President Dai, the ugly words come to the fore, I can only do my best." Lu Chen said, "This kind of patient, as you know, has a low chance of surviving."


    "Don''t worry, you are here to help with this matter." Dai Wansong said, "No matter what the final result is, it has nothing to do with you."


    Fortunately, Lu Chen agreed, otherwise Dai Wansong really didn''t know how this matter would end.


    He and Shi Langqin have known each other for many years and have a close relationship.


    But he is thousands of miles away, so far water can''t save near fire, now he can only pass through Lu Chen, see if there is any remedy.


    hung up the phone, and Dai Wansong immediately notified Guanghai Central Hospital to let them prepare for Lu Chen''s arrival.


    ¡­


    Lu Chen went out and was about to lock the door and leave.


    Xu Shan suddenly opened the door and stuck her head out, "Lu Chen, did you have lunch? I just made some, do you want to eat together?"


    She really did what she said.


    Lu Chen shook his head apologetically, "I''m sorry, I have to go out."


    "Going out now?" Xu Shan was taken aback, "Is it very far?"


    "Central Hospital." Lu Chen locked the door.


    "It''s a bit far. It''s the time to get off work, so it''s not easy to take a taxi." Xu Shan frowned.


    "No way, I''m in a hurry." Lu Chen said, "Thank you for your lunch, I''ll eat it next time when you have time."


    After ??, Lu Chen was ready to go downstairs.


    Xu Shan interrupted him, "Hey, Lu Chen, wait for me."


    Lu Chen looked back and saw Xu Shan running back to the house with the door half-closed.


    After a while, she was dressed and walked out the door.


    "Ah? You are..." Lu Chen was slightly taken aback.


    "Let''s go, it''s hard to take a car now, I''ll take you off."


    Xu Shan raised the car key in her hand and pressed the elevator button.


    "Don''t bother you..."


    Before Lu Chen finished speaking, he was taken to the first underground floor in a dazed way.


    sat in the co-pilot.


    "Go to Guanghai Central Hospital?"


    Xu Shan fastened her seat belt.


    "Yeah." Lu Chen nodded, he tilted his head slightly, looking at Xu Shan''s profile, still so ordinary.


    "Okay, sit tight."


    Xu Shan immediately started the car and left the underground garage.


    ¡­


    Along the way, the two didn''t say much.


    Xu Shan was driving with ease, not curiously asking what Lu Chen was going for.


    As soon as Lu Chen got in the car, he received a message from Dai Wansong about the TAVR patient.


    After opening the medical records, Lu Chen frowned. It was indeed the patient that Director Zhang Liang asked for consultation before!


    "Professor Shi really dares!"


    Lu Chen couldn''t help shaking his head.


    If you can really sit down and analyze the patient rationally, then the surgery should not happen after that.


    However, now is not the time to talk about these things.


    Lu Chen also received another phone number, Dai Wansong told him that he would call this number when he arrived at the Central Hospital.


    Xu Shan drove very steadily.


    About twenty minutes later, Lu Chen arrived.


    "Lu Chen, how long will it take for you?"


    Lu Chen got out of the car, Xu Shan rolled down the window and asked.


    "I don''t know yet, you go first, don''t wait for me." Lu Chen said, "I will trouble you today, thank you next time."


    Xu Shan smiled and waved her hand gently, "Well, I''ll take a look around. If you''re too late, then I''ll go first."


    "it is good."


    After thanking Lu Chen again, he walked towards the Central Hospital.


    After ?? inquired about the security of the hospital, Lu Chen came to the downstairs of the Cardiology Department.


    During the ?? period, Lu Chen called the contact person Dai Wansong called him.


    "Director Lu!"


    At this moment, a fat doctor came into Lu Chen''s line of sight.


    The fat doctor in front of him looked somewhat familiar.


    Lu Chen thought this time, he seems to be a doctor who participated in the first TAVR class, right?


    "You are... Li Dongyang?" Lu Chen asked tentatively.


    Li Dongyang nodded quickly, "Director Lu, you still remember me!"


    There are many people in the ??TAVR class, and Li Dongyang was also a little surprised to be remembered by Lu Chen.


    "I remember that you have good surgical skills. You are one of the fastest improving doctors in the class." Lu Chen said.


    "Thank you Director Lu for exaggerating." Li Dongyang smiled, but his face immediately showed an anxious expression, "Director Lu, Professor Shi is in trouble, please help."


    "Lead the way ahead!"


    Lu Chen didn''t say much, and immediately followed Li Dongyang from the medical elevator to the CCU ward.


    "What''s the condition of the patient now?" Lu Chen asked as he walked.


    "The TAVR operation is underway, but the patient''s vascular condition is too poor, and the calcification of the blood vessels and valves is very serious." Li Dongyang said, "About half an hour ago, there was a sudden cardiac arrest, and the operation was forced to stop."


    (end of this chapter)

 ~： take time off

    Take a leave


    I slept with a stiff neck last night.


    From the morning to now, I have been sore, and I have been working all day without feeling at all.


    Especially in the afternoon, it hurts to death.


    I can only try to write a chapter tonight, please take a leave of absence.


    If it''s good tomorrow, I''ll make it up.


    ps: If you can write a chapter, it will be sent out around eleven o''clock.


    (end of this chapter)

 v2 Chapter 779： attitude change

    Chapter 779 Change of Attitude


    Lu Chen''s expression was solemn.


    It can be known from Li Dongyang that the patient''s condition is not optimistic.


    "Professor Shi really has no choice but to call Dean Dai and ask you to come over." Li Dongyang whispered.


    Their relationship with Lu Chen is not very familiar. Only through Dai Wansong, the intermediary, can they contact Lu Chen.


    "Okay, let''s go to CCU quickly." Lu Chen said.


    The speed under their feet increased and they came to the gate of CCU.


    Li Dongyang swiped the access card and led Lu Chen into the catheterization room in the CCU ward.


    "Director Lu, in Intervention Room No. 3."


    Li Dongyang led Lu Chen all the way to the catheterization room.


    Just walked into the cath lab.


    Lu Chen saw that in Intervention Room No. 3, a doctor was continuing to perform cardiopulmonary resuscitation on the patient.


    "Heart arrest again?" Li Dongyang''s face was extremely ugly.


    Lu Chen stepped forward and frowned at the situation in the intervention room.


    At this point, the patient''s breathing and heartbeat were all gone, and they only relied on drugs to maintain blood pressure and heart rate.


    And the health value on her head is 14 (---).


    Lu Chen sighed slightly in his heart, even if Daluo Immortal came over, he couldn''t save him!


    Others in the catheterization lab also noticed Lu Chen''s arrival.


    Most of the people who participated in the TAVR branch in Guanghai some time ago knew Lu Chen.


    Few of them didn''t know Lu Chen. After Li Dongyang''s introduction, he also knew Lu Chen''s identity.


    Everyone looked at Lu Chen with a little more anticipation in their eyes.


    This is the chairman of the TAVR branch in Guanghai City. If even Lu Chen can''t do anything, then this patient is really hopeless.


    Shi Langqin got the news of Lu Chen''s arrival, and immediately came out of the catheterization room.


    "Director Lu, you are here!" Shi Langqin was very grateful for Lu Chen''s presence.


    He now completely lost the resistance he had against Lu Chen before.


    This matter had nothing to do with Lu Chen.


    Lu Chen was able to come, no matter what the reason was, he shared a lot of pressure.


    "Professor Shi, how is the patient''s condition?" Lu Chen asked immediately.


    "Two cardiac arrests, I pressed it back twice before, this time may be a little off." Shi Langqin said slowly, "The previous operation went well, but when the valve was delivered, something went wrong... ¡­¡±


    Lu Chen didn''t want to worry about the mistakes of Shi Langqin''s surgery, he read the patient''s medical records in the shortest time.


    "Professor Shi, what is the attitude of the patient''s family?" Lu Chen asked.


    "The patient''s son''s willingness to treat is very positive." Shi Langqin said quickly, "He also signed various informed consent forms and is willing to take all risks, otherwise I would not be able to do it for him."


    "What''s his son''s attitude now?" Lu Chen continued.


    The attitude of ?? family members basically determines whether the patient continues the treatment.


    "The condition is sudden, and I just informed him of the patient''s condition." Shi Langqin shook his head.


    "Communicate with the patient again." Lu Chen frowned, "If you want the family to continue to fight, then go to IABP and ECMO, otherwise it will be meaningless."


    His words are straightforward.


    The only hope now is to wait for IABP and ECMO.


    IABP can maintain heart function, ECMO is artificial heart and lung.


    If the family members agree to use these two machines, there may be a glimmer of hope.


    Although, it is a very slim hope.


    "Okay." Shi Langqin nodded, "I''ll ask the doctor in charge of the bed to contact the family immediately."


    ¡­


    In the catheterization lab, the rescue is still going on.


    After several rounds of CPR, the patient''s heartbeat recovered, but the beating was very weak and seemed to stop at any time.


    At present, you can only rely on various vasoactive drugs to maintain your physical signs.


    In this case, only through the action of external force, such as the use of ECMO, an artificial heart can be used instead of the original heart to work.


    Let the heart and lungs of the human body have a rest time.


    "Closely monitor the patient''s cardiac function!" Lu Chen could only get temporary command, "Get ready for IABP!"


    The doctors who were rescuing them were all stunned when they heard the words.


    on IABP?


    How meaningful is it for this kind of patient to have IABP?


    "Director Lu, don''t you try surgery again?" Shi Langqin asked cautiously.


    Dai Wansong asked Lu Chen to come over, more to remedy the TAVR surgery.


    Lu Chen tilted his head and looked at Shi Langqin with a deep frown, "Professor Shi, there is no need for any further operation on this kind of patient. Besides, you have already tried once and failed, do you want to try again? "


    Shi Langqin''s face darkened, and he gritted his teeth: "Director Lu, but your surgical ability...is better than mine."


    The implication is that I want Lu Chen to try again.


    But Lu Chen is very rational. In this case, he even tried to complete the operation.


    Isn''t this pushing yourself into the fire pit?


    "The operation is definitely not possible!" Lu Chen shook his head firmly, "Needless to say, even if Professor Qin Sifeng or Dean Dai were standing here, they would not be able to continue the operation!"


    Shi Langqin heard disappointment and helplessness in his eyes.


    Looking at the patient on the intervention table again, he has begun to regret operating on the patient in the first place.


    ¡­


    In the doctor-patient communication room.


    The tube bed doctor has already helped the patient''s son and came over again.


    "The patient''s condition is not optimistic, and he just had another cardiac arrest!"


    When the patient''s son heard this, his eyes were split, "Didn''t you just say you have stabilized?"


    "There is no stability, just rely on drugs to maintain blood pressure and heart rate." The doctor tube bed said solemnly, "We have communicated with you before the operation, this operation is risky! There may be sudden cardiac arrest or even sudden death at any time!"


    The patient''s son lowered his head and his hands were shaking constantly.


    "Doctor, I believed in you and found you Guanghai Central Hospital for surgery. You said before that I asked you to do it when there were successful cases!"


    Doctor Tube Bed heard this, and a bad premonition came to his heart.


    "We have always promised the success rate of surgery. Now the patient''s condition has suddenly deteriorated. We need your family''s opinion. If you are actively treated, you can use IABP and ECMO machines."


    "What if I don''t?" The patient''s son raised his head, his eyes full of coldness.


    Doctor Tube Bed took a deep breath and tried to calm himself down.


    The attitude of the patient''s family members before and after the operation has undergone a huge change.


    Before the ?? operation, he begged Shi Langqin to perform the operation, and even knelt down for Professor Shi.


    But now, this cold tone seems to be the same as before.


    The doctor of the tube bed quickly said: "If you don''t go up, your heart rate and blood pressure will not be able to be maintained. People will soon be gone."


    "Haha." The patient''s son''s sudden laughter made the doctor in charge of the bed shudder, "Your Guanghai Central Hospital is at this level? This is a waste of life! Besides, I know what you said about IABP and ECMO, which are not reimbursed by medical insurance. of!"


    Doctor''s face sinks like water.


    He looked at the unfamiliar family members of the patient in front of him, and his heart was cold.


    That''s it.


    If you have a stiff neck tomorrow, make it up.


    (end of this chapter)

 v2 Chapter 780： Fermentation

    Chapter 780 Fermentation


    "What? What did the patient''s son say?"


    Shi Langqin looked at the doctor in charge of the CCU bed in astonishment.


    "Yeah." The doctor in charge of the bed nodded helplessly, "I''m not exaggerating at all. There are monitoring and recordings in the doctor-patient communication room, and you can call them up at any time."


    Shi Langqin burned with anger when he heard the words.


    He really couldn''t figure out how the patient''s son''s attitude changed so much!


    "This patient...I was not careful, not careful." Shi Langqin said solemnly, "Does his family continue treatment now, or..."


    "His son said to continue the treatment." The doctor in charge of the bed whispered, "But in the end, when I was leaving, he said he would hold our hospital accountable..."


    Shi Langqin silently lowered his head and said nothing. He looked at the patients in the catheterization room, and then looked at Lu Chen beside him, "Then go to ECMO and IABP!"


    The atmosphere on the field was a little heavy.


    A doctor immediately went to prepare the instruments, while the doctor in charge of the bed said slowly: "Professor Shi, this patient''s son, he has signed many informed consent forms before, including his willingness to undertake all surgical risks, and not to hold the hospital accountable. Are we still afraid of him? Is this thing useless?"


    "This thing is definitely useful. If he hadn''t signed these commitments, the patient''s family would not be as gentle as he thought." Shi Langqin said, "However, even if he signs various informed consents, he can still fully Saying that I signed it without my knowledge, and I can find various other reasons to refute it.¡±


    "The most important thing is that the relevant laws protect the weak!"


    Shi Langqin knew very well that this matter, he and Guanghai Central Hospital, could not end well!


    Everyone present heard Shi Langqin''s words.


    Some people are angry, some people are laughing in secret, and some people are watching Shi Langqin''s jokes.


    However, Lu Chen''s expression remained unchanged.


    Don''t trust any assurances from patients and their families, this is his principle all along.


    The attitude of the patient''s family members can be changed at will, but as a doctor, you must know what to do and what not to do!


    ¡­


    Under the guidance of Lu Chen, Shi Langqin and others quickly put IABP and ECMO on the patient.


    After the machine was used, the patient''s vital signs stabilized immediately.


    At this moment, Li Dongyang rushed in from the outside in a panic.


    He ran into the catheterization room, gasping for breath, "Shi...Professor Shi! The patient''s family brought someone to the door of the CCU and it was blocked!"


    Inside the door, he insists on rescuing the patient.


    Outside the door, he was thinking about how to make a fool of himself.


    Shi Langqin''s complexion was ashen, he sat on the chair outside the catheter room, silent.


    "No matter what the family is, let''s call the hospital security team first." Lu Chen said slowly.


    In Jinghua, Lu Chen experienced a more painful lesson.


    Although today is a society with a high degree of legality, most people don¡¯t dare to mess around, but they are afraid of those idiots who are not afraid of anything.


    called the security team over and killed all the uneasy factors in the cradle in advance.


    "Okay!" Shi Langqin nodded slightly, he instructed Li Dongyang to inform the security team.


    Guanghai Central Hospital is one of the top tertiary hospitals in the city.


    The ?? security team was well-equipped and quickly appeared outside the CCU gate.


    The crowd that was still a little commotional, after seeing the security guard, immediately quieted down.


    But the patient''s son was reluctant and shouted: "What do you mean by this hospital? What do you mean by calling the security guard?!"


    The security team stood upright at the door of the CCU, not speaking or replying, just standing there.


    A group of "patients'' family members" also did the same.


    The patient''s son was too strong to use it, so he took out his mobile phone, turned on a certain tone, and started recording a video.


    While recording the video, he shouted loudly, "Everyone, look at it, this is Guanghai Central Hospital, it''s a waste of life!"


    At this moment, the door of CCU opened.


    Shi Langqin came out. He looked at the patient''s son coldly, "Your father hasn''t left yet? What are you doing in such a hurry?"


    When the patient''s son heard this, his face changed, and then he suddenly burst into tears.


    "Shi Langqin, I trusted you and asked you to perform the operation. My father''s life and death are unknown now. You and your hospital must be responsible!"


    The door of CCU became extremely messy in an instant.


    ¡­


    At this time, Lu Chen had already left through the back door.


    He came to Guanghai Central Hospital to give Dai Wansong and Shi Langqin face.


    The rest has nothing to do with him.


    Walking out of the hospital gate, Lu Chen turned back to look at the big characters "Central Hospital" on the hospital building.


    He was thinking...


    If he was really soft-hearted and operated on this patient, would this farce happen at the gate of the CCU of Guanghai First Hospital?


    A gust of wind blows.


    Even in the hot summer, Lu Chen still felt a little cold in his heart.


    Shi Langqin''s idea is to fight for the patient.


    Fight for the probability of the patient surviving.


    Unfortunately, he bet wrong.


    shook his head, throwing away these distracting thoughts in his mind, Lu Chen strode out the door of Guanghai Central Hospital.


    Lu was about to take a taxi back to the apartment when he suddenly heard a car horn.


    Following the sound, Xu Shan rolled down the car window and looked at Lu Chen with a smile.


    "Go, go back to the apartment!"


    Lu Chen was stunned for a moment, she hasn''t left yet, is she waiting for her?


    Get on the co-pilot and fasten the seat belt.


    "I thought you were gone." Lu Chen smiled, "It''s almost two o''clock, are you in a hurry to go to work in the afternoon?"


    Xu Shan smiled and shook her head, "I''m not preparing to apply for the National Natural Science Foundation of China recently, so I usually don''t need to stay in the clinic, and I go to the laboratory occasionally, and the time is relatively free."


    "Well, that''s pretty good." Lu Chen nodded.


    "Is your business done?"


    Xu Shan said that she had started the car.


    "How should I put it, this matter has nothing to do with me. I just came to see a patient. I didn''t expect it to be troublesome." Lu Chen shrugged his shoulders.


    "Is this?" Xu Shan suddenly handed over her cell phone.


    On the screen of the mobile phone, a short video of a certain sound is playing.


    The content of the ?? short video was posted by the patient''s son just now.


    Lu Chen clicked on the comment.


    The onlookers in the comments, who did not know the truth, agreed one after another.


    Many people leave comments below, and the Cardiology Department of Guanhai Central Hospital always likes to cheat people.


    The comments are unsightly, and all kinds of battles.


    Lu Chen didn''t bother to look at it, so he handed the phone over, "Oh, I don''t know what to say about this."


    "Then don''t talk about it." Xu Shan smiled, "It''s over, just do your own thing well and have a clear conscience."


    "What you said is." Lu Chen sighed in relief.


    There is still a long way to go in the future, but the pace of progress cannot be slowed down because of small setbacks.


    Xu Shan took Lu Chen back to the apartment.


    "Come here to eat something?" Xu Shan stood at the door of her room.


    "Next time." Lu Chen shook his head, "I have to go to work later, so I''ll be late for dinner."


    "Okay, then I''ll call you next time."


    The two went back to their respective homes.


    At this time, the incident of Guanghai Central Hospital began to quickly ferment in the society and attracted the attention of many people.


    The stiff neck is not good, and the neck pain tends to aggravate.


    Update as much as possible today.


    (end of this chapter)

 v2 Chapter 781： Lu Chens ambition

    Chapter 781 Lu Chen''s Ambition


    afternoon.


    Lu Chen returned to the second area in his heart.


    Many people in the department are already aware of this incident in Guanghai Central Hospital.


    That short video was widely circulated in the WeChat groups of various departments.


    After being taken out of context by some media, it even aroused the contradictions of the people about Guanghai Central Hospital.


    "Director Lu, I heard that this patient has been in our hospital before?"


    When Lu Chen came to the doctor''s office, Jin Miao asked Lu Chen.


    "I live with Director Zhang Liang of the third district in my heart." Lu Chen nodded, "We still went to the consultation together, did you forget?"


    Jin Miao was stunned, "Director, you mean the patient with left ventricular outflow tract obstruction?"


    "Yes." Lu Chen nodded.


    When Jin Miao heard the words, she was afraid for a while!


    At that time, he also suggested Lu Chen to perform surgery on this patient.


    If he really did it, maybe, then this incident happened in their Guanghai First Hospital!


    "Director, you are still wise!" Jin Miao said with lingering fears.


    Lu Chen said solemnly: "Actually, the family members of such patients are the most terrifying! In any case, we must put our hands and feet in place and do our best."


    Jin Miao nodded, and then sighed softly, "If this kind of thing happens often, no doctor will dare to perform surgery on critically ill patients in the future. All doctors are wise to protect themselves, and in the end, ordinary people will suffer! "


    "You''re right." Lu Chen replied with deep conviction, "The one who provoked the incident must have benefited from it. But they didn''t expect that if they were accustomed to this kind of thing, the ultimate benefit would be violated. "


    Lift a stone and hit yourself in the foot.


    In a short time, this storm may not be able to calm down.


    If there is a lot of pressure from public opinion, it will definitely make many doctors regress when facing such critically ill patients.


    For example, Shi Langqin, after encountering such patients, he may not agree to surgery so easily.


    Fortunately, Shi Langqin signed numerous informed consent forms with the patient''s family before the operation.


    Even if Guanghai Central Hospital is responsible, the proportion should be not high for me.


    But this incident has done too much damage to the reputation of Guanghai Central Hospital.


    In the next period of time, the operation volume of Guanghai First Hospital will definitely increase slightly again.


    ¡­


    At three o''clock in the afternoon, Lu Chen received a call from Zhang Liang, director of the three districts in his heart.


    On the phone, Zhang Liang was naturally very fortunate.


    If this matter is in his own department, then he should not be able to escape.


    "Director Lu, your judgment is really worthless!" Zhang Liang said, "Let me tell you, this patient even knelt down with me at the time. If I could do TAVR surgery, maybe I really did it for him."


    "This is the genius of the patient''s son." Lu Chen said helplessly, "Who would have thought that the patient''s face would change before the operation was completed!"


    "Alas, people''s hearts are unpredictable, no matter what industry they are in, there are people like this."


    Director Zhang Liang hung up the phone after long-winded.


    Lu Chen can only sigh a little, this matter has nothing to do with him, but it has something to do with every doctor.


    It''s almost time to get off work.


    Suddenly, Lu Chen received a call from Li Dongyang.


    "Director Lu, the patient is gone."


    After ?? said a simple sentence, Li Dongyang hung up the phone.


    He and Lu Chen made this call to give Lu Chen an explanation.


    The Cardiology Department of their Guanghai Central Hospital is a mess now.


    The dean and various leaders were aware of the matter and demanded that the relevant personnel be dealt with seriously.


    Regardless of whether the hospital was at fault, Shi Langqin was temporarily suspended from business.


    As for the follow-up processing, whether it is private or in court, that is another story.


    ¡­


    After this incident, Lu Chen''s training for the surgical team became more stringent.


    Each surgeon must know the indications and contraindications of surgery!


    The most important thing is to understand what is the purpose of surgery?


    Each treatment is aimed at prolonging the patient''s survival, curing the patient or improving the symptoms.


    Cure a disease, not repair a machine.


    If it is a late-stage patient, the point of surgery is not great.


    Originally, Lu Chen planned to let the TAVR surgical team start the operation next month.


    Cultivate a group of surgical talents as soon as possible.


    Now that Lu Chen has changed his mind, it is better to be more stable!


    The TAVR surgical team still needs to hone for a few months, until they are in the simulated operating room and can complete the overall operation independently, before they can be put on stage and begin to do some valve push and release operations.


    The members of the surgical team were naturally very disappointed when they heard the news.


    It would be great to be an early apprentice!


    Earn more money!


    However, Lu Chen is the boss.


    Although they had some resentment in their hearts, they still obeyed Lu Chen''s arrangement.


    ¡­


    After get off work, go back to the apartment.


    As soon as Lu Chen took out the key, Xu Shan, who was facing the door, opened the door and stuck out her head.


    "Have you eaten dinner yet?" Xu Shan smiled.


    "Not yet." Lu Chen smiled and shook his head, "Let''s go to the Sichuan restaurant downstairs together?"


    Xu Shan immediately said: "I made a few dishes, let''s eat together."


    The other party''s repeated invitations, and Lu Chen couldn''t refuse them.


    And the food in the cafeteria and the Sichuan restaurant downstairs, he is also tired of eating, it is good to change the taste.


    "Okay, I''ll put the bag away and come right over."


    "Well, I''ll leave you a door."


    Lu Chen returned to the house, changed into casual clothes, and came to Xu Shan''s house opposite.


    In the house, the aroma of the food lingers.


    Lu Chen looked at the dishes on the table and moved his index finger.


    Two meats, one vegetable and one soup is enough for the two of them.


    "I didn''t do well, please forgive me."


    Xu Shan was wearing an apron, and the bangs on her forehead were tied up. At this time, she was not wearing heavy large-frame glasses.


    Although there is still no makeup, but the appearance immediately improved several times.


    The two different outfits gave Lu Chen two different feelings.


    The first dress, although not beautiful, has a sense of closeness and familiarity.


    As for the second type, the appearance is quite high, but there is a sense of alienation.


    "Well, it tastes good!" Lu Chen took a bite of the dish and nodded with satisfaction.


    Although the taste is not as good as that of a restaurant, it has a unique flavor and is better than hygiene and safety.


    Hearing Lu Chen''s praise, Xu Shan''s face also showed a smile.


    ¡­


    After dinner.


    It started to get dark slowly, and I continued to stay in the girls'' room, which was not very good.


    Lu Chen went back to his room.


    He began to continue writing the national nature tender.


    The last time he bid, he wrote it for his mentor Li Yao.


    This time, he wrote it for his own national nature project.


    With the previous experience, Lu Chen was very familiar with it, and the overall template and framework were quickly completed.


    However, this time Lu Chen''s ambitions were quite big.


    Unlike the previous dapagliflozin, he was just trying it out.


    Now that you have chosen the TAVR field, .


    Then he will not only be the number one in Guanghai, but also the number one in China!


    Help Huaxia establish a completed TAVR discipline construction, improve the national level of diagnosis and treatment, and catch up with Europe and the United States!


    When the neck is healed, I will add more.


    (end of this chapter)

 v2 Chapter 782： alcoholic man

    Chapter 782 Drunk man


    The first phase of the TAVR surgery class has ended.


    The first batch of 20 students has gained a lot.


    Among them was Wang Qingfeng, who was admitted to the same batch as Lu Chen.


    From a beginner of TAVR, he began to be familiar with the field of TAVR gradually and became a reserve talent.


    Although none of them can operate independently now, in the near future, the TAVR surgery team of Guanghai First Hospital represented by them will definitely shine in the field of Huaxia''s heart!


    On the other hand, the content of Lu Chen''s national nature project is also limited to the discipline construction of TAVR.


    The only thing missing now is data!


    Surgical data, patient data, postoperative rehabilitation data, etc., are currently missing from Guanghai First Hospital and even Huaxia.


    But if you want to build the TAVR discipline well, these things are essential, and Lu Chen can only do it step by step.


    As for clinical matters, he did not relax either.


    As a superior physician, he insists on rounds every day, and personally inspects critically ill patients to ensure that each patient''s treatment plan will not have major flaws.


    As for Jin Miao, she has been on the operating table with Lu Chen recently, and her TAVR surgical capabilities are also improving rapidly.


    In addition, once Jin Miao encounters a difficult case, he will notify Lu Chen as soon as possible.


    "Director Lu, a more difficult patient has been transferred from the CCU, do you have time to come and take a look?"


    In Lu Chen''s office, after Jin Miao reported the latest work progress, he was ready to take him to check on a patient''s condition.


    "CCU turned around?" Lu Chen wondered.


    "Well, I lived in the first district of my heart a few months ago, but I didn''t find out the reason at that time, so I went back to take medicine, and now I''m sick again." Jin Miao explained.


    "Okay, let''s go and have a look."


    Lu Chen put down his work and followed Jin Miao to the ward.


    ¡­


    in the ward.


    Lu Chen saw the patient in front of him.


    He is a sixty-year-old bachelor, and the family member who came to **** him is his old mother.


    "Director Lu, the patient is a patient with heart failure." Jin Miao explained his condition on the side, "I used to be a long-term drinker, and I used to consider alcoholic cardiomyopathy in other hospitals. I have been treated for heart failure for many years, but it has not improved. "


    "Yes." Lu Chen nodded, and began to conduct physical examinations and consultations on patients in person.


    The HP on his head is 54(¡ª¡ª)!


    doesn''t seem to be in good shape, but it doesn''t get to the point of three minuses either.


    The patient is a 63-year-old single male with a typical ''one person is full, the whole family is not hungry''.


    I used to drink heavily. I don¡¯t know if it was because of the difficulty in capital chain turnover or because of repentance. I have quit drinking for 10 years.


    But quitting alcohol doesn¡¯t mean he starts to love his body, he still eats convenience food every day.


    The reason why I came to the hospital was because I gradually felt difficulty in breathing, and my lower extremities were swollen, and I pressed a hole every time.


    This frightened him, and he came to the hospital immediately.


    Lu Chen gave the patient a more detailed physical examination


    The patient had distended jugular veins, rales at the base of both lungs, normal auscultation of the heart, and moderate edema of both lower extremities.


    In addition, echocardiographic results showed that left ventricular activity was reduced, left ventricular ejection fraction (LVEF) was 25%, and right ventricular systolic function was moderately reduced.


    Combining all the test results, Lu Chen initially judged that he still had heart failure.


    But there are many causes of heart failure, including common coronary heart disease, valvular disease, myocarditis, cardiomyopathy and so on.


    "Two months ago, a coronary angiography was done in the first area of ??the heart, and the results were normal." Jin Miao said, "So we ruled out coronary heart disease, and we still consider it to be heart failure caused by long-term drinking and alcoholic cardiomyopathy."


    Lu Chen thought about it and asked, "Is the effect of anti-heart failure treatment not good?"


    "It was okay at first." Jin Miao said, "It''s just two months ago, I don''t know if he stopped the drug or what, the heart failure worsened three times! Each time it was an acute left heart failure attack, and he came to our hospital. CCU."


    Just after Jin Miao finished speaking, the patient''s mother, the old lady in her 80s, also echoed aloud.


    "Doctor, he took the medicine and didn''t stop." The old lady''s voice was a little hoarse. She took out a few medicine boxes from the drawer with trembling hands and handed them to Lu Chen and Jin Miao.


    Lu Chen looked at it, it was indeed the golden triangle medicine for heart failure.


    "Okay, I understand." Lu Chen nodded, then turned to Jin Miao who was beside him, "How do you think about it now?"


    Jin Miao paused and whispered: "Now considering that the treatment effect is not very good, it may be stubborn heart failure, and I plan to increase the dose of drugs."


    Lu Chen frowned and said, "Has the patient experienced some mental symptoms?"


    "Mental symptoms?" Jin Miao was stunned, "No..."


    Lu Chen pointed to the patient''s eyes, "During the physical examination just now, I found that his external ophthalmoplegia was paralyzed."


    "Ah, this..." Jin Miao whispered, "The patient just turned up, I haven''t found it yet."


    "I checked CCU''s medical records, and there is no record of this type of mental symptoms." Lu Chen said.


    Jin Miao''s expression was a little solemn, "I will evaluate the patient''s mental state again immediately."


    "Don''t panic." Lu Chen looked at the old lady beside him, "Mother-in-law, does your son usually live with you?"


    "Yes." The old lady nodded, "Live together, he is not married, who else can he live with?"


    "Then have you noticed any unusual behavior recently?" Lu Chen said.


    "Abnormal behavior?" The old lady didn''t quite understand.


    "For example, nonsense, shouting, etc." Lu Chen reminded.


    Hearing this, the old lady nodded hurriedly: "During this time, he sometimes always speaks to himself, can''t understand what he says, and sometimes loses his temper."


    "Is it like this before?" Lu Chen asked.


    "That''s not it." The old lady said, "Although he likes to drink, he usually has a good temper, and this has never happened before."


    Hearing this, Lu Chen basically understood.


    He looked at Jin Miao next to him, "Make a MOCA score for the patient."


    "Okay!" Jin Miao responded quickly.


    MOCA, the Montreal Cognitive Assessment Scale.


    includes attention and concentration, executive function, memory, language, visual structure skills, abstract thinking, calculation and orientation, etc. The total score is 30 points, and ¡Ý26 points are normal.


    ¡­


    Back to the doctor''s office.


    Jin Miao immediately gave the patient a complete set of MOCA scores.


    The final result is 13 points.


    "Director Lu, the score is 13!" Jin Miao reported the final result to Lu Chen.


    "What do you think about it now?"


    Lu Chen intentionally cultivated Jinmiao, so he didn''t tell his diagnosis right away.


    "In addition to heart failure, the patient also has some neurological symptoms such as cognitive impairment." Jin Miao said hesitantly.


    "Is that all?" Lu Chen asked, "Have you ever thought about why the patient has neurological symptoms?"


    "This is not clear for the time being, and some head examinations may be required." Jin Miao whispered.


    "I saw that he had a CT scan of the brain, and everything was normal." Lu Chen said.


    "Then do another cranial MRI?"


    Jin Miao''s tone was full of disbelief.


    Lu Chen shook his head helplessly, "You still haven''t found the problem, it''s a beriberi!"


    (end of this chapter)

 v2 Chapter 783： Beriberi

    Chapter 783 Beriberi


    "beriberi? Foot moss?"


    Jin Miao stared at Lu Chen in astonishment, making sure that Director Lu was not joking.


    "Do you know the principle of beriberi?" Lu Chen asked back.


    Jin Miao paused and said slowly: "Beriberi is a thiamine, which is vitamin B1 deficiency, a beriberi foot fungal infection."


    "Well, yes, I know this." Lu Chen nodded slightly.


    Thiamin, or vitamin B1, is an essential cofactor for carbohydrate metabolism and energy production.


    It is found mostly in beans, meats (except cured meats), brown rice, and grains made from whole grains, but in very low levels in milled rice, dairy, fruits and vegetables.


    "But, Director Lu, what does this have to do with the heart failure patient just now?"


    Jin Miao looked puzzled.


    Beriberi, heart failure, can''t be contacted at all!


    Lu Chen smiled and continued: "Long-term drinking and relying on high-calorie, low-nutrient convenience foods will increase the risk of thiamine deficiency. Thiamine deficiency will affect the production of adenosine triphosphate, causing the accumulation of adenosine in the body."


    "I remembered, I learned it when I was in school, long-term use of rice noodles can lead to thiamine deficiency, that''s what I said!"


    However, Jin Miao was still very puzzled.


    "Director, even if he has thiamine deficiency, how can it be related to heart failure?"


    Lu Chen said sternly: "You only know one, but you don''t know the other."


    "Thiamin deficiency, which can manifest as cognitive impairment (eg, Wernicke''s encephalopathy), peripheral neuropathy (dry beriberi), heart failure (cardiovascular beriberi or wet beriberi)."


    Jin Miao suddenly realized.


    "That is, thiamine deficiency, will it have various effects on different organs or systems?"


    "That''s the truth." Lu Chen nodded, "The patient''s nervous system and heart failure are all caused by this!"


    on the feet, that is beriberi.


    On the heart, it is heart failure.


    On the nervous system, it is Wernicke''s encephalopathy.


    Wernicke¡¯s encephalopathy is a common metabolic disease of the central nervous system caused by chronic alcoholism due to thiamine deficiency. The symptoms include ophthalmoplegia, mental disorders, and ataxia.


    "But this is just my inference!" Lu Chen said, "This cardiac change is manifested by a decrease in ejection fraction, which is indistinguishable from dilated cardiomyopathy. Although the myocardial edema seen by cardiac magnetic resonance T2 signal enhancement has a certain value, it is difficult to distinguish from dilated cardiomyopathy. That kind of change doesn¡¯t happen very often.¡±


    Although a prompt has popped up in the system and the completion of the system upgrade has risen, indicating that Lu Chen¡¯s diagnosis is correct, clinically, evidence is still needed.


    Jin Miao wondered: "Can''t we identify it by detecting the level of thiamine in the blood?"


    Lu Chen shook his head slightly: "The test can be tested, but the blood test has limitations in diagnosing thiamine deficiency."


    "Firstly, thiamine levels are greatly affected by recent caloric intake; secondly, whole blood thiamine content is less than 1% of the total body weight, even if plasma thiamine levels are reduced, it cannot truly reflect thiamine deficiency."


    "Although it can be tested by measuring erythrocyte transketulase activity, this test is not widespread."


    "Simply put, our hospital is temporarily unable to do this test."


    Jin Miao frowned: "Can''t be diagnosed?"


    Lu Chen smiled, "We can make a therapeutic diagnosis. Vitamin B1 is a dime a piece, and it''s not expensive. Take ten tablets (100mg) a day. Anyway, it''s water-soluble, so you''re not afraid of overdose."


    "Okay." Jin Miao nodded immediately and began to issue a doctor''s order.


    "However, the treatment of heart failure still needs to continue." Lu Chen said, "While treating the symptoms, we will cure the cause."


    "Um."


    Although there is no diagnosis yet, Jin Miao already believes in this diagnosis.


    After working under Lu Chen for so long, he knew too much about Director Lu Chen''s clinical abilities.


    Outsiders only know that Lu Chen''s TAVR surgery ability is strong, but only Jin Miao knows that the most terrifying thing about Lu Chen is his clinical decision-making ability.


    No matter how complicated or difficult the medical record is, when Lu Chen has it, all kinds of clues will immediately become clear!


    "Director Lu, you are really amazing!"


    Jin Miao couldn''t help but flattered.


    However, he is flattering from the heart.


    "Pay more attention to the details." Lu Chen smiled, "Don''t ignore it, many clinical diagnoses are hidden in it."


    "Yeah." Jin Miao nodded quickly.


    "Dig deeper, some studies have found that heart failure may lead to thiamine deficiency, and thiamine supplementation may help improve left ventricular function and quality of life." Lu Chen smiled, "It''s just possible, there is still debate, You can do further research and publish papers.¡±


    Jin Miao''s eyes lit up, isn''t this a good research topic?


    "Director Lu, you have this idea, why don''t you study it yourself?"


    Lu Chen smiled, "There are a lot of good topics, and I don''t have time to cover everything. Time has to be spent on the most valuable things."


    "Hmmmm." Jin Miao nodded.


    Since Director Lu Chen doesn''t like this topic, he is very interested in it!


    TAVR surgery has to be done, but promotion still depends on papers!


    He can''t wait to go back to the dormitory now and start researching this "cardiovascular beriberi".


    ¡­


    Lu Chen got off work, but received an unexpected call.


    Caller ID is a name that has not been seen for a long time, Gu Xinyue.


    "Old Gu?" Lu Chen answered the phone and asked.


    "Lu Chen, are you in Guanghai?" Gu Xinyue''s voice came, still a little cold.


    "That''s right." Lu Chen nodded and joked with a smile, "What''s wrong? Do you want to join me?"


    Unexpectedly, Gu Xinyue replied without hesitation: "Yes, I want you to come here."


    "What?" Lu Chen was a little stunned.


    Gu Xinyue stayed in a tertiary hospital in Kyoto after graduating. I heard that she was doing well, why did she suddenly want to come to Guanghai?


    "I want to come to you." Gu Xinyue repeated it again.


    Lu Chen didn''t ask for the specific reason. He knew that Gu Xinyue might have something to hide, so he replied: "This year, we have a place in our department. I can contact you, but the procedures such as the entry interview and examination need to be carried out normally."


    "No problem, I''ll pack my things right away."


    After saying this, Gu Xinyue hung up the phone, leaving behind a confused Lu Chen.


    rushed to Guanghai in such a hurry, something must have happened!


    Lu Chen thought about it and called Wang Zihao, who was also in Kyoto.


    Wang Zihao returned from studying abroad and also stayed in Kyoto to work.


    "Lu Chen, didn''t Lao Gu tell you about this?" Wang Zihao was surprised when he received a call from Lu Chen.


    "We haven''t been in contact recently, he didn''t say anything!" Lu Chen said, "What happened, why did Lao Gu come to me?"


    "Oh, that''s a long story..."


    Lu Chen frowned, "Let''s make a long story short."


    Wang Zihao sighed and said, "Lao Gu was tricked by the director of their department. An operation patient who was in charge of the bed had an accident. The director was in charge of the operation and he was the second assistant. In the end, the director put all the main responsibility on Lao Gu!"


    Lu Chen was a little silent when he heard the words.


    This kind of thing, Lao Gu has no back and can only swallow his voice.


    But this happened, it is definitely impossible to continue to stay in the department!


    I took the time to do physiotherapy today, and my neck pain is much better.


    Thank you for your concern.


    (end of this chapter)

 v2 Chapter 784： Unofficial decision

    Chapter 784 Default


    Gu Xinyue came really fast.


    At noon the next day, he arrived at Guanghai.


    It happened to be the weekend, and Lu Chen personally went to the airport to pick him up.


    Gu Xinyue also traveled lightly, with only a backpack.


    "When will the interview at your hospital start?"


    The first sentence ?? met, Gu Xinyue was asking about recruitment.


    Lu Chen smiled, "There are still two weeks to go. You stay with me first. When the hospital arranges a dormitory for you, you can move out."


    "Okay." Gu Xinyue nodded, but he was not polite to Lu Chen.


    When he first arrived in Guanghai, he was unfamiliar with his life and could only rely on Lu Chen temporarily.


    Lu Chen called a taxi.


    After the two got into the car, they sat in the back row.


    "Is everything in Kyoto settled?" Lu Chen still asked.


    "I''m in Kyoto, but I have nothing and nothing to miss." Gu Xinyue shook her head mockingly, "In the department, there is a little doctor, and in scientific research, it is an irrelevant person."


    Lu Chen was taken aback, it shouldn''t be!


    When Dr. Gu Xinyue graduated, he should have several high-scoring papers!


    This kind of talent should be the mainstay of the department.


    "I heard that you are doing fine in Kyoto before." Lu Chen wondered, "Why does the head nurse want to introduce you to a girlfriend?"


    "Haha..." Gu Xinyue smiled helplessly, "In a place like Kyoto, without a background, it is impossible to come out in a short period of time, even if I do the most work in the laboratory, and receive the most patients in the clinic, there is no such thing at all. use."


    Lu Chen was a little silent.


    To be honest, his career has been smooth sailing.


    Basically did not encounter too many setbacks.


    After he came to the Cardiology Department of Guanghai First Hospital, he was directly the deputy chief physician, and then became the chairman of the Guanghai TAVR branch.


    Even now, he is the deputy director of the department!


    The speed of this promotion is faster than the speed of riding a rocket.


    However, in fact, the current situation of normal doctoral graduates is like Gu Xinyue.


    The top tertiary hospital, starting with a doctoral degree, Gu Xinyue has no advantage at all in a short time, and she has to be pulled out as a scapegoat.


    This is probably something that a normal little doctor will probably experience.


    "Lao Gu, I can''t control how you are in Kyoto now." Lu Chen paused and said, "However, as long as you come to me, what I can guarantee is that as long as you have the ability and are willing to make progress, then you will absolutely not. Someone will stop you."


    He and Gu Xinyue are old classmates for many years.


    Gu Xinyue''s character, Lu Chen knew very well.


    He is a good doctor who loves to pretend to be deep and sullen in his heart, but has excellent business ability.


    Hearing Lu Chen''s words, Gu Xinyue was a little moved, but he shook his head and smiled, "Lu Chen, aren''t you a deputy chief physician now? Can you manage so many things?"


    With so many things happening recently, Lu Chen didn''t have time to tell Gu Xinyue.


    Gu Xinyue only knew that Lu Chen had just come to Guanghai No. 1 Hospital and was promoted to Deputy Chief Physician by exception. He didn''t know anything else.


    If he is just a deputy chief physician of the department, he can''t control anything!


    The deputy director of the department and the deputy chief physician seem to have a small gap on the surface, but in fact the gap is very deep.


    "Old Gu, don''t worry, since I let you come here, I will definitely not let you suffer." Lu Chen didn''t tell Gu Xinyue that he was the deputy director of the department for the time being, lest he would have difficulty accepting it for a while.


    "Well." Gu Xinyue nodded.


    He believed in Lu Chen very much, which was why he came to Guanghai and wanted to follow Lu Chen.


    ¡­


    The taxi quickly arrived at the talent apartment.


    "This is the dormitory of the hospital?"


    Looking at the apartment in front of her, Gu Xinyue couldn''t believe it.


    Such a boutique community is actually regarded as a dormitory building?


    Lu Chen shook his head and smiled and said, "Guanghai No. 1 Hospital is not so generous yet. This is a talent apartment. Generally, special talents are brought in, and they all live here. The dormitory building is in the hospital."


    "Oh, that''s it." Gu Xinyue was startled.


    He envied Lu Chen so much that he could live in such a boutique community.


    When he was in Kyoto, he was crowded with others in the dormitory building, it was so uncomfortable!


    Entering the apartment, Gu Xinyue really realized the atmosphere of Guanghai No.1 Courtyard.


    The decoration here is relatively beautiful, and all kinds of living appliances inside the apartment are readily available.


    "Old Gu, there happens to be a guest room, you can stay here." Lu Chen said.


    "Okay." Gu Xinyue nodded and put her backpack in the bedroom.


    Looking around the room, he still had a hard time believing that this was a room for special talents provided by the hospital.


    "Do you need to pay rent?" Gu Xinyue said suddenly.


    "No." Lu Chen smiled, "But I have to pay utility bills, which are usually deducted from my salary."


    "That''s great." Gu Xinyue and Lu Chen sat side by side on the sofa.


    The two recalled the time when they studied together in Jinghua, and later went to Kyoto to exchange and study.


    "Old Gu, for so many years, your cold, ice-faced personality hasn''t changed at all!" Lu Chen joked, "If you keep going like this, no girl will look at you."


    Gu Xinyue sneered, "It''s as if some girls like you."


    Lu Chen: "..."


    Lu Chen felt that he was talking too much and said something bad, but he wanted to talk about it.


    "Is there a supermarket nearby? I''ll buy some daily necessities later." Gu Xinyue said.


    "Not far, turn right when you go out, and walk for five or six minutes. There is a large supermarket." Lu Chen said, "I will rest in the afternoon and go out with you when the time comes."


    "it is good."


    When it was time for dinner, their stomachs began to growl.


    Lu Chen took Gu Xinyue to the Sichuan restaurant downstairs, and had a big meal, as if it was to wash away the dust for Gu Xinyue.


    ¡­


    Actually, the first round of recruitment of Guanghai First Academy has ended this year,


    Now is the second round of recruitment, and the registration period is over.


    However, as the deputy director of the department, Lu Chen was able to put a person in temporarily.


    So, Lu Chen directly submitted Gu Xinyue''s resume to the Personnel Department.


    The Personnel Department also had to sell this face and inform Gu Xinyue to take the entrance exam in half a month.


    With Gu Xinyue''s ability, this entry exam is still very easy.


    Although he can''t be compared with Lu Chen, he has an excellent resume among his peers.


    The second area of ??the heart.


    Office of the Director.


    Regarding Gu Xinyue''s entry, Lu Chen had to tell Yan Wanfeng, the head of the department.


    "Lu Chen, is he your classmate?" Yan Wanfeng asked.


    "Master student." Lu Chen nodded, "I later studied for a Ph.D. in Kyoto and published many high-scoring papers. He is an excellent young doctor."


    "Then I definitely welcome him to the second district in our hearts!" Yan Wanfeng said, "However, the quota for our division this time has actually been determined by default."


    "Informal decision?" Lu Chen was taken aback.


    "Yeah." Yan Wanfeng nodded slightly, "Usually like this kind of open recruitment, we are all recruited by intentional personnel or by relationship, so basically all of them are determined by default."


    "That Gu Xinyue he..." Lu Chen frowned.


    If the competition is fair, Laogu will definitely be able to come to the second district of the heart.


    But there are people who are predestined, which is hard to say.


    Yan Wanfeng paused. He saw that Lu Chen had an unusual relationship with this person, so he said, "Well, I''ll discuss it with the hospital. This year, we need more indicators."


    The indicators of each department are basically set.


    It is quite difficult to change.


    "Thank you so much Director." Lu Chen said quickly.


    "It''s a little busy, it''s not worth mentioning." Yan Wanfeng smiled, "Lu Chen, your contribution to our Cardiology Department is far more than that!"


    During this period, TAVR surgery has been vigorously carried out in Guanghai Hospital, and the economic benefits of this are incalculable.


    Lu Chen is now in the eyes of the leaders, that is a sweet pastry.


    It may not be difficult to ask for one more indicator.


    (end of this chapter)

 v2 Chapter 785： Lu Chen, you should admit your mistake!

    Chapter 785 Lu Chen, you should admit your mistake!


    "Lu Chen, the hospital leaders want you to let go as soon as possible, so that your surgical team can be fully operational."


    Yan Wanfeng continued.


    The meaning of ?? is self-evident.


    Let other surgeons start to perform operations independently, so as to do more operations and maximize the benefits.


    If only Lu Chen was the main surgeon, the popularization of TAVR surgery would be very slow!


    Of course Lu Chen knew the reason, why didn''t he want to let go.


    Doing the same simple TAVR surgery every day has little improvement for him.


    "Director, next month." Lu Chen thought for a while and said, "This month, I will inspect them again. If they can pass the assessment and get the TAVR surgical intervention certificate, then let them start independent."


    The matter of Guanghai Central Hospital is still vivid in my mind.


    Up to now, Shi Langqin has not returned to his work.


    Lu Chen had to be cautious.


    Surgery can be done, but it is the responsibility of all patients.


    "Okay, let''s do it as soon as possible." Yan Wanfeng nodded.


    ¡­


    In the next half month.


    Gu Xinyue stayed in Lu Chen''s apartment and began to prepare for the written test and interview.


    He also occasionally went out for a walk and stayed in the room most of the time.


    "Lu Chen, are there two girls living across from you?"


    On this day, as soon as Lu Chen got home, Gu Xinyue said.


    "Two?" Lu Chen smiled, "That''s one person."


    "Huh? Alone?" Gu Xinyue was a little surprised, "Isn''t that possible?"


    Just then, the doorbell rang.


    Lu Chen came to see the door, and it was Xu Shan who was standing opposite the door.


    "I made a few dishes to eat together at night?" Xu Shan said with a smile.


    "Sorry, a friend of mine is here." Lu Chen said, "I won''t bother you anymore."


    "I know, I ran into it when I went upstairs today." Xu Shan smiled, "So I made two more dishes, let''s eat together."


    "This... let me ask my friend''s opinion."


    The kindness was hard to resist, Lu Chen returned to the room, and said to Gu Xinyue, "Let''s go to the opposite door to eat together?"


    "You know her very well?" Gu Xinyue said.


    "It''s alright, it''s the same group that came to the hospital." Lu Chen shrugged, "I usually ask me something about Dagliejing. When I''m free, I''ll help her solve it."


    "If it''s not your girlfriend, I''ll go eat." Gu Xinyue said, "I don''t want to be a light bulb."


    "Definitely not a girlfriend!" Lu Chen smiled helplessly, "Do you think I like this?"


    Gu Xinyue''s eyes widened, "You don''t like this, do you like men?"


    Lu Chen immediately laughed and scolded, "Go away. Let''s go, let''s have a meal together. We''ll be colleagues in the future, so it''s inevitable that we''ll have to trouble others."


    "You said so, then go."


    Then, Lu Chen and Gu Xinyue came to Xu Shan''s house opposite the door.


    Before Gu Xinyue came, Lu Chen would occasionally come to Xu Shan''s house for dinner, but not many times.


    After all, the relationship between the two is average, and they are not so good that they can often stop by for dinner.


    ¡­


    Today''s Xu Shan has dressed up a little, and her whole person looks extremely youthful and beautiful.


    Gu Xinyue, as soon as he came in, he looked around the room.


    "Old Gu, what are you doing?" Lu Chen asked suspiciously.


    "I''m looking for someone!" Gu Xinyue returned in a very serious tone, "She should live with the two of them."


    Lu Chen smiled and whispered, "You can ask her."


    "Oh." Gu Xinyue nodded and really said to Xu Shan, "Are you two living together?"


    Xu Shan just brought the dishes out of the kitchen, when she heard this, she was stunned, "Two people?"


    "Yes, I bumped into you, and there is another person coming in and out of this room!" Gu Xinyue said, "This is what I met today."


    "Is that so?"


    Xu Shan came to the living room, put on large-frame glasses, and put down the bangs on her forehead.


    Gu Xinyue was stunned when she saw this, "You... this makeup technique is really amazing! So it''s the same person!"


    Xu Shan smiled, then took off her glasses and said, "I usually like to wear glasses when I''m in the hospital, it''s more comfortable."


    Gu Xinyue spread her hands, "It''s like you''ve been modified by a biological protein. Take off the shell, and there will be no targets on the surface, and no one will recognize it."


    Hearing these mindless words, Lu Chen was speechless.


    However, Xu Shan covered her mouth and laughed, "Haha, Lu Chen, your friend is really humorous."


    Lu Chen: "..."


    How does he feel that he is the light bulb? !


    After this small disturbance, the relationship between the three was quickly drawn closer.


    Gu Xinyue''s high coldness is for outsiders.


    Once you get to know your friends, he talks a lot.


    More importantly, Lu Chen couldn''t laugh at his unnutritious and illogical jokes, but it hit Xu Shan''s point of laughter.


    For a while, the dining table was full of laughter and laughter.


    "By the way, Lao Gu, what was your subject during your Ph.D.?" Lu Chen suddenly asked.


    Gu Xinyue said slowly: "Because I participated in your Dapagliflozin project during my master''s degree, and my boss also has a project on cardiovascular drugs, so my main research direction during my doctoral period is Dapagliflozin."


    Xu Shan also looked at Gu Xinyue in surprise.


    "Then the two of you can talk to each other in the future." Lu Chen smiled, "Xu Shan''s recent national nature project is also about Dapagliflozin."


    "Yeah?" Gu Xinyue looked at Xu Shan coldly.


    "Yes." Xu Shan narrowed her eyes and smiled, "It just so happens that I still have a lot of questions, and I will have to trouble Lao Gu a lot in the future."


    "Okay." Gu Xinyue still replied "coldly".


    However, Lu Chen could see at this time that Lao Gu was very happy.


    This meal was quite enjoyable.


    After eating, Lu Chen and Gu Xinyue went back to their room.


    ¡­


    Soon, the second round of recruitment and entry exams for Guanghai First Academy began.


    Gu Xinyue''s grades are of course nothing to say. The total score of the written test and interview is ranked first.


    Yan Wanfeng also successfully asked for another indicator from the courtyard.


    Lao Gu has successfully joined Guanghai No.1 Hospital, the second district in his heart!


    Because she just arrived at the hospital, Gu Xinyue was assigned to Lu Chen''s group.


    This gave Jin Miao a sense of crisis.


    I heard that Gu Xinyue and Director Lu were classmates before.


    If his position is replaced, it will be miserable...


    His future promotion path, isn''t it about to be interrupted?


    However, Jin Miao was relieved soon.


    Because, as a member of the TAVR surgical team, Jin Miao will soon be in the catheterization lab and leave the second area of ??the heart.


    The arrival of ??Gu Xinyue just took over the position of Jin Miao.


    At this time, Deputy Director Lu Chen''s office.


    Gu Xinyue''s expression is very complicated.


    On the first day he arrived in the second district in his heart, he finally knew Lu Chen''s identity.


    He is actually the deputy director of the second district in the heart!


    Lu Chen sat opposite Gu Xinyue and said embarrassedly, "That...it''s my fault, I didn''t tell you before that I became the deputy director."


    After all, even Lu Chen himself never thought that he could become this deputy director.


    "Yes, Lu Chen, you should admit your mistake." Gu Xinyue sighed, "If I knew you were the deputy director of the department, I should have come, why should I stay in Kyoto to get angry!"


    For Lu Chen, Gu Xinyue had no jealousy in her heart, but more admiration and appreciation.


    Originally thought that the gap between the two would shrink after reading a doctorate, but I didn¡¯t expect that as time went on, the gap between the two would become bigger and bigger.


    Lu Chen is like an unreachable goal, Gu Xinyue wants to pursue it, but is always powerless.


    Since you can''t catch up, why don''t you follow Lu Chen''s side and continue to pursue higher mountains?


    There have only been 2 updates in the last few days, please forgive me.


    Write as much as you can, and make up for it later on vacation.


    Thank you again for your monthly passes, subscriptions and rewards!


    (end of this chapter)

 v2 Chapter 786： epilepsy?

    Chapter 786 Epilepsy?


    Lu Chen and Gu Xinyue are old partners.


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


    The cooperation between the two is very tacit.


    Gu Xinyue''s clinical ability is also excellent.


    Some common diseases, he has nothing to say.


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


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


    Seeing Gu Xinyue enjoying the clinical diagnosis and treatment, Lu Chen wondered.


    A cardiologist can be said to be incomplete if he does not intervene in surgery.


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


    "Huh?" Lu Chen was quite surprised.


    If it''s a girl, it''s not surprising to think this way, but Lao Gu is a boy, and every boy in the cardiology department should try interventional surgery.


    "Do you remember my CCU at the Second Hospital of Jinghua?" Gu Xinyue asked again.


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


    "At that time, I wanted to learn the technique of cardiac ultrasound, but no matter how I practiced or learned it, it was slower than Fatty Cheng." Gu Xinyue said slowly, with a hint of helplessness and bitterness in her eyes, "Afterwards, I slowed down. Give up slowly."


    Lu Chen also remembered this past event, when Gu Xinyue was in embarrassment when he was studying cardiac ultrasound, and he still vividly remembered it.


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


    "Let''s put it that way." Gu Xinyue smiled, "And the clinical practice is also very good. Even without surgery, the disease can be cured!"


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


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


    Whether it is TAVR surgery, coronary interventional surgery, or electrophysiological surgery, Gu Xinyue can try it out.


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


    However, since Gu Xinyue does not want to have surgery, it is not bad to stay in the clinic, and it is a good choice to take time to do scientific research at ordinary times.


    Actually, there is another reason why Gu Xinyue did not choose interventional surgery.


    That is because when he was in Kyoto, it was because of the failure of the interventional operation that his superiors gave him the blame, which led to his resignation.


    ¡­


    One month later.


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


    Lu Chen''s five doctors, including Jin Miao, can perform TAVR surgery independently.


    They all have the foundation of coronary intervention, so learning TAVR technology is quite fast.


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


    For the slightly more difficult operation, Lu Chen himself was required.


    Even so, it has been able to solve a lot of time for Lu Chen.


    The current TAVR surgery is still based on ordinary surgery.


    Everyone on the surgical team can get the best training possible.


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


    Gu Xinyue has become accustomed to the cardiology department of Guanghai First Hospital, and has officially become the attending doctor under Lu Chen''s hands.


    "Director Lu, a difficult patient has come, come and have a look!"


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


    "Okay, I''ll come right over."


    ¡­


    Lu Chen put down the application form for the National Nature Project in his hand.


    He has finished writing the tender, and now he can just wait for the final review.


    came to the ward.


    Gu Xinyue arrived with the graduate students in the group.


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


    The health on his head is 64 (--).


    From the appearance, the patient does not have any uncomfortable symptoms.


    "The director is here." Gu Xinyue greeted Lu Chen when she saw Lu Chen walk in.


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


    Lu Chen was accustomed to his status as a superior doctor, and he usually looked at patients with a straight face.


    Gu Xinyue organized the language and handed the patient''s medical record to Lu Chen.


    "The patient is 35 years old this year. About 3 years ago, there was no obvious incentive for him to become unconscious and unresponsive. At the same time, his limbs were stiff and convulsed. At that time, the family was very scared and sent to the hospital, but no problem was found."


    "Two months ago, the patient had another seizure. After a series of examinations such as brain MRI and CT, no problems were found. He was diagnosed with epilepsy in another hospital."


    "But less than 2 months after I got home, my condition flared up again, so I came to our hospital."


    Lu Chen nodded slightly.


    The general condition of the patient, he already knew.


    This is a patient whose cause is unclear.


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


    Beside the ward, the patient''s wife was standing, dressed very plainly and speaking a non-standard Mandarin.


    "If it wasn''t for the factory friends, maybe something really happened."


    While talking, the patient''s family members were still crying.


    Lu Chen nodded, and hurriedly signaled the patient not to get excited, "What happened when the patient first got sick? Can you tell me in detail?"


    "Well." The patient''s wife nodded and began to slowly tell about the patient''s illness and the process of seeking a doctor.


    Similar to what Gu Xinyue described before, the patient was unconscious every time he had a seizure, his limbs twitched, and after he woke up, he lost a little bit of memory.


    I have seen a doctor in the hospital many times, and checked the brain CT, MRI, EEG, etc.


    A mildly abnormal EEG was detected last time, and epilepsy was diagnosed.


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


    The patient will suddenly faint, fall to the ground, convulsions, and foaming at the mouth. It looks scary, but it is actually the result of abnormal nerve discharge in the brain.


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


    After the last discharge, the patient took some antiepileptic drugs, mainly sodium valproate.


    But not long after he was discharged from the hospital, his condition flared up again!


    "We don''t think it''s a problem to go on like this!" The patient''s wife said helplessly, "He is the backbone of the family, and he is sick, which affects his work. Many construction site bosses hear that he has this disease, and they dare not ask him to work. "


    Lu Chen performed a very detailed physical examination on the patient.


    Double lungs, heart auscultation, abdominal examination, nervous system examination, all are normal!


    Is it really epilepsy?


    When Lu Chen thought of this, the system didn''t give any hints.


    It seems that this is not the diagnosis!


    After so many years of using the system, Lu Chen can already know the urine properties of the system.


    If the diagnosis is correct, you will definitely give yourself the corresponding system to complete the upgrade!


    ¡­


    Back to the doctor''s office.


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


    The neurological symptoms caused by arrhythmia are called Aspen syndrome.


    Because of severe arrhythmia, it may be impossible to continue pumping blood, and the brain is severely ischemic in a short period of time, causing brain dysfunction, so there will be convulsions and disturbance of consciousness.


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


    The patient at that time had neurological symptoms caused by arrhythmia!


    But when he thought of this diagnosis, the system still had no hint!


    "It doesn''t seem to be the diagnosis." Lu Chen frowned.


    The examination of the nervous system was normal.


    What would it be?


    (end of this chapter)

 v2 Chapter 787： "Ghost" upper body?

    Chapter 787 "Ghost" upper body?


    "Director Lu, could the patient have... rabies?"


    One of the graduate students suddenly said.


    "I heard that the patient had a disease, not convulsions or disturbance of consciousness, but a sudden loss of emotional control, irritability, hyperactivity, nonsense, yelling, like crazy, really like being bitten by a dog."


    Lu Chen knew this student, he was a graduate student in the group, but his major was respiratory department, and now he came to the cardiology department for rotation.


    Rabies does have similar mental symptoms.


    If it is really rabies, then the danger is great!


    But the patient did not have a series of symptoms such as opisthotonus, photophobia and so on.


    The most important thing is that the patient has no recent history of being bitten by a dog.


    Gu Xinyue directly denied the diagnosis, saying: "The family members have been accompanying the patient these days. They have never been bitten by a dog. There is no dog at home, and no one in the nearby neighbors has a dog. It is impossible to be bitten by a dog."


    It doesn''t look like rabies.


    Lu Chen frowned deeply. He picked up the patient''s medical record and began to read it constantly, looking for breakthrough points.


    "You said, could it be the upper body of a ghost?"


    Suddenly, a male intern in the group whispered something.


    "Junior brother, don''t talk nonsense." The graduate student in the group smiled, "This kind of ghosts and gods, we are engaged in medicine, don''t believe it!"


    However, the little intern whispered again: "I remember when I was a child, a neighbor in our village also had this kind of attack. Later, he was cured by the monk in Miaoli, and he said that it was an evil."


    Gu Xinyue heard the words, but smiled helplessly to Lu Chen: "Don''t say it. I heard from the patient''s family that they really thought about it and invited a famous immortal to come over."


    Lu Chen was also quite curious, and hurriedly said: "What did Daxian say?"


    Gu Xinyue continued: "The patient''s family said that after Daxian came, they said that the patient was haunted by ghosts and needed to cast spells, and it took 21 days to cast spells 3 times in a row, once a week, to be effective. We also saw the effect after that. ."


    "The day after the spell was cast, the patient started to twitch again."


    Everyone laughed when they heard the words.


    The theory of ghosts and gods is false.


    Lu Chen also smiled and continued to look down at the medical records.


    But at this moment, a nurse hurried into the office.


    "Director Lu, the patient your group just accepted has started to twitch again!"


    Hearing this, Lu Chen''s heart tightened, he immediately stood up, and ran towards the ward.


    The doctors and students in Gu Xinyue and other groups also followed Lu Chen immediately.


    ¡­


    quickly came to the bedside, and the patient''s convulsions continued.


    His mouth was spitting out white foam, and his limbs were involuntarily waving and twitching.


    The nurse has pushed the ambulance and started to monitor the patient''s ECG.


    "Immediately push a stable!"


    Lu Chen said in a deep voice.


    Valium, called diazepam injection, is a sedative anti-epileptic drug that quickly stops convulsions.


    But after waiting for a few minutes, the convulsions continued, and there was no sign of stopping.


    In Lu Chen''s eyes, the patient''s life has declined compared to before, only 52 (--).


    The change trend of health value is already three minus signs!


    Except for Lu Chen, everyone else in the group was also devastated at this time.


    The patient is right in front of him, but he has no clue!


    In addition, the patient''s convulsions this time are different from the previous ones!


    This time, the patient suffered from convulsions and was accompanied by incontinence.


    "Wait a minute!" Lu Chen''s mind suddenly flashed, and he hurriedly said to the nurse beside him, "Test the patient''s blood sugar with a finger!"


    How could he miss such an important diagnosis!


    "Received!" The nurse nodded immediately and began to measure the patient''s blood sugar.


    Gu Xinyue also glanced at Lu Chen in surprise, to measure blood sugar?


    What is this for?


    A minute later, the nurse held the blood sugar monitor, raised her head in surprise, and said, "Director Lu, the patient has low blood sugar! The blood sugar is only 1.9mmol/L"


    Everyone was shocked when they heard this!


    I didn''t expect that this fingertip blood sugar found such a big problem, low blood sugar!


    The fasting blood sugar of a normal person is 3.9-6.1mmol/L, and random blood sugar (that is, whether it is fasting or not, it is measured when you arrive, and it is measured at any time) will not be lower than fasting blood sugar, but it will not be too high.


    is generally around 4-9mmol/L, and now it is 1.9mmol/L, which is definitely a problem.


    Lu Chen hurriedly said to Gu Xinyue who was beside him: "Such a low blood sugar can completely cause convulsions."


    Gu Xinyue nodded in agreement, while wondering: "I see that the patient has no diabetes before, so I haven''t noticed this yet."


    No matter what, let¡¯s make up the blood sugar first.


    Lu Chen immediately asked the nurse to push 40ml of high-concentration glucose.


    Just finished pushing the glucose, and the effect was immediate. The patient was awake and no more convulsions.


    Everyone present, including the patient''s family members, never expected such an outcome.


    One injection of glucose actually controlled the patient''s convulsions.


    In addition, the patient is also awake. Although he is a little tired after waking up, his spirit is good and he can answer freely.


    "Is it so amazing?" the patient''s wife murmured, "My parents always thought he was a ghost!"


    Lu Chen immediately said: "This is definitely not epilepsy, nor is it convulsions caused by arrhythmia, but may be an endocrine problem, convulsions caused by hypoglycemia!"


    Even the yelling at home that the family members said before may be caused by low blood sugar!


    On the side, Gu Xinyue raised a question, "Director Lu, I have a doubt. If it is really caused by hypoglycemia, the patient should not get better before glucose or food is given!"


    In fact, every episode has been self-resolving for so long.


    It¡¯s just that the time is long and short.


    Lu Chen nodded and smiled: "Yes, this is also one of the keys, the patient is not a simple hypoglycemia!"


    Gu Xinyue immediately responded, "Endocrine disease...insulinoma?"


    Lu Chen smiled and nodded in agreement.


    At this point, a prompt pops up on the system panel.


    "Congratulations, the completion of the system upgrade has increased!"


    Besides, the patient''s family members are still a little unclear. So, when Lu Chen and Gu Xinyue said the word "tumor", they immediately became nervous, stood up and asked, "Doctor, is this cancer?"


    Gu Xinyue shook his head and explained: "There is a piece of tissue in the human pancreas called islets, which can secrete a hormone called insulin."


    "Insulin is the only hormone in the human body that can lower blood sugar. If this tissue grows a tumor, resulting in increased insulin secretion, the patient will definitely have frequent hypoglycemia."


    "Most people''s hypoglycemia has symptoms such as palpitation and tremor, and a very small number of people may directly show convulsions and confusion, just like this patient."


    The family nodded in agreement, not knowing if she understood.


    The ?? analysis makes sense, let¡¯s look at the inspection results next.


    Gu Xinyue immediately issued a doctor''s order.


    First, the blood was drawn to check the blood insulin level, and then sent for a CT scan of the abdomen. Furthermore, a series of tests such as a glucose tolerance test (OGTT) and an insulin release test were performed.


    (end of this chapter)

 v2 Chapter 788： pregnant woman

    Chapter 788 Pregnant women come to the clinic


    After ??, the inspection and inspection results came out one after another.


    All the results confirmed Lu Chen''s conjecture.


    Patients have elevated blood insulin levels and an abnormal insulin release index.


    And most importantly, the patient''s abdomen enhanced CT showed that there were high-density nodules in the head of the pancreas, which was considered to be an islet cell tumor.


    Comprehensive evaluation, final diagnosis, insulinoma!


    "This tumor is the cause of the patient! The only way to cure it is surgery, cutting the tumor and reducing insulin cells, so as to prevent excessive insulin secretion." Lu Chen said to the patient''s family.


    "Thank you, Director Lu!" The cause was finally found, and the patient''s family was very happy.


    Although the operation will still cost a lot, but solving the cause and freeing up the labor force in the family will make the family better and better!


    The patient was soon referred to surgery in preparation for insulinoma resection.


    The surgery went smoothly.


    A solid lump the size of a coin can be felt in the head and neck of the pancreas during the operation.


    The surgeon completely removed the mass, and the final pathological result was confirmed to be insulinoma!


    ¡­


    "Lu Chen, I thought you''ve been focusing on surgery over the years, and your clinical ability has declined!" Gu Xinyue looked at Lu Chen with admiration.


    Such a case that had not been resolved in a foreign hospital for many years, as soon as it arrived in Lu Chen''s hands, the cause was immediately found out.


    "Lao Gu, you are not bad." Lu Chen smiled, "Your clinical ability these days is obvious to all. If this case is in your hands, the cause will definitely be found out in the end."


    Gu Xinyue shrugged, "Don''t, I can''t guarantee it."


    "You bastard." Lu Chen smiled and shook his head.


    "By the way, are you going to Xu Shan''s house for dinner tonight?" Gu Xinyue asked suddenly.


    "No, she didn''t invite me." Lu Chen shook his head.


    The application for the ?? National Nature Project came to the most critical time, and he didn''t have the spare time to drop by for dinner now.


    "Then I''ll go." Gu Xinyue said lightly, "You can eat by yourself at night."


    "What?" Lu Chen was slightly taken aback, "She invited you?"


    Xu Shan invited Lao Gu, but didn''t invite him?


    He is not jealous, and he thinks the situation between these two is not right.


    "Is there a problem?" Gu Xinyue glanced at Lu Chen.


    Lu Chen spread his hands, "No... no problem, you can go."


    Got off work.


    Lu Chen came to the cafeteria to eat, while Gu Xinyue went straight to the talent apartment.


    Looking at his eager appearance, Lu Chen smiled, when did Lao Gu become so restless?


    It seems that the iron tree is also blooming?


    After dinner, go back to the talent apartment.


    Gu Xinyue wasn''t in the room, thinking about it, she was still at the opposite door, Xu Shan.


    Lu Chen ignored him, walked into his bedroom, and continued with the final revision of the national nature project book.


    No matter how beautiful the surgery is and how good the clinical ability is, the current medical environment still values ??scientific research ability.


    Only with scientific research can we have fund projects, publish papers, and finally be promoted!


    This time, Lu Chen is bound to win the national nature project.


    This is related to his future development, including the formation of the scientific research team, the application of the master supervisor, etc.


    ¡­


    At eight o''clock in the evening, Gu Xinyue finally came back from the opposite door.


    He knocked lightly on Lu Chen''s bedroom door.


    Lu Chen opened the door with a smile on the corner of his mouth, "Dinner finished?"


    Gu Xinyue scratched his head, "We have already finished eating, we are discussing something about scientific research."


    "Really?" Lu Chen showed a playful smile.


    "Don''t talk about this, let me tell you something serious." Gu Xinyue immediately changed the topic.


    The two came to the living room.


    Gu Xinyue made Lu Chen a cup of coffee.


    "What''s the matter?" Lu Chen took a sip of his coffee and asked in confusion.


    "That''s right, I''ve been working for more than a month now." Gu Xinyue said slowly, "The hospital has arranged a dormitory for me."


    Lu Chen nodded, "Well, that''s pretty good."


    Gu Xinyue''s expression was a little unnatural.


    "You big man, tell me if you have something! I''ve never told you to be so awkward before?!" Lu Chen smiled.


    Gu Xinyue looked up at Lu Chen and whispered, "Then... can I continue to live with you instead of going to the dormitory?"


    Lu Chen smiled, he thought it was important, "Of course you can, you can stay as long as you want, just pay the utility bill."


    "Okay." Gu Xinyue also smiled knowingly.


    The utility bill is just a little bit of fuel. The two don¡¯t cook, and spend more time in the hospital, so they don¡¯t use much water and electricity at all.


    Talking about water and electricity bills is nothing more than making Gu Xinyue less psychologically burdened.


    "Lu Chen, when you think I''m troublesome, I can move out at any time." Gu Xinyue said.


    "Okay." Lu Chen smiled.


    The two drank coffee, chatted for a while, and then went back to their rooms.


    ¡­


    was speechless all night.


    The next day.


    Today is the day when Lu Chen leaves the specialist clinic.


    The patients who come to Guanghai No. 1 Hospital to join Lu Chen''s expert clinic are different from the situation when he first came here.


    Lu Chen''s 300 expert number is hard to come by!


    Many patients came to register a long time in advance, and even queued up in the lobby on the first day, just to get Lu Chen''s number.


    However, Lu Chen only watched thirty numbers a day, and he got off work after finishing it.


    This also made the scalpers pay attention to Director Lu Chen''s expert account!


    Lu Chen came to the clinic.


    Graduate student Zhong Hui has arrived.


    Lu Chen didn''t have his own students yet, so Zhong Hui volunteered and became his assistant.


    And Lu Chen naturally wouldn''t let the students work in vain.


    He also came from his student days, and he knew very well that these graduate students and regular trainees could only get a few hundred yuan in subsidies each month, and most of them had to ask their families for money.


    On weekdays, in addition to giving Zhong Huijiang some clinical medical knowledge, Lu Chen will also give a little subsidy.


    The money is not much, only a few hundred yuan a month, but it can also give these students a little comfort.


    "Director Lu, are you still watching thirty numbers today?" Zhong Hui smiled and looked at Lu Chen.


    No matter how busy she is, she has to be transferred to the outpatient clinic with Lu Chen.


    On Lu Chen, she could really feel the charm of being a doctor.


    "Yes." Lu Chen smiled, "Thirty numbers, no more or no less, I can fully understand each patient and give them the most appropriate diagnosis and treatment method."


    "Okay." Zhong Hui had already turned on the computer and logged into the outpatient physician system with Lu Chen''s job number.


    Arrived at 8:00, officially started today''s outpatient work.


    The first patient was a very young woman.


    From the outside, she was probably only twenty-five years old.


    But when Lu Chen saw her for the first time, his face became extremely solemn.


    Because the health of the patient in front of him is 64 (--)!


    For a female from one year old, this kind of life value is extremely low.


    There must be something wrong with her!


    Moreover, it is not a small problem!


    The most important thing is that Lu Chen also saw her slightly bulging belly.


    She is pregnant!


    (end of this chapter)

 v2 Chapter 789： congenital heart disease

    Chapter 789 Congenital Heart Disease


    Pregnant women come to the Cardiology Clinic?


    This is still pretty rare.


    Obstetrics and gynecology and pediatrics have relatively independent systems.


    "Professor Lu, hello."


    The woman just entered the door and called out in a soft voice, then walked slowly to Lu Chen and sat down.


    These patients usually know that when they meet a doctor in this kind of specialist clinic, they are sure to call a professor.


    Lu Chen was too lazy to talk to these patients, and usually would not refute them.


    "Are you feeling any discomfort?" Lu Chen asked.


    From the moment the woman entered the door, his expression was very solemn.


    Zhong Hui on the side of ?? can clearly feel the difference between Lu Chen and peacetime.


    "Professor Lu, I''ve been feeling chest tightness and shortness of breath recently." The woman said, then rolled up her trouser legs, "Look, my legs are still swollen. At first I thought it was a pregnancy reaction, but the symptoms became more and more obvious. And in the end, I couldn''t lie down and fall asleep."


    Lu Chen frowned.


    Chest tightness, shortness of breath, edema of both lower extremities, and paroxysmal dyspnea at night.


    If a middle-aged person says these symptoms, the first reaction of any doctor is heart failure!


    But, the woman in front of me is a pregnant woman who is less than 30 years old!


    Heart failure requires a disease basis for heart failure, such as coronary heart disease, cardiomyopathy, myocarditis, valvular disease, etc.


    And such young people usually do not have the above diseases, except for one other situation, that is congenital heart disease!


    Congenital heart disease refers to the abnormal anatomical structure caused by the abnormal formation or development of the heart and great blood vessels during embryonic development.


    Or after birth, the channel that should be closed automatically fails to close and persists (normal in the fetus).


    Congenital heart disease exists after birth, or it can be said to exist in the fetal period.


    "Did you have any previous illness? For example, congenital heart disease?" Lu Chen asked the patient''s medical history while conducting a physical examination.


    "Heart disease?" The woman frowned slightly, "No, I never felt heart disease before this week?! And I''ve never heard my parents say that I have heart disease!"


    "Really not?" Lu Chen''s eyes narrowed.


    Because when he thought of the diagnosis of congenital heart disease, the system had already popped up a prompt.


    "Congratulations, the completion of the system upgrade has increased!"


    The prompt ?? undoubtedly proved that Lu Chen''s guess was correct.


    "No!" The woman still shook her head, "If so, why did I have no symptoms before?"


    "Some congenital heart disease is like this." Lu Chen explained, "When you reach a certain age, or when the physical load increases, the symptoms will start to become obvious. Your current symptoms are very obvious, it is a symptom of heart failure, And the symptoms are getting worse!"


    "The danger is very high!"


    Lu Chen retracted the stethoscope and stared at the woman in front of him.


    This kind of extremely low life value, but also encounters "congenital heart disease", that is really tricky!


    The woman''s face turned pale when she heard Lu Chen''s words, "Professor Lu, really...really?"


    If she is sick alone, it doesn''t matter!


    But now, there is a little life in her stomach.


    If something goes wrong with her, most of the children in her stomach will be difficult to keep!


    Lu Chen nodded slowly, "Call, now tell your family to come over, you may have to improve some examinations next, or even go to the hospital for a good examination and treatment!"


    "This..." The woman was stunned, "I can do it alone."


    "You can''t!" Lu Chen''s tone was tougher, "This is for your safety and for your children. Inform your immediate family to come to the scene."


    The ?? woman frowned slightly, she just wanted to come see a doctor.


    During pregnancy, many tests and medicines cannot be used casually, otherwise it may affect the fetus.


    At this time, Lu Chen also said to Zhong Hui, who was beside him, "Little Zhong, you go to inform the outpatient nurse now that there is a high-risk patient in the consultation room and ask them to arrange a wheelchair."


    "it is good."


    Zhong Huike, no matter if Lu Chen is right or wrong, she will strictly enforce it.


    She immediately ran to the consultation room and began to explain the situation to the outpatient nurse.


    Seeing that Lu Chen was so aggressive, the woman was also a little nervous, and she started to take out her mobile phone to make a call.


    "It''s best to call your parents and ask if you had a heart attack when you were young!" Lu Chen reminded.


    The woman didn''t answer, but walked out of the consultation room and came to the corridor, ready to make a call.


    After Zhong Hui returned, Lu Chen arranged for her to accompany the pregnant woman outside the clinic.


    ¡­


    Lu Chen was not interrupted by the pregnant woman.


    He has twenty-nine patients to see next!


    Outside the clinic.


    Zhong Hui didn''t dare to be distracted for a moment, and stared at the pregnant woman.


    What Director Lu explained, she didn''t dare to make any mistakes.


    Once the pregnant woman has any discomfort, she should report it at any time and transfer it to the emergency department immediately.


    At this point, the pregnant woman has already taken out her mobile phone.


    Thinking of what Lu Chen just said, she still called her mother.


    "Mom, are you busy?" The woman''s first sentence was still a little bit hard to open.


    "What do you want to eat for lunch when you''re shopping at the supermarket?" A laughter came from the opposite side, "I''m done, I''ll send it to you."


    "Mom..." The woman paced back and forth in the corridor, her words were full of hesitation, "I... I''m in the hospital now."


    "Hospital? What''s wrong with you? Are you sick?" The voice on the other side was very urgent, "Why didn''t you tell me? Where are you now? I''ll come to see you right away!"


    The woman took a deep breath and thought again of what Lu Chen had just said. She asked in a low voice, "Mom, when I was young... I had a heart problem, Mom?"


    As soon as he finished speaking, there was silence on the other side of the phone.


    "mom?"


    The woman''s heart tightened. Judging from the response on the other end of the phone, did this Professor Lu Chen really guess it?


    "Mom, say something!"


    There was a hint of pleading in the woman''s voice.


    At this time, a very lonely voice rang from the phone, "Lili, if you don''t talk about this, your dad and I really forgot."


    "Mom, do I really have...heart disease?" The woman''s face was incredible.


    The voice over the phone continued, "When you were very young, you once went to the hospital for an examination. The hospital said you had congenital heart disease, and the doctor suggested surgery. But the conditions at home were not good at that time, and you had always been in poor health. Well, there wasn''t any discomfort, so we haven''t had surgery, and we didn''t care."


    The woman held the phone, her expression froze.


    It was the first time she heard from her mother that she had congenital heart disease.


    If this is not the problem, it is estimated that this congenital heart disease is difficult to detect.


    And for maternity checks.


    If the pregnant woman has no underlying heart disease and no other related symptoms and manifestations of chest tightness and shortness of breath, echocardiography is not a routine examination.


    In this way, congenital heart disease is more difficult to detect.


    But after pregnancy, the burden on various organs of the mother becomes heavier, and it is easy to induce heart disease without symptoms.


    (end of this chapter)

 v2 Chapter 790： husbands choice

    Chapter 790 Husband''s Choice


    The pregnant woman returned to Lu Chen''s clinic.


    At this time, her heart was full of melancholy and sadness.


    She has a heart attack now!


    When ordinary people talk about heart disease, subconsciously, it must be the most serious one.


    According to what Lu Chen just said, she still has heart failure.


    Chest tightness, shortness of breath, and edema of both lower extremities are typical symptoms of heart failure.


    Heart failure is irreversible!


    After Lu Chen watched the last patient, she was immediately led in by Zhong Hui.


    "Professor Lu." The pregnant woman was crying, her voice seemed to be trembling, "I just called my mother and she said that I did have congenital heart disease before."


    Lu Chen understood, this was almost the same as his judgment, "Don''t panic, immediately notify the family members to come here."


    "I, my mother will come over later, where my husband..." The pregnant woman was lucky, "I... I have time to inform him."


    "Let me know immediately, your situation is unstable at any time." Lu Chen said, "Your husband had better come over now, I want to communicate with him."


    "Okay." The pregnant woman sighed softly, and then called her husband by phone.


    On the phone, she did not explain her illness for the time being, but just told her husband that she was sick in the hospital.


    This kind of thing cannot be concealed at all.


    Soon, the patient''s mother came.


    Her eyes were red, as if she had cried.


    When entering the consultation room.


    This middle-aged woman couldn''t hold back her face when she saw her daughter.


    Her tears came out in an instant like the estuary bursting.


    "Lili, it''s my fault, it''s my mother''s fault." The patient''s family now stretches out their arms and hugs the pregnant woman with tears in her eyes, "Before, your father and I saw that you didn''t have any heart discomfort at all, so we never checked again. Yes. Forget it."


    As he spoke, the patient''s mother''s voice seemed to grow louder!


    Lu Chen frowned and said quickly, "You two, we are a consultation room, not a place to talk loudly and discuss your condition."


    As soon as the ?? voice fell, the pregnant woman and her mother stopped making noise.


    "Patients need to have a heart ultrasound and blood tests right away. If the results are poor, they may be hospitalized now."


    While talking, Lu Chen asked Zhong Hui to issue a test and examination sheet to the patient.


    As for what pregnant women are saying so far, forget about congenital heart disease.


    Lu Chen didn''t want to speculate about human nature, would ordinary parents forget about this kind of thing?


    And at this time, the husband of the pregnant woman arrived.


    He hurriedly came to Lu Chen''s specialist clinic and looked at his wife suspiciously, "Didn''t you go to the obstetrics and gynecology department? Why did you go to the cardiology department?"


    Lu Chen didn''t say anything. The patient still needs to inform his family about this matter.


    "I...I have chest tightness." The pregnant woman whispered, "The guidance desk under the stage brought me to the Cardiology Department."


    "You, I have already checked it online. It may be a pregnancy reaction, so it shouldn''t matter." The patient''s husband comforted.


    However, the pregnant woman and her mother did not speak.


    "What''s wrong?" The husband was stunned.


    The pregnant woman lowered her head, pulled her husband outside the clinic, and whispered, "The doctor said that I might have a heart attack this time."


    Husband''s eyes widened, "Heart disease? Who said that? That doctor just now? He was talking nonsense!"


    Without any underlying disease, it is impossible for young people to suffer from heart disease.


    This most basic common sense, men still have.


    "Don''t worry." The pregnant woman grabbed her excited husband, turned her head to look at her mother, and said slowly, "I may have a congenital heart disease."


    "Congenital...heart disease?" The husband froze in place, with an incredible expression in his eyes, "I''ve been with me for so many years, and you''ve never said anything about it? Haven''t my heart been uncomfortable?! Are you hiding from me?"


    A series of questions made the expressions of the pregnant woman and her mother a little embarrassed and embarrassed.


    The pregnant mother hurriedly stepped forward to relieve her hunger and said, "No, it''s not. I just told Lili about this."


    The mother explained it a little bit. The husband''s expression improved a little, but his expression was still solemn. He slowly said, "Let''s do the examination prescribed by the doctor first, and then make plans for the future."


    "Okay." The pregnant woman nodded, seeing that her husband''s attitude towards her hadn''t changed much, she felt a little more at ease.


    So, the family took the checklist opened by Lu Chen and left.


    ¡­


    When the pregnant woman returned to the consultation room again, she held a blood test sheet and a cardiac ultrasound examination sheet in her hand.


    Lu Chen looked at the heart ultrasound and frowned: "According to the physical examination and the results of this ultrasound, congenital heart disease and ventricular septal defect have been basically diagnosed now!"


    The patient''s husband was nervous, "What will be the treatment next? Will it affect the fetus?"


    Lu Chen thought for a while, then said: "At present, the patient has symptoms of heart failure, and he definitely needs anti-heart failure treatment. As for surgery, a more comprehensive evaluation is required. In addition, whether the drug will cause teratogenicity, We can''t guarantee it."


    "This..." The patient''s husband frowned deeply, "Why are your doctors so ambiguous? I just want an accurate sentence, can I avoid surgery? Will it affect the fetus?"


    The man''s attitude was quite tough, but Lu Chen said calmly: "Don''t say I''m here, no doctor dare to guarantee you these things wherever you go. If you believe me, continue to treat me here, If in doubt, you can always consult another doctor.¡±


    The pregnant woman beside ?? also tugged at her husband''s sleeve and whispered, "Husband, don''t be in such a hurry, have a better attitude. This Doctor Lu is not very old, but I heard that his medical skills are very good."


    The man also understood his gaffe, took a deep breath, and said slowly: "Professor Lu, I''m sorry, I was a little impatient at the time, I just wanted to ask, can I do conservative treatment without surgery, and wait for my wife to give birth safely, then do it again. Heart surgery?"


    Lu Chen pondered for a moment, then nodded, "At present, it seems that it is possible. However, if the condition worsens on the way, emergency surgery may be required at any time. In addition, the impact of drugs on the fetus, you need to sign to bear the risks, we medication."


    "no problem."


    This time, the patient''s husband nodded very readily.


    "Then bill the hospital." Lu Chen said.


    Heart failure is not simply taking medicine.


    After hospitalization, there are a series of examinations. After the heart failure is controlled by drugs, long-term oral drugs are required in the post-discharge period.


    ¡­


    The hospitalization certificate was issued, and the family left.


    Lu Chen called Gu Xinyue who was in the ward in advance.


    "Pregnant woman? Congenital heart disease? Heart failure?" Gu Xinyue heard the words and sighed deeply, "My Director Lu, you are really going to cause us trouble!"


    Once pregnant women, children and other patients are involved, there is a great possibility of doctor-patient disputes.


    "I communicated with the patient''s family in advance." Lu Chen said, "The anti-heart failure treatment is temporarily conservative, and the family will sign the informed consent to bear all the consequences and risks of accidental transmission and teratogenicity."


    "If you have this sentence, that''s fine." Gu Xinyue nodded, "Anyway, if I can''t figure it out, you have to come forward to deal with it."


    "Don''t worry." Lu Chen smiled.


    As soon as he hung up the phone, a very young woman walked into the consulting room.


    It looked like she was only in her early twenties.


    Lu Chen was stunned for a moment, but today it''s strange, so many young people come to see the cardiology department?


    (end of this chapter)

 v2 Chapter 791： Four spellings for fennel beans

    Chapter 791 Four Ways of Writing Fennel Beans


    Lu Chen glanced at the health on the girl''s head, it was 81(-).


    A minus sign, the health value is basically within the normal range.


    "You are the legendary Professor Lu Chen? This... so young?!"


    As soon as ?? entered the door, the girl said this question.


    She was wearing a mask, Lu Chen couldn''t see her face clearly, but he could imagine the shock after her mask.


    "If you find Lu Chen from the second district in the heart of Guanghai First Hospital, I think it should be me." Lu Chen smiled.


    "That''s right, it''s Lu Chen in the second district of the first hospital. The mother-in-law upstairs in my house was the one who performed the operation on her. Now she can walk on the ground."


    The girl walked up to Lu Chen and sat down, looking at Lu Chen carefully.


    Lu Chen was quite puzzled, "Are you here to see a doctor? Or..."


    He didn''t believe it was his charisma, so he asked others to hang up a 300 yuan specialist outpatient number.


    The person in the mouth of a girl is most likely to be a previous TAVR patient.


    "Of course I''m seeing a doctor." The girl said, then shook her head again, "It''s not a doctor''s visit, I just want you to see an electrocardiogram."


    After saying this, the girl took out an electrocardiogram from her bag.


    "This is the electrocardiogram of my entry medical examination."


    Lu Chen took it over.


    "The hospital where I got the physical examination said there was something wrong with this electrocardiogram and there was any premature ventricular contractions. Let me check it out."


    "The company said that if I have structural heart disease, then I may not be able to enter the job, so I want to find a good cardiologist to see."


    "I''ve seen a lot of doctors, some say I''m sick, some say I''m not sick..."


    Girls keep thinking.


    Lu Chen didn''t interrupt her and kept listening silently.


    For ECG interpretation, his proficiency is now close to 98%.


    It can be said that most of the electrocardiograms, Lu Chen can see the problem at a glance.


    He looked at the electrocardiogram in front of him, and after the girl finished speaking, he said, "This electrocardiogram is a bit disturbing, but you can still see P waves, short PRs, wide QRSs, delta waves, ST-T changes... This is not a laboratory test. Premature contractions, which are intermittent pre-excitation."


    The girl was a little confused: "What? What fish, what chicken?"


    Hearing what Lu Chen said, it seemed more serious.


    Lu Chen smiled: "Don''t worry, it would be better if there was a clearer electrocardiogram as evidence. Well, go and check another electrocardiogram."


    "Okay, I''ll listen to you." The girl nodded, "This is about whether I can officially join the job. This work machine is too rare."


    "Professor Lu, you must help me take a good look."


    "If you give me a good look, I will invite you to dinner!"


    Lu Chen ignored the girl''s thoughts and gave her an electrocardiogram checklist.


    After a while, Lu Chen got an undisturbed electrocardiogram.


    ¡­


    in the consultation room.


    The girl looked at Lu Chen nervously.


    Because of the mother-in-law who lives upstairs in her house, she especially believes in Lu Chen''s medical skills.


    At the beginning, everyone said that my mother-in-law was dying.


    My mother-in-law went to many hospitals in Guanghai and said that there was no chance of surgery. Finally, she went to Guanghai No. 1 Hospital and completed the operation miraculously.


    Now, the mother-in-law can even go out for a walk and chat with the neighbor next door.


    This surprised everyone in the community.


    After ?? asked the reason, everyone knew Professor Lu Chen of Guanghai First Academy.


    Lu Chen took the electrocardiogram and smiled, "It can be confirmed now, it is intermittent pre-excitation, let me tell you the story of this fish and chicken."


    The girl suddenly interrupted Lu Chen, "Professor Lu, first tell me, is my illness serious?"


    "Don''t worry." Lu Chen smiled, "You''ll know after listening to me."


    "Oh." The girl could only nod her head and silently listen to Lu Chen''s explanation.


    However, she still muttered in her heart, "This has changed me from one disease to another."


    At this time, Lu Chen started his preliminary explanation.


    "Pre-excitation syndrome is a kind of arrhythmia, which essentially means that there are multiple conduction pathways, so that the atrial excitation can be ''shortcut'' to the ventricle, and part of the ventricular myocardium is excited in advance, which can cause symptoms such as palpitations and chest tightness. induced tachycardia."


    The girl blinked, as if she understood something, "I see, but the heart is out of control, so excited in advance?"


    "The same can be said." Lu Chen nodded, took out the electrocardiogram she just had, and turned to face Zhong Hui next to him.


    "Under sinus rhythm, the ECG characteristics of pre-excitation syndrome are PR interval 0.10s, and the initial part of the QRS wave is fuzzy and blunt, forming a delta wave, which is a ''pre-shock wave'', which can be There are secondary ST-T changes, which are called typical pre-excitation ECGs."


    Zhong Hui nodded and immediately wrote down important notes.


    When encountering such a typical electrocardiogram, Lu Chen would take a few minutes to explain to Zhong Hui.


    The **** the side of ?? heard it and said suspiciously: "Professor Lu, since there is a typical, then there is an atypical?"


    Lu Chen smiled and said, "Yes, it involves the classification of WPW syndrome, which is rather complicated."


    WPW syndrome can be classified into Kent tract type (typical WPW syndrome, WPW), james tract type (LGL syndrome), and Mahaim fibrous type (variant type) according to the different lesions.


    Typical WPW syndrome is further divided into A, B, and C types; special types of WPW include intermittent, latent, and latent types.


    "So many?" The girl blinked.


    She was trying to understand Lu Chen''s words before.


    Lu Chen''s explanation is relatively easy to understand.


    But hearing the professional terminology now, she is a little confused.


    "This is still part of the classification." Lu Chen continued, "If there is a typical pre-excitation ECG and paroxysmal supraventricular tachycardia at the same time, it is called classic pre-excitation syndrome (WPW syndrome). ); if there is only a pre-excitation ECG and no paroxysmal ventricular tachycardia, it is called ventricular pre-excitation."


    The girl sighed: "My dear, I''m really sick, I''m a special type, what''s it called... What is it called?"


    Lu Chen comforted: "Intermittent pre-excitation."


    "The severity of the disease does not depend on whether it is typical or not, but on whether there will be reentry, paroxysmal supraventricular tachycardia and other arrhythmias."


    The girl was taken aback, "Then have I ever had these arrhythmias? I don''t know!"


    Lu Chen asked in return, "Then do you usually experience heart palpitations, chest tightness, or a fast heartbeat?"


    "No." The girl shook her head.


    Lu Chen smiled and comforted: "Then you have never had paroxysmal supraventricular tachycardia, and now it''s just an abnormal electrocardiogram found in the physical examination. You don''t need drug treatment for the time being, just review it regularly."


    "Really?" The girl stood up, her expression a little excited.


    This electrocardiogram is the key to whether she can enter the job!


    "Of course it''s true." Lu Chen said, "If there are no symptoms, your ECG is considered a normal ECG."


    "Great!" The girl patted her chest, "I''ve been worried to death these days."


    After some explanation, the girl finally left with confidence.


    However, before leaving, she turned around and muttered to Lu Chen: "There are so many types of syndromes, you can really remember them. Can you also remember that there are four ways to write the word for fennel bean?"


    Lu Chen spread his hands helplessly, "Can''t remember, I''m not Kong Yiji, my surname is Lu."


    The girl walked out of the consultation room, smiled and waved: "Goodbye then, Professor Lu."


    (end of this chapter)

 v2 Chapter 792： difficulty

    Chapter 792 Difficulty


    Today, Lu Chen''s specialist clinic was very busy.


    There is no way out, because of his reputation, more people come to see a doctor because of his reputation.


    This is also due to Lu Chen''s superb surgical operations, which is why his reputation accumulates so quickly.


    Ordinary physicians, no matter how superb their medical skills are, their reputation will not spread so fast.


    Even some patients who have nothing to do with cardiovascular disease have come to Lu Chen.


    This made him a little dumbfounded, so he could only classify the patients and transfer them to other departments.


    At five o''clock in the afternoon, the day''s outpatient work was over.


    "Zhong Hui, I remember that you are going to start the question soon, right?" Lu Chen looked at Zhong Hui next to him and suddenly thought.


    The opening time of Guanghai First Academy is scheduled for the first semester of the second grade.


    "Mmmm." Zhong Hui nodded quickly, "Director Lu, we''ll start the question next month."


    "If you''re busy, you don''t have to come and accompany me to the outpatient clinic." Lu Chen smiled, "There are other graduate students in Corey, so I can ask others to accompany me."


    "Director Lu, it''s alright, I have time." Zhong Hui quickly shook his head, "And I''ve followed you, and I feel like I''ve learned a lot more than in other places."


    "If it doesn''t interfere with your studies, if you want to come, just keep coming." Lu Chen nodded slightly.


    If a newbie came over, Lu Chen would have to cooperate with him, and he would not be as good as Zhong Hui.


    "Okay, thank you Director Lu."


    It''s just that after saying this, Zhong Hui''s expression was a little gloomy.


    "What''s wrong?" Lu Chen asked in confusion.


    "That...is the topic for which I opened the question, and I haven''t...thought it out." Zhong Hui pursed her lips, looking rather helpless, "There are too many students on my tutor''s side, and they can''t take care of me at all, but I''m working on it. Think hard, you already have some eyebrows."


    Lu Chen smiled.


    He knew that Zhong Hui''s master''s tutor was the director of the four districts in his heart. He was usually a busy person with many students, and he couldn''t manage the students at all.


    "Xiao Zhong, let''s do this, after you finish writing the opening report, I can help you revise it."


    Zhong Hui was stunned for a moment when she heard the words, and then she showed a look of joy, "Really... is it really possible? Director Lu, will it be too much trouble for you?"


    "No trouble." Lu Chen waved his hand, "You''ve been with me in the clinic for so long, and you''re half a student. It''s normal for you to read the paper."


    "Mmmm." The haze on Zhong Hui''s face was swept away, "Thank you, Director Lu!"


    For Lu Chen, reading a master''s student''s opening report is a simple effort.


    But for Zhong Hui, getting advice from a top scholar is extremely rare.


    ¡­


    Got off work.


    Lu Chen went back to the ward. He wanted to see the pregnant woman who was hospitalized during the day.


    "Director Lu, you can go back."


    Gu Xinyue looked at Lu Chen with a tired face.


    "What''s wrong?" Lu Chen asked in confusion.


    "It''s not the patient you received in the morning." Gu Xinyue shook her head, "The patient''s family is too difficult to deal with! I wrote with him for a long time before he was willing to sign."


    "I''m going back to see this pregnant woman." Lu Chen said apologetically, "I''ll make it clear to the patient''s family later. If the patient or the patient''s family member does not cooperate with the treatment, they will be discharged from the hospital tomorrow."


    "Okay!" Gu Xinyue nodded.


    With Lu Chen''s assurance, he felt a little more at ease.


    came to the ward.


    The patient''s husband was sitting beside the hospital bed.


    It seems that Lu Chen walked in, and his face immediately filled with a smile, "Professor Lu, you are here."


    These patients and their families are all human.


    The attitude towards the director and the general doctor is completely different.


    "Well, let''s take a look." Lu Chen walked to the bedside, performed a simple physical examination on the pregnant woman again, and said, "The next step is to use drugs to treat heart failure. If conservative treatment is possible, it can wait until after delivery. , and then surgery for congenital heart disease."


    "Okay, Professor Lu, we all listen to you." The pregnant woman nodded.


    Lu Chen continued: "However, if the condition worsens midway, or there are other complications, the situation will change, and surgery may be required at any time."


    "We understand." The patient''s husband also echoed.


    After instructing the patient and the patient''s husband again, Lu Chen and Gu Xinyue left the ward together.


    ¡­


    "You don''t go to the cafeteria?"


    Lu Chen tentatively looked at Gu Xinyue beside him.


    He had not eaten with Gu Xinyue for several days.


    "No." Gu Xinyue immediately shook her head, "I have a place to eat."


    Lu Chen smiled helplessly: "Where is Xu Shan?"


    Gu Xinyue didn''t answer, her face was indifferent.


    Lu Chen was speechless, isn''t this the default?


    and Gu Xinyue parted at the entrance of the cafeteria, and Lu Chen entered the cafeteria alone.


    I have to say that the food in Guanghai First Hospital is really good.


    After coming to Guanghai for more than two months, Lu Chen obviously felt that he had gained a lot of weight.


    The cheeks used to have edges and corners, but now there is only a round arc left.


    After eating, Lu Chen returned home and continued to start the application to continue to improve the national nature project.


    A week later.


    After this period of active anti-heart failure treatment, the pregnant woman with "congenital heart disease" is ready to be discharged from the hospital.


    During hospitalization, the condition of the pregnant woman improved significantly.


    The edema of both lower extremities has completely disappeared!


    This made the pregnant woman and her family very happy.


    Pregnant women themselves cannot easily perform surgery, which can easily endanger the safety of the fetus.


    "After being discharged from the hospital, you still need to continue taking medicine!"


    When the pregnant woman was about to leave, Lu Chen wished again: "Come here regularly for review, and if you have any discomfort, come to the hospital as soon as possible."


    "Okay, thank you Professor Lu!"


    Just like that, the pregnant woman was discharged from the hospital.


    And Lu Chen also ushered in the first national nature project review after joining the work.


    ¡­


    is similar to Li Yao''s participation in the National Nature Review.


    is mainly divided into two rounds. The first round is an online review, and the projects with the conditions are preliminarily screened.


    The second round of ?? is the offline blind evaluation. On-site defense will be conducted. About one-third of the projects will be left for funding.


    "If you can successfully win the first national nature project that belongs to you, then the next one will be much smoother." Lu Chen murmured in his heart.


    This is related to the allocation of Guanghai¡¯s scientific research resources, the application for master¡¯s supervisor qualifications, and so on.


    Although Lu Chen had full confidence, he did not dare to take it lightly.


    Now he is not being compared with his peers, but by experts and scholars who are already well-known in cardiology.


    It is no exaggeration to say that there are people who are one or two rounds older than Lu Chen!


    Nan Luchen, Bei Weiguang, this is only talking about the strength of the younger generation.


    Expand the scope of the scientific research competition to the whole country, and everyone will compete for the only few places.


    The difficulty of this is far more than Lu Chen''s previous provincial and ministerial-level project applications.


    In addition, the application for the National Natural Science Project also depends on the personal network behind the individual. There is no doubt about this, unless your project is particularly excellent.


    And Lu Chen''s nationwide influence is far inferior to other reviewers.


    Many participants often run academic conferences all over the country, brush their faces, and improve their academic influence!


    ¡­


    In the first round of online blind evaluation, Lu Chen successfully passed.


    Next, is the offline review organized by the National Natural Science Foundation of China.


    (end of this chapter)

 v2 Chapter 793： Offline blind review

    Chapter 793 Offline Blind Review


    Professor Ou Yangming, as a review expert of the National Natural Science Foundation of China, has a lot of experience in this field.


    From the writing of the fund project book, the precautions for fund application, and the on-site report of the later fund project, Professor Ouyang Ming is a veteran among them.


    Taking advantage of a weekend, Lu Chen specially found him and asked him to start a small stove by himself.


    Being able to help these juniors, especially Lu Chen, Professor Ouyang Ming is naturally very happy.


    "Lu Chen, don''t look at the fact that your tutor Li Yao''s previous National Nature has been rated, I think this is very simple." Ouyang Ming said, "Every year, there are only a few funded projects in each discipline. If you are unlucky, you can By the time that year''s session was full of big coffee-level characters, then you will accompany you."


    The number of national natural projects is fixed every year.


    But there are so many colleges and universities in the country, so many scholars, everyone wants to win the national natural project, and the competition is extremely fierce.


    "Well, I see." Lu Chen nodded immediately.


    There are many applications for ??National Natural Projects.


    There are relatively few scholars who are evaluated for the first time, and many people apply for several years before they are finally evaluated.


    "Besides, when you get to Kyoto, I''ll show you those old guys." Ouyang Ming smiled, "They are all old people from the National Natural Science Foundation of China. It will be good for you to get to know a few more people in the future."


    Lu Chen knew that this kind of opportunity was extremely rare, so he nodded quickly: "Thank you, thank you Professor Ouyang!"


    This is the advantage of having the support of seniors!


    Lu Chen still got Li Yao''s light.


    If it wasn''t for Li Yao, Lu Chen would never have had the chance to meet Professor Ouyang Ming.


    "Haha, it''s not too late to thank me when you get your rating on National Nature." Ouyang Ming stroked his beard and smiled.


    "I''ll definitely invite you to dinner then!"


    ¡­


    Blind trial offline, located in Kyoto.


    Lu Chen specially invited a week off for this trip to Kyoto.


    Everything in the department is currently operating normally.


    Even if Lu Chen leaves, there will be no problem.


    TAVR surgical team can also complete simple operations independently.


    Some of the more serious surgeries can only be done after Lu Chen returns.


    Back to Kyoto again.


    Lu Chen''s mood was different from the two times.


    The first time he came to Kyoto, of course, was to attend the Kyoto electrophysiology training class. He not only obtained the intervention certificate of electrophysiology.


    The second time he came to Kyoto, he was an exchange student on behalf of Jinghua Medical University, and his identity was still just a student.


    Now, on his third visit to Kyoto, he has graduated with a doctorate and has become the deputy chief physician of the Cardiology Department.


    Mentality and identity have all changed.


    Blind offline review after three days.


    In the past two days, Professor Ou Yangming is going to take Lu Chen to visit the veteran experts of the National Natural Science Foundation of China.


    Before that, Lu Chen visited another old acquaintance in advance. He came to the Cardiology Department of the First Affiliated Hospital of Kyoto University.


    ¡­


    "Boy Lu, stay safe!"


    Qin Sifeng looked at Lu Chen with a smile.


    Xiao Shikang also smiled.


    Professor Qin is usually a very indifferent and unsmiling person, and only when he meets Lu Chen can he not be stingy with his smile.


    "Professor Qin, this is the Guanghai specialty I brought to you." Lu Chen took out two small gift boxes from his carry-on bag, "There are not many things, just my heart."


    "You''ve got your mind." Qin Sifeng smiled, "As expected of someone who has participated in the work, this is different. When you were a student, you were a stunner."


    Qin Sifeng and Xiao Shikang happily accepted what Lu Chen sent.


    "People have to grow up." Lu Chen smiled.


    "Hehe, Lu Chen, you are really a slicker." Qin Sifeng smiled and shook his head, "By the way, you are here to participate in the national nature project, right?"


    Lu Chen nodded quickly, "Yes."


    "Lu Chen, our Professor Qin is the National Nature Reviewer this year." Xiao Shikang added.


    "Really?!" Lu Chen was stunned, this was an unexpected joy.


    Although it is a blind review, it is not bad to know a few more review experts.


    "I''ve been an expert reviewer for seven or eight years." Qin Sifeng said with a smile, "I''ll just give you two some places to avoid pitfalls."


    "two?"


    Lu Chen glanced at Xiao Shikang next to him, and immediately understood.


    It turns out that Director Xiao Shikang also participated in the national nature application this time.


    "I just happened to have a good project this year." Xiao Shikang smiled, "So I wrote a tender and participated in the evaluation."


    "Director Xiao, then we are competitors." Lu Chen said.


    "That''s not right." Xiao Shikang nodded with a smile.


    Competitors with the same major are all in a competitive relationship.


    Lu Chen felt a little pressure.


    Xiao Shikang''s deputy chief physician''s level, he knows, he is definitely an excellent scholar.


    For an excellent scientific researcher like him, how many are there in this review? !


    "Lu Chen, as far as I know, the participants this time are one by one, including the dean''s students, the academicians'' disciples, and all kinds of powerful experts and professors." Xiao Shikang said, "There are also people like you. , God-defying genius."


    After saying this, Xiao Shikang sighed.


    Before Lu Chen came, he was still full of confidence.


    But the current Xiao Shikang, after seeing Lu Chen, his confidence suddenly diminished!


    When Lu Chen heard the words, he also sank his heart.


    This time the national nature review, I am afraid it is not so simple!


    ¡­


    After coming out of the first hospital in Kyoto, Lu Chen and Ouyang Ming met and went to visit some other experts and professors.


    After two consecutive days of visits, Lu Chen finally left his name with these experts and professors.


    Soon, the time for offline review is up!


    Blind offline evaluation, using three blinds.


    means that the participants, fund projects, and staff are all unaware of each other.


    But absolute fairness certainly does not exist.


    When participating in the evaluation, report the PPT, and everyone''s voice will not change.


    Lu Chen is not pedantic and does not believe in absolute fairness.


    Therefore, in these two days, he will follow Professor Ou Yangming to brush his face.


    Waited outside the briefing hall for two hours.


    Finally, it was Lu Chen''s turn.


    Throwing away the distracting thoughts in his heart, Lu Chen opened his PPT and started to report on the national nature project.


    This time, the idea of ??Lu Chen''s national nature project depends on TAVR surgery.


    He wants to create his own TAVR database belonging to Huaxia!


    Chapter 790 is temporarily banned


    (end of this chapter)

 v2 Chapter 794： The worst evil of health insurance

    Chapter 794 The biggest evil of medical insurance


    Blind comment hall.


    Lu Chen''s eyes are firm and confident, and he speaks fluently.


    "The TAVR operation in Huaxia started slowly, but it has developed rapidly in recent years. In areas such as Kyoto, Modu, and Guanghai, the number of operations performed each year has increased significantly..."


    "The establishment of the Huaxia TAVR surgery database will help make the most complete analysis of surgical risks, prognosis and complications, and help patients choose the most appropriate surgical method..."


    "The purpose of any scientific research is ultimately to serve the clinic. The popularization of TAVR will help improve the long-term quality of life of the Chinese people in the field of cardiovascular disease..."


    All the judges saw the content of Lu Chen''s PPT report through the monitor on the screen.


    Because it was a blind review, the judges could only hear Lu Chen''s voice, but could not see his appearance.


    Lu Chen''s plan to build the Huaxia TAVR database is undoubtedly very ambitious.


    As he said.


    The ?? database will be established to manage and coordinate all TAVR patient data, which will greatly promote the development of the entire discipline.


    However, its difficulty is also extremely high.


    After hearing Lu Chen''s report, some of the judges were delighted, some frowned in thought, and some shook their heads and sighed.


    There are five judges, and at least three of them must give an A-level evaluation, and no C-level evaluation is allowed, so that they can pass!


    This time, there are a lot of talented people in the application for the National Natural Science Program in the cardiovascular field, and there are also many children of scholars with a relatively deep medical background.


    Whether Lu Chen can pass this national nature blind assessment, the final decision is in the hands of these five judges!


    ¡­


    The report is over.


    The final result will not be announced until two months later.


    Lu Chen left with Professor Ouyang Ming without spending too much time in Kyoto.


    Back to Guanghai First Hospital.


    Lu Chen continued to start his clinical career.


    In the talent apartment near the hospital.


    "Lu Chen, performance and bonuses will be issued this month!"


    Gu Xinyue was very excited and looked at Lu Chen with a look of joy, "This is a lot more than when I was in Kyoto!"


    "Of course." Lu Chen smiled, "There are many patients in our department who do TAVR surgery. Although you don''t perform the surgery yourself, as a doctor in charge of the bed, you will also get some performance."


    "Mmmmm, it''s really fragrant."


    Gu Xinyue nodded again and again.


    Although the work is usually very tiring, it is worthwhile to have corresponding rewards.


    The surgeon''s salary is higher than them, but this is earned by others, and Gu Xinyue will not be jealous.


    "Lu Chen, look at the quarrel in the hospital''s WeChat group!" Gu Xinyue suddenly said, "I''ll go, Dagua, come and eat!"


    Lu Chen was making coffee in the living room. Hearing this, he leaned over to Gu Xinyue''s phone to take a look.


    "What''s the matter?"


    Gu Xinyue said helplessly: "Performance is too low, some physicians are making trouble in the group."


    "Shouldn''t be." Lu Chen frowned.


    The treatment given by Guanghai First Hospital is not bad.


    Especially compared to hospitals of the same level, it will be higher.


    "You also know that that thing... deducted too much money." Gu Xinyue explained, "The excess money is deducted from our doctors. Our Cardiology Department was also deducted, but the base is too large. Deduct it, but other departments will not be able to."


    After making coffee, Lu Chen took out his mobile phone and flipped through the information in the WeChat group.


    A doctor complained: "I am so tired in February, how come I only have three thousand? The busier I am, the less money I have?"


    "This is not another 22,000 deductions from our department. It''s a lot to be apportioned to everyone!"


    Somewhere in the group a leader appeared, and he said a long message, "We need to master policy changes, what the policy tells us, what we should do, what temper and money can''t handle?"


    "Besides, we can''t focus on money when we see a doctor, we should still focus on medical treatment. Money is something outside the body. It is not brought with life, and it is not taken with death."


    Lu Chen was quite helpless after reading it.


    These good things have been said by the leaders.


    Seeing what the hospital leader said, most doctors were afraid to speak.


    However, no matter where you are, there is no shortage of "thorns".


    A doctor named Chen Kang from the Department of Gastroenterology suddenly said: "But we are bitter. The director and leaders are paid annual salary, but I am paid monthly. The director has a house, a car, and assets, what do I have? I have youth, enthusiasm, responsibility, medical ethics, patience, and perseverance? But, can I support my family?¡±


    People reach middle age, there are old people at the top and young people at the bottom.


    Everyone has a crisis, and if you keep propaganda and dedication, you will starve to death.


    However, this piece of information from Chen Kang seems to be useless to the hospital leaders. One of the vice presidents immediately replied in the group: "Just because of your doctors, the medical insurance office deducted more than 500,000 yuan from our hospital this month!"


    "I won''t notify you next time. Anyone with super medical insurance will be deducted from the bonus directly."


    "This month is not enough to deduct the next month, and the next month is not enough to deduct the next month. I don''t believe that you don''t have a long memory!"


    After the dean finished this sentence, the WeChat group was silent.


    No one dared to speak any more.


    Lu Chen turned off his phone after eating the melon.


    The issue of medical insurance has always been difficult to solve.


    In a simple sentence, there is too little money for medical care, and too many patients, and it is simply unaffordable.


    Every day at the end of the year, many hospitals will even refuse to admit some patients.


    Of course, there are also doctors and patients who defraud certain funds and the like.


    "Oh, I''ve heard about this before." Gu Xinyue sighed, "The Gastroenterology Department was deducted 80,000 yuan last month!"


    "So much?" Lu Chen was slightly surprised.


    "Yeah, there''s really no way." Gu Xinyue said helplessly, "Lu Chen, you said that we, the doctor, have to find ways to calculate the hospitalization expenses, the proportion of drugs, and the ratio of examinations. This is not enough, we have to learn how to use it. What about cheap medicines to treat intractable diseases?"


    Many patients will wonder, why do doctors always tell them to go out to buy medicine after being hospitalized?


    Some medicines can be used in hospital, but you have to pay for them yourself. Didn¡¯t you buy medical insurance yourself?


    Long-term in the past.


    Surgery will not be done if it can be done or not, drugs that are available or not will not be used, and those that can be hospitalized or not will not be hospitalized


    Surgery that exceeds the amount of medical insurance will be pushed to the higher-level hospital; the scope of resection needs to be increased in the middle of the operation, but the medical expenses will be increased.


    Night shift, try to update


    (end of this chapter)

 v2 Chapter 795： Team reform

    Chapter 795 Team Reform


    the next day.


    Lu Chen came to the hospital.


    I thought that the medical insurance deduction would be quiet.


    But what Lu Chen didn''t expect was that this time the incident was getting worse.


    Some department directors, such as the gastroenterology department and the respiratory department, have gone to the dean.


    However, the final result can be imagined, no one will come forward for the ordinary doctors.


    The issue of medical insurance costs is no longer a purely internal hospital issue.


    This is a policy-level issue.


    And the Cardiology Department, because of Lu Chen''s arrival, during this period of time, the TAVR operation was vigorously carried out, and there was still a way to survive.


    TAVR surgery is not covered by medical insurance for the time being.


    However, everyone was very jealous of the prize money from the Cardiology Department.


    Those cardiology wards that do not perform surgery are also very envious of Lu Chen''s second area of ??heart.


    ¡­


    The doctors in the second district in my heart are very low-key and rarely discuss salary and salary matters.


    They want to keep a low profile, but others don''t allow it!


    Everyone knows that the second district of Cardiology is now in the limelight. The TAVR surgical team led by Lu Chen has basically gathered all the surgical sources near Guanghai.


    The economic benefits of this are huge!


    After the coronary stents entered the centralized collection, the price plummeted, and the cardiology department is currently only supported by medicine ball, electrophysiology and TAVR surgery.


    It is conceivable that the benefits of this will make many people flock to it.


    The second district in the heart, in the director''s office.


    Yan Wanfeng looked at Lu Chen with a dignified expression, "Recently, the directors of several other cardiology departments have jointly proposed the reform of the TAVR surgical team to the hospital leaders."


    "Team reform?" Lu Chen was stunned.


    "Yes!" Yan Wanfeng nodded, "They want a piece of the pie from you. Your surgical team members are all in the cath lab. Most of their performance is included in the cath lab and the second area of ??cardiology. The bonus is relative to other diseases. District, much higher."


    "Furthermore, after experiencing the deduction of medical insurance fees again yesterday, the heads of other departments are even more panicked! Everyone is very scared, and their departments have been reduced to that level!"


    Lu Chen said solemnly, "Reform...how to reform?"


    Yan Wanfeng took out a document directly from the drawer, "Lu Chen, look at this."


    Lu Chen reached out to the document and read it carefully.


    In the ?? document, it was the request that all the other department directors joined together to send to the hospital leaders.


    Among them, the main idea of ??each department director is to let Lu Chen expand the staff of his surgical team, and to select people from each department.


    To put it bluntly, each department directly plugged people into Lu Chen''s surgical team.


    After reading it, Lu Chen refused without hesitation.


    "Director, this is impossible! It must be impossible!"


    The current members of the surgical team are all carefully selected by Lu Chen.


    Whether in terms of qualifications or surgical ability, they are all capable of performing TAVR surgery.


    Once the surgical team is expanded and the number of staff increases, the quality will vary!


    This is unacceptable to Lu Chen.


    Once the mistakes are removed from the operation, the doctor can correct the progress, but this is an indelible damage to the patient!


    In addition, he can help the hospital train surgical talents, but he cannot fully use his work on surgical training.


    He has more things to do!


    "Well, I also know about this. It''s simply the unreasonable vexation of other department directors." Yan Wanfeng said, "In the end, you have no responsibility or obligation to train TAVR surgical personnel for our hospital."


    Lu Chen smiled, "Director, I am willing to train TAVR surgery, but it is also within my ability. It is obviously impossible to have a surgical team with so many people. I will take a step back and let them choose people. Come and attend every TAVR surgery class."


    "Well, I gave other departments two places for each department to directly participate in each session of the Guanghai TAVR surgery class."


    This study class was originally organized by Lu Chen as the chairman.


    "This..." Yan Wanfeng thought for a while, "That''s fine, I''ll go to negotiate with the leaders of the hospital, you can just do your own thing in the department."


    "Thank you, Director." Lu Chen smiled.


    Yan Wanfeng, as the director of the second district in his heart, and Lu Chen are a community of interests.


    If outsiders intervene in Lu Chen''s surgical team, Yan Wanfeng will definitely not allow it.


    ¡­


    Leaving the Director''s Office.


    Lu Chen returned to his deputy director''s office.


    Not long after sitting down, Gu Xinyue came over.


    "Director Lu, the patient is here!"


    Lu Chen frowned and said, "Is it serious?"


    Now Gu Xinyue can take care of himself. He would never find an ordinary patient in person.


    Gu Xinyue paused, "What do you say...I''m an acquaintance, come and have a look."


    Seeing Gu Xinyue say this, Lu Chen nodded, "Okay, I''ll come right over."


    Afterwards, Lu Chen packed up his documents and followed Gu Xinyue to the ward.


    Lying on the hospital bed was the pregnant woman with congenital heart disease.


    She is here again? Is the heart failure committed again?


    When the patient''s husband saw Lu Chen coming, he immediately stood up, "Professor Lu, you are here."


    The patient himself also sat up from the bed, "Professor Lu, my legs have not been swollen recently, and I have no chest tightness. It''s just that I have a fever these few days, so I came here to have a look."


    "Fever?" Lu Chen was taken aback.


    The health value on the patient''s head is 52 (--).


    When she was discharged from the hospital last time, her HP should have been higher than this!


    Logically speaking, if the symptoms are relieved, the health value should increase!


    "That... I accidentally caught a cold last week, and I have a fever. The highest temperature is 38¡ãC." The pregnant woman''s face was slightly pale, but she forced a smile, "I don''t think there are too many problems, but I asked After seeing Dr. Gu, he asked me to come to the hospital to check, so I came."


    With the due date approaching, pregnant women and their families are very nervous when various situations occur.


    "Doctor Gu is right, you should come to the hospital for an examination." Lu Chen nodded towards Gu Xinyue, "Has the examination been done?"


    "Not yet, just hospitalized, I''ll let you take a look first." Gu Xinyue said.


    Lu Chen nodded, then picked up the stethoscope and began to auscultate the heart and lungs of the pregnant woman.


    "We are very afraid of taking anti-inflammatory drugs, because we are afraid that it will affect the fetus." The patient''s husband said, "In addition, my wife has a fever recently, and her appetite and sleep are not very good."


    "Have you had a fever for a week?" Lu Chen retracted his stethoscope and asked.


    "Almost." The pregnant woman thought about it and said.


    Lu Chen frowned. A common cold and fever can heal on his own within a week at most.


    Once the course of the disease is too long, it is necessary to suspect whether there are other complications.


    "Doctor Gu, please bring the echocardiograph over here," Lu Chen said.


    "it is good."


    Gu Xinyue immediately ordered a graduate student to bring over the portable ultrasound machine in the department.


    (end of this chapter)

 v2 Chapter 796： Bao Da? Keep it small?

    Chapter 796 Baoda? Keep it small?


    Lu Chen began to perform cardiac ultrasound examinations on pregnant women.


    Today, his cardiac ultrasound proficiency has reached 92.98%.


    In the field of ultrasound, this proficiency is comparable to that of a general ultrasound deputy chief physician.


    Even in the field of cardiac ultrasound, Lu Chen''s ability is even better than that of a regular sonographer.


    As the ultrasound probe was placed on each section of the patient''s heart, Lu Chen frowned more and more deeply.


    Seeing Lu Chen''s nervous appearance, the people around didn''t dare to let out the air.


    Lu Chen carefully checked every slice of the echocardiography, left ventricular short axis, left ventricular short axis, three-chamber heart, four-chamber heart, etc.


    about ten minutes later.


    Lu Chen finally put down the ultrasound probe in his hand.


    He raised his head slightly, the dignified look in his eyes flashed by.


    "Director Lu, what''s the result?" Gu Xinyue immediately stepped forward and asked.


    Because the patient is a young woman, all the men just now, except Lu Chen and the patient''s husband, avoided it.


    "The results are okay." Lu Chen said lightly, "Then...the patient''s family members come out with me, and I''ll tell you about the follow-up treatment."


    Hearing this, the pregnant woman instantly became a little nervous.


    The husband on the side squeezed her hand and whispered, "Professor Lu said there''s nothing wrong, you can rest assured."


    "Yeah." The pregnant woman nodded slightly, but her eyes were slightly uneasy.


    But, if nothing really happened, Professor Lu would not be able to communicate with his family alone!


    ¡­


    Come to the doctor''s office.


    The patient''s husband couldn''t wait to ask: "Professor Lu, how was the result just now?"


    Lu Chen shook his head slightly, "The patient has a fever, it may not be as simple as a cold!"


    "Ah? Is the problem serious?" The patient''s husband looked nervous, and he hurriedly asked.


    "I did a heart ultrasound on her just now, and I saw the aortic valve and tricuspid valve growths." Lu Chen said slowly.


    Hearing Lu Chen''s words, Gu Xinyue beside her was startled.


    Valve vegetation, isn''t this infective endocarditis?


    If this is really the case, then it will be troublesome!


    And the trouble is big!


    "Professor Lu, keep it simple." The patient''s husband swallowed his saliva and looked nervous.


    Lu Chen paused and organized the language a little, "The last time the patient was hospitalized, you also knew about her condition, and you have been diagnosed with congenital heart disease."


    "Well, I know this."


    Lu Chen continued: "Congenital heart disease is actually an abnormal shunting of abnormal channels in the heart, which is easy to form blood turbulence."


    "It''s like a river. Suddenly, a stone is blocked somewhere. The river water hits the stone, forming a vortex. The blood or river water slows down, and microorganisms in the blood deposit to form vegetation."


    "In this way, at the valve defect, vegetations will form, which may induce systemic infection, which is infective endocarditis."


    "What kind of creature is this, is it serious?" The patient''s husband was most concerned about whether the condition was critical.


    Lu Chen nodded slightly, "In addition to anti-infective treatment, the vegetation is too large to be removed by conservative means, so surgical cleaning is required, otherwise, the infection of this infective endocarditis is very difficult. It completely removes the root of the disease.¡±


    As soon as he heard about the need for surgery, the patient''s husband was silent.


    After a while, he regained his senses and looked at Lu Chen, "Professor Lu, if you don''t have surgery..."


    Lu Chen said slowly: "Without surgery, the infection will spread, develop to sepsis, and both mother and fetus will be severely injured. Moreover, this surgery needs to be done as soon as possible, the longer it takes, the greater the risk! Of course, surgery The risk is also great! Even if you can''t get off the operating table, there are cases like this."


    "Thank you, Professor Lu." The patient''s husband said slowly, "I''ll discuss it when I go back, and I''ll give you an answer at noon."


    "Okay, as soon as possible." Lu Chen nodded slightly, "In addition, I am not an ultrasound major. I told you so much just now, all based on my ultrasound diagnosis. To be on the safe side, we will arrange for the patient later. A cardiac ultrasound in a sonographer, waiting for the sonographer''s final findings."


    "it is good."


    When the patient''s husband heard this, he hoped for the first time that Lu Chen''s judgment was wrong.


    He thought to himself, now that the specialists are so sophisticated, how could a cardiologist still do ultrasounds?


    The patient''s husband walked out of the doctor''s office and asked a few nurses how often Lu Chen used ultrasound.


    The answer is always "few times".


    This made the patient''s husband feel a little bit more lucky.


    However, the final outcome was destined to disappoint him.


    ¡­


    Inspections are scheduled soon.


    The ultrasound doctor''s final examination result was almost the same as the result done by Lu Chen himself.


    The patient''s ultrasound showed: congenital heart disease complicated with infectious endocarditis, tricuspid valve vegetation 16*13mm, multiple aortic vegetations, moderate to severe aortic valve insufficiency, and moderate tricuspid valve insufficiency.


    When the result was clearly seen, the patient''s husband''s last hope was also dissipated.


    He told his wife the final result.


    For the next treatment, all patients must be informed, otherwise they will not be able to cooperate!


    It is impossible to continue to hide it.


    "Wife, why don''t... we don''t want this child anymore." The patient''s husband said slowly, "I will do my best to operate on you, take care of your body, and let us regenerate later. Your body is the most important thing!"


    It is very difficult to maintain the large and small at the same time.


    But if the child is abandoned, the damage to the mother is minimal.


    In simple terms, before pregnancy, although the patient has congenital heart disease, but there are no symptoms at all.


    After the pregnancy, the symptoms of heart failure gradually appeared, and even infective endocarditis appeared.


    This is the child, the burden on the patient''s heart.


    "No!" The patient himself shook his head firmly, "I want to give birth, I must give birth! If I miss this opportunity, no one knows what my body will be like in the future, and it may be even worse. ."


    "However, the risks of surgery..." The patient''s husband was about to say something, but was interrupted.


    "Husband, don''t worry, this is the best hospital in Guanghai and one of the top hospitals in China. You have to trust their medical skills." The woman comforted her husband in turn, she touched her stomach, "Already I''ve been tortured enough by this little guy, and now let me give up, I''m not reconciled, it''s also unfair to him."


    "Ugh¡­¡­"


    The patient''s husband opened his mouth to say something, but swallowed it again.


    As a husband and a father, the thought of giving up on anyone is cruel and hard.


    (end of this chapter)

 v2 Chapter 797： Lost

    Chapter 797 Lost


    When I was about to get off work at noon.


    The patient''s husband came to the doctor''s office and expressed his willingness to surgery to Gu Xinyue.


    Surgery to do!


    Children too!


    "The operation is complicated, and minimally invasive treatment may not be very effective." Gu Xinyue said, "According to the patient''s condition, surgical thoracotomy is likely to be required."


    "Open the chest?" The patient''s husband was stunned, "Then the risks involved..."


    "There are many risks, and it is a test for both the mother and the fetus." Gu Xinyue said solemnly, "This kind of heart disease is more difficult, especially for pregnant women, if the operation is not performed as soon as possible, the growth of bacteria in the heart may be at any time. It will fall off, causing embolism of other organs, and heart failure will continue to worsen, losing the opportunity for surgery, and both mother and child will face fatal risks."


    "I know, Professor Lu has already told me." The patient''s husband lowered his head, his eyes were already red, "We... agreed to have the surgery."


    "Okay, we will immediately notify the cardiac surgery consultation." Gu Xinyue said.


    Ten minutes later, the cardiac surgery consultant arrived.


    He carried out a detailed physical examination for the patient again, and consulted the relevant medical records of the patient.


    The heart surgeon''s expression was also quite solemn. "Fortunately, it was discovered early. If the infection worsens, there will be no chance of surgery!"


    Gu Xinyue nodded slightly: "We have always asked patients to come to the outpatient clinic regularly for re-examination, and this time it was found in time."


    The ??cardiac surgeon continued: "At present, the main purpose of our operation is to remove the vegetation and infection in the heart, and then replace the artificial valve!"


    "Our Director Lu also thinks so." Gu Xinyue echoed, "It may be necessary to operate as soon as possible! We have communicated with the patient''s family, they are willing to take risks, and both mother and child must be guaranteed!"


    "Okay, it''s fine with your words. I will communicate with the patient''s family again." The cardiac surgeon nodded, "I informed the operating room and our director that this patient may need emergency surgery."


    Valve vegetations and infective endocarditis, if you delay for one more second, the patient will be more threatened.


    ¡­


    The pregnant woman was quickly placed into the operating room.


    Cardiac surgery, cardiology, anesthesiology, obstetrics and gynecology, multiple departments conduct joint diagnosis and treatment to treat patients.


    The leaders of Guanghai No. 1 Hospital did not give up this great opportunity for publicity.


    We plan to arrange a surgeon visit immediately after the operation is successful.


    The ?? surgery procedures are thoracotomy, congenital heart disease and valve replacement, all of which are performed by surgery.


    TAVR surgery is good, but the valve life is not long, the longest is ten years.


    For these young patients, thoracotomy is far better than TAVR surgery.


    Gu Xinyue, as a representative of the Cardiology Department, came to the operating room to **** the patients throughout the operation.


    The next thing has nothing to do with Lu Chen.


    ¡­


    The procedure is extremely long.


    The chest is opened, the vegetation is removed, and then the valve is replaced...


    The operation was done from noon to the evening.


    During the ?? period, the patient''s vital signs also appeared unstable.


    However, with the calmness of the operator and the patient''s desire to survive, he finally stabilized.


    After the cooperation of several departments, the operation was escorted, and the final result of the operation made everyone happy.


    Successful operation, mother and child are safe!


    After surgery, the patient was transferred to the ICU ward for nursing care.


    Wait until the patient''s condition is stable before being transferred to the general ward.


    Talent Apartment.


    Lu Chen was reading the literature. After getting the news, he was also happy for the patient.


    However, just a few minutes after he was happy, he received a call from Professor Ouyang Ming.


    "Hello, Professor Ouyang?" Lu Chen asked.


    "Well, it''s me." There was a trace of hesitation in Professor Ouyang''s tone.


    Lu Chen felt an unusual breath, "Professor Ouyang, what''s the matter?"


    Usually, Professor Ouyang rarely calls him on his own initiative.


    "It''s the review of the National Nature Project." Professor Ouyang said solemnly, "The internal results have just come out."


    Hearing Ou Yangming''s hesitant and hesitant voice, Lu Chen''s heart tightened, "I... I was brushed off?"


    On the other end of the phone, after a long silence, he slowly said, "Lu Chen, you are still young, and there are still plenty of opportunities..."


    Ou Yangming didn''t say it directly, but Lu Chen already understood.


    He lost!


    Lu Chen took a deep breath, feeling a little hard to accept the result.


    "Lu Chen, I''ve also watched you step by step to where you are today. The deputy chief physician, the deputy director of the department, and the chairman of the Guanghai TAVR branch, who are less than 30 years old, these titles are already very impressive. "


    "Professor Ouyang, I want to know, who is the competitor of the same batch as me?"


    Lu Chen adjusted his emotions and asked softly.


    "Li Hengzheng, Fang Qiao, and Zhou Mingzhu." Ou Yangming slowly said these three names.


    Lu Chen smiled.


    These three are famous, and he knew about them before the judging.


    Li Hengzheng, a disciple of an academician in Huaxia.


    Fangqiao, son of the president of Kyoto University Hospital.


    As for Zhou Mingzhu, the niece of a well-known inner expert.


    Everyone has a profound background!


    "Lu Chen, how old are you?! They are at least forty years old." Ouyang Ming said earnestly, "In a few years, the future will be yours, don''t worry, take your time."


    "Thank you Professor Ouyang for his teaching, I understand." Lu Chen nodded.


    Ou Yangming was also kind, otherwise he wouldn''t have told him the first time the result came out.


    As Ouyang Ming said.


    Li Hengzheng and others are already around forty years old.


    Compared with them, he is still young and still has a lot of time to struggle.


    However, for Lu Chen, the national nature project is not just a ladder for promotion.


    All his own scientific research ideas need the support of fund projects.


    He alone cannot complete the establishment of the TAVR database.


    "Okay, then think about it for yourself, I won''t bother you anymore."


    Ou Yangming hung up the phone, and Lu Chen was lost in thought.


    ¡­


    All his original scientific research plans were interrupted in an instant.


    As for applying for a master''s supervisor, he is not qualified for the time being.


    Lu Chen was really unwilling in his heart.


    However, there is nothing he can do!


    The scientific research circle is a small society. It is not black and white, and it is not that whoever is powerful will join.


    The natural application of the country failed, but life has to go on.


    Research only occupies a small part of Lu Chen''s life. Next, he still has a lot of things to do.


    However, a week later.


    The result of the application for the National Nature Project is officially announced to the public.


    When Lu Chen saw the other three''s national nature project books, he couldn''t help but laugh.


    These projects, if they can produce anything substantial, they are considered amazing.


    The news of ?? Lu Chen''s fall from the list was also known to everyone.


    For this young deputy chief physician, there are still many people who are not convinced.


    Some people sigh, some regret it, and some people gloat.


    Many people have never seen Lu Chen, and they think he came to Guanghai First Hospital through a relationship or through the back door.


    Sometimes, jealousy can be unrecognizable.


    But for Lu Chen, it was all a laugh.


    His time can''t be wasted on these boring things or people.


    In the vast world of ?? medicine, there are still many things that he has not explored, and there are still many pathophysiology and diagnosis and treatment methods of diseases that he has not yet figured out.


    In the ward, there are still many patients, waiting for him to go for treatment.


    Packed up his mood, Lu Chen continued to set off on the road.


    (end of this chapter)

 v2 Chapter 798： Disappearing blood pressure?

    Chapter 798 Blood pressure disappearing?


    in the blink of an eye.


    It has been four months since Lu Chen came to Guanghai.


    He has completely integrated into this environment and is familiar with the role of deputy director of the department.


    As for classmate Lao Gu, although this guy came later than Lu Chen, he integrated better than Lu Chen!


    And his relationship with Xu Shan...


    This problem is very serious, Lu Chen found that Lao Gu was in the quagmire of love.


    He would run to Xu Shan every day after get off work or when he had private time.


    euphemistically, is to discuss scientific research.


    Sima Zhao''s heart is well known to passers-by.


    Whenever Gu Xinyue mentioned this, Lu Chen could only give him a blank look.


    If it is really a day-to-day discussion of scientific research issues, it is unlikely that a national nature bid has not been written yet, right?


    However, everyone is a runner.


    is the object here.


    Xu Shan''s identity background matches Gu Xinyue quite well.


    The only disadvantage of ?? is that both of them are doctors, so they may not have much time to take care of their families.


    ¡­


    Today, Gu Xinyue took a day off and was going out on a date with Xu Shan.


    Lu Chen, a high-level doctor, could only temporarily take over from Gu Xinyue''s position.


    Everyone was very excited when they saw Director Lu Chen rounding the room.


    However, as soon as they got to the ward, the students couldn''t laugh.


    Director Lu Chen has so many questions!


    And all kinds of difficult and tricky questions, he has a lot of special sisters.


    Every time a patient is checked, everyone is frightened.


    Lu Chen is a very good inheritance of the habits of Li Yao''s mentor when he was in Beijing.


    Room rounds and questions, must stun the students!


    When Lu Chen''s ward round was over, everyone breathed a sigh of relief.


    is finally over!


    "The doctor''s order that needs to be adjusted just now, as well as the supplementary medical course record, everyone go back and revise it properly." Lu Chen told everyone.


    All the students went back to the doctor''s office.


    Lu Chen returned to his deputy director''s office.


    Although the national application was unsuccessful, he still has a lot of other things to do.


    The establishment of TAVR data should be gradually improved.


    ¡­


    While Lu Chen was reading the latest TAVR documents, there was a knock on the office door.


    "Director Lu! 26 beds in the ward for rescue!"


    With the sound, Lu Chen immediately stood up, put on his white coat, and quickly opened the office door.


    At the door, a little nurse in the department stood with a worried look on his face.


    Seeing Lu Chen coming out, she hurriedly said: "Director Lu, 26 beds for rescue! Cardiac arrest, blood pressure and pulse can''t be felt, Dr. Hua asked me to find you!"


    "Let''s go!" Lu Chen didn''t say anything, and immediately ran to the ward.


    Doctor Hua, as mentioned by the nurses, is the attending doctor of other groups in the department.


    Lu Chen, as the deputy director of the department, should participate in a timely manner as long as it is a rescue incident.


    came to bed number 26.


    As soon as he entered the house, he saw a group of doctors and nurses around the bed.


    Lu Chen frowned. If he had a sudden cardiac arrest, he should have CPR? !


    Now a group of people are around, what are you doing?


    I walked in and saw that the patient on the hospital bed was lying on the bed in good condition. Although his face was not very good-looking, his heart definitely did not stop!


    The ECG monitor also shows that the heart rate is only more than 100 times.


    Lu Chen was confused by what was in front of him.


    On the hospital bed, the patient is not very old, only less than 30 years old.


    The health on her head is 67 (--).


    Definitely sick, but not to the point where cardiac arrest is required.


    "What''s the situation, didn''t it say that the heart has stopped and the blood pressure and pulse are gone?" Lu Chen lowered his voice and asked the young nurse beside him.


    At this time, the young nurse was also confused.


    She only knew that Dr. Hua said that the patient''s heart had stopped and asked her to go to Director Lu. She didn''t know anything about the other situation.


    Beside the hospital bed, a slightly older nurse quickly said, "Director Lu, that''s how it is. We just measured the patient''s blood pressure, and both of her arms were measured, but the blood pressure could not be measured, so she felt the radial artery. They didn''t feel the pulse either. We tried several people to feel the pulse, but they couldn''t feel it. Dr. Hua asked Xiao Fang to find you."


    Lu Chen clarified the situation.


    The young nurse just came to the department and said that the patient had no blood pressure and pulse, but it was impossible to measure it.


    is just not measurable.


    does not mean that the patient''s heart has stopped, and it does not mean that the patient is gone, so there is no need for rescue or CPR at all.


    The little nurse lowered her head in embarrassment.


    Lu Chen didn''t mean to blame her, but instead looked at the patient on the hospital bed.


    A person is so good, how can he not measure his blood pressure?


    How can you not feel the radial artery?


    "Did you touch carefully?" Lu Chen asked as he started to use it himself.


    "Everyone touched it, but none of them touched it." Dr. Hua whispered.


    Once Lu Chen got started, it was strange, he really didn''t feel any beating.


    Lu Chen lightly pressed his fingers on the radial artery of the patient''s left hand, but he could not feel the pulse. He increased the pressure, but still did not feel the pulse.


    The patient''s palm was cold, as was his right hand.


    In this case, it is normal that the blood pressure cannot be measured by the cuff attached to the upper extremity.


    Lu Chen frowned, why is this happening?


    He looked up at the ECG monitor, the heart rate was clearly 110 beats per minute, and the heartbeat was okay, but the blood pressure was indeed not measured!


    Such a young man has no symptoms of cerebral ischemia such as dizziness, and should not have hypotension.


    "Measure the blood pressure of the lower extremities." Lu Chen thought about it and said.


    The young nurse immediately brought a large cuff and tied it directly to her leg.


    ¡­


    This time, I finally got my blood pressure measured.


    However, this blood pressure is the blood pressure of the popliteal artery of the thigh, and does not represent the blood pressure of the upper extremity.


    Lu Chen reacted at once, which can only explain one problem!


    Patient This is a problem with the blood vessels of the upper extremities, not the heart.


    Back to the doctor''s office.


    Dr. Lu Chen Chaohua said: "It is very likely that the blood vessels in the patient''s upper limbs are blocked, and the blood cannot pass through, so the pulse and blood pressure cannot be measured, and the limbs are cold."


    "Mmmm." Dr. Hua nodded quickly, "After Director Lu reminded me just now, I also figured out that it is probably thromboangiitis obliterans, which is an inflammatory disease of blood vessels, which may cause vascular damage. Chronic occlusion is manifested by decreased skin temperature, paleness, cold limbs, severe pain in limbs, weak or even disappearing pulse, and undetectable blood pressure."


    Dr. Hua''s basic knowledge is good, and a lot of things come to mind at once.


    "Well, there is a possibility." Lu Chen nodded slightly, and then added, "But this thromboangiitis obliterans is more common in young men who like to smoke."


    "This patient, it''s probably not that simple!"


    (end of this chapter)

 v2 Chapter 799： Oriental Beauty Disease

    Chapter 799 Oriental Beauty Sickness


    "What is the reason for the patient''s hospitalization this time?" Lu Chen asked.


    "After catching a cold, I have chest tightness and chest pain." Dr. Hua said, "I was afraid of myocarditis, so I came to the hospital."


    Lu Chen nodded slightly.


    He flipped through the patient''s medical records.


    The patient has just graduated and is looking for a job.


    Maybe because he was too busy, he fell ill all of a sudden, he had a fever, and his muscles were sore again.


    She immediately googled it online.


    Colds and flu are both caused by viruses.


    But the virus is different. Colds are mainly symptoms of the nose and pharynx, such as runny nose, sneezing, sore throat, fever, etc.


    But the flu is a bit more powerful, and it will also cause muscle soreness, and maybe myocarditis, pneumonia, and respiratory failure.


    This frightened her.


    If you haven''t found a job, you will fall ill. That''s not okay.


    She hurried to the pharmacy to buy medicines. In addition to the ordinary medicines for treating fever, she also bought two boxes of antiviral medicines.


    However, it was the third day of taking the medicine.


    She felt uncomfortable in her heart and tight in her chest for some reason.


    Occasionally, it will sting like this, especially when you are tired after walking for a long time, and you even feel a little panting.


    This is no good, she rushed to the hospital immediately.


    ¡­


    "Or is there a possibility of arterial embolism?" Dr. Hua said after thinking for a while.


    "How to say?" Lu Chen asked with a smile.


    "The patient has fever, chest tightness and chest pain, not necessarily viral myocarditis, but also infective endocarditis. There is bacterial infection in the endocardium, which may form a local thrombus. If the thrombus falls off and runs along the blood vessel, it will It may embolize to the upper extremity artery, resulting in poor blood flow, no pulse, and undetectable blood pressure?"


    Dr. Hua''s brain was spinning rapidly, and he came up with another idea.


    Lu Chen nodded, "There is a possibility. But there are two points that are not supported."


    "Don''t support?" Dr. Hua frowned.


    Lu Chen smiled and continued: "First, when I just auscultated, I didn''t hear any obvious murmur in the patient''s heart. It seems that there should be no growth in the heart."


    "Second, even if there is infective endocarditis, even if there is thrombosis, even if the thrombus falls off, it won''t just fall off and block the upper limbs on both sides, right?"


    "Why not block the lower limbs, why not block the blood vessels in the head, and why block the arteries of the upper limbs on both sides?"


    "Is this possibility too low?"


    "It seems to be the same thing, what a coincidence." Dr. Hua smiled embarrassedly.


    Lu Chen said: "But you have this analytical ability, which is not bad."


    Dr. Hua smiled and touched the back of his head, "Director, what disease do you think of to explain?"


    Lu Chen cleared his throat and said, "A young girl like this is very pretty, so you should consider that it''s called Oriental Beauty Disease."


    This time, not only Dr. Hua was shocked.


    The other doctors around were also shocked.


    "What? Oriental beauty sickness? You won''t bluff me, Director." Dr. Hua was stunned.


    Lu Chen smiled, "This disease is Takayasu arteritis."


    "This is also an inflammation of the large arteries. Inflammation can lead to stenosis or even occlusion of blood vessels. The most easily involved is the aorta and its large branches, such as the axillary artery, brachial artery, and radial artery. Therefore, the patient''s upper limb pulse cannot be felt on both sides. Blood pressure can''t be measured."


    Doctor Hua nodded slightly when he heard the words, but was quite puzzled, "Why is it called Oriental Beauty Disease?"


    Lu Chen said: "Some people have found that this disease is related to excessive estrogen levels, so young women are especially prone to the disease, especially young women in Asia, so it is called Oriental Beauty Disease."


    "Then the patient''s chest tightness and chest pain were also caused by Takayasu arteritis?" Dr. Hua asked.


    "Not necessarily." Lu Chen shook his head. "Other diseases must be ruled out. Besides, Takayasu arteritis accumulates blood vessels in the heart and leads to coronary stenosis. It may also cause chest tightness and chest pain."


    At this moment, a critical value prompt popped up on the computer desktop in the doctor''s office.


    "Director, the patient''s cardiac enzymes have increased!" a graduate student said.


    "Well, coronary heart disease still needs to be ruled out." Lu Chen nodded.


    Through the patient''s electrocardiogram and myocardial enzymes, if it is a male over fifty years old, it is absolutely necessary to consider coronary heart disease.


    ¡­


    in the ward.


    I heard that coronary artery examinations and even surgery may be required, and the patient''s mood fell to the bottom again.


    Fear and helplessness filled my heart.


    "I have to ask my family to come and sign." Dr. Hua said.


    "My family is not around, what should I do?"


    The patient was startled.


    She came to Guanghai to study at university and has no relatives or friends here.


    "In any case, you have to find your family. This disease may be no trivial matter. It may have affected the coronary arteries and affected the blood supply of the heart. If it is not dealt with as soon as possible, there may be accidents." Dr. Hua said firmly.


    Finally, under the coordination of the medical department, hospitalization is handled first, and immediate family members of the patient are simultaneously contacted.


    The patient''s parents rushed over from their hometown overnight and arrived at the hospital early the next morning.


    in the doctor''s office.


    Lu Chen and Dr. Hua communicated with the patient''s family.


    Dr. Hua has organized the language and said, "Now it is suspected that it is Takayasu arteritis. This disease affects the large blood vessels of the whole body, but at present, it seems that it involves the arteries of the upper extremities and the large blood vessels of the heart, so the patient''s pulse cannot be measured."


    "In addition, chest pain and chest tightness are all manifestations of cardiac ischemia. We need to conduct further examinations. If possible, we need to do a cardiac stent."


    This is a priority!


    Don¡¯t think that the chest pain caused by Takayasu arteritis does not require stent placement.


    As long as coronary stenosis meets the standard of interventional treatment, no matter what the cause is, it needs to be dealt with in time.


    The patient''s parents are from the countryside. I heard that the disease is dangerous, and the three souls have disappeared, so I can only keep saying that no matter how much money it takes, it can be cured.


    Cure until there is nothing you can do!


    ¡­


    This morning, the patient was drawn several more tubes of blood. It is necessary to check a series of rheumatic immune indicators to further confirm whether it is Takayasu arteritis.


    Dr. Hua reviewed the electrocardiogram, but there was still obvious myocardial ischemia.


    I did a cardiac ultrasound, and it seemed that there was no obvious abnormality. It was not infective endocarditis.


    At least no vegetation was seen.


    On the same day, the patient was scheduled for coronary angiography.


    During the operation, it was found that both the left and right coronary arteries were severely stenotic, but one of the arteries had the most severe stenosis, 90% of which was blocked, and almost no blood flow could pass through.


    Finally, a coronary stent was placed to open the narrowed blood vessel, restore blood flow, and save the heart.


    After the operation, the patient returned to the cardiology intensive care unit and felt that the chest tightness and chest pain were relieved a lot. It can be said that the effect of stent surgery was immediate.


    (end of this chapter)

 v2 Chapter 800： PPD positive?

    Chapter 800 PPD positive?


    "I always thought that only elderly people with myocardial infarction need a stent. I didn''t expect my daughter to have a stent too."


    Outside the ward.


    The patient¡¯s parents lamented.


    Dr. Hua explained, "Her disease is not a myocardial infarction caused by coronary heart disease, but the results are similar. The blood vessels in the heart are very narrow. Putting stents can save the heart, but stents alone cannot solve the problem, because this disease is a Blood vessels throughout the body may be involved."


    "Is there anything else to do?" the patient''s parents asked.


    "Contrast-enhanced CT of Arterial Great Vessels."


    "Do, do everything!"


    The patient''s parents nodded quickly.


    Subsequently, the patient was scheduled for chest CTA.


    The results of chest CTA showed that the lesions involved the aortic arch, bilateral upper extremity arteries, and coronary arteries.


    Therefore, the patient will have weakened or even palpable pulses in both upper extremities, but she always thought it was because of her weakness and general weakness.


    In addition, the blood test results came back, ESR, CRP were high, and anti-aortic antibodies were positive.


    The rheumatologist came for consultation and agreed with Lu Chen''s diagnosis of "multiple Takayasu arteritis".


    ¡­


    in the ward.


    Lu Chen said to the girl: "This disease is an autoimmune disease. Due to various factors such as the environment, immunity, infection, etc., the immune system in the body is disturbed. The immune system specifically attacks the blood vessels in your body, especially the large blood vessels, causing blood vessels. Inflammation, leading to narrowing or even occlusion of blood vessel walls."


    "How to treat?"


    The patient was lying on the bed, looking much better than before.


    Lu Chen said: "To treat this disease, the only way is to suppress the immune system and use hormones."


    Hormone can be anti-inflammatory on the one hand, and can inhibit hormones on the other hand, which is the best guarantee drug.


    Cardiac stent is an emergency, not a cure, and ultimately depends on the long-term management of hormones and immunosuppressants.


    The patient can understand, but it is completely unacceptable.


    She started Baidu on the Internet again.


    If you take hormones for a long time, you will gain weight, and you will get a lot of acne, and even your aunt may no longer come, which will affect fertility.


    "Can I skip hormones and take other medicines?" The patient asked the doctor carefully, expressing his concerns.


    Lu Chen raised his brows, "What, are you married? Are you planning to get pregnant?"


    "Not yet, not married yet."


    "Then what are you worried about? When the disease is under control, if there is a chance to stop the medication, stop the hormones, and you can have a baby. It will get better." Lu Chen said with a smile, and was amused by her.


    Since the heart stent surgery is completed, the rest of the hormones will be properly regulated by the rheumatologist.


    "Transfer to the department, go to the rheumatology department." Lu Chen smiled and warned, "But remember to take antiplatelet drugs for a long time, remember that you have a stent in your heart."


    "Um."


    The patient was quickly transferred to the Rheumatology and Immunology Department.


    ¡­


    Return to Talent Apartment in the evening.


    Gu Xinyue is sitting on the sofa, eating fruit and watching TV shows.


    "You are so leisurely." Lu Chen put down his bag, "When do you still like to watch this kind of love soap opera?"


    Gu Xinyue smiled, "If you read too much literature, relax."


    "What, went out on a date with Xu Shan smoothly?"


    "Cough cough." Gu Xinyue coughed softly, "It''s not a date, or a different place to discuss scientific research."


    "Really?" Lu Chen glanced at Gu Xinyue with a half-smile.


    "Mmmm." Gu Xinyue took a sip.


    Lu Chen shook his head slightly, this old man was more and more contrary to Gao Leng.


    "Are you still resting tomorrow?" Lu Chen asked.


    "Well, let''s take another day off." Gu Xinyue said, "I finally have this time, so I have to make good use of it."


    Lu Chen sat beside Gu Xinyue, "What''s the matter, rest with Xu Shan, isn''t there enough time?"


    "You don''t understand." Gu Xinyue glanced at Lu Chen.


    "I don''t understand?"


    Gu Xinyue nodded, "You''re single, how do you understand?"


    Lu Chen shrugged, "Okay, anyway, I don''t understand your silly jokes."


    "You are jealous." Gu Xinyue said lightly.


    "What are you jealous of?" Lu Chen said while pouring himself a cup of tea.


    "Jealous that Xu Shan can understand my bad jokes."


    Lu Chen: "..."


    Yes, Lu Chen returned to his room with a teacup.


    As Gu Xinyue said, life and work must be combined with work and rest.


    Today, Lu Chen did not continue to read literature or practice his surgical skills, but went to bed early.


    The next day.


    Lu Chen just got up, Gu Xinyue was already up.


    "So early, where are you going?" Lu Chen wondered.


    "Let''s take a walk around." Gu Xinyue said, "By the way, I heard that your national nature project has been suspended."


    Lu Chen nodded, "You are quite well informed."


    Gu Xinyue spread her hands, "I heard what Xu Shan said. She also voted for National Nature this year, but the online review failed."


    "Oh." Lu Chen nodded, "Why don''t you worry about your project?"


    "Oh, you''re all dead. I''m going to review again, isn''t it a waste of time?" Gu Xinyue pouted, "I''ll start with the provincial and ministerial-level projects."


    "That''s fine, I''m optimistic about you." Lu Chen smiled and patted Gu Xinyue''s shoulder.


    "Hehe, then I''ll go first, you can go to work."


    After ??, Gu Xinyue closed the door and left.


    ¡­


    Lu Chen was done cleaning, so he could only go to work alone.


    Came to the cafeteria, ate a bowl of noodles, and then came to the department.


    "Hello Director Lu."


    "Hello Mr. Lu."


    Along the way, the nurses, doctors, and graduate students in the department greeted Lu Chen with a smile.


    "Well, how are you." Lu Chen responded with a smile.


    This feeling is really good.


    Because Gu Xinyue went to rest, Lu Chen continued to help him with ward rounds.


    This can be a group of graduate students and graduate students under the commander, but I can worry about it being broken.


    Director Lu has to ask another question!


    However, Lu Chen was very happy.


    The ?? question and answer session is his favorite.


    The boy who killed the dragon eventually turned into a dragon!


    After checking the room, everyone finally breathed a sigh of relief.


    At this time, Doctor Hua suddenly ran towards Lu Chen.


    "Director Lu, have you finished checking the room?"


    Lu Chen looked back, "What''s wrong? I just finished checking the room."


    "The previous patient with Takayasu arteritis has a situation." Dr. Hua said.


    "Huh?" Lu Chen was taken aback, "What''s the situation?"


    "That''s right." Dr. Hua said slowly, "After the patient was transferred to the Department of Rheumatology and Immunology, he did a lot of tests, including some tuberculosis tests, of which the tuberculin test (PPD test) was strongly positive."


    "PPD positive?" Lu Chen frowned.


    In clinical practice, a strong positive PPD test is of great significance.


    It is generally believed that there is tuberculosis in the body and the immunity is stimulated, which will lead to a strong positive test.


    Dr. Hua continued: "The rheumatologist said that the hormones will not come first."


    has tuberculosis and needs anti-tuberculosis treatment.


    Use hormones after you control them. Otherwise, once hormones are used and immunity is suppressed, tuberculosis may spread, which may be fatal.


    (end of this chapter)

 v2 Chapter 801： veto

    Chapter 801 Denial


    But, where did the tuberculosis come from?


    Lu Chen was a little confused.


    In his impression, the patient had done all kinds of examinations and found no other signs of tuberculosis infection.


    "What''s the opinion of the rheumatology department now?" Lu Chen asked.


    Dr. Hua said slowly: "Their rheumatology department invited an infectious disease doctor to come over for consultation and analyzed it from the beginning. There was no pulmonary tuberculosis on the imaging studies, and the patient had no manifestations of intestinal tuberculosis. It is recommended to do a colonoscopy if necessary. "


    Lu Chen nodded.


    Only a positive PPD test cannot be immediately diagnosed as tuberculosis.


    However, this test result cannot be ignored.


    "I''ll go to the rheumatology department to have a look." Lu Chen thought about it, and decided to go see it in person.


    ¡­


    Came to the rheumatologist''s office.


    As soon as he walked in, he saw the patient''s parents, who were communicating with the rheumatologist.


    "We decided to take hormones first!" the rheumatologist said.


    "Wait, didn''t you say before that you are afraid of tuberculosis, can you still use hormones if you have tuberculosis?" the patient''s father wondered.


    They also checked the relevant information themselves, hormones are taboos for tuberculosis patients.


    How can this be good?


    The rheumatologist continued: "Our director said that the disease may progress very quickly if the patient does not last for more than half a year."


    When the patient''s parents heard this, they immediately became anxious.


    The patient''s mother shouted: "How did this doctor talk, is this a human word, what does it mean that he can''t live for half a year!"


    Honest and honest parents are in a hurry at the moment.


    The doctor in charge of the rheumatology department was unable to say anything.


    Lu Chen stepped forward immediately.


    "Uncle and auntie, don''t worry."


    Hearing Lu Chen''s voice, the patient''s father looked back and immediately stopped making noise.


    "Professor Lu, why are you here?" The patient''s father was pleasantly surprised, "Did you come to see my daughter?"


    Lu Chen successfully diagnosed the disease "Takayasu arteritis", and the patients and their families are grateful to him.


    Lu Chen nodded with a smile, helped the patient''s parents aside to sit down, and then nodded to the rheumatologist.


    The rheumatologist smiled gratefully at Lu Chen.


    In this situation just now, there was indeed a problem with his communication method. Fortunately, Director Lu Chen came to remedy it in time.


    "Professor Lu, tell me now, what should my daughter do now?"


    Lu Chen paused, "The rheumatologist is right, this Takayasu arteritis will progress faster, if we wait for the fight against tuberculosis before using hormones, I''m afraid it''s really too late, we can''t imagine what will happen, maybe The worst happens."


    Having said this, the patient''s father''s mood has calmed down.


    "In order to avoid this situation, we decided to use hormones first to suppress immunity and inflammation. As for the tuberculosis, it doesn''t look too similar at the moment. We can observe it while treating it, and adjust it at any time if something goes wrong."


    The patient''s parents nodded again and again, which sounded more pleasing to the ears, although it meant the same thing.


    "Professor Lu, thank you so much." The patient''s mother said, "We''ve all been transferred, so please come and see her."


    "As long as she has lived under me, she is my patient." Lu Chen smiled, then turned to the rheumatologist and said, "Take me to the ward to see her."


    "Okay, Director Lu."


    The rheumatology doctor immediately stood up and took Lu Chen to the ward.


    The moment the patient saw Lu Chen, he was also very happy.


    However, when she heard that she still had to use hormones, her expression was hesitant.


    However, under Lu Chen''s persuasion.


    The patient finally received hormone + immunosuppressive therapy. At first, he used 12 tablets of prednisone, plus one mycophenolate mofetil.


    Before leaving, Lu Chen instructed: "This disease cannot be cured, but it can be controlled with drug treatment. Most of them can survive for a long time. Be confident, even if you take medicine, there will be some side effects. Slowly adjust!"


    "Okay, thank you Professor Lu." The patient has accepted this fact psychologically at this moment, "However, why is my tuberculosis test positive?"


    The rheumatology doctor also looked at Lu Chen curiously.


    The rheumatologists got together and discussed it for a long time without coming to a conclusion.


    "This is a good question, I don''t know the answer for now." Lu Chen shook his head slightly.


    Clinically, there are still many things that have not been fully discovered.


    "However, before you leave the hospital, if you re-examine a PPD, it may be a false positive!" Lu Chen said.


    This is also what the rheumatologist heard.


    aside, the rheumatologist nodded.


    "Okay, then I''m leaving."


    Lu Chen waved to everyone and left the rheumatology ward.


    In fact, Takayasu arteritis is not a rare disease, with an incidence of 40/100,000 in island countries.


    The exact number of ??Huaxia is unknown, but it is estimated that it is not too far away. Considering our huge population base, this is definitely not a rare disease.


    I hope that girls with this disease will treat them correctly, and don¡¯t be afraid to avoid doctors.


    Why do you say it''s a girl?


    Because this disease is really more women than men, the incidence rate of men and women is about 1:10.


    In addition, hormones are not devils. Hormones are the basic medicines for these diseases, so they should be treated correctly.


    But the side effects of hormones are also quite big. You must build up your confidence, because girls who gain weight with hormones may eventually lose weight again because of the withdrawal of the drugs. I firmly believe this.


    Finally, compared to being fat or thin, life is the most important thing.


    ¡­


    "Congratulations, the completion of the system upgrade has increased!"


    "Congratulations, thank you..."


    The ?? gratitude value and system upgrade completion rate rose slightly again, and Lu Chen was still very happy.


    Returning to the second area of ??the heart, all the patients in the group were in stable condition, so Lu Chen returned to his office.


    Before long in the office, there was a knock on the door.


    "Please come in." Lu Chen said softly.


    Then, Director Yan Wanfeng pushed the door and walked in.


    "Director, why are you here?"


    Lu Chen quickly stood up and poured a glass of water for Yan Wanfeng.


    Yan Wanfeng sat on the sofa with a smile, "Did you go to the rheumatology department just now?"


    "Yeah." Lu Chen nodded, "A patient has been transferred to the rheumatology department, I''ll go take a look."


    "Just now, Director Yang of the Department of Rheumatology specially called him." Yan Wanfeng smiled, "I said you helped them solve a problem in the past, let me thank you."


    "Actually it''s nothing, I just went to communicate with the patient." Lu Chen said modestly.


    However, he was also very puzzled. Director Yan Wanfeng came to him to talk about this on purpose?


    Shouldn''t it?


    Sure enough, Director Yan Wanfeng took a sip of tea, and then said slowly, "Lu Chen, I proposed your last proposal to the leader of the hospital."


    "What did they say?" Lu Chen said.


    Yan Wanfeng shook his head, "This issue involves multiple interests. They rejected it. They still want to expand the TAVR surgical team. Just sending people to TAVR classes is not enough."


    (end of this chapter)

 v2 Chapter 802： Disappearing congenital heart disease!

    Chapter 802 Congenital Heart Disease Disappeared!


    in the office.


    Lu Chen and Yan Wanfeng sat opposite each other, the atmosphere was unusually quiet.


    After a long while, Lu Chen slowly said: "Director, the hospital leaders insist on this?"


    Yan Wanfeng nodded, "No way, the benefits brought by TAVR surgery are too enviable. This happened again some time ago, and everyone wants to come to TAVR for a piece of the pie."


    At present, TAVR surgery is mainly controlled by the second area of ??the heart.


    Yan Wanfeng also does not want to let go of power.


    However, the situation is pressing now.


    Lu Chen shook his head slightly and smiled, "If other people are really capable of performing TAVR surgery, I''d be very happy, and I''d be happy to let them go. But in the current situation, those who can really operate independently Doctor, not many."


    The TAVR surgery team of Guanghai First Hospital was proposed by Lu Chen and created by him.


    Lu Chen''s purpose is not for the benefit of TAVR surgery, but to popularize this technology and benefit more people.


    The speed of development is already very fast.


    If it continues to expand like this, Lu Chen can''t guarantee the quality of each surgeon.


    "I told the hospital leaders all these words." Yan Wanfeng sighed, "But they can''t listen now."


    "If you insist on continuing to expand, then I will quit." Lu Chen said directly.


    "Huh?" Yan Wanfeng was taken aback for a moment, "This is absolutely impossible. Although there are more people in the team, we can still decide most of the things. If you quit completely, then TAVR surgery, what should we do here?"


    "Director, do you think that after these hospital leaders put people in, we can still call the shots?" Lu Chen asked instead, "Once there is a problem with the operation, we will be responsible in the end."


    Yan Wanfeng heard the words, lowered his head and said nothing.


    The urgency of the leaders, he understands.


    Many leaders are not from a clinical background, they are in chaos all day long, and the clinic is exhausted.


    "Oh, but, I''m not reconciled. The benefits of this TAVR operation are more than a little bit!"


    Lu Chen smiled, "I just quit the TAVR surgery team, but I didn''t say I wouldn''t have surgery."


    "Ah? What does this mean?" Yan Wanfeng asked suspiciously.


    "It''s just that I don''t participate in the team at the hospital level." Lu Chen said, "But we also train surgeons in our own department. Let''s carry out the surgery ourselves in the second area of ??our heart."


    "The amount of surgery might not be much, right?" Yan Wanfeng said.


    "The quantity is not much, but the quality is high!" Lu Chen said, "Whether it is the quality of the surgery or the quality of the patients, we must take good care of it."


    Yan Wanfeng nodded: "Okay, for now, that''s the only way to go."


    ¡­


    Next this time.


    Lu Chen really stopped participating in the TAVR surgery team.


    Jin Miao also returned to the second area of ??the heart from the catheterization lab.


    "Director, why do you ignore the TAVR team?"


    Lu Chen said helplessly: "The hospital wants to take over, but I have no choice."


    can only say that the benefits in this are too enviable.


    The surgeons in the TAVR team can basically perform the simplest TAVR surgery independently.


    The leaders of the hospital master these resources, and naturally they first meet the allocation of their close departments.


    "But most of the team members want to follow you, Director." Jin Miao whispered.


    "I''m not the one who decides their whereabouts." Lu Chen said, "Let them practice their surgical skills well, don''t rush in."


    Jin Miao could only nod silently when she heard the words.


    A week later, the TAVR surgical team was completely accepted by the hospital leadership.


    The reason why the leadership of the hospital is so bold is because the two chief doctors who went out to study TAVR surgery returned.


    They are studying in Kyoto to learn the most advanced TAVR surgical techniques.


    The leaders of the ?? Academy felt that they could lead the team independently.


    As for the follow-up TAVR team, Lu Chen no longer asked.


    The number of operations in the department has been reduced, but everyone is also more relaxed.


    Jin Miao returned to the second district in his heart and worked together with Gu Xinyue.


    Lu Chen returned to his usual leisurely time.


    However, this leisure is only on the surface.


    Although the TAVR surgical team was lost, the construction plan for the TAVR discipline must continue to be improved.


    During the ?? period, Lu Chen also received news from Yu Weiguang in Kyoto.


    His natural application for this year also failed, and he decided to go abroad for further study.


    He had just returned from studying abroad, but this time, the main reason for further study abroad was that he did not get the project fund.


    "You''re still young, don''t be in such a hurry."


    On the phone, Lu Chen said to Weiguang lightly.


    "Hey, Lu Chen, let me tell you, in the past two or three years, if you want to apply for the National Natural Science Foundation of China, you probably won''t be able to play!"


    Hearing Yu Weiguang''s words, Lu Chen asked in surprise, "Why? What happened?"


    "A certain leader is about to retire." Yu Weiguang whispered, "He wants to arrange a few more juniors in the past two years when he is retiring."


    "Is this still possible?" Lu Chen paused.


    "You don''t know about more things!" Yu Weiguang sighed, "If you really can''t apply for the past two years, it will be a waste of time. I have discussed with my American tutor, and I will go to them first. There."


    "Really sure?" Lu Chen wondered.


    "Really, my formalities have been completed." Yu Weiguang said, "I will leave in two days."


    "Good luck then."


    Lu Chen hung up the phone, not too sigh.


    The former Nan Luchen and Bei Weiguang are now silent.


    ¡­


    Packed up his mood, Lu Chen was getting ready to get off work.


    Jin Miao suddenly ran over to look for him, "Director Lu, Lao Gu and I both found it a little difficult for a new patient just now, and I want you to come and take a look."


    "Okay." Lu Chen nodded.


    Walking out of the room, he noticed the portable ultrasound machine in Jin Miao''s hand.


    "Why, do you still need to do a cardiac ultrasound?" Lu Chen wondered.


    Jin Miao quickly nodded and replied, "Director, this patient''s condition is relatively stable, but the echocardiography was performed twice before and after, and the results were different."


    Lu Chen said as he walked: "The results obtained may be different depending on the operator of the ultrasound."


    "However, the difference between the results of these two ultrasound sheets is too great!"


    After ??, Jin Miao brought Lu Chen two echocardiography sheets.


    The first out-of-hospital echocardiographic results showed that 1. The right ventricle was significantly enlarged and the right atrium was slightly enlarged. Considering congenital heart disease, atrial septal defect (central type), bidirectional shunt, mainly from right to left. 2. Moderate tricuspid regurgitation, severe pulmonary hypertension.


    After the treatment, the in-hospital echocardiography was reviewed on the third day: the size of each chamber of the heart was normal, and there was no shunt in the atrial septum!


    After reading these two reports, Lu Chen was also slightly taken aback.


    The time between the two ECGs done before and after is less than a week!


    However, in the first echocardiographic report, the patient clearly had congenital heart disease.


    However, it was time for the second echocardiographic report.


    Congenital heart disease, disappeared? !


    Lu Chen, but the second monk was puzzled.


    Even if the operators are different, there shouldn¡¯t be such a big difference!


    (end of this chapter)

 v2 Chapter 803： Both lists are correct!

    Chapter 803 Both lists are correct!


    "Could it be that the ultrasound doctor is not very skilled?" Jin Miao whispered.


    "Which hospital''s ultrasound department is not good? Our hospital or another hospital?" Lu Chen asked back.


    "This..." Jin Miao paused.


    This patient had congenital heart disease as a result of an ultrasound examination in a foreign hospital.


    However, in the inspection of this hospital, we did not see any abnormality.


    If we talk about the problem of level, it can only be said that the level of the doctors in this hospital is not good.


    But in the field of ultrasound, the level of the Ultrasound Department of Guanghai First Hospital is to lead the city, even the whole province.


    "What''s the condition of the patient?" Lu Chen continued to ask.


    Jin Miao immediately briefly described the patient''s condition.


    The patient is a female patient in her 60s.


    He was admitted to the hospital because of palpitations and shortness of breath for 2 months and aggravated for 1 week.


    Besides admission, except for the current ultrasound examination, there were no obvious abnormalities in myocardial enzymes, blood routine, liver and kidney function, thyroid function, and coagulation function.


    While talking, the two entered the ward.


    "Give me the ultrasound machine." Lu Chen said.


    Jin Miao hurriedly handed over the ultrasound machine, and then said to the patients and their families in the ward: "This is the director of our department, Lu, who came to see the patient."


    The patient''s family was amazed at Lu Chen''s age, but they still respectfully called out "Director Lu".


    Lu Chen walked to the hospital bed and said softly, "Mother-in-law, I''ll give you another ultrasound, don''t be too nervous."


    "Okay, sorry for the trouble, Director."


    Although the patient''s face was not very good, he nodded slightly.


    "You turn your side a little."


    Before performing a cardiac ultrasound, the patient is required to lie on the left side at 45 degrees, which helps to reduce the impact of lung gas on the ultrasound image.


    Jin Miao was very convinced of Lu Chen''s ultrasound technology.


    Many previous diagnoses were made by Lu Chen, who was not weaker than a professional sonographer.


    ¡­


    After half an hour.


    Lu Chen took back the ultrasound instrument.


    "Director, how is it?" Jin Miao said quickly.


    "Everything is normal." Lu Chen said lightly.


    "Huh? No congenital heart disease?" Jin Miao was taken aback.


    "No." Lu Chen shook his head, "My results are similar to the results of the patient''s examination in our hospital."


    "That''s because there is something wrong with the ultrasound results in the outer hospital!" Jin Miao said flatly.


    Since the ultrasound results of Lu Chen and this hospital are the same, the only explanation now is that the examination results of the other hospital are wrong!


    Lu Chen frowned and did not express his thoughts easily.


    "Go back to the doctor''s office first."


    Lu Chen took the ultrasound instrument and returned to the doctor''s office.


    Clinically, any abnormal performance may be a manifestation of a certain symptom.


    Jin Miao and Gu Xinyue were all sitting in front of the computer, while Lu Chen was sitting between them.


    "For the patient just now, what is your main concern at the moment?"


    As a doctor in charge of the bed, Jin Miao took the lead in saying: "The patient was admitted to the hospital with chest tightness. The physical examination found that the jugular vein was full, and a small amount of fine moist rales could be heard in both lungs. Combined with the patient''s laboratory examination, it is currently considered to be mainly heart failure. As for the cause of heart failure, coronary heart disease cannot be ruled out for the time being. Now after three days of treatment, the patient''s condition has improved a lot."


    Lu Chen nodded, then looked at Gu Xinyue beside him, "What do you think?"


    Gu Xinyue didn''t reply immediately, looked at the patient''s test sheet, and then said slowly, "First of all, I think what Dr. Jin said makes sense, but I noticed this..."


    Gu Xinyue picked out a test sheet.


    Jin Miao picked it up and looked at it, and then said: "D dimer is 6.11ug/ml, do you suspect pulmonary embolism?"


    Gu Xinyue taught Wei Wei by correspondence, "D-dimer is elevated, heart rate is too fast, there is chest tightness, and if you look at the electrocardiogram, clockwise transposition, changes in lead III, you must suspect the possibility of pulmonary embolism."


    "But heart failure patients, some people also have elevated D-dimer!" Jin Miao said.


    "I just suggested a possibility that needs to be ruled out." Gu Xinyue did not deny it.


    Jin Miao nodded, and suddenly looked at Lu Chen beside him, "Director Lu, you just asked, does it have anything to do with the patient''s abnormal cardiac ultrasound results?"


    The main contradiction of ?? patients at present is mainly the inconsistency of cardiac ultrasound.


    "Of course it does!"


    Lu Chen''s words made Jin Miao and Gu Xinyue stunned.


    "What''s the matter?" Jin Miao frowned.


    He thought about it for a long time, but still couldn''t figure out the connection between the two.


    Gu Xinyue also looked at Lu Chen with a puzzled expression.


    Lu Chen smiled slightly, "You guys say, is there a possibility that the report results of these two ultrasound examination sheets are both normal?!"


    "All...all correct?" Jin Miao couldn''t believe it.


    In just a few days, congenital heart disease is gone? been cured?


    When Gu Xinyue heard this, she opened the patient''s ultrasound sheet and continued to read.


    He knew Lu Chen very well, and it was absolutely impossible for him to say these words without purpose.


    "To put it simply, the first ultrasound order in the other hospital was done when the condition was serious." Lu Chen said slowly, "The second ultrasound order in this hospital was after treatment and remission. ."


    "However, in less than a week, the patient has not undergone interventional surgery at all. Can congenital heart disease be cured?"


    When Jin Miao saw this, he immediately raised his own question.


    If the patient has had congenital heart disease closure surgery, it can be explained.


    But the patient did not have any surgery at all during this period!


    Lu Chen didn''t speak to explain, Gu Xinyue was born suddenly.


    "I see!" Gu Xinyue''s eyes showed a hint of surprise, "Director Lu''s meaning, the patient suffered from pulmonary embolism?!"


    Lu Chen heard the words, smiled and nodded to Gu Xinyue.


    Jin Miao is even more confused. Didn''t he keep talking about congenital heart disease?


    Why did you suddenly talk about pulmonary embolism?


    Seeing Jin Miao''s puzzled expression, Gu Xinyue immediately explained excitedly: "The first checklist from the outer hospital shows the correct image. This patient has a large number of right-to-left shunts in his heart, but the real reason is not congenital. Atrial septal defect of sexual heart disease, but patent foramen ovale!"


    "What do you mean?" Jin Miao was still confused.


    Gu Xinyue continued: "Simply put, the first ultrasound report does not actually indicate congenital heart disease. The most intuitive result is that the heart has a right-to-left shunt, and the right heart pressure increases sharply."


    "Hmm." Jin Miao looked at the ultrasound results again.


    Gu Xinyue said: "However, right-to-left shunts include not only atrial septal defect types of congenital heart disease, but also patent foramen ovale!"


    From an anatomical point of view, the patent foramen ovale is in the same position as the central atrial septal defect, and echocardiography sometimes cannot completely distinguish the two!


    "I see!" Having said this, Jin Miao finally calmed down and said excitedly: "The patient''s patent foramen ovale does not usually have any symptoms, but when there is a pulmonary embolism, the pressure in the right heart increases sharply, and Causes a right-to-left shunt, which looks like a congenital heart disease, but it''s actually just a patent foramen ovale!"


    "After a few days of treatment, the patient''s pulmonary embolism gradually improved, pulmonary hypertension disappeared, the pressure in the right heart decreased, and the atrial shunt also disappeared. Therefore, the echocardiography became normal!"


    From congenital heart disease, to patent foramen ovale, to pulmonary embolism, and two abnormal ultrasound results.


    The clinical diagnosis and treatment thinking of one link has made Jinmiao more and more excited.


    This kind of epiphany is hard for outsiders to feel.


    (end of this chapter)

 v2 Chapter 804： changing landscape

    Chapter 804 The changing pattern


    "This explanation is wonderful!"


    Jin Miao looked at Lu Chen and Gu Xinyue in front of him, his face full of excitement.


    Lu Chen smiled, still very satisfied with Jin Miao''s reaction speed.


    Gu Xinyue is a bit more rational, "What I said at the moment is just conjecture, and further diagnosis is needed."


    Lu Chen nodded, "Doctor Gu is right, it''s all conjecture at the moment and needs to be confirmed."


    Having said that, in fact, Lu Chen has now been diagnosed.


    Because the system panel has popped up a prompt.


    "Congratulations, the completion of the system upgrade has increased!"


    "Congratulations, I received a thank you from Gu Xinyue!"


    "Congratulations, I received a thank you from Jinmiao!"


    Lu Chen continued: "If you want to make a further diagnosis, you need to improve esophageal ultrasound and pulmonary artery CTA."


    Ordinary cardiac ultrasound may not be able to detect a patent foramen ovale.


    Esophageal ultrasound is the gold standard for checking the patent foramen ovale.


    Pulmonary artery CTA, is to confirm whether there is pulmonary embolism.


    Even if the patient''s condition improves after treatment, if it is really pulmonary embolism, the corresponding CTA should still be able to see the filling defect.


    With Lu Chen''s opinion, Jin Miao took action immediately and began to arrange esophageal ultrasound and pulmonary artery CTA for the patient.


    Four p.m.


    All inspection results are out.


    After doing esophageal ultrasound, it was found that the patent foramen ovale in the patient''s cardiac cavity was indeed closed.


    The pulmonary artery CTA examination also found out the patient''s pulmonary embolism.


    Two tests, the patient''s condition was diagnosed at once.


    Just as Lu Chen guessed before, this is a series of changes caused by acute pulmonary embolism!


    In the second district in my heart, Jin Miao, Gu Xinyue and others, their admiration for Lu Chen has risen to a whole new level!


    Lu Chen gave another wave of thanks.


    ¡­


    Lu Chen''s work in the second district of his heart continued.


    However, everyone can clearly feel that the amount of TAVR surgery in the second area of ??the heart has been significantly reduced.


    Now, TAVR surgery can be performed independently in the first area of ??the heart, the third area of ??the heart, and the fifth area of ??the heart.


    Lu Chen''s previous TAVR team was also controlled by a chief physician who returned from his studies.


    The operations performed in the second district of the heart are all those who come to Lu Chen because of his reputation.


    Those who were hospitalized through formal channels were all sent to other departments.


    Some medical staff in the second district in their hearts were quite complaining.


    The main reason is that the number of operations is reduced, and the corresponding performance is also reduced a lot.


    But they never thought that if it wasn''t for Lu Chen''s arrival, they wouldn''t be able to get a penny for the performance of the TAVR surgery.


    Lu Chen doesn''t care about the opinions of outsiders, TAVR surgery is not his everything.


    The operation that needs him to be done, he will do his best to complete it.


    The number of surgeries has been reduced, and he is also happy to relax.


    Now relying on ordinary TAVR surgery alone, his TAVT surgery skill proficiency has increased very little.


    As for the TAVR class, it was founded by Lu Chen as the chairman.


    In recent episodes, fewer and fewer cardiologists from Guanghai First Hospital have come to participate.


    On the contrary, other hospitals in Guanghai, such as Shi Langqin''s Guanghai Center 1, Guanghai 2nd, Guanghai People''s 1st, have a large number of students coming to participate in each session.


    Lu Chen is naturally open to all who come. His current purpose is to popularize this surgical operation, and by the way, earn a wave of thanks!


    The cardiologists of Guanghai First Hospital, who can currently perform TAVR surgery, are basically in the team led by the hospital.


    They can''t come to Lu Chen''s TAVR surgery class now, and they can''t even come!


    And Lu Chen, as the top TAVR practitioner in China at present, can accept his teaching, such an opportunity is very rare.


    Although doctors from the Cardiology Department of Guanghai No. 1 Hospital will not come to participate in the TAVR class, each session is still full of students, and all of them are doctors from various hospitals.


    In addition, Lu Chen''s TAVR class can also issue TAVR intervention certificates to members who pass the assessment.


    This is also one of the powers of Lu Chen as the chairman of the Guanghai TAVR branch!


    ¡­


    TAVR classes are in full swing.


    Unconsciously, Guanghai''s TAVR field pattern is also quietly changing.


    You must know that the number of TAVR patients in the whole city, or even the whole province, cannot be eaten by one hospital in Guanghai No. 1 Hospital.


    There will definitely be a considerable number of patients diverted to other hospitals.


    Before, only Guanghai First Hospital and Central Hospital, two hospitals were able to perform TAVR surgery.


    But after Lu Chen came to Guanghai, the changes he brought here were remarkable.


    If you want to learn TAVR surgery, you no longer need to go to Kyoto or the magic capital, such a far place for further study.


    You can learn at your doorstep!


    And I learned the top technology!


    Lu Chen has been in Guanghai for less than half a year, and more than half of the top three hospitals in Guanghai have been able to independently complete the simplest TAVR surgery.


    Even some doctors in Guanghai Second Hospital and Guanghai Central Hospital can complete some difficult TAVR surgeries.


    Guanghai No. 1 Hospital is no longer the leader.


    This is rare in other regions.


    Because no matter who it is, there is a secret idea about this new technology.


    After all, the apprentice of the church, the master starved to death.


    This is the argument that Huaxia has had since ancient times.


    But on Lu Chen, there is no such worry at all.


    His self-confidence is not afraid of someone surpassing himself.


    Even he was expecting that he would be able to produce a few geniuses, not just Yu Weiguang, but to keep pace with him.


    To promote the development of Huaxia Medical, it is far from enough to rely on his personal efforts.


    ¡­


    After the last medical incident, Professor Shi Langqin of Guanghai Central Hospital has returned to the clinic.


    This time, he listened to the advice of Dean Dai Wansong and devoted himself to practicing for a long time in Lu Chen''s TAVR class.


    This effect is quite remarkable.


    Under Lu Chen''s unreserved professorship, Shi Langqin''s surgical ability improved rapidly!


    The current overall surgical capability of Guanghai Central Hospital is already comparable to that of Guanghai No. 1 Hospital, except for Lu Chen''s team, and it is even better than that!


    ¡­


    Guanghai No. 1 Hospital, four districts in the heart.


    In the director''s office.


    An attending doctor hurried into the room.


    "Director Tang, another patient was discharged and asked to go to Guanghai Central Hospital!"


    Tang Zhanwei frowned deeply, "Why?"


    As the current leader of the TAVR surgery team, he arranges most of the TAVR surgeries in Guanghai First Hospital, with the exception of the second area of ??the heart, of course.


    Tang Zhanwei thinks that after returning from his studies in Kyoto, his attainments in TAVR surgery are definitely the top in the Guanghai industry!


    Because he had observed Professor Shi Langqin''s surgical operation before his further studies, it seems that Shi Langqin''s operation can only be regarded as a normal level.


    As for Lu Chen, Tang Zhanwei knew that he was a deputy chief physician less than thirty years old.


    As for his surgical ability, Tang Zhanwei really doesn''t care.


    When he was doing interventional surgery, I guess he was playing with mud!


    Others also say that Lu Chen''s surgical ability is strong, in Tang Zhanwei''s opinion, most of them are propaganda and boasting, just like Shi Langqin of Guanghai Central Hospital.


    It''s just that he can be the chairman of the Guanghai TAVR branch without knowing the background.


    This can only make Tang Zhanwei sigh, the academic circle is so **** black!


    The attending doctor whispered back: "They all said that Professor Shi Langqin of Guanghai Central Hospital did a very good operation. It took a long time to wait for the operation in our hospital, so he left."


    "Oh, let them go if you want." Tang Zhanwei didn''t care, anyway, Guanhai No. 1 Hospital didn''t lack patients at all.


    "But Director, he is the fifth patient to leave this month!"


    (end of this chapter)

 v2 Chapter 805： Great joke!

    Chapter 805 Big joke!


    In a short period of time, a large number of patients were lost, which still had a great impact on the reputation of Guanghai First Hospital.


    Although there is no shortage of patients at present, what about in the future?


    Besides, now Tang Zhanwei is more and more able to feel the pressure brought by other hospitals.


    "Can the Central Hospital perform such a difficult operation?" Tang Zhanwei wondered.


    His impression of other hospitals is still before further education.


    Especially for Professor Shi Langqin''s level, that is quite despised.


    "Director Tang, other hospitals have advertised many times that they can perform similar difficult TAVR surgery." The attending doctor whispered.


    "Are they false propaganda? If they can''t do it by then, it will have a great impact on their overall reputation!" Tang Zhanwei said in a daze.


    The attending doctor was full of slander in his heart.


    This Director Tang is a lot worse than Director Lu Chen, but he is really defiant in his eyes!


    How can other hospitals falsely advertise, if something goes wrong during the operation, will it be a matter of human life!


    "I heard that Shi Langqin of the Central Hospital used to be on the operating table and killed someone, right?" Tang Zhanwei really mentioned this.


    "It seems...that''s what happened." The attending doctor said, "The patient was very ill at the time, and he suffered a cardiac arrest during the operation."


    "Look, this is the technical level of Guanghai Central Hospital!" Tang Zhanwei snorted coldly, "The masses have sharp eyes! Don''t worry, these patients will know how good our Guanghai First Hospital is in the future!"


    Seeing that Tang Zhanwei had said so, the attending doctor could only nod his head quickly.


    I have no idea, who said that the current Tang Zhanwei is the leader of the TAVR surgery team!


    But he despises Tang Zhanwei in his heart. This director is just staring at other people''s mistakes, and he can''t see the achievements Guanghai Central Hospital has achieved so far!


    ¡­


    Guanghai Central Hospital.


    Shi Langqin watched more and more patients come to the central hospital, and he felt so happy in his heart!


    As long as there are patients, operations can be performed, the department will benefit, and the scale will continue to expand.


    However, Shi Langqin knew very well in his heart that the development of the Cardiology Department of the Central Hospital was inseparable from Lu Chen''s selfless teaching.


    Before ??, Shi Langqin was still a little unconvinced, and Lu Chen became the chairman of this Guanghai TAVR branch.


    But now it seems that no one is more suitable than Lu Chen!


    On the weekend, it coincides with the opening of the TAVR class.


    Shi Langqin deliberately found Lu Chen.


    "Director Lu, I am also aware of your situation in Guanghai First Hospital."


    In the lounge, Shi Langqin said to him earnestly.


    "The TAVR surgery team of Guanghai No. 1 Hospital is currently in the hands of Tang Zhanwei. I know Tang Zhanwei. He has a bit of ability, but if you compare it with Director Lu, this is definitely incomparable!"


    Lu Chen smiled, "Professor Shi, you still really look down on me."


    Shi Langqin said sternly: "Director Lu, it''s not just me, it''s something everyone can see. Under your leadership, Guanghai''s TAVR surgery has developed by leaps and bounds. It is now second only to Kyoto and the Magic Capital. I believe that in the near future. In the future, it will definitely catch up with them.¡±


    "If that''s the case, that''s my wish too." Lu Chen smiled, "However, I hope that China''s TAVR surgery level can catch up with Europe and the United States."


    "There will be that day." Shi Langqin nodded slightly, then changed the topic, and said again, "Director Lu, if you are not enjoying your stay in Guanghai First Hospital, you can come to our central hospital. I can assure you that, The TAVR surgical team here is led by you alone, and I can completely take a back seat!"


    Lu Chen was stunned for a while. He didn''t expect that Professor Shi Langqin would have such audacity to directly dig the ground and be willing to give up such a big cake as TAVR.


    However, Lu Chen shook his head and refused, "Professor Shi, it''s not the difference between which hospital I''m in, but my own identity. I''ve just come to Guanghai now, although I''m appreciated by the leaders, but it really touches the high-level interests. At the time, I was alone, with almost no backstage."


    "So, no matter where I am, as long as my identity doesn''t change, it''s impossible for me to really manage the entire TAVR surgical team."


    Shi Langqin hurriedly said: "Director Lu, as long as you are willing to come to the Central Hospital, I will convince the hospital leaders that I have something to do with this!"


    Lu Chen waved his hand, "Thank you Professor Shi for your kindness. It''s not that I don''t do TAVR surgery anymore, but I''m developing in the direction of high-quality surgery. This month, there are not many TAVR surgeries in the second area of ??our heart, but every one of them is It is a difficult and critically ill patient.¡±


    "Pull out each patient, this is a medical record that can be used as a model!"


    This is also Lu Chen''s confidence.


    What he gave up was just ordinary TAVR surgery and the benefits it brought.


    But the truly sophisticated TAVR surgery is still being carried out in the second area of ??the heart, even far ahead of other hospitals and departments.


    On the other hand, what Lu Chen is most concerned about is not whether he can lead a certain TAVR surgical team, but whether he can promote the further development of Huaxia''s TAVR field!


    Compared to this, it doesn¡¯t matter if you do a few more surgeries.


    "Director Lu, it was me who was abrupt." Shi Langqin sank and immediately thought of the powerful relationship.


    Lu Chen is too young and has a long history. Everything he enjoys now is an honor and a burden to him.


    As the saying goes, the wood is beautiful in the forest, and the wind will destroy it.


    Lu Chen''s excellence has already harmed the interests of some authorities.


    "Director Lu, if you have anything in the future, please call me at any time. As long as I can handle it, I will never refuse!" Shi Langqin said solemnly.


    After getting along these days, Shi Langqin could really feel Lu Chen''s selflessness.


    Being able to teach your top technology to others is something that few people can do.


    "Thank you, Professor Shi." Lu Chen also responded.


    ¡­


    Lu Chen works in the Cardiology Department of Guanghai First Hospital as usual.


    In addition to his clinical work, he is now waiting for an opportunity to re-apply for the Shanghai Natural Science Program to further promote the development of the TAVR surgery program in China.


    Office of the Director.


    Yan Wanfeng frowned and looked at Lu Chen in front of him.


    "Lu Chen, the leader of the school just wanted to ask you, can''t the TAVR class be temporarily suspended?"


    "Suspend the study class? Why?" Lu Chen was puzzled. "Take ten thousand steps back, this study class was founded by me as the chairman of the TAVR branch. Can the school leaders interfere?"


    "That''s it." Yan Wanfeng slowed down, "What the leader of the hospital means, your TAVR class may affect the interests of our hospital."


    "Huh?" Lu Chen raised his brows, "Director Yan, what do you say?"


    "To put it bluntly, the hospital leaders feel that your TAVR class has taught doctors from other hospitals." Yan Wanfeng said slowly, "Our own hospital doctors have no advantage!"


    When Lu Chen heard this, it was as if he had heard a big joke, and he couldn''t help laughing out loud.


    (end of this chapter)

 v2 Chapter 806： buildable material

    Chapter 806 Materials that can be made


    "Director Yan, according to the leader''s wishes, the study classes I set up let doctors in other hospitals learn the technology? But our own doctors don''t pay attention to it, so they fall behind?" Lu Chen laughed out loud.


    "This..." Yan Wanfeng was at a loss for words.


    "Doctors from other hospitals can come to participate in the class. Did I stop the doctors from the Cardiology Department of Guanghai First Hospital?" Lu Chen asked softly.


    Yan Wanfeng was silent.


    On the surface, it was indeed Lu Chen''s TAVR class that improved the level of other hospitals in Guanghai.


    On the contrary, the doctors in this hospital have no advantage.


    But in essence, the hospital doesn''t pay attention to it as a whole, and doctors in this hospital cannot participate in Lu Chen''s study class at all.


    After a long while, Yan Wanfeng said solemnly: "Lu Chen, the leader of the hospital means that you should set up a study class in the hospital. As for the local area of ??Guanghai, that''s fine, let''s remove it!"


    Lu Chen smiled, "Director Yan, please tell the leadership of the hospital that there is a doctor in this hospital who came to me to ask questions. I can do it without saying anything. As for me removing Guanghai''s TAVR, Study class, sorry, I can''t do it!"


    Lu Chen''s words were very firm.


    When Yan Wanfeng heard the words, he gave a wry smile, "Oh, I knew this would be the result. I went to observe several sessions of your TAVR class, and the content was really good, and I could learn a lot. I''m short-sighted, and I can''t do anything about it!"


    Lu Chen said sternly: "Director Yan, I won''t let you embarrass. The TAVR class is held at the Huaxia TAVR branch level, and the hospital has no right to interfere. You directly put the responsibility on the TAVR branch, and the hospital leaders will not take you. Is there any way."


    Yan Wanfeng sighed.


    "Hey, Lu Chen, that''s true, but after all, the leader of the hospital is holding on to you this time!"


    An unknown fire also rose in Lu Chen''s heart.


    Originally, Guanghai First Hospital gave him such generous treatment, and even three years later he was promoted to chief physician, and he was very grateful to Guanghai First Hospital.


    But now, things have developed beyond his imagination.


    In other words, he is developing too fast and has touched the interests of the top.


    If he was like Xu Shan who came to the talent apartment at that time, and did scientific research in a normal manner, maybe there would not be so many things now.


    "Director Yan, I want to ask, which academy leader is not dealing with me?" Lu Chen asked softly.


    Yan Wanfeng''s tone was stagnant, and he said slowly: "The head of our Guanghai First Hospital, Dean Sun Zhizhang, he was born in the Department of Cardiology, and many students are in various wards in our hearts, and they are inextricably linked with us. "


    "Then the relationship between him and Dean Zhang Dewen..." Lu Chen said again.


    Zhang Dewen was the vice president of Guanghai No. 1 Hospital, and he was also the president who pushed him to come to Guanghai No. 1 Hospital at that time.


    On the first day of coming to Guanghai First Hospital, Lu Chen met with Dean Zhang Dewen.


    It can be said that Lu Chen''s support behind Guanghai First Hospital is Vice President Zhang Dewen and Honorary President Ouyang Ming.


    However, Ou Yangming was the honorary dean and did not have much real power.


    "Well, it''s a long story, so let me just say a few words. During the last change of dean, everyone thought it was Dean Zhang Dewen." Yan Wanfeng shook his head slightly and said a word, and then he didn''t say anything more.


    "Thank you, Director Yan, I understand." Lu Chen understood.


    The relationship behind this is intricate and complicated. No wonder President Sun Zhizhang always comes to target him. It turns out that there is such a relationship behind the scenes.


    "Lu Chen, relax, don''t think too much." Yan Wanfeng patted Lu Chen''s shoulder lightly, "Work hard, I''ll take care of the rest for you."


    Lu Chen nodded gratefully, but he knew that this matter could not be solved by a newly promoted department director.


    The success or failure behind this actually mainly depends on the game between Zhang Dewen and Sun Zhizhang!


    Lu Chen understands the truth, but doesn''t want to worry about it.


    For him now, just do his own thing.


    ¡­


    Guanghai First Hospital, Cardiology Catheterization Laboratory.


    "Director Tang, the patient has been sent down." A resident pushed the surgery patient down.


    Tang Zhanwei nodded, and while wearing a lead coat, he said, "Have you done the patient''s preoperative valve CT?"


    "I did," said the resident physician.


    "Okay, get ready for surgery!"


    Tang Zhanwei gave an order, and everyone began to act.


    Someone pushed the patient into the cath lab, and someone started to prepare preoperative instruments.


    The young training doctor began to perform operations such as disinfection and drape on the patient.


    Tang Zhanwei brought the doctor in his group, who was also his assistant, to the operating table.


    "Director Tang, can I get started with this patient today?" Wang Qingfeng whispered to Tang Zhanwei.


    Wang Qingfeng happens to be Tang Zhanwei''s surgical assistant now.


    Tang Zhanwei is reviewing the patient''s preoperative examination, including a series of imaging results such as ultrasound and CT.


    "Qingfeng, it''s not long since you switched from coronary artery to TAVR?" Tang Zhanwei said.


    "It''s been less than half a year, but I have followed many surgeries and obtained certificates." Wang Qingfeng listened to Tang Zhanwei''s meaning and felt that there was drama, so he continued, "I have followed a lot of first and second assistants, Director, you have a look¡­¡­"


    Wang Qing looked at Tang Zhanwei with a plump face.


    From assistant to chief knife, the leap is huge.


    Everything is difficult at the beginning. If he can successfully complete a main surgery, then he will officially enter the field of TAVR surgery.


    "Okay." After reading the patient''s preoperative examination, Tang Zhanwei felt that the patient''s difficulty was not high, and he belonged to the relatively ordinary kind. "You can get started. If you have any questions, let me know in time, and I will take over for you."


    "Okay, thank you Director!" Wang Qingfeng laughed quite happily, thinking that after the operation, he would inevitably give Director Tang a generous gift!


    Before ??, Wang Qingfeng wanted to curry favor with Lu Chen.


    But now that Lu Chen lost power, he turned to Tang Zhanwei.


    ¡­


    Surgery officially started.


    Wang Qingfeng concentrated his attention and began to perform vascular puncture.


    "The patient''s vascular access is a bit twisted, and it''s not easy to operate." Tang Zhanwei watched from the side. As a superior doctor, he wanted to prevent any accidents from happening.


    Wang Qingfeng smiled.


    This is what he heard from Lu Chen when he attended Lu Chen''s TAVR class.


    In this case, a second super-stiff guide wire can be placed to the aortic root to help straighten the twisted blood vessels and increase the permeability of the valve.


    Tang Zhanwei looked surprised at Wang Qingfeng''s operation.


    "You''re not bad boy, you know this technique."


    Wang Qingfeng smiled, didn''t say much, and continued to operate.


    "This patient''s valve is young and has heavy calcification. What method do you want to use?" Tang Zhanwei intends to investigate Wang Qingfeng.


    Wang Qingfeng thought about it, and by coincidence, he also studied in Lu Chen''s TAVR, and said, "You can use a large balloon to fully expand to increase the valve permeability!"


    At this moment, Tang Zhanwei was completely impressed by Wang Qingfeng.


    This is a buildable material!


    (end of this chapter)

 v2 Chapter 807： Paravalvular leak!

    Chapter 807 Peripheral leak!


    Guanghai First Hospital, Cardiology Catheterization Laboratory.


    Wang Qingfeng''s first TAVR surgery in his life is in progress.


    Puncture, catheter entry, and valve push, Wang Qingfeng has done it well.


    Of course, all of this is due to Wang Qingfeng''s several sessions in the TAVR class.


    Let him grow rapidly from a TAVR novice to where he is now.


    When the artificial valve was stably implanted in the patient, Wang Qingfeng breathed a sigh of relief and was overjoyed.


    The successful completion of this operation marks that he will officially become a TAVR surgeon from now on.


    Next, papers, scientific research, and funds came in one after another.


    Wang Qingfeng even thought of the picture after he became famous.


    ¡­


    aside, Tang Zhanwei nodded in satisfaction.


    In front of the attending doctor named Wang Qingfeng, all the techniques and operations are quite good.


    If it can be cultivated well, it will definitely be an important member of the surgical team in the future.


    "Xiao Wang, it''s well done!" Tang Zhanwei nodded to Wang Qingfeng with a smile, "After the valve is delivered, I will do a post-operative ultrasound. If there is no problem, you can step down."


    "OK."


    Wang Qingfeng immediately rushed to push the cardiac ultrasound machine.


    In a successful TAVR operation, the flow rate, size, and pressure of the valve opening will change significantly before and after the operation.


    Through the examination and evaluation of cardiac ultrasound, we can preliminarily judge whether the operation is successful or not.


    Tang Zhanwei picked up the surgical probe, put on the couplant, and began to perform the final cardiac ultrasound examination on the patient on the hospital bed.


    However, when the ultrasound probe was placed on the patient''s heart, Tang Zhanwei felt something was wrong just after a few glances.


    The images after self-expanding valve implantation show that due to the high implantation position of the valve, it completely exceeds the valve annulus structure, causing the aortic blood to flow back into the heart chamber through the lower edge of the valve!


    "The position of the valve is a little too high!"


    Tang Zhanwei said solemnly.


    "Ah? Tall... Tall?" Wang Qingfeng looked confused, "No, I was very neat just now, definitely not tall!"


    "Xiao Wang, take a closer look yourself, the interventional valve does not fit the native aortic root completely!" Tang Zhanwei pointed to the image.


    Wang Qingfeng watched intently.


    Sure enough, an anomaly was found.


    Because of the high position of the valve, it is not tightly combined with the aortic root.


    "Director, what can I do about this..." Wang Qingfeng asked nervously, "Can it be repaired?"


    Tang Zhanwei had a serious expression and said solemnly, "I just checked it with an ultrasound, it should be a paravalvular leak!"


    Paravalvular leakage, that is, the valve is not fully attached, resulting in blood regurgitation around, and a large amount of regurgitation will seriously affect the prognosis of the patient.


    "The flap...the flap around the flap?" Wang Qingfeng heard the words, his face was bloodless.


    Paravalvular leak, one of the most serious complications of TAVR surgery.


    This kind of problem occurred in the first operation, then his future operation path...


    "The patient''s hemodynamics are relatively stable, and an aortic root angiography is temporarily performed to assess the regurgitation flow of paravalvular leakage." Tang Zhanwei immediately took remedial measures, "If it is only a small amount of regurgitation, that''s fine, we can temporarily not deal with it. ...if it''s medium to large..."


    Tang Zhanwei didn''t say anything, but Wang Qingfeng already understood.


    If there is a moderate to large amount of regurgitation, the next troubles are inevitable!


    ¡­


    Active root angiography is a relatively simple operation.


    Tang Zhanwei completed the angiography immediately, and the angiographic image projection visualized the proximal aorta and the entire left ventricle.


    "Not very good, this is at least moderate reflux!" Tang Zhanwei said slowly.


    The result of ?? angiography immediately sentenced Wang Qingfeng to "death penalty".


    Wang Qingfeng stared blankly at the result in front of him, in a trance and self-blame.


    Tang Zhanwei glanced at Wang Qingfeng, "If you are still immersed in self-blame and unable to complete the next operation, then step down, call Yang Shuang over and ask him to assist the stage."


    Wang Qingfeng recovered this time and immediately stood beside Tang Zhanwei.


    Because of the poor valve position, Tang Zhanwei chose to use the trap to pull the valve.


    "Xiao Wang, if you can use the catcher to lower the valve position, it is possible to save your operation." Tang Zhanwei said slowly beside him.


    "Director, thank you, I''ll trouble you next." Wang Qingfeng stood beside Tang Zhanwei, staring nervously at his operation.


    Tang Zhanwei took a deep breath.


    When he was studying in Kyoto, he also encountered this situation at that time. In the end, the surgeon successfully saved the operation with a trap.


    Recalling the operation in his memory, Tang Zhanwei slowly pushed the catcher and began to try to adjust the position of the valve.


    ¡­


    Ten minutes passed in a flash.


    Tang Zhanwei''s forehead was already sweating.


    This kind of delicate work is difficult to grasp. Once something goes wrong, it is likely to affect the blood vessels.


    "No way!" Tang Zhanwei finally stopped his movements, "It is difficult for the catcher to adjust the patient''s valve position."


    "This... how can I do this?" Wang Qingfeng was extremely anxious, "Will you be transferred to surgery to open the chest?"


    "This patient came for TAVR surgery because he couldn''t tolerate thoracotomy. Now let him have his chest opened?" Tang Zhanwei frowned and was very dissatisfied with Wang Qingfeng''s opinion.


    Wang Qingfeng lowered his head and remained silent.


    "There is another way, after balloon expansion."


    Tang Zhanwei said slowly.


    However, he has no confidence at all now.


    Post-balloon expansion is mainly used for patients with valve insufficiency.


    But for the patients on stage, paravalvular leakage is mainly caused by the position of the valve being too high.


    But now there is no other way, I can only try it.


    Tang Zhanwei pushed in the balloon and slowly expanded the balloon, trying to see if the valve could be adjusted to the correct position.


    ¡­


    Ten minutes passed.


    Tang Zhanwei tried balloon dilation, but the paravalvular leakage was still not resolved.


    If you stop the operation like this, it can only be regarded as a failed operation!


    Once the family members of the patients are held accountable, Guanghai First Hospital will definitely have a great responsibility.


    "Little Wang, hurry up and invite the Director Zuo of the first district in your heart!" Tang Zhanwei said solemnly, "Let him come and think of a way!"


    "Okay!" Wang Qingfeng nodded, but he was full of slander in his heart.


    Zuo Yaoqun in the first area of ??his heart has only had TAVR surgery for a few months?


    invite him over for wool?


    However, Tang Zhanwei''s order, Wang Qingfeng could only execute silently.


    He walked out of the catheterization room and called the left director of the first district of the heart.


    On the phone, Wang Qingfeng briefly explained the situation and invited Zuo Yaoqun to come to the consultation.


    hung up the phone, and Wang Qingfeng was going back to the catheterization room.


    As soon as he reached the door, he stopped, took out his mobile phone, opened the address book, and stopped on a strange yet familiar phone.


    Wang Qingfeng gritted his teeth, but summoned up his courage and made the call.


    (end of this chapter)

 v2 Chapter 808： Flap within flap!

    Chapter 808 The petals within the petals!


    The director of the first district in my heart, Zuo Yaoqun came soon.


    Looking at the patient in front of him, his expression was solemn, and at the same time he muttered in his heart: "You, Tang Zhanwei, can''t handle this kind of patient, what''s the use of looking for me?!"


    However, Zuo Yaoqun still looked dignified on the surface, and said slowly: "Old Tang, there is a problem with this patient''s valve intervention, it is more difficult!"


    "It is paravalvular leakage, one of the more serious complications of TAVR surgery!" said Tang Zhanwei.


    "Yeah, I know." Zuo Yaoqun nodded in agreement, in fact he didn''t know what it meant at all, "Old Tang, there''s nothing I can do here, how about you?"


    Tang Zhanwei frowned deeply.


    He came to Zuo Yaoqun, not to let him solve the problem, but to find someone to wash away his responsibilities.


    "Director Zuo, you are familiar with President Sun Zhizhang. He is in charge of the TAVR surgical team..." Tang Zhanwei said slowly, "Today''s operation is performed by Dr. Wang Qingfeng, not me. Of course, but I am the superior. Physicians also have certain responsibilities."


    After finishing speaking, Tang Zhanwei also glanced at Wang Qingfeng outside the catheter room.


    Hearing this, Zuo Yaoqun knew Tang Zhanwei''s plan.


    asked him to come here, it turned out to be here to "convict" Wang Qingfeng.


    "Director Tang, is it too early to share the responsibilities now?" Zuo Yaoqun said solemnly, "This patient really has no way to solve it!"


    This matter, he does not know the cause and effect.


    Being pulled over by Tang Zhanwei in such a daze, it is better to be cautious.


    Tang Zhanwei shook his head.


    "Director Zuo, I have tried all the methods."


    "There is no way to solve the patient''s paravalvular leakage, including balloon dilation, trap adjustment and other methods."


    "These are Huaxia''s latest processing methods! These are useless, basically there is no other way."


    Tang Zhanwei stared at Zuo Yaoqun closely.


    He was testing Zuo Yaoqun''s idea.


    In the final analysis, although the chief surgeon of this patient is Wang Qingfeng, as a superior instructing doctor, he has to bear a lot of responsibilities!


    Now, it''s up to the hospital leaders to convict them.


    but.


    Zuo Yaoqun is also an old fox.


    Although Wang Qingfeng is only a small doctor, if he doesn''t do this well, it will probably chill the hearts of their lower-level doctors.


    Seeing that Zuo Yaoqun didn''t speak, Tang Zhanwei continued: "In the future, this opportunity for the main surgeon''s surgery should still be carefully reviewed. This time, I rashly entered."


    Zuo Yaoqun frowned slightly.


    This soup Zhanwei has good business ability, but the heart of this non-stick pan is too strong.


    If you want to get rid of yourself, how is it possible?


    ¡­


    Conduit outdoor.


    Wang Qingfeng didn''t know that he had been sold by Tang Zhanwei.


    He sat on the seat in front of the catheterization lab and kept looking towards the door.


    Finally, that person appeared!


    Lu Chen received a call from Wang Qingfeng just after he had done a big round in the department.


    As soon as he heard that there was a problem with the operation, or a relatively serious "paravalvular leakage", he immediately rushed over.


    Although he and this Tang Zhanwei are not the same, after all, others directly robbed his TAVR surgical team, but it is impossible for Lu Chen to ignore the vital interests of the patient.


    Seeing Lu Chen walk in, Wang Qingfeng hurriedly greeted him.


    "Director Lu! You are finally here!"


    At the most critical moment, what Wang Qingfeng thought of was not someone else, but Lu Chen!


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


    "For a TAVR patient, the procedure went well, but there was a paravalvular leak after the operation." Wang Qingfeng said quickly, "Director Tang tried many methods, but nothing was resolved."


    "Perivalvular leakage?" Lu Chen looked startled, "You guys are so unlucky, can you encounter such a complication?"


    "This, Director... I am the chief knife." Wang Qingfeng whispered, "It should be my mistake."


    Lu Chen raised his brows.


    Wang Qingfeng and he came to Guanghai No.1 Hospital at the same time.


    Even if Wang Qingfeng has the foundation of coronary intervention, the time to transfer to TAVR surgery is still very short!


    Tang Zhanwei was so relieved that he let Wang Qingfeng perform the surgery?


    "Director, I won''t do it lightly in the future." Wang Qingfeng bowed his head. He knew that his mistake might cause lifelong harm to the patient.


    Lu Chen was stunned for a moment, then patted Wang Qingfeng on the shoulder, "Complications are not all caused by the surgeon, even the smallest appendicitis operation may cause problems. Let''s go, lead the way, and have a look. Patients, let¡¯s solve the problem first and then talk about the next thing.¡±


    "Yes." Wang Qingfeng heard the words and immediately brought Lu Chen to the catheterization room.


    Catheter room.


    Tang Zhanwei and Zuo Yaoqun both saw Lu Chen.


    "Why is he here?" Tang Zhanwei was quite puzzled.


    Is it to see his jokes?


    On the side, Zuo Yaoqun smiled, "Alright, let Director Lu help look at the patient, maybe there is a way."


    Although Lu Chen occupies the position of the deputy director of the second district in his heart, he is low-key and never gets into trouble with others. This time he even voluntarily gave up the TAVR surgery team.


    This gave Zuo Yaoqun a lot of goodwill towards Lu Chen.


    "Just him?" Tang Zhanwei was disdainful and muttered to himself, "A young man under thirty is not qualified to stand here at all."


    Zuo Yaoqun immediately greeted him and said with a smile, "Director Lu, it''s just in time for you to come, come and see this patient."


    "Director Zuo is also there." Lu Chen was startled.


    Zuo Yaoqun is very concerned about TAVR surgery, after all, the benefits are not low, but he rarely comes to the catheterization lab to observe and participate in the surgery in person.


    What kind of wind blows him here today?


    "Director Tang asked me to come and see the patient." Zuo Yaoqun smiled helplessly, "You said I''d be fine for coronary intervention, but I really can''t do this TAVR."


    "Director Zuo, you are too modest." Lu Chen smiled.


    "Oh, don''t talk about me anymore, hurry up and see the patient." Zuo Yaoqun waved his hand quickly.


    On the side, Wang Qingfeng has taken out all the patient''s medical records, and put the ultrasound image and aortogram just now in front of his eyes.


    Tang Zhanwei stood beside Zuo Yaoqun without saying a word


    He wanted to see what the so-called "Director Lu" had.


    ¡­


    Lu Chen checked the patient''s medical records.


    "It is indeed paravalvular leakage! This is one of the serious complications after TAVR, which has an impact on the long-term prognosis and survival rate of patients."


    "Yes, we all know it''s a paravalvular leak, so what should we do?" Tang Zhanwei asked aside.


    "Director Tang, I just read the operation record." Lu Chen looked at Tang Zhanwei, "Your rescue operation is very good, the balloon dilation and the use of the catcher are all in place."


    Hearing Lu Chen complimenting himself, Tang Zhanwei felt a little smug in his heart, but still shook his head.


    "But the problem hasn''t been solved yet, should I send the patient to Kyoto or the Magic Capital to try it out?"


    Transferring hospital means admitting the failure of the operation.


    Moreover, when such high-risk patients are transferred, no one can bear the risks on the way.


    For a while, both Wang Qingfeng and Zuo Yaoqun were a little discouraged.


    Could it be that even Director Lu Chen has nothing to do?


    At this moment, Lu Chen said with a chuckle, "But, Director Tang, you seem to have forgotten that there is a remedy."


    Tang Zhanwei''s expression froze.


    Wang Qingfeng and Zuo Yaoqun also looked at Lu Chen.


    Just listen to Lu Chen slowly spit out three words: "The petals are in the petals!"


    (end of this chapter)

 v2 Chapter 809： Received thanks from Tang Zhanwei!

    Chapter 809 Received thanks from Tang Zhanwei!


    "A flap within a flap?"


    When Lu Chen blurted out, the three people present were stunned.


    Wang Qingfeng and Zuo Yaoqun didn''t even know what this "lobe-in-lobe" was.


    But Tang Zhanwei widened his eyes in shock.


    Valve-in-valve, which is indeed one of the most effective ways to treat paravalvular leaks.


    Paravalvular leaks are rescued by implanting a second valve.


    However, Tang Zhanwei does not know this technique!


    Even if it is placed in the whole of China, few people know it!


    Therefore, Tang Zhanwei directly ignored this method.


    But the man in front of him, who was under thirty years old, came with his mouth open.


    "You said it lightly, would you implant a valve within a valve?" Tang Zhanwei snorted coldly.


    Lu Chen didn''t answer his question directly, but turned to Wang Qingfeng and said, "In any case, we must first communicate with the patient''s family about what happened during the operation, they have the right to know, and then obtain their consent. , perform valve-in-valve surgery.¡±


    "Okay!" Wang Qingfeng nodded hurriedly as if he had grabbed the life-saving straw.


    Wang Qingfeng glanced at Director Zuo Yaoqun, and when he saw that he nodded slightly, he immediately walked out of the catheterization room, preparing to find the patient''s family for communication.


    "Lu Chen, now is not the time to be joking. If you are brave, the losses may be even greater!" Tang Zhanwei frowned.


    Lu Chen looked back at Tang Zhanwei and said slowly, "Director Tang, haven''t you seen my published paper on TAVR?"


    "I don''t have the spare time to read your published papers."


    Tang Zhanwei put his hands on his shoulders and his expression was very cold.


    "No wonder." Lu Chen smiled, "In a TAVR paper I published last year, combined with all the previous surgeries, I explained in detail the complications of surgery, including the solution to paravalvular leakage."


    Tang Zhanwei was slightly surprised.


    Last year''s paper?


    This kid in front of him can take the TAVR paper seriously, it''s really not easy.


    However, what water journal is it estimated to be?


    Because Tang Zhanwei has read most of the TAVR papers in China, he has not seen any papers published by Lu Chen.


    "I''m sorry, I really haven''t seen the paper you posted." Tang Zhanwei said disdainfully, "I remember a relatively complete domestic paper on the complications of TAVR surgery, which seems to have been published by Dean Dai Wansong in the Huaxia series. on the special issue.¡±


    Lu Chen smiled, Dean Dai Wansong was familiar with him!


    Moreover, he is more familiar with the paper published by Dean Dai Wansong!


    "That should be my embarrassment." Lu Chen touched his nose, "Because President Dai Wansong''s paper is actually a translation of an English document I published in a top journal."


    The voice of ?? just fell.


    Not only Tang Zhanwei was shocked, but even Zuo Yaoqun on the side was shocked.


    Zuo Yaoqun knew that this young man, Lu Chen, had some abilities, but who would have thought that all his papers were quoted and translated by Dean Dai Wansong of the Magic Capital?


    Tang Zhanwei''s chest kept rising and falling, showing his inner restlessness.


    He stared at Lu Chen in front of him, wanting to see a hint of timidity in his eyes.


    But unfortunately, Lu Chen''s eyes are calm and confident.


    "Lu Chen, that means you can do this surgery?" Zuo Yaoqun paused.


    "Of course." Lu Chen nodded lightly.


    "That''s great!"


    If this patient can be solved smoothly, then Guanghai First Hospital can also get rid of a big trouble.


    Don''t look at everyone''s bumps and bumps, but everyone is a whole, one is prosperous and one is lost.


    ¡­


    At this moment, Wang Qingfeng came back from the doctor-patient communication room.


    "Director Lu, the patient''s family agreed to do valve-in-valve."


    Wang Qingfeng''s eyes revealed a hint of joy for the rest of his life.


    Although the attitude of the patient''s family members is not very good, they can understand the complications of surgery.


    "Okay, let''s not talk too much." Lu Chen immediately said, "Change into the surgical gown and come on stage with me!"


    This sentence, Lu Chen said to Wang Qingfeng.


    Wang Qingfeng heard the words, quickly followed behind Lu Chen, put on a surgical gown, and walked into the catheterization room.


    Conduit outdoor.


    Zuo Yaoqun and Tang Zhanwei did not leave, but watched Lu Chen''s operations intently.


    "Director Zuo, do you think Lu Chen can really do this surgery?"


    The soup took a seat and said slowly.


    "Hehe, I haven''t been with Director Lu for a long time, but I know he''s not a big talker." Zuo Yaoqun said, "Since he said he can do it, I think he should be able to do it."


    "Hehe, Director Zuo really trusts him." Tang Zhanwei pouted.


    "It''s not a question of trust or not." Zuo Yaoqun said, "Before you returned to Guanghai First Hospital, the TAVR operation in our Cardiology Department was supported by Director Lu alone. I haven''t heard of anything going wrong at all, but it''s not like this..."


    Tang Zhanwei''s face was a little ugly when he heard the words.


    This Zuo Yaoqun is sneering at him openly and secretly, and he is really a difficult character.


    The Department of Cardiology is a large department in the hospital, with many wards and hundreds of medical staff. The relationship among them is complicated, but it is far less harmonious than outsiders imagine.


    At this time, Lu Chen and Wang Qingfeng were already seated.


    Wang Qingfeng was very energetic, ready to make up for his mistakes.


    "The first and most important step in implanting a flap-in-flap is positioning!" Lu Chen entered the operation state, and his temperament became extremely serious, "As long as the positioning can be successful, in fact, the flap-in-flap implantation will be successful. It''s half done!"


    "Director Lu, how do you position it?" Wang Qingfeng asked in coordination.


    While operating, Lu Chen explained: "First, perform angiography of the aortic root to find the standard position of the original valve, clarify the position of the first valve, and combine the standard position of the sinus floor to use the mark point of the valve itself or the special structure of the valve. Mark the release site of the second valve for release¡­¡±


    Speaking of which, the principle is quite simple.


    But wanting to mark the position of the second valve is not just talking about it.


    Lu Chen concentrated his attention and, with the help of Wang Qingfeng, began to find the best position for the second valve from the standard position of the sinus floor, the mark point, and the special structure of the valve.


    This is the last chance for patients!


    If the valve-in-valve is not successful, not only the operation failed, but the entire Guanghai First Hospital may face complaints and compensation from patients and their families.


    The most serious thing is that the patient''s future prognosis and quality of life will become quite poor!


    "Go out! No, go in some more!"


    "Go deeper into the catheter and find the mark."


    "Okay, here it is!"


    ¡­


    After half an hour of surgery, Lu Chen finally found the location of the second valve release.


    He slowly pushed in the second valve, which was firmly implanted in the first valve.


    After the operation, Lu Chen did not relax immediately, but pushed in the cardiac ultrasound machine.


    When the ultrasound instrument shows that the valve-in-valve position is good, and the pressure and flow rate of the valve twice are significantly improved compared with the previous ones.


    Lu Chen was really relieved, the valve-in-valve surgery was a success!


    The ?? system panel immediately popped up a prompt.


    "Congratulations, +1 for receiving thanks from Wang Qingfeng!"


    "Congratulations, +5 for the thank you from Zuo Yaoqun!"


    The ?? system seemed to pause for a while, and then another prompt popped up.


    "Congratulations, you received +5 thanks from Tang Zhanwei!"


    (end of this chapter)

 v2 Chapter 810： Move to the other side?

    Chapter 810 Move to the opposite side?


    Lu Chen looked outside the catheter room, Tang Zhanwei and Zuo Yaoqun were still standing there.


    Tang Zhanwei didn''t have any expression on his face, but Lu Chen smiled and turned to Wang Qingfeng and said, "The surgery is over, you can take care of the aftermath. I''ll go out first."


    "Okay, Director Lu." At this moment, Wang Qingfeng''s heart was finally put down.


    If this patient ends the operation with "paravalvular leakage", then his surgical road can be said to be really over!


    Get out of the cath lab.


    Lu Chen took off his surgical gown and lead coat.


    "Director Lu, you are amazing!" Zuo Yaoqun gave a thumbs up.


    Although he does not know TAVR surgery, it does not hinder his judgment.


    Lu Chen''s flap-in-hand surgery is truly astounding.


    Tang Zhanwei stood aside with an unpredictable expression, no one knew what he was thinking.


    "Director Zuo, you have won the prize." Lu Chen said, "If there is nothing else, I will go first, Corey still has a lot of things to do."


    "Okay, I''ll go with you."


    After saying that, Zuo Yaoqun left with Lu Chen, leaving only Tang Zhanwei at the door of the catheterization room, and Wang Qingfeng in the operation room.


    ¡­


    Leave the cath lab.


    Lu Chen and Zuo Yaoqun took the elevator together and returned to the ward upstairs.


    "Director Lu, I think you should compromise. I believe the hospital leaders can see your surgical talent."


    After today''s surgery, Zuo Yaoqun couldn''t help but remind, "This TAVR surgical team is still more secure in your hands! I''m not saying that Director Tang is not good, his surgical ability is also good."


    Lu Chen shook his head slightly when he heard the words: "Director Zuo, you also saw it today. If you blindly carry out surgical expansion, if you don''t strictly check the qualifications of the surgeons, and just let the lower-level doctors perform the surgery, sooner or later, bigger problems will arise."


    Lu Chen always felt that doctors should have a heart of awe.


    Treat any disease with caution.


    Doctors can make mistakes, but more often, patients cannot bear the harm caused by your mistakes.


    A doctor who loses his awe will sooner or later cause more trouble.


    "You are right." Zuo Yaoqun nodded.


    His clinical experience is much richer than clinical, and he naturally understands the reasoning.


    "However, with your current surgical ability, Director Lu, you will sooner or later be able to make a breakthrough, so you are not in a hurry." Zuo Yaoqun said, "In the next period of time, accumulate yourself well. This accumulation is not only about medical skills. , there are many things that have nothing to do with technology, you also have to accumulate experience."


    "Thank you Director Zuo for your teaching." Lu Chen smiled.


    Although he didn''t have much contact with Zuo Yaoqun, even before, he was quite critical of himself for being the deputy director of the department, but today he can say these words to himself, and he can also see Zuo Yaoqun''s atmosphere.


    ¡­


    Back to the second area of ??the heart.


    Lu Chen returned to his deputy director''s office.


    He also thought of many things.


    In Guanghai No. 1 Courtyard, there are enough things he can get.


    Deputy Chief Physician, Deputy Director of the Department, Chairman of the TAVR Branch, if you name any title, it is a rare occurrence among your peers.


    No matter how good he is now, it is impossible for Guanghai First Hospital or any other hospital to make Lu Chen go further.


    In the future, what Lu Chen needs to do, just as Zuo Yaoqun said, slowly accumulate himself, lie dormant, and wait for the final explosion!


    Just like Yu Weiguang''s choice, he went abroad to continue his studies.


    Lu Chen has no such idea of ??going abroad for the time being.


    Staying in Huaxia, he hopes he can do more.


    ¡­


    After the event of "paravalvular leak".


    The expansion of TAVR surgery in Guanghai First Hospital has gradually slowed down.


    In the next long period of time, no new doctor was allowed to perform the main operation.


    Tang Zhanwei also slowly began to face Lu Chen''s existence, and began to slowly collect Lu Chen''s information.


    This collection is incredible!


    When ?? Lu Chen''s thesis and surgical materials were placed in front of Tang Zhanwei''s eyes, he felt a little dizzy.


    Who gave him the courage to question Lu Chen? !


    Especially when Tang Zhanzi found Lu Chen''s paper on "paravalvular leakage", he was completely convinced.


    He no longer doubted Lu Chen''s accomplishments in TAVR surgery.


    Even, he once wanted to give up managing the TAVR surgical team.


    But the interests in this are not his alone, and involve the leadership of the hospital.


    Tang Zhanwei wants to get away, obviously it is impossible.


    However, over time.


    More and more cardiologists from Guanghai First Hospital began to come to Lu Chen''s TAVR class.


    The most prominent one is Wang Qingfeng.


    After the last complication thing.


    He didn''t dare, and he didn''t have the opportunity to perform the main surgery, so he devoted himself to the study class and continued to study and improve himself.


    In every study class, he did not fall behind.


    In this way, the entire TAVR field of Guanghai has reached a delicate balance.


    All patients are equally divided by major hospitals.


    And some difficult and severe patients, most of them came to the second district of the heart of Guanghai First Hospital, and a small number were transferred to higher-level hospitals.


    Lu Chen was also happy to relax.


    The number of surgeries has decreased, but the quality of surgeries has steadily improved.


    Especially Jin Miao, he can clearly feel that his surgical ability is rapidly improving under Lu Chen''s training!


    He used to be an ordinary TAVR patient. Even if he made 100 units, at most practice makes perfect.


    When encountering a slightly difficult case, it should not be, or not.


    But now, he is practicing in difficult operations every day, and Jin Miao''s surgical ability is undergoing a qualitative change!


    ¡­


    In the evening, Lu Chen returned to the talent apartment.


    Suddenly found that Lao Gu was packing his luggage in the living room.


    "What are you doing? Moved to the hospital dormitory?" Lu Chen wondered, "The dormitory seems to be a four-person room. If you''re not used to it, you''d better live with me. I''m big here, so I don''t dislike you."


    Lao Gu saw Lu Chen coming back, and while packing his luggage, he smiled and said, "It''s not moving to the hospital dormitory."


    "That''s... renting a house by yourself?" Lu Chen was taken aback, "That''s even more unnecessary! It''s not that I don''t have any vacancies here."


    Gu Xinyue shook her head and was about to speak when there was a knock on the door.


    Lu Chen was about to open the door, but Lao Gu took the lead, stepped forward, and opened the door.


    opened the door, Xu Shan stuck her head in, and said to Gu Xinyue, "Have you packed your luggage?"


    "Come on, just five minutes!" Gu Xinyue said quickly.


    "Okay." Xu Shan retreated after hearing this, completely ignoring Lu Chen in the living room.


    Gu Xinyue walked back to the living room, Lu Chen looked strange.


    "Lao Gu, you didn''t move to the hospital dormitory or rent a house outside. Could it be... move to the opposite side?"


    As soon as the ?? voice fell, Lao Gu was packing his luggage for a while.


    Lu Chen laughed dumbly, it seems that he guessed it closely.


    was about to make some jokes when Lu Chen''s cell phone rang.


    took out his phone and saw that it was Director Yan Wanfeng''s call.


    Lu Chen answered the phone, and Director Yan''s hurried voice came from the other end of the phone.


    "Lu Chen, where are you now? Come to the hospital in an emergency!"


    (end of this chapter)

 v2 Chapter 811： collapsed house

    Chapter 811 Collapsed self-built house


    "Okay, I''ll be there soon!"


    From Yan Wanfeng''s anxious tone, Lu Chen could feel the urgency of the situation.


    He didn''t ask too much about the reason, picked up his backpack, and was ready to go out.


    "Lu Chen, what''s wrong?"


    Gu Xinyue saw that the situation was not right, and asked quickly.


    "Director Yan''s call, it should be urgent, I have to go back to the department."


    After saying this, Lu Chen hurriedly ran out of the room, leaving only Gu Xinyue with a puzzled face.


    ¡­


    As soon as Lu Chen arrived at the gate of the hospital, he saw several ambulances roaring out.


    Just when Lu Chen was wondering, Yan Wanfeng''s phone rang again.


    "Lu Chen, you come directly to the emergency department! Don''t go back to the department."


    "Okay, I''ll come right away!"


    Lu Chen felt that something must have happened, so he hurried to the emergency department.


    As soon as he ran to the door of the emergency department, he saw a lot of medical staff gathering at the door of the emergency department.


    "Lu Chen! I''m here!"


    Yan Wanfeng just walked out of the emergency room and waved to Lu Chen.


    Lu Chen stepped forward quickly, "Director, what''s the matter?"


    Yan Wanfeng''s expression was very solemn, and he whispered: "A self-built five-story house near the hospital collapsed, and many people were injured. Our hospital is the closest, and the government organized our hospital to go to rescue!"


    "The house collapsed?" Lu Chen''s heart tightened, "Are many people injured?"


    "The specific situation is not very clear." Yan Wanfeng said solemnly, "The hospital organized emergency departments, orthopedics, ICU, cardiology and other departments to go to the hospital for rescue, and the cardiology department was led by me. I recommended you to the above this time. This is a time Accidents, but also opportunities! Lu Chen, you have to take good care of them!"


    Lu Chen nodded immediately, "Director, what should I do?"


    "The second batch of ambulances will arrive soon." Yan Wanfeng said, "As the second batch of rescuers, follow Director Huang Xiaofeng of the ICU!"


    "Okay, I got it!" Lu Chen understood the seriousness of the matter.


    Yan Wanfeng found a white coat for Lu Chen in the emergency department. It almost fit, and Lu Chen put it on directly.


    In less than five minutes, the emergency department has gathered a lot of people.


    The second batch of rescue teams headed by ICU director Huang Xiaofeng, a total of eight people, are all in place!


    "Director, I''m leaving." After saying goodbye to Yan Wanfeng, Lu Chen got into the ambulance.


    "Go, I''ll wait for your news!"


    As the ambulance started, the second batch of ambulances from Guanghai No. 1 Hospital had already arrived at the incident site.


    ¡­


    In the ambulance, the atmosphere was a little dignified.


    Lu Chen looked at the eight people present, but he didn''t know them.


    Because he joined the post relatively late, all the people in the other departments of Guanghai First Hospital are not very familiar with him.


    The second batch of rescue teams consisted of eight doctors, consisting of two intensivists, three in orthopedics, one in general surgery, one in cardiology, and one in respiratory medicine.


    "Director Huang, how is the situation at the scene?"


    A tall orthopedic doctor said.


    "I don''t know yet." Huang Xiaofeng frowned, "But according to the news from the first rescue team, the self-built house has five floors, and there are many residents, including many college students."


    "College student?" The orthopaedic doctor frowned.


    "Yes, many of them are medical students studying for postgraduate entrance exams in rented houses." Huang Xiaofeng sighed.


    Everyone here is likely to be a doctor who will save lives in the future.


    But now it¡¯s more fortunate than fortune.


    Lu Chen didn''t say anything, he was trying to adjust his state.


    No one knows the situation at the scene, whether there will be a secondary collapse, how the patient''s condition is, these are all unknowns.


    Lu Chen once participated in an accident rescue in the emergency department of Jinghua Medical University.


    But that time, he did not go to the scene, but participated in the rescue in the emergency department, which was thrilling enough.


    And this time, it was the first time that Lu Chen was at the scene of the accident.


    ¡­


    As the siren of the ambulance roared past, everyone quickly arrived at the accident that the house collapsed.


    Stepping out of the ambulance, all that comes into view is the devastated ground.


    The five-storey self-built house seemed to be broken by the waist, with cement and steel bars flying everywhere.


    The police have surrounded the area.


    Except for the police, firefighters, and medical staff who organized the rescue, everyone else was stopped tens of meters away.


    All media, self-media, and even some internet celebrities have all heard the sound and huddled around.


    Huang Xiaofeng led the rescue team out of the car and quickly joined the first group of rescuers.


    The first rescue team, in addition to helping the search and rescue of survivors, also helped deal with various traumas.


    This kind of accident is mostly orthopedic trauma, so the rescue team is mostly orthopedic and critically ill doctors.


    Lu Chen and other doctors were soon divided into four groups to carry out search and rescue missions with firefighters.


    Encounter survivors, if you can rescue them, rescue them as soon as possible!


    ¡­


    Lu Chen and another orthopaedic surgeon followed the firefighters and began to search and rescue in the collapsed rubble.


    The five-storey self-built house, how many people are in it, is unknown.


    But now, if only one could be found, it could save the hope of a family back.


    Around the accident site, a lot of people gradually began to gather.


    Shouts and cries were mixed together.


    Lu Chen followed behind the firefighters, his eyes staring at every corner of the ruins.


    Or in a corner, there is a life left behind.


    Suddenly, an exclamation came from the direction of a search and rescue team next to him, "Someone! Found someone!"


    Lu Chen hurriedly looked in the direction of the voice, it was Director Huang Xiaofeng''s group.


    Immediately after, several voices came out, "There are not enough people, Xiao Wang from the third group, come and help first!"


    Xiao Wang in the third group is the orthopaedic doctor in Lu Chen''s group.


    When this person saw this, he spoke to the leader of the group, and quickly ran over to help.


    Lu Chen immediately retracted his gaze.


    Discovering that someone is there means that there may be others.


    He followed closely behind the firefighters and refused to let go of every corner.


    "Boom...Boom..."


    The sound of the house collapsing a second time was heard all the time, and Lu Chen couldn''t help but slow down his search and rescue steps.


    "Save...Save..."


    Suddenly, Lu Chen seemed to hear a very faint call.


    He didn''t have his feet, squatted down, and slowly moved out the nearby gravel.


    "help me¡­¡­"


    This time, the sound was more clearly audible.


    Lu Chen immediately quickened his movements and moved away the small gravel and debris.


    Looking in the direction of the voice, Lu Chen saw a young man with a disastrously defeated look through a gap in a terrain with chaotic stone walls.


    "Someone! I found someone here!"


    Lu Chen shouted loudly, immediately attracting the attention of everyone around him.


    Crouched down, Lu Chen saw through the cracks in the stone and saw that the young man''s legs were firmly pressed by the steel bars.


    (end of this chapter)

 v2 Chapter 812： ruins

    Chapter 812 Ruins


    Lu Chen looked intently.


    The young man was about twenty years old, and his face and lips were extremely pale.


    The HP on his head is only 50 (---)!


    Whether there are fractures and bleeding of large joints, internal bleeding, these are hard to say.


    The surrounding stones, cement, and chaotic steel bars are all pressed into the narrow gap.


    "Classmates, you must hold on, hold on for a while longer, we have arrived, save you right away!" Lu Chen shouted loudly.


    The young man did not respond when he heard this, but slowly opened his eyes and closed them again immediately.


    "Don''t sleep!" Lu Chen hurriedly said, "We''ll save you right away!"


    Lu Chen did not continue to move the stone.


    Because once there is a slight error, the secondary collapse of the internal structure is likely to cause more serious damage to the wounded!


    The firefighters of the search and rescue rushed over immediately.


    "Doctor Lu, people are inside and cannot be rescued for the time being. You may need to stabilize the patient''s vital signs first."


    Lu Chen nodded.


    Now that the survivors have been found, the first thing must be to maintain their circulation and breathing.


    Stabilize the patient''s vital signs before the next series of rescues.


    After removing a few small stones near the crevice, Lu Chen could see the patient''s arm, and he immediately said softly, "Classmate, if you can hear what I said, just open your eyes, and I''ll give you an injection later. , give you fluids."


    This time, the young man opened his eyes slowly, and nodded weakly.


    Lu Chen gently pulled the patient''s arm out through the stone wall.


    On the arm, blood was mixed with mud, and it was all dirty.


    Lu Chen disinfected three tablets with iodophor, and then opened an intravenous line for the young man.


    The current venous access is the access to life!


    Lu Chen brought a wrist blood pressure monitor and measured blood pressure for the young man.


    His blood pressure is only 74/48mmHg!


    Already in a state of shock, there is a high probability of bleeding from fractures, or bleeding from internal organs.


    Lu Chen didn''t dare to delay his efforts at all, and immediately took out a bag of balancing fluid from the first aid kit beside him and gave it to the young man.


    The speed of liquid input was adjusted to very fast by Lu Chen.


    And a venous access can''t solve any problem, Lu Chen immediately touched the patient''s other hand.


    Begin preparations for the second venous access.


    The pulse of a patient in shock is difficult to feel.


    Especially in this harsh environment, Lu Chen had to squat down, or even lie on the ground looking for blood vessels.


    The first bag of balancing fluid is being infused into the patient''s body at full speed.


    The surrounding firefighters are evaluating the structure of the surrounding stone walls, trying to rescue the young man in the safest and fastest way.


    At this time, the leader of the rescue team, Huang Xiaofeng, director of the ICU, rushed over.


    "Doctor Lu, how are the wounded?"


    "Not too optimistic, the wounded is in a state of shock now!" Lu Chen was lying on the ground and kept asking for a second venous access. Hearing Huang Xiaofeng''s reply, he simply replied.


    "Fluid infusion at full speed!" Huang Xiaofeng said.


    Lu Chen didn''t answer this time, because he had already found the pulsation of the blood vessels in the patient''s other hand.


    Lu Chen, who is extremely skilled in puncture, will see blood immediately after a needle is inserted!


    The second bag of fluid was connected and immediately infused into the boy''s body.


    ¡­


    The continuation of the ?? liquid made the man''s face no longer as pale as before.


    He slowly opened his eyes and saw Lu Chen wearing a white coat in front of him.


    "Doctor...rescue..."


    Lu Chen heard the young man''s voice again, and a trace of joy appeared on his nervous face.


    "I''m here, classmate, just hold on for a while, and you''ll be out soon!"


    The finger of the young man''s right hand suddenly moved to the side.


    "in¡­¡­"


    Lu Chen noticed this action and said quickly, "No hurry, no hurry, you speak slowly."


    The young man paused, and said these two words, as if it took all his strength.


    After a long pause, he slowly spit out another word: "People..."


    Lu Chen was startled, "There are still people inside?!"


    Hearing Lu Chen''s voice, the young man nodded slightly, then closed his eyes again.


    At this time, the surrounding firefighters were preparing to remove the surrounding concrete reinforcement.


    Lu Chen quickly became angry and said loudly, "Team Zhang, the wounded said just now that there are other people near him!"


    The fireman who led the team was named Zhang Qiang, who was the captain of the fire brigade this time.


    "Are you sure?" Zhang Qiang was burly and his voice was very heroic, he leaned in front of Lu Chen.


    "It should be right." Lu Chen nodded.


    Zhang Qiang heard the words and immediately stopped his firefighters.


    If there are other people around the casualty, more care is needed.


    Because if the surrounding houses collapse again, it is very likely to hurt the wounded they can''t see now.


    "Modify the rescue plan." Zhang Qiang immediately instructed his subordinates, "But as soon as possible, the wounded is in shock now, time is life!"


    "Received, we got it!"


    Other firefighters were excited and nervous when they heard the news.


    There are other people, which means that they may be able to rescue one more person.


    ¡­


    Lu Chen was still lying on the ground, completely ignoring the stones, cement and other objects on the ground.


    He was disheartened, and the brand-new white lab coat when he went out was already dirty.


    "How are you feeling now?"


    Lu Chen whispered to the young man in the stone wall.


    The young man opened his eyes, but he no longer responded to Lu Chen''s words.


    Lu Chen frowned, he took the patient''s blood pressure again.


    Blood pressure is still at 70/40mmHg, fluctuating up and down.


    "Didn''t the rehydration just now work?"


    "Is there any bleeding in the body?"


    Many possibilities flashed in Lu Chen''s mind.


    At this time, the health value on the patient''s head dropped further, from 50 (---) just now, to 42 (---)!


    Moreover, the speed of this life value decline is already twice as fast as the beginning.


    Lu Chen felt the seriousness of the problem.


    If he doesn''t let the young man out again, he may really not be able to hold it anymore!


    "Classmate, don''t sleep! Don''t sleep!" Lu Chen said, increasing the speed of the liquid infusion, and using vasopressor drugs appropriately.


    "Your parents are waiting outside for you to go out! Hold on!"


    Lu Chen tried to stimulate the nerves of young people with words.


    At this time, a firefighter from outside the field rushed over and said to Zhang Qiang beside him: "Team Zhang, we have just verified that the young man under the stone wall is called Li Hengzheng, a student of a medical school near Guanghai. Renting here for postgraduate study.¡±


    Lu Chen also knew the identity of the young man.


    He was lying on the mud floor again, even though he was wearing a mask, the smell of dust in his nose made him a little dizzy.


    Resisting the discomfort, Lu Chen came to the stone crevice.


    "Li Hengzheng, hold on for a while!"


    Lu Chen''s voice was already hoarse, but he kept shouting at the young man.


    In the ?? stone wall, the young man''s head was already half tilted, and his face was as pale as the beginning.


    On the side, Zhang Qiang has organized firefighters and began to remove the surrounding stones and cement with his bare hands.


    And Lu Chen continued to open a third venous access for young people!


    "Doctor Lu, back out a little bit." Zhang Qiang stepped forward and grabbed Lu Chen, "We are moving away from the stone, and it may accidentally hit you."


    "No." Lu Chen shook his head, "Let me open another venous access, I will pay attention, Team Zhang, don''t worry!"


    Zhang Qiang no longer discouraged Lu Chen, but stood aside and helped Lu Chen to guard.


    ¡­


    Time passes by every minute and every second.


    Lu Chen has successfully opened a third venous access for the young man, and the surrounding stones, cement and various sundries were slowly removed by the firefighters.


    In a stone mound not far from the young man, there were indeed two young girls.


    However, when they found them, they had no breath of life.


    More and more "people" were discovered by the search and rescue team.


    The atmosphere of grief spread quickly in the scene.


    Lu Chen clenched his teeth tightly, looking at this young man with a hint of life in front of him.


    His health dropped from 42 to 35, until 28 (---)!


    Finally, when the last slate and steel bars were removed from the young man, he was carried on a stretcher by four firefighters.


    His legs were already bloody.


    He half-opened his eyes and looked at Lu Chen quietly.


    At this time, Lu Chen was exhausted.


    He was half-squatting, his hands resting on his knees, his eyes fixed on the stretcher.


    The firefighters put the stretcher on the open space, and the surrounding medical staff immediately stepped forward and connected to the monitoring.


    "Not good! His heart stopped!"


    Suddenly, an ICU doctor shouted.


    The simple monitor made a harsh alarm sound.


    Lu Chen dragged his tired body and walked towards the open space.


    "Quick! Adrenaline!"


    The ICU doctor has started cardiopulmonary resuscitation and told the nurse at the same time.


    Lu Chen looked at the ECG monitor, it was ventricular fibrillation!


    Omen of death!


    Resisting the physical discomfort, Lu Chen stepped forward and set the monitor to defibrillation mode.


    "Lu Chen, are you okay?" The ICU doctor looked at Lu Chen with trembling hands and said loudly.


    "Yes!" Lu Chen took a deep breath, took out the defibrillator, and came to the stretcher, "Prepare...to start the defibrillation!"


    ¡­


    "Boom..."


    Lu Chen took the defibrillator and finished the first defibrillation.


    On the ECG monitoring, after the chaotic waveform appeared, it was still the waveform of ventricular fibrillation, and there was no improvement in the slightest.


    The ICU doctor immediately started CPR.


    "No, prepare for the second time!"


    Lu Chen continued to apply the conductive paste and started the second defibrillation.


    "Boom..."


    The defibrillator is not heavy, but it is extremely heavy in Lu Chen''s hands at the moment.


    The second time, still no success.


    On the stretcher, the young man had lost consciousness, and there was even a trace of blood oozing from the corner of his mouth.


    Lu Chen is preparing for the third defibrillation.


    I don''t know when. Director Huang Xiaofeng of the ICU came to him.


    "Doctor Lu, take a rest first, I''ll do it."


    He took the defibrillator from Lu Chen.


    Lu Chen felt like his body was hollowed out this time, and suddenly collapsed to the ground.


    "Doctor Lu, are you alright." The fireman on the side immediately helped Lu Chen up.


    "It''s alright, it''s just a little off."


    Lu Chen''s limbs and muscles were already sore, and even started shaking involuntarily.


    He silently watched Director Huang Xiaofeng''s rescue, as if he was expecting a miracle.


    However, the health value on the young man''s head is slowly quenching this miracle.


    until the health on his head goes to "zero".


    Until Director Huang Xiaofeng of the ICU stopped the rescue action in his hand.


    until the young man was pulled away by an ambulance.


    Lu Chen slowly stood up.


    wiped the dust from the corner of his eyes, and then walked towards the collapsed ruins step by step.


    (end of this chapter)

 v2 Chapter 813： hope

    Chapter 813 Hope


    The mission of the search and rescue team continues.


    From time to time, the crowd rushed in from outside, crying loudly.


    They are relatives of those buried underground.


    Many people even stepped forward with their bare hands, trying to move huge stones.


    Police and firefighters are maintaining order around


    Lu Chen returned to the search and rescue team, the pain from his limbs made him a little out of strength.


    Resisting the discomfort from his body, he continued to follow Wang Qiang in the team.


    ¡­


    In the stone wall of the young man just now, everyone has dug a huge gap.


    The crowd moved forward cautiously, expecting to find a trace of a survivor again.


    Lu Chen used both hands and feet. While helping firefighters in search and rescue, he was always ready to assist some of the wounded found.


    "There are people here, there are quite a few!" Huang Xiaofeng shouted, "The three and four groups are all coming soon."


    With the order ??, Lu Chen ran in the direction of Huang Xiaofeng.


    In the most earthy pit, two more corpses were unearthed.


    However, the narrator of the corpse, a child over three years old, still had signs of life.


    "This child is still alive!" Huang Xiaofeng shouted excitedly.


    The crowd immediately stepped forward and moved the children to the open space.


    The accompanying nurse took out the monitoring equipment and measured the child''s vital signs.


    Lu Chen was checking the child''s body to make sure he didn''t have any physical fractures or other injuries.


    "Vital signs are stable." The nurse completed the examination.


    Lu Chen also stood up and said, "There is no obvious wound on the child''s body. It''s just that he was too frightened. Now his mood is not stable."


    Anyone with discernment can see that the reason why the child can survive is entirely due to the two parents who protected him when the house collapsed.


    The other two corpses have been dragged away.


    After ensuring that the child was not in any danger to his life, he was immediately taken to the hospital by the ambulance that arrived for a more detailed examination.


    The survival of the child has lifted everyone''s spirits.


    Lu Chen returned to his team and continued to search and rescue.


    Suddenly, a boulder slowly slipped from behind Lu Chen.


    He turned slightly sideways and avoided it.


    However, at this time, another giant pit appeared where the giant rolled over.


    In the ?? pit, there is a triangular raised corner.


    What made Lu Chen nervous was that there was a broken piece of clothing in this corner.


    Lu Chen was startled and ran towards the corner.


    climbed away from the stone in the corner, and a small space appeared in his eyes.


    "Help¡­¡­"


    In the small space, a hand suddenly stretched out, which shocked Lu Chen!


    "There is someone here!" Lu Chen immediately reacted and shouted loudly.


    Other firefighters and search and rescue personnel in the surrounding area rushed over immediately.


    Lu Chen hurriedly pulled a few rocks that weren''t too big.


    He didn''t dare to touch too big a rock, because he was afraid of a second collapse, and secondly, he didn''t have the ability.


    Finally, Lu Chen saw the condition of the wounded.


    She curled up in the corner of the triangle, probably because it was against the wall.


    There is also a plank above her, so that she can avoid being crushed by heavy objects in the collapse of the house.


    And her HP is almost the same as when the previous boys started, they are all 58(---)!


    "Classmate, can you hear my voice?"


    Lu Chen stepped forward and shouted loudly, wanting to get an answer from the wounded.


    At this time, the girl in the corner really moved.


    She slowly raised her head, revealing a pale face, her hair scattered around.


    "can¡­¡­"


    Her voice was very small, but Lu Chen still heard it.


    "Students, as long as you persist, we will rescue you immediately!"


    "Yeah." The girl forced a smile on her face.


    She is not very old, she should be in college.


    At this time, the search and rescue team was gradually clearing the debris around her.


    This time, Lu Chen didn''t dare to delay.


    He pulled out a corner, touched the patient''s right hand, and stabbed her again.


    "Team Wang, please hurry up!" Lu Chen shouted loudly.


    The condition of the wounded looked better than the previous patient, but the health on her head couldn''t fool Lu Chen.


    This kind of large-scale collapse accident is afraid of large joint fractures and internal bleeding.


    This invisible hemorrhage is the most difficult to detect and the most deadly.


    If the girl is not rescued quickly and sent to the hospital for timely treatment, the prognosis is quite poor.


    Wang Qiang led his firefighters to start the excavation work as quickly as possible.


    ¡­


    "Classmates, hold on!"


    This sentence, Lu Chen has said many times.


    He began to try to measure the vital signs of girls.


    is still not optimistic, another wounded in shock, Lu Chen frowned.


    The only thing that made Lu Chen feel at ease was that the girl in front of him was able to answer some of his questions.


    "Where are you feeling now?"


    "pain¡­¡­"


    "What''s your name?"


    "Fang...jump"


    "When will you be a senior this year?"


    "five¡­¡­"


    Lu Chen kept chatting with her, wanting her to persevere and strengthen her belief in survival.


    "Do you have a boyfriend?"


    "No¡­¡­"


    "You are so pretty, there should be a lot of boys chasing her."


    "Oh, no..."


    At this time, Lu Chen also opened a second venous access for her.


    A steady stream of potions is transported into the body of the girl through these two passages.


    To Lu Chen''s relief, the rate of her HP decline was already slowing down.


    "There is hope!" Lu Chen continued to cheer the girl up.


    ¡­


    "Come out! Come out!"


    With Wang Qiang''s excited shouts, the surrounding stones, cement, and some unknown heavy objects were all removed.


    With the help of everyone, the girl was quickly moved to the nearest open space.


    On her feet, a piece of blood was blurred.


    It looks like it must have been run over by a heavy object.


    However, her vital signs were temporarily stable, and after a brief treatment, she was quickly taken to an ambulance.


    "Doctor Lu, the third batch of rescue teams will be here soon, you should take over." Wang Qiang said to Lu Chen, who was somewhat exhausted.


    The rescue team from the hospital went in batches.


    The more people the better, the more people, the more cluttered the scene will be.


    Coming in batches can improve the efficiency of search and rescue.


    Lu Chen heard the words and nodded slightly: "Captain Wang, I''ll take a rest first."


    He understands that his search and rescue now is just a burden, so he might as well go back.


    Take a break first and be ready to support at any time.


    There are no more doctors who have the same idea as Lu Chen.


    The third batch of rescue teams came and took over everyone, but everyone didn''t leave, but rested not far away.


    As long as there is a newly discovered wounded, everyone will immediately rush to rescue.


    In the blink of an eye, it has been two hours since the accident happened.


    Lu Chen didn''t know how many patients he rescued or how many corpses he found.


    I don¡¯t even know how many mutilated limbs I have found.


    However, he knew that as long as he stood here in a white coat, it would be hope to outsiders.


    Suddenly, the sky turned gloomy.


    The dark clouds were pressing down, and a rumbling sound came from the sky.


    A heavy rain fell without warning.


    (end of this chapter)

 v2 Chapter 814： interview

    Chapter 814 Interview


    When Lu Chen returned to the talent apartment, it was already midnight.


    At this moment, he was soaked with muddy water.


    Even if it was simply handled in the ambulance, the difficult rescue situation in the rubble could still be seen.


    Search and rescue work continues.


    After ?? Lu Chen was drained of all his energy, he was personally sent back by fire chief Wang Qiang.


    "Team Wang, won''t you continue to command the scene?"


    Lu Chen was supported by Wang Qiang into the apartment.


    Wang Qiang smiled, "Brother Lu, you have so many rescue teams in rotation, and we are also taking over the rotation, otherwise the iron body can''t stand it!"


    The original search and rescue mission was already quite heavy, and it was raining.


    The difficulty of work has increased several times in an instant.


    Guanghai No. 1 Hospital has dispatched six batches of rescue teams to help at the scene of the accident.


    "I''m afraid that because of myself, it will hinder your search and rescue work." Lu Chen smiled bitterly.


    "No." Wang Qiang helped Lu Chen open the door, "but, you boy is really good. In fact, I have participated in this kind of rescue mission, not once or twice, but this is the first time I have encountered such a young doctor, not only It¡¯s because of his stamina, and his ability to save patients without any disturbance in the face of danger can be regarded as top-notch.¡±


    The rescue situation at the scene was seen by everyone.


    "Ah, but... I couldn''t save a few people either."


    In Lu Chen''s mind, he was still thinking about the first young man he met.


    The desperate eyes of the young man are still vivid in his mind.


    The pain of being a doctor is hard for outsiders to feel.


    "Brother Lu, you''re already very powerful!" Wang Qiang gave Lu Chen a thumbs up, "It would be quite remarkable for an accident rescue team like ours to be able to save one person. I have even encountered an entire army annihilated. when¡­¡­"


    Wang Qiang''s voice was also a little low, and he seemed to recall some not-so-good memories.


    "Brother Wang, you have worked hard too." Lu Chen said.


    In fact, the entire rescue team, the hardest part is the firefighters.


    They did all the physical work and risked a second collapse of the house.


    "This is what we should do." Wang Qiang grinned, "Okay, bring you home, and my mission is completed."


    "Brother Wang, won''t you take a break with me?"


    "No, I have to go back to the scene."


    Wang Qiang said this, waved at Lu Chen, then closed the door and left.


    ¡­


    Lu Chen sat silently in the living room for a long while before taking off his jacket.


    At this moment, there was a knock on the door.


    Lu Chen slowly stepped forward to open the door.


    Gu Xinyue stood at the door.


    "Are you back?"


    Lu Chen nodded weakly, "Go back."


    "I watched TV news."


    Gu Xinyue and Lu Chen came to the living room.


    "How is the situation on site?"


    "Not very good." Lu Chen sighed, "I don''t know the specific situation for the time being, and I can''t say."


    Gu Xinyue didn''t say much, he sat with Lu Chen on the sofa in the living room.


    When this happened, everyone felt very depressed and heavy.


    Gu Xinyue didn''t have a chance to go to the scene, but she can understand the difficulty of rescue at the scene, especially today it was pouring rain.


    for a long time.


    Lu Chen raised his head and said slowly, "You... moved to the opposite side?"


    Gu Xinyue nodded: "Well."


    "You kid, it''s really not easy." Lu Chen patted Gu Xinyue on the shoulder, "Stay upstairs with Momo, I''ve been chasing it for a long time, and I didn''t even have a chance to eat with Xu Shan."


    Gu Xinyue said lightly: "No way, this is a society that sees faces."


    Lu Chen was speechless, "You''re fat, but you''re really out of breath?"


    Gu Xinyue looked at Lu Chen and said solemnly, "Lu Chen, thank you this time. Without you, I would not have thought of coming to Guanghai, nor would I have met Xu Shan, someone who understood my bad jokes. ."


    Lu Chen waved his hand when he heard the words, "Lao Gu, don''t throw dog food in front of me. Do you have anything else to do? Come back quickly if you''re all right, I''m too tired today, I''m going to bed after washing!"


    "Oh, then I''ll go." Gu Xinyue pouted.


    took two steps, then turned back and whispered: "Lu Chen, you are about to run for the third time, find a girlfriend earlier."


    "Don''t let me chase you!" Lu Chen scolded with a smile.


    Gu Xinyue closed the door and left in a blink of an eye.


    ¡­


    "Call..."


    took a bath and washed away all the dirt and exhaustion.


    As soon as Lu Chen was lying in bed, he received a WeChat message from Director Yan Wanfeng.


    "Lu Chen, you are tired today, rest at home tomorrow and the day after tomorrow, I will give you a short vacation."


    Yan Wanfeng also knew how hard this search and rescue mission was, so he thought of giving Lu Chen two days off.


    Besides, Lu Chen is going to Corey now, and there is basically nothing to do.


    Gu Xinyue and Jin Miao can decide most of the things in the ?? group.


    "Director, it''s alright, I''ll just rest for a night." Lu Chen replied immediately.


    "Listen to me this time." Yan Wanfeng said, "Take a good rest for two days. And you are not without tasks these two days. There is a reporter who wants to report this incident. The rescue team specially praised you, and the hospital leaders let you accept it. This media interview."


    "media interview?"


    Lu Chen frowned. He was the least interested in interviews with these media.


    "Lu Chen, don''t be too busy to refuse." Yan Wanfeng said, "The media this time is our mainstream media in Guanghai, not an online media that is not popular. It also has a good influence nationwide. You Being in this interview will benefit you and our hospital a lot."


    Lu Chen sighed.


    He is too young and too junior.


    What is missing from ?? is this official influence.


    In addition, he also has an idea in his heart. After this incident, if it is reported through the media, the gratitude value he can get is not...


    Thinking of this, Lu Chen immediately agreed to Yan Wanfeng''s interview request.


    "Director Yan, I''ll take over this interview."


    "That''s right!" Yan Wanfeng smiled happily, "Remember to mention the quick response and organizational skills of the leaders of the lower house..."


    Lu Chen said: "Don''t worry, Director, I''m not stunned, I know how to behave."


    "Okay, you work, I can rest assured!"


    After ?? hung up the phone, Lu Chen felt sleepy.


    turned off the light, and he fell asleep in a second.


    ¡­


    The next day.


    Lu Chen opened his eyes, and it was already three shots in the sun.


    touched the phone and found several missed calls.


    Among them, Director Yan Wanfeng called him the most and had four missed calls.


    Secondly, Gu Xinyue and Jin Miao each had a missed call.


    In addition, there is an unfamiliar Guanghai number with three missed calls.


    When Lu Chen saw this, he immediately returned one to Director Yan Wanfeng.


    "Director Yan, I''m sorry, I overslept."


    Yan Wanfeng answered the phone, not knowing whether to laugh or cry: "I don''t have anything to do, but the reporter who wants to interview you may have been waiting for a long time downstairs in your apartment."


    Lu Chen was taken aback for a moment, thinking of what he had promised Yan Wanfeng yesterday, "Director, I''ll contact him right away."


    "Okay, I''ll give you a phone number, you can contact her."


    After ??, Yan Wanfeng gave Lu Chen a number.


    Compared with Lu Chen, it was the unfamiliar missed call on his phone.


    (end of this chapter)

 v2 Chapter 815： restaurant accident

    Chapter 815 Restaurant accident


    When an accident occurs, it is appropriate to change the public¡¯s attention and publicize things like medical rescue, which can alleviate the atmosphere of grief in society.


    Although it only lasted one afternoon, Lu Chen''s rescue at the accident scene was still talked about by outsiders.


    Rescue, first aid, until exhausted.


    This is also the positive energy the media hopes to see.


    I just didn''t expect that a tired Lu Chen would wake up when it was almost noon.


    Xu Wei, an external reporter from Guanghai TV Station, waited all morning downstairs in the apartment, and finally met the "legendary" doctor.


    Why is it said to be legendary?


    Xu Wei already knew the object of this interview in advance.


    Lu Chen, a 28-year-old doctor with a deputy senior professional title, is also the deputy director of the department, and the chairman of the Guanghai TAVR branch.


    His past resume is brilliant.


    During the postgraduate period, he was honored as the champion of the National Clinical Skills Competition and successfully entered the Huaxia Electrophysiology College.


    Published numerous high-quality papers in top journals around the world.


    In this rescue and disaster relief, Lu Chen''s performance was so outstanding.


    This made Xu Wei''s impression of Lu Chen already shocking.


    However, her patience was a little worn out after waiting all morning.


    If it wasn''t for the death order from the stage, the interview draft must be handed in before tonight, and she would have turned her head and left long ago.


    ¡­


    "I am so sorry to keep you waiting."


    Lu Chen opened it and said apologetically to the little girl in front of him.


    Xu Wei is dressed in sportswear and has a petite figure. After all, she works in a TV station, and her appearance and figure are still very good.


    "It''s okay, it''s okay, you must be tired." Xu Wei said so, but she had already complained about Lu Chen in her heart.


    Her stomach was a little hungry, and she even screamed out.


    "Cough cough." Lu Chen coughed lightly, "How about we chat while eating? I just didn''t eat, so I''ll invite you to eat."


    "Well, let''s do it." Xu Wei did not refuse, "Let''s talk briefly, and then do a formal interview after dinner."


    "Okay, no problem." Lu Chen nodded.


    The Sichuan restaurant downstairs in the apartment.


    Lu Chen brought Xu Wei to this frequently visited restaurant.


    The owner of the restaurant and Lu Chen are old acquaintances. Seeing another girl next to him, she looks pretty good.


    "The old way?" The boss cast an ambiguous look at Lu Chen.


    Lu Chen was a little helpless, knowing that he must have misunderstood, he could only shake his head, there is no need to explain this kind of thing, the more he describes it, the darker it gets.


    "Let the girls order it today." Lu Chen handed the menu to Xu Wei, "Can you eat spicy food?"


    "Of course." Xu Wei took over the menu with a smile.


    Although he had waited for Lu Chen all morning, he was full of anger.


    But now that grief and anger can be turned into appetite, Xu Wei''s mood is much better.


    Xu Wei ordered spicy chicken and mapo tofu, and Lu Chen also ordered meat and soup.


    For two people, it should be enough.


    "Thank you Director Lu for your hospitality." Xu Wei smiled.


    "Let''s talk and apologize." Lu Chen said, "I''m sorry for making you wait for so long today. Besides, we''re equals, not in the hospital, just call me Lu Chen."


    "Well, that''s fine."


    Seeing Lu Chen''s attitude, Xu Wei''s anger towards him disappeared all at once.


    Sichuan restaurant is not crowded now, only two or three tables are eating, and the food is served quickly.


    Lu Chen and Xu Wei chatted while eating.


    "Lu Chen, just briefly talk about the situation at the scene of the accident yesterday."


    "it is good."


    Lu Chen briefly told Xu Wei what he had seen and done.


    Although many rescue procedures were skipped, she could still feel the misery and despair at the scene of the accident.


    "I also went to the scene yesterday." Xu Wei''s voice was a little low, "Oh, it''s so miserable..."


    The atmosphere at the table was a little heavy.


    "Things will pass." Lu Chen was the first to break the silence, "We will try our best to treat every wounded person."


    "thanks."


    Xu Wei said thank you for no reason.


    She knew that this thank you was for all the families of the wounded.


    After ??, Xu Wei also asked about Lu Chen''s previous studies and work as a supplement to this interview.


    "Lu Chen, your schooling career should be exciting, right?" Xu Wei said.


    "Wonderful?" Lu Chen was stunned for a while, then smiled, "Maybe it can be described as wonderful."


    From Jinghua, Kyoto, to Magic Capital, from a clinical trainee to now the deputy director of the department.


    In just a few years, Lu Chen may be someone else''s life.


    Two wonderful words, but not enough to describe Lu Chen''s past life.


    Listening to Lu Chen''s narration, Xu Wei was surprised, but also had a bit of disbelief.


    Sure enough, such a young deputy chief physician naturally has his strengths.


    "Lu Chen, you are amazing." Xu Wei took a small bite of meat, and then gave Lu Chen a thumbs up.


    "I''ll keep it simple." Lu Chen smiled.


    "Okay." Xu Wei feels that she is a radio reporter, and may be a radio host in a few years. Compared with other people her age, her career path should be very glamorous.


    But at this moment, the great **** Lu Chen was sitting in front of her, making Xu Wei feel ashamed.


    The simplicity of the other party is already rare in his own eyes.


    Just as the two of them finished eating and were about to return to the apartment, there was a sudden exclamation from the next table.


    Lu Chen looked back and saw an old man clutching his chest and slumped on the ground.


    "Old man, what''s wrong with you?!" The old lady sitting opposite stood up tremblingly and wanted to help the uncle up.


    The one with the fastest response at the scene was the restaurant owner. He quickly stepped forward and said loudly, "Uncle Wang, what''s wrong with you?"


    At this time, Uncle Wang was leaning against the legs of the table, supporting the ground with one hand and covering his chest with the other.


    "Pain! Pain!"


    He held onto his chest tightly, sweating profusely on his wrinkled forehead.


    In Lu Chen''s eyes, Uncle Wang''s HP has dropped to 54 (---)!


    Lu Chen recalled that when he first entered the store, he simply glanced at everyone present, this old man should not have red health.


    In just one lunch time, his health dropped so quickly!


    The people eating in the restaurant, some people are watching, some people run away, afraid of being affected.


    Seeing this, Lu Chen quickly stepped forward and squatted beside the uncle.


    "Master, can you hear what I said?"


    Uncle Wang nodded with difficulty, but did not speak.


    Beans of sweat dripped down from his forehead.


    Lu Chen calmed down and immediately said to the restaurant owner, "Brother Zhang, hurry up and call 120, the situation is not very good!"


    "Hit...hit!" The restaurant owner''s voice trembled.


    Lu Chen often eats here, he knows Lu Chen''s identity.


    Since the doctor said so, the situation of Uncle Wang is definitely not optimistic.


    This is what happened in his restaurant, how could it be!


    (end of this chapter)

 v2 Chapter 816： Emergency treatment!

    Chapter 816 Emergency treatment!


    The Sichuan restaurant downstairs in the apartment.


    At this time, there was confusion.


    Lu Chen hurriedly asked his mother-in-law beside him, Uncle Wang''s past medical history.


    "High blood pressure, diabetes, and always smoking cigarettes."


    After saying this, Lu Chen knew it.


    Could it be that he is so weak that he has a heart attack when he goes out?


    As soon as I thought of this, the system prompt popped up.


    "Congratulations, the completion of the system upgrade has increased!"


    Lu Chen was helpless, but he really got it right.


    "Mother-in-law, Uncle Wang is most likely to have angina pectoris, and myocardial infarction cannot be ruled out." Lu Chen hurriedly asked, "Do you carry any medicine for heart disease with you?"


    With tears in her eyes, she shook her head slightly, "No...no."


    At this time, an old man in his sixties suddenly came over and said loudly, "I have medicine for heart disease here!"


    Lu Chen was overjoyed, took the medicine bottle from the old man and saw that it was nitroglycerin!


    Nitroglycerin is an emergency medicine for relieving angina pectoris.


    "I just have a heart attack. I usually take this medicine under my tongue every time I have chest pains, and it''ll be fine right away!" the old man said.


    However, Lu Chen put the medicine bottle aside and stopped the old man from feeding the medicine.


    "This medicine... can''t be eaten!" Lu Chen said solemnly.


    "But, didn''t you just say heart disease?" The old man looked confused, "And let us find medicine for heart disease, and we won''t be allowed to take it if we find it?"


    Lu Chen didn''t have time to explain, so he could only simply say: "Normal angina pectoris is ok. But if the shock is caused by myocardial infarction, taking nitroglycerin may lower the blood pressure and worsen the condition!"


    The reason for saying this is because Lu Chen has just felt the strength of Uncle Wang''s pulse.


    The level of blood pressure can be preliminarily judged by the strength of the pulse.


    Uncle Wang''s pulse is already extremely weak.


    According to Lu Chen''s assessment, Uncle Wang is most likely in a state of cardiogenic shock caused by myocardial infarction!


    So, nitroglycerin, can''t eat it!


    These principles are not understood by the people around them.


    Everyone only knows about chest pain and sublingual nitroglycerin tablets.


    As everyone knows, nitroglycerin may accelerate death!


    The old man with the nitroglycerin tablet still couldn''t understand Lu Chen''s words.


    After all, he himself had angina.


    Every time I get sick, I can relieve it by taking nitroglycerin.


    "What are you not allowed to eat?"


    "Yeah, that''s not how you save people, right?"


    "I think it''s better to take the medicine first and wait like this, it''s not the way!"


    The crowd babbled.


    However, the restaurant owner believed Lu Chen very much.


    Because he knew Lu Chen''s true identity, he quickly said to everyone: "Don''t panic, Lu Chen is the director of the Cardiology Department of Guanghai First Hospital, he is a professional!"


    The old man was a little bit unconvinced, "Oh, how can there be such a young director?!"


    Fortunately, as soon as the restaurant owner said this, the onlookers stopped talking.


    ¡­


    Lu Chen didn''t have time to pay attention to the reactions of the people around him.


    He is now doing his best to take care of Uncle Wang next to him.


    The health value on Uncle Wang''s head decreased faster and faster.


    If you don¡¯t get to the hospital quickly, the consequences will be disastrous!


    Fortunately, the Sichuan restaurant is not far from Guanghai No. 1 Hospital. Within ten minutes, the ambulance will definitely arrive!


    As long as you persist for ten minutes and a professional rescue team arrives, everything will be easy.


    However, God is often not as you wish!


    When Lu Chenzhao looked at Uncle Wang.


    Uncle Wang suddenly opened his eyes suddenly, his body trembled, and a lot of white foam appeared from the corners of his mouth.


    Lu Chen was shocked.


    "Uncle Wang, can you hear me?!"


    patted Uncle Wang on the shoulder, but he did not respond.


    The carotid artery was palpated quickly, without pulsation.


    Heart stopped!


    Lu Chen didn''t say a word, and immediately put Uncle Wang on the floor, untied his waistband, and started CPR.


    Everyone around was shocked when they saw this.


    The old woman trembled and stepped forward, among those who wanted to pinch the old man.


    "Mother-in-law, don''t worry about it, it''s useless to pinch people!" Lu Chen immediately said loudly.


    Pinch people, not only useless, but also may affect Lu Chen''s rescue.


    "Then I''ll put a piece of cardboard in his mouth to prevent him from biting off his tongue."


    After ??, the old woman really wanted to find cardboard.


    "Mother-in-law, don''t be fooled!" Lu Chen shouted while performing cardiopulmonary resuscitation, "Hurry up and have someone wait for the ambulance outside, so that the ambulance doesn''t waste time, come to the front of the restaurant immediately!"


    Stuffing the cardboard into the corner of the mouth is completely unnecessary, and may cause foreign body blockage, shortness of breath, and suffocation, which is even more fatal!


    ¡­


    The people around were very flustered.


    Radio reporter Xu Wei also stood aside in a hurry.


    She wanted to help, but nothing could help.


    She regretted it a little.


    Before ??, the TV station organized courses such as cardiopulmonary resuscitation, but she was lazy and didn''t take it.


    However, seeing Lu Chen calmly rescuing her, she was a little stunned for a while.


    Before, from Lu Chen''s mouth, she learned of his rescue process at the accident site.


    But, no matter how thrilling it is, it is said with the mouth.


    is far from what we saw on the spot, so shocking!


    ¡­


    Lu Chen knelt beside the old man and performed CPR with full attention.


    Every press, every artificial respiration, is robbing people from the hands of death.


    In just a few minutes, Lu Chen felt like ten minutes had passed.


    Originally, after yesterday''s search and rescue, he is still weak and weak.


    Now that he has undergone strong cardiopulmonary resuscitation, Lu Chen feels that his hands are no longer his own.


    Don''t look at the simple action of CPR, but the regular resuscitation method consumes a lot of physical strength!


    Suddenly, the siren of the 120 ambulance came to my ears.


    Lu Chen breathed a long sigh of relief.


    However, he still did not dare to relax, and kept performing cardiopulmonary resuscitation.


    Until the medical staff in the ambulance got off with various rescue equipment and came to Uncle Wang''s side, Lu Chen gave up his seat.


    The arrival of ?? medical staff gave the patient a glimmer of hope.


    "Patient ventricular fibrillation! Defibrillate now!"


    Connected to the monitor on the spot, the doctor who received the doctor shouted, and the nurse quickly adjusted the defibrillator.


    Charge!


    Discharge!


    After one defibrillation was completed, Mr. Wang''s ECG waveform quickly turned into a normal sinus rhythm.


    "Quick, load the patient into the car, the family will follow, and go back to the hospital."


    The patient improved slightly, and the receiving doctor immediately ordered.


    Everyone worked together immediately and put Uncle Wang into the ambulance.


    ¡­


    Watching the ambulance leave, Lu Chen breathed a long sigh of relief.


    The feeling of soreness in his hands made him slump on the ground.


    "Lu Chen, are you alright?"


    Xu Wei immediately stepped forward and supported him.


    "It''s alright, it''s just a little off."


    Lu Chen waved his hand, and with Xu Wei''s help, he sat on the chair in front of the dining table.


    At this time, everyone in the restaurant broke out in unfailing applause.


    Each of them looked at Lu Chen with respect and gratitude.


    The opposite is dangerous, and most people may choose to be wise to protect themselves, but this does not mean indifference.


    If you really have the ability, who wouldn''t want to heal the wounded?


    However, most people are powerless in the face of the cruel reality.


    When someone stands up and does something they didn''t get to, they applaud.


    And Lu Chen is willing to be such a small group of people.


    (end of this chapter)

 v2 Chapter 817： Anger brush thanks value! (night shift)

    Chapter 817 Angry thank you! (night shift)


    Sichuan restaurant.


    Everyone has a feeling of the rest of their lives.


    The owner of the restaurant came to Lu Chen with an excited tone: "Director Lu, thanks to you today!"


    If Lu Chen was not there, someone else gave Uncle Wang nitroglycerin, it would probably aggravate the condition, and the consequences would be unimaginable.


    Lu Chen waved his hand slightly, "Do your best."


    "Director Lu, next time you come to my restaurant, I''ll give you a discount, I''ll give you a 20% discount!"


    The owner of the restaurant is a complete miser. It is already very painful to give him a 20% discount.


    The surrounding group laughed out loud when they heard the boss''s words.


    "Old Zhang, you are too rude!"


    "That''s right, Director Lu helped you solve a big problem, and you only get 20% off?"


    "Old Zhang, this guy is really squeamish!"


    Everyone was talking, but the restaurant owner Zhang was a little embarrassed.


    "Director Lu, then next time you come, I''ll give you a 40% discount."


    Lu Chen smiled and also teased: "Boss Zhang, is this discount for me one-time or lifetime?"


    When Boss Zhang heard this, the smile on his face suddenly stopped, "Look, you..."


    Lu Chen smiled without saying a word.


    For a while, the Sichuan restaurant was filled with a cheerful atmosphere.


    ¡­


    Back to the apartment.


    Xu Wei''s interview continued.


    However, Xu Wei''s attitude towards Lu Chen now is too different.


    If before, she looked at Lu Chen with respect, but now, she has a little more admiration in her heart.


    Xu Wei''s mind kept showing the bits and pieces of Lu Chen''s rescue.


    Her heart moved slightly, eager to know everything about Lu Chen''s past, his work, his studies, and his person.


    For the whole afternoon, Lu Chen was fully cooperating with Xu Wei''s interview.


    "Okay, that''s it for today." Xu Wei stood up, ready to leave, "Let''s continue tomorrow."


    "Do you still have an interview tomorrow?" Lu Chen was slightly stunned.


    "You... don''t you have time?"


    Xu Wei raised her head and glanced at Lu Chen secretly.


    Actually, the content of the interview will be handed in today.


    Tomorrow''s interview is her own opinion, obviously to get close to Lu Chen.


    "Well, I have time." Lu Chen said.


    He just thinks that today''s interview is enough, and if he comes back tomorrow, there may not be much to talk about.


    However, since Xu Wei said so, he can only try to cooperate.


    "Okay, let''s continue tomorrow." Lu Chen nodded.


    "Great, see you tomorrow!"


    sent Xu Wei away.


    Lu Chen turned on the TV and began to pay attention to the current accident of the collapse of the rent.


    On the other side, Xu Wei did not go home, but came to the hospital.


    She found the girl who was rescued by Lu Chen yesterday, conducted a simple interview, and took a photo to add some content to the interview.


    ¡­


    The next day, Xu Wei arrived as scheduled.


    Although Lu Chen felt strange, he still actively cooperated with her interview.


    "Lu Chen, what do you like to eat?"


    "Apart from work, what is your greatest interest?"


    "How many people are there in your family?"


    "Where is your hometown?"


    ¡­


    Hearing these "strange" questions, Lu Chen''s head was full of black lines.


    Does this have anything to do with yesterday''s accident?


    "Lu Chen, this is my deep excavation." Xu Wei said without blushing or heartbeat, "The in-depth excavation of you can increase the credibility of my interview."


    Well, Lu Chen reluctantly accepted this reason.


    The interview lasted all morning.


    Lu Chen answered a bunch of irrelevant questions, and the interview was over.


    "Okay, thank you for your cooperation." Xu Wei left with the interview draft contentedly.


    She is looking forward to meeting Lu Chen again next time.


    Lu Chen didn''t have any extra thoughts.


    Cooperating with media interviews, he regarded it as a task.


    Farewell to Xu Wei, Lu Chen rested at home for a long time, and returned to work the next day.


    But by coincidence, Lu Chen came to the department and found that Uncle Wang, who was treated at the Sichuan restaurant the day before yesterday, happened to be hospitalized in the second district of his heart.


    On the same day, he was sent to the operating table, and two stents were implanted in emergency surgery.


    On the second day after the operation, Uncle Wang was transferred back to the second ward in the heart area.


    The moment they saw Lu Chen, Uncle Wang and his wife were really grateful.


    If I hadn''t met Lu Chen the day before yesterday, what would have happened to the old man?


    Lu Chen naturally reaped another wave of gratitude.


    ¡­


    At the same time, the "disaster relief" report on Lu Chen also began to be reported in Guanghai City and even the mainstream media across the country.


    Lu Chen, Guanghai First Hospital, or the government, seem to have underestimated the influence of this interview.


    When disaster strikes, erecting a positive image will help guide public opinion.


    The current Lu Chen plays exactly this role.


    For a while, on TV stations, on the Internet, and even on Weibo and WeChat, all of them were in Guanghai''s rescue and disaster relief.


    The cause of the accident must be the most concerned by everyone.


    However, the performance of medical staff and rescuers in the face of the disaster also inspired a large number of people.


    Xu Wei''s interview, starting from the first-hand accident scene, restores a real accident scene to everyone.


    Lu Chen, the protagonist, did not take credit.


    Because he knew that behind him was the efforts of a group of rescue teams.


    He is just one of them, the most common one, but lucky to be picked out for an interview.


    With the report of the interview, the amount of thanks that Lu Chen received has skyrocketed!


    The prompt of the system panel, jumping non-stop for a day.


    made Lu Chen feel a little numb!


    Lu Chen didn''t expect that one day, he would be troubled because of too much gratitude!


    Fortunately, the system has an upper limit on the amount of thanks you can receive every day.


    Otherwise, it is possible for Lu Chen to exceed tens of thousands of gratitude points in a day.


    ¡­


    Back to the apartment in the evening.


    Lu Chen opened the system panel.


    Combining the previous gratitude points and today''s one day''s gratitude points, Lu Chen''s total gratitude points reached more than 30,000.


    looked at the system mall.


    Cardiovascular Medicine Advanced Skill Card, Lu Chen has already exchanged a lot.


    Such as TAVR intervention, electrophysiological intervention, ECG interpretation, etc.


    The remaining ones that have not been exchanged include congenital heart disease intervention, aortic dissection intervention, etc.


    Lu Chen has only opened the system store on the third floor, and the skill card level is advanced.


    As for the opening of the next layer of the mall, I don¡¯t know when it will be.


    Lu Chen is not in a hurry. With the speed at which he is now earning gratitude points, this day will come soon.


    All he needs to do now is to precipitate himself and try his best to improve his current skill proficiency.


    ¡­


    In the blink of an eye, a month passed.


    The accident of the collapse of the self-built house has passed.


    The public opinion in society gradually subsided, and the female student Lu Chen rescued was also discharged from the hospital.


    Fortunately, her body is fine, she just needs to cultivate for a while, and she can''t take the graduate exam this year.


    Lu Chen''s influence in the society gradually subsided.


    Relying on this media interview, Lu Chen swept hundreds of thousands of thanks in one month!


    (end of this chapter)

 v2 Chapter 818： Lu Chens troubles

    Chapter 818 Lu Chen''s troubles


    in the system mall.


    Congenital heart disease intervention, aortic dissection intervention, these advanced skill cards are often worth tens of thousands of thanks.


    The gratitude value that Lu Chen has saved now may not be enough after exchanging two skill cards.


    "Let''s save it first." Lu Chen didn''t need any other skill cards for the time being, so he saved the thanks.


    As for the completion of the system upgrade, it has reached 53.98% at present, and there is still a lot of gap between the next upgrade.


    ¡­


    Lu Chen returned to the clinic in the second area of ??his heart and continued to start his career as a doctor.


    After Tang Zhanwei saw the horror of Lu Chen last time, he has become more and more low-key now, and even took the initiative to send patients to Lu Chen.


    For some difficult and high-risk TAVR patients, Tang Zhanwei took the initiative to contact Lu Chen.


    On the one hand, it can reduce the risk for himself, and on the other hand, it can please Lu Chen.


    Why not do it?


    The TAVR operation in the second area of ??the heart grows vigorously in the "crack".


    With the passage of time, the TAVR level of the entire Guanghai First Hospital has become more and more in the forefront of China under the training of Lu Chen.


    Lu Chen''s good helper, Jin Miao''s attending doctor can be said to be proud of the spring breeze.


    And another assistant, Gu Xinyue, is thriving in her career.


    But emotionally, there was a crisis.


    One month after moving to Xu Shan''s room opposite, Gu Xinyue moved back...


    Lu Chen''s apartment.


    Gu Xinyue slumped on the sofa and stared blankly at the TV screen.


    "Old Gu, what are you doing?" Lu Chen made him a cup of tea.


    "I don''t drink tea."


    "Where''s the coffee?" Lu Chen asked.


    "I don''t drink either." Gu Xinyue shook her head, "Is there any wine?"


    "Wine?" Lu Chen was taken aback for a moment, "I really don''t have it, what''s the matter with you? You quarreled with Xu Shan?"


    Gu Xinyue paused for a while, "Break up."


    "What?" Lu Chen asked in surprise, "It''s normal for couples to quarrel, so don''t say such things lightly."


    Gu Xinyue glanced at Lu Chen, "You have never been in a relationship, you know what a shit."


    Lu Chen was at a loss for words.


    "I feel that Xu Shan''s interest is in scientific research, and she and I are together for scientific research." Gu Xinyue said this without thinking.


    Lu Chen frowned, "You mean, she lives with you for scientific research?"


    What is this mess?


    "That''s about it." Gu Xinyue saw that there was no wine, so he had to use tea instead of wine and took a sip.


    Lu Chen was speechless, is Lao Gu a fool for reading?


    "Xu Shan paid such a high price just to engage in scientific research with you?" Lu Chen asked rhetorically.


    "Yeah, is there a problem?" Gu Xinyue said, "However, what price did she pay?"


    "You moved in for a month and didn''t do anything?" Lu Chen wondered.


    "What are you doing?" Gu Xinyue was taken aback.


    Lu Chen: "..."


    Come on, Lu Chen doesn''t know how to answer this question.


    Two academic masters, when faced with this kind of problem, their IQ seems to be a bit insufficient.


    However, Lu Chen recalled his first acquaintance with Xu Shan, and she often communicated with herself for scientific research.


    Gu Xinyue is a person who can easily get out of emotional sleepiness. After drinking a lot of tea that night, he didn¡¯t think about anything the next day and continued to work normally.


    As for his relationship with Xu Shan, Lu Chen doesn''t care.


    ¡­


    The second area of ??the heart.


    In Lu Chen''s deputy director''s office, a special person came.


    He is the husband of the previous "congenital heart disease" female patient.


    "Director Lu, my wife has given birth! Mother and child are safe!"


    The man''s face was filled with happiness, and he excitedly pulled Lu Chen''s hand.


    "Thank you so much, Director Lu!"


    "Congratulations, congratulations!" Lu Chen was also happy for their family, "Your wife is really brave, she gave birth to the child under such great pain!"


    "Yes, it''s really difficult for her." The man nodded in agreement, "By the way, Director Lu, my wife and I discussed it and want you to give our child a name."


    For this child, Lu Chen and related doctors almost gave him a second life.


    "I''m here to pick a name?" Lu Chen was stunned, then waved his hand quickly, "I can''t, it''s not good to mess it up."


    "Director Lu, it''s alright." The man said quickly, "We can''t repay your kindness to our family. We can be considered a blessing for my son''s name."


    Although the man asked again and again, after weighing it, Lu Chen refused.


    Thanks to the patients and their families, he can accept it.


    But once you go too far, you may be carried away by this feeling, which is not good!


    However, the successful birth of a new life made Lu Chen very happy.


    He also took time to visit patients.


    The patient himself was even more excited when he saw Lu Chen coming to visit.


    Lu Chen naturally comforted him again before leaving.


    ¡­


    As Lu Chen stayed in Guanghai No. 1 Hospital longer, his reputation spread more and more widely.


    And Lu Chen also began to gain a firm foothold in Guanghai First Hospital.


    In the second area of ??his heart, Lu Chen has a large number of the most loyal fans.


    However, the most important thing in Lu Chen''s heart is still the application for the National Natural Science Program.


    His blueprint plan for the TAVR field relies on the support of the National Natural Science Foundation of China.


    In half a year, Lu Chen will apply for the National Nature Program for the second time.


    This time, Lu Chen worked hard to win it!


    ¡­


    They hadn''t seen each other for a long time since Gu Xinyue moved out of Xu Shan''s room.


    Even if she lived next door, Gu Xinyue stayed with Lu Chen every day and stopped contacting Xu Shan.


    "Lao Gu, are you really going to stop trying?"


    "Don''t go!" Gu Xinyue shook her head firmly, "For scientific research, she can ask anyone, so why should she ask me?"


    Lu Chen spread his hands.


    "Stop talking about me, that pretty female reporter didn''t come to see you recently?" Gu Xinyue smiled.


    "Oh, stop talking..." Lu Chen sighed.


    Now Lu Chen is very troubled!


    Since the last interview, Xu Wei has come to Lu Chen every now and then.


    At first, I still used work as an excuse.


    Now, Xu Wei doesn''t use her job as a cover at all, and just comes to ask Lu Chen to have dinner or watch a movie.


    But as a clinician, Lu Chen doesn''t have so much time.


    Eat in the cafeteria, watch videos... just watch interventional surgery videos.


    Therefore, Xu Wei never made an appointment at all.


    "Lu Chen, don''t you know the mind of a beautiful female reporter?" Gu Xinyue teased.


    Lu Chen: "..."


    No matter how slow he is, of course he understands Xu Wei''s thoughts.


    However, after being single for so many years, he has no idea.


    Whether it was Ke Yue, his junior sister Yao Jie, Wang Ruoxi, Wang Zihao''s sister, or the girls he met in Jinghua, he didn''t have too many ideas.


    To be precise, Lu Chen was not ready for a relationship.


    The former Lu Chen pretended to be stupid and didn''t respond, so naturally other girls wouldn''t continue chasing him.


    But now, he met Xu Wei.


    This girl is really a master who doesn''t hit the south wall and doesn''t look back.


    Lu Chen ignored her, she still came to the hospital every day to look for her.


    Even Gu Xinyue wanted to tell her, girl, if it doesn''t work, change someone...


    (end of this chapter)

 v2 Chapter 819： Xu Weis visit

    Chapter 819 Xu Wei''s visit


    While Lu Chen and Gu Xinyue were chatting in the office, a fierce quarrel suddenly came from the ward in the second district of the heart outside.


    As the deputy director of the department, Lu Chen, of course, has the responsibility to come out and check.


    "I''ll take a look." Lu Chen stood up immediately, followed by Gu Xinyue.


    The front desk of the nurse station in the department.


    A middle-aged man about forty years old glared at the head nurse.


    "I am a hypertensive patient, why do I have to check my urine routine?!"


    "You doctor, you said that it is the best hospital in Guanghai, I think it''s charging indiscriminately, right?!" The middle-aged man put one hand on his hips and pointed at the nurse on the motherboard with the other.


    "Urine and stool routine, this is what we need to check for every patient admitted to the hospital!" said the head nurse, "It''s not just you, everyone has to check this!"


    "I don''t believe it anymore, is high blood pressure related to urination?" The middle-aged man still had a dark face, "I found out, you are just wrong..."


    The middle-aged man said something, and Lu Chen stepped forward immediately and said, "Okay, I''m the deputy director of the department. If you have any questions, you can come to me."


    "After so long, the leader is finally willing to take the lead!" The middle-aged man turned his head to look at Lu Chen, and then froze for a moment, "No, you''re not fooling me, are you? Is there such a young deputy director as you?"


    Lu Chen''s overall image, such as this lush hair, has nothing to do with the rank of the deputy director.


    "This thing can''t be deceived." Lu Chen said to the department propaganda column on the wall beside him, "Look for yourself, there is a picture of me on the wall, the deputy director of the department in the second district of the heart, if it is fake ."


    The middle-aged man really took a look, and the deputy director of the department was indeed the young man in front of him!


    "Okay, the department leader is here, then it''s the best!" The middle-aged man said to Lu Chen, "Look at the level of doctors in your department, I am a hypertensive patient, so I have to check the urine routine?!"


    The attitude of the middle-aged man is better than just now, but he is still very strong.


    Lu Chen said indifferently: "High blood pressure and urination are really related."


    "Don''t talk about the rules to check, these rules are all set by you." The middle-aged man snorted coldly.


    Lu Chen didn''t say much, but turned around and walked to the front desk of the nurse''s station, and took out a brochure from the bookshelf in the outreach.


    "Have you seen this?" Lu Chen asked.


    "What''s this?" The middle-aged man took the manual, which was written in large characters, "Hypertension Propaganda Booklet!"


    "Let me tell you briefly." Lu Chen immediately said, "In hypertensive patients, when the blood pressure rises to a certain extent and lasts for a certain period of time, the raised blood pressure will increase the pressure in the kidneys, promote renal atherosclerosis and renal failure. Ball fibrosis."


    "In simple terms, high blood pressure destroys the sieves in the kidneys, leaking protein, resulting in protein found in the urine."


    "This is one of the evidences that high blood pressure causes kidney damage, and it is also a complication of high blood pressure!"


    The middle-aged man flipped through the hypertension education manual in his hand, and there was such a paragraph in it.


    "This..." The middle-aged man paused, "Then check these things, your doctor should tell the patient in advance!"


    Lu Chen smiled, "There is no need for us to explain the routine examination to the patients. Do we need to explain the reasons to each patient when we check the blood routine and coagulation items? We don''t have that much time, and there are many professional terms. It''s also hard to understand Mo."


    "But our patients... must have the right to know, right?" The middle-aged man held back for a long time, and finally said a word.


    Lu Chen said: "We will communicate with patients and their families in advance for special examinations or expensive examinations. Secondly, if you have any questions about any examination, you can ask us at any time. Instead of obstructing the department like just now, The normal work of our medical staff!"


    The middle-aged man looked embarrassed.


    He consciously made a mistake, lowered his head, flipped through the mission manual in his hand, and left quickly like a little mouse who was found stealing oil and eating it.


    "Huh, this person is really looking for trouble." The head nurse smiled and said to Lu Chen, "Director Lu, thank you very much."


    "Although this patient is a bit difficult to deal with, it also proves that our department''s publicity and education work has not been done properly." Lu Chen said, "The brochures on the shelves are not just decorations. When the patients are admitted, hospitalized, and discharged, they must be detailed. mission."


    Successful education can reduce conflicts between doctors and patients, and allow patients to participate in their own diagnosis and treatment process.


    "Okay, Director Lu." The head nurse nodded slightly, "I will discuss this with the head nurse, and strive to do a good job in patient education. You can rest assured."


    "I hope everyone can work together." Lu Chen said.


    Conflicts between doctors and patients are never the fault of one party.


    Checking and filling the gaps from his own side, this is what Lu Chen has always asked for himself.


    come back to the office.


    Gu Xinyue smiled, "Director Lu, I remember when you were a graduate student in Jinghua, you especially liked to do missionary work, right?"


    "Yes." Lu Chen nodded slightly.


    At that time, Lu Chen, on the one hand, was for the value of gratitude, and on the other hand, in order to popularize science for patients.


    "Don''t underestimate the missionary work." Lu Chen said, "If you want to reduce the incidence of diseases from the source, you must start with the missionary work, so that everyone can recognize the high risk factors of coronary heart disease, high blood pressure and other diseases..."


    Gu Xinyue stared blankly at Lu Chen, "Sometimes, it''s so strange to you, why do these outstanding people still notice these small places?"


    Those experts and professors who can really sink into the grassroots level and teach the common people the popular science?


    Experts teach more work, all in how to apply for scientific research and how to write papers.


    Lu Chen smiled and didn''t respond much.


    Doing any little thing well has the potential to make a huge difference.


    Just as the two were talking, the office was rang.


    Gu Xinyue stood up and opened the door.


    A pleasant voice came out.


    "Doctor Gu, you are here too." Xu Wei poked her little head in.


    "Well, I was just talking about something." Gu Xinyue turned to let Xu Wei come in, "Are you looking for Director Lu again?"


    "I didn''t bother you, right?" Xu Wei said in a funny way.


    "No, we have finished talking." Gu Xinyue said.


    Xu Wei smiled and walked to Lu Chen''s desk.


    "Then I have something to do at noon..." Lu Chen coughed lightly, and was about to say something when Xu Wei interrupted him.


    "I didn''t invite you to lunch." Xu Wei quickly shook her head.


    "Uh... I''m going to change the bidding book tonight." Lu Chen said again.


    "I''m not asking you to watch a movie at night." Xu Wei still shook her head.


    "What''s the matter?" Lu Chen was startled and glanced at Xu Wei.


    "I''m sick, I feel a little flustered recently, and I want you to take a look." Xu Wei whispered, "Oh, by the way, I''ve signed up."


    She said from her bag, took out an outpatient specialist account that Lu Chen was worth 300 yuan tomorrow.


    (end of this chapter)

 v2 Chapter 820： girls invitation

    Chapter 820 Girls'' Invitation


    "Are you really registered?" Lu Chen smiled helplessly.


    The HP on Xu Wei''s head is 84(-).


    This kind of health is basically nothing wrong.


    "Isn''t it a normal process to see a doctor?" Xu Wei whispered, "Can''t we break the rules just because we are so familiar with each other?"


    What else can Lu Chen say, he can only ask: "When did you start to panic?"


    He began to regard Xu Wei as a real patient.


    "The last month."


    "Never before?"


    Xu Wei thought for a while, "Probably not."


    Lu Chen continued to ask, "What do you usually do when you''re in a panic?"


    "Well..." Xu Wei said, "It''s not very fixed, sometimes I eat, sometimes I sleep."


    "How long does each panic attack last?"


    "A few minutes, some ten minutes."


    "Are there any other discomforts?"


    "No..."


    ¡­


    After asking around.


    "Fortunately, it''s not a big problem." Lu Chen said, "It may be that you have been too tired recently, so take a good rest."


    "Don''t you need to do an electrocardiogram?" Xu Wei wondered, "Don''t you listen to the heart?"


    "This... okay."


    Lu Chen symbolically gave Xu Wei auscultation of her heart and lungs, and then asked a nurse to take her to the nurse''s lounge and did an electrocardiogram.


    Checked the result, everything was ok.


    "Director Lu, what''s wrong with me? Is it serious?" Xu Wei blinked and looked at Lu Chen.


    "Nothing is sick, everything is fine." Lu Chen said, "The electrocardiogram is normal, the heart and lung auscultation is normal, you should pay more attention to rest, don''t stay up late, drink less morphine, and exercise properly."


    "Oh." Xu Wei nodded, "I see, thank you Director Lu."


    As soon as she finished saying this, Gu Xinyue suddenly said, "Sister, I know what kind of illness you have."


    "Huh?" Xu Wei looked at Gu Xinyue suspiciously.


    Lu Chen also looked at Lao Gu curiously.


    I saw Gu Xinyue smiling mysteriously and walked to Xu Wei''s side, "Whenever you get sick, are you alone?"


    "Uh... yes." Xu Wei thought for a while.


    "Then every time you come to the second area of ??our heart, will you not get sick?"


    "It seems so."


    Xu Wei blinked Chaogu Xinyue''s eyes.


    This Doctor Gu can handle it!


    "That''s right." Lao Gu coughed softly, "You are too lonely, you need to come to the second area of ??our hearts more."


    As the saying goes, a young girl is always a poem.


    But Gu Xinyue didn''t dare to say this in person, so she could only cheer for Xu Wei in her heart.


    Lu Chen is not stupid, he can only helplessly smile, "Old Gu, don''t talk nonsense."


    "Where am I talking nonsense?" Gu Xinyue said, "There is reason and evidence, and even the parties involved are present."


    Lu Chen: "..."


    Lao Gu has been releasing himself more and more recently.


    He actually came to make fun of Lu Chen on such a matter.


    "Xu Wei. You can ask to refund the registration fee later." Lu Chen said, "Don''t waste three hundred yuan."


    Xu Wei was startled, "No way, I have already seen a doctor, can the registration fee be refunded?"


    "I didn''t do anything, your registration fee is refundable." Lu Chen said.


    The electrocardiogram done by the department was given to her by Lu Chen.


    "Okay, thank you Director Lu." Xu Wei pursed her lips and smiled, she was still very satisfied with today''s medical treatment.


    Ordinary people really have no chance to meet Lu Chen.


    You must know that the consultation fee for Lu Chen''s outpatient specialist number is 300 yuan!


    "No thanks." Lu Chen said.


    "Then I won''t bother, let''s go first."


    Xu Wei smiled, then greeted Gu Xinyue and left.


    ¡­


    In the office of the deputy director, the calmness returned to the past.


    "Lu Chen, I think this girl is really good." Gu Xinyue smiled, "others are TV reporters. Compared with us, they are not too busy and can take care of the family. It is much better than finding a doctor or nurse. ."


    Lu Chen quickly waved his hand, "Forget it, I don''t think about it so much for now."


    "Oh, you really are, and you are not too young." Gu Xinyue said, "You don''t hurry to get married and have a baby, so that you can enter the field of coronary intervention!"


    In the field of interventional cardiology, the largest proportion is still coronary intervention.


    Electrophysiology and TAVR surgery are developing rapidly, but the original number of patients is limited.


    However, the amount of radiation in coronary intervention is very large!


    Generally, doctors will choose to perform coronary intervention after the child is born.


    Lu Chen is no exception.


    Coronary intervention involves more fields, but it is not comparable to TAVR in a single operation.


    "Don''t worry, now I''m mainly researching TAVR." Lu Chen said, "Let''s slow down the coronary intervention."


    There are many things I want to do, and it is impossible to "" eat a fat man in one bite.


    What''s more, even if you have a girlfriend, it doesn''t mean you can have a baby!


    ¡­


    Just after get off work at noon, Lu Chen suddenly received a call from director Yan Wanfeng.


    "Lu Chen, there is a general consultation in the hospital in the afternoon, you can go there instead of me."


    "Okay, where is it from?" Lu Chen didn''t refuse.


    "It''s a patient from the oncology department." Yan Wanfeng said, "I''ll send you the consultation information later."


    "Row."


    hung up the phone, and Lu Chen and Gu Xinyue walked out of the ward in the second district of the heart together.


    They are going to the cafeteria to settle their lunch.


    Since Gu Xinyue and Xu Shan broke up, Lao Gu has quickly become a regular customer in the cafeteria.


    "Xu Wei, why haven''t you left yet?" Lu Chen asked in surprise.


    At the door of the ward, Xu Wei was sitting on a rest chair outside.


    Seeing that Lu Chen finally came out of get off work, Xu Wei immediately laughed, "Lu Chen, I''ll treat you to dinner at noon."


    "That..." Lu Chen pointed to Gu Xinyue who was beside him, "I made an appointment with Lao Gu to have lunch together in the cafeteria."


    "Lu Chen, don''t worry about me!" Gu Xinyue suddenly said, "I''ll just eat whatever I want."


    "Ah? Laogu...you..." Lu Chen really convinced Laogu, and he acted like a fool.


    "Hey, don''t say more." Gu Xinyue''s pace immediately sped up a bit, "I''ll go to the cafeteria first."


    Only Lu Chen looked helpless.


    "Lu Chen, it''s just to thank you for seeing me in the morning." Xu Wei continued, "I invite you to eat at the Sichuan restaurant downstairs in your apartment!"


    "Then... let''s do it." Lu Chen had no choice but to agree.


    Xu Wei came over and invited over and over again, and Lu Chen couldn''t continue to wipe her face.


    Seeing that Lu Chen agreed, Xu Wei was overjoyed.


    "Let''s go, let''s head to the Sichuan restaurant!"


    ¡­


    Returning to the Sichuan restaurant again, the scene of the previous rescue is still vivid in my mind.


    "Lu Chen, you were too powerful back then." Xu Wei looked at Lu Chen with a hint of admiration in her eyes.


    "Any medical staff can do it." Lu Chen said.


    "No, I think you are special." Xu Wei smiled and replied.


    She looked at Lu Chen with a sparkle in her eyes.


    (end of this chapter)

 v2 Chapter 821： Mu Xiu Yulin

    Chapter 821 Mu Xiuyu Lin


    After dinner, everyone went back to their homes.


    Lu Chen rested for a while in the apartment.


    In the afternoon, he will also replace Director Yan Wanfeng to discuss difficult cases.


    Today, Yan Wanfeng basically doesn''t care much about clinical matters.


    Most of the clinical affairs in the department are handled by Lu Chen.


    afternoon.


    Oncology ward.


    shows the classroom.


    The directors or deputy directors of each major department of Guanghai First Hospital came to participate in this difficult case.


    There is no other reason, one of the patients'' condition is critical and complicated.


    Second, the patient''s identity is special.


    When ?? came to the oncology department, a graduate student immediately led Lu Chen to the classroom.


    "Hey, Director Lu, you''re here."


    "Director Lu, the patient with congenital heart disease last time successfully gave birth to a child. This is a good case! We can study it well!"


    "Director Lu, we also have a troublesome case in our department. You can visit us when you have time."


    Lu Chen is now familiar with the directors of other departments.


    Everyone gradually became familiar with Lu Chen''s identity, but ignored his age.


    is mainly Lu Chen''s ability, which is too outstanding.


    Whether it is clinical ability or surgical ability.


    "It''s easy to talk." Lu Chen smiled slightly and greeted everyone one by one.


    Oncology is a big, rich department!


    The most important thing is that the contradiction between doctors and patients in the oncology department is much less than that of other departments!


    It is normal that the tumor is diagnosed and cannot be cured. Both the patient and the patient''s family accept it!


    cured, that means good medical skills.


    Moreover, the medicines in the oncology department are very expensive.


    Correspondingly, the benefits of oncology are also very good.


    Before Lu Chen chose a department, he even thought about oncology for a while.


    After ten minutes, all the personnel were present, and the discussion of difficult cases began.


    Director Tang of the Department of Oncology was the first to stand up and speak.


    "Hello, directors. This time, I am bringing everyone together to solve a case. The patient''s identity is special, so our department has no choice but to brainstorm and see if we can come up with a good diagnosis and treatment method!"


    Director Tang''s words made everyone more curious about the identity of this patient.


    However, the people in the oncology department kept silent.


    Everyone can only give up.


    Immediately afterwards, the patient''s doctor in charge of the bed gave a brief introduction to the patient''s condition.


    Everyone has a medical record information sheet in their hands, and with the introduction of the doctor in charge of the bed, everyone quickly knows the basic situation of the patient.


    The patient was diagnosed with rectal ca with liver and lung metastases.


    After the current targeted drug treatment, dyspnea and decreased activity tolerance have occurred recently.


    "Everyone understands the patient''s condition." Director Tang said, "What we are most puzzled about is the reason for the patient''s symptoms, and in terms of treatment, can we continue anti-tumor therapy?"


    The voice of ?? just fell.


    A deputy chief physician of the Department of Respiratory Medicine took the lead and said, "May I ask Director Tang, does the patient have a history of lung diseases? For example, emphysema, etc."


    "Yes." The doctor in charge of the bed nodded slightly, "The patient has a history of smoking for nearly 40 years, and he only started quitting smoking in the last year. He has a long history of chronic obstructive pulmonary disease."


    "Have you checked your lung function before performing tumor treatment?" said the respiratory doctor.


    "No." The doctor in charge of the bed shook his head, "The patient''s symptoms were very mild at the time, so he didn''t notice this problem."


    "Yeah. I looked at the patient''s medical records and found that in terms of dyspnea, first of all, heart failure must not be ruled out. In addition, it is the state of lung function, long-term emphysema, plus the metastasis of lung cancer, or the lung function must be not good."


    Respiratory doctors talked eloquently.


    After all, it is the top hospital in the province.


    Every director here has an excellent resume.


    More than 90% of them have doctorate degrees and have the opportunity to study abroad.


    There are even some directors, who are industry leaders.


    Everyone expressed their opinions.


    After a while, the speech ushered in a brief pause.


    "Well, the opinions of all teachers are very valuable." Director Tang said, "Which department teacher will continue to express opinions?"


    Under the stage, a doctor from the intensive care department raised his hand.


    Lu Chen knew him, it was Huang Xiaofeng, the captain of the rescue team some time ago.


    "Director Tang, let me tell you my opinion." Huang Xiaofeng said.


    "Okay, then let''s listen to Director Huang''s high opinion."


    The eyes of everyone turned to Huang Xiaofeng.


    Huang Xiaofeng smiled lightly, "This patient, I have consulted before, I noticed his electrocardiogram, I wonder if you have seen it?"


    Then, on the screen of the projector on the stage, the three electrocardiograms made by the patient after admission immediately appeared.


    "Have you found something abnormal?" Huang Xiaofeng said, "Although I am not a cardiologist, it is clear that the first ECG showed slight elevation of the ST segment in leads V1-V3."


    "The third ECG showed extensive ST-segment elevation in the precordial and inferior leads."


    "In addition, the patient''s troponin was elevated, do these all suggest that the patient has myocardial infarction?"


    As soon as he finished speaking, there were whispers in the classroom.


    Lu Chen didn''t speak.


    In fact, he had already noticed the patient''s electrocardiogram.


    However, if it is really a myocardial infarction and it is so easy to judge, then this patient does not need to have a general consultation of the whole hospital, right?


    Sure enough, after hearing Huang Xiaofeng''s opinion, Director Tang said, "Director Huang''s opinion is very good. We have also considered it before, so we performed coronary CTA for the patient. You can look at the results of the CTA."


    Coronary CTA is a non-invasive examination, and like coronary angiography, it can diagnose whether there is coronary heart disease.


    Then, the doctor in the tube bed projected the image of the patient''s coronary CTA on the projector.


    Lu Chen raised his head and looked intently.


    The patient''s anterior descending artery has stenosis, but the degree of stenosis is not severe, only about 40% stenosis.


    This level of stenosis will not cause such severe symptoms at all!


    Huang Xiaofeng obviously saw this result, he was a little unwilling, and still asked: "The result of angiography is normal, it does not necessarily mean that there is no coronary heart disease! I remember that in the field of cardiology, coronary microcirculation disorder was diagnosed when there was a disease. That is, the major main vessels may not be narrowed, but the microcirculation disorder may also lead to heart failure."


    Microcirculation disorders cannot be detected by coronary angiography or CTA.


    After saying this, Huang Xiaofeng also glanced at Lu Chen, "Director Lu is an expert in this field, you know better than me, it should be something like this."


    Lu Chen smiled and nodded: "Director Huang, you''re right, there is indeed such talk."


    Seeing that Lu Chen said so, everyone asked questions.


    Is the patient suffering from heart failure caused by cardiac ischemia, as Director Huang Xiaofeng said?


    Director Tang''s attention was attracted by Lu Chen at this time.


    He suddenly said: "I have heard it for a long time, we have a very good cardiologist in Guanghai First Hospital. At a young age, he has won many honors and awards."


    This is naturally Lu Chen.


    Everyone also turned their attention to Lu Chen not far away.


    Director Tang paused for a while and continued to smile: "Director Lu came to participate in the case discussion in person today. I think everyone is very interested in Director Lu''s opinion on this patient, right?"


    Lu Chen finally knew that Mu Xiu was in the woods and the wind would destroy him.


    At this time, everyone present looked at him.


    Perhaps Director Tang is not malicious.


    But at this time, Lu Chen had to stand up and express his opinions and opinions.


    Once there is a slight mistake, he is likely to be labeled by everyone, "not matching", "learning valve" and so on.


    However, many doctors have already published their own opinions about Lu Chen, so what new tricks can they say?


    (end of this chapter)

 v2 Chapter 822： Absolute proof!

    Chapter 822 Absolute Evidence!


    Oncology.


    shows the classroom.


    At this moment, everyone''s attention was on Lu Chen.


    Those who are familiar with Lu Chen and those who are not familiar with Lu Chen are all looking forward to Lu Chen''s mouth, what different opinions will there be?


    Director Tang of the Oncology Department looked at Lu Chen with burning eyes.


    No one knew that he and Professor Ouyang were actually friends in private.


    During the usual gatherings, Professor Ou Yangming mentioned Lu Chen to him many times.


    Director Tang is naturally very curious about this outstanding young man.


    raised it in public today, and asked Lu Chen to answer this question in the end.


    In addition to the test, it is more of a help!


    Everyone present here is the director or deputy director of each department, showing his face in front of everyone.


    There are not many opportunities like this!


    Lu Chen naturally didn''t know the secret behind this.


    For him, no matter what the reason, he is willing to accept the challenge.


    The condition of the tumor patient in front of him was just a small challenge for him.


    The last thing Lu Chen is afraid of is diagnosis!


    His system comes with a "diagnostic" function.


    The system will pop up a prompt only if the diagnosis is correct.


    Therefore, in Lu Chen''s mind, he has already thought about most of the possible diagnoses.


    As long as the diagnosis of this patient exists in the current medical field, then Lu Chen can diagnose it.


    ¡­


    Lu Chen stood up and looked around the crowd.


    "I am honored to stand here today and share my views on this patient with everyone."


    "Director Huang was right in what he said before. This patient can''t rule out coronary heart disease just from the symptoms of dyspnea, electrocardiogram, troponin, etc.!"


    Director Tang was slightly disappointed.


    He thought that Lu Chen had some special opinion, but he didn''t expect it to be the same!


    At this time, Lu Chen changed his words, "However, my next opinion may be different from Director Huang!"


    "Huh?" Director Tang raised his brows, showing interest.


    In the classroom, other doctors also turned their attention to Lu Chen.


    "The patient''s coronary CTA showed that the anterior stenosis was only 40%." Lu Chen said slowly, "From the analysis of coronary heart disease mechanism, this level of stenosis will definitely not cause serious symptoms, such as myocardial infarction. , heart failure, etc."


    "In this regard, Director Huang''s opinion is the obstruction of coronary microcirculation, but I think that any disease must first start from the idea of ??monism!"


    Medical monism, in simple terms, is to use one disease to explain all the symptoms and signs!


    Hearing this, Huang Xiaofeng couldn''t help interrupting: "Director Lu, what is the relationship between tumor and heart disease? I think it is very likely that the patient may have coronary heart disease before, but the symptoms are not obvious. After getting the tumor, the body suffered a trauma, which caused the coronary heart disease to aggravate!"


    Huang Xiaofeng''s remarks are not without reason.


    Many doctors present echoed and agreed with this view.


    Lu Chen smiled, "I don''t deny Director Huang''s idea. But I want to put forward some small opinions of my own!"


    "Okay, you say, we all listen!"


    Huang Xiaofeng looked at Lu Chen, wanting to see what different reasons could be given from the mouth of this young man? !


    Lu Chen didn''t pay attention to Huang Xiaofeng anymore, but stepped onto the stage, came to the position of the doctor in charge of the bed, and operated the PPT projection of the projector.


    He first returned the PPT to the interface of three electrocardiograms.


    Everyone is a little puzzled. Didn''t you just see this picture?


    Why watch it again?


    Just listen to Lu Chen slowly say: "All auxiliary examinations must be fully combined with clinical to make sense."


    "Director Huang is right, these three electrocardiograms look like very typical myocardial infarction electrocardiograms. The first and second electrocardiograms AVR, V1-V3, and V3R-V5R lead ST segment elevation, the entire vector goes to Right deviation, very much like left main disease."


    "The third ECG showed extensive ST elevation in the precordial and inferior leads, also very similar to myocardial infarction."


    "In the above two cases, if it is a myocardial infarction, it must be a very serious myocardial infarction. Then, the patient has no symptoms of progressive ischemia, no obvious chest pain, and no very dangerous clinical manifestations!"


    Lu Chen paused, "That is to say, the electrocardiogram is seriously inconsistent with the clinical symptoms! This shows that the diagnosis of coronary heart disease is in the wrong direction!"


    After Lu Chen finished speaking, the audience was silent!


    No one expected that this young Director Lu would directly overturn Director Huang Xiaofeng''s diagnosis!


    The diagnosis of coronary heart disease...wrong!


    This stunned everyone.


    Director Tang of the Oncology Department, at this time, the more he listened, the more excited he became.


    Although Lu Chen didn''t finish his sentence, he could feel the confidence from Lu Chen''s words.


    This confidence is something that no one else is present.


    The person that Professor Ou Yangming admires is really two brushes!


    "Have you overlooked a very important thing?" Lu Chen continued, "The patient is a tumor patient and is undergoing targeted therapy and immunotherapy!"


    "I guess this patient is likely to have myocarditis caused by immunotherapy!"


    As soon as the ?? voice fell, the system popped up a prompt.


    "Congratulations, the completion of the system upgrade has increased!"


    At the same time, everyone present was puzzled.


    "Myocarditis caused by tumor immunotherapy?"


    Myocarditis is known to everyone, but the myocarditis caused by immunotherapy...


    This is beyond the scope of their cognition!


    Even oncologists, they are unheard of!


    "Director Lu, can you explain this illness to everyone?" Director Tang said quickly.


    "Okay, no problem." Lu Chen nodded slightly, then took out his phone.


    Everyone was a little puzzled, but Lu Chen connected his mobile phone to the projector.


    Lu Chen began to introduce: "This is a document I read last month and it was published in The Lancet."


    The paper is all in English, but everyone is a big man in the medical industry, so naturally they cannot be beaten.


    "This paper is to study the side effects of immunotherapy. Immune myocarditis, as the name suggests, is a drug for tumor immunotherapy. While treating tumors, it will also damage the patient''s cardiomyocytes!" Lu Chen picked out the focus of the paper, " Among the many adverse reactions, myocarditis caused by immunotherapy is a side effect that doctors are very unwilling to see."


    The incidence of ??immune myocarditis ranges from 0.06% to 3.8%.


    Although the incidence is relatively low, it has the characteristics of high lethality.


    The fatality rate of immune myocarditis is as high as 39.7%-50%! Once it happens, nearly half of them will be life-threatening.


    "After reading this article, let''s look at the second article!" Lu Chen switched to another article, "This paper is also published in the New England Journal, the top journal in the cardiovascular field."


    "Researchers warn patients using immunotherapy to be highly vigilant against the occurrence of immune myocarditis. Because the symptoms of this adverse reaction are not specific, it is easy to be ignored or mistaken for other underlying diseases!"


    After reading the two documents, there was silence in the classroom.


    It''s not how good you are.


    But after stating your reasons, you can find the corresponding evidence!


    Compared with Lu Chen, Huang Xiaofeng''s diagnosis seemed pale at this time.


    Director Tang smiled with relief, but he felt a little more disappointed in his heart.


    The joy is that this young man Lu Chen is really extraordinary!


    Sadly, China''s research still lags behind foreign countries after all!


    When will this situation be reversed?


    Director Tang looked at Lu Chen in front of him with no reason to hope.


    Myocarditis caused by immune checkup inhibitors has been brought up in China in recent years.


    The first domestic guideline was issued last year.


    The content written in the article is partially behind the reality.


    After all, I can''t invent a new field of research out of thin air.


    (end of this chapter)

 v2 Chapter 823： Create a whole new discipline!

    Chapter 823 Create a new discipline!


    The difficult case discussion meeting is over.


    Director Huang Xiaofeng''s diagnostic opinion cannot be ruled out for the time being.


    But everyone is more inclined to the myocarditis caused by the "immunosuppressant" that Lu Chen said!


    "Director Lu, please stay."


    After the discussion was over, Lu Chen was about to leave when Director Tang of the Oncology Department stopped him.


    "Director Tang, hello, is there anything else?" Lu Chen smiled.


    "It''s not good to talk here, come to my office."


    Then, Lu Chen followed Director Tang to his office.


    "Ouyang''s eyes are really vicious!"


    Director Tang''s first sentence made Lu Chen a little surprised.


    "Director Tang knows Professor Ouyang?"


    "Old classmate for many years." Director Tang smiled, "Ouyang mentioned you many times in front of me and praised you, but I never had the chance to meet you. When I saw you today, it really is a hero!"


    "Director Tang has won the award." Lu Chen said modestly, he was very grateful to Professor Ouyang.


    My own growth path is much easier because of the support of Professor Ouyang!


    "I asked you to come here today, but I''m actually interested in the connection between the tumor and heart disease that you just mentioned." Director Tang changed the subject and began to express the purpose of this conversation.


    Lu Chen echoed, "There is currently a discipline abroad that specializes in oncology and heart disease, called oncology cardiology."


    "Yes, I actually heard about it before." Director Tang nodded slightly, "In fact, our oncologists have long discovered that in the process of tumor diagnosis and treatment, many patients have experienced cardiovascular toxicity, such as myocardial ischemia and elevated blood pressure. , arrhythmia, etc. When these complications occur, we are very distressed. If we continue tumor treatment, cardiovascular complications may be fatal! But without anti-tumor treatment, the tumor will continue to develop, and the patient''s survival will be affected..."


    Director Tang''s remarks, Lu Chen strongly agreed.


    Treatment is actually a process of comprehensive diagnosis and treatment.


    The treatment of tumors is not only the radical cure of the tumor, but also chemotherapy, radiotherapy and surgery.


    A series of diseases in the body caused by tumors need to be considered comprehensively.


    Many tumors have a long survival period, such as breast cancer, which can actually be regarded as a chronic disease.


    Breast cancer itself does not affect the survival of patients, but the cardiovascular toxicity caused by tumors has become the biggest cause of death of patients.


    "My team is working on some topics, studying the connection between tumors and cardiovascular disease. However, there are still many foreign studies in this area, and it is still blank in China!" Director Tang said slowly, "Lu Chen, What you said at the discussion conference today gave me a lot of inspiration. I thought, if possible, I would like you to join my research group."


    Director Tang finally began to reveal his purpose.


    I want to pull Lu Chen in!


    However, Lu Chen smiled softly, "Director Tang, first of all, I am more concerned about cardiovascular disease, and secondly, I will not join other people''s teams, because I have the idea of ??forming a team myself. Finally, the most crucial point is , and just now Director Tang, you gave me some inspiration."


    "What?" Director Tang was taken aback.


    Lu Chen stared at Director Tang and said slowly, "Since the country is empty, why don''t we develop our own cancer and heart disease?"


    "What did you say?" Director Tang was stunned, he didn''t quite understand Lu Chen''s words.


    Lu Chen said word by word: "I mean, the establishment of Huaxia Oncology Cardiology Department!"


    Director Tang was stunned when he heard the words.


    What did he hear?


    Establish a whole new discipline?


    This¡­¡­


    Director Tang swallowed. He had no idea that Lu Chen would have such a grand idea.


    In my impression, Lu Chen should be engaged in cardiovascular intervention, right?


    And he himself, at most, do some small experiments on the relationship between tumors and heart disease.


    As for the idea of ??establishing a new discipline, he doesn''t have it, and doesn''t dare to have it at all!


    "Director Tang, what do you think?" Lu Chen smiled, his smile was so light.


    Director Tang shook his head with difficulty: "With our ability, it is difficult!"


    He may have a certain influence in Guanghai, but it is not enough to see in the whole country!


    Not to mention Lu Chen, he is so young, he only has a certain influence on the level of cardiovascular intervention.


    To establish a brand new discipline, the initiators and leaders will be these little people, and they should not be them!


    "If you don''t give it a try, how will you know if you can succeed?" Lu Chen asked back.


    The newborn calf is not afraid of tigers, this is the true portrayal of Lu Chen.


    Join someone else''s team, and then study some outdated topics abroad, and can only succumb to others forever.


    Director Tang gave a wry smile.


    He still underestimated the young man in front of him!


    Originally, he just wanted to bring him in, but unexpectedly, Lu Chen''s thoughts were simply amazing.


    "Lu Chen, I''ll forget it." Director Tang still shook his head, "I''ll keep my one-acre and three-point land. For other things, I don''t have much energy for now."


    To put it bluntly, Director Tang didn''t quite believe in Lu Chen''s ability at this time.


    A young man who has just entered the medical circle is like leading a brand new discipline, which is basically a nonsense!


    At least until the heavyweight of Professor Ouyang Ming, it is possible to take the initiative to establish a new discipline within the scope of China.


    Having an idea is good, but it¡¯s just a waste of energy and money.


    "That''s a pity." Lu Chen shrugged.


    What the current Director Tang doesn''t know is that he missed an opportunity to reach the sky in one step.


    Separated from Director Tang, and Lu Chen returned to the second area of ??his heart.


    Today''s difficult case discussion meeting gave Lu Chen a lot of ideas.


    As soon as he returned to the second area of ??the Cardiology Department, he called Gu Xinyue and Jin Miao in.


    These two are now the backbone of his team.


    ¡­


    "Director Lu, will the difficult cases be over?"


    Gu Xinyue sat opposite Lu Chen and asked with a smile.


    Jin Miao also looked at Lu Chen with a puzzled expression.


    At this time of day, Lu Chen is always in the office to check the documents, why is he free to call the two of them over today?


    "It''s over." Lu Chen nodded slightly, "I called you two over today. Actually, I have something to discuss with you."


    Lu Chen''s expression was very solemn.


    Gu Xinyue and Jin Miao immediately sat upright when they saw this.


    "I just came up with a research project on oncology cardiology."


    Lu Chen got straight to the point and said his thoughts.


    "Tumor cardiology?" Jin Miao blinked, "Director, I heard you say it once before, is it the cardiovascular toxicity caused by anti-tumor therapy?"


    "Well, but the concept of tumor heart disease is very big, this is just one of them!" Lu Chen smiled.


    "Okay, I''ll do it with you!" Jin Miao said directly without thinking about it.


    However, Gu Xinyue pondered for a moment before slowly saying: "Director Lu, this project you are going to do is probably not small, right?"


    Who is Lu Chen?


    At the postgraduate level, he can write a thesis on "Dapagliflozin" and change the standard of clinical treatment.


    At the doctoral level, he wrote a "TVAR" thesis to accelerate the development of the TAVR field in China.


    Now, if Lu Chen is going to make a move, it''s not a petty fight, right?


    (end of this chapter)

 v2 Chapter 824： It is difficult for a clean official to cut off housework

    Chapter 824 It is difficult for a clean official to cut off housework


    in the office.


    Lu Chen''s smile was very bright.


    "Old Gu, you know me best!"


    Gu Xinyue pouted, "I don''t like small scientific research projects, can you?"


    Jin Miao was taken aback by the words of the two.


    In his opinion, it is enough to have a scientific research project!


    How can you be selective!


    No way, Jin Miao¡¯s previous career was basically spent without scientific research, funding, or papers.


    Properly a "three no" personnel!


    "Director, how big is your project?" Jin Miao asked cautiously, "A project on National Nature?"


    Lu Chen shook his head slightly.


    When Jin Miao saw this, she was stunned.


    For example, the national nature project is more advanced, but I have never seen it!


    His heart thumped to 120 beats per minute.


    He knows, this is the chance!


    must be grasped? !


    At this time, Lu Chen said slowly: "I want to create a brand new discipline in Huaxia - Oncology Cardiology!"


    "what?!!!"


    Jin Miao''s eyes widened, and her mouth was too wide to close.


    Gu Xinyue was also very surprised.


    He has already looked down on Lu Chen, but obviously he still underestimated his "ambition"!


    It takes a lot of confidence to start a brand-new discipline in order to speak such lofty ambitions.


    In the office, there is silence.


    Jin Miao and Gu Xinyue looked at each other.


    The eyes of the two were blank, shocked, and overwhelmed.


    "You two are stupid, right?"


    Lu Chen was the first to break the calm in the office.


    "Director..." Jin Miao swallowed, "Are you kidding me?"


    Lu Chen said sternly: "Do you think I look like a joker?"


    "It doesn''t look like it." Jin Miao took a serious look at Lu Chen, then shook his head, "It doesn''t look like it!"


    "Isn''t that right!" Lu Chen patted Jin Miao''s shoulder, "Don''t be nervous, I''m just a preliminary idea now, you have to eat every bite, and you have to do things step by step!"


    Gu Xinyue slowly recovered, he looked up at Lu Chen, "I''ll do it with you!"


    "Okay!" Lu Chen laughed, "I knew Lao Gu could handle you!"


    When Jin Miao saw this, he immediately raised his right hand, "Director, I''ll follow you too."


    Everything he is now, the skills of TAVR surgery, are all taught by Lu Chen.


    The cardiology departments of other hospitals also offered olive branches like him, but they were all rejected by him.


    Jin Miao knew very well that after leaving Lu Chen, maybe he could continue to do TAVR, but it was only temporary.


    Only by following Lu Chen, can we keep making progress, and it is even possible to touch Dao to a position he never thought of!


    "Okay!" Lu Chen laughed.


    The two in front of him did not disappoint him.


    His scientific research team in Guanghai No. 1 Academy also took shape at this time.


    The construction of TAVR disciplines and the creation of oncology cardiology disciplines are all what Lu Chen wanted.


    In the future research field, only by constantly innovating and bringing forth the new, and reaching the global leader position in China, this is Lu Chen''s goal!


    ¡­


    Once you have big ambitions, the next step is to work down-to-earth!


    before ending get off work.


    Lu Chen looked at all the patients in the department.


    picked out some problems in the diagnosis and treatment of Gu Xinyue and Jin Miao, and then Lu Chen returned to the apartment.


    As soon as she walked out of the inpatient department, Xu Wei was waiting downstairs again.


    "Go, eat!"


    Xu Wei narrowed her eyes and smiled.


    "Okay." Lu Chen took out the cafeteria card, "I invite you to go to the cafeteria to have a hard meal, you won''t be able to use up the money in the meal card."


    "That''s fine." Xu Wei nodded, "Then I want to slaughter you."


    "Just kill!" Lu Chen waved his hand, "By the way, you''ve been so busy lately, and you have time to come to the hospital every day?"


    This question made Xu Wei confused. She hesitantly whispered: "I''ve been out on location recently, and I basically work in the morning. I''ll be waiting for you to get off work in the afternoon!"


    "This..." Lu Chen stroked the back of his head, "There''s no need to wait for me every day, if you''re busy with work, just go."


    "Oh, don''t worry, I won''t affect my work."


    Then, Xu Wei pulled Lu Chen into the cafeteria.


    ¡­


    In the evening, Lu Chen returned to the apartment alone.


    Gu Xinyue is on night shift tonight, so he is not at home.


    On the way home, Lu Chen also met Xu Shan.


    Xu Shan was slightly taken aback when she saw Lu Chen, but just nodded in greeting.


    The two went back to their respective homes without much communication.


    It seems that the problem between Lao Gu and her has not been resolved.


    But the bell has to be tied to the person to untie the bell. Lu Chen can''t help much in this matter.


    Made himself a cup of coffee, and Lu Chen walked into the study.


    He''s ready to start planning on oncology cardiology!


    TAVR''s discipline construction plan, Lu Chen has perfected it many times.


    Now waiting for the review of the National Nature Project.


    During this period, there are no other options, and oncology cardiology just becomes the second choice!


    Starting a whole new discipline is no small matter.


    The data collation in the early stage, the discipline planning, the expected goals, and the significance of the discipline all need a complete set of systematic theoretical support.


    Of course, only the support of theoretical data is far from enough.


    Lu Chen''s prestige in China must at least match the construction of this discipline.


    Otherwise, it is very likely to become a laughing stock!


    "Dududu..."


    Just when Lu Chen was immersed in theoretical research, his mobile phone WeChat alert sounded.


    I picked up my phone and saw that it was a WeChat video from my mother.


    "Hey, Xiaochen, what are you doing?"


    Connected to the video, Luo Meizhen''s smiling face appeared on the video call.


    "Looking at the literature!" Lu Chen pointed the camera at his computer.


    "You''re the only one in the room?" Luo Meizhen smiled.


    "All alone." Lu Chen nodded, "A roommate went to night shift before, and he''s not here tonight."


    "The roommate''s male or female?" Luo Meizhen said suddenly.


    Lu Chen''s head was covered in black lines, "Of course it''s a man! It''s my graduate student. I used to work in Kyoto. Later, something happened and I came to Guanghai."


    "Oh." Luo Meizhen''s expression was obviously disappointed.


    "Mom, it''s so midnight, what are you asking me for? Isn''t that what you''re asking?" Lu Chen said angrily.


    "Of course not!" Luo Zhenmei hurriedly shook her head, "I have two things to tell you. Your uncle is sick and hospitalized. It seems that he lives in the Cardiology Department of the Affiliated Hospital of Jiangcheng University. You should help take care of it."


    "Mom, I''m in Guanghai!" Lu Chen said helplessly, "You and Dad are both at home, so you should have more relationship than me?!"


    "How can I say it, we have a lot of relationship." Luo Meizhen said, "but they are all painless, and there is nothing to say in the hospital. See if you can get in touch there, your uncle seems to be If you want to do an operation, let us find a doctor with better skills, so we can all rest assured.¡±


    It is difficult for honest officials to cut off housework.


    Lu Chen is more disgusted with this kind of looking for relationships everywhere.


    But when it was his turn, he knew the difficulty.


    (end of this chapter)

 v2 Chapter 825： the director of the sudden ward round

    Chapter 825 The director of the sudden ward round


    "Mom, I can only ask about this." Lu Chen replied, "As for whether it can help me, I''m not sure."


    "Okay, that''s all you have to say." Luo Meizhen said.


    "By the way, what''s the other thing?" Lu Chen asked in confusion.


    Luo Meizhen smiled, "Your dad and I have adjusted the annual leave together and are going to visit you in Guanghai next month."


    "Great." Lu Chen smiled, "Finally, I don''t have to eat in the cafeteria every day."


    "Don''t think about me cooking all the time, kid!" Luo Meizhen pretended to be serious, "My dad and I are traveling!"


    "well."


    hung up the phone, and Lu Chen immediately started to act.


    His undergraduate degree was at Jiangcheng University.


    Although there are many students who stayed in Jiangcheng after graduation, they have not grown up yet. Currently, the best one belongs to a research team with a Ph.D. who is an academician.


    However, he has no right to speak clinically.


    For a while, Lu Chen really didn''t have a particularly good relationship.


    "Since Jiangcheng can''t do it locally, why don''t I start with Guanghai?"


    Guanghai and Jiangcheng are far apart, but we usually get together for some academic exchanges.


    Perhaps, Director Yan Wanfeng of Corey has an acquaintance in Jiangcheng, so maybe?


    Lu Chen immediately called Yan Wanfeng.


    "Lu Chen, are you looking for a relationship at the First Affiliated Hospital of Jiangcheng University?" Yan Wanfeng asked in confusion.


    "Yes, I have a relative who is hospitalized there. I want to ask her to take care of her." Lu Chen smiled.


    "I do have a classmate in Jiangcheng University, but he is engaged in basic medicine, and he doesn''t have much interaction with the clinical side, so he may not be able to say anything!" Yan Wanfeng said helplessly.


    "If it doesn''t work, then forget it." Lu Chen was going to ask other people.


    "Lu Chen, you asked the wrong person this time!" Yan Wanfeng said suddenly, "Guanghai Central Hospital and the First Affiliated Hospital of Jiangcheng University are counterpart mutual aid hospitals. Go to Guanghai Central Hospital to find someone, and you should be able to find them. the person you want."


    "Guanghai Central Hospital?" Lu Chen was stunned, isn''t that the hospital where Professor Shi Langqin lives?


    "Yes, you go ask."


    "it is good."


    The relationship between Lu Chen and Shi Langqin has grown by leaps and bounds recently.


    Thanks to the TAVR study started by Lu Chen, the overall TAVR surgery level of Guanghai Central Hospital has been improved by a whole big grade!


    "The First Affiliated Hospital of Jiangcheng University?" Shi Langqin laughed when he heard the words, "Lu Guanghui, the chief director of the Cardiology Department of their hospital, is my old acquaintance!"


    Shi Langqin still has some influence in the realm of Huaxia''s heart.


    Otherwise, when the TAVR branch was founded, it was impossible to invite Qin Sifeng from Kyoto, Dai Wansong from Magic Capital and others.


    "Professor Shi, that''s right, my uncle is hospitalized in the First Affiliated Hospital of Jiangcheng University." Lu Chen said, "It seems that he is preparing for surgery. Can you help me and say hello?"


    "It''s easy to talk about." Shi Langqin agreed immediately, "I''ll call Lu Guanghui and have a word with him."


    "Thank you, Professor Shi."


    "You don''t need to thank me." Shi Langqin smiled, "Actually, Director Lu, you may have more face than me! If you contact Jiangcheng University in person, your uncle will immediately be the guest of honor!"


    "Anyway, thank you Professor Shi." Lu Chen said.


    As for his own influence in Jiangcheng Hospital, Lu Chen has never tried it.


    However, he will soon find out.


    The next day.


    Shi Langqin quickly called back with Lu Chen.


    "Lu Chen, I have contacted Jiangcheng."


    "Professor Shi is in trouble." A stone in Lu Chen''s heart finally fell to the ground.


    "But there is a small request from Jiangcheng, it is about you, Director Lu." Shi Langqin said.


    "what?"


    Lu Chen was taken aback.


    "Professor Lu Guanghui, director of the Department of Cardiology of Jiangcheng University, wants to invite you to the Cardiology Department of their hospital for TAVR surgery guidance!"


    "Go to Jiangcheng?" Lu Chen blinked, "Guide the operation?"


    The development of TAVR surgery in Jiangcheng is slow and it is still in its infancy. There are only a few hospitals that can carry out the simplest TAVR surgery.


    "Director Lu means that he invites you in the form of academic exchanges." Shi Langqin said, "Visit and give guidance in their Cardiology Catheterization Laboratory, give them some guiding opinions on the construction of TAVR disciplines. "


    "Okay, no problem." Lu Chen smiled.


    This kind of thing, Guanghai First Hospital is very happy and can promote its own hospital.


    For Lu Chen, it is also a good opportunity to increase his influence, and he can also get a reward by the way.


    Why not do it?


    "That''s great!" Shi Langqin laughed loudly, "I''ll report this to Director Lu, and before you are ready to come to Jiangcheng, just inform them in advance!"


    "Okay." Lu Chen nodded slightly.


    I didn''t expect that this "private matter" would give Lu Chen a good opportunity.


    ¡­


    The First Affiliated Hospital of Jiangcheng University.


    Department of Cardiology, in the ward of the fifth ward.


    "Meizhen, do you have an acquaintance over there?" A middle-aged woman looked at Luo Meizhen with a frown.


    "I''m in touch." Luo Meizhen said, "Sister-in-law, don''t worry too much. My brother is undergoing atrial fibrillation ablation this time, and the risk should not be high. This operation is already very popular in China."


    "But there are risks too!" The middle-aged woman''s name was Li Dongyu, she whispered, "I checked Baidu at night. After ablation for some people, the atrial fibrillation will recur, and a second time is required! Some people have surgery complications. Symptoms, the ablation is overdone, and a pacemaker needs to be installed.¡±


    "Don''t look at this small operation, the risk is not small!"


    "Dongyu, don''t bother Meizhen and the others." Luo Meizhen''s eldest brother Luo Jun said, "Of course it''s good to find acquaintances, but that''s fine. This is already the best hospital in Jiangcheng, and I believe the doctors here are at the level. ."


    "That''s right, but..."


    Li Dongyu was about to say something when the door of the ward was suddenly pushed open.


    I thought it was the doctor who came to round the room, but a bunch of people came in unexpectedly.


    The middle-aged man in the white coat walking at the front, Li Dongyu, Luo Meizhen and others did not know at all.


    But looking at him like the stars and the moon, in the most conspicuous position, you know that his status is not low.


    Behind him, there are seven or eight doctors.


    Two of them, Li Dongyu knew.


    One is the director of the five districts in the heart, and the other is Luo Jun''s doctor.


    Luo Meizhen and Li Dongyu were a little confused when they saw this battle, and they both stood up quickly.


    "Hello, Director." Li Dongyu first said to the director of the five districts in his heart that he knew.


    The director of the fifth district in the heart nodded slightly, then turned slightly to the side, "This is our director of the Department of Cardiology. This time, I came to the ward to see the patient."


    Director Lu of the Cardiology Department?


    Luo Meizhen and Li Dongyu looked at each other.


    There is only one Director Lu in the Cardiology Department of the First Affiliated Hospital of Jiangcheng University.


    That is the chief director of the entire Cardiology Department, Lu Guanghui!


    This character who is usually seen as a dragon but not the end, why did he come to them today?


    (end of this chapter)

 v2 Chapter 826： Director Lu Chen and I are old acquaintances!

    Chapter 826 Director Lu Chen and I are old acquaintances!


    No matter what the reason, it must be a good thing that Director Lu can come to the room in person!


    "Hello Director Lu, I''m sorry."


    Li Dongyu and Luo Meizhen said quickly.


    Lu Guanghui had a smile on his face.


    He walked to the bedside and asked very kindly, "How long has the history of atrial fibrillation been?"


    "Director, I''ve been here for about half a year." Luo Jun said immediately, "At the beginning, the number of seizures was small, and I was able to turn around by myself. Now the seizures are frequent, and every time I need medicine to turn around."


    "Yeah." Lu Guanghui nodded, "Atrial fibrillation is like this. With age, the heart expands, and it is very likely that it will eventually become permanent atrial fibrillation!"


    "Atrial fibrillation itself does not affect life expectancy, but complications of atrial fibrillation, such as cerebral infarction and heart failure, will affect survival."


    "So if the atrial fibrillation can be corrected, that''s still the best."


    These words of ??Lu Guanghui are commonplace.


    As long as you are a cardiologist, you know it.


    Even many patients themselves, including Luo Jun, who is now lying on the hospital bed, are very clear.


    However, when these words came out of the mouth of the chief director Lu Guanghui, it would be different!


    What the director said is very convincing!


    "Then Director Lu, what is the success rate of my operation...how much?"


    This is a topic that Luo Jun is most concerned about.


    Lu Guanghui smiled, "You have a short course of atrial fibrillation now. I read your ultrasound report, and the heart is not big. The success rate of the operation is very high, and it will not recur easily!"


    "Thank you, Director Lu!" Luo Jun replied quickly.


    Lu Guanghui waved his hand, then turned slightly sideways, and introduced to Luo Jun: "This time your chief surgeon is Director Jiang Feng who has done the best atrial fibrillation ablation surgery in our Jiangcheng Cardiology Department!"


    Hearing this, not only Luo Jun, but Luo Meizhen and Li Dongyu on the side were surprised.


    They have been looking for a relationship for so long, nothing more than looking for a surgeon with first-class skills!


    But who would have thought that a doctor with the best skills in Jiangcheng came directly!


    After the surprise.


    Luo Meizhen, Luo Jun, and Li Dongyu began to contemplate in their hearts, who has such a big face to invite Lu Guanghui and Jiang Feng over?


    Is it Lu Wenguo who is still looking for connections everywhere?


    No, even if the director of their county hospital was brought over, he might not be able to invite the two people in front of him.


    After introducing the surgeon, Lu Guanghui continued: "So regarding the operation, don''t worry too much about yourself and your family members. Our doctors will **** you throughout the entire operation to ensure the safety of all aspects of the operation!"


    "Director Lu, thank you so much!" Luo Jun said excitedly, "I am very confident in this operation now."


    "Haha, no need to thank you, this is what it should be." Lu Guanghui smiled, "Director Lu Chen talked to me on the phone before, we are old acquaintances."


    What?


    Lu Chen?


    When the words Lu Chen popped out of Lu Guanghui''s mouth, not only Luo Jun, Li Dongyu, but even Luo Meizhen didn''t think of it.


    In their eyes, Lu Chen is still a child who has not grown up, but he is actually an acquaintance with Director Lu Guanghui in front of him? !


    Now we can solve the case...


    It turned out that it was because of Lu Chen that Lu Guanghui and Jiang Feng were invited.


    "If you have any questions, you can come to me anytime."


    Lu Guanghui left these words before he left.


    ¡­


    in the ward.


    The three looked at each other.


    "Meizhen, Lu Chen from your family has just graduated with a Ph.D. and has been working for less than a year?" Li Dongyu''s voice was a little hoarse.


    The scene just now made her still feel like she was in a dream.


    "Yes, to be more precise, he has been working for less than half a year..." Luo Meizhen said blankly.


    Remember last night, she just told Lu Chen about this.


    thought that he might just find a more familiar classmate or teacher to say hello.


    I didn''t expect that, Lu Chen directly invited the biggest celebrity over here!


    "But, how could this be..." Li Dongyu asked his own question, "Could it be Lu Chen''s mentor, who knows Director Lu very well, so he came?"


    Luo Jun shook his head, "If it''s just that Lu Chen''s mentor is very familiar with Director Lu, then there is no need for Director Lu to come over in person. Wouldn''t it be alright to have someone come over and say hello?"


    "Lao Luo, what do you mean, Lu Chen is really familiar with Director Lu?"


    When ?? said this sentence, Li Dongyu''s eyes were still full of doubts.


    A young man who has just worked for half a year, and an old director who has been famous for a long time.


    In any case, the two cannot be linked!


    Luo Jun and Li Dongyu both turned their attention to Luo Meizhen.


    At this time, Luo Meizhen was also slowly recalling the work overview that Lu Chen had told them before.


    The reason why Lu Chen chose Guanghai was because Guanghai First Hospital gave too much!


    But after he went to Guanghai, Lu Chen didn''t tell them too much about his situation.


    "I only know that Lu Chen is now appointed as the deputy chief physician." Luo Meizhen whispered.


    "As soon as he graduated, he was the deputy chief physician?" Luo Jun''s eyes widened, "As far as I know, Wen Guo has been only a deputy chief physician for so many years, right?"


    Lu Wenguo has been working clinically for twenty or thirty years, and he is still a deputy chief physician.


    I was promoted to Chief Physician several times in a row, but I was brushed down!


    "Yes." Luo Meizhen nodded.


    At first, they were also very shocked until Lu Chen was appointed as the deputy chief physician.


    Lu Wenguo couldn''t help but sigh.


    The result of his hard work for most of his life is actually just the starting point for his son!


    "I thought Xiaochen was just the best among her peers." Luo Meizhen said slowly, "I didn''t expect to underestimate him!"


    "Meizhen, quickly call Xiaochen." Li Dongyu said, "Let''s check, by the way, Lao Luo and I should also thank him!"


    Luo Meizhen glanced at the time, it was exactly half past nine.


    "This point may be a ward round. I''ll send him a WeChat first to see if it''s inconvenient for him to answer the phone."


    ¡­


    Guanghai First Hospital.


    The second area of ??the heart.


    Lu Chen had just finished checking the room.


    When I returned to my office, I received a WeChat message from my mother Luo Meizhen.


    Upon seeing this, he immediately returned a call.


    "Xiaochen is calling!" Luo Meizhen took out her cell phone.


    "Quick pick, then turn on the speakerphone." Li Dongyu said quickly.


    "it is good."


    Luo Meizhen answered the phone and turned on the speakerphone.


    "Mom, what''s your business with me?" Lu Chen said straight to the point.


    "That''s what I told you yesterday..." Luo Meizhen paused, "Director Lu Guanghui has come to see your uncle today."


    Lu Chen was taken aback for a moment, "Director Lu is very nice, is he so fast?"


    Hearing Lu Chen''s unsurprising tone.


    Luo Meizhen and the three of them completely understood that the real reason was Lu Chen!


    In the ward, there was a moment of silence.


    Luo Meizhen, Luo Jun, and Li Dongyu all swallowed and digested this fact with difficulty.


    (end of this chapter)

 v2 Chapter 827： Purple urine! (night shift today)

    Chapter 827 Purple urine! (night shift today)


    "Mom, what''s the matter?" Lu Chen wondered, "Why don''t you speak?"


    Luo Meizhen finally came to her senses, "Xiaochen, I heard Director Lu Guanghui say that he and you are old acquaintances?"


    Lu Chen was taken aback for a moment, he didn''t expect Director Lu Guanghui to say such a thing.


    They just had a phone call in the morning and never met!


    "It''s alright." Lu Chen gave a sloppy look, he couldn''t deny the kindness of others behind his back.


    But his words made Luo Meizhen and others misunderstood.


    In the eyes of Luo Meizhen and others, this sentence means that the relationship between Lu Chen and Lu Guanghui is really strong!


    "Xiaochen, are you still working well now?" Luo Meizhen whispered, "Are you busy at ordinary times? How many night shifts are there?"


    "Mom, I''m the deputy director of the department now, and there is no night shift!" Lu Chen said.


    "I know you are a specially hired deputy chief physician." Luo Meizhen said, "but the deputy chief physician also has to work night shifts! Look at your dad, he has been working for so many years. Although he is a deputy chief physician, he also has to work night shifts. ."


    Luo Meizhen felt that Lu Chen was deceiving her with good intentions in order not to worry her.


    But Lu Chen smiled and said, "Mom, I said I''m the deputy director of the department!"


    He lengthened the tail.


    Luo Meizhen didn''t react for a while, and Luo Jun, who was beside him, couldn''t help but exclaimed.


    "Deputy in the department?"


    Lu Chen was taken aback for a moment, "Is your uncle by your side?"


    "Mmmm." Luo Jun nodded and said, "Xiaochen, you said that you are now the deputy director of the department, deputy director?"


    "Yes!" Lu Chen replied without hesitation, "So I don''t have night shifts."


    In the small ward, it was silent again.


    Lu Chen was specially hired as the deputy chief physician, which is extremely exaggerated.


    Unexpectedly, after less than half a year of work, he was directly promoted to the deputy director of the department!


    "No wonder Xiaochen and Director Lu Guanghui know each other!" Luo Jun couldn''t help shaking his head and sighed.


    This promotion speed is enough to prove Lu Chen''s extraordinary!


    "Xiaochen, my uncle and aunt asked your mother to call to thank you!"


    At this time, Li Dongyu''s voice came over.


    Lu Chen hurriedly said: "No need, aunt, this is what I should do, it''s just a small effort."


    "Our family''s Xiaochen finally has a big future!" Li Dongyu laughed.


    ¡­


    hung up the phone and dealt with his relatives, Lu Chen breathed a sigh of relief.


    For the requests of these relatives, we cannot ignore them, but we cannot take an inch.


    Lu Chen is still out of town. If he is local in Jiangcheng, he may find him more often!


    But now it seems that this matter should be resolved.


    In addition, he had a discussion with Director Lu Guanghui.


    Next month, he will go to Jiangcheng for a three-day surgery lecture and simulated surgery training.


    Lu Chen has already made plans.


    When parents come to Guanghai, Lu Chen can send them back, and then just go to Jiangcheng.


    The leadership of the hospital is very supportive of this kind of exchange activities involving both hospitals.


    Lu Chen happened to be a deputy in the department again, so he just happened to be qualified to represent the hospital and go out to communicate.


    ¡­


    After dealing with his personal affairs, Lu Chen returned to the doctor''s office.


    As soon as I sat down, I saw the doctors around me, chatting and discussing something.


    Even Jin Miao and Gu Xinyue in their own group are no exception.


    "What happened?" Lu Chen wondered.


    Gu Xinyue saw Lu Chen coming, and said excitedly, "Director Lu, there is something very strange in our department!"


    "Tell me about it." Lu Chen asked with interest.


    "There is an old lady on the hospital bed, her urine is purple!"


    "What?"


    Lu Chen was taken aback.


    Normal urine is yellowish.


    Some people have a darker yellow color, and some people can have red urine if they have bleeding.


    In addition, patients with rhabdomyolysis, the urine is soy sauce color!


    However, Lu Chen had never heard of someone''s urine being purple!


    This has refreshed everyone''s cognition.


    "Isn''t there something reflective, you read it wrong?" Lu Chen didn''t quite believe it.


    "No!" Gu Xinyue shook her head, "I even saw it myself, the urine is really purple! It''s not a visual difference!"


    After ??, Gu Xinyue took out her phone and showed Lu Chen a photo.


    In the photo, there is an image of a urine bag.


    In the urine bag, the color of the urine is indeed purple!


    This surprised Lu Chen, she stared at the purple urine for a long time.


    "She didn''t have this situation before?" Lu Chen asked suspiciously.


    "No!" Gu Xinyue shook her head, "It was after the admission to the hospital that the catheter was inserted, and the color was purple!"


    Lu Chen took the picture on his mobile phone and observed it carefully, trying to find the most suitable explanation within the effective data.


    "Director Lu, I see, the patient may have eaten something containing pigment." Gu Xinyue whispered.


    "What special food has the patient eaten recently?"


    Encountering these strange cases, Lu Chen became interested.


    Others may just find it interesting, but he really wants to solve it.


    Then, under the leadership of Gu Xinyue, Lu Chen came to the ward.


    ¡­


    The patient in front of him is an old woman in her 80s.


    The HP on her head is 65(¡ª¡ª)!


    There is also a urine bag hanging on the fence next to the hospital bed.


    The color of the urine bag is purple!


    "It''s really not a visual difference!" Lu Chen thought.


    In the urine bag, the color of the urine is the purple color I saw earlier.


    Lu Chen looked up and down the urine bag for a long time.


    After a long while, he slowly asked, "Mother-in-law, what do you like to eat when you''re most **?"


    The old woman opened her eyes, "I eat everything, and I like to eat rice the most, as well as yuba, tofu skin, and dried shrimp. These may be eaten more recently."


    "Yeah." Lu Chen nodded slowly.


    But none of these foods seem to contain purple pigments!


    So why is urine purple?


    Back to the doctor''s office.


    Lu Chen continued to read the patient''s laboratory report.


    "There is Klebsiella pneumoniae in the urine culture?" Lu Chen found a doubt.


    Gu Xinyue nodded: "Yes, but the patient does not have any infection-related symptoms for the time being. Consider it related to the upper urinary catheter."


    "Um."


    Lu Chen looked at the patient''s other test results, but still had no clue.


    However, patients will not have purple urine for no reason, right?


    Lu Chen has been in contact with a lot of patients now, but this is the first case!


    "There must be some negligence!" Lu Chen frowned slightly, "Well, first suspend all unnecessary infusions and oral medicines for the patient! Then perform multiple urine culture tests on the patient."


    "Okay, received." Gu Xinyue nodded.


    Two days later.


    When Lu Chen checked the room again, he found that the urine in the old woman''s urine bag was still purple!


    Night shift, one update for the time being.


    (end of this chapter)

 v2 Chapter 828： Had!

    Chapter 828 Yes!


    The urine bag is still purple.


    Now, not only the doctors in the second area of ??the Cardiology Department, but also the doctors in other wards and other departments are very interested in this urine bag.


    When I usually go to work, many people even come here to take a look at this purple urine bag.


    Lu Chen is a little confused now.


    The change in color indicates that there must be an inherent reaction in the patient''s urine.


    But why is this reaction?


    Lu Chen turned his attention to "Klebsiella pneumoniae" again.


    Because of the patient''s other tests, there was basically no problem, and the urine culture showed "Klebsiella pneumoniae"!


    Intuition told Lu Chen that purple urine must have something to do with this!


    ¡­


    However, Lu Chen himself doesn''t do basic research now. Maybe he can find some tips from someone in the lab for reference.


    Lu Chen opened a WeChat group that he hadn''t seen for a long time.


    This is the WeChat group of him, Ke Yue, Gu Xinyue, and Wang Zihao.


    Lu Chen took a photo of this interesting urine bag and sent it to the WeChat group.


    Wang Zihao was the first to appear.


    "I''m going, Lu Chen, what are you doing? Who is so boring and uses a urine bag to pack paint?"


    Lu Chen replied angrily, "What paint, this is urine!"


    "Huh? Is this purple urine?"


    Ke Yue also bubbling immediately, "Such strange urine? Lu Chen, what is the reason for this?"


    Wang Zihao interjected, "Did you eat something with pigments?"


    "No, it''s not pigment." Lu Chen said, "A heart failure patient who was hospitalized in our department had a normal diet, usually eating millet or something. Ke Yue, you are engaged in basic research, I want to ask you, before Have you seen anything similar?"


    "Not really." Ke Yue replied, "But I think it should be some kind of substance in the body, and the new thing entering the patient''s body, possibly bacteria, viruses, etc., reacted!"


    Lu Chen immediately said: "The patient''s urine culture is Klebsiella pneumoniae! Other than that, other results are generally normal."


    "It is very likely that Klebsiella pneumoniae reacted with a substance in the patient''s body." Ke Yue guessed.


    "I don''t think so!"


    Wang Zihao suddenly interrupted everyone''s conjecture.


    "We have also encountered patients with Klebsiella pneumoniae in urine culture before. Why have we never seen some of these reactions?"


    "There should be a certain chance of reaction, and it is related to the individuality of the patient." Ke Yue gave a reasonable explanation, "However, it is all speculation now, and the ultimate goal is to find out which one reacts with Klebsiella pneumoniae. substance!"


    ¡­


    After finishing the conversation with his friends, Lu Chen had some ideas.


    Klebsiella pneumoniae, reacts with a certain substance, making the urine purple.


    He came home and began to change his mind.


    Check some literature online to see what Klebsiella pneumoniae and what substances can produce purple things.


    This investigation really found a lot of chemical substances.


    One of the most common substances is tryptophan!


    Coincidentally, the old lady is eating foods rich in tryptophan, that is, rice, shrimp and the like!


    Tryptophan is broken down into indoxyl sulfate in the liver, which is then excreted in the urine.


    Once Indoxyl Sulfate and Klebsiella pneumoniae go hand in hand, they do something!


    Indoxyl sulfate will be decomposed by Klebsiella pneumoniae to form blue and red compounds, which will become purple when mixed.


    "Congratulations, the completion of the system upgrade has increased!"


    Lu Chen sighed in relief.


    Find out the answer!


    The purple urine bag is because of the reaction between tryptophan and Klebsiella pneumoniae!


    For this result, others in the department are also more convinced.


    At the same time, they admire Director Lu Chen''s research spirit.


    Most of the other people regard the purple urine bag as a talking point before and after tea.


    Only Lu Chen, from the beginning of discovery, to now, has been earnestly searching for clues in every place.


    Then, after 4 days of intravenous rehydration, without even taking antibiotics, the old lady''s urine returned to normal color.


    ¡­


    "Director Lu, can you write a paper on this?"


    Jin Miao looked in amazement, Lu Chen was writing this "purple urine" related paper.


    "Of course." Lu Chen continued without raising his head, "An interesting and rare case report can also be published in a top magazine."


    "Director Lu, where are you going to send it this time?"


    Lu Chen smiled, "New England Magazine!"


    I''m going, it''s the top issue again!


    Jin Miao swallowed her saliva, her eyes filled with envy.


    For the cardiovascular field, New England is the top of the top journals!


    If he can publish a paper and be accepted by the New England Journal, then he will have the position of associate chief physician immediately!


    "Director Lu, the author of the paper, can you bring my name?"


    Jin Miao whispered.


    "Of course... you can''t!" Lu Chen said sternly, "It doesn''t help the whole paper, I definitely can''t write your name on it."


    "I can help." Jin Miao''s voice was a little eager.


    "real?"


    "Really!" Jin Miao nodded quickly.


    "That''s good." Lu Chen smiled, "Come and write."


    "Me? Write an English paper?" Jin Miao said hesitantly.


    "Of course, after writing, I will help you revise." Lu Chen looked at Jin Miao with a smile on his face.


    "Then... that''s fine." Jin Miao gritted his teeth.


    He is a graduate student, so writing in English is definitely no problem.


    Moreover, after writing it, Director Lu will help to revise it.


    This is something that can be encountered and unattainable.


    Jin Miao took the initiative to undertake the writing content of the thesis.


    Lu Chen is much more relaxed now!


    He also intends to support Jin Miao. After all, he can''t always do surgery and not engage in scientific research, right?


    ¡­


    in the blink of an eye.


    It''s time for Lu Wenguo and Luo Meizhen to come to Guanghai.


    Before ??, Luo Jun''s surgery was very successful.


    This made Luo Jun and Li Dongyu praise Lu Chen.


    This time, Lu Wenguo and Luo Meizhen came to Guanghai with the meaning of "investigation". How far has Lu Chen grown?


    The two got off the plane.


    Lu Chen was waiting early in the morning.


    Beside, Gu Xinyue also followed with a shy face.


    "Mom and Dad!"


    Lu Chen stepped forward to help Lu Wenguo and Luo Meizhen carry the suitcases.


    "Aunt and uncle, hello, I''m Lu Chen''s colleague, my name is Gu Xinyue."


    "Hello, I heard Lu Chen say you are so handsome!" Luo Meizhen pursed her lips and smiled, "Do you have a girlfriend?"


    Gu Xinyue was taken aback for a moment, then smiled, "I have."


    "It''s still better than my family!" Luo Meizhen was not afraid of embarrassment, "Lu Chen, learn from Xiaogu."


    "Okay." Lu Chen nodded helplessly.


    During this time, Gu Xinyue went back to the dormitory of the hospital first, and returned the room to Lu Wenguo and Lu Meizhen.


    (end of this chapter)

 v2 Chapter 829： emergency!

    Chapter 829 Emergencies!


    Lu Chen and his parents returned to the talent apartment.


    Gu Xinyue went back to the hospital bedroom.


    As soon as they entered the door, Lu Wenguo and Luo Meizhen were shocked by the sophistication of the apartment.


    "Is this the washing machine, air conditioner, and integrated stove that come with the apartment?" Lu Meizhen asked in surprise.


    "Yes." Lu Chen nodded with a smile, "Before I moved in, it was already equipped."


    "My dad and I, we were afraid that you would endure hardship here before." Luo Meizhen grinned, "It seems that we are overthinking."


    "However, you didn''t fire at all, did you?"


    Luo Meizhen glanced at the kitchen and saw nothing.


    "Usually it''s more troublesome to start a fire by yourself, forget it. Most of the time, I eat in the cafeteria." Lu Chen scratched his head, "Mom, just come here with your father, and my life will be settled."


    "Oh." Luo Meizhen rolled her eyes at Lu Chen, "That''s really nice of you to say. But people who are almost 30 years old can''t even find a girlfriend?"


    "I... am I busy with work?" Lu Chen paused.


    "That Xiaogu, he shares your department with you, how can he find a girlfriend? You can''t do it?"


    "Didn''t he break up?" Lu Chen defended.


    "Break up, you have to talk about it before you can break up!" Luo Meizhen''s eyes widened, "What about you? You haven''t even touched a girl''s hand, have you?"


    "Mom, don''t underestimate me..." Lu Chen wanted to continue his sophistry.


    But Luo Meizhen''s eyes were shining, causing Lu Chen to be defeated.


    At this moment, Lu Chen was relieved by a phone call.


    was called by Jin Miao.


    Just picked up the phone.


    Jin Miao''s urgent voice came over.


    "Director Lu, it''s not good! Something went wrong in the department!"


    Lu Chen was startled, and immediately stood up from the sofa, "What''s the matter? Don''t worry, speak slowly!"


    Seeing Lu Chen''s serious expression, Lu Wenguo and Luo Meizhen also quieted down.


    "Director Lu, a newly admitted patient suddenly had a sudden cardiac arrest! I finally pressed it, and then repeated ventricular fibrillation!" Jin Miao said, "The patient has lost consciousness. After intubation, he was barely able to maintain his life. Signs! The patient''s family members are a little grumpy and can''t accept it."


    "Okay, I got it. I''ll rush over!" Lu Chen immediately hung up the phone.


    "Go." Lu Wenguo said, "your mother and I are cooking at home and waiting for you, just go around and get acquainted with the environment."


    "Okay." After Lu Chen explained a few words to his parents, he left the apartment.


    ¡­


    "Doctor Jin, I came here because I believed in your hospital. But when people entered the hospital, they were obviously fine, and they could chat with us. Why did the injection and medicine get worse?"


    A burly middle-aged man stood at the door of the office, his voice full of doubts.


    Beside ??, there were two young women with red eyes, who seemed to have cried.


    "Don''t get excited." Jin Miao tried to calm down the family''s emotions, "When the patient was admitted to the hospital, we had already informed him that the current condition was not clear. , or the risk of cardiac arrest!"


    "Don''t talk to me about these useless things." The middle-aged man said loudly, "What I want to see is the truth! My dad is in the CCU now, and he is still in a coma. Does your department have no responsibility at all?"


    Jin Nian showed helplessness, "Before the patient fell ill, our medical staff visited the ward many times and had relevant records. When the patient fell ill, our doctor also rushed to the scene as soon as possible."


    "Where''s the leader of your department? I won''t talk to you about this. I want to talk to your leader directly. If you can''t do it, the dean will have to call over!"


    The middle-aged man seemed extremely impatient when facing Jin Miao''s explanation.


    At this moment, Lu Chen finally rushed back to the ward.


    "I''m here! Tell me something."


    Jin Miao breathed a sigh of relief when she saw Lu Chen coming.


    "Are you the leader?" The middle-aged man looked at Lu Chen''s appearance and widened his eyes, "Are you not as old as my son?"


    Lu Chen frowned, this person is too rude!


    "I''m Lu Chen, deputy director of the Department of the Second Heart District of Guanghai First Hospital. You can find this information on the hospital''s official website."


    Jin Miao also echoed, "This is our director of Kelu. The director is temporarily away. He is in charge of everything."


    "Okay! Then I''ll talk to Director Lu."


    The middle-aged man said solemnly.


    "Hello, wait a moment." Lu Chen nodded and said to Jin Miao who was beside him.


    "What is the specific condition of the patient?"


    Jin Miao immediately took out the patient''s medical records. "He was admitted to the hospital for 4 days with chest pains. He had a history of hypertension, diabetes, etc., and he smoked and drank alcohol for a long time. Recently, the patient is at home with his grandson, so he may be tired."


    Lu Chen read the patient''s examination documents while listening.


    "On admission, troponin was normal, and unstable angina was considered."


    "Half an hour ago, the patient had symptoms of chest pain and sweating, and then he had a cardiac arrest. After finally resuscitating, he pressed it. But then, his ventricular fibrillation recurred!"


    "Three times of defibrillation, heart rhythm restored."


    ¡°¡­¡±


    Lu Chen took out the patient''s electrocardiogram.


    "Is this the electrocardiogram at the onset?"


    "Yes!" Jin Miao nodded.


    "The AVR lead is elevated, and the other leads are depressed." Lu Chen said slowly, "This is a typical 6+2 ECG, and it is likely that the left main trunk is severely occluded!"


    Jin Miao was shocked.


    They hadn''t noticed the problem just now.


    The rescue is too busy, and there are too many ECG disturbances!


    "Left main trunk lesion?!" Jin Miao swallowed, "Then I will quickly inform the doctor at the CCU downstairs."


    "Go." Lu Chen nodded slightly.


    Taking advantage of this time period, he and the middle-aged man had to communicate clearly.


    "Director Lu, this should be considered a mistake by your hospital, right?" The middle-aged man crossed his legs and sat in front of Lu Chen.


    "Missed?" Lu Chen smiled, "I said something bad, your dad came to the hospital and met our dedicated doctor, and he saved his life!"


    "If your dad was outside the hospital, what do you think would have happened?"


    After Lu Chen said this, the middle-aged man frowned slightly.


    "You are all hypotheses! What I want is the truth. My dad is lying in the CCU ward without any consciousness!"


    Lu Chen said unhurriedly: "All our doctors'' diagnosis and treatment behaviors are recorded in documents and videos. If your family members have any comments, you can solve the problem through legal channels at any time."


    "You..." The middle-aged man''s tone was stagnant.


    "Besides, I think the patient is still in the CCU." Lu Chen said slowly, "You two are arguing like this, is this okay?"


    (end of this chapter)

 v2 Chapter 830： I will do it!

    Chapter 830 I''ll do it!


    After Lu Chen said this, the office was silent.


    Several family members looked at each other, and they were all silent.


    Just like what Lu Chen said.


    People are still in the CCU, they are about to quarrel?


    "If you have any doubts about the diagnosis and treatment process, I welcome you to take the legal route." Lu Chen said solemnly.


    Sometimes, it¡¯s better for people to be tougher.


    The weaker you are, the more you may be led by the nose.


    After saying this, the patient''s family members discussed with each other for a while, and then began to leave one by one.


    Lu Chen was relieved when he saw this.


    It¡¯s good for him to cure illnesses and save lives, but dealing with these family members is probably more difficult than treating a difficult and complicated disease.


    "Come on, let''s go to CCU."


    Lu Chen and Jin Miao came to the CCU ward.


    At this time, it is time for lunch.


    The door of CCU is full of family members who are delivering meals.


    Lu Chen entered the CCU ward from the medical staff passage.


    "Director Lu, you are here."


    The CCU tube bed doctor immediately stepped forward.


    "How is the patient''s condition?" Lu Chen asked.


    "Not very good." The doctor in the tube bed shook his head slightly, "Currently, he is barely maintaining his vital signs during tracheal intubation, but he has been experiencing intermittent ventricular fibrillation."


    If the cause of ventricular fibrillation is not found and resolved immediately, the patient will die sooner or later.


    "Did you review the ECG?"


    "Done." The CCU bed doctor ordered an intern to bring the electrocardiogram over.


    Lu Chen glanced at it, and the electrocardiogram in the upstairs ward did not change much.


    "It should be acute myocardial infarction, a lesion of the left main vessel."


    The patient''s HP is 21(¡ª¡ª)!


    Lu Chen knew the urine of the system.


    With this kind of HP, the hope of saving it back is too slim!


    "Director Lu, we have communicated with the patient''s family." The doctor in charge of the CCU bed said, "They are very willing to treat!"


    "Agree to do interventional surgery?"


    "Agreed!" The doctor in charge of the bed nodded slightly, and then his face became embarrassed, "But the risk of the operation is too high at present. Director Zuo is holding a meeting outside the city and can''t be back in time. This operation... No one is doing it!"


    Zuo Yaoqun is the first person to perform coronary intervention in Guanghai First Hospital.


    Usually such a difficult operation requires his presence to guide.


    But Zuo Yaoqun went out for a meeting and won''t be back until tomorrow morning.


    "The patient can''t wait for tomorrow morning." The doctor in charge of the bed said, "If the ventricular fibrillation continues like this, it will definitely not survive tonight."


    Although Lu Chen does not perform coronary intervention, he understands the importance of surgery now.


    To put it bluntly, the cause of repeated ventricular fibrillation is the blockage of blood vessels.


    Now, only through interventional surgery to open blood vessels and restore coronary blood flow can the occurrence of malignant arrhythmias be terminated.


    "Prepare for surgery." Lu Chen suddenly said.


    "Huh?" The doctor in charge of the bed was stunned, his face full of doubts, "Director Lu, what did you say?"


    "I said to inform the cath lab and prepare for surgery." Lu Chen said sternly, "Get IABP and ECMO ready!"


    "Director Lu, who is in charge?" The doctor in charge of the bed asked blankly.


    "I''ll do it!"


    Lu Chen dropped these words and started to go to the doctor''s office to prepare.


    "Huh? This..."


    Doctor Tube Bed looked at the back of Lu Chen''s departure and was amazed.


    He glanced at Jin Miao beside him.


    "Old Jin, Director Lu said he came to perform this coronary surgery? Am I right?"


    When Jin Miao heard Lu Chen say this, he was also quite surprised, "I heard it too."


    "Did Director Lu Chen have a coronary artery before?" the doctor in charge of the bed asked suspiciously.


    "I haven''t seen it anyway." Jin Miao shook his head.


    In his impression, Lu Chen has only done TAVR surgery and electrophysiology since he first came to Guanghai First Hospital.


    "However, the operation of cardiac interventional surgery is almost the same." Jin Miao continued, "Director Lu''s TAVR surgery is so awesome, it is estimated that coronary intervention is not far behind."


    "It should be." The bed doctor nodded slowly.


    ¡­


    Lu Chen came to the lounge at this time and began to change his surgical gown.


    In fact, he exchanged the coronary intervention skill card a long time ago.


    His coronary intervention technology has already reached the advanced level!


    In the system space, he also trained many times.


    The proficiency of coronary intervention skills is also nearly 80%.


    However, because Lu Chen has not performed interventional surgery for the time being in order to avoid radiation.


    But today, there is no room for scruples.


    "About the operation of the left main trunk, let''s do some simulation training first."


    Lu Chen put on his surgical gown and went to the catheterization room.


    While waiting for the surgery, start the simulation training.


    ¡­


    On the other hand, when the patient''s family learned about the upcoming surgery, they all gathered outside the catheter room.


    "Brother, I know a few people from the Health and Health Commission. If the operation fails, I must sue them!"


    "Yes! I have already killed my father in the upstairs ward. If the operation still fails, I will definitely sue them."


    The crowd babbled.


    The only leader, the eldest brother in everyone''s mouth is the calmest.


    He has already inquired about the relevant doctor friends.


    This coronary intervention is very risky.


    There are only two or three hospitals in Guanghai that have such surgical conditions, including Guanghai No. 1 Hospital.


    "Don''t talk about it, everyone!" The elder brother snorted coldly, "Everyone else go back, just leave me and my little sister here."


    "Brother, how can we leave?" One of the young people said, "Dad''s surgery is not over, we will never leave!"


    "If you don''t go, you will cause trouble here?" The elder brother looked at everyone coldly, "Can you guarantee that you will not get sick in the future? Won''t you come to Guanghai First Hospital to see a doctor?"


    After saying this, everyone fell silent.


    "Dad is still in the hospital bed, and we are now thinking about how to cooperate with the doctor''s treatment." The elder brother said slowly, "The doctor is operating on the stage, and we are thinking about how to sue him. What do you want the doctor to think?"


    Everyone, look at me, and I look at you.


    wanted to say something, but didn''t say it.


    "Let''s go. If Dad wakes up, I''ll let you know as soon as possible."


    Seeing that Big Brother said so, everyone hesitated for a while.


    One person left, and the others left one after another.


    Only Big Brother and another younger girl are left.


    ¡­


    on the operating table.


    As the family member said, Lu Chen is doing his best to operate.


    "Both IABP and ECMO!"


    Lu Chen calmly commanded everyone.


    He took a group of coronary interventionists in the catheterization lab and started the operation.


    Sterilization, puncture, guide wire catheter entry.


    The initial coronary intervention steps are similar to TAVR surgery and electrophysiology.


    However, when it really reaches the coronary vessels, it is different.


    Although Lu Chen has never operated in reality, he is very skilled in the operation in the virtual space of the system.


    The ??TIG tube was quickly introduced into the coronary ostium.


    At Lu Chen''s suggestion, the contrast medium slowly entered the left and right coronary ostia.


    As the contrast agent entered, a contrast image slowly appeared in front of everyone.


    Seeing the results of the angiography, everyone''s faces were full of solemnity.


    It''s almost the same as Lu Chen''s previous diagnosis!


    The patient''s left main vessel was completely occluded!


    (end of this chapter)

 v2 Chapter 831： Im an outsider

    Chapter 831 I am an outsider


    The left main artery of the coronary artery is one of the most important blood vessels in the heart.


    Lu Chen also felt that the patient in front of him was very difficult.


    Recalling the training in the virtual space of the system, he began to feed the guide wire.


    "Bring 2 finger guide wires here!"


    When the guide wire slowly occludes the blood vessel, inject Xinweining and prourokinase immediately.


    "Another imaging!"


    Prourokinase is a thrombolytic drug.


    Intravascular thrombolysis can dissolve blood clots and reduce vascular stenosis.


    After repeated angiography, it was suggested that the proximal to middle segments of the left main trunk were severely calcified and the proximal segment was occluded!


    "Prepare for pre-expansion!"


    Lu Chen said in a deep voice.


    Before stent implantation, the blood vessel needs to be pre-dilated.


    He was sent 2 pre-expanded balloons to the lesion respectively.


    At this time, the mutation protrudes!


    Sudden restlessness, slow heart rate, and low blood pressure in a patient lying in bed.


    Bedside ECG prompts, frequent ventricular tachycardia.


    "Don''t panic." Lu Chen calmly said, "It should be reperfusion injury!"


    "Hang a set of adrenaline!"


    The nurse acted immediately.


    Then, the patient''s heart rate and blood pressure slowly began to rise.


    "The patient has tortuous lesions and diffuse calcification, so the operation is too difficult!" said Jin Miao, the surgical assistant on the side, "Director, let''s end the operation, I think the coronary blood flow has recovered, and wait until the patient wakes up. do it?"


    Implantation of stents in such severely calcified blood vessels can easily lead to stent malapposition and long-term stent thrombosis and stent stenosis.


    "Wait for the patient to wake up?" Lu Chen frowned, "Can he wake up without surgery?"


    Jin Miao was silent.


    "Use rotational atherectomy!" Lu Chen thought about it and said.


    Rotation atherectomy, referred to as rotational atherectomy.


    refers to the use of a rotor with ultra-high-speed rotation to grind the atherosclerotic plaque and calcified tissue in the coronary arteries into extremely fine particles, thereby eliminating the plaque in the blocked blood vessel lumen.


    The surgical nurse immediately brought over the rotational atherectomy machine.


    The top of the catheter for coronary atherectomy is a metal stainless steel drill head inlaid with fine diamond particles, which is in the shape of a spindle.


    When it rotates at high speed, it grinds the atheroma into fine debris and is flushed to the distal end, and the debris can pass through the capillary bed.


    "Director, the patient''s vascular calcification is so heavy that with rotational atherectomy, in case the blood vessel is torn or dissected, it will be even more difficult!"


    Jin Miao reminded in a low voice.


    In his opinion, Lu Chen has done a good job of restoring the patient''s blood flow and restoring the blood supply to the heart.


    Continue to sit, the risk will get higher and higher!


    Especially rotational atherectomy of the coronary intima.


    Although ?? is a very good interventional technique, it is also very risky.


    The blood vessels of the human body are very fragile.


    High-speed rotational atherectomy can easily damage blood vessels.


    Coronary blood vessels were ruptured, torn, and dissection, which was another major blow to the patient!


    At this time, Lu Chen was extremely concentrated.


    He took the rotational ather bit and drilled it deep into the patient''s blood vessels.


    Reaching the most important place for coronary calcification, he started the machine.


    Everyone present was sweating for Lu Chen.


    Especially the assistant Jin Miao, who was closest to Lu Chen.


    Every movement of ??Lu Chen touched his heart.


    "continue!"


    After ?? a calcified plaque, he did not stop.


    Only with one effort, can we survive a hundred battles!


    Lu Chen''s confidence stemmed from his practice in the virtual space of the system.


    Even with systematic assistance, his training never stopped.


    From the initial electrophysiological surgery to the current TAVR surgery, Lu Chen has trained hundreds of times in the virtual space of the system for each type of surgery.


    ¡­


    When the rotation of the rotational atherectomy diamond stopped, the people around looked at the surgical images in front of them, and they all took a breath of relief.


    This kind of rotational grinding technique, even Director Zuo Yaoqun has never had it?


    Jin Miao felt the deepest.


    As long as Lu Chen''s hand trembles slightly, the patient''s blood vessels may be injured!


    This risk is too high...


    But when the stent was successfully implanted into the blood vessel, the eyes of everyone looking at Lu Chen had already changed.


    Unexpectedly, Lu Chen''s most powerful operation.


    It is not TAVR intervention, but coronary intervention!


    With Lu Chen''s move today, Guanghai''s coronary intervention pattern is likely to change!


    "Okay, finally done."


    4 stents were successfully implanted into the diseased blood vessels.


    Repeated angiography, blood flow returned to TIMI grade 3.


    Lu Chen took off his gloves and hat.


    Get out of the cath lab.


    Everyone greeted him.


    "Director Lu, you are really amazing!"


    "Director Lu, teach me about this rotational atherectomy just now!"


    "Don''t think about it! Director Lu, I learn TAVR, I don''t learn coronary artery!"


    For a time, everyone was chatting.


    Lu Chen raised his hand to signal everyone to be quiet.


    "Academic issues will be discussed later."


    "Today this patient is not over yet. Next, the patient needs to be taken care of after entering the CCU."


    A middle-aged doctor immediately patted his chest, "Director Lu, don''t worry, I''m on duty tonight, and I''ll put the patient in the emergency room in front of the office!"


    "Okay." Lu Chen smiled slightly.


    Then, he and Jin Miao came to the doctor-patient communication room.


    ¡­


    "The operation was very successful." Jin Miao said, "4 stents were implanted, but whether the patient can wake up or not depends on the subsequent recovery."


    The eldest son of the patient heard this and thanked him.


    "Thank you Director Lu, thank you Doctor Jin."


    Lu Chen''s tone was flat and he said slowly: "We did our best to do the surgery. The next care of the patient still needs the cooperation of the patient''s family and our doctor."


    "Well, I understand, Director Lu." The man showed a smile, then checked to see if there was any surveillance nearby, quickly took out an envelope from his bag, and stuffed it into Lu Chen''s arms.


    "This is our family''s thanks to Director Lu. Just a small idea, please don''t refuse."


    Lu Chen held a thick envelope in his hand and said slowly, "Don''t tell me, our doctor is really short of money."


    "But we really can''t ask for this money."


    Lu Chen handed the red envelope back.


    The patient''s son thought it was a camera in the doctor-patient communication room, and quickly whispered, "Director Lu, let''s go outside and talk later."


    "No need." Lu Chen waved his hand, "Actually... your family''s biggest thanks to our doctor is trust!"


    After saying this, Lu Chen took a deep look at the patient and left first.


    Left the patient''s family who frowned and thought deeply.


    ¡­


    followed.


    Lu Chen informed Jin Miao and the CCU tube bed doctor about the precautions after surgery.


    He himself returned to the talent apartment.


    My parents are still at home waiting to have dinner together.


    Go home and open the door.


    There was a burst of laughter in the house.


    Lu Chen took a closer look.


    Xu Wei is chatting happily with Luo Meizhen.


    "Ah? Why are you here?" Lu Chen asked in surprise.


    Everyone turned their heads when they saw that Lu Chen was back.


    "You child, how did you talk?"


    Luo Meizhen glared fiercely at Lu Chen, "You don''t welcome others to come to the house as guests?"


    "Mom, that''s not what I meant." Lu Chen said helplessly.


    Xu Wei sat on the sofa, got up quickly and said, "Auntie, don''t blame Lu Chen, he just came back from the hospital, he should be very tired."


    Luo Meizhen smiled and looked at Xu Wei, then pulled her to sit next to her.


    "Never mind them, let''s talk more."


    Then, Luo Meizhen glanced at Lu Wenguo, "It''s time for you to cook."


    Lu Wenguo could only put down the TV remote, but helplessly stood up and walked towards the kitchen.


    Lu Chen looked at Xu Wei and his mother who were chatting happily.


    felt like an outsider himself.


    "That...I''m going to help Dad cook."


    Luo Meizhen didn''t even look at Lu Chen, she waved her hand, "Go."


    (end of this chapter)

 v2 Chapter 832： The second national nature review!

    Chapter 832 The second national nature review!


    Lunch is over.


    Although Luo Meizhen tried her best to persuade Xu Wei to stay, but she had an interview job in the afternoon, so she could only reluctantly leave.


    "When you are on vacation, you must come and play."


    Before leaving, Luo Meizhen instructed again.


    "Okay Auntie, I will come."


    Xu Wei waved at Lu Chen and left.


    in the living room.


    Luo Meizhen looked at Lu Chen with a serious face.


    "Tell me all about it."


    Lu Chen was helpless, "Mom, what should I explain?"


    "Didn''t you say you don''t have a girlfriend? Then what''s the situation?"


    Lu Chen naturally knew what his mother said about Xu Wei.


    "Mom, she is my ordinary friend."


    Luo Meizhen looked in disbelief, "Your ordinary friend? Waiting for you to come back directly at the door?"


    If you say this, who will believe it? !


    "Don''t say it, I see that the little girl has a good personality and a beautiful person." Luo Meizhen said to herself, "Don''t bully other little girls."


    "Mom, how could I bully her?!" Lu Chen shook his head slightly.


    "So, you admit it?" Luo Meizhen smiled.


    Lu Chen was at a loss for words, this matter is getting worse and worse!


    ¡­


    After half an hour.


    Luo Meizhen went to the table and chopsticks, leaving Lu Chen and Lu Wenguo and their son in the living room.


    "Is there an emergency at the hospital in the morning?" Lu Wenguo and Luo Meizhen have different concerns.


    "Well, a hospital patient suddenly suffered a heart attack." Lu Chen poured a cup of tea for his father.


    "Is the situation serious?" Lu Wenguo was taken aback.


    "The person was in a coma. After the operation, the person didn''t wake up. We will see the effect of the treatment in the later stage."


    Lu Wenguo shook his head slightly and sighed when he heard the words.


    He is a doctor himself and knows how stressful a cardiologist is.


    He patted Lu Chen''s shoulder lightly, "Sometimes don''t force yourself, you are still young, and there will be more opportunities in the future. It''s also good to relax properly."


    Lu Chen warmed his heart upon hearing the words, "Don''t worry, Dad, I''ll take care of it myself."


    recalled that when Lu Chen was admitted to Jinghua''s graduate school, Lu Wenguo was not very willing to let him out.


    After all, with the current medical environment.


    Even after graduate school, you may not be able to find a good hospital.


    It would be better to go back to the hospital in his hometown, under the cover of their older generation.


    Lu Chen''s future life will be smooth sailing/


    "Besides, what your mother said..." Lu Wenguo paused.


    Lu Chen said quickly: "Dad, don''t worry, it won''t affect me, I won''t take it to heart."


    Lu Wenguo''s face darkened, "I mean, what your mother said makes sense!"


    "You''re almost thirty, you should find someone to consider family matters."


    "And I also know a little about the intervention of your cardiology department. Have a baby earlier, so that the interventional rays will not affect the body."


    Lu Chen nodded, knowing that this was the painstaking effort of his parents.


    "Dad, I''ll pay attention."


    ¡­


    In the following period, Lu Chen lived extremely comfortable.


    His parents took care of him in his usual life, which made him seem to be back when he was in middle school.


    Without too many worries, when you get home, the meal is ready.


    Sometimes, Xu Wei will come to eat.


    So much so that the relationship between her and Luo Meizhen continued to heat up.


    Usually when Lu Chen is busy at work.


    My parents traveled around Guanghai and sometimes dated Xu Wei.


    ¡­


    As for the myocardial infarction patient with the "left main" lesion last time.


    On the third day of CCU treatment, I finally woke up.


    Lu Chen''s level of intervention was also widely circulated in the Guanghai First Hospital and throughout the entire Guanhai.


    His rotational atherectomy technique was eagerly learned by everyone.


    Even Professor Zuo Yaoqun from the Cardiology Department of Guanghai First Hospital was full of praise after watching Lu Chen''s operation video.


    For a time, Lu Chen was in the limelight in the entire Guanghai medical system.


    Whether it is in the field of TAVR intervention or in the field of cardiology intervention, Lu Chen''s influence in Guanghai has faintly reached its peak.


    One month later.


    Luo Meizhen and Lu Wenguo are going back.


    Because of Lu Chen''s agreement with Director Lu Guanghui of the First Affiliated Hospital of Jiangcheng University, he also returned with him.


    In addition to their family of three, there is one more person, and that is Xu Wei.


    She just adjusted her vacation to now, and followed Luo Meizhen''s side.


    However, the current Lu Chen is also used to her existence.


    Back to Jiangcheng.


    The group first came to rest at the house of Uncle Lu Wenjun.


    Cousin Lu Hao is in his fifth year in Beijing and is not at home.


    "Xiaochen, can you introduce a good professor of cardiology in the magic capital?" Lu Wenjun took the initiative to speak to Lu Chen.


    "Uncle, what''s the matter?" Lu Chen asked in confusion, "Any friend to see a doctor?"


    "That''s not true." Lu Wenjun shook his head, "Your brother is going to the Magic Capital for graduate studies, and I want you to introduce a better mentor."


    "He also does cardiology?" Lu Chen was taken aback.


    "Well, with you as a model in front, he is now focusing on cardiology." Lu Wenjun said.


    "Cardiology department is a good choice except for a little tired." Lu Chen smiled, "Uncle, let''s do it, I will contact Xiaohao alone later."


    "With your words, I''m relieved." Lu Wenjun laughed.


    Lu Chen''s medical achievements are now in the eyes of his family.


    Especially Lu Wenguo and Luo Meizhen went to Guanghai in person this time.


    also went to Lu Chen''s inner second area for a walk, and completely felt his influence in the department.


    ¡­


    During his stay in Jiangcheng, Lu Chen went to Jiangcheng First Hospital for TAVR surgery simulation training.


    He also took time to go to Zhou Wei.


    Lu Chen has not been in contact with this former best friend for a long time.


    When ?? met again, Zhou Wei''s son was already one year old.


    "Brother Chen, you have to cheer up too!" Zhou Wei hugged his son.


    He smiled and looked at Lu Chen and Xu Wei beside him.


    "Hey, are you even mocking me?" Lu Chen was helpless.


    He is really an older young man now!


    Wherever you go, you will be "pressed to marry" by others.


    Lu Chen and Zhou Wei ended their reminiscences, and after spending a week in Jiangcheng, they returned to Guanghai.


    This trip to Jiangcheng expanded Lu Chen''s influence in the field of TAVR beyond Guanghai.


    Lu Chen, who returned to Guanghai, began to prepare for his own national nature project.


    ¡­


    The last national nature review at the end of the year is about to start.


    This time, Lu Chen was fully prepared.


    On the basis of the plan for the first half of the year, he divided the construction content of the TAVR surgery discipline into more detail.


    After intense preparatory work, the last national nature project review at the end of the year ended quietly.


    For this review, Lu Chen is very confident.


    Currently in China, the clinical cutting-edge research results in the field of TAVR are in his hands.


    What he wants to do is not the number one in China, but the number one in the world!


    That''s it, another month has passed, and the Chinese New Year is approaching.


    The results of the ?? National Natural Project Review have also been announced one after another.


    (end of this chapter)

 v2 Chapter 833： Why not change the environment?

    Chapter 833 Why not change the environment?


    "Director Lu, the National Nature list has come out, you have passed!"


    Jin Miao happily walked into Lu Chen''s deputy director''s office.


    "Oh, I see."


    Lu Chen was very calm on the surface, but in fact, he was also very happy inside.


    After nearly a year of hard work, he finally succeeded in applying for the National Natural Project of TAVR Surgery.


    It is really not easy to apply for the last national natural project!


    Even someone like Lu Chen with such a gorgeous resume needs to apply twice.


    Not to mention others.


    It is no wonder that Yu Weiguang fled China and went abroad to study.


    Huaxia''s application for various fund projects, if you want to apply, the strength on paper only accounts for a part of the factor.


    "Director Lu, can the scale of the next TAVR operation in our second ward be expanded?"


    Jin Miao asked tentatively.


    If you want to develop TAVR disciplines, you must naturally have sufficient data.


    Where does the data come from?


    is of course obtained from various surgeries.


    At present, the scale of TAVR surgery in the second area of ??the heart is not large, and it is mainly developed in the direction of high precision.


    Compared with the volume of operations performed by other departments, the Cardiology Department is relatively small.


    The less the amount of surgery, the less the relative benefit.


    Jin Miao and others have eaten the bonus of the large amount of surgery before, and they definitely want to continue to expand the scale of surgery.


    Lu Chen is also thinking about the corresponding things.


    The National Nature Project has been applied for, and with the funds, more things can be done.


    "The scale of surgery can be expanded, but you still have to master a certain amount, you can''t become a surgeon!"


    Lu Chen thought about a lot of questions.


    The discipline building of TAVR surgery is just the beginning.


    He has other projects to do, such as oncology cardiology, such as coronary intervention and so on.


    What Lu Chen urgently needs now is a research team that truly belongs to him!


    ¡­


    Cardiology Division II.


    Office of the Director.


    "Director Yan, what are you talking about, the hospital leaders don''t agree?!"


    Lu Chen looked at Yan Wanfeng in surprise.


    Yan Wanfeng nodded helplessly, "President Sun''s meaning, the volume of surgeries in each department in the heart is now very balanced."


    "But the second area in our hearts, we just applied for the National Nature Program on TAVR this year!" Lu Chen frowned, "Not to mention, if we want to complete the project, the amount of surgery must be larger than before!"


    "It''s useless to say more, the leader of the hospital means not to let go!"


    Yan Wanfeng sighed helplessly.


    "I''ll go talk to Dean Sun." Lu Chen stood up and said.


    Yan Wanfeng shook his head and stopped: "It''s useless, this time it''s not your personal problem, it''s a question between the upper levels."


    "President Sun Zhizhang is targeting Dean Zhang Dewen."


    And since Lu Chen entered the Guanghai First Hospital, the label on his body was Zhang Dewen!


    If he is doing nothing now, no one will notice him.


    However, Lu Chen''s light is already dazzling.


    After half an hour.


    Lu Chen said slowly: "Director Yan, is there any other way?"


    "President Zhang Dewen doesn''t dare to offend the top leader. Now we have to wait." Yan Wanfeng said sternly, "If there is some gossip, Dean Sun may be transferred to another campus."


    "how long?"


    Yan Wanfeng thought for a while, "At least one or two years, more..."


    Lu Chen calmed down, he couldn''t wait!


    The entire TAVR country nature project is only three years old.


    If he was asked to wait for three years, it would be impossible for this country''s natural project to end!


    Lu Chen felt a little bitter in his heart.


    This also seems a bit ironic. I applied for the National Natural Science Program after all my hard work.


    But in the end, the biggest resistance comes from inside your own hospital!


    He hadn''t even met President Sun Zhizhang, but he still had no intention of getting involved in the hospital party dispute.


    ¡­


    Back to his office.


    Lu Chen was a little impetuous.


    Over the years, he has been smooth sailing.


    Even if there were some setbacks, they were quickly settled every time.


    But this time, he felt a little more difficult.


    If he is just a little doctor, he can''t influence the decision-making of the top at all.


    However, Lu Chen''s influence now surpasses that of most veteran professors in the hospital.


    Just because of age, it is not well known by many people.


    The partisan struggle in the hospital is nothing more than a conflict of interests.


    Lu Chen''s TAVR discipline construction has seriously affected the division of interests within the hospital.


    "Phew..." Lu Chen let out a long breath.


    Now, if he wants to be alone, it is basically impossible in Guanghai First Hospital.


    ¡­


    Get off work in the evening.


    Back to the talent apartment.


    Walking downstairs, Lu Chen saw that familiar figure.


    "Lu Chen, I brought you a delicious dessert today."


    Xu Wei stood in front of Lu Chen with a smile on her face, holding a delicate bag in her hand.


    "I made it myself."


    Lu Chen smiled knowingly, "Aren''t you going to work today?"


    "Go to work." Xu Wei and Lu Chen walked side by side on the road, "I went to interview a school in the morning, and in the afternoon, I just made a cake at home and waited for your return."


    "By the way, I took some pictures of the desserts for my aunt to see."


    "She said it looks good, let me make it for her next time."


    Along the way, Xu Wei briskly told what she had seen and heard.


    Her steps were light, Lu Chen walked beside her, and most of the discomfort in her heart dissipated instantly.


    Back home.


    Xu Wei gently placed the dessert on the table in the living room, "Lu Chen, did you encounter any difficulties today...?"


    As soon as these words came out, Lu Chen gave her a surprised look.


    "Why do you say that?"


    Xu Wei glanced at Lu Chen, "I''ve been with you for so long, you''re not so silent normally, is there something bothering you in the department?"


    "Almost so." Lu Chen nodded.


    "Let''s have some desserts." Xu Wei opened the bag and took out a few delicate-shaped biscuits. "Every time I am unhappy, I will eat something delicious, and my mood will be much better."


    Lu Chen did not refuse, took the biscuits from Xu Wei and took a bite.


    "Is it delicious?" Xu Wei looked at Lu Chen expectantly.


    Lu Chen smiled and nodded, then ate the whole biscuit in one bite, "Yummy."


    Eating all the food is the greatest reward to the chef.


    "If you like it, I can make it for you every day in the future."


    Xu Wei narrowed her eyes and smiled, with a bright smile on her face.


    "You said, if a person is unhappy in a work environment, what should he do?"


    Lu Chen''s sudden words made Xu Wei stunned.


    She was stunned for a moment before she realized, "Then... what caused it?"


    "There are many reasons, for now, he can''t avoid these factors." Lu Chen said slowly.


    "Since it''s uncomfortable to stay here, why not change the environment?" Xu Wei blurted out.


    "Change the environment?"


    Lu Chen lowered his head and looked at the biscuit in his hand, his eyes were deep and distant.


    (end of this chapter)

 v2 Chapter 834： The straw that broke the camels back

    Chapter 834 The last straw that broke the camel''s back


    Having said that, it is still difficult to make such a decisive choice.


    Lu Chen signed a contract with Guanghai First Hospital.


    After three years of employment, he was automatically promoted to chief physician.


    In other words, as long as Lu Chen spends the remaining two years safely, his professional title can reach the pinnacle of the medical field.


    This is the dream of many doctors, and it is also something that many doctors have never achieved in their entire lives!


    "Thanks for your comments."


    Lu Chen smiled slightly, and when he looked at Xu Wei again, his mood improved a lot.


    At present, "changing a new environment" seems to be very uneconomical for him, but after thinking about it, it is not a good idea.


    The title may not be the most important thing for Lu Chen now!


    Xu Wei looked at Lu Chen and said slowly, "Lu Chen, no matter where you choose to go, I will accompany you."


    Lu Chen''s heart warmed for no reason.


    ¡­


    The second area of ??the heart.


    Lu Chen went to work, ward rounds, and out of the clinic as usual.


    However, the atmosphere in the ward these days is a bit dull.


    Everyone knows that Director Lu Chen''s National Natural Science Project passed, but it was restricted by the leadership of the institute.


    A lot of people got together and started discussing about Lu Chen.


    "Guys, what will happen to Director Lu Chen?"


    "Let me tell you, the hospital leaders are really short-sighted. What a great person Director Lu is! Before he came to Guanghai First Hospital, did they not know the TAVR capabilities of our hospital?"


    "Alas, the leader of the academy has rights. He doesn''t want you to develop. No matter how much you struggle, you won''t be able to develop."


    "Director Lu Chen is very powerful, but he is too young. In a few years, when Director Sun is gone, the hospital will be dominated by young people like Director Lu!"


    The general idea is that Lu Chen will hold back.


    just facing the leader of Heyuan like this, can''t eat well.


    Anyway, Lu Chen was still young, so he took Dean Sun Zhizhang away.


    As long as Dean Zhang Dewen takes office, no one in the entire Guanghai First Hospital can stop Lu Chen''s development.


    It¡¯s just¡­


    The last straw that broke the camel''s back was the further restriction imposed on Lu Chen by the leaders of the institute.


    Not to mention expanding the scale of surgery in the second area of ??the heart.


    The leader of the hospital actually decided to further reduce the share of surgery in the second district of the heart!


    This made Lu Chen''s national nature project completely useless.


    If things go on like this, it will be impossible to complete the TAVR surgery''s natural project book!


    Lu Chen left Guanghai''s heart.


    At this moment, it becomes extremely firm.


    ¡­


    In the office of the vice president at this time.


    Zhang Dewen''s expression was extremely solemn.


    He looked up at Professor Ou Yangming in front of him, and said slowly, "Lu Chen, can''t he really wait?"


    The expression on Ou Yangming''s face was equally serious.


    "I persuaded him personally, but he refused."


    After saying this, Ou Yangming sighed slightly.


    "He said that he was very grateful to Dean Zhang for cultivating him. Without your strong recommendation, he would never have received such good treatment in Guanghai."


    Zhang Dewen heard the words, and was a little silent before slowly saying: "This is Lu Chen''s own ability, the value that matches!"


    In the office of the vice president.


    Ou Yangming continued: "Perhaps three years, for others, it won''t have much impact at the flick of a finger."


    "But for Lu Chen, in three years, too many things can happen!"


    If you knew earlier, how many years did it take for Lu Chen to graduate from a master''s degree to a doctor''s degree?


    In his student days, Lu Chen was able to make such great achievements in just a few years, not to mention now that he is truly independent?


    "I think Lu Chen should have a bigger stage!" Ou Yangming said solemnly.


    For these older generation of medical workers, what they are looking forward to is a person who can push forward the development of Chinese medicine!


    Instead of restricting your own development just for a certain hospital.


    "Alas, Professor Ouyang, I am narrow-minded."


    Zhang Dewen became more open-minded when he heard Professor Ouyang.


    "You are right, Lu Chen is a huge treasure for Huaxia, and he should go to a bigger stage."


    "I also believe that in the future, Lu Chen will definitely be more dazzling than now!"


    ¡­


    Guanghai No. 1 Courtyard, a talent apartment.


    After Lu Chen''s parents left, Gu Xinyue moved back.


    "Old Gu, after a while, you may have to move back to the hospital dormitory." Lu Chen said apologetically.


    "I''ll move as soon as I move, but do you really decide to leave?"


    Gu Xinyue said quite puzzled.


    Lu Chen is now in Guanghai No. 1 Hospital, and he has almost established himself as the deputy director of the department.


    Although I accidentally got caught in the internal struggle of the hospital, as long as I endure it for a few more years, I can definitely shine in the future.


    "Old Gu, I can wait." Lu Chen said slowly, "But it depends on whether waiting is worthwhile!"


    In his blueprint, relying on the TAVR National Natural Project, promote the development of the overall TAVR field in China.


    But now the project is blocked, continue to stay in Guanghai, that is a waste of time!


    "In three years, so many things can happen! A new type of surgery will definitely become routine surgery."


    "Europe and the United States will not stand still, then the gap between us and them may be getting bigger and bigger!"


    Although Lu Chen has systematic help, the current surgical skills have only reached an advanced level.


    can only reach the domestic leading level.


    According to the current situation, it is far from reaching the international top level.


    "Hey, Lu Chen, you''re right, my vision is too narrow."


    Gu Xinyue shook her head slightly.


    He is still thinking about promotion and applying for National Nature.


    But Lu Chen''s idea is to apply for the National Nature and promote the development of the entire discipline.


    "Where are you going?"


    Now that the intention to go has been decided, the whereabouts has become the most concerned issue for the big guys.


    Lu Chen sank his heart.


    "I thought about it for a long time."


    "At present, any hospital in China may be able to give me high enough treatment, but there is no way to improve a sufficiently relaxed and free environment."


    Gu Xinyue was startled, "Lu Chen, do you want to... go abroad?"


    Lu Chen nodded slowly, "I really want to see how the world''s top hospital works."


    "You... are you going to Mayo?"


    "Hmm." Lu Chen didn''t deny it.


    Last year, Yu Weiguang went abroad.


    The place he went to was the top medical holy place in the world - Mayo!


    And this time, with the help of Weiguang Yu, Lu Chen submitted the application and finally received the acceptance letter from Mayo Clinic!


    (end of this chapter)

 v2 Chapter 835： Mayo Clinic

    Chapter 835 Mayo Clinic


    When she heard the word Mayo, Gu Xinyue felt envy in her heart.


    Lu Chen''s decision was not made on a whim.


    If there is a Mecca in the heart of doctors, it is probably the Mayo Clinic!


    Mayo Clinic is one of the most influential medical institutions in the world and represents the highest medical level in the world, and is a leader in the field of medical research.


    Although the Mayo Clinic in the United States is called a "clinic", it is actually a comprehensive medical center with a long history.


    It is very difficult to obtain the access qualification of Mayo.


    However, Lu Chen has many scientific research achievements in the past, some of which have good international influence.


    TAVR surgery, Lu Chen is only leading in China.


    But in the field of dapagliflozin research, it opened a new era in the field.


    On the other hand, through the introduction of Yu Weiguang, Lu Chen finally obtained the visit qualification of Mayo Clinic!


    "Lu Chen, can you take me with you when you go to Mayo?"


    Gu Xinyue said slowly.


    Lu Chen shrugged helplessly.


    "This is really not good."


    "Oh, I''ve been addicted to mouth, and I know I can''t." Gu Xinyue shook her head, "I just envy you so much!"


    As a doctor, who doesn¡¯t want to see the top medical holy places with their own eyes?


    "There will be a chance." Lu Chen smiled, "Actually, how much I hope to have a Chinese Mayo!"


    "Mayo in China?"


    Gu Xinyue was slightly taken aback.


    "Yes." Lu Chen said, "If we Chinese people can start our own Mayo Center, how happy would we doctors be?"


    "It''s not only the doctors who are happy, but also the patients." Gu Xinyue agreed, but he smiled bitterly, "But it''s too difficult!"


    China''s Mayo...


    In Gu Xinyue''s view, you may not see it in your lifetime.


    Just then, there was a knock on the door.


    "I''ll open the door." Gu Xinyue stood up.


    opened the door, but Gu Xinyue did not speak.


    "Who''s here?" Lu Chen shouted.


    "it''s me."


    The voice of ?? made Lu Chen stunned for a moment.


    This is... Xu Shan''s voice?


    Lu Chen stood up and saw Xu Shan at the door.


    "Come in and sit down." Lu Chen glanced at Gu Xinyue, "Why don''t you let others in the room?"


    Gu Xinyue''s mouth twitched slightly, and without saying anything, she went back to the living room and sat alone.


    Xu Shan glanced at Gu Xinyue with a complicated expression, but she also followed into the living room.


    "Xu Shan, I feel like I haven''t seen each other for a long time." Lu Chen smiled.


    Xu Shan''s outfit today is not the same as usual.


    She put on light makeup, the bangs on her forehead have been cut off, and the beauty of the seal has been completely released.


    "Yeah, it''s been a long time, I''ve been busy with the natural application for the country some time ago." Xu Shan said lightly, "I heard... you''re leaving?"


    Lu Chen said helplessly: "It''s really good things don''t go out, and bad things spread thousands of miles!"


    "Even the interns in the hospital should know about this." Xu Shan said, "I remember the National Nature you just applied for. You just left, what about the National Nature project?"


    Lu Chen laughed at himself: "Don''t tell me, if I didn''t apply for the National Nature Program, I probably wouldn''t resign."


    "It''s a good thing to apply for the Shangguo Nature Program! I applied twice this year, and both were rejected!" Xu Shan wondered, "Why did you apply for it and forced you away?"


    "It''s hard to say." Lu Chen said, "It''s hard to say now."


    "It''s just that if you leave, what should I do with this country''s natural project? You can''t take it with you."


    Xu Shan asked again.


    Gu Xinyue interjected for no reason: "Whether it can be taken away or not, it won''t fall on your head."


    Xu Shan glanced at Gu Xinyue, "In your eyes, I am this kind of person?"


    "Isn''t it?" Gu Xinyue said again.


    When Lu Chen saw this, he hurried out to smooth things out.


    "That...you two don''t get excited, just listen to me."


    "First of all, I definitely won''t be able to take this national nature project with me."


    The supporting unit for the project application is Guanghai First Hospital.


    Lu Chen is going to leave now, so the project will naturally fall on Guanghai First Hospital.


    "As long as the hospital replaces the main person in charge of the project, it can continue to operate."


    Gu Xinyue said coldly, "The hospital leadership is really shameless!"


    Xu Shan added, "Lu Chen, it''s very rare to apply for admission to China, do you really not think about it anymore?"


    "Of course I know it''s hard."


    Lu Chen helplessly spread out his hands.


    For this TAVR National Nature Project, Lu Chen has been applying for half a year.


    The effort he has put in is also unimaginable for ordinary people.


    "Even if I continue to stay, the national nature project is just a tasteless thing to me."


    Seeing that Lu Chen was so determined, Xu Shan could only nod her head in cooperation, "That''s fine, I just feel a pity."


    "Don''t feel pity." Gu Xinyue suddenly said, "When Lu Chen comes back, maybe he won''t look down on the nature of the country at that time!"


    Lu Chen smiled helplessly.


    The two people in front of you are on the bar? !


    Since Gu Xinyue moved back from the opposite side last time, she has not paid much attention to Xu Shan.


    The relationship between the two is quite delicate.


    "Gu Xinyue, I think the two of us may need to have a good talk." Xu Shan said suddenly.


    Gu Xinyue pouted, "The two of us have nothing to talk about..."


    Before he could finish speaking, Xu Shan pulled him over.


    "You...what are you doing?" Gu Xinyue''s eyes widened.


    "Lu Chen, I''m sorry, I''ll borrow Gu Xinyue for a while and come back soon." Xu Shan said to Lu Chen while dragging Gu Xinyue away.


    "Just borrow!"


    Lu Chen waved his hand.


    Then, the two left.


    ¡­


    Lu Chen was alone in the living room.


    The trip to Mayo this time is not short, there are two years.


    He called Luo Meizhen and Lu Wenguo respectively and informed them of the news.


    "Xiaochen, your father and I, after so many years, are actually used to you being away from home. You are busy with work, we all know."


    Luo Meizhen Road.


    "But this time is different. If you leave, what will Xiaowei do?"


    Lu Chen was also a little silent when he heard the words.


    The relationship between him and Xu Wei, although not specified, but the two sides basically acquiesced.


    Luo Meizhen and Lu Wenguo are also very satisfied with Xu Wei.


    "What do you think, I don''t know." Luo Meizhen continued, "But as someone who has come here, I must say that long-distance relationships are unreliable, let alone foreign relationships."


    "Xu Wei, this child, I like it very much."


    "In my opinion, work can be anywhere, but if you miss this person, you may never meet again!"


    Lu Chen recalled what Xu Wei said to him, "Wherever you go, I will accompany you."


    At that time, Xu Wei was probably just talking.


    What''s more, she didn''t know that she was going abroad.


    "Mom, don''t worry. I will handle this matter." Lu Chen said.


    Although he said that, Lu Chen''s heart was also a mess.


    (end of this chapter)

 v2 Chapter 836： Arrangements before parting

    Chapter 836 Arrangements before parting


    Guanghai First Hospital Talent Apartment.


    Lu Chen invited Xu Wei to be a guest at home.


    Lu Chen, who basically didn''t cook much in normal times, did the cooking himself today.


    The things ?? made are, of course, dark dishes.


    "Oh, don''t be discouraged, you''re actually doing pretty well."


    Xu Wei did not complain much, she picked up a piece of fried meat and stuffed it into her mouth.


    frowned slightly, but she swallowed it anyway.


    "Forget it, let me order a few dishes." Lu Chen was about to take out his phone.


    The Sichuan restaurant downstairs can usually deliver food.


    "I really don''t need it, so I don''t waste it." Xu Wei hurriedly shook her head, stopping Lu Chen who was about to order food.


    After ??, she took another piece of meat and stuffed it into her mouth.


    After eating, he narrowed his eyes and smiled.


    Lu Chen felt a little warm in his heart when he saw this.


    He was going to show his hand, but he still overestimated his own strength.


    After a "difficult" meal, Lu Chen began to get to the point.


    "I''m going to resign from Guanghai First Hospital." Lu Chen looked at Xu Wei and said very solemnly, "In the next period of time, I may go abroad for further studies."


    Xu Wei was cleaning the dining table, when she heard this, her movements froze.


    "I...I see."


    The loneliness that flashed in her eyes was accurately captured by Lu Chen.


    "How long?" Xu Wei raised her head and whispered.


    "About...two years."


    Lu Chen said slowly.


    As soon as the ?? voice fell, the living room fell into a brief silence.


    for a long time.


    "Sorry, I may not be able to fulfill my previous promise."


    Xu Wei sat opposite Lu Chen and said softly.


    She thought that Lu Chen would go to hospitals in other cities at most, so she could go with him.


    Even if she can go abroad, she can''t find a satisfactory job there because she is unfamiliar with her life.


    "It''s not your problem." Lu Chen looked at Xu Wei quietly, "I... I''ll be back."


    "Well." Xu Wei looked up at Lu Chen, "I went to wash the dishes."


    Lu Chen looked at Xu Wei''s back in the kitchen, and sighed slightly in his heart.


    Today, she is too calm.


    makes Lu Chen feel a little uneasy.


    If she makes a scene or is heartbroken, Lu Chen has a way to deal with it.


    But now...


    Xu Wei went back to the living room after washing the dishes.


    "Lu Chen, when are you leaving?"


    "next week."


    "Oh."


    Xu Wei nodded, took her small bag, and got up to leave.


    Lu Chen opened his mouth and wanted to say something, but he couldn''t say anything.


    Make Xu Wei wait for her for two years?


    He has never really confessed, nor has he ever been in a real relationship.


    Saying this is a bit selfish.


    Xu Wei opened the door and faced Lu Chen and said, "Go back, don''t take me off, I''ll take a taxi home later."


    "It''s getting dark outside, so I''ll send you off."


    Lu Chen shook his head and closed the door.


    ¡­


    The two walked downstairs in the apartment.


    Memories gradually came to my mind.


    Xu Wei still remembered waiting downstairs for most of the day when she first saw Lu Chen.


    In the beginning, she was full of resentment.


    But after seeing Lu Chen and seeing his rescue at the Sichuan restaurant, her attitude towards Lu Chen changed.


    The weather has entered winter.


    Xu Wei tightened her clothes a little to make herself warmer.


    The dim lights on the side of the road stretched the backs of the two very long.


    Neither of them spoke, they just walked slowly.


    Take the street side.


    Xu Wei waved and stopped a taxi.


    She opened the car door, turned around and said to Lu Chen, "I''m going home, you can go back."


    "it is good."


    Lu Chen nodded.


    Xu Wei got in the car and rolled down the window, "Go back quickly and rest early."


    "That..." Lu Chen interrupted suddenly looking at Xu Wei''s delicate profile.


    "Master wait a minute." Xu Wei looked back at Lu Chen, "What''s wrong?"


    There was a trace of anticipation in her eyes.


    Lu Chen paused and said slowly, "That... send me a message when you get home."


    A trace of disappointment flashed in Xu Wei''s eyes, but she still smiled and nodded: "Okay."


    After saying that, the taxi started to leave.


    "If you have something to say, why don''t you say it directly?"


    Gu Xinyue suddenly appeared from his side, startling Lu Chen.


    "What are you doing, you walk without making a sound..."


    Gu Xinyue glanced at Lu Chen speechlessly, "I''ve called you two or three times, but you haven''t responded at all, do you want me to come over?"


    Lu Chen coughed softly, "Old Gu, why did you run across the street recently?"


    Speaking of this topic, Gu Xinyue really sighed.


    "Hey, there''s no way, who told me that I was too attractive, Xu Shan cried and told me not to leave."


    "Really?" Lu Chen asked suspiciously.


    "Really!" Gu Xinyue nodded quickly, "Since she is so humble, I will forgive her."


    Lu Chen pouted the corners of his mouth.


    He really didn''t quite believe what Lao Gu said.


    However, since Xu Shan called Gu Xinyue away for discussion last time, the relationship between the two has become the same as before.


    Laogu moved to the opposite side again.


    After Lu Chen leaves, this talent apartment will also be taken back by Guanghai First Hospital.


    "Old Gu, I have finished the work of the department." Lu Chen continued, "Tomorrow I will be leaving the office. I have already told Yan Wanfeng about the department. The new deputy director is from the first district of the Cardiology Department. Not bad, if you continue to follow him, it should be fine."


    "Thank you." Gu Xinyue''s mood was a little down.


    "Why do we two say thank you?!" Lu Chen smiled and patted Gu Xinyue on the shoulder, "It''s too vulgar. In addition, there is one more important thing that I want to explain to you."


    "You said." Gu Xinyue moved closer to Lu Chen.


    "You know, after I leave, the National Natural Science Project will definitely not be taken with me." Lu Chen said, "I will apply to the National Natural Science Foundation of China, and Director Yan Wanfeng will be in charge."


    If possible, of course Lu Chen would like to transfer the fund project to Gu Xinyue.


    But Lao Gu does not have the qualification to preside over the nature of the country now.


    "Lao Gu, when the time comes, you and Jin Miao will follow Director Yan Wanfeng. Being a major participant will be very beneficial to your future scientific research."


    Gu Xinyue stared blankly at Lu Chen.


    I didn''t expect Lu Chen to leave, so I still think about them.


    "However, the senior management of Guanghai First Hospital will definitely stop it. It is not so easy to hand over the person in charge to Director Yan Wanfeng." Lu Chen frowned, "I will try my best to fight for it."


    Although he is the person in charge, the applicant is the Guanghai First Hospital.


    After he leaves, who the project is to be handed over to, the applicant unit has a lot of power to decide.


    "Lu Chen, don''t worry. If the project is in our hands, it will not be buried." Gu Xinyue said seriously.


    "Okay. I trust you."


    The two returned to the talent apartment side by side.


    ¡­


    In the blink of an eye, a week has passed.


    When Lu Chen left Huaxia and went to the Mayo Clinic in the United States.


    This time, he didn''t let anyone send him.


    He took a taxi and embarked on the journey alone.


    (end of this chapter)

 v2 Chapter 837： The preciousness of two bowls of instant noodles

    Chapter 837 The preciousness of two bowls of instant noodles


    Huaxia does not have direct flights to Mayo Clinic.


    Lu Chen flew to Chicago first.


    Arrive in Chicago and make a transfer.


    The headquarters of the ?? Mayo Clinic, Rochester, Minnesota.


    Chicago to Rochester is less than an hour flight time.


    Although connecting flights at US airports is very convenient, for Lu Chen, who came to the United States for the first time, because he had to take out his luggage when going through customs, and then check in for the next flight.


    Lu Chen spent a lot of time on the way.


    Lu Chen finally arrived in Rochester at about eight o''clock in the evening.


    ¡­


    Mayo is headquartered in Rochester, Minnesota, and later opened two large medical centers in Scottsdale, Arizona and Jacksonville, Florida.


    Three large medical centers are dotted with clinics.


    These clinics, along with three large medical centers, form a major part of the Mayo Health System.


    After getting off the plane, Lu Chen found that the airport in Rochester is very small, and it is far from the scale of some second- and third-tier city airports in China.


    There are no hotels around the airport, and even taxis are few.


    There is no possibility of waving and calling a car on the side of the road.


    According to the previous agreement, Yu Weiguang will come to pick up the plane.


    Lu Chen looked for a fast food restaurant to rest temporarily.


    After waiting for about half an hour, Yu Weiguang was late.


    "Viagra, if you don''t come pick me up, I really don''t know how to get there."


    Lu Chen said rather embarrassedly.


    It was a new arrival and faced a completely different environment. After seeing Yu Weiguang, Lu Chen felt an unusual intimacy.


    "Hey, it''s not that exaggerated." After receiving Lu Chen, Yu Weiguang took out his mobile phone, "Although it''s not easy to call rough cars here, but booking a shuttlebus online is very reliable."


    Yu Weiguang helped Lu Chen carry a bag of luggage.


    While booking a car online, he told Lu Chen the local customs.


    Rochester is a small city, there is no subway, there are many bus routes, but the frequency is not dense.


    "Lu Chen, the winter here in Rochester is long and cold, so it is most convenient to buy a car if you can. At least so far, it is legal to drive in Mingzhou with a Huaxia driver''s license."


    "The key here is that gasoline is super cheap, roads are basically free, and car maintenance costs are low."


    Lu Chen smiled, "Viagra, then why didn''t you get a car?"


    "Hey, I''ll only be here for a year." Yu Weiguang shook his head, "in half a year, I''ll be gone, no trouble. Many Chinese who have been here for a long time have temporarily bought a cheap car. Car travel."


    "By the way, Viagra, where do I live?" Lu Chen was still more concerned with this question.


    The type of accommodation is nothing more than a hotel, a rental apartment or a House.


    "Lu Chen, you are really lucky." Yu Weiguang smiled, "I live in an American house with three floors. The first floor is for the landlord, and the second and third floors are rented out. There just happens to be a vacant room on the first floor, I''ll show you there, and if you think you can, just stay there."


    "Viagra, you live here, of course I''m with you." Lu Chen smiled, "However, the rent won''t be very expensive, right?"


    In the next two years, the expenses here will be a lot of expenses.


    Lu Chen made some money before, but he still needs to save some words.


    After all, he came here as a visiting scholar without any salary or remuneration.


    Yu Weiguang smiled and shook his head: "This kind of big house is equivalent to a shared rent, it''s not very expensive, it''s about 300 US dollars a month, if you want to live in a single apartment, it''s expensive, the rent is about 500-1000 US dollars / Months vary."


    "Okay, then go to Viagra." Lu Chen nodded.


    "Well, I''ll show you."


    After a while, the car booked online arrived.


    Yu Weiguang took Lu Chen to the big house he was currently renting.


    ¡­


    The landlord is a middle-aged American, with a wide body and a fat body, and looks very kind.


    He took Lu Chen to the room on the third floor.


    Everything in the room is readily available and cleaned very well.


    "Just here."


    Lu Chen paid half a year''s rent first.


    This is not far from the Mayo Medical Center, about a ten or twenty minute walk.


    "There are still a few Chinese people living here." Yu Weiguang introduced, "There are those from Magic Capital, Kyoto, and Western Sichuan. We usually get together occasionally."


    It was half past eleven when Lu Chen finished everything.


    The fatigue and anxiety of transferring flights, check-in, etc. all the way disappears with falling asleep.


    However, jet lag is really an important issue that cannot be avoided.


    Lu Chen is very tired now, and his eyelids are fighting, but his mind is clear, but he can''t fall asleep.


    I finally fell asleep at about 5:00, and when I opened my eyes, it was 10:00 noon US time.


    At this time, Lu Chen felt his stomach growl.


    Yu Weiguang is still at work, so Lu Chen needs to go out for food.


    The best way to go out in the United States is Google Maps, and it¡¯s still the Chinese pronunciation.


    After walking for about 30 minutes, Lu Chen found a large supermarket under the guidance of the map.


    When I got there, I found that it was all daily necessities, no food...


    Lu Chen is a little desperate, do you want to cook by yourself in the future?


    At this time, Lu Chen felt like an animal out of the group.


    The expression ?? "foraging" is really appropriate.


    ¡­


    It was finally around 11:30 noon.


    Yu Weiguang called and asked Lu Chen to have lunch together.


    Lunch was finally settled, and Lu Chen was full of ecstasy.


    However, when he saw the food in front of him, he was a little stunned.


    "Viagra, that''s all???"


    Two bags of braised beef noodles, instant noodles!


    Yu Weiguang had an indifferent expression, "Lu Chen, this is something I usually can''t bear to eat! I''ll give you a bag after seeing you here."


    Lu Chen is full of question marks, is life so hard?


    Yu Weiguang has already soaked his face, and said with a bitter face: "Being here, besides language, the most difficult thing is diet. You can see that I have lost a lot of weight."


    Yu Weiguang compared his figure.


    "Here in America, every day is sandwiches, salads, pizzas, cold water, ice water and all kinds of unsuitable foods. By the way, there are also undercooked steaks, the kind with bloodshots."


    "In China, you basically drink hot water, but since the moment you landed in the United States, you basically drink cold water and ice water."


    Lu Chen still doesn''t quite understand the meaning of this sentence.


    It was not until he worked at the Mayo Clinic that he understood the preciousness of these two bowls of instant noodles.


    For the next few days, Lu Chen was still experiencing jet lag.


    That''s right, it''s jet lag!


    Lu Chen''s state is that he can''t sleep at night and dare not sleep during the day.


    This situation continued for three days.


    Until the fourth day, Lu Chen drank some beer at night.


    Woke up at 7:00 the next morning, and the time difference was finally adjusted!


    After the preliminary work is completed.


    Lu Chen submitted his letter of acceptance and officially began to study at Mayo Clinic.


    (end of this chapter)

 v2 Chapter 838： Fellow (thanks to the leader of a large cucumber I)

    Chapter 838 Fellow (Thanks to the leader of a large cucumber I)


    Mayo has an unwritten custom.


    Clinicians must wear shirts to work every day.


    One shirt per day, and not the same color.


    Fortunately, Lu Chen brought three shirts with him this time, otherwise he would have to go to the supermarket temporarily to buy.


    And the people in the United States have large clothes, so Lu Chen may not be able to buy what suits him.


    Enter Mayo.


    Every visiting doctor in Mayo will be assigned a special reception doctor.


    The person in charge of receiving Lu Chen is a young American doctor named Amy.


    Mayo''s physician level is different from Huaxia.


    Here, there are only two levels!


    Residents and attending physicians.


    A ?? resident doctor, i.e. in training, is not qualified to practice medicine independently.


    Attending doctor refers to the process of completing training and being able to practice medicine independently without the selection of professional titles.


    In Mayo, and even the entire United States, there is no deputy director, the academic title of director.


    Mayo''s so-called director is just an administrative position, equivalent to a domestic section director.


    In addition, after the residency training, some people still need to do 1 to 3 years of "fellowship" for clinical subspecialty training.


    Huaxia¡¯s standardized training for resident physicians, and subsequent special accompaniment, are all imitated by countries such as Europe and the United States.


    But now it seems that some painted tigers are not anti-dogs.


    Many places in China are no longer mandatory for resident physician training.


    ¡­


    Amy introduced the general situation of Mayo to Lu Chen.


    In the words, there is a sense of pride.


    Mayo has more than 4,500 physicians and scientists, including more than 3,000 doctors and more than 1,000 scientists.


    There are 58,000 managers and logisticians, including medical assistants, nurses, technicians, secretaries, statisticians, as well as electricians, plumbers, cleaners, etc.


    Among more than 62,000 employees, the ratio of staff to doctors is close to 13:1.


    These support staff provide strong support for physicians and facilitate physicians to better serve their patients.


    A ratio of ??13:1 is impossible and unimaginable in China.


    However, it is this kind of cooperation that provides Mayo''s staff and patients with a feeling of incomparable happiness.


    "Lu, in the next period of time, you will study with a Fellow."


    Fellow, as the most "high-level" echelon in the long medical training process in the United States.


    They manage the department''s residents and interns.


    Usually have the most contact with patients, and if there are problems that cannot be handled, they will be reported to the attending physician.


    After the attending physician gives the corresponding diagnosis and treatment advice, the Fellow will perform the final execution.


    Therefore, those who can participate in the Mayo Fellow training are the elites of doctors from all over the world!


    The walls of the Mayo Medical Center are covered with photos of Fellows from Mayo''s creation in 1930 to the present.


    In addition, Lu Chen also learned.


    Mayo is a typical "eat a big pot of rice"!


    All wages are the same.


    The doctor''s salary has nothing to do with the amount of surgery, the number of tube beds, the number of inspections and tests, etc.!


    The difference in wages mainly depends on the length of time spent in Mayo.


    However, as long as you stay at Mayo for five years, wages and salaries peak.


    That is to say, an attending physician who has worked in Mayo for five years is paid exactly the same salary as an attending physician who has worked in Mayo for 20 years.


    Of course, the salary for administrative positions will be slightly higher, not much higher.


    And administrative positions are rotated every few years, and there is no such thing as working until retirement.


    For a while, Lu Chen was somewhat envious of this work mode.


    Doctors will not do any more examinations or tests because of performance.


    Just focus on clinical.


    No wonder Mayo can attract many top medical talents from all over the world!


    Lu Chen was shocked before he actually entered Mayo''s clinical practice.


    "Lu, next, I''ll take you to see the Fellow you''re going to follow." Amy took Lu Chen to the Cardiovascular Medicine ward, he looked down at his watch, "At this time, they should be discussing the case now. ."


    Came to the case discussion room of the Cardiology Department.


    Lu Chen found that the layout of the ward here was completely different from Huaxia.


    Gently push the door open.


    There were about a dozen doctors of different skin colors sitting around.


    There are old professors with gray hair and young people with vigor.


    Lu Chen and Amy sat in the corner of the classroom without disturbing everyone''s discussion.


    For the cases that Mayo has to discuss


    Lu Chen was very interested.


    He looked at the projector screen on the podium, where the discussion was about a patient with intractable angina.


    The patient is a 65-year-old man with multiple myeloma and refractory hematuria.


    When he saw the basic condition of this patient, Lu Chen was taken aback.


    Sure enough, it''s Mayo!


    The cases that you see casually and put in other places are basically difficult and severe cases.


    Under the stage, the doctors had a heated discussion.


    A doctor who is about thirty-five years old is standing on the podium, talking eloquently.


    "The patient is not only difficult to get through, but also has severe hematuria, and the life expectancy is 6 to 12 months. During this process, the patient developed symptoms of grade 3 to 4 angina pectoris, and the family doctor carried out a stress test on him. The results suggest that The patient had extensive inferior wall ischemia."


    "The problem we are facing now is the patient''s next diagnosis and treatment plan."


    At this time, Lu Chen also saw the composition of their entire medical team.


    Sitting at the top, the white-haired old professor is the attending doctor of the team, that is, the most senior doctor.


    The middle-aged blond male doctor is the Fellow of the team and is currently undergoing specialized cardiovascular training.


    And the rest of the team, in addition to residents, interns, and visiting doctors from other parts of the country.


    After Amy''s prompt, Lu Chen knew that there were Indians, Filipinos, Japanese in this team, and of course the most were Americans.


    After a question from a Fellow in the team.


    These residents and interns were very active in the discussions and put forward many constructive comments.


    However, the Fellow and the attending doctor were obviously not satisfied with everyone''s answer.


    Fellow asked again:


    "Is this patient treated conservatively with drugs or surgical treatment? Even if revascularization can be performed, should we choose a bare metal stent or a drug-eluting stent?"


    After this question came out, all the residents and interns, including the visiting physician with the same identity as Lu Chen, were a little silent.


    "Mr. Amy, may I answer?"


    Lu Chen whispered to Amy beside him.


    Amy was stunned for a moment, then nodded with a smile: "Of course, Lu, you must remember that you are also part of the team."


    "Okay, thank you."


    At this moment, Lu Chen suddenly raised his hand and said, "Can I answer?"


    Everyone in the room looked at Lu Chen who was sitting in the corner with very puzzled and surprised eyes.


    (end of this chapter)

 v2 Chapter 839： budding

    Chapter 839 First appearance


    Lu Chen, an unfamiliar face, appeared in the classroom, and everyone looked at him in astonishment.


    But when the Fellow in the team saw Amy next to Lu Chen, he probably guessed Lu Chen''s identity.


    "Amy, why don''t you introduce the new guy to the big guys?" Fellow smiled.


    "Haha, of course no problem, it''s my honor." Amy stood up, "This doctor is Lu Chen, a visiting doctor from Huaxia..."


    Amy briefly introduced Lu Chen''s background.


    Then, Lu Chen stood up and introduced himself


    "Oh, from Huaxia?" Fellow glanced at Lu Chen, "By the way, our team has not been in Huaxia for a long time."


    Because of the language, doctors from Europe, America, India and other regions are most often accepted here.


    "Lu Chen, right? I heard you just now. You have your own opinions on this case. You can talk about it now."


    The Fellow of this team got straight to the point.


    "Yes, I have some immature opinions of my own." Lu Chen didn''t deny it, "I hope to share it with everyone."


    This is Mayo, not Huaxia.


    There is no middle way here.


    If you have a good idea, if you don¡¯t express it, then you won¡¯t!


    If you have the ability and the ability to stand out, you must seize the opportunity!


    This was also explained to Lu Chen by Yu Weiguang many times.


    Work hard, of course.


    But it is best to let others know that you have done it.


    Lu Chen immediately stood up from his seat and said slowly:


    "As far as I can think of, there are three treatment options!"


    When these words came out, everyone present was shocked.


    three methods?


    Everyone just mentioned a method, and it is enough.


    Lu Chen is good now, I want to say three things at once!


    Lu Chen continued: "First of all, it must be to optimize the drug treatment. If the situation allows, consider coronary angiography and revascularization."


    "Finally, consider palliative care in a patient with severe comorbidities. In treating this patient, we felt we optimized his medication first, using maximum doses of beta-blockers and calcium antagonists, along with long-acting nitric acid. Ester therapy¡­¡±


    Everyone is listening carefully to Lu Chen''s story.


    Fellow suddenly said: "What if intervention is possible? Which do you think should be chosen?"


    Lu Chen was silent for a while, then said: "If possible, I think it is best to perform laser revascularization treatment on the patient, which is better."


    "okay!"


    Fellow nodded slightly, very satisfied with Lu Chen''s answer.


    In fact, many visiting scholars only come to Mayo for gold plating.


    "Now, taking advantage of this time, let''s welcome the arrival of this Dr. Lu Chen from Huaxia!"


    Fellow was the first to applaud, and others followed suit.


    The entire Mayo environment is relatively not that complicated.


    Lu Chen''s first speech was well received by Fellow.


    The other doctors in the team were also very interested in Lu Chen. """"""


    "Then I''ll go first."


    Amy nodded to Lu Chen, he finished his task and left.


    in the classroom.


    regained the atmosphere of the previous case discussion.


    "Next, let''s look at the second case!"


    Fellow went on to provide you with a second case.


    Lu Chen understood.


    Case discussions like this are conducted almost every day under the leadership of Fellow.


    The second case is still about "refractory angina pectoris".


    "Everyone, please look at the screen."


    Fellow called up the patient''s case.


    This is a 55-year-old female marathon runner.


    The patient was evaluated in a local hospital for nearly 3 months after developing exertional angina, and the results of the stress test were normal.


    Angiography showed mild to moderate myocardial bridging in the mid-segment of the left anterior descending artery.


    After treatment with calcium antagonists and nitrates, the symptoms were relieved slightly. After that, the patient began to develop resting angina pectoris, and the pain caused the patient to wake up at night.


    Lu Chen reviewed the specific concept of refractory angina pectoris again in his mind.


    Refractory angina is usually divided into 3 types.


    The most common one is patients with anatomical lesions. The lesions of these patients are more serious and complex, and cannot be treated simply by PCI or CABG; of course, some lesions are diffuse small vessel lesions and cannot receive revascularization therapy.


    The second category is physiological lesions, that is, the patient''s coronary artery structure is normal, but there may be microvascular dysfunction or endothelial dysfunction.


    The third situation is that the patient has serious comorbidities, such as patients with advanced cancer and severe gastrointestinal bleeding.


    Fellow continued: "What should we do with such a patient? How to do further functional tests? Should invasive or non-invasive tests be performed? How to start treatment?"


    Soon a resident stood up and replied, "Since the patient''s stress test result is negative, there is no need to repeat the same examination. The patient''s previous angiography results suggest that there is a myocardial bridge in the middle left anterior descending artery, so are these lesions obvious?"


    ¡­


    Full hour of case discussions.


    Lu Chen has gained a lot.


    This is something he rarely feels in China!


    The opinions of ??Fellow and the attending doctor are very innovative and creative, and they are definitely at the top level in the world.


    And Lu Chen''s speech when he entered the room also left a deep impression on everyone.


    "Lu, you just came to Mayo, and you are not familiar with the environment." Fellow of the Cardiology Department said to Lu Chen, "For the past two days, please follow me around first, and then I will give you some simple tasks later."


    "OK, thanks."


    At noon on the first day of coming to Mayo, the fellow and the professor of the team insisted on inviting Lu Chen to dinner.


    Lu Chen arrived for the first time, and there was no reason to refuse.


    went to Mayo''s restaurant with Fellow and Professor in the team.


    "Lu, you should like pizza, right?" Fellow laughed.


    In the whole restaurant, there is only one kind of food, pizza.


    Lu Chen is really not used to it and doesn''t like pizza.


    However, now I can only bite the bullet.


    He had been busy for most of the morning, and he was tired enough at this time.


    The hungry Lu Chen still ate two plates of pizza.


    This made the Fellow and the professor in the team think that Lu Chen, who is from China, likes pizza very much.


    (end of this chapter)

 v2 Chapter 840： Just a visit to the doctor!

    Chapter 840 is just a visiting doctor!


    As a visiting scholar, Lu Chen has no right to conduct medical treatment for the time being.


    All he can do is follow the Fellow and see various cardiovascular diseases every day.


    Just like the current Yu Weiguang, he just follows his attending doctor and has no chance to participate in medical diagnosis and treatment.


    If you want to see a doctor in Mayo, you have to apply to become a Fellow or attending doctor of Cardiovascular Medicine before you can really get in touch with clinical diagnosis and treatment.


    If there is no accident, Lu Chen, Yu Weiguang and others will stay in Mayo as "visiting doctors".


    For most people, though, a year, or even a few months, at Mayo.


    He went back to brag, even the capital of promotion.


    After all, this is the "Holy Mecca" in the eyes of doctors around the world!


    ¡­


    However, for Lu Chen.


    Let him sit on the sidelines clinically without letting him get started. This feeling is extremely uncomfortable.


    "What? Do you still want to do it yourself?"


    Yu Weiguang glanced at Lu Chen in disbelief, and then took another bite of pizza.


    "Can''t you?" Lu Chen spread his hands.


    "Lu Chen, this is not a question of whether you can do it or not." Yu Weiguang frowned, "You are not qualified to practice medicine in the United States, let alone practice medicine in Mayo. As visiting doctors, we have no such authority at all."


    Lu Chen was a little silent.


    In fact, he can visit and experience life just like Yu Weiguang.


    There are a lot of things that can be learned, but Lu Chen is always unwilling.


    Coming to the most powerful hospital in the world, it would be a pity if you didn¡¯t try it yourself.


    So, a brand new idea slowly sprung up in Lu Chen''s heart.


    ¡­


    Lu Chen was in the department, following Fellow and the attending doctor, to treat various patients.


    I have to say that Dr. Mayo''s clinical diagnosis and treatment thinking is really top-notch in the world.


    Many diseases that Lu Chen had never heard of.


    However, with the help of the system''s HP, Lu Chen can easily determine the patient''s health status.


    Lu Chen has countless opportunities for trial and error diagnosis.


    Only when the diagnosis is correct, the system upgrade completion rate will increase.


    Because, as Lu Chen stayed in Mayo''s Cardiology Department for a longer period of time, he began to emerge gradually with the ability of the system.


    In the eyes of fellow fellows, attending physicians, and even professors in the same group, Lu Chen is one of the very few excellent visiting doctors.


    In addition, Lu Chen will accompany Fellow in outpatient clinics.


    Patients who come to Mayo are now pre-treated in clinics around the Mayo Medical Center.


    Further transport to the three Mayo Medical Centers will be made if the surrounding clinics are unable to diagnose and treat, or if surgery is required.


    Lu Chen''s biggest feeling here is leisure.


    This leisure does not mean that Dr. Mayo has less work.


    But the time to see a doctor here is very generous compared to Huaxia.


    General patients will make an appointment one week in advance.


    The attending doctor will review the patient''s past medical records in detail in advance.


    On the day of the real face-to-face consultation, the doctor in charge actually already knows a lot about the patient.


    And Mayo also sends patient brochures to patients.


    There will not be a situation where a doctor asks for an examination, but the patient does not even understand what the examination is.


    And the medical students and interns here have quite a few opportunities to practice.


    This made Lu Chen very envious.


    ¡­


    It¡¯s been a week since I came to Mayo.


    Lu Chen has gradually gotten used to the working environment here.


    The only thing that made Lu Chen feel bad was that the Fellow, the attending doctor, and even the professor in the group thought that Lu Chen liked pizza.


    After work, Lu Chen was invited to eat pizza.


    Lu Chen is really kind!


    Who gave him the first day and did not reject Lu Chen.


    Now that he says he doesn''t like pizza, the attending doctors or professors don''t believe it at all.


    "Lu Chen, can''t you eat Chinese food at ordinary times?"


    On the weekend, when he was free, Lu Chen and Xu Wei made a video call.


    "Hey, a bowl of egg fried rice costs ten dollars!" Lu Chen shook his head, "I really can''t afford it."


    At this time, Lu Chen recalled the preciousness of the bucket of instant noodles that Yu Weiguang gave him when he came to Mayo on the first day.


    "Lu Chen...Are you short of money?" Xu Wei suddenly said, "How much are you short of? Or...I can borrow..."


    Until Xu Wei had misunderstood, Lu Chen quickly smiled, "Don''t! I''m not short of money, but the things that money can buy here are not very delicious. Usually when Chinese people have dinner together, they can still eat what they make. Chinese food.¡±


    In the house where we live together, there are still many Chinese people.


    When we usually get together, Lu Chen can eat a meal, and even taste Sichuan cuisine.


    "Oh." Xu Wei whispered, "If you are short of money, you can tell me."


    Lu Chen smiled, "Don''t think too much, you have to work hard, and strive to send reporters to the studio as soon as possible!"


    "Mmmm." Xu Wei narrowed her eyes and nodded, thinking in her heart how long it would take for Lu Chen to return to China.


    The two hung up the video call, and Lu Chen entered the system virtual space.


    This time Lu Chen came to Mayo.


    In addition to seeing the top medical technology, he also hopes to unlock the next-level mall of his system.


    All current skill cards are only advanced status.


    But Lu Chen knew that there must be a higher-level system mall that would allow him to exchange for higher-level skill cards.


    ¡­


    The weekend break is over.


    Lu Chen returned to Mayo Cardiovascular Medicine.


    "Lu, you are with me today, there is a special case." When the Fellow in the group saw Lu Chen coming to the department, he immediately called him.


    "Okay, Dr. Kebed." Lu Chen nodded with a smile.


    The Fellow in the ?? group is called Kebed, an American man in his thirties with a very burly figure.


    In this case, multiple groups from the Department of Cardiovascular Medicine, such as electrophysiology group, cardiomyopathy group, and coronary artery group, participated in the discussion together.


    Only fellows, attending physicians or professors of each group are eligible to participate.


    And the reason why Kebed let Lu Chen come together is mainly because of Lu Chen''s performance this week, which is extremely outstanding.


    In the usual diagnosis and treatment of diseases, Lu Chen can provide valuable advice.


    This case discussion was held in a large classroom in the Department of Cardiovascular Medicine.


    When Lu Chen walked into the room, there were already many people sitting inside.


    "Kebed, this eye doctor is..."


    A blond female doctor walked up to Kebed.


    Lu Chen knew that the female doctor had a close relationship with Kebed.


    "Haha, Marry, let me introduce to you, this is Lu Chen, a visiting doctor from Huaxia." Kebed introduced with a smile.


    "Kebed, are you mistaken? Visiting doctors cannot enter into this case discussion!" The blonde female doctor named Mary frowned.


    Kebed also put away his smile, and said sternly: "I have already applied to the director, and Lu Chen was specially approved to enter!"


    "Special approval?" Mary raised an eyebrow.


    There are not many visiting doctors with such special qualifications!


    "Marry, you still want to stop?" Kebed half-smiled.


    "Humph." Marry snorted coldly, ignored Lu Chen, turned around and went inside.


    Lu Chen knew that no matter how well he performed, in the eyes of Mayo''s local doctors, he was still just an inexperienced visiting doctor, or even a gilded doctor.


    "Lu, don''t care if you go, Marry is like that." Kebed explained, "Because she is in charge of the entire case discussion, she doesn''t want anything to go wrong."


    "Okay, it''s okay." Lu Chen smiled and nodded.


    In other people''s territory, Lu Chen could only endure it temporarily.


    No way, Mayo''s visiting doctor has no right to conduct medical behavior at all.


    At one point, a visiting doctor is not even better than a regular doctor at Mayo.


    ¡­


    (end of this chapter)

 v2 Chapter 841： Misunderstanding

    Chapter 841 Misunderstanding


    Case discussion session begins.


    Lu Chen sat behind the Kebed team.


    He made a visual inspection and found that there were seven cardiology teams in the entire classroom, with a number of about 17 people.


    On the podium, the attending doctor of this case began to introduce the basic situation of the patient to everyone.


    This model is similar to that in China.


    After the doctor in charge introduced the condition, he asked questions.


    The doctors will continue to discuss and analyze the answers.


    "Patient, male, 18 years old."


    "Due to the obvious abnormality of the electrocardiogram found in the post-exercise examination. The patient did not have any uncomfortable symptoms."


    "Previously healthy, denied a family history of cardiomyopathy or sudden death of unknown cause."


    The patient''s medical history is simple, a few sentences.


    But next, the examinations and tests released by the doctor in charge are not easy!


    There are many copies of ?? ECG.


    Lu Chen picked out the most typical ones.


    As soon as he turned over the electrocardiogram, Lu Chen immediately read the result.


    This is a typical asymmetric T wave, and there is still ST depression in the precordial leads.


    Obviously, this is an electrocardiogram of cardiomyopathy.


    For example, the most common disease is hypertrophic cardiomyopathy.


    Sure enough, this picture came out.


    Everyone started to talk about it, and at the same time, they were very confused.


    Everyone is a top doctor in the world, and this basic electrocardiogram can be recognized.


    The doctor in charge smiled and told everyone to be patient and continue to check the patient''s other information.


    Next.


    The doctor in charge took out the ECG, echocardiography and cardiac magnetic resonance of the patient for review.


    The patient''s echocardiography and cardiac MRI all confirmed the diagnosis of "cardiomyopathy".


    Echocardiography results showed: apical myocardial hypertrophy with a maximum thickness of 24 mm, normal left ventricular size and systolic function, and no obstruction of blood flow.


    Cardiac MRI showed that the apical and anterior septal thicknesses were 25 mm and 13 mm, respectively.


    In the apex of the heart, delayed contrast enhancement can be seen.


    In addition, the patient has undergone genetic testing.


    Genetic examination revealed that the patient had mutations in the MYH7 encoding and ¦Â-MHC genes!


    However, both parents and siblings of the patient were found to be negative.


    These results all confirm the possibility that the patient has "hypertrophic cardiomyopathy"!


    Since no sign of sudden death risk was found in this examination, there is no indication for ICD implantation for the time being.


    ¡­


    Seeing this, Lu Chen frowned.


    At first glance, this case is too simple.


    No matter how you look at it, what tricks are pulled out, this is a hypertrophic cardiomyopathy!


    A disease that can be seen so clearly, wouldn¡¯t Mayo¡¯s doctor be able to diagnose it?


    This is absolutely impossible!


    Lu Chen continued to look down.


    The following medical records slowly dispelled Lu Chen''s doubts.


    After being discharged from the hospital, the patient stopped strenuous training according to the doctor''s advice, but he still maintained an active lifestyle.


    One year later, the patient re-examined.


    Re-examination of cardiac MRI showed that left ventricular hypertrophy was relieved!


    The maximum thickness of the apex of the heart is 10mm.


    The electrocardiogram of the re-examination showed that the ST segment depression was significantly improved compared with the initial visit!


    As soon as this result came out, everyone in the classroom was silent.


    The patient has not undergone any treatment, and the symptoms are so miraculously better!


    Kebed next to Lu Chen frowned and whispered: "It looks like hypertrophic cardiomyopathy, but the exercise stopped and the hypertrophy has eased. It''s like physiological cardiac hypertrophy again!"


    Lu Chen also frowned.


    Kebed is right, pathological cardiac hypertrophy is impossible to reverse.


    Only physiological myocardial hypertrophy can have a chance of reversal after stopping exercise.


    However, the patient did genetic testing before, and the gene for hypertrophic cardiomyopathy was indeed detected.


    This seems to be contradicting itself!


    Lu Chen''s heart sank, as expected of a case that can appear in Mayo!


    It is absolutely impossible to have such an easily diagnosed disease.


    "Lu, what do you think of this case?" Kebed looked at Lu Chen beside him.


    Lu Chen shook his head, "I have no idea for now."


    Kebed touched his chin and said slowly: "Lu, I have an idea, this patient''s cardiac hypertrophy resolved spontaneously after he stopped training, and the genetic tests of his family members were all negative. So I think, another genetic test may be needed to rule out The possibility of false positives in the initial inspection."


    Kebed''s idea is simple.


    He felt that the first genetic test was wrong!


    His opinion is to redo genetic testing.


    When Kebed finished talking about the idea, other Mayo cardiologists also raised the possibility.


    This 18-year-old athlete is likely to have pure physiological myocardial hypertrophy.


    Lu Chen frowned, because when he was thinking about the diagnosis.


    The system did not pop up any prompts.


    That is, "physiological cardiac hypertrophy" is wrong!


    For a time, the opinions of everyone were not quite unified.


    Some doctors say it is "physiological myocardial hypertrophy", and some doctors say it is "genetic pathological hypertrophic cardiomyopathy"!


    Everyone has their own opinions, and no one can convince anyone.


    ¡­


    Lu Chen remained silent.


    Because he discovered a very strange thing.


    When he thought of "physiological cardiac hypertrophy", the system did not pop up a prompt.


    When he thought of "pathological hypertrophic cardiomyopathy", the system did the same, and no prompt popped up.


    Is this patient not "cardiomyopathy" at all?


    This idea popped into Lu Chen''s mind.


    Everyone has been arguing for a long time, but in fact it is not cardiomyopathy at all? !


    This is too absurd...


    Lu Chen reviewed the patient''s examination again.


    Whether it is from electrocardiogram, cardiac ultrasound, or cardiac magnetic resonance, or even genetic testing, it has been confirmed that the patient has cardiomyopathy!


    There is absolutely no other possibility.


    "Could it be that the system is down again?"


    But since Lu Chen owned the system, the system has always been reliable.


    There has never been a system bug!


    ¡­


    Just as Lu Chen was thinking, the entire Mayo Cardiology classroom was divided into two factions.


    The ?? side believed that it was physiological myocardial hypertrophy. The main reason was that the patient''s myocardial hypertrophy recovered after stopping exercise.


    On the other hand, it is considered to be a pathological hereditary cardiomyopathy, because the result of the genetic test is positive!


    Any other test may not be as accurate as genetic testing.


    Kebed continued to Lu Chen: "Lu, now everyone has their own opinions. We can only look at the genetic testing again. We can only judge when we wait for the results."


    At this moment, Lu Chen''s mind suddenly flashed.


    Everyone seems to have entered a misunderstanding.


    Why does everyone think that it is either physiological or pathological?


    Can¡¯t both situations exist at the same time?


    When Lu Chen thought of this, the system immediately played a long-lost reminder sound.


    "Congratulations, the completion of the system upgrade has increased!"


    (end of this chapter)

 v2 Chapter 842： Multiplied thanks! (Night shift, today one

    Chapter 842 The multiplied gratitude value! (Night shift, one update today)


    Lu Chen''s face showed joy.


    As expected, he was fooled!


    This diagnosis was really his guess.


    He has never seen this kind of pathological and physiological hypertrophy at the same time.


    However, the prompt popped up by the system is enough to prove the correctness of this point!


    "Kebed, can I give my opinion?"


    Lu Chen immediately said to Kebed beside him.


    In such a big scene, most of Mayo''s well-known crocodile professors are there, and Lu Chen can''t speak without authorization.


    Even if his answer is correct, his abrupt remarks may cause everyone to be unhappy.


    "Of course no problem!" Kebed smiled, "Everyone who can participate in this meeting can raise their hands to speak freely. Lu, do you have any new ideas?"


    Kebed still respects this visiting doctor from Huaxia.


    Mainly because Lu Chen''s previous performance in the department has surpassed quite a few fellow figures in Mayo.


    "I have some ideas, but I don''t know if they are right or not." Lu Chen said modestly.


    "Oh, you can raise your hand to speak."


    With the help of Kebed, Lu Chen really began to raise his hand to signal to speak.


    After six doctors spoke, the microphone finally reached Lu Chen''s hands.


    ¡­


    On the other side, Marry has been paying attention to the situation on the side of Lu Chen.


    There is no other reason.


    This case discussion meeting was attended by only Lu Chen, a visiting doctor.


    The visiting doctors of other groups are not authorized to enter the discussion room.


    Marry was very afraid of what Lu Chen would do.


    Suddenly, she noticed that Lu Chen raised his hand.


    She frowned and wanted to stop.


    On such occasions, how could a visiting doctor be qualified to ask questions? !


    However, when she was about to stop it, it was too late.


    Lu Chen had already picked up the microphone and stood up slowly.


    He didn''t have too much nonsense, didn''t have too much explanation, and directly threw out his own point of view.


    "Hello, professor, I think this patient, several may have physiological hypertrophy and pathological hypertrophic cardiomyopathy, coexisting!"


    Originally, everyone didn¡¯t pay much attention to this strange face.


    But hearing Lu Chen''s words, everyone''s eyes lit up.


    Lu Chen''s words are like throwing bricks at the door.


    A brand new idea appeared in front of everyone.


    The patient himself has hypertrophic cardiomyopathy because his genetic test was positive.


    This has been proven!


    After strenuous exercise, his cardiac muscle hypertrophy was induced, which is what we often call physiological hypertrophy, also called "athlete''s heart".


    However, after cessation of exercise, the patient''s cardiac hypertrophy can partially recover.


    Seemingly contradictory performance, if you can combine physiological and pathological, it will not be contradictory!


    At this point, Kebed''s eyes widened, "Oh, my God!"


    "Why didn''t we think of this possibility?"


    "Lu, how on earth did you think of a situation where both pathological and physiological coexist?"


    The truth of this, once put it bluntly, is very simple.


    But without Lu Chen''s clarification, maybe everyone is still struggling with the differential diagnosis between "pathological" and "physiological"!


    ¡­


    Although Lu Chen only has a short sentence now, the doctors from Mayo have already noticed him.


    Including Marry who was not very friendly to Lu Chen before.


    She was thinking very strangely at this moment.


    "It''s impossible for this doctor from Huaxia to come up with this kind of thing, someone else definitely told him!"


    glanced at Kebed beside Lu Chen.


    Marry was very suspicious, it was Kebed who informed Lu Chen of the correct answer.


    Then Lu Chen came forward to inform the public.


    I have to say that human stereotypes are scary.


    No matter how good Lu Chen is, in Marry''s view, he would never be able to give such an astonishing answer.


    In her subconscious mind, doctors from Huaxia basically came to gild them.


    After half an hour.


    Case discussion ended.


    Lu Chen''s answer became the main theme of the entire discussion.


    The coexistence of pathological and physiological myocardial hypertrophy also attracts the attention of many doctors!


    These clinicians came to ask Lu Chen for more detailed content and wanted to do further scientific research.


    At Mayo, every clinician has research protection time.


    In simple terms, it is the time that Mayo gives doctors to conduct scientific research.


    Ordinary attending doctor, about 30% of the time.


    Those doctors who are more inclined to scientific research can reach 50% of the scientific research protection time, that is to say, they can spend half of their time in Mayo for scientific research work.


    At the level of a professor, the time spent on scientific research can even exceed 70%!


    This is also Mayo''s encouragement for scientific research.


    They give doctors plenty of time to conduct scientific experiments.


    On the other hand, in Mayo, the conditions for promotion of professional titles such as professors are not to be blessed by any articles.


    ¡­


    One of Mayo''s lounges.


    "Kebed, I don''t think you''re going too far!" Marry angrily looked at Kebed in front of him, "Why do you want to help this Hua Xia visit a doctor?"


    "Help him? Lu is the doctor of our group. If there is any problem, I will definitely help him!" Kebed was a little puzzled, he didn''t quite understand what Marry meant.


    "Haha." Marry snorted coldly, "Kebed, you are so generous! Tell Dr. Hua Xia what you think, and let him show off in front of everyone. What''s the benefit of doing this?"


    "what are you talking about?!"


    Kebed looked at Marry in confusion.


    "Didn''t you tell Lu Chen your thoughts on the case discussion just now, and then let him speak?" Marry continued.


    "So that''s what you think...Marry, your prejudice against Dr. Hua Xia is still so big!" Kebed shook his head slightly, "If I had such excellent advice, how could I have asked Lu Chen to say it? Myself at the time Just bring it up, isn''t it okay?"


    This time, it was Marry''s turn to be surprised.


    "This...isn''t it really the content of your opinion?"


    "No." Kebed shook his head solemnly, "You don''t know Lu. If you work with him for a period of time, you will find that his keen observation and judgment on clinical patients are far superior to many Mayo doctors. Far from it!"


    Marry was a little silent when he heard this.


    calmed down, she understood the truth of what Kebed said.


    He had absolutely no need to give up his honor to this visiting doctor from China.


    But, is this Huaxia visiting doctor named Lu Chen really that strong?


    ¡­


    At this time, Lu Chen, who returned to the Cardiology Department''s office, stared dumbfounded at the sound of the system in front of him.


    "Congratulations, received +20 thanks from Kebed!"


    "Congratulations, received +20 thanks from jodie!"


    "Congratulations, received +40 thanks from erics!"


    ¡°¡­¡±


    After the case discussion just now, Lu Chen received such a high gratitude value from Dr. Mayo!


    A Fellow, the lowest is 20 points!


    This is a lot more than the gratitude value obtained in Huaxia.


    Lu Chen realized that the gratitude value obtained is related to the level and status of each doctor.


    In Mayo, the doctors here are all the best of the best.


    Correspondingly, the value of thanks received also increases exponentially!


    Night shift today.


    It''s almost the end of the month.


    This month''s update is very salty, mainly because it is busy and the thinking is not smooth.


    Next month will start to speed up the pace.


    (end of this chapter)

 v2 Chapter 843： people walking tea

    Chapter 843


    Thanks for an explosive growth.


    Lu Chen was still very happy.


    He is looking forward to the opening of a higher-level mall in the system.


    After coming to Mayo.


    What Lu Chen felt the most was the comprehensive ability of the doctors here.


    In Huaxia, the professional differences of cardiologists are still very large.


    There are coronary intervention, electrophysiology, congenital heart disease, and TAVR today.


    Doctor Huaxia is more focused on one area.


    And Mayo''s doctor has stronger comprehensive ability!


    Take Kebed in the group as an example, he not only does coronary intervention, but also electrophysiology and TAVR surgery.


    Not to mention that in the field of scientific research, Mayo''s clinicians have completely overwhelmed doctors from other countries.


    It''s nice here, but Lu Chen couldn''t really fit in.


    First, cultural differences.


    Second, there is mistrust and discrimination against the Chinese race in the Mayo Clinic.


    Doctors discriminate against Chinese, and patients discriminate against Chinese.


    This is only a "holy place" for European and American doctors, but not for Chinese doctors.


    From the very beginning, Lu Chen simply wanted to learn all kinds of the most advanced technologies.


    Now, he has been in Mayo for two months, and he wants to prove himself more and more.


    In Mayo¡¯s proof, doctors in Huaxia are no worse than those in other places.


    ¡­


    "Lu, how do you feel about my TAVR surgery?"


    Fellow in the ?? group, Dr. Kebed showed off to Lu Chen.


    Dr. Mayo''s surgical ability is naturally nothing to say.


    This is the origin of many new spells.


    "Well, very good." Lu Chen watched the entire operation.


    However, Kebed''s surgical proficiency can only be said to be average.


    In fact, Huaxia has a large population base, many patients, and experienced doctors. In many surgical fields, operations are the most beautiful.


    Just like the current TAVR surgery.


    Lu Chen admitted that only Mayo has mastered the latest TAVR technique, but when it comes to proficiency in conventional techniques, many doctors in China are better than Mayo.


    Lu Chen''s eyes were calm, but Kebed''s pride faded a little.


    In his opinion, Doctor Hua Xia must be surprised when he sees these new techniques, right?


    "Lu, do you also have TAVR surgery in Huaxia?" Kebed wondered.


    Lu Chen was taken aback for a moment, then nodded, "Of course there is, it has just developed in recent years, and now there are a lot of patients."


    Hearing this, Kebed was even more puzzled.


    Since Lu Chen knows about the TAVR operation, he should understand the difficulty of his operation, right?


    Why didn''t Lu Chen respond at all?


    "Lu, I have another operation tomorrow, you can come and participate at any time if you want." Kebed continued.


    "No." Lu Chen shook his head.


    Watching Kebed perform surgery, it is better for him to train several times in the virtual space of the system.


    Kebed''s surgical proficiency is very high, but it is not comparable to the current Lu Chen.


    Moreover, as a visiting doctor, Lu Chen is not qualified to get started.


    Kebed frowned.


    That''s right, Lu Chen is a very good Chinese doctor.


    However, Kebed is a little surprised by his current attitude towards the new TAVR technology.


    A qualified and successful doctor must keep learning.


    ¡­


    After work, Lu Chen left the Mayo Clinic.


    As for what Kebed was thinking, he didn''t know.


    Even if he knew, he wouldn''t care.


    His purpose in coming to Mayo was not to cater to others, but to seize the time to enrich himself.


    night.


    Lu Chen received a cross-ocean call from Huaxia.


    is from Gu Xinyue.


    "Lu Chen, are you still used to it in Mayo?" Gu Xinyue asked.


    "Sigh, other places are fine, it''s about the diet. I''m going crazy by eating pizza every day." Lu Chen sighed, "Then there is cold water everywhere, and my stomach has been stimulated... alas ¡­¡±


    "When you return home, I''ll ask you to do it hard." Gu Xinyue smiled.


    "That''s for sure!" Lu Chen said with a smile, "I have learned a lot from Mayo this time. At least I have to learn the top medical and surgical techniques here!"


    "Lu Chen, sometimes I really envy you so much, and I feel like I can''t do what you do." Gu Xinyue sighed.


    Lu Chen smiled, "It''s always good to have the opportunity to come out and see the world."


    Lu Chen is not belittling himself.


    The medical treatment in Europe and the United States has indeed improved for many years than that in China.


    This is not a simple operation, or if the surgical proficiency improves, you can catch up.


    But in terms of overall thinking, policies and concepts, Huaxia still has many shortcomings.


    But, in other words.


    With such a huge population base, it is still not easy for China to achieve the current level of medical care.


    "Lu Chen called you this time about your national nature project."


    Gu Xinyue finally talked about the purpose of this call.


    "The person in charge has changed?" Lu Chen said sternly, sitting up from the bed.


    "Changed!"


    Gu Xinyue was silent for a long time, then slowly said: "It''s not Director Yan Wanfeng, it''s for Tang Zhanwei!"


    Lu Chen''s brows were also furrowed at the moment, and anger was accumulating in his chest.


    He worked so hard to apply for the national nature project, but in the end he handed it over to someone else, and he was still someone who didn¡¯t deal with him.


    "Director Yan has looked for the leaders of the hospital many times, but it''s no use." Gu Xinyue said indignantly, "What can Tang Zhanwei do? When did something happen, it wasn''t Lu Chen that you wiped his ass?"


    Gu Xinyue''s tone was excited.


    This time, the national nature project is not something that Lu Chen does alone.


    If the project is in the hands of Yan Wanfeng, then Gu Xinyue can also take advantage of the east wind and publish a few articles.


    Now they were sent to Tang Zhanwei, they couldn''t get anything in the second district in their hearts!


    "Since I can''t change it, I can only bear it silently." Lu Chen said slowly.


    This is also the reason why he left Guanghai and Huaxia.


    If you can''t break the inherent order, you can only find another way.


    What Lu Chen can do is to increase his influence in the world, and then he can give himself absolute fairness.


    "There is another thing, Jin Miao left a while ago." Gu Xinyue continued, "Tang Zhanwei wanted Jin Miao to join his team, but Jin Miao refused, and the top management targeted him and forced him to leave in disguise. "


    Jin Miao, once was a mediocre little doctor in the Cardiology Department of Guanghai First Hospital.


    After Lu Chen arrived, with Lu Chen''s help, he quickly became an elite member of the Cardiology Department''s TAVR surgery team.


    However, after Lu Chen left.


    There was no one covering him in the department.


    Without being attracted by Tang Zhanwei, he couldn''t continue to stay in Guanghai No.1 Hospital.


    "Why is he so impulsive?" Lu Chen said, "Follow Tang Zhanwei, do TAVR surgery well, and the development will not be bad."


    "Lao Jin said he didn''t like Tang Zhanwei, and would rather resign than leave." Gu Xinyue said, "I heard that he went to Guanghai Central Hospital, under Professor Shi Langqin''s hands, it''s not bad."


    This phone call, Lu Chen and Gu Xinyue chatted a lot.


    He knew the changes in Guanghai First Hospital after he left.


    Some people have gone, and more people have been promoted.


    Gu Xinyue also thought about the idea of ??leaving.


    But because of Xu Shan, he finally stayed.


    (end of this chapter)

 v2 Chapter 844： Global Live!

    Chapter 844 Global live broadcast!


    The phone call between Lu Chen and Gu Xinyue made him more determined to make a career in Mayo.


    Came to Mayo''s third month.


    Lu Chen is no longer satisfied with being a visiting doctor.


    "What?! Lu Chen, do you want to apply for Mayo''s Fellow?"


    Yu Weiguang''s eyes widened, and a trace of surprise flashed in Lu Chen''s eyes.


    "Yeah." Lu Chen nodded slightly, "Don''t you want to try to do it in Mayo? Have a bayonet fight with those Mayo doctors?"


    Yu Weiguang was taken aback for a moment, and he was a little moved.


    In Huaxia, he is the leader of the younger generation, the top wave of people.


    Of course he wanted to have a head-to-head battle with others.


    But when he came to Mayo, Yu Weiguang knew his own insignificance and inadequacy.


    His proud surgical skills and scientific research abilities are extremely rare in Mayori.


    In addition, Yu Weiguang has his own concerns.


    "Lu Chen, if I want to apply for Mayo''s Fellow, I have to quit my job in China..."


    His trip abroad this time is a normal exchange visit during work.


    The work in Huaxia Kyoto is still preserved.


    If you want to apply for Mayo''s Fellow, you must quit your job in Huaxia.


    It is impossible for Yu Weiguang to work at Mayo all the time, his roots are still in China.


    He will return to Huaxia!


    If he resigns from the First Affiliated Hospital of Kyoto University now, he will have to go in in the future, it will be difficult!


    "Okay, then I''ll try it myself."


    Seeing that Yu Weiguang had many concerns, Lu Chen could only try it alone.


    He resigned from the Guanghai First Hospital, unlike Yu Weiguang who had these scruples.


    "Come on!" Yu Weiguang cheered Lu Chen, "If you want to apply for Fellow, I think you will definitely pass!"


    "Let''s do our best." Lu Chen smiled.


    The biggest difference between ??Fellow and visiting doctor is that Fellow can manage patients alone.


    This is what Lu Chen needs the most!


    ¡­


    Mayo recruits doctors three times a year!


    The closest one is a month later.


    For the preliminary work, you need to submit your resume to Mayo.


    After passing the online application, the offline review will be different depending on the department.


    There are case analysis, surgery assessment, and dissertation research assessment, etc.


    And Lu Chen learned that the assessment of cardiovascular medicine is still mainly based on surgery, and it needs to be reviewed from multiple aspects such as coronary intervention, electrophysiology, and TAVR.


    In the next month, all Lu Chen has to do is to fully familiarize himself with the cardiology procedures that are popular in Mayo.


    As for the online review, Lu Chen believes that with his current resume, he can definitely pass it.


    ¡­


    A week later.


    Lu Chen officially submitted his application to join Mayo Fellow.


    His previous resume, including top papers in major journals, includes extensive experience in electrophysiology and TAVR surgery.


    The ?? review was passed quickly.


    Lu Chen also learned that there are more than 50 people who applied for Mayo Fellow in the same batch as him!


    These people come from all over the world except from the medical school affiliated to Mayo itself.


    Including Europe, India, Japanese island countries, etc.


    Lu Chen is the only one from Huaxia!


    "Lu, do you want to apply for a Fellow?"


    Kebed in the ?? group was also surprised.


    The transition from visiting doctor to doctor Fellow is undoubtedly huge.


    "Mr. Kebed, you have come here, do you have any good opinions on the offline assessment?" Lu Chen humbly asked for advice.


    Kebed today is his last year as a Fellow.


    After ??Fellow''s training, he can officially become Mayo''s attending physician.


    Kebed pondered, "Actually, the most critical assessment of our cardiology department is the assessment of surgery. Coronary artery, electrophysiology, congenital heart disease, and even the latest TAVR surgery may all be involved."


    Lu Chen nodded.


    "According to the score of the completion of the operation, it will be comprehensively reviewed. This year, our Mayo will recruit five Fellows, and the probability is quite high." Kebed said.


    "Five is too much?" Lu Chen clicked his tongue.


    Excellent doctors from all over the world gathered together, fifty people, only five were recruited, and the admission rate was less than 10%!


    "Of course, I remember that year, 60 people only received two." Kebed sighed, "You have a very high probability this year!"


    "Lu, do your best, I still like you very much."


    "Thank you Mr. Kebed!"


    Then, Lu Chen asked Kebed for a lot of details about the assessment.


    He wants to make sure that this fellow review is foolproof!


    ¡­


    in the following month.


    Lu Chen follows Kebed every day to observe the latest surgical procedures in the field of cardiology.


    However, this time, Lu Chen''s learning speed was relatively slow.


    Because of his current surgical skill level, it is only advanced.


    The surgical level of the Mayo Clinic has surpassed his current ability to accept.


    Although some of the previous surgical operation skills are used as the basis, it is impossible for Lu Chen to be familiar with all the latest interventional procedures in a short period of time.


    "If you can unlock a higher-level mall, then this Fellow application should be no problem!"


    But the gratitude value Lu Chen has earned so far is not enough to open the next level of the mall.


    "Have to think of a way!"


    At present, Lu Chen is unable to manage patients, and the fastest way to earn thanks points is to participate in various case discussions and earn thanks points from experts.


    Fortunately, Mayo''s case discussions are held every day!


    Even morning and noon!


    Lu Chen, as a visiting doctor, can participate in various case discussions although he cannot manage patients.


    So, with Kebed''s permission, Lu Chen started to wander around the places where each case was discussed.


    Coronary, electrophysiology, TAVR and other case discussion places, you can see Lu Chen''s figure.


    Lu Chen is also very smart. Sometimes he does not directly state the diagnosis of the patient, but gives everyone a hint.


    Give the doctors a hint to deduce the final diagnosis.


    Such Lu Chen''s behavior is not too outrageous, and he can also gain a wave of gratitude.


    Get gratitude points from Dr. Mayo, which are multiplied.


    ¡­


    "Lu, there is a medical record discussion on hyperkalemia this afternoon." Kebed said, "Professors from many departments throughout the hospital will be present, do you want to go?"


    "I want to go! How many people are there?" Lu Chen''s eyes lit up and he immediately asked.


    "This... let me make an estimate." Kebed thought for a while, "This discussion is Mayo''s largest quarterly case discussion. As long as doctors have time, they can participate, and there should be no less than 200 people."


    Among these two hundred people, there may be only a few dozen people who actually participated in the discussion, and the others went to visit and study.


    "That''s great!" Lu Chen murmured in a low voice, a look of joy on his face.


    I¡¯m really dozing off, so I sent a pillow!


    There is not a lot of thank you value sources, so this is a good opportunity.


    Two in the afternoon.


    Lu Chen came to the conference venue on time for the case discussion.


    To his surprise, he saw a lot of live cameras at the venue.


    The case discussion this time has a global live broadcast!


    It is 200 votes away from the 4000 monthly pass.


    Very shameless to ask for a wave of votes and get 4000.


    (end of this chapter)

 v2 Chapter 845： Stunning speeches around the world (big

    Chapter 845 Amazing speeches around the world (big chapter, ask for votes)


    At this time, more than 200 people had gathered in the conference hall where Mayo was discussing cases.


    Some of them are local Mayo doctors, and the other are foreign visitors.


    Yu Weiguang had nothing to do in the afternoon, so he came too.


    Lu Chen and Yu Weiguang found a front seat and sat down.


    "Lu Chen, I heard that Mayo''s quarterly case discussions are broadcast live around the world!" Yu Weiguang looked back at the "long guns and short guns" at the back of the venue.


    "At this point in time, it should be late at night in China, right?" Lu Chen wondered.


    "Don''t say it, as far as I know, the Kyoto side will organize doctors to watch the replay the next day." Yu Weiguang said, "Today''s case routine is more than one, involving many disciplines, not only cardiology. , and some cases of surgical simulation.¡±


    Lu Chen knew it in his heart.


    No wonder Mayo attaches so much importance to this case discussion, which is already equivalent to a small medical forum.


    Mayo is also a big spender, holding this kind of meeting every quarter.


    It can only be said that Mayo is really rich, and they have encountered a lot of difficult cases, and they are fully capable of hosting this kind of case discussion conference.


    "Look, that''s Mayo''s current CEO!" Yu Weiguang suddenly motioned to Lu Chen to look at the stage.


    On the rostrum, a middle-aged man with gold-rimmed glasses came up.


    "He''s Mayo''s boss?" Lu Chen wondered.


    But what is the boss doing in this academic conference?


    "He is also a doctor!" Yu Weiguang whispered, "Mayo''s CEO rotates every five years and is selected from clinicians. Therefore, Mayo will fully consider when formulating various policies. Doctors will not make such a hot-headed decision."


    "That''s pretty good." Lu Chen still appreciates Mayo''s management method.


    Unlike the leadership of some hospitals, there is no layman in the medical profession at all.


    So what good policies can you expect these people to come up with?


    In other words, these policies are completely divorced from clinical practice.


    "Lu Chen, I''m really moved now. If possible, I would like to join you in applying for the Mayo Fellow." Yu Weiguang sighed.


    After feeling this pure medical environment, it is difficult for anyone to leave.


    However, although Mayo''s medical treatment, the medical expenses are huge!


    The average person simply cannot afford the medical expenses.


    ¡­


    With a speech from the CEO of Mayo, the quarterly case discussion begins.


    Although there are synchronous live broadcasts by major media around the world, Mayo will not talk about most of the etiquette.


    Without any hesitation, he directly brought up the difficult cases.


    is similar to the previous procedure. First, there is a doctor on the tube bed and the condition is reported.


    Then ask questions, and experts will answer them. Finally, it¡¯s time for free questions and answers.


    "Case discussion begins."


    Yu Weiguang whispered.


    Lu Chen also devoted his attention to the huge projection screen at the venue.


    The first case.


    Patient is a 49-year-old female.


    Referred to Mayo Hospital for ¡°4 years of hyperkalemia.¡±


    He had a history of obesity and was treated with gastric banding.


    In addition, the patient has fibromyalgia and bipolar disorder.


    Four years ago, the patient underwent left kidney and adrenalectomy for unilateral localized renal cell carcinoma.


    Before surgery, serum potassium and blood pressure were normal.


    A few months after the operation, the patient began to feel malaise and had mild episodic headaches.


    went to the local hospital, and the examination showed that he was in a state of hypotension and hyperkalemia (serum potassium 6.8mmol/L).


    After the presentation of the case, the doctor in charge of the bed asked three questions.


    "First, why is the patient persistent hyperkalemia?"


    "Second, what is the diagnosis of this patient?"


    "Third, what is the next treatment plan?"


    ¡­


    After reading the entire case, Lu Chen''s head became big.


    is just the patient''s auxiliary examination and laboratory test sheets, all of which are more than 20 pages of A4 paper.


    This patient''s condition is so complicated that Lu Chen has never seen it before.


    "I''m going, this patient information, I''m dizzy!"


    Yu Weiguang''s face was embarrassed.


    The case is still written in English. It really takes a lot of work for him to really understand it.


    Because Lu Chen has the "Literature Reading" skill card, there is no obstacle to reading at this time.


    "It''s too complicated!" Lu Chen shook his head.


    After the doctor''s description, he still didn''t have any clues.


    However, the three questions of the doctor in charge are actually a series of related questions.


    Only by finding out the cause of hyperkalemia can the final diagnosis and decision on the next treatment plan be made.


    solves a problem, and the next problem is solved.


    about ten minutes later.


    The first Mayo''s native doctor began to speak.


    The first focus is on the etiological analysis of hyperkalemia.


    "The balance between potassium intake, intracellular transfer and urinary excretion determines the final serum potassium concentration. Persistent hyperkalemia mainly occurs when urinary potassium excretion is reduced, which is commonly seen in the following three conditions, namely renal failure. , distal tubule sodium transfer or decreased tubule fluid flow, hypoaldosteronism¡­¡±


    As expected of Mayo''s doctor!


    Even in such a complex case, the analysis breakthrough can be accurately found at the first time.


    As long as it is hyperkalemia, there are no more than these reasons.


    Immediately afterwards, several doctors conducted an in-depth analysis of the cause of the patient''s hyperkalemia.


    Several of the doctors, whom Lu Chen had met a few times, were all leading figures in the Department of Cardiology and Endocrinology.


    "In patients with renal failure, although transcellular transport prevents the development of acute hyperkalemia, these patients eventually develop hyperkalemia because the effects of insulin and epinephrine taper off in the hours after a meal. "


    In this patient, however, her renal function was acceptable and renal failure could not explain her persistent hyperkalemia.


    "When the kidneys have an adequate glomerular filtration rate, the increased transport of sodium and water in the distal tubules will produce a high gradient and dilutive tubulofluid, promoting potassium excretion."


    However, despite the removal of unilateral kidney in this patient, the renal clearance function remained good.


    Therefore, persistent hyperkalemia cannot be explained by mild renal dysfunction!


    As for hypoaldosteronism, the patient''s blood tests showed no significant decrease in renin activity or aldosterone concentration.


    Therefore, high potassium caused by hypoaldosteronism is temporarily excluded!


    ¡­


    Everyone present was a little confused!


    analyzed the causes of hyperkalemia in a large circle.


    In the end, all the causes were ruled out.


    No wonder this patient was referred to Mayo!


    Cases of this difficulty are almost at the ceiling level.


    For a time, the entire assembly hall fell into contemplation.


    "Damn it, I think the analysis of the previous professors is already very powerful!" Yu Weiguang approached Lu Chen and said, "I didn''t expect them to be wrong, so what''s the reason?"


    Lu Chen frowned.


    According to his current knowledge reserve, he is also unable to analyze the cause of the patient''s hyperkalemia.


    However, he has systematic help.


    The current causes of high potassium are the ones mentioned above.


    That''s easy!


    Lu Chen put all possible diagnoses in the system and went around.


    As long as it is an existing disease, it should be able to be diagnosed.


    Lu Chen was really afraid that it was a rare disease, one that he had never seen before.


    That oneself is really a waste!


    Even if there is a system, he is a clever woman who cannot cook without rice.


    However, today''s luck is on Lu Chen''s side.


    After Lu Chen tried dozens of times, the system beep finally sounded!


    ¡­


    "Congratulations, the completion of the system upgrade has increased!"


    Looking at the prompt popped up by the system, Lu Chen frowned.


    Why this diagnosis?


    "Isn''t this diagnosis just denied by the professors collectively?" Lu Chen muttered.


    "Ah? What did you say?" Yu Weiguang asked in confusion when he heard Lu Chen''s muttering.


    "nothing."


    Lu Chen turned his attention to the professor who was still analyzing his condition.


    If he stands up to express his opinion at this time, he must give the corresponding reasons.


    However, the system only gives a diagnosis, and does not give a reason for the diagnosis.


    "Why on earth is this diagnosis?"


    Lu Chen was constantly deliberating in his heart.


    It is really not an easy task to overthrow all your previous ideas and then find a reason that conforms to the system diagnosis.


    ¡­


    Mayo Case Discussion Venue.


    is only the first case of "hyperkalemia", and everyone has been discussing it.


    Each professor has his own reasons, but no one can convince anyone.


    Now, the time for the first case discussion is coming to an end.


    If there are no more constructive comments, this discussion can only be abandoned.


    "Are there any other doctors who come up with their own ideas?" The doctor in charge of the bed looked around on the rostrum.


    Looking forward to a professor who can give a different explanation for the cause of high potassium.


    "If there is no one, then this case discussion..."


    Just when the doctor in charge of the bed was about to announce the end of the first case discussion, someone in a later row raised his hand!


    Doctor tube bed immediately stopped, overjoyed, and looked at the raised hand.


    But then, the smile on his face dimmed again.


    is a Chinese doctor?


    And it is a relatively unfamiliar face, definitely not Mayo''s doctor, most likely a visiting scholar.


    Doctor tube bed was a little disappointed, but he still immediately asked the staff to hand over the microphone to Lu Chen.


    The staff at the venue quickly handed the microphone to Lu Chen.


    "I''ll go, Lu Chen, you''re amazing!" Yu Weiguang looked surprised when he saw Lu Chen stand up, "This is a good opportunity to show your face, even if you say it wrong, it doesn''t matter, just give your reasons. Enough is enough!"


    "Yes." Lu Chen nodded slightly, then slowly stood up in the eyes of everyone.


    "Hello Professor, I''m Lu Chen, a visiting doctor from Huaxia."


    Lu Chen first made a self-introduction. This is the regulation of the venue, and it is also convenient for him to earn thanks points.


    "Hello, if you have any unique ideas, you can say them." The doctor tube bed nodded with a smile.


    Lu Chen pondered, after thinking just now, he had a clue in his heart.


    He doesn''t need to explain the patient''s entire condition clearly now, he just needs to give a head and give his reasons.


    It is enough to play the role of attracting others and guide these experts and professors to make the most correct choice.


    "I think the cause of this patient''s hyperkalemia is...hypoaldosteronism!"


    Lu Chen''s voice just fell, and the entire venue immediately burst into whispers.


    In the discussion of others just now, this diagnosis has been completely ruled out!


    Many people cast doubts or mocking glances at Lu Chen.


    Some people are even thinking that this doctor Huaxia stood up to speak, nothing more than grandstanding and showing his face in the global live broadcast.


    However, there were very few cardiologists in Mayo who recognized Lu Chen.


    Recently, Lu Chen frantically participated in case discussions in the Cardiology Department, so he also met some cardiologists.


    Lu Chen''s performance in other previous case discussion conferences still surprised them.


    They didn''t feel any surprise at Lu Chen''s sudden remarks.


    ¡­


    At this time, on the podium.


    Doctor Tube Bed''s brows furrowed, he thought that this Huaxia doctor might have some special views.


    I just didn''t expect it, he also came with his mouth open.


    This diagnosis of hypoaldosteronism has been ruled out by other doctors.


    And the reason is quite good. In the blood test of the patient, there was no hyperchloremic acidosis, and the renin activity and aldosterone concentration did not decrease!


    Lu Chen doesn''t care what other people think.


    The system has already made a judgment. After so many years of getting along with the system, he still believes in the system.


    "Then can you explain that hyperchloremic acidosis was not found in the patient''s blood test?"


    The podium went up, and the doctor in charge of the bed asked his question as usual.


    In his opinion, the visiting doctor from Huaxia in front of him could never explain the test result.


    Lu Chen smiled and said slowly: "Although all patients with hypoaldosteronism will have varying degrees of hyperkalemia, all of them will have hyperchloremic acidosis!"


    This is an example of inverse inference not valid.


    "Aldosterone maintains or participates in the stability of the body''s balance to some extent. When renal function is good, the effect of aldosterone deficiency on renal acid excretion can be supplemented; when renal function is reduced, the benefit of supplementation will be weakened."


    "If hypoaldosteronism is supplemented with exogenous mineralocorticoids, it can correct some of the acidosis! I saw in the patient''s case data that she had been treated with exogenous mineralocorticoids before."


    Lu Chen stared at the doctor on stage.


    The doctor of the tube bed was slightly taken aback, "If you want to explain it like this, it''s barely plausible. However, the patient''s renin activity is low, which is asymmetrical to the state of insufficient volume. How can this be explained?"


    After Lu Chen''s explanation just now.


    In the venue, the eyes of everyone looking at Lu Chen began to change.


    It turns out that this Huaxia doctor is not aimless, but has his own ideas and reasons.


    However, just like this, it is not enough to overturn the previous diagnosis!


    Lu Chen heard the doctor''s question, thought for a moment, and continued: "I think the appearance of these states you mentioned may be related to the patient''s unilateral nephrectomy, because the kidney is the main source of renin in the circulation!"


    "Because of the presence of hyporeninemia, the effector that could be downstream of renin in this patient is the potent and prominent angiotensin II."


    "In this patient, hypotension and inappropriate renal salt loss may be the result of insufficient glomerular feedback due to a relative lack of renin. In addition, the patient''s GFR remained good also reflecting poor glomerular feedback, leading to Insufficient drop in GFR!"


    "Bubble-bulb feedback is a negative feedback loop that maintains the internal environment. When the salt concentration at the end of the ascending branch of the loop of medullary is abnormally elevated, the cells of the plaque densities will inform the change, causing vasoconstriction of the afferent arterioles and a decrease in GFR, thereby limiting the distal end. tubules lose salt..."


    ¡­


    Lu Chen''s explanation, in the eyes of a layman, is just listening to heaven.


    But in the eyes of doctors like Mayo, it seems like a whole new idea has been opened!


    Many professors looked at Lu Chen with incomparable surprise.


    The clinical thinking of this Huaxia doctor has reached the point of perfection!


    On the rostrum at this time, the doctor in charge of the bed has long been stunned.


    Every sentence of ?? Lu Chen was something he hadn''t thought about before.


    Because most of them have subconsciously ruled out the existence of hypoaldosteronism, and did not continue to think at all.


    "The patient has been in a state of hypovolemia, why is the blood sodium concentration maintained at the upper limit of normal?"


    Doctor Tube Bed asked his last question.


    These questions are just like a student asking a teacher, they are simply asking for advice.


    Lu Chen smiled and blurted out: "It''s actually very simple. The possible reason for the higher sodium concentration than expected is that the defect of the RAAS system leads to the decline of water regulation ability!"


    "For this patient, his adrenocorticoid function was normal, but he also had hyperkalemia and a low basal TTKG, suggesting insufficient potassium excretion. Considering the patient''s history of unilateral renal and adrenalectomy, and the need for blood renal The activity of renin is relatively low, so I fully suspect that it is a relative insufficiency of renin and aldosterone.¡±


    ¡­


    After ?? Lu Chen''s remarks, the entire venue fell into a long silence.


    Everyone is recalling Lu Chen''s words.


    Even viewers watching the global live broadcast are thinking about the possibility of Lu Chen''s opinion.


    There are still some people who are looking for, who is this visiting doctor from Huaxia in front of him?


    A problem that even so many Professor Mayo could not solve was solved by a little-known doctor?


    From the beginning, everyone subconsciously ruled out a diagnosis of hypoaldosteronism.


    Now, they have begun to reflect slowly and accept Lu Chen''s remarks.


    It wasn''t until Lu Chen sat back in his seat, the doctor in charge of the bed on the rostrum, that he regained his senses.


    "Thank you for your speech, Dr. Lu Chen from Huaxia."


    His words have long since lost the arrogance that he used to treat Lu Chen before.


    On the contrary, there was a hint of admiration in his eyes.


    Scholars are sometimes very simple, and they have an unbelievable attachment to knowledge and truth.


    This time, it was Lu Chen who gave them hope in pursuing the final truth.


    "Damn it, Lu Chen, you, you, you... It''s so awesome!"


    Lu Chen sat down when Yu Weiguang came over.


    There was excitement in his eyes.


    Before ??, he thought Lu Chen was just here to show his face.


    Unexpectedly, Lu Chen was so unexpected that he directly overturned everyone''s previous diagnosis.


    And gave a diagnosis that no one thought about, and it makes sense!


    This kind of case discussion is far more shocking than surgery.


    Surgical operation, only familiar with the hands.


    But clinical thinking is beyond words.


    Lu Chen just smiled.


    The system is still awesome!


    What he is most looking forward to is the next thank you.


    Sure enough, after a while.


    The ?? system prompt sounded one after another.


    "Congratulations, +100 thanks from Rogers Lambert!"


    "Congratulations, received +100 thanks from Agat Parsons!"


    "Congratulations, received +50 thanks from Irakli Haley!"


    ¡°¡­¡±


    The system beeps, jumping non-stop.


    Those who were present, and those who watched it on the live broadcast platform, all contributed some gratitude to Lu Chen.


    Although this is a professional academic live broadcast, there are viewing restrictions, and there are not many people watching the live broadcast, but there are tens of thousands of people worldwide!


    At this time, Lu Chen keenly noticed that a different prompt popped up in the system.


    "Earn the upper limit of the gratitude value, and open the next level of the mall!"


    Da Zhang, asking for a wave ticket, it¡¯s not too much.


    (end of this chapter)

 v2 Chapter 846： Get thanks from Huaxia!

    Chapter 846 Get the thanks from Huaxia!


    The higher-level mall is finally open again!


    With a thought, Lu Chen immediately entered the system mall.


    This time, the skill card level has become "Expert level"!


    But these expert skill cards are ridiculously expensive.


    Advanced Skill Cards only require a maximum of 50,000 points of gratitude.


    But this expert-level skill card requires at least 100,000 or 200,000 gratitude points.


    For example, the TAVR surgical skill card (expert level), which sells for 200,000 thanks.


    Coronary interventional surgery skill card (expert level), priced at 200,000 thanks.


    Cardiac Electrophysiology Surgery Skill Card (Expert Level), priced at 180,000 thanks.


    Congenital Heart Surgery Skill Card (Expert Level), priced at 150,000 thanks.


    And Lu Chen''s current gratitude value, after the harvest just now, plus the previous accumulation, a total of only 175,000 gratitude value.


    At most, one expert-level congenital heart disease skill card can be exchanged.


    "I''ve always wanted to open the mall, but what I lack most now is the value of gratitude!"


    "It seems that you still have to work hard to earn thank you points!"


    Immediately afterwards, there were several case discussions.


    Lu Chen continued to speak.


    But in order to avoid being too dazzling, he just made a little point, or gave one or two more innovative opinions, and then let it go.


    ¡­


    The next day.


    The First Affiliated Hospital of Kyoto University.


    The hospital has a habit of organizing staff from various departments to watch Mayo''s case discussions.


    Those who failed to catch up with the live broadcast, then watched the replay of the next day.


    For these top tertiary hospitals in Kyoto, it is extremely necessary to absorb fresh knowledge every day.


    Because this is the last closed line of medical treatment in the whole country, if various incurable diseases cannot be cured here, they will basically be declared dead, let alone go to other hospitals.


    Kyoto First Hospital, Department of Cardiology.


    Qin Sifeng, as usual, organized the staff of the entire Cardiology Department to watch the replay of the Mayo Case Discussion Conference.


    Ordinary hospitals do not have such viewing rights.


    "Mayo''s case conference in this phase has a special TAVR simulation operation, you can take a closer look."


    Qin Sifeng sat in the first row and explained various precautions to all the employees.


    "TAVR is now a hot surgery. As the pioneer of national medical care, we in Kyoto must not fall behind!"


    With the successive development of TAVR across the country, Kyoto is no longer the first choice for TAVR surgery.


    Like Modu, even Guanghai and other places, TAVR technology has grown to a terrifying level.


    Especially Guanghai.


    Since that young man went, the medical level of TAVR in Guanghai has been greatly improved.


    Because of the geographical location, Kyoto and Hirokai do not have a direct competitive relationship.


    However, the current pattern of Huaxia TAVR has gradually formed a three-pronged pattern of "Kyoto", "Magic Capital" and "Guanghai".


    In this healthy competition, and there is no one dominant company, Huaxia''s TAVR field is also making slow progress.


    However, if you want to catch up with Europe and the United States, it will take a lot of effort and time.


    This time, we organized to watch Mayo''s case discussion conference, and the most important thing was to watch the simulated surgery teaching.


    "Mr. Qin, I have already notified everyone in the department."


    At this time, Yao Jie walked into the Shi classroom.


    After graduating with a master¡¯s degree, she chose to stay in Kyoto and was successfully admitted to the doctoral program of Professor Qin Sifeng.


    "Okay." Qin Sifeng nodded slightly, "Learning this new TAVR technique will be very helpful for your future development."


    Yao Jie was taken aback, "Mr. Qin, didn''t you let me focus on cardiac electrophysiology?"


    "This is not a conflict." Qin Sifeng smiled, "If you specialize in one field, you can become a good doctor, but you must develop comprehensively to become an excellent doctor. Like your senior brother Lu Chen, he is a good doctor. Physiology, TAVR, and even in the field of coronary arteries, are all very high!"


    "Senior brother, he is not comparable to ordinary people."


    Talking about Lu Chen, Yao Jie showed a smile.


    "Yao Jie, don''t underestimate yourself, you''re not bad." Qin Sifeng said, "Although it''s not as good as Lu Chen, a little monster, but definitely the best among the peers."


    "Yes." Yao Jie nodded slightly, then lowered her head again, "It''s a pity that Senior Brother Lu Chen has gone abroad."


    Lu Chen went abroad, he did not tell Yao Jie and others.


    However, Yao Jie still found out about Lu Chen''s further study abroad through inquiries.


    As for where Lu Chen went, she didn''t know.


    "Going abroad also has the benefits of going abroad." Qin Sifeng sighed, "If you stay in the well, you always have to go out and have a look. You must understand the difference between yourself and the top medical technology, so that you can catch up with others."


    Yao Jie nodded.


    She understands the big truths taught by Professor Qin Sifeng.


    However, she simply missed the days when Senior Brother Lu Chen was there.


    "Not much to say." Qin Sifeng said sternly, "I see that everyone is almost here, let''s start playing the video of the case conference."


    "OK."


    Yao Jie immediately logged into the exclusive account, went to the live playback interface, and clicked the play button.


    at the same time.


    in the magic capital.


    Lu Chen''s mentor Zhang Shuqing and Dean Dai Wansong were watching Mayo''s case discussion conference.


    in Guanghai.


    Yan Wanfeng, Jin Miao, and even Tang Zhanwei are all on the live playback interface of the Mayo Case Conference.


    Mayo''s live broadcast this time has attracted the attention of many people in the TAVR field in China.


    ¡­


    The beginning of the video is naturally a case discussion of "hyperkalemia".


    "Teacher, why don''t you just skip to the time period of the surgery simulation?" Yao Jie looked at Qin Sifeng who was beside him.


    "No." Qin Sifeng shook his head quickly, "The difficult cases that Mayo picked out are also a huge improvement for us. Don''t look at cases of hyperkalemia, but we can definitely learn a lot of cutting-edge knowledge."


    "Oh, okay."


    Yao Jie sat down quietly after hearing the words.


    When Mayo''s doctor introduced the complete case, Yao Jie understood the meaning of Professor Qin Sifeng''s words.


    This case of hyperkalemia seems unremarkable.


    actually contains the relevant knowledge points of the entire endocrine high potassium.


    If you can figure out this case, then you will never go wrong when you encounter similar cases in the future.


    "Mr. Qin, this case is so difficult. I feel like I don''t have a clue right now." Yao Jie whispered, "And I look at Mayo''s professors, and I don''t seem to have found the final reason."


    "Well, a fairly complicated case, it may take a lot of work to solve it completely."


    Qin Sifeng watched the discussions of the professors attentively.


    In his opinion, this first case may not be resolved now.


    At this moment, in the video, the last doctor to speak stood up.


    Qin Sifeng didn''t pay attention at first, just after the video gave a close-up.


    He finally saw what the doctor looked like.


    Immediately, his eyes widened.


    "Lu...Lu Chen?"


    Yao Jie was looking down at the information related to hyperkalemia, and when she heard the word "Lu Chen" in Qin Sifeng''s mouth, she raised her head in confusion.


    "Mr. Qin, what are you talking about?"


    Qin Sifeng pointed to the picture in the video.


    Yao Jie turned her head to look and saw Lu Chen looking back at Dr. Mayo.


    "Ah? This is... Senior Brother Lu Chen?"


    She put down the information in her hand in surprise and stared at the characters in the picture intently.


    "Brother, he...he went to Mayo?"


    The same pictures and plots are being staged in both Modu and Guanghai.


    Lu Chen''s sudden appearance shocked everyone.


    Especially, when Lu Chen perfectly explained the cause of the patient''s "hyperkalemia".


    The doctors sitting in front of the video made a huge wave in their hearts.


    Lu Chen is not only outstanding in China!


    Even on the stage of the world, he still represents the Chinese people and shines brightly!


    ¡­


    At this time, Lu Chen, the protagonist, was getting ready to sleep. .


    Mayo was in the middle of the night, and the system suddenly popped up a series of prompts, making him sleepless.


    "Congratulations, I received Qin Sifeng''s thanks!"


    "Congratulations, I received Zhang Shuqing''s thanks!"


    ¡°¡­¡±


    "Congratulations, I received a thank you from Yao Jie!"


    Looking at the many prompts, there are some familiar names mixed in.


    Lu Chen knew that this was an organization in China to watch his video.


    With the soaring value of thanks, Lu Chen opened his system mall again.


    Try to update every day this month, almost 8k words today.


    Ask for a wave ticket


    (end of this chapter)

 v2 Chapter 847： Leave your own flag! (first update)

    Chapter 847 Leave your own flag! (first update)


    in the system panel.


    After several days of accumulation, Mayo''s large-scale case discussion activity directly made Lu Chen''s total thanks to about 25w.


    "Huh, I can finally exchange for an advanced skill card!"


    Lu Chen was excited, but hesitant.


    Coronary Intervention and TAVR Intervention Cards both require 200,000 Gratitude Points.


    Coronary intervention is one of the most important operations in the Department of Cardiology.


    TAVR intervention is the hottest field in recent years.


    "Which expert skill card should I exchange for?"


    Once exchanged, several other skill cards cannot be exchanged for a short period of time.


    Because of this kind of global live case discussion meeting, it is only once a quarter in Mayo!


    Lu Chen still wanted to be more cautious and maximize his strength.


    After thinking about it for a whole night, he finally decided to exchange the "TAVR Intervention" advanced skill card.


    Coronary intervention has been developed for many years, and various surgical techniques are basically mature.


    Lu Chen''s current level of coronary intervention can already handle most surgeries.


    But in the field of TAVR, Lu Chen is still lacking.


    Although Lu Chen is unique in China, he is still not enough to look at in the world.


    Exchange TAVR intervention card, he can minimize the gap between Dr. Mayo and Dr. Mayo in this field.


    "Congratulations, exchange TAVR intervention advanced skill card!"


    Lu Chen''s thoughts moved, and he used the skill card directly.


    At this moment, he felt it immediately.


    In the virtual space, the simulation difficulty of the TAVR technique can be increased by another level!


    "Is this the power of advanced skill cards?"


    Lu Chen''s consciousness wandered in the virtual space.


    Now he has no sleepiness at all!


    On the virtual operating table, Lu Chen began to simulate and train more difficult TAVR interventional procedures.


    In the virtual space of the system, the catalog of TAVR interventional surgery has been completely completed at this moment.


    This also means, after obtaining the advanced skill card.


    Lu Chen can simulate and practice any type of TAVR surgery in the world!


    ¡­


    After the simulation practice in the middle of the night, Lu Chen finally exited the virtual space.


    He has also realized that the existing interventional techniques in the world can be completely simulated in the virtual space of the system.


    "Difficulty is the last layer of the mall?" Lu Chen thought, "Expert-level skill cards are the top-level skill cards?"


    Lu Chen did not find any hints in the system.


    Whether this is the final level skill card or not, he still needs to explore slowly in the future.


    However, Lu Chen was already very satisfied to be able to exchange this skill card.


    After a night of simulation training, he felt that his understanding of TAVR surgery had improved a lot.


    In the next period of time, Lu Chen will devote himself to the simulation training of various surgeries.


    During the ?? period, he occasionally had a phone call with his parents far away in China, as well as Xu Wei.


    More often, Lu Chen was immersed in the virtual space of the system.


    As a visiting doctor, his time is still quite free.


    Just like this, as time goes by, a month goes by in a blink of an eye.


    Mayo''s Fellow offline assessment is finally here!


    ¡­


    After this period of system simulation training, Lu Chen has mastered the contents of the TAVR advanced skill card.


    The proficiency of ?? surgery has also been raised to the highest level, and in the virtual space of the system, the proficiency cannot be further improved.


    Only relying on actual combat operations can further improve your proficiency.


    "Lu Chen, come on!"


    The night before the exam, Yu Weiguang came to Lu Chen''s room to cheer him on.


    He considered it again and again, but in the end he didn''t sign up for Mayo''s Fellow assessment.


    "Do your best!" Lu Chen smiled.


    Although he is very confident, the opponents are very strong, and they are basically medical elites from various countries.


    "Lu Chen, in two months, the one-year exchange will end, and I will be returning to China."


    Yu Weiguang looked a little lonely.


    "It''s been a year so soon?" Lu Chen was taken aback.


    Actually, Yu Weiguang himself came half a year earlier than Lu Chen.


    It has been almost four months since Lu Chen came to Mayo.


    "Yeah, a year is so short, it feels like it''s over in a flash." Yu Weiguang said slowly, he raised his head and looked out the window, "After having been exposed to the highest level of medical care, it is really reluctant to let me leave now. "


    If you haven¡¯t been to Mayo, that¡¯s all.


    But I have been here, and after trying it, Yu Weiguang really likes it here.


    "However, we all have to leave sooner or later." Lu Chen was open to it. "Although the medical environment here is good, we outsiders will always be a little uncomfortable."


    Staying in Mayo, Lu Chen wanted to improve himself more.


    When he returned to Huaxia again, he had enough capital to fight against the injustices in the environment.


    "You''re right." Yu Weiguang smiled, "As soon as I think of returning to China, I can eat the donkey''s mouth fire near the hospital, so don''t be too happy!"


    Hearing this, Lu Chen also thought of the Sichuan restaurant downstairs in Guanghai Talent Apartment.


    Maybe the owner of that restaurant misses him?


    "By the way, Viagra, help me bring something back." Lu Chen suddenly thought.


    "Okay, no problem." Yu Weiguang nodded, "But let me say in advance, I don''t do overseas purchasing!"


    "Actually, it''s nothing, just some souvenirs." When Lu Chen usually went shopping in Mayo, he bought some gadgets for his parents and Xu Wei.


    "Well, you gave me all the addresses, and when you returned to Huaxia, I sent them to them." Yu Weiguang said.


    "Thanks, Viagra." Lu Chen smiled.


    Yu Weiguang''s mouth twitched, "That''s something to discuss."


    "What''s wrong?" Lu Chen asked in confusion.


    "Don''t call me Viagra next time, it doesn''t sound good." Yu Weiguang said sternly, "I believe in Guang, call me Brother Guang."


    Lu Chen: "..."


    ¡­


    Tomorrow is the day of offline surgery assessment.


    That night, Lu Chen continued to train in the system virtual space.


    It is the so-called sharpening the gun before the battle, and the unhappiness is also light!


    The next day.


    Lu Chen came to the offline assessment center of Mayo Clinic early in the morning.


    It is said to be an assessment center, but it is actually an additional surgical area for this assessment.


    Mayo''s CEO was also present.


    The offline review time of each department is different. Today is a separate assessment of cardiovascular medicine.


    A total of fifty people participated in the audit of the Cardiology Department, and two-thirds of them were from the United States.


    There are more than ten people from all over the world.


    On the wall of the cardiovascular intervention room, there is a world map.


    Every time Mayo cultivates a Fellow, he will plant a small flag in the corresponding area of ??the map.


    Lu Chen found that on this map, there are many chess pieces in Europe, America, Japan, India and other regions.


    However, in the Huaxia region, there are only a few flags.


    Lu Chen looked at the map on the wall and sighed in his heart.


    "I hope that from now on, my flag will also be left on this map."


    (end of this chapter)

 v2 Chapter 848： Im waiting for you at Mayo Cardiology Department (Second Update)

    Chapter 848 I''ll be waiting for you at Mayo Cardiology Department (Second Update)


    Mayo''s Fellow surgery assessment officially started.


    The whole assessment is divided into three rounds.


    The first round of coronary intervention, the second round of electrophysiology, and the third round of TAVR!


    The results of the three rounds of surgery are added together, and the five doctors with the highest scores will be the Fellows of the Mayo Cardiology Department this year.


    A group of five doctors enters five simulated operating rooms.


    Mayo''s simulated operating room can be said to be the top in the world.


    All difficult operations can be simulated.


    In addition, it can restore the state of the actual operation as much as possible!


    "Casas, you can definitely apply successfully this year!"


    Not far from Lu Chen, two blond Americans were talking in a low voice.


    The young doctor named Casas is very tall. When talking to people, he always raised his head slightly with a faint smile on his face.


    "My goal this time is not only to apply successfully, but to be the first!"


    Casas'' eyes were like torches.


    He looked around, then stared at the surgery simulation room in front of him.


    In fact, he has long been a qualified interventional cardiologist in the United States.


    Even he has had several years of surgical experience.


    Compared with ordinary doctors, his advantages are obvious.


    "Hey, I just want to be in the top five, I just need to be in Mayo."


    Another American, who was fatter, shook his head slightly and sighed.


    This time the assessment was quite intense.


    Several excellent interventional cardiologists in the United States have come to participate in the Fellow''s assessment.


    One of them even received a direct invitation from Mayo last year.


    It was just that for some unknown reason, he missed the opportunity to join the job and had to retake the offline assessment this year.


    Casas glanced over everyone, staring directly at a black man.


    His name is Salat, the doctor who received a direct invitation from Mayo last year.


    At this time, he was sitting in the corner, closing his eyes and resting.


    He didn''t care at all about disturbances from the outside world.


    "Salat, before graduation, I''m not as good as you, this time, I must beat you!"


    Casas saw the black American as his strongest competitor.


    As long as he can surpass him, then he will be the first place in this assessment!


    ¡­


    in the entire waiting room.


    Lu Chen is the most low-key.


    There were not many Asian faces on the scene, and everyone subconsciously ignored him.


    "Hey, brother."


    Suddenly, Lu Chen felt a light tap on his shoulder.


    He looked back, and it was also a young man with an Asian face.


    And listening to his accent, he should be an islander.


    And beside the islanders, there was a handsome Asian woman.


    "Brother, are you from China?" The islander greeted Lu Chen warmly.


    Lu Chen nodded slightly when he heard the words.


    "Oh, hello, I''m Kenji Yamada from the island country." The islander stretched out his right hand and introduced himself, "The person next to me is Kim Hyo-jung from Korea, and both of us are here to participate in the Mayo Heart. Internal Fellow assessment."


    Without their introduction, Lu Chen already knew their identities.


    Before ??, he had seen the two of them chatting up with others.


    But this girl was actually Korean, and Lu Chen thought she was also an island woman.


    "Hello, my name is Lu Chen." Lu Chen nodded slightly at them, stretched out his right hand and shook Yamada gently, and then let go.


    "Dr. Lu, hello." Yamada Kenji suddenly looked up and down at Lu Chen, "Did we meet somewhere?"


    "Probably not." Lu Chen was startled, "I only recently came to Mayo."


    "Oh, I guess I got the wrong person." Yamada Kenji smiled.


    However, at this time, Lu Chen also reacted. He just spoke at Mayo''s live broadcast conference a month ago.


    Maybe, this island nation watched the case discussion meeting that day.


    "Doctor Lu, you see that there are very few Asian faces here." Kenji Yamada looked around and said, "It seems that there are only three of us. We still have to help each other."


    "The assessment is an individual competition system, there is no team competition." Lu Chen wondered.


    The most important thing is that because the previous batch of exams missed questions, they will be quarantined in a small dark room after the exam is over.


    They will not be released until all exams are over.


    "Hey, Dr. Lu, I mean it''s more than an hour before the exam. If there is any news before the exam, we can communicate with each other." Kenji Yamada immediately put his arm around Lu Chen''s shoulder.


    Lu Chen wasn''t very cold about this spontaneity.


    "I''m sorry, I only know about the assessment of the operation, the specific content, I really don''t have much news." Lu Chen shook his head slightly.


    Even if there is news leaked, it is not someone like him who has nothing to do with it.


    "It''s alright." Kenji Yamada said again, "By the time the exam is over, we''ve all successfully applied, and we''ve become Fellows of the Cardiology Department. We can help each other at work."


    Lu Chen didn''t expect that this islander was really confident.


    With so many capable people present, should we say he is confident or conceited?


    "Okay, then I''ll be waiting for you at the Mayo Cardiology Department." Lu Chen smiled slightly.


    "Uh, good." Hearing Lu Chen''s words, Yamada Kenji was stunned.


    He really didn''t expect that this Huaxia doctor was even more shameless than him!


    Yamada Kenji asked a few more questions, but Lu Chen''s enthusiasm was not too high.


    Then they left and ran to chat with others.


    ¡­


    "Yamada-kun, why do you want to chat with this Chinese man just now?" Kim Hyo-jung, a Korean woman, frowned, "I''ve never seen such a shameless person. They said they were waiting for us at the Mayo Cardiology Department."


    "Hey, it''s alright, just chatting." Yamada said so, but his eyes narrowed.


    There are absolutely no stupid people who can come here.


    This Chinese man just said that, he definitely has hard power.


    Yamada originally thought that this trip to Mayo should be foolproof.


    But now in addition to Casas and Salat in the United States, there is also a Chinese person, which is really an uncertain factor.


    It seems that it is really not an easy thing to rush into Mayo!


    As time went by, everyone present secretly worked hard to adjust their state and prepare for the upcoming assessment.


    ¡­


    One hour later, with the chief examiner''s order.


    The crowd began to draw lots at random, in groups of five, and began to take the exam in batches.


    Because of the large number of candidates, the exam is divided into three rounds. It is expected that all assessments will not be completed until 6 pm.


    Mayo doesn''t ink either.


    After all the assessments, the assessment results will be announced on the spot!


    Lu Chen drew No. 45, which is a relatively late position and played in the penultimate group.


    The first group of candidates has followed the examiner into the simulated operating room.


    While waiting for the exam, Lu Chen was not idle.


    It seems that he is closing his eyes and resting, but in fact, he has entered the virtual space of the system, seize the last time, and train various interventional cardiology operations.


    (end of this chapter)

 v2 Chapter 849： The hardest surgery ever! (The third update, there is one more)

    Chapter 849 The most difficult surgery! (The third update, there is one more)


    Time passed quietly.


    Lunch is provided by Mayo.


    Naturally, pizza and sandwiches again.


    Lu Chen could only endure for a while.


    It was five o''clock in the afternoon, and finally it was Lu Chen''s turn.


    is also the last round!


    "Members of the last group, get ready to enter the simulated operating room!"


    The chief examiner walked into the waiting room.


    Several candidates under ??, including Lu Chen, all stood up.


    Everyone enters the simulated operating room in sequence according to the number.


    ¡­


    "Luna, which five do you guess the Fellows will be this time?"


    In the small house of the surgery simulation room, the examiners gathered together to discuss the exam.


    For the sake of fairness, as examiners, they can only see the surgical field of the operation, but not the person who performs the specific operation.


    As the examiner, Luna smiled, "I''ve heard that there seem to be Casas and Salat, and that person from the island country has a pretty good level of surgery."


    "Yes, this year''s competition is really not small." Another white examiner also echoed, "I think there are several European doctors who are also very competitive."


    The Fellow and Kebed in Lu Chen''s group never spoke.


    As one of the examiners for this assessment, he sat in the corner of the room.


    "Kebed, why don''t you talk?" Luna looked at Kebed, "This is not your style."


    "I''m not very familiar with these people." Kebed shook his head.


    The only person he knew was the doctor from China, Lu Chen.


    "I''m not familiar with these people, I just heard their names." Luna suddenly smiled, "How about we make a bet?"


    "Bet?"


    Kebed looked at Luna suspiciously.


    "Let''s guess the shortlist this time and see who has the most guesses." Luna pursed her lips and smiled.


    Kebed smiled, "Yes, but what to bet?"


    "What do you want to bet on?" Luna looked Kebed up and down.


    Kebed pointed at Luna''s chest without hesitation.


    Luna was startled and looked at Kebed in disbelief.


    I didn''t expect Kebed to look like such a serious person and so bold in private?


    "Luna, I want your...stethoscope!"


    Kebed''s voice reached Luna''s ears.


    "Huh? What did you say?" Luna was about to accept that unreasonable request, but when she heard Kebed''s words, she had to swallow her own words.


    "I want your expensive stethoscope." Kebed grinned. "My stethoscope is broken, and I''m going to buy a stethoscope."


    "This... okay." Luna could only accept it, "If I win, then you invite me to a meal, it''s expensive."


    "No problem!" Kebed nodded slightly.


    After the two of them discussed it, they began to write down their candidates under the witness of the people around them.


    Kebed is really not familiar with the people who took the Fellow exam this time.


    However, after listening to everyone''s conversation just now, he also had his own plans in mind.


    He quickly wrote down four candidates, namely Casas, Sarat, Kenji Yamada, and Fina from Europe.


    As for the last candidate, Kebed was a little hesitant. He really didn''t expect anyone for a while.


    At this time, a name suddenly popped into his mind.


    The Huaxia doctor in the ?? group, Lu Chen!


    His clinical ability is definitely worth mentioning, but his surgical ability...


    Kebed has never seen it before.


    "Choose him?" Kebed felt a little troubled.


    But other people, he is not familiar with at all.


    Instead of choosing someone else, it''s better to choose Lu Chen!


    Kebed thought about it and wrote "Lu Chen" as the last name.


    "If I lose, just ask Lu Chen to treat me to a meal." Kebed thought.


    At this time, Luna, who was opposite, also wrote her own candidate.


    Her five candidates are Casas, Sarat, Kenji Yamada, Fina, and Sitharaman from India!


    The first four people, both of them are the same.


    is just the last candidate, and the two have differences.


    Luna smiled and looked at Kebed''s choice, "Kebed, who are you, Lu? Look at the name, it seems to be from China? You are right, if you want to invite me to dinner, you don''t have to be so direct, right?"


    "His name is Lu Chen, you should have met him." Kebed said slowly, "He''s the visiting doctor in my group this year."


    "Oh, I remember, that''s the doctor Huaxia who spoke at the case conference?" Luna wondered.


    "Well, that''s right." Kebed nodded.


    "Haha." Luna smiled, "Clinical ability does not mean surgical ability. I chose this Sitharaman from India. I have seen him perform surgery. Although it is not as good as the first four, it is still worse. Not going anywhere."


    Kebed spread his hands, "Miss Luna, you have the chance to win, then dig a hole for me and let me dance by myself?"


    "Haha." Luna put her hands behind her back, "Don''t make it so obvious."


    ¡­


    At this time, Lu Chen was already on the operating table.


    The first round of assessment, coronary intervention!


    The technique chosen by Mayo is extremely complicated.


    After Lu Chen''s angiography, it was found that the lesions of the simulated heart were serious.


    99% stenotic lesions at the left main end.


    90% stenosis can be seen in the proximal part of the anterior descending artery, and the middle part of the anterior descending artery is completely occluded.


    85% of stenotic lesions were seen in the opening of the circumflex branch; 90% of the stenotic lesions were seen in the proximal right coronary artery.


    Such a wide range of lesions is rare in clinical practice.


    In addition, the anterior descending branch of the heart is simulated, which is a CTO bifurcation lesion, which is also a difficulty in intervention.


    Lu Chen quickly went through the operation in his mind.


    This spell, he has not touched in the system virtual space yet.


    But he has already developed the advanced skill card "Coronary Intervention".


    If it was a real clinical operation, Lu Chen might still be a little reluctant to do it.


    But this time it was a simulation exercise, and he was confident enough to complete the entire technique!


    ¡­


    Lu Chen first used the Cultte procedure to implant stents for the lesions of the anterior bifurcation.


    Afterwards, the anterior descending artery CTO lesions were opened forward.


    After overcoming various difficulties, the coronary guide wire was finally delivered to the main lumen of the distal anterior descending branch.


    Lu Chen treated the anterior bifurcation and anterior descending artery CTO lesions for the simulated heart. A total of 4 coronary arteries were implanted for drug treatment during the operation!


    "Although it''s not perfect, it should be qualified!"


    Because this is a simulated surgery, it is not as cumbersome as a real surgery.


    Three rounds of surgery, the total time spent needs to be controlled within an hour.


    If the three surgeries are not completed on time, they will be automatically eliminated from the competition.


    Twenty minutes later, after Lu Chen finished coronary surgery.


    He immediately started the second round of electrophysiological intervention.


    Fortunately, the second round of electrophysiological intervention is a relatively routine ablation of atrial fibrillation.


    This type of surgery, Lu Chen has performed many times in the virtual space of the system, as well as in real life!


    After about fifteen minutes of localization ablation, he completed the ablation of atrial fibrillation.


    ¡­


    Twenty-five minutes left.


    What Lu Chen needs to do is the final TAVR interventional treatment!


    Lu Chen was also a little surprised when he saw this TAVR operation.


    The CT results of the simulated heart showed that the aortic arch was severely tortuous and showed a 3D pattern.


    The aortic valve is a TYPE0 bicuspid aortic valve, the valve is obviously thickened, and the valve leaflets and valve annulus have severe calcification.


    The most shocking thing is that the heart simulation in front of you is still a very severe horizontal heart!


    The difficulty of this operation was the hardest that Lu Chen had ever seen in reality!


    There is one more update, please ask for votes, it''s not too much.


    (end of this chapter)

 v2 Chapter 850： Results announced!

    Chapter 850 Results announced!


    The calcification of the simulated heart was heavier, and the calcification had extended to the LVOT.


    The valve will definitely be pushed in a certain direction when it is implanted.


    If you choose to implant a self-expanding valve, it is often impossible to control the self-expanding valve.


    At the same time, in the presence of a transverse heart, the position of the self-expandable valve often occurs when the implantation is deep or shallow.


    If you want to solve this difficult operation, you need to use the latest product developed by Mayo, that is SAPIEN3 Ball Expander!


    In short, this is a transcatheter aortic valve system, the latest type of interventional aortic valve.


    This TAVR intervention system has not been listed in China yet!


    "Fortunately, I exchanged for an expert-level skill card."


    At this time, Lu Chen was a little fortunate.


    Otherwise, he wouldn''t even be able to use these equipment, so why would he go into surgery.


    In the face of this difficult TAVR interventional operation, Lu Chen performed well at this time.


    It is even easier than completing the first round of coronary intervention.


    "Is this an expert skill card?"


    Lu Chen''s heart immediately rose, the desire for the "expert-level skill card" of other spells.


    ¡­


    Twenty minutes later, Lu Chen successfully completed the third round of surgery.


    When he took off his gloves and surgical gown, Lu Chen felt that his back was soaked through long ago.


    Although it is only a simulated operation, it is so difficult that if you don''t work hard, you may make mistakes if you are not careful!


    "My God, why is this TAVR intervention so difficult?!"


    After the ?? assessment was over, other doctors in the same group as Lu Chen were complaining.


    "Yeah, I''m using a self-expanding valve, and I can''t control it at all."


    "I have encountered this kind of lesion before, and I need to use SAPIEN3 ball expansion valve, but I can''t use it..."


    Some people are happy, some people are depressed.


    But Lu Chen was very calm at this time.


    At the moment the operation was over, he almost knew the result.


    This time, he will definitely enter the top five and become Mayo''s new Cardiology Fellow.


    The rest of the suspense depends on whether he can be the first!


    ¡­


    When the final group assessment is over.


    The examiners have already graded all the candidates.


    However, when the last group of assessments was over, there was a hint of surprise in everyone''s eyes.


    Everyone looked at each other involuntarily.


    Among the candidates in this last group, there is one person whose surgical proficiency is not even worse than that of the chief examiner present!


    "Who is this man!"


    This doubt arises in everyone''s heart.


    They can''t wait to announce the results immediately, so that we can see who the last group is!


    "Could it be Casas?" Luna thought to herself.


    However, she quickly rejected her idea.


    Casas''s TAVR intervention level, she knows, is definitely not as powerful as this person.


    "Could it be that black man?" Luna frowned.


    As a white person, although she usually speaks against racial discrimination, she still has some resistance to black people in her heart.


    At this time, Kebed also sighed incomparably in his heart.


    This last group of surgeons was more proficient than him when dealing with TAVR lesions.


    He was a little curious, which country''s doctor is this, and how can the surgical proficiency be higher than their Mayo doctor?


    ¡­


    All the candidates returned to the waiting room.


    There is still half an hour before the final result will be announced.


    At this time, Lu Chen was already hungry.


    Although Mayo brought dinner, it was pizza!


    Lu Chen was about to roll his eyes, he almost vomited eating pizza!


    No, after going back tonight, be sure to ask for a few buckets of instant noodles from Viagra.


    Anyway, he is leaving soon, if you don''t take it, you won''t take it!


    Lu Chen quickly finished the pizza.


    Yamada from that island country joined Lu Chen again.


    "Looking at your expression, Lu Chenjun, you should be winning this exam, right?" Yamada Kenji squinted and smiled.


    Lu Chen suddenly wanted to tease him, so he grimaced and sighed, "Hey, I didn''t play very well."


    The Goryeo woman Kim Hyo-jung snorted coldly, "Even if you play well, you might not be able to make it into the top five, right?"


    Yamada hurriedly stopped Jin Xiaozhen, "Don''t say that, I think Lu Chenjun''s ability is still very strong, don''t worry about temporary mistakes, you can continue to take the test next year."


    Although Yamada said so, Lu Chen could still see the flash of joy in his eyes.


    This islander is not as kind as it seems on the surface.


    However, Lu Chen was also a little amused. The two of them believed their words too much.


    Don''t you know that Xueba has finished the exam, and they like to say that they did not pass the exam well?


    Could it be that there is no such "custom" in the academic masters of the island country and Goryeo?


    ¡­


    Just when everyone was chatting.


    The door of the ?? waiting room was pushed open.


    The examiner walked in slowly.


    At the same time, the projector screen at the front desk also lit up.


    At this moment, the cluttered voices in the waiting room disappeared immediately.


    Everyone was staring at the examiner on the stage.


    Many people secretly swallowed their saliva, feeling extremely nervous in their hearts.


    Lu Chen glanced at Yamada Kenji and Jin Xiaozhen next to him.


    The expressions of the two were also extremely nervous, and Yamada Kenji couldn''t help shaking his legs.


    And Kim Hyo Jung bit his lower lip lightly.


    "After the joint judgment of the eight examiners, everyone''s assessment results have come out!"


    As the examiner said, he inserted a USB flash drive into the computer on the stage.


    "I believe everyone is looking forward to their results. I will announce the final results of your three rounds of exams below!"


    "In addition, we only publish the top five, that is, the results of those who passed the assessment."


    After the examiner finished speaking, everyone present became even more nervous.


    "First, the fifth place is announced."


    As soon as the ?? voice fell, a name appeared on the projector.


    "Fifth, Fenna (UK)."


    "First round score: 95 points, second round score 96 points, third round score: 85 points."


    "Total score: 276!"


    When the name appeared, a blonde woman in the front row immediately stood up excitedly, and then said to the examiner: "Thank you, thank you dear examiner."


    The examiner nodded slightly and pressed his hands down to signal her to be quiet.


    Jin Xiaozhen, who was beside Yamada, looked gloomy at this time, and she lowered her head silently.


    With her ability, if she can barely pass, it will be fifth or fourth at most.


    Now that the fifth place is announced, her hopes are slim.


    After a short pause, the examiner announced the fourth place.


    "The fourth place, Kenji Yamada (Island)!"


    "The first round score: 94 points, the second round score 97 points, the third round score: 90 points."


    "Total score: 281!"


    What Lu Chen didn''t expect was that this island man still has two brushes.


    It is not easy to be able to squeeze into the fourth place among so many elites.


    "Congratulations." Lu Chen said to Yamada beside him.


    "Thank you!" Yamada Kenji was also quite excited at this time.


    For him, no matter what the number is, as long as it passes the review.


    After entering Mayo, he can truly gain a firm foothold in the medical field, and when he returns to the island country in the future, he can achieve his loftiest goals!


    But when the fourth place was announced, it also meant that Kim Hyo-jung of Goryeo had no hope at all.


    ¡­


    "Next is the third place!"


    The chief examiner then announced the result of the third place.


    "Third place, Casas (USA)!"


    "First round score: 98 points, second round score 99 points, third round score: 95 points."


    "Total score: 292!"


    Casas was stunned when he saw his name appear on the screen.


    For others, just pass.


    But for him, this result is unacceptable.


    In front of him, there are actually two people!


    With a ?? "whoosh", Casas suddenly stood up.


    "Mr. Chief Examiner, this is impossible!"


    "I''m applying for a re-check, which is absolutely impossible!"


    (end of this chapter)

 v2 Chapter 851： First! (first update)

    Chapter 851 First! (first update)


    Waiting Room.


    All eyes turned to Casas.


    Some mock, some pity, and some gloat.


    But anyway, Casas is the third place and has passed the Fellow''s assessment.


    on stage.


    The examiner looked at Casas coldly and said, "Everyone''s grades have been reviewed three times by the examiners, and there will never be any problems!"


    "But, I just don''t believe it!" Casas stared at the examiner in front of him, with no fear in his eyes. He clenched his fists in the sleeves of his white coat, "I request to apply for re-examination results!"


    Seeing Casas'' insistence, the examiner ignored his request, but turned to the crowd and said, "Anyone who has any objection to the results can apply for a review after the results are announced!"


    Hearing this, Casas slowly sat down.


    Kenji Yamada, who was beside Lu Chen, whispered, "I really don''t know what this American is thinking? It''s enough to pass the test. Why pursue this title?"


    Lu Chen smiled, "It may be that he has always been the first, but suddenly he was third, and some couldn''t bear the blow."


    "Oh, these Americans are really arrogant, just because they are the best, they don''t take doctors from other countries in the eye." Kenji Yamada said again, "Lu Chenjun, do you think I am right?"


    Lu Chen spread his hands, "Who made Mayo be American?"


    Others do have this kind of proud capital.


    ¡­


    After ?? Casas was no longer noisy, the waiting room gradually returned to its previous silence.


    The examiner looks around the candidates.


    "Next, I''ll announce the second place."


    "Second place, Salat (USA)!"


    "The first round score: 99 points, the second round score 100 points, the third round score: 96 points."


    "Total score: 295!"


    When the chief examiner announced the result, he was completely shocked.


    Everyone''s default first place turned into second!


    Salat did not gaffe like Casas, but just sat silently in his place.


    He didn''t say much, and no one could see his expression clearly.


    In the waiting room, the whispers of everyone had already sounded.


    "How is that possible? Salat is actually only second?" Kenji Yamada said in surprise, "I heard that Salat''s ability has long been at the level of the attending doctor of Mayo. Is it possible that among our group, there are still Is there anything more powerful than his surgical operation?"


    Thinking of this, Kenji Yamada glanced at Lu Chen.


    Seeing that Lu Chen''s face was calm, he couldn''t help but have some doubts in his heart.


    From the time the results were announced, this Doctor Hua Xia was very calm, as if his expression had not changed much.


    He doesn''t care about rankings at all?


    Offstage.


    Casas, who came in third, was also shocked.


    He always thought that Salat was the first, but who would have thought that even the black people could only be second.


    Which **** came this year? Can you surpass this black American?


    Could it be that doctor from India?


    ¡­


    All eyes were on the projector on the stage.


    They are looking forward to the first place in this assessment.


    At this time, in the room next to the waiting room.


    The examiners are also staring at the projection screen.


    As examiners, they, like candidates, do not know the final ranking.


    Luna and Kebed''s bet, both of them guessed four candidates.


    "Kebed, shouldn''t we be tied?" Luna smiled at Kebed.


    Kebed shrugged his shoulders and grinned, "The final result is not out yet, maybe I won."


    "You have so much confidence in this Huaxia doctor?"


    Luna wondered.


    "It should be an intuition."


    Kebed suddenly remembered that Lu Chen was not surprised when he saw his eyes during the TAVR operation.


    Could it be that the TAVR surgery that shocked everyone just now was really done by Lu Chen?


    ¡­


    Waiting Room.


    The examiner cleared his throat, looked up at the candidates, and said slowly, "I''ll announce the first place below."


    The voice of ?? just fell.


    On the projection screen on the ?? stage, several lines of small characters appeared.


    "First place, Lu Chen (China)!"


    "The first round score: 99 points, the second round score 100 points, the third round score: 100 points."


    "Total score: 299 points!"


    When the name "Lu Chen" appeared in his eyes, the audience was silent.


    Who is this person?


    Why haven''t you heard of it at all?


    aside, Yamada Kenji and Jin Xiaozhen widened their eyes, looked at the screen in disbelief, and then looked back at Lu Chen.


    This Chinese male doctor is actually number one!


    And there are two full marks!


    TAVR surgery is also full marks!


    Kim Hyo-jung secretly swallowed.


    She remembered her previous disdain for Lu Chen, she seemed to be a clown!


    However, this Chinese man is really hateful, he just said that he did not do well in the test!


    Yamada Kenji reacted immediately after being shocked, and he hurriedly moved to Lu Chen''s side.


    "Lu Chenjun, congratulations!"


    "Happy and happy." Lu Chen smiled, "It seems that the two of us really met at the Mayo Cardiology Department."


    "It''s not like I said before, I hope we can help each other by then." Yamada smiled.


    "It''s easy to talk about it." Lu Chen nodded slightly.


    Just then, Casas, who was in third place, stood up again.


    His expression this time was not as gaffe as before, but his tone was unusually tough.


    "Mr. Chief Examiner, I request to review the results!"


    The examiner nodded and said to the others, "Is there anyone else who needs to review the results? Come with me."


    The voice of ?? just fell.


    Several more people stood up in the waiting room, including the Indian doctor who was favored by Luna, his second-ranked Salat!


    Lu Chen pursed his lips and smiled.


    It seems that he can win the first place. The second and third places in the United States seem to be unconvinced?


    But that''s okay.


    In the future, everyone will spend a lot of time together, and Lu Chen believes that he will convince them.


    ¡­


    Then, the chief examiner left with several people who had applied for score review.


    A few people who passed the grades, Mayo has something to explain to them.


    And the others who did not pass the examination left the waiting room one after another.


    In the room where the examiners are.


    "Haha, Miss Luna, I won this bet!" Kebed raised his head and looked at Luna.


    Although he thought that Lu Chen would take the first place, when the truth happened, he felt no less shocked than anyone else.


    "Don''t worry, I''m willing to admit defeat. I''ll bring you that stethoscope tomorrow!"


    Luna was constantly flipping through Lu Chen''s information.


    This Lu Chen''s proficiency in TAVR surgery is simply amazing!


    Among the characters of the same level as Mayo, there are very few people who can perform TAVR surgery more beautifully than Lu Chen.


    "Hua Xia... Really has a great doctor." Luna murmured, at the same time she also developed a strong interest in Lu Chen.


    At this moment.


    The chief examiner walked into the room with several people who were reviewing their scores.


    There are three more


    (end of this chapter)

 v2 Chapter 852： Candidates for Superior Physicians (Second Update)

    Chapter 852 Candidates for Superior Physicians (Second Update)


    "These test takers, request a review of their scores."


    The examiner said to the crowd.


    "I would like to trouble you to find all their surgical videos and surgical scores, and proofread them one by one."


    "Ok, no problem."


    Luna, as the examiner''s assistant, took over the score review immediately.


    She led all the candidates and found out their respective exam videos and scores.


    "Everyone can only check their own scores." Luna said to several candidates, "but I remind you in advance that we have reviewed the test scores many times, and it is impossible to make mistakes. Since you are so unwilling now, then I will Don''t say more, let''s get started!"


    After saying that, everyone started to look at their own video recordings.


    Casas couldn''t wait to click on the video recording and found his point of deduction.


    The result of the review, of course, is that there is no problem.


    These deduction points are all based on whether they have achieved their position.


    Everyone has no objection to their own assessment results.


    "I''ll ask one last time. If there is no objection, the current assessment results will be fixed." Luna said to the crowd.


    Casas immediately raised his hand, "Mr. Luna, I want to ask if I can check other people''s transcripts?"


    "No!" Luna immediately shook her head, "According to the regulations, everyone can only check their own results!"


    "But I''m not satisfied with the first place result!" Casas said loudly again, "I ask everyone to check the video of Dr. Hua Xia''s surgery together."


    Seeing that he said so, several other examinees who have been reviewed for assessment have also begun to emerge.


    Everyone asked for the release of Lu Chen''s surgery video.


    "You all want to see the video of Lu Chen''s surgery review?" Luna asked.


    "Yes!" Everyone said in unison.


    Among them, Casas is the loudest.


    If you really want to lose to someone else, it might as well lose to that black man in the United States!


    "However, this is not in line with our Mayo''s rules, I can try to apply to the examiner." Luna said.


    Actually, Luna knew that by doing this, it was impossible to change the ending.


    Because she just saw Lu Chen''s surgery.


    That operation method is simply amazing!


    But now, Casas doesn''t listen to dissuasion at all.


    ¡­


    "They still want to check Lu Chen''s surgery video?"


    The examiner frowned, this request was obviously out of line.


    "Yes, with Casas as the head, there are five people in total, and they all require a review of the results of the first place."


    Luna whispered.


    "Well, notify all the doctors who want to see the first place." The examiner smiled slowly, "Let''s watch the surgery video together."


    "Okay." Luna nodded.


    "But..." The examiner suddenly looked down, "Tell them that doctors who want to view the surgery video cannot apply for Mayo''s Fellow again within three years!"


    "Huh?" Luna was slightly startled, "Is this okay?"


    "If you break the rules, you have to pay the price of taking care of them." The doctor in charge said coldly.


    "Okay, I''ll arrange it right away."


    Luna nodded slightly and went to check Lu Chen''s surgery video.


    ¡­


    After half an hour.


    In the room where the examiner is located.


    In addition to the digital examiners, several doctors who applied for examination review were also present.


    However, their number was cut in half from before.


    When those candidates heard that they would cancel their chance to apply for Fellow for the past three years, they immediately backed off.


    Now there are only Casas, Sarat, and the doctor from India!


    On the stage, the screen of Lu Chen''s surgical operation has already started.


    The first two rounds of exams were quite satisfactory.


    Lu Chen''s surgical operation was qualified, but not amazing.


    However, came the third round of TAVR surgery.


    The precise operation and every little micro-manipulation made everyone stunned.


    This latest TAVR technique, Lu Chen actually mastered it so well.


    "I lost to him, not wrong!"


    Black Salat withdrew his gaze, and the injustice in his heart had slowly disappeared.


    Lu Chen''s actions have completely conquered him.


    As the third place Casas, his eyes were dull at this time.


    Lu Chen''s TAVR operation is even better than many of their attending doctors!


    However, as far as he knows, this technique has just emerged in the United States.


    China should not have it yet, right?


    How did Lu Chen train this technique?


    "He...he..." Cassas wanted to say something, but he couldn''t say anything, so he could only stay in place.


    However, the most depressed one is this doctor from India.


    He watched Lu Chen''s operation video.


    Lu Chen''s video has no problems, the Indian doctor''s bet failed!


    For the next three years, he lost the chance to apply for Fellow again.


    ¡­


    Ten minutes later.


    All five doctors who passed the offline assessment of Fellow gathered together.


    They are Lu Chen, Sarat, Casas, Kenji Yamada and Fina (UK).


    The indignant Casas kept his head down, and no one could see his expression clearly.


    The other three, including Lu Chen, greeted each other.


    "First of all, congratulations to the five of you." The examiner said with a smile, "Passing the Fellow''s assessment means that from now on you are an official Dr. Mayo."


    Fellow is actually specialist Chinese training, a stage after residency training.


    In Mayo, neither doctors nor interns can manage the bed independently.


    And Fellow has been able to manage the bed independently and treat his own patients.


    Fellow training time is generally about two years. If the assessment is successful in advance, it can also be ended early.


    After the training, it means that you can officially become an attending doctor.


    In the United States, the title of the attending physician has come to an end.


    Therefore, the difficulty of this Fellow training can be imagined.


    "You can temporarily take a week off." The examiner continued, "A week later, officially report to the Mayo Cardiology Department!"


    A week passed quickly.


    During this period, Lu Chen''s name spread rapidly in Mayo Cardiology Department.


    As we all know, Lu Chen was a blockbuster in the Fellow assessment.


    "Lu, my fellow training will be over soon." Kebed found Lu Chen after his assessment.


    "Congratulations on completing the Fellow training." Lu Chen smiled, "Mr. Kebed will be Mayo''s real attending cardiologist in the future."


    "Thank you." Kebed smiled, "Lu, I''m looking for you this time. Actually, I have a purpose."


    "You said." Lu Chen wondered.


    "When you were a Fellow in Mayo, you needed to choose a superior physician." Kebed said slowly, "I hope, you can choose me!"


    Lu Chen had heard of this before.


    Fellow can supervise patients, but they are all under the management of the superior attending doctor.


    If there is anything you don¡¯t understand, you can ask your superior doctor.


    The relationship between ??Fellow and the attending doctor is a subordinate relationship, which requires mutual cooperation and common progress.


    (end of this chapter)

 v2 Chapter 853： Emergency Surgery (Third)

    Chapter 853 Emergency Surgery (Part 3)


    "Why did you choose me?"


    Lu Chen looked at Kebed in surprise.


    In Mayo, it is generally the Fellow who mainly goes to the attending doctor.


    Rarely will there be such an attending doctor, so come and find a Fellow in person.


    "Of course it''s because I''m optimistic about you." Kebed smiled, "In addition, we''ve been together for a few months, and our relationship is better than normal, so after a comprehensive analysis, I still hope you can come to my group."


    "Okay." Lu Chen agreed immediately.


    Actually, even if Kebed didn''t come to him, Lu Chen would go to him by himself.


    He had already heard about the matter of choosing a superior doctor.


    Rather than looking for a doctor you don¡¯t know well and spending time trying to figure out the habits of your superiors, it¡¯s better to choose Kebed directly.


    In the past few months, Kebed has taken good care of Lu Chen.


    Continue to cooperate with him, I believe there will be no problems.


    "That''s great!" Kebed was very happy when he saw Lu Chen agreed, "Also, I would like to thank you for helping me win a stethoscope."


    "Stethoscope?" Lu Chen was stunned.


    Then, Kebed revealed the bet he had made with Luna.


    "I still have to thank Mr. Kebed for his trust." Lu Chen said.


    "Hey, this is because of your own excellence."


    Kebed chatted with Lu Chen for a few more words, and then left.


    ¡­


    Lu Chen''s rented room.


    Two buckets of instant noodles have been soaked.


    This is the "dry food" that Yu Weiguang specially took out to celebrate his successful passing of the Fellow assessment.


    "Brother Guang, after you leave, you won''t be able to take this instant noodles with you, so leave it to me." Lu Chen grinned.


    He has been thinking about these instant noodles for a few days.


    "You kid, don''t worry, you are indispensable." Yu Weiguang smiled, "But I said you are really good, Mayo''s Fellow assessment, you got the first place!"


    "Good luck." Lu Chen said humbly, "I know all the surgical topics selected in the assessment..."


    "Luck is also strength." Yu Weiguang looked at Lu Chen and couldn''t help feeling a little bit.


    He was about to leave, but Lu Chen stayed here.


    It is a rare opportunity to have fellow training at Mayo!


    "Lu Chen, if you can be the attending doctor at Mayo, that would be awesome." Yu Weiguang gave Lu Chen a thumbs up.


    "Even if I become the attending doctor, I will eventually return to China." Lu Chen smiled, "Brother Guang, you should go back to China first and help me find the way. I may arrive later."


    "no problem."


    Yu Weiguang patted Lu Chen on the shoulder, then picked up the instant noodles and started to eat.


    This time we say goodbye, the next time we meet, maybe I really don¡¯t know when it will be.


    ¡­


    Lu Chen successfully joined Mayo.


    As a Fellow of Mayo, he has his own independent office, and he has been assigned several interns and doctors.


    In addition to normal medical work, teaching occupies an important part of Mayo.


    Medical and teaching, will be counted in the final assessment at the end of the year.


    And Kebed, as a senior physician, does not personally manage patients now.


    Kebed will only come forward when Lu Chen encounters an unsolvable problem.


    There are so many Fellows in the department all of a sudden, and everyone is still in a period of continuous adjustment.


    ¡­


    Seeing a doctor in Mayo is very different from that in China.


    Before accepting a patient here, fellow fellows will familiarize themselves with the patient''s medical record a week in advance.


    Because most of the patients were transferred from other hospitals.


    In their hands, they usually have a large amount of medical records.


    In addition to checking the cases, Lu Chen even had to be familiar with the local customs and cultural background of the patients.


    A week later, the doctor and the patient will meet.


    And this meeting is not resolved in a few minutes, but requires more than half a day of consultation and physical examination.


    After a full evaluation, the attending doctor decides the next treatment method, conservative treatment or surgical treatment.


    ¡­


    On the third day after Lu Chen joined the company.


    He welcomed his first patient.


    When he got the patient''s medical records, Lu Chen was astonished.


    He feels that the world is so small!


    The patient was from Guanghai, Huaxia, and was diagnosed with "extremely severe aortic valve stenosis with insufficiency".


    He was once treated in Guanghai Central Hospital, and the attending doctor was Shi Langqin.


    However, due to limited conditions in Guanghai, the operation could not be completed, so the patient was sent to Kyoto.


    Kyoto''s cardiologists don''t have much confidence in this serious disease.


    The patient''s family is well-off. After thinking twice, he dragged his family and came to the Mayo Clinic, which ranks first in the world.


    in Mayo''s office.


    Lu Chen met this patient from Huaxia.


    "Hello and welcome to Mayo Clinic."


    The Chinese language blurted out by Lu Chen shocked the patients and their families.


    They thought that Lu Chen was the descendant of those Chinese who stayed in the United States for a long time.


    But such a standard Chinese language is definitely not something that can be spoken by Chinese Americans who have been in the United States for a long time.


    "Doctor Lu, where are you from?" The patient''s family is a woman in her forties.


    "You shouldn''t know about the small county below Jiangcheng."


    Lu Chen''s words once again proved his identity.


    This makes patients and their families happy.


    When I go out and meet fellow villagers, my eyes are still full of tears.


    "Dr. Lu, that''s great, you are from China, so we can communicate better."


    Lu Chen also slowly began to get acquainted with the rhythm of Mayo seeing a doctor.


    It took a whole day just for the consultation.


    Next, the patient still needs to complete some examinations, and after assessing the physical condition, the surgery can be arranged.


    "Dr. Lu, tell the truth, what are the risks of my husband''s operation this time?"


    "The risk is very high, otherwise why won''t the country leave you for surgery?" Lu Chen said.


    The family was startled, "Doctor Lu, but isn''t Mayo here? Is there such a risk?"


    Lu Chen frowned, "The risk of surgery will not decrease just because the venue has changed! The patient is older, the underlying disease is serious, and the coronary valve calcification is so severe that it is very likely that he will not be able to step down!"


    Lu Chen wouldn''t start ignoring the dangers of these diseases just because his status and title had changed.


    "what?"


    Hearing this, the patient''s family was a little nervous.


    Seeing this, Lu Chen comforted: "But don''t worry, we have the most professional team here, and we will make a complete set of plans before surgery to assess all possible situations and avoid surgery risks and complications as much as possible. appearance."


    "Okay, thank you Dr. Lu." The patient''s family felt a lot more at ease after hearing this.


    Just then, there was a sudden knock on the door outside the clinic.


    "Go forward." Lu Chen said immediately.


    The one who entered the door was a blonde female nurse who was also Lu Chen''s secretary, who was responsible for arranging his usual work arrangements.


    "Dr. Lu, Dr. Kebed just called and said that there is an emergency operation in the ward, and I want you to go back as soon as possible!"


    The third update, ask for a wave ticket.


    The fourth update, I can''t write it anymore, I''ll make it up tomorrow.


    (end of this chapter)

 v2 Chapter 854： Second surgery for valve failure! (first update)

    Chapter 854 Secondary surgery for valve failure! (first update)


    "Okay, wait a minute, I''ll go right away!"


    Lu Chen was a little surprised.


    What kind of surgery is it that he wants to go back?


    There are quite a few doctors in the Mayo Cardiology Inpatient Department.


    One attending doctor followed by two Fellows.


    Kebed has another Fellow besides Lu Chen, that is Kenji Yamada.


    Lu Chen left after explaining a few words to the patient from Huaxia.


    ¡­


    Mayo Cardiology Inpatient Unit.


    In the emergency room at this time.


    The alarm of the bedside ECG monitor kept ringing.


    The nurse in the tube bed is busy changing the patient''s dressing.


    Kebed, the attending doctor in the ?? group, has a solemn gaze. He is using a stethoscope to auscultate the patient''s heart and lungs.


    On the side of the rescue room, Kenji Yamada was silent, his expression was extremely serious.


    on a hospital bed.


    The patient had cyanotic lips and shortness of breath.


    Although the ventilator is used, the blood oxygen is still around 90%.


    "The patient has severe stenosis of the aortic valve with severe calcification." Kenji Yamada frowned and said, "The patient had a TAVR operation before, and it''s been eight years since now, his artificial valve should be broken again!"


    In China, there would be no such patients.


    Because Huaxia has only carried out this TAVR operation in recent years, it has not yet reached the time of valve failure.


    This case is also the first case that Lu Chen encountered, a case of TAVR self-decaying!


    "Doctor Kebed, I''m back."


    Lu Chen slightly tidied up his white coat and walked into the emergency room.


    "Come and see this patient!"


    Kebed waved the surgery at Lu Chen.


    "Here it is." Lu Chen nodded and leaned forward to take a look.


    On the hospital bed, a fat man was sitting beside the edge of the bed panting.


    He was pale, breathing rapidly, and the whole person was in a state of extreme discomfort.


    The health value on the head is 36 (---)!


    The changing trend of the three minus signs indicates that his condition has reached an extremely dangerous time.


    Lu Chen was checking on the patient, and Kebed on the side was giving a quick introduction to the patient''s condition.


    "We are currently considering that the patient is in cardiogenic shock due to severe aortic stenosis."


    "But the difficulty now is that the patient had already had a TAVR procedure eight years ago."


    Lu Chen was taken aback for a moment, he immediately understood what Kebed meant.


    For patients like this, the prognosis is not very good.


    "Turn to thoracotomy?" Kenji Yamada whispered beside him.


    Lu Chen slowly shook his head: "I''m afraid not, the patient''s body can no longer tolerate chest opening."


    "What should we do then?" Yamada Kenji frowned, "Do nothing? Do you just look at him..."


    As the chief physician, Kebed has absolute authority at this time to decide the patient''s next diagnosis and treatment plan.


    ¡­


    "Lu Chen, I''d like to hear your opinion." Kebed hesitated for a while, still unable to make a final decision.


    At this time, Lu Chen gritted his teeth.


    "Mr. Kebed, how about we try a second TAVR procedure?"


    "Huh? Second TAVR surgery?"


    Yamada Kenji was surprised.


    "But after the patient''s first operation, his vascular condition will definitely not be good." Kenji Yamada raised his own doubts, "The operation is difficult, and we have no similar experience,"


    After ??, Yamada Kenji looked at Lu Chen.


    Lu Chen shook his head, "I haven''t had a second operation for valve failure, but I think I can give it a try."


    Kebed fell into contemplation as he listened to the two of them talking.


    This patient was transferred from a nearby hospital.


    The patient has a wealthy family and has many connections, so that the patient can be sent to Mayo.


    In all fairness, if there is a patient that even Mayo can¡¯t handle, it can only be declared clinically dead.


    "Maintenance treatment with medication first." Kebed said softly, "As for the issue of the second operation, we will have a meeting to discuss and communicate with the patient''s family."


    "Okay, I think so." Lu Chen nodded.


    Secondary surgery for valve failure, which is a world-leading innovation.


    If it can be done, then their team has created another top-level spell.


    First, the consent of the patient''s family, but the consent of the Mayo Ethics Center.


    ¡­


    At the invitation of Kebed, some cardiologists gathered together.


    In a short period of time, several industry leaders in the field of cardiology have come.


    The topic of discussion is naturally the patient''s "second surgery"!


    "The difficulty of secondary surgery is not small, including the selection of valve type, the determination of valve release position, and how to prevent coronary artery blockage." A senior professor of cardiology said, "I think surgery can be tried, but it needs to be discussed before surgery. There is no way to communicate with family members!"


    In Chinese sayings, this is a dead horse as a living horse doctor!


    "The major surgery of thoracotomy is not suitable for patients, but the effect of drug treatment is so poor, minimally invasive TAVR surgery is the best choice."


    "Secondary surgery for a decayed valve, this is an operation that has not yet appeared in the world. If you can succeed, it will definitely create a new field!"


    The opinions of the professors are very unified.


    Surgical thoracotomy, definitely can not sit.


    done, that is equivalent to hastening the death of the patient.


    As for the secondary operation of the decayed valve, this kind of operation has not appeared before!


    If the Kebed team can complete this spell, it will undoubtedly add another honor to Mayo.


    At this moment.


    Yamada Kenji also slowly walked into the discussion room.


    He came to Kebed and whispered: "Doctor Kebed, the patient''s family agreed to the operation and expressed their willingness to take all risks!"


    "Okay, since that''s the case, let''s prepare for surgery!"


    Kebed did not hesitate.


    Since the "secondary surgery" has been chosen, it is time to start preparations as soon as possible.


    When Lu Chen saw this, he felt a little anxious in his heart.


    This type of surgery does not currently exist in the existing medical technology industry.


    is a new technology and project, and Lu Chen has not found a similar operation in the virtual space of the system.


    Therefore, this operation is also a brand new experience for Lu Chen!


    Lu Chen wanted to know, what step could he have done without the help of the system?


    ¡­


    Ready for surgery.


    Mayo works very efficiently.


    After Kebed decided to operate, various departments related to the operation started the operation plan.


    As the chief doctor in the group, Kebed naturally became the chief surgeon of the operation.


    And Lu Chen was the first assistant in the operation.


    Yamada Kenji is the second assistant for the operation.


    The three of them slowly walked up to the surgery day and looked at each other, all of them could see the solemnity in each other''s eyes.


    Even with the signature of the patient''s family, no one dares to take it lightly.


    And this time the surgery is considered as public surgery.


    Beside the operating room, there is a small room for visiting.


    As usual, here are residents or interns.


    But today, all the big names in the field of cardiology have gathered together.


    (end of this chapter)

 v2 Chapter 855： Bold approach (second more)

    Chapter 855 The Bold Technique (Second)


    Innovation is always the eternal topic of medical technology.


    Each new technique appears, which means that a clinical problem is solved.


    As the number one Mayo Clinic in the world, it has many innovations and discoveries.


    For example, the current ECMO machine and the division of various internal medicine departments are all derived from the Mayo Clinic.


    And today, in Mayo''s cardiovascular intervention, can everyone witness the birth of a new surgical procedure?


    Facing the new technique, Lu Chen felt a very unfamiliar feeling.


    All the surgeries he has done before can be simulated and trained in the system simulation space.


    But now this "secondary operation of valve failure" cannot be simulated in the virtual space of the system.


    However, the more difficult the operation, the more motivated Lu Chen''s fighting spirit!


    ¡­


    in the operating room.


    Kebed, Lu Chen, and Kenji Yamada were all ready for the surgery.


    "Prepare for vascular puncture!"


    Yamada Kenji consciously carried out the puncture work.


    This is also the basis of TAVR surgery.


    Yamada Kenji''s puncture surgery is extremely skilled, and he deserves to be a doctor who can come to Mayo.


    After puncturing the femoral artery, the catheter and guide wire were successfully implanted.


    The three of them don¡¯t cooperate many times, but they are very tacit.


    Kebed, as the chief knife doctor, would immediately execute Lu Chen and Kenji Yamada every time he issued an order.


    Vascular puncture, catheter (guide wire) entry, it all went smoothly.


    Among the big coffees who were watching, everyone highly appreciated the cooperation of the three.


    Although Lu Chen and Yamada Kenji are both newcomers, they are definitely the best among their peers.


    "Everyone needs to cheer up!"


    When it was time to expand the balloon, Kebed had a serious expression and whispered to the two beside him.


    Aortic valve balloon dilatation is one of the important steps in surgery.


    Only after balloon dilation can the prosthetic valve be successfully delivered to the designated position.


    ¡­


    The three of them immediately divided their work and cooperated.


    "start!"


    With ??Kebed''s order, the balloon dilation was officially started.


    Yamada Kenji quickly adjusted the temporary pacemaker frequency to 180 beats/min.


    The ECG monitor beside the operating table showed that the heart rate was over-paced.


    At this point, the patient''s blood pressure dropped to 50~60mmHg.


    Lu Chen immediately performed filling and dilation of the aortic valve balloon catheter and DSA exposure.


    "Stop!" Kebed shouted again, and Lu Chen stopped what he was doing.


    Yamada Kenji adjusted the temporary pacemaker back to 60 beats/min.


    Balloon dilation ended.


    Three people closely observed the patient''s blood pressure recovery, ECG waveform, and DSA images.


    "Everything is normal!" Lu Chen said slowly.


    The three of them breathed a sigh of relief this time.


    In patients without effective cardiac functional reserve, the dilation process can completely obstruct the left ventricular outflow tract.


    Some patients cannot tolerate it and may experience serious complications such as ventricular fibrillation and cardiac arrest.


    "Go on." Kebed''s eyes flashed.


    After the aortic valve balloon was dilated, he reassessed the mean diameter of the aortic valve annulus to determine the size of the implanted aortic valve.


    Lu Chen compresses the cleaned self-expanding valve to the minimum diameter with a gripper and a transfer tool, loads the diameter T ear into the T-shaped groove, and pushes the capsule cavity so that the outflow end of the stent is fully loaded into the capsule cavity, and rotates at a constant speed to control The handle completes the loading.


    "The stent valve is ready!" Lu Chen said slowly.


    "Received." Kebed nodded towards Lu Chen, "Ready to deliver the valve!"


    ¡­


    The delivery and release of the ?? valve is the key to the success of the entire TAVR procedure.


    Kebed began to slowly deliver the valve.


    Lu Chen was staring intently at the position of the valve.


    In addition, invasive pressure such as left ventricular and aortic pressure will affect the effect of the final operation.


    Yamada Kenji adjusted the transducer to "0" before and after valve release to ensure the accuracy of invasive pressure measurement.


    As time passed by, Kebed was unable to find the final location of the valve release.


    "I think it should be closer." Yamada Kenji suddenly said, "The status of the valve is a bit low."


    "No!" Kebed shook his head, "If you get closer, it is likely to resist the blood vessel. If the blood vessel is torn, the consequences will be too serious."


    Beside, Lu Chen has been observing the position of the old valve.


    He found that no matter how the valve was released, it was impossible to achieve perfection.


    The positions of the old valve and the new valve overlap in some places.


    "At this position, I think it''s fine." Lu Chen said in a deep voice.


    "This is not good, I feel that paravalvular leakage may occur!" Yamada Kenji looked at Lu Chen suspiciously, "Once paravalvular leakage occurs, the patient''s heart function will become worse."


    Kebed glanced at Lu Chen, "How did you think about it?"


    Lu Chen said slowly: "It''s impossible to have a perfect position. Now this position can only be said to try to meet the conditions of all parties."


    "After the valve is released, we can evaluate the aortic regurgitation with echocardiography, and consider whether to re-balloon or valve-in-valve implantation based on the results, and prepare for valve-in-valve implantation!"


    "This..." Kenji Yamada was a little surprised, Lu Chen''s ideas were wild.


    Others are trying to find the best position, but Lu Chen directly considers the remedy.


    Kebed hesitated for a while.


    He recalled Lu Chen''s performance in the Fellow review.


    The operation of that operation surprised everyone.


    "Okay, listen to Lu Chen!"


    ¡­


    When the valve was released, the expressions of the professors around were different.


    "This position is not good? The surrounding positions don''t seem to be right?"


    "But I don''t think there is a better position. The second surgery is different from the first surgery, and it is difficult to have a perfect valve release position."


    "These young people are really bold! It''s impossible for another person to release the valve in this position, right?"


    on the operating table.


    Kebed has released the valve.


    "Pay attention to blood pressure and heart rate!"


    "Received." Kenji Yamada re-measured all vital signs of the patient, "Everything is normal!"


    At this moment, Lu Chen pushed the echocardiograph over.


    After valve implantation, the location of the ultrasound needs to be reassessed.


    Sure enough, the valve was not fully sutured, and paravalvular leakage occurred!


    However, Kebed, Lu Chen, and Kenji Yamada did not panic, and immediately began to prepare for the implantation of the "valve within the valve".


    But just when Kenji Yamada put in the second artificial valve, the alarm on the monitor on the operating table went off.


    "Oops, the patient''s blood pressure has collapsed!" Kebed responded immediately, "Quick! Put on the balance fluid and pump another norepinephrine!"


    The nurse at the support desk was very quick and quickly connected the patient with medicine.


    Everyone is wondering, why did the blood pressure suddenly collapse?


    "Look at the monitor."


    Lu Chen suddenly pointed to the monitor on the operating table.


    ECG on the patient monitor, ST segment is significantly depressed!


    There are also updates


    (end of this chapter)

 v2 Chapter 856： The Birth of a New Technique (The Third Update)

    Chapter 856 The Birth of a New Technique (Third Update)


    "Be sure to rule out the possibility of coronary artery blockage!"


    Lu Chen said in a deep voice.


    Balloon dilation can cause calcification to dislodge.


    The dislodged plaque reaches the coronary vessels and can cause disabling strokes and blockages of the coronary arteries.


    Once coronary artery is blocked, cardiogenic shock, blood pressure may collapse!


    The changes in the ECG correspond to the blockage of coronary vessels!


    Fortunately, the preoperative preparations were sufficient, and Kenji Yamada immediately performed coronary angiography immediately.


    From the beginning to the end of the angiography.


    Yamada Kenji took less than five minutes.


    Lu Chen admired his speed.


    The proficiency of this operation, no matter where you go, will become the top wave of doctors.


    "There is a thrombus in the anterior descending artery!"


    When the ?? angiography image appeared, Kenji Yamada immediately reported the situation of the coronary vessels to Kebed.


    "It''s not a primary stenosis, it''s most likely an embolism caused by balloon dilation." Kebed immediately analyzed, "Aspirate the thrombus first."


    "Understood!" Yamada Kenji nodded slightly and started the operation.


    The thrombus that descended before ?? was quickly sucked out.


    After coronary blood flow was restored, the patient''s blood pressure gradually stabilized.


    On the other side, Lu Chen also successfully implanted the patient''s "valve-in-valve".


    After the operation, the ultrasound can show that the valve is in good position!


    "Success!"


    Lu Chen, Kebed, and Kenji Yamada, the three looked at each other and could see a smile in each other''s eyes.


    ¡­


    The professors who were watching stood up one after another.


    "These three young people are really good! I see this Kebed''s attending doctor, and the future is boundless!"


    "Haha, I would like to know, who decides the position of the valve release?"


    "Yes, yes, yes! I just want to know this. The choice of location is not the best, but it is wise enough. If it drags on for a long time, if the patient''s blood pressure and heart rate collapse, it will be bad."


    The success of the ?? operation also means the birth of the world''s first "secondary operation of a failed valve"!


    The three of Lu Chen got off the operating table.


    Everyone''s back is full of sweat!


    "I''ll invite you two to dinner at noon!" Kebed patted the two of them on the shoulders, "Don''t miss your appointment."


    "I... can I not go?" Lu Chen whispered.


    Eat pizza and sandwiches again?


    Lu Chen eats these two things, and his mouth is almost full of cocoons.


    "No, don''t you like pizza the most?" Kebed smiled, "I found two new flavors that you absolutely love!"


    "Forget it, I want to go back and eat instant noodles." Lu Chen shrugged.


    "Instant noodles? What is that?" Kebed wondered


    "This...how to say..." Lu Chen was stunned,


    "I know!" Kenji Yamada said excitedly, "I also eat it often, it''s a kind of instant pasta."


    "Fast food?" Kebed frowned, "This kind of unhealthy food should not be eaten."


    Lu Chen really wanted to complain, is pizza healthy?


    ¡­


    However, at Lu Chen''s insistence, he still ate instant noodles at noon.


    Kebed had a bowl of instant noodles with Lu Chen and Yamada Kenji by the way.


    "Wow, this thing is really good!"


    Kebed¡¯s first time eating instant noodles, he was simply shocked.


    "So much flavor? It''s incredible!"


    Lu Chen was stunned, "You really haven''t eaten instant noodles?"


    "No!" Before Kebed could reply to Lu Chen, he took a big mouthful of food.


    Yamada Kenji also gave Lu Chen a thumbs up, "Huaxia instant noodles, delicious!"


    Lu Chen looked at the two of them with a look that he had never seen before.


    If it wasn''t for Mayo having nothing else to eat, he wouldn''t even look at the instant noodles on his table!


    For Mayo, the development of a new spell only caused a brief discussion.


    But after this technique was published in China''s top magazine, it caused a huge sensation!


    Whether it is Europe, America, China, island countries, or other countries and regions, they are all scrambling to try new spells.


    ¡­


    Huaxia Guanghai Central Hospital.


    Shi Langqin''s office.


    He holds a copy of the latest journal in his hand.


    "Hey, he really deserves to be Lu Chen! No matter where he goes, he can do something."


    Opposite ?? Shi Langqin, it happened to be Jin Miao who had jumped over from Guanghai First Hospital.


    At this time, Jin Miao smiled after reading the entire report: "I know Director Lu''s ability, it is truly unparalleled."


    "By the way, what do you think of this new technique?" Shi Langqin smiled and looked at Jin Miao.


    "This..." Jin Miao frowned, "It''s still too difficult, you can''t rush it for a while, and you can practice a few more times, that''s the best."


    "Okay, if you have any needs, please let me know in time." Shi Langqin nodded, "In terms of TAVR surgery, the hospital will fully support you!"


    "Thank you, Director Shi."


    ¡­


    Similar scenes happened in other cardiology departments in Huaxia.


    Some are happy, some are sad.


    Zhang Dewen, the director of Guanghai First Hospital, was sighing at this moment.


    "Such a good talent was forced away!"


    Professor Ou Yangming was sitting in his office. He also saw the latest Mayo article.


    "Lu Chen staying in Guanghai can certainly lead our hospital to the forefront of the country. But it is still difficult to surpass Europe and the United States."


    "However, now Lu Chen has gone to Mayo, where he can perfectly use his abilities."


    "I''m looking forward to the moment he returns to Mayo from Huaxia!"


    ¡­


    In an apartment in Huaxia Guanghai.


    Xu Wei is sitting at the table, looking through Lu Chen''s latest medical paper.


    "Xiaowei, what are you looking at? It''s all in English? It''s about medicine, right?"


    Xu Wei''s roommate Zhou Ling came up to her.


    "I''ll take a look and find out."


    Xu Wei snorted, wanting to multiply.


    "You''re a reporter, no, you''re a host, what are you looking at these medical documents?" Zhou Ling wondered, "You never change your major? I noticed that you''ve been reading these recently."


    "No, this was posted by a friend of mine in an international top issue." Xu Wei narrowed her eyes and smiled.


    "Your friend? Boyfriend?" Zhou Ling smiled maliciously.


    "No... No, it''s just a familiar relationship." Xu Wei shook her head.


    "Okay, don''t talk about it." Zhou Ling sat opposite Xu Wei, "The middle-aged uncle you interviewed a few days ago said he wanted to meet you, and asked me for your phone number."


    "You gave it?" Xu Wei was startled.


    "Of course not." Zhou Ling spread her hands, "This middle-aged uncle is bald! But Xiaowei, you should find a boyfriend now, go later, the circle is small, you can only go on a blind date ."


    When Xu Wei heard Zhou Ling''s words, she suddenly thought of Lu Chen, who was far away on the other side of the ocean.


    Lu Chen has been away from Huaxia for half a year.


    Is it getting closer and closer to the day he comes back?


    (end of this chapter)

 v2 Chapter 857： Four leaf petals! (First update!)

    Chapter 857 Four-leaf petals! (First update!)


    After experiencing this new technique, Lu Chen also understood a little.


    The TAVR skill card of the ?? system must surpass the expert level at the highest level!


    The ?? expert level only includes the existing spells.


    But, with every operation, every period of time, there is an innovation.


    Lu Chen''s eyes are no longer satisfied with mastering the current techniques, but to explore more techniques in depth to solve more intractable diseases.


    And the aortic stenosis patient from Huaxia successfully completed the TAVR operation in Lu Chen''s hands.


    This time, Lu Chen was the chief surgeon, and Kenji Yamada was the first assistant.


    "Congratulations, the completion of the system upgrade has increased!"


    "Congratulations, thank you for receiving...!"


    The days in Mayo are very happy, the gratitude value and the system completion degree are increasing every day.


    ¡­


    In the blink of an eye, it has been a year since Lu Chen came to Mayo.


    During this year.


    Lu Chen''s name began to have a certain influence in the Mayo Cardiology Department.


    In the field of TAVR, Lu Chen''s ability has been recognized by everyone.


    "Lu, there is an operation patient in our group, uh, I would like to invite you to the consultation."


    "Lu, tomorrow your group will accept a patient with severe refractory heart failure!"


    "Lu, there is a Global Cardiology TAVR Summit next week, and the hospital has decided to send you out to attend."


    Lu Chen had a good time at Mayo.


    There is not too much intrigue here, everyone is focused on clinical and scientific research.


    Everyone gets the same salary!


    No one has broken their heads and wants to be a management team.


    Lu Chen also has scientific research protection time, about 30% of the time per week, he can do his own research.


    Therefore, Lu Chen joined Kebed''s scientific research team.


    This is not like Huaxia. As a Fellow Lu Chen, it is impossible to form his own scientific research team.


    "Lu, regarding the research and development of the latest TAVR technique, we have to improve the entire system." Kebed said to Lu Chen.


    As Lu Chen''s abilities showed, Kebed paid more and more attention to Lu Chen.


    Even, he hardly manages clinical matters.


    All patients are under the unified management of Lu Chen.


    "Okay, Mr. Kebed."


    Lu Chen understands that Kebed wants to add this newly created spell to this year''s TAVR guide.


    However, the rewriting of the guideline requires the support of evidence-based medicine.


    Just doing one or two operations can''t explain any problems at all.


    At this time, Yamada Kenji suddenly walked into the office.


    "Mr. Kebed, there is an emergency consultation for a patient in the coronary artery group, and I would like to invite you to come."


    Kebed was stunned for a moment, then looked at Lu Chen, "Lu, let''s go, I still have a lot of work to do in my lab."


    "Okay." Lu Chen nodded.


    Then, Kebed left.


    In the ?? office, only Lu Chen and Yamada Kenji were left.


    "Lu Chenjun, Mr. Kebed''s scientific research protection time is 50%. I think he wants to develop to 70% of the time, right?" Yamada Kenji raised his eyebrows.


    "As the attending doctor, Kebed has this power." Lu Chen smiled, "Mayo''s management is still very humane, and clinical and scientific research can be taken into account, or one can be emphasized."


    Yamada Kenji spread his hands, "Mayo is Mayo, with such resources and conditions. Lu Chenjun, let''s go, go to the coronary artery group to see, their patient seems to be quite troublesome."


    "it is good."


    Lu Chen took his stethoscope and came to the coronary intervention group with Kenji Yamada.


    ¡­


    Mayo''s cardiology department is divided into many groups.


    Each group has a different focus. For example, the Kebed group is currently focusing on TAVR, and other groups include coronary intervention, electrophysiology, congenital heart disease, and so on.


    Lu Chen and Yamada Kenji came to the office of the coronary intervention group.


    Afro-American Fellow Salat is in his office looking at a patient''s medical records.


    When he saw Lu Chen and Kenji Yamada coming in, he immediately stood up, "Lu, you''ve come!"


    As fellows from the same group, they now understand the gap between themselves and Lu Chen.


    "Where is the patient?" Lu Chen asked.


    "Where''s the cath lab!" Salat said quickly, "I''ll take you there now."


    "Catheter lab? Patients undergoing surgery?" Lu Chen was taken aback.


    "Yes!" Salat introduced while leading the way, "This operation was originally a coronary intervention, but the patient''s aortic valve also had a problem. Our group of attending physicians decided to solve it together."


    This is in other hospitals, coronary intervention and TAVR intervention are absolutely impossible to do in one group.


    But at Mayo, there are many areas where each doctor excels.


    Even doctors in the coronary intervention group can perform most TAVR operations.


    "Then what is the patient''s condition now? Why did you call us for a consultation during the operation?" Lu Chen asked in confusion.


    "It''s just that the preoperative CT of the valve is different from what we found during the operation." Salat''s expression was solemn, "Lu, you''ll know when you go to the catheterization lab."


    ¡­


    Mayo Cardiology Catheterization Lab.


    In operating room No. 3 at this time.


    The three surgeons were at a loss for the patient in front of them.


    "We were so unlucky that we encountered a four-leafed aortic valve!"


    As the first assistant of the operation, Casas couldn''t help but complain,


    In the preoperative CT examination, this was not found.


    "It''s useless to say these things now!" Lambert, the attending doctor in the group, frowned, "Quadleaf aortic valve, valve positioning is difficult, and we do it alone, and the success rate is too low!"


    The incidence of four-cuspid aortic valve (QAV) is extremely low. TAVR surgery for this type of patients has risks such as difficult valve positioning and coronary occlusion after valve implantation!


    "Did you call the doctor from the TAVR team here?"


    "A consultation has been requested, it should be on the way." Casas said.


    "Okay, let''s stabilize the patient''s vital signs first and wait for the doctor from the TAVR group to come."


    Two minutes later, Lu Chen came to the No. 3 catheterization room.


    "Lu, you are finally here!"


    Lambert was not surprised by Lu Chen''s arrival.


    During the recent TAVR surgery consultation, Kebed basically didn''t come, and Lu Chen did it for him.


    On the side, Casas said nothing.


    For Lu Chen, he was still a little unconvinced that the examination that Fellow reviewed was vivid in his mind.


    "What''s the condition of the patient?" Lu Chen immediately began to read the patient''s medical records.


    "We originally planned to do PCI+TAVR together." Lambert handed the patient''s valve CT examination data to Lu Chen.


    "We originally expected that the valve disease was not serious, but now a four-leaf deformity has been found."


    Normal aortic valve, only three leaflets!


    And this patient has an extra leaf!


    Lu Chen stared at the patient''s CT.


    CT showed a distributed quadrileaflet valve with small sinus, low coronary opening, and long and thick valve leaflets.


    The length of the left and right coronary leaflets exceeds the STJ height!


    "We just reassessed that during the valve implantation process, the risk of coronary occlusion is very high!" Lambert said, "So we invited you here."


    Lu Chen''s expression was solemn.


    This patient''s situation is too special.


    Not only coronary artery disease, but also aortic valve disease, and the two operations are performed at the same time, which is extremely demanding on the operator!


    (end of this chapter)

 v2 Chapter 858： Combined surgery (second more, thanks for the momentless faceless

    Chapter 858 Combined Surgery


    "Lu, can you do this operation?" Lambert asked nervously.


    After a while, Lu Chen nodded slowly.


    "You can try it, but I need to check the echocardiography again and re-evaluate the patient''s condition."


    Lambert heaved a sigh of relief, "It''s easy to say anything about checking, just have your words."


    "Then let''s get started."


    Lu Chen began to put on the surgical gown.


    For this four-leaflet valve deformity, he has done it in the virtual space of the system.


    But he has never tried PCI combined with TAVR.


    "Is it okay to let Kenji Yamada be my assistant?" Lu Chen looked at Lambert.


    "No problem at all!"


    Lambert is now preoccupied with solving this patient''s condition.


    Yamada Kenji''s face brightened.


    It is a good opportunity for him to have several more surgeries.


    It''s just that Casas, who was on the operating table, didn''t look very good.


    But the attending doctor Lambert had already agreed to Lu Chen, and he had nothing to do.


    ¡­


    Lu Chen has changed into his surgical gown.


    At this time, Kenji Yamada pushed an ultrasound machine.


    The duo restarted to review the patient''s echocardiography.


    Ultrasound showed that the aortic peak velocity was 470cm/s and the peak pressure difference was 88mmHg.


    Four-leaf valve deformity, the circumference of the valve ring is 70.3mm, the average diameter is 21.9mm, and the circumference of the LVOT is 70.7mm, and the average diameter is 22.5mm. Lu Chen frowned, the patient''s aortic stenosis was worse than expected!


    Lambert watched.


    "Lu, what type of valve are you going to use?"


    Lu Chen thought about it and said: "The patient''s aortic valve root is severely stenotic, the valve leaflets are thickened significantly, and the risk of coronary occlusion is high. First, use a minimally invasive 18mm balloon for pre-dilation. If there is no obvious regurgitation, then implant the TAV21mm valve. "


    He said these words to Lambert, and also to Kenji Yamada.


    Yamada Kenji heard Lu Chen''s words and immediately started preparing the artificial valve and balloon.


    The two of them have cooperated in many surgeries, and now they are extremely tacit.


    "Lu Chenjun, which side of the vascular access to choose?" Yamada Kenji continued to ask.


    Lu Chen re-examined the patient''s vascular access.


    Bilateral approach has tortuous vessels, smooth vessel walls and acceptable bifurcation heights.


    The average minimum inner diameter of the left blood vessel was 7.6 mm, and the average minimum inner diameter of the right blood vessel was 7.8 mm.


    "Choose the right femoral artery!" Lu Chen said solemnly.


    "it is good!"


    Yamada Kenji nodded and started piercing at the same time.


    His technique is very subtle, even Lu Chen can''t beat him 100%.


    This islander is really capable.


    The puncture of the blood vessel was smooth.


    Kenji Yamada immediately put in a pre-expanded balloon.


    is almost the same as Lu Chen''s prediction, bilateral coronary imaging, 18mm balloon almost blocked the valve opening, no obvious regurgitation!


    "This 18mm balloon is a good choice!" Lambert said in admiration, "Lu, are these eyes vernier calipers?"


    Lu Chen smiled, "Lambert, you can do it if you do too much. There is an old saying in China, practice makes perfect."


    Surgery continues.


    "Lu Chenjun, the valve position is set, I will release the valve directly?" Yamada Kenji''s confidence increased greatly at this time.


    Under the leadership of Lu Chen, the operation is going well so far.


    But Lu Chen immediately poured a ladle of cold water on him.


    "Not yet!"


    "Not released?" Yamada Kenji said in surprise, "After a long time, patients are prone to heart failure."


    Lu Chen pointed to the image of the patient, "The height of the left and right coronary openings is low, especially the right coronary opening. In this case, releasing the valve can easily block the coronary artery!"


    "So you need to protect the coronary arteries in advance?" Kenji Yamada understood.


    "That''s right!" Lu Chen nodded, "Routine TAVR doesn''t need to take this into consideration, but the patient''s coronary vessels are inherently bad, and a little carelessness may cause cardiogenic myocardial infarction!"


    Under the measures of coronary artery protection in advance, Kenji Yamada successfully released the artificial valve!


    "Don''t leave yet, take a look, you may have to adjust your position!"


    Lu Chen is now staring at the images during the operation.


    Because of the special four-leaflet valve structure, the positioning and stability of the release valve must be guaranteed to be foolproof.


    After releasing the valve, Lu Chen observed in real time and made corresponding adjustments.


    "Yamada, push a little to the upper right to prevent paravalvular leakage!"


    "receive."


    Under the guidance of Lu Chen, Kenji Yamada completed the delivery and positioning of the entire valve without any risk.


    The ultrasound was re-examined after operation, and the aortic valve transvalvular pressure difference was 0mmHg after operation.


    The position of the prosthetic valve is fixed, there is no paravalvular leakage, and the valve shape is good.


    Beside Lu Chen, Lambert and Casas have been watching.


    Every delicate operation is like an art performance.


    Lu Chen''s greatest skill is not to complete the TAVR, but to **** the rest of the PCI operation while completing the TAVR, and to protect the patient''s coronary arteries as much as possible!


    "Lambert, leave the rest to you." Lu Chen took off his gloves.


    "Don''t worry, Lu, you have done such a good TAVR operation, he won''t let you down."


    Lambert took over the rest of the PCI procedure.


    His coronary intervention level is one level higher than that of Lu Chen.


    No way, who made Lu Chen''s current coronary intervention skill card only advanced.


    He did not go, but stood beside the operating table like Lambert, watching the rest of the PCI operation.


    ¡­


    "Recently, the Mayo Clinic Cardiology PCI and TAVR group combined surgery for a high-risk patient: four-leaflet aortic valve, severe aortic valve stenosis combined with moderate regurgitation, low coronary opening, small cavity, and severe calcification of valve leaflets , Acute exacerbation of heart failure, successful combined treatment of PCI + TAVR."


    It is considered a top-level difficult operation in Mayo, and it naturally caused a sensation on a global scale.


    Lu Chen didn''t pay much attention.


    He focuses more on himself.


    After this operation, he also understood his shortcomings.


    In addition to TAVR surgery, in the fields of coronary intervention, electrophysiology, congenital heart disease, etc., there is still a big gap between him and the top doctors at Mayo Clinic.


    However, Lu Chen''s outstanding performance aroused the idea of ??the director of Mayo''s Cardiology Department.


    "Mr. Kebed, you mean, the director wants me to go to the office to find him?"


    Lu Chen was a little confused.


    "Yes, he called me today." Kebed nodded, "His office is on the fifth floor."


    "Okay, I''ll find him right away."


    Lu Chen didn''t know much about the director of the Cardiology Department at Mayo Clinic.


    This is not like in China, where the director usually does not interfere with everyone''s medical behavior.


    After Lu Chen came to Mayo for so long, he had never met the director of Mayo''s Cardiology Department.


    ¡­


    Come to the fifth floor.


    After Lu Chen asked about the specific office location, he knocked on the door of the director''s office.


    "Come in!"


    A full-fledged voice came out, and Lu Chen gently pushed open the door.


    To Lu Chen''s surprise, the director of the Cardiology Department in front of him had an Asian face.


    There are also updates


    (end of this chapter)

 v2 Chapter 859： Promoted to Mayo Independence! (The third update, ask for a wave ticket)

    Chapter 859 Promoted to Mayo! (The third update, ask for a wave ticket)


    After being stunned for a moment, Lu Chen slowly regained his senses.


    "Director, are you looking for me?"


    The middle-aged man with Asian appearance in front of him showed a warm smile, and he looked up and down Lu Chen.


    "Well, I''m looking for you."


    This sentence, he said it in Chinese.


    It¡¯s just that his Chinese pronunciation is a bit strange, and he probably hasn¡¯t stayed in Huaxia for a long time.


    "Director, do you still speak Chinese?" Lu Chen quickly switched to Chinese Mandarin.


    Could it be that the director of the Cardiology Department of the Mayo Clinic is a Chinese?


    "It''s only a little bit." The middle-aged man switched to English, "My parents are from China, I lived in China when I was a child, and later came to the United States with my parents. After living here for more than 40 years, I forgot the Chinese language. It''s almost there, just a little bit."


    "Oh." Lu Chen nodded slightly.


    At this time, the middle-aged man slowly stood up and pointed to the sofa beside him, "Lu Chen, let''s sit down and have a good chat."


    The two sat opposite each other.


    The middle-aged man smiled and said, "First of all, let me introduce myself. I''m the director of Cardiovascular Medicine at Mayo Clinic. You can call me Huaxia by my name, Shen Wenguang."


    "Hello Director Shen." Lu Chen replied immediately, "I''m from Huaxia Jiangcheng. In fact, it''s only been a year since I graduated from my doctorate, and I''m currently training Fellow at Mayo."


    "Well, I know your situation." Shen Wenguang smiled and nodded, "In the field of TAVR, your current surgical ability, even in Mayo, is second to none. And what you wrote about Dag when you were a student I have read Liejing''s papers before, and they are all influential papers!"


    "Director Shen, you have won the prize."


    Lu Chen was a little curious about the reason why Shen Wenguang was looking for him.


    Although he performed very well in Mayo, the most important thing in Mayo is genius.


    Here is a gathering of medical geniuses from all over the world.


    What''s more, he was just a 0Fellow who came to train in Cardiology.


    You must know that Dr. Mayo''s director of cardiology, who can sit in this position, is the top professor of cardiovascular disease in the world!


    Could it be that... Director Shen takes good care of him because he is of Chinese descent?


    At this time, Shen Wenguang continued: "The last time I met Dr. Hua Xia at the Mayo Cardiology Department, it has been many years, maybe seven or eight years. You are the first in recent years!"


    Lu Chen was a little strange, "Director Shen, our Huaxia doctor is not bad. Logically speaking, there shouldn''t be so many."


    "There are quite a few people who come to visit, but very few apply to become Fellows." Shen Wenguang shook his head, "Even if there are people from China, most of them are of Chinese descent, and they have lived in the United States since childhood. It is better to say that they are from the United States than from the United States. people."


    For this, Lu Chen can understand.


    Ordinary people are not qualified to apply for Huaxia Fellow at all, and those who are able and qualified will not be willing to be an attending doctor in Mayo.


    As long as you return to China, you can easily receive an annual salary of more than one million yuan or even higher at the same level.


    But at Mayo, everyone is paid the same, and may not even be as good as domestic experts at the same level.


    "Lu Chen, I have read your resume. You are one of the best Chinese cardiologists I have seen over the years."


    Shen Wenguang finally got to the point.


    Lu Chen also pricked up his ears and began to listen.


    "Although I am in the United States now, my roots are in China!"


    "I sincerely hope that there is a Huaxia doctor who can stay in our Mayo!"


    "If one day he returns to Huaxia, it will really help the development of our Huaxia cardiology career."


    Shen Wenguang''s words, Lu Chen was taken aback.


    Director Shen really has such a mind?


    Living in the United States, with China in mind?


    However, Shen Wenguang had no reason to lie in front of Lu Chen.


    In addition, this is an olive branch from top international professors.


    This was different from any other professor Lu Chen had encountered before.


    Mayo Clinic, this is the world''s top medical center.


    Director Shen Wenguang is also the top professor in the world.


    "Director Shen, I''ll tell you the truth." Lu Chen smiled, "I came to Mayo and applied for a Fellow of the Cardiology Department. Of course, my purpose is to work in Mayo."


    Hearing this, Shen Wenguang smiled slightly.


    "Lu Chen, with your current ability, it is more than enough to serve in our Mayo Cardiology TAVR group."


    "Director, what do you mean..." Lu Chen blinked, having a bold idea in his heart.


    "Lu Chen, you guessed right." Shen Wenguang said, "As long as you are willing to stay in Mayo, tomorrow I can directly let you finish fellow training and become our Mayo''s attending doctor."


    The title of attending doctor has come to an end in Mayo.


    Every attending doctor at Mayo is one in a thousand.


    They all have outstanding performance in clinical or scientific research.


    To be honest, Lu Chen was moved when he heard this.


    Clinical Fellow, after all, is still a doctor in training.


    The attending doctor can really start to lead the team, become an independent medical team, and even set up its own scientific research team.


    "Director Shen, what I want to ask is, how many years is Mayo''s contract at least?" Lu Chen said.


    He couldn''t stay here forever, not even for a long time.


    Before leaving Mayo, Lu Chen needs to improve himself as much as possible.


    "Two years!" Shen Wenguang said slowly, "As long as you agree to stay at Mayo, it will be at least two years. After two years, you can choose to renew the contract or leave."


    "Okay! I agree!"


    Two years, within Lu Chen''s acceptance.


    Being the attending doctor in Mayo for two years, this experience is hard for a doctor to refuse.


    "That''s great." Shen Wenguang showed a smile, "You go back and write an application about ending the Fellow training ahead of schedule."


    Mayo''s Fellow training, usually two years, but there is actually no fixed time.


    Most people have two years, a few have one year, and some have more than two years.


    As long as the director of the department approves the training, it can be successfully completed.


    But after graduating from Mayo, it is not unexpected that you can join Mayo.


    Just like the current Kebed, he broke out from the same batch of Fellows who graduated and joined Mayo.


    "Director, do I need to take the examination of the attending physician of Mayo?" Lu Chen wondered.


    "Of course not." Shen Wenguang smiled and said, "Your quota is a direct invitation from our Mayo, and the mode is not reviewed."


    "Thank you, Director Shen." Lu Chen smiled.


    No matter what other goals Shen Wenguang has, but for the current Lu Chen, this is a rare opportunity!


    After staying at Mayo for a year, Lu Chen was promoted to the chief physician.


    The entire Mayo Cardiology Department was not surprised by Lu Chen''s promotion.


    At Mayo, here is a purely clinical ability, surgical ability, and scientific research ability.


    During the past period, Lu Chen''s clinical and surgical abilities have conquered everyone.


    (end of this chapter)

 ~： night shift tonight

    Night shift tonight


    Night shift tonight. Have time to write a chapter.


    If you don''t, I''ll make it up after the night shift tomorrow.


    I''ve been super busy recently, the weather is so hot, and there are still so many heart attacks, I''m speechless.


    (end of this chapter)

 v2 Chapter 860： Returning from a business trip (first update)

    Chapter 860 Returning from a business trip (first update)


    Mayo Center, Cardiovascular Medicine Ward.


    Lu Chen was carrying out a routine ward round with his fellows and interns.


    There are not many patients in the ward, but each patient is of high quality, and they are basically difficult and critically ill patients transferred from other hospitals.


    There are even many people who are politicians in other countries.


    "The 3-bed patients have refractory heart failure and refractory angina pectoris. They are temporarily treated conservatively and undergo PCI as an elective procedure."


    "The 5-bed patient has severe aortic insufficiency and congenital heart disease. Please consult the congenital heart disease team and try to arrange TAVR combined with congenital heart disease surgery!"


    "The 8-bed patient has unexplained heart enlargement, and a cardiac MRI will be arranged as soon as possible to rule out cardiomyopathy and myocarditis..."


    Lu Chen''s every doctor''s order was issued in an orderly manner.


    And he will double check to avoid any mistakes.


    The two fellows in the ?? group are both native American doctors.


    They admired this young attending doctor from China.


    Even Mayo, who is full of geniuses, rarely has a 30-year-old attending doctor.


    After all, in the US doctor system, you can only study medicine after graduating from an undergraduate degree.


    The average person graduated from clinical medicine, basically at the age of 30.


    "Dr. Lu, there are two TAVR surgeries next week, I want to participate, can I?" one of the Fellows whispered.


    For surgery, Lu Chen has always been willing to involve these young doctors.


    "No problem, you two can take part in the TAVR surgery after you have handled the patients on your own beds." Lu Chen nodded slightly.


    The two Fellows looked happy when they heard the words.


    Although the attending doctor in front of him is from China, they can clearly feel the difference between Lu Chen and other attending doctors.


    Lu Chen did not have the feeling of being aloof as other attending doctors.


    And every time they encountered difficult questions, Lu Chen was willing to help them answer them.


    This is the biggest difference between Lu Chen and other doctors.


    Therefore, many young Fellows or resident doctors like to follow Lu Chen.


    As long as Lu Chen knows and can answer, he will try his best to help everyone answer their questions.


    ¡­


    After a day of clinical work, Lu Chen came to the research studio.


    His current research protection time is 30%.


    According to the level of his attending doctor, it can be raised up to 50%.


    However, Lu Chen didn''t have a suitable topic recently, so he put his scientific research on hold.


    He mostly came to the research studio to familiarize himself with the environment, and occasionally went to Kebed to help.


    Lu Chen is going to wait until he is familiar with the work flow of Mayo''s attending doctor before slowly forming his own scientific research team.


    After get off work, go back to your rented room.


    Yu Weiguang, who was next door, had already returned to China.


    He gave Lu Chen all the rest of the instant noodles, which also allowed Lu Chen to add meals from time to time.


    But since Kebed learned about the deliciousness of Huaxia instant noodles, he often finds Lu Chen for instant noodles.


    This made Lu Chen''s few instant noodles almost exhausted.


    In addition, Lu Chen also asked Yu Weiguang to bring some souvenirs back, mainly for his parents and Xu Wei.


    The room that Yu Weiguang had rented before has already lived in the newcomer.


    However, this newcomer is not "new", he is also a visiting doctor in Huaxia, a doctor from the Cardiology Department of the Second Hospital of the Magic City.


    After Lu Chen went home today, he started packing.


    "Lu Chen, are you going to move out?" Chen Xuhua, a cardiologist from Huaxia next door, came in.


    "Well, I''ll leave tomorrow." Lu Chen nodded with a smile, "It''s easier to go to work from the Mayo apartment, and there''s no rent."


    After he was promoted to Mayo''s attending doctor, Mayo provided him with an apartment, which he lived in for free.


    As long as Lu Chen does not leave Mayo and the Mayo Clinic does not close down, then he can live.


    Although Lu Chen is not bad money, but when he can save, he still has to save.


    Moreover, he went to see the living environment of the Mayo apartment.


    In addition to the food is not good, other places are much better than this rented room.


    "Lu Chen, I really envy you." Chen Xuhua couldn''t help sighing, "To become Mayo''s attending doctor at such a young age is something no one can envy."


    Chen Xuhua''s position in the Second Hospital of Modu is not low. He is the deputy director of the Cardiology Department, and he is usually in charge of the medical treatment of the entire department.


    "Director Chen, don''t be slaughtered. Compared with you, I''m still far behind." Lu Chen said modestly.


    Chen Xuhua is a senior, and has a high reputation in the Chinese medical circle. This time, he came to Mayo to learn the latest technology, and on the other hand, he also had the idea of ????gilding.


    After all, the old director of their Cardiology Department is about to retire, and Chen Xuhua took advantage of this opportunity to continuously enrich his resume.


    Although he knew that Lu Chen''s words were modest, Chen Xuhua still smiled happily, everyone was willing to listen to good words.


    "Lu Chen, you shouldn''t have any plans to stay at Mayo, right?" Chen Xuhua suddenly wanted to look at Lu Chen.


    Lu Chen immediately shook his head, "Director Chen, I will definitely go back to Huaxia."


    All his ideals and aspirations, as well as his own concerns, are in China.


    "That''s great." Chen Xuhua''s eyes lit up. As far as he knew, Lu Chen resigned from Huaxia to come to Mayo. "Lu Chen, I sincerely hope that you can come to our second hospital after returning to China!"


    A Mayo''s attending doctor, in any other hospital in the world, that is a guest!


    And Lu Chen is only under 30 years old this year. This future development is definitely not something that ordinary people can predict.


    Chen Xuhua stared at Lu Chen closely, he must grasp this talent.


    With Lu Chen''s help, the probability of him taking the position of chief director will definitely be much higher!


    However, Lu Chen shook his head: "Director Chen, thank you for your love. I definitely want to go back to China, but I haven''t made up my mind about my plan after returning to China."


    "No hurry, no hurry." Chen Xuhua waved his hand quickly, "Anyway, you have my phone number, as long as you have any ideas, you can come to me at any time."


    "Okay, thank you Director Chen." Lu Chen nodded slightly.


    He didn''t immediately reject Chen Xuhua, and he might be in trouble in the future.


    After all, he is the deputy director of a top tertiary hospital, and he has some influence in the Chinese medical circle.


    ¡­


    In addition to Chen Xuhua in Mayo, hospitals across China also learned about Lu Chen.


    Some people want to get in touch with the Mayo Center through Lu Chen and cooperate on some projects.


    There are also some people who, like Chen Xuhua, want to win over Lu Chen.


    However, Lu Chen refused for the time being.


    His current idea is very simple, work conscientiously at Mayo, and improve himself as much as possible.


    Otherwise, even if he returns to China now and can get a good treatment, he will still be constrained by the leadership.


    In this way, Lu Chen carried out clinical work step by step at the Mayo Clinic.


    However, there was a sudden episode that gave Lu Chen a chance to go on a business trip and return home.


    Start today''s update work


    (end of this chapter)

 v2 Chapter 861： Goodbye to the old man (second more)

    Chapter 861 Goodbye to the Departed (Second)


    China.


    The First Affiliated Hospital of Kyoto, the second ward of the Department of Cardiology.


    As soon as the room was checked, the doctors in the department had time to get together and chat.


    "Have you heard? Mayo has a cardiology medical team coming to our hospital today!"


    "Yeah, I heard that the leaders accompany them in the morning, and there will be academic and surgical sharing sessions in the afternoon. The director of Mayo Cardiology University came in person. This is a great figure!"


    "Hey, it''s a pity that I''m on duty in the afternoon, otherwise I really want to listen to this world-class medical conference."


    Yao Jie is sitting in front of the computer writing medical records.


    Hearing everyone''s conversation, she was a little moved.


    Mayo''s medical team, this is the world''s top cardiology team.


    Mayo''s clinical, surgical, and academic performances all rank first in the world.


    "I just rested in the afternoon, why don''t you go take a look..." Yao Jie thought for a while.


    In order to follow in the footsteps of Senior Brother Lu Chen, she is now working hard.


    However, she did not think that Lu Chen would be there this time.


    Because of this kind of meeting, the people who come here are basically Mayo''s celebrities.


    Senior Brother Lu Chen is amazing, but not long after he entered Mayo, he was only a visiting doctor and should not have the right to participate in this kind of group meeting.


    At this time, Qin Sifeng walked into the office.


    The crowd fell silent all of a sudden.


    "Everyone should know, the Mayo Cardiology Medical Team came to our hospital today." Qin Sifeng looked around and said, "Everyone who is not on duty can go and see the cases and operations of the world''s top medical team."


    "Director Qin, even if you don''t say anything, we all want to go see it." A senior attending doctor said with a smile.


    After all, Mayo is the number one medical center in the world.


    Huaxia Kyoto Affiliated Hospital, although it ranks at the forefront in China, but compared with the world''s top hospitals, there is still a big gap.


    "You can have this heart." Qin Sifeng put his hands behind his back and nodded slightly, then his eyes turned to Yao Jie, his doctoral student, "Xiao Yao, you will come with me this afternoon, you have a special task for you."


    "Okay, Director." Yao Jie immediately stood up and replied.


    After Qin Sifeng left, several attending doctors who were familiar with Yao Jie came together.


    "Yao Jie, Director Qin is going to take you to meet Mayo''s medical team?"


    Everyone looked at Yao Jie with envy.


    "I don''t know, Teacher Qin didn''t tell us." Yao Jie shook her head.


    Although Yao Jie is Qin Sifeng''s favorite student, she is usually very low-key, so she has a good relationship with her colleagues.


    "I see, 80% is true!" The other doctors immediately echoed, "This is a good opportunity. I heard that our hospital and Mayo have a joint construction project this year, and we plan to send people to Mayo for exchange and study. Xiao Yao , you have to perform well and seize this opportunity, maybe you can really go to Mayo!"


    Everyone said this half-jokingly.


    After all, the conditions for applying to go to Mayo are extremely harsh.


    The assessment should be based on the background, clinical, surgical, academic and other aspects of the doctor.


    Those who can visit Mayo are all top-level candidates, or those with deep backgrounds, such as Yu Weiguang, the leader of the younger generation.


    He does not mean that.


    Yao Jie''s heart moved to visit Mayo?


    She¡­ Really?


    ¡­


    The time soon came to the afternoon.


    At this time, the Mayo medical team has arrived at the First Affiliated Hospital of Kyoto.


    As the hospital of the medical team, Lu Chen always followed behind Shen Wenguang.


    There are also Kebed, Kenji Yamada, and other attending physicians or professors of cardiology.


    "Professor Shen, welcome to Huaxia Kyoto!"


    Yang Feng and his party had long been greeted at the Mayo gate.


    As the director of the Department of Cardiology, Yang Feng and the director of Kyoto Hospital stood side by side, welcoming everyone.


    "Kyoto is really changing with each passing day. It hasn''t been here for many years, and many buildings are now different from what they remember!"


    Shen Wenguang smiled and shook hands with the hospital director of Kyoto Hospital.


    Lu Chen glanced at Yang Feng who was standing in the front row.


    Yang Feng, this name is familiar, but somewhat unfamiliar.


    Once upon a time, Lu Chen first came to Kyoto to apply for Yang Feng''s graduate school.


    After ?? was rejected, he was transferred to Jinghua.


    The world has changed, and the two who might have become masters and apprentices have long since become strangers.


    Seven years have passed, but Lu Chen has been able to stand very close to Yang Feng.


    "I wonder if Yang Feng can still recognize him?" Lu Chen thought.


    However, Yang Feng''s eyes were always on Shen Wenguang of the medical team, and he didn''t even notice the people behind him.


    "Professor Shen, let''s take a break first, and then go to the Great Hall for academic sharing activities." Yang Feng, as the director of Cardiology University, connected with the Mayo Medical Group.


    "Everything is easy to talk about, I''ll let you arrange it."


    Then, under the leadership of Yang Feng, Mayo and his group of ten came to the lounge next to the Great Hall of the First Affiliated Hospital of Kyoto.


    ¡­


    "Everyone cheer up, the Mayo medical team will be here soon." Professor Qin Sifeng said to the students in front of him with a serious face, "We must show our Chinese spirit, whether it is cases, operations or academic sharing. Yes, everyone should dare to ask questions and communicate with the experts at Mayo!"


    "Received!" Everyone answered in unison.


    Yao Jie is also among them. They are selected "professionals" to have friendly exchanges with the Mayo Medical Corps on behalf of the younger generation.


    Especially in the academic sharing meeting, avoid the cold field when asking questions.


    At this time, Lu Chen and other members of the Mayo Medical Corps had come to the lounge of the synagogue.


    In the lounge, the director of Kyoto Hospital and the director of the Mayo Center, Shen Wenguang, signed a series of teamwork agreements.


    The First Affiliated Hospital of Kyoto hired Shen Wenguang as the honorary director of the Department of Cardiology.


    Mayo Cardiology Department will lead the team to cooperate with the Kyoto Affiliated Hospital in various forms such as outpatient clinics and surgeries, remote consultations, and video conferences.


    In addition, the First Affiliated Hospital of Kyoto can select doctors every year to visit the Mayo Center for exchange and study.


    "The first batch of exchange places to go to Mayo, there are three, and they are created between you." Qin Sifeng smiled and said to the young doctor in Kyoto in front of him, "Do well today, and strive to leave a good one for the hospital leaders and the Mayo medical team. Impression. If you can visit Mayo to study abroad, it will be a once-in-a-lifetime opportunity!"


    Actually, with their abilities, studying abroad is very simple.


    After all, being able to enter the First Affiliated Hospital of Kyoto is definitely an existence of a scholar or a scholar.


    But it is quite difficult to enter the Mayo Center to visit and study.


    The young doctors of the Kyoto Affiliated Hospital heard what Professor Qin Sifeng said, and everyone''s eyes lit up instantly!


    (end of this chapter)

 v2 Chapter 862： thick and fine

    Chapter 862 Thick and thin


    At this time, at Kyoto International Airport.


    The two beautiful girls walked out of the airport hand in hand.


    "Hey, I''m exhausted from the economy class, and my feet are too sore to move." One of the round-faced little girls couldn''t help but complain.


    "Xiaoling, they said you don''t have to come with me." Xu Wei smiled helplessly, "I''m so old, are you afraid I''ll get lost?"


    "I''m not afraid of you getting lost, I was abducted by someone else!" Zhou Ling frowned, "I have to ask for leave today to come to Kyoto. I remember you had an important interview today? You said it before. Many times, this interview is very important to you!"


    Xu Wei pursed her lips and smiled, but said nothing.


    When she knew that Lu Chen was coming to Kyoto on business, she immediately turned off the job at hand and booked a plane ticket to Kyoto.


    Seeing Lu Chen''s urgent thoughts, she couldn''t control herself at all, even if she rejected an important interview and gave the opportunity to a competitor.


    In addition, her roommate Zhou Ling somehow insisted on coming to Kyoto with her.


    "Where are we going next?" The two came to the waiting room, and Zhou Ling looked at Xu Wei suspiciously.


    "It should be the First Affiliated Hospital of Kyoto." Xu Wei had already checked the route. "Take the airport bus first, then transfer to the subway, and you will be there in about an hour and a half."


    "Go to the hospital?" Zhou Ling was surprised, "I know your little boyfriend is a doctor, but the appointment is still in the hospital? Are you crazy or is he crazy?"


    Xu Wei shook his head: "I haven''t told him that I''m here. Besides, we''re not in that kind of relationship, so don''t talk nonsense."


    "Haha..." Zhou Ling only thought that Xu Wei was thin-skinned and had come all the way to ask for leave. How could it be just an ordinary friend relationship.


    However, she wanted to see what kind of person Xu Wei''s boyfriend was.


    In her eyes, Xu Wei looks good, has a good job, and has a good family. There are a lot of people chasing her.


    She is good, why do you like this kind of guy?


    If the other party is a scumbag, she must persuade her to score!


    ¡­


    the other side.


    The First Affiliated Hospital of Kyoto, the Great Hall.


    The Mayo Medical Mission is over, and the academic sharing conference officially begins.


    With Yang Feng¡¯s announcement, everyone also saw this long-awaited top international medical team.


    "That''s... Lu Chen?!"


    When Lu Chen followed behind Shen Wenguang and slowly walked into the Great Hall.


    Qin Sifeng''s eyes were sharp, and he found him at once.


    Then, Yao Jie also looked over.


    She opened her mouth wide and her eyes widened, her eyes twinkling with doubts and surprises.


    "He really is... Senior Brother Lu Chen!"


    "It''s him!" Qin Sifeng was also wondering why Lu Chen appeared here.


    Isn''t he Mayo''s visiting doctor?


    Are visiting doctors eligible to appear on the medical team representing Mayo?


    is definitely not possible!


    The only explanation for ?? is that Lu Chen has already joined Mayo.


    Qin Sifeng figured this out immediately, he said slowly: "It seems that Lu Chen should become Mayo''s attending doctor."


    Yao Jie was shocked, Mayo''s attending doctor?


    It is not easy to get a medical qualification in the United States, let alone in Mayo!


    Lu Chen''s excellence seems to surpass their imagination.


    The gap between her and Senior Brother Lu Chen seems to be getting bigger and bigger.


    Just when everyone was surprised, Shen Wenguang on the stage spoke.


    As a Chinese, he made a simple opening remarks in poor Chinese.


    This brief speech made everyone in the audience have a lot of goodwill towards the Mayo Medical Corps.


    Then, more than a dozen people from the Mayo Medical Corps sat above the rostrum.


    Everyone at Kyoto Hospital sat down.


    The first case sharing meeting was reported by the attending doctor of Kebed.


    ¡­


    "I''m very happy to come to this beautiful place in Kyoto today. I learned from a doctor Huaxia how beautiful Huaxia is..." Kebed said politely and began to share the difficult cases he encountered in Mayo, "Today What I want to share is a special patient with coronary artery disease."


    Coronary artery is always the hottest topic in cardiology.


    The research on coronary artery is very thorough, and there are very few difficult cases.


    Therefore, the title of Kebed immediately attracted everyone.


    Everyone wants to see what kind of coronary artery disease patient this is.


    At this time, the PPT screen on the screen switches, and a paragraph of English text appears.


    "40-year-old male, persistent chest pain for 1 hour, highly suspected myocardial infarction!"


    In addition to this text, there is an electrocardiogram and a cardiac ultrasound report.


    ECG showed: ST segment elevation in leads II, III, and AVF, and ST depression in leads V1-V4.


    Echocardiogram report: basal segment and inferior wall staged hypokinesis.


    The patient has a long history of smoking, plus the typical ECG and ultrasound reports, this patient is undoubtedly diagnosed with acute infarction!


    However, the eyes of everyone present became more and more solemn.


    The cases shared by Mayo cannot be so simple!


    It seems to be a myocardial infarction, but it is definitely not as simple as a myocardial infarction!


    On the podium, Kebed continued: "The patient was diagnosed with acute myocardial infarction at the first time in the emergency department of a foreign hospital. I believe everyone should have no doubts about this diagnosis, right?"


    Everyone here is speechless.


    All evidence points towards the diagnosis of myocardial infarction.


    But everyone knows that this simple diagnosis is absolutely impossible.


    It¡¯s just that everyone has no evidence.


    "Since everyone has no doubts, then I will continue."


    Kebed cleared his throat and released the patient''s coronary angiogram.


    On the ?? screen, the coronary image map starts to play slowly.


    ¡­


    for a long time.


    After watching the angiography images, everyone showed a puzzled expression.


    This coronary angiography image is so strange!


    is not a myocardial infarction at all, nor is it myocarditis or cardiomyopathy.


    Everyone complained for a while.


    Sure enough, the cases given by Mayo are definitely not that simple.


    The coronary angiography of the patient showed: the proximal segment of the anterior descending artery was dilated and mildly stenotic, the distal segment was dilated and the blood flow was slow; the openings of the circumflex and blunt marginal branches were dilated.


    Diffuse dilatation of the right coronary artery, severe stenosis in the proximal segment, signs of thrombus, mild stenosis in the middle segment, severe stenosis in the posterior descending branch and posterior left ventricular branch.


    Extensive coronary artery disease, both dilatation and stenosis.


    In short, it means "thickness and fineness"!


    For a time, all the Huaxia doctors present turned their attention to the angiography images on the screen.


    Including Yang Feng and Qin Sifeng who were still chatting and laughing just now.


    They didn''t care much about this case at first, but when all the medical records of the patient were taken out, they were stumped by the case in front of them.


    What is this coronary angiography image that looks like a myocardial infarction?


    (end of this chapter)

 v2 Chapter 863： Huaxias future (fourth bigger

    Chapter 863 The future of China (the fourth bigger chapter!)


    Chapter 859 The future of China


    The First Affiliated Hospital of Huaxia Kyoto.


    Town Hall.


    Looking at the continuously playing coronary angiography images, everyone fell into contemplation.


    Even someone as knowledgeable as Qin Sifeng didn''t have any clues for a while.


    He has seen coronary angiography images of myocardial infarction, cardiomyopathy, and myocarditis, but he has never seen such "thick and thin" blood vessels.


    Normal myocardial infarction vessels have local stenosis.


    But this patient''s blood vessels, in addition to local stenosis, are also dilated!


    "Everyone can answer any opinions, don''t be afraid of being wrong, you can say anything if you have an idea."


    On the podium, Kebed said to the crowd with a smile.


    "This case was the result of a discussion between me and a Huaxia doctor. He is also present today."


    Yao Jie''s heart moved when she heard this.


    This American doctor should be talking about Brother Lu Chen, right?


    I didn''t expect Senior Brother Lu Chen to be so powerful, he could solve even this kind of case!


    "Yao Jie, I remember correctly Hua, the man on stage should be Lu Chen, right?"


    Suddenly, Yao Jie said as a boy.


    "How do you know?" Yao Jie frowned.


    Although Lu Chen stayed in Kyoto, this happened many years ago.


    "I definitely remember." Wu Lang pouted, "I remember clearly when he came to the department to look for you."


    At that time, Wu Lang pursued Yao Jie, but Lu Chen suddenly appeared, which made him lose his thoughts.


    However, with Lu Chen''s departure, both he and Yao Jie stayed in the capital.


    His heart started to get restless again.


    "I see, if you want to ask Lu Chen, he should know the diagnosis of this case." Wu Lang suddenly whispered, "As your senior brother, I think he should tell you the answer. To perform in front of the big leaders, it must be quite brilliant."


    Wu Lang''s voice dropped a few decibels again, "Maybe, you can get a Mayo spot."


    "Hmph, I wouldn''t do such a thing!" Yao Jie immediately rejected Wu Lang, "This is equivalent to deception, whether Brother Lu Chen wants it or not, I definitely won''t ask him!"


    "Hey, this case is actually something we haven''t seen." Wu Lang smiled disdainfully, "A rare disease, if I see it once, I can definitely diagnose it next time. Mayo sees this rare disease a lot. Actually, it doesn''t matter after all."


    Hearing Wu Lang''s words, Yao Jie felt that he was even more disgusted, so she stopped replying.


    Wu Lang consciously encouraged failure, shrugged his shoulders, and stopped talking.


    However, although Yao Jie didn''t ask Lu Chen the answer, she thought about it in her heart.


    If she asked Senior Brother Lu Chen this question, would he give him the answer?


    ¡­


    At the scene, there was finally a doctor in charge of Huaxia, who bravely stood up and replied.


    "Is this case like Kawasaki disease in children?"


    Kebed smiled and shook his head: "You still have ideas, but the main manifestation of Kawasaki disease is vascular stenosis, but this patient also has vasodilation in the stenosis."


    "Oh, I was wrong." Huaxia''s attending doctor scratched his head and sat down.


    "No one else answered again?"


    Kebed looked around and saw that no one raised his hand, he smiled, "Okay, then I won''t waste any more time and start publishing the answer."


    Then, an English text appeared on the projector on the podium.


    Translated into Chinese, it is "coronary dilation"!


    "Yes, this disease is actually very rare, it''s called coronary artery dilatation." Kebed continued, "I checked Mayo''s own database, and finally found the name of the disease. Its incidence in Chinese people is not high, mainly Still in Europe and the United States and other places, the incidence rate of each study is different, about 0.02%."


    Hearing Kebed''s words, the Huaxia doctors below began to check relevant information on the Internet.


    With Kebed''s explanation, and everyone''s own understanding of the situation.


    The truth of this special case began to slowly emerge in front of everyone''s eyes.


    Coronary ectasia, English name CAE.


    Kebed continued:


    "In short, it is actually an abnormal expansion of the subepicardial coronary artery. The diameter of the lumen at the dilation exceeds 1.5 times the diameter of the adjacent normal segment, and if the diameter exceeds the diameter of the adjacent normal segment by more than 2 times the limitation The dilation is called a coronary artery aneurysm (CAA)."


    "If the diameter of the pipe exceeds 4 times the diameter of the normal segment, it is a giant CAA."


    "CAE/CAA most commonly involves the right coronary artery (RCA), and the lesions are mostly diffuse. The second is the left anterior descending coronary artery (LAD), the left circumflex coronary artery (LCX), and the left coronary artery is often segmental, and the most Infrequently involving the left main (LM) of the coronary arteries."


    "The case I''m introducing to you today, more precisely, should be of CAEI grade of coronary artery dilatation."


    As soon as the ?? voice fell, everyone began to discuss.


    Really a pretty rare case!


    After what Kebed said, this disease is now simpler.


    Judging from the symptoms, ECG, and ultrasound images, it is angina pectoris.


    But in fact, the internal pathological changes are extremely complex.


    "If you have any doubts about this case, you can ask questions!" Kebed smiled.


    As soon as he finished speaking, Wu Lang suddenly raised his hand.


    Yao Jie on the side was a little surprised.


    Wu Lang''s level, she knows.


    He has published several SCI papers in China, and he is a little clever, but when he encounters such a large-scale academic conference, what other good opinions can he have?


    "Okay, man, please answer."


    Immediately at the scene, a staff member handed the microphone to Wu Lang.


    Afterwards, the leaders of Yang Feng, Qin Sifeng and other institutes immediately turned their attention to this young doctoral student.


    Being stared at by many big coffees, Wu Lang was also a little scared.


    But as soon as he thought that his speech would make the leader aware, he suppressed his inner panic.


    "Professor Kebed, what I actually want to ask is about the grading of coronary artery ectasia you mentioned." Wu Lang said slowly, "This patient is very serious, but the grade is only grade I, so grade II cannot grow into Beaded like candied haws?"


    Kebed may not understand what a candied fruit is, but someone immediately explained it, and he understood.


    Afterwards, Kebed smiled: "Actually, CAE grades are arranged in descending order of severity, grade I is diffuse dilation of double or triple vessels, grade II is diffuse dilatation of single vessel and localized dilation of another vessel. Grade III is diffuse dilatation of a single vessel, and grade IV is local segmental dilatation.¡±


    "This...Thank you professor for your explanation."


    Hearing Kebed''s words, Wu Lang touched the back of his head in embarrassment.


    He never imagined that this classification put the heaviest in the front and the lightest in the back.


    is inverse to hypertension classification, cardiac function classification, conduction block classification, and Lown premature ventricular classification!


    This time, not only did he not show his face, but he also made an oolong joke.


    Wu Lang hurriedly sat down.


    Yao Jie pursed her lips and smiled lightly.


    This Wu Lang usually likes to show off, but on this occasion today, he is still showing off his cleverness.


    On the stage, Kebed smiled calmly and said: "You Huaxia have a saying, those who don''t know are innocent. This young student did a good job just now. Otherwise, I wouldn''t have a chance to tell everyone about this classification."


    When Wu Lang heard this, his face turned red again.


    Why does he still "sarcastic" him?


    "Do you have any other questions about this disease?" Kebed continued, "If not..."


    At this moment, Yao Jie suddenly raised her hand.


    "Okay, you answer this lady." Kebed pointed to Yao Jie who was seated in the front row.


    Yao Jie stood up slowly, she glanced at Lu Chen secretly, and then slowly shifted her gaze to Kebed.


    At this time, Lu Chen also found Yao Jie in the front row.


    He was also very surprised. He didn''t expect to meet Yao Jie again on this occasion.


    ¡­


    Yao Jie looked at Kebed and slowly expressed her doubts.


    "Kebed, from what you just described, I know the manifestations of this coronary artery disease, but in the end, what are the pathological changes of this dilation and stenosis?"


    This question involves the level of pathophysiology, but it has some value.


    Kebed immediately said: "Different diseases have different mechanisms for causing CAE, and the underlying pathogenesis includes extracellular matrix degradation, activation of systemic and local inflammatory processes, changes in nitric oxide (NO) metabolic processes, and the renin-angiotensin-aldosterone system. (RAAS) activation, genetic factors, and interventional associations."


    "You may also see reports of myocardial infarction in children, many of them due to ''Kawasaki disease'', which is the most common cause of coronary dilation in children. In adults, coronary dilation is mostly the result of atherosclerosis ."


    "Atherosclerosis?" Yao Jie felt even more surprised, "Isn''t atherosclerosis leading to stenosis of blood vessels, why does it also lead to coronary dilation?"


    This question also asked the voice of everyone present.


    Expansion and stenosis are opposite manifestations.


    Why does a person''s coronary vessels appear at the same time?


    Kebed explained calmly: "Atherosclerosis involves the intima, media, and adventitia, which promotes proteolysis of the extracellular matrix, and at the same time enhances the local inflammatory response, destroys the elasticity of blood vessels, and reduces the pressure of the blood vessel wall on blood flow. tolerance, leading to vascular remodeling¡­¡±


    "Under the action of arteriosclerosis, local inflammation, vascular remodeling, etc., it leads to a complex situation of dilation, stenosis, and coexistence of thrombus."


    CAE is divided into congenital and acquired, and congenital is less common.


    Atherosclerosis is the most common cause of acquired CAE, accounting for 50% of adult CAE.


    The most common cause of CAE in children is Kawasaki disease, in addition to infectious diseases (septicemia, fungal emboli, syphilis, Lyme disease), connective tissue disorders (Marfan syndrome, Ehlers-Danlos syndrome, hard skin diseases), drug-related, traumatic, and iatrogenic causes.


    Male, hyperlipidemia, hypertension, and smoking were clear risk factors.


    "If you describe the changes in detail, it won''t be clear in a short time." Kebed smiled at Yao Jie, "If you are interested, we will upload this medical record for everyone to study."


    "Thank you, Professor Kebed." Yao Jie quickly thanked, "Besides, I have another question."


    Kebed was about to withdraw. Unexpectedly, Yao Jie spoke up again, then smiled and nodded, "You ask."


    "Since both are caused by atherosclerosis, will the symptoms of vasodilation be similar to vascular stenosis?"


    Kebed glanced at Yao Jie with admiration, "You are right. Most CAEs do not cause obvious symptoms and are often found incidentally during coronary angiography, but if symptoms occur, the most common symptom is angina pectoris, and myocardial infarction can also occur. and sudden death, thrombosis, embolism and local vascular rupture are the main causes of myocardial infarction and sudden death."


    Yao Jie nodded and continued to ask, "Professor, can a stent be placed in such a lesion?"


    It is usually said that the stenosis caused by atherosclerosis requires stenting.


    However, this patient also had dilation.


    Kebed shook his head: "Dilated arteries are prone to thrombosis. In the face of such lesions, conventional stent implantation is obviously more risky. Through research, we believe that coil embolization can be performed on the dilated area, just like the treatment of cerebral aneurysms, but The risk remains high. There is not enough research to guide intervention, and coronary artery bypass grafting (CABG) is the first choice."


    Having said that, Kebed glanced at Yao Jie, indicating that she had any questions to continue asking.


    Yao Jie quickly thanked: "Thank you, Professor Kebed, I have no problem for now."


    "Okay, thank you for your question." Professor Kebed smiled at Yao Jie and gave a thumbs up, "Your clinical thinking is very active, you can think of these questions at the first time, and many of them are critical. The problem is not that simple."


    Hearing Kebed''s praise, Yao Jie smiled shyly.


    aside, Qin Sifeng''s face was full of smiles.


    This is his student!


    Being in front of the leader today really gave him a face!


    Everyone thought that this case was over, but what was unexpected is that Kebed still has content to share with you.


    "As the lady asked just now, the best way to deal with this disease is coronary artery bypass." Kebed said helplessly, "But the client refused to bypass, so do you think there is a better treatment?"


    This time, more people raised their hands to answer the question.


    After Yao Jie''s question and answer, everyone was not so restrained.


    A senior deputy chief physician said: "I think it''s better to take dual antibodies, two antiplatelet drugs, aspirin and clopidogrel, and then supplemented with lipid-lowering drugs."


    Kebed shook his head: "The idea is good, but a little one-sided, do you have any other opinions?"


    Yao Jie kept thinking about this question, she immediately raised her hand.


    "Okay, this lady please continue to answer." Seeing Yao Jie raising his hand again, Kebed called her name immediately.


    Yao Jie stood up and thought for a while: "Extraordinary measures should be taken at extraordinary times. As you just said, dilated blood vessels are prone to thrombosis, so I think anti-platelet alone is definitely not enough!"


    "I felt that ''tertiary antibodies'' could be used to maintain treatment!"


    The so-called ''tertiary antibody'' is the use of two antiplatelet drugs, aspirin and clopidogrel, plus warfarin (rivaroxaban) for anticoagulation.


    "How to use the three antibodies?" Kebed asked with a smile.


    Yao Jie continued: "I have never seen such patients, but they can be compared to patients with coronary heart disease and atrial fibrillation. These patients also need to use tertiary antibodies in the unstable period."


    "That is, stop clopidogrel after 1 month, continue to use aspirin and warfarin, and control the International Normalized Ratio (INR) between 2.0 and 3.0 with multiple reviews."


    "In addition, while applying the ''tertiary antibody'', the dosage of statins should be strengthened. If the patient''s symptoms can be controlled smoothly, coronary artery bypass grafting is also possible."


    As soon as he finished speaking, Kebed gave Yao Jie another thumbs up.


    "Nice to know how to treat a patient by analogy! You''re right, it''s roughly the same as the treatment we chose."


    The PTT screen on the screen continues to switch.


    The patient''s treatment method appears in front of everyone.


    After everyone''s comparison, it really is similar to what Yao Jie said just now.


    At this moment, everyone present had to look at this little girl Yao Jie with admiration.


    Agile clinical thinking mode, not afraid of facing danger from top Mayo professors.


    Even Yang Feng, the director of Cardiology University, was asking who this girl was from.


    The one with the brightest smile right now is Qin Sifeng!


    Today Yao Jie gave him too many surprises.


    ¡­


    on stage.


    Lu Chen looked at Yao Jie who was calm and fearless, and felt happy for her.


    Unconsciously, the little girl who used to follow him to round the house has grown up!


    Lu Chen couldn''t help sighing in his heart.


    Over the years, not only is he growing up, but the group of people around him are also growing.


    Gu Xinyue, Ke Yue, Wang Zihao, Ke Yue, etc., and even Fan Zhiping, who is a graduate student, are continuing to further their studies and study!


    Perhaps, the future of medicine will be accompanied by so many friends and not so lonely.


    Perhaps, in the future, Huaxia''s medical career will definitely be better because of the existence of so many young talents!


    Yesterday, I updated 1w words, asking for votes and subscriptions, is it not too much?


    (end of this chapter)

 v2 Chapter 864： See you (first update)

    Chapter 864 Meet (First Update)


    "Xiaowei, where is the Great Hall going?"


    Zhou Ling looked at the hospital map suspiciously.


    The First Affiliated Hospital of Kyoto is very big, and there is a high probability that people who come here for the first time will get lost without a map.


    "Should it be this side, or that side?"


    Xu Wei frowned.


    This map is a bit too complicated, she herself has the attribute of Luzhi, and she can''t recognize it at all.


    A doctor in a white coat happened to pass by, and Xu Wei hurriedly stepped forward to ask, "Hello doctor, I would like to ask, which way should the Great Hall in the hospital go?"


    The passing doctor glanced at Xu Wei strangely. He didn''t want to answer, but when he saw two young and beautiful girls in front of him, he asked, "What are you doing in the Great Hall? There is no inpatient department there, nor is it for examinations. place, did you find the place?"


    Xu Wei was stunned for a moment, then smiled, "Doctor, we are looking for someone, not a doctor."


    "Oh, that''s it." The doctor said, "I happened to be attending a meeting in the Great Hall, you just follow me behind."


    "thanks!"


    Xu Wei thanked him repeatedly, and the two followed behind the doctor.


    "Xiaowei, are you really right?" Zhou Ling leaned in front of Xu Wei, "Your boyfriend is not in the inpatient department? In what hall?"


    Xu Wei nodded, "I just asked him, and he said he was attending a meeting in the Great Hall, so he should be right."


    "He was attending a meeting, and he asked you to come over?" Zhou Ling pouted, "This person is really unreliable."


    ¡­


    Town Hall.


    The first case sharing is over.


    Yao Jie''s dazzling performance won the attention of the leaders.


    At the same time, through this case, all the doctors in the First Affiliated Hospital of Kyoto realized a problem, the limitations of their environment.


    Patients with "coronary dilatation" like this, they have basically never heard of it in Huaxia, let alone diagnosed.


    Everyone has been looking at the medical level of the Mayo Medical Corps more and more.


    Then, the second case was shared by another attending doctor in Mayo.


    This time, Yao Jie knew that she was keeping a low profile, so she did not stand up again to ask questions.


    This makes those who have been following her a little disappointed.


    The second case is also a difficult rare disease.


    Cases that require some effort to solve in Mayo are naturally difficult cases to get to other hospitals.


    "Professor Shen, it really deserves to be Mayo!" Yang Feng said to Shen Wenguang with a smile, "These cases depend on us to diagnose, I''m afraid it may not work."


    Shen Wenguang smiled, "They are all rare diseases. In fact, if you have seen them once, you should be able to diagnose them in the future."


    Yang Feng nodded in agreement, "Our doctors in Huaxia have strong learning ability, but what''s worse is actually a learning platform. Now that we have signed a cooperation contract with Mayo, we will definitely be able to learn Mayo''s cutting-edge knowledge in the future."


    Shen Wenguang said modestly: "With mutual progress, we can also get in touch with Huaxia Medical. You have a large number of patients, and in many fields, such as surgery, they are also the world''s top."


    After saying this, the leaders of the Kyoto Hospital present looked happy.


    ¡­


    After the sharing technology of difficult cases, it is academic sharing.


    Academic sharing, including the learning of the most advanced and cutting-edge knowledge in the field of cardiology.


    The one who came to the stage to share this time was the older generation of professors from Mayo.


    They are at the top level in the world in their respective research fields.


    Just bringing up some hot topics is enough for everyone to discuss all morning.


    Yao Jie, Qin Sifeng and other people who knew Lu Chen were all waiting for him to play.


    However, things backfired, and Lu Chen was not seen on stage to share.


    At this time, Yao Jie noticed that Lu Chen suddenly got up and walked quietly to the backstage.


    "Senior Brother Lu Chen, what are you doing? Are you going to the bathroom?"


    Yao Jie was a little puzzled, the meeting was only halfway through.


    She had long been looking forward to meeting Brother Lu Chen again.


    "I''ll go to the bathroom." Yao Jie said to the doctor beside her, and left her seat as well.


    ¡­


    The reason why Lu Chen left temporarily was that Xu Wei sent him a message saying that she had arrived at the First Affiliated Hospital of Kyoto.


    He was going to go out to meet him, so that Xu Wei could not find a place.


    As soon as he walked out of the Great Hall, he saw Yao Jie coming out as well.


    "Senior Brother Lu!" Yao Jie ran towards her from a distance.


    Lu Chen stopped.


    Yao Jie approached, he smiled, "Junior sister, I haven''t seen you for many years, you are so amazing."


    "No matter how good you are, you are not as good as Senior Brother." Yao Jie looked at Lu Chen and kept reminiscing about the time she was an intern at the Second Academy of Jinghua.


    At that time, it was a very happy thing to be following behind Senior Brother Lu Chen, looking ignorant.


    "Senior brother, why did you go to Mayo?" Yao Jie said quickly.


    "This is a long story." Lu Chen paused, "We can call Wang Zihao and the others out when we have time, and get together."


    "Okay." Yao Jie nodded, "Senior brother, are you planning to leave, not going to the meeting?"


    "No." Lu Chen smiled, "I have something to do, pick up someone and go back right away."


    "Oh." Yao Jie raised her brows, picking up someone?


    Who? !


    ¡­


    And not far from Lu Chen.


    Xu Wei and Zhou Ling have arrived.


    "There is the Great Hall in front of you, why don''t you leave?" the accompanying doctor wondered.


    Zhou Ling also looked at Xu Wei beside her suspiciously.


    Before ??, this little girl was walking fast.


    Why is it coming now, but you are holding back?


    "Well, I see, thank you." Xu Wei thanked the doctor, "I''ll be there in a while."


    The accompanying doctor did not say much, and walked towards the gate of the Great Hall.


    At this time, Zhou Ling also found a man and a woman standing at the entrance of the synagogue.


    When she saw Xu Wei''s eyes, she kept staring at them both.


    Could this man be Xu Wei''s girlfriend?


    Zhou Ling raised her brows and watched the man and the woman chat happily.


    She immediately made up a picture in her mind.


    The heroine dares to meet for thousands of miles, but accidentally encounters the "intimacy" between the hero and other women!


    ¡­


    At this moment, Xu Wei''s cell phone rang.


    She took out her phone and saw that it was Lu Chen.


    In Zhou Ling''s field of vision, a boy not far away also took out his mobile phone.


    Sure enough, it was him!


    Xu Wei did not hesitate, and immediately answered the phone.


    "Where have you been? I''m waiting at the entrance of the synagogue, and I haven''t seen you coming. You won''t get lost, right? If you get lost, don''t move, send your location, and I''ll pick you up."


    Hearing the words from the phone, Xu Wei smiled, "I didn''t get lost, I''ll be there soon."


    "Okay, I''ll wait for you at the entrance of the synagogue."


    hung up the phone, and Xu Wei was about to walk towards the entrance of the hall.


    Unexpectedly, Zhou Ling stopped her, "Xiaowei, is this your boyfriend?"


    Xu Wei nodded, "Male friend."


    Zhou Ling didn''t care about these details, and frowned: "Xiaowei, you came so far to find him, but he''s standing here chatting with other girls, you can''t spare him lightly! I''ll ask them clearly later. relation!"


    Xu Wei was a little helpless, and said to Zhou Ling: "Don''t think about it, if you talk nonsense later, then I won''t take you out in the future."


    Zhou Ling spread out her hands, "I''m thinking of you! You must keep your eyes open to identify the scumbag attributes of some people."


    Hearing this, Xu Wei immediately stopped, and she said to Xu Wei with a very serious expression: "I said it, don''t talk nonsense, otherwise, don''t follow me today."


    Seeing Xu Wei getting serious, Zhou Ling also restrained herself and could only nod her head in agreement.


    ¡­


    Lu Chen chatted with Yao Jie while waiting for Xu Wei''s arrival.


    Actually, he never thought that he had mentioned to Xu Wei that he was going to go back to China for a business trip, and she kept it in mind.


    Even, I booked today''s ticket.


    He recalled the conversation he had with Xu Wei in the Guanghai Talent Apartment before he went abroad.


    Xu Wei''s thoughts, how could he not understand?


    Even when he first went to Mayo, the jet lag was not reversed, and Xu Wei spent it chatting with him.


    Thinking about it, a familiar figure appeared in his sight.


    There are two more.


    I got home too late today, so the update is a little late.


    (end of this chapter)

 v2 Chapter 865： She is my girlfriend (second more)

    Chapter 865 She is my girlfriend (second more)


    "This way!"


    Lu Chen waved at Xu Wei.


    Another girl followed behind her, but Lu Chen didn''t care too much.


    aside, Yao Jie''s heart tightened.


    The person Lu Chen came to pick up was a girl?


    And she''s a pretty girl.


    At this moment, Yao Jie''s heart was numb.


    As Xu Wei walked in, the smile on Lu Chen''s face grew wider.


    "I''m tired after a day''s ride in the car."


    Lu Chen took the small bag from Xu Wei''s hand.


    This action is very skilled.


    "Fortunately, I was on a plane, not a train." Xu Wei narrowed her eyes and smiled.


    The moment she saw Lu Chen, all the fatigue from her journey disappeared.


    However, there are other people in front of you, and now is not the time to reminisce.


    "Lu Chen, this is my roommate Zhou Ling." Xu Wei introduced to Lu Chen, "She came to visit Kyoto with me by the way."


    "Hello." Lu Chen nodded slightly to Zhou Ling, and then introduced to Xu Wei, "This is my junior sister Yao Jie when I was a graduate student. She is currently studying for a PhD in Kyoto."


    Beside, Zhou Ling slandered in her heart.


    Senior brothers and sisters are all pretences, and they are the most prone to problems!


    She must make Xu Wei be careful about this beautiful female doctor.


    At this time, Yao Jie, who was beside him, took a step forward and said, "Senior brother, you haven''t introduced me to it before, these two are..."


    Yao Jie and Xu Wei''s eyes collided in the air.


    Xu Wei could feel that her feelings for the woman in front of her and Lu Chen were definitely unusual.


    At this time, Yao Jie''s heart was even more ups and downs.


    Judging from Senior Brother Lu Chen''s attitude towards her, the relationship between the two is probably very special.


    Lu Chen can also feel the subtlety of the atmosphere of the scene.


    Hearing Yao Jie''s words, he immediately took a step towards Xu Wei, and then slowly said: "Junior sister, this is my girlfriend Xu Wei, who is currently a location host."


    ¡­


    As soon as Lu Chen''s words came out, the three women present were stunned.


    Xu Wei''s face was flushed, and she felt the adrenaline in her body soaring.


    girlfriend? !


    Lu Chen actually said these three words!


    How many times and how many similar images she has fantasized about.


    Unexpectedly, these three words came so suddenly and surprisingly.


    Yao Jie was in a trance.


    She looked at Xu Wei with a hint of doubtful envy.


    She is Lu Chen''s first admitted girlfriend.


    In all these years, Yao Jie has never seen Senior Brother Lu Chen have too much contact with any other girls, let alone girlfriends.


    Yao Jie thought that Brother Lu Chen would only start talking about feelings after graduation and settled down.


    But on the way, Lu Chen went to Mayo.


    The chance for her to meet Lu Chen is even less.


    We meet again today, why did Brother Lu Chen have an extra girlfriend?


    On the side, Zhou Ling, an outsider, was slightly surprised.


    If it is a scumbag, the relationship between the two parties will definitely be ambiguous.


    She really did not expect that Lu Chen would directly admit his relationship with Xu Wei.


    Fortunately, Xu Wei, the little girl, has been denying her relationship with Lu Chen.


    ¡­


    The atmosphere of the scene, there is a brief silence.


    for a long time.


    Lu Chen broke the silence with a smile, and said to Xu Wei: "Today''s meeting is about to end, you and your friends are walking around the neighborhood now, and I will come back to you when I finish the meeting."


    "Okay." Xu Wei nodded again and again, "However, that... can I enter the synagogue?"


    "Going to the synagogue?" Lu Chen paused.


    "If it''s troublesome, then forget it." Xu Wei said quickly, she was afraid of embarrassing Lu Chen.


    "It''s not trouble, let''s go. I''ll go say hello to them, and you will sit in the back row." Lu Chen said.


    "Great."


    Xu Wei smiled, she couldn''t help pinching Lu Chen''s sleeve.


    She is very happy to have access to Lu Chen''s work.


    Yao Jie, who was on the side, regained her composure at this time, and she said, "Senior brother, let me tell the security guard to let Sister Xiaowei go in through the back door of the synagogue."


    "Okay, then I''ll trouble you." Lu Chen nodded.


    ¡­


    Then, a group of four entered the Great Hall.


    Lu Chen went to the podium.


    Yao Jie returned to the front row.


    Xu Wei and Zhou Ling were seated at the back of the hall.


    "Xiaowei, I didn''t expect your boyfriend to be okay."


    After sitting down, Zhou Ling whispered.


    "Uh-huh."


    At this time, Xu Wei was giggling all the time.


    She was still indulging in what Lu Chen said just now.


    "Hey, Xiaowei, did you listen to what I said?" Zhou Ling said helplessly.


    "Ah? What did you say?" Xu Wei blinked and looked at Zhou Ling beside her.


    Zhou Ling was a little speechless when she was afraid of her head. It seemed that this little girl had fallen into the quagmire of love.


    "Nothing, I call you stupid." Zhou Ling said angrily.


    At this time, she saw Lu Chen walking onto the rostrum in front.


    "Hey, for this kind of meeting, your boyfriend can still sit on the front podium?"


    Zhou Ling has seen that the scene should be a large international conference.


    On the stage are deans, directors, or professors from abroad.


    "Xiaowei, which hospital is your boyfriend in?" Zhou Ling suddenly saw the words "Mayo Medical Corps" on the screen.


    Lu Chen is in the position of the Mayo Medical Delegation.


    "He was in the Cardiology Department of Guanghai First Hospital before." Xu Wei said slowly, "He later resigned and went to the United States. Now it seems to be Mayo."


    Zhou Ling was shocked when she heard Xu Wei''s words.


    "Mayo?"


    As a journalist, they have a wealth of knowledge.


    Naturally, he knows the meaning of the word "Mayo".


    "Is that the Mayo Clinic that ranks first in the world?"


    "It should be." Xu Wei nodded, "He joined Mayo some time ago and became Mayo''s attending doctor."


    Zhou Ling''s eyes widened, "This... is this too exaggerated?"


    She was skeptical in her heart.


    However, what she saw in front of her made her have to believe it.


    She used to think that Xu Wei''s boyfriend was very likely to be a rich second-generation scumbag who did not study well and studied abroad.


    Now it seems that she is really wrong!


    ¡­


    Yao Jie has been absent-minded since she returned to her seat.


    She doesn''t even know the content of academic sharing.


    Even after Professor Qin Sifeng called out to her, it took a long time for her to recover.


    Qin Sifeng frowned, he saw Yao Jie''s abnormality, "Xiao Yao, what''s wrong? Are you feeling uncomfortable?"


    "No...no." Yao Jie shook her head quickly, "I was thinking about something else."


    Qin Sifeng then said: "There will be an academic sharing session later, you have to perform well. I will help you in the operation in the academy, and try to get you a place for a Mayo visit."


    Yao Jie bowed her head. What''s the point of going to Mayo for her now?


    "Why, you don''t want to go to Mayo?" Qin Sifeng asked in confusion.


    "Teacher, I..." Yao Jie pursed her lips, she was in a mess now.


    Qin Sifeng didn''t know what happened, but she obviously went out for a while, and when she came back, she changed.


    Lu Chen also went out just now.


    Is this related to Lu Chen?


    "Xiao Yao." Qin Sifeng said solemnly. "You know, in this world, anyone or anything can change over time, but only one thing remains constant."


    Yao Jie raised her head slowly when she heard the words.


    "The only constant is the cause or truth you insist on, and they will never leave you."


    There is one more


    (end of this chapter)

 v2 Chapter 866： Powerlessness (third more)

    Chapter 866 Feeling Powerless (Part 3)


    The academic sharing session is over.


    Today''s exchange meeting is also over.


    But the Mayo medical team''s trip to Kyoto has just begun.


    In the next few days, the Mayo Medical Group will hold a number of surgery sharing conferences at the First Affiliated Hospital of Kyoto.


    The top surgical experts from Mayo will provide medical treatment to patients in Huaxia, and at the same time broadcast live surgery for scholars to learn and communicate.


    In the previous case sharing and academic sharing, Lu Chen was absent.


    And the next surgery sharing conference is Lu Chen''s main battlefield!


    Today''s meeting is over.


    "Director Shen, I still have a few things to do. I may not be able to have dinner with the leaders." Lu Chen came to Shen Wenguang and said.


    "Lu Chen, all the directors and deans of Kyoto will have dinner tonight. It''s a rare opportunity!" Shen Wenguang said with a smile, "If you want to go back to work in the future, they will be a great help."


    Lu Chen still shook his head, "If I eat one meal, I can get a good job? If I don''t eat, I won''t be recruited? Then there''s really no need to go to this kind of hospital."


    "Haha, I just like your character." Shen Wenguang patted Lu Chen on the shoulder, "Then you can go by yourself, don''t play too much, and participate in the surgery on time tomorrow."


    "Don''t worry, Director, I am measured." Lu Chen said.


    He said goodbye to everyone in the Mayo Medical Corps, but Kebed grabbed him.


    "Lu, do you want to secretly eat delicious instant noodles by yourself?"


    Lu Chen smiled helplessly, "Mr. Kebed, my girlfriend is here. I''m here to accompany her, not to eat instant noodles."


    "Oh." Kebed smiled, "I see, then I won''t stop you."


    "Don''t worry, I''ll take you to eat something better than instant noodles in a few days." Lu Chen promised Kebed.


    "Okay, it''s a deal, I know you Huaxia people pay the most attention to commitment."


    So, Kebed let Lu Chen leave with satisfaction.


    ¡­


    left the synagogue.


    Lu Chen and Xu Wei reunited.


    "Where''s your roommate?" Lu Chen saw Xu Wei standing alone at the entrance of the hall.


    "Xiao Ling has gone to see her friends in Kyoto and is no longer with us." Xu Wei smiled.


    Actually, she drove Zhou Ling away.


    Continue to let her stay, be a light bulb, which is not very good.


    "What do you want to eat at night?" Lu Chen looked at Xu Wei beside him.


    Xu Wei thought about it for a while, but still gently took Lu Chen''s arm, "If you''re there, it''s fine."


    "Okay, I''ll make arrangements." Lu Chen nodded. He had been studying in Kyoto before, and had lived for a long time.


    I am quite familiar with the food around Kyoto.


    "Well, I''ll listen to you." Xu Wei turned her head to look at Lu Chen''s profile, and suddenly her voice was a little lower, "Lu Chen, is what you said before, is it true?"


    "What?" Lu Chen deliberately pretended to be stupid.


    "Just what you said at the gate..." Xu Wei blushed slightly.


    "I said several sentences just now, which sentence are you referring to?" Lu Chen smiled.


    "That''s it..." Xu Wei''s face was flushed to the back of her ears, "I am your... girlfriend."


    Lu Chen stopped when he heard the words.


    He turned his head and looked at Xu Wei with a faint smile on his face.


    "Really, absolutely true."


    For a time, Xu Wei''s heart was filled with a huge sense of happiness.


    ¡­


    Today.


    Lu Chen and Xu Wei had a very pleasant evening.


    Of course, that is to eat together, watch movies together, and then sleep in separate beds.


    The determination of the ?? relationship is just the beginning.


    For impetuous modern people, how to maintain a relationship is important.


    And what Lu Chen and Xu Wei faced was the distance in space.


    The next day.


    Lu Chen accompanied Xu Wei to the airport after having breakfast.


    "Work hard, you will have a long time in Japan." Lu Chen said to Xu Wei, "Don''t turn down such an important job and come to me in the future."


    "I do." Xu Wei raised her head and looked at Lu Chen with a smile.


    "But I feel guilty inside." Lu Chen said, "I hope that when I answer Huaxia next time, I can see a host sitting in the studio."


    "Yes." Xu Wei nodded heavily.


    As the roar of the plane faded away, Xu Wei returned to Guanghai.


    Lu Chen also took a taxi back to the First Affiliated Hospital of Kyoto.


    ¡­


    Ten o''clock in the morning.


    Surgery Sharing Conference officially started.


    This conference lasted for three days.


    Mayo Medical Corps, respectively, will conduct surgery teaching in the First Affiliated Hospital of Kyoto in three fields including coronary artery, electrophysiology, and TAVR.


    This live broadcast of surgery has attracted the attention of all top hospitals in the country.


    Therefore, when the live broadcast of the surgery just started, the interface was stuck.


    After all, only a small number of doctors can come to watch the scene.


    "Director Yang, the live broadcast interface is stuck." An attending doctor called Yang Feng.


    "Call the Information Section to add a server! What''s the use of you telling me?"


    Yang Feng frowned and hung up the phone.


    In fact, they have paid enough attention to this live broadcast conference.


    Compared with the previous national top surgical live broadcast conference, the server capacity this time has been three times as much as the previous one.


    However, they did not expect that the reputation of the "Mayo Medical Corps" was too loud.


    This time, the Cardiac Surgery Conference, whether it is a top-level hospital at the provincial or municipal level, or a second-level hospital in a county or township, all come to join in the fun.


    Even if you can¡¯t read it, just turn on the computer and learn some new medical terms!


    ¡­


    The first live broadcast conference of coronary intervention.


    Officially begin.


    This time is purely a live broadcast of surgery teaching, not related to any competition.


    The chief surgeon of the first operation was Kebed.


    And his first assistant is the deputy chief physician of the Cardiology Department from Kyoto Hospital.


    This combination can maximize Huaxia physicians to observe the operation and improve their surgical skills.


    After the operation started, Kebed''s personal information introduction also appeared on the live broadcast interface.


    The audience in the live broadcast room were amazed when they saw Kebed''s introduction.


    The attending doctor who seems to be only in his 34s and 50s, has made great achievements in the field of interventional cardiovascular medicine, so deep!


    even published several top journal papers with more than ten points.


    What made everyone even more surprised was that Dr. Kebed, who was doing coronary intervention, discovered a new TAVR procedure not long ago.


    However, why did he do the coronary intervention live broadcast instead of the TAVR intervention live broadcast?


    Could it be that, in terms of TAVR intervention, among the medical team that came this time, there is someone more powerful than him?


    At this point, Kebed started his own surgery.


    "As expected of Mayo''s doctor! Although his operation is not fast, every step is just right. Balloon pre-dilation, stent selection, and the application of rotational atherectomy technology are all used in delicate places!"


    The one who felt the deepest feeling was Doctor Huaxia next to Kebed.


    He thought that the amount of coronary surgery in Kyoto Hospital was so large.


    Surgery, isn''t it just practice makes perfect?


    Could he be any worse than Mayo''s doctor?


    However, today''s close-up observation of the operation made him know the difference between himself and Mayo.


    At least in Kyoto, he had never encountered such a highly skilled practitioner.


    This difference even makes him feel powerless!


    The interface of the surgery live broadcast room was very lively at the beginning, and now it is silent.


    All doctors in Huaxia, laymen, don¡¯t speak if they don¡¯t understand it well.


    Experts were shocked by Kebed''s ability to perform surgery and kept silent.


    When will such a young surgeon appear in Huaxia?


    (end of this chapter)

 v2 Chapter 867： Past events (first update)

    Chapter 867 Past Events (First Update)


    Surgery live room.


    Kebed is showing off his surgical skills.


    In the field of coronary arteries, his surgical ability is among the top among the young attending physicians in the Mayo Cardiology Department.


    And the patients for this surgery are real patients from Kyoto.


    Before the surgery, Kyoto Hospital had signed the informed consent with the patient in advance.


    This operation was performed by top doctors from Mayo.


    These patients from Kyoto have broken their heads, and they have to rely on relationships everywhere before they can be arranged.


    in the audience at the scene.


    Shen Wenguang watched Kebed''s operation with great satisfaction.


    "Director Yang, what do you think of my attending doctor''s operation?"


    Yang Feng was naturally incomparably astonished. Among the younger generation of surgeons in China, no one can compare to this foreign doctor named Kebed.


    However, on the surface, Yang Feng could only pretend to be calm and calm, and said lightly, "It''s okay."


    There is no way, in your own home, you can''t be looked down upon by others.


    The first coronary intervention was completed.


    Immediately after, was the second operation performed by Dr. Hua Xia.


    That''s right, this second operation was performed by a doctor from Kyoto Medical University, with Kebed as the first assistant teaching next to him.


    The identities of the two are interchanged.


    However, Dr. Hua Xia is the one who is known to be instructed.


    ¡­


    The second coronary operation continues,


    The audience in the live broadcast room was very energetic again, and wanted to see the difference between the top domestic practitioners and Mayo.


    However, as the operation progresses.


    All the viewers began to find a problem, the doctors in Huaxia did very well.


    In terms of operational fluency, it even surpassed that of Dr. Mayo just now.


    However, the handling of some key operations is very rough.


    Interventional surgery is actually about details.


    Dr. Hua Xia''s operation was very good, but in the details, it looked rough.


    Especially in the delivery and release of stents, Mayo''s doctors are more sophisticated.


    "Director Yang, the cardiologist in your hospital is very good, and the operation was done beautifully." Shen Wenguang smiled and said.


    "Director Shen has won the prize."


    Yang Feng felt that Shen Wenguang was making fun of him.


    After all, the difference is easy to see before and after surgery on both hands.


    Kebed gave simple instructions to Huaxia surgeons during the operation.


    For such an elderly interventional doctor, it may only take a small reminder to improve the surgical ability a lot!


    ¡­


    As the operation progressed, the popularity of the live broadcast room dropped rapidly after a brief rise.


    As soon as ?? came, some doctors couldn''t understand it, so they felt bored and quit.


    Secondly, just watching foreign doctors show their surgical skills here, all the doctors in Huaxia feel uncomfortable.


    Especially after the difference between the two sides was clear, everyone''s interest in continuing to watch the live broadcast was less than half.


    The first day of coronary intervention is over.


    In the evening, Lu Chen and Shen Wenguang still did not attend the dinner prepared by the Kyoto Hospital.


    This business trip was in a hurry, and Lu Chen had to meet his roommate Wang Zihao.


    After ?? Prince Ho graduated, he stayed in the general surgery department of Kyoto Central Hospital.


    This is also the top tertiary hospital, and Lu Chen is also happy for this roommate.


    ¡­


    Came to the agreed restaurant.


    Wang Zihao has arrived.


    To Lu Chen''s surprise, there was a woman sitting beside Wang Zihao.


    Lu Chen also knew this woman.


    is Wang Ruoxi, Wang Ruoxi, Wang Zihao''s sister, who used to be the regional agent of AstraZeneca Jinghua.


    "Lu Chen, here!"


    Wang Zihao stood up and waved to Lu Chen.


    Lu Chen walked in the direction of the two.


    "Zihao, Sister Ruoxi, I haven''t seen you for many years, stay safe."


    Lu Chen smiled and greeted the two of them, then sat opposite Wang Zihao.


    The smile on Wang Zihao''s face was very bright.


    "Brother Chen, I haven''t seen you for so many years, you are still so good!" Wang Zihao laughed, "No, it should be more powerful than before, and you actually became Mayo''s attending doctor!"


    "None of them are outsiders, so don''t bury me like this."


    Goodbye, Lu Chen took the initiative to ask for a glass of wine and beer.


    "Lu Chen, for so many years, you haven''t even sent me a WeChat message." Wang Ruoxi stared at Lu Chen with a faint smile on her face.


    Lu Chen scratched his head, a little embarrassed.


    Since he left Jinghua, Wang Zihao also went abroad to study for a Ph.D., and his contact with Wang Ruoxi also broke.


    "Sister Ruoxi, you are such a busy person that you may not be able to take care of me." Lu Chen said, "I just came back to Huaxia this time, and I rushed over to see you all non-stop."


    "You little slick, every time you talk, it sounds so nice." Wang Ruoxi rolled her eyes at Lu Chen, "How many years are you going to stay abroad?"


    "Two years." Lu Chen said.


    The contract he signed with Mayo was a two-year contract.


    "After returning to China, where are you going to develop?" Wang Ruoxi said again.


    "I haven''t thought about it yet." Lu Chen smiled.


    "Are you interested in coming to our AstraZeneca?" Wang Ruoxi suddenly asked.


    Lu Chen was taken aback for a moment, Wang Zihao answered, "Lu Chen, my sister is now at the AstraZeneca headquarters in Kyoto, she is a senior manager!"


    "Such a young senior manager, Sister Ruoxi, you are really amazing." Lu Chen gave a thumbs up.


    "Isn''t it because of you? Did you forget the Dapagliflozin project we collaborated on before?" Wang Ruoxi smiled, "It was your project. The headquarters saw me being able to work well, so they transferred me to the Kyoto headquarters. If After you return to China, if you want to work at AstraZeneca, I can recommend it for you. With your ability, maybe in a few years, you will be the chief researcher."


    Before Lu Chen could speak, Wang Zihao immediately said, "Sister, Brother Chen is such an excellent doctor. What a waste if you let him go to a pharmaceutical company!"


    "What''s wrong with the pharmaceutical company?" Wang Ruoxi glanced at her brother, "The salary, treatment, and working environment are much better than the hospital, and you don''t have to worry about your own personal safety. Recently, there have been several incidents of injuries to doctors in Kyoto, your doctor. This profession is a high-risk profession.¡±


    Wang Ruoxi''s words are not rough.


    Many top doctors and scientific researchers choose to go to pharmaceutical companies.


    Anyway, high wages and good treatment are better than working night shifts every day in the hospital and worrying about being cut off by patients.


    "Thank you Sister Ruoxi for your kindness. If I have such thoughts in the future, I will definitely find you as soon as possible." Lu Chen smiled.


    "Okay, I''ll be waiting for your call."


    Wang Ruoxi nodded slightly towards Lu Chen.


    Just Wang Zihao shook his head, his elder sister was talking in vain.


    With what he knew about Lu Chen, how could he go to a pharmaceutical company? !


    ¡­


    The food is ready.


    Putting aside these topics, the three happily ate and chatted.


    "Brother Chen, if I hadn''t met you, I might have been a little doctor in the county town." Wang Zihao suddenly sighed.


    Until now, he still couldn''t believe it. Originally, he was admitted to the postgraduate program of Jinghua, and Ben was going to get his diploma, and then go to a good local hospital through a relationship.


    However, he unexpectedly participated in the clinical skills competition with Lu Chen and won the championship!


    I went to Kyoto to study for exchange, and I also published several SCI papers by the way.


    His family was well-off, and after graduating with a master¡¯s degree, he went abroad to study.


    After going abroad for gold plating, through his own efforts, he successfully joined the top three hospitals in the country.


    Looking back on everything in the past, if it wasn''t for Lu Chen''s subtle influence, he would definitely not have reached the heights he is today.


    "Don''t make me so important." Lu Chen smiled, "It''s all your own efforts, no one else can replace it."


    "No matter what, Brother Chen, you have always been the target for all of us to learn and catch up with." Wang Zihao salutes Lu Chen, "It''s a pity that Lao Gu is not here, otherwise we will gather again."


    Talking about Laogu, Lu Chen smiled knowingly, "Don''t worry about him, he is doing well in Guanghai."


    He also chatted with Gu Xinyue on the phone yesterday.


    Lao Gu''s work in Guanghai is relatively smooth, mainly because his relationship with Xu Shan is getting deeper and deeper.


    This made him a little reluctant to think about Shu.


    "By the way, what about Ke Yue?" Wang Zihao said again, "Why didn''t she go to Guanghai with you after she graduated with a doctorate?"


    Although it was not stated explicitly, everyone knew that Ke Yue was Lu Chen''s "little follower".


    From Jinghua to Magic Capital, Ke Yue followed Lu Chen''s footsteps closely.


    "She stayed at school after graduation." Lu Chen shrugged, "What is she doing with me? If she stays in Modu, her development will definitely be better."


    "Oh." Wang Zihao smiled, "After so many years, are you still alone?"


    "No, I have a girlfriend." Lu Chen took a piece of meat and stuffed it into his mouth.


    As soon as he finished speaking, Wang Zihao and Wang Ruoxi widened their eyes.


    Wang Zihao originally asked casually, in his opinion, how could Lu Chen fall in love?


    With so many girls around, including his beautiful sister, he was never tempted at all.


    "Is it so sudden?" Wang Zihao blinked.


    "It''s not sudden." Lu Chen laughed happily, "I''ve known her for a long time. She came to Kyoto yesterday, and she went back today when she had work."


    "Oh, what a pity!" Wang Zihao patted his thigh, "I must see you later!"


    "it is good!"


    Wang Ruoxi also smiled aside.


    She has some feelings for Lu Chen, but over the years, it has gradually faded.


    However, she is also very curious, what is it like to be able to approach Lu Chen''s woman?


    ¡­


    Lu Chen drank three glasses today.


    This has reached his limit.


    Back at the hotel where the Mayo medical team stayed, Lu Chen went to bed early in the morning.


    Tomorrow''s electrophysiological surgery sharing conference, but it''s his stage!


    There are two more


    (end of this chapter)

 v2 Chapter 868： He regrets it! (Second more)

    Chapter 868 He regrets it! (Second more)


    The electrophysiological surgery sharing conference on the second day was much less popular than yesterday.


    There are fewer people doing electrophysiology than coronary arteries, and yesterday was almost an exclusive show for foreign friends.


    The number of people in the surgery live room has dropped a lot.


    However, for Lu Chen, the sharing conference that belongs to him has only officially started.


    Early in the morning.


    He came to the cardiac catheterization room of the First Affiliated Hospital of Kyoto.


    Today''s electrophysiological surgery, he is the first!


    As soon as he walked into the catheterization room, he ran into Professor Qin Sifeng, followed by Yao Jie.


    "Professor Qin!" Lu Chen shouted immediately.


    Qin Sifeng also noticed Lu Chen, and stepped forward, "I was going to go to your hotel yesterday to find you. You can ask the waiter at the front desk on the first floor before you know you''re out."


    Lu Chen smiled, "I accompany a few friends to dinner yesterday, and I came back a little late."


    "Is everything going to be okay tonight?" Qin Sifeng stroked the beard on his chin.


    "It''s fine." Lu Chen smiled, "Professor Qin, I''ll find you when the time comes."


    "Okay, let''s wait until today''s electrophysiology conference is over." Qin Sifeng said, "Wait for a while, let''s talk about something."


    "Okay." Lu Chen nodded slightly.


    "Okay, go get busy." Qin Sifeng waved his hand immediately.


    Yao Jie nodded when she saw Lu Chen, then followed Qin Sifeng away.


    ¡­


    Before the live broadcast of the surgery starts.


    Lu Chen began to familiarize himself with surgical cases and communicated with patients in advance.


    These are all preparations that need to be prepared before surgery, so you can¡¯t do surgery with your eyes darkened.


    And this time, Lu Chen''s assistant is also his old acquaintance, Xiao Shikang!


    When Lu Chen came to Kyoto to exchange and study, he was followed by Director Xiao Shikang.


    "Lu Chen, I didn''t expect that we would meet again in this way." Xiao Shikang handed all the patient''s information to Lu Chen.


    "Director Xiao, we are also learning from each other, there is no saying who teaches who." Lu Chen said.


    Facing his former teacher, Lu Chen didn''t dare to trust him.


    Moreover, he has always maintained a continuous learning mentality.


    In this operation, although he is the chief surgeon and Xiao Shikang is the assistant, he will still respect Xiao Shikang''s opinion.


    "Don''t be too modest." Xiao Shikang waved his hand, with a faint smile on his face, "I still know about your surgical ability. At that time, when you were a graduate student, you completed a difficult electrophysiology in our hospital. I still remember the surgery very well!"


    Lu Chen didn''t stay in the First Affiliated Hospital of Kyoto for a long time, but he left a deep impression on the doctors of this hospital.


    The first percutaneous hepatic vein pacemaker implantation in the Kyoto Affiliated Hospital was performed by Lu Chen.


    "Mr. Xiao, today''s electrophysiological surgery depends on the two of us to complete it together." Lu Chen said sternly.


    "Don''t worry." Xiao Shikang smiled slightly, "We have been fully prepared before the operation. Although this operation is difficult, there should be no risk."


    "Okay, I''ll trouble Teacher Xiao." Lu Chen nodded.


    ¡­


    9:30 am.


    Electrophysiology surgery sharing session officially started.


    Surgery live room.


    "Today is electrophysiological surgery. I wonder which professor Mayo will send today?"


    "Yeah, I''m looking forward to it, the professor of coronary artery yesterday was amazing!"


    "I only know that today''s assistant is Xiao Shikang from Kyoto, and his surgery is not bad!"


    "So what? In the eyes of Mayo''s doctor, maybe it''s just so-so."


    ¡°¡­¡±


    In the live broadcast room, everyone discussed in full swing.


    With the host''s speech, the first electrophysiological surgery began!


    The information of the chief surgeon will be displayed on the live broadcast room immediately.


    However, when everyone saw the information about the doctor in charge, they were all stunned.


    "Hey, the live broadcast official made a mistake, this is Doctor Huaxia!"


    "Didn''t you say that today''s surgical assistant is Director Xiao Shikang? How did he become Lu Chen?"


    "Upstairs, have your corneas disappeared? I didn''t see one in the introduction. His name is Lu Chen, and he is the attending physician of the Mayo Cardiology Department!"


    Slowly, someone found out.


    This is indeed a doctor from Huaxia, but he is also Mayo''s attending cardiologist!


    No one from Huaxia has been employed in Mayo Cardiovascular Medicine for a long time.


    In other words, after someone joined the job, they all left the Chinese nationality.


    There are very few doctors on duty in Mayo as Chinese people!


    "I''ll go, he''s too young! Yesterday that Kebed was only thirty-five years old, and he was already enchanting enough, but this Hua Xia doctor is less than thirty years old!"


    "You guys should be happy, we also have such a great doctor in China."


    "Hey, I still don''t know how the level is, let''s take a look first."


    Everyone was discussing with a lot of tongues.


    However, some people recognized Lu Chen!


    After all, Lu Chen still has some popularity in the cardiology circle.


    Especially in the small areas of Magic Capital and Guanghai, many people have heard of Lu Chen''s name.


    The number of people watching the live broadcast room of the surgery increased a lot in an instant because of Lu Chen''s Chinese identity.


    ¡­


    Conduit outdoor.


    At this time, Yang Feng, chief director of the Cardiology Department of the First Affiliated Hospital of Kyoto, also saw Lu Chen on the screen.


    His face was ashen.


    These days, he has been accompanying Shen Wenguang of Mayo.


    As for who was in the medical team, he really hadn''t noticed.


    Lu Chen, of course he knows Yang Feng!


    You remember the first time we met, it was a postgraduate re-examination interview.


    At that time, Lu Chen had found all the papers of the past few years, read it carefully, and expressed his understanding.


    This special student left a deep impression on Yang Feng at the beginning.


    He really wanted to bring Lu Chen under his command.


    but!


    At that time, his postgraduate places were already full.


    The nephew of the dean, the son of his own relatives, the children of high-ranking officials outside, etc., have used up his places.


    This made him miss Lu Chen.


    However, Yang Feng did not feel too regretful back then.


    There are many talented students, and before they grow up, the difference is not really big.


    However, when Lu Chen stood in front of him again.


    Yang Feng was a little dazed.


    He, or the student who interviewed in front of him?


    No, it''s long gone.


    Lu Chen''s growth did not happen overnight, from the School of Electrophysiology, TAVR surgery, and Dapagliflozin thesis.


    Lu Chen''s every step was like a heavy hammer, hitting him hard in the heart.


    Even his most proud disciple, Yu Weiguang, took the initiative to admit that he was inferior to Lu Chen after returning from Mayo.


    Yang Feng admitted that he really regretted it!


    ¡­


    Catheter lab.


    Lu Chen doesn''t know the changes in the outside world, he has already started his own surgery live broadcast!


    Disinfection, drape, anesthesia, puncture!


    Lu Chen''s operation was completed in one go.


    This made the audience in the live broadcast room shine.


    This young Huaxia doctor has two brushes.


    However, skilled surgery is the characteristic of Huaxia doctors.


    But the next details are the most critical.


    Everyone stared at the live broadcast interface of the surgery, wanting to see how well this doctor from China was.


    There is one more update left, I''ll make it up tomorrow, I can''t write anymore


    (end of this chapter)

 v2 Chapter 869： Start the first live broadcast rescue? (first update)

    Chapter 869 Start the first live broadcast rescue? (first update)


    Surgery live room.


    The medical records of the patients in this operation were also displayed in front of the doctors and the audience.


    The patient is a 37-year-old male.


    was admitted to the hospital due to "repeated heart palpitations and dyspnea".


    He was previously diagnosed with "dilated cardiomyopathy, heart failure, and ventricular tachycardia", and was implanted with an ICD and treated with long-term oral anti-heart failure drugs.


    ICD is an automatic defibrillator implanted in the human heart. When a malignant arrhythmia is detected, it will automatically discharge and defibrillate.


    With each shock, the patient suffers great pain.


    But this is the only effective way to prevent sudden death from malignant arrhythmia!


    After this, the patient continued to experience palpitations repeatedly, which were often induced when the environment was noisy or irritable.


    Each time lasts about 5-15 minutes, the heart rate is 170-200 beats/min, the blood pressure is low during the attack, and amaurosis appears.


    ICD has been discharged more than 60 times!


    Each attack will cause the patient to have a strong sense of fear.


    For a long time, his quality of life is very poor!


    ¡­


    After careful analysis of the patient''s medical history, the cardiology expert team of the First Affiliated Hospital of Kyoto considered that radiofrequency ablation could be attempted for the patient.


    Ablation of the patient''s ventricular tachycardia, so that he no longer suffers from malignant arrhythmias and no longer suffers from ICD shocks.


    However, the operation of this patient was very difficult and risky. It happened that Mayo''s cardiologist came and gave them a teaching demonstration.


    And right now, he has become Lu Chen''s surgery patient.


    Before the operation, Lu Chen had seen the patient and carefully analyzed the patient''s medical records.


    This patient''s condition is indeed extremely complicated!


    First, the patient''s cardiac function is poor, the left ventricular end-diastolic diameter is 66mm, EF is 27%, the blood pressure is low (80+/60+mmHg), and the surgery tolerance is poor!


    It is very likely that ventricular fibrillation will occur during the operation, leading to cardiogenic shock!


    Secondly, the patient''s ventricular tachycardia has various forms, and it is not completely consistent with the form of ventricular premature beats, making it extremely difficult to map.


    Finally, the patient has dilated cardiomyopathy with obvious myocardial remodeling. There may be a large scar area, the ablation area is large, and the ablation catheter is difficult to reach the target.


    These three points of difficulty in surgery seriously affect the success rate of the overall surgery.


    Each of these points, placed in the Cardiology Department of the First Affiliated Hospital of Kyoto, is a level that is difficult to break.


    However, Lu Chen has done a lot of this type of ablation surgery.


    Whether it is in reality or system virtual space, the ablation of special ventricular tachycardia is the main item of his practice.


    Therefore, after short-term thinking, Lu Chen quickly worked out the best surgical plan.


    ¡­


    After the puncture, Lu Chen took over Xiao Shikang''s position.


    The most difficult point in electrophysiological ablation surgery is the mapping and ablation of arrhythmia.


    Simply put, mapping is to find out the origin of arrhythmia.


    Ablation is to ablate the origin point.


    "Lu Chen, how to prepare for mapping?"


    Mapping is divided into activation mapping, pacing mapping and matrix mapping.


    "Find out the P site first." Lu Chen fiddled with the instrument in his hand and glanced at Xiao Shikang, "I looked at the patient''s electrocardiogram. The origin of the VT is rather special, it should be the left posterior fascicular ventricular tachycardia."


    P point, that is, looking for high-frequency and low-amplitude points in the left ventricular septal area ahead of QRS.


    Xiao Shikang was very familiar with the patient''s electrocardiogram, so he said, "Take the P potential as the target first?"


    Lu Chen nodded and started the operation.


    He was placed in the left ventricular septum with a grade 20 high-density mapping catheter.


    Two sets of high-frequency potentials can be recorded during ventricular tachycardia attack.


    They are P1 potential (located in front of P2 potential, sharp, high frequency, excited from proximal to distal), and P2 potential (located after P1, local V wave front, high frequency, from the earliest activation site to the two excited).


    Xiao Shikang stared at Lu Chen''s operations.


    At times like this, it¡¯s time to steal a teacher!


    The gap between electrophysiological surgeons is not in vascular puncture, but in mapping and ablation!


    Lu Chen''s movements in his hands were not hurried or slow.


    The hearts of the audience in the live broadcast room of the surgery have already raised their throats nervously.


    ¡­


    As the operation progressed, Lu Chen began to encounter difficulties.


    He couldn''t find the P1 and P2 sites!


    P1 runs perpendicular to the left posterior branch, which makes it impossible for the machine to record the P1 site at all.


    Everyone in the live broadcast room saw that Lu Chen''s operation was stagnant, and they also discovered that there was a problem with the operation.


    "Hey, why didn''t the mapping come out?"


    "The P1 site has not been found, how to map?"


    "Isn''t this surgeon''s level very good? He didn''t even find the P site!"


    "Don''t make rude words here, this patient is a special type of ventricular tachycardia, and no one can find it all at once!"


    Everyone was a little nervous.


    But Lu Chen was not afraid. He glanced at Xiao Shikang next to him and said, "Mr. Xiao, help me measure the HV interval."


    Xiao Shikang was stunned for a moment, but his hands were not slow, "Okay."


    During the onset of VT, the HV interval and the HV interval in sinus rhythm are important electrophysiological indicators.


    For left posterior fascicular ventricular tachycardia, the HV interval has a certain correlation with whether the P1 potential can be recorded and the position of the connection point between the distal end of the P1 potential and the left posterior branch.


    The ??HV interval is mostly negative, and the greater the absolute value of the negative value of the HV interval, the easier it is to record the P1 potential.


    In addition, the more negative the HV interval (the greater the absolute value of the negative value), the closer the distal connection point of P1 and P2 is to the apex; on the contrary, the HV interval is approximately positive (the greater the positive value), indicating that the distal connection point of P1 and P2 closer to the bottom of the heart.


    Measurement ends.


    Xiao Shikang looked at Lu Chen and read out the value he measured.


    Lu Chen nodded slightly and said in a serious tone, "The P potential should be close to the apex of the heart, Mr. Xiao, help me find it in the apex of the heart."


    "Okay." Xiao Shikang immediately started the operation.


    Sure enough, after five minutes, the two managed to find the P1 and P2 potentials in the heart.


    But before the two were happy, the ECG monitor next to the operating room sounded a harsh alarm!


    "No, the patient has ventricular fibrillation!"


    Lu Chen''s face was sinking like water, he immediately put down the operating tools in his hand and began to perform CPR on the patient.


    If this kind of stimulation occurs in patients with ventricular tachycardia, it is likely to have ventricular fibrillation!


    For successful mapping, this risk of ventricular fibrillation is impossible to avoid.


    "Bring the ambulance and defibrillator!"


    Xiao Shikang also reacted immediately and hurriedly called the nurse on the counter.


    The nurse moved quickly and immediately pushed the ambulance and defibrillator over.


    Lu Chen was performing CPR, and Xiao Shikang next to him picked up the defibrillator.


    "I started defibrillation!"


    Xiao Shikang gave a low voice, and Lu Chen immediately stepped aside.


    The two pads of the defibrillator are placed on the patient''s chest area.


    Charge, Discharge!


    After a defibrillation, the patient immediately turned into ventricular fibrillation within two seconds after restoring sinus rhythm!


    In the surgery live room.


    When the audience saw this sudden scene, they were a little confused for a while.


    This is the beginning of a live rescue rescue?


    (end of this chapter)

 v2 Chapter 870： Ablation of scar area (second more)

    Chapter 870 Ablation of Scar Area (Second Update)


    Conduit outdoor.


    The high-level doctors from the Kyoto Affiliated Hospital were all very nervous.


    "Director Yang, do you want to cut off the live broadcast signal?" An attending doctor hurried to Yang Feng''s side.


    "Okay, cut off first!"


    Yang Feng nodded with a solemn expression.


    In case the patient has any problems, it will be broadcast live, which is not very good for the reputation of the First Affiliated Hospital of Kyoto.


    Just when the doctor in charge of Huaxia wanted to return, he informed the Information Section to cut off the live broadcast signal source, but Shen Wenguang, who was on the side, made a sound.


    "Director Yang, wait a moment."


    At this time, Shen Wenguang''s face could not see the slightest bit of nervousness and worry.


    "Director Shen, this situation is not very good, don''t cut off the signal source, in case something happens..." Yang Feng gritted his teeth and looked serious. He put his hands behind his back and couldn''t help clenching his fists.


    "Don''t worry, Lu Chen can handle it well." Shen Wenguang still looked calm, "This kind of ablation of ventricular tachycardia, after inducing the patient''s ventricular tachycardia, ventricular fibrillation is inevitable, even if it makes I do it, and there is no way to avoid it 100 percent."


    "That''s fine."


    Yang Feng was so calm when he saw that Mayo''s director Shen Wenguang had said so.


    What else can he say?


    can only call back the attending doctor just now, "Wait a minute, don''t cut off the signal source first."


    After thinking about it, he also gave a grand reason, "Let everyone in the audience take a look at the rescue, don''t think that the operation is all smooth sailing."


    The attending doctor was a little confused.


    The change before and after Director Yang Feng is too big!


    However, as a low-level scoundrel, he can only do what Director Yang Feng said.


    ¡­


    The scene of ??''s live rescue rescue really shocked the audience.


    But after a brief surprise, they were even more amazed at Lu Chen''s calm handling.


    We all know that the ablation of ventricular tachycardia is very likely to induce ventricular fibrillation.


    But how to deal with the occurrence of ventricular fibrillation is another matter.


    As a practitioner, Lu Chen showed his extreme calmness in front of everyone without reservation.


    Cardiopulmonary resuscitation, defibrillation, and intravenous CPR.


    Everyone has been skeptical from the beginning to silence now.


    Everyone was staring at the picture in the live broadcast room of the surgery, and they didn''t want to move their eyes at all.


    ¡­


    Finally, after the third defibrillation, the patient''s ventricular fibrillation finally recovered!


    "Dou rhythm restored!" Xiao Shikang took a deep breath and said to Lu Chen, "Continue the operation?"


    Lu Chen nodded without hesitation: "Continue!"


    VF is inevitable!


    Even if the operation is stopped this time, who can guarantee that there will be no ventricular fibrillation in the next operation?


    If surgery is not done, then this young male patient is likely to continue living under the pain of electric shock!


    This situation is something that no one wants to see.


    "Okay!" Xiao Shikang didn''t say much, he just glanced at Lu Chen, as if recalling the time when Lu Chen had surgery in Kyoto.


    Lu Chen was still quite young.


    Seeing him, he has long since become calm.


    After the patient''s ventricular fibrillation recovered, Lu Chen immediately started ventricular tachycardia mapping.


    "The distance and orientation of the bipolar mapping catheter to the contacting tissue can have an impact on the qualitative and quantitative signal, which in turn affects the results of matrix mapping based on voltage and abnormal potential."


    Lu Chen said while talking.


    What he said was naturally to Xiao Shikang next to him and the audience in the live broadcast room.


    "In addition, the patient has dilated cardiomyopathy and is undergoing myocardial remodeling, so there are many scars in the heart, and the degree of delay of the local potential in the scar depends largely on its anatomical location."


    These little skills are all knowledge points that are not accessible in textbooks or ordinary practitioners.


    Lu Chen explained it to everyone without reservation.


    There are many people in the live broadcast room who know the goods.


    Many people immediately sat up straight and watched the live broadcast more seriously.


    ¡­


    Twenty minutes later, Lu Chen stopped the mapping in his hand, he turned to look at Xiao Shikang beside him, "The mapping is done."


    Xiao Shikang was stunned for a moment, the measurement was really fast!


    In general mapping, even if it goes well, it will take at least half an hour.


    Lu Chen''s speed is so fast, which is entirely due to his familiarity with the anatomical position of the heart and electrophysiology.


    This ability can be improved not just by simply increasing the amount of surgery.


    Rather, it requires personal perception and understanding of surgery.


    However, Lu Chen''s expression did not relax at all.


    Because the mapping is over, the next step is the more important ablation!


    Patient has dilated cardiomyopathy.


    In dilated cardiomyopathy, the heart gradually enlarges to compensate for the insufficiency of the heart.


    In medicine, this enlargement of the heart is called "ventricular remodeling".


    Myocardial remodeling means that there are many scars on the heart muscle.


    The existence of ?? scar area greatly affects the progress of ablation.


    Xiao Shikang would like to see how Mayo''s doctor handles the ablation of the scar area.


    At this time, Lu Chen had prepared the ablation catheter, and he said solemnly: "The mechanism of VT in the scar area is mostly related to the diseased tissue near the valve annulus and the reentry mediated by scar tissue!"


    Xiao Shikang thought for a while and asked, "How can it be accurately ablated?"


    If the ablation is not careful enough, VT may recur.


    The scope of ablation is too large, and it is likely to damage the heart muscle.


    This is where the ablation is the most challenging for the practitioner. How to grasp the degree of it is the key to the success of the surgery!


    Lu Chen put the ablation catheter in his hand along the channel and sent it into the patient''s heart, smiling: "This is to formulate different ablation methods according to the individual."


    "In general, we can divide the isthmus, outer ring, inner ring, and bystander according to the role of each part in the reentry ring, and the isthmus can be subdivided into the entrance, exit and central isthmus area. Regional determination of the scar area and isthmus-related areas, to find the key isthmus through drag mapping."


    "In non-ischemic heart disease with VT, combined endocardial and epicardial ablation is often required due to the complex pathogenesis."


    The experience of these operations was not something Lu Chen imagined out of thin air.


    is extracted from previous surgical cases after hundreds of surgical experiences.


    Lu Chen''s greatest help is the system virtual space.


    He has countless opportunities to try and make mistakes!


    Every failure is Lu Chen''s most valuable experience.


    The surgical experience he has accumulated so far is something that many surgeons cannot comprehend in their lifetime.


    Beside, Xiao Shikang listened to Lu Chen''s explanation, his eyes became brighter and brighter.


    If we talk about Lu Chen in the past, he only performed a little more surgery, but now he, whether it is surgical operation or knowledge reserve, has completely surpassed his cognition.


    Surgery live room.


    The audience also heard Lu Chen''s explanation.


    I have been watching the live broadcast, which is all because of my seriousness and understanding of electrophysiological interventional surgery in the Department of Cardiology.


    Everyone has learned more or less experience from Lu Chen.


    The number of live broadcast viewers has increased, but the barrage has decreased.


    Everyone was immersed in Lu Chen''s art-like electrophysiological surgery.


    There are also updates


    (end of this chapter)

 v2 Chapter 871： Something better than instant noodles

    Chapter 871 Something better than instant noodles


    Cardiac catheterization laboratory.


    Lu Chen''s operation is still going on.


    "Shut up the cold brine!"


    "First try ablation with 15W, 55¡æ!"


    After ?? one second, the ventricular tachycardia is terminated.


    "Gradually titrate power to 30W and temperature to 55¡ãC."


    Afterwards, Lu Chen''s operation discharged a total of 90s.


    During this period, no atrioventricular block and left bundle branch block occurred, and the AH and HV intervals were normal.


    After the termination of the discharge, pacing at the rate of tachycardia at the successful ablation target, the resulting 12-lead QRS complex pattern is identical to that of ventricular tachycardia.


    And the interval from the stimulus signal to the start of the QRS complex is equal to the interval from the PP to the start of the QRS complex in VT.


    "ended."


    Lu Chen took off his gloves under Xiao Shikang''s surprised expression.


    He threw the disposable gloves and hats into the yellow medical trash can.


    "Mr. Xiao, observe for 30 minutes." Lu Chen said slowly to Xiao Shikang.


    "Oh." Xiao Shikang was stunned at first, and then reacted.


    The end of the ablation does not mean the end of the surgery.


    After surgery, observation for 30 minutes is required, and after intravenous infusion of isoproterenol, S1S1 stimulation of the ventricle and atrium is performed to see if ventricular tachycardia can be induced.


    Once ventricular tachycardia is induced, it means the failure of the entire ablation procedure.


    ¡­


    Half an hour passed.


    The audience in the live broadcast room waited with Xiao Shikang.


    When the nurses put isoproterenol on the patient, everyone stared at the ECG monitor beside the operation.


    on the monitor.


    The patient''s heart rate suddenly increased!


    Isoproterenol is one of the drugs that can increase heart rate clinically.


    Its side effect is that it can induce malignant arrhythmia.


    The audience in the live broadcast room also mentioned it in their hearts.


    An increase in heart rate is most likely a precursor to malignant arrhythmia.


    The patient''s heart rate rapidly increased from 70 beats/min to 120 beats/min in one minute.


    A defibrillator and an ambulance were also prepared.


    Slowly, as the pump of isoproterenol finishes, the patient''s heart rate gradually slows.


    And the ventricular tachycardia that always patronized this patient before, this time, it did not happen again!


    "Okay, the operation is over!"


    When Lu Chen finished saying this, everyone in the live broadcast room was completely relieved.


    Someone accidentally glanced at the number of viewers and was taken aback!


    The number of viewers has more than doubled compared to the beginning of the operation.


    Moreover, more and more viewers began to enter the live room.


    They were all introduced by other doctors and friends and wanted to see this exciting operation.


    "The operation was a success!"


    When Lu Chen said this to the patient on the stage, the corner of the young patient''s eyes was a little wet.


    Over the years, I have been suffering from electric shocks for a long time, and others cannot feel the same.


    However, he couldn''t remove the ICD.


    This is a life saver!


    He''s still so young, but he doesn''t want to leave like this.


    For this reason, he inquired a lot and found a lot of connections, and finally got this place for the Mayo cardiologist to perform surgery.


    "Thank you, Professor Lu!"


    The patient held Lu Chen''s hand and kept saying thank you.


    "The operation will take some time to recover, so pay attention to rest and don''t get tired." Lu Chen warned a few times. Although this is a minimally invasive operation, there are also some delayed complications, such as myocardial damage and cardiac perforation.


    "Well, I''ll listen to you." The patient looked at Lu Chen and sighed, "Professor Lu, it would be great if you were in Huaxia. We still have many patients here. Like me, they endure a lot of pain every day... ¡­¡±


    After saying this, the patient himself felt that what he said was inappropriate, and quickly said: "I''m sorry, Professor Lu, I don''t mean anything else, I just thought that it would be great if Huaxia could have a doctor as powerful as you."


    Lu Chen smiled, "There will definitely be, and there will be many in the future."


    "Really?" There was also a smile on the patient''s face, "Then I look forward to that day."


    at this time.


    Lu Chen noticed the pop-up prompt on his system panel.


    "Congratulations, +5 for receiving thanks from Xiao Shikang!"


    "Congratulations, received a thank you from...!"


    "Congratulations¡­¡­"


    A series of thank-you reminders surprised Lu Chen.


    The number of viewers this time, at least tens of thousands.


    Even if each person provides a little thank you, it will add up to a lot.


    It won''t take long before Lu Chen can exchange for a second advanced skill card!


    ¡­


    The patient was pushed to the CCU observation room.


    The surgery is officially over.


    Lu Chen slowly walked out of the catheterization room and took a sip of mineral water.


    The overall time for this operation is about two hours.


    Standing for a long time made Lu Chen''s waist a little sore.


    At this moment.


    Shen Wenguang and Yang Feng walked over.


    "Director Yang, let me introduce to you, the surgeon today is one of the best attending physicians in our Mayo Cardiology Department."


    Yang Feng did not reply, but Lu Chen smiled, shrugged, and said to Shen Wenguang, "Director Shen, I have known this director of Cardiology Department of the First Affiliated Hospital of Kyoto University, Yang Feng, for a long time."


    When Lu Chen spoke, there was a faint smile on his face.


    But there was a hint of indifference in the words.


    "Oh? Really? That''s even better." Shen Wenguang smiled, "I hope everyone can communicate and cooperate in various fields of cardiology in the future."


    Yang Feng didn''t smile when he looked at Lu Chen, but when he turned to look at Shen Wenguang, he also showed a smile, "Okay, I''ll have a good conversation with Dr. Lu in the future."


    Lu Chen smiled and didn''t pay much attention to Yang Feng''s words.


    Some things, once missed, may be irreversible.


    Lu Chen didn''t want to say anything more to these leaders, so he said, "Director Shen, I have another operation next, so I''ll go to prepare first."


    "Okay, let''s go." Shen Wenguang nodded and patted Lu Chen''s shoulder, "Don''t run away tonight, have dinner with me."


    "Yeah." Lu Chen nodded slightly, he really had no reason not to participate in the group dinner.


    ¡­


    The second electrophysiological operation.


    Xiao Shikang is the main knife and Lu Chen is the assistant.


    The difficulty of this operation is one grade lower than the previous one, just a leadless pacemaker implantation.


    This type of surgery, Lu Chen would have done five years ago.


    For him now, it is not difficult at all.


    Under the guidance of Lu Chen, Xiao Shikang started the operation.


    Lu Chen will take the initiative to help once he encounters a more difficult place. More often, Xiao Shikang completes the operation independently.


    Because the live broadcast of this surgery is also an opportunity for Doctor Huaxia to show himself.


    Lu Chen is better not to overwhelm the guest.


    ¡­


    After an hour of operation, the operation was completed smoothly.


    In this operation, Lu Chen was an assistant, and he did not receive much thanks.


    But today''s harvest is enough.


    night.


    Lu Chen was pulled by Kebed to the hotel where the group dinner was held.


    The hospital leader of Huaxia Hospital and Shen Wenguang sat at a table.


    The other doctors sat down freely.


    Kebed pulled Lu Chen''s sleeve, "Hey, Lu, you forgot your promise to me!"


    Lu Chen was about to eat a mouthful of steamed pork. He was stunned for a moment, then looked back at Kebed, "What promise?"


    "Take me to eat something better than instant noodles." Kebed blinked, looking at Lu Chen with great anticipation.


    Lu Chen was startled, he really forgot about it, so he smiled, "Okay, I''ll take you to supper tonight."


    "What to eat?" Kebed wondered.


    "Skewer..."


    (end of this chapter)

 v2 Chapter 872： This may be mouse meat (first update)

    Chapter 872 This may be mouse meat (first more)


    However, Lu Chen broke his promise.


    After the dinner, Director Qin Sifeng found him.


    "Mr. Kebed, let''s make an appointment tomorrow, I have something to do tonight."


    Lu Chen said a little apologetically, he took out his mobile phone and showed Kebed the picture of the barbecue and skewers, "Look, this is what is better than instant noodles!"


    Kebed looked suspicious, he touched his chin, "What is this? It''s better than instant noodles?"


    "Of course!" Lu Chen nodded immediately, with a smile on the corner of his mouth, "I''ll take you to eat tomorrow, be full!"


    "Okay, then it''s a deal! Lu, don''t miss your appointment!"


    The two made an agreement again, and Lu Chen went to the First Affiliated Hospital of Kyoto University to find Qin Sifeng.


    Qin Sifeng is in the director''s office.


    Following the direction he remembered, Lu Chen came to the door of his office.


    lightly knocked on the door and pushed in.


    Qin Sifeng was sitting on the sofa, and opposite him, his junior sister Yao Jie was sitting quietly.


    "Lu Chen is here." Qin Sifeng immediately stood up and waved at Lu Chen, "Come and sit down, wait for a long time."


    "I''m sorry, Professor Qin, for making you wait for a long time." Lu Chen apologized slightly, and turned back to Yao Jie and said, "Junior sister is here."


    "Yeah." Yao Jie nodded slightly and didn''t say much.


    Qin Sifeng poured a cup of tea for both of them, and Lu Chen hurried forward to catch it, "Thank you, Professor Qin."


    Qin Sifeng smiled, looked at Yao Jie, and then at Lu Chen, and said, "I asked you to come here this time, but there is actually a matter, and I want your help."


    Lu Chen was startled, looking at Qin Sifeng''s attitude, this matter was definitely related to Yao Jie.


    "Professor Qin, you said."


    Qin Sifeng touched the beard on his chin, took out a document from the drawer of the table, and said slowly, "You may have heard that this time the Mayo medical team came to Kyoto and signed a lot of cooperation projects with us. Among them, there is an option for visiting doctors."


    "Well, yes, I have seen it." Lu Chen nodded slightly.


    On the day of the signing, he was there.


    Kyoto and Mayo Cardiology Department conduct multi-level exchanges, including clinical medical treatment, personnel visits, etc.


    "Lu Chen, you should also know that this quota is very important to Doctor Huaxia." Qin Sifeng said slowly.


    "I know this." Lu Chen smiled.


    Many hospital leaders or children of other officials want to go to Mayo.


    This kind of competitiveness is not a star and a half.


    The meaning of Qin Sifeng''s words...


    Lu Chen glanced at Yao Jie, it seemed that it was mostly related to her.


    Just listen to Qin Sifeng continue: "I mean, Lu Chen, you are inside Mayo, help Yao Jie mention the qualifications of this Mayo selection."


    Lu Chen was stunned, "Junior Sister Yao Jie wants to go?"


    "Yeah." Qin Sifeng nodded, "Yao Jie''s performance over the years, I can see in my eyes, she is the most suitable for this visiting scholar in Young One."


    After saying this, Yao Jie, who was sitting on the sofa, nodded, "Senior Brother Lu, I want to go!"


    Brother ?? added Lu in front of him, but Lu Chen didn''t care about these details.


    This is also the first time she has made an unsolicited request.


    Lu Chen did not agree in one breath, he glanced at Yao Jie, and said to Qin Sifeng: "Actually, Professor Qin, even if you don''t tell me, if I know that Junior Sister Yao Jie has such thoughts, I will try my best to help, but I am in Meimei. Ao is just an attending doctor, how useful can my words be?"


    This time, the selection personnel from Kyoto, one is to ask the Kyoto side to propose a candidate, and the other is to ask Mayo to accept it.


    How much power Lu Chen can have right now, he himself is not sure.


    Qin Sifeng smiled, and he filled his own cup of tea with another half cup of tea, "Lu Chen, you just need to cooperate with us and mention it to Professor Shen Wenguang, and you don''t need to worry about the rest. Here in Kyoto, I It''ll be fine."


    "That''s easy to say." Lu Chen nodded slightly, "I will find a time to talk to Director Shen Wenguang about this."


    "that would be great."


    A smile appeared on Qin Sifeng''s old face.


    Beside ??, Yao Jie also smiled at Lu Chen, "Thank you Brother Lu."


    Lu Chen waved his hand, "Thanks for the effort, I''m still very optimistic about Junior Sister Yao Jie."


    Yao Jie''s mouth moved when she heard the words, but she stopped talking.


    Qin Sifeng shook his head without a trace.


    He just hoped that Yao Jie could think a little.


    With her ability, what kind of boyfriend is hard to find?


    ¡­


    The next day.


    TAVR Surgery Sharing Conference started.


    Lu Chen appeared again.


    ''s appearance this time shocked everyone even more.


    Lu Chen is the first and twice-appeared surgeon.


    More importantly, the audience in the live broadcast room discovered that Lu Chen''s TAVR surgery was even more exquisite than his electrophysiological surgery!


    Therefore, some viewers who knew Lu Chen turned out his past resume.


    "Lu Chen, he is actually the chairman of the Guanghai TAVR Society!"


    "He also successfully applied for a TAVR-related national nature project!"


    "I don''t know if I don''t check it, but I''m shocked when I check it! He is still the leader of the younger generation in the field of TAVR surgery in China."


    "South Luchen, Bei Weiguang! I think Lu Chen is much more powerful than Yu Weiguang!"


    ¡­


    As Lu Chen''s identity information was gradually discovered, the entire Huaxia cardiology medical circle began to re-examine this young man under 30 years old.


    However, what makes everyone regret is that this time Lu Chen''s identity is to represent the "Mayo Information Group".


    The Cardiology Department of Guanghai First Hospital at this time.


    Tang Zhanwei was in the director''s office, watching the live broadcast in front of him.


    Lu Chen''s information, he knows better than anyone else.


    This time, Lu Chen''s TAVR operation was something he had never seen before.


    A year has passed, and Lu Chen''s growth seems to have reached an unexpected level.


    Not only did he not think of it, the leaders of Guanghai No. 1 Hospital should have never thought about it, right?


    Tang Zhanwei also has Lu Chen''s book about TAVR''s national nature project.


    After Lu Chen left, the project was handed over to him by the hospital leadership.


    "No matter what, this project is mine now." Tang Zhanwei clenched the project book in his hand tightly, "As long as I can finish the question, I will definitely have a weight in the TAVR field of Huaxia in the future!"


    ¡­


    Lu Chen, who was in Kyoto, did not know what Tang Zhanwei was thinking.


    Even if he knew, he would scoff at it.


    His eyes were long gone.


    Kyoto, Magic Capital, or Guanghai, are not Lu Chen''s goals.


    After working at Mayo, Lu Chen can really feel that there are people outside people, and there are days outside the sky!


    His ideas have already reached the whole world.


    Even if he has the help of the system, it is extremely difficult to stand out in the Mayo where the big names are gathered.


    This trip back to China ended when Lu Chen invited Kebed to make a string.


    "Lu, this is not bad!"


    The food stalls on the street, Kebed gave Lu Chen a thumbs up.


    "It''s better than pizza, right?" Lu Chen smiled and slapped another string of pork belly.


    "Yeah, delicious." Kebed took a bite and asked, "What kind of meat is this?"


    Lu Chen coughed lightly and smiled mysteriously.


    "It could be rat meat."


    Immediately, Kebed''s eyes showed panic.


    ¡­


    The next day.


    The Mayo Medical Mission has returned to China.


    Lu Chen''s Mayo trip continues.


    (end of this chapter)

 v2 Chapter 873： Let you be the chief! (Second update)

    Chapter 873 Let you be a chief! (Second update)


    The short trip to Kyoto has brought Lu Chen''s appreciation value to another peak.


    Especially the TAVR surgery on the second day.


    The number of viewers once approached 100,000!


    This is definitely incomparable to the live game broadcasts that are watched by tens of millions of people.


    But Lu Chen was able to get a lot more thanks than he imagined!


    After returning to Mayo, Lu Chen exchanged the coronary intervention skill card (expert level) immediately!


    Coronary intervention, which is a top priority in the field of cardiology.


    The number of patients with TAVR and electrophysiology is far less than that of patients with coronary heart disease.


    However, due to the centralized procurement of coronary stents in China in recent years, the price has plummeted.


    Many doctors have taken a different approach and set their sights on other surgeries without centralized collection, such as TAVR, electrophysiology, etc.


    However, anyway, coronary intervention is still the mainstream of cardiology.


    After ?? exchanged the coronary skill card, Lu Chen also started a period of "concentrated cultivation".


    ¡­


    about a month later.


    Yao Jie came to Mayo.


    This selection is still due to Qin Sifeng''s lobbying, and Lu Chen''s support in Mayo.


    As for the effect, it depends on Yao Jie''s future development.


    Yao Jie''s accommodation is where Lu Chen rented a house before.


    However, Mayo''s work life is quite compact.


    Here, Lu Chen and Yao Jie meet occasionally, but not many times.


    Lu Chen is also used to this loner life.


    In the blink of an eye, half a year has passed.


    Lu Chen''s proficiency in TAVR and coronary intervention has reached over 90%.


    His reputation at Mayo Cardiology is also growing.


    So far, Lu Chen has spent a year in Mayo.


    During the ?? period, Luo Meizhen and Lu Wenguo also came to Mayo to visit Lu Chen once.


    However, because the food here is too hard, and the climate is not acclimatized, the two returned to China soon.


    ¡­


    "Lu Chenjun, there is a difficult case in the inpatient department, I need you to take a look!"


    Lu Chen was chatting with patients in the outpatient department.


    That''s right, just small talk.


    Hearing Kenji Yamada''s voice, Lu Chen quickly ended the outpatient treatment (chat) and went to the inpatient department.


    Kenji Yamada from the island country is now Lu Chen''s right-hand man.


    "Lu Chenjun, this patient is very difficult." Kenji Yamada introduced as he walked, "The patient is a patient with severe aortic stenosis, accompanied by aneurysm-like dilatation of the ascending aorta. The most difficult thing is that his coronary artery condition is not good. , CTA showed three-vessel lesions."


    Lu Chen''s expression was solemn.


    From the patient''s current condition, the patient''s cardiac function state is completely unable to withstand thoracotomy for valve replacement or coronary artery bypass surgery.


    But interventional surgery is very difficult!


    While ensuring the patient¡¯s cardiac function, it is necessary to try to solve multiple problems for him, including severe aortic stenosis, coronary stenosis, and ascending aortic aneurysm-like dilatation.


    "I heard that the patient is still the chief of an African country." Kenji Yamada smiled, "The patient also said that whoever cured him would marry his daughter and let him be the chief."


    Lu Chen was startled, smiled and shook his head, "No one wants to be an African chief."


    Yamada Kenji pouted, "Lu Chenjun, there are many gold mines there!"


    "If you want to go, you can go." Lu Chen smiled.


    "Me, I don''t have the ability to cure him." Kenji Yamada spread his hands, "It''s better for Lu Chenjun to come in person."


    The two talked while walking, and soon came to the case discussion room.


    "Lu, you are here."


    Kebed stood up and greeted Lu Chen.


    Since the last time they ate kushikatsu in Huaxia, the two have established a very deep "friendship".


    "Mr. Kebed, what other patients do you have that you can''t solve?" Lu Chen joked with a smile, "You can''t solve it, and I''m too sick!"


    Kebed patted Lu Chen on the shoulder, "Lu, I don''t like hearing what you say. In Mayo, everyone knows that your TAVR surgery is one of the best. If I don''t look for you, who else can I look for?"


    Lu Chen currently has a TAVR expert skill card.


    At present, most of the surgeries in the world can be performed by Lu Chen.


    Even in Mayo, Lu Chen''s TAVR and coronary intervention capabilities are second to none.


    "Okay, let''s take a look at the patient first." Lu Chen smiled and was about to get up to go to the ward when he saw Junior Sister Yao Jie sitting beside him.


    Yao Jie is currently a visiting scholar with the same identity as Lu Chen before at Kebed.


    "Junior sister, are you here today?"


    Yao Jie nodded, "I came across this case and wanted to come and see."


    In fact, Yao Jie''s main research direction is coronary intervention.


    As for TAVR, she is also a half rookie.


    "Okay, let''s go have a look together."


    ¡­


    Several people came to the ward together.


    On the ward lay a black man, who should be the chief.


    His HP is 48(¡ª)!


    Seeing the chief''s first glance, Lu Chen whispered to Kebed beside him, "We have to arrange surgery as soon as possible, but I can''t trust it. If heart failure occurs, the risk of surgery will be even greater!"


    "Lu, you are really eye-catching." Kebed glanced at Lu Chen, tsk tsk admiringly, "I have also asked other professors to consult, and some doctors have adjusted the heart function before surgery. However, the effect of conservative treatment with drugs is very poor. I''m afraid it''s useless if I continue to use the drug, but the risk of heart failure aggravating is very high!"


    Lu Chen nodded in agreement, "Mr. Kebed, you are right, let''s take a look at the patient first."


    came to the hospital bed.


    The chief on the hospital bed began to introduce himself.


    Although he was seriously ill and his words were weak, he still repeated what Yamada Kenji said to him just now.


    In short, "Whoever heals me can be a chief."


    Lu Chen has no interest in being an "African chief".


    He was very concerned about the challenge of this disease in front of him.


    The existence of a variety of diseases has increased the difficulty of surgery exponentially.


    After checking the patient''s condition, Lu Chen strengthened his point of view.


    "Mr. Kebed, if you want me to say, the operation will be scheduled for this afternoon. The sooner the better, don''t delay any longer!"


    "Okay." Kebed nodded without hesitation, "I''ll immediately notify the catheterization lab to prepare for the operation."


    "That''s right." Lu Chen suddenly looked back at Kenji Yamada, "Yamada, take a rest today, let Yao Jie follow me, she will be my assistant."


    Yamada Kenji was quite surprised, but nodded in agreement, "Okay, but I''ll be fine when I go back. I''m still waiting outside the catheter room. Call me anytime if you have anything."


    "Well, that''s fine too." Lu Chen responded, and continued to discuss this afternoon''s surgery with Kebed.


    At this time, Yao Jie was a little excited.


    Originally, visiting scholars were not eligible for surgery.


    Even when Lu Chen was a visiting scholar, he didn''t have the chance to be a surgical assistant.


    However, Yao Jie''s identity this time is different from the regular visiting doctor. Mayo took the initiative to accept it, and the two sides jointly cultivated it.


    The chance of the main surgery is definitely not there.


    But the authority to be a surgical assistant was released.


    At two o''clock in the afternoon, the surgery officially started.


    Yao Jie and Lu Chen came to the stage in an uneasy mood.


    This is also her first surgery in Mayo!


    (end of this chapter)

 v2 Chapter 874： Shaping of the catheter (first update)

    Chapter 874 Shaping of the catheter (first update)


    Mayo''s Cardiology Catheterization Lab.


    Lu Chen checked the patient''s ultrasound report again.


    The ascending aorta was dilated, the inner diameter of the aortic sinus was 4.3 cm, the sinotubular junction nearly disappeared, the inner diameter was 5.1 cm, and the three valve margins of the aortic valve had echogenic calcification, adhesion, and poor opening.


    CW: systolic aortic valve orifice maximum blood flow velocity: 3.1cm/s, maximum pressure difference: 38mmHg, average pressure difference: 19mmHg, aortic valve annulus diameter 2.7cm, aortic valve arch inner diameter 3.5cm.


    After fully understanding the condition of the valve, the whole operation officially begins.


    Under the guidance of Lu Chen, Yao Jie began to puncture the patient''s femoral artery.


    As a necessary skill for intervention, Yao Jie tried arterial puncture.


    Wearing gloves and holding a puncture needle in his hand, Yao Jie''s movements were unhurried and slowly pierced into the blood vessel.


    The color of arterial blood is more vivid than that of venous blood.


    With the pulsating red blood appearing in the puncture needle, Yao Jie successfully finished the vascular puncture.


    All beginnings are hard.


    A good vascular puncture means half the success of the operation.


    Next, Yao Jie began to enter the catheter and guide wire.


    Any balloon, stent, etc., are guided by catheters and guide wires to smoothly enter the human heart.


    "Slow down, don''t go too fast, haste is not enough!" Lu Chen instructed from the side.


    Catheters and guide wires are very delicate things. If the airway is slightly larger, it may damage the blood vessels.


    Insert a 6F sheath and inject 7000U heparin.


    Yao Jie sent EBU3.75, EBU4.0 and JL4 guiding catheters respectively.


    But, unfortunately.


    She failed to get the catheter to the left coronary ostium.


    Yao Jie''s hands trembled slightly.


    The first operation, is it about to fail?


    And lost in such a small place?


    She was a little unwilling, and there was even fine sweat oozing from her forehead.


    After ?? debugging several times, the guide catheter still failed to reach the left coronary ostium.


    "Senior Brother Lu, I..."


    Yao Jie had no choice but to ask Lu Chen beside him for help.


    Lu Chen immediately understood, smiled, and said, "Let me do the rest, you have done a good job."


    Yao Jie lowered her head, turned slightly to the side, and gave Lu Chen the seat for the surgery.


    Lu Chen took a step forward, gently held one end of the guide catheter, and started the operation.


    fiddled a little.


    Lu Chen also discovered that with the current shape of the catheter, it must not be able to pass through the left coronary ostium.


    "Everyone''s condition is different, but the initial state of the catheter is the same." Lu Chen glanced at Yao Jie and said slowly, "When this kind of catheter cannot pass, we may use a A skill, it''s catheter shaping."


    Catheter shaping, in simple terms, is to adjust the catheter into a shape suitable for the patient''s lesions to pass through.


    It looks easy, but it''s actually very difficult!


    This requires the surgeon to be extremely familiar with cardiac anatomy and proficient in interventional cardiology.


    "There are two parameters to determine the shaping of a guide wire, the shaping distance and the shaping angle of the guide wire." Lu Chen said while teaching, "The shaping distance and shaping length are different concepts. We generally The length we talk about actually refers to the shaping distance, not the real length..."


    Lu Chen began to gently scrape the catheter with the plastic needle.


    This skill is the most test of the ability of the practitioner.


    Sometimes, just shave twice and go straight in.


    And sometimes, it takes a long time to see the lesions, look at them, and shape them for a long time.


    Yao Jie listened to Lu Chen''s explanation and kept her eyes fixed.


    She had heard of this skill, but when it was her turn, she realized how difficult it was to sit up!


    "Junior sister, take a look, this angle is very large, so make a big bend. This big bend can be double-bended or curved! This large-bend guide wire can be retracted or advanced. Of course, it can also be used The double-lumen microcatheter assists in entering below.¡±


    "Of course, the most ideal state is to use a microcatheter. The microcatheter is first sent to the proximal end of the lesion, and then replaced with a small curved guide wire."


    "Sister, the most important thing is that you have to remember that different lesions and different blood vessel positions have completely different shapes..."


    ¡­


    Five minutes later, Lu Chen successfully shaped the catheter.


    After ??EBU4.0 shaping, the left crown mouth was successfully reached.


    Lu Chen immediately sent a VT guide wire to the distal end of the anterior descending branch, sent a BMW guide wire to the distal end of the circumflex branch, and sent a 2.0*20mm double guide wire balloon to fully pre-expand the proximal stenosis of the anterior descending branch.


    In the eyes of outsiders, the extremely difficult coronary intervention at this moment was gradually broken by Lu Chen.


    However, Lu Chen was not complacent.


    He concentrates his attention at all times and avoids any emergencies.


    Subsequently, he delivered a 3.0*24mmDES to the mid-segment lesion of the anterior descending artery.


    Release after precise positioning.


    Send 3.5*16mm mastoid balloon and 3.0*15mm NC balloon respectively to the stent for modification and expansion.


    "Recheck the angiography!"


    Lu Chen continued to give instructions, Yao Jie injected a small amount of contrast agent again.


    "The stent expands well."


    After the angiography was over, Lu Chen glanced at the position of the bracket and nodded in satisfaction.


    "Remove the sheath, apply pressure dressing, and pay attention to the presence of bleeding and high vagal reflex."


    "Received!" Yao Jie nodded slightly.


    The coronary intervention was successfully completed, but it was only one of several procedures for the patient.


    "This patient may need to use a temporary pacemaker preventively." Lu Chen suddenly said.


    Yao Jie was taken aback, she thought she would start the TAVR surgery directly.


    Lu Chen actually had to implant a pacemaker for the patient.


    This pacemaker was implanted after PCI and before TAVR.


    "Junior sister, do you know what I''m doing?" Lu Chen asked with a smile.


    Yao Jie frowned, thought for a moment, then slowly shook his head, "I don''t know."


    Lu Chen smiled and explained: "Previous PCI treatment did not cause high-grade atrioventricular block, but TAVR surgery will! A pacemaker is implanted after TAVR surgery, and this is to prevent high-grade conduction block."


    He placed a 5F temporary pacing lead in the patient''s right jugular vein to the right ventricular outflow tract for backup.


    The process of implanting a pacemaker took less than five minutes.


    Seeing Yao Jie beside her, she was stunned!


    Implanted a temporary pacemaker, not even for five minutes.


    This speed is simply amazing.


    As expected of Senior Brother Lu Chen!


    He can stand in Mayo, and his surgical ability is really not comparable to ordinary people.


    ¡­


    After the temporary pacemaker was implanted, the TAVR surgery came.


    Actually, at this time.


    Yao Jie''s assistantship is completely useless.


    At most, it is to help Lu Chen deliver something.


    "Junior sister, let Kenji Yamada come in and help." Lu Chen thought about it.


    Although he can do it alone, it is still inconvenient without the help of an assistant.


    Yao Jie''s current experience is still shallow, and for the rest of the operation, it is enough for her to watch the operation by the side.


    "Okay, Brother Lu."


    Yao Jie nodded slightly, knowing that she couldn''t be of much help right now, she walked to the catheter room and called Kenji Yamada in.


    Lu Chen and Yamada cooperated in many surgeries.


    The two of them are also very tacit.


    Next, is the most critical point of the whole operation - TAVR surgery!


    (end of this chapter)

 v2 Chapter 875： Congratulations, the new African Chief! (Second!)

    Chapter 875 Congratulations, the new African chief! (Second!)


    Mayo''s Cardiology Catheterization Lab.


    Lu Chen and Yamada Kenji both had very solemn expressions.


    After performing angiography on the aortic root of the patient again, Lu Chen found that the patient had severe transverse aortic stenosis!


    In this case, intervening valve stents and implantation in the non-calcified aortic valve area are prone to displacement, which increases the risk of TAVR failure.


    Relative pathological dilation of its aortic root and ascending aorta, resulting in enlargement of the aortic valve annulus.


    The area of ??the valve annulus exceeds the area of ??the largest conventional artificial valve in clinical practice, and there is a risk of falling off after the valve is released.


    The difficulty of this operation is still beyond everyone''s imagination!


    "Lu Chenjun, what should we do? Continue...or give up?"


    Yamada Kenji saw this situation and wanted to back off.


    Anyway, he didn''t want to be an "African chief".


    Lu Chen didn''t speak, he was thinking about the possibility of surgery again.


    Conventional transfemoral artery puncture for TAVR. The valve is implanted at this angle. In the case of severe transverse heart, the valve is very easy to shift!


    Once it is displaced and paravalvular leakage occurs, the entire operation will be declared a failure, which is also a fatal blow to the patient.


    In the end, what should I do?


    Is there a better alternative to surgery?


    Lu Chen''s mind flashed scenes in the virtual space of the system.


    He is training every day and night for various clinical situations that may occur.


    In the virtual space of the system, he encountered various complications, various techniques, and various unexpected emergencies.


    However, this is just a virtual system after all!


    The situation in reality is arbitrary, and there can be no rules.


    Lu Chen searched his past training memories, but couldn''t find a suitable technique.


    "Lu Chenjun, why don''t you pause first." Yamada Kenji said, "Let''s go back and discuss it again. After the surgery is ready, make full preparations and perform the second surgery."


    Lu Chen sank his heart.


    At present, Kenji Yamada''s opinion is the most scientific.


    But, just when Lu Chen was about to finish the operation.


    The monitor on the operating table suddenly sounded a piercing siren!


    The patient''s ECG waveform suddenly became extremely fast, and the waveform was not at all irregular.


    The patient himself also lost consciousness and did not respond at all to calls from outside nurses.


    "Oops, ventricular fibrillation!"


    Lu Chen roared in a low voice.


    "Blood pressure!"


    He and Yamada Kenji immediately moved.


    Lu Chen performed CPR.


    Yamada Kenji brought a defibrillator.


    Fortunately, Lu Chen asked the nurse to prepare the ambulance and defibrillator in advance.


    After two defibrillations, the patient''s heart rate recovered.


    However, his blood pressure is in a low state.


    Cardiogenic shock!


    This time, Lu Chen didn''t dare to suspend the operation.


    "Go to IABP." Lu Chen said immediately.


    IABP is mainly aortic counterpulsation. In short, when the aorta ejects blood, the aortic blood is returned to increase coronary blood flow.


    This is one of the effective measures to prevent cardiogenic shock.


    However, the patient¡¯s vital signs are only temporarily maintained.


    If the underlying problem is not addressed, the IABP will only be delayed for a while.


    If the operation is stopped at this point, then the patient''s next risk is extremely high, and it is very likely that all unpredictable risks such as cardiac arrest will occur.


    "Lu Chenjun..."


    Before Kenji Yamada could finish speaking, Lu Chen said directly, "The operation cannot be suspended, it must be continued!"


    The risk of surgery must be considered, but when the life safety of the patient is threatened, the main thing is to save life!


    "Huh?" Yamada Kenji was stunned.


    Does Lu Chenjun want to be an African chief so much?


    Forcibly performing TAVR surgery at this time, the risk of failure is too high!


    However, at this time, Lu Chen is the chief surgeon, and unless he stops the operation himself, no one can suspend his operation.


    And just now, a light flashed in Lu Chen''s mind.


    He felt that he was being led by the system all the time, unable to jump out of this established circle.


    What if we jump out of the frame of the existing transfemoral TAVR procedure?


    Is there any other way?


    Thinking of this, Lu Chen suddenly had an idea.


    Since the angle of the femoral artery puncture is too large, it is not easy to implant the valve, so what if it is directly punctured?


    "Yamada, you said that if I pierce directly, will the angle problem be solved?" Lu Chen looked back at Kenji Yamada next to him.


    "Direct puncture?"


    Yamada Kenji was stunned for a while, he didn''t understand what Lu Chen meant for a while.


    "Yes, not through the femoral artery, but directly through the apex of the heart!"


    When Lu Chen''s words came out, Yamada Kenji was stunned.


    Directly puncture the apex of the heart and let the catheter be implanted in the aorta?


    And then implant the valve?


    This is such a bold idea!


    But there is no doubt that if the pericardiocentesis is really performed, the patient does not need to worry about the angle and displacement even if the patient has a severe transverse heart.


    Yamada Kenji immediately came to his senses and figured out the reason.


    A look of excitement appeared on his face.


    "Lu Chenjun, I think your idea is feasible!"


    Apical puncture, with the help of an ultrasound machine, is still very safe.


    "Okay, without further ado, let''s start right away!"


    Right now, every second that passes, that''s a little more dangerous.


    ¡­


    Yao Jie pushed the ultrasound machine in.


    With the aid of ultrasound, Lu Chen quickly performed apical puncture.


    After apical purse-string puncture, a loach guide wire and a 5F single-curved catheter were inserted to the descending aorta.


    "The Lunderquist reinforced guide wire after exchanging the head plastic, the 24F sheath was dilated, and the delivery device loaded with the J-Valve valve was sent to the aortic root through the reinforced guide wire."


    Lu Chen instructed Kenji Yamada.


    He opened the positioning piece and pulled it back into the three valve sinuses.


    The valves were released in sequence, and the position and function of the valve were assessed by angiography and TEE after valve release, and the delivery device was withdrawn after the lock wire was decoupled.


    "Withdraw the hardened guide wire under the protection of a single bend!"


    Angiography confirmed that the valve function was good, and the ascending aorta and access vessels were not damaged.


    The purse is knotted at the apex of the heart.


    After Lu Chen stopped the bleeding, a left chest tube was indwelled and the chest was routinely closed.


    Surgery is over.


    The ECG monitor made by the operating table.


    The patient''s blood pressure and heart rate have returned to normal.


    Postoperative echocardiography showed that the interventional valve was in good shape and position, and there was only paravalvular leakage.


    ¡­


    When the patient was sent to the CCU for observation, Lu Chen and Kenji Yamada also got off the operating table.


    During the entire operation, the two of them were tense, and only then did they relax completely.


    Even Yao Jie, who was watching from the side, was feeling ups and downs.


    "Lu Chen-jun." Yamada Kenji suddenly patted Lu Chen''s shoulder, "Congratulations!"


    Lu Chen looked back at Kenji Yamada suspiciously, "Congratulations?"


    "Congratulations on becoming the new African tribal chief."


    Lu Chen: "..."


    To tell the truth, the gold mine can be left behind, but he will never marry someone!


    (end of this chapter)

 v2 Chapter 876： The two-year appointment has come!

    Chapter 876 The two-year appointment has arrived!


    A week later.


    The African chief''s condition gradually improved.


    The former chief, who had to gasp for a few words, can even chat happily with others now.


    He could even walk down the ground, which made him very happy.


    He seemed to be a man who kept his promise, and immediately found his chief surgeon, Lu Chen.


    Lu Chen of course directly rejected the kindness of the African chief!


    His taste is not heavy!


    However, under the repeated pleas of the African chief, Lu Chen had to agree to be the honorary "chief" of their tribe.


    You don¡¯t need to worry about anything, and you can get a lot of dividends from the mine every year.


    As for the dividends, Lu Chen didn''t know.


    But he envy others to death.


    This kind of gold mine, with a little hint of a word, is enough for many people for most of their lives.


    As for the assistants Yao Jie and Yamada Kenji who performed the surgery, they both received corresponding rewards.


    So, Lu Chen was nicknamed "Chief" in Mayo.


    ¡­


    Spring goes to autumn.


    Lu Chen''s time in Mayo slowly passed another year.


    The case sharing meeting every quarter, he must not miss it.


    Therefore, Lu Chen earned enough gratitude points.


    In the ?? system mall, he exchanged the electrophysiology expert skill card again!


    So far, Lu Chen has successfully exchanged the three most important advanced skill cards.


    Coronary intervention, electrophysiology and TAVR intervention!


    These three skills are also the most common in cardiology interventions.


    And next month, the two-year contract between Lu Chen and Mayo will officially expire.


    Shen Wenguang, as the director of Mayo''s Cardiology Department, mainly found Lu Chen and invited him to renew his contract.


    However, Lu Chen refused!


    This surprised Shen Wenguang.


    You must know that the resignation rate of Dr. Mayo is quite low, even less than 0.1%.


    Every doctor here has a strong sense of belonging.


    "Lu Chen, I don''t quite understand the reason for your decision." Shen Wenguang liked Lu Chen very much.


    Not only because of his superb clinical and surgical skills, but also because of Lu Chen''s future.


    Such a young doctor, if trained well at Mayo, will definitely be the pillar of the global cardiovascular field in the future.


    "Lu Chen, isn''t our Mayo bad?"


    Shen Wenguang looked suspiciously at Lu Chen sitting in front of him, trying to see a trace of nostalgia in his eyes.


    Lu Chen smiled, "Of course not, Mayo is good, it can be said to be every doctor''s paradise. Here, most people will have a sense of ease and belonging."


    "If that''s the case, then why are you leaving?" Shen Wenguang said.


    "Because my roots are in Huaxia, no matter how good this place is, it''s still not as good as my home." Lu Chen smiled slightly, "The conditions at home are a bit poor. After I go back, I can do my best to improve the situation."


    "But in such a big environment, are you useful by yourself?" Shen Wenguang was a little amused.


    The idea of ??young people is still too immature.


    "Whether it works or not, you have to try it to find out." Lu Chen smiled, "You say yes, Director Shen."


    Seeing that the persuasion was ineffective, Shen Wenguang could only say: "Lu Chen, no matter what, I hope you will seriously consider and continue to stay in our Mayo. You are the attending doctor now, and almost no one can control you, clinical and scientific research, you You can study as you like, but in Huaxia, can you do what you want? According to me, your performance income is all linked to drugs and inspections..."


    To be honest, Mayo''s clinical life is quite comfortable compared to Huaxia.


    The doctor''s salary is fixed and will not waste any medical resources at all.


    It will not do more useless work for its own interests.


    Moreover, Mayo''s salary is also quite good, and denial can''t attract the world''s top talents.


    Seeing Lu Chen''s silence, Shen Wenguang thought he had changed his mind, and immediately said: "By next year, you will almost be able to be rated as an assistant professor. If you work for ten or eight years, and then return to Huaxia, you will be much better than now!"


    "But..." Lu Chen paused.


    "But what?" Shen Wenguang raised his brows.


    "Director Shen, the pizza here at Mayo is really unpalatable!" Lu Chen shrugged his shoulders with a bitter face, "I really want to go back to eat Sichuan and Hunan cuisine, but I can''t, I can eat some skewers! "


    Lu Chen subconsciously touched his stomach.


    After coming to Mayo these years, he feels that he has lost weight.


    Shen Wenguang suddenly choked.


    I don''t want to stay, there are thousands of reasons.


    If you want to stay, one reason is enough.


    Lu Chen made it clear that he wanted to leave.


    Shen Wenguang could only shake his head slightly when he saw this: "Well, if you want to go back to Mayo in the future, you can come back anytime. As long as I am on duty in the Cardiology Department, there must be a place for you in the future."


    "Well, thank you Director Shen."


    Lu Chen finally breathed a sigh of relief.


    In the remaining month, he needs to slowly transfer the work, and hand over the patients currently on hand to other groups.


    ¡­


    Mayo Cardiology doctor''s office.


    "Lu Chenjun, I heard that you are going back to China?"


    Yamada Kenji did not know when he came over.


    "Well, you know that too?" Lu Chen was stunned, he didn''t remember what he said to other people.


    "Hey, of course I know." Yamada Kenji smiled, "Everyone thought you would stay, but you didn''t expect that you left in the end!"


    "Are you all surprised?"


    "Of course, everyone wants to keep Mayo! What''s more, Director Shen personally invited you to show no respect for him?" Yamada Kenji said.


    Lu Chen waved his hand and began to pack up the materials at hand, "You don''t understand. I won''t chat with you anymore. I have something else to do."


    Yamada Kenji paused, but said, "Actually, I''m leaving too, Lu Chenjun."


    "Huh?" Lu Chen said quickly, "You''ve been here for three years?"


    "Aren''t you talking nonsense?" Yamada Kenji sighed while holding his forehead, "I came from the same group as you. You have been here for three years, how many years do you think I have?"


    Fellow''s training is three years.


    Yamada Kenji''s Fellow training is over.


    However, he did not receive an invitation to stay in the hospital from the Mayo Clinic.


    In other words, Yamada Kenji has no chance to stay in Mayo for the time being.


    "Hey, what a pity!" Kenji Yamada shook his head and said, "If it were me, I would still choose to stay in Mayo. The conditions here are simply unattainable elsewhere!"


    "You can continue to apply." Lu Chen smiled.


    "Forget it, I won''t waste my time." Kenji Yamada shook his head, "When I applied for Fellow, I barely met the criteria, and if I apply for it and stay, then I''ll run with you!"


    "Alright then." Lu Chen stopped persuading.


    ¡­


    As the news that Lu Chen was going to return to China slowly spread.


    There are undercurrents in China!


    Numerous hospitals, whether public, private, or even hospitals in some other countries, have found their way.


    (end of this chapter)

 v3 Chapter 1：

I owe a chapter today


    Organize your thoughts and make up for it tomorrow.


    (end of this chapter)

 v3 Chapter 877： return home

    Chapter 877 Returning to China


    United States, Mayo Clinic.


    During this time, although Lu Chen didn''t go to work, he was a little busier than going to work.


    Many hospital directors and leaders in China got Lu Chen''s phone number from various channels, and then began to bombard him.


    There are also the heads of a small number of hospitals, and they even found Mayo in person.


    Their purpose is nothing but one.


    Invite Lu Chen to their hospital!


    With the ability that Lu Chen has shown so far, he is already the top interventional cardiology physician in China, which is completely incompatible with his age!


    The way everyone knew Lu Chen was mostly through the previous live broadcast of the surgery in Huaxia.


    There are very few Huaxia doctors in Mayo.


    Not to mention such a brilliant doctor.


    ¡­


    China domestic.


    More and more people turned their attention to Lu Chen.


    For a time, the trend of all parties surged.


    Kyoto, Magic Capital, and even Jinghua, Guanghai and other cities have contacted Lu Chen.


    asked him where he was going after returning home.


    Lu Chen was naturally cautious and began to choose the hospital after returning to China.


    This time, when returning to China, Lu Chen must make adequate preparations.


    On the technical level, he exchanged three of the most advanced skill cards.


    In terms of relationships, he once represented Mayo, where he had the help of many top teams, and he also met top professors and big coffees.


    Take Shen Wenguang as an example, he can be said to be a top professor in the global cardiovascular field today.


    On the level of consciousness, Lu Chen is no longer the stunned youth he was when he was young.


    In just three years, he has grown a lot.


    He has learned to judge the situation, and he has also learned to accumulate a lot.


    But the premise of all this is that he has excellent clinical and surgical skills.


    ¡­


    In Mayo, after a month of handover work.


    Lu Chen began to gradually introduce Mayo''s stage.


    As for the job choice after returning to China, he is still a little hesitant.


    The treatment in a general hospital is similar.


    The conditions given by many hospitals are to let Lu Chen be the director of a certain ward of the Cardiology Department after returning to China.


    "Where are you going?" Lu Chen was a little confused.


    He was in Guanghai before and was only the deputy director of the ward.


    The director of the ward, this is a direct upgrade.


    Suddenly, Lu Chen noticed that there was a hospital in China.


    "Department chief?!"


    In a large tertiary hospital, the cardiology department can be divided into several wards, just like the Jinghua Second Hospital, which has eight wards.


    Each ward has its own director and deputy director.


    The chief director, that is, the head of the department shared by the Department of Cardiology, there is still a big gap between this and the director of the ward.


    Becoming the chief director of the department also means that you have grown into the first person in the hospital''s cardiology department, and have successfully stepped into the middle-level leading cadres.


    This condition is not unreasonable!


    At the same time, Lu Chen also noticed that this hospital was a newly established public hospital in the last few years.


    This made Lu Chen hesitate.


    In a newly established hospital, if the interventional equipment and equipment in the department are not perfect, and there are not enough talents in the department, no matter how high the occupation is, it will be useless!


    The position is low, limited by people.


    And according to the domestic market, the deputy director goes to the director, and it is still the chief director, as for the age after the age of forty.


    The position is high, but there is no one under him, that is the bare commander.


    Therefore, Lu Chen had to be cautious enough to make further plans even after on-the-spot investigation.


    ¡­


    One month later.


    Lu Chen has returned to China.


    His first stop was not the Magic City, nor the capital city, nor Guanghai, but Jiangcheng.


    Three years of going abroad.


    Lu Chen went home only a handful of times.


    The child travels a thousand miles and the mother is worried.


    The parents at home care about Lu Chen every day.


    Lu Chen also decided to spend time at home to accompany Luo Meizhen and Lu Wenguo.


    However, after Lu Chen stayed at home for less than a week, he was disliked by the second elder.


    "I''m in my thirties, and I don''t know what I''m doing all day long?!"


    Luo Meizhen crossed her hips and stared at Lu Chen with cold eyes.


    Lu Chen gave Lu Wenguo a look for help.


    Lu Wenguo nodded, "I think your mother is right."


    Lu Chen: "..."


    He is thirty-two years old this year, his peers have already married, and his children can play soy sauce.


    But for people in medicine, they have just graduated with a doctorate at the age of 30, and their jobs may be unstable, let alone starting a family and starting a business.


    However, Luo Meizhen''s words reminded Lu Chen.


    After he returned to China, he was going to find Xu Wei.


    After spending a few days with Lu Wenguo and Lu Meizhen at home, Lu Chen set off for Guanghai.


    In this trip to Guanghai, in addition to seeing Xu Wei, he also had to visit the hospital in Guanghai.


    There are several hospitals in Guanghai, and they sent invitations to Lu Chen.


    ¡­


    Back to Guanghai again.


    Looking at the noisy and familiar airport and streets, Lu Chen had a feeling.


    In the beginning, he was forced away in disguise by the leaders of Guanghai First Hospital.


    Now, when he sets foot here again, his mentality is completely different.


    Just walked out of the airport.


    He saw Xu Wei who had been waiting outside for a long time.


    Xu Wei is now going out alone, looking eagerly at the exits.


    When Lu Chen appeared, her eyes filled with infinite surprise.


    Three steps and two steps, Xu Wei trotted all the way to Lu Chen.


    "you''re back."


    Xu Wei stood in front of Lu Chen and wanted to take a step forward, but stopped again.


    "Come back, don''t go."


    Lu Chen stepped forward slowly, opened his hands, and hugged the weak girl gently.


    Three years is not too long, not too short.


    But for a woman in her prime, how many three years can her life have?


    The two walked out of the airport side by side.


    "My parents want to meet you."


    Lu Chen gently squeezed Xu Wei''s little hand.


    Xu Wei blushed, lowered her head and murmured, "I... I''m not ready yet."


    "That''s why you don''t want to?" Lu Chen smiled.


    "No, it''s not." Xu Wei raised her head quickly, shaking her head vigorously, "I''m willing to go."


    "Okay, then I''m done in Guanghai. Let''s go back together."


    "Um."


    The two got into a taxi and returned to the city.


    ¡­


    The next day.


    Lu Chenxian and Gu Xinyue talked about the past.


    He is currently still in the Cardiology Department of Guanghai No. 1 Hospital, and generally speaking, it''s pretty decent.


    The leader of the courtyard will not deliberately embarrass a small person like him.


    "Lu Chen, you''ve come back."


    In a restaurant near Guanghai First Hospital.


    Lu Chen and Gu Xinyue sat together again.


    Beside Gu Xinyue, Xu Shan sat quietly.


    "Why, you miss me so much?" Lu Chen laughed, "Don''t let Xu Shan misunderstand me."


    Gu Xinyue chuckled, "Seriously, where are you going?"


    Lu Chen shook his head slightly, "I haven''t made up my mind yet. But it''s definitely not in Guanghai First Hospital."


    Good horses don''t eat grass, Lu Chen definitely won''t go back to Guanghai No. 1 Courtyard.


    (end of this chapter)

 v3 Chapter 878： tough young man

    Chapter 878 Young people who are not easy to deal with


    "Lu Chen, remember to tell me where you want to go."


    Gu Xinyue said to Lu Chen with a smile.


    "What''s wrong?" Lu Chen raised his brows.


    "With you, hug your thighs." Gu Xinyue smiled.


    "But you were doing well in Guanghai First Hospital." Lu Chen frowned, "Not to mention Xu Shan is not in Guanghai, why do you two need to toss?"


    The two of them have stable jobs at present, and it would be a very troublesome thing to change jobs again.


    "I''m not tossing." Gu Xinyue said sternly, "I''m aware of current affairs, aiming at my thighs, and paving the way for my career path!"


    "What''s more, Xu Shan also agrees with my idea."


    aside, Xu Shan nodded with a smile.


    If you continue to stay in Guanghai First Hospital, you may be able to stay in peace. After a few years, the deputy director will be evaluated, and then the director will be evaluated again.


    However, Gu Xinyue was not reconciled.


    When he was in Beijing, he targeted Lu Chen.


    Now let him be an ordinary little doctor, how can he be reconciled?


    Especially after Lu Chen came back from Mayo, Gu Xinyue''s thoughts became stronger and stronger.


    It is impossible to catch up with Lu Chen in this lifetime.


    Then why not follow him and create your own possibilities?


    Gu Xinyue''s idea was instantly understood.


    Lu Chen was quite impressed with Gu Xinyue''s remarks.


    It is a blessing to have such a friend who unconditionally trusts him in his medical career!


    "Okay, I''ll let you know when I find a place."


    "Well." Gu Xinyue nodded heavily.


    The two smiled at each other.


    Perhaps, this is the friendship between men.


    ¡­


    the next day.


    Lu Chen started his investigation trip to Guanghai.


    There are two hospitals that invited Lu Chen, namely Guanghai Central Hospital and Guanghai People''s Hospital.


    These two hospitals belong to the affiliated hospitals of Guanghai Medical University and belong to the schools in the same system.


    Jinmiao, who was under Lu Chen''s before, is currently in Guanghai Central Hospital.


    Early in the morning.


    Jin Miao got up and took out the white shirt that he had not worn for many years.


    His wife still looked suspicious, "Lao Jin, what are you doing dressed up like this today?"


    Recently, there are a lot of classmates in high school and college. Many people rekindle their old love with their old classmates in the name of participating in the classmates'' reunion.


    "What are you thinking?"


    Jin Miao didn''t know what his wife was thinking.


    Since he can do TAVR surgery and earn more money, his wife has been paranoid all day long, and every little thing is magnified infinitely.


    "This is to prevent problems before they happen! I said, you can''t go and hook up!"


    "Alas." Jin Miao sighed helplessly, "I''m going to see the old leader and want to dress more formally."


    "Your old leader? From Guanghai First Hospital?"


    "Yes, I just came back from the United States." Jin Miao smiled, "I''m going to visit our hospital today, maybe I''ll be my leader again in the future."


    "You can''t think of being his leader because you''re so useless?"


    Hearing this, Jin Miao''s expression changed, and he said solemnly: "Don''t talk nonsense, my leader is not easy! There are not many people in the country who can be his leader!"


    "so smart?"


    "No more nonsense, I''m going out." Jin Miao was too lazy to explain, and after finishing his clothes in front of the mirror, he went out.


    ¡­


    Guanghai Central Hospital Outpatient Building.


    As soon as Lu Chen got out of the car, he saw Jin Miao running over not far away.


    "Director Lu, slow down."


    Jin Miao''s attentive appearance made Lu Chen a little dumbfounded.


    "I''m not your director now, you... be a little more normal." Lu Chen said.


    "One day is a leader, and a lifetime is a leader!" Jin Miao said with a blushing face and a heartbeat.


    Lu Chen sighed lightly, holding his forehead, why didn''t he discover the potential of Jin Miao before.


    In front of the outpatient building, there were still two people standing.


    One of them, Lu Chen knew, was Professor Shi Langqin.


    Another man with gray hair and a slightly obese body.


    With his hands behind his back, he laughed, his eyes narrowed, like a Maitreya Buddha.


    "Director Lu, this is Professor Shi Langqin, you must know him." Jin Miao introduced to Lu Chen, "This is Director Dong of our Guanghai Central Hospital in charge of medical care."


    "Hello Director Dong, hello Professor Shi." Lu Chen nodded slightly.


    "Long time ago!"


    Dong Cheng narrowed his eyes and laughed.


    "Professor Lu, you can come to our Guanghai Central Hospital, we are really prosperous!"


    Shi Langqin on the side of ?? also continued: "Director Lu, you are back, we in Guanghai TAVR academia miss you so much!"


    The TAVR study class founded by Lu Chen has raised the TAVR technology level of the entire Guanghai to a new level!


    The TAVR intervention doctors in Guanghai all came out saying that they were Lu Chen''s students.


    "President Dong, Professor Shi, you are really over the top." Lu Chen smiled, "You two are well-known figures in our medical profession."


    The smile on Dean Dong''s face grew even wider.


    What he is most afraid of is the kind of young man who has some abilities, but is very self-sufficient and disobeys discipline.


    Since the first meeting, Dong Chenggong has no such worries.


    "Professor Lu, you just came back from abroad. Although you have stayed in Guanghai before, you are definitely not familiar with our central hospital." Dong Cheng said immediately, "I will show you around the hospital first, and then we will go straight to the theme. Internal medicine?"


    "Okay, listen to your arrangement." Lu Chen smiled.


    Dong Cheng is right, he has come to Guanghai Central Hospital only a handful of times.


    Guanghai Central Hospital and Guanghai No. 1 Hospital are similar in size and can be regarded as the top two top three hospitals in Guanghai.


    Dong Cheng briefly introduced the history of the hospital to Lu Chen.


    The entire Guanghai medical system is mainly divided into two parts.


    One is represented by Guanghai Central Hospital, which belongs to the Affiliated Hospital of Guanghai Medical University.


    Another faction, represented by Guanghai First Hospital, belongs to the hospital of Guanghai University.


    The two factions, ??, basically divided up some of the larger tertiary hospitals in Guanghai.


    As long as you can name them, they are basically affiliated hospitals of these two hospitals.


    "In recent years, the competition between our Guanghai Medical University and Guanghai University has been fierce." Dong Cheng said solemnly, "their Guanghai University is looking for talents everywhere and hiring them with high salaries. We are under great pressure!"


    Speaking of high-paying employment, Lu Chen was also attracted by Guanghai''s super high salary at that time.


    "However, our hospital is also strengthening the introduction of talents." Dong Cheng smiled, "Director Lu, as long as you join our big family, you will definitely not be disappointed."


    Lu Chen smiled, he wasn''t stunned, but he wouldn''t believe these verbal checks.


    "President Dong, let''s go to the Cardiology Department first."


    "Okay." Dong Cheng nodded slightly.


    However, he looked at the young man Lu Chen a little more.


    is really hard to deal with!


    Lu Chen gave him the feeling that he was not as rigid and old-fashioned as traditional scientific research talents!


    (end of this chapter)

 v3 Chapter 879： nine deaths

    Chapter 879


    Came to the Cardiology Catheterization Room of Guanghai Central Hospital.


    The decoration structure here is similar to that of Guanghai First Hospital.


    "Director Lu, there are currently two wards in our CCU." Dong Cheng smiled, "One ward is mainly for all kinds of critically ill patients, and the other is the postoperative observation room, with a total of fifty beds. "


    "Well, there are quite a few beds." Lu Chen nodded.


    Guanghai Central Hospital has all kinds of critical equipment, such as ECMO, IABP, etc., the utilization rate of various equipment is relatively high.


    "The talent gradient of our doctors, at least starts with a doctorate." Dong Cheng continued, "Many doctors have experience studying abroad."


    "How much was the National Natural Science Foundation of China in Cardiology last year?"


    Lu Chen asked a crucial question.


    Large-scale tertiary hospitals, in addition to the necessary clinical surgical equipment, the most important thing is scientific research funds.


    "this¡­"


    Dong Cheng paused, "Not a lot."


    "Oh." Lu Chen smiled, Dong Cheng was naturally not much.


    Guanghai has a lot of money, but the background still can''t be compared with Kyoto and the magic capital.


    "There will definitely be more and more in the future." Dong Cheng forced a smile.


    Lu Chen did not continue to struggle with this issue.


    Next, Jin Miao took Lu Chen to visit the catheterization lab.


    TAVR, coronary artery and electrophysiology, the current high-end surgical procedures in China, can be carried out smoothly in the catheterization room of the central hospital.


    "Well, it''s not bad. The equipment and equipment arranged are first-class in China." After reading the hardware facilities, Lu Chen nodded slightly.


    The hospital in Guanghai is still rich!


    The equipment here is basically first-class in China, and even some of them are the most advanced in the world.


    "Director Lu, there will be a TAVR surgery later, can you give us some guidance?" Jin Miao showed a smile.


    "Well, when will the surgery start?"


    Lu Chen and Xu Wei made an appointment to go out to dinner. If it was too late, he would not be able to participate in the operation.


    "Very soon, ten minutes at most." Jin Miao said immediately, "You can go to the rest room next door and rest for a while. When the patient arrives, I will call you out."


    "No need." Lu Chen smiled, "I''ll just walk around in the catheterization room, you don''t need to worry about me."


    At this time, Director Dong Cheng had other things to do, so he left early.


    Next, Jin Miao and Shi Langqin will accompany Lu Chen together.


    ¡­


    came to the lounge.


    Lu Chen smiled and looked at Jin Miao aside: "Jin Miao, it seems that after you came to Guanghai Central Hospital, your life was pretty good."


    Jin Miao touched the back of his head and smiled honestly, "Director Lu, it''s better that you taught me before."


    Before Lu Chen went to Guanghai No. 1 Hospital, he Jin Miao was just a small doctor and was insignificant in the department.


    Even if he took a day off and didn''t go to the department, not many people might find out.


    It was the arrival of Lu Chen that brought the vigor of the Cardiology Department of Guanghai First Hospital.


    Luckily, he was assigned to the same group as Lu Chen and received the longest operation teaching.


    "In any case, it all depends on your own efforts." Lu Chen smiled, "Wait a moment, who will be the chief surgeon for this operation?"


    Jin Miao nodded immediately, "Yes."


    "That''s right, let me see if your surgical skills have improved!" Lu Chen said.


    Jin Miao''s face was full of confidence, "Director Lu, don''t worry, since we came to the Central Hospital, the amount of surgery has not decreased at all."


    In Guanghai First Hospital, Lu Chen''s department at that time was also suppressed by the leaders of the hospital.


    The amount of surgery is not much.


    Came to Guanghai Central Hospital, the atmosphere of the department here is much stronger than that of Guanghai First Hospital!


    Shi Langqin also vigorously develops TAVR, and he values ??Jin Miao''s surgical talent very much.


    Therefore, Jin Miao¡¯s operation volume here is even double that of Guanghai Hospital!


    "Okay, then let''s wait and see." Lu Chen smiled.


    ¡­


    Just when everyone was about to leave the lounge and go to the catheterization room to observe the operation, a resident suddenly hurried in.


    "Professor Shi, there is a patient in CCU that is dying! Director Tian asked you to take a look!"


    Shi Langqin stood up immediately with a serious expression, "Is that the patient he had in the morning?"


    "Yes, it is the severe aortic stenosis!" The resident nodded vigorously, looking very anxious.


    "Okay, I''ll go now." Shi Langqin said to Lu Chen, "Director Lu, I''m sorry, there is an emergency at my CCU."


    "Go, I''ll watch Jinmiao''s surgery later." Lu Chen said.


    "That''s not what I meant." Shi Langqin was a little embarrassed, but he gritted his teeth and said, "Director Lu, I want you to accompany me to see this patient. His condition is relatively complicated, and it is very likely that he needs to be treated. Emergency surgery!"


    "This... that''s fine." Lu Chen didn''t refuse.


    Professor Shi Langqin could pull his face down and ask him to take a look. The patient''s condition is definitely complicated.


    Lu Chen would never let go of these difficult cases.


    Right now, there may be an emergency TAVR surgery, so Jinmiao''s TAVR surgery, which is a common diagnosis, has to be stopped for the time being.


    Jin Miao came to the CCU ward with Lu Chen.


    ¡­


    CCU ward, emergency room.


    The doctors and nurses are carrying out the rescue in an orderly manner.


    "Adrenal fast, dopamine together!"


    "Prepare for central venous access!"


    "Pay attention to brain protection and have your IABP ready."


    ¡°¡­¡±


    Lu Chen followed Shi Langqin''s side, he saw the patient lying on the bed with only 32 (--) health!


    "Mr. Shi, you are finally here." The CCU doctor called Director Tian immediately walked up to Shi Langqin, "This is the patient I told you this morning, who has heart valve disease and severe aortic valve stenosis. , severe pulmonary hypertension, and a history of myocardial infarction."


    After saying this, Shi Langqin nodded slightly, "Continue to talk about the disease."


    After a short pause, Director Tian continued: "The patient was admitted to the hospital due to chest tightness and asthma for more than a year. The main symptoms are the gradual increase in chest tightness and shortness of breath."


    "Conservative treatment after admission to the hospital continued to deteriorate for 6 days. Just had a sudden breathlessness, coughed pink foamy sputum, HR111 beats/min, BP decreased to 75/33mmHg, RR24 beats/min, SpO2 under the state of mask oxygen inhalation (6L/min) Only 70%-80%.¡±


    "The physical examination prompts on admission: Grade 5/6 systolic ejection murmur was heard in the auscultation area of ??the aortic valve, cardiac function grade IV, moderate edema of both lower extremities. Auxiliary examination: echocardiography showed that the whole heart was enlarged, the aorta was enlarged, and the aorta was enlarged. Valve stenosis (very severe), pulmonary hypertension (moderate-severe), significantly reduced left ventricular systolic and diastolic function, and ejection fraction (EF) of 28%."


    "The patient was transferred from the general ward to our CCU."


    Lu Chen and Shi Langqin both had very solemn expressions.


    Judging from the auxiliary examination and physical examination, the patient is already a patient with advanced heart failure and acute attack.


    This kind of patient is a near-death!


    (end of this chapter)

 v3 Chapter 880： Lu Chen, who cant be the chief swordsman

    Chapter 880 Lu Chen, who can''t be the chief knife


    At this moment, the resident doctor just rushed over again.


    "Director Tian, ??Professor Shi, the emergency laboratory department called just now, this patient is in critical condition!"


    Shi Langqin was taken aback for a moment, then immediately found a computer.


    Open the inspection system.


    The patient''s test indicators immediately jumped out.


    "Brain natriuretic peptide (BNP)>35000pg/ml, urea 28mmol/L, serum creatinine 175.0¦Ìmol/L, serum potassium 6.55mmol/L."


    "Aspartate aminotransferase 2373IU/L, alanine aminotransferase 1788IU/L, total bilirubin 131.7¦Ìmol/L and direct bilirubin 90.4¦Ìmol/L."


    "Arterial blood gas tips: pH 7.288, partial pressure of carbon dioxide 53mmHg, partial pressure of oxygen 67mmHg (mask oxygen 6L/min), alkali remaining -6.96mmol/L."


    "Myocardial markers: myoglobin 152.30ng/ml, troponin 125.0ng/ml."


    Serum potassium, liver function, blood gas analysis, and troponin are all critical values!


    When everyone saw this test indicator, their eyelids couldn''t help but jump.


    Lu Chen''s face was solemn. In his sight, the patient''s health was rapidly dropping!


    "In this case, we need dialysis first!" Director Tian couldn''t help saying.


    All organs are basically in a state of failure, and the cause is cardiogenic shock, resulting in insufficient blood supply to each organ.


    "This kind of cardiogenic shock cannot tolerate dialysis at all!" Shi Langqin immediately denied Director Tian''s idea, "If the cause of cardiogenic shock is not resolved as soon as possible, any other operation will be superfluous. The effect is also very poor!"


    "Professor Shi, you mean... emergency surgery?!"


    Director Tian''s eyes widened.


    For this kind of patient to do emergency surgery, they basically put themselves on the fire!


    A patient who survives the ninth death, and the operation is the ninth death.


    When these two meet, what are the chances of success in the end?


    "What is the willingness of the patient''s family to receive treatment?" Shi Langqin continued.


    "I have already communicated with the family members." Director Tian whispered, "The family members are very active in treatment, and the money is not bad. The only requirement is to let the patient live for an extra month."


    "Live another month?" Shi Langqin frowned, "Why is there such a need?"


    Director Tian said: "His family has a grandson who will get married next month, and he wants to let him go after that."


    Shi Langqin was silent for a while, he looked at Lu Chen next to him.


    Lu Chen had put on a white coat at this time and performed a physical examination on the patient in person.


    for a long time.


    He put down the stethoscope in his hand.


    "Director Lu, how are you?" Shi Langqin said quickly.


    What he asked was, of course, the patient''s condition and the chance of surgery.


    "Surgery can be done, but the risk is extremely high!" Lu Chen said solemnly, "Be sure to discuss clearly with the patient''s family, now that a dead horse is a living horse doctor, if you can save it, let alone a month, two months or even half a year. There is a survival period. However, if it is not rescued, it will be explained here tonight!"


    "Director Lu, if you say you can perform surgery, that''s fine." Shi Langqin nodded, "Are you going to be the chief surgeon of this surgery?"


    Lu Chen smiled and shook his head: "I have resigned from Mayo now, and I don''t have any position in the country. Although I have a doctor''s license, it is illegal to practice medicine in places outside the scope of the license!"


    "Then...this operation..." Shi Langqin immediately backed off.


    The source of all his confidence was Lu Chen.


    Now considering Lu Chen''s identity, it would be troublesome!


    "Although I can''t be on stage, I can guide."


    Just as Shi Langqin frowned, Lu Chen suddenly said again.


    "This operation is not difficult. The key is that you don''t know the shape of the valve before the operation. There are many unknown factors. As long as this problem is solved, the operation will be simple."


    "That''s fine!" Shi Langqin''s eyes lit up, "Can you do an esophageal ultrasound?"


    "Yes!" Lu Chen nodded.


    Lu Chen is right, most patients have similar vascular conditions.


    This patient is complicated mainly because there are too many underlying diseases and his physical condition is too poor to tolerate surgery.


    As for the difficulty of the operation itself, the main reason is that the patient''s valve condition is unknown.


    Generally speaking, before TAVR surgery, a detailed examination of the patient''s valve, such as CT examination, is required.


    After a comprehensive analysis of the valve shape, leaflet, calcification, etc., a detailed surgical plan is specified.


    But now this patient, I am afraid it is too late to do CT.


    Now the only way, that is to do a transesophageal echocardiogram!


    Excellent surgeons can judge the status of the valve through esophageal ultrasound.


    During the operation, the esophagus ultrasound can be performed at the same time, and the general condition of the patient''s valve can be clearly seen.


    Shi Langqin heard the words, turned around and immediately said to Director Tian: "Director Tian, ??please communicate with the patient again, just as Director Lu said just now, a dead horse is a living horse doctor!"


    "This..." Director Tian glanced at Lu Chen, a trace of doubt flashed in his eyes, who is this person?


    So young, only in his early thirties?


    Why does Professor Shi Langqin listen to him like this?


    Director Tian came to Guanghai from the north recently, and he didn''t know much about Lu Chen.


    Even if he heard Lu Chen''s name, he never really saw it.


    "Come on, don''t waste time!" Shi Langqin urged.


    "Oh, well, I''ll go now."


    Seeing what Shi Langqin had ordered, Director Tian had put away his doubts and went to the doctor-patient communication room to communicate with the patient''s family.


    ¡­


    five minutes later.


    Director Tian ran all the way and returned to the CCU ward.


    "Mr. Shi, the patient''s family bears the risk and agrees to the operation!"


    Shi Langqin was refreshed and immediately stood up and said, "Okay, notify the catheterization lab and prepare for surgery!"


    The crowd immediately began to get busy.


    A doctor is contacting the catheterization lab, and a doctor is preparing the patient for transfer.


    Everyone split up and moved quickly.


    The patient entered the operating room under the support of high-dose vasoactive drugs and IABP.


    HR109 times/min, BP80/40mmHg, SpO2 (50% oxygen concentration) 92%.


    The first step in today¡¯s surgery is not to perform a puncture, but to perform an esophageal echocardiogram.


    Simply put, the ultrasound probe is inserted deep into the esophagus and stopped at the level of the heart.


    Ultrasound through the esophagus can see the patient''s heart more clearly.


    Including the state of the valve, whether there is a thrombus in the atrium, etc.


    "Director Lu, can we start?" Shi Langqin, as the chief surgeon, looked at Lu Chen beside him.


    "Yes." Lu Chen nodded slightly.


    Although I can''t be the main surgeon today, this transesophageal echocardiography is the focus of this operation.


    The degree of difficulty and importance is no less than the valve delivery process of the entire operation.


    ¡­


    General anesthesia was successfully induced.


    Place the TEE probe after ?? induction.


    Lu Chen began to manipulate the esophageal ultrasound and enter the patient''s body.


    Arrived at the position of the heart, an image appeared on the ultrasound screen immediately.


    Lu Chen recorded the image content while performing the operation.


    "The aorta is widened, the ascending aorta is obvious, the aortic valve is bicuspid deformity, the valve leaflets are obviously thickened and calcified, and the opening is obviously limited."


    "The aortic valve area (Ava) was 0.5 cm2, the peak aortic valve velocity (AV) was 12.33 m/s, and the left ventricular ejection fraction (LVEF) was significantly reduced by 27.7%."


    (end of this chapter)

 v3 Chapter 881： Zou Weis invitation

    Chapter 881 Zou Wei''s invitation


    Lu Chen gave the patient''s valve lesions very accurately, such as shape, location, degree of calcification, etc.


    Shi Langqin, as the chief surgeon, received all the valve information right away.


    He immediately started aortic root angiography to clarify the shape of the aortic sinus and the location of the coronary ostia.


    Jin Miao, as an assistant, assisted Shi Langqin on the side, and began to perform vascular puncture.


    Lu Chen stood beside the operating table, and the two of them had a panoramic view of their operations.


    Compared with the operation three years ago, their level has improved significantly.


    Even on a national scale, both of them can rank high at this level.


    ¡­


    Under the guidance of the 14FrCOOK sheath, Shi Langqin placed a 22mm balloon and pre-dilated twice.


    However, after completing the above operations, Shi Langqin suddenly stopped the movements in his hands.


    "Director Lu, what type of valve should this patient choose?"


    Compared with surgical skills, another important point in various interventional surgeries is to evaluate the severity of the disease and select the most suitable artificial valve.


    The choice of artificial valve directly affects the success or failure of the operation.


    Usually, patients will do a detailed CT evaluation before surgery to select the best one.


    But in emergency TAVR surgery like this, there is no preoperative examination, only intraoperative ultrasound examination, it is difficult to choose the most suitable stent.


    However, in this operation, as the operator of the ultrasound machine, Lu Chen has a unique advantage.


    He observed the ultrasound images again, carefully compared and evaluated the balloon expansion effect and the size of the valve ring structure, and then slowly said: "Professor Shi, choose the J-valve25MM valve."


    "Okay." Shi Langqin was convinced of Lu Chen''s words, and directly ordered Jin Miao to bring the 25MM valve over.


    Valve delivery begins.


    Although Shi Langqin is a little older, the movements of his hands are not unfamiliar at all.


    Valve delivery, delivery, fixation.


    The whole process is done in one go.


    After the valve was completely released, Lu Chen confirmed the position and function of the valve by ultrasound.


    Subsequently, Shi Langqin used the balloon again to dilate, and no clear paravalvular leakage was found. The effective annulus diameter of stent deployment was about 25mm.


    "Great, it worked!"


    Shi Langqin and Jin Miao''s eyes were full of brilliance.


    With Director Lu Chen here, the effect is different.


    Immediately postoperatively, the patient showed significant hemodynamic improvement.


    The peak AV velocity of the valve has dropped from 12.33m/s to 3.2m/s!


    Epinephrine from 0.3¦Ìg/kg/min to 0.1¦Ìg/kg/min, norepinephrine from 0.8¦Ìg/kg/min to 0.3¦Ìg/kg/min!


    The amount of rescue medication has been greatly reduced, which proves that the patient''s cardiac function is gradually recovering.


    Secondly, in Lu Chen''s eyes, the rate of decline in the patient''s HP is already slowing down.


    The trend of three minus signs on the head has also become two!


    "Send back to the CCU for continued observation. The dose of catecholamine vasoactive drugs can be gradually reduced until stopped." Lu Chen warned.


    "Okay, Director Lu." Jin Miao nodded.


    Postoperative care and prevention of complications are also very important.


    Cardiac interventional surgery is not bad. Many surgical operations, no matter how beautiful they are, can easily lead to infection and the failure of the entire operation if they are not properly cared for after surgery.


    ¡­


    Doctor-patient communication room.


    Shi Langqin has taken off his mask and hat, and said to the patient''s family: "The operation was a success! It lasted 120 minutes in total, and under strict anesthesia monitoring and management, no adverse cardiac events such as cardiac arrest or malignant arrhythmia occurred during the whole process."


    The family member is a middle-aged woman. Hearing this, the whole person trembled with excitement, "Great, great! Professor Shi, you are really living Bodhisattvas!"


    Shi Langqin smiled slightly, "This time you are considered lucky. The expert who just came back from Mayo in the United States just happened to be inspecting in our hospital. He participated in the whole operation of this operation, and the safety of the operation has been improved a lot."


    "Thank you, thank you!" The middle-aged woman thanked again, and at the same time said to a man behind her, "As I said, I should have come to the Central Hospital, but luckily I didn''t go to Guanghai First Hospital..."


    Hearing the conversation between the family members, Shi Langqin smiled and left.


    "Director Lu, thank you very much this time."


    In the lounge, Shi Langqin poured a cup of tea for Lu Chen himself.


    You must know that Professor Shi Langqin, who is about to turn 50 this year, personally poured tea for a junior.


    This is enough to show how much he values ??and admires Lu Chen in his heart.


    Lu Chen hurriedly stood up, bowed slightly, and took the cup of tea, "Thank you, Professor Shi, in fact, I''m just playing an auxiliary role. Isn''t the real chief surgeon still you?"


    Shi Langqin smiled, Lu Chen''s attitude made him a little embarrassed, and he immediately changed the subject: "Director Lu, our hospital and our department sincerely want you to come. With you Joining, we will definitely be even more powerful, and over time, we will definitely be the TOP1 in the domestic TAVR field!"


    Jin Miao also nodded quickly.


    Lu Chen pursed his lips and smiled, "Professor Shi, I understand what you mean. It''s not urgent, let me go back and think about it."


    "Okay." Shi Langqin smiled shyly, "I''m a little impatient."


    He also knew that there must be many people who came to Lu Chen.


    Among them, there are definitely many better than Guanghai Central Hospital.


    ¡­


    left Guanghai Central Hospital.


    Lu Chen went to the appointment and had dinner with Xu Wei.


    It was the next day.


    A sudden call made Lu Chen change his next itinerary.


    "Hello, Professor Lu, are you busy?"


    On the phone, a male voice came.


    Lu Chen felt a little familiar, but he couldn''t remember who the other party was.


    "excuse me, you are¡­¡­"


    "Professor Lu, I''m Zou Wei!" A hearty laugh came from the other end of the phone.


    "Zou Wei?" Lu Chen murmured, somewhat familiar, but still can''t remember.


    "The nephew of Director Zou Yi of the Magic City Science and Technology Bureau."


    "Oh?" Lu Chen was somewhat impressed.


    "It was the one who was bitten by a tick, and other hospitals said that a pacemaker should be installed." Zou Wei continued, "I came to you later and found out that it was the slow heartbeat caused by the tick bite, so there is no need to put a pacemaker. ."


    "Oh!"


    Speaking of the specific disease, Lu Chen suddenly thought of it.


    "It''s you! I remember it! What''s wrong?"


    Zou Wei laughed, "Director Lu, I heard that you have returned to China?"


    "Yeah, you are quite well informed." Lu Chen said.


    "In Guanghai?" Zou Wei said again.


    "Um."


    "Are you busy right now? I happen to be in Guanghai right now and would like to invite you to a meal."


    "Okay." Lu Chen thought about it, and he didn''t have anything to do in the afternoon.


    "Okay, Director Lu, I''ll send you the address."


    hung up the phone, Zou Wei sent Lu Chen the address of a five-star hotel.


    "Is this kid really rich?!"


    Lu Chen smiled.


    Although I don''t know Zou Wei''s intention to find him, it is also a good thing to have one more friend.


    Lu Chen arrived at the five-star hotel at midnight.


    (end of this chapter)

 v3 Chapter 882： Mayo who founded China?

    Chapter 882 Mayo who founded China?


    A five-star hotel in Guanghai.


    "Professor Lu, long time no see."


    Zou Wei smiled and looked at Lu Chen in front of him.


    After not seeing him for many years, the childishness has long since taken off from his face.


    "Why did you come to Guanghai?" Lu Chen smiled, "I remember your home seems to be on an island, right?"


    Zou Wei called the waiter, nodded and said, "Well, Professor Lu still remembers that my home is on an island. This time I came to Guanghai on a business trip. I heard that Professor Lu was in Guanghai, so I wanted to catch up."


    Lu Chen smiled, this guy, I heard that his family runs a hospital.


    Capitalists are all unprofitable and can¡¯t afford to get too early.


    Lu Chen couldn''t believe it, he was simply inviting him to dinner.


    However, Zou Wei did not mention it, and he was not in a hurry.


    At this time, Zou Wei asked the waiter to hand it to Lu Chen.


    "Director Lu, come and order."


    Lu Chen waved his hand, "I''m fine. And I''m really unfamiliar with this kind of hotel, so you should come."


    "Okay, let me have some."


    Zou Wei did not refuse, took over the menu and started ordering.


    ¡­


    Neither of them drank.


    The food was ready, Zou Wei continued to chat about other topics.


    "Professor Lu, after you left the Magic City, my uncle mentioned you many times." Zou Wei smiled, "It''s really a loss to the Magic City to say that you left the Magic City."


    "Director Zou looks at me too highly." Lu Chen smiled, "There are countless outstanding talents in the Magic Capital, I''m just a junior."


    "Hey, Professor Lu, I can barely be said to be in the medical circle. Although you have not been in China for the past three years, many people have mentioned you." Zou Wei said, "Just like the one in Kyoto a few years ago. The surgery sharing session was talked about by many cardiologists.¡±


    "Do you still know a lot?" Lu Chen glanced at Zou Wei.


    "My family runs a hospital, so I always know something." Zou Wei said, "What''s more, Professor Lu, you once saved me from having a pacemaker implanted. This kind of kindness is too great. I usually pay attention to you. "


    Lu Chen pursed his lips and smiled, these business people are so nice to speak!


    "Professor Lu." Zou Wei said suddenly, "Did you find your next home when you came back this time?"


    Is it finally time to get into the topic?


    Lu Chen still looked like he didn''t care, "Many hospitals have invited me, but I haven''t decided yet."


    Zou Wei''s eyes lit up, "Professor Lu, what do you think of our hospital?"


    Lu Chen raised his brows, "Your hospital? From an island?"


    As far as Lu Chen knows, there are no top domestic hospitals on the island, and it is still in a period of economic development. Some hospitals in the northeast of China have branches on the island.


    However, Zou Wei''s family runs a private hospital.


    This is somewhat contrary to Lu Chen''s plan.


    In China, the current mainstream is public hospitals.


    The top doctors are basically public hospitals.


    In recent years, private hospitals have developed, but in general, there is still a big gap with foreign countries.


    Generally speaking, in the current domestic medical environment, it is not wise to go to a private hospital.


    "Professor Lu, our family has decided to open a new hospital in Modu." Zou Wei smiled.


    Lu Chen raised his brows, "Is your family really mining?"


    "It''s just some capital." Zou Wei smiled and waved his hand, "Compared to those rich people, it''s not worth mentioning."


    Lu Chen wondered: "Then you want me to go to this new hospital?"


    "Mmmm." Zou Wei nodded suddenly, looking at Lu Chen with a hopeful expression.


    Lu Chen is now famous.


    Even internationally, it has a certain reputation.


    The most important thing is that Lu Chen''s clinical skills and scientific research capabilities are top-notch.


    If Lu Chen can come to their new hospital, it will be a success in the future!


    Lu Chen looked at Zou Wei with a smile on his face, but did not immediately refuse.


    "Then tell me, what are the advantages of your hospital? Including the size of the hospital, equipment and personnel composition?"


    Lu Chen said this, Zou Wei was a little stunned.


    Lu Chen wondered: "You don''t know?"


    Zou Wei scratched his head: "I don''t know the specific content, I only know that the overall structure of the hospital has been completed, and the initial plan is to be a private third-class specialized hospital."


    "Specialized hospital? Cardiovascular specialist?" Lu Chen was stunned.


    "Hmmmm." Zou Wei nodded, "It''s mainly the cardiovascular system, so I came to you."


    Lu Chen smiled, this time, Zou Wei probably didn''t come on a business trip, but came to him on purpose.


    "Sorry, I have no plans to go to a private hospital yet."


    Speaking of this, he directly rejected Zou Wei.


    He does not think that such a new private hospital can undertake all his future visions in the cardiovascular field.


    "Professor Lu, you should think about it again." Zou Wei said quickly, "As long as you come, there is no need to mention the treatment, the annual salary starts from one million, you must be the chief director of our cardiovascular medicine department! Whether it is scientific research or surgery, Unconditionally give you the green light!"


    This condition, to be honest, is already very tempting.


    But Lu Chen smiled and said, "Yesterday I went to call the director of Guanghai Central Hospital. The treatment he gave me is similar to what you said now."


    Guanghai Central Hospital, this is the top tertiary hospital at the provincial and municipal level. Even if it is placed in China, it can be ranked first.


    And the private hospital in Zou Wei''s mouth has not even a word!


    "That''s it..." Hearing this, Zou Wei also knew that his own hospital had no advantages.


    Lu Chen added: "But I know many experts in cardiovascular medicine, so I can give you an introduction."


    Zou Wei forced a smile.


    To poach people, we must start with top talents.


    The top expert agreed to go. He will definitely bring a group of his own team, and the other little doctors below are insignificant.


    "I also know Professor Lu, you are unlikely to come." Zou Wei sighed, "Oh, it''s still a pity."


    "If there is a chance in the future, we can cooperate." Lu Chen smiled.


    "Okay." Zou Wei smiled, "Professor Lu wants to come to us in the future, you can come anytime!"


    Lu Chen nodded slightly.


    However, he was a little curious.


    Why Zou Weijia suddenly wanted to open a specialized cardiovascular hospital in a super competitive city like Modu.


    "Zou Wei, why did your family suddenly have this idea? Set up a cardiovascular hospital in Modu?"


    Zou Wei thought for a while, and then said, "Professor Lu, to tell you the truth, my father is also a doctor. He once went to Mayo to study. When he came back, he wanted to make a Chinese Mayo."


    Lu Chen raised his brows and became interested, "Then what?"


    Zou Wei shook his head and said, "Later, my father opened the first private hospital on the island. Although my father went to Mayo for further study, after all, the experience abroad cannot be copied, and the national conditions are different. In the end, it is a pity that many measures have been taken. All failed."


    "The Island Hospital has just become an ordinary private hospital."


    I have a cold and feel sick.


    (end of this chapter)

 v3 Chapter 883： i can consider

    Chapter 883 I can consider


    In a five-star hotel in Guanghai.


    Lu Chen suddenly became interested in Zou Wei''s words.


    Found Mayo Hospital in Huaxia?


    Not everyone thinks this way.


    Some people may have ideas.


    But there are very few people who actually put it into practice!


    Zou Wei''s father, it is admirable to dare to take this step.


    "Can you tell me the details of your private hospital?" Lu Chen suddenly asked Zou Wei.


    "Huh?" Zou Wei was stunned for a moment, then nodded quickly, "Okay! I''ll say it!"


    He felt that Lu Chen''s attitude towards him suddenly changed.


    This is a good thing!


    His father is in the hospital in Modu, and there is only one big man in town.


    In his opinion, Lu Chen is in line with all aspects!


    If he can find Lu Chen, then he has helped his father a lot. His dividends at the end of the year, as well as his usual pocket money, should increase a lot, right?


    ¡­


    Later, Lu Chen learned that Zou Wei''s father initially planned to set up a private hospital similar to "Mayo" on the island.


    But, the whole step is too big!


    You must know that ten years ago, the medical market in Huaxia was basically the world of public hospitals.


    It is extremely difficult for a private hospital to get a piece of the pie from a public hospital.


    Not to mention this brand new Mayo mode.


    "Someone said that my dad was driving backwards!" Zou Wei shook his head helplessly.


    Mayo''s model is the model of big pot rice.


    All doctors with the same seniority are paid the same salary.


    Wages are not divided according to job title or workload.


    In Huaxia, it is extremely difficult to implement this model.


    Everyone has an inexplicable disgust for the word "big pot rice".


    "Later, according to this model, no one could be recruited at all." Zou Wei said, "The normal operation of the hospital could not be maintained, so my father had to reform the hospital model, which turned the loss step by step."


    "Then why does he want to go this way now?" Lu Chen asked curiously.


    "This is caused by many factors." Zou Wei thought about it and said.


    "First of all, the domestic medical environment is currently vigorously developing private hospitals; secondly, Mayo''s model is becoming more and more popular; and most importantly, my uncle is currently working in Modu, and he can provide a lot of convenience! "


    His uncle, Zou Yi, director of the Magic City Science and Technology Bureau.


    Lu Chen nodded, "So, your father''s success rate in setting up a private hospital is much higher than before."


    Zou Wei smiled, "That''s right, my dad is going to start with a single subject, step by step. If you take too many steps, it''s likely to be like an island hospital."


    Speaking of this column, Lu Chen is a little more interested in this private hospital that has not yet opened.


    "Zou Wei, how is the preparation of the hospital you are in in the capital city?" Lu Chen asked.


    "Actually, the general structure, layout, hardware and other things of the hospital have been completed." Zou Wei said, "What is lacking most now is people."


    Zou Wei looked at Lu Chen closely.


    For both public and private, he hoped that Lu Chen could join their hospital.


    "But you should know that hospitals like yours are very risky!" Lu Chen smiled, "Without the transparent promotion channels like public hospitals, the right to speak in academia is not very large."


    Although he was looking forward to the birth of Huaxia Mayo Hospital, he didn''t have a fever and agreed immediately.


    "I know, my dad also knows, isn''t the hospital on the island a living example?" Zou Wei smiled helplessly, "But you have to try it before you know if it will work, right?"


    Lu Chen nodded slightly, "That''s right, that''s the reason."


    He paused and continued to Zou Wei: "Well, if you can show me the general guidelines and policies of your Modu private hospital, I can consider joining your hospital."


    Hearing this, a look of joy appeared on Zou Wei''s face.


    He stood up abruptly, "Director Lu, is this true...really?"


    "Yes." Lu Chen nodded slightly.


    "Great!" Zou Wei sat down abruptly again, "I''ll go back and discuss it with my father. If he agrees, I''ll immediately send you the project book by email."


    "Okay." Lu Chen smiled and nodded.


    This matter is very important.


    A hospital''s policy and project book, which are the most private documents.


    Zou Wei couldn''t get it at all, and couldn''t make such a decision for his father.


    However, now he can''t wait to fly back to the island immediately and tell his father about it.


    At this time, Lu Chen was very calm.


    In fact, with his current ability, no matter where he is, he can raise the level of the entire hospital by a big notch.


    But, no matter what, he could not achieve his own expected goals.


    His ideal, in addition to being the top doctor in the world, also hopes to have a hospital in China that can rival Mayo in the United States.


    America''s Mayo, very good.


    But the national conditions are different, so we can''t just copy it.


    What Lu Chen wanted was to take the essence and get rid of the worst.


    At this point, he coincides with Zou Wei''s father.


    That''s why he agreed to Zou Wei. After learning about private hospitals, he tried to get a job.


    ¡­


    Dinner is over.


    Zou Wei sent Lu Chen back to the hotel where he stayed, and then got on the plane back to the island without waiting for a moment.


    That night, he returned to his home hospital.


    But because it was too late, he didn''t have time to find his father.


    The next day.


    Zou Wei waited for his father to finish the meeting, and then knocked on the door of his father''s office.


    "You didn''t sleep in so early? This is really a rare thing."


    Zou Ligan looked up at the document in his hand, then immediately lowered his head, ignoring his son standing in front of him.


    "Dad, how did you find the people from the Modu Hospital?" Zou Wei poured a cup of tea for Zou Li.


    Zou Ligan shook his head: "I''m still contacting the deputy directors of those big hospitals."


    The director of a top tertiary hospital will definitely not come to their private hospital.


    Only the deputy directors of those departments are likely to change jobs and come to their private hospitals.


    "Don''t you have any eyebrows?" Zou Wei whispered.


    "There is still a lack of a heavyweight task." Zou Ligan said slowly, "Little doctors are actually easy to find, but those top professors are hard to find!"


    It is difficult for a private hospital like them to really develop if there is no big man in charge.


    If you want to be a Mayo, not to mention the hardware, at least you have to have Mayo''s talent structure!


    "Dad, I''d like to recommend someone for this big-time celebrity." Zou Wei said to his father with a smile.


    Zou Ligan raised his brows, "Who?"


    Zou Wei said word by word, "Just back from Mayo... Lu Chen!"


    (end of this chapter)

 v3 Chapter 884： shares

    Chapter 884 Shares


    "Lu Chen?"


    Zou Ligan immediately put down the document in his hand, stared straight at Zou Wei, and wondered.


    "You mean that Lu Chen who used to be in Guanghai?"


    "Lu Chen who published Dapagliflozin''s top journal paper?"


    "Lu Chen, the leader of TAVR surgery in China?"


    "Lu Chen, who just returned from Mayo in the United States?"


    Zou Wei heard the words, nodded and grinned.


    "Yes, that''s right, it''s him. It was Professor Lu who said before that I don''t need a pacemaker, which saved me from suffering a permanent trauma."


    In the classroom, Zou Ligan stared at his son, unable to speak for a long time.


    "Xiaowei, what''s the use of you talking so much?"


    After Zou Ligan finished speaking, he paused.


    "Lu Chen is very powerful, his influence is even more than those of the deputy directors I have dug up, but can you invite him over?"


    Lu Chen''s reputation in the cardiovascular field is of course nothing to say.


    Zou Ligan didn''t even consider the possibility of Lu Chen before.


    "Dad, don''t forget, I know Professor Lu!"


    Zou Wei smiled.


    "I had dinner with him last night."


    Zou Ligan heard the words and asked quickly, "Did you tell him about the situation of our Modu Hospital?"


    "Of course I did." Zou Wei smiled, "I also told him about the conditions you mentioned to other professors."


    Zou Ligan shook his head: "The conditions of other professors are not enough for Lu Chen. Tell me first, what is his opinion?"


    Zou Wei nodded slightly and began to say: "I first discussed this matter with Professor Lu. He was not too cold, but when I mentioned that you wanted to start Huaxia''s Mayo, he immediately became interested..."


    He briefly explained the experience of having dinner with Lu Chen yesterday.


    Zou Ligan nodded again and again.


    "The doctor who came back from Mayo is really different. I heard that he was the attending doctor in Mayo for three years?"


    "Well." Zou Wei nodded, "Before leaving, Mayo''s inner director wanted him to stay, but Professor Lu finally returned to China."


    Zou Ligan stood up and started pacing back and forth in the room.


    "Dad, Professor Lu wants our hospital''s policy project book, can''t you give it to him?"


    Zou Wei asked in a low voice.


    "Of course you can give me the project book, that''s not what I''m thinking about." Zou Ligan shook his head with his hands behind his back.


    "What''s that?" Zou Wei wondered.


    "What are the conditions for Professor Lu!" Zou Ligan said angrily, "What do you think the conditions you said last night, the annual salary of one million yuan, and the director of the department, what is the attraction to him?"


    "Ah? No... No?" Zou Wei was taken aback.


    "Then you don''t know what other public hospitals will offer Director Lu Chen!" Zou Ligan glanced at his stupid son.


    "What conditions..."


    "The director of the department is definitely a necessary condition. In addition, there must be a corresponding start-up fund." Zou Ligan said, "There are also a series of benefits such as the title of professor, and the annual salary is one million? Isn''t this the most basic?"


    "All right¡­"


    Zou Wei scratched his head, feeling that he was still too young.


    "So, the project book must be given to Professor Lu Chen." Zou Ligan said, "You can send him an e-mail later, and we will discuss again, what conditions are better for Professor Lu Chen."


    "Well, I''ll post it now."


    ¡­


    Guanghai.


    As soon as Lu Chen got up, he found a new email notification.


    "Zou Wei, this kid is really fast!"


    Open the email, it is the policy project book of the Magic Capital Hospital.


    "It really follows Mayo''s model to establish a private hospital."


    Lu Chen flipped through the project book in his hand.


    "The cauldron mode is retained, why did you cancel the job title?"


    Lu Chen frowned.


    Huaxia''s professional title model is divided into four levels: resident physician, attending physician, deputy chief physician, and chief physician.


    In the United States, there are only two job titles, resident physician and attending physician.


    In this project book, he actually wanted to cancel Huaxia''s existing title in the hospital and follow Mayo''s.


    "Isn''t this realistic?" Seeing this policy, Lu Chen felt quite unreasonable.


    The job title system in the United States is determined by its talent training system.


    Undergraduate, you can study medicine.


    To study medicine, you must go through residency training and specialist training before you can take up a job.


    Huaxia''s current quality of medical personnel varies from good to bad.


    In other words, a training system has not been fully implemented in many places.


    "This one doesn''t work, it can''t be copied completely!"


    Lu Chen has turned on the computer, entered the review mode, and wrote his opinion in the document.


    ¡­


    On the other side, a private hospital on the island.


    Zou Wei and Zou Ligan, father and son, are discussing what kind of conditions to give Professor Lu Chen.


    Until noon, the two have not discussed a result.


    At this time, Zou Wei received an email from Lu Chen.


    "Dad, Professor Lu Chen replied to my email."


    Zou Wei opened the email and looked very surprised.


    He thought that Lu Chen was simply reading the project book, but he didn''t expect him to be so serious, carefully analyzing every policy in it, and even giving his own opinions.


    "Dad, look at this!"


    Zou Wei pointed the laptop screen at Zou Liqian.


    Zou Ligan looked intently.


    When he saw the content of the entire email, he was stunned.


    In the blank space at the back of the project book, Lu Chen used red fonts to standardize a lot of questions.


    After being surprised, Zou Ligan began to calm down and carefully read Lu Chen''s review content.


    "It seems that Professor Lu Chen is really interested in the Mayo model, and he has thought about it himself!"


    As he flipped through it, he was amazed.


    It is impossible to have such a deep understanding without a sufficient understanding of the Mayo model.


    In fact, Zou Liqian has only been a visiting doctor for Mayo and has never experienced the Mayo model.


    However, Lu Chenke has been Mayo''s attending doctor for three years.


    have a deeper understanding of its policies and operation models.


    "Dad, what did Professor Lu Chen write?"


    Zou Wei asked cautiously.


    Zou Liqian didn''t have time to pay attention to him at all, and kept looking at the project book with all his attention.


    Zou Wei saw that his father ignored him.


    He didn''t want to be boring. He felt a little hungry, so he ordered a takeaway.


    When the food delivery arrived, Zou Ligan finally read Lu Chen''s comments.


    "Dad, are you hungry? Let''s eat first."


    Zou Wei brought the food to his table.


    "I''m not hungry." Zou Ligan waved his hand, his face full of excitement, "I know what conditions to give Lu Chen!"


    Zou Wei said in surprise: "What conditions?"


    "Shares in our private hospital!"


    When Zou Ligan said this, Zou Wei was stunned.


    Is this still your own stubborn dad?


    "Dad, are you right? Give me shares?"


    Zou Wei secretly swallowed his saliva.


    "That''s right!" Zou Ligan waved his hand and pointed to the document in the notebook, "Just by virtue of this email, Professor Lu Chen is worth a share!"


    (end of this chapter)

 v3 Chapter 885： hospital route

    Chapter 885 Hospital Route


    At this time, Lu Chen was preparing to go out for lunch.


    suddenly received a call from Zou Wei, which surprised him a bit.


    "Your father wants to see me?"


    Lu Chen was taken aback.


    Zou Wei''s father should be at the helm of a private hospital.


    "Yes, Professor Lu." Zou Wei said on the phone, "My father feels very good about the places you mentioned in your email. He wants to sit down and chat with you. You are in Guanghai these days. ?"


    "Well, no problem." Lu Chen smiled, "I will be in Guanghai for a week."


    "Okay, I''ll contact you then!"


    Lu Chen also guessed something about Zou Wei''s father''s attitude.


    The email he replied was actually his hope for the future Huaxia Hospital.


    From the hospital model to the future development of the discipline, all the ideas are presented in the mail.


    ¡­


    Zou Wei''s father, Zou Liqian, soon arrived in Guanghai.


    He was also eager to meet Lu Chen.


    is the five-star hotel from last time.


    Lu Chen, Zou Liqian and Zou Wei finally met.


    "Professor Lu, I''ve admired the name for a long time, it''s really a hero and a boy!"


    As the director of a tertiary hospital, Zou Liqian has no prestige at all.


    On the contrary, he gave Lu Chen enough respect!


    "Uncle Zou, you''re really over the top. You are the senior in the medical circle."


    Zou Ligan smiled slightly, "Professor Lu, Xiaowei and I came to find you. You must be clear about our purpose."


    Lu Chen nodded, "I heard Zou Wei say something."


    "Okay, then I''ll make it clear."


    Zou Ligan didn''t beat around the bush at all.


    "I hope you can come and cooperate with us to jointly establish a nationally renowned cardiovascular hospital!"


    Lu Chen smiled when he heard the words.


    "I know all this, Zou Wei told me."


    "Then he didn''t tell you the conditions we gave?" Zou Li smiled dryly.


    "Oh? Your conditions?"


    Lu Chen suddenly became interested.


    "Professor Lu, I know your time is precious." Zou Ligan said, "I won''t waste your time, I''ll just put the conditions we can give on the table for you to see."


    After ?? finished speaking, Zou Wei on the side took out a contract and handed it to Lu Chen.


    Lu Chen came over to take a look.


    "Share Rights", these three characters, come into view.


    Lu Chen was startled.


    He never thought that Zou Wei''s family would actually take out "shares" to attract him to join.


    "Uncle Zou, are you doing a lot of work?"


    Lu Chen smiled and looked at Zou Ligan in front of him.


    Zou Ligan smiled slightly and said, "It depends on what kind of person you are. I think it''s worth it, it''s worth it!"


    Lu Chen''s face did not change at all.


    Money, or other things of fame and fortune, he is not rare.


    Take money as an example.


    Lu Chen once treated a chief of a black African tribe in Mayo.


    You can get the dividends from their gold mine every year, which is a lot of money.


    Zou Ligan was a little puzzled when he saw Lu Chen''s face, standing still.


    Could it be that Professor Lu really doesn¡¯t get enough oil and salt?


    At this moment, Lu Chen suddenly spoke.


    "Uncle Zou, if you can promise me a few conditions, I can cooperate with you."


    Zou Ligan looked happy.


    This is a drama!


    "What conditions?" he said quickly.


    Lu Chen said sternly: "First of all, I hope you will carefully consider the opinions I mentioned in your project book, including our Huaxia physician title model and so on."


    "Secondly, the salary level, I don''t think I can copy it completely, which is not in line with our national conditions."


    "Finally, I hope I can decide who the whole cardiology team should be..."


    Lu Chen mentioned a lot.


    However, most of it revolves around hospital policy.


    rather than around his own interests.


    From this point of view, Zou Liqian knew what Lu Chen was thinking.


    What he wants is not a place with a superior environment, but a place that truly belongs to Doctor Huaxia.


    "Uncle Zou, if you can agree to my requests, I can join your Magic Capital Private Hospital!"


    When Lu Chen finished his last sentence, he actually expressed an attitude.


    He is willing to give up other more favorable conditions and come to spell a brand new future with Zou Liqian!


    Zou Ligan didn''t hesitate, nodding with a respectful expression.


    "Professor Lu Chen, I can promise you!"


    "Although there are other shareholders in this private hospital, they do not participate in the management of the hospital and only receive dividends. As long as I agree to the conditions, they can take effect!"


    Zou Liqian''s words were a response to Lu Chen.


    Zou Wei was listening with excitement.


    Does this mean that Professor Lu Chen can really join his family''s private hospital?


    "Professor Lu, the conditions we gave you have not changed." Zou Liqian continued, "There is a basic salary every year, share dividends, and then there are the conditions you just advanced."


    "Okay." Lu Chen smiled slightly, "I''ll go to your Modu Private Hospital in a few days. If it''s okay, we can sign a contract."


    "Everything is yours!"


    The smile on Zou Ligan''s face grew even stronger.


    ¡­


    A simple meal will determine the future direction of domestic private hospitals.


    Lu Chen''s future trajectory has returned to the magic capital.


    Two days later.


    Lu Chen, accompanied by Zou Wei, came to this private hospital in Magic Capital.


    Private hospital location is not bad.


    used to be a bankrupt private tertiary hospital, which was later bought by Zou Liqian and renovated.


    The entire courtyard is divided into three major blocks.


    In front of ?? is the main hospital area, which is the outpatient building and the inpatient department.


    The small part in the middle is the scientific research building and library.


    Behind, is the hospital apartment building.


    The decoration style of the hospital is modeled after the American Mayo.


    After all, it is a private hospital, and the decoration and design style is much more gorgeous than the general public hospital.


    "Professor Lu, the overall project of the hospital has been basically completed, and now the staffing is needed."


    Zou Wei introduced to Lu Chen.


    Lu Chen nodded.


    "Xiaowei, have you ever thought about what route your hospital takes?"


    "What route?" Zou Wei was taken aback.


    "I mean, the route of ordinary private third-class hospitals, or the route of high-end brands?" Lu Chen said slowly.


    Ordinary private hospitals have insufficient patient sources.


    Even requires doctors to actively recruit patients, such as how much performance bonus is given for each patient admitted.


    After the patient is discharged from the hospital, the patient is even urged to have a re-examination.


    And the high-end route, as the name suggests, has high medical costs.


    Ordinary people who come here will definitely not be able to see a doctor.


    Most of the people who come here to see a doctor should be wealthy elites.


    "This...I really don''t know." Zou Wei shook his head. "As far as I know, our private hospital on the island is the first route. Every year, a large number of advertisements are placed to compete with the surrounding hospitals for patient sources."


    (end of this chapter)

 v3 Chapter 886： Lu Chens decision

    Chapter 886 Lu Chen''s decision


    No matter what kind of model it is, it does not conform to Lu Chen''s current thinking.


    The first route is completely contrary to the Mayo model.


    The most critical point of Mayo is that the salaries of all doctors are not linked to the number of operations and examinations.


    The second route is somewhat similar to the Mayo mode.


    Patients who can go to Mayo to see a doctor must be rich or expensive.


    However, this model cannot work in China.


    In other words, it cannot be implemented in China.


    After all, national conditions are different.


    Here in China, it is impossible to give up the poor.


    Therefore, this high-end route does not match Lu Chen''s original idea.


    However, when Lu Chen told Zou Ligan his thoughts, he smiled.


    "Professor Lu, these thoughts of yours are really overthinking."


    Lu Chen was a little puzzled and asked in confusion, "Uncle Zou, what do you mean..."


    Zou Ligan said slowly: "Do you think the first choice for ordinary people to see a doctor will be a private hospital?"


    Lu Chen shook his head.


    In China, the overall strength and reputation of public hospitals far exceed those of private hospitals.


    Their first choice, definitely the local public hospital.


    "The patients who come to our private hospital must be those elites who have spare money and want high-quality medical services." Zou Ligan said slowly, "I don''t know how the private hospital will develop in the future, but the current medical market is like this! "


    Lu Chen frowned, "According to what you mean, there won''t be poor people coming to our hospital?"


    Zou Ligan did not deny, "My goal is the high-end route. I have also inspected similar hospitals. Patients without financial strength will not choose private hospitals. With limited funds, it is better for them to go to public hospitals."


    Lu Chen suddenly laughed.


    He looked at Zou Ligan and said slowly, "Uncle Zou, the situations you mentioned are only most of the time."


    "If there is a disease that only our hospital can treat, but the patient''s economic conditions can only meet the cost of treatment in a public hospital, will you still accept him?"


    Zou Ligan was stunned for a while, "A disease that only one of our hospitals can treat?"


    "Yes." Lu Chen nodded slightly, "At that time, only our hospital can treat this type of patient, so won''t we accept it?"


    "This..." Zou Liqian had never thought about such a problem.


    There is actually a disease that no other public hospital can treat, so only your own hospital can treat it?


    Lu Chen smiled, "Of course, I don''t mean to help patients advance medical expenses, but to open a green channel policy for these incurable or critically ill patients."


    "Tell me about it." Zou Liqian motioned to Lu Chen to continue.


    Lu Chen simply said: "For some patients with incurable diseases but poor conditions, we can organize special personnel to review the conditions and meet our standards, and we can treat the patients according to the charging standards of public hospitals."


    Fees are definitely not possible to reduce or exempt.


    Even in public hospitals, treatment is not free.


    Not to mention a private hospital like Zou Ligan.


    Being able to treat diseases at the rates charged by public hospitals is already the greatest preferential policy.


    "Sounds reasonable." Zou Liqian nodded slightly.


    His understanding of Lu Chen is now one step closer.


    The young man in front of him is not only a medical genius, but also a hospital management talent.


    Lu Chen''s interpretation and understanding of these hospital policies is definitely not weaker than him.


    "By the way, Uncle Zou, I forgot to tell you." Lu Chen suddenly said again, "We still have a disagreement."


    "What?"


    "You mean to set up a top cardiovascular hospital in China?"


    "Yes, is there any problem? Is it too difficult?" Zou Ligan asked back.


    Lu Chen shook his head, "Uncle Zou, I mean, since it''s the goal, why not make it bigger? What do you think about establishing a world-class general hospital?"


    Zou Ligan looked at Lu Chen in shock.


    He knew that although the young man in front of him said this with a smile, he was definitely not joking!


    "Professor Lu, you..."


    Zou Ligan was speechless for a while.


    The top specialized hospital in China is already his biggest dream.


    But Lu Chen expanded him to a top international hospital, and it was a general hospital. This kind of span was even more difficult than upgrading a second-class hospital to a third-class hospital!


    Lu Chen pursed his lips and smiled, but didn''t say much.


    Dream, once said is enough.


    Working hard in silence is the right way.


    ¡­


    Within a month, Lu Chen signed a contract with the Modu Private Hospital represented by Zou Liqian.


    This also officially means that Lu Chen gave up all other public hospitals and officially joined the Magic Capital Private Hospital.


    The name of this hospital is Magic Capital Yunhua International Cardiovascular Hospital.


    for short, Yunhua.


    The news of Lu Chen''s entry into a private hospital caused quite a stir in the Huaxia medical system.


    Many people think that going to a private hospital is a waste!


    No future, no hope.


    Some people think that it''s not wrong for Lu Chen to go to a private hospital for good treatment.


    Only a few people who are familiar with Lu Chen know what he really wants!


    "Professor Lu, I have a list of personnel here."


    Zou Ligan handed over a list of doctors to Lu Chen.


    "The doctors among them are the middle and high-level doctors we plan to recruit. All of them are senior attending physicians or deputy chief physicians."


    "You can see which doctor you want, let''s contact him."


    This list was found by Zou Liqian in several major hospitals in and around the magic capital.


    Most of them are experienced and willing to change jobs.


    Zou Ligan gave Lu Chen the right to recruit doctors.


    "Okay, I''ll take a look." Lu Chen took over the list.


    Zou Ligan smiled and said, "We can open when the staff is ready."


    Lu Chen nodded and began to carefully check the list of doctors.


    Lu Chen also knew some of the doctors on this list.


    After all, he also studied in the magic capital for three years.


    Lu Chen has heard of some well-known cardiologists.


    However, although the doctors on this list are experienced, they are all over forty years old, and some are even forty-five years old.


    "Uncle Zou, why is there no young doctor?"


    Lu Chen wondered.


    Older doctors with rich clinical experience, but the whole person''s thinking mode has been stereotyped, and it is difficult to identify with the new hospital.


    This is also the reason why those employers prefer to recruit fresh graduates.


    A piece of white paper is easier to fool.


    No, it is easier to cultivate.


    "Young doctors are not the key." Zou Ligan smiled, "When the time comes, there will be a job fair, and there will be young doctors."


    Hearing Zou Ligan''s words, Lu Chen frowned, "I think young doctors are the key to our hospital''s success or failure!"


    (end of this chapter)

 v3 Chapter 887： Ke Yues choice

    Chapter 887 Ke Yue''s Choice


    "What matters is the young doctor?"


    Zou Ligan''s face was full of puzzled expression.


    In his opinion, as long as a big-caliber doctor is in place.


    It doesn''t matter if those little doctors are other people.


    "Uncle Zou, don''t underestimate those young doctors."


    Lu Chen smiled and gently put down the list in his hand.


    "Mayo''s model, the important thing is not how many experts there are, but every doctor needs to serve the patients wholeheartedly."


    "The experience of young doctors, although not as good as those of senior doctors, but they have a drive and are full of passion for the job."


    "The mental model of senior doctors has been fixed, and it is more difficult to get used to the new hospital model."


    Zou Ligan still shook his head when he heard the words: "But we need to consider the quality of clinical medical care! If no one can control the platform, and everyone has no experience, what should we do if we encounter difficult patients?"


    Lu Chen smiled and said, "Uncle Zou, are you so sure that senior doctors are better than younger doctors?"


    "It''s a matter of probability." Zou Ligan nodded slightly, "Most senior doctors have a higher medical level than younger doctors!"


    Lu Chen paused and said slowly, "Uncle Zou, let''s see, I will select some doctors from your list. But I want to recruit some doctors myself, mainly young doctors."


    "This..." Zou Ligan frowned slightly, but seeing Lu Chen''s confident gaze, he still nodded, "Okay, I can trust your vision, but the number of senior doctors must be sufficient."


    "Okay." Lu Chen smiled.


    ¡­


    Since Lu Chen decided to join Yunhua Hospital, the most important thing now is to form the entire medical team.


    In his blueprint, clinical, surgical, scientific research, these teams are indispensable!


    In order for the healthy development of the hospital, clinical and scientific research must complement each other.


    The transformation from scientific research to clinical practice can make a hospital reach the top position.


    Otherwise, blindly introducing advanced technology from other hospitals will only be the second child of a thousand years.


    As for the composition of these teams, Lu Chen had already made plans in his heart.


    ¡­


    The First Hospital of Magic City.


    in the staff canteen.


    At a corner table, two men and two women sat.


    If Lu Chen is here, he must be quite surprised.


    Because of these four people, he knows them all!


    Among them, a girl with a calm face took the lead and said, "Have you all heard of it?"


    It was just such an endless sentence, but the other three people in the room immediately understood.


    However, everyone was a little silent.


    It was Ke Yue who spoke up!


    After graduating from the Ph.D., Ke Yue stayed in the research team of his mentor.


    In just five years, she has become the backbone of the scientific research team.


    She even successfully applied for the National Natural Science Program, and is a new scientific research star in the Cardiology Department of the First Hospital of the Magic City.


    Even in the entire Magic City, it has a lot of fame.


    "Why don''t you all talk? Don''t you enjoy talking the most at this time?"


    Ke Yue pursed her lips and smiled.


    He Xiaohui, who was sitting across from her, shrugged and said, "I just think it''s strange, why did he go to a private hospital?"


    After saying this, she looked at the two men sitting across from her.


    Lin Shumin frowned, "Lu Chen''s ideas have always been wild. When we came back from Mayo, we all thought we would go to a top 3A public hospital in China. But he did the opposite and went to a little-known private hospital. However, I think he must have his reasons for doing so!"


    Ke Yue nodded slightly and looked at the last man, "Uncle Fan, what do you think?"


    That''s right, this other man is Fan Zhiping, the deputy chief physician of Jinghuafeng M County.


    This year is the fourth year of his master''s degree!


    That''s right, he postponed.


    The main reason for the delay was not his academic problems, but his wife gave birth to a baby halfway.


    He had no choice but to go back on vacation to take care of him.


    Fan Zhiping thought for a while, and then said: "I haven''t been with Lu Chen for a long time, but in my opinion, Lu Chen is the top cardiologist in China. He doesn''t need to go to any top hospital, but his The hospital I went to will definitely grow into the top hospital in the future.¡±


    After saying this, Fan Zhiping''s eyes flashed with light.


    He will never forget the shocks that Lu Chen brought him over the years.


    He was also fortunate to recognize such a dazzling genius.


    At this moment, Ke Yue smiled, "Uncle Fan, I think you can see clearly."


    She looked around the crowd and continued, "Lu Chen doesn''t need to go to any top hospital at all. For example, the second Jinghua hospital and the first Guanghai hospital a few years ago, these hospitals are not the top!"


    "But after Lu Chen went, Jinghua Second Hospital''s research and development of heart failure drugs has advanced by leaps and bounds. And Guanghai''s TAVR intervention level is even comparable to that of Magic Capital and Kyoto."


    Lin Shuming and He Xiaohui could not help but nodded slightly when they heard the words.


    In this way, it seems to be true!


    "What do you guys plan to do in the future?"


    Ke Yue finally talked about one of the most important topics today.


    The three of them were slightly taken aback, not knowing why.


    Ke Yue smiled and said, "I''m going to resign."


    When these words came out, everyone was shocked.


    "Ke Yue, Lu Chen is looking for you?" He Xiaohui couldn''t help but say, "But, he is a private hospital, wouldn''t it be too much of a loss if you went there?"


    "Lu Chen didn''t look for me." Ke Yue smiled and shook his head, "But I know he needs me, and he won''t treat me badly."


    During the postgraduate period, I can always take her with me.


    What''s more, the current Ke Yue is no longer the one he used to be, and he can''t even see the "atrial fibrillation" electrocardiogram.


    "I''m going too!" Fan Zhiping grinned, "I''ll graduate in a month, as long as Lu Chen wants me, I''ll go."


    Ke Yue and Fan Zhiping looked at each other and smiled.


    The two of them can be said to have 100% trust in Lu Chen.


    As for Lin Shumin and He Xiaohui...


    They were hesitant.


    From a top tertiary hospital to a private hospital.


    Others will think there is a hole in their brains!


    Private hospitals are far less stable than public hospitals, and they may be dismissed one day.


    "Ke Yue, I..." He Xiaohui lowered her head.


    "Don''t do this, you don''t need to force it." Ke Yue smiled slightly, "I just want to ask your opinions. If you want to go to Yunhua Hospital, you can be with us. If you don''t want to go, stay in the first hospital of Modu. OK."


    Lin Shumin hesitated for a while, but finally said: "Ke Yue, I''m not going either. I have younger brothers and sisters going to school at home. I''m going to a private hospital, I''m afraid..."


    "It doesn''t matter, just stay." Ke Yue smiled, "Then this meal today should be treated as a casual meal."


    People need opportunities.


    Need more, have the ability to seize opportunities!


    Ke Yue looked at He Xiaohui and Lin Shumin.


    They had seized the opportunity to chase, but now they let it slip through their fingertips.


    If you don¡¯t go to Yunhua now, it won¡¯t be so easy to go in the future!


    (end of this chapter)

 v3 Chapter 888： trust

    Chapter 888 Trust


    Guanghai First Hospital.


    Gu Xinyue had already prepared her resignation letter.


    Even when he knew that Lu Chen went to the Modu private hospital, he did not hesitate to submit his resignation.


    His girlfriend, Xu Shan, didn''t quite understand his behavior.


    "Gu Gu, is it really worth it for you to go to Modu Private Hospital like this?"


    Gu Xinyue smiled, "Of course it''s worth it. If you want me to tell you, you still don''t know much about Lu Chen."


    "Then I have to listen and see. If you can''t convince me, I will definitely not follow you." Xu Shan said sternly.


    She is currently in Guanghai No. 1 Hospital and has already established a firm foothold.


    She is also an important part of the scientific research team and has successfully applied for two provincial projects.


    Gu Xinyue smiled slightly, and her thoughts seemed to return to when she was in Jinghua.


    "Xu Shan, you should know about the National Medical Student Clinical Skills Competition, right?"


    "Well, I heard about it." Xu Shan nodded.


    "Did you know that when I was a graduate student, the champion of this competition has been swept by the top medical schools in Kyoto for ten consecutive years." Gu Xinyue said slowly.


    "This is normal." Xu Shan said, "After all, Kyoto is the capital and one of the most developed places in the country for medicine. It would be strange if they didn''t take the first place."


    Gu Xinyue smiled, returned to her bedroom, and took out a photo from her suitcase.


    Back in the living room, he handed this somewhat yellowed old photo to Xu Shan.


    "This photo is about seven or eight years old." Gu Xinyue said.


    Xu Shan took the photo.


    In the photo, there are five people.


    Two of them are Gu Xinyue and Lu Chen.


    On the background wall of the photo, there is a banner - National Skills Competition for Medical Students.


    "You two participated in that competition together?" Xu Shan glanced at Gu Xinyue next to her.


    "That''s right." Gu Xinyue smiled, staring at the person in the photo, a little fascinated.


    In addition to Lu Chen, there are his roommate Wang Zihao, and two other classmates from other affiliated hospitals.


    At this time, Xu Shan also noticed the trophy in the hands of everyone in the photo.


    She said in amazement: "You...you won the championship?!"


    Gu Xinyue smiled, "Yes, we won the championship in that session. It is also the only time in the past ten years that the championship has been won by a school outside of Kyoto."


    Xu Shan listened to Gu Xinyue''s remarks, and couldn''t help but feel emotional.


    "Tiger''s mouth grabs food, you guys are amazing!"


    Gu Xinyue shook his head, "Do you know? Before we set off, what was the school''s goal for us?"


    "What?" Xu Shan asked subconsciously.


    "Entering the top ten, even if we break the record of our Jinghua Medical University, it is a victory!" Gu Xinyue raised her head and took a deep breath, "No one believes that we will win, no one will be wishful thinking, we can win the championship, but we done."


    Xu Shan knew what Gu Xinyue was going to say, "Is it because of Lu Chen?"


    Gu Xinyue nodded slowly: "In the preliminary and semi-finals, he basically relied on one person to hold down our entire team, and this was the final comeback in the final."


    "Our team, which is not favored by outsiders, is transformed because of his existence."


    "Since then, I have made Lu Chen the target of chasing." Gu Xinyue suddenly laughed at herself, "You can see the current situation, but it''s getting further and further away."


    Xu Shan clenched his hand, "Gu Gu, in fact, you are already very good, surpassing most of your peers, otherwise I wouldn''t like you!"


    Gu Xinyue smiled at Xu Shan, "I know, I just said that I was compared with Lu Chen, but I didn''t say that I was worse than others."


    Xu Shan: "¡­"


    It was she who comforted herself in vain.


    Gu Xinyue continued: "Over the years, I have witnessed Lu Chen''s growth step by step. From Jinghua to Kyoto, the capital, to Guanghai, then to Mayo, and finally back to China."


    "I trust him, trust him."


    "Since I can''t catch up with him, then I''ll take a ride with him, and I''ll definitely be able to see more beautiful scenery."


    "Xu Shan, do you think so?"


    Gu Xinyue was lying on the sofa, staring at the white ceiling.


    The scenes from the past were shown repeatedly in front of his eyes.


    Xu Shan seems to be able to feel his emotions.


    She touched the slightly pale photo, and a smile gradually formed on the corner of her mouth.


    She lay slowly beside Gu Xinyue and turned to look at him.


    "Gu Gu, you convinced me."


    ¡­


    Guanghai Central Hospital.


    When Jin Miao knew that Lu Chen did not come from the hospital, but went to a private hospital in Modu.


    He was also full of puzzlement in his heart.


    However, slowly, he also figured it out.


    With Director Lu''s ability, gold will shine wherever it is.


    "What a pity." Jin Miao sighed, "It would be great if I could continue to follow Director Lu."


    From nobody cares to now, he is an indispensable part of the surgical team.


    Jin Miao knew that all his current abilities were derived from Lu Chen''s teaching.


    Lu Chen is his old director and also his teacher!


    "Jin Miao, if you feel sorry, why don''t you go to the magic capital with Director Lu?"


    In Professor ??''s office, Professor Shi Langqin suddenly said something for no reason.


    "Huh?" Jin Miao was stunned.


    He never thought of that.


    However, as soon as Professor Shi Langqin brought it up today, his heart began to overflow.


    "As far as I know, you are not originally from Guanghai, right?" Shi Langqin laughed.


    "No." Jin Miao shook his head, "My hometown is in Suzhou and Hangzhou, so it''s very close to the devil."


    "Isn''t that right?" Shi Langqin continued, "It is of course a good thing for me that you can continue to stay in Guanghai Central Hospital. But I know you young people will eventually return to I work in my hometown, after all, it is closer to my father, so I can take care of them.¡±


    "What is in front of you now is an excellent opportunity!"


    When Jin Miao heard Professor Shi Langqin''s words, he also began to make plans in his heart.


    "Professor Shi, you said private hospitals... okay?"


    Shi Langqin smiled, "Actually, the difference between public and private hospitals is only on the outside, the real connotation, serving patients, will not change!"


    "What''s more, when Lu Chen is there, do you think he will treat you badly?"


    Jin Miao''s eyes lit up.


    He is Professor Lu Chen''s most loyal supporter.


    As soon as he said it, he immediately took out his mobile phone and started contacting Lu Chen.


    ¡­


    Magic Capital.


    At this time, Lu Chen received many applications from acquaintances.


    Including Ke Yue, Fan Zhiping, Jin Miao and others, and many others


    "These guys, I''m really afraid that they didn''t understand the situation, so they shouted to come over." Lu Chen was a little moved.


    These people really trust him unconditionally.


    However, he still had to tell everyone about Yunhua''s rules in advance.


    A brand new medical model, not everyone can get used to it and stick to it!


    (end of this chapter)

 v3 Chapter 889： Yunhua opens

    Chapter 889 Yunhua Opening


    Ke Yue and Fan Zhiping in Magic Capital, Gu Xinyue, Jin Miao and others in Guanghai all received messages from Lu Chen one after another.


    After everyone saw it, they were all shocked.


    "A brand new medical model?"


    "Imitate Mayo?"


    "Doctors of the same level are paid the same salary?"


    Lu Chen thought that someone would back off.


    But what surprised him was that when everyone understood the operation mode of Yunhua Hospital.


    They showed great interest in it and no one quit at all.


    Especially the wage system.


    Lu Chen did not completely transfer Mayo''s salary system.


    is divided into four levels: resident physicians, attending physicians, deputy chief physicians, and chief physicians.


    Doctors of each level have the same annual salary.


    In addition, the salary level of each person is not linked to the number of inspection orders issued, the number of operations, etc.


    Of course, there is a complete set of regulatory models to match it.


    Yunhua Hospital will review and supervise the work of each doctor at any time.


    Including medical record writing, surgical quality, scientific research quality, etc. Once unqualified doctors are found, they will be dismissed immediately.


    In this way, try to avoid the existence of that kind of doctor who eats a big pot of rice.


    ¡­


    Ke Yue, Fan Zhiping, Gu Xinyue and others can be regarded as Lu Chen''s direct line team.


    They will be Lu Chen''s right-hand man in the future.


    However, the operation of the entire Cardiology Department, relying only on these few people, is definitely not enough.


    Except for the characters in the list given by Zou Liqian.


    Lu Chen posted a job posting in the name of Yunhua Hospital.


    The main personnel recruited, fresh graduates in the department of cardiology, and residents.


    And the scope of recruitment is not limited to those top medical schools.


    The interview is divided into two parts: clinical and scientific research.


    Doctors who focus on clinical practice, conduct clinical cases and surgical simulation assessments.


    Doctors who focus on scientific research mainly evaluate the thinking of scientific research and so on.


    All the standards were drawn up by Lu Chenlai.


    As soon as this recruitment information came out, it attracted the attention of many people in the small area of ????Modu.


    Yunhua is positioned as a private third-class hospital in Modu.


    A tertiary hospital like ??, although it is not a top hospital, but it is in the magic capital, it is really surprising that it does not look at the qualifications and colleges of the recruiter.


    Of course, some people in the industry feel that Yunhua Hospital is too short of people.


    That''s why I came up with this method and cast a wide net to recruit doctors.


    ¡­


    Lu Chen didn''t care about the world''s views.


    Yunhua Hospital has just been established, no one knows what its future will be like.


    Even Lu Chen himself couldn''t guarantee it.


    All he can do is to devote himself to the construction of Yunhua Hospital with all his passion.


    It will be time for the recruitment exam soon.


    Ke Yue, Gu Xinyue, Fan Zhiping, Jin Miao and others changed their bodies and became the examiners directly.


    The topic of the interview was drawn up by Lu Chen, and then the four of them finally settled on it.


    The doctors who came to the job fair this time are not too few.


    There are more than 200 people who participated in the preliminary examination.


    Of course, compared to other top hospitals, the number of people is small.


    Lu Chen needs to select at least 20 people in this job fair!


    These twenty people were recruited entirely according to Lu Chen''s preferences.


    The candidates for other departments were recruited by Zou Ligan.


    Yunhua Hospital is a cardiovascular hospital, but other departments also exist.


    For example, the large internal medicine system, departments such as respiratory, digestive, endocrinology, etc., as well as the general surgery departments of the surgical system, all exist.


    However, Yunhua''s overall center of gravity is biased towards the cardiovascular system.


    Lu Chen is currently mainly responsible for the cardiology department.


    Other departments are solely in charge of Zou Liqian.


    ¡­


    Starting a hospital is not easy.


    In particular, there will definitely be a fierce confrontation between the operation of this new medical model and the traditional Chinese model.


    After recruitment work and personnel onboarding work is over.


    Magic Capital Yunhua Cardiovascular Hospital, officially opened!


    The entire hospital covers major departments of internal medicine, surgery, gynecology, pediatrics, etc. The focus is on cardiovascular medicine and surgery.


    Lu Chen is currently in charge of the entire cardiovascular ward.


    In addition to Ke Yue, Gu Xinyue and others, Lu Chen also recruited 20 people, plus Zou Ligan hired some senior doctors and deputy directors from other hospitals.


    At present, the number of people in the entire Cardiology Department is about forty.


    is different from the traditional ward management of patients.


    Lu Chen followed Mayo''s model and divided wards according to the diseases that each medical group focused on.


    Yunhua''s Cardiology Medical Group, including coronary heart disease, valvular heart disease (TAVR), macrovascular disease, congenital heart disease, arrhythmia, pacemaker, heart failure, etc.


    is currently divided into seven groups.


    Everyone is divided into groups according to their own preferences and abilities.


    New residents are evenly distributed to each medical group.


    The medical team of 40 people is more than enough for the average tertiary hospital.


    However, for a hospital whose eyes are not only in the magic capital, so few people are far from enough!


    Lu Chen''s idea is to "support war with war".


    At the same time of treating patients, we continue to attract outstanding talents to major hospitals.


    Therefore, the first step Lu Chen needs to do is to build momentum.


    ¡­


    Zou Liqian''s positioning for Yunhua is a high-end private medical institution.


    This also means that a top medical team is needed to match.


    The first thing after Yunhua opened, Lu Chen contacted Mayo''s old friends, including Mayo''s inner director Shen Wenguang and others.


    After a simple exchange, Director Shen Wenguang agreed to establish a long-term cooperative relationship with Yunhua Hospital.


    When ??Yunhua opened, it also promoted the cooperation with Mayo, including regular expert consultations and so on.


    To the outside world, this is the difference between Yunhua and other hospitals.


    However, within a week of opening.


    There are very few patients in the entire Cardiology Department, or in other words, the entire Yunhua Hospital.


    Gu Xinyue, Jin Miao and others are starting to worry about whether the hospital will be able to issue wages!


    Fortunately, Lu Chen stood up in time and gave them a reassurance.


    "Don''t worry, do your job well. If the leaders of the institute dare to implement this model, they must have their own plans."


    However, in the following month, the number of patients who came to Yunhua to see a doctor was still small.


    Most of them are in outpatient clinics.


    seldom come to hospital, or even for surgery.


    (end of this chapter)

 v3 Chapter 890： transfer

    Chapter 890 Turnaround


    Finally, one month after Yunhua opened.


    The Department of Cardiology welcomed its first surgical patient.


    This patient is from Guanghai Central Hospital and used to be Lu Chen''s patient.


    At first, the patient sought medical treatment in major hospitals in Guanghai because of severe aortic insufficiency.


    After wandering around, he finally found Lu Chen.


    Lu Chen performed a difficult domestic TAVR operation on him.


    After surgery, the patient''s cardiac function recovered by more than half.


    You can even walk normally and take care of your own daily life.


    However, the valve life of TAVR surgery is only about five years.


    Now in the fifth year of the operation, the patient had a repeat echocardiogram and found that the aortic valve had a problem again.


    Replacement of aging TAVR valve, that is, secondary TAVR surgery.


    This is a top-level operation in the whole of China.


    With the medical level of Guanghai, it has not yet reached this level.


    The family members of the patient came to Yunhua Private Hospital where Lu Chen is located after the guidance of Professor Shi Langqin.


    This patient came from Lu Chen.


    Because the entire Yunhua Hospital was quite empty, the patient had a green light all the way after he came to Yunhua.


    Surgery was scheduled soon.


    Lu Chen is the chief swordsman, and Jin Miao is the first assistant.


    The replacement of the aging valve is not difficult for the current Lu Chen.


    He currently has a TAVR Intervention Expert skill card.


    The existing TAVR techniques, Lu Chen is very proficient in mastering them.


    This operation was demonstrated in the Yunhua Cardiology Department.


    Everyone can come to visit and learn.


    In Lu Chen''s idea, this model of teaching surgery can improve everyone''s surgical ability more quickly.


    ¡­


    The whole operation went very smoothly.


    After the aging TAVR valve was replaced by Lu Chen again, the patient''s cardiac function recovered again.


    This operation is of great significance to Yunhua.


    The difficulty of surgery is considered to be the top in the whole of China.


    Zou Liqian naturally would not miss this good opportunity and began to hype and build momentum in major medical media.


    This is the advantage of being a big-caliber doctor, who can open up a situation for the hospital in a very short time!


    With the exposure of Lu Chen''s operation, more and more people in the industry and patients began to notice this brand new private hospital.


    However, Lu Chen knows that this is just the beginning, and what he has done is far from enough!


    Yunhua is like a newborn baby, walking in a staggering way, and it can''t compare to the traditional top three hospitals in Modu.


    However, the turnaround is coming soon!


    ¡­


    Department of Cardiology of the First Hospital of Magic City.


    This is the department where Lu Chen once stayed.


    At this time, Zhang Shuqing, Lu Chen''s doctoral supervisor, was sitting in the office with a dignified expression.


    "Director Liu, this patient''s condition is too serious, it''s really not suitable for surgery in our department."


    The patient in front of me is a patient with severe aortic stenosis and mitral regurgitation.


    "Is your condition serious? Or you haven''t done it before and dare not do it?" Liu Jun, director of the Department of Cardiology, frowned.


    This patient is a relative of a certain leader in Modu.


    If their hospital can''t handle it, then the possibility of going to another hospital for surgery is very slim.


    "Director, there are both factors!" Zhang Shuqing said solemnly, "For valvular lesions like this, routine surgery should be surgical thoracotomy."


    Complicated valve disease can only be completely repaired by thoracotomy.


    "His heart function is in a mess, can''t he open his chest in this situation?" Liu Jun asked back.


    "Well, if the chest is opened, the patient will not be able to tolerate it, and it is very likely that they will not be able to get off the operating table." Zhang Shuqing analyzed, "The only way now is minimally invasive intervention, TAVR surgery combined with TMVR."


    TAVR, transcatheter aortic valve replacement.


    TMVR is Transcatheter Mitral Valve Replacement.


    "You can''t do this surgery?" Liu Jun asked in confusion.


    "First of all, we have never done this kind of combined surgery, and we have zero experience in this area; secondly, the risk of this surgery is too high, and there are too many uncontrollable factors. I have estimated by myself that if I were to do it, the success rate of the surgery would be Less than fifty percent."


    After listening to Zhang Shuqing''s words, Director Liu Jun was a little silent.


    His subordinates have said so, and it is impossible for him to force it.


    After a while, Liu Jun looked at Zhang Shuqing and said slowly, "Has any hospital in China done similar cases?"


    Zhang Shuqing shook his head slightly, "This field is currently blank in China, and no hospital has completed it."


    Liu Jun frowned.


    "So, there is really no other way to solve it? Or you can only force yourself to perform an operation with a success rate of less than 50%?"


    Zhang Shuqing said in a low voice: "Actually, there are none in China, but there have been several similar cases internationally."


    "Which hospital?" Liu Jun asked.


    "American Mayo!"


    Liu Jun''s face darkened again, "It is impossible for the patient to go to the United States. If there is no place in the country that can treat him, then you can only try this operation."


    Zhang Shuqing showed a helpless look.


    Director Liu is really putting him on fire!


    Suddenly, a light flashed in his mind.


    Zhang Shuqing patted his head, how could he have been forgotten!


    He immediately turned his head and said to Liu Jun: "Director, I know that there is a hospital in the devil, maybe this operation can be done!"


    Liu Jun was startled, and quickly asked, "Where? Magic Capital Central Hospital?"


    "No." Zhang Shuqing shook his head slightly, "It''s the Yunhua Hospital of the Magic Capital."


    "Yunhua?" Liu Jun was amazed, "It''s the private hospital that opened recently, Xiao Zhang, are you kidding me?"


    They can''t perform surgery in a top-level tertiary hospital, can a newly opened private hospital do it?


    Liu Jun looked at Zhang Shuqing suspiciously. Could it be that he deliberately said this to shirk responsibility?


    "Director, I''m not kidding." Zhang Shuqing said sternly, "Because Lu Chen is in Yunhua!"


    "Lu Chen, that student of yours?" Liu Jun''s eyes widened.


    "Yes." Zhang Shuqing nodded, "He joined Yunhua Hospital as soon as he came back from Mayo."


    "If there is anyone else in China who can perform this TAVR and TMVR surgery, it is only him!"


    Liu Jun stood up and paced back and forth in the director''s office.


    With his hands behind his back, his brows furrowed, he suddenly stopped and looked at Zhang Shuqing.


    "How confident do you think you, a student, are about this operation?"


    Zhang Shuqing thought for a while, then said, "At least taller than me!"


    Lu Chen, who was in the magic capital, was much more proficient in TAVR surgery than he was.


    Not to mention that so many years have passed, Lu Chen has been studying at Mayo for many years.


    "Okay then." Liu Jun said slowly, "Please contact Lu Chen and ask for his opinion. If possible, we will transfer the patient to Yunhua now!"


    (end of this chapter)

 v3 Chapter 891： transfer

    Chapter 891 Transfer


    Yunhua Hospital.


    Lu Chen and Ke Yue are discussing the main research directions in the future.


    After graduating from her doctorate, Ke Yue did not go to clinical work, but mainly stayed in the laboratory.


    "Lu Chen, both basic and clinical trials are very important." Ke Yue said earnestly, "Basic scientific research represents high-tech, and clinical scientific research is easier to translate into practical work..."


    Lu Chen nodded slightly, "Ke Yue, you''re right. In terms of clinical research, I think clinicians are still leading the way. Your laboratory researchers need to work more on basic scientific research..."


    While the two were talking.


    A rapid ringing of the phone broke the conversation between the two.


    "Sorry, I''ll take a call."


    Lu Chen took out his phone and looked at the caller ID.


    He was slightly startled, "This is Zhang Shuqing''s mentor? Why did he suddenly call?"


    In doubt, Lu Chen answered the phone.


    "Hello, Lu Chen?"


    Hearing the familiar voice on the other end of the phone, Lu Chen smiled, "Mr. Zhang, it''s me."


    After returning to the magic capital this time, he specially visited Zhang Shuqing.


    "Are you busy?" Zhang Shuqing chuckled.


    "I want to be busy, but I can''t." Lu Chen helplessly laughed at himself, "The hospital has just opened, and there aren''t many patients."


    "I see, if you come to me, you can pay whatever you want." Zhang Shuqing suddenly said, "With me, your future will definitely be better!"


    "Forget it, teacher." Lu Chen replied, "Since I have chosen, I will definitely stick to it."


    "That''s fine."


    Zhang Shuqing also asked casually, chatted with Lu Chen a few words, and then returned to the topic.


    "Lu Chen, let me ask you something, do you understand the operation of TAVR combined with TMVR?"


    Lu Chen was startled, and immediately smiled: "Mr. Zhang, I have done this combined operation. When I was in Mayo, I had a few cases."


    Hearing this, Zhang Shuqing breathed a sigh of relief.


    Immediately afterwards, he briefly explained the situation on his side.


    "Lu Chen, I have a patient with severe aortic insufficiency and mitral stenosis..."


    Lu Chen immediately understood Zhang Shuqing''s intention.


    "Mr. Zhang, do you want to transfer the patient to our hospital?"


    "Yes! The patient''s identity is rather special, and this operation must be done beautifully. So I thought about it, maybe it''s more appropriate to go to your place."


    Lu Chen didn''t reply immediately, but thought about it in his heart.


    Surgery patient, he has not seen it.


    He also cannot conclude that he can perform this combined operation.


    In addition, for this kind of inter-hospital referral, Zou Liqian should still be informed.


    As a qualified businessman, he can definitely maximize his influence at this time.


    for a long time.


    Lu Chen just replied.


    "Teacher Zhang, let''s do it. I''ll go to your hospital to see the patient first. If it is suitable for surgery, I will report to the hospital leadership and turn over as soon as possible."


    "Okay." Zhang Shuqing nodded quickly, "You are right to see the patient. Come on, I will have someone wait for you at the entrance of the hospital."


    "it is good."


    hung up the phone, Lu Chen said to Ke Yue next to him.


    "I have something to do, that''s all for today''s discussion."


    Ke Yue smiled and nodded, "Go get busy. Scientific research, don''t be in a hurry."


    After saying goodbye to Ke Yue, Lu Chen hurried to the first courtyard of the magic capital.


    On the way, he called Zou Ligan.


    "Lu Chen, this is a good opportunity!" Zou Ligan immediately responded, "Are you sure about this technique?"


    "Have confidence." Lu Chen said.


    "Okay, then you can do it boldly, and leave the rest to me."


    Soon, Lu Chen came to the first courtyard of the magic capital.


    At the entrance of the hospital, he was greeted by an old acquaintance, Jiao Jingqiu.


    Lu Chen had a good relationship with him when he was in the No.


    "Lu Chen, this way!"


    Jiao Jingqiu waved at Lu Chen, then led him into the hospital.


    "I know this way. Actually, it''s not used to pick me up." Lu Chen smiled.


    "Oh, you are a big man now. Director Zhang asked me to pick it up, I will definitely come."


    Jiao Jingqiu pursed her lips and smiled.


    "By the way, how is your Yunhua''s treatment?"


    "Our private hospitals are definitely better treated than public hospitals."


    Lu Chen smiled.


    "Really?" Jiao Jingqiu said half-jokingly, "If I don''t have a place to go in the future, I''ll find you."


    "No problem, welcome anytime." Lu Chen smiled.


    While chatting, the two came to the CCU ward.


    Zhang Shuqing and Liu Jun were already waiting at the door.


    Can make the two directors of the Cardiology Department of the First Hospital of the Magic City wait, and it can be seen that they attach great importance to Lu Chen.


    "Mr. Zhang, Director Liu."


    Lu Chen nodded slightly and greeted the two of them.


    His performance was neither humble nor arrogant.


    Now he is no longer the Lu Chen who was a student.


    Zhang Shuqing and Liu Jun were also in a trance.


    I haven¡¯t seen each other for a few years, the former students seem to have been able to equal them.


    However, Lu Chen can be considered a talent trained by the First Academy of Magic Capital.


    After the two were slightly surprised, they still smiled.


    "Lu Chen, this patient, please trouble you." Liu Jun smiled lightly.


    He wanted to reach out and pat Lu Chen on the shoulder, but he gave up the idea.


    "I''ll try my best." Lu Chen smiled.


    Then, led by Zhang Shuqing, Lu Chen came to the bedside of the patient.


    "Xiaojiao, push the ultrasound machine over."


    He knew Lu Chen''s ultrasound ability, so he asked Jiao Jingqiu to push the cardiac ultrasound machine over.


    Lu Chen confirmed the diagnosis after a detailed physical examination of the patient.


    "Severe aortic insufficiency, moderate mitral valve stenosis. Only 25% cardiac ejection fraction."


    is too tricky!


    None of the medical records that Lu Chen had encountered in Mayo before were as serious as this patient''s condition.


    "How is it?" Zhang Shuqing said quickly.


    "It''s very difficult, but you can try it." Lu Chen frowned. "Combined surgery requires a long time and requires high cardiac function. IABP must be used! ECMO should be prepared at any time, maybe it can be used superior."


    "Just do it!"


    Zhang Shuqing breathed a sigh of relief.


    This patient put a lot of pressure on them.


    "Mr. Zhang, if the family agrees, you can transfer to Yunhua Hospital now." Lu Chen continued, "I can arrange surgery for him tomorrow."


    "We have communicated with the family for a long time, and they agreed!"


    Zhang Shuqing Road.


    Lu Chen shook his head slightly, "Mr. Zhang, let me talk to my family again, our Yunhua is a private hospital after all."


    Lu Chen could not guarantee that the operation would be 100% successful, and complications could not be ruled out.


    Therefore, be sure to talk to the patient''s family before the operation.


    ¡­


    After some conversations, the patient''s family learned about the nature of Yunhua Hospital.


    Although they didn''t have much of a cold for private hospitals, they still agreed to transfer to Yunhua for surgical treatment under the explanation of Zhang Shuqing and Director Liu Jun.


    (end of this chapter)

 v3 Chapter 892： record-breaking surgery

    Chapter 892 Record-breaking surgery


    the other side.


    Zou Ligan was keenly aware of the great influence this operation could bring to Yunhua!


    He searched the country.


    This kind of joint operation of the aortic valve and mitral valve has never been done before, only in Europe and the United States and other countries have surgical records.


    If Lu Chen can complete this operation, it will be the first in the country!


    This is a record-breaking existence.


    "It seems that I have to invite a few experts from Modu to come and see this operation together."


    "In addition, it is also possible to live broadcast the surgery in a small area."


    "Relevant domestic media should also be invited to report this matter."


    in the office.


    Zou Ligan was thinking about how to expand the influence of the whole event.


    "It would be great if Lu Chen could become the director of the Magic Capital Medical Association."


    The identity of the medical system, the most intuitive is the position of the medical association.


    Lu Chen was the chairman of the Guanghai TAVR branch before.


    After he left the country, he stepped down.


    ¡­


    Lu Chen started to transfer patients to Yunhua without stopping.


    At the same time, Zhang Shuqing and Jiao Jingqiu accompanied him and also arrived in Yunhua.


    The patient was sent to the CCU, while Lu Chen took Zhang Shuqing and Jiao Jingqiu to visit Yunhua.


    "Your waiting hall here is really big!"


    The service of a private hospital is beyond words.


    The ?? waiting hall is more of a Mayo model.


    Each outpatient, before seeing a doctor, the doctor in charge will have a detailed understanding of his past medical records, background information, etc.


    The outpatient time is not like the three minutes of a public hospital.


    Yunhua''s outpatient clinic, each patient must stay in the outpatient clinic for at least two hours, or even longer!


    "There are not many patients." Jiao Jingqiu looked around.


    Lu Chen smiled, "Just opened, many people don''t know about our hospital."


    "Then your salary for the first few months is very low?" Jiao Jingqiu wondered.


    In the conventional medical system, doctors¡¯ wages and performance are linked to the workload, as well as the number of patients, the amount of surgery, the amount of medication, and so on.


    "Sorry, the annual salary of our doctors is the same." Lu Chen smiled.


    "Everyone is the same?" Jiao Jingqiu was a little surprised.


    "Doctors of the same level and age are all the same." Lu Chen explained.


    "Ah? Eating a big pot of rice..." Jiao Jingqiu raised her brows, "Will it discourage the doctor''s enthusiasm?"


    Lu Chen smiled, "There is an audit system every year. Secondly, I think most doctors hope that patients can be discharged from the hospital. Salary is not linked to workload, which ensures the simplicity of medical care to the greatest extent."


    "There is some truth in saying that."


    Jiao Jingqiu nodded.


    Salary is related to workload, and there will inevitably be some unnecessary examinations, tests, and even some kind of treatment.


    "Mr. Zhang, what do you think of our Yunhua?"


    Seeing that Zhang Shuqing had been silent, Lu Chen asked.


    Zhang Shuqing looked around and sighed slightly: "This reminds me of when I was studying abroad."


    Zhang Shuqing is also a top student who returned from studying in the United States.


    After studying in the United States for many years, he finally returned to China.


    "Actually, I am quite envious of your hospital." Zhang Shuqing said slowly, "If this model can really be implemented, then the doctor can really do his job well in the clinic, and can diagnose and treat patients wholeheartedly."


    "I think this is also a very happy thing."


    Zhang Shuqing showed a smile on the corner of his mouth.


    Lu Chen was startled suddenly.


    He never thought that his doctoral supervisor would have such an idea.


    He then smiled, "Mr. Zhang, why don''t you come to our Yunhua Hospital?"


    was originally just a joke, but Zhang Shuqing nodded solemnly: "I will consider it."


    Lu Chen raised his brows.


    From Zhang Shuqing''s words, he felt that there was drama!


    If Zhang Shuqing can come to Yunhua Hospital, he will definitely be a strong general, who can raise the strength of Yunhua Hospital to a higher level.


    However, now Zhang Shuqing is only thinking about it.


    It takes continuous effort to dig the corners.


    ¡­


    The next day.


    Zou Liqian has made a successful campaign.


    Yunhua Hospital''s live broadcast platform for surgery has been built.


    Some reputable media in Magic Capital were invited to the scene.


    The patient was pushed to the cath lab.


    The operating room lights are fully on.


    The first combined operation of TAVR and TMVR in Huaxia officially started.


    Lu Chen is the chief surgeon.


    Jin Miao was the first assistant and Gu Xinyue was the second assistant.


    Originally, Lao Gu was reluctant to have surgery.


    But he doesn''t want to do scientific research either.


    Between surgery and research, he needs to choose one.


    Secondly, interventional surgery is also one of the techniques that a qualified cardiologist must master.


    So, he was pulled over.


    "Lao Jin, my first surgery was of such high quality, I''m still a little nervous."


    Gu Xinyue whispered to Jin Miao on the side.


    Jin Miao smiled, "Why are you nervous? You are the second assistant, not the first assistant, so just pass the things next to you."


    Gu Xinyue snorted coldly, "Don''t underestimate others, I didn''t want to have surgery before, but now I want to do it, and I''ll be able to surpass you soon!"


    "Haha, then I''ll wait and see."


    The two of them were like a living treasure, and they even said a few words in the operating room.


    However, when the surgery live broadcast starts.


    The two shut up for a moment, and their expressions immediately became serious.


    Conduit outdoor.


    Liu Jun, Zhang Shuqing, Jiao Jingqiu and other doctors all came to visit and study.


    In addition, Zou Liqian also invited some cardiologists from the Magic Capital Hospital.


    This time, the operation was very solemn.


    "Director Zhang, why do you think this Yunhua Hospital is so particular about lining up?" Liu Jun looked around suspiciously.


    This operating room is very spacious and decorated extremely gorgeously.


    In addition, most of the cardiology instruments are top-notch in the world.


    "It''s a bit flashy." Liu Jun added.


    Zhang Shuqing said with a smile: "I think it''s pretty good. The operating room environment is good, and everyone''s enthusiasm for work is good. If it is a dilapidated operating room, the decoration and equipment are not complete, everyone''s enthusiasm is not high, and the quality of the operation will also decline."


    Liu Jun saw Zhang Shuqing say this, but frowned slightly and didn''t say anything more.


    On the other side, the surgery officially started.


    The ?? live broadcast also started at the same time.


    ¡­


    Puncture, disinfection, and toweling are all done by Jinmiao.


    Gu Xinyue is just a melon eater.


    At this time, Lu Chen suddenly said, "Get ready to go to IABP."


    Jin Miao was a little surprised, "Director, so early? Let''s just have a piercing."


    Lu Chen shook his head, "It''s not early. This patient is usually unable to lie down. The reason for today''s operation is that after lying down for so long, heart failure is about to occur!"


    "We have to be careful now, patients are prone to heart failure, and even cardiogenic shock, cardiac arrest, etc."


    As soon as the ?? voice fell, the patient''s breathing suddenly became rapid.


    (end of this chapter)

 v3 Chapter 893： Difficulty of joint surgery

    Chapter 893 The Difficulty of Combined Surgery


    on a hospital bed.


    The patient suddenly suffered from acute heart failure, which surprised the audience outside and in the live broadcast room.


    But as the client, the chief surgeon, Lu Chen, was calm.


    He had long anticipated that the patient was highly likely to develop acute heart failure during surgery.


    He has prepared accordingly.


    This heart failure patient cannot lie down normally.


    A semi-recumbent position is required to maintain heart function.


    Once you lie down, the blood flow increases, which increases the burden on the heart.


    During the operation, the patient must remain in a long-term lying position in bed.


    After a long time, heart failure will definitely happen again!


    "Maintain blood pressure."


    "Push furosemide."


    "Use IABP now!"


    Lu Chen calmly commanded the operation.


    Jin Miao and Gu Xinyue got busy immediately.


    The IABP machine was pushed in.


    Lu Chen installed this auxiliary device on the patient''s body after the patient''s femoral artery puncture.


    IABP machine can maintain the patient''s cardiac function.


    is applied at this time, mainly for the smooth completion of the operation.


    Lu Chen took a deep breath and directed Jin Miao to start the TAVR operation.


    Gu Xinyue is making soy sauce on the side.


    No, he was handing all kinds of equipment beside him.


    "After TAVR surgery, TMVR surgery must be performed as soon as possible, and the operation time should be shortened as much as possible to maximize the stability of the patient''s cardiac function."


    Lu Chen said in a deep voice.


    He understood the arduousness of the operation, but the movements of his hands were not slow at all.


    The biggest difficulty in joint surgery is the time issue.


    The time is as short as possible in order to maintain the patient''s heart function to the greatest extent possible.


    Guide wire and catheter passed smoothly.


    Balloon pre-dilation, balloon dilation!


    The prosthetic valve is ready.


    This series of operations dazzled everyone in the live broadcast room and the catheterization room.


    Some of the viewers in the live broadcast room recognized Lu Chen.


    "Isn''t this Lu Chen who shared surgical cases at Kyoto Medical College a few years ago?"


    "Yes, I''ll just say it, it looks familiar, so it''s him!"


    "He''s too strong! I''ll just say, who can do this kind of surgery!"


    For a time, everyone was amazed.


    Lu Chen is back from Mayo!


    And this time, what Te brought back was Mayo''s top clinical surgery!


    The surgical platform in the hospital spreads in a small area in the magic capital.


    But at this moment, the servers of Yunhua Hospital are already full.


    The surgery screen is very stuck.


    is like putting a PPT.


    The audience in the live broadcast room was very anxious.


    This is a historical witness!


    If you missed it, it would be quite a pity.


    Therefore, people kept calling Yunhua Hospital to ask questions about the live broadcast room.


    Zou Ligan received feedback from the hospital staff immediately.


    Even he himself never thought that Lu Chen''s live broadcast could have such a big influence.


    He immediately notified the information section and added a server.


    ¡­


    This side of the operating room.


    Lu Chen''s surgery has reached the most critical time.


    Balloon dilation ended.


    Prosthetic valve delivery begins.


    Under the guidance of Lu Chen, Jin Miao started his own operation.


    "Pay attention to the wall, and there is also the problem of paravalvular leakage."


    Lu Chen instructed.


    Jin Miao''s operation was careful.


    He understood the importance of this operation.


    Lu Chen was able to give him this opportunity.


    He was very excited, but also very stressed.


    In fact, Jin Miao has also performed hundreds of TAVR surgeries.


    He is also the first member of the surgical team of Guanghai Central Hospital.


    But for this new type of spell.


    He has no experience and no guidance.


    To put it bluntly, his surgical ability is excellent, but he lacks correct guidance.


    And Lu Chen is currently playing this role.


    "Send some forward, the position of the valve must be appropriate to avoid paravalvular leakage."


    "Okay, that''s it. Release the valve!"


    Prosthetic valve delivery to the aorta was successful.


    But the surgery was only half done.


    The patient''s mitral valve was still moderately stenotic.


    "The rest, leave it to me."


    Lu Chen took over from Jin Miao.


    Jin Miao has relatively little experience with the ??TMVR technique.


    Not to mention this kind of combined surgery.


    Jin Miao also didn''t have enough confidence to finish it.


    "Look carefully at my movements." Lu Chen said while operating, "After the successful TAVR operation, it will benefit the mitral valve to a certain extent, but when we performed the TMVR operation, certain changes have also occurred accordingly."


    Surgery is a process that practice makes perfect.


    However, many key skills still need to be comprehended by oneself.


    Jin Miao''s talent is good.


    As long as Lu Chen told him the key points, he would probably understand a thing or two.


    Of course, it was a blessing for Jin Miao to meet Lu Chen, a director of unreserved teaching.


    Most leaders are still worried that their subordinates will surpass themselves.


    As the saying goes, the apprentice of the church, the master starved to death.


    is the truth.


    However, Lu Chen had no such worries.


    He wished that someone around him could keep up with him.


    ¡­


    During surgery.


    Lu Chen''s expression was solemn.


    He performed balloon dilation while noting the patient''s vital signs.


    "Can''t continue to expand, and if you expand again, there is a risk of tearing the blood vessels."


    Lu Chen reminded Jin Miao.


    Jin Miao nodded, he stared intently at Lu Chen''s operations.


    This kind of close observation is of great benefit to him, and the growth rate of his surgical skills is also very fast.


    The live broadcast room and the crowd outside the catheter room were also holding their breaths at the moment, staring at Lu Chen''s operations.


    This kind of difficult operation is undoubtedly a thrilling performance for experts.


    "Release the valve!"


    When Lu Chen gave the last order, everyone''s hearts were raised.


    This step is related to the success or failure of the entire operation.


    In the angiography, the valve smoothly reaches the heart along the blood vessels.


    The delivery valve rod operated by Lu Chen, twist it lightly.


    The ?? valve is released slowly.


    "Director, the valve sticks well!"


    Just as Jin Miao finished saying this, he saw the ECG monitor beside the operating table.


    The patient''s blood pressure and heart rate continue to drop!


    The piercing alarm sound is also constantly ringing.


    Lu Chen immediately stopped the operation and frowned: "What''s going on?"


    "Director, the patient''s blood pressure and heart rate are not good! Heart failure again!"


    Although connected to the IABP machine, the patient''s heart is still so fragile.


    "Increase the concentration of vasoactive drugs!"


    "Ice bag brain protection!"


    Lu Chen''s hands stopped, but he was still issuing other doctor''s orders.


    In this situation, Lu Chen is a little bit overwhelmed.


    There will be some time before the valve is released.


    During this period, it is very likely to lead to the further development of heart failure.


    But if you don''t continue, your previous efforts will be in vain!


    "Director, what should we do next?!"


    Jin Miao suppressed his inner tension, and the patient''s condition seemed to exceed everyone''s expectations.


    (end of this chapter)

 ~： night shift, leave

Night shift, leave


    Night shift, please take a leave.


    Make it up tomorrow.


    (end of this chapter)

 v3 Chapter 894： Surgery was successful

    Chapter 894 The operation was successful


    Operating room.


    Lu Chen tightly held the valve delivery catheter in his hand.


    The patient suffered from heart failure again, which caught him by surprise.


    However, he calmed down immediately.


    After using IABP, he also developed heart failure.


    Although ?? is rare, it is not uncommon.


    "Get ready for ECMO!"


    Lu Chen said in a deep voice.


    With the order ??, Jin Miao and Gu Xinyue immediately began to act.


    Now, what Lu Chen said, to them, was the "decree"!


    ECMO, simply put, is an artificial heart and lungs.


    When the patient''s heart is insufficiency, the artificial heart is used to prolong the patient''s life.


    Give the heart a chance to breathe.


    When the heart function is restored, the machine can be withdrawn.


    The audience in the live broadcast room and outside the venue immediately came to the spirit when they saw that they were going to ECMO.


    Usually, there are very few opportunities to see this kind of operation on ECMO.


    The patient has poor vascular condition.


    There are plaques and strictures, and the process of puncturing is very difficult.


    Luckily, Lu Chen''s puncture technique has long since reached the point of perfection.


    With the help of Jin Miao and Gu Xinyue, he quickly installed ECMO on the patient.


    When the ECMO machine starts running, the patient''s heart finally has a chance to rest.


    "Blood pressure, heart rate back!"


    Seeing this, Jin Miao finally breathed a sigh of relief.


    All they do is to stabilize the patient''s vital signs.


    The next step can only be done after the vital signs are stabilized.


    At this time, Lu Chen seized the opportunity and successfully delivered the artificial mitral valve to the designated valve position.


    "The valve is in good position, and there is no paravalvular leakage!" Jin Miao said excitedly.


    Now is not the time to be happy.


    Lu Chen asked Gu Xinyue to push the ultrasound machine over.


    He started giving the patient an ultrasound.


    For Lu Chen''s behavior, everyone is not surprised.


    There are rumors that Director Lu Chen''s cardiac ultrasound technology far exceeds that of most ultrasound doctors.


    Although I don''t know if it''s true or not, it also proves that his cardiac ultrasound technology is unusual.


    "Director, the aortic and mitral valves are in good position!"


    "The flow velocity behind the valve is reduced!"


    "Confirm again, there is no paravalvular leakage!"


    The two prosthetic valves have finally been safely released in the heart as the ultrasound results showed.


    The whole operation is officially over!


    Lu Chen took a deep breath.


    Gu Xinyue and Jin Miao''s faces showed excitement.


    "The operation was successful, I... am I that good?" Gu Xinyue murmured.


    Jin Miao glanced at Gu Xinyue, "Old Gu, what does this have to do with you?"


    Gu Xinyue puffed up her chest and showed a smile, "Of course it matters! No matter what, I''m the second assistant!"


    Jin Miao rolled his eyes and ignored Gu Xinyue.


    Now he is also filled with excitement all over his body.


    This is the first combined TAVR and TMVR operation in China!


    Even on a global scale, it is quite rare.


    As the second assistant, he is an important member of the surgical team and a witness to the record-breaking operation.


    The calmest person at this time was none other than Lu Chen.


    He is still checking the patient''s status.


    Check the IABP and ECMO machines separately to make sure they are functioning properly.


    "Jin Miao, pay attention to adjust the machine parameters again."


    Lu Chen told Jin Miao.


    "Okay, Director." Jin Miao nodded immediately, "I''m not going home today, I''ll be guarding at the CCU. If there is any problem, I can deal with it in time."


    "Yes." Lu Chen nodded.


    CCU has a lounge dedicated to doctors on duty.


    Doctor Yunhua, in various hardware facilities, mainly meets the various needs of doctors.


    In terms of these benefits, Yunhua Hospital will never treat its own doctors badly.


    ¡­


    Surgery is over.


    The patient was immediately sent to the CCU ward.


    Conduit outdoor.


    Zhang Shuqing, Jiao Jingqiu and the others looked at each other and could see the surprise in the other''s eyes.


    Director Liu Jun on the side of ?? was also silent at this time.


    "Director Zhang." Jiao Jingqiu whispered, "I found that Yunhua Hospital is really good. All kinds of equipment are top-notch. I just took a look at the duty room and lounge. It''s much better than our hospital!"


    Zhang Shuqing smiled, "Private hospitals, they have a lot of autonomy. What, are you excited?"


    He said this half-jokingly, but Jiao Jingqiu carefully looked around and glanced at Liu Jun.


    found that he hadn''t paid attention here, so he continued to whisper: "Director Zhang, don''t say it, I really have this plan."


    "Huh?" Zhang Shuqing looked at Jiao Jingqiu in surprise.


    "I just heard that the cardiologist at Yunhua Hospital is called Gu Xinyue." Jiao Jingqiu said, "He said that the working environment here does not require papers. Clinicians can be completely clinical without spending too much money. The time is on scientific research. Director Zhang, you know my temperament, it¡¯s okay to see patients, but I really don¡¯t have much interest in doing scientific research.¡±


    Zhang Shuqing nodded, "I heard Lu Chen also say it. The clinical and scientific research here is to be controlled by oneself, not forcing papers, the criteria for admission to doctors, and not just looking at papers."


    "Yup!"


    Jiao Jingqiu nodded in agreement, "Director Zhang, take a look at our First Academy of Magic Capital, now we are calling for papers every day, and applying for funds more than we do. The usual clinical work is already very tiring, and now I have to do scientific research, it is really mental and physical tired."


    Not only Jiao Jingqiu, but most of the top three hospitals in China place great emphasis on the existence of scientific research.


    However, in fact, most doctors have no scientific research ability.


    More than 80% of the papers that need to be published for promotion, or even higher, are bought by doctors.


    Buying and selling papers has formed a huge industrial chain.


    Although Zhang Shuqing is the director of the ward, he can''t say much.


    Anyone who is a doctor, who doesn''t want to be a pure doctor?


    But the shackles of scientific research papers are placed on the head, so that many doctors with really good medical skills are buried.


    ¡­


    At this moment, Lu Chen walked out of the catheterization room.


    Liu Jun immediately greeted him with a smile on his face.


    "Lu Chen, congratulations, the operation was so successful!"


    Lu Chen took off his lead coat and pursed his lips and smiled.


    "Director Liu, I should have lived up to your trust."


    "Great job!"


    Liu Jun laughed, "There are so many media here today, I believe that after today, your Yunhua Hospital will be famous!"


    "This is also thanks to you." Lu Chen''s face was calm.


    He is not famous and doesn''t have much feeling.


    Lu Chen only hopes that his medical skills can help more patients.


    Next, is the media interview.


    Lu Chen was not interested in the interview. After saying a few words, Jin Miao continued the interview with the rest of the content.


    Jin Miao put on a brand new white coat and accepted interviews with various media together with Gu Xinyue.


    As the assistants of this operation, they both know the whole process of the operation best.


    (end of this chapter)

 v3 Chapter 895： Yunhua crisis

    Chapter 895 Yunhua Crisis


    The success of the ?? combined operation greatly inspired Zou Liqian''s confidence.


    Yunhua''s sign was erected by Lu Chen.


    Zou Ligan took this opportunity to start promoting Yunhua Hospital.


    The focus of publicity is naturally the minimally invasive interventional surgery in the cardiac field such as TAVR surgery.


    On the other hand, because Yunhua is still in a state of doctor vacancy.


    Taking this opportunity, the new medical model of Yunhua Hospital is gradually opening to everyone.


    And Lu Chen also earned a lot of gratitude points through the live broadcast of this surgery.


    In the ?? system panel, his total thanks again exceeded 100,000.


    ¡­


    The number of patients in Yunhua Hospital has gradually increased.


    Lu Chen''s center of gravity began to return to himself.


    Only when he gets stronger and stronger, can Yunhua gradually improve.


    It can be said that Lu Chen''s upper limit determines the current upper limit of Yunhua.


    The affairs of the department are put aside for now.


    Most of the cases can be handled by Jin Miao and Gu Xinyue.


    Lu Chen would only come forward to deal with patients they were both uncertain about.


    Taking this opportunity, Lu Chen started to deal with his own affairs.


    The first and most important thing is the application of the National Natural Science Program.


    Private private hospitals can also apply for national fund projects.


    To be precise, the treatment of private hospitals in terms of professional title promotion and fund application is the same as that of public hospitals.


    However, in practice, private hospitals may be ¡°stuck in the neck¡±.


    Professional title promotion and fund application are much more difficult than public hospitals.


    This is one of the reasons why people are reluctant to go to private hospitals.


    Although ?? is difficult, Lu Chen still has to try.


    It''s really not possible, he can only conduct research on scientific research projects through his current resources.


    Fortunately, he is not short of money now.


    A few days ago, he glanced at the balance in his bank card, there were several zeros, and his eyes flashed.


    These are all dividends from the African gold mines!


    In addition to scientific research projects, there are also the establishment of journals.


    In Lu Chen''s plan, he must create a journal that has global influence.


    After planning, Lu Chen began to act.


    In the following period, he spent most of his time on the application of scientific research project books.


    The research areas are TAVR and coronary intervention respectively.


    The deadline for this year''s national nature application is approaching.


    Lu Chen wanted to take advantage of this last time to think about his topic.


    ¡­


    Time passed slowly, and Yunhua Hospital slowly got on the right track.


    The number of patients has also increased.


    Although it is not comparable to those top tertiary hospitals, it has made great progress.


    However, what Lu Chen didn''t expect was.


    Yunhua Hospital''s first crisis came so soon.


    On this day, Lu Chen was in the office revising the national nature bid.


    Next month, the project book will need to be turned in.


    "Dong, dong, dong..."


    A dull knock sounded on the door.


    Lu Chen put down his work, "Please come in."


    It was Fan Zhiping who walked into the office.


    He looked a little hesitant, and there was a hint of worry between his brows.


    "Brother Fan, why are you here?"


    Lu Chen was taken aback.


    At this time, Fan Zhiping should be working in the inpatient department.


    Fan Zhiping glanced at Lu Chen, opened his mouth, wanted to say something, and swallowed it back.


    Lu Chen immediately caught the anomaly, he quickly stood up and walked to Fan Zhiping''s side.


    "Brother Fan, come sit and talk." Lu Chen made Fan Zhiping a cup of tea.


    The two sat on the sofa.


    Fan Zhiping rubbed the corners of his clothes with his hands, completely inconsistent with his usual image.


    "Brother Fan, what''s our relationship? Tell me if you have anything."


    Lu Chen could feel Fan Zhiping''s inner hesitation.


    Fan Zhiping sighed first, then shook his head and said, "Lu Chen, I...I want to resign."


    As soon as these words came out, Lu Chen was stunned.


    "Resign? Brother Fan, do you think there is something wrong with our Yunhua?"


    "No." Fan Zhiping waved his hand, "Yunhua is very good, it''s almost my ideal hospital model, I can learn a lot here."


    "Then why are you leaving?" Lu Chen wondered.


    "It''s my wife who wants me to go back..." Fan Zhiping gave his reasons, "The Magic City is an international city after all, although Yunhua''s salary is very good, but with my current salary level, how many years does it take to buy a house? ¡­¡±


    He is now in his hometown, with a house and a car.


    With the experience in the magic capital, when I return to Fengm County Hospital, I can even be a director!


    Continue to stay in Modu and be separated from family members, which is very tormenting for a middle-aged doctor.


    Lu Chen immediately understood Fan Zhiping''s concerns.


    "Brother Fan, but we have a family community in Yunhua." He wondered, "According to the hospital policy and your current qualifications, the deputy chief physician should be able to get an apartment, right?"


    Lu Chen has read the hospital''s policy.


    All regular employees have the opportunity to be allocated an apartment.


    Residence is a two-bedroom apartment.


    Attendance above, not married, is a single apartment.


    The above-mentioned, married, it is a slightly larger apartment.


    Of course, these are all long-term agreements signed with the hospital.


    "I didn''t even sign the agreement." Fan Zhiping shook his head, "I asked the logistics staff, and they said that according to the current efficiency of the hospital, within five years, anyone can have a small apartment for at most two people."


    Fan Zhiping brought his wife and two children, a family of four, living in such a small apartment, which was too inconvenient.


    "A small apartment with only two people?" Lu Chen frowned.


    He has been busy with clinical and scientific matters, and he is less concerned about these logistical matters.


    "Lu Chen, the reason I came here to find you is to ask, if I resign, can I pay less liquidated damages?"


    Fan Zhiping whispered.


    He signed a long-term contract with Yunhua.


    If you resign, you need to accompany a large amount of liquidated damages.


    Lu Chen said sternly: "Brother Fan, if Yunhua really said that the apartment will not be allocated, then it is our fault first, and of course you don''t need to pay anything."


    "Thank you." Fan Zhiping thanked him continuously.


    Lu Chen shook his head and said, "Brother Fan, I neglected this matter. If the house can be allocated, would you still leave?"


    "Of course I won''t leave." Fan Zhiping smiled, "The treatment here is good, there is a place to live, and the skills learned are all top-notch in China, only fools are willing to leave."


    "Okay, Brother Fan, it''s enough to have your words." Lu Chen''s eyes were a little gloomy, "I''ll ask the leader of the hospital."


    In the end, he and Fan Zhiping and other doctors are on one side.


    Although Zou Ligan gave him part of the shares, it is still a private hospital after all, and it is not a hospital owned by Zou Ligan alone.


    The attributes of private hospitals are always the money-making tools of capitalists.


    Lu Chen immediately called Zou Ligan.


    "Lu Chen, this is indeed the case." On the other end of the phone, Zou Ligan sighed, "It''s been more than half a year, and the hospital''s benefits have not met expectations. Other shareholders have begun to have opinions. After all, they are all looking at the hospital on my island. Not bad, this is how to invest in the magic capital."


    Lu Chen frowned: "So we need to cut employee benefits? This is written in the contract at the time, but it''s different!"


    "No way, they reduced investment, and we had to slow down the construction of the hospital''s family area." Zou Ligan said, "Those shareholders began to urge us to change the medical model, saying that the big pot won''t work, and the salary level should be linked to the workload. ."


    Magic Capital Yunhua Hospital, seems to be going the same way as the island hospital?


    Lu Chen sighed in his heart.


    It is he who thinks everything so well!


    Private private hospitals, how can they not require the number of patients and not pursue benefits?


    Someone to do charity?


    impossible!


    (end of this chapter)

 v3 Chapter 896： No one can replace (make up for yesterdays)

    Chapter 896 No one can replace (make up for yesterday''s)


    Lu Chen went to the logistics of Yunhua Hospital.


    The actual situation is similar to what Fan Zhiping said.


    At present, all the staff of the hospital are basically living in double apartments.


    The logistics director was still shy and said with a smile: "This is in the magic capital, and it''s good to have this kind of housing treatment!"


    Lu Chen had a dark face.


    There are many people here, all of whom have jumped jobs from top tertiary hospitals.


    Why are they coming to your new private hospital?


    If the treatment is not good, what are they doing?


    Including Gu Xinyue, Jin Miao, Ke Yue and others, all crowded into the small apartment.


    "Why didn''t you tell me about this?"


    Lu Chen came to the small apartment and met Gu Xinyue and Xu Shan.


    Compared with the single apartment in Guanghai, the gap is too big.


    "Gu Xinyue won''t let me say it." Xu Shan turned her head, "I have to say I don''t want you to be embarrassed."


    She has resentment in her heart.


    He Gu Xinyue came all the way to the magic capital and squeezed into such a small room.


    As long as it is an individual, there will be resentment!


    Gu Xinyue shook his head: "The hospital has difficulties in the early stage, we can understand."


    Lu Chen said sternly: "Don''t think I''m a leader, I''m just a little doctor just like you guys! If your rights are not guaranteed, it means that I don''t either."


    "Lu Chen..." Gu Xinyue opened her mouth.


    Actually, Gu Xinyue was also somewhat dissatisfied with Yunhua Hospital.


    It''s done, we''ll share an apartment when we come.


    He and Xu Shan gave up such good conditions as Guanghai.


    Running here, I don¡¯t even have a house as big as before.


    He also heard that Lu Chen had shares in Yunhua Hospital.


    Afraid that Lu Chen would be in a dilemma, he didn''t tell him such a thing.


    Lu Chen sat on the small sofa with an unpredictable expression.


    ¡­


    always thought that he considered himself a very good Yunhua Hospital.


    After all, it is only the product of capital.


    Shareholders also want to scrap the current healthcare model.


    Return to the traditional private hospital model.


    Simply put, the money earned is less, and the people above are unwilling.


    But if it is a traditional model, why did Lu Chen come to Yunhua?


    Lu Chen raised his head, looked at Gu Xinyue and Xu Shan, and said solemnly, "I will resolve this matter."


    "Lu Chen, don''t force it." Gu Xinyue said softly, "After all, there are not many patients in the hospital, we are aware of this."


    "No matter what, it was the hospital that broke its trust first." Lu Chen said slowly, "I don''t want you to repeat the mistakes of Brother Fan."


    After saying this, he left.


    He wants to go to Zou Liqian to communicate in person.


    ¡­


    The office of the chairman of the hospital.


    Zou Ligan''s face was also not very good-looking.


    Shareholders have urged him to transform the hospital model.


    The current medical income is far from meeting their expectations.


    There is no way, the doctor''s salary is not linked to the number of patients, the volume of operations, etc., and it will not be like a traditional private hospital, where doctors are not allowed to bring patients to hospital.


    "Uncle Zou, the current situation is not what you want to see, right?"


    Lu Chen sat opposite Zou Ligan and said slowly.


    Zou Ligan gave a wry smile, "I really didn''t expect that these shareholders are still not satisfied after tossing for more than half a year."


    "The current situation is no longer a purely logistical apartment issue. It is these shareholders who must change the hospital model to an island private hospital."


    Lu Chen was silent when he heard the words.


    Zou Liqian continued: "I will try my best to negotiate with these shareholders, but time may be running out."


    Although it has only been half a year, Lu Chen also has a lot of affection for Yunhua.


    He also poured a lot of effort into it.


    The word ?? Yunhua is not only the name of a hospital, but also represents Lu Chen''s desire to break through the traditional medical model.


    "Uncle Zou, if the medical model is changed, then we have done so many things before, and it doesn''t make any sense." Lu Chen said.


    "I understand." Zou Liqian said helplessly, "But now this Yunhua is not something I can make alone at all. The other shareholders join forces to put pressure on me..."


    left the chairman''s office.


    Lu Chen also felt a sense of powerlessness.


    The issue of the scientific research project book, he doesn''t have too many ideas to deal with for the time being.


    He also went to see Fan Zhiping and explained the current state to him.


    the other side.


    Zou Liqian began to contact the major shareholders of Yunhua.


    "Oh, what can we do with this?"


    He thought the same as Lu Chen.


    Want to build a Huaxia Mayo Hospital.


    Otherwise, he would not have come all the way to the capital to open a private hospital.


    However, after more than half a year, the hospital''s benefit is far less than imagined.


    Shareholders are getting anxious.


    The number of patients has increased, but the benefit is not high.


    This shows that the enthusiasm of the doctor has not been mobilized!


    Reform is imperative.


    "Old Zou, what are you talking about?" The man on the other end of the phone smiled, "It''s the same as the island hospital, you have to give it a try, okay, try it, I gave you six months. , are you going to give up now?"


    "Give me another half a year." Zou Liqian said slowly, "It has improved now, maybe half a year will be fine."


    "Half a year?" The man smiled. "We''re not doing charity work. How much money can we make in a year by investing so much money elsewhere? Take a step back, even if I agree, can the other two agree?"


    "This..." Zou Li took a stab at it. He knew it was difficult, but if he just gave up, he would be unwilling.


    "Don''t bother." The man continued, "According to your island model, isn''t it good to make money lying down?"


    Zou Ligan was a little silent.


    To make money, who doesn''t like it?


    But after making money for most of your life, there is always something to stick to!


    "I''ll go ask them again."


    Zou Ligan said slowly.


    "Hey, just go if you want, why do you always waste time?!"


    hung up the phone, and Zou Liqian called the other two shareholders.


    There is no doubt that the two have the same opinion.


    Half a year of trial and error is enough.


    They are not willing to give Yunhua Hospital any more time.


    "But if this reform is really implemented, many doctors may leave." Zou Ligan said, "Even those top doctors, such as Lu Chen, may leave."


    "The salary is higher! I don''t believe he will leave."


    "You don''t know Lu Chen, he might really leave!" Zou Ligan said nervously.


    "I don''t believe it anymore, such a big hospital can''t do without him? Recruit another one, won''t it work?"


    A shareholder said so.


    Zou Ligan was taken aback, "This is absolutely impossible, Lu Chen is gone, no one can replace him!"


    Lu Chen, absolutely cannot leave!


    If you want to go...


    That''s also where the shareholders go!


    In Zou Liqian''s mind, an idea burst out in an instant.


    (end of this chapter)

 v3 Chapter 897： Private to public?

    Chapter 897 Private to public?


    The next day.


    In the Modu government office.


    Zou Ligan, led by Zou Yi, director of the Science and Technology Bureau, held a meeting with the leaders.


    This conversation is extremely secretive and few people know about it.


    Zou Ligan stayed in the office all morning.


    He talked a lot with the leaders.


    He didn''t come out until noon.


    Zou Yi walked with him and walked out of the office together.


    "Did you really make the final decision?"


    Zou Yi paused, slowly facing Zou Li, who was beside him.


    His eyes were like torches, as if he wanted to see through Zou Ligan''s inner thoughts.


    Zou Liqian smiled, "You know what I have always thought, public or private, it doesn''t matter. As long as I finally implement it and realize my own ideal, that''s enough."


    "However, it''s not an easy matter to switch to a public company privately. You lose more." Zou Yi thought for a while, "And you want to maintain the original model, is this possible?"


    "No matter how difficult it is, you have to give it a try."


    Zou Ligan sighed.


    "Maintain the status quo, and the medical model will definitely be transformed by other shareholders."


    "There is still a chance to switch from private to public."


    Zou Yi shook his head: "Although the country is vigorously promoting medical reform, your steps are too big, and the leadership''s ability to accept it may not be enough."


    Zou Liqian also knew about Zou Yi''s concerns.


    "I also know about this matter. You can''t make a fat man in one bite. I will discuss it from a long-term perspective. I will also discuss with him on Lu Chen''s side."


    "Okay." Zou Yi nodded, "I will try my best to help with the leader. If anything happens, let''s get some air."


    After the two left, Zou Ligan found Lu Chen.


    Lu Chen is in his office.


    "Uncle Zou, how is the situation on your side?"


    Zou Ligan took a deep breath and shook his head first: "The other shareholders have not let go. They must change their model and become a traditional private model."


    "Uncle Zou, is there no room for manoeuvre?" Lu Chen paused.


    "No." Zou Ligan said helplessly, "Half a year is the time limit for their experiment. Now they can''t see the benefit..."


    Lu Chen sat on the sofa with his hands on his head and slowly closed his eyes.


    "Uncle Zou, if you really want to change the model, then I may have to leave too."


    He spoke in a low volume, but every word hit Zou Ligan''s heart.


    Zou Liqian was not surprised.


    "I know. When you came to Yunhua, what you valued was the medical model here. Otherwise, it would be better for you to go to any public hospital than in Yunhua."


    The promotion system and management system of public hospitals are much stronger than private hospitals.


    In the number of hospitals in the country, private hospitals account for 60%, while public hospitals account for less than 40%.


    However, public hospitals account for 70% of the patient admissions!


    This is the gap!


    is also in the minds of the common people, the medical technology of public hospitals is far superior to that of private hospitals.


    Lu Chen opened his eyes and looked at Zou Ligan blankly: "Uncle Zou, thank you for your understanding."


    "Sometimes, I wonder if we''re too idealistic."


    "It''s still too difficult to do this in a private hospital."


    Zou Ligan did not speak.


    In his mind, he recalled everything in the island hospital in the past.


    Back then, he was full of ambition.


    I want to make a career in Huaxia medical field.


    However, reality beat him.


    This time, come to the magic capital.


    Half a year has passed, and it is much better than the situation on the island at that time.


    The popularity of the hospital has gradually increased in the magic capital.


    However, he overlooked one point.


    This is not his alone hospital.


    Other shareholders will not allow long-term losses.


    "Lu Chen." Zou Ligan stared at Lu Chen, "I went to see the leader of the health bureau today."


    "Huh?" Lu Chen raised his brows.


    "I''m thinking, is there a possibility of private transfer?" Zou Ligan said slowly.


    "what?"


    Lu Chen was slightly taken aback.


    "Private to public?"


    "Yes, it is private to public." Zou Ligan said slowly, "There are many similar cases in our country. Private to public is also a political achievement for the government."


    "But, will the other shareholders agree?"


    Lu Chen wondered.


    "As long as the government is willing to accept it, they have to agree if they don''t agree!" Zou Ligan said, "The government contributes, and they sell the shares."


    Lu Chen also had a glimmer of hope in his heart, but he still said, "But even if we switch from private to public, our medical model is different from traditional public hospitals."


    "This issue needs to be discussed with the leaders." Zou Ligan said slowly, "But if you don''t do this, the other three shareholders will definitely force the medical model to change."


    Private to public is a big event.


    After ?? transferred to public service, should the medical model use Yunhua?


    Or change to the traditional public hospital model?


    These things need to be considered.


    "Uncle Zou, if you need any help from me, let me know at any time." Lu Chen said.


    "Okay, I''ll tell you." Zou Ligan said, "but what you need to do now is to stabilize the hearts of the hospital. If it is irreversible, you will leave or stay, no one will blame you. "


    "Yes." Lu Chen nodded.


    If it is possible to transfer from private to public and successfully retain the existing medical model, then Yunhua Hospital still has hope.


    It''s just that the Yunhua at that time may not be called Yunhua anymore.


    ¡­


    During the following period, Zou Liqian continued to operate at the top.


    There are many precedents for ??.


    However, there is no shortage of public hospitals in the magic capital where top hospitals are gathered.


    The possibility of ?? private to public is still open for discussion.


    Yunhua Hospital, Department of Cardiology.


    Lu Chen did not continue to spend his time on this matter.


    For him, the worst outcome is to leave Yunhua.


    Going to another hospital, he can still live well.


    The reason why ?? is willing to come to Yunhua is just to try it.


    After all, after staying in a traditional public hospital, you can see the end of your life at a glance.


    doctor''s office.


    Lu Chen continued to teach the doctors in his group.


    In the operating room, he explained the world''s top surgical procedures as usual.


    On the other hand, he also continued to write the national nature project book.


    ¡­


    After half a month.


    Zou Ligan sent a message back.


    The government agreed!


    Lu Chen didn''t know how much Zou Liqian paid, but it worked out in the end.


    The government invested and acquired 60% of the hospital shares.


    The remaining 40% of the shares are in the hands of Zou Ligan.


    Yunhua Hospital will be "private to public" next week.


    However, the word ¡°Yunhua¡± for a private hospital can no longer be used when it is converted to a public hospital.


    However, things are far from settled.


    The president of a public hospital, appointed by the upper-level leadership.


    The model of the ?? hospital also needs the approval of the leadership.


    Continue Mayo''s model, is it feasible?


    All this is still unknown.


    (end of this chapter)

 v3 Chapter 898： Magic City Fifth Academy

    Chapter 898 Magic City Fifth Court


    Two days later, Lu Chen learned that Zou Ligan sold most of his shares in the island hospital.


    Under the government''s intervention, he was able to get most of Yunhua''s shares.


    Otherwise, even if he is rich, he may not be able to take Yunhua''s shares.


    After all, Yunhua''s reputation in the magic capital is not small!


    As long as it works properly and changes the medical model, it is completely profitable.


    Zou Wei came to Lu Chen''s office on purpose and told him the news.


    "Director Lu, do you think it''s worth it?"


    This is equivalent to taking the shares of a hospital that is on the right track and rich in benefits, in exchange for the shares of such a new hospital that does not know the future.


    "Many people in the family are saying whether my dad is stupid and made such a loss-making business."


    Lu Chen admired Zou Ligan''s behavior.


    As a member of the Huaxia Medical System, Zou Liqian''s behavior is something very few people can do.


    "I think for others, this is unreasonable." Lu Chen said slowly, "But for your father, this is his ideal, the career he pursues. You should be happy for him."


    Zou Wei was a little silent.


    It is also difficult for him, as a son, to understand the behavior of the father.


    "Director Lu, sometimes I really admire you guys." Zou Wei looked up at Lu Chen, "You obviously have a chance to go to a better hospital, but it happens to be in Yunhua. My dad can obviously make more money. , to get more benefits, but he gave up."


    "Because there are more important things than money and power." Lu Chen smiled.


    He didn''t think he was so noble, but he was only going forward in pursuit of ideals.


    ¡­


    The news of ??''s private-to-public transfer spread within Yunhua.


    Most of the employees are happy in their hearts.


    The welfare treatment and promotion system of public hospitals may be much better than private hospitals.


    However, the current medical model of Yunhua, after the private transfer to the public, can continue to be a question.


    However, things soon turned around.


    Internal sources rumored to say.


    Yunhua Hospital will be renamed the Fifth People''s Hospital of Magic City.


    Abbreviation, Modu Fifth Hospital, became the affiliated hospital of Modu Medical University.


    The head of the dean sent by the leadership is still an old acquaintance of Lu Chen, Dai Wansong, the former deputy director of the Magic Capital Central Hospital.


    Lu Chen, who knew the news, was quite surprised.


    In the same medical system, it is possible to exchange senior leaders.


    Dai Wansong went from a vice-president to the Fifth Academy of the Magic Capital and became the number one, which is considered a high promotion.


    Dai Wan Matsumoto was born in cardiovascular medicine.


    The Fifth Hospital of the Magic Capital is also mainly focused on the cardiovascular system.


    Because of this consideration, the top leaders let Dai Wansong come to serve as the top leader.


    After Dean Dai Wansong came to the Fifth Academy of the Magic Capital, Lu Chen visited him immediately.


    In the Dean''s Office.


    Dai Wansong and Lu Chen meet again.


    "Lu Chen, I haven''t seen you for many years, you have matured." Dai Wansong said to Lu Chen with a smile.


    "President Dai, are you saying that I''m getting old, or that I''ve become smoother?"


    Lu Chen smiled and joked.


    Dai Wansong stroked his beard and squinted to look at Lu Chen, "You brat, you have become more courageous, you dare to joke with me."


    Lu Chen hurriedly smiled and said, "Dean Dai, I respect you very much!"


    "Then why didn''t you go to see me after returning to the magic capital?" Dai Wansong asked rhetorically with a smile.


    Lu Chen cleared his throat and said slowly: "President Dai, this is my negligence, but I asked you once before, and you are not in the office."


    "Well." Dai Wansong nodded, "I''ll talk about these things later. You came to me this time, there should be other things, right?"


    "Sure enough, I can''t hide from you, Director Dai." Lu Chen smiled, "Actually, what I want to say is still a medical model."


    Next.


    Lu Chen explained to Dai Wansong the medical model before the Fifth Hospital of the Magic Capital in detail.


    "What do you mean, want to continue this big pot rice mode?"


    Dai Wansong frowned.


    In his opinion, isn''t this just driving backwards?


    Everyone is paid the same, who wants to work hard?


    "President Dai, we have a complete review mechanism." Lu Chen explained, "I will take corresponding measures for failing to pass the assessment in each cycle."


    "Is the model of our traditional public hospitals not good?" Dai Wansong asked rhetorically.


    Lu Chen didn''t reply immediately.


    He paused before saying slowly, "Dean Dai, the salaries of medical staff are linked to their workload, which will inevitably lead to fewer unnecessary examinations, or even surgeries!"


    "There is no way out." Dai Wansong frowned, "There is no way to have the best of both worlds."


    "So, use the Yunhua model to fundamentally solve the problem of salary linkage." Lu Chen said, "Let all doctors return to the original medical diagnosis and treatment, Dean Dai, what do you think?"


    Dai Wansong was sitting on the sofa in the office.


    It was the first time he was in command, and the pressure he needed to endure was enormous.


    Not to mention this brand new mode.


    "Actually, the national medical reform is moving closer to this." Lu Chen said, "The vast majority of doctors in the future will definitely have an annual salary system. The number of surgeries, patients, and bills has nothing to do with personal salary."


    Lu Chen continued to explain his thoughts.


    In addition to salary issues, there are also professional title promotion issues and so on.


    These are the Yunhua models, which are different from other public hospitals.


    Dai Wansong moved slightly when he heard the blueprint drawn by Lu Chen.


    As a clinician, what Lu Chen said was definitely tempting.


    But as a leader, what Lu Chen said was too idealistic and risky.


    succeeded, it can be written in the history of Huaxia medical treatment, and he was the first person to eat crabs.


    failed, then his promotion road ended.


    "Lu Chen, let me think about it." Dai Wansong did not reply to Lu Chen immediately.


    This kind of drastic reform is not something he can decide alone.


    Without the promise of higher-level leaders, such reforms cannot succeed.


    "Well, thank you Dean Dai."


    Lu Chen was very grateful to Dean Dai Wansong for giving him this opportunity.


    If someone else came to be the dean, it is very likely that he would not even listen to what he had to say.


    When Dean Dai Wansong was thinking about this.


    Yunhua Hospital was officially converted into a public hospital and renamed the Fifth People''s Hospital of Magic City.


    This news was released by the government office.


    is then forwarded via larger media.


    Every "private transfer" will cause everyone to discuss.


    What''s more, this time it is the Yunhua Hospital of the Magic Capital.


    Yunhua already has quite a reputation in the magic capital.


    In some areas of TAVR in my heart, it is even world-class and domestic top-level.


    ¡­


    One month later.


    Dai Wansong officially sent back the news.


    After discussions with the senior leadership, it was decided to use the Fifth Hospital of the Magic City as a pilot hospital to promote the latest reforms!


    A simple decision, but behind it involves the efforts of countless people.


    (end of this chapter)

 v3 Chapter 899： The first masters guide

    Chapter 899 The first master director


    Magic City Fifth Hospital, as the latest public hospital in Magic City, has attracted the attention of countless people at this time.


    Before, as a private hospital, it did not attract much attention.


    However, after the private transfer to the public, the Fifth Academy of Magic Capital officially entered the field of vision of doctors and the general public.


    For Lu Chen, the good news is that Dai Wansong is the top dean.


    The ?? Yunhua mode can continue to continue in the body of the Fifth Academy of the Magic Capital.


    In addition, the family building plan of the Fifth Academy of the Magic City has been put on the agenda again.


    Fan Zhiping and other employees also temporarily dispelled the idea of ??resignation.


    ¡­


    After private to public.


    Lu Chen''s position has not changed, he is still the chief director of the Cardiology Department of the Fifth Hospital of the Magic Capital.


    The upper-level leaders set the No. 5 Hospital of Magic Capital as a model hospital for "medical reform".


    The policy of the Fifth Academy of the Magic Capital can be determined by itself to the greatest extent possible.


    After solving the hospital matter, Lu Chen turned his attention to clinical and scientific research again.


    After this turmoil, the Fifth Academy of Magic Capital stood in front of the world.


    Lu Chen''s medical ideals continue to be inherited from the Fifth Academy of Magic Capital.


    Next week, the National Nature Review will be conducted.


    Lu Chen took all his time to prepare for the corresponding topics.


    This time, it was different from the one in Guanghai three years ago.


    Today''s Lu Chen has a good influence in the entire Huaxia Cardiology field.


    "Ke Yue, help me improve the TAVR data."


    In the ?? office, Lu Chen summarized the final data of TAVR research.


    "OK."


    Ke Yue nodded.


    In addition to her own research on heart failure, she is also helping Lu Chen improve this national nature project.


    "Lu Chen, I have something to tell you." Ke Yue suddenly said.


    "Well, you said." Lu Chen looked up at Ke Yue.


    "I applied for a provincial general program some time ago." Ke Yue said, "According to my current qualifications, I should be able to apply as a master tutor."


    Basic requirements for a master''s supervisor. In the past three years, there must be projects at or above the provincial level, and two SCI papers have been published.


    Ke Yue''s condition is basically satisfied.


    Thirty-year-old master directors are not rare.


    "This is a good thing!" Lu Chen smiled.


    Unexpectedly, Ke Yue was the first in their group to have the opportunity to become a master director.


    Modu Fifth Hospital is now an affiliated hospital of Modu Medical University.


    Has doctoral and master''s degrees.


    As long as you have the qualifications of a tutor, you can apply to recruit students.


    Before ??, if it was in Yunhua, it was impossible for a private hospital to become a master director.


    "Ke Yue, thank you." Lu Chen said slowly.


    Before ??, Ke Yue was able to come to Yunhua, and he definitely paid a great price.


    gave up his mentorship and gave up a stable job.


    Ke Yue seemed to understand what Lu Chen was talking about, and smiled: "This is nothing."


    The significance of her staying by Lu Chen''s side is far more important than being a mentor.


    Ke Yue also reminded Lu Chen.


    After ?? transferred from private to public, there are quite a number of directors or deputy directors of the Fifth Academy of the Magic City, who can recruit students.


    However, they are basically master tutors, and only Dai Wansong is a doctoral tutor.


    The Ph.D. guide is a rare "creature".


    Not to mention that Modu No. 5 Hospital was just a private hospital before.


    It is impossible to recruit a doctor of this level.


    ¡­


    The next period of time.


    The Fifth Academy of Magic Capital ushered in a period of peaceful development.


    The number of ?? patients increased significantly.


    Lu Chen is also busy clinically in addition to scientific research.


    "Director Lu, here comes a patient with refractory heart failure."


    "Okay, I''ll take a look right away."


    Lu Chen was pulled over by Jin Miao for rounds, and Gu Xinyue followed them closely.


    "Old Gu, what are you doing here?"


    Jin Miao widened her eyes.


    "I also have a patient looking for Director Lu." Gu Xinyue grinned.


    "First come, first come, Director Lu will see my patient first." Jin Miao said quickly.


    "Xingxingxing, I won''t rob you." Gu Xinyue pouted.


    Lu Chen came to the ward.


    On the hospital bed, an old lady in her 80s was lying on the bed.


    She was thin, her eyes were dull, and she was described as withered.


    The health on his head is only 30(¡ª)!


    Just by looking at this HP, Lu Chen could feel the unusualness of the patient in front of him.


    Otherwise, with Jin Miao''s current ability, he would not have come to see the patient.


    Jin Miao stood aside and began to introduce his condition.


    "The patient started to experience chest tightness and shortness of breath after exercise 4 years ago, accompanied by fatigue, palpitation, and occasionally nausea and vomiting, and edema of both lower extremities."


    "Go to the local hospital for treatment, self-reported coronary angiography, echocardiography and other examinations to diagnose dilated cardiomyopathy."


    "The local hospital gave perindopril, metoprolol succinate, spironolactone, furosemide, isosorbide dinitrate and other drugs, and the chest tightness improved, but the patient did not take regular medication, and the chest tightness occurred intermittently, which can be improved after continued medication."


    After a brief introduction to the disease, Lu Chen understood the patient''s condition.


    The old lady''s current diagnosis is heart failure caused by dilated cardiomyopathy.


    The diagnosis is clear, the tricky part is the treatment.


    This is also the difficulty of internal medicine.


    Many times, the diagnosis of the disease is clear, but the treatment effect is not good.


    Lu Chen flipped through the patient''s tests and checklists.


    soon noticed where the "difficulty" in refractory heart failure was reflected.


    "The patient has low sodium and chloride levels, and has severe heart failure. There is no way to achieve a balance between diuresis and fluid replacement." After Lu Chen said this, he turned to look at Jin Miao who was beside him.


    Jin Miao nodded quickly.


    As expected of Director Lu, he immediately saw the problem.


    "Director, what should we do in terms of treatment?"


    Lu Chen thought for a while, then said, "The patient''s recent diet shouldn''t be too good, right?"


    "Yes, heart failure causes blood stasis in the gastrointestinal tract, and the old lady can''t eat at all." Jin Miao said, "After low sodium and low chloride, patients are prone to mental symptoms, but when I rehydrate, it is easy to aggravate. Heart failure."


    This is the whole difficulty of heart failure.


    Patients are deficient in many nutrients.


    But the appetite is not good, and there is no way to replenish it from the gastrointestinal tract.


    If the intravenous infusion is added, the amount is too large, and it is easy to aggravate the original heart failure.


    Lu Chen heard the words and said solemnly: "Jin Miao, first of all you need to be clear. Severe ion disorders, such as low sodium, low chloride and low potassium, can easily lead to mental symptoms and even cardiac arrest."


    "So the next step now is to stabilize the patient''s internal environment and avoid low sodium and low chloride..."


    "After adequate rehydration, don''t be afraid of heart failure, while rehydration, diuretic at the same time, let the patient''s intake and output reach a negative balance..."


    Lu Chen began to explain the key points of the entire treatment.


    Jin Miao was recording.


    Even Gu Xinyue began to write and draw on paper.


    The corner of Jin Miao''s mouth twitched, this is too curly.


    "Okay, that''s all for now." Lu Chen said, "On the basis of diuresis, you can try some new drugs, such as Xinhuosu, Levosimendan and other drugs for the treatment of heart failure."


    (end of this chapter)

 v3 Chapter 900： eighteen year old

    Chapter 900 Eighteen-year-old Flower Season


    After not working in the clinic for a long time, Lu Chen came to the ward again to check on the patients, and Lu Chen felt a long-lost sense of familiarity.


    The blood on his body seemed to be boiling.


    Sure enough, he still prefers to work clinically.


    Recently, the affairs of Yunhua and the Fifth Academy of the Magic Capital have consumed him too much energy.


    Now all aspects of the Fifth Academy of the Magic Capital have gradually stabilized.


    Next, Lu Chen will turn his focus back to clinical and scientific research.


    "Director Lu, I have another patient here." Gu Xinyue said with a smile, "I seem to be a fan of yours, so I came to see you specially."


    "The condition is very difficult?" Lu Chen laughed.


    "This... it''s alright." Gu Xinyue paused, "You''ll know it when you see it."


    "Okay, let''s take a look together."


    Lu Chen took Gu Xinyue and Jin Miao to another ward.


    Behind them, followed by a group of doctors, including attending doctors, residents, and some interns.


    is like in the TV series.


    Lu Chen stood alone in front and led the majority to the patient''s room.


    Gu Xinyue handed the patient''s medical records to Lu Chen, while introducing: "Patient, female, 18 years old.


    "Admitted to hospital due to repeated syncope for 1 month."


    "The patient had sudden heart palpitations 1 month ago, collapsed to the ground a few seconds later, lost consciousness, accompanied by convulsions of the limbs, without turning up his eyes, without foaming at the mouth, and woke up on his own after about 15 seconds."


    "I have seen a doctor in a local hospital. The details are unknown, and the effect is not good. Similar situations occur every three times and five times, and the frequency is more and more frequent. In the past 1 day, I have repeated syncope 5 times."


    Having said that, Gu Xinyue paused and added a past history.


    "The patient underwent surgical thoracotomy for ventricular septal defect when he was 5 years old, 13 years ago."


    Lu Chen nodded, already deducing various situations in his mind.


    A group of people entered the ward.


    The family members who were accompanying him in the ward were also startled.


    "Family, this is Director Lu Chen of our Cardiology Department."


    Gu Xinyue quickly told the patient''s family.


    "You are Director Lu!"


    The patient''s family member is a middle-aged man, who seems to be the patient''s father.


    He was very humble towards Lu Chen.


    "Well, hello." Lu Chen nodded and said hello to the middle-aged man.


    "Director Lu, it was Director Zou Yi who asked me to come to you." The middle-aged man directly stated his intention, "He said that you might have a chance to keep my daughter from putting a pacemaker here."


    Lu Chen raised his brows, put on a pacemaker?


    For an 18-year-old girl who has a permanent pacemaker, she will face many problems in the future.


    For example, battery replacement may lead to problems, and bag infection problems, etc., must be treated with caution.


    Therefore, a differential diagnosis must be made, taking into account all possibilities.


    If the cause is reversible, permanent pacemaker installation can be avoided. For example, atrioventricular block caused by acute viral myocarditis may be reversible.


    Gu Xinyue took out the patient''s electrocardiogram at this time.


    There are three ECGs in total.


    Lu Chen picked it up and stared at it.


    Sure enough, it was three copies of the electrocardiogram of atrioventricular block.


    "Let me see the patient first."


    It is hooliganism to look at the electrocardiogram alone from a clinical patient.


    Lu Chen walked over to the girl.


    Begin to ask the relevant medical history carefully.


    includes the symptoms, causes, and processes of the first onset, as well as the duration and relief methods, etc.


    Lu Chen''s consultation was very careful.


    After the ?? question, it is a physical examination.


    The patient''s physical examination results showed that breath sounds were clear in both lungs, and no wet rales were heard in both lower lungs.


    The heart circle is not enlarged, the heart sounds are acceptable, the rhythm is irregular, no murmurs are heard, and there is no edema in the lower extremities.


    took back his stethoscope, and everyone looked at Lu Chen curiously.


    For this patient, the opinion of the outside hospital is to put a pacemaker.


    The diagnosis results of other top hospitals in Magic Capital are all syncope caused by atrioventricular block.


    Director Lu Chen, will there be different opinions?


    "Doctor Gu, what do you think about these three diagnoses?" Lu Chen said.


    Gu Xinyue has been studying this ECG for a long time.


    He said without hesitation: "I''m currently considering a first-degree atrioventricular block, a high-grade atrioventricular block, and a complete right."


    "Well." Lu Chen nodded, "According to your opinion, this patient must be fitted with a pacemaker?"


    Gu Xinyue did not deny, "Almost."


    When the patient''s family heard this, their expressions became very ugly, "Director Gu, my daughter is only 18 years old this year, you can think of a way, I beg you!"


    There was a hint of pleading in the voice of the family members.


    If it wasn¡¯t for this glimmer of hope, the family would not take the patient to seek medical treatment. Finally, after listening to Zou Yi¡¯s advice, they came to the Fifth Hospital of the Magic Capital.


    The family seemed to have thought of something, and turned to look at Lu Chen, "Director Lu, I heard Director Zou Yi say that one of his nephews was given an ultimatum by all the hospitals to install a pacemaker. "


    "But in the end, it came to you. You helped him solve the problem, found the cause, and finally got rid of the implantation of a permanent pacemaker."


    No wonder the patient''s family finds the Fifth Hospital of the Magic Capital!


    At the beginning, Lu Chen helped Zou Wei find the cause of the atrioventricular block and prevented him from implanting a permanent pacemaker.


    "Family, don''t get excited yet." Lu Chen said sternly, "We are analyzing the condition and helping you solve the problem. If it is possible not to put the pacemaker, we will definitely not put it."


    The family members were relieved a lot when they heard the words.


    Lu Chen originally wanted to analyze his condition in the ward, but now it seems that he can''t.


    The family members of this patient are an uncertain factor, which is very likely to interfere with the analysis of the condition.


    "Doctor Gu, let''s go back to the office to discuss first." Lu Chen said to Gu Xinyue, then looked at the family members beside him, "When we have the results, I will tell you the final diagnosis and treatment plan."


    "Okay, then I will trouble Director Lu."


    Although family members would like to hear the discussion process, this kind of disease analysis is generally not open to the public, and will only give the patient a final result.


    ¡­


    Lu Chen took the group and returned to the teaching room of the Cardiology Department.


    All doctors are gathered together except the doctor on duty.


    Gu Xinyue, as a doctor in charge of the bed, introduced the patient''s condition again.


    "We consider a high degree of atrioventricular block, caused by cardiac syncope, this patient must have a pacemaker." Gu Xinyue reiterated her point of view.


    Everyone in the audience turned their attention to Lu Chen.


    Lu Chen did not answer this question directly, but instead asked, "The patient''s symptoms will be put aside for now. I think, the diagnosis of these three electrocardiograms is over so quickly?"


    All the doctors were shocked when they heard Lu Chen''s words.


    Isn''t this electrocardiogram exactly what Gu Xinyue said about the high atrioventricular block?


    Is this another diagnosis?


    Looking at Lu Chen''s confident appearance, Gu Xinyue refocused her attention on the three ECGs.


    (end of this chapter)

 v3 Chapter 901： must do

    Chapter 901 Must do


    in the ward.


    The eighteen-year-old girl stared blankly at the ceiling.


    A month ago, she was in the classroom with her classmates, looking forward to the future.


    Maybe tomorrow, or the day after, she will meet her Prince Charming.


    However, the misfortune of life is so sudden.


    Dizziness, fatigue, and subsequent syncope.


    makes such an eighteen-year-old girl overwhelmed.


    I heard from the doctor that her heart was beating too slowly.


    As the most important organ of the human body, once the heart stops beating, it is dangerous.


    Only by implanting a pacemaker to help her heart beat can she avoid this danger.


    But, she hasn''t been in love yet.


    She still has a lot of interesting things that she didn''t have time to do.


    "Dad, do I have to put a pacemaker?"


    The girl turned to look at her father.


    During this month, men searched for doctors everywhere and could only fall asleep late at night.


    I woke up the next morning and had to continue looking for a hospital for my daughter.


    For a month, his hair turned gray.


    "How could that be?" The man forced a smile, "Didn''t you listen to Director Lu today? Your electrocardiogram may have other diagnoses."


    "And I''m talking to you, there was a boy who also had a slow heart rate before. Other experts said that a pacemaker should be put in. When I got to Director Lu, it was cured without a pacemaker!"


    A smile appeared on the girl''s face.


    There was also a glimmer of hope in her heart.


    It¡¯s just that I don¡¯t know when to start.


    Outside the window of the ward, dark clouds were covering it.


    The wind was blowing violently, and the windows were whirling.


    Looking at it, a storm is about to hit.


    ¡­


    Cardiology classroom.


    Lu Chen stood on the stage.


    Behind him, on the projector, are the three electrocardiograms of the girl.


    "I ask a question, these three ECGs, only high-grade AV block?"


    Lu Chen looked around, and finally stopped his eyes on Gu Xinyue.


    The crowd started talking non-stop


    "Let''s see if there are other possibilities for blocking?"


    Lu Chen gave some reminders.


    Gu Xinyue has been with Lu Chen for a long time.


    He knew that every step Lu Chen took was meaningful.


    Does this patient really have other diagnoses and may not have a pacemaker?


    Gu Xinyue frowned deeply, not letting go of any detail of the electrocardiogram.


    This time, he really saw something.


    "Director Lu, I understand!" Gu Xinyue suddenly stood up, "This patient has a first-degree atrioventricular block, complete right bundle branch block, and left posterior fascicular block. Consider three-fascicular block!"


    As soon as Gu Xinyue said these words, Jin Miao''s eyes lit up.


    When he looked at the electrocardiogram again, he saw these three types of conduction blocks.


    This old valley really has two strokes.


    On the stage, Lu Chen smiled and nodded.


    "Dr. Gu is right, this patient is a combination of three types of block, so do you know where the block is?"


    Lu Chen looked at Gu Xinyue.


    Gu Xinyue looked at the electrocardiogram again, frowned, and then said slowly.


    "I think the atrioventricular node or the Hipps system is possible."


    Lu Chen did not deny the answer, but looked at others.


    "What''s your opinion?"


    Jin Miao stood up, "I think the block is in the Hippo system, right?"


    Gu Xinyue wondered: "Why can''t it be the atrioventricular node?"


    Jin Miao scratched his head, "It''s a feeling, I can only understand the specific reason, I really can''t say it."


    Everyone laughed when they heard Jin Miao''s words.


    However, Lu Chen gave Jin Miao a thumbs up, "Your sixth sense is really accurate, the block is in the Xipu system."


    "Director, what is the reason for this?"


    Another deputy chief physician asked.


    "As far as I know, this kind of block is clinically possible. We haven''t done electrophysiological tests for the time being, so we definitely can''t tell the difference."


    Lu Chen smiled.


    "You only know one, but you don''t know the other."


    "If the patient is older, there is a possibility of AV nodal block."


    "But for this 18-year-old girl, the atrioventricular node is less prone to problems, and for patients with ventricular septal defect, the surgery mainly affects the bundle branch system."


    "The reason is very simple. The ventricular septum is between the left and right ventricles. The bundle branch conduction system is generally affected by surgery. The atrioventricular node is quite far away from there, so it is generally not affected."


    This remark is very simple to say.


    But it is quite difficult to connect with reality.


    "Director, but you said so much, but you didn''t say how to treat this patient?" Gu Xinyue wondered, "Do you need a pacemaker for the next treatment?"


    "Or, as you mean, there are three kinds of block coexisting, shouldn''t a pacemaker be more appropriate?"


    Gu Xinyue''s question is also what everyone wants to ask.


    After analyzing for a long time, Lu Chen corrected the diagnosis of the electrocardiogram, but the general direction did not change.


    This multi-block ECG is indeed an indication for implanted cardiac pacemakers.


    At this time, Lu Chen said sternly: "I didn''t seem to have said that this patient doesn''t need a pacemaker, right?"


    "what?"


    Everyone was stunned when they heard it.


    Especially Gu Xinyue, her eyes widened.


    The doctors in the department thought that Lu Chen had other insights.


    At this time, Lu Chen continued: "For an eighteen-year-old girl in bloom, the occurrence of three-branch block is definitely not physiological, it must be pathological. The following four possibilities must be considered."


    "First, acute viral myocarditis; second, progressive cardiac conduction obstruction; third, cardiomyopathy; fourth, damage to the conduction tract system after ventricular septal surgery."


    Acute viral myocarditis, the patient did not have any prodromal symptoms of infection. After admission, myocardial injury markers and pro-BNP were checked for multiple times and were completely normal.


    The patient did not have any symptoms of chest tightness, chest pain, and dyspnea, and the possibility of acute viral myocarditis was very small.


    As for progressive cardiac conduction obstruction, this type of disease is a disease with no obvious organic disease and conduction tract involvement. The disease course migrates, progressively worsens, and develops into high-grade or third-degree atrioventricular block.


    This type of disease is mostly middle-aged and elderly, and there is a family history of the disease.


    In addition, there was no evidence of cardiomyopathy from echocardiography. From the electrocardiogram, there is no evidence of cardiomyopathy, and the possibility of cardiomyopathy is unlikely.


    Lu Chen''s remarks are very convincing.


    There are four possibilities, and in the end only the last one remains.


    "That''s the last possibility, damage to the conduction tract system after ventricular septal surgery!"


    A very common complication of ventricular septal surgery is the occurrence of atrioventricular block, and most of them involve the Hippoline system, so this patient can almost be locked for the cause of atrioventricular block.


    "Director, I have another question." Gu Xinyue continued, "This patient has been 13 years after the operation. Why didn''t he get sick when he was a child, and it still happens now?"


    Lu Chen thought for a while, then said, "The only reasonable explanation is that the operation performed by the patient when he was a child, as the age increases, the cardiac conduction tract system is also developing, which may affect the conduction with the pulling of the patch. beam system."


    "In this case, is a pacemaker necessary?" Gu Xinyue asked tentatively, hoping to get a different answer from Lu Chen''s mouth.


    After all, this is an eighteen-year-old girl!


    But unfortunately, reality is always cruel.


    Not every disease can be cured perfectly.


    Lu Chen''s eyes were deep, and he said slowly, "It must be done!"


    I don''t know when, it was raining heavily outside the window.


    The black cloud is pressing down on the city and it is about to be destroyed.


    A completely oppressive atmosphere enveloped everyone.


    (end of this chapter)

 v3 Chapter 902： Wait until the rain clears to see the sky

    Chapter 902 Wait until the rain is scattered to see the sky


    "Still a pacemaker?"


    In the director''s office, the patient''s family members looked condensed.


    The hope in his eyes has disappeared.


    "Well, after our discussion, considering the patient''s slow heart rate, it was caused by thoracic surgery 13 years ago."


    Lu Chen said slowly.


    "Is there really no other way?" The family paused.


    Lu Chen shook his head, "No. Not only do we have to release it now, but we have to release it as soon as possible!"


    "Once the heart rate is slow and cardiac arrest occurs, it may cause more serious consequences at that time."


    "this¡­¡­"


    The eyes of the family members are full of entanglements.


    An eighteen-year-old girl, if she really wants to have a pacemaker, what will happen in the future? !


    Lu Chen naturally understood what the patient''s family was thinking.


    He thought about it and then said: "There is no better way at present. Only through a pacemaker can we really reduce the occurrence of various dangerous complications. I think, if your family agrees, then a pacemaker must be installed today. !"


    "Let''s put it today?"


    The family suddenly hesitated.


    "Director Lu, I...I''ll discuss it with my family again."


    "As soon as possible."


    Lu Chen re-emphasized the need for a pacemaker.


    Not all diseases can be perfectly cured as imagined.


    Lu Chen felt that the meaning of his existence was to cure as many patients as possible.


    ¡­


    in the ward.


    The girl sat on the head of the bed and watched the pouring rain outside the window.


    She was startled for no reason.


    stood up and gently pushed open the window.


    On the street outside, a man and a woman were running fast in the rain with umbrellas.


    They are so embarrassed and so beautiful.


    The wind swept across her cheeks, bringing a hint of coolness.


    The dizziness of ??''s head came again, and she had to sit back on the bed.


    At this time, the door of the ward was pushed open.


    "Why are you up, go back to the bed and lie down." The man hurriedly stepped forward and helped his daughter back to the bed.


    The ?? girl showed a shallow smile and said softly, "Dad, it''s alright. I lie on the bed every day, and my body is getting moldy. It''s more comfortable to get up and walk around."


    "Then you have to wait for me to get up too." The man said solemnly.


    "Okay." The girl looked at her father, "Dad, what is the final result of the doctor''s discussion?"


    The man was silent when he heard the words.


    He organized the language in his mind, how he wanted to say the final result.


    When the girl saw this situation, she already knew it.


    "Dad." She lowered her eyebrows, "Do you still need a pacemaker?"


    The bitterness in a man''s heart is indescribable.


    He looked at his daughter, endured the pain in his heart, and said slowly: "We will be discharged from the hospital tomorrow and go to Kyoto to see. If it doesn''t work, let''s go abroad."


    The girl shook her head, "No need to toss."


    The man hurriedly said: "If you don''t toss, I will definitely find a way to keep the pacemaker off!"


    "Dad, didn''t you read Director Lu Chen''s resume before you came here?"


    "Huh?" The man was taken aback, "Director Lu''s resume?"


    "Yes." The girl took out her mobile phone, "I checked Director Lu Chen''s resume today, and he just came back from the Mayo Clinic in the United States..."


    Looking at the dense introduction information on the mobile phone, the man once again got to know the greatness of Lu Chen.


    Although he didn''t quite understand many titles and honors, he could feel the authority of Director Lu Chen.


    "Dad, Mayo is the top hospital in the world." The girl said slowly, "If even Director Lu said I must put a pacemaker, then I''ll put it."


    She spoke in a low voice, but in her words, she had slowly accepted a reality.


    She slowly raised her head.


    "Dad, forget it. I don''t want to toss, I recognize it. What''s more, I will still have you in the future."


    The fists in the man''s sleeves clenched tightly, he suppressed the tears in his eyes and nodded silently.


    Outside the window, the heavy rain continued.


    The rainwater ran along the eaves of the window and slowly went into the gap of the glass window.


    ¡­


    "Director Lu, the patient''s family has agreed to put a pacemaker!"


    Gu Xinyue came to the director''s office.


    "Okay, have the preoperative preparations been completed?" Lu Chen stood up.


    "It''s already ready, just waiting for surgery." Gu Xinyue nodded.


    "Then notify the cath lab and do it now!"


    Lu Chen''s words made Gu Xinyue a little surprised, "Director, are you in such a hurry?"


    Lu Chen said sternly: "It has to be done as soon as possible. I listened to the patient''s heartbeat during the rounds of the patient this morning. Occasionally, there is a pause, so the implantation of this pacemaker should be faster. the better."


    "Okay, I''ll notify the catheterization room immediately." Gu Xinyue was just about to leave, but turned around and said, "By the way, Director, there is one more thing, the patient''s family wants you to do it yourself."


    "Yes." Lu Chen nodded, "I am the chief knife, you are my assistant!"


    "okay."


    Gu Xinyue left the office after saying this.


    He is also learning various interventional operations recently, and this permanent pacemaker implantation is also a good learning opportunity.


    After communicating with the patient''s family, Gu Xinyue quickly pushed the ward and came to the catheterization room.


    Catheterization lab is ready.


    Lu Chen put on the lead coat and walked into the electrophysiology catheterization room with Gu Xinyue.


    Implantation of a permanent cardiac pacemaker, this type of surgery is not difficult.


    The difficulty is the problems after the pacemaker, such as infection of the capsular bag, battery drain, etc.


    When the operation started, Lu Chen was very energetic.


    "Don''t be afraid, the operation is very simple and it will be over in one fell swoop." Lu Chen said to the **** the operating table.


    "Director Lu, I trust you." The girl nodded slightly, then slowly closed her eyes.


    "Okay." Lu Chen nodded towards Gu Xinyue and started anesthesia and vascular puncture.


    ¡­


    Conduit outdoor.


    The patient''s family is waiting anxiously


    The time required for pacemaker implantation is not long.


    Not to mention a skilled practitioner like Lu Chen.


    But the family members of the patients are still suffering.


    He stood outside the catheter room, pacing back and forth.


    Check the time on the phone from time to time, and then look at the door of the catheterization room.


    An hour later, the door of the catheterization room was finally opened.


    Lu Chen walked out with Gu Xinyue.


    The ?? man immediately greeted him.


    "Professor Lu, Director Gu, how''s the surgery going?"


    Lu Chen smiled, "The operation was successful. Your daughter has been sent to the observation room. After confirming that there are no complications from the operation, she will be transferred to the general ward."


    "Okay, thank you!" The man looked excited.


    For my daughter, the implantation of a pacemaker is unavoidable, so I have to find a professor who is good at surgery.


    Lu Chen is naturally the most suitable candidate.


    "But..." Lu Chen''s sudden turn made the man''s heart tighten again.


    "Professor Lu, what''s wrong?"


    The man said quickly.


    "During the operation, our monitor showed that the patient had several long pauses." Lu Chen said, "Fortunately, we installed a permanent pacemaker today. Otherwise, if the patient falls ill in the ward, it may be life-threatening. ."


    Gu Xinyue called out the ECG monitoring records during the operation.


    "You should see very clearly that it is this long intermittent heartbeat, and the ECG is a line without any waveform."


    The ?? man nodded, "Mmmm, I see..."


    He was a little fortunate in his heart. If he didn''t have a pacemaker today, he would have to be discharged from the hospital to go to another city. If his daughter fell ill, the situation might be even worse!


    ¡­


    Surgery is over.


    The girl returned to the ward.


    The dizziness in the head has disappeared.


    However, there is still some pain in the surgical area on the neck.


    She tilted her neck slightly and looked out the window.


    At this time, the pouring rain has slowly stopped.


    "Wait until the rain clears to see the sky."


    A voice came from her ear, and the girl turned her head slightly to see that it was Lu Chen.


    She smiled lightly, "Keep the clouds open and see the moonlight. Thank you, Director Lu."


    Lu Chen nodded, "Thank you for your trust. You still have a long future. I hope my surgery can always protect you. Keep the clouds open and see the moon."


    The girl''s heart warmed and she narrowed her eyes and smiled.


    She felt that the young director in front of her should be the doctor with the best medical skills, right?


    (end of this chapter)

 v3 Chapter 903： Surgical danger

    Chapter 903 Surgery Danger


    three days later.


    The girl got better and was discharged from the hospital.


    When she was discharged from the hospital, she had no symptoms of dizziness and no syncope.


    Now she is exactly like a normal person.


    "Remember to review regularly. When you feel uncomfortable, come to the outpatient clinic of the hospital in time." Lu Chen urged, "Leave a phone number of our department. If you want to find us, you can contact us by phone."


    "Well, thank you Director Lu." The girl stuck her tongue out towards Lu Chen.


    The patient''s family members took out a pennant from their arms.


    "Professor Lu, thanks to you this time!"


    The man grabbed Lu Chen''s cuff very excitedly.


    In fact, the success of the surgery is second.


    Most importantly, Lu Chen also healed her daughter''s heart.


    After implanting a pacemaker, it is not an outlier.


    Their futures are also brilliant.


    The man was worried that after his daughter was implanted with a pacemaker, he would be a little confused.


    However, his concerns were much less.


    Lu Chen took over the pennant with a cheerful smile on his face.


    Got another wave of thanks!


    With pennants, there is also a bonus to thank you.


    As a doctor, no matter how hard you work, it is the happiest and most fulfilling thing to see a patient discharged from the hospital in good health.


    The girl was discharged from the hospital.


    The journey of Lu Chen and other doctors is still going on.


    ¡­


    This year''s National Nature Review has officially started.


    Lu Chen submitted another complete TAVR project book in Cardiology.


    The project book this time is much more detailed than the one in Guanghai three years ago.


    He now has an expert-level skill card of "TAVR intervention", and his understanding of TAVR surgery is one step closer.


    In addition, Lu Chen also heard from Jin Miao.


    After his previous TAVR project book was used by Guanghai Tang Zhanwei, he didn''t even finish the project!


    It is said that Tang Zhanwei has already started to apply for extension of the project.


    The topic that Lu Chen is doing is undoubtedly a good topic, but it also depends on who is managing it!


    Tang Zhanwei undoubtedly wasted an excellent opportunity.


    The results of the ?? review will be released one month later.


    During this time, Lu Chen continued to focus on clinical practice.


    director''s office.


    The new dean, Dai Wansong, frowned, looking at the documents in front of him.


    At this moment, Lu Chen knocked on the door and entered.


    "Dean Dai, are you looking for me?" Lu Chen walked into the office with a smile.


    When he saw Lu Chen walk into the office, a smile appeared on Dai Wansong''s face.


    "Come on, come and sit."


    The two sat opposite each other.


    Dai Wansong handed Lu Chen a document, "This is my plan for the entire cardiology department in the next three years. Look, if there is anything that needs to be adjusted."


    As the chief director of the department, Lu Chen immediately raised his spirits.


    Opened the document, and what caught my eye was a few lines of large characters.


    "Create a national-level interventional cardiology team."


    "Creating a National Cardiology Teaching Center."


    "Founded the Key Laboratory of Cardiovascular Medicine of the Ministry of Education."


    "Established a national interventional training base for cardiology."


    "Establish a National Cardiology Training Center."


    ¡°¡­¡±


    Lu Chen was taken aback for a moment, dear, this is a bit too much to ask for!


    And all are to meet the national standard.


    "President Dai, are you sure this is for the next three years? Not thirteen or thirty years?"


    "You, why are you so unconfident in yourself?" Dai Wansong laughed.


    "I have confidence in myself." Lu Chen said sternly, "But in this time period, I feel a little unlikely to complete so many tasks!"


    "Then how many do you think you can accomplish?" Dai Wansong smiled.


    Lu Chen picked up the document and looked at it carefully.


    "Complete up to three missions."


    "Okay, then set the goals of the three tasks!" Dai Wansong immediately made a decision.


    "What?" Lu Chen was stunned, but he didn''t react.


    Dai Wansong showed a smile, "I mean, you said that I have too many tasks, so you can choose three tasks."


    Lu Chen raised his brows.


    Looking at Dai Wansong''s cunning smile, he felt that he had been deceived.


    At this time, Dai Wansong was overjoyed.


    Retreat is the way forward. This trick is tried and tested.


    If it were three tasks directly, Lu Chen would definitely cut it into two, or even one!


    "Dean, shouldn''t you..."


    Just then, his cell phone rang.


    is Jin Miao''s phone number.


    Lu Chen was a little surprised, isn''t today the day of surgery?


    According to the usual practice, Jin Miao should be in the catheterization room, right?


    After thinking about it, Lu Chen immediately answered the phone.


    Just connected to the phone, but Gu Xinyue''s voice came from there.


    "Director, come to the catheterization room, Jin Miao has an accident!"


    Lu Chen made a "whoosh" and immediately stood up, "Stabilize first, wait for me to come right away."


    Seeing Lu Chen''s nervous expression, Dai Wansong also put away his smile, "Is something wrong with the catheterization lab?"


    "Well." Lu Chen nodded, "One of Jin Miao''s surgery patients seems to have a problem, I have to go back and have a look."


    "Okay, let''s go!"


    Dai Wansong also understood that the situation was urgent.


    "Forget it, I''ll go with you."


    He is also a cardiologist and has made great achievements in the field of TAVR.


    So, Lu Chen and Dai Wansong went back to the catheterization room of the Cardiology Department.


    ¡­


    Cardiac catheterization laboratory.


    Jin Miao on the operating table was already sweating profusely.


    The guide wire in his hand, no matter how he sent it, he couldn''t get it in.


    "Old Gu, have you notified the director?"


    "Just made a call." Gu Xinyue nodded immediately, "What are you thinking about here?"


    Jin Miao shook his head, "I don''t know! This patient was originally going to review the stent, but I couldn''t pass the guide wire just now!"


    "Have you tried other methods?" Gu Xinyue said.


    "I tried some cutting balloons just now, and now I can''t get in at all! Not only can''t the balloon get in, but I can''t get out..."


    Jin Miao''s face was forced to remain calm.


    This kind of accident has never happened to him after so many years of surgery.


    At this time, Lu Chen came to the catheterization room.


    The nurse has his lead coat ready.


    "Thank you." Lu Chen nodded slightly, put on a lead coat, and walked into the cardiac catheterization room.


    Dai Wansong didn''t go in, but just stood outside the catheter.


    "What''s the situation?" Lu Chen asked Jin Miao about the specific situation while wearing gloves.


    When Jin Miao saw Lu Chen coming, she felt a lot more at ease.


    "The patient had a stent placed in the First Hospital of the Magic City five months ago." Jin Miao said, "I have always felt chest tightness after the operation. This time I came to our hospital for a review of the cardiac angiography, but the balloon was stuck. You can''t get through at all."


    When Lu Chen heard the words, he did not act immediately, but first began to watch the patient''s coronary angiography images.


    This is amazing!


    "Jin Miao, in which blood vessel was the patient''s last stent placed?"


    (end of this chapter)

 v3 Chapter 904： Intimate contact between balloon and stent

    Chapter 904 Intimate Contact of Balloon and Stent


    "Isn''t the stent just the anterior descending branch?" Jin Miao said with a pause.


    There are three main branches in the coronary arteries of the heart.


    On the left, from the left main trunk down, it divides into the anterior descending branch.


    On the right is also the right coronary artery and circumflex branch


    Other blood vessels are tiny branches of these vessels.


    Lu Chen shook his head slightly, "Jin Miao, look here carefully!"


    He pointed to a stenosis in the coronary angiogram.


    Here is the bifurcation of the blood vessels, with a great angle.


    "Huh? No way...is it here?"


    Jin Miao showed a look of surprise.


    The narrowness here, he had noticed before.


    But he thought it was the stenosis of the blood vessel formed again after the first operation, and he didn''t realize that it was the first stenosis.


    Lu Chen said sternly: "This should be the first narrowness, and the position of the bracket is just below the narrowness!"


    Jin Miao was stunned for a moment, "Director, you mean, the stent placed by the patient for the first time has shifted?"


    After the stent was displaced, the previously narrow place was exposed again.


    Lu Chen nodded slowly.


    He has carefully studied the coronary angiography images.


    Now there is only one possibility to explain the problem that the balloon cannot pass.


    But, this bracket has been in place for five months!


    Under normal circumstances, the stent has already been endothelialized, how could it be displaced?


    "Old Gu, where did the patient''s first stent get done?" Lu Chen looked back at Gu Xinyue in confusion.


    "I heard from my family that it was done in the First Hospital of the Magic City." Gu Xinyue looked at the medical records, "The records in the medical records were also done in the First Hospital of the Magic City, and it was done by Professor Zhang Shuqing''s team."


    "Huh? Was it done by my mentor?"


    Lu Chen was startled.


    "Yes." Gu Xinyue nodded.


    "Old Gu, then please suggest to my teacher, let them bring over the original video of the first surgery." Lu Chen ordered.


    "OK."


    Gu Xinyue immediately began to act and contacted the doctor at the First Hospital of Magic Capital.


    ¡­


    After half an hour.


    Gu Xinyue mentioned Lu Chen''s name, and soon got the video of the operation.


    "Look, it really is here!"


    Opened Lu Chen and saw the narrow part at once.


    "Stand, shifted!"


    Although the problem was found, everyone was a little silent.


    Stent displacement, a complication, is extremely rare.


    No wonder patients still have chest tightness and chest pain after stent implantation.


    "There is another problem." Lu Chen said solemnly, "The narrow part is at the fork, the angle is too big!"


    The angle is too large, and the balloon is difficult to pass.


    This is also one of the reasons why the balloon cannot go in and out.


    "Stop the operation first." Lu Chen ordered, "All doctors who don''t have surgery, come to the office to discuss first."


    It is extremely rare for Lu Chen to stop the operation.


    Everyone can also feel the difficulty of this operation.


    in the office.


    Lu Chen and Dai Wansong sat in the upper seats, while the other doctors sat scattered around.


    On the podium, on the projector, the patient''s angiography images are constantly projected.


    At this moment, Lu Chen seemed to be silent and his eyes darkened.


    In fact, his consciousness has entered the virtual space of the system, and he has begun to perform virtual training of "bracket" displacement.


    There is no way, the bracket is shifted, and even Lu Chen has not operated it.


    Now you can only sharpen the gun on the spot and rely on the simulation of the system to perform common-sense operations.


    "Let''s all brainstorm ideas."


    Dai Wansong saw that Lu Chen didn''t say a word and thought he was stumped, so he asked the crowd.


    When the people below ?? have seen such a situation, they can''t say why.


    Watching the time pass slowly, if we don''t come up with a suitable method, this operation can only be suspended.


    Jin Miao was a little impatient.


    As the chief surgeon of this operation, he was under enormous pressure.


    He looked at Lu Chen on stage from time to time.


    found that Director Lu had a serious expression and said nothing.


    In his heart, he was even more anxious.


    After half an hour.


    Dai Wansong shook his head slightly, seeing that there was no way to do it, "Forget it, why don''t you choose another time?"


    He glanced at Lu Chen.


    At this point, Lu Chen''s consciousness had virtually withdrawn from the system.


    He sorted his thoughts.


    "Dean Dai, let me do it."


    A simple sentence, but it surprised Dai Wansong.


    "Lu Chen, what did you say?"


    This kind of difficult surgery, once you take over, you have to be responsible to the end.


    In case of a miss, it will have a certain impact on the reputation of the Fifth Academy of the Magic Capital.


    More importantly, in the minds of everyone.


    Lu Chen is good at areas such as TAVR and electrophysiology.


    As for the coronary artery, Lu Chen''s technical level has not been recognized by everyone in the magic capital.


    "I just thought about it, I can try it with a cutting balloon and a drug balloon."


    In the virtual space of the system, Lu Chen tried many methods, and finally locked on the cutting balloon.


    "Lu Chen, although you can try cutting the balloon, for such a large angle, the blade for cutting the balloon can easily hang on the mesh of the stent."


    Dai Wansong expressed his concerns.


    The heart stent is actually a special mesh structure.


    Cut the balloon, which combines the surgical blade with the balloon.


    When the balloon is opened, a plurality of longitudinally arranged blades will be propped up to a certain extent, and the soft plaque in the blood vessel and the intima of the blood vessel will be cut to a certain extent, making the balloon easier to open and the blood vessel to be more easily propped up.


    However, when the angle of the blood vessel is too large, the blade that cuts the balloon can easily hit the grid hole of the stent.


    If you touch it like this, the whole bracket will be invalid!


    "I try to control the strength and angle." Lu Chen said slowly.


    "what?"


    Dai Wansong was stunned.


    Interventional surgery, this is not simply repairing a machine.


    Contrast images cannot fully show all the intravascular conditions.


    I want the blade that cuts the balloon to not touch the stent grid. This kind of operation is not so difficult!


    "Lu Chen, do you want to slow down?" Dai Wansong hesitated, "We don''t need to be in such a hurry."


    "The patient''s current condition shows that the symptoms of angina pectoris are obvious. If surgery is not performed as soon as possible, myocardial infarction or even other complications may occur." Lu Chen firmly said, "President Dai, you can rest assured, I am sure!"


    In the system virtual space, Lu Chen has been able to have a 95% success rate.


    Dai Wansong''s mouth twitched when he heard the words.


    In just a few dozen minutes, Lu Chen was sure?


    Dai Wansong was about to reject Lu Chen''s proposal for surgery. After all, the Fifth Magic City Hospital had just been established, and everything was still safe.


    But at this moment, Gu Xinyue hurried in.


    He quickly came to Lu Chen and Dai Wansong''s side, and whispered in a low voice, "The patient has chest pain and tightness on the stage again, and the symptoms are still more severe!"


    (end of this chapter)

 v3 Chapter 905： shocking idea

    Chapter 905 Shocking thoughts


    The appearance of chest pain symptoms proves that the patient still has myocardial ischemia.


    Recurrent chest pain is an extremely high-risk manifestation.


    Once the blood vessel is completely occluded, it is what we often say, acute myocardial infarction!


    "President Dai, I really can''t wait any longer!" Lu Chen stood up and said hastily.


    At this time, Dai Wansong also understood the seriousness of the matter, he nodded slowly: "Okay, you can do it, leave the rest to me to handle."


    The only thing left to do is to communicate with patients.


    "Okay, thank you Dean Dai!"


    Lu Chen got Dai Wansong''s permission and immediately brought Gu Xinyue and Jin Miao to the catheterization room of the Cardiology Department.


    "Bring both the cutting balloon and the drug balloon here!"


    "receive!"


    Gu Xinyue immediately instructed the nurse to bring over all the medical equipment.


    In the operating room.


    The atmosphere is very tense.


    Lu Chen kept thinking about the operation in the virtual space.


    Cut each entry of the balloon.


    Every temptation, every touch of the bracket.


    These are the difficulties of the whole operation.


    Gu Xinyue and Jin Miao''s eyes widened, watching Lu Chen''s operations closely.


    This surgery is a once in a lifetime!


    If you can learn a little bit, it will be of great benefit.


    ¡­


    Suspended surgery, continue.


    Lu Chen followed the catheter and guide wire into the cutting balloon.


    Just started.


    The delivery of the ??balloon went smoothly.


    In the image of ?? angiography, the cutting balloon successfully reached the stenotic part of the blood vessel.


    After ?? reached the stenosis, Lu Chen began to try balloon dilation.


    The reason why balloon dilation is needed is because it is easier to get the stent in after the stenosis is dilated.


    With Lu Chen''s operation, the coronary vessels began to slowly expand.


    Because the surface of the cutting balloon has a blade, Lu Chen used very little force.


    The plaque on the surface of the blood vessel is slowly removed by the blade.


    ¡­


    It seems that everything is going as expected and developing smoothly.


    However, suddenly, Lu Chen felt the resistance from the catheter in his hand.


    Cut the balloon and cannot go any further!


    Lu Chen''s expression froze.


    Sure enough, the situation that Dai Wansong said happened still happened!


    Cut the blade on the surface of the balloon and meet the grid hole of the stent.


    The ?? blade poked directly into the grid holes of the bracket.


    aside, Gu Xinyue and Jin Miao also discovered Lu Chen''s anomaly.


    "Director, what''s wrong?"


    Lu Chen said solemnly: "The blade is hung on the grid hole of the bracket."


    "what?"


    Gu Xinyue and Jin Miao glanced at each other and could see the shock in each other''s eyes.


    As expected, Dean Dai Wansong said it!


    Lu Chen pushed the cutting balloon and found that he couldn''t go any further.


    tried to withdraw the cutting balloon, but was hooked by the stent again.


    The entrance and exit are blocked!


    Lu Chen''s heart suddenly sank to the bottom.


    The worst case, 5% failure rate, was actually met by him.


    The problem now is that it has become difficult to stop the operation and withdraw the cutting balloon.


    "How to do?"


    Lu Chen''s head was oozing with sweat.


    Because of the existence of the system virtual space, he rarely encounters this kind of failure.


    Now, he has never encountered any problems.


    Lu Chen desperately tried to calm himself down.


    He looked at the coronary angiography images over and over again, trying to find another way out.


    ¡­


    Conduit outdoor.


    Dai Wansong''s face was extremely solemn.


    He immediately discovered Lu Chen''s problem.


    "Oh, still young!"


    Dai Wansong shook his head slightly.


    He had already reminded Lu Chen.


    Intimate contact between the blade and the bracket is the result of this.


    "However, this is a good thing." Dai Wansong murmured, "At least it can make Lu Chen calm down and don''t be impatient."


    Lu Chen''s operation failed.


    For the rest, he, the dean, needs to come forward to communicate with the patient''s family and obtain the understanding of the family.


    Dai Wansong glanced at Lu Chen in the catheterization room, then slowly turned to leave, preparing to go to the doctor-patient communication room to communicate with his family.


    ¡­


    Catheter room.


    Lu Chen still frowned.


    did not find a solution, and he could not use the system virtual space for simulation operations.


    The cutting balloon stays in the vessel.


    cannot go deep, and cannot retreat.


    "Do you want to switch to thoracotomy?" Lu Chen couldn''t help thinking.


    Intervention is converted to thoracotomy, which means the failure of the operation!


    A complete failure!


    Lu Chen was a little unwilling!


    He stared at the coronary angiography image in front of him, looking forward to finding a solution.


    Suddenly, an idea flashed through his mind.


    In normal thinking, five months after stent implantation, the stent must be endothelialized (integrated with the blood vessel).


    However, this patient''s stent is displaced!


    It proves that the stand is not as conventional and immovable.


    "Then can I try to pull the bracket out?"


    Lu Chen had a flash of light.


    After the idea of ???? grew in his mind, he couldn''t restrain it.


    Bracket Shift¡­


    Cut the balloon blade into the stent grid hole¡­


    By pulling and cutting the balloon, isn¡¯t that just the right way to pull the stent out?


    If other people knew what Lu Chen was thinking, they would definitely think that Lu Chen was crazy!


    This is really a shocking idea!


    The implanted heart stent, how can it be taken out? !


    This is completely contrary to everyone''s normal thinking.


    However, although Lu Chen had this idea, he did not act immediately.


    It is dangerous for the stent to move in the blood vessel.


    Once the force is too great, it is very likely to damage the vascular endothelium, and even cause the dissection of the blood vessel.


    The difficulty of this kind of operation is already the ceiling level of coronary intervention.


    However, since he has come up with a solution, Lu Chen is not in a hurry.


    He can perform pattern training in the system virtual space.


    With a thought, Lu Chen immediately entered the system virtual space.


    Adjust the surgical mode to be the same as in reality, and use the cutting balloon to pull out the coronary stent!


    ¡­


    "Old Gu, what is the director doing?" Jin Miao whispered to Gu Xinyue.


    Lu Chen was motionless at this time, and returned to the situation discussed in the office before.


    "Probably thinking of something." Gu Xinyue hesitantly whispered back.


    However, he was not very confident when he said this.


    After all, there doesn¡¯t seem to be any solution to this situation.


    Jin Miao shook her head slightly.


    He felt a little remorse in his heart.


    This surgery patient was the primary surgeon at first.


    If it weren''t for his problems, Director Lu Chen wouldn''t be in a dilemma now.


    "I have to carry this pot myself! I can''t implicate Director Lu!"


    Jin Miao has made a decision secretly.


    Afterwards, he must take the initiative to take all the responsibilities.


    But at this moment, Lu Chen moved.


    In the astonished eyes of everyone, he gently pulled the cutting balloon in his hand.


    (end of this chapter)

 v3 Chapter 906： new and old

    Chapter 906 New and Old


    There is still some resistance in his hand.


    But Lu Chen didn''t hesitate and continued to pull the cutting balloon.


    With the feel he had trained in the virtual space of the system, he pulled the balloon out little by little.


    Others, even Gu Xinyue and Jin Miao, didn''t quite understand Lu Chenmo''s operation.


    Because of the contrast image, they could not see the inside of the blood vessels.


    Only Lu Chen operated step by step by relying on his own feeling.


    This kind of operation completely tests the ability of the operator.


    ¡­


    At this moment, Dai Wansong walked in from the doctor-patient communication room.


    When he saw that Lu Chen was still operating, he couldn''t help but ask a resident doctor beside him.


    "What is Director Lu doing? Why hasn''t the operation ended yet?"


    The resident shook his head: "I see what Director Lu meant, I want to try again."


    "Try again? Alas..."


    Dai Wansong shook his head and sighed in his heart.


    This is not the time to try and find a solution.


    Balloon and stent mesh holes are in contact.


    Even if it is operated by any other top-notch practitioner, the success rate is pitifully low.


    "I hope that after this time, Lu Chen can settle down."


    Dai Wansong is still very optimistic about Lu Chen.


    Whether it was Lu Chen''s Ph.D. in Modu, working in Guanghai, or returning to Modu now.


    In Dai Wansong''s eyes, the future of Huaxia''s cardiovascular field will depend on the efforts of Lu Chen, Yu Weiguang and others.


    However, Lu Chen has too little experience, and he is relatively reckless when dealing with things now.


    After practicing for a while, you will definitely be able to stand on your own in today''s cardiovascular medical field!


    ¡­


    Just when Dai Wansong was thinking about Lu Chen''s future, on the operating table in the catheterization room, the situation changed again.


    Lu Chen pulled the cutting balloon little by little.


    This process is slow.


    Because he is afraid of balloons or stents, which will damage the vascular endothelium.


    As the entire cutting balloon came out of the blood vessel, everyone''s faces looked better.


    Although the problem has not been solved, at least the cutting balloon has been withdrawn, avoiding the embarrassing situation of being stuck.


    But after the cutting balloon came out, Lu Chen didn''t stop immediately, but continued to pull.


    In the eyes of everyone in astonishment, at the tail of the cutting balloon, there was also a small elongated foreign body.


    "This is... a bracket?"


    Jin Miao was the first to react.


    He widened his eyes, looked at the bracket in Lu Chen''s hand, and then looked at Lu Chen again.


    His face was full of wonder.


    I have never said that the stand can be pulled out!


    Director Lu''s method of operation is too heaven-defying.


    Gu Xinyue came to start the operation recently. Although he didn''t react immediately, after Jin Miao''s reminder, he immediately understood the "terrible" operation of Lu Chen''s hand!


    Even though he has not had surgery before, as a cardiologist, he knows that after the stent is placed, the stent is endothelialized and it is impossible to take it out.


    But Lu Chen''s current operation has simply broken everyone''s perception.


    Lu Chen''s expression remained unchanged, and he continued the operation.


    After a few minutes, he had completely pulled the entire brace out!


    Gu Xinyue and Jin Miao beside Lu Chen were already dumbfounded.


    ¡­


    Conduit outdoor.


    Dai Wansong and others couldn''t see the specific picture of the operating table, and naturally they couldn''t see the stent coming out along with the balloon.


    "Lu Chen, if it doesn''t work, stop the operation." Dai Wansong picked up the microphone and shouted to the catheter room, "I have communicated with the patient''s family, and they can understand the risk of this operation."


    Dai Wansong is naturally kind.


    But when Lu Chen heard the words, he just made an "OK" gesture to the outside and continued the operation.


    Dai Wansong looked suspicious when he saw this.


    He didn''t quite understand what Lu Chen was doing.


    Catheter room.


    Lu Chenzheng ordered: "Lao Gu, continue to give some contrast agent and repeat the contrast."


    "receive!"


    Gu Xinyue immediately responded, his expression was quite excited.


    I am so lucky to see this kind of surgery today.


    As the contrast medium enters the blood vessels, the coronary angiogram is redisplayed to the public.


    "This is¡­"


    Dai Wansong immediately noticed the changes in coronary angiography images.


    "What about the stent in that narrowed part?"


    He was amazed.


    In the previous angiogram, there was clearly a stent shadow in the narrow part.


    But now, I see nothing.


    "Who knows, what''s the situation?"


    Dai Wansong looked at the doctor beside him.


    However, the other doctors shook their heads.


    At this time, Dai Wansong saw Gu Xinyue holding a small elongated object in the catheter room.


    "Gu Xinyue is holding... is it a stand?"


    Dai Wansong frowned and said hesitantly.


    "Seems to be¡­"


    The resident doctor on the side of ?? also widened his eyes and swallowed, his face full of disbelief.


    Dai Wansong was stunned for a moment, then murmured, "Could it be that when Lu Chen pulled the cutting balloon just now, he also pulled the stent out?"


    This is also the biggest possibility right now!


    At this time, Lu Chen in the catheterization room did not stop his operation.


    The original bracket was taken out.


    Now all he has to do is implant a new stent.


    After cutting the balloon and the drug balloon again, the stenotic part of the blood vessel has been dilated.


    The old bracket was abandoned.


    The new stent was reinserted into the blood vessel along the catheter.


    The narrowed part of the blood vessel has been successfully expanded after balloon dilation and stent release.


    The angiography was repeated, and the blood flow rate was restored again.


    ¡­


    The whole operation is over.


    There was silence inside and outside the catheter room.


    Everyone was shocked by Lu Chen''s amazing operation.


    In Lu Chen''s system panel, a system prompt also popped up quickly.


    "Congratulations, I received a thank you from Gu Xinyue!"


    "Congratulations, I received a thank you from Jinmiao!"


    "Congratulations, I received a thank you from Dai Wansong!"


    ¡­


    Remove gloves.


    Lu Chen handed the tray with the old bracket to Jin Miao.


    "Show this stent to the family." He said slowly, "The old stent was taken out, and two brand new stents have been implanted in the patient."


    "Okay, Director!" Jin Miao nodded again and again.


    Looking at the small bracket in his hand, he was a little dazed.


    What kind of exquisite surgical operation does this have to be to complete such a difficult operation?


    At the same time, he was very fortunate in his heart that with Director Lu Chen, it really was right!


    Get out of the cath lab.


    Dai Wansong and others greeted him immediately.


    Seeing the bracket in the tray, Dai Wansong swallowed secretly.


    He looked up at Lu Chen, and then looked down at the tray.


    The surprise in ??''s eyes is indescribable.


    He was already mentally prepared, but Lu Chen''s surgery failed.


    This is also a wake-up call.


    However, Lu Chen''s amazing operation refreshed his three views again.


    Dai Wansong knew that after this campaign, Lu Chen would also leave a deep mark in the field of coronary intervention.


    (end of this chapter)

 v3 Chapter 907： The arrival of Li Yaos mentor

    Chapter 907 The arrival of Li Yao''s mentor


    For the people in the Cardiology Department of the Fifth Hospital of the Magic Capital, there are many amazing operations by Lu Chen.


    However, his performance in coronary intervention still surprised everyone.


    However, after the shock, the interior of the Fifth Academy of the Magic City quickly returned to normal.


    After all, Director Lu Chen is by their side every day.


    Celebrities will become accustomed to seeing them a lot.


    On the other hand, in the magic capital, or the entire medical community in China, the discussion about Lu Chen continued to ferment.


    Lu Chen was a little quiet during the three years he was abroad.


    In less than a year since I came back here, I have done so many things, making everyone look at me.


    ¡­


    One month later.


    The National Nature Review is over.


    Have experience working abroad and studying abroad, and have several top journal papers guaranteed.


    This time, Lu Chen applied very smoothly.


    Logically speaking, this is Lu Chen''s first national nature project.


    There is an unwritten rule in Chinese academic circles.


    If you haven''t won a National Natural Science Foundation of China''s youth project before the age of 35, you haven''t won a "Excellent Youth" before the age of 40, and you haven''t won an "Outstanding Youth" before the age of 45, then there will be no chance to evaluate the academician again.


    Lu Chen is just over 30 now, and successfully applying for the National Natural Science Program is just the beginning.


    Youqing, Jieqing, Changjiang Scholars, and finally academicians, this is a very long road.


    Lu Chen''s journey has just begun.


    All beginnings are hard.


    The first national nature project in the true sense, Lu Chen is naturally ready to work hard.


    This is also related to whether he can apply for the "Excellent Youth" Fund in the future.


    In the first year of coming to the Fifth Academy of Magic Capital, Lu Chen was officially appointed as the chief physician and professor.


    From Fan Zhiping''s slip of the tongue "Professor Lu" to now actually getting the title of "Professor", Lu Chen is also a perfect transformation.


    Not only Lu Chen, but also several young doctors from the Cardiology Department of the Fifth Hospital of the Magic Capital have also been promoted successfully.


    Ke Yue was exceptionally promoted to Deputy Chief Physician.


    Gu Xinyue is only one step away from the deputy chief physician.


    He only needs to apply for the last provincial project by himself, and then he can be promoted to deputy high.


    Lu Chen was also very happy to look at the group of people around him and was able to follow him to progress together.


    The construction of the family building of the hospital was completed, and the problem of accommodation was also solved.


    Fan Zhi stayed in Modu and continued to work peacefully.


    Everything is going in a good direction.


    Just when Lu Chen was busy in clinical and scientific research, the arrival of his master tutor Li Yao disrupted his life rhythm.


    ¡­


    When Lu Chen was studying for the third year, a top journal paper on Dapagliflozin was published, allowing Li Yao to successfully apply for the "Jieqing" fund.


    And Cao Zhiying, director of the Cardiology University of the Second Academy of Jinghua, gave up and took a back seat after repeatedly attacking the title of academician without success.


    Li Yao has become the leader of the Cardiology Department of the entire Jinghua Second Hospital!


    In the years after Lu Chen graduated, Li Yao continued to conduct in-depth research on cardiovascular drugs, especially heart failure drugs, such as Dapagliflozin, Innoxinto, etc.


    Li Yao''s scientific research team has also successfully established itself in China, and even has a certain influence on a global scale.


    This time, Li Yao''s scientific research team came to the magic capital.


    I haven''t seen my mentor for many years, so Lu Chen and Ke Yue naturally wanted to pick them up.


    ¡­


    Airport exit.


    Lu Chen and Ke Yue came here early


    "How''s the progress of the recent experiment?" Lu Chen and Ke Yue chatted a few words.


    "It''s alright." Ke Yue smiled, "However, I have accepted two students this year, and I still have some teaching assignments, so I''m not used to it."


    Lu Chen smiled, and then he remembered that Ke Yue had become a tutor for postgraduate students, mainly in scientific research.


    "I got used to it slowly." Lu Chen said, "I didn''t expect you to be the first mentor in our group."


    Ke Yue pursed her lips and smiled, "That''s because you didn''t care about it, and you went abroad for a few years."


    "Then you are wrong." Lu Chen smiled, "I quite enjoy being a teacher."


    The most important thing is to earn thank you points.


    Just as the two were chatting, Li Yao''s flight finally arrived.


    Li Yao walked out of the airport exit.


    Followed by several young people, both male and female.


    When she saw Lu Chen and Ke Yue, she also had a smile on her face.


    Over the years, Lu Chen and Ke Yue can be said to be her two best students.


    Lu Chen has nothing to say. From the beginning to the present, no one has even broken the miracles created in Jinghua.


    As for Ke Yue, when she first arrived in Jinghua, she was a submissive little girl, and now she has become a young graduate tutor!


    "Teacher." Lu Chen and Ke Yue walked up to Li Yao and shouted in unison, "You''ve worked hard."


    Li Yao looked up and down Lu Chen and Li Yao.


    The smile on her face became more and more intense.


    This surprised the group of young people behind her.


    It was the first time they were so happy to see Master Li Yao.


    "Lu Chen, Ke Yue." Li Yao said with a smile, "We haven''t seen you for a few years, and you two are really unexpected."


    Her tone was full of surprise and pride.


    The speed of growth of the two was something she never expected.


    But both of them are her students, and she is quite proud of being a tutor.


    Now it is mentioned that she is Lu Chen''s master tutor, which is one of the things that Beier has a face.


    "Teacher, that''s because you taught well!"


    Lu Chen quickly flattered.


    Ke Yue also pursed her lips and smiled lightly.


    Li Yao smiled and shook her head, "Lu Chen, your flattery is the same as before, very stiff."


    Lu Chen smiled, "Teacher, I feel it."


    At this time, he also noticed the group of young people behind Li Yao.


    There are one or two people among them, and Lu Chen still has some impressions. They should all be students of Li Yao.


    Li Yao also introduced to Lu Chen and Li Yao: "These are your brothers and sisters, and they are the backbone of our scientific research team."


    Lu Chen and Ke Yue nodded.


    A total of five young people greeted Lu Chen and Ke Yue with a smile.


    "Your name is Lin Qingping, isn''t it?" Lu Chen said to one of the students, "I have some impressions of you. You at least visited the Magic City with your teacher, right?"


    "Yes, Senior Brother Lu." Lin Qingping, who was standing on Li Yao''s body, nodded quickly, with a hint of surprise in her eyes.


    After so many years, Lu Chen still remembered her.


    "When you are in the Magic Capital, you can come to me if you have anything." Lu Chen smiled at everyone, "I''m not much older than you, so don''t be too restrictive."


    Although everyone nodded in agreement, no one dared to chat casually with Lu Chen.


    Brother Lu Chen''s name is now resounding throughout China''s cardiology community!


    ¡­


    The group came to the hotel.


    On the dining table, Li Yao talked about the purpose of this trip.


    "Teacher, you are here this time, shouldn''t it be for Academician Pingyuan?" Lu Chen asked in a low voice.


    The selection of academicians is imminent.


    Each candidate has to act and run around to lobby.


    (end of this chapter)

 v3 Chapter 908： Been booked again?

    Chapter 908 was made a default again?


    Li Yao smiled helplessly.


    "Lu Chen, you really look down on your teacher, do you think I am qualified to apply for an academician now?"


    Lu Chen scratched his head, "Hey, what is the application for? Changjiang Scholars?"


    Li Yao still shook his head, "No, I came to the magic capital this time mainly for the review of the national key laboratory."


    National key laboratory, which is a symbol of the scientific research ability of a university.


    There are not many national key laboratories in the entire magic capital.


    The Fifth Academy of Magic Capital currently has no national key laboratory.


    One of the tasks that Dai Wansong gave to Lu Chen was to establish a national key laboratory.


    "Oh, no wonder a few people you brought are in the laboratory." Lu Chen said, "Let them come out to gain experience."


    Li Yao nodded, "Well, this time I came to Modu to get the re-examination qualification of a national key laboratory. Secondly, we members of the laboratory have to come to Modu to visit and study, in a small place like Jinghua. After a long time, the thinking has been solidified.¡±


    The medical sciences in Magic Capital and Kyoto, especially in scientific research, are in the leading position in China.


    "Okay." Lu Chen immediately agreed, "Teacher, I will help you arrange for your junior, junior, and junior sisters in terms of studying and visiting the Magic City."


    "Trouble."


    Li Yao nodded.


    Actually, she also has some acquaintances in the magic capital.


    However, with Lu Chen''s current influence in the magic capital, her relationships are not enough to see.


    Taking advantage of this opportunity, Lu Chen also decided to take a close look at the application of the National Key Laboratory.


    Currently the laboratory is in charge of Ke Yue.


    Lu Chen is only leading the direction of scientific research, and other specific implementation plans are made by Ke Yue.


    the next day.


    Lu Chen and Ke Yue came to the review site of Li Yao''s national key laboratory.


    Here, Lu Chen also met an acquaintance, that is Zhang Shuqing, his doctoral supervisor.


    The tutor of master students and the tutor of doctoral students were present at the same time, so Lu Chen, a student, was naturally very happy.


    However, he ran over and asked Zhang Shuqing, only then did he know that he also came to apply for the review of the National Key Laboratory of Nature.


    This is a coincidence!


    This year, throughout China, a total of 15 university laboratories passed the preliminary examination.


    There are only five laboratories in total for the re-examination.


    This competition is extremely fierce.


    A national key laboratory, which means the top medical resources and popularity in China.


    "Lu Chen, was that Professor Li Yao who was sitting just now?" Zhang Shuqing pouted in Li Yao''s direction.


    He knew very well the relationship between Lu Chen and Li Yao.


    "Well, Mr. Li came over a few days ago." Lu Chen said, "This time, the Second Academy of Jinghua has begun to attach great importance to this national key laboratory of nature, so Mr. Li has prepared it a long time in advance."


    "Hehe, it''s not just them that value it." Zhang Shuqing said solemnly, "Look at the university labs that you came to this time, which one is not gearing up for it? Our magic capital, or the universities in Kyoto, Guanghai and other areas, basically all come here. It''s gone!"


    In addition to Lu Chen, Lu Chen suddenly discovered Tang Zhanwei from Guanghai First Hospital.


    Unexpectedly, the laboratory of Guanghai No. 1 Hospital can also pass the first test!


    What Lu Chen didn''t know was that Guanghai First Academy was able to pass the re-examination all thanks to the scientific research assets he had left behind in Guanghai.


    This allows Guanghai No. 1 Institute to advance by leaps and bounds in scientific research, and is qualified to compete for the State Key Laboratory.


    But it''s just qualified.


    The entire review process mainly provides past data.


    Including previous project funds, published papers, and the focus of future laboratories, where are the breakthrough points.


    These are the things that experts value.


    In addition to Zhang Shuqing and Tang Zhan, Lu Chen also saw a lot of acquaintances.


    Including Qin Sifeng and Yang Feng from Kyoto, they each represent their own hospitals.


    This time, the national nature audit is really fierce.


    The strength of Yang Feng and Qin Sifeng will not be mentioned.


    Zhang Shuqing and Li Yao''s respective experimental teams have also risen in strength.


    In addition, there are some traditional and old colleges and universities, such as experimental teams from Western Sichuan, Fudan and other colleges.


    ¡­


    On the first day of the review, all colleges and universities provided their own laboratory materials.


    Li Yao returned to the hotel with a pale face after finishing all the work.


    Lu Chen and Ke Yue, who came to visit, saw the teacher''s face and knew that something had changed.


    in a hotel room.


    Li Yao reluctantly said to Lu Chen and Ke Yue: "More than half of the reviewers for this review are from Kyoto and the Magic Capital."


    A few years ago, there was a principle of avoiding peers in the evaluation of such major projects or laboratories.


    However, the whole circle is actually that big. If you try to avoid another school, there will not be many high-level experts.


    Therefore, in recent years, in the evaluation of various projects, the principle of "same school avoidance" has been cancelled.


    Lu Chen was silent when he heard Li Yao''s words.


    This is the reality of scientific research.


    Strength is important, but more important is connections and resources.


    When you don¡¯t have an overwhelming advantage, the inclination of the judge¡¯s heart is very important.


    "I heard that there may be at most one or two places reserved for colleges and universities other than Kyoto and Magic Capital." Li Yao said solemnly.


    The pressure of competition has suddenly increased many times!


    Li Yao has some connections in the scientific research community, but other hospitals, like Qin Sifeng, Yang Feng, etc., have wider network resources!


    "Now I can only do my best and obey the destiny." Lu Chen sighed.


    Now it is not just hard work to achieve success.


    After leaving the hotel, Lu Chen and Ke Yue were in a bad mood.


    Li Yao is their mentor after all. Seeing that she is likely to be busy for nothing, the mood of the two of them is not very good.


    "Actually, it''s even worse at the back." Ke Yue suddenly said.


    "How do you say that?" Lu Chen looked at Ke Yue suspiciously.


    Ke Yue thought about it and said: "If the teacher fails to apply for the national key laboratory this time, then she will only continue next year. Then we will apply for the Fifth Academy of the Magic Capital next year, right? We and the teacher will then apply. time, isn''t it an opponent?"


    Lu Chen was taken aback.


    This seems to be true!


    After this year, the two hospitals are very likely to be competitors.


    "All that said, I hope Jinghua Second Academy can be rated as a state-level key laboratory this year." Lu Chen said, "As long as we can win this year, nothing will happen in the future."


    Just when Lu Chen was about to return to the Fifth Academy of the Magic Capital, he suddenly received a strange call.


    His number is unknown to most people.


    Is it some kind of marketing, selling houses, selling insurance?


    Lu Chen picked up the phone after hesitating.


    "Lu, here I come!"


    As soon as he answered the phone, a familiar voice came over the phone, still in English.


    "Huh? Are you Professor Kebed?"


    A figure suddenly appeared in Lu Chen''s mind.


    (end of this chapter)

 v3 Chapter 909： I am a judge

    Chapter 909 I am the judge


    in a star hotel.


    Lu Chen met Professor Kebed from Mayo again.


    "Professor Kebed, why did you come to Huaxia? When did you come?" Lu Chen said happily.


    The friendship between him and Kebed is strong.


    When he was in Mayo before, Lu Chen followed Kebed.


    Later, when Lu Chen was able to lead the group alone, there was still a lot of cooperation between him and Kebed.


    "Lu, I just came here yesterday." Kebed smiled, "I fixed the jet lag today, so I''ll find you directly."


    "Have you eaten yet? I invite you to make skewers?"


    The last time I was in Kyoto, Kebed was shocked after eating the skewers, and felt that the skewers were the best food in China.


    Instant noodles and barbecue are regarded as the essence of Chinese cuisine by Kebed.


    "OK."


    Kebed''s eyes lit up when he heard this.


    Lu Chen glanced at the time, "It will take a while, many night markets are not open."


    "Okay, I''m not in a hurry." Kebed smiled and said that he wasn''t in a hurry. He was already gearing up for a big meal.


    "Professor Kebed, you haven''t said yet, what are you going to do this time in the magic capital?"


    Lu Chen suddenly laughed.


    In Mayo, there are many opportunities to go out and communicate.


    He felt that Kebed should have come to visit a hospital in Modu this time.


    Kebed said with a smile: "I was invited by your official Huaxia."


    "Official?" Lu Chen was taken aback for a moment, and he didn''t quite understand.


    "That''s right." Kebed nodded, "There seems to be a lab evaluation tomorrow, so let me be the evaluation expert."


    Lu Chen was stunned when he heard the words. He quickly asked, "Is it the review of the State Key Laboratory?"


    "It seems to be called this name." Kebed nodded, "Lu, why is this?"


    There was a hint of surprise and surprise in Lu Chen''s eyes, "This is not a trivial matter in our magic capital, and many doctors know it."


    Kebed smiled, "Actually, many countries'' key laboratory reviews will invite our Mayo doctors to review."


    This also makes sense.


    A key laboratory is simply built internally, and foreigners are not recognized.


    If you can bring in experts from top international hospitals, then when introducing this kind of key laboratory, you can add a sentence that has been certified by an expert from a foreign institution.


    This is a force, and it has improved a lot at once.


    Lu Chen suddenly thought of Teacher Li Yao.


    Most of the expert reviews this time came from Kyoto and Magic.


    The experts in this part basically have their own positions.


    There is also a small part, which is from various foreign institutions, just like Professor Kebed.


    Anything, it is absolutely impossible to want absolute fairness.


    When Lu Chen taught Kebed again, he already had his own thoughts in mind.


    He didn''t hide anything from me, and said directly: "Professor Kebed, to tell you the truth, my supervisor also participated in this review."


    "He''s also a judge?" Kebed smiled.


    "No." Lu Chen said, "She is a contestant."


    "Huh? Lu, is your mentor just a contestant?" Kebed was a little surprised, "With your ability, you can be a judge, why is your mentor just a contestant?"


    Lu Chen smiled, "Professor Kebed, there is no necessary connection between ability and whether you are a contestant. The judge sitting on the stage must be better than the contestants under the stage?"


    Kebed was startled, then smiled, "Lu, your metaphor is still so interesting, you''re right."


    Lu Chen continued.


    "Professor Kebed, I want my supervisor to tell you about some of their labs first."


    Kebed immediately understood what Lu Chen meant when he heard this.


    He has come to China many times and has a certain understanding of the unspoken rules here.


    "Okay, no problem." Kebed smiled, "Lu, since he''s your mentor, he should be a pretty good doctor too."


    When Lu Chen was at Mayo, Kebed always wondered, what kind of tutor could teach such a defying student as Lu Chen?


    On this trip to China, I finally had the opportunity to see it.


    With Kebed''s approval, Lu Chen immediately went out and called Li Yao.


    "Teacher, you and Ke Yue will come to a hotel and have dinner later, I will send the address to your WeChat."


    Li Yao, who received Lu Chen''s call, smiled.


    This Lu Chen really has a heart.


    "Lu Chen, I don''t eat much at night, you and Ke Yue can go together." Li Yao replied.


    She also wants to continue to contact a few review experts to see if things turn around.


    Lu Chen said sternly: "Teacher, you must come to this dinner! Because it''s not just about eating, but some things also involve the evaluation tomorrow."


    Li Yao was a little surprised, but seeing that Lu Chen had said so, she agreed.


    "Okay, then I''ll come right over."


    Lu Chen deliberately called Ke Yue.


    Although the Fifth Academy of Magic City did not participate in this review, it will take this step in the near future.


    Lu Chen wanted to let Ke Yue and Kebed get acquainted in advance.


    ten minutes later.


    Li Yao and Ke Yue came to Professor Kebed''s hotel at the same time.


    In the room, they met Professor Kebed.


    Lu Chen introduced the two of them: "Teacher, this is Professor Kebed from Mayo. We had a good time working together when we were in Mayo."


    This sentence, Lu Chen revealed to Li Yao his relationship with Kebed.


    "Hello, Professor Kebed."


    Li Yao nodded slightly towards Kebed.


    Although she still doesn''t understand what happened, Lu Chen will not aimlessly, and introducing her to Professor Kebed must have a deep meaning.


    Ke Yue also followed behind Li Yao and greeted softly.


    "Hello, it''s nice to meet two beautiful ladies." Kebed greeted the two with a very gentlemanly manner.


    After a brief self-introduction, Lu Chen went straight to the topic.


    "Teacher, I asked you to bring a copy of the laboratory of the Second Academy of Jinghua." Lu Chen continued, "Did you bring it?"


    "Um."


    Li Yao took out a document from the satchel she was carrying.


    Lu Chen took it and handed it to Kebed.


    Li Yao frowned.


    These are some of the more core data of the laboratory.


    Just show it to an outsider?


    What is Lu Chen trying to do?


    However, Li Yao trusted Lu Chen very much and didn''t say much.


    If this is someone else, Li Yao must ask clearly first, and then come up with the information.


    Here, Professor Kebed took over the laboratory-related materials and began to check them carefully.


    ¡­


    After half an hour.


    During ??, Kebed asked Li Yao a lot of questions.


    It includes some experimental questions, the key projects of your future laboratory, the expected results, the goals achieved, and so on.


    Li Yao replied patiently.


    "Okay, I almost got it." Professor Kebed closed the document in his hand and handed it back to Lu Chen.


    Lu Chen smiled and handed over the information to Li Yao.


    "Thank you, Professor Kebed."


    This kind of thing, point to the end.


    No need to poke.


    The same is true for Li Yao.


    Lu Chen did not fully explain his purpose to her.


    Wait until the judging tomorrow, she will naturally understand everything.


    (end of this chapter)

 v3 Chapter 910： blood vessels cramp

    Chapter 910 Blood vessels cramp


    The next day.


    The review of ?? National Key Laboratory has officially started.


    Lu Chen was not qualified to enter, so he stayed in the Fifth Academy of the Magic Capital and waited for news.


    Li Yao came to the review site of Modu with the hope of Jinghua Second Hospital.


    Although Li Yao has been running around for the past few days, looking for network resources, it is a pity that most of the judges have a very indifferent attitude towards her.


    For today''s review, Li Yao no longer has much hope.


    Because of Lu Chen''s relationship, Li Yao and Zhang Shuqing have a better relationship.


    The two sat together at the review site.


    "Professor Zhang, you have a great chance at the First Academy of the Magic Capital." Li Yao said softly, "I think most of the judges are from the Magic Capital and Kyoto."


    "This one, it''s hard to say." Zhang Shuqing shook his head with a smile, "There are three hospitals in the magic capital, and the possibility of one hospital in the magic capital is not the greatest. I see, several hospitals in Kyoto are more certain now. Big."


    "That''s right, Kyoto''s strength is also top-notch."


    Li Yao smiled slightly.


    While the two were chatting, all the judges entered one after another.


    After canceling the "avoidance principle", this double blindness is no longer necessary.


    All laboratory leaders will come to the stage to give speeches in turn.


    Suddenly, Li Yao''s eyes narrowed.


    She saw someone.


    Yesterday, together with Lu Chen, I met the foreigner from Mayo at the hotel.


    "Why is he here? And he''s still a judge?"


    Li Yao was surprised.


    She thought that Lu Chen just asked Dr. Mayo to give advice to the laboratory of the Second Beijing Hospital.


    Professor Kebed yesterday did give them a lot of constructive advice.


    "Professor Li, what''s wrong with you?"


    Zhang Shuqing noticed Li Yao''s abnormality.


    "nothing¡­"


    Li Yao shook her head slightly, her eyes fixed on Kebed without blinking.


    Thinking back carefully.


    What Lu Chen told her on the phone yesterday was related to today''s review.


    Kebed on the stage is one of the highest-level external review experts.


    Li Yao''s mind immediately became alive.


    Perhaps there is really hope for the Second Hospital of Jinghua?


    ¡­


    the other side.


    Lu Chen introduced all the juniors, juniors and seniors of Jinghua Second Academy to the laboratories of various universities in the Magic Capital.


    The Fifth Academy of the Magic Capital.


    Lu Chen was pulled over by Gu Xinyue again.


    "Old Gu, what''s wrong with you?"


    Lu Chen wondered while walking.


    "There is a special patient who I want to see."


    "How special?" Lu Chen wondered.


    "Myocardial infarction at the age of eighteen." Gu Xinyue said solemnly.


    Lu Chen paused and raised his brows, "Are you sure you are eighteen? Are you sure you have a heart attack?"


    "Definitely eighteen years old, not sure about myocardial infarction."


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


    "Hey, he''s really eighteen years old, a freshman at Modu University."


    Lu Chen opened the medical records.


    "Yeah." Gu Xinyue said, "I heard that after playing football and drinking a bottle of ice water, I started to have a sudden chest pain, and after resting for an hour, it never eased."


    "When I came to the emergency room of our hospital, myocardium enzymes were elevated and my electrocardiogram was elevated."


    Having said that, Lu Chen became interested.


    "Drink ice water after strenuous exercise?"


    "Hmm." Gu Xinyue nodded, "At present, it is considered to be vasospasm, sympathetic excitement, profuse sweating, and blood concentration, all of which together lead to myocardial infarction."


    Lu Chen raised his eyebrows and smiled, "Your analysis is very reasonable, why did you ask me to see the patient?"


    Gu Xinyue quickly waved his hand, "Director, the main purpose is to communicate with the patient''s family. One of their family members is a doctor, and they don''t believe in myocardial infarction at all, so until now, they are still procrastinating and have not undergone surgery."


    "Okay, I''ll take a look."


    Lu Chen said.


    What the doctor is most afraid of is actually this kind of half-baked, who seems to understand but does not understand.


    Take your own common sense and come and go to determine something.


    The family members are medical students and know that young people are less likely to have myocardial infarction.


    But he ignored that myocardial infarction is not only caused by coronary heart disease, it is myocardial infarction.


    Vasospasm, malignant arrhythmia, etc. These diseases are not coronary heart disease, but can lead to acute myocardial infarction.


    This type of myocardial infarction is a myocardial infarction in a broad sense.


    ¡­


    Lu Chen came to the ward and met the patient''s family.


    The family members of the patients came a lot.


    The one with the most sovereignty and decision-making power is the patient''s uncle who is a doctor.


    When he saw Lu Chen and Gu Xinyue, he immediately greeted them.


    "Two directors, you are here."


    Lu Chen nodded slightly, not paying too much attention to the opinions of his family members.


    He walked to the bedside and began to ask the patient what he wanted.


    The health value on the patient''s head is 43(¡ª)!


    For an 18-year-old boy, most of the symptoms of chest pain have been relieved.


    But the disease of myocardial infarction is very special.


    As long as it is a myocardial infarction, no matter the severity, it may lead to complications of heart rupture and even sudden death.


    In addition, the age of the patient is still too young.


    When talking about his condition, Lu Chen chose to call his family out of the corridor.


    "Uncle, according to the current situation, the patient has a high probability of having an acute myocardial infarction." Lu Chen said, "We..."


    Lu Chen was interrupted immediately by his family before he could say anything.


    "Myocardial infarction? Impossible! Absolutely impossible?!"


    The family members shook their heads quickly, "My nephew is so young, he is usually not sick, and he cannot have a heart attack."


    Lu Chen said unhurriedly, "The results of the blood test and electrocardiogram have already come out, and there is a high possibility of myocardial infarction!"


    "Director Lu, you believe in the inspection system so much?" The family frowned, "Isn''t it just like the inspection system and the imaging system, you won''t see a doctor?"


    Hearing this, Lu Chen was stunned for a moment, and then asked, "I''m just asking, are you a doctor?"


    The family shook their heads: "I used to be, then I quit my job, and now I open a pharmacy, and I earn a lot more than being a doctor!"


    It turned out to be resignation!


    No wonder he would say such a thing.


    In the past without inspection and imaging systems, neurology doctors could not distinguish between cerebral hemorrhage and cerebral infarction.


    Treatment is entirely based on my own experience.


    These two diseases have very similar symptoms and completely opposite treatments.


    happened to be right, it was just a blind cat meeting a dead mouse.


    How many people had this kind of luck in that era?


    Lu Chen paused and explained patiently, "Generally speaking, symptoms such as angina pectoris occur only when the blood vessels are blocked to more than 75%. However, many young people do not have stenosis in the blood vessels, but angina pectoris caused by vasospasm. An acute myocardial infarction occurred."


    "Vasospasm?" The family was taken aback, "What is this?"


    This question made Lu Chen overwhelmed, and he asked back, "Which department were you a doctor before?"


    "Blood transfusion department." The family said lightly.


    Lu Chen can fully understand this.


    No wonder he asks such a question!


    "There is a scientific name in medicine called vasospasm. You can understand it as vascular cramps." Lu Chen explained.


    Many people have experienced sudden calf cramps when swimming or playing football.


    What will happen if a blood vessel suddenly "cramps"?


    The blood vessels spasm, and the lumen, which was still open, was twisted so that no trace of blood could pass through.


    The heart has no blood supply, just like the engine of a car has no oil, and the "lying nest" stops in an instant, and myocardial infarction and sudden death occur.


    (end of this chapter)

 v3 Chapter 911： Results announced!

    Chapter 911 Results announced!


    "Why do blood vessels spasm?"


    After Lu Chen''s explanation, the family gradually understood.


    Lu Chen continued: "There are many reasons for this vasospasm."


    "The more common ones are smoking a lot, staying up late, drinking a lot of exciting drinks, and getting emotional."


    Also encountered by this patient, suddenly drinking ice water after strenuous exercise, etc., can easily lead to spasm of the heart blood vessels.


    These are also important causes of myocardial infarction and sudden death in young people.


    "Under cold stimulation, it is more likely to cause sympathetic nerve excitation in the human body, which is easy to increase the heart rate, increase myocardial oxygen consumption, hypercoagulation of blood, activation of platelets, and easy occurrence of acute myocardial infarction."


    "The human body sweats a lot in summer. After strenuous exercise, blood concentrates and blood viscosity increases after a lot of sweating, which is more likely to induce myocardial infarction."


    Lu Chen''s explanation of the disease is easy to understand.


    Rao was the former "transfusion department" doctor, and he immediately understood what Lu Chen meant.


    "Director Lu, as you said just now, vasospasm is actually the root cause of vascular cramps, not vascular stenosis." The family members asked again, "Then why do we need to do angiography?"


    Coronary angiography, to put it bluntly, is to see if the coronary vessels are blocked.


    Vasospasm is a transient narrowing of blood vessels.


    When the cramps are restored and the blood supply is restored, the condition will improve.


    It seems that the patient''s family is right.


    It has now been considered that myocardial infarction caused by vasospasm, and it seems that there is no need to continue interventional therapy.


    actually not.


    Lu Chen smiled slightly, "Normal blood vessels have a very small probability of spasm. If spasm can occur, there must be a problem with the blood vessels. And the diagnosis of spasm must be a diagnosis of exclusion!"


    The so-called diagnosis of exclusion must be made after coronary angiography and found that there is no problem with the blood vessels.


    "In terms of myocardial infarction, vasospasm and other aspects, emergency interventional surgery is a must!"


    This time, the family members did not immediately refute after hearing Lu Chen''s words.


    "Director Lu, let''s think about it again." The family frowned, "You know, surgery is not a trivial matter."


    "Okay, let''s do it as soon as possible." Lu Chen nodded, "We are mainly using drugs to control the spasm, but the patient''s state is unstable, and he is a patient at high risk of sudden death."


    "it is good."


    The family members returned to the ward.


    After Lu Chen and Gu Xinyue explained a few words, they also returned to their office.


    ¡­


    On the other side, the review site of the national key laboratory.


    It was finally Li Yao¡¯s turn to speak on stage.


    At the beginning, she was still a little nervous.


    But after seeing Kebed, she felt a lot calmer.


    We also have backstage people!


    However, Li Yao knew that he needed to be hard to strike iron.


    If there is a big difference between the laboratory of the Second Academy of Beijing and other laboratories, even with the help of Kebed, the possibility of passing the review is not high.


    Li Yao slowly stepped onto the stage and started this speech.


    "Hello everyone, I''m Li Yao from Jinghua Second Hospital."


    "The following is our entire hospital, all the experimental data in recent years, including the number of funded projects and papers."


    "We are mainly committed to the research of dapagliflozin and some heart failure drugs. In recent years, we have applied for two national key projects of natural science and co-organized many other funded projects."


    ¡­


    ten minutes later.


    Li Yao stepped down, and throughout the process, her performance was quite satisfactory.


    For the question raised by Kebed last night, Li Yao today made some improvements before publishing it.


    Kebed looked at Li Yao''s project book and nodded slightly.


    He put forward a lot of opinions yesterday, and today''s Li Yao has been able to come up with a solution.


    Being able to become Lu Chen''s mentor is also not easy!


    Of course Kebed knew what Lu Chen meant last night.


    He will sell Lu Chen a favor.


    But this is also within reason.


    If Li Yao''s lab is too bad, then he doesn''t have much to do.


    Looking at it now, the laboratory of Jinghua Second Academy is worthy of a high score.


    Kebed slowly wrote down the scientific research team of Jinghua Second Academy in his review list.


    Then, it was Zhang Shuqing''s turn to come to power.


    The strength of the first hospital of the Magic City is already top-notch, and now there are many judges from the Magic City.


    Their hopes of advancing are also very high!


    Li Yao sat under the stage and kept observing Professor Kebed.


    She found Professor Kebed''s status high.


    Most of the other external review experts will come to ask Kebed''s opinion.


    This made Li Yao very happy.


    The higher the status of Kebed in the jury, the more favorable it will be for Jinghua Second Academy!


    As the leader of the last laboratory finished his speech.


    The whole review is over!


    After all jury discussions again, the results will be announced on the spot.


    Next, ten minutes of intense excitement.


    The person in charge of each laboratory is on pins and needles.


    Li Yao kept looking in the direction of the jury.


    "Professor Li, I noticed that you were very calm when you first came." Zhang Shuqing whispered, "Why are you getting more nervous at this time?"


    "The result is about to come out. Naturally, there is some expectation and tension." Li Yao smiled.


    In the beginning, Li Yao didn''t have any hope, everything was very calm.


    But Kebed''s appearance rekindled hope in her heart.


    Her mentality has also changed!


    Ten minutes are over.


    One of the Chinese experts from the jury came to the rostrum.


    He held a list in his hand, which was the five laboratories that advanced this time.


    "I will announce the list of those who passed this review!"


    The ?? expert glanced around, and then slowly retracted his gaze.


    "The first place in the review, the Yang Feng team laboratory of the First Affiliated Hospital of Kyoto University!"


    The announcement of the first place was as expected by everyone.


    Affiliated Hospital of Kyoto University, with strong strength.


    The strength of scientific research and clinical practice is one of the best in China.


    Many people started to congratulate Yang Feng team.


    "The following is the second-placed team..."


    Speaking of which, the experts seem to be intriguing.


    "Second place, the lab of Li Yao''s team from the Second Academy of Jinghua University!"


    read out from the mouth of the expert group with the result.


    Everyone present widened their eyes in surprise.


    Jinghua Second Hospital What the **** is this?


    How did ?? surpass the magic capital and become the second place in the review?


    Zhang Shuqing, who was beside him, stared blankly at Li Yao.


    What is this operation?


    He always thought that Li Yao''s Jinghua Second Hospital could take fifth at most, and it was more likely that he would not pass!


    How did you get the second place directly? !


    This simply refreshed his three views. Could it be that Li Yao has any killers behind his back?


    At this time, the protagonist, Li Yao, was filled with a huge sense of satisfaction.


    Even Zhang Shuqing asked her to chat, but it took her a long time to react.


    For a time, the whole room was filled with exclamations.


    However, the publication of the review results is still going on.


    (end of this chapter)

 ~： Night shift leave.

Night shift leave.


    As the title says, please take a day off.


    Also, the book will probably be finished in about two months.


    (end of this chapter)

 v3 Chapter 912： Speech-induced arrhythmias?

    Chapter 912 Speech-induced arrhythmias?


    The Demon City No. 1 Court represented by Zhang Shuqing finally won the fourth place and successfully entered the final trial.


    Other university labs, with the exception of the top five, have no grades.


    For example, Tang Zhanwei from Guanghai No. 1 Hospital looked at the final result with disappointment.


    The name of Guanghai First Academy is not on the transcript!


    The hope that Tang Zhanwei had been looking forward to did not appear.


    But none of that matters.


    At this time, everyone''s eyes were focused on the Second Academy of Jinghua.


    Before the jury, no one could have imagined that the Jinghua Second Hospital, which is located in a remote location and has little background, could finally break through the siege!


    Moreover, it is the second place!


    Perhaps, the future pattern of Huaxia Cardiology will change.


    Under the stage, Li Yao''s excitement slowly calmed down.


    She knew very well that this time it was so smooth.


    Everything stems from that conversation last night.


    However, today is only a review. Whether it can be rated as the final national laboratory depends on the final review in one month.


    But anyway, what shocked Li Yao was that Lu Chen was now able to influence the final outcome of these major events.


    She is looking forward to what it will be like when Lu Chen is at the peak of the Huaxia Cardiology field?


    Before that, she might be able to help Lu Chen clear the roadblocks in advance.


    ¡­


    The Fifth Academy of the Magic Capital.


    The 18-year-old patient who drank ice water with a "myocardial infarction", his family has already considered it.


    Finally decided to do coronary angiography!


    The onset time is short, and it is still too late for surgery.


    Gu Xinyue immediately arranged the operation and pushed the patient to the interventional operating table of the Cardiology Department.


    As a result of the operation, the blood vessels are now narrowed, considering the myocardial infarction caused by spasm, and it has not reached the point of placing stents.


    Fortunately, Lu Chen had already explained it beforehand.


    The patient is very likely to have coronary spasm, and the blood vessels are normal.


    The family members expressed their knowledge and understanding, but did not go into depth.


    Once the diagnosis is clear, the drug treatment can be more precise.


    Of course, this is also the best kind of ending.


    If the blood vessel is really severely stenotic, it needs to be implanted.


    For an 18-year-old boy, the implantation of a cardiac stent is unacceptable to his family.


    After the operation, Gu Xinyue told the patient to try to avoid factors that induce vasospasm in his daily life.


    Such as fatigue, cold, emotional tension, and the behavior of drinking a lot of ice water.


    ¡­


    After the fact.


    Lu Chen also got the results of the national laboratory review immediately.


    He was also happy for Li Yao mentor.


    As the saying goes, if one person attains the Tao, the chicken and the dog ascend to heaven.


    If Li Yao''s mentor can become an academician, then he can also get his hands on it.


    After staying in the magic capital for five days, Li Yao brought a group of students back home.


    Lu Chen continued to work clinically, and spent all his spare time on national natural projects.


    As the reputation of the Fifth Hospital of the Magic Capital gradually opened up, more and more patients came here to see a doctor.


    Especially patients with cardiology diseases, many came to look for Professor Lu Chen.


    "Director Lu, there is a patient who came to see you in the outpatient clinic today."


    Jin Miao called Lu Chen.


    Only then did Lu Chen know that one of his distant relatives came to the magic capital.


    I found this place through the relationship of my mother, Luo Meizhen.


    This place is very far from Jiangcheng, so it is natural to take good care of the distant relatives.


    However, when Lu Chen saw his distant relative, he was really taken aback.


    Really a difficult case!


    The relatives went to many hospitals in Jiangcheng, but they could not solve the problem in the end, so they went to the magic capital.


    "Lu Chen, I heard from your mother that you are in the magic capital, so we came to find you."


    A woman of about forty years old stood in front of Lu Chen.


    Beside her, she supported an old woman in her 60s and 70s.


    This old woman is the patient this time, and she is also from Grandma Lu Chen''s generation.


    "Lu Chen, can you help find a good cardiology hospital and doctor?"


    The woman''s next sentence made Lu Chen stunned for a moment.


    Isn''t this here to see him?


    Instead, he wanted to use him as a springboard to go to another hospital.


    "Auntie, our department is cardiovascular medicine." Lu Chen said slowly.


    "I know." The woman nodded. "That''s why I asked you to look for it. You are familiar with this business. Otherwise, if we let us look for it ourselves, we might run into a hole, which is not very good."


    "That''s fine."


    Lu Chen could only accept it.


    He helped distant relatives to contact the Cardiology Department of Modu Central Hospital and Modu First Hospital.


    Then, the mother and daughter happily went to seek medical treatment.


    However, only three days have passed.


    The distant relatives came back again.


    Because the mother and daughter discovered that when they saw a doctor in the outpatient department of the Modu University Hospital, many doctors asked them to come to the Modu Fifth Hospital to be hospitalized after seeing the cases.


    It was only after I asked that I knew that the patient''s condition was complicated and difficult to handle.


    The Cardiology Department of the Fifth Hospital of the Magic City is very good at this.


    After asking more carefully, they discovered that Lu Chen was actually the director of the Cardiology Department of the Fifth Hospital of the Magic Capital.


    When ?? left Jiangcheng, they learned from Luo Meizhen that Lu Chen was doing well in the magic capital.


    About Lu Chen''s specific things, he didn''t go into details.


    But who would know that Lu Chen had reached the status he is now just a few years after graduation!


    ¡­


    Seeing each other again, the mother''s face was embarrassing.


    "Lu Chen, that... please help my mother to take a look."


    "Okay." Lu Chen didn''t think much about it.


    Distant relatives are also patients.


    More often, he just treats these relatives as ordinary patients.


    Lu Chen reviewed the patient''s case data again.


    In the ?? ward, he saw a distant relative of his grandmother.


    The patient is a 70-year-old female who was admitted to the hospital with "recurrent palpitations for more than 6 months".


    "Supraventricular tachycardia" was diagnosed in another hospital, and this admission is planned to undergo cardiac radiofrequency ablation.


    The patient has a history of hypertension for more than 5 years and diabetes for more than 6 years, and he takes medicine regularly.


    4 years ago, thoracoscopic right upper lung tumor resection was performed. Due to the slow heart rate (about 46 beats/min) during the operation, lobectomy and systematic lymph node dissection were not performed. Nothing special.


    "When do your heart palpitations usually occur more often?" Lu Chen asked aloud, "Does it have anything to do with activities?"


    "This..." The patient thought for a while, "It has nothing to do with daily activities, but it has to do with speaking."


    "Huh? Heart palpitations are related to speaking?" Lu Chen was taken aback, "You mean, every time you speak, heart palpitations will occur?"


    "Almost." The patient nodded.


    Lu Chen didn''t have much reaction, but Gu Xinyue and Jin Miao both widened their eyes.


    They are all encountering this kind of case for the first time.


    Lu Chen already had an idea in his mind, and said slowly: "It''s very likely that the tachycardia was induced by speaking."


    "Director, have you seen it before?" Gu Xinyue asked in surprise.


    Lu Chen nodded slightly, "In Mayo''s time, there was a case where the patient would have arrhythmia as long as he spoke for a long time."


    The patient''s family members heard that Lu Chen had seen this kind of disease, and their eyes lit up.


    Did other hospital doctors let them come here!


    Lu Chen still has two brushes!


    "Lu Chen, then it''s up to you this time!" The patient''s family hurriedly tugged at Lu Chen''s sleeve.


    Lu Chen nodded, and then instructed Jin Miao: "To perfect the patient''s electrocardiogram before speaking, during speaking, and after speaking."


    "receive!"


    (end of this chapter)

 v3 Chapter 913： urge marriage

    Chapter 913


    Jin Miao soon instructed the resident physicians under his command to improve the electrocardiogram.


    Taking advantage of this time, Lu Chen continued to inquire about the patient''s condition.


    Immediately, the patient added some medical history.


    About 6 months ago, her palpitations gradually increased in frequency, evident when she continued talking.


    Palpitations are not related to coughing, sneezing, swallowing, etc.


    No symptoms such as headache, blurred vision, disturbance of consciousness, convulsions and foaming at the mouth.


    Valsalva maneuvers did not induce the above symptoms.


    After taking the medical history, the electrocardiogram results before and after the patient''s speech appeared.


    Lu Chen took three electrocardiograms.


    Compare carefully.


    Sure enough, the patient is really "talking-induced atrial tachycardia"!


    After speaking, the heart rate increased significantly, showing atrial tachycardia.


    Speaking stopped, and within ten seconds, the heart rate started to slow down.


    This kind of miraculous phenomenon, except Lu Chen, was the first time anyone else had encountered it.


    "It''s really rare, no wonder doctors from other hospitals in Modu want patients to come to us!"


    Back at the doctor''s office, Jin Miao couldn''t help sighing.


    The diagnosis of the current patient has been clear, but for "talking-induced atrial tachycardia", are the electrophysiological characteristics of the heart different from other types of atrial tachycardia?


    What is the possible mechanism?


    More importantly, based on current guidelines, cardiac radiofrequency ablation is still the main treatment for atrial tachycardia.


    This kind of arrhythmia is the first time most people encounter, and how to perform radiofrequency ablation is one of the difficulties!


    "At present, there are less than ten cases reported internationally!" Gu Xinyue has checked the relevant information on the Internet. "And the relevant surgical consumption financing materials are all blank and generally will not be announced to outsiders."


    Therefore, how to ablate and how to completely eliminate the origin of arrhythmia without damaging the myocardial tissue becomes extremely difficult.


    Lu Chen suddenly said: "Who knows, what nerves govern speech?"


    Gu Xinyue was stunned for a moment, knowing that Lu Chen was testing everyone, he thought about it, and said, "Speaking is controlled by the recurrent laryngeal nerve and the superior laryngeal nerve, both of which belong to the parasympathetic nerves. Cardiopulmonary activity is regulated by the sympathetic and parasympathetic nerve centers."


    "Well, not bad." Lu Chen nodded slightly, "Old Gu, then tell me what might be the reason for the atrial speed induced by talking?"


    Gu Xinyue was startled, touched the back of his head, and said embarrassedly, "No...I don''t know."


    Lu Chen glanced at Gu Xinyue helplessly, "You already mentioned the parasympathetic nerve, how come you can''t get it right at the door?"


    He has great expectations for Lao Gu, and hopes that he can be on his own in the future.


    Lu Chen said slowly: "When the central nervous system regulates speech movements through the parasympathetic nerves, the electrical signals of the parasympathetic nerves may also be transmitted down to the atrium."


    "In the atrium, parasympathetic (vagal) activation of IKACh results in an increase in potassium conductance, which hyperpolarizes the resting membrane potential, reduces phase 4 depolarization, and shortens the action potential duration. This may lead to reentry and trigger activity, Promoting focal discharge of atrial tissue."


    After a few words, Lu Chen explained the possible mechanism.


    This made Jin Miao and Gu Xinyue both start taking notes.


    seems to be a simple mechanism, but it is really not easy to associate with speech.


    Lu Chen then said to the two of them: "Perfect the preoperative preparations and arrange the surgery as soon as possible."


    "Okay, received!" Jin Miao nodded.


    He and Gu Xinyue looked at each other.


    Although the two were used to seeing Lu Chen''s magical operations, Lu Chen could still surprise them from time to time.


    "Hey, Lao Gu, how many things did the Director have not shown us?" Jin Miao whispered, his eyes glowing.


    "Who knows?" Gu Xinyue lowered her voice, "We have to squeeze him dry!"


    Jin Miao secretly gave a thumbs up, "I like to have ideals and pursuits!"


    The two whispered secretly, but Lu Chen discovered them.


    "What are you two doing?"


    Gu Xinyue quickly sat up straight and grinned, "It''s nothing."


    Jin Miao also nodded.


    Lu Chen glanced at the two of them helplessly, "Prepare well before the operation, the operation will be arranged the day after tomorrow."


    "receive!"


    Leave the doctor''s office.


    Lu Chen called his mother Luo Meizhen.


    "Hey, Xiaochen, you are so busy, why are you free to call me today?"


    Lu Chen smiled, "Mom, did you introduce me to work again?"


    "What did you say?" Luo Meizhen hadn''t reacted yet.


    "It''s that distant relative of our family." Lu Chen pouted, "The relative who can''t be beaten by eight poles, came to the devil to find me."


    "Oh, you said this!" Luo Meizhen suddenly realized, "I just said casually, if you really want to go to a big hospital, you can go to the magic capital to find you."


    Lu Chen sighed lightly on his forehead, "Mom, don''t introduce me to these jobs next time. It''s not good for me to open the back door for them, and it''s not good for me to open the back door. They didn''t come looking for me at first."


    "Okay." Luo Meizhen smiled, "Stop talking about this, how''s your marriage with Xu Wei going?"


    Speaking of this, Lu Chen''s head was a little big.


    No matter how difficult the operation is, he is not afraid.


    But when it comes to these things, he is really at a loss.


    "That, it''s still negotiating, Mom, don''t worry."


    Lu Chen said a few words and hung up the phone quickly.


    Since he came to the magic capital, Xu Wei has followed him to the magic capital.


    At the local TV station, he became a reporter again.


    Lu Chen wanted her to switch to some easy jobs, but she also refused.


    is still in Lu Chen''s current influence in the magic capital, and successfully helped her find a good TV station.


    The relationship is stable, and the two are not too young.


    Marriage is on the agenda.


    Only then did Lu Chen realize that arranging various matters for marriage is much more difficult than performing an operation!


    ¡­


    Two days later.


    Preoperative preparation for distant relatives has been perfected.


    The surgery was performed normally.


    Lu Chen took Jin Miao and Gu Xinyue into the operating room together.


    Now, apart from some difficult operations, Lu Chen would never do it himself.


    With Jinmiao''s current ability, most operations can be solved.


    In Lu Chen''s plan, Jin Miao, Gu Xinyue and Fan Zhiping will form the surgical team of the Fifth Hospital of the Magic Capital.


    Ke Yue, Xu Shan and others formed a scientific research team.


    "Today''s operation is actually not difficult." Lu Chen said to Jin Miao and Gu Xinyue, "It''s mainly the mapping of the origin point, which is more difficult. I''ll remind you later during the operation."


    "Okay." Jin Miao and Gu Xinyue said in unison.


    In general cardiac electrophysiological examination, drug-induced arrhythmia may be used.


    But this patient is different. Atrial tachycardia can be induced by letting her speak, and then cardiac electrophysiological mapping can be performed.


    PentaRay electrode mapping indicated that the earliest point was at the top of the posterior wall of the left atrium, 26ms earlier than the surface ECG.


    Mapping begins!


    "Pay attention to the origin point between the top of the left atrium and the left and right pulmonary veins." Lu Chen began to remind.


    "receive."


    Under the guidance of Lu Chen, Gu Xinyue and Jin Miao became more and more handy.


    The origin of room speed was quickly found out.


    The hardest level is over, and the rest of the ablation is much easier.


    Under the joint operation of Gu Xinyue and Jin Miao, the operation was completed quickly.


    At this time, a prompt popped up on Lu Chen''s system panel.


    "Congratulations, the completion of the system upgrade has increased!"


    "Congratulations, I received a thank you from Gu Xinyue!"


    "Congratulations, I received a thank you from Jinmiao!"


    ¡°¡­¡±


    (end of this chapter)

 v3 Chapter 914： Yao Jie returns to China

    Chapter 914 Yao Jie Returns


    Surgery is over.


    The origin of atrial tachycardia was all found and ablated with electrodes.


    Carry out the elicitation experiment again, that is, let the patient speak.


    Atrial tachycardia did not appear, the operation was successful!


    Jin Miao and Gu Xinyue looked excited.


    They performed a rare operation again.


    Lu Chen''s application was quite calm.


    In this operation, he guided the whole process and did not perform it himself.


    "Record the contents of the surgery, and prepare to publish a medical report." Lu Chen said to Jin Miao and Gu Xinyue, "By the way, after the paper is written, it will not be used for the time being and will be published."


    Although the two of them didn''t know what Lu Chen meant, they still nodded in cooperation.


    Came to the doctor-patient communication room.


    Lu Chen and his distant relatives explained the results of the operation.


    The distant relatives were of course overjoyed when they heard this.


    said on the spot that more patients will be introduced here.


    Lu Chen was startled, he could only laugh with him.


    Afterwards, the distant relatives also entrusted people to bring a lot of special products, which were distributed to everyone in the department by Lu Chen.


    The Cardiology Department of the Fifth Hospital of the Magic City is gradually developing, and its reputation is getting bigger and bigger.


    However, Lu Chen felt that there was still a lack of opportunity.


    An opportunity to let the Fifth Academy of the Magic Capital "Follow God" in China!


    Whether it is clinical, surgical, or scientific research, we all need an opportunity.


    But this can''t be rushed. The most important thing for Lu Chen at the moment is to improve his national nature project.


    Taking the current national nature project as a springboard, applying for next year''s "Outstanding Youth" is Lu Chen''s most important task at present.


    ¡­


    The operation mode of the Fifth Academy of Magic Capital is very unique.


    It is a hospital that the National Health Commission has carried out pilot reforms across the country.


    Doctors of the same level have the same annual salary.


    does not take the number of surgeries, bills, and patients as the standard for bonuses and salaries.


    focuses on clinical or scientific research, and is selected by the doctor.


    As for people who eat a big pot of rice, don''t work hard, and lay flat.


    The Fifth Academy of Magic Capital has a unique mechanism to restrict such people.


    As a result, the number of patients in the Fifth Hospital of Magic Capital is increasing.


    Patients from some surrounding cities will also come here.


    New week.


    Lu Chen conducted a large round of wards as usual.


    "Old Gu, have you written down the case of talking induced atrial tachycardia last time?" Lu Chen looked at Gu Xinyue who was beside him.


    Gu Xinyue nodded: "It''s written, but I listen to you, it hasn''t been sent out yet."


    "Well, send it to me tonight." Lu Chen said.


    "it is good."


    Lu Chen''s routine rounds were followed by a large group of people.


    Most chief physicians, deputy chief physicians, attending physicians and resident physicians came over.


    "Director Lu, help me see a patient."


    Comrade Lao Fan hurried over.


    It is impossible for Lu Chen to look at every patient.


    Usually, the doctor in charge first screened out the difficult patients, and then Lu Chen came to the room for rounds.


    "Okay, let''s go."


    Lu Chen smiled and nodded.


    After solving the accommodation problem, Fan Zhi worked peacefully in Modu.


    "10 beds in the coronary group."


    Fan Zhiping led Lu Chen to the coronary ward, and handed over the patient''s medical record folder.


    Jin Miao and Gu Xinyue followed behind Lu Chen.


    They were inseparable with Lu Chen, determined to drain him.


    ¡­


    At this time, in the first courtyard of the magic capital.


    Lin Shumin and Cao Xiaohui sat at the foot of the cafeteria.


    "how are things?"


    Cao Xiaohui looked at Lin Shumin who was depressed.


    Lin Shumin shook his head slightly and sighed: "Don''t say it, after the stent collection, this drug has to be purchased. It''s really pitiful, and the salary has plummeted."


    "Yes, I see a lot of big bosses have moved to private hospitals." Cao Xiaohui frowned, "The salary is high and the benefits are good."


    "A private hospital?" Lin Shumin was stunned, "Not very good. Although the salary is high, it is too tiring, and the promotion standard is too difficult."


    "Yes, it is better to go to another private hospital than to go to the original Yunhua." Cao Xiaohui said, "Now we have to talk about the Fifth Hospital of the Magic Capital."


    When it comes to the Fifth Academy of the Magic Capital, the expressions of the two are different.


    Cao Xiaohui had a bit of yearning, "I heard from Yueyue that they have an annual salary system there."


    Lin Shumin looked confused.


    "Modu No. 5 Hospital, this is a new hospital. It is said to be an annual salary system, but there may be various deductions at the end of the year. It''s not as good as our Magic Capital No. 1 Hospital!"


    "No, I heard from Yueyue that they didn''t deduct money arbitrarily." Cao Xiaohui continued, "And if you want to do clinical or scientific research, you can choose by yourself."


    "real?"


    Lin Shumin was taken aback.


    He is a typical doctor who emphasizes clinical practice and neglects scientific research.


    With the help of Lu Chen, he successfully graduated.


    But nowadays, without too many scientific research projects, it is extremely difficult for him to be promoted to the deputy chief physician in the First Hospital of Modu.


    "I heard about it anyway, and I don''t know the actual situation." Cao Xiaohui said.


    Lin Shumin was a little moved.


    Salary is second, the key is to go through a good promotion channel.


    In fact, the annual salary of the Fifth Academy of the Magic City is not low.


    Compared with the entire medical industry, it belongs to the upper middle class.


    It may be the same as the Magic Capital Hospital, these top tertiary hospitals have some gaps.


    However, the most important thing is that there is no pressure on the number of surgeries and orders.


    Therefore, more and more doctors are now paying attention to the situation of the Fifth Hospital of the Magic Capital.


    ¡­


    in the ward.


    Lu Chen has led the lower-level doctors to complete the weekly rounds.


    After ??, he left the inpatient department and went to the scientific research building of the Fifth Academy of the Magic Capital.


    In the scientific research building.


    Ke Yue is nervously conducting various basic experiments on TAVR.


    This experiment is mainly about Lu Chen''s national nature project.


    Ke Yue is also one of the principals of Lu Chenguo''s natural scientific research project.


    "Lu Chen, you are here."


    Seeing Lu Chen coming, Ke Yue nodded slightly and continued the work at hand.


    Lu Chen silently observed Ke Yue''s experiment.


    It wasn''t until she stopped what she was doing that Lu Chen smiled and said, "How is the progress of the experiment?"


    "It''s alright." Ke Yue said, "The main reason is the lack of people and the lack of experimental manpower. Even if I want to catch up with the progress, I can''t do it."


    The Fifth Academy of Magic Capital has just been established, and it focuses more on clinical practice and is relatively weak in scientific research.


    "Well, I''m recruiting in the Contact Personnel Department." Lu Chen said, "However, it''s better to have a shortage than a lot, we have to choose the best!"


    "Okay, I will communicate with the personnel department." Ke Yue smiled, "By the way, do you know who found me yesterday?"


    "Who?" Lu Chen asked in confusion.


    Could it be an acquaintance of the No. 1 Hospital of the Magic Capital, and want to come to the No. 5 Court of the Magic Capital?


    Judging from the current trend of public opinion, it is very likely to happen.


    However, Ke Yue slowly said a name that surprised Lu Chen.


    "Yao Jie!"


    "Junior Sister Yao Jie? She came back from Mayo?" Lu Chen was taken aback.


    "Well, I''m ready to go back to China." Ke Yue said, "She asked me about the situation of the Fifth Academy of the Magic Capital."


    "Does she want to come to the Fifth Academy of the Magic Capital?" Lu Chen''s eyes lit up.


    Yao Jie has been studying at Mayo for several years, which is a rare help!


    Ke Yue shook her head, "Kyoto University sent her to Mayo, and of course she won''t change jobs when she comes back. Moreover, Kyoto University School of Medicine, which is the top hospital in China, doesn''t need to change jobs for her."


    "Then she asked about the situation in our hospital, what are you going to do?" Lu Chen was a little puzzled.


    Ke Yue said sternly: "It should be ready to compete."


    Lu Chen smiled helplessly, "No wonder she didn''t contact me, but contacted you directly."


    (end of this chapter)

 v3 Chapter 915： its not a condition

    Chapter 915 This is not a condition


    Yao Jie''s return to China has brought fresh blood to the field of cardiology in Huaxia.


    But for the Fifth Academy of Magic Capital, the strength of its competitors is also much stronger.


    Currently, the top domestic cardiology hospitals are concentrated in Kyoto, Modu, Jinghua, Guanghai and other regions.


    It is still extremely difficult for the Fifth Academy of Magic Capital to break through the siege.


    Some of the usual new technologies and new projects are all petty troubles in small fields with limited impact.


    Lu Chen''s national nature project this time is a threshold for entering top scholars.


    In addition to the National Natural Project, he also prepared another latest intervention technology. ,


    That is Transcatheter Tricuspid Valve Repair!


    Huaxia patients with tricuspid regurgitation have a wide population and many comorbidities, and the prognosis of patients with moderate and severe tricuspid regurgitation is poor.


    Current clinical drug treatment is ineffective, and tricuspid valve surgery has a high risk.


    Crucially, although minimally invasive transcatheter approaches may be an effective means of treating high-risk tricuspid regurgitation, clinical guidelines lack relevant recommendations for transcatheter intervention.


    The global tricuspid valve repair treatment is in the early stage of R&D exploration and clinical validation!


    The entire field, on a global scale, is in the exploratory stage, and there is no large-scale clinical trial.


    If we can make breakthroughs in this field, it will definitely bring the influence of the Fifth Academy of the Magic Capital to a higher level!


    However, there is currently no domestic manufacturer of devices for tricuspid valve repair.


    To complete transcatheter tricuspid valve repair, the most important thing is to have matching medical equipment.


    On a global scale, only one company in the United States produces this equipment, and this equipment cannot be imported in China.


    So, if Lu Chen wants to carry out this kind of surgery.


    From the source, it is necessary to find a manufacturer that can produce this kind of equipment.


    Lu Chen handed over this matter to Zou Wei.


    Zou Wei, as a son of a businessman, has a wide network of contacts.


    For him to do this, Lu Chen was more at ease.


    Sure enough, less than a week.


    Zou Wei found a manufacturer that can produce similar medical devices.


    ¡­


    The Fifth Academy of the Magic Capital.


    Cardiology Office.


    Lu Chen and Zou Wei were sitting on the sofa chatting.


    "Professor Lu, I found the manufacturer." Zou Wei said, "But now there are two problems."


    "First, manufacturers have the ability to produce, but we need to provide our own design ideas, they are laymen after all."


    "Secondly, the owner of the manufacturer is currently focusing on the research of devices in the field of TAVR. It is very difficult for them to turn their heads to develop the tricuspid valve."


    Lu Chen smiled when he heard the words.


    If Zou Wei can say that, there must be hope.


    "What conditions does the other party have?" Lu Chen asked.


    Zou Wei smiled, "Professor Lu, you still understand people. This company is called Magic City Huihe Medical Technology Co., Ltd., and it mainly produces various interventional medical devices. The boss of the company wants to talk to you in person. "


    "Talk to me in person?" Lu Chen wondered, "He knows me?"


    Zou Wei smiled, "Professor Lu, who doesn''t know you in the medical circle of the Magic Capital now?"


    Lu Chen smiled, "Well, when will we meet?"


    "this weekend?"


    "no problem!"


    Lu Chen and Zou Wei made an appointment.


    This weekend, go directly to Magic City Huihe Medical Technology Co., Ltd. to conduct business with the other party.


    ¡­


    Time soon comes to the weekend.


    Lu Chen arrived as promised.


    But the meeting place has changed.


    Zou Wei told Lu Chen on the phone that the place to meet was changed to the First Hospital of the Magic City.


    "Modu First Hospital?" Lu Chen wondered, "Could it be that Magic City Huihe Medical Technology Co., Ltd. also has a cooperative relationship with Modu First Hospital?"


    "As far as I know, there is none." Zou Wei spread his hands, "It was Huihe''s boss who temporarily changed the location, and I don''t know the exact reason."


    Lu Chen and Zou Wei could only come to the first courtyard of the magic capital in doubt.


    at the gate of the first courtyard of the magic capital.


    Lu Chen met the boss of Huihe.


    He is a bald middle-aged man with a slightly fat body, and his eyes narrowed into a line when he smiled.


    But between his eyebrows, there seemed to be an indescribable worry.


    "Mr. Zou, I''m sorry, I have something to do temporarily, so I changed the location."


    As soon as we met, Mr. Huihe said apologetically.


    Zou Wei smiled and introduced: "Mr. Du, I''m not the protagonist today, this is Professor Lu Chen from the Cardiology Department of the Fifth Hospital of the Magic City."


    Du Fu looked at Lu Chen, quickly stretched out his hand, and said with a smile, "Professor Lu, look forward to it for a long time!"


    Lu Chen stretched out his hand, squeezed it lightly, and released it.


    "Mr. Du, hello, I take the liberty to disturb you today." Lu Chen said slowly.


    Du Fu smiled, "Professor Lu, let''s talk while walking."


    Although Lu Chen was a little strange and didn''t know where this was going, he still nodded, "Okay."


    Zou Wei took the initiative to stand aside, leaving the space for Lu Chen and Du Fu.


    "Professor Lu, I know about the transcatheter tricuspid valve repair system you want to make." Du Fu said, "But we businessmen must be profit-oriented. At present, this thing has not been listed yet, to be honest, no Things with too much profit, the return period is too long, and the risk is high, we need to be cautious!"


    "However, once the first medical system for transcatheter tricuspid valve repair is made in China, as long as this operation can be popularized, then you will have the upper hand." Lu Chen would not believe the one-sided words of these businessmen, "In the future, You can dominate the tricuspid valve repair market.¡±


    As long as there are enough temptations and interests, it is absolutely impossible for these businessmen not to take the bait.


    "But this is risky." Du Fu shrugged his shoulders, "Our company is now fully producing and developing TAVR-related equipment, isn''t it making more money? Why take these risks?"


    "Professor Lu, you are now the leader of TAVR. How big is the TAVR market in the future, don''t you know?"


    Lu Chen frowned.


    The Du Fu in front of him is really not easy to deal with.


    He has a very good understanding of the current domestic cardiac intervention market.


    As he said, the field of TAVR is very hot right now, and there is no need to develop a tricuspid valve repair system and take this risk.


    But no one takes the risk, and with domestic medical technology, it will stop.


    "Mr. Du, I''m not going to sell anything today." Lu Chen said slowly, "The reason I''m looking for you is that I want to cooperate with the transcatheter to develop a tricuspid valve repair system. If this technology can be the first to pass clinical certification, whether it is right We, and the patients, are a big blessing."


    "Professor Lu, I understand everything you said." Du Fu smiled and nodded, "So today I met with you."


    After talking, the three walked to the downstairs of an inpatient unit.


    "Mr. Du, what is the premise of your cooperation?" Lu Chen said, "Or do you have any requirements for our Fifth Academy of Magic Capital? You can bring it up!"


    Du Fu heard the words, paused, and looked up at the inpatient department.


    "Professor Lu, I just want to ask you to do me a favor, so that I can cooperate with you, the Fifth Academy of the Magic Capital."


    "You said." Lu Chen said quickly.


    He thinks that Du Fu may have many restrictions on the Fifth Academy of the Magic Capital, such as only using the interventional instruments produced by their company.


    But Du Fu''s answer surprised him.


    "Professor Lu, I want you to help me see a patient."


    "Huh?" Lu Chen was taken aback, "Seeing a patient?"


    "Yes." Du Fu nodded, "The patient is my father, who is currently hospitalized in the Department of Cardiology. If you can cure my father, or at least find the cause, then I will overcome all difficulties and persuade the board of directors to cooperate with you in the Fifth Hospital of the Magic Capital. , together to develop a transcatheter tricuspid valve repair system.¡±


    aside, Zou Wei frowned and said, "Mr. Du, I thought you were sincere!"


    "You actually take this kind of thing as a condition?"


    "If your father stayed in the First Hospital of Modu for so many days and couldn''t find the cause, could it be that Professor Lu could find the cause when he came?"


    "I''m..." Du Fu sighed slightly, "I can''t do anything about it. And I''m not a condition. There are many veterans of the company''s board of directors, and most of them listen to my father. Even if I want to forcefully cooperate with you, they will not Take the risk and agree. Unless, Professor Lu, you can really find the cause of my father, or make his condition lessened, I think the board of directors will definitely agree to cooperate. "


    Lu Chen smiled when he heard the words.


    "Mr. Du, you said it yourself, this is not a condition."


    He turned to look at Du Fu, "I also want to say, whether you cooperate with us or not, as long as I encounter a patient with difficulties, I will see it."


    (end of this chapter)

 v3 Chapter 916： strange heart failure

    Chapter 916 Strange Heart Failure


    came to the ward.


    Lu Chen found this place very familiar.


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


    "Lu Chen, why are you here?"


    Jiao Jingqiu looked at Lu Chen in surprise.


    "To see a patient." Lu Chen smiled.


    Jiao Jingqiu nodded, only to see Du Fu next to him.


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


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


    Du Fu nodded slightly, "My father''s illness, ask more people, there are multiple ways out."


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


    "it is good."


    From the conversation with Jiao Jingqiu, Lu Chen had a little understanding of Du Fu''s father''s condition.


    This is a very stubborn old man.


    ¡­


    came to the ward.


    Lu Chen saw President Du''s father.


    He is a 74-year-old ¡°senior¡± CHD patient and very talkative.


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


    "Dad, I found a cardiologist to help you take a look." Du Fu introduced Lu Chen with a smile, "This is the director of the Cardiology Department of the Fifth Academy of Magic Capital, Professor Lu Chen Lu."


    Uncle ?? turned his head to look at Lu Chen, stunned, "You''re so young? Your age probably doesn''t have a long course of coronary heart disease, right?"


    Lu Chen was stunned, then smiled and said, "Master, you are old and strong, we can''t compare."


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


    The HP on his head is 58 (¡ª)!


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


    Uncle heard the words and laughed, "Such a young man can actually be a director, it seems that you have some skills, show me."


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


    Uncle said: "I did coronary angiography 20 years ago, when we just started this operation here, the director''s surname was Zhao..."


    A bunch of crap.


    Lu Chen was a little helpless, but after listening patiently, he continued: "Do you remember the results of the angiography?"


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


    Lu Chen smiled and responded immediately: "Well, I heard, what medicine do you use?"


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


    Includes aspirin, rosuvastatin, metoprolol, sacubitril valsartan, isosorbide mononitrate, nitroglycerin, and more.


    Then the uncle continued: "I come here several times a year, and it is arranged by Director Zhao. This is in the morning, this is in the evening, and it is for temporary use. Director Zhao has a son, you know..."


    Lu Chen was helpless.


    Director Zhao doesn''t know him, and his son, even more so.


    But before he came, he heard that the uncle is long-winded, talkative, and has a stubborn temper.


    Lu Chen still listened attentively according to what the uncle said.


    After the uncle finished speaking, Lu Chen immediately asked, "Why did you come to the hospital this time because of your discomfort?"


    Uncle finally put the topic back on track: "In the past week, I have often suffered from chest tightness and suffocation, and I can wake up at night when I sleep."


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


    The uncle said quickly: "Eating this ''nitroglycerin'' or ''isosorbide mononitrate'' will work very quickly, if you don''t eat it, you will keep committing crimes."


    Lu Chen frowned.


    sounds like a classic symptom of a heart failure attack.


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


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


    Lu Chen nodded slightly when he heard the words.


    He already had an idea in his mind.


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


    "Okay, I get the general idea."


    Lu Chen looked at Jiao Jingqiu and Du Fu, "Go back and check the results."


    "Okay." Jiao Jingqiu said.


    Just as everyone wanted to leave, the uncle grabbed Lu Chen''s sleeve, "Don''t, I haven''t finished yet, do you know that Director Zhao has a daughter..."


    Lu Chen: "¡­"


    In desperation, Lu Chen responded with two sentences.


    Uncle was willing to let him go.


    "Professor Lu, I''m sorry, my dad is quite talkative, but he''s not malicious." Du Fu said quickly.


    Lu Chen smiled, "It''s nothing, the old man is so talkative, he is actually looking for a sense of existence, I can understand."


    "Thank you." Du Fu smiled.


    Looking at the conversation between Lu Chen and his parents just now, Du Fu has already made up his mind.


    Regardless of whether Lu Chen can solve his father''s matter or not, he will try his best to persuade the board of directors to cooperate with the Fifth Academy of Magic Capital in the development of the tricuspid valve repair system.


    ¡­


    Back to the cardiologist''s office.


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


    Up to now, they are still attending physicians.


    And Lu Chen has become the chief director of the Cardiology Department of the Fifth Hospital of the Magic Capital!


    The disparity in the identities of the people is so big that people can''t help but sigh.


    "Is Teacher Zhang not here?" Lu Chen asked.


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


    "Okay, then let''s start." Lu Chen said.


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


    in the medical records.


    Troponin T (cTnT): 17.9ng/L (0-14ng/L), Brain Natriuretic Peptide (BNP): 392.5pg/ml (0-100pg/ml).


    Blood routine, biochemistry, three items of thyroid function, and coagulation function were not found to be abnormal.


    Echocardiography: ejection fraction (EF): 38%, segmental wall motion abnormalities in the middle and apex of the ventricular septum, bi- and tricuspid regurgitation, abnormal left ventricular filling, and decreased cardiac function.


    ECG: sinus bradycardia, QS pattern in leads V1 and V2, ST-T changes.


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


    Old anterior septal myocardial infarction, ischemic cardiomyopathy, heart failure now occurs, EF value is significantly reduced, but BNP increase is not obvious.


    Lu Chen thought of the uncle''s chattering appearance, and vowed to repeat the omens before the disease, which may be some exaggeration in his disease.


    "What medications are you currently taking?"


    "Mainly some medicines for tube expansion and diuresis." Jiao Jingqiu handed the doctor''s order to Lu Chen.


    Lu Chen opened it and took a look.


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


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


    "Not very good." Jiao Jingqiu shook his head, "The patient still has repeated symptoms of chest tightness and difficulty breathing, most of which occur at night."


    "For example, at 10 o''clock the night before yesterday, the uncle had difficulty breathing, and there were obvious rales on auscultation of the lungs. The intravenous push of furosemide and deacetylated elastin were not very effective."


    Lu Chen''s eyes narrowed, which was strange.


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


    Why is the drug not working now?


    (end of this chapter)

 v3 Chapter 917： Exaggerate the illness?

    Chapter 917 Exaggerating illness?


    "There is another very strange thing." Jiao Jingqiu said.


    "You said." Lu Chen looked at her.


    Jiao Jingqiu spoke slowly.


    "One night when I was working night shift, the uncle had a premonition that he was going to have a seizure again, and asked me if I could take a tablet of isosorbide mononitrate?"


    "I thought at the time that I was sick and could I have a hunch? Eat it if you want!"


    "As a result, the night was calm, and there was no further change in the condition. The BNP was re-examined the next morning, and the result was lower than before (121.6pg/mL)."


    Lu Chen nodded, "What are you considering?"


    Jiao Jingqiu said: "The indicators are improving, but the symptoms are getting worse. We are beginning to suspect that the uncle is exaggerating his condition!"


    After saying this, she also glanced at President Du, and continued: "Some old people usually lack love, and want to use some methods to attract everyone''s attention, such as constantly talking to the people around them, etc."


    Du Fu heard this and said softly: "How can I put it, since I took over the company, my dad has really paid less attention. I''m not good enough in this regard."


    Jiao Jingqiu showed a smile.


    Lu Chen frowned when he heard the words, "Doctor Jiao, with your current diagnosis, do you think the patient exaggerates his condition?"


    Jiao Jingqiu did not hesitate, nodded and said, "BNP is not high, diuretic dilation drugs are fully used, and there is no reason for the condition to improve."


    Lu Chen disagreed with this diagnosis.


    The first element of medical diagnosis is to exclude organic heart disease before diagnosing physiological diseases.


    Lu Chen reviewed all the examinations again, and immediately asked: "Why is there no ECG when the patient''s condition is on?"


    There are five ECGs in total.


    But there is no one, it is the electrocardiogram done when the chest tightness occurs.


    ECG is an easy-to-obtain examination report that can quickly reflect changes in cardiac electrophysiology.


    Jiao Jingqiu was startled, "We thought it was heart failure at first, and we didn''t check the ECG. But a low BNP level can rule out heart failure, so I suspect that the condition is exaggerated..."


    Lu Chen interrupted Jiao Jingqiu''s explanation: "Who told you that low BNP can lead to heart failure? In diastolic heart failure, left ventricular pressure does not increase significantly, so BNP can be low!"


    Jiao Jingqiu asked, "Ah... Could it be heart failure? We''ve taken diuretics, but it hasn''t gotten any better?"


    "Doctor Jiao, you can''t think about it for yourself, is there any evidence for diastolic heart failure?" Lu Chen frowned.


    If Jiao Jingqiu was a doctor in his department, then he would be really **** off by her.


    Jiao Jingqiu looked embarrassed: "Then... what is it?"


    "ECG!" Lu Chen said sternly, "The next time you get sick, be sure to take an ECG!"


    "Okay...I see." Jiao Jingqiu paused.


    Seeing this, Lu Chen has collected all the case data.


    "Mr. Du, I have almost understood your father''s condition." Lu Chen looked at Du Fu, "Next, I need an electrocardiogram during the attack, then I almost know what the disease is."


    "So fast?" Du Fu was taken aback.


    In fact, he has almost accepted his father now, exaggerating his illness.


    Use this to attract the attention of the family.


    After all, they are usually very busy and really pay little attention to their father''s life.


    Because of this illness, he stayed with his father longer.


    However, what Lu Chen said now made him a little shaken.


    "Actually, Dr. Jiao made a subjective mistake." Lu Chen said, "I was deeply influenced by the concept at the beginning."


    Jiao Jingqiu frowned and said, "Director Lu, if the patient''s ECG changes during the attack, what is his disease?"


    "It''s very simple." Lu Chen smiled, "Supine angina!"


    Chest tightness that occurs at night is most likely to be mistaken for heart failure.


    However, there is a type of angina pectoris, which occurs when you are lying down. You need to sit up or stand up immediately when the attack occurs to gradually relieve the symptoms of angina pectoris.


    "This type of angina usually occurs 1-3 hours after lying down. In severe cases, it can occur within 10 minutes of lying down, and it can occur multiple times a night. Lying down during the day, especially after a meal, can often be induced."


    Supine angina pectoris, this diagnosis can also explain why when Lu Chen thought about coronary heart disease just now, the system popped up the correct prompt.


    Supine angina is also a type of coronary heart disease.


    Hearing Lu Chen''s words, Du Fu immediately echoed: "Yes! My father sometimes has a postprandial attack. He thought it was a stomach problem before, and he had a gastroscope examination, but in the end there was no problem."


    The increase of ventricular wall tension, myocardial contractility and myocardial oxygen consumption caused by the increase of return blood flow after lying down is the main cause of supine angina.


    "Supine angina?" Jiao Jingqiu was taken aback.


    To be honest, she really hadn''t thought about this disease.


    Uncle has chest tightness at night every time. In this case, everyone thinks it is a heart failure attack.


    Angina pectoris usually occurs after activities.


    Therefore, supine angina pectoris is a type of coronary heart disease that is easily overlooked by everyone.


    Lu Chen smiled, "So, this can also explain why the uncle can relieve his condition every time he takes a tablet of isosorbide mononitrate."


    Having said that, Du Fu has already believed most of it.


    Every point that Lu Chen said matched his father.


    Jiao Jingqiu also regained his senses and began to think carefully about the inadequacies of what he had done in the whole case.


    "Also, look at this electrocardiogram of the uncle." Lu Chen pulled out another electrocardiogram, "When the disease is not attacked, it looks like a normal electrocardiogram in sinus rhythm, without any ST-T changes, but it is Most likely a multivessel coronary artery disease, the vectors are neutralized, causing the ECG to look the same as normal."


    "Actually, the coronary condition of this patient is very poor! It is necessary to do another coronary angiography."


    Jiao Jingqiu said at this time, "We also persuaded the uncle to review the imaging before, but he is unwilling to do it. He is very stubborn, and no one can pull back what he believes."


    "That''s it." Lu Chen continued, "When the disease occurs again, we must review the electrocardiogram. After the results come out, we will make the next step."


    "Okay!" Jiao Jingqiu nodded slightly.


    ¡­


    After discussing with everyone, Lu Chen returned to the ward and exchanged with the uncle again.


    Uncle dragged Lu Chen to chat for a long time.


    What ?? talked about was nothing more than the gossip of the former Director of Cardiology Department Zhao.


    Before leaving, the uncle looked at Lu Chen earnestly and whispered, "Director Xiao Lu, you talked so much with me today, what do you think about my condition?"


    Before Lu Chen could reply, the uncle said to himself, "Do you also think that the old man is exaggerating his illness?! In order to attract the attention of the family?"


    From the corner of his eyes, he glanced at Du Fu from time to time.


    The latter looked a little embarrassed when he saw this.


    Lu Chen quickly shook his head, "Master, I have other ideas."


    "Huh?" The uncle was stunned for a moment, with a hint of surprise in his eyes, "What do you think?"


    "Master, hear me first. Next time, when you feel uncomfortable, chest tightness and chest pain are about to break out. Immediately seek our medical staff." Lu Chen urged, "Let them do an electrocardiogram for you. , I know your condition."


    "Okay, you kid can do it, I''ll listen to you!" The uncle grinned.


    (end of this chapter)

 v3 Chapter 918： Life and death with a smile?

    Chapter 918 Life and death of a smiling face?


    After staying in the first courtyard of the magic capital for a while, Lu Chen returned to the fifth courtyard of the magic capital.


    During the ?? period, he did not meet Zhang Shuqing, his mentor.


    Currently in the process of applying for various fund projects, Zhang Shuqing is very busy now.


    Lu Chen returned to the Fifth Academy of the Magic Capital.


    In addition to cooperating with Ke Yue in the experiments of the National Nature Project, he was also busy with another thing.


    That is to set up the journal of "Magic City Five Academy".


    Lu Chen thought about this idea for a long time.


    Only by setting up our own journals and the Chinese people''s own journals can we lead the Chinese medical community to stand out.


    However, this is a long way to go.


    Perhaps, it is more difficult than Lu Chen becoming a top medical expert.


    All beginnings are hard.


    Only when you start doing it, will there be a day when it will be realized.


    ¡­


    Coincidentally, it was the night that Lu Chen watched Uncle.


    His chest tightness has flared up again!


    This time, the doctor on duty, following Jiao Jingqiu''s prompt, immediately performed an electrocardiogram for the uncle during the attack.


    I don¡¯t know if I don¡¯t check it, I¡¯m shocked when I check it!


    Uncle''s electrocardiogram showed extensive ST-T changes, as if prompting "acute myocardial infarction"!


    However, after using nitroglycerin, the uncle''s symptoms were relieved, and the dynamic evolution of the electrocardiogram was very fast!


    The next day.


    Lu Chen saw this electrocardiogram.


    The diagnosis of supine angina is more certain!


    Lu Chen and Du Fu came to the first courtyard of the magic capital again.


    After reading the electrocardiogram, Lu Chen seemed to have foreseen everything: "The patient has coronary heart disease for more than 10 years. Looking at the changes in the electrocardiogram, the possibility of three-vessel disease is high. This is also the characteristic of ''recumbent angina pectoris''. It is most likely that it cannot be managed by percutaneous coronary intervention (PCI), and it is best to be mentally prepared.¡±


    This sentence was said by Jiao Jingqiu and also to Du Fu.


    Du Fu''s expression was very solemn.


    Although he is a medical device dealer, he is also a half insider.


    He understood what Lu Chen said, the meaning of not being able to PCI.


    "Professor Lu, do you mean that a heart bypass may be needed?"


    Lu Chen nodded solemnly, "At present, it seems that most of them are right. Most patients with supine angina pectoris have severe coronary artery disease."


    "Okay, I see." Du Fu sighed deeply, "I really shouldn''t be used to him for so many years, if only I had done an imaging earlier."


    Jiao Jingqiu stood aside, shook his head helplessly, and reminded everyone, "Director Lu, President Du, the problem now is that the patient doesn''t even want to have an imaging, let alone a bridge."


    Uncle''s stubborn temper left a deep impression on everyone in the first courtyard of the magic capital.


    In the face of this kind of patient, if it is not for patient medical care, it is rare to have an in-depth communication with him.


    Du Fu knew that this was a difficult problem, so he could only say: "I''ll talk to him later. It''s not the time to get angry. I''ll try my best to persuade him to complete the imaging examination."


    After ??, he was about to walk to the ward, but was stopped by Lu Chen.


    "Mr. Du, let me try."


    Lu Chen stood and said slowly.


    "Huh?" Du Fu looked back at Lu Chen in surprise, "Lu Chen, you are..."


    "I mean, I''m going to communicate with your father." Lu Chen said sternly, "Will it be better for him to accept imaging?"


    "So... can... can it work?" Du Fu said slowly.


    "Do your best." Lu Chen said, "After getting along for the past two days, I think the uncle''s character is actually quite good, but he still retains the stubbornness of the older generation."


    "Then... I will trouble Professor Lu."


    Du Fu thought about it and decided to let Lu Chen try.


    Although he has been with his father for a long time now, the cold relationship cannot be eased immediately.


    Lu Chen just saw his father for one day, and he solved the illness that had been lingering for several days.


    Perhaps, the trust between doctors and patients will be higher?


    ¡­


    Lu Chen came to the ward alone.


    Uncle is sitting beside the bed, wearing reading glasses, looking down at the newspaper.


    Hearing the movement of the door, he slowly raised his head, and when he saw it was Lu Chen, he grinned, "Mr. Lu, you''re here again. I haven''t finished talking yesterday. In fact, Director Zhao, there are still people outside!"


    Lu Chen quickly waved his hand, "Master, this is just gossip and lace news, please don''t tell me."


    Uncle smiled, "It doesn''t matter, everyone in the circle knows it."


    Lu Chen: "..."


    Then, the uncle told Director Zhao''s affair again.


    Lu Chen already had a deep impression on Director Zhao, who had never been masked.


    After the uncle finished speaking, and after taking a breath, Lu Chen said, "Master, I saw the electrocardiogram you had last night."


    "See?" The uncle smiled, "What was the result?"


    "Angina pectoris." Lu Chen said.


    As for the preceding attributive, recumbent position, he did not say.


    For patients, too high-level words, they not only do not understand, but may also increase the tension.


    "How to treat it?" The uncle asked doubtfully.


    Although he didn''t get along with Lu Chen for a long time, he had an inexplicable sense of trust in Lu Chen.


    may be because Lu Chen was patient and listened to him talking about Director Zhao.


    "It may be necessary to do an imaging." Lu Chen said slowly.


    He has been paying attention to the face of the uncle.


    Uncle heard the words, his face really changed.


    In his bones, he was still very resistant to cardiac imaging.


    "Do you have to do it?" The uncle stared at Lu Chen.


    As long as Lu Chen relaxes a little, he will immediately say no.


    Lu Chen nodded, "Must do it!"


    The uncle didn''t say anything, frowned and lowered his head in thought.


    "Master, in fact, imaging is an examination now." Lu Chen explained, "If you do it quickly, it will be done in ten minutes."


    "Do I need to put a stand?" the uncle said coldly.


    "This needs to see the situation of the angiography."


    "Director Xiao Lu, what about your experience? Am I going to put the bracket, or not?"


    Lu Chen heard the words, and for a while, he didn''t know how to answer.


    Because in his opinion, the current state of the uncle, the bracket may not solve the problem!


    Heart stent and heart bypass are two concepts.


    Ordinary coronary heart disease, stenosis in a single place of the blood vessel, can be treated with a stent to treat the stenosis in a single place.


    However, for extensive vascular lesions, stents cannot be treated. At this time, a large section of blood vessels needs to be replaced, which is often referred to as heart bypass.


    Heart stent is a minimally invasive interventional procedure that does not require thoracotomy.


    Heart bypass surgery is a major open thoracic operation, which can be said to be one of the most important surgical procedures in the surgical operation.


    "Director Xiao Lu, just say it straight." The uncle smiled, "I''m about the same age. If I can talk for a few more years, that''s all my good fortune."


    Looking at the smile on the uncle''s face, but in the face of life and death, who can be absolutely calm and magnanimous?


    (end of this chapter)

 v3 Chapter 919： Start a journal

    Chapter 919 Founding of Journals


    in the ward.


    Uncle was half lying on the bed, looking at the ceiling.


    Lu Chen sat silently by the side, waiting quietly.


    Under the seemingly peaceful appearance, there is absolutely no calmness of life and death with a smile.


    Outsiders can''t persuade, let alone feel deeply.


    You can only rely on the patient himself, and let yourself slowly understand.


    "Director Xiao Lu, do you know when Director Zhao left?"


    Suddenly, the uncle said.


    Lu Chen shook his head.


    He didn''t know Director Zhao from the mouth of the uncle.


    The "gone" in the mouth of the uncle should be dead, right?


    "He cured coronary heart disease all his life, but he died because of a myocardial infarction in the end." The uncle''s voice suddenly changed a little bit, "You said that he cured so many myocardial infarctions, but only he could not cure it. Take care of your heart attack, things in this world are often so funny."


    Lu Chen was silent.


    Director Zhao''s image, through the uncle''s mouth, gradually plumped up in his heart.


    He may be full of stubble, or he may be unruly.


    Or maybe he is a genius doctor in the eyes of the common people, but he is mostly an ordinary common man.


    When the disease came, he was hesitant and at a loss, and finally passed away quietly.


    "Director Xiao Lu, you said that even a person like Director Zhao is afraid of life and death, let alone me?"


    After saying this, Uncle looked back at Lu Chen.


    "When Director Zhao was leaving, I came here."


    "He struggled desperately, clutching at the partition of the hospital bed, trying to survive."


    "But when the EKG turned into a straight line, he finally left."


    Uncle''s voice is a bit vicissitudes.


    Lu Chen listened quietly, nodded vigorously, but remained silent.


    Every patient seems to be able to see his whole life from the evolution of the disease.


    Birth, old age, sickness, and death.


    Three of these four processes are spent in the hospital.


    Lu Chen''s experience is very shallow.


    Compared with the uncle, it is a little insignificant.


    But at this moment, he could really feel the sadness in the uncle''s heart.


    In the midst of grief, there is a slight thirst for life.


    After half an hour.


    The uncle finally said: "Director Xiao Lu, I agree to do an imaging. In fact, even if you don''t say it, I understand."


    "Brackets and bridges, these are the two roads in front of me."


    Lu Chen smiled reluctantly.


    Uncle knows everything.


    He is so familiar with Director Zhao, or he has become a doctor after a long illness, so there is no need for Lu Chen to explain too much.


    "Okay, I will notify Dr. Jiao and let her arrange it as soon as possible." Lu Chen said.


    "Well, thank you."


    Uncle seemed a little tired. He slowly closed his eyes and lay on the hospital bed.


    Seeing this, Lu Chen slowly left the ward without saying a word.


    ¡­


    "He... agreed?"


    Jiao Jingqiu and Du Fu looked at Lu Chen in shock.


    "Professor Lu, what did you say? My father just agreed to do an imaging?"


    Lu Chen shook his head slightly, "Actually, I didn''t say anything, but after listening to a story told by the uncle, he slowly figured it out by himself."


    "Storytelling?" Du Fu was stunned, "What story has such a great effect?"


    "You may not know, it''s about Director Zhao." Lu Chen smiled and shook his head.


    The specific content, he is not very clear.


    Uncle Zhao is always inseparable from this Director Zhao.


    Perhaps the medical staff in the First Hospital of Modu know more about this old director of the Cardiology Department.


    Du Fu is a little unclear.


    But the good news is that the father was able to agree to a cardiac angiogram.


    means that there will be new progress in the next treatment.


    Magic Capital One Courtyard, did not waste too much time.


    on the second day.


    Jiao Jingqiu arranged coronary angiography for the uncle.


    As a result, as Lu Chen expected, the three blood vessels were severely damaged, and the stent was not suitable.


    After a joint consultation with experts from the Cardiology Department and Cardiac Surgery Department, it was finally decided to perform a heart bypass surgery within a deadline.


    Before the surgery, Lu Chen still took a look at Uncle Du from time to time.


    In his opinion, Uncle Du is not only his patient, but also a friend of his.


    Perhaps, the mantra "Director Zhao" in the uncle''s mouth will become "Director Xiao Lu" soon.


    ¡­


    Du Fu signed a cooperation plan with Lu Chen according to the previous agreement.


    Modu Huihe Medical Technology Co., Ltd., and the No. 5 Hospital of Magic Metropolis conducted the research and development project of the "Through Catheter Tricuspid Valve Intervention" system.


    The signing of the ?? cooperation letter was not smooth sailing.


    The entire company is not Du Fu alone.


    It is still extremely difficult for him to persuade other shareholders to carry out this inexact R&D plan.


    In the end, it was Uncle Du who came out in person, and the old people of the company had to give some thin noodles.


    Speaking of the last, the company decided to separate a research and development team to carry out the research and development of the "Through Catheter Tricuspid Valve Intervention" system with the Fifth Hospital of Magic Capital.


    Finally took the first step, Lu Chen was extremely happy.


    He immediately contacted the engineers of Huihe Medical Technology Co., Ltd. and started the design of related "drawings".


    After all, they are only a device company and only undertake part of the research and development responsibilities.


    The rest of the content is completely the task of the Fifth Academy of the Magic City.


    ¡­


    one week later.


    Uncle Du''s heart bypass surgery was carried out as scheduled.


    This large-scale thoracotomy was performed by a well-known domestic cardiac surgeon.


    The result of the surgery was naturally very smooth.


    After the operation, Uncle Du''s chest tightness was significantly relieved.


    Du Fu went to the Fifth Academy of Magic Capital for this purpose, and personally came to thank Lu Chen.


    "Mr. Du, just speed up the research and development process." Lu Chen said.


    Although there is no such system developed in China, the United States already has a corresponding "tricuspid valve intervention" system.


    In order to avoid too many dreams at night, we should develop it as soon as possible and be the NO1 of Huaxia!


    on the other hand.


    Lu Chen established his own journal called "Modern Cardiovascular Diseases".


    When the ?? journal was established, there was no title.


    is not included by any official.


    "Modern Cardiology" is divided into three main sections.


    are clinical research, basic research, and case reports!


    Lu Chen directly published Gu Xinyue''s last medical report in "Modern Cardiology".


    This is also the first journal to be included.


    "Director Lu, if you publish your paper in this academy''s journal, you will suffer a little, right?" Jin Miao came to Lu Chen''s office and whispered.


    If Gu Xinyue''s case report was published, it would be at least a SCI paper with three or four points!


    This will have great benefits for future promotions and promotions!


    and published in his own journal, for the time being, no one paid attention at all.


    Lu Chen smiled, "Take your time, our journals don''t seek quantity, only quality!"


    "In the beginning, if people in our own hospital would not publish papers on it, let alone others!"


    (end of this chapter)

 v3 Chapter 920： fat man problem

    Chapter 920 Fatty''s Dilemma


    Lu Chen has been very busy recently.


    The national nature project, the establishment of journals, and the new type of tricuspid valve surgery are all in hot development.


    The journal "Modern Cardiovascular Diseases" of the Fifth Hospital of the Magic Capital did not attract much attention after it was published.


    However, this case report written by Gu Xinyue has aroused many discussions among people in the cardiovascular industry.


    This rare case can greatly broaden the horizons.


    For some high-end industry insiders, there is an obvious reference.


    Just because it is a Chinese journal, it has not caused much trouble internationally.


    Lu Chen also wrote several small articles about some of his past thoughts and published them in the journal "Modern Cardiovascular Diseases".


    The content of these small articles is mostly a review of the field of cardiology.


    Overview of this kind of thing, the threshold is low, and the upper limit is extremely high.


    Ordinary review literature can only be irrigation.


    But top-level reviews can be published in top international journals.


    The several reviews written by Lu Chen are naturally excellent works of high quality.


    There are also other people from the Fifth Academy of Magic Capital who published papers in the journal "Modern Cardiovascular Diseases".


    Including Ke Yue, Fan Zhiping and Lu Chen as the editor-in-chief, all selected are of high quality.


    The road to self-created journals is extraordinarily long and arduous.


    All beginnings are hard.


    Lu Chen is full of hope.


    ¡­


    in the ward.


    Gu Xinyue was thinking hard at this time.


    A big fat patient just came, and the blood oxygen saturation always drops for no apparent reason.


    A series of diseases that may reduce blood oxygen saturation, such as heart failure, pulmonary embolism, etc., he has taken into account.


    However, after the final analysis, the diagnosis was all wrong.


    "Hey, do you want to find Lu Chen again?"


    Gu Xinyue didn''t really want to find Lu Chen in her heart.


    If every difficult case comes to Lu Chen, it may make him develop a dependent mindset.


    will have a bad influence on his future clinical diagnosis and treatment.


    But without asking Lu Chen, he has no clue for the time being.


    In desperation, Gu Xinyue could only find Jin Miao and Fan Zhiping.


    As the saying goes, three cobblers top one Zhuge Liang.


    The three of them stay together and can always collide with some sparks.


    However, the three discussed for a long time.


    Common diseases in cardiology have been discussed.


    The three of them still have no clue.


    This made Gu Xinyue sad.


    "Otherwise, why not ask Director Lu?" Jin Miao suggested.


    When he saw it, he asked if he didn''t understand, not to mention Lu Chen, who was willing to teach.


    This is definitely no problem.


    Fan Zhiping also nodded.


    Recognizing his own shortcomings and seeking help in time is one of his greatest strengths.


    Seeing that they both said so, Gu Xinyue could only compromise.


    He came to Lu Chen''s office and pulled him out.


    "Lu Chen, quickly help me see a patient."


    Gu Xinyue paused.


    He wanted to know, how would Lu Chen deal with this kind of situation?


    "Okay."


    Lu Chen just dealt with the documents at hand, nothing to do.


    Gu Xinyue brought Lu Chen in front of the patient.


    in the ward.


    Lu Chen saw this patient for the first time.


    ''s first impression on Lu Chen was that he was fat!


    The patient''s weight is at least 200 jins.


    With a bloated figure, lying on a hospital bed, it makes people feel a little inconsistent.


    The HP on his head is now 64 (--)!


    This HP value indicates that the patient must have a problem, but it has not yet reached the safe red line.


    Gu Xinyue said: "Director Lu, the patient''s medical history is very simple, that is, during this period of time, he felt fatigued and flustered, so he came to the hospital for an examination. Oxygen saturation is not stable, especially at night."


    "Low oxygen saturation?" Lu Chen frowned, "Is there something wrong with the lungs?"


    "No, we did a lung CT and even a CTA, and we didn''t find any problems."


    Gu Xinyue took out all of the patient''s examinations and laboratory tests.


    Lu Chen picked it up and checked them one by one.


    Except for the high blood lipids and uric acid, all the test indicators are normal and negative.


    "It''s really weird!"


    Lu Chen was quite curious.


    This kind of patient who doesn''t seem to have a big problem may not have a simple condition!


    "Let me see the patient first."


    In addition to a comprehensive physical examination of the patient.


    After a series of heart and lung auscultation, Lu Chen still did not find any meaningful signs.


    What the patient presents to the public is just an abnormality.


    That is too fat!


    Other than that, there seems to be no other disease.


    "Director Lu, you have to take a good look at me." The patient said to Lu Chen with bitter tears.


    He consulted many hospitals because of this problem.


    But it has not been resolved.


    "I heard that your Cardiology Department of the Fifth Hospital of the Magic City can solve many intractable diseases, so I ran over."


    The Fifth Academy of the Magic Capital already has some reputation in the Magic Capital.


    In particular, some intractable diseases were solved by Lu Chen.


    This time, Lu Chen''s pressure was even greater.


    Seemingly simple condition, but the diagnosis is not easy!


    Although Lu Chen had systematic help, it would be of no use if he didn''t expect a diagnosis from the sidelines.


    Just when Lu Chen was at a loss.


    In the ward, the patients in other beds raised a question that attracted Lu Chen''s attention.


    "Director Lu, he snores too loudly at night!"


    Actually, severe snoring is a disease!


    Especially if it sounds intermittent, don''t be embarrassed to say it.


    The snoring sounds like thunder and the danger is great!


    Lu Chen hurriedly said to Gu Xinyue who was beside him, "Have you done sleep apnea monitoring?"


    "No." Gu Xinyue shook her head.


    "Oops, how did we forget this?!"


    Lu Chen patted his head, and he first opened the patient''s previous blood oxygen saturation record.


    The blood oxygen saturation is lower than normal people, and when it is too much, it is at night!


    Under normal circumstances, most people do not snore when sleeping, or snoring for very little time.


    The main reason for snoring is that there is a narrowing of the upper airway, which then blocks the airflow and snores.


    is what we often say, sleep apnea syndrome.


    Now it is easy to understand why the patient''s blood oxygen saturation will drop at night!


    The airway is blocked, the oxygen is not enough, the blood oxygen must be low!


    "Congratulations, the completion of the system upgrade has increased!"


    The ?? system prompt also proved that Lu Chen''s conjecture was correct.


    When Lu Chen told Gu Xinyue and others about his thoughts, everyone suddenly realized.


    After arranging sleep apnea monitoring for patients, this is even more confirmed!


    The simple truth of ?? makes all the "experts" want to break their heads!


    Even Lu Chen almost thought about it.


    Many times, clinicians ignore simple diseases and think about rare and difficult diagnoses instead.


    This will lead to a dead end, deeper and deeper!


    (end of this chapter)

 v3 Chapter 921： A scientific research competition with Yao Jie!

    Chapter 921 The scientific research competition with Yao Jie!


    After the diagnosis is clear.


    The next step is to consider the reason why the patient''s upper airway is narrowed, causing snoring.


    Some patients have nasal congestion and poor nasal ventilation, mainly in patients with adenoid hypertrophy, rhinitis, sinusitis, and deviated nasal septum.


    Another part is oropharyngeal stenosis, which is mainly seen in patients with tonsil hypertrophy, tongue base hypertrophy, and soft palate depression.


    The more common ones are obese people, as well as middle-aged and elderly people.


    After they fell asleep, the muscles of the upper airway were excessively relaxed, and the base of the tongue was now suffixed and the upper airway collapsed.


    There are also some patients, which is the result of a combination of the above factors, such as obese people with tonsil hypertrophy.


    Analyzed the reasons, and after inviting the ENT consultation, Gu Xinyue started a series of diagnosis and treatment measures for the patient.


    The most important thing is to lose weight!


    Many obese patients can recover their blood pressure, blood sugar, blood lipids, and even massage after losing weight.


    Lu Chen looked at his increasingly fat body, and suddenly became a little alert.


    and the health on his head have already started to light up yellow.


    So, Xu Wei took Lu Chen to start losing weight.


    Every morning I get up to run, and I usually have time to climb mountains and swim.


    Let your body get exercise and relaxation after work on weekdays.


    ¡­


    Two months later.


    The tricuspid valve system jointly developed by Lu Chen and Du Fu was officially announced.


    At present, clinical experiments have been carried out in the simulated operating room.


    As the first domestic self-developed tricuspid valve intervention system, Lu Chen has great expectations for it.


    However, after a month of simulated surgery, Lu Chen discovered a lot of problems.


    Especially in the process of valve repair, some unpredictable errors may occur in this system!


    As a result, the entire system cannot pass the official certification of Huaxia.


    Because once it is used on patients, it is a matter of life and death, and there is no room for mistakes.


    in the office.


    Lu Chen and Du Fu had solemn expressions.


    This failure made the two realize a reality.


    It is not an easy thing to be a leader of comprehension.


    "Professor Lu, our company will proofread the data from time to time." Du Fu said, "However, you are still responsible for the data feedback during the operation."


    "Okay, no problem." Lu Chen nodded, "Mr. Du, is there a lot of pressure on your company?"


    "How do you say it." Du Fu shook his head, "Actually, the pressure is a little big, because from the beginning, many people were against the development of this tricuspid valve system, and this failure gave them another chance to talk about it. ."


    "Sorry for making it difficult for you." Lu Chen said.


    "You don''t need to say that." Du Fu said, "If this is successful, we will be win-win, and there must be risks. After my father was discharged from the hospital, he came to the company on purpose and greatly appreciated your idea!"


    "Although everyone does not support the development of this tricuspid valve, but for my father''s sake, everyone can only reluctantly accept it."


    It was an understatement, but Lu Chen could feel the hardships involved.


    For such a large company, it is impossible to completely follow the opinions of a few people.


    "Mr. Du, I will also speed up the pace of research and development." Lu Chen said, "Don''t make it difficult for you."


    "Professor Lu, you still focus on projects." Du Fu said, "My father and I will handle the affairs of the company."


    When Lu Chen saw this, he didn''t say anything more.


    Only by improving the assessment of the tricuspid valve system as soon as possible can we relieve their stress.


    ¡­


    on the other hand.


    Lu Chen''s national and natural subject of TAVI is in progress step by step.


    The patient database has been constructed.


    All experimental data can be extracted from it.


    The rest is to compare and analyze all the TAVI operations in the past.


    Lu Chen''s experimental project is the TAVI project with the largest number of participants in the Huaxia region.


    far surpasses other hospitals.


    Even on a global scale, this is the top clinical trial.


    There is a lot of data, which means that the workload of statistical analysis of data is extremely heavy.


    Now shows the importance of the team.


    Ke Yue, Xu Shan and others did their best to help Lu Chen with statistical analysis and proofreading of the data.


    For a while, all the cardiology researchers in the Fifth Academy of Magic Capital moved.


    ¡­


    the other side.


    The First Affiliated Hospital of Kyoto University.


    Since Yao Jie came back from Mayo, she immediately became the pillar of Qin Sifeng''s team.


    All kinds of top clinical and basic scientific research have appeared.


    In some areas, she even overshadowed Yu Weiguang''s light.


    Yao Jie published several high-scoring SCI papers in just three months after returning to China.


    One of them has also attracted the attention of many people internationally.


    Publishing the paper did not attract Lu Chen''s attention.


    However, Yao Jie''s following actions made Lu Chen a little worried.


    That is, the Kyoto team headed by Yao Jie is ready to enter the field of "transcatheter tricuspid valve repair".


    And like the Fifth Academy of Magic Capital, we are ready to develop China''s first independent "tricuspid valve repair system"!


    At this moment, the people from the Fifth Academy of Magic Capital and the equipment company felt heavy pressure!


    Before ??, the pressure only came from the internal board of the company.


    But now, the pressure also comes from external scientific research competitions!


    Modu and Kyoto both want to complete the first "transcatheter tricuspid valve repair" operation in China.


    Scientific research is also extremely cruel.


    Everyone only remembers the first one!


    No matter how good the latecomers are, they can only be reduced to a foil.


    What made everyone even more disturbed was that Yao Jie, through her own connections, contacted Mayo''s cardiologists and asked them to come to Kyoto to teach the "tricuspid valve repair" system.


    The world''s only "tricuspid valve repair system" is in Mayo!


    With the help of Mayo, the research and development of Kyoto is definitely going a long way!


    in the office.


    Du Fu said anxiously to Lu Chen: "Director Lu, I remember you also stayed at Mayo, why don''t you invite some professors over?"


    The Mayo cardiologist that Lu Chen knows will only be more than Yao Jie, and it is impossible to have less!


    However, Lu Chen shook his head.


    It''s not that he didn''t invite it, but Mayo''s "tricuspid valve repair system", which is only a semi-finished product and is currently in the clinical trial stage.


    Moreover, Lu Chen already knew Mayo''s system very well.


    Looking for someone else to come over is just superfluous.


    What Lu Chen wants to do is not a semi-finished "patch system" like Mayo''s.


    But to do a "tricuspid valve repair system" that can really be applied to patients!


    As time goes by.


    The scientific research and development competition between Kyoto and the Magic City is at a white-hot stage.


    With the help of Mayo experts, Kyoto''s research and development progress is exceptionally fast.


    On the Demon Capital side, under the leadership of Lu Chen, the entire experiment was carried out unhurriedly.


    (end of this chapter)

 v3 Chapter 922： Improved system

    Chapter 922 The Improved System


    The attention of the Chinese medical community is focused on the Kyoto No. 1 Hospital and the Magic Capital No. 5 Hospital, these two hospitals.


    Who can represent Huaxia''s minimally invasive field of tricuspid valve repair, it is really interesting to see.


    The First Affiliated Hospital of Kyoto University.


    Simulated operating room.


    Yao Jie is conducting a drill of the tricuspid valve repair system under the leadership of the Mayo expert.


    Conventional tricuspid valve repair is performed, of course, by opening the chest. The effect is good and recurrence is not easy.


    This is similar to the principle type of other valves.


    However, for some patients who are older and have more underlying diseases, they cannot tolerate thoracotomy, so they can only do the next best thing. Tricuspid valve repair surgery, the effect is comparable to that of thoracotomy.


    "Professor Kebed, after the test just now, what are the problems with our tricuspid valve system?"


    Yao Jie said respectfully to Professor Mayo in front of him.


    "There are not many problems, but there are still some deficiencies in catheter operation and valve annulus treatment." Kebed smiled and looked at Yao Jie, "It is estimated that in less than three months, your tricuspid valve repair system in Kyoto will be completed. , it can be truly applied in clinical practice.¡±


    "It''s still three months?" Yao Jie was stunned.


    Is it a bit too long?


    Now, every second counts for her.


    Before ??, she was not interested in this kind of scientific research competition.


    But since she found out that her competitor is Senior Brother Lu Chen, she has been excited!


    If she can become the number one surgery team in China, then this is her best chance to defeat Senior Brother Lu Chen!


    "This is very fast for you Kyoto." Kebed said.


    Tricuspid valve repair system, from scratch, only half a year in Kyoto.


    However, Yao Jie still felt that the time was too long.


    The scientific research competition between ?? and Brother Lu Chen is already in the white-hot stage.


    After another three months, it is very likely that the throne of China''s No. 1 will be handed over.


    "Professor, can the progress be made a little earlier?" Yao Jie said, "We can fully cooperate with you and have any needs. You can bring it up."


    Kebed shook his head with a smile, "I''m going back to Mayo next week, Mayo has a lot of things waiting for me to deal with. So I can''t control the progress of your research and development."


    There is only so much he can do.


    If you don¡¯t think the kebabs in Kyoto are delicious, Kebed may not take the initiative to apply to come here.


    "Hey." Yao Jie sighed slightly.


    With such a great help, I will be leaving soon.


    Their progress is fast, but with the help of Kebed.


    Professor Mayo just left, and the situation of scientific research competition has become more complicated and confusing.


    ¡­


    "Professor Kebed, are you in Kyoto now?"


    Lu Chen was stunned when he received a call from Kebed.


    "Could it be that you are leading the research and development of the tricuspid valve repair system in their hospital?"


    Kebed smiled and said: "Yes. I was invited by Kyoto this time, and I was sent by Mayo. But I have to say that the tricuspid valve repair system is in the experimental stage of our Mayo. It¡¯s still quite difficult to make a breakthrough in the beginning.¡±


    Lu Chen was silent for a while, then slowly said: "Professor Kebed, did you know that my R&D team is also working on this tricuspid valve repair system?"


    Kebed was shocked when he heard this.


    He had heard from Yao Jie that Kyoto was in a scientific research competition with other hospitals.


    But I never thought that it was Lu Chen from the magic capital!


    Suddenly, Kebed laughed out loud.


    "That girl in Kyoto really hit the stone with an egg!"


    He knew how powerful Lu Chen was.


    What he knew about the tricuspid valve repair system, Lu Chen knew, and even knew more!


    Kyoto wants to surpass the magic capital, I am afraid it is just nonsense?


    "Lu, I thought I could help Kyoto win this scientific research competition, but I didn''t expect you to be in the magic capital."


    Kebed exclaimed over the phone.


    Lu Chen smiled, "Professor Kebed, if you have time, you can come to our Demon City to see and guide our work."


    was a polite sentence, but Kebed took it seriously.


    He immediately said: "No problem! I have long wanted to see the hospital where you work. Well, I will fly over from Kyoto the day after tomorrow!"


    Lu Chen was taken aback.


    This Kebed is really like the wind and the rain.


    He had to wonder, Kebed came to him to have a skewer together!


    The occurrence of this episode made Kebed leave Kyoto ahead of schedule.


    This made Yao Jie''s R&D team even more in dire straits.


    They thought that Professor Kebed was going back to China temporarily, but they didn''t expect that Kebed went directly to the Fifth Academy of Magic Capital.


    This time, with Kebed coming, the Fifth Academy of the Magic Capital had to keep a low profile.


    After all, it was a sneaky visit, and it might not be good for people in Kyoto to know about it.


    ¡­


    At the airport, Lu Chen picked up Kebed.


    The two gave each other a big hug.


    "Lu, it''s been so long, you''ve gained a lot of weight again."


    Lu Chen sighed, this figure was the result of his training.


    "Professor Kebed, there is an old saying in China, happy people may gain weight."


    Kebed grinned, "Looks like you''re doing well in Modu? Better than Mayo?"


    Lu Chen didn''t hesitate, "Of course."


    "Then I really want to see where you work." Kebed smiled.


    The two then came to the Fifth Hospital of the Magic City and ran directly to the simulated operating room.


    In a simulated operating room.


    Jin Miao and Gu Xinyue are nervously debugging the parameters of the "Tricuspid Valve Repair System".


    The arrival of ??Kebed made everyone stop what they were doing.


    Many people see Kebed for the first time.


    Lu Chen smiled and introduced to the crowd: "This is Kebed, the attending doctor from the Mayo Cardiology Department, and an old acquaintance of mine at the Mayo Clinic."


    Everyone was amazed when they heard this.


    Mayo''s cardiologist? !


    This is a top cardiologist.


    Although Lu Chen also came out of Mayo, everyone was used to staying with him and didn''t feel anything.


    Today, when Kebed came, everyone came back to their senses. Professor Lu Chen was already standing on the world stage.


    If he hadn''t returned to China and continued to work at Mayo, perhaps he would already be a world-renowned cardiologist.


    "Hello everyone, my name is Kebed, I''m from Mayo, and I''m a friend of Professor Lu Chen." Kebed smiled and said to everyone, "By the way, I like to eat instant noodles and skewers, and there is a chance for everyone to have a dinner together."


    This peculiar self-introduction made everyone want to laugh, but not dare to laugh.


    Lu Chen coughed lightly and quickly changed the subject.


    "Professor Kebed, come and see the tricuspid valve repair system in our Fifth Hospital of the Magic City?"


    "Okay! I''m looking forward to it."


    The two walked into the simulated operating room.


    Jin Miao and Gu Xinyue stood aside immediately.


    Kebed was stunned when he first saw the "Tricuspid Valve Repair System".


    This is different from their Mayo and Kyoto''s tricuspid valve repair system!


    Kebed hurriedly operated.


    for a long time.


    He raised his head and slowly looked at Lu Chen, "This is... improved?"


    (end of this chapter)

 v3 Chapter 923： Yao Jies Hope

    Chapter 923 Yao Jie''s Hope


    Kebed was so shocked.


    It is entirely because of the "Tricuspid Valve Repair System" of the Fifth Hospital of the Magic City, which is different from Mayo!


    You must know that there is only Mayo, a relatively complete, but not very mature "tricuspid valve repair system" in the world today.


    Relatively speaking, Mayo''s system is the general of the dwarf.


    Hospitals in other countries and regions, their "tricuspid valve repair systems" are all done in accordance with Mayo''s model.


    Huaxia Kyoto, under the guidance of Kebed, followed the model of Mayo''s "Tricuspid Valve Repair System" and carried out corresponding research and development.


    Kebed thought that the most complete "tricuspid valve repair system" was only available in Mayo in the world.


    However, after seeing the "Tricuspid Valve Repair System" of the Fifth Academy of the Magic Capital today, his worldview was shattered.


    Mayo, who has always been proud, was actually compared.


    The "Tricuspid Valve Repair System" of the Fifth Hospital of the Magic City is even better than Mayo!


    Lu Chen smiled and nodded slowly: "Yes, this is a combination of some of my ideas. After many improvements, the current repair system has been formed."


    Kebed put down the tricuspid valve operating system in his hand, and sighed: "Kyoto still wants to compete with you? It''s really over your own power!"


    This level of "tricuspid valve repair system" has surpassed Mayo, let alone Kyoto, which is behind Mayo.


    Lu Chen pursed his lips and smiled, "Professor Kebed, look at my R&D system, what can be improved?"


    Kebed spread his hands and smiled helplessly: "I don''t have the ability to help you find faults. By the way, you have told me all these confidential things now, so you are not afraid that I will reveal them in the future?"


    In a sense, both Magic City and Mayo are in a competitive relationship.


    "Haha." Lu Chen smiled, "Professor Kebed, my system was originally improved on the basis of Mayo. Not to mention..."


    Having said this, Lu Chen paused, "What''s more, this is not my last complete mode!"


    "Isn''t it the final perfection yet?!"


    Kebed opened his mouth wide and looked a little surprised.


    As for the current "tricuspid valve repair system", after the modification, I didn''t expect that it could be improved again!


    "Of course it''s not perfect!"


    Lu Chen said solemnly.


    After these days of research and development, he has made the final improvement of the "Tricuspid Valve Repair System".


    However, the improved "tricuspid valve repair system" has not been tested for clinical simulation surgery.


    "Lu. Actually, I...I want to stay and see the final improved system." Kebed suddenly turned his head and said to Lu Chen, "When will you simulate the next surgery?"


    Lu Chen thought about it and looked at Jin Miao beside him.


    Jin Miao quickly said: "Professor Kebed, we expect it to be next Friday."


    "Next Friday?" Kebed frowned.


    There is still a week until next Friday.


    However, his vacation abroad is almost over.


    Kebed thought for a while, then insisted: "If that''s the case. I''m going to ask Director Shen Wenbo for leave! When I see the new tricuspid valve repair system, I''ll talk about other things."


    said to do it, Kebed immediately called Professor Shen Wenbo of Mayo.


    Professor Shen Wenbo heard that it was a "tricuspid valve repair system", and he was with Lu Chen. Without thinking about it, he agreed to Kebed''s leave.


    ¡­


    There is still a week left until the final surgery simulation exercise next week.


    Kebed took advantage of this time to eat and drink everywhere in the Fifth Academy of the Magic City.


    In particular, his long-favorite skewers and instant noodles.


    This makes Lu Chen so worried!


    Kebed eats kebabs every day.


    I have never eaten it before, but I have eaten it many times now.


    Kebed is still so obsessed? !


    Suddenly, a light flashed in Lu Chen''s mind, and an extremely bold idea appeared.


    ¡­


    Kyoto First Hospital.


    right after Kebed left.


    Yao Jie got news from a classmate in the magic capital.


    Kebed did not return to China, but came to the Fifth Academy of the Magic City!


    This shocked Yao Jie, but he was also a little disappointed.


    She knew about the relationship between Professor Kebed and Brother Lu Chen.


    The Fifth Hospital of the Magic Capital, that is the hospital where Senior Brother Lu Chen lives.


    Could it be that the first collision with Lu Chen ended in failure?


    Yao Jie pursed the corners of her mouth lightly, looking very unwilling.


    Suddenly, she thought of the Professor Mayo that she followed when she was in Mayo.


    At that time, his level was even higher than Kebed!


    Kebed is currently only an associate professor, and the teacher she follows now has the title of professor Shizheng.


    However, it is just her personal relationship, it is impossible to invite him here.


    It is also necessary to use the energy of Jingjing Hospital or Qin Sifeng to invite him over!


    thought of this.


    Yao Jie stood up from the laboratory and went to find her mentor Qin Sifeng.


    The current "Tricuspid Valve Repair System" project is actually under the name of Qin Sifeng.


    After all, Yao Jie is just a rookie who has just returned to China, and it is hard to convince others to do this kind of project in her name.


    "Tricuspid Valve Repair System" is under the name of Qin Sifeng and is the best choice.


    Qin Shifeng pondered for a long time after hearing Yao Jie''s request.


    Invite foreign professors to lead the research and development of the "tricuspid valve repair system"?


    He didn''t think about it, but is this kind of behavior really necessary?


    Is it true that after the arrival of people, Kyoto''s "tricuspid valve repair system" can enter the clinical trial stage immediately?


    "Yao Jie, tell me the truth, how much is missing from our tricuspid valve repair system?"


    Yao Jie slowly raised her head, "Professor Kebed told us about the previous deployment, and the rest is the deviation that may occur when simulating surgery."


    "It''s just one step away?" Qin Sifeng asked in surprise.


    Yao Jie nodded, "Yes, it''s just that."


    "Well!"


    Qin Sifeng said immediately, "I''ll contact another professor of Mayo, don''t stop your experiments!"


    "receive!"


    Yao Jie smiled.


    Things have finally turned around!


    On the other side, Qin Sifeng quickly contacted Mayo.


    Through the relationship of the First Affiliated Hospital of Kyoto University, Professor Amor was successfully invited to come.


    If Lu Chen was here, he would definitely recognize him.


    Amo soon came to Kyoto First Hospital.


    After a short rest, he was immediately assigned to the simulated operating room.


    Amor''s experience is definitely richer than Kebed''s.


    The "tricuspid valve repair system" he came into contact with was more mature than Kebed.


    ¡­


    as predicted.


    Amor only came for two days and brought hope to the Kyoto First Hospital.


    The research and development progress of the entire "Tricuspid Valve Repair System" of the Kyoto First Hospital is rapidly improving!


    Yao Jie is looking forward to¡­


    When she won the first throne in the field of "tricuspid valve repair" in China.


    The first time she met Brother Lu Chen, she could win!


    (end of this chapter)

 v3 Chapter 924： valve regurgitation

    Chapter 924 Valve Regurgitation


    kebed spent a week in the Fifth Academy of the Magic City.


    A week later.


    The final evaluation of the tricuspid valve repair system came as scheduled.


    This time the operation was silent and very low-key.


    Only a few people in the Cardiology Department of the Fifth Hospital of the Magic City knew about the arrangement of this operation.


    Lu Chen, Kebed, Gu Xinyue and Jin Miao all came to the Cardiology Interventional Catheterization Room.


    The tricuspid valve repair system after many improvements has been shown in the eyes of everyone.


    This valve repair device is small in size, but its internal structure is extremely precise.


    As long as the No. 5 Hospital of the Magic Capital passes the test of this evaluation operation, it means the birth of the first "tricuspid valve repair system" in China!


    ¡­


    Catheter room.


    Except Lu Chen, everyone had a solemn expression.


    For him, failure is just another time.


    There are countless ideas in his mind, this time he failed, and the next time.


    But for others, this time is missed, and the next time will not know when.


    The most important thing is, can I hug Lu Chen''s thigh, that''s all.


    "The surgery begins!"


    Following Lu Chen''s order, Jin Miao and Gu Xinyue took the catheter of the "Tricuspid Valve Repair System" and began to puncture the blood vessel and enter the patient''s body.


    The device for tricuspid valve repair mainly includes a main body and a plurality of coupling elements.


    The main body is a substantially annular D shape with an eccentric opening.


    The mitral valve facing the left atrium during systole covers substantially the entire part of its posterior leaflet, thereby preventing and reducing tricuspid regurgitation, which is also the key point of the entire tricuspid valve repair device!


    Jin Miao successfully delivered the tricuspid valve repair system to the heart valve.


    To avoid the supra-tricuspid device attaching to the annulus, causing the chordae tendineae to bear the load.


    Lu Chen attached the supra-tricuspid device to the functional leaflets, and by attaching to the valve leaflets, engaged the many chordae tendineae that were not torn to support the flail segment.


    In addition, there is another difficulty in the operation!


    The human heart is always beating.


    Traditional devices, during the beating of the heart, may repeatedly touch between the device above the tricuspid valve and the posterior leaflet, causing cumulative damage to the valve leaflet tissue.


    Lu Chen modified the traditional method to keep the tricuspid valve device attached to the posterior leaflet.


    Let them move together without collision events.


    "Lu, your idea is so cool!" Kebed looked at the device in admiration.


    Lu Chen smiled and explained while directing the operation: "The supra-tricuspid valve device is made of flexible material, which slowly hardens after the device is implanted, which advantageously enables the supra-tricuspid valve device to adopt the anatomy of the leaflet tissue. shape, keeping the functional chordae tendineae at their natural length, thus maintaining an even load distribution between them, while absorbing the systolic thrust of left ventricular pressure."


    "Awesome! It''s amazing!" Kebed gave a thumbs up.


    The whole operation has been done so far, and I have not encountered any problems for the time being.


    Puncture, catheter guide wire entry, and repair system delivery were all very smooth.


    But Lu Chen''s thinking was always tense, and he didn''t dare to relax in the slightest.


    Because the real stumbling block is still behind, the biggest problem in valve repair is the amount of valve regurgitation!


    How to judge regurgitation?


    After the operation is completed, you need to listen to the cardiac ultrasound instrument to measure the size of the regurgitation, as well as the valve area and the perioral velocity.


    Once the blood flow is too large, the whole operation will be a complete failure.


    "Lu, I would like to know how you can reduce the valve regurgitation problem after the repair?" Kebed wondered.


    This conundrum is also plaguing Mayo''s internal patching system.


    Lu Chen picked up the icon of the tricuspid valve repair system and explained: "Look at the part where this extension adjoins the posterior part. When the device was implanted, I made it overlap the posterior part of the anterior leaflet. Through this special The overlapping area can effectively reduce tricuspid regurgitation."


    "Ah? You can still do this!"


    Kebed was stunned, and began to think about how the entire valve device works.


    The valve repair system he saw today was the first of its kind in the world!


    ¡­


    However, this is just a simulated operation after all.


    Twenty minutes later.


    With the assistance of Gu Xinyue, Jin Miao completed the entire tricuspid valve repair operation.


    At this time, he didn''t dare to let out the air, and his eyes were fixed on the valve image on the screen.


    The operation was successfully completed, but it does not mean the success of the operation.


    "Bring me the ultrasound machine!"


    The nurse on the counter quickly brought the cardiac ultrasound machine over.


    Lu Chen took the probe and started the ultrasound examination.


    "Valve position is good!"


    "Valve area is good!"


    "Valve flow is good!"


    The last and most important indicator is the degree of valve regurgitation.


    Everyone was staring at Lu Chen, wanting to know the final result as soon as possible.


    At this time, Lu Chen was also attentive, holding the ultrasound probe in his hand to check the size of valve regurgitation on the ultrasound screen.


    Finally, he saw the final image.


    Gently put down the ultrasound machine, Lu Chen slowly raised his head and smiled at the crowd: "Valveal regurgitation is very rare!"


    The voice of ?? just fell.


    In the entire catheterization room, everyone breathed a sigh of relief, and turned to show joy.


    Jin Miao and Gu Xinyue raised their brows with joy, their hands trembling slightly with excitement.


    The entire simulated surgical operation was completed by the two of them.


    "We... succeeded!" Gu Xinyue said excitedly.


    Jin Miao nodded suddenly and said in agreement, "Yes, it was successful, I did it!"


    "I... became an assistant!" Gu Xinyue smiled.


    Lu Chen stood aside and poured cold water on the two of them at the right time.


    "This is a simulated surgery. When it is really successful for clinical patients, be happy."


    "Hehe." Jin Miao heard the words and restrained her smile, but she still looked overjoyed.


    At this time, Professor Kebed was surrounding the tricuspid valve repair system, constantly observing.


    "Lu, can you lend us this Mayo?" Kebed suddenly raised his head and said, "We''ll pay for it!"


    Lu Chen smiled and shook his head, "I''m afraid not. This system is a collaboration between our Fifth Academy of the Magic Capital and a company in the Magic Capital. The purpose is to develop China''s first tricuspid valve repair system, and it must not be sold."


    "What a pity." Kebed shook his head.


    Lu Chen said with a smile, "Professor Kebed, Mayo''s current patching system is okay. With a little modification, it will definitely be better."


    Kebed spread his hands, "I didn''t see your surgery today, so I thought so, but now, I don''t think so."


    He turned his attention to this new "tricuspid valve repair" device.


    Unfortunately, he can only see the operation process, but not the internal structure of the device.


    He couldn''t modify Mayo''s device either.


    The Fifth Academy of the Magic Capital is thriving here.


    And there was also a major breakthrough in the Kyoto First Hospital.


    (end of this chapter)

 v3 Chapter 925： Minions in Cardiology

    Chapter 925 Minions in Cardiology


    Kyoto First Hospital.


    Under the leadership of Amor, the research on the "tricuspid valve repair system" is developing rapidly.


    Therefore, the simulated surgery at Kyoto First Hospital was a success very quickly.


    But there are many problems exposed, the most obvious being valve regurgitation.


    This issue cannot be resolved for the time being.


    "However, after our simulated surgery is successful, the research and development progress should surpass that of the Fifth Academy of Magic Capital, right?" Yao Jie murmured in her heart.


    Modu Fifth Hospital has not released any news about "tricuspid valve repair" for the time being.


    The Kyoto First Hospital is relatively more high-profile!


    When the simulated surgery was successful, they were promoted in major media across the country.


    However, the current successful simulation is surgery, which has not been applied to clinical patients.


    The Fifth Hospital of the Magic City and the First Hospital of Kyoto, whoever can perform the first operation in the clinic can create the first in China!


    However, Kyoto has overlooked one thing.


    Kyoto is also a foreign country for Mayo''s Amor.


    Non-my family, its heart must be different!


    Mayo, they can''t share all the technology completely!


    Simulated surgery can be done, but once it involves real clinical patients, there are many variables!


    ¡­


    The Fifth Academy of the Magic Capital.


    Director''s Office of Cardiology Department.


    "Simulated surgery, clinical surgery requires the right patient and timing." Lu Chen looked at Jin Miao with an eager face, "This kind of thing can''t be rushed."


    "But, I think the progress of the Kyoto First Hospital seems to be very fast." Jin Miao whispered, "I''m afraid..."


    "Afraid of losing?" Lu Chen smiled.


    "Hmmmm." Jin Miao nodded, "We spent so much energy, I''m afraid it''s all wasted."


    Lu Chen smiled, "How can it be wasted?"


    ¡°We developed this system to treat patients.¡±


    "Failure in the scientific research competition with the Kyoto First Hospital is nothing more than losing the title of the first operation in China, but the system we developed can still be used on patients."


    Jin Miao nodded reluctantly: "That''s what I said, but it still doesn''t work."


    Everyone wants to get the first place!


    Second, who knows?


    "Don''t worry, I have arranged people from various departments to help with publicity." Lu Chen said, "As long as there are patients who are interested in surgery, we can arrange them as soon as possible."


    "Yeah, I know Director." Jin Miao nodded, preparing to leave and return to the ward.


    At this moment, Gu Xinyue knocked on the door and came in.


    He stood at the door with a stack of documents in his hand.


    "You also came to ask about the surgery?" Lu Chen asked with a smile.


    Jin Miao also blinked, staring at Gu Xinyue curiously.


    Unexpectedly, Gu Xinyue shook her head.


    "No, Jin Miao is in charge of the operation. I came here today because there is a very strange patient."


    Gu Xinyue said, and handed Lu Chen a medical record.


    Jin Miao shrugged helplessly after hearing this, "What kind of patient? Is it more important than surgery?"


    "A Minion." Gu Xinyue glanced at Jin Miao, then looked at Lu Chen, "Director, you are our last hope, you must give some advice!"


    "Minions?" Lu Chen picked up the medical records.


    Hearing Gu Xinyue say this, he suddenly became interested.


    Minions are actually yellowish skin and sclera.


    Usually patients from the Department of Gastroenterology or Infection, why did they suddenly come to the Department of Cardiology?


    With this doubt, Lu Chen turned over the medical records.


    ¡­


    Patient, male, 63 years old.


    Four years ago, I started to suffer from chest tightness when I was agitated. There was no chest pain, radiating pain, and sweating. Each time it lasted about 2-3 seconds to relieve itself.


    The patient was admitted to another hospital and underwent coronary angiography.


    Coronary angiography report showed that there was no significant stenosis in the left main trunk, 30% stenosis in the proximal and middle segments of the left anterior descending artery, myocardial bridge in the middle segment, 50% stenosis in the opening of the first diagonal branch, and about 30% stenosis in the opening of the middle branch.


    "What medicine is the patient taking now?" Lu Chen asked, "What is the purpose of his visit to our hospital this time?"


    Gu Xinyue thought about it and said, "The patient takes aspirin and rosuvastatin orally on weekdays."


    "Started 1 month ago, the above symptoms recurred, which lasted 2-7 minutes and resolved spontaneously. The rest of the onset characteristics were the same as before. The patient came to our hospital for review of coronary angiography and further treatment."


    Lu Chen nodded, "Is he here to review coronary angiography?"


    "Well." Gu Xinyue said, "The problem now is that the patient''s skin is too yellow, and it needs to be evaluated whether an imaging can be done?"


    Hearing Gu Xinyue''s words, Lu Chen continued to look down.


    The patient''s past history, with a history of hypertension for 4 years, with a blood pressure of up to 160/100mmHg.


    Oral administration of irbesartan and hydrochlorothiazide tablets on weekdays, blood pressure controlled at 130-140/80-90mmHg.


    The most important thing is that the physical examination is "yellow"!


    Xiao Huangren, Lu Chen wanted to see how far his Huang was in the Fifth Academy of the Magic Capital.


    Patient''s admission examination: blood pressure 147/101mmHg. Yellowing of skin and mucous membranes, yellowing of sclera. The jugular vein was not distended. Cardiopulmonary abdominal examination was negative.


    "Director, here is another picture. I took a picture of the patient''s arm and cheek." Gu Xinyue took out her phone and opened the photo album.


    Lu Chen nodded and looked over.


    The patient''s skin has a strong contrast with the snow-white flawless skin.


    worthy of being the "Minions"!


    "Is there any family history?" Lu Chen continued.


    Gu Xinyue nodded immediately, "Really!"


    Patients discovered yellowing of the skin, mucous membranes and sclera when they were teenagers.


    The patient has 5 younger brothers and 1 younger sister. Except for the 1 younger brother, the others have yellow staining of skin, mucous membranes and sclera.


    And it was found that the age of Huang Ran was similar to that of the patient. Because he did not have any symptoms on weekdays, he did not seek medical treatment for many years.


    "This patient did not seek medical attention until 4 years ago after coronary angiography in a foreign hospital."


    Gu Xinyue went on to explain: "The patient reported that he had visited the gastroenterology department of two hospitals successively and had done many examinations."


    "However, the patient only remembered that the bilirubin was high in the test, and the other specific conditions were not remembered, and the examination report could not be found. In short, the diagnosis was not clear."


    Lu Chen nodded and began to analyze all the patient''s medical history.


    "Is the patient married to a close relative?" Lu Chen asked, "Is there any special contact history?"


    Gu Xinyue shook his head, "The patient''s parents are not consanguineous."


    The patient himself and his younger brother and younger sister have no history of special drug use or exposure to special substances.


    "The eating habits are the same as those of the people in the same village, and there is nothing special. No one in the same village was found to have yellow skin, mucous membranes and sclera."


    The patient''s medical history is many, even messy.


    requires doctors to extract the most useful information in a short time.


    Lu Chen¡¯s first consideration should be a family hereditary disease.


    Although his parents did not have jaundice, it is entirely possible if recessive inheritance.


    Of course, the cause of the first gene mutation of oneself also needs to be considered.


    But with so many people in the immediate family getting sick, this possibility can be ruled out.


    Can this patient undergo coronary intervention?


    This is what Lu Chen thought about next.


    (end of this chapter)

 v3 Chapter 926： Rare disease constitution?

    Chapter 926 Rare disease constitution?


    "Didn''t he have an angiogram four years ago, and he didn''t have any problems, what is he afraid to do?"


    Jin Miao stood aside and asked.


    However, Gu Xinyue shook her head slightly: "I think it''s actually similar to ''heparin-induced thrombocytopenia''. After all, no matter how low-probability an event is, there are two cases for patients, non-occurrence (0%) and occurrence (100%) )."


    Doctors can make mistakes, but for patients, they cannot afford the serious consequences of any mistakes.


    Lu Chen smiled and nodded: "It should be beneficial and harmless to think more about it. For example, is it okay to use heparin and contrast media again during the operation? Will it interact with the patient''s unknown disease? Continue to take coronary heart disease-related drugs aspirin and statins for a long time. Will it aggravate the abnormality of liver function?"


    Lu Chen appreciates Gu Xinyue''s ideas.


    In clinical practice, considering one more situation can always prevent some unknown events in advance.


    Gu Xinyue continued: "So I''ve been thinking these days, can the patient have an angiography? What are the complications of the angiography? These issues need to be communicated with the patient''s family."


    Jin Miao also felt quite reasonable after hearing this.


    "How is the patient''s liver function?" Lu Chen asked.


    Gu Xinyue quickly handed over an auxiliary examination.


    Lu Chen picked it up and took a look.


    Auxiliary examination results reported, liver function: total bilirubin 224.8 ¦Ìmol/L, direct bilirubin 13.25 ¦Ìmol/L, indirect bilirubin 211.55 ¦Ìmol/L.


    In addition, alanine aminotransferase, aspartate aminotransferase, total protein, albumin, globulin, etc. were all normal.


    Myoglobin, coagulation series, infectious disease series and other routine and biochemical tests were normal; abdominal color Doppler ultrasound was normal.


    "Please ask a gastroenterology consultation first." Lu Chen said.


    Industry specializing in surgery.


    Lu Chen does not know about every disease.


    In some meticulous specialty areas, it is definitely still the best at specialists.


    Gu Xinyue said helplessly: "The patient said that he had seen a doctor before, and he had seen the gastroenterology department twice. He didn''t want to see it again, and hoped that coronary intervention could be arranged as soon as possible."


    Lu Chen was taken aback, "This..."


    This patient is really anxious.


    Actually, according to the patient''s condition, coronary intervention is not so urgent.


    Thinking of this, Lu Chen recalled that he seemed to have seen jaundice caused by genetic factors in a document many years ago.


    The general content of ?? seems to be relatively close, but the name of the diagnosis is in English.


    I can''t remember anything now.


    "Forget it, I''d better communicate with the patient first." Lu Chen said, "Let him wait for the cardiac interventional surgery and clarify the digestive diseases first."


    "it is good."


    Gu Xinyue smiled, Lu Chen would do it.


    As long as Director Lu communicates with the patient, it will be easy to handle.


    followed.


    Lu Chen followed Gu Xinyue to the ward.


    After some communication with the patient, the patient finally agreed to postpone the intervention.


    "Director Lu, I have been sick for many years, are you sure you can find the cause?" the patient asked in confusion.


    Lu Chen smiled, "I don''t know now, I can go back and check the information. In short, it seems that your disease should have no effect on body functions, but we still have to be careful."


    "Director Lu, you are really sincere, you said to go back and check the information..." The patient also laughed.


    The average doctor will always try his best to show his knowledge.


    But Director Lu in front of him is really sincere, do you really want to go back and check the information? !


    "My major is Cardiology. Speaking of Cardiology diseases, I can tell you a thing or two." Lu Chen said, "But when it comes to diseases other than Cardiology, I don''t have much confidence, so I have to be cautious. it is good."


    "Well, I''ll wait for the good news from Director Lu."


    ¡­


    After returning to the office.


    Lu Chen immediately started looking for relevant information.


    searched for most of the day.


    He finally found the diagnosis name of the disease, and by the way, he looked at other possible diseases.


    "Gilbert Syndrome?!"


    When Lu Chen thought of the diagnosis name, a prompt popped up on the system panel.


    "Congratulations, the completion of the system upgrade has increased!"


    Lu Chen was stunned for a while, this is really the diagnosis!


    Gilbert syndrome is a congenital non-hemolytic disease mainly due to bilirubin binding disorder, which leads to elevated indirect bilirubin levels in the blood.


    The inheritance pattern is usually autosomal recessive, but may also be dominant.


    can occur at any age, is characterized by intermittent jaundice, and has no effect on life expectancy.


    Foreign reports have reported that the incidence of Gilbert syndrome is 3-13%, with more men than women.


    Lu Chen found that there is no large-scale epidemiological survey data in China.


    Visible, it is not a rare disease.


    Of course that is for gastroenterologists, not for cardiovascular physicians.


    The next day.


    Lu Chen informed Gu Xinyue of his thoughts.


    "Director Lu, how should you diagnose Gilbert syndrome?" Gu Xinyue said.


    "Check your genes!" Lu Chen said slowly.


    This is a genetically inherited disease, and Gilbert syndrome can only be diagnosed through genetic testing.


    After communicating with the patient, Gu Xinyue agreed to check the genes.


    After ??, the patient had a genetic test, and the result finally came after a long wait.


    Patient genetic testing report: gene UGT1A1, variant information c.1456T&gt;G (p.Tyr486Asp), gene UGT1A1, variant information c.211G&gt;A (p.Gly71Arg)!


    So far, Gilbert syndrome is considered based on the clinical manifestations of the patient and auxiliary examinations.


    This diagnosis was also recognized by colleagues in gastroenterology.


    "Now there is a problem!" Lu Chen said to Gu Xinyue, "Gilbert syndrome is usually asymptomatic. However, severe physical exertion, fasting, lack of sleep, alcohol, dehydration, surgery and concurrent diseases may aggravate the patient''s jaundice! "


    "You mean the surgery may aggravate the patient''s condition?" Gu Xinyue said.


    "Yes! There is definitely such a possibility. Although the probability is low, it cannot be ruled out." Lu Chen nodded, "So we must communicate well with the patient, and the liver function must be reviewed during the operation."


    in the ward.


    After the patient learned of the diagnosis, he was a little anxious, "Is this English disease of G or something serious?"


    Lu Chen smiled and comforted: "It''s usually a benign disease that doesn''t require special treatment. However, surgery may aggravate jaundice, so we need to communicate with you in advance."


    Hearing this, the patient breathed a sigh of relief and said with a smile: "I know this, as long as the disease is fine, it will be fine. There are many relatives in my family who have this disease. As for interventional surgery, I must be aware of the risks."


    "If you can understand it, that''s fine."


    After communication and notification of possible risks, the patient still chose to have coronary angiography.


    Postoperative re-examination of liver function: total bilirubin 285.84 ¦Ìmol/L, direct bilirubin 14.7 ¦Ìmol/L, indirect bilirubin 271.14 ¦Ìmol/L, and other items were normal.


    Bilirubin indicators, all rise.


    Lu Chen checked the relevant literature again and found no relevant literature on the effect of contrast agent or heparin on the elevation of bilirubin in patients with Gilbert syndrome.


    Considered comprehensively, it is still related to surgical stress.


    After three days of observation, bilirubin levels naturally decreased.


    "It''s another rare disease! Incident cases can be reported!"


    Gu Xinyue sighed involuntarily.


    Following Lu Chen''s side, the probability of encountering such rare diseases is really high!


    Director Lu might have a physique that attracts "rare diseases"?


    Jin Miao smiled.


    "This is Director Lu''s eyes. If others encounter this kind of disease, they don''t diagnose it, and they just miss it, then they won''t encounter rare diseases!"


    (end of this chapter)

 v3 Chapter 927： Sentenced to death!

    Chapter 927 Sentenced to death!


    Clinical days go by day by day.


    seems to be going well, but Jin Miao and Gu Xinyue are also getting more and more nervous.


    An announcement regarding tricuspid valve repair surgery has been made.


    But a month later, no one came to ask about the surgery.


    And Kyoto has also announced that tricuspid valve repair has changed from a simulated operation to a clinical trial operation!


    Magic City and Kyoto are on the same starting line again.


    "Hey, Lao Gu, I heard that Kyoto is going to start clinical operations, and there are already patients enrolled!"


    Jin Miao found Gu Xinyue.


    The two were eating and chatting in the cafeteria of the Fifth Academy of the Magic City.


    "They have enrolled patients so soon?" Gu Xinyue asked in surprise.


    "It''s Kyoto after all!" Jin Miao said, "Most of the difficult patients in the country gather there, and Kyoto Hospital will also advertise, which is much better than ours."


    "Then we''re going to fall behind!" Gu Xinyue sighed.


    "No way, I don''t think Director Lu is in a hurry at all." Jin Miao shook his head slightly, "You and Director Lu are old classmates, why don''t you rush him and let him spread the word?"


    "Hey, Director Lu Chen''s character, I know it very well, it''s useless to urge him!"


    Gu Xinyue shrugged.


    "Maybe in his opinion, the value of our clinical operation may only occupy a small step in his plan."


    Jin Miao echoed and said, "Oh, I''m really not reconciled!"


    "Now it''s just Wuwai." Gu Xinyue said, "The magic capital is also a small city, and Director Wu Ying''s reputation is also wrong. There should be some patients who will come here."


    "hope so."


    Lu Chen just finished saying this when his cell phone rang.


    Seeing that the caller ID was Jin Miao, Lu Chen quickly picked it up.


    "Director Lu, Lao Gu and I are eating in the cafeteria!"


    Over the phone, Jin Miao''s laughter came.


    "Just in time, you two will go back to the department together after dinner."


    "What''s wrong?"


    "Patients with retrograde octacus valve repair surgery, here we come!"


    Hearing this, Lu Chen was overjoyed, "Director, someone is finally here?"


    "Don''t be too happy too early, the patient''s condition is relatively simple, maybe it''s too easy to do, you can quickly finish your meal and go back to the department to talk about it."


    "Okay, we''ll be right back!"


    hang up the phone.


    Wu Ying hurriedly urged Gu Xinyue to cook quickly.


    "What''s wrong?" Gu Xinyue wondered.


    "I''m really talking about Cao Cao, Cao Cao is here." Wu Ying said with food in her mouth, "Director Jin Miao told me just now that she is here to operate a patient!"


    "Regressive octacus valve repair surgery?" Gu Xinyue was stunned.


    "Yup!"


    "Then hurry up and cook!"


    The movements of the two of them were the same, and they both ended up burying their heads in cooking.


    ¡­


    Ten minutes ago.


    Gu Xinyue and Lu Chen appeared in Wu Ying''s office.


    "You two are really fast!" Jin Miao smiled, "Ten minutes later, are you still eating in the cafeteria?"


    "When you called me, I finished eating slowly." Lu Chen rubbed the front of his head, "So I came slowly."


    Gu Xinyue pouted.


    Lao Jin is really talking nonsense!


    When ?? Jinmiao called him, they had just finished eating.


    "Okay, let''s look at the patient information first."


    Jin Miao handed them a medical record and said.


    "The patient is a 74-year-old female."


    "After 5 months, symptoms of chest tightness and palpitations appeared."


    "The patient underwent seven-cuspid valvuloplasty and left coronary stent implantation in the early years."


    Wu Ying looked at the patient''s examination results.


    Among them, the echocardiography showed that the severe closure of the octacus valve was complete.


    Octcuspid regurgitation is a low-incidence, common heart disease.


    is especially caused by pulmonary arterial hypertension, dilated left ventricle, and dilated octacus valve annulus.


    Clinical manifestations The symptoms and signs of complete occus valve closure are not related to the degree of complete valve closure.


    The etiology of octacus regurgitation (right heart failure, pulmonary hypertension, etc.) is often the main manifestation.


    Before octacuspid regurgitation occurs, the symptoms of left heart failure such as fatigue, ascites, edema, liver pain, good digestion and anorexia are aggravated.


    In addition, in the medical records, the patient has no coronary atherosclerotic heart disease, old myocardial infarction, atrial flutter, and cardiac function class III (NYHA classification).


    Jin Miao continued: "The patient sought medical treatment as a teenager, and was determined to be a low-risk patient with traditional surgery after a few disciplinary discussions, so he decided to undergo transcatheter octacuspid annuloplasty."


    This octacus annuloplasty, which is the octacuspid valve repair they have been studying.


    "After reading the medical records, both of you will share your opinion." Jin Miao looked at the two behind her.


    Lu Chen looked over the entire case and said solemnly: "The patient has no history of thoracotomy, and there is no stent in the entire anterior valve annulus area of ??the left crown, which brings extremely little difficulty to the operation!"


    Gu Xinyue nodded in agreement: "The patient must have tolerated the thoracotomy. But our conventional repair path for the octacus valve is definitely suitable. I have no idea for the time being."


    After two people''s complex analysis, the patient''s surgery is not very challenging!


    "Director Lu, this patient''s risk is too small." Lu Chen hurriedly said, "What if we wait for other patients?"


    In his plan, the clinical operation is the end, and it must be retrogressive and complicated.


    As the surgery becomes unfamiliar, the less difficult ones can be gradually regressed.


    But this is the end, it''s Wang fried!


    makes him unbearable!


    "I know what you said." Jin Miao said sternly, "But do you know why this patient found our Seventh Hospital of the Magic Capital?"


    Wu Ying has no words for silence.


    "Because the rhetoric of other hospitals is exactly the same as what you said!" Jin Miao continued, "The patient even went to Kyoto No. 1 Hospital and went to their eight-cuspid valve repair surgery team, and the other party agreed with him!"


    "If we agree again, wouldn''t the patient be sentenced to death?"


    Two Huaxia Hospitals with the lowest surgical technique, if both agree with the patient.


    This is basically a death sentence for the patient!


    "But... Director." Lu Chen paused, "The difficulty of this operation is extraordinary! In case it happens..."


    Lu Chen had finished speaking, but Jin Miao knew what he wanted to express.


    "The patient''s family has already communicated with me." Jin Miao said, "No matter what, they have to try it once. If the operation is successful, the patient can continue to live for a few years. If the operation is performed, the patient will only have a short survival period. , I can take care of myself in my daily life, and there is no guarantee at all.¡±


    Instant time.


    The atmosphere of the office is not too noisy.


    Gu Xinyue hurriedly said, "Director Lu, since you have agreed, Lao Jin and I will fully cooperate with you!"


    "Okay, it''s fine without your words!"


    Jin Miao smiled.


    When Lu Chen saw this, he could only nod his head slightly to express his refusal.


    Director Lu refused.


    Now only Wu is following in front of him, trying to rush back!


    ¡­


    After several days of discussions with the heart team.


    Jin Miao finally decided to implant their self-developed K-Clip (octacus valve repair system) at the position of the anterior valve close to the septal valve.


    Before the implantation of the ?? system, anterior septal annulus retraction was performed to improve the regurgitation of the octacus valve.


    After eight days of post-operative preparation.


    The first case of the Seventh Hospital of Magic Capital, or the first case of octacus valve repair surgery in the country, is officially over!


    (end of this chapter)

 v3 Chapter 928： The end of the scientific research competition

    Chapter 928 The end of the scientific research competition


    Modu Fifth Hospital, Cardiology Catheterization Laboratory.


    The surgical team led by Lu Chen gathered together.


    Huaxia''s first transcatheter tricuspid valve repair operation has begun!


    Because the operation was too difficult, the main surgeon for this operation was Lu Chen.


    Jin Miao and Gu Xinyue are the first and second assistants.


    At the same time, in the distant Kyoto Yiyuan.


    Coincidentally, the first clinical tricuspid valve operation in the Cardiology Catheterization Laboratory also quietly started.


    However, compared to the difficult operation of the Fifth Hospital of the Magic City, the operation of the First Hospital of Kyoto seems a little simpler.


    ¡­


    The Fifth Academy of the Magic Capital.


    "Get ready for general anesthesia!" Lu Chen started the operation.


    The operation at the Fifth Hospital of the Magic City was different from usual, and general anesthesia was chosen.


    After the patient was under general anesthesia, Lu Chen delivered the K-Clip delivery system to the right atrium through the right jugular vein puncture.


    Because of the previous reason of thoracotomy, the access in the thoracic cavity may be affected.


    Therefore, the access to the jugular vein is safer and easier.


    "Jin Miao, take my place first!"


    After Lu Chen put the tricuspid valve repair system into the heart, he needed to adjust the position of the system under the positioning of ultrasound.


    Professional term, called capital transfer, and need to anchor the K-Clip in place.


    Because the patient had a history of thoracotomy.


    This kind of adjustment is quite difficult.


    The angle is tricky and the operation is extremely difficult.


    Fortunately, Lu Chen''s ultrasound technology is in place, and he can easily show the condition of the patient''s heart valves from various sections.


    Before the octacus valve repair system is delivered to the designated location.


    Shi Qian instructed Shi Qian to open the K-Clip gripping arm to the minimum.


    "Regression and clamping at the target annulus position!"


    "receive!"


    Yao Jie disengages the clips and enters and exits the delivery system before judging that the increase in octacus regurgitation is satisfactory.


    The whole process seems complicated, but the focus is actually on the use of the octacuspid valve repair system.


    The better the K-Clip system, the older the surgery and the more complications.


    The surgeon will be handy when using it!


    "Huh? This is the beginning?"


    The onlookers doctor said in surprise.


    Compared with the old TAVR surgery, this octacuspid valve repair surgery takes less time!


    It took only 80 minutes for the whole operation to arrive, and it was like old age.


    TAVR surgery is the replacement of the entire valve of the seven-cuspid valve.


    And this surgery is only the repair of the octacus valve.


    Complicated comparison, you can know the difficulty of the operation.


    Before surgery, Yao Jie used echocardiography again to evaluate the degree of occus regurgitation.


    Postoperatively, the patient had severe regurgitation (4+).


    Before the latest surgery, the degree of reflux was reduced to severe to moderate (1~2+) reflux.


    In addition, Yao Jie assessed coronary blood flow!


    Yao Jie started the operation before making sure there were no complications.


    The operation is completed in one hour, and the actual instrument operation time is only half an hour!


    ¡­


    Surgery completed.


    Shi Qian and Gu Xinyue''s expressions are like old monks entering meditation.


    Because Yao Jie''s technique is too slow!


    Lu Chen finally knew why Director Lu was directly requesting surgery for an old patient.


    Because perhaps for him, the difficulty of this operation is extremely low.


    But for Director Yao Jie, this may be a special octacus valve repair operation.


    "I think, even before I was a teenager, the video of Director Lu''s operation this time would be the best teaching video!"


    Lu Chen is forbidden to sigh.


    Shi Qiandong nodded quickly and said yes.


    Only stood by Yao Jie''s side and watched the operation up close, only then did he know the horror of Yao Jie!


    The most shocking thing is the comparison of postoperative and preoperative status of the surgical patients!


    After surgery, the patient is completely able to move around.


    Before the operation, before the patient wakes up from anesthesia, observe for half a day to see if there is any obvious complication, and can immediately move on the ground.


    In addition, the symptoms of chest tightness before the activity are obvious.


    The effect of this surgery is too obvious!


    The various small media in the magic capital, and even the medical media in the whole of China, all heard the news at this time and swarmed towards the magic capital Qiyuan.


    ¡­


    On the other hand, in Kyoto First Hospital, the operation has begun.


    However, there is still a way to solve the patient''s regurgitation of the octacus valve.


    Foremost, the operation can only be said to have started smoothly, but there is no success.


    This is a big blow to the entire Kyoto First Hospital.


    Usually, when Jin Miao knew that the Seventh Hospital of the Magic City had successfully completed the operation.


    This feeling of loss and frustration filled her whole body.


    Kyoto Cardiology Department, Director''s Office.


    Qin Qifeng''s expression was normal and serious.


    The octacuspid valve repair surgery occupies a big position under the blueprint of their cardiology development.


    As the top hospital in China, in addition to the top technology that no longer exists, it also strives to be the leader in the country.


    is constantly developing new technologies!


    But this time, they won without a doubt.


    The Seventh Hospital of Magic Capital took the lead in completing the first case of octacuspid valve repair.


    And judging from the news from the Seventh Academy of the Magic City.


    The difficulty of their operation is comparable to that of the First Hospital in Kyoto!


    "Dayao, you also need to blame yourself too much." Qin Qifeng said in a hurry, "The Seventh Academy of Magic Capital is already a force that we can look up to in China. At least in the field of cardiology, they can definitely be ranked in the back seven!"


    Jin Miao is high above.


    She had a taste in her heart.


    Two years later, the Seventh Hospital of No Magic Capital in China, is this hospital?


    It was only two years later that the Seventh Hospital of the Magic City had changed from a hospital named after the classics to a hospital with the top seven in the department of cardiology!


    Is this huge jump just because of the existence of Brother Yao Jie?


    In fact, after eight years of study at Mayo, Jin Miao felt that she had grown very little.


    Maybe the gap with Senior Brother Yao Jie is getting closer.


    But from the perspective of this octacus valve repair operation.


    This gap is only not getting bigger, but it is getting smaller and smaller!


    "Mr. Qin, I... Am I suitable for clinical practice?" Jin Miao said loudly, "Will it be better if I do scientific research?"


    Qin Qifeng was silent when he heard the words.


    For boys in cardiology, it may be more suitable to do scientific research than clinical practice.


    After all, Cardiology is too tired.


    is only tired from night shifts and operations, and the patient is usually responsible for the condition, which also makes the doctor feel tired.


    for a long time.


    Qin Qifeng hurriedly said: "Scientific research or clinical, which way to choose, it depends on your own heart, as long as you have regrets when you think about it in the past, that''s fine."


    Every doctor must be unfocused.


    Both ends are good, very rare, if it is to make a name for fishing.


    "Thank you, Teacher Qin, I will think about it."


    Jin Miao left the director''s office and re-examined his future career as an old man.


    And this also means that the scientific research competition between Kyoto and the magic capital has ended.


    The success of the Seventh Hospital of the Magic Capital also makes it stand among the top hospitals in China with a brand new attitude.


    (end of this chapter)

 v3 Chapter 929： Getting married and trying to conceive?

    Chapter 929 Marriage and pregnancy?


    Just as Lu Chen had expected.


    In fact, there is a lack of opportunity for the Fifth Academy of the Magic Capital.


    Now the opportunity arises.


    The emergence of the ?? Tricuspid Valve Repair System has made the Fifth Hospital of the Magic City one of the top cardiology hospitals in China.


    Of course, this is also the basis for the other fields of the Fifth Academy of the Magic City.


    Such as coronary intervention, TAVR, electrophysiology, etc.


    Currently, in the field of tricuspid valve repair, the Fifth Hospital of Magic Capital can be said to be the top level in China.


    Even if it is placed internationally, it is only behind Mayo.


    However, there is still a long way to go before this technology can be truly applied clinically, in other words, to promote this technology.


    However, the beginning of everything is difficult.


    Once the first step is done, the subsequent clinical enrolment surgery will be smoother.


    ¡­


    weekend.


    Lu Chen stayed at home.


    He received a call from his mother Luo Meizhen.


    "Xiaochen, next, stop the interventional surgery!"


    Luo Meizhen exhorted on the phone.


    Hearing this, Lu Chen immediately knew what his mother meant.


    "Mom, it''s still early!"


    Lu Chen was a little helpless.


    "It''s getting late. When you get married, hurry up and give birth to your child. Then you can do whatever surgery you want! No one cares!"


    Generally speaking, you need to avoid radiation for at least one year before trying to conceive.


    Whether it is coronary intervention, TAVR, or electrophysiology, tricuspid valve repair and other surgeries, the entire process is exposed to radiation.


    "Mom, our hospital is developing rapidly..."


    Lu Chen wanted to say something, but his mother Luo Meizhen interrupted him.


    "Xiaochen, if your hospital leaves you, it won''t work? Will it not work?"


    Lu Chen moved his lips, but he still wanted to say something, but he swallowed it.


    He is not a big leader, and the operation of the Fifth Academy of the Magic Capital has nothing to do with him.


    However, in the field of cardiology, he is the chief director of the department, and he needs to manage a lot of things.


    In terms of surgery, Jin Miao and Gu Xinyue have not yet fully grown up.


    Moreover, the operation undertaken by the Fifth Hospital of the Magic Capital is not a simple operation.


    There are many critically ill patients who come to Lu Chen for surgery.


    If he doesn''t take action, it might not work!


    "Mom, I''ll try my best. I haven''t gotten married yet. Is it too early to say this now?"


    "Not early! You have to plan ahead for anything, and your marriage with Weiwei has already been put on the agenda."


    Lu Chen: "..."


    hung up the phone, Lu Chen thought of Xu Wei, and a smile appeared on the corner of his mouth.


    this time.


    Under the supervision of Xu Wei, he began to exercise, and he was refreshed and did not feel the tired feeling before.


    Taking advantage of this weekend, Lu Chen took Xu Wei out to play.


    The combination of work and rest can make work more efficient!


    ¡­


    Another new week.


    Lu Chen called Jin Miao and Gu Xinyue to the office.


    "You will be in charge of the next operation, Jin Miao, and Gu Xinyue will assist."


    When Jin Miao heard the words, the whole person was stunned.


    "Director, what kind of surgery are you talking about?"


    Gu Xinyue also looked at Lu Chen curiously.


    "Of course it''s all operations." Lu Chen said, "All the operations are arranged by you, and you will be the chief surgeon for difficult and critical patients. For patients who are really unsure, you can come to me again."


    Mom''s words, Lu Chen still has to listen.


    And it was indeed for his own good.


    "Huh?" Jin Miao was surprised.


    Could it be that Director Lu wants to be a hand-picker?


    Many department directors do not manage clinical matters, but mainly take the upper administrative line.


    But Jin Miao felt that Director Lu Chen was not the kind of person who took the upper-level route!


    "Director Lu, clinical matters. You don''t care about anything? Do you want to concentrate on scientific research?" Gu Xinyue also asked aloud.


    According to his understanding of Lu Chen.


    Lu Chen is not a person who will give up clinical practice and focus on scientific research instead.


    "When did I talk about clinical matters and don''t care?" Lu Chen said angrily, "I mean, the surgery is mainly left to the two of you, this is to speed up your growth! As for other clinical matters , I will do as usual."


    "Oh."


    Jin Miao and Gu Xinyue looked at each other and could see the doubts in each other''s eyes.


    Gu Xinyue muttered in her heart.


    He still knows Lu Chen''s private life relatively well.


    Director Lu, what is this?


    Not going into the operating room?


    Is it really as rumored that Director Lu Chen is getting married and getting pregnant?


    "You two, don''t think blindly!"


    Lu Chen glared at the two of them.


    "This is a great opportunity for you. However, don''t be too arrogant, and report any problems in time! I''ll go to the operating room often, but I won''t be on stage."


    "Mmmmmmm."


    The two nodded quickly, "We got it."


    walked out of the director''s office.


    Gu Xinyue quickly lowered her voice and said, "Lao Jin, do you know what Director Lu is trying to do?"


    Jin Miao was stunned for a while, then said doubtfully, "Director Lu didn''t say that, he wants to train us both."


    Gu Xinyue smiled, "Hey, don''t you know, I heard that Director Lu is getting married, so I didn''t go to the catheterization room."


    "Getting married and preparing for pregnancy?" Jin Miao''s eyes widened.


    "Shh..." Gu Xinyue whispered, "This is just a guess, don''t talk nonsense everywhere."


    "Mmmm." Jin Miao nodded, "I understand, I won''t say it casually."


    ¡­


    Lu Chen got off work.


    Prepare to walk around the department to see everyone''s work status.


    But I just arrived at the nurse''s office.


    He realized that the little nurse looked at him wrong.


    Confused, Lu Chen came to the doctor''s office.


    Comrade Lao Fan is giving a lecture to a resident physician.


    Seeing Lu Chen coming, he immediately stopped.


    "Go and do an electrocardiogram for the 35 beds first, we''ll talk about it later." Lao Fan said to the resident doctor.


    "OK."


    After the resident doctor left, Lao Fan immediately ran to Lu Chen''s side.


    "Director Lu, congratulations!"


    When Lu Chen heard this, his big eyes were full of doubts.


    "What are you congratulating me?"


    Is there significant progress in an experiment?


    But, if this is the case, then he should be the first to know!


    Lao Fan smiled, "Director, stop pretending! Our entire department knows it!"


    "What does the entire department know?" Lu Chen felt that something was wrong, "Am I the only one who doesn''t know?"


    Lao Fan smiled, "Director, when you get married, you will also send invitations, it''s useless to hide it from us now!"


    "What? Getting married?"


    Several black lines appeared on Lu Chen''s forehead.


    He finally knew.


    It must be that after Jin Miao and Gu Xinyue left just now, they were babbling about!


    "Director, there are a few good days next month, why don''t I help you take a look." Lao Fan continued.


    Lu Chen coughed lightly and said with a smile that was not a smile: "Comrade Fan, it seems that you are very busy in the department. Please submit a medical report before tomorrow."


    "What?" Lao Fan was stunned, "Write a paper in two days?"


    Until Lu Chen left, Comrade Fan didn''t know what happened.


    As for the initiators, Jin Miao and Gu Xinyue.


    Both received Lu Chen''s message.


    Tomorrow before the sun sets, each person has to submit two papers!


    (end of this chapter)

 v3 Chapter 930： Become a master tutor!

    Chapter 930 Become a master director!


    Tricuspid valve repair is considered to be completely in China, and it has opened the way of promotion in the Fifth Hospital of the Magic Capital.


    And Lu Chen also ushered in another most important thing for him.


    That is to apply to become a master tutor.


    After three months of review, Modu University officially approved Lu Chen''s application.


    From now on, Lu Chen has officially become a master tutor of the Medical College of Magic Capital University!


    In the postgraduate examination in one month, Lu Chen will welcome the first student in his life!


    Of course, it is very likely that he did not apply for his graduate school at all.


    This is not to say that Lu Chen''s influence is low.


    But sometimes the influence is too high, and students are afraid to apply, resulting in some famous tutors, but no students.


    To be honest, Lu Chen was also very nervous.


    He also specifically asked Ke Yue some related things.


    Ke Yue was among the group of them, the master tutor who first recruited students.


    "Lu Chen, it''s nothing, don''t be nervous."


    Ke Yue covered her mouth and chuckled. Lu Chen, who was not afraid of any difficult surgery, was a little nervous when facing his students.


    "Being a mentor for the first time, I was more or less looking forward to it and excited."


    Lu Chen didn''t hide his heart.


    People are good teachers.


    Lu Chen is no exception.


    He was also a student before, and he studied for such a long time in various colleges and universities.


    There are many tutors, including Li Yao, Zhang Shuqing, etc., and in clinical practice, there are many teachers.


    But speaking of his experience as a teacher, he rarely taught those students systematically except in daily clinical work and on the operating table.


    What Lu Chen didn''t expect was that before the graduate exams started, many people had already found him secretly.


    Including Professor Dai Wansong, the dean of the Fifth Academy of Magic Capital.


    ¡­


    director''s office.


    Dai Wansong and Lu Chen sat opposite each other.


    Recently, the Cardiology Department of the Fifth Hospital of the Magic City has been in the limelight.


    After the catheter tricuspid valve repair surgery, the entire cardiology department became famous.


    No matter what kind of forum or seminar, the Cardiology Department of the Fifth Academy of Magic Capital occupies a large part.


    Dai Wansong made a cup of tea and said to Lu Chen with a smile, "Lu Chen, you really lived up to my expectations!"


    "It''s Dean Dai who has given me more support." Lu Chen responded with a smile.


    "Hey, we don''t talk about that." Dai Wansong smiled, "Whether it''s TAVR surgery or tricuspid valve repair surgery, if you have any problems, you can come to me, the resources inside the hospital, everything will give you the green light!"


    "Thank you, Dean Dai." Lu Chen smiled.


    After coming to the Fifth Academy of the Magic Capital, he no longer needs to look at the leader''s face and act.


    Unlike in the Guanghai First Hospital, the officers are restrained everywhere.


    Here, Dai Wansong gave him the greatest support, and Lu Chen could use all his talents.


    The Fifth Hospital of the Magic City is a new hospital, and it also has a certain relationship.


    "This is what I should do." Dai Wansong suddenly changed the conversation, "By the way, you should be able to admit students this year, right?"


    Lu Chen nodded, "Well, the tutor''s application has been approved. If there are students who apply for my graduate degree, they should be able to accept it this year."


    Dai Wansong paused for a while, then said.


    "Lu Chen, according to the standards of your country''s nature program, you should be able to accept five students this year?"


    "I don''t have much experience with these, I should be."


    Lu Chen didn''t pay too much attention to this matter. How many students can be accepted in the first year should depend on how many people can apply for his graduate school.


    Dai Wansong smiled, "I have an old classmate whose son is just at the age to take the postgraduate entrance examination this year. He originally wanted to send him abroad, but I don''t want to go, so I can only find a good tutor in China."


    "Oh? Which major?" Lu Chen asked.


    "Our Cardiology Department." Dai Wansong said with a smile, "He asked me what good options I had, and I told him your name."


    Lu Chen was taken aback, "Me?"


    "Yes." Dai Wansong said sternly, "I will definitely find a good tutor for his son. Currently in the field of cardiology in China, it is easy to find a tutor, but it is not easy to find a good tutor!"


    There are many tutors in the Department of Cardiology. Even within the scope of the Medical College of Magic University, there are dozens of graduate tutors in each affiliate.


    However, finding a good mentor is not easy.


    However, in addition to being surprised, Lu Chen also regained his senses.


    Dai Wansong said these words, making it clear that he came to go through the back door.


    Lu Chen said calmly: "Dean Dai, it must be my honor to have students willing to apply for my postgraduate examination. However, at that time, students will still have to be admitted based on the results of the written test and interview."


    Having experienced a postgraduate interview, Lu Chen knew that what a student needs most is fairness.


    Just relying on Lu Chen''s re-examination results that year, it is enough to want to go to Kyoto University School of Medicine.


    However, in many cases, the results of the re-examination are not determined by the examination results.


    "Haha, you kid, why are you so nervous?" Dai Wansong laughed, "I didn''t let you go through the back door! Don''t worry, the son of my old classmate is a scientific research talent. There are quite a few articles published so far, even Even SCI has more than one!"


    Lu Chen smiled bitterly in his heart.


    Undergraduate students have one SCI, but very few.


    But there are more than one article. Some people even hold four or five articles in their hands during their undergraduate years. That can¡¯t be described as excellent!


    What Lu Chen was most afraid of was this kind of second-generation learning. On the surface, his resume was glamorous.


    The background behind ?? is also useful to the mentor.


    But in fact, there is no real talent at all, but instead a place for a student.


    Lu Chen is a past person. I have seen too many such things.


    Instead, it was Dai Wansong, who had been in a high position for too long.


    To him, it doesn¡¯t matter how much the students are, what¡¯s more important is that their background can help him.


    Just listen to Dai Wansong continue: "Lu Chen, don''t worry, as long as you accept this student, it will be beneficial to your future fund project evaluation!"


    Lu Chen was silent for a while before speaking to Dai Wansong.


    "Dean Dai, if he is good enough, I will definitely recruit him. But I have my own set of rules. As for the student you mentioned, under the same conditions, I will definitely give priority to him."


    "Okay." Dai Wansong nodded slightly.


    In fact, in his opinion, Lu Chen had absolutely no reason to reject him.


    If it wasn¡¯t for the fact that my student quota was already full, I gave it to others, the son of this old classmate, it would be nice to come here.


    However, this time, Dai Wansong was wrong.


    Lu Chen is the kind of person who gave up the top hospital and came to the Fifth Hospital of the Magic Capital.


    Also consider the background of the students?


    Choose students again?


    It is precisely because Lu Chen has suffered unequal treatment, so he hopes to provide a relatively fair stage for many students.


    (end of this chapter)

 v3 Chapter 931： Mentor interview

    Chapter 931 Mentor Interview


    Apart from Dai Wansong, there were not a few people who came to find Lu Chen through the back door.


    Some people even don¡¯t know Lu Chen very well, so they will tell Lu Chen on WeChat.


    Lu Chen replied one by one.


    He only upheld one thing, and that was fairness.


    Perhaps, there is no absolute fairness, but Lu Chen will try to do his best.


    However, Lu Chen still underestimated his influence in the field of Huaxia Cardiology.


    As the hottest young generation leader in the field of cardiology in China in recent years, Lu Chen''s reputation is extremely resounding in China!


    As long as you talk about electrophysiology, TAVR and transcatheter tricuspid valve repair, you will definitely talk about Lu Chen!


    And Lu Chen is still so young, many experts assert that he will definitely be a leader in the field of Huaxia''s heart in the future.


    Youqing, Outstanding Youth, Changjiang Scholars...


    Even an academician, this is not impossible!


    so. If you can catch Lu Chen''s bus now, it will definitely be of great benefit in the future.


    Therefore, many people are staring at Lu Chen''s postgraduate quota.


    Many industry experts will also inform their apprentices and grandchildren to apply for Lu Chen''s master''s degree.


    Even, many master students who are about to graduate are regretting why Lu Chen is not a doctoral supervisor?


    They all want to study Lu Chen''s doctorate!


    Of course, there are also many people who come to pick up leaks.


    I feel that Lu Chen is a new tutor, and there must be few people applying for the exam.


    Or maybe there is a fluke mentality, and I feel that everyone is afraid to apply for the exam, so I also try my luck.


    So, this year''s postgraduate interview in the Department of Cardiology of Modu University was a grand occasion!


    When the written test and retest are over.


    A total of 15 students who signed up for Lu Chen passed the score line of the Fifth Academy of Magic Capital!


    This is just over the score line. As for those candidates who are not online yet, there will probably be more!


    ¡­


    After the written test and retest.


    at last. It''s time for the graduate interview.


    Lu Chen did not participate in the previous rounds of exams.


    Today, the interview finally came, and it was Lu Chen''s turn to play.


    Interview, which is also the final result of the postgraduate examination.


    Lu Chen needs to select five out of fifteen students as his first-year master students.


    in this link.


    Lu Chen, as a mentor, has a lot of autonomy.


    He can see each student''s preliminary and retest scores.


    As for the selection criteria, it is up to Lu Chen to decide.


    can be recorded from high to bottom according to the test scores.


    You can also ignore the grades.


    Of course, everyone has a rule by default, that is, the one who ranks first will definitely be admitted.


    As for other people, grades are not too important, at this point it depends on the final result of the interview.


    In a word, tutors can completely admit students according to their own preferences, which has a great room for manipulation.


    ¡­


    Early in the morning.


    In the postgraduate office of the Fifth Academy of Magic Capital, a large group of candidates gathered.


    They are all students who applied for the Fifth Academy of Magic Capital this year.


    "Everyone will go to different departments according to their majors, find their own tutors, and conduct the final tutor interview!"


    The teachers of the graduate school take all the students to different departments according to their majors.


    Just started with departments as units.


    When we got to the floor of the Cardiology Department, we started to go to different interview venues according to the different tutors.


    And today, Gu Xinyue and Jin Miao just encountered a difficult operation.


    So Lu Chen came to the catheterization room temporarily.


    Of course, he was only instructing outside the catheter room, not personally on stage.


    Therefore, Lu Chen''s interview location was arranged in the showroom next to the catheterization lab.


    As a result, the fifteen people who applied for Lu Chen''s examination, under the leadership of the graduate teacher, came to the Cardiology Catheterization Laboratory in a mighty manner.


    Everyone came to the showroom outside the catheter room.


    Fan Zhiping received the fifteen candidates in front of him.


    "Everyone sit in the classroom for a while." Fan Zhiping said to the students, "Director Lu is in the catheterization room and will be here soon. Don''t talk to each other, just prepare for the interview with peace of mind."


    After saying this, Fan Zhiping left.


    ¡­


    in the classroom.


    Only fifteen candidates remained.


    Everyone looked at each other a few times, but did not speak.


    showed the atmosphere of the classroom, which was a bit awkward in an instant.


    Even everyone is a competitor, not next to each other at all.


    However, Shi classroom''s silence was broken by a little fat man.


    He approached a boy beside him and whispered.


    "Hey, brother, which school did you graduate from?" Little Fatty smiled.


    The boy''s appearance is a little cold, "This hospital."


    "Ah? You are from the Medical School of Modu University?" said the little fat man in surprise.


    The high-cold boy didn''t speak, just glanced at the little fat man.


    "Then... Do you have any questions for the tutor''s interview? For example, do you need to prepare a self-introduction in English or something?" The little fat man lowered his voice, "Brother, please share, if I pass, please let me know when the time comes. eat!"


    "Haha." The high-cold boy glanced coldly, "Don''t say I don''t have it now, even if I write it, I won''t tell you."


    Little Fatty grimaced and sighed: "Oh, it''s really annoying."


    The reason why he applied for Lu Chen this time was to try to find out.


    Originally, with the grades of the little fat man, it was very safe to apply for a tutor in an upper-middle hospital.


    But he learned from some clinical students in the practice hospital that Lu Chen will be recruiting students this year.


    Today is Lu Chen''s first year of recruiting students.


    Who is Lu Chen?


    He is the current chief director of the Cardiology Department, and he has a good influence both at home and abroad.


    Little Fatty transferred his wish to Lu Chen''s place.


    However, after the retest is over.


    Little Fatty will regret it!


    As far as he knows, more than a dozen people have signed up for Lu Chen''s graduate school.


    This time, in his heart, he really wanted to die.


    The key is.


    One or two of the test takers have reached the level of admission to Kyoto University School of Medicine.


    Little Fatty really can''t figure it out, how much magic does Professor Lu Chen have?


    How can so many people rush to it?


    There are no more people who have the same idea as Little Fatty.


    Many of these students are just hearsay.


    All I know is that Lu Chen is a new mentor with great ability, but I don''t know more specific.


    A girl with some baby fat on her face, look left and right.


    showed the fifteen people in the classroom, which surprised the girl.


    She has a roommate who also signed up for other tutors in the Department of Cardiology.


    But after passing the cutoff, there were only three students who came to the tutor interview.


    This mentor accepts a total of three people.


    There is no need for an interview at all, and all three of them were accepted.


    And now, of the fifteen of them, only five were admitted.


    This probability is too low!


    Just as the students were anxiously waiting. Lu Chen finally came out of the catheterization room!


    (end of this chapter)

 v3 Chapter 932： Interview (Part 1)

    Chapter 932 Interview (Part 1)


    "Director, all the candidates are here." Fan Zhiping walked up to Lu Chen, "Is the interview starting now?"


    Lu Chen is sitting leisurely in a separate office next to the classroom.


    "Okay, in the order of the list, let them come in one by one." Lu Chen nodded slightly.


    Fan Zhiping just took a few steps, but suddenly turned his head to Lu Chen and said, "By the way, Director, I want to ask, when will you recruit a doctor?"


    "Huh? What''s wrong?"


    Lu Chen was slightly taken aback, "Why are you asking this?"


    "I think...I want to read your Ph.D."


    Comrade Lao Fan touched his head and smiled honestly.


    Lu Chen smiled, "This, I''m not qualified yet, let''s wait a few years."


    From ?? master supervisor to doctoral supervisor, it is a strict rule that it will take several years.


    But some exceptionally admitted students can quickly become PhD supervisors.


    Fan Zhiping just finished his master''s degree a few years ago, and now is the time to consider pursuing a Ph.D.


    "Oh, then I''ll wait. Director Lu, you need to reserve a spot for me."


    Fan Zhiping smiled and left the office.


    ¡­


    Come to the showroom.


    All the candidates fell silent instantly.


    Fan Zhiping''s expression also became extremely serious.


    "Director Lu is back, everyone will enter the office for interview in the order I named them later. I hope everyone will cheer up and take the interview seriously."


    The voice of ?? just fell.


    All the candidates were nervous, and they were all jumping and thumping.


    Even a girl with a low fever clenched her fists at the moment, and her heart went up and down.


    The big fat man swallowed his saliva with ease, looking right and left.


    The difficulty of that interview was known to everyone, and they knew what Wang Peng would ask.


    "The first interviewee was Lu Chen!"


    Fan Zhiping whispered.


    A thin and strong girl with glasses immediately swooped and stood up.


    "arrive!"


    Lu Chen whispered.


    "Okay, he''s coming with you, and I''ll wait quietly first, just to whisper."


    went ahead, Qu Xia followed in front of Qu Xiayuan, and hurriedly left the office where Wang Peng was.


    Fan Zhiping stood at the door, walked away, "Director Lu is outside, he should retreat by himself."


    "Okay, thank you teacher."


    Qu Xia nodded quickly, then looked forward to the office, and saw a heavy-aged woman sitting across from the office.


    I slammed the door shut and walked outside.


    On the Internet, I have seen Wang Peng''s photos.


    At first glance, he recognized that it was Professor Qu Xia who had applied for the exam.


    Rao is so, Lu Chen was still shocked by Professor Qu Xia''s age.


    The photos on the Internet basically reduce Wang Peng''s age by ten years.


    is mainly to make Qu Xia look more mature and reliable.


    But the real Wang Peng has just reached the age of eighty.


    "Mr. Lu... Hello." Qu Xia''s voice trembled.


    I didn''t even dare to look at Wang Peng.


    "Yes." Wang Peng nodded slightly and glanced at the information in his hand, "Come over and sit down and talk."


    I pointed to a seat behind me.


    "Thank you, Teacher Lu." Lu Chen calmed down a little and came to sit behind Wang Peng.


    Wang Peng''s subordinates do not have any information about the students.


    Including the student¡¯s undergraduate school, the scores of the written test and re-examination, and whether or not he has published papers in the past.


    "He is from Jiangcheng?" Qu Xia asked with a smile.


    "Hmmm." Lu Chen was taken aback for a moment. I thought that Wang Peng was asking a professional question, but instead he started to do homework.


    "You are considered fellow villagers." Wang Peng smiled, "Why did you think of running so far to study in the magic capital?"


    Lu Chen felt relieved by Wang Peng''s warm smile.


    "The magic capital is a small city in China. You hate the magic capital. You want to come and see the world. It is also the most developed place in China. You think you can learn very little outside."


    "Well." Wang Peng kept a smile on his face, and threw another question, "Why does he want to apply for your graduate school?"


    "There are a lot of medical schools in Modu. Take Modu Elementary School Medical School as an example, there are not many affiliated hospitals."


    That question is a commonplace.


    Qu Xia also prepared the answer to that question.


    I immediately said: "After you heard about Mr. Lu''s influence in the field of Huaxia Cardiology, you hated you very much. During the internship, you were a teacher who told you about your deeds, so from your reading When I was a small seven, I thought about applying for your graduate school."


    "Really?" Wang Peng''s face was half-smiling.


    I am currently a graduate student.


    When I was Xiaoqi, it was two years later.


    At this time, Wang Peng just came back from Mayo.


    I should have too little influence, at least I have little influence now.


    Although Lu Chen''s words were made up after a glance, the way they made up was too professional.


    "How much does he know about you?" Qu Xia asked back.


    "Mr. Lu, you have done a good job in Cardiology intervention." Lu Chen paused, "For example, coronary intervention."


    "Well, it''s wrong." Qu Xia said indifferently, "Is there nothing else?"


    "I don''t know much about my...temporarily."


    Lu Chen knew that he had to answer well enough, but I thought Teacher Wang Peng would ask very few professional questions.


    But the question Wang Peng asked today was completely beyond my expectations.


    At this time, Wang Peng''s inner evaluation of Lu Chen could only be quite satisfactory.


    Qu Xia''s total score in the first and re-examinations was considered middle-low among the 17 students.


    "For the profession of a doctor, does he hate clinical practice or scientific research more?" Wang Peng continued.


    Qu Xia thought for a while, "It''s all right, you think clinical practice is fun, and for scientific research, if you have contact, it should be quite boring."


    Next, Wang Peng continued to ask a few questions.


    Those questions are related to the profession.


    Because from the results of the initial test and interview, we have been able to understand less about our ability.


    But what Wang Peng wants is just a student who can take exams!


    I look forward to discovering more important qualities in us from the dialogue with each student.


    In addition, it also includes our views on clinical, scientific research, and future plans.


    ¡­


    Lu Chen''s exam started, and he left through the door on the other side.


    Others wanted to ask some questions, but they all raised their heads in disappointment.


    Fan Zhiping returned to the classroom.


    "The seventh interviewee, Li Zhan!"


    The big fat man stood up immediately.


    My hands and feet were trembling, "Teacher, you are here!"


    "Okay, come with you."


    Fan Zhiping glanced at Li Zhan.


    Qu Xia continued to rate Lu Chen outside the office.


    The standard for scoring is mainly based on Qu Xia''s impression of Lu Chen.


    Yes, the final result still has to wait for no one to start the interview.


    (end of this chapter)

 v3 Chapter 933： Interview (middle)

    Chapter 933 Interview (Part 2)


    The little fat man walked into the office.


    Lu Chen wanted to laugh when he saw him.


    This little fat guy looks too happy.


    I got fat, the flesh on my face is chubby.


    "Cough, come and sit."


    Lu Chen pointed to the seat in front of him.


    "Thank you, teacher."


    The little fat man ran over in a hurry.


    "Li Zhan?"


    "Uh-huh."


    The little fat man nodded and looked at Lu Chen nervously.


    "Are you from Guanghai?"


    Lu Chen finished checking Li Zhan''s academic profile.


    "Yes, Teacher Lu." Li Zhan nodded like a chicken pecking at rice.


    "Guanghai is a good place." Lu Chen smiled, "I used to stay in Guanghai for a while."


    Li Zhandao: "I know teacher, you have been the director of Guanghai First Academy."


    "Oh?" Lu Chen''s eyes lit up, "How did you know?"


    Li Zhan touched the back of his head, "Teacher, my parents are both doctors in Guanghai No. 1 Hospital. This time I took your postgraduate exam, and they also chose for me."


    Lu Chen smiled, this little fat man is sincere.


    "Then do you think Magic City is better, or Guanghai better?" Lu Chen asked.


    The little fat man was stunned, then smiled: "Teacher, the devil is a big city, and the medical conditions are definitely better than Guanghai. But Guanghai is my hometown, and I still think Guanghai is better."


    "Well, do you usually have any hobbies?"


    Looking at Fatty''s body and figure, Lu Chen asked curiously.


    "There...whatever, just hate reading books outside the home."


    "Is it sports?"


    "Intermediate movement is less..."


    Wu Cong''s interview method is very random, this is really a professional question.


    Instead, it feels like an elder caring for the younger generation.


    "This Guanghai, tell me what he knows about you." Bao Fei smiled, "You can say as much, as much, as weak."


    The big fat man thought for a while, and then said, "You heard from your father, Director Lu, you are the number one person in China in the field of TAVR!"


    Wu Cong was the first to perform TAVR surgery in Baofei.


    is only the chairman of the Huaxia Luchen TAVR branch, and it has brought Lu Chen''s TAVR level down several steps.


    It can be said that Bao Fei''s label under Lu Chen is TAVR!


    "He still knows a lot." Bao Fei smiled, "Let''s talk about it, what is TAVR surgery?"


    The big fat man immediately said: "TAVR surgery, the full name is transcatheter aortic valve replacement."


    "Well, it''s wrong." Wu Cong smiled, "Do you know the operation procedure of that operation?"


    "I''ve seen it before." The fat man shook his head, "Is it because you thought that it should be less or less different from coronary intervention. The only thing that is the same is the replacement valve, but coronary intervention is the implantation of stents..."


    That time, Wu Cong asked Big Fatty more deeply about the TAVR surgery.


    is some relatively superficial knowledge, and the big fat man can answer all of them.


    "Where did he learn all that knowledge?" Wu Cong wondered.


    Undergraduate knowledge scope, whether it involves TAVR surgery or not.


    The fat man scratched his head and said, "When you were an intern, you were very interested in Cardiology Department. At that time, you applied to stay in Cardiology Department for a few months less. You also know a lot about some of the latest surgeries. question, you will ask your father too.¡±


    "His dad is also a cardiologist?" Wu Cong asked curiously.


    "Mmmm." The fat man nodded.


    Whether Wu Cong continues to ask questions, I have already finished asking all the questions I want to know.


    "Okay, after asking, he can go."


    "Goodbye Teacher Lu." The fat man stood up, bowed slightly to Bao Fei, and left.


    Wu Cong smiled and wrote his opinion under the data sheet of Big Fatty.


    ¡­


    Next, it''s the eighth interview student.


    "The eighth interview, Li Zhan!"


    The low-temperature girl stood up and hurriedly left the office under the gaze of everyone.


    At this time, Bao Fei saw the student''s data sheet.


    "Li Zhan... That person seems to be the student recommended by Dean Dai Wansong, right?"


    I am not at all curious about that student.


    Under the ?? data sheet, that student published a total of seven SCI articles!


    As an undergraduate student, one SCI is enough, let alone seven papers and one author!


    More importantly, the seven SCI papers in English are actually from the same major and research field.


    No research on ion channels, no research on genes, and no research on cardiac rehabilitation¡­


    The span of that research field made Wu Cong feel a little ashamed.


    The impact factor of those SCI papers is low, but at most it indicates that the authors of the papers have a certain research foundation in those aspects.


    It is possible to publish those papers with discretion.


    After the student withdrew, Wu Cong called Little Fatty back.


    "Please print out those seven papers."


    "it is good!"


    After Bao Fei retired, Wu Cong''s men got these seven papers.


    Regularly asked about the basic situation before.


    Wu Cong directly pulled out the seven papers, and then said to Li Zhan with a smile: "His ability is very wrong. During his undergraduate period, he was able to publish so few SCIs, even more than a few masters and doctorates."


    Bao Fei also smiled when she heard that, "Teacher, you still have few feet, I hope you can get better with your guidance."


    "Yeah." Wu Cong nodded, but the conversation changed, "You saw his paper on gene research, which mentioned eight disease-causing genes, and you understood it. Can he explain it for you? ?"


    "Huh?" Bao Fei was stunned, "That paper is to study the causative genes of cardiomyopathy and hypotension. By selecting genes in the database, and then performing retrograde blood tests on the patients, the first analysis and comparison, and the first conclusions are drawn. ."


    Wu Cong smiled.


    Thinking of that Bao Fei, I have no more preparations.


    "He is trying to misunderstand you." Wu Cong still had a smile on his face, "You want him to tell him what are the eight disease-causing genes he studied? Name them."


    "That¡­"


    Li Zhan''s forehead was dripping with sweat.


    "Teacher, it''s been a while since that paper. Your memory is too vague."


    Wu Cong has nothing to say, I just glanced at the date the paper was published, eight months later!


    ¡­


    As before, all the remaining seventeen students withdrew for the interview.


    The whole process lasted about two and a half hours.


    Wu Cong''s interview was also the longest among all mentors.


    "The results of the interview will be released on the official website at 8 o''clock tonight. Please check carefully."


    Little Fatty gathered seventeen candidates again in the classroom.


    "The first thing to inform Xiaojia is that of seventeen of them, only seven of them can eventually become Director Lu''s students, or even classmates, and will be transferred to other teachers or other departments."


    As soon as the little fat man said that, everyone felt relieved.


    "As for Xiao Jiatong''s refusal to make adjustments, let''s report to the graduate department before the final result tonight."


    "Now Xiaojia has packed up his things and can leave."


    Continuing, Little Fatty informed the candidates of some precautions.


    The mood of all candidates is the same.


    is the same doubt of Guo Xiaojia, this is the interview question of Mr. Wu Cong.


    A small part of the time is spent chatting with the students, doing family activities, and even chatting about their ideals and aspirations.


    In that case, in the interview of Mr. Wu Cong, how do you evaluate your ability level?


    Yes, most of the students headed by "Big Fatty" were active inside.


    We recalled the conversation of our own teacher Wu Cong, and it seemed that it was a question of professionalism.


    Could it be that Mr. Wu Cong¡¯s attitude towards students is the same?


    Li Zhan was originally full of confidence, but when I thought about these questions Wu Cong asked me, I felt a little nervous at the moment.


    Before leaving the classroom, I quickly called Dai Wansong.


    (end of this chapter)

 v3 Chapter 934： Interview (below)

    Chapter 934 Interview (Part 2)


    Dai Wansong is processing documents in the office.


    As the head of a house, there are many things he needs to deal with.


    ding ding ding...


    The phone rang, and Dai Wansong picked up the phone and took a look.


    Wu Cong?


    "Is this the end of his interview?" Dai Wansong thought to himself.


    Today happens to be the day of the graduate tutor interview.


    picks up the phone.


    Dai Wansong smiled and said, "Xiao Cong, is the interview over?"


    Wu Cong''s voice was a bit low, "Yes, Uncle Dai. My..."


    Seeing Wu Cong hesitating, Dai Wansong asked suspiciously, "The interview was not very good?"


    "It''s not too bad." Wu Cong lowered his voice, "I had a good time chatting with mentor Lu Chen, but he asked me a few questions, and I couldn''t answer them very well, so I was a little worried."


    "What do I think."


    Dai Wansong smiled.


    "Professor Lu Chen''s question must be difficult! It would be strange if you could answer all of them."


    "But..." Wu Cong paused, "Uncle Dai, I always feel uneasy."


    "Oh, don''t worry too much." Dai Wansong said, "With your resume, you are almost more than 95% of your peers. Well, if you''re worried, I''ll call Professor Lu Chen and talk to him. gas."


    "Okay, thank you Uncle Dai." Wu Cong smiled immediately.


    "No thanks, I have time to say hello to your father for me."


    ¡­


    hung up the phone, and Dai Wansong called Wu Cong immediately.


    Wu Cong is synthesizing the performance of no one, and regressing to the top score.


    There are seventeen students, and it is still too difficult to select the best seven.


    "Hey, Dean Dai Wansong called you at that time..."


    Wu Cong''s eyes narrowed, and he immediately thought of Fan Cai.


    picked up the phone, and Wu Cong was the first to speak.


    "Dean, is there anything wrong?"


    Dai Wan said straight to the point: "It''s a few days later, you told him about this, one of your friend''s son, Lu Chen, I applied for his master''s degree."


    "Lu Chen, right?"


    Wu Cong certainly remembers me.


    "Yes, a skinny girl, my father is a judge of the country''s natural genes." Fan Caiwei smiled, "That would be of no benefit to his previous fund application."


    "But..." Wu Cong smiled, "Look, I have published seven SCI papers."


    "Is that okay?" Dai Wansong wondered.


    "Good or good." Wu Cong sighed, "But... you really dare to take me!"


    "Why do you dare to hire?" Dai Wansong frowned.


    "Because you asked a few questions about my seven SCI papers."


    Wu Cong raised his head, a glint of light flashed in his eyes.


    "I published a gene paper eight months later. I even know what gene I tested in my experiments! Dean Dai, do you dare to use me?"


    Fan Caiwei heard the words, silence is words.


    Actually, I am more vague than Fan Cai as to who issued the seven SCI papers.


    Just too, I can play stupid.


    Wu Cong can!


    "Wu Cong, although the seven papers may have been published by me, Lu Chen''s insight and knowledge reserve are definitely much lower than others."


    Dai Wansong hurriedly said.


    "It must be a loss for you to accept me as a student. It is necessary for you to do this, he said, right?"


    Fan Cai smiled.


    "Dean Dai, you are the shaft."


    "The standard of your interview is to see how many papers we have published.


    "Before posting a paper, what you think is a heart that lies in scientific research, and you sign your own papers, which are all published by yourself."


    "I was your student before, and then I plagiarized other people''s papers. As a tutor, this is also no fault. You cherish your own wings."


    Those things, Dai Wansong understands.


    I understand!


    "Wu Cong, Huaxia is such a small environment." Dai Wansong sighed, "How many really useless papers are there? You dare to say that less than 95% of papers are filled with water, or whether they have any meaning. ."


    "So, you hope that you can join forces." Fan Cai stared closely at Dai Wansong, "Just like the Seventh Academy of the Magic Capital, you always get promoted based on the number of papers. You want your students to be the only ones with papers. index of."


    "We can engage in clinical practice, scientific research, or both."


    "However, the seven characters of integrity are always one of the most important qualities of a healer!"


    Fan just finished speaking, and the phone fell into a long silence.


    People, in a low position, it is impossible for them to forget their original intentions more and more.


    A doctor, whether he is an attending doctor, a chief physician, or an academician, is a doctor who sees a doctor.


    If I forget that point, the meaning of my existence may be just a low-ranking official, an intellectual.


    Dai Wansong was silent for a long time.


    My voice came from the phone.


    "Fan Cai, Lu Chen is the only one left, so he will take me."


    "There is no one Lu Chen now, and there were no thousands of Lu Chen before." Wu Cong said solemnly, "If you accept me today, it will be fair to the other seventeen students who are interviewing today. In your own heart, you feel sorry to go."


    "He... hey, why is he so stubborn!" Dai Wansong suddenly laughed and scolded.


    When facing Wu Cong, I suddenly thought of myself when I was old, why is it so high-spirited?


    It¡¯s just that with age, the edges and corners are quickly smoothed out.


    The atmosphere at home became a little anxious.


    "Thank you, Dean Dai, for your understanding." Wu Cong said in a hurry.


    "Forget it, I''m begging him weakly." Dai Wansong seemed to have a hint of relief in his help, "That incident is your fault, so he can choose students according to his own preferences, and the rest , you handle it."


    "I''m bothering Dean Dai."


    Without the words of Dean Dai, Wu Cong breathed a sigh of relief.


    I was really afraid that it would make it difficult for Dean Dai Wansong to do it.


    ¡­


    the other side.


    The seventeen students left the Seventh Academy of Magic City before the interview.


    Few of us are locals, and they all come from afar from other colleges and universities across the country.


    The fat man Li Zhan returned to his hotel and met his alumni.


    The alumni also applied for the Department of Cardiology, but I chose the First Hospital of Magic City.


    "Fatty, how did the interview go?" The alumni looked complacent.


    "It''s special." The big fat man smiled shyly, "He laughed so much, should he be over?"


    "Hey, your performance can only be said to be special."


    Although the alumnus said that, the smile on his face was normally dim.


    "Your tutor recruited two students this year, and a total of eight people are offline. Your score is the lowest, so it should be stable."


    The big fat man looked envious, "He''s really stable, just like you..."


    "How many people did they interview?" The alumni smiled and asked casually.


    "There are no seventeen of you who have passed the score line." The fat man said.


    "Hey, you''re saying that their cardiology department passed the test. You''re talking about the instructor he applied for, and there are many who passed the test!" The alumni repeated with a smile.


    "You know, the seventeen people you mentioned are the ones who passed the score of your tutor."


    "Ah? They... seventeen people?!" The alumni were stunned.


    That data is too exaggerated.


    Few tutors may have no applicants at all, and there are only seven or seven people.


    But those seventeen people crossed the line, which is quite an exaggerated number!


    (end of this chapter)

 v3 Chapter 935： Some are happy, some are sad

    Chapter 935 Some people are happy, some people are sad


    Six p.m.


    The final result of the postgraduate interview, which everyone was eagerly awaiting, came out.


    Wu Cong and some of his good classmates got together.


    Start to check their scores online.


    "Brother Cong must be stable!"


    "Five SCI papers, no matter which tutor, they are all rushing for it, right?"


    A classmate complimented him.


    Wu Cong was also very confident at this time, not to mention that Dean Dai Wansong gave him the bottom line.


    "You must be able to pass." Wu Cong said to the crowd in a casual manner.


    Another student said: "Brother Cong, I heard that the tutor you applied for is also very good! Many teachers say that he is a leader in the field of cardiology in the future, which is really incredible!"


    Wu Cong nodded slightly.


    But when he thought that when Lu Chen asked him about his thesis today, there was a hint of unease in his heart,


    This trace of unease was quickly covered up by the compliments from everyone.


    "It''s six o''clock, the results should be out!"


    I don''t know who shouted, Wu Cong immediately came to the spirit.


    He turned on his computer and entered the postgraduate website of Modu University.


    At this time, several classmates around started shouting, "Great, great, I passed!"


    For a time, the room was filled with a cheerful atmosphere.


    "Brother Cong, look at the result, it must have passed!" urged the people around.


    Wu Cong smiled and entered his name and test number unhurriedly.


    Immediately, the page turns.


    On the ?? web page, the final result jumped out.


    "I''m very puzzled, you were not accepted by Lu Chen''s mentor in the Fifth Academy of the Magic Capital."


    "You meet the adjustment criteria. If you agree to the adjustment, please report to the Graduate School of Modu University at 8 o''clock tomorrow."


    Wu Cong was stunned when he saw this.


    The big characters ?? "Not Enrolled" were deeply reflected in his mind.


    Others also noticed Wu Cong''s strangeness.


    came over to take a look, it was actually "unaccepted"!


    Everyone was dumbfounded.


    The most "excellent" Wu Cong, how could he not be admitted?


    Wu Cong stared at the computer screen.


    He couldn''t figure it out. With such an excellent resume, he has five SCI papers!


    Compared with others, he is definitely a top genius.


    "damn it!"


    Wu Cong recalled the questions Lu Chen asked him, and held the mouse tightly with his right hand.


    "Uncle Dai is also unreliable. Didn''t he say...Help me solve it?"


    On the scene, for a moment, it became extremely quiet.


    Those classmates who were complimenting Wu Cong before, some even laughed secretly without guilt.


    Some people are silent on the surface, but they are happy inside.


    ¡­


    Some people are sad and some people are happy.


    Li Zhan, the little fat man, is here.


    He stared at the results on the computer screen in surprise.


    "Congratulations, you have been accepted by the mentor Lu Chen of the Fifth Academy of the Magic Capital."


    "If you agree to enroll, please report to the postgraduate department of the Fifth Academy of the Magic City at 8 o''clock tomorrow, and ask your supervisor to sign."


    The little fat man swallowed.


    He is still a little unbelievable.


    Among the fifteen people, he was definitely not the best in the written test and retest.


    has not published any papers nor participated in any scientific research experiments.


    Instructor Lu Chen actually accepted him!


    This is something that Little Fatty could never have imagined.


    The alumni who stayed with Little Fatty also knew his result.


    He was slightly surprised.


    After knowing that there were fifteen people who interviewed with Li Zhan, he secretly checked the tutors Li Zhan applied for.


    This is amazing!


    Lu Chen''s mentor''s resume is taken out, and this is the persona of an academic master!


    Did not expect Li Zhan to be admitted?


    The alumni were surprised, but also envy and jealous.


    ¡­


    this evening.


    Li Zhan, the little fat man, was full of ecstasy like the other four admitted.


    I was so happy that I couldn¡¯t sleep all night.


    And Wu Cong couldn''t sleep either.


    He tossed and turned and had trouble falling asleep.


    gave up the great opportunity to study abroad and prepared to develop first in China.


    Unexpectedly, he was rejected by a master tutor!


    The mentors his father introduced to him before were all big names in the field, at least a Ph.D. mentor!


    "You actually rejected me?!" Wu Cong was indignant, "You really have no vision! Lu Chen, you really have no vision!"


    He originally had a little yearning and respect for Lu Chen.


    But, in an instant, it disintegrated.


    On the contrary, in Wu Cong''s thoughts, there is a trace of resentment.


    Now he really wants to prove himself, to make achievements, to stand in front of Lu Chen and prove his choice is wrong!


    ¡­


    The next day.


    Wu Cong did not agree to the adjustment and never appeared in the Graduate School of Modu University.


    Li Zhan and other five people came to the office where Lu Chen was.


    Today, it is still Fan Zhiping who receives these five people.


    "Director Lu is doing rounds, you guys are waiting in the office now."


    "Okay, teacher."


    The five of them responded.


    After Fan Zhiping left, the five looked at the others.


    Li Zhan, the little fat man, saw the girl with the fat baby yesterday.


    "It''s strange, why didn''t that arrogant boy come?" The little fat man looked around a few people and didn''t see him, "Could it be that he was eliminated?"


    Little Fatty was shocked.


    During the interview yesterday, he secretly glanced at the information sheet in the hand of the high-cold boy.


    Gao Lengnan has published several SCI papers!


    This has all been eliminated?


    Little Fatty was a little puzzled, what are the criteria for Lu Chen''s tutor admission?


    Not only is the little fat man strange, several other people have more or less heard of Wu Cong.


    At this moment, Wu Cong was not seen, and everyone was very surprised.


    Just when everyone was wondering, Lu Chen pushed open the door.


    The five people in the office immediately stood up.


    "Hello Mr. Lu."


    The five shouted in unison.


    This was definitely not rehearsed beforehand.


    "Well, hello, all sit down."


    Lu Chen smiled and walked to the sofa, facing the five young students in front of him.


    Three males and two females.


    "It is fate that everyone can sit here together."


    Lu Chen smiled and said to the five young students.


    "After yesterday''s interview, you were the five people I carefully selected."


    "This is my first time as a mentor. I hope that in the next three years, everyone can make progress together."


    "If you have any difficulties in your daily life and study, you can come to me at any time."


    Lu Chen talked about a few old-fashioned topics.


    "As for academics, I hope everyone has an accurate positioning of themselves. Clinical or scientific research needs to be focused."


    The five students listened carefully to Lu Chen''s words.


    They found that this legendary mentor of the big coffee level is particularly friendly.


    In fact, generally well-known tutors are likely to entrust their students to the small bosses under them.


    A tutor with a status like Lu Chen generally does not need to personally manage students at all.


    However, for Lu Chen, he hopes that he can teach himself, batch after batch of talents who will contribute to the progress of Huaxia Medical.


    Finally, Lu Chen signed the letter of intent of the five.


    This is like a "contract" that binds several people together.


    (end of this chapter)

 ~： Night shift, leave.

\"


    as the title. Take time off.


    The main reason is that I am in a bad mood. I quarreled with my wife and I am not in a good state.


    If we can reconcile next year, let¡¯s watch the fifth watch.

 v3 Chapter 936： Youqing

    It¡¯s April.


    There are still five months before the graduate school starts.


    All students are currently required to return to their undergraduate institutions to complete their final graduation.


    General tutors will ask students to report to the hospital in advance.


    Lu Chen didn''t get too harsh and asked everyone to come to the department in advance, but let the five students enjoy the final vacation.


    Once you are admitted to graduate school, there are many things that follow.


    Clinical, scientific research, and learning tasks, the most important thing is the return of this kind of learning and life, which can only be seen after long-term accumulation.


    Lu Chen felt that he was not that kind of strict tutor, but he must be dedicated to his students.


    They don''t have to be the top scholars and surgeons, but they must be good doctors.


    ¡­


    The matter of ?? graduate admissions has come to an end.


    Lu Chen continued to work on clinical and scientific research.


    As the reputation of the Cardiology Department of the Fifth Hospital of the Magic City has grown, the number of patients who come to see a doctor has gradually increased.


    There is an endless stream of patients who want to join Lu Chen''s expert account.


    However, Professor Lu Chen has not performed surgery by himself recently.


    This makes many patients feel a pity!


    In this case, Jin Miao and Gu Xinyue''s surgical abilities are also improving rapidly.


    And, this leads to a circle of conscience.


    More and more cardiologists want to work or study in the Fifth Hospital of the Magic Capital.


    Because here, you can learn the most foreword theory and surgical skills from Lu Chen.


    Here, you don¡¯t have to worry about the pressure of the paper.


    On the other hand, the country has begun to take drastic measures to conduct centralized procurement of coronary stents and drugs.


    The income of doctors in various departments has been affected.


    Cardiology is one of the most ¡°affected¡± departments.


    Various departments are complaining.


    In this situation, the Fifth Academy of Magic Capital is particularly popular.


    Lin Shumin and Cao Xiaohui, who were far away in the first courtyard of the magic capital, also had their own thoughts at this time.


    ¡­


    "Xiaohui, I''m sorry, we really have no shortage of people in the Fifth Academy of the Magic Capital."


    On the phone, Ke Yue said to Cao Xiaohui.


    "Are you not recruiting anyone?"


    Cao Xiaohui was a little anxious.


    "I asked the personnel department, there are enough new recruits in the first half of the year." Ke Yue apologized, "How about I ask the personnel department to pay attention?"


    "Okay, Xiaoyue, thank you."


    Cao Xiaohui looked lonely.


    She has several graduate students who went to the Fifth Academy of the Magic Capital.


    In the past few years, there was not much difference in salary levels.


    But for the past six months.


    We usually get together with friends and compare wages and salaries. Only then did we find the gap between the two sides, which is slowly getting bigger.


    However, there is no shortage of people in the Fifth Academy of the Magic Capital now.


    Cao Xiaohui lamented in her heart.


    Before, Yunhua Hospital was a private hospital.


    She looked down on her.


    But now the Fifth Hospital of the Magic Capital is a serious public hospital!


    ¡­


    On the other side, Lin Shumin also found Fan Zhiping.


    In the evening, at a barbecue restaurant near the Fifth Academy of the Magic City.


    "Brother Fan, do you want to bring me to your place?" Lin Shumin said cautiously.


    Fan Zhiping smiled and shook his head.


    "Our group, it''s already full."


    "Not a single place?"


    Fan Zhiping thought for a while and patted his head, "Don''t say it, there really is a place."


    "Where?" Lin Shumin looked happy, "I''m going, I''m going!"


    "Our ECG room seems to be short of people."


    Fan Zhiping Road.


    The Fifth Hospital of the Magic City has higher requirements than usual for the staff in the ECG room.


    So it''s not very recruiting, there are still two vacancies here.


    "what?"


    Lin Shumin was stunned.


    He was a clinical staff member who asked him to do electrocardiogram medical technology.


    This is too unacceptable.


    "Don''t force it." Fan Zhiping smiled, "You can wait."


    "Brother Fan, isn''t there any other clinical position?"


    Fan Zhiping shook his head, "It''s long gone. Last year, many doctors from top tertiary hospitals in China wanted to come to our hospital, and the competition was extremely fierce."


    "Ah? So many top three doctors?" Lin Shumin swallowed.


    "Yes, ordinary doctors are not enough. Even returnees have many restrictions." Fan Zhiping sighed, "Moreover, we don''t only look at papers, or only funds."


    "Then why are you recruiting people? Do you have the ability to diagnose diseases?" Fan Zhiping asked in confusion.


    The ability to see a doctor, this thing is not like writing a paper, there is nothing to quantify.


    "I don''t know the specific recruitment criteria." Fan Zhiping, "These are all checked by Director Lu Chen."


    was hesitant.


    He wanted to go directly to Lu Chen.


    But over the years, he had less contact with Lu Chen.


    It seems inappropriate to just look for him directly.


    "Brother Fan, please help me pay attention." Lin Shumin said, "If there is a vacancy, please let me know."


    "Okay, this question!"


    Fan Zhiping sighed slightly in his heart.


    I missed the best time to come to the Fifth Academy of Modu.


    Now that I think about it, it will be very difficult!


    ¡­


    In fact, Lu Chen is in charge of the personnel management of the entire Fifth Academy of the Magic Capital.


    The Cardiology Department, from a team of only 40 to 50 people at the beginning, now has nearly 100 people.


    More than half of the staff were recruited by Lu Chen himself.


    He needs to judge whether the doctor''s philosophy is similar to his.


    Medical technology and scientific research capabilities can be gradually improved.


    But once people''s thinking is fixed, it is difficult to change.


    With the growth of the Fifth Academy of the Magic Capital, there are not a few people who come to find Lu Chen''s people.


    He treats them equally.


    Want to come, raise your hands to welcome.


    As long as you pass the admission examination, you will be fine.


    Otherwise, even if Dean Dai Wansong came to intercede, it would be useless.


    But all of this is based on Lu Chen''s strength.


    Even though Lu Chen will not have surgery for the time being.


    But TAVR surgery, transcatheter tricuspid valve interventional surgery, electrophysiological surgery, in these fields, Lu Chen is still one of the top surgeons in China!


    Professor Lu Chen''s name, like Professor Ouyang Ming and Qin Sifeng, began to be well known in China.


    Talking about Lu Chen.


    He is no longer a leader of the younger generation, but has really begun to be compared with the top domestic cardiologists.


    ¡­


    At the same time, with the conclusion of Lu Chenguo''s natural project.


    He also successfully applied for the "Excellent Youth" with the research results of this project!


    Youqing, the full name is "National Science Fund for Outstanding Young Scholars", commonly known as "Little Outstanding Youth".


    Lu Chen applied for "You Qing", no one was surprised.


    Everyone takes this for granted.


    If it wasn''t for his age, Lu Chen would have preferred to apply for Outstanding Youth directly.


    But this is also inseparable, it has to be done step by step.


    Lu Chen was not in a hurry, he focused more on clinical work.


    This is also because Lu Chen did not focus on scientific research.


    Otherwise, based on his thesis output rate, he may have applied for outstanding youth long ago.


    Or as early as Nature, Sce, these top journals published papers.


    Just like that, two years passed in a flash.

 v3 Chapter 937： Journals comparable to SCI

    The Cardiology Department of the Fifth Hospital of the Magic City, a doctor''s duty room.


    Li Zhan, Lu Chen''s graduate student, is about to pack up and get off work.


    Suddenly, a girl appeared beside him.


    "Oh, Li Zhan, how are you preparing for your graduation thesis?" Fang Simiao asked Li Zhan with a smile, with his hands behind his back.


    They are both students of the second heart research.


    The difference is that Li Zhan is Lu Chen''s student.


    Fang Simiao is Ke Yue''s student.


    "It''s alright, I''ve finished writing it." Li Zhan said while packing his things, "My boss asked me to publish the journal, and I''m working hard to revise it."


    Fang Simiao opened her mouth wide when she heard the words.


    "Director Lu actually asked you to publish a journal? Is that "Modern Cardiovascular Disease"?"


    "Yes." Li Zhan nodded.


    Fang Simiao swallowed his saliva, and said slowly, "Our academic journals are even more difficult to publish than ordinary SCI!"


    Ke Yue''s request for his students is to send an SCI with a score of three or more.


    Compared to Lu Chen''s request, this is nothing compared to nothing!


    After two years of development, "Modern Cardiovascular Diseases", although only the Huaxia Academy of the Fifth Academy of the Magic City, is not inferior to those of the international high-scoring SCI journals.


    The audit difficulty is surprisingly high!


    There are rumors that each of these papers was finally decided by Professor Lu Chen.


    The acceptance of "Modern Cardiovascular Diseases" in China is extremely high!


    As long as you can publish a paper on this, you can basically use it to join most of the top three hospitals in China.


    Therefore, Fang Simiao was so surprised when he learned that Li Zhan''s paper would be published in "Modern Cardiovascular Diseases".


    "Oh, I also think it''s difficult." Li Zhan smiled, "But the boss said that this was the goal that he set for us after reading our first draft."


    "Oh? Director Lu, each of you have different requirements?" Fang Simiao was taken aback.


    "Yes, it''s different."


    Li Zhan walked out the door with his bag on his back.


    Fang Simiao followed, "Why is it different?"


    Li Zhan thought for a while, "Actually, the five students of my boss have their own priorities in clinical and scientific research."


    "How to say?" Fang Simiao was a little puzzled.


    "Everyone chooses to focus on clinical or scientific research according to their own preferences." Li Zhan said with a smile, "For example, I focus on scientific research and surgery, so the requirements for publishing articles are also high. I have a colleague who is mainly clinical, the boss The requirements for his **** are lower."


    Fang Simiao was surprised when she heard the words.


    Director Lu Chen''s teaching method is really special!


    "Then if this paper was published in the academic journal, wouldn''t it be easy to stay in school?" Fang Simiao thought about it and said.


    "Not always."


    Li Zhan spread his hands.


    "You also know the qualifications of our Fifth Academy of Magic Capital to stay in school, don''t read the thesis! The same student I just mentioned to you, who is mainly focused on clinical practice, seems to have obtained the qualification to stay in school."


    As soon as these words came out, Fang Simiao was stunned, "Can I get the qualification to stay in the school as a second-year graduate student?"


    "That''s right." Li Zhan smiled, "My classmate is really good, don''t look at his lack of prose, but I can''t compare to him."


    "Can there be such a person?"


    Fang Simiao blinked. ¡­


    "Of course, I have time to introduce you to me."


    "Oh, then you don''t want to stay in school?" Fang Simiao asked suspiciously.


    Li Zhan smiled, "Of course it would be nice to stay in our hospital, but it is too difficult to stay in school!"


    "But you are Director Lu Chen''s student, so you should stay in school, right?"


    The students of the major director generally have a good chance of staying in school as long as their performance is similar.


    In fact, many colleges and universities in China also operate in this way.


    Not only the students of the director will stay in the school, as long as they are the students of the tutors in the college, there are certain places to stay in the school.


    Students who are trained by themselves can be used by themselves, and they can be used easily.


    However, for a long time, the fresh blood of many affiliated hospitals every year is the students of various tutors.


    If you meet a doctor at random, it may be your senior brother.


    Therefore, the affiliated hospitals of many universities in China will be extremely xenophobic.


    Doctors who are not from this affiliated system may have difficulty in the hospital!


    This is not a healthy development environment in the long run.


    If you want to become the world''s top hospital, you must be an inclusive hospital.


    Can be eclectic and widely accept talents.


    "Don''t think so." Li Zhan shrugged, "My boss never encourages us to stay in school, but instead thinks that we should change the environment more, go to different regions and hospitals to experience, and even put ourselves in the devil. What I have learned in the five colleges, compare it with the outside world, and achieve a process of checking for gaps."


    Fang Simiao''s admiration for Lu Chen grew stronger after hearing this.


    There are actually tutors who do not ask their students to stay in school, but instead encourage them to go to the hospital outside!


    Talking room.


    Li Zhan greeted Fang Simiao, "I still have something to do, I''ll go first."


    Then, he walked quickly towards the direction of the laboratory building.


    Li Zhan focuses on scientific research.


    After his usual clinical work, he would find time to come to the laboratory building.


    Now, the laboratory building of the Fifth Academy of Magic Capital is divided into different areas on a floor-by-floor basis.


    There are clinical scientific research, basic scientific research, and it is further subdivided into genome, stem cell group and so on.


    "Little Li, are you here again today?"


    The senior brother in the lab shouted when Li Zhan was coming.


    Today''s Li Zhan is a day shift.


    They usually don''t come to the laboratory building when they are on day shift and after work.


    "Well, yes, Senior Brother. Have you finished your experiment?"


    Li Zhan greeted him with a smile and then came to his seat.


    "Come on." The senior smiled, "By the way, Professor Lu Chen may be coming to inspect today, so clean up his lab table."


    "Okay, thank you brother for reminding me."


    However, Li Zhan glanced at his position.


    Apart from some experimental data, there is nothing else.


    Then, he felt at ease doing his own experiments.


    ¡­


    the other side.


    Lu Chen came to the laboratory building early in the morning.


    Even met his student Li Zhan halfway through.


    But Li Zhan seemed to be in a hurry, his footsteps were fast, and he didn''t notice himself.


    For this student, Lu Chen was still very concerned.


    Before ??, I read his paper and made a careful evaluation before letting him try to submit it to the academic journal "Modern Cardiovascular Diseases".


    The difficulty of ??academic journals, he, the director, may have known.


    Today is a weekly lab visit.


    This is Lu Chen''s general understanding of the entire laboratory building project.


    It is said to be a visit, but in fact it is more like checking for gaps in the laboratory.


    In other words, it is to find the latest scientific research ideas for everyone, and have a collision with everyone in thinking.


    Two years ago, he successfully applied for "You Qing".


    Now, he has reached the point of applying for "Outstanding Youth".


    What he needs now is to find the latest and most cutting-edge fund projects that no one else has done, and use it as an opportunity to apply for "Outstanding Youth".


    dd

 v3 Chapter 938： Apply for Outstanding Youth

    The Fifth Academy of Magic Capital, in the experimental building.


    Ke Yue is leading his students to conduct basic experiments in various fields of cardiology.


    It includes basic research on hypertension ion channels, cardiac rehabilitation, myocardial stem cells, etc.


    Ke Yue came to the Fifth Academy of the Magic Capital in the past few years.


    She spends very little time in the clinic and spends most of her time in the laboratory.


    Mainly focus on basic research in the field of cardiology.


    Over the years, she has made a lot of achievements, winning various provincial and municipal awards, and even national awards.


    In addition, Lu Chen will discuss some leading research topics in the field of cardiology with Ke Yue.


    With the help of the system, Lu Chen is also a big bull in various fields of basic research.


    Therefore, Ke Yue''s research and development in the field of cardiology in recent years has also had a considerable influence throughout China.


    "Boss Lu, why are you free?"


    Ke Yue smiled when she saw Lu Chen, and then handed over the matter to the person beside her.


    "Let''s see you guys and find inspiration by the way." Lu Chen looked around the lab, "Are you still missing something here?"


    "There is no shortage." Ke Yue smiled and shook his head, "In the beginning, when the entire laboratory was built, it was built according to the highest international standards. There was nothing missing. The only thing missing was good R&D ideas."


    "Okay. Tell me what hardware facilities are missing, and I''ll urge Dean Dai." Lu Chen smiled, "As for your good R&D idea, I''m also short of it right now!"


    "Aiya, Lu Chen, Dean Dai is probably going to be annoying you to death?"


    Ke Yue smiled lightly.


    As long as there is something wrong with the Cardiology Department, Lu Chen will find Director Dai Wansong.


    Lu Chen shook his shoulders, "Who asked Dean Dai to set such a goal for our Cardiology Department?"


    The original Dai Wansong set many national-level goals for Lu Chen''s Cardiology Department.


    Ke Yue was taken aback for a moment, "Speaking of this goal, our laboratory will immediately apply for the Key Laboratory of Myocardial Ischemia of the Ministry of Education, and it will be soon."


    "Yeah." Lu Chen said sternly, "I''m here this time to remind you of this. In the past two months, the entire Cardiology Department will assist you in applying for the key laboratory of the Ministry of Education. Although it is the first time to apply, but Take it all at once!"


    "I was a little worried at first, but I''m relieved to hear you say that." Ke Yue pursed her lips and smiled.


    With the help of the entire Cardiology Department of the Fifth Hospital of the Magic City, things will be much easier to handle.


    "Ke Yue, then don''t live up to my expectations." Lu Chen pretended to be serious.


    "Okay, my Director Lu, don''t worry."


    Speaking of this, Ke Yue suddenly stopped and the conversation changed.


    "Lu Chen, Cao Xiaohui found me a few days ago."


    "Huh? Cao Xiaohui?" Lu Chen was stunned for a while, "Isn''t she in the No. 1 Courtyard of the Magic Capital? What''s the matter with you?"


    Ke Yue said slowly, "She said that she wanted to come to our Fifth Academy of the Magic Capital to work."


    Lu Chen didn''t have too many surprises when he heard the words, "Then what do you say?"


    "I told her that there is no shortage of people in the Fifth Academy of the Magic Capital for the time being." Ke Yue said, "If she wants to come, she will have to wait until the second half of the year to recruit people, and she will also take the entrance exam and assessment, and she wants to come in through relationships. , may not work.¡±


    ¡­


    "Well, not bad!" Lu Chen nodded in agreement, "No matter who, even my relatives, want to come to the Fifth Academy of the Magic Capital, they need to take the exam and go through the formal channels."


    "Don''t worry." Ke Yue smiled, "We all know about this."


    "That''s good." Lu Chen nodded.


    Just when he wanted to go to another laboratory, Ke Yueque grabbed him.


    "By the way, Lu Chen, you are going to apply for Outstanding Youth this year, right?"


    Lu Chen stopped, then nodded slightly, and said, "Yes."


    "That... my doctoral supervisor has a little relationship with the Jie Qing Fund, you see..."


    Ke Yue was interrupted by Lu Chen before he could finish speaking.


    "After so many years, don''t you know me yet?" He smiled, "Don''t worry, I never fight an uncertain battle."


    Ke Yue spread her hands, "Of course I believe you, but Jie Qing is different from other funds, and there must be someone above."


    "Jiuqing" is a more significant title, and the relationships are intricate.


    It is difficult for ordinary people with flat heads to apply for "Jiuqing".


    Lu Chen smiled and patted Ke Yue''s shoulder, "I have my own plans."


    "Okay, anyway, if you need help, come to us anytime." Ke Yue finally said.


    "it is good."


    Lu Chen nodded heavily, then went to check other laboratories.


    ¡­


    came to Li Zhan''s laboratory.


    Lu Chen found that he was running an experimental program.


    For the little fat man Li Zhan, Lu Chen still compares.


    After all, they are also their first graduate students.


    Lu Chen stood beside Li Zhan for a long time.


    It wasn''t until Li Zhan got up to get something that he discovered Lu Chen''s existence.


    "Teacher, why are you here?"


    Li Zhan quickly stood up.


    "Let''s see you guys, keep doing your work, don''t be restrained, just pretend I didn''t come." Lu Chen patted Li Zhan''s shoulder and motioned him to continue.


    "Yes." Li Zhan nodded.


    The experiment at hand has indeed come to a critical moment.


    Looking at Li Zhan''s experiment, Lu Chen had many memories in his mind.


    In the past, he, like Li Zhan, was still a student in the laboratory.


    Unexpectedly, after a few years, he already had his own students


    After Li Zhan''s experiment was finished, a smile appeared on Lu Chen''s face.


    "Except for a few minor flaws, most of it is fine."


    "Teacher, your guidance is good." Li Zhan touched the back of his head.


    Lu Chen smiled, why does this sound familiar?


    "Beware of arrogance and impatience." Lu Chen instructed, "Have you revised your graduation thesis yet?"


    "Not yet." Li Zhan said with a bitter face, "Teacher, the requirements of the academic journal are too high."


    This is a journal comparable to a five-point SCI!


    Many PhDs are unable to publish such journals, and it is really difficult for a master to complete such a high-quality dissertation.


    "You have to have confidence in yourself." Lu Chen encouraged, "I am the editor-in-chief of the academic journal. I think your paper has enough standards in terms of the overall structure, but in some details, especially statistics. The method needs to be more precise.¡±


    "Okay, teacher, I got it!"


    Li Zhan nodded quickly.


    He knew what Lu Chen meant, definitely not giving him a back door, but really giving him a hint.


    ¡­


    Lu Chen was called back by a phone call from Jin Miao before he finished visiting the laboratory.


    "Director Lu, a difficult patient has come, come and see!"


    "Okay, come over now."


    Lu Chen had no choice but to end his plan to visit the laboratory ahead of schedule, and hurried back to the Cardiology ward of the Fifth Hospital of the Magic Capital.

 v3 Chapter 939： Mechanical complications after myocardial infarction!

    Lu Chen hurried back to the cardiology ward.


    At this time, both Gu Xinyue and Jin Miao were waiting at CCU.


    As soon as he entered the gate of CCU, Jin Miao handed over the mask and hat.


    "Director, you are finally here!"


    Lu Chen looked serious, "What patient, why are you so nervous?"


    Jin Miao and Gu Xinyue have been independent for so many years.


    General patients, they are not so nervous at all.


    Jin Miao calmed down his emotions and said solemnly, "It''s a patient who was transferred from the First Hospital of the Magic City. They couldn''t handle it, so they transferred it to us."


    "It''s the No. 1 Courtyard of the Magic Capital again?" Lu Chen was stunned for a moment.


    The cardiology departments of other hospitals in the entire Modu will transfer patients to them intermittently.


    It seems... The Fifth Hospital of the Magic City is regarded as the "last stop" for patients.


    Everyone gradually formed a way of thinking.


    That is, if it is a patient who has been declared "death penalty" by the Fifth Academy of the Magic City, then there is basically no hope.


    Even if you transfer to Kyoto again, there will be no salvation.


    If the patient was sentenced to "death penalty" in another hospital, but the Fifth Hospital of the Magic City said it could be saved, it means that there is still a glimmer of hope!


    "Director Lu, there''s nothing you can do. For this kind of critically ill patient, other hospitals in Modu forgot to transfer to our side."


    Jin Miao couldn''t help but complain.


    "Okay, let''s talk about this later." Lu Chen said, "Let''s talk about the patient''s condition first."


    "it is good."


    Jinmiao opened the mouth while leading the way.


    "The patient is a 62-year-old woman who was hospitalized in the First Hospital of Modu for 1 week due to chest pain and chest tightness."


    "After hospitalization, emergency coronary angiography was performed with complete occlusion of the circumflex branch, and acute lateral myocardial infarction was diagnosed. Stent was implanted in the circumflex branch. After the operation, the patient experienced recurrent acute heart failure, pulmonary exudation and infection."


    "Re-examination of cardiac ultrasound after operation showed the formation of aneurysm in the lateral wall of the left ventricle, rupture and prolapse of the chordae tendineae of the anterior mitral valve and severe regurgitation."


    Hearing this, Lu Chen''s expression became more serious.


    After acute myocardial infarction, rupture of the musculature or chordae tendineae is a serious mechanical complication after myocardial infarction.


    This complication, which often leads to severe pulmonary edema and cardiogenic shock, is closely associated with poor prognosis.


    Some studies have reported that in patients with severe mitral regurgitation caused by muscle rupture, the in-hospital mortality rate is as high as 70-80%!


    However, there are contraindications to surgery because of its often unstable hemodynamics, severe comorbidities, and extremely high risk of surgery.


    "The patient should have no chance of surgery, right?" Lu Chen asked.


    Jin Miao nodded and said, "


    The patient has severe heart failure and many underlying diseases, and cannot tolerate surgical thoracotomy at all. If a thoracotomy is forced, she will most likely not be able to step down. "


    Lu Chen nodded solemnly, "Take me to see the patient''s condition first."


    ¡­


    came to the CCU bedside.


    Gu Xinyue is checking the patient''s condition beside the bed.


    Seeing Lu Chen coming, he hurriedly stepped forward, "Director, you are here."


    Lu Chen nodded, picked up the stethoscope, and began to examine the patient.


    As Jin Miao said, the patient can hear wet rales all over the lungs.


    "Bring me the ultrasound machine." Lu Chen said solemnly.


    "Well, it''s ready." Gu Xinyue quickly pushed the cardiac ultrasound machine over.


    Lu Chen personally performed a cardiac ultrasound on the patient.


    Bedside echocardiography tips: LV: 43mm, LA: 43mm, EF: 34.3%.


    Left atrium enlargement, left ventricular lateral wall aneurysm formation, rupture and prolapse of the anterior mitral leaflet chordae tendineae and severe regurgitation.


    The results of Lu Chen''s examination were almost the same as those of the patient in the First Hospital of Modu.


    "Director, after the patient''s intervention in the First Hospital of the Magic City, the oxygen saturation of the patient''s blood decreased gradually, the infection index increased, and a large dose of vasoactive drugs was needed to maintain blood pressure."


    Gu Xinyue gave Lu Chen a more detailed report on his condition.


    "After being transferred to our CCU this morning, he is currently undergoing ventilator-assisted ventilation, with anti-infection, anti-heart failure, blood pressure, phlegm-reducing, sedative and other treatments. Repeated chest X-rays show that pulmonary edema is gradually aggravating, and infection indicators continue to rise. High, the patient cannot be weaned successfully, the heart failure index shows an upward trend, and the heart function gradually declines.¡±


    Lu Chen nodded, "We will have a difficult discussion within the Cardiology Department first, and then invite the Cardiac Surgery Department over."


    "Okay, Director, I''ll make arrangements immediately."


    Afterwards, Jin Miao brought all the doctors with the title of deputy senior or above who were not currently on duty in the Cardiology Department.


    Everyone gathered in the Cardiology Department Demonstration Classroom.


    As long as the meeting is held here, everyone knows that there is a patient with a problem.


    Gu Xinyue, as the doctor in charge, reported the medical history to everyone.


    "Currently, we are mainly thinking about the reasons why patients cannot be taken offline? What are the next steps?"


    Jin Miao was very enthusiastic and stood up first to speak.


    "Consider the patient as an elderly woman with acute ST-segment elevation inferior myocardial infarction."


    "Severe mechanical complications of mitral valve chordae tendineae rupture, leading to severe mitral valve regurgitation, acute heart failure, and severe pulmonary infection, renal insufficiency, hypertension and other complications, STS score 12.3%, surgical The risk of mitral valve repair is extremely high."


    Lu Chen nodded slightly.


    After so many years of training, Jinmiao has been able to fully analyze the patient''s condition.


    His statement is not much different from his own.


    Next, several more doctors made brief speeches.


    The main opinions of the doctors are the same, but there are some differences in the details.


    In the end, in Lu Chen''s concluding remarks, he concluded the coffin for the patient.


    At present, the reason why the patient cannot be weaned is mainly due to mitral valve prolapse with severe regurgitation, which causes the patient to have recurrent heart failure.


    And severe pulmonary infection caused by pulmonary congestion and long-term bed rest, the main crux is that the rupture of the chordae tendineae of the mitral valve leads to severe mitral valve regurgitation!


    "Director, we have already consulted with surgery." Jin Miao continued, "Director of Cardiac Surgery feels that this patient''s condition is critical and complicated, and he can''t tolerate surgery, so he can''t do thoracotomy at all."


    The normal treatment method requires open chest to replace the mitral valve, so as to solve the severe mitral regurgitation.


    But the current state of the patient does not allow surgery at all!


    For a while, everyone in the classroom was silent.


    It was because the patient could not tolerate surgery that he was transferred from the First Hospital of Magic Capital.


    Lu Chen saw that everyone was silent, smiled and said slowly: "In May of this year, an article was published in EuropeaJournal, which talked about patients with acute myocardial infarction complicated by severe mitral regurgitation."


    Seeing this, everyone looked at Lu Chen who was sitting in front.


    After so many years, the whole cardiologist was full of admiration for Director Lu Chen.


    Although Director Lu Chen is relatively young, he is one of the best in surgical operations in various fields of cardiology.


    "Have any of you read this paper?" Lu Chen continued.


    This time, no one spoke.


    Lu Chen was not too surprised.


    Everyone is usually very busy, and they can¡¯t finish the work in their own departments, let alone read those scientific research papers.

 v3 Chapter 940： Rare spells

    Chapter 940 Rare spells


    Department of Cardiology in the Fifth Hospital of the Magic City.


    Lu Chen stood on the podium.


    shows this paper from an American scholar on the projection screen at the front of the classroom.


    Everyone looked at them intently.


    Lu Chen began to explain in detail the content of "patients with acute myocardial infarction complicated by severe mitral regurgitation" mentioned in this article.


    "Compared three surgical modalities¡ªsurgical mitral valve replacement, transcatheter mitral valve edge-to-edge repair, and conservative medical therapy¡ªin patients with acute myocardial infarction complicated by severe mitral regurgitation."


    "Research on the difference in prognosis, the results show that early aggressive transcatheter edge-toedge repair (TEER) can significantly improve the long-term prognosis of patients and reduce in-hospital mortality."


    showed everyone in the classroom, and began to discuss at a high pace.


    Modern medicine focuses on evidence-based medicine.


    means that any treatment method must be proved by experiments, and specific data on the effectiveness of the treatment must be produced.


    and cannot use individual differences to explain that a certain drug treatment is effective.


    This paper by Lu Chen, although not from China, is the most advanced research in the world.


    "Director, I think you are right, this patient will definitely not be able to undergo surgery." Jin Miao immediately stood up and looked around, "If you want to completely solve the severe mitral valve regurgitation, there is only one way to go, and that is to go through Catheter intervention!"


    Lu Chen nodded with a smile.


    What ??Jin Miao said, this is what he thought.


    If there is still a glimmer of hope for this patient, then this glimmer of hope is pinned on catheter intervention!


    Afterwards, the rest of the classroom also nodded in agreement.


    A mature surgical team can offer different opinions, but can also quickly get a unified solution.


    However, the surgical plan has been determined.


    But the difficulty and risks of this operation are in front of everyone.


    "Director Jin, are you sure about this operation?"


    An attending doctor in the department asked Jin Miao.


    Now, Jin Miao has also been promoted to deputy chief physician.


    Jin Miao paused, then slowly shook his head: "I have done ordinary transcatheter mitral valve replacement surgery, but after such acute myocardial infarction, patients with mechanical complications of mitral valve prolapse, I really have no idea. did."


    The implication is that he is not too sure.


    When the others heard this, they all turned their attention to Lu Chen.


    In the entire fifth hospital of the magic capital, Jin Miao''s interventional surgery ability is one in a thousand.


    Even in the field of interventional cardiology in China, any cardiologist will give a thumbs up when they hear Jin Miao''s name.


    If you want to say that the one who can stabilize Jinmiao''s head is only Lu Chen!


    However, Director Lu Chen has not performed the operation himself for a long time.


    At this moment, Lu Chen on the podium spoke up.


    "This kind of mitral valve intervention after acute myocardial infarction is still blank in our country."


    "Even in the world, it''s a rare technique."


    If there is only severe mitral regurgitation in a single place, there are many doctors who can complete this type of surgery independently.


    However, in patients with severe mitral regurgitation during acute myocardial infarction, this procedure is required.


    In comparison, this risk is not a star and a half!


    Acute myocardial infarction, in simple terms, is the death of myocardial cells and necrosis of cardiac muscle tissue.


    In this case, the contractility of cardiac function decreases, and it is easy to develop heart failure.


    Secondly, myocardial cell necrosis will lead to damage to the heart structure.


    This patient suffered from severe mitral regurgitation caused by rupture of the chordae tendineae.


    Serious complications that can lead to heart rupture!


    This is better understood.


    Necrotic heart tissue beats less, but normal myocardial tissue beats the same as before.


    As a result, a shearing force is generated between the necrotic normal myocardial tissue.


    Under the action of shearing force, the heart is extremely easy to rupture!


    Once the heart is broken, the mortality rate is almost 100%!


    It can be seen that the difficulty of this operation is to dance on the tip of a needle!


    ¡­


    showed that there was a brief silence in the classroom.


    Lu Chen raised his head this time and looked at Jin Miao.


    "You are the patient''s doctor, what is the opinion of the patient''s family?"


    In the face of such critically ill patients, in addition to the opinions of doctors, the opinions of family members are more important.


    is active treatment, or give up and go home.


    This is the decision that ultimately determines the fate of the patient.


    If this kind of patient chooses to go home for conservative treatment, Lu Chen is sure that he will not survive for a week!


    "The patient is an ordinary working family." Jin Miao said, "In order to treat his illness, he has sold his house and traveled to many hospitals, and finally came to us."


    Lu Chen looked solemn.


    This kind of patient is more difficult.


    Empty people and wealth is a situation that no one wants to see.


    "Jin Miao, you call the patient''s family member to the doctor-patient communication room, and I will communicate with him."


    "Okay." Jin Miao nodded slightly, stood up and left the classroom.


    This case discussion is just over.


    The final solution is available, but the specific operation is still in doubt.


    ¡­


    Jin Miao quickly called the patient''s family to the doctor-patient communication room.


    in the communication room.


    In front of Lu Chen sat a man in his thirties.


    His hair was fluffy and his eyes were bloodshot, and it seemed that he had not rested for a long time.


    "Doctor, how is my mother?"


    As soon as we met, the man asked hurriedly.


    Lu Chen shook his head slightly: "The situation is not very good. You should also know that the diagnosis from the doctor in the outside hospital is acute myocardial infarction combined with severe mitral valve regurgitation..."


    Lu Chen was interrupted by a man before he could finish speaking.


    "Doctor, don''t tell me these professional terms, I just want to know what to do next!"


    The man shook his head helplessly.


    Actually, in his heart, he seems to already know the final outcome of his mother.


    He is not a native of Modu.


    This time, in order to cure the disease, he traveled through mountains and rivers, and went to many hospitals in the magic capital.


    The family spent more than half of the money, but in the end there was no hope of finding a cure.


    Lu Chen was patient and slowly said to the man in front of him: "Don''t worry, I''m the director of the Cardiology Department of the Fifth Hospital of the Magic City. I''ll explain the condition to you now. As for the next treatment method, I''ll explain it to you. ."


    Hearing Lu Chen''s words, the man hurriedly looked down at his badge, "You...you are Director Lu, right?! I know you, I came to the Fifth Hospital this time because a patient told me..."


    The man''s expression suddenly became excited.


    Lu Chen hurriedly said: "I said, don''t get excited, the treatment needs to be done step by step."


    "Okay." The man nodded immediately and did not continue speaking.


    Lu Chen saw this and continued: "Your mother''s current illness is because the heart valve is broken due to myocardial infarction. Simply put, the window in a room is broken."


    The window is broken, what should I do?


    One is to repair, the other is to replace the whole broken window with a new one.


    (end of this chapter)

 v3 Chapter 941： Pregnancy successful?

    Chapter 941 Was the pregnancy preparation successful?


    "Director Lu, which method is better?" the man said eagerly.


    "In this situation, repairing is very difficult and the effect is not good." Lu Chen said, "As for the replacement of the entire valve, there are two methods involved, one is surgical thoracotomy, and the other is minimally invasive medical intervention."


    The man nodded and listened carefully to Lu Chen''s words.


    "The first is thoracotomy, which is straightforward and can directly replace the entire valve, with good results. However, the risk of surgery is high, and the patient is currently in critical condition and cannot tolerate this surgery at all. In other words, the patient is very It''s possible that you won''t be able to get off the operating table or get out of the operating room."


    "Then... what about the second type?" the man said quickly.


    "The second one is easy." Lu Chen said sternly, "Through minimally invasive intervention, peripheral vascular puncture, and minimally invasive medical methods, you can enter the heart valve without opening the chest and replace the entire valve."


    "Okay! Director Lu, we will choose this type of interventional surgery!" The man''s voice was eager.


    "You calm down first and listen to me."


    Lu Chen emphasized again.


    This man was extremely excited.


    Lu Chen''s words seemed to ignite his last hope.


    "You say it, you say it, I''ll listen." The man nodded quickly, sat back in the chair, and stared at Lu Chen with a hopeful expression.


    "First of all, this kind of surgery is also very difficult." Lu Chen said slowly, "In our country, you are the first case!"


    To put it bluntly, he is the first person in China to "eat crabs".


    "The difficulty is high and the risk is high." Lu Chen paused, "The cost of surgery is not cheap, and it does not enter the scope of medical insurance reimbursement."


    This means that the entire operation cost is not reimbursed.


    For a working-class family, this is most likely the last straw that breaks the camel¡¯s back.


    "As a result of the operation, it is very likely that both people and money will be empty!"


    Sure enough, when the man heard this, he suddenly became quiet.


    This is not because Lu Chen is cruel.


    The discussion before surgery needs to be comprehensive, and there should be no luck.


    Otherwise, unexpected things happen to the patient''s family, which may lead to medical disputes.


    for a long time.


    The man said slowly: "Director Lu, how sure are you about this operation?"


    Lu Chen shook his head slightly: "I never talk about the success rate of surgery. Because once failure falls on your head, it is a 100% failure rate."


    The man sinks his heart.


    Other hospitals have declared his mother''s "death penalty". Only in the Fifth Hospital of the Magic City, there is such a glimmer of hope.


    "How much will the surgery cost?"


    "The cost of the entire operation is about 200,000 yuan, and this does not include the cost after the operation. If there are complications after the operation, you may need more!"


    200,000 Chinese coins, which is definitely not a small amount for a working family.


    "200,000..."


    A trace of pain appeared on the man''s face.


    On the hospital bed, it was the mother who gave birth to him and raised him.


    And now, his career has just picked up.


    The tree wants to be quiet but the wind doesn''t stop, the child wants to be nourished but the kiss doesn''t wait!


    "Director Lu, if I can raise some money first, can I do the surgery first?" the man said slowly.


    Lu Chen thought about it and said, "Yes!"


    The man''s eyes flashed a ray of light, "Really?"


    Lu Chen nodded slightly.


    It wasn''t that the Heart of his Virgin came.


    "Although this is a new surgical procedure, which is not reimbursed by medical insurance, we have similar clinical trials." Lu Chen said, "If you participate in clinical trials, we will have a corresponding fee policy, and you should only need to pay 50-60%. costs.¡±


    Hearing this, the man stood up excitedly.


    He grabbed Lu Chen''s hand tightly.


    "Director Lu, you...are you telling the truth? Let''s participate in this clinical trial!"


    Lu Chen smiled and nodded: "Of course it is true. After all, this is our first operation in China, and we will have policies to take care of it. In addition, although it is a clinical experiment, in the actual process, we will not harm the interests of patients. It''s just before and after surgery, to collect part of the patient''s body data."


    "Ok, no problem, we agree!"


    The man nodded quickly, very afraid that Lu Chen would go back on his words.


    In fact, the fact that clinical patients can participate in clinical experiments can not only reduce the experimental fees, but also provide a new way out for some patients who have been sentenced to "death penalty".


    And, once participating in clinical trials.


    The doctor will pay special attention to the patients participating in the experiment, and closely monitor various vital signs and laboratory indicators.


    In foreign countries where clinical trials are being developed, many patients will ask if there is any relevant experiment and take the initiative to ask to participate.


    In China, everyone''s thinking has not changed.


    I feel that using you as an experiment means using you as a guinea pig and hurting you!


    This kind of clinical experiment is the most common in the field of oncology medicine.


    Many new types of oncology drugs undergo extensive clinical trials before they are marketed.


    For some patients with advanced tumors, after receiving this clinical experiment, the survival time has been significantly prolonged.


    ¡­


    In the end, after discussion with the MDT team of the Fifth Academy of the Magic City, it was decided to perform TEER surgery as soon as possible.


    After communicating with the patient''s family, Lu Chen planned to use Abbott''s MitraClip for transcatheter mitral valve edge-to-edge repair.


    "Director Lu, do you want to perform this operation yourself?"


    In the office, Jin Miao asked subconsciously.


    "Yes, why don''t you do it?" Lu Chen smiled.


    Jin Miao waved his hand quickly, "I have no experience. However, Director, you..."


    Seeing Jin Miao talking hesitantly, Lu Chen frowned, "If you have something to say, just say it, and if you have nothing to do, prepare for the operation. We need to do the operation as soon as possible."


    "That..." Jin Miao seemed to summon up great courage, "Aren''t you preparing for pregnancy and not having surgery?"


    Lu Chen''s expression froze, and he glanced at Jin Miao helplessly.


    "You said that you are so busy at ordinary times, and you still have time to gossip?"


    Jin Miao whispered: "Director, we also care about you..."


    "Don''t worry." Lu Chen suddenly smiled, "You guys are worrying too much."


    "Huh?" Jin Miao was stunned, "Is the pregnancy preparation successful?"


    Lu Chen: "..."


    ¡­


    Surgery started very soon.


    Before the operation, Lu Chen checked the patient''s valve again.


    In the four-chamber view and the two-chamber view of the ultrasound, the formation of a left ventricular aneurysm with high lateral wall, mitral valve leaflet prolapse and severe regurgitation can be seen.


    X-plane view, suggesting that valve leaflet prolapse is mainly located in the A2/P2 area, with severe regurgitation.


    3DMVView, incompatibility of the anterior and posterior mitral valve leaflets, and the patent gap can be seen in the A2/P2 area slightly deviated from 1.


    Comprehensive examination is to fully assess the valve status of the patient in order to deal with various conditions that may occur.


    in surgery.


    Lu Chen''s expression was solemn.


    Beside him stood Jin Miao and Gu Xinyue.


    This operation was two years later, and Lu Chen stood on the operating table again.


    If he doesn''t make a move, he has to fill a gap in the field of domestic interventional surgery!


    And this operation also attracted the attention of the entire Huaxia Cardiology Department.


    Even, in the distant United States of Mayo.


    In the Cardiology ward, Professor Debed has already started the live broadcast of the Fifth Hospital of the Magic Capital.


    (end of this chapter)

 v3 Chapter 942： Logo of Huaxia Cardiology Department

    Chapter 942 Logo of Huaxia Cardiology Department


    Operating room.


    Gu Xinyue started preoperative anesthesia and drape.


    In this operation, the anesthesia method of the patient is general anesthesia.


    After Gu Xinyue established venous access, Jin Miao began to puncture the right femoral vein.


    Beside him, Lu Chen performed a transesophageal echocardiography.


    This will be the first difficulty of this operation!


    That is how to determine the atrial septal puncture point.


    The patient''s heart and structural morphology have undergone severe changes.


    The normal atrial septal puncture point is not so obvious.


    "Director, I... I didn''t find the puncture point!"


    Jin Miao''s face was extremely ugly.


    According to the routine operation, he could not touch the patient''s atrial septum at all.


    After the patient''s overall heart changed, he could not find the puncture site at all.


    Beside, Lu Chen is also constantly checking the patient''s heart ultrasound shape.


    In the virtual space of the system in his mind, he kept deducing the correct operation method.


    Simulate various heart shapes and try to puncture the atrial septum.


    in a moment.


    Lu Chen already had a decision in his heart.


    "Jin Miao, you first determine the location of the puncture point on the Bi-bicaval section and the SAX-short-axis section!"


    "Okay Director, received!"


    Hearing Lu Chen''s voice, Jin Miao followed his instructions and started the operation.


    "Afterwards, the distance between the puncture point and the mitral valve annulus was determined in the four-chamber view, and the general puncture height was 4-4.5cm."


    Jin Miao was slightly taken aback when she heard the words.


    Director Lu was able to tell all the specific data.


    Where did this data come from?


    In addition to being surprised, Jin Miao''s hand movements were not slow at all.


    With the help of fluoroscopy and Lu Chen''s reminder, he finally succeeded in puncturing the interatrial septum.


    "Okay, send the Superstiff wire to the left atrium immediately."


    Lu Chen''s expression remained unchanged, and he continued to instruct Jin Miao to operate.


    After using the vascular sheath to dilate the femoral vein, Jin Miao introduced the guide wire into the 24F introducer sheath across the atrial septum to the left atrium.


    Through the 24F introducer sheath, the MitraClip valve clip system (CDS) was introduced into the mitral valve.


    Under the guidance of esophageal ultrasound, Jin Miao successfully reached the target position of the mitral valve and captured the flail valve leaflets.


    "Director, the patient''s blood pressure has dropped!"


    Suddenly, Gu Xinyue said loudly from the side.


    "Pause surgery, dopamine, norepinephrine pump!"


    Lu Chen was slightly startled, and commanded the road in an orderly manner.


    The event I was most worried about finally happened!


    "Increase the pump speed now!"


    Meanwhile, he had the nurse push the IABP and ECMO machines over.


    These two machines are ready for further operation if the blood pressure cannot be maintained.


    The bedside ECG monitor is intermittently measuring the patient''s blood pressure.


    Lu Chen monitored his vital signs at all times.


    "Are IABP and ECMO used?"


    Jin Miao asked nervously.


    "No hurry, stop the operation for observation first." Lu Chen shook his head slightly, "If the blood pressure can be stabilized, IABP and ECMO are not needed."


    "it is good!"


    Catheter room and outside.


    Everyone stared at the changes in blood pressure.


    This operation focuses on the difficulty of the operation.


    More importantly, it is the successful removal of the patient.


    If the patient cannot tolerate the surgery, then everything is in vain.


    five minutes later.


    The patient''s blood pressure finally stabilized at 90/60mmHg.


    "Okay, the operation will continue." Lu Chen said, "I will perform an esophageal ultrasound first to check the position of the valve. You can follow my instructions."


    Jin Miao and Gu Xinyue nodded slightly.


    Lu Chen began to perform esophageal ultrasound.


    He kept adjusting the position and carefully observed the position and shape of the valve.


    "Okay, the position is okay, Jin Miao, you can release the valve."


    Jin Miao nodded with a hint of surprise on his face, "Yeah!"


    After repeated confirmation by transesophageal ultrasound.


    Jin Miao implanted a MitraClipXTR mitral valve clip in the mitral valve A2/P2 offset 1 area.


    "Wait a minute, I''ll look at the position of the valve leaflets again."


    At this point, the second difficulty of the operation is how to adjust the position of the valve clamp.


    Lu Chen adjusted the position of the valve clamp on the X-plane plane.


    "Mainly locate the most obvious A2/P2 area of ??PISIA!" He said to Jin Miao who was on the side.


    "receive!"


    Jin Miao responded, and then, with the help of Lu Chen''s operation, began to slowly locate.


    Lu Chen continued: "The joint view of the mitral valve commissure and the LVOT view were used to adjust the axial direction of the clip, and at the same time, the orientation and area of ??the clip were observed on the 3D view."


    Jin Miao''s technique, under the guidance of Lu Chen, became more and more proficient from the beginning.


    Esophageal ultrasound was performed again, and the inspection showed that the valve clip was in good position and the valve leaflets were firmly captured.


    However, at this moment, Lu Chen did not relax.


    He said slowly: "Capture the anterior and posterior valve leaflets at the A2/P2 offset 1, and gradually close the valve clip."


    "Okay!" Jin Miao replied while operating, "The valve clamp is in a good position, and the axis and orientation are ideal!"


    TEE showed that mitral regurgitation was significantly reduced to trace amounts.


    The ??3D view shows that the tissue bridge is continuous and intact, and the leaflet capture is stable.


    Lu Chen nodded with a smile, finally relieved, and said: "The average transvalvular pressure of the mitral valve is 2mmHg, and the multi-sections confirm that the clamping tissue is sufficient, and the Doppler waveform of the left upper pulmonary vein has returned to normal from the reverse."


    Jin Miao was relieved to hear Lu Chen''s feedback.


    The delivery of the ?? valve has already indicated that most of the operation is successful.


    Immediately postoperative ultrasound showed that mitral regurgitation decreased to a small amount.


    Colored blood flow indicated a small amount of valvular regurgitation, and a mean transvalvular pressure difference of 3mmHg was measured.


    The blood flow spectrum of the left upper pulmonary vein returned to the positive direction after re-examination, and the surgical effect was satisfactory.


    "Jin Miao, start to gradually release the valve clip system to withdraw from the body!"


    "it is good!"


    This last step, although simple, is also very important.


    Jin Miao''s every step is meticulous, afraid of the slightest mistake.


    "Take your time, don''t rush." ??Lu Chen instructed, "The most important steps have been completed, don''t let the halberds sink into the sand here."


    "Um."


    Jin Miao nodded slightly.


    With the assistance of Gu Xinyue, he slowly released the valve clip system, and then successfully withdrawn from the body.


    That''s it, the whole operation is over!


    In the operating room of the catheterization laboratory.


    Jin Miao and Gu Xinyue were filled with joy.


    Lu Chen also had a smile on his lips.


    Although they were able to suppress their excitement, the people in the Cardiology Department of the Fifth Hospital of the Magic Capital outside the catheter room couldn''t calm down.


    The crowd began to applaud unconsciously.


    The completion of this operation means that the Fifth Hospital of the Magic Capital has entered the ranks of the top hospitals in China.


    From TAVR, electrophysiology, to transcatheter tricuspid valve surgery, TEER surgery.


    In the fifth hospital of the Magic Capital, every operation performed by Lu Chen is a top-level operation in China and a first-class operation in foreign countries.


    Many Mayo people who were at the same time as Lu Chen were watching Lu Chen¡¯s live broadcast at this time.


    Even in Mayo in the United States, Professor Debed was surprised.


    "As expected of Lu!"


    debde sighed in his heart.


    In his heart, the Cardiology Department of the Fifth Hospital of the Magic Capital in China has gradually become the symbol of Huaxia Cardiology Department.


    (end of this chapter)

 v3 Chapter 943： Back to Jinghua!

    Chapter 943 Back to Jinghua!


    Outside the operating room.


    The family members of the patients paced back and forth at the door.


    He looked down at the floor, then at the door of the operating room.


    Finally, Gu Xinyue and Jin Miao pushed open the door amid his long-awaited expectations.


    He knew the operation was finally over.


    The mood of the man is extremely complicated.


    He was looking forward to the end of the operation and was afraid of the outcome.


    "Director Jin, Director Gu, how''s the surgery going?"


    Jin Miao and Gu Xinyue are both deputy chief physicians now.


    The man ran forward with a very anxious look.


    The difficulty of the operation, he has checked on the Internet, and he is very aware of it.


    Even if it is placed in the world, it is the top difficulty!


    In the sight of the man, Gu Xinyue and Jin Miao were both smiling.


    "Don''t worry, the operation was a success! The patient''s condition is also very stable!"


    The voice of ?? just fell.


    The man''s eyes filled with infinite surprises.


    There were even tears in his eyes.


    On the hospital bed, this is his mother!


    is the relative who pulled him alone!


    When he knew that his mother was seriously ill, how desperate he was in his heart.


    Mother has worked hard for most of her life, and finally it is time to enjoy happiness.


    But at this time, there is no chance.


    After going to many hospitals, they all declared "death penalty".


    In the Fifth Academy of the Magic Capital, with Professor Lu Chen, there is a chance of life.


    It is this thread of vitality that has created a miracle!


    "Doctor Jin, thank you, thank you Professor Lu!" the man said excitedly, "Then I... can I see my mother now?"


    Gu Xinyue shook his head.


    "Not for the time being. We have just finished the operation and need close monitoring. We cannot see family members for the time being. If there is any change in the condition, we will contact you at any time. When the dangerous period is over, we will arrange for you to meet with the patient at any time."


    "well."


    The man smiled.


    His smile was a bit ugly, but it contained hope.


    ¡­


    After surgery, the patient woke up normally.


    Lu Chen did not go back, but gave her a heart ultrasound again.


    The position and shape of the valve were good after surgery.


    The pressure on both sides of the valve is reduced, and the regurgitation volume is also reduced to a small amount.


    The crux was resolved, and the patient''s heart failure improved immediately.


    "Auntie, how are you feeling now?" Lu Chen asked with a smile.


    The patient was lying on the bed. Although his body was a little weak, he had a big smile on his face.


    "I...I feel much better, the breath in my chest is completely healed, and I don''t have the feeling of difficulty breathing before."


    Lu Chen smiled, "That''s good, but then you can''t get off the ground right away, and you have to rest in bed for a while to make sure there are no other complications before we can start training slowly."


    Patients with severe heart failure may experience chest tightness and panting after a little activity.


    And this mitral valve surgery can best improve the symptoms of this heart failure.


    When the surgery was completed, the patient¡¯s symptoms also improved significantly.


    The difference between before and after contrast shows the necessity of surgery.


    ¡­


    This operation in the Fifth Hospital of the Magic City.


    Opened Huaxia transcatheter interventional treatment for patients with severe mitral regurgitation after myocardial infarction


    Lu Chen also set up the project and is ready to apply for this year''s "Outstanding Youth"!


    Of course, long-term experimental data needs to be mastered.


    Otherwise, if you want to apply for some kind of fund just after a few operations, it will definitely not work.


    Therefore, the Fifth Academy of Magic Capital began to promote it all over the country.


    Not only publicizes the severe mitral regurgitation surgery, but also many other surgeries, such as TAVR, electrophysiology and so on.


    The Fifth Academy of Magic Capital has ushered in a period of rapid development,


    During this time, Lu Chen''s work was quite busy.


    When he got home.


    Xu Wei has prepared meals for him.


    "I''m home!"


    "Yeah." Lu Chen smiled, "Did you go out to buy groceries again today?"


    Looking at the food on the table, Lu Chen frowned and said, "I told you, let my mother cook, it''s not convenient for you right now."


    Xu Wei smiled and shook her head: "I''m only a few months old now, and my stomach doesn''t react at all."


    "Anyway, be careful."


    Lu Chen touched Xu Wei''s belly with a happy smile on his face.


    Yes, he and Xu Wei got married a year ago.


    Xu Wei is currently two months pregnant.


    This is also the reason why Lu Chen can have surgery now.


    was really guessed by Gu Xinyue and Jin Miao!


    "Lu Chen, I''m going to go to work in a few days."


    Xu Wei frowned, "Staying at home every day, I''m getting moldy!"


    "No!" Lu Chen quickly refused, "Our family does not lack such a little money. If you are too tired from work, the gain will outweigh the loss."


    When Xu Wei heard this, she was in a hurry.


    "Then I can go out for a walk, okay?"


    Lu Chen glanced at the health on Xu Wei''s head, which was normal for the time being.


    "You can go out, but you must be accompanied by someone. If you have any discomfort, you must let me know in time."


    "Okay, why are you so long-winded now."


    and Xu Wei greasy for a while, Lu Chen came to his study and continued to write tenders for the "Jie Qing" fund.


    In fact, Lu Chen is relatively familiar with the "Jieqing" Fund.


    After all, Li Yao, the mentor of the year, successfully applied for the "Jieqing" fund with his "Dapagliflozin" project.


    Thinking of this, Lu Chen decided to call Li Yao.


    It happened that I haven¡¯t contacted Li Yao for a long time, and now I just catch up.


    Not to mention, although Li Yao is now a "remarkable young man", with their influence in the department, Lu Chen really wants to overwhelm Li Yao.


    made a call, and the other side picked up immediately.


    "Hey, Lu Chen, when are you willing to call me?" Li Yao pretended to be angry.


    Lu Chen smiled, "Mr. Li, I think about calling you every day!"


    "Tell me, you slick!" Li Yao scolded with a smile, "Nothing goes without going to the Three Treasures Hall!"


    Lu Chen smiled, "Teacher, I can''t hide anything from you!"


    "Let me guess." Li Yao said, "Lu Chen, are you going to apply for Outstanding Youth?"


    Lu Chen was taken aback for a moment, then smiled and nodded slightly.


    Outstanding Youth Application, the first test is coming to an end.


    Those in the industry know it.


    "Yeah, I still have one more fund project left, so it shouldn''t be difficult." Lu Chen said, "But I want to ask about what Jie Qing applied for in advance."


    "Jieqing applied for this..." Li Yao hesitated on the phone, "Would it be better if you came to our Jinghua to play and I told you in person?"


    "Come to Jinghua?" Lu Chen was stunned, "Alright!"


    Since he graduated with a master''s degree at Jinghua, he has never gone back.


    In Jinghua, Lu Chen stayed for three years, which was also the beginning of his clinical journey.


    (end of this chapter)

 v3 Chapter 944： Memories kill

    Chapter 944 Memories Kill


    Jinghua, this should be where Lu Chenmeng started.


    From the failure of the postgraduate entrance examination, he was transferred to Jinghua Hospital.


    Lu Chen started his journey as a postgraduate student.


    Here, he met his life mentor Li Yao, Ke Yue, his roommate Wang Zihao and so on.


    in Jinghua.


    Lu Chen created many miracles.


    He helped Jinghua Medical University win the championship of the Huaxia National Clinical Medicine Skills Competition.


    even entered the finals of the Jinghua Electrophysiology Competition in one fell swoop and became a student of Jinghua Electrophysiology College.


    has published several papers in top journals.


    also helped tutor Li Yao successfully apply for the "Jiuqing" fund.


    In these short three years, Lu Chen has done a lot of things.


    also laid the most solid foundation for his present.


    If Lu Chen was given another chance to choose, he would still choose to come to the Jinghua Second Hospital.


    ¡­


    got off the plane.


    Looking at the unfamiliar yet familiar street, Lu Chen couldn''t help feeling a little warmth in his heart.


    "Finally home!"


    Ke Yue stood beside Lu Chen, feeling quite impressed.


    This time back in Jinghua, she and Gu Xinyue also came back together.


    "Yeah, after so many years, it feels like a long time."


    Gu Xinyue looked around and was overwhelmed.


    "Mr. Li is still waiting, let''s go quickly."


    Lu Chen smiled, their role this time was not just to revisit the old place.


    The identities of the three of them represent the Cardiology Department of the Fifth Academy of Magic Capital.


    One of the top cardiology departments in the country!


    Li Yao and his party had long waited for the airport exit.


    She was accompanied by senior leaders such as the dean of the Jinghua Second Hospital.


    Seeing Lu Chen and his party coming out, Li Yao and others immediately greeted them.


    Lu Chen''s pace quickened a bit.


    He smiled and walked to Li Yao, "Mr. Li, we''re back."


    Li Yao''s eyes seemed to be a little red, she nodded slightly, "It''s good to be back!"


    Many people were present, and now is not the time to reminisce.


    The group took the university''s special car and returned to the headquarters of Jinghua Medical University.


    Lu Chen''s identity is the director of the Department of Cardiology of the Fifth Academy of the Magic Capital.


    The academic status is not low in the whole of China.


    The senior leaders of the school came out to greet them in person.


    Even in front of the main gate of the school, a banner was pulled up - Welcome alumnus Professor Lu Chen back to his alma mater for inspection!


    This wave of operations not only gave Lu Chen enough face, but also advertised his own Jinghua Medical University.


    Lu Chen and the school leaders had a brief contact and had lunch for a while.


    Then came to Li Yao''s site, the Cardiology Department of the Second Hospital of Jinghua.


    Gu Xinyue''s mentor was not Li Yao, he did not walk with Lu Chen.


    ¡­


    The Office of the Director of the Second Academy of Jinghua.


    Cao Zhiying, the former director of the Department of Cardiology, left sadly after failing to apply for the title of academician many times.


    After that, Li Yao stood out from many competitors and became the new director of Jinghua Second Academy!


    Among them, Lu Chen''s help to Li Yao was indisputable.


    "Teacher, I haven''t seen you for many years, your office is so much bigger."


    Lu Chen came to Li Yao''s office and said with a smile.


    "No matter how big it is, it''s not as big as you in the Fifth Academy of the Magic Capital, right?" Li Yao joked.


    The scale of the Fifth Academy of Magic Capital is not comparable to that of the Second Academy of Jinghua.


    Lu Chen began to enter the topic of this trip to Beijing, "Teacher, I''m going to apply for outstanding youth next month."


    Li Yao''s expression was slightly dazed when she heard this.


    Lu Chen is only in his early thirties, so he is about to reach the stage of outstanding youth?


    But think about it, her outstanding youth is also Lu Chen''s breakthrough research on dapagliflozin, and the application was successful.


    "Don''t worry, during your time in Jinghua, I will tell you about Jie Qing in detail." Li Yao said slowly.


    "Thank you teacher." Lu Chen smiled.


    "Thank you for talking to me." Li Yao said, "However, during your stay in the Second Hospital of Jinghua, you have to give good lectures to our laboratory and clinical intervention room, give them some experimental ideas, and help them improve the level of interventional surgery. ."


    "This is nature." Lu Chen nodded slightly.


    He has just signed an agreement with the leadership of Jinghua Medical University on behalf of the Cardiology Department of the Fifth Hospital of the Magic City.


    In the future, the two parties will carry out comprehensive cooperation in clinical, scientific research, surgery and other fields.


    "I remember when the two of you first came to Jinghua, I was thinking that the students who came to apply for my graduate degree may have been transferred." Li Yao continued, "I didn''t expect that today, many years later, you guys The biggest surprise."


    Before ??, Li Yao was excluded from the Second Academy of Jinghua University because of "paper plagiarism, plagiarism" and other reasons.


    Of course, it was a disaster.


    During the time when Lu Chen and Ke Yue were in the Jinghua Second Hospital, they brought a huge surprise to Li Yao.


    From clinical to scientific research, the two have shown their respective abilities.


    Of course, Ke Yue was under the leadership of Lu Chen most of the time.


    A wave of memory killings made Lu Chen also think of that ignorant moment when he first entered the clinic.


    The medical troubles of that year, the explosion of the community that year, and the examinations of those years.


    Scenes and scenes in my mind, constantly showing back and forth.


    ¡­


    Leaving the Director''s Office.


    Lu Chen did not immediately return to the hotel where he was staying.


    Accompanied by Ke Yue, he came to the eighth district in the heart of Jinghua Second Hospital.


    "Lu Chen, do you remember when we first came to the department, there was a director who asked me to identify the electrocardiogram." Ke Yue said slowly, "I couldn''t even judge the electrocardiogram of atrial fibrillation at that time."


    "I have some impressions." Lu Chen smiled, "But it seems to be Director Lin Cui, right? She took out a series of electrocardiograms, let us interpret."


    "I remember that you read it out. Everyone was shocked at that time."


    "Ha ha¡­¡­"


    The two walked and chatted.


    Really met several acquaintances.


    "Hey, that''s not our little junior sister, I remember her name is Lin Qingping, right?"


    Lin Qingping is explaining things to a resident physician.


    Suddenly she heard someone calling her name, she turned back subconsciously, her eyes widened all of a sudden.


    "Senior Brother Lu Chen...Sister Ke Yue..."


    "Why are you here!"


    Lin Qingping returned to his senses, with a look of ecstasy on his face.


    I met two idols all at once, which was really surprising.


    She knew that Lu Chen and Ke Yue came to Jinghua.


    Unexpectedly, in their identities, they would also go to the clinic in person.


    "Junior Sister Lin, I haven''t seen you in such a long time, stay safe." Ke Yue said with a smile.


    Speaking of which, Lin Qingping and Li Yao came to the Magic City together three years ago when the Second Academy of Jinghua established the international laboratory of the Ministry of Education.


    "Senior Brother Lu, Sister Ke..." Lin Qingping was too excited to speak.


    She quickly brought over two chairs and let Lu Chen and Ke Yue sit down.


    "I''m so happy to see my brothers and sisters."


    Lu Chen smiled slightly, "I remember when you were about to graduate, you just came, right?"


    "Mmmm." Lin Qingping nodded quickly, "I''m two years younger than Senior Brother Lu."


    Today''s Lin Qingping, from the yellow-haired girl at the time, has grown into a doctor who is solely responsible for the department.


    ¡­


    (end of this chapter)

 v3 Chapter 945： severe plaque

    Chapter 945 Severe Plaque


    Time cannot withstand memories.


    A lot of things passed by early in the long river of time.


    Lu Chen "investigated" in Jinghua for a week.


    During this period of time, it can be regarded as a long vacation.


    Before ??, Lu Chen was too busy!


    Clinical and scientific research is too messy.


    Take advantage of this time to have a proper rest.


    In Jinghua, Lu Chen discussed with Li Yao about Jieqing and asked what precautions should be taken.


    On the other hand, he helped the intervention room of Jinghua Second Hospital to explain the key points of new surgeries such as TAVR.


    With Lu Chen''s current ability, this is a big opportunity for the entire Jinghua Second Academy.


    Under the leadership of Lu Chen and Gu Xinyue, many doctors of Jinghua Second Hospital have made great progress in interventional surgery.


    A week later.


    Lu Chen, Ke Yue and Gu Xinyue successfully completed the task and returned to the Fifth Academy of the Magic Capital.


    Jinghua trip officially ended.


    Back at the hospital, Lu Chen continued to bury his head in sorting out the matters related to the application for "Jie Qing".


    He has to work hard to win the "Outstanding Youth"!


    Ke Yue is continuing to handle the work of the national key performance laboratory.


    And Gu Xinyue also returned to the clinic and continued to start her surgical career.


    At this time, it has been less than two months since Lu Chen''s final application for outstanding youth.


    ¡­


    With Lu Chen''s current conditions, he has actually reached the "Outstanding Youth" review.


    But, as Ke Yue said.


    The assessment of outstanding youth is no longer just an academic issue.


    also involves the medical background and human resources behind each person.


    This is no longer a fight for academics!


    is the resource behind everyone!


    When ?? was in Beijing, Li Yao also talked about these things with him.


    But Lu Chen''s stubbornness made him not intend to go through the back door.


    On the other hand, Lu Chen started from scratch.


    If you want to learn from the second generation and compare resources with those, you will definitely not be able to win!


    Except this way.


    Lu Chen decided to use his ability to fight against the selection system of "Jie Qing".


    If your ability is one or two grades higher than your opponent, the result may be different!


    "If one new type of project doesn''t work, then two!"


    Lu Chen muttered to himself.


    He currently has a project.


    is about transcatheter mitral valve replacement in patients after acute myocardial infarction.


    On top of that, he''s looking for another project!


    ¡­


    After Lu Chen''s search and thinking.


    Hard work pays off!


    He took a different approach and did not continue to look for projects in valve intervention.


    After all, the valve project is about to be cleaned up by himself.


    Except for valve intervention.


    Coronary intervention is still one of the most popular among all surgeries in the Department of Cardiology.


    The idea of ??Lu Chen''s new project this time came from a patient''s coronary intervention.


    ¡­


    Modu Fifth Hospital, outpatient building.


    Today, Director Lu Chen''s consultation number is hard to get a ticket!


    In the hands of some scalpers, Lu Chen''s consultation and registration fee even exceeded seven or eight hundred yuan!


    Once approached thousands of dollars!


    For this reason, the Fifth Academy of Magic Capital is now severely cracking down on scalpers.


    Today, in Lu Chen''s consultation room, an old man came to see a doctor.


    The patient is a 66-year-old male.


    Suffering from grade 2 hypertension (very high risk, 10-year history of hypertension), type 2 diabetes.


    Three months ago, due to chest tightness, he went to a local hospital for treatment. Coronary angiography showed severe coronary stenosis and underwent PCI.


    This time, because of "more than 3 months after PCI", I came to the Fifth Hospital of the Magic City again.


    The original words of the old man were: "I don''t really believe in the small hospital below. After the operation, I still have chest tightness. The technical level is too poor!"


    Lu Chen could only explain while helping the uncle see a doctor.


    "Master, I just read your interventional surgery information, and the surgery was a success!" Lu Chen said, "There is no such thing as a failed surgery or bad technique!"


    It is said that literati are indifferent to each other.


    It is also easy to have a conflict between medical staff.


    But Lu Chen has always upheld his own point of view.


    Between peers, don''t be light on each other!


    "Professor Lu Chen, then tell me, I just finished the operation, why did the chest tightness flare up again?" The old man wondered.


    Lu Chen smiled, "This is caused by many reasons. Intervention in PCI cannot solve all problems, and everyone has individual differences."


    The patient has a USB flash drive with surgical video data in his hand.


    After Lu Chen got it, he opened it.


    Coronary angiography at the local hospital showed.


    The patient''s anterior descending branch, diagonal branch, and obtuse marginal branch all had moderate to severe stenosis, with stenosis and calcification mainly in the proximal and middle segments of the anterior descending branch.


    Lu Chen frowned after watching the video, "This is not easy to do, the calcification of blood vessels is too heavy!"


    "Can''t you? You can''t do surgery!" When the old man heard this, he panicked instantly.


    Lu Chen smiled, "Don''t worry, you can do it, but the blood vessels are severely calcified, and the operation is risky."


    "Okay, I trust you!"


    The old man said seriously.


    After coming to the hospital, he already understood the intervention level of the Fifth Hospital of the Magic Capital, which is the level of NO1.


    And Lu Chen also found an opportunity at this time.


    Maybe from the perspective of coronary intervention, we can think of a new project!


    ¡­


    Soon, under the leadership of Lu Chen.


    There was another big discussion inside the department.


    The angiography indicated that there were severe calcifications on both sides of the lesion vessel, and the length of the lesion was long.


    So Lu Chen decided to use the Sonico-CX shock wave balloon technology solution.


    Impact precisely impacts the coronary intima and submedial calcifications to loosen them.


    Subsequently, OCT was used to evaluate the rupture of the calcified ring and the lumen after shock wave balloon therapy.


    Finally, the stent was re-implanted, and the postoperative effect was re-evaluated under OCT and contrast-enhanced ultrasound.


    ¡­


    After a brief discussion, coronary intervention began.


    This operation mainly deals with lesions of the anterior descending artery.


    Preoperative examination indicated that the patient''s anterior descending artery had 70% stenosis in the proximal and middle segments with severe calcification (the length of the lesion was about 30 mm, and the diameter of the heaviest calcification was 3.0 mm).


    The FFR pressure microcatheter was sent into the anterior descending branch and the FFR was 0.73.


    OCT examination showed diffuse annular calcified plaques in the proximal and middle segments of the anterior descending artery.


    ¡­


    During surgery.


    Lu Chen used a 3.0mm*12mm Sonico-CX Coronary Shock Wave Balloon.


    In the proximal and middle calcified lesions, 70 shock waves were triggered successively for 7 cycles.


    In each cycle, 10 pulsed shock waves are excited at 4atm, and then pressurized to 8atm to expand and form.


    In the case of calcified plaque fragmentation, under DSA, it can be seen that with the release of shock wave, and after 8 atm expansion, the balloon dilation is sufficient at the most severe calcification.


    ¡­


    The entire operation will be broadcast live globally again.


    China, Europe, America, Japan and other countries, the whole process of live broadcast.


    After sufficient shock wave balloon pretreatment, the calcification ring was released, the vascular compliance was improved, and the stent was successfully implanted at the lesion.


    Re-examination of OCT and angiography showed that the stent adhered well and the expansion was satisfactory. The stent expansion rate was 86.24%, and there was no dissection and residual stenosis.


    (end of this chapter)

 v3 Chapter 946： System final upgrade

    Chapter 946 The final upgrade of the system


    "Congratulations, the completion of the system upgrade has increased!"


    "Congratulations for getting a thank you from...!"


    In Lu Chen''s system panel, prompts kept popping up.


    After so many years of accumulation, his current gratitude value has reached a terrible value.


    However, the last layer of the system, the mall, has not been opened for a long time.


    His gratitude values ??are not of much use for the time being.


    The cardiologists of the Fifth Hospital of the Magic Capital were amazed at Lu Chen, and they were already a little numb.


    Whether this is the top technique in China or the top technique in the world, Lu Chen''s success seems to be taken for granted.


    However, only Xu Wei, Gu Xinyue and Jin Miao were the only people who could really understand the hard work behind Lu Chen.


    Lu Chen experienced many difficulties when thinking about the whole new project.


    The success of the ?? operation is not taken for granted.


    Difficulties encountered during surgery, such as hemodynamic instability, guidewire, and catheter failure.


    These are hardships that are unimaginable to outsiders.


    was eventually defeated by Lu Chen one by one.


    "With these two projects, the Jieqing project should be sure of everything, right?"


    Lu Chen started to perfect his "Outstanding Youth" project book in the director''s office.


    Doctor Lu Chen is one of the most down-to-earth directors.


    Many directors rarely go to the clinic, and mainly engage in scientific research or administration.


    But Lu Chen insisted on rounds every week.


    All difficult patients in the department, he has to personally intervene.


    Not only that, but he also participates in the clinical diagnosis and treatment of patients.


    When ?? encountered a difficult operation, Lu Chen faced it even more.


    on the other hand.


    Most of Lu Chen''s current papers have been published in the journals of the Fifth Academy of Magic Capital.


    In this way, the rank of the academic journal has risen.


    In the field of cardiology in China, the journal of the Fifth Academy of Magic Capital has now become almost a top cardiovascular journal.


    Even in the international arena, it is the leading journal.


    ¡­


    besides.


    The national key laboratory project led by Ke Yue also successfully passed the final review.


    The National Key Laboratory was able to go so smoothly this time, and Dean Dai Wansong contributed a lot in it.


    His network resources in China are quite rich.


    The establishment of ?? National Key Laboratory marks that the Fifth Hospital of Magic Capital has officially become one of the top tertiary hospitals in China.


    The current fifth hospital of the magic capital is not the place that many doctors yearn for, not as it was originally established.


    However, after all, the establishment and establishment of the Fifth Academy of Magic Capital was short.


    In terms of hospital background, it is far inferior to other top tertiary hospitals in Kyoto and Modu.


    Moreover, the Fifth Academy of Magic Capital is a serious "partial student".


    In the field of cardiology, doctors represented by Lu Chen are definitely the top doctors in China.


    But the strength of other departments can only be regarded as first-class in China at most.


    However, Rao is so.


    The Fifth Hospital of the Magic Capital has slowly become a pearl in the medical circle of the Magic Capital.


    The most important thing that attracts other doctors is the medical reform of the Fifth Hospital of the Magic City.


    From the usual "thesis-only" theory, it pays more attention to the combination of clinical and scientific research.


    The salary of a doctor is completely unrelated to the amount of examinations, medicines, and operations!


    This model, although it will lead to laziness, but the strict review system, the fifth hospital of the magic capital will dismiss some doctors every year.


    Under this monitoring system, the entire Magic City Fifth Academy is running well.


    However, Lu Chen also knew that this model could not be promoted nationwide.


    This system of reviewing doctors is the biggest bug!


    Once there is a mistake in the supervision of the personnel, and out of favoritism, the entire system will be destroyed!


    ¡­


    Two months later.


    Huaxia Kyoto.


    Lu Chen came back here again to participate in the offline review of the "Jieqing" Fund.


    Returning to Kyoto again, Lu Chen was not very sigh.


    If it is said, Jinghua is the place where his dream started.


    Then, Kyoto should be the place that changed the trajectory of his life.


    Here, he came into contact with the top doctors in the country, the first time he had contact with the top doctors in the world.


    His electrophysiological interventional surgery was also thoroughly accomplished at the Kyoto Institute of Electrophysiology.


    The offline review will be the day after tomorrow.


    As a regular procedure, the participants need to visit the judges of the "Jiaqing" Foundation.


    But after coming to Kyoto, Lu Chen went directly to the First Hospital of Kyoto and met with Professor Qin Sifeng.


    ¡­


    Kyoto First Hospital.


    Director''s Office of Cardiology Department.


    "Lu Chen, in just five or six years, the Fifth Academy of the Magic Capital in your hands is unbelievable!"


    Qin Sifeng looked at Lu Chen in front of him and exclaimed a little.


    Actually, it''s not so much the success of the Fifth Academy of the Magic Capital, but rather the success of Lu Chen.


    Just like what Lu Chen thought at the beginning.


    No matter which hospital he goes to, the future level of cardiology in that area will be assessed based on his ability.


    Therefore, he dared to go to Yunhua Hospital without hesitation, which is now the Fifth Hospital of the Magic Capital.


    Lu Chen smiled, "It can be regarded as a mutual complement with the Fifth Academy of the Magic Capital."


    If he went directly to a top-level tertiary hospital, Lu Chen would not have such great autonomy.


    Maybe there will be restrictions everywhere in terms of clinical and scientific research.


    But in the Fifth Academy of Magic Capital, Lu Chen is the chief director of the department.


    In clinical and scientific research, he has absolute autonomy!


    "You should be full of confidence to apply for the Outstanding Youth Fund this time?" Qin Sifeng said with a smile.


    "It''s alright." Lu Chen shrugged his shoulders, "Compared to other reviewers, my weakness is that I don''t have much network resources."


    This is also a fatal flaw.


    In China, no matter how capable you are and how much you have contributed, if you don¡¯t have a network or background, it will be difficult to break through the inherent class hierarchy.


    "Do you need my help?" Qin Sifeng asked slowly.


    He looked at Lu Chen with anticipation in his eyes.


    He is also one of Lu Chen''s teachers.


    When Lu Chen was in Kyoto, he was in his group.


    Even after he left the capital, Lu Chen''s growth was in his eyes.


    "Thank you, Teacher Qin."


    Lu Chen smiled slightly, then shook his head.


    "I want to try it myself!"


    He wants to rely on his current ability to win the "Jiuqing" fund.


    "Haha!" Qin Sifeng patted Lu Chen''s shoulder with his big hand, "Really, it''s the Lu Chen I know!"


    Lu Chen pursed his lips and smiled.


    I don¡¯t know why I¡¯m still being praised for doing a normal thing now?


    When everyone is accustomed to taking shortcuts, sticking to the bottom line may seem invaluable.


    "By the way, the applicants for Jie Qing this time are also old acquaintances." Qin Sifeng said.


    Having said that, a figure flashed in Lu Chen''s mind.


    He knew a lot of people in Kyoto.


    But when it comes to being familiar with two words, the scope is small.


    "Professor Qin, is that Yu Weiguang?"


    Qin Sifeng nodded slowly when he heard the words.


    ¡­


    The next day.


    Cafe near Kyoto First Hospital.


    Lu Chen met Yu Weiguang, who was in trouble.


    "Lu Chen, when did you arrive in Kyoto?" Yu Weiguang was very happy after seeing Lu Chen, he grinned, "Why didn''t you tell me so I can pick you up."


    "Come here yesterday." Lu Chen looked at Yu Weiguang, and recalled his days with him in Mayo, "You should be very busy now, so I won''t bother you."


    "Hey, what are you busy with!" Yu Weiguang shook his head slightly, "I''m just busy, you came to Kyoto this time to apply for Jieqing Dad?"


    "Yes." Lu Chen nodded, "I heard from Professor Qin Sifeng, you also participated this time?"


    Yu Weiguang spread his hands, picked up the coffee on the table, and took a sip, "Yeah, Academician Fang suggested me to apply, and I followed his advice."


    Lu Chen knew that the academician Fang mentioned by Yu Weiguang was an academician of Huaxia Cardiovascular.


    In the field of Huaxia Cardiology, the prestige is very deep.


    Yu Weiguang has been following him since he returned from Mayo.


    "I really envy you. Following Academician Fang, the outstanding youth this time should be stable, right?" Lu Chen smiled.


    "Hey, these are all false names." Yu Weiguang shook his head, "If you were willing to come to Kyoto at that time, I''m afraid you would have been an outstanding young man, why wait until now."


    Lu Chen smiled and did not deny it.


    Yu Weiguang continued: "Lu Chen, I really admire you, the journal you created in the Fifth Academy of the Magic Capital is simply amazing!"


    "Many professors in our school submitted manuscripts to you, but they were all rejected!"


    The journal of the Fifth Academy of Magic Capital is now comparable to internationally renowned journals, and has also passed the annual SCI paper inclusion.


    is officially recognized.


    However, Lu Chen said slowly: "Our papers here have a unique review mechanism. Many papers that seem to be high-level, but do not have much clinical value. What our Fifth Academy of Magic Capital attaches more importance to is the transformation from basic to clinical. the value of."


    "Well, we have too many **** papers, which are meaningless." Yu Weiguang echoed.


    The two chatted while recalling the past.


    Especially during that time in Mayo, USA.


    "Before, everyone said Nanlu Chen Bei Weiguang." Yu Weiguang shook his head and smiled, "I don''t talk about it now."


    He himself is still the leader of the younger generation in China.


    However, Lu Chen has reached a new level. He is no longer compared with young people, but with top domestic or international doctors.


    When I heard that Lu Chen wanted to apply for this "Outstanding Youth" through his own efforts.


    Yu Weiguang was amazed.


    This kind of thing, only Lu Chen can think of it, right?


    Looking at Lu Chen''s confident smile, Yu Weiguang couldn''t help but be startled.


    Others may not be able to, but has this man created few miracles?


    ¡­


    Two months later.


    When the latest batch of "Jiaqing" funds was announced.


    Lu Chen from Magic Capital and Yu Weiguang from Kyoto have all applied!


    This news instantly detonated the entire Fifth Academy of the Magic City.


    Outstanding Youth, this is a title before the academician.


    People often say that if you want to become an academician, outstanding youth is the only way.


    Before the age of forty-five, if you don''t become an outstanding young person, don''t even think about an academician.


    As the top interventional cardiology doctor in China, the current Lu Chen is only thirty-five years old this year!


    The news of him getting "Outstanding Youth" was wildly reprinted by major media!


    Lu Chen''s past resume was also picked up by everyone.


    When everyone saw Lu Chen''s past experiences, an idea could not help but pop into their minds.


    Professor Lu Chen won the "Outstanding Youth", it seems to be a matter of course, right?


    ¡­


    This year, Lu Chen successfully became a doctoral supervisor.


    And Fan Zhiping also became his student as he wished.


    In electrophysiological intervention, TAVR intervention, coronary intervention, congenital heart disease intervention, etc., Lu Chen has become a new benchmark for Huaxia!


    The "Modern Cardiovascular Diseases" magazine founded by the Fifth Academy of Magic Capital has also become the top journal in the domestic cardiovascular journals.


    Although Lu Chen has achieved so many achievements and titles, he still works clinically.


    We conduct large ward rounds every week, and personally ask patients for medical history and physical examination.


    These are Lu Chen''s weekly essentials.


    Because he never forgot, his ultimate wish is to be a doctor who treats and saves people.


    Most of the scientific research projects he applied for can be transformed into clinical practice, improve the diagnosis rate, improve the success rate of treatment, and more importantly, improve the prognosis of patients and reduce the mortality rate.


    From clinical medicine to interventional cardiology.


    With the help of the system and his own efforts, Lu Chen has trained almost all his skills to the expert level.


    Lu Chen has exchanged most of the items in the ?? system mall.


    Even so, he has accumulated millions of thanks.


    No matter how much gratitude he consumes, it seems that he can''t open the last layer of the system mall.


    ¡­


    Although the Cardiology Department of the Fifth Hospital of the Magic Capital has become the top cardiology department in China, there is still a certain gap between it and the highest international level.


    In some fields, the Fifth Hospital of the Magic Capital led by Lu Chen has surpassed the top hospitals in the world.


    But the gap at home and abroad has been created over a long period of time, and cannot be reversed overnight.


    However, Lu Chen is not in a hurry, and is still busy in clinical and scientific research every day.


    Time passed slowly.


    Clinical and scientific work is extremely boring.


    Lu Chen was patient and discussed his condition with everyone in the department every day.


    For every cardiologist who comes to the Fifth Hospital of the Magic City, Lu Chen is their best teacher.


    Whether it is clinical, scientific research, or surgery, Lu Chen will teach him everything.


    And those graduate students who graduated from Lu Chen,


    Under Lu Chen''s advice, they would not all stay in the Fifth Academy of the Magic Capital.


    On the contrary, a considerable number of students will go to other hospitals in Huaxia.


    With their arrival, other hospitals in Huaxia can also receive the most advanced diagnosis and treatment concepts and management methods.


    In the whole of China, there is only one magic capital five courtyards, which is not enough.


    Lu Chen''s wish was never to be the only one, but to lead Huaxia Medicine to the world.


    ¡­


    This day, the sun is shining.


    Although Gu Xinyue and Jin Miao had been on their own for a long time, Lu Chen came to the department for rounds as usual.


    The doctors from the Cardiology Department of the Fifth Hospital of the Magic Capital all came after hearing the news.


    Those new doctors all want to see this big coffee in the field of cardiology.


    Lu Chen walked in the front, with a stethoscope from a patient hanging around his neck, and slowly opened the door of the ward.


    One morning, just like that.


    When Lu Chen put down his stethoscope, he ended the round of the last patient.


    His system panel, which had not moved for a long time, suddenly heard a pleasant sound.


    "Congratulations, the system upgrade is 100% complete!"


    "Congratulations, the last layer of the system mall is open!"


    Lu Chen looked a little excited.


    He hurried back to the office.


    Open the system panel.


    The last floor of the mall is really open!


    The skills here, as Lu Chen expected, are all perfect skills!


    System Tip: Perfect skill attribute, able to continuously improve the current operation, and even create new ones independently.


    Lu Chen was stunned for a moment, this perfect skill is really a bit out of the sky.


    However, the gratitude value of each skill exchange is also ridiculously high.


    For example, the perfect skill of coronary intervention requires 10 million gratitude points!


    "By the way, the system has been upgraded, what additional functions are there?" Lu Chen suddenly thought.


    At this moment, there was a knock on the door.


    Gu Xinyue walked in slowly, "Director, a patient is looking for you outside."


    "Okay, I''ll be right there!"


    Lu Chen replied softly.


    However, when he looked up at Gu Xinyue, he was stunned.


    Because on Gu Xinyue''s head, except for the number 76 (-) that shows health.


    There is also a line of small characters, the current diagnosis: viral cold.


    Lu Chen subconsciously asked, "Lao Gu, have you caught a cold recently?"


    Gu Xinyue was stunned, "How do you know? I''ve had a cold for several days."


    Lu Chen suddenly widened his eyes.


    The function of this system upgrade is to directly see the diagnosis?


    "Listen to your nasal voice, your voice has changed." Lu Chen said casually.


    "Ah? Is there any?" Gu Xinyue was a little suspicious, but he didn''t feel it himself, "Okay, let''s do this first, go see that patient, I''ll go first."


    "Um."


    After Gu Xinyue left, Lu Chen came to the ward and tried several times in a row.


    The ?? system can really see the diagnosis of the patient directly!


    The function of this system is even better than the perfect skill card.


    Lu Chen knew that his own medical era was coming!


    ¡­


    come back to the office.


    When Lu Chen looked at the mirror in the bathroom, he was slightly startled.


    In the mirror, a line of small words appeared on his head.


    Current Diagnosis: Patients with severe fantasies¡­


    "what?"


    Lu Chen was shocked!


    shook his head, closed his eyes, and opened them again.


    The line of small characters in the mirror disappeared again.


    "Scared me."


    Lu Chen patted his chest, the system panel in front of him still existed.


    Stay up all night tonight and get ready.


    (end of this chapter)

 v3 Chapter 947： This is the end and the beginning.

    Chapter 947 This is the end and the beginning.


    The upgrade of the ?? system has greatly improved Lu Chen''s abilities.


    This kind of improvement is no longer a simple improvement on the surface.


    Perfect level skill card, so that each of Lu Chen''s skills has innovative attributes.


    Existing surgeries, Lu Chen can improve and create brand new surgeries.


    With this skill card, Lu Chen is the one who can truly stand at the top of the medical circle!


    Although each perfect skill card requires a lot of thanks, Lu Chen is now earning thanks very quickly.


    Attend a forum, give a speech, or do a live surgery.


    The gratitude value that Lu Chen obtained was in 10,000 units.


    With the upgrade of the system, Lu Chen entered the mode of earning thanks again.


    ¡­


    time flies.


    In the blink of an eye, five years passed by.


    American Mayo.


    At this time, Professor Debed is nervously waiting for the VIP to arrive.


    The resident doctor who just arrived was a little puzzled, and quickly said: "Professor, what important people are coming today?"


    Professor debed didn''t look back, but just replied, "It''s very important, in fact, he can be regarded as one of our Mayo''s people."


    "Who is it?" the resident asked, "is it better than our Mayo doctor?"


    Professor Debed was about to answer when he suddenly saw a group of people greeted him.


    When he saw the person coming, he immediately walked up to him.


    "Lu, you are finally here!"


    The person in front of him is Lu Chen!


    Lu Chen gave Professor Debed a big hug, "Long time no see."


    After ?? released, Professor Debed looked excited.


    "Lu, today is our Mayo''s honor to invite you here."


    When the resident doctor on the side saw Lu Chen, his eyes widened.


    This Chinese man, he knows!


    Now in the field of cardiology, who doesn''t know Lu Chen?


    He solved many problems in coronary surgery and TAVR surgery by himself.


    And created many new theories, making the field of cardiology in today''s world a big step forward!


    "It''s no wonder that Professor Debed said that he is an important person, and it is not surprising that Professor Lu Chen!"


    The resident looked at Lu Chen with a frenzy on his face.


    It is rare to meet such a legendary character once!


    "Lu, it''s hard for you to come here." Professor Debed said, "You can''t leave today! Be sure to tell us about your latest theory and the latest coronary surgery."


    "Okay." Lu Chen nodded with a smile, "I''ll stay for three days this time."


    "Three days..." Professor Debed thought it was too short.


    But for Lu Chen, these three days are already a face for Professor Debed.


    "That''s fine." Professor Debed gritted his teeth, "Just three days."


    Then, Professor Debed said, "Lu, I''ll take you to eat your favorite pizza, just take care of it!"


    Lu Chen quickly waved his hand, "Professor debed, I really don''t need it, I don''t like to eat..."


    "How could that be?" Professor Debed was taken aback, "I remember when you were studying at Mayo, you liked this the most."


    Lu Chen: "..."


    ¡­


    Lu Chen was invited to give lectures at Mayo for three days.


    He introduced his brand-new theory of knowledge, as well as techniques, to this once world''s highest medical palace.


    Looking at the students sitting in the classroom with eyes full of curiosity, Lu Chen smiled slightly and began to lecture.


    After returning to Huaxia.


    Lu Chen was also invited to attend the honorary professor awarding ceremony of several medical colleges and universities along the coast.


    "This¡­¡­"


    It was also the first time for him to participate in this kind of ceremony. How could he feel that the title of honorary professor could be given the same.


    "Professor Lu, I would like to invite you to give a lecture in Guanghai when you are free," the dean of Guanghai First Academy pleaded.


    "Guanghai?" Lu Chen was taken aback, "Is Guanghai First Hospital?"


    "Yes." The director of Guanghai First Hospital laughed.


    "Okay, wait until you have time."


    "Okay, thank you very much, Professor Lu Chen."


    Lu Chen smiled, but did not explicitly refuse.


    ¡­


    Today, the Fifth Hospital of the Magic Capital has become one of the top hospitals in the world.


    Among them, the Cardiology Department led by Lu Chen is the leading department among many departments.


    In the clinical, surgical, scientific research, and other aspects of the heart, the Fifth Academy of Magic Capital has jumped to the first place in the world!


    The journal "Modern Cardiovascular Diseases" published by ?? has become one of the top journals in the world.


    Most importantly, this magazine needs to be written in Chinese.


    Scholars from other countries want to publish papers here, the premise is that they need to write in Chinese language.


    This move began to slowly break the monopoly of English papers.


    Lu Chen has set new standards for surgery, clinical practice, and literature publication.


    At the same time, the master and doctoral students who graduated from Lu Chen here.


    A considerable part went to other hospitals across the country.


    When they gained a firm foothold, they brought a new concept of diagnosis and treatment to these hospitals.


    Lu Chen''s diagnosis and treatment thinking, etc., to a certain extent, through his own students, spread in all walks of life in China.


    ¡­


    Another two years passed.


    In a certain community in the magic capital.


    A teenage boy was staring at the TV screen.


    "Mom, when will it start?"


    "It will start soon." Xu Wei smiled.


    "Then I can see Dad on TV?" The boy raised his head and looked at his mother.


    "Um."


    Xu Wei sat beside the little boy and smiled softly.


    At this time, the party involved, Lu Chen, was squatting in the bathroom.


    "Lu Chen, come out quickly, the result will be announced soon!"


    Xu Wei frowned.


    What happened to this man?


    After getting married, I have to pull several times a day.


    Pull it when you go out, pull it when you get home, and pull it before meals.


    "Okay, it''s coming out soon!"


    Lu Chen was speechless as he sat on the toilet.


    He took out his phone and turned on the front camera.


    A line appeared above his head.


    Current diagnosis: Habitual constipation.


    "Hey, I have to eat more vegetables."


    Five minutes later, Lu Chen staggered out of the bathroom.


    "Dad, come quickly."


    "coming!"


    Lu Chen came to Xu Wei''s side and gently touched her hand.


    Xu Wei smiled and walked away.


    "You just went to the toilet, didn''t you wash your hands?"


    Lu Chen looked righteous, "I washed it."


    at this time.


    On the TV in the living room, the latest results of the two-year co-election of academicians of the Chinese Academy of Sciences and the Chinese Academy of Sciences are played.


    Lu Chen''s family immediately turned their attention to the TV screen.


    Not only them, but the entire Chinese medical community all turned their attention to today''s supplementary list of academicians.


    Ended with the lengthy meeting content.


    The supplementary list of academicians of the two academies is officially announced!


    "The latest addition to the list of academicians, the Huaxia Academy of Sciences has added 65 people, and the China Academy of Engineering has added 85 people!"


    Below, there is a detailed list.


    "Tian Jinzhou, Huaxia University of Traditional Chinese Medicine."


    "Wu Tangchun, Huazhong University of Science and Technology."


    ¡°¡­¡±


    A series of names flashed before his eyes.


    Although Lu Chen was calm on the surface, he actually clenched his fists slightly.


    Xu Wei on the side was even more daring to come out.


    "I saw Dad''s name!"


    Suddenly, the little boy in front of Xu Wei exclaimed, and he pointed to the last two rows in the list.


    It turned out that he was looking upside down.


    Lu Chen and Xu Wei immediately looked towards the end of the list.


    "Lu Chen, the Fifth Affiliated Hospital of Modu Medical University..."


    Xu Wei''s face was ecstatic. She pulled Lu Chen''s arm and wanted to say something, but she was too excited to speak.


    Lu Chen also tried his best to suppress his inner joy.


    He finally made it!


    became the new academician of the Chinese Academy of Engineering!


    At this moment, his cell phone kept ringing.


    Countless congratulatory messages are pouring in!


    ¡­


    Two years later.


    Li Yao, from the Second Academy of Beijing and China, also overcame all obstacles and was appraised as an academician.


    For this reason, the stories of Lu Chen and Li Yao "one academician and two academicians" are talked about with great interest.


    Today''s Lu Chen is already at the pinnacle of medicine.


    Huaxia Cardiology has gradually become an international top.


    In many fields such as scientific research, clinical practice, surgery, etc., the Fifth Academy of Magic Capital led by Lu Chen has become the top existence in the world.


    is so.


    Lu Chen still works in the ward every day


    It¡¯s just that there are fewer and fewer patients for him to check in person.


    Gu Xinyue and Jinmiao have already grown up.


    Jin Miao is in charge of the Cardiology Department of the Fifth Academy of Magic Capital.


    Gu Xinyue even became the vice president of the Fifth Academy of the Magic Capital.


    Zhang Shuqing, Lu Chen''s doctoral supervisor, came to work in the Fifth Academy of Magic Capital a few years ago.


    Yu Weiguang, who is far away in Kyoto, although he has not been rated as an academician for the time being, has also led the Kyoto Cardiology Department forward.


    And the junior sister Yao Jie also works in the Cardiology Department of Kyoto quite well.


    Roommate Wang Zihao works diligently in Kyoto Hospital.


    A small number of Lu Chen''s students went to the grassroots level to help build basic health services.


    China''s medicine is forging ahead despite the hardships because of the existence of such a group of people.


    Perhaps the emergence of bad horses.


    But don''t ignore the kindness in every Huaxia doctor and the persistent pursuit of truth.


    Those who are striving on the road of medicine, share with you.


    The whole book is finished.


    (end of this chapter)

 ~： Finish this testimonial

    Finish this testimonial


    When I typed the word "End", I felt so lost in my heart.


    The book was published on May 56 last year, and today is August 21.


    In one year and three months, a book on cardiology was completed.


    The number of words is only two million, which is not much in today''s online novels.


    However, these two million words, which involve medical records, are a lot.


    has his own personal experience and knowledge, and will also read clinical materials and find papers.


    Make sure that there are no common-sense errors in the knowledge involved.


    Also thank you book friends.


    Thank you all for your company over the past year.


    Without you, this book would not have been achieved.


    At the end of the last book, I said I would write a story about a simple doctor.


    This book is complete.


    So, see you in the next book.


    As for the subject matter, it is possible to choose between Western medicine surgery, Chinese medicine, and forensic medicine.


    If you are interested in which one, you can leave a message, and I will watch it.


    The date of the publication of the book may be at the end of September or the beginning of October.


    (end of this chapter)